| Mercy Clinic Springfield Communities | |
|
3231 S National Ave Ste 220, Springfield, MO 65807 | |
| (855) 420-7900 | |
| (417) 829-4316 |
| Full Name | Mercy Clinic Springfield Communities |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 3231 S National Ave Ste 220, Springfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245277631 | NPI | - | NPPES |
| CB9013 | Other | MO | RR MDCR GRP. # |
| 8P045 | Other | MO | AR BLUE SHIELD GRP #-MO |
| 507679405 | Medicaid | MO | |
| 100713130A (GRP. #) | Medicaid | OK |
| Provider Name | Rana O Tenorio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376507434 PECOS PAC ID: 0345153631 Enrollment ID: I20031112000230 |
| Provider Name | Tamon B Paige |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104807635 PECOS PAC ID: 6103720420 Enrollment ID: I20031119000906 |
| Provider Name | John S Swango |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013904150 PECOS PAC ID: 8820992704 Enrollment ID: I20031121000655 |
| Provider Name | Ashley L Kubik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619010063 PECOS PAC ID: 9133023047 Enrollment ID: I20031121000780 |
| Provider Name | David S Cochran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467541433 PECOS PAC ID: 5991609828 Enrollment ID: I20031121000871 |
| Provider Name | Mark L Blucher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568433951 PECOS PAC ID: 6305740051 Enrollment ID: I20031124000476 |
| Provider Name | Raymond Vetsch |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1265477285 PECOS PAC ID: 1052217833 Enrollment ID: I20031211000524 |
| Provider Name | Alan M Scarrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972537132 PECOS PAC ID: 9638077936 Enrollment ID: I20031223000633 |
| Provider Name | Alison L Hood-kirar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922103308 PECOS PAC ID: 0648172197 Enrollment ID: I20040123000968 |
| Provider Name | Lee R Choo-kang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144366196 PECOS PAC ID: 4385538768 Enrollment ID: I20040209000738 |
| Provider Name | Keesag A Baron |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891736930 PECOS PAC ID: 5698660058 Enrollment ID: I20040216001132 |
| Provider Name | Jeffrey A Tichenor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629154851 PECOS PAC ID: 0648165001 Enrollment ID: I20040216001163 |
| Provider Name | Rachelle M Leonardo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225193675 PECOS PAC ID: 9133014871 Enrollment ID: I20040220000215 |
| Provider Name | William M Zeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356386502 PECOS PAC ID: 2264320902 Enrollment ID: I20040308000224 |
| Provider Name | Robert J Lackamp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356347892 PECOS PAC ID: 8729074141 Enrollment ID: I20040421001796 |
| Provider Name | Kelly Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992720361 PECOS PAC ID: 2365439437 Enrollment ID: I20040429000783 |
| Provider Name | Timothy D Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982682761 PECOS PAC ID: 9931199171 Enrollment ID: I20040518000536 |
| Provider Name | Gordon R Wouters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851402010 PECOS PAC ID: 9537150289 Enrollment ID: I20040520001224 |
| Provider Name | Darin L Talley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548340359 PECOS PAC ID: 2062493240 Enrollment ID: I20040525000613 |
| Provider Name | Tracy L Beckham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285892380 PECOS PAC ID: 1052394129 Enrollment ID: I20040610000018 |
| Provider Name | Matthew Brent Callen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497762793 PECOS PAC ID: 5496739344 Enrollment ID: I20040617000192 |
| Provider Name | Nizar A Assi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194772954 PECOS PAC ID: 7911991971 Enrollment ID: I20040629001035 |
| Provider Name | Abdul M Memon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720193642 PECOS PAC ID: 8426035049 Enrollment ID: I20040701001015 |
| Provider Name | Alastair D Haddow |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891739884 PECOS PAC ID: 9335127950 Enrollment ID: I20040710000095 |
| Provider Name | Lakshmi V Dundoo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871553263 PECOS PAC ID: 3870571417 Enrollment ID: I20040710000165 |
| Provider Name | Michael R Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134290646 PECOS PAC ID: 3274511720 Enrollment ID: I20040710000319 |
| Provider Name | Volare A Yantis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659411049 PECOS PAC ID: 9335127844 Enrollment ID: I20040712000361 |
| Provider Name | Vera Mikhailova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942347190 PECOS PAC ID: 3375522428 Enrollment ID: I20040714000535 |
| Provider Name | Sean Mcenaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700923943 PECOS PAC ID: 2466360805 Enrollment ID: I20040714000622 |
| Provider Name | Sherry L Phippen-gesualdi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336298918 PECOS PAC ID: 5890680219 Enrollment ID: I20040715000540 |
| Provider Name | James A Felts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801960992 PECOS PAC ID: 7810976651 Enrollment ID: I20040715001125 |
| Provider Name | Richard H Kimrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871631259 PECOS PAC ID: 3678553013 Enrollment ID: I20040724000426 |
| Provider Name | Jesse D Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053458471 PECOS PAC ID: 3577543917 Enrollment ID: I20040724000436 |
| Provider Name | Paul Rei Pfeiffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821024803 PECOS PAC ID: 4880666080 Enrollment ID: I20040809000923 |
| Provider Name | Jordan C Page |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053459800 PECOS PAC ID: 8729051164 Enrollment ID: I20040816000027 |
| Provider Name | Gerald J Ondr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285772046 PECOS PAC ID: 2466425731 Enrollment ID: I20040816000371 |
| Provider Name | Julie A Alford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720126691 PECOS PAC ID: 0941273221 Enrollment ID: I20040816000436 |
| Provider Name | Kenneth B Snyder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538207212 PECOS PAC ID: 4385617661 Enrollment ID: I20040816000450 |
| Provider Name | John Mark Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902944606 PECOS PAC ID: 3577536804 Enrollment ID: I20040816000806 |
| Provider Name | Jinna Su Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215075189 PECOS PAC ID: 0648243972 Enrollment ID: I20040816000826 |
| Provider Name | Erich D Mertensmeyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396861498 PECOS PAC ID: 8022082601 Enrollment ID: I20040820000079 |
| Provider Name | Randall D Huss |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538232772 PECOS PAC ID: 7911815352 Enrollment ID: I20040824000177 |
| Provider Name | Ahmed T Robbie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801826052 PECOS PAC ID: 9931173903 Enrollment ID: I20040825000036 |
| Provider Name | Theodore Sample |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922191584 PECOS PAC ID: 6709852783 Enrollment ID: I20040910000009 |
| Provider Name | Nishua F Bendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174586275 PECOS PAC ID: 6103893839 Enrollment ID: I20040913001087 |
| Provider Name | Jenifer H Zhai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144388745 PECOS PAC ID: 3870567621 Enrollment ID: I20040928000211 |
| Provider Name | Trevor G Pickett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861556656 PECOS PAC ID: 5496724841 Enrollment ID: I20041001000317 |
| Provider Name | Amanda Jo Dinsmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063525251 PECOS PAC ID: 7719946920 Enrollment ID: I20041005000006 |
| Provider Name | Thomas C Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710093414 PECOS PAC ID: 2466411822 Enrollment ID: I20041011000191 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235207028 PECOS PAC ID: 2062473507 Enrollment ID: I20041019000946 |
| Provider Name | Darren L Lehnert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619042249 PECOS PAC ID: 5496716946 Enrollment ID: I20041019000969 |
| Provider Name | David M Delahay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053458414 PECOS PAC ID: 2062473044 Enrollment ID: I20041022000669 |
| Provider Name | Christopher A. Swingle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689649071 PECOS PAC ID: 7618877812 Enrollment ID: I20041101000750 |
| Provider Name | Ralph C Bethea |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144367897 PECOS PAC ID: 6800859075 Enrollment ID: I20041109000248 |
| Provider Name | Heath A Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689733560 PECOS PAC ID: 1658334776 Enrollment ID: I20041110000182 |
| Provider Name | Joshua Christian Garrison |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609888288 PECOS PAC ID: 6709840200 Enrollment ID: I20041115000948 |
| Provider Name | Thomas D Woodward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699710848 PECOS PAC ID: 9436113834 Enrollment ID: I20041116000431 |
| Provider Name | Cesar Munoz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710979208 PECOS PAC ID: 8325023195 Enrollment ID: I20041119000957 |
| Provider Name | Richard Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790729143 PECOS PAC ID: 4082679477 Enrollment ID: I20041124000646 |
| Provider Name | Jon A Reese |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922171966 PECOS PAC ID: 0345207643 Enrollment ID: I20041218000084 |
| Provider Name | Olevia M Pitts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447244884 PECOS PAC ID: 9436117298 Enrollment ID: I20041227000300 |
| Provider Name | Shachar Tauber |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174689723 PECOS PAC ID: 3678521820 Enrollment ID: I20050105000213 |
| Provider Name | Robyn Lynskey Yost |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801894795 PECOS PAC ID: 0840248449 Enrollment ID: I20050111000235 |
| Provider Name | Paul J Strecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053454066 PECOS PAC ID: 7517958911 Enrollment ID: I20050111000622 |
| Provider Name | Alice R Riedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245378413 PECOS PAC ID: 5294783783 Enrollment ID: I20050111000938 |
| Provider Name | Shawnie Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801977301 PECOS PAC ID: 4688578859 Enrollment ID: I20050117000113 |
| Provider Name | Heidi J Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891706776 PECOS PAC ID: 6204829930 Enrollment ID: I20050201000079 |
| Provider Name | Syed Faisal Jafri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609929868 PECOS PAC ID: 7315998408 Enrollment ID: I20050207000290 |
| Provider Name | Joan M Tomanek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225176928 PECOS PAC ID: 2961453808 Enrollment ID: I20050208000554 |
| Provider Name | Cynthia K Brooks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568520476 PECOS PAC ID: 5890763387 Enrollment ID: I20050208000856 |
| Provider Name | John Agnone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346311404 PECOS PAC ID: 0941251755 Enrollment ID: I20050209000017 |
| Provider Name | David Douglas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396760476 PECOS PAC ID: 5890746689 Enrollment ID: I20050209000652 |
| Provider Name | Shang-chiun Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588754402 PECOS PAC ID: 4486606498 Enrollment ID: I20050218000013 |
| Provider Name | Eric Paul Guilliams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013936749 PECOS PAC ID: 5991789935 Enrollment ID: I20050314000005 |
| Provider Name | James W Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730120759 PECOS PAC ID: 3173421997 Enrollment ID: I20050314000081 |
| Provider Name | Donna L Currier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982782306 PECOS PAC ID: 8224087689 Enrollment ID: I20050316000000 |
| Provider Name | Brenda G Scheiderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689771719 PECOS PAC ID: 3678523230 Enrollment ID: I20050405000002 |
| Provider Name | Ravi Nerella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114082567 PECOS PAC ID: 9638116601 Enrollment ID: I20050412000003 |
| Provider Name | Rex E Taber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144337403 PECOS PAC ID: 8527005198 Enrollment ID: I20050414000859 |
| Provider Name | Marc Luckett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881667608 PECOS PAC ID: 4587602966 Enrollment ID: I20050418000975 |
| Provider Name | Leslie K Wiscombe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235123126 PECOS PAC ID: 5193764306 Enrollment ID: I20050427000872 |
| Provider Name | Theresa A Witt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1922174515 PECOS PAC ID: 8527008929 Enrollment ID: I20050505000072 |
| Provider Name | Sean P Tarsney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740329325 PECOS PAC ID: 2961442876 Enrollment ID: I20050510001096 |
| Provider Name | Gregory V Maynard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063450187 PECOS PAC ID: 1254372386 Enrollment ID: I20050518000899 |
| Provider Name | Richard Thayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396781399 PECOS PAC ID: 4183665243 Enrollment ID: I20050518001127 |
| Provider Name | Carolyn M Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669465134 PECOS PAC ID: 8325080880 Enrollment ID: I20050525000030 |
| Provider Name | Kuo Huang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710048822 PECOS PAC ID: 4789626854 Enrollment ID: I20050531000150 |
| Provider Name | Clyde R Redmond |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700952462 PECOS PAC ID: 1355383431 Enrollment ID: I20050531000216 |
| Provider Name | Rachelene Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972511020 PECOS PAC ID: 9335181429 Enrollment ID: I20050531000315 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730186834 PECOS PAC ID: 4486697240 Enrollment ID: I20050603000022 |
| Provider Name | John C Vandover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376583393 PECOS PAC ID: 5597708362 Enrollment ID: I20050603000095 |
| Provider Name | Sunghoon Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184642175 PECOS PAC ID: 1850334541 Enrollment ID: I20050603000363 |
| Provider Name | Tracie L. Krob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104968171 PECOS PAC ID: 8921041591 Enrollment ID: I20050606000005 |
| Provider Name | Ashish Chowfin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962560060 PECOS PAC ID: 0244273829 Enrollment ID: I20050606000035 |
| Provider Name | Robert Leroy Kail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558354605 PECOS PAC ID: 6507809183 Enrollment ID: I20050606000041 |
| Provider Name | Robert F Merritt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649369661 PECOS PAC ID: 1052355575 Enrollment ID: I20050615000913 |
| Provider Name | Kristin L Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982770608 PECOS PAC ID: 0749224194 Enrollment ID: I20050616000129 |
| Provider Name | Blake Little |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386688778 PECOS PAC ID: 0749172237 Enrollment ID: I20050616000216 |
| Provider Name | Renita Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285724625 PECOS PAC ID: 9739123852 Enrollment ID: I20050620000045 |
| Provider Name | Heather A Thiessen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811035108 PECOS PAC ID: 6406891852 Enrollment ID: I20050627000070 |
| Provider Name | Jodie Ann Tucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972555712 PECOS PAC ID: 2163468265 Enrollment ID: I20050629000328 |
| Provider Name | Christy A Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487792750 PECOS PAC ID: 5890731202 Enrollment ID: I20050707000003 |
| Provider Name | Jessica L Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568501112 PECOS PAC ID: 2466498894 Enrollment ID: I20050707000158 |
| Provider Name | Kathleen D Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851439285 PECOS PAC ID: 3971549270 Enrollment ID: I20050707000779 |
| Provider Name | Diana A Prablek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588689541 PECOS PAC ID: 9335175066 Enrollment ID: I20050713000721 |
| Provider Name | Kevin H Reinhard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871506865 PECOS PAC ID: 5496781122 Enrollment ID: I20050713000751 |
| Provider Name | Mark D Wittry |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1497721088 PECOS PAC ID: 1850327594 Enrollment ID: I20050713000843 |
| Provider Name | Christie J Hurt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073603403 PECOS PAC ID: 3274508775 Enrollment ID: I20050714000550 |
| Provider Name | Angie J Whitesell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689679391 PECOS PAC ID: 0143256537 Enrollment ID: I20050718000358 |
| Provider Name | Bradley H Walz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649319963 PECOS PAC ID: 0941237366 Enrollment ID: I20050718000749 |
| Provider Name | Jonathan L Thornsberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255411989 PECOS PAC ID: 9133162258 Enrollment ID: I20050719000443 |
| Provider Name | Brian R Neely |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992727374 PECOS PAC ID: 0749217057 Enrollment ID: I20050719000451 |
| Provider Name | George G Pettey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902814296 PECOS PAC ID: 0042253163 Enrollment ID: I20050719000459 |
| Provider Name | Janet C Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396841342 PECOS PAC ID: 8224065438 Enrollment ID: I20050720000052 |
| Provider Name | Timothy J Davi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881734440 PECOS PAC ID: 8820025646 Enrollment ID: I20050725000175 |
| Provider Name | Bradley K Bloemker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295722387 PECOS PAC ID: 8921036138 Enrollment ID: I20050729000191 |
| Provider Name | James A Schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669485538 PECOS PAC ID: 2062441645 Enrollment ID: I20050804000815 |
| Provider Name | Sami Khoshyomn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699719963 PECOS PAC ID: 6709815244 Enrollment ID: I20050805000097 |
| Provider Name | Robert Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356418479 PECOS PAC ID: 6901796671 Enrollment ID: I20050816000092 |
| Provider Name | Raymond K Griffith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700820602 PECOS PAC ID: 4486691797 Enrollment ID: I20050819000300 |
| Provider Name | Robert Scott Duff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265475727 PECOS PAC ID: 2365472164 Enrollment ID: I20050820000106 |
| Provider Name | Scott Aaron Galligos |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1487793022 PECOS PAC ID: 0143203406 Enrollment ID: I20050909000005 |
| Provider Name | Charles S Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891826269 PECOS PAC ID: 1254363393 Enrollment ID: I20050909000010 |
| Provider Name | Brian L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619926250 PECOS PAC ID: 9133152176 Enrollment ID: I20050912000498 |
| Provider Name | Michael L Moen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619937893 PECOS PAC ID: 9830123306 Enrollment ID: I20050923000352 |
| Provider Name | Waltina J Kisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225219009 PECOS PAC ID: 5991730095 Enrollment ID: I20050928000032 |
| Provider Name | Tyrun Richardson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205834074 PECOS PAC ID: 2668407115 Enrollment ID: I20051004000130 |
| Provider Name | Adam J White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972607315 PECOS PAC ID: 9234154527 Enrollment ID: I20051005001069 |
| Provider Name | James M Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922145358 PECOS PAC ID: 5698790467 Enrollment ID: I20051011000405 |
| Provider Name | Steven L Olsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497737159 PECOS PAC ID: 9638194202 Enrollment ID: I20051012000861 |
| Provider Name | Nelson R Perez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043363005 PECOS PAC ID: 4880503424 Enrollment ID: I20051026000184 |
| Provider Name | Richard M Blubaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083654099 PECOS PAC ID: 6507884111 Enrollment ID: I20051102000734 |
| Provider Name | Renee L Boulicault |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639148422 PECOS PAC ID: 5799765152 Enrollment ID: I20051114000826 |
| Provider Name | Charles B Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538155338 PECOS PAC ID: 0749201986 Enrollment ID: I20051215000124 |
| Provider Name | James A Bartelsmeyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265469860 PECOS PAC ID: 5597779298 Enrollment ID: I20060202000091 |
| Provider Name | Adam R Wozniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730146507 PECOS PAC ID: 6608881552 Enrollment ID: I20060214000082 |
| Provider Name | Erin A Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821136128 PECOS PAC ID: 5294785960 Enrollment ID: I20060222000230 |
| Provider Name | Libia Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841398153 PECOS PAC ID: 8224044185 Enrollment ID: I20060301000601 |
| Provider Name | Traci N St Clair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053373696 PECOS PAC ID: 3476568965 Enrollment ID: I20060306000066 |
| Provider Name | Matthew A Kienstra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740329671 PECOS PAC ID: 1850300278 Enrollment ID: I20060413000025 |
| Provider Name | Susan K Grogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437291861 PECOS PAC ID: 2163431347 Enrollment ID: I20060417000507 |
| Provider Name | Arun K Singhal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578551446 PECOS PAC ID: 1052217148 Enrollment ID: I20060417000606 |
| Provider Name | Robert B Wyrsch |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1851430185 PECOS PAC ID: 5395754568 Enrollment ID: I20060425000421 |
| Provider Name | Wendy J Heilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912049396 PECOS PAC ID: 6305856709 Enrollment ID: I20060501000104 |
| Provider Name | Jeffrey S Delvecchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528094695 PECOS PAC ID: 1557373032 Enrollment ID: I20060720000329 |
| Provider Name | Anthony A Cauchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235168451 PECOS PAC ID: 4284651720 Enrollment ID: I20060720000348 |
| Provider Name | Leanne Watson-ficken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451373 PECOS PAC ID: 9638182470 Enrollment ID: I20060724000134 |
| Provider Name | Mark J Walterskirchen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083637524 PECOS PAC ID: 2466455308 Enrollment ID: I20060816000134 |
| Provider Name | John F Spivey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922023183 PECOS PAC ID: 9436153236 Enrollment ID: I20060911000244 |
| Provider Name | Yaqoob Ali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477582799 PECOS PAC ID: 1759385396 Enrollment ID: I20060913000091 |
| Provider Name | Catherine B York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932135118 PECOS PAC ID: 6204831688 Enrollment ID: I20060918000222 |
| Provider Name | Victoria Diane Kubik |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1053329169 PECOS PAC ID: 0547206484 Enrollment ID: I20061005000468 |
| Provider Name | Saima Jabeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316976582 PECOS PAC ID: 0547266876 Enrollment ID: I20061010000654 |
| Provider Name | Oakley B Downing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699796284 PECOS PAC ID: 5991701492 Enrollment ID: I20061011000739 |
| Provider Name | Sonja Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609836857 PECOS PAC ID: 3870590946 Enrollment ID: I20061102000305 |
| Provider Name | Jody Lynn Hagen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962405563 PECOS PAC ID: 0042273260 Enrollment ID: I20061122000196 |
| Provider Name | Anna B Fraser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710077623 PECOS PAC ID: 9436157120 Enrollment ID: I20061213000020 |
| Provider Name | Shawn D St Peter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871532473 PECOS PAC ID: 8527038447 Enrollment ID: I20061219000539 |
| Provider Name | Kenneth L Gowdy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376640045 PECOS PAC ID: 7911938337 Enrollment ID: I20070108000556 |
| Provider Name | Kathy G Beckner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831209089 PECOS PAC ID: 6507868007 Enrollment ID: I20070213000481 |
| Provider Name | James Kimberly Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831126788 PECOS PAC ID: 4587679543 Enrollment ID: I20070215000362 |
| Provider Name | Randy Curl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326053208 PECOS PAC ID: 1759483019 Enrollment ID: I20070216000657 |
| Provider Name | Ricky D Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366404626 PECOS PAC ID: 1153423439 Enrollment ID: I20070219000012 |
| Provider Name | Sara L Caffey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932260130 PECOS PAC ID: 6406866540 Enrollment ID: I20070223000099 |
| Provider Name | Anthony R Casanova |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417996364 PECOS PAC ID: 1355356882 Enrollment ID: I20070223000496 |
| Provider Name | Marcelo J Mantala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710089644 PECOS PAC ID: 8022110709 Enrollment ID: I20070227000276 |
| Provider Name | Ashwin Praful Pimpalwar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255499646 PECOS PAC ID: 3173626322 Enrollment ID: I20070309000022 |
| Provider Name | Geoffery L Stanczyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811999386 PECOS PAC ID: 0547251381 Enrollment ID: I20070322000363 |
| Provider Name | Magnus O Meyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538258702 PECOS PAC ID: 6608970793 Enrollment ID: I20070329000372 |
| Provider Name | Jerry W Dorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386744811 PECOS PAC ID: 0345346805 Enrollment ID: I20070501000134 |
| Provider Name | James L Johnsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871503540 PECOS PAC ID: 9931205945 Enrollment ID: I20070509000023 |
| Provider Name | Stephen Stufflebam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598803884 PECOS PAC ID: 3870699721 Enrollment ID: I20070509000488 |
| Provider Name | Michael Bliss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659348472 PECOS PAC ID: 5395841621 Enrollment ID: I20070510000188 |
| Provider Name | Elizabeth Wickstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952473118 PECOS PAC ID: 4284731662 Enrollment ID: I20070518000388 |
| Provider Name | Saima B Memon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952484339 PECOS PAC ID: 5294833141 Enrollment ID: I20070531000301 |
| Provider Name | Beth J Gearhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215959101 PECOS PAC ID: 8123126901 Enrollment ID: I20070601000042 |
| Provider Name | Neal S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093933285 PECOS PAC ID: 6709986714 Enrollment ID: I20070705000124 |
| Provider Name | Jay L Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013057488 PECOS PAC ID: 9032219043 Enrollment ID: I20070705000159 |
| Provider Name | Carter Page Fenton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922199546 PECOS PAC ID: 9234221698 Enrollment ID: I20070815000660 |
| Provider Name | Mary B Lummis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871631010 PECOS PAC ID: 8022100841 Enrollment ID: I20070824000539 |
| Provider Name | M'liss A Hudson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790847994 PECOS PAC ID: 1456446244 Enrollment ID: I20071009000707 |
| Provider Name | Murali Mr Vuda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932306941 PECOS PAC ID: 5294821781 Enrollment ID: I20071015000049 |
| Provider Name | Amanda G Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750428959 PECOS PAC ID: 8820185432 Enrollment ID: I20071030000066 |
| Provider Name | Laura A Hediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316137128 PECOS PAC ID: 9931296415 Enrollment ID: I20071031000070 |
| Provider Name | Shawn C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629065073 PECOS PAC ID: 1759478290 Enrollment ID: I20071031000505 |
| Provider Name | Victor Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528078136 PECOS PAC ID: 9931296340 Enrollment ID: I20071101000432 |
| Provider Name | Sirish Venkata Parvathaneni |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659360915 PECOS PAC ID: 5890725683 Enrollment ID: I20071101000450 |
| Provider Name | Kyle S John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518031699 PECOS PAC ID: 1557458825 Enrollment ID: I20071102000310 |
| Provider Name | Tracy D Fairbairn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114138872 PECOS PAC ID: 2062509193 Enrollment ID: I20071106000340 |
| Provider Name | Troy M Egan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922219609 PECOS PAC ID: 6204923337 Enrollment ID: I20071106000354 |
| Provider Name | Sonu Suri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528006533 PECOS PAC ID: 1658469614 Enrollment ID: I20071109000013 |
| Provider Name | Lavanya Tiriveedhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255539581 PECOS PAC ID: 5597853499 Enrollment ID: I20071109000464 |
| Provider Name | Marcus Henderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952495780 PECOS PAC ID: 1759479348 Enrollment ID: I20071115000169 |
| Provider Name | Shannon M Hauschildt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225012578 PECOS PAC ID: 4082691514 Enrollment ID: I20071115000614 |
| Provider Name | Vince R Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942329636 PECOS PAC ID: 6800984345 Enrollment ID: I20071115000629 |
| Provider Name | Barbara E Wotherspoon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619919198 PECOS PAC ID: 9436135951 Enrollment ID: I20071116000136 |
| Provider Name | Melissa D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770771586 PECOS PAC ID: 9931297124 Enrollment ID: I20071126000182 |
| Provider Name | Carmen R Strecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891984803 PECOS PAC ID: 4183712268 Enrollment ID: I20071127000304 |
| Provider Name | Albert R Leonardo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962567305 PECOS PAC ID: 0648360305 Enrollment ID: I20071218000318 |
| Provider Name | Dennis R Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215092630 PECOS PAC ID: 0749360030 Enrollment ID: I20071227000282 |
| Provider Name | Richard G Reber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730173964 PECOS PAC ID: 3779663083 Enrollment ID: I20071227000450 |
| Provider Name | Esther M Trammell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700080645 PECOS PAC ID: 2668552977 Enrollment ID: I20071227000472 |
| Provider Name | Richard K Temofeew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881773661 PECOS PAC ID: 6002996188 Enrollment ID: I20080102000084 |
| Provider Name | Paul D Knick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972642635 PECOS PAC ID: 9638250475 Enrollment ID: I20080117000371 |
| Provider Name | Christopher M Schlanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215959655 PECOS PAC ID: 2769563238 Enrollment ID: I20080123000091 |
| Provider Name | Bharat Shah |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851327662 PECOS PAC ID: 5698857597 Enrollment ID: I20080131000154 |
| Provider Name | Thomas Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134284524 PECOS PAC ID: 2466535059 Enrollment ID: I20080205000504 |
| Provider Name | Gregory A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891899829 PECOS PAC ID: 1456434190 Enrollment ID: I20080219000064 |
| Provider Name | Megha E Garg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871695049 PECOS PAC ID: 9234213075 Enrollment ID: I20080303000656 |
| Provider Name | Dale E Haverstick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902983075 PECOS PAC ID: 4183700883 Enrollment ID: I20080320000410 |
| Provider Name | Julie M Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770760712 PECOS PAC ID: 2567548001 Enrollment ID: I20080325000422 |
| Provider Name | Micah Francis Brothers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477692572 PECOS PAC ID: 6103894969 Enrollment ID: I20080401000666 |
| Provider Name | Jayna C Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437329331 PECOS PAC ID: 9830276542 Enrollment ID: I20080404000626 |
| Provider Name | Chris-anne Crabtree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295944817 PECOS PAC ID: 7113004755 Enrollment ID: I20080408000166 |
| Provider Name | Sharad Bansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477654630 PECOS PAC ID: 7618054149 Enrollment ID: I20080409000036 |
| Provider Name | Robert L Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972771079 PECOS PAC ID: 5698852028 Enrollment ID: I20080409000154 |
| Provider Name | Nicole I Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730350406 PECOS PAC ID: 5991883043 Enrollment ID: I20080415000603 |
| Provider Name | Matthew Stewart Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649392796 PECOS PAC ID: 9830277573 Enrollment ID: I20080422000525 |
| Provider Name | Ryan D Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477573178 PECOS PAC ID: 0648358820 Enrollment ID: I20080429000525 |
| Provider Name | Sadie O Giedd |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1538360276 PECOS PAC ID: 9032298823 Enrollment ID: I20080505000846 |
| Provider Name | James Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942419684 PECOS PAC ID: 0547349201 Enrollment ID: I20080506000571 |
| Provider Name | James Alton Ragland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619148053 PECOS PAC ID: 4284703489 Enrollment ID: I20080514000155 |
| Provider Name | Sandra K Dempsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861490773 PECOS PAC ID: 9032288097 Enrollment ID: I20080515000765 |
| Provider Name | Michael A Wheeler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720135015 PECOS PAC ID: 1759307820 Enrollment ID: I20080516000427 |
| Provider Name | Pamela L Kepus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558492447 PECOS PAC ID: 5991804890 Enrollment ID: I20080521000300 |
| Provider Name | Angela D Silvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821260258 PECOS PAC ID: 9133290471 Enrollment ID: I20080613000595 |
| Provider Name | Scott A Henke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750421657 PECOS PAC ID: 3678513116 Enrollment ID: I20080614000026 |
| Provider Name | Melinda Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467594770 PECOS PAC ID: 8820169592 Enrollment ID: I20080624000477 |
| Provider Name | David M Rimmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619976636 PECOS PAC ID: 9335116169 Enrollment ID: I20080630000193 |
| Provider Name | Christopher M Regier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194997742 PECOS PAC ID: 0941372098 Enrollment ID: I20080707000177 |
| Provider Name | Timothy Scott Sindlinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265471494 PECOS PAC ID: 6901895747 Enrollment ID: I20080711000554 |
| Provider Name | Crystal A Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154465466 PECOS PAC ID: 9436222668 Enrollment ID: I20080722000394 |
| Provider Name | Joanna Kluch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437278181 PECOS PAC ID: 7012017882 Enrollment ID: I20080808000337 |
| Provider Name | Maranda L Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760658744 PECOS PAC ID: 4587738588 Enrollment ID: I20080809000067 |
| Provider Name | Staci Ellen Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962436840 PECOS PAC ID: 6901840677 Enrollment ID: I20080815000177 |
| Provider Name | Ryan M Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574218 PECOS PAC ID: 1658447099 Enrollment ID: I20080909000026 |
| Provider Name | Troy L. Spilde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871766493 PECOS PAC ID: 6305913104 Enrollment ID: I20080919000595 |
| Provider Name | Gary T Gillham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245386333 PECOS PAC ID: 7214004043 Enrollment ID: I20080922000031 |
| Provider Name | Victorija L. Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932162450 PECOS PAC ID: 3274515622 Enrollment ID: I20080926000417 |
| Provider Name | Emmanuel A Obafemi-ajayi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376720904 PECOS PAC ID: 5395812796 Enrollment ID: I20080926000602 |
| Provider Name | Lori S Mcleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932363462 PECOS PAC ID: 8325116536 Enrollment ID: I20081001000174 |
| Provider Name | Kathleen D Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306833702 PECOS PAC ID: 3971587205 Enrollment ID: I20081003000238 |
| Provider Name | Jacob A Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265474472 PECOS PAC ID: 7517975071 Enrollment ID: I20081007000686 |
| Provider Name | Miranda K Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144483579 PECOS PAC ID: 7214005867 Enrollment ID: I20081009000028 |
| Provider Name | Cary Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215186754 PECOS PAC ID: 6709944069 Enrollment ID: I20081015000607 |
| Provider Name | Kelly L Ruise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063661502 PECOS PAC ID: 8527126770 Enrollment ID: I20081018000040 |
| Provider Name | Danny Lee Garton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154599900 PECOS PAC ID: 8123187499 Enrollment ID: I20081103000057 |
| Provider Name | Rajesh R Nair |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609072347 PECOS PAC ID: 5496814295 Enrollment ID: I20081107000798 |
| Provider Name | Robert L Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811084296 PECOS PAC ID: 6406915909 Enrollment ID: I20081112000282 |
| Provider Name | Tanya L Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851541486 PECOS PAC ID: 4789744475 Enrollment ID: I20081126000068 |
| Provider Name | Kimberly M Henley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083884043 PECOS PAC ID: 4587725445 Enrollment ID: I20081210000536 |
| Provider Name | Michael M Whetstone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306843735 PECOS PAC ID: 8325109226 Enrollment ID: I20081210000811 |
| Provider Name | Mamie R Jaycox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821188624 PECOS PAC ID: 4183786759 Enrollment ID: I20081217000083 |
| Provider Name | Kyle P Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306986484 PECOS PAC ID: 6406918291 Enrollment ID: I20090105000331 |
| Provider Name | Sri Lakshmi Vuyyuru |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336326438 PECOS PAC ID: 6507920147 Enrollment ID: I20090127000467 |
| Provider Name | Shaveta Manchanda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235354259 PECOS PAC ID: 6608931233 Enrollment ID: I20090216000317 |
| Provider Name | Jeri L Keller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932130838 PECOS PAC ID: 6901984574 Enrollment ID: I20090220000515 |
| Provider Name | Kimberly M Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265670335 PECOS PAC ID: 8628134194 Enrollment ID: I20090309000068 |
| Provider Name | Loana E Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184715484 PECOS PAC ID: 4183781255 Enrollment ID: I20090318000183 |
| Provider Name | Alvin K Schergen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306828074 PECOS PAC ID: 3678676848 Enrollment ID: I20090326000635 |
| Provider Name | Stephanie L Ledl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730329640 PECOS PAC ID: 8527115856 Enrollment ID: I20090402000391 |
| Provider Name | Rebecca J Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821230707 PECOS PAC ID: 9931256807 Enrollment ID: I20090409000668 |
| Provider Name | Joshua R Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255570347 PECOS PAC ID: 7719034370 Enrollment ID: I20090416000582 |
| Provider Name | Jason Stella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457590705 PECOS PAC ID: 8426105081 Enrollment ID: I20090416000598 |
| Provider Name | Melissa A Belk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083756126 PECOS PAC ID: 7810045242 Enrollment ID: I20090423000242 |
| Provider Name | Todd F Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801874698 PECOS PAC ID: 1355303645 Enrollment ID: I20090423000470 |
| Provider Name | Ray K Woodmansee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689620767 PECOS PAC ID: 6002964095 Enrollment ID: I20090430000473 |
| Provider Name | Jennifer B Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922249168 PECOS PAC ID: 9335298801 Enrollment ID: I20090513000246 |
| Provider Name | Gara L Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073755807 PECOS PAC ID: 6002965456 Enrollment ID: I20090514000407 |
| Provider Name | Kayla R Otoole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285650127 PECOS PAC ID: 4284784893 Enrollment ID: I20090602000358 |
| Provider Name | Chandrasekhar R Vasamreddy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265572481 PECOS PAC ID: 2961498530 Enrollment ID: I20090611000343 |
| Provider Name | Amy L Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215171368 PECOS PAC ID: 3577613397 Enrollment ID: I20090616000560 |
| Provider Name | Brian G Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306083480 PECOS PAC ID: 2860542693 Enrollment ID: I20090616000649 |
| Provider Name | Deborah L Sheehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164410353 PECOS PAC ID: 9032260336 Enrollment ID: I20090626000226 |
| Provider Name | Shah-naz Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063615904 PECOS PAC ID: 1254499809 Enrollment ID: I20090630000328 |
| Provider Name | Sadaf Sohrab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326272410 PECOS PAC ID: 3971654963 Enrollment ID: I20090702000545 |
| Provider Name | Devin N Boss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750570917 PECOS PAC ID: 8729159918 Enrollment ID: I20090713000091 |
| Provider Name | Jacob L Spain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053513499 PECOS PAC ID: 7315006137 Enrollment ID: I20090713000103 |
| Provider Name | Ashish Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356504260 PECOS PAC ID: 5597818666 Enrollment ID: I20090806000689 |
| Provider Name | Yelena I Podorozhansky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124229919 PECOS PAC ID: 3678627577 Enrollment ID: I20090812000044 |
| Provider Name | Jessica W Fivecoat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568663466 PECOS PAC ID: 6204980105 Enrollment ID: I20090812000054 |
| Provider Name | Kapil Passi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194953851 PECOS PAC ID: 6608920426 Enrollment ID: I20090813000345 |
| Provider Name | Sharon K Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598994253 PECOS PAC ID: 6103970769 Enrollment ID: I20090817000134 |
| Provider Name | Stephanie L Swords |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215071709 PECOS PAC ID: 2062566599 Enrollment ID: I20090819000123 |
| Provider Name | Raymund R Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780876227 PECOS PAC ID: 3476607714 Enrollment ID: I20090820000440 |
| Provider Name | Preeti Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922261114 PECOS PAC ID: 1456401033 Enrollment ID: I20090825000069 |
| Provider Name | Melanie L Dampier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124259551 PECOS PAC ID: 3274688346 Enrollment ID: I20090826000527 |
| Provider Name | Nick S Koval |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669603866 PECOS PAC ID: 4284789272 Enrollment ID: I20090826000840 |
| Provider Name | Rani K Nair |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538366448 PECOS PAC ID: 0547315392 Enrollment ID: I20090901000242 |
| Provider Name | Francisca R Fasipe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285727727 PECOS PAC ID: 1658333075 Enrollment ID: I20090901000650 |
| Provider Name | Hugo Escobar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659531846 PECOS PAC ID: 8820143530 Enrollment ID: I20090902000132 |
| Provider Name | Rhett B Lakin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639345242 PECOS PAC ID: 9830244458 Enrollment ID: I20090903000538 |
| Provider Name | Mark J Van Ess |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841404613 PECOS PAC ID: 7214096882 Enrollment ID: I20090909000052 |
| Provider Name | Bradford P Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164462602 PECOS PAC ID: 0345391835 Enrollment ID: I20090910000275 |
| Provider Name | Caryl Dellinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588833925 PECOS PAC ID: 5395802078 Enrollment ID: I20090914000045 |
| Provider Name | Lori J Wilson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588671861 PECOS PAC ID: 2466508478 Enrollment ID: I20090916000416 |
| Provider Name | James L Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982799763 PECOS PAC ID: 4284780735 Enrollment ID: I20090924000238 |
| Provider Name | Amy M Soetaert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093741290 PECOS PAC ID: 1052467404 Enrollment ID: I20090925000573 |
| Provider Name | Tiffany L Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528291531 PECOS PAC ID: 0749326726 Enrollment ID: I20091005000635 |
| Provider Name | Elene S Pilapil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679771844 PECOS PAC ID: 6608967591 Enrollment ID: I20091012000503 |
| Provider Name | Farrah T Mcspadden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205053758 PECOS PAC ID: 8921146168 Enrollment ID: I20091110000112 |
| Provider Name | Jahan Qamar Zeb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699710996 PECOS PAC ID: 8022018027 Enrollment ID: I20091112000313 |
| Provider Name | Matthew E Simpson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003020116 PECOS PAC ID: 4183762032 Enrollment ID: I20091112000572 |
| Provider Name | Sheila L Wyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215154398 PECOS PAC ID: 9931248713 Enrollment ID: I20091208000528 |
| Provider Name | Steven N Cockrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235118910 PECOS PAC ID: 3577603133 Enrollment ID: I20091214000155 |
| Provider Name | James R Buckner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407030349 PECOS PAC ID: 3577603000 Enrollment ID: I20091215000049 |
| Provider Name | Elaine Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245471994 PECOS PAC ID: 0042351397 Enrollment ID: I20100108000150 |
| Provider Name | Derek Ross Staner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851328819 PECOS PAC ID: 3375623911 Enrollment ID: I20100223000621 |
| Provider Name | Darin C Fincher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205898459 PECOS PAC ID: 1850436700 Enrollment ID: I20100303001021 |
| Provider Name | Banke Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134137011 PECOS PAC ID: 4284779539 Enrollment ID: I20100311000085 |
| Provider Name | Willis H Hoyt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427062645 PECOS PAC ID: 7719012061 Enrollment ID: I20100312000052 |
| Provider Name | Margaret M Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215119359 PECOS PAC ID: 1052493319 Enrollment ID: I20100312000107 |
| Provider Name | Trevor J Schuneman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427380021 PECOS PAC ID: 9638204456 Enrollment ID: I20100318000771 |
| Provider Name | Kimberly B Mccandless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417289992 PECOS PAC ID: 4183750268 Enrollment ID: I20100327000573 |
| Provider Name | James R Phillips |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20100331000622 |
| Provider Name | Kimberly Kay Wilkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639335219 PECOS PAC ID: 7618004854 Enrollment ID: I20100421000034 |
| Provider Name | Clay M Burnett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790738466 PECOS PAC ID: 3072535566 Enrollment ID: I20100504000280 |
| Provider Name | Jennifer L Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811210552 PECOS PAC ID: 7719015171 Enrollment ID: I20100506000258 |
| Provider Name | Brenton R Coger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427107283 PECOS PAC ID: 7416085774 Enrollment ID: I20100506000298 |
| Provider Name | Sunil M Prasad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033298468 PECOS PAC ID: 6800978537 Enrollment ID: I20100604000801 |
| Provider Name | Chandria Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437250750 PECOS PAC ID: 3577654201 Enrollment ID: I20100605000130 |
| Provider Name | Erik Lee Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912951856 PECOS PAC ID: 3173549458 Enrollment ID: I20100610000427 |
| Provider Name | Jennifer L Lankford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598095770 PECOS PAC ID: 6002946472 Enrollment ID: I20100610000837 |
| Provider Name | Robert J Belk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407952492 PECOS PAC ID: 6103890645 Enrollment ID: I20100610001046 |
| Provider Name | Janani T Tuladhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568503175 PECOS PAC ID: 6709917396 Enrollment ID: I20100625000428 |
| Provider Name | Salman Sarwar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487874582 PECOS PAC ID: 7113092164 Enrollment ID: I20100626000136 |
| Provider Name | Dorianne C May |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043315914 PECOS PAC ID: 2769584283 Enrollment ID: I20100628000377 |
| Provider Name | Jean R Menown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457674301 PECOS PAC ID: 4981735370 Enrollment ID: I20100629000465 |
| Provider Name | Jennifer D Crites |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356488910 PECOS PAC ID: 1951432210 Enrollment ID: I20100630000355 |
| Provider Name | William K Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376609909 PECOS PAC ID: 4284765553 Enrollment ID: I20100630000425 |
| Provider Name | Jessica Renee King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649434200 PECOS PAC ID: 6608907977 Enrollment ID: I20100630000472 |
| Provider Name | Allison M Felton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255656484 PECOS PAC ID: 7719018092 Enrollment ID: I20100630000555 |
| Provider Name | John H Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013057447 PECOS PAC ID: 0143351171 Enrollment ID: I20100708000247 |
| Provider Name | Dan D Park |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023151685 PECOS PAC ID: 3577694504 Enrollment ID: I20100708000296 |
| Provider Name | Ann E Blackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588640510 PECOS PAC ID: 3779560305 Enrollment ID: I20100709000117 |
| Provider Name | Amanda Winfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285956904 PECOS PAC ID: 6608908439 Enrollment ID: I20100714000845 |
| Provider Name | Eloise J Unger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972677730 PECOS PAC ID: 2062544729 Enrollment ID: I20100715000135 |
| Provider Name | Wendell J Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710077151 PECOS PAC ID: 1254463938 Enrollment ID: I20100715000370 |
| Provider Name | Xiaoqi Kathryn Sun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316081995 PECOS PAC ID: 5395877070 Enrollment ID: I20100715000438 |
| Provider Name | Christopher A Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134296569 PECOS PAC ID: 0648374165 Enrollment ID: I20100715000475 |
| Provider Name | Barbara A Bumberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386784460 PECOS PAC ID: 9133251820 Enrollment ID: I20100715000563 |
| Provider Name | Martin R A Alumno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518006170 PECOS PAC ID: 6507998200 Enrollment ID: I20100715000688 |
| Provider Name | Robert D Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841330412 PECOS PAC ID: 3678605383 Enrollment ID: I20100715000723 |
| Provider Name | Jessica A Birchem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285803353 PECOS PAC ID: 8729110432 Enrollment ID: I20100715000754 |
| Provider Name | Gregory A Ledger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205903663 PECOS PAC ID: 5092847582 Enrollment ID: I20100720000006 |
| Provider Name | Don D Sponenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710020706 PECOS PAC ID: 3072645597 Enrollment ID: I20100720000357 |
| Provider Name | Steven A Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124164504 PECOS PAC ID: 0042342420 Enrollment ID: I20100721000070 |
| Provider Name | Bradley A Bowenschulte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306982772 PECOS PAC ID: 1951433341 Enrollment ID: I20100721000080 |
| Provider Name | Carrie L Kugler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255497889 PECOS PAC ID: 3274665666 Enrollment ID: I20100721000138 |
| Provider Name | Jeffrey Scott Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346386752 PECOS PAC ID: 1052443462 Enrollment ID: I20100721000327 |
| Provider Name | Jennifer A Mcnay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861574816 PECOS PAC ID: 5294867545 Enrollment ID: I20100721000935 |
| Provider Name | Susie K Sharpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396827341 PECOS PAC ID: 8729110077 Enrollment ID: I20100721000951 |
| Provider Name | Donald R Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467520346 PECOS PAC ID: 7113059346 Enrollment ID: I20100722000997 |
| Provider Name | Donald H Mangum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679641799 PECOS PAC ID: 1658403886 Enrollment ID: I20100722001016 |
| Provider Name | Thomas E Kuich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447393335 PECOS PAC ID: 7618009812 Enrollment ID: I20100723000634 |
| Provider Name | Jesse G. Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619905122 PECOS PAC ID: 9830221936 Enrollment ID: I20100723000837 |
| Provider Name | Scott A Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528100518 PECOS PAC ID: 6406989524 Enrollment ID: I20100727000096 |
| Provider Name | Sarah N Cates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699843391 PECOS PAC ID: 8527191527 Enrollment ID: I20100728000054 |
| Provider Name | Kelly Trygg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548328446 PECOS PAC ID: 6608909601 Enrollment ID: I20100728000079 |
| Provider Name | Donald W Myears |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083703904 PECOS PAC ID: 2860525821 Enrollment ID: I20100728000805 |
| Provider Name | Maria C Dela Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114069168 PECOS PAC ID: 1557494515 Enrollment ID: I20100728000841 |
| Provider Name | Steven E Collum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093722357 PECOS PAC ID: 1456484096 Enrollment ID: I20100803000217 |
| Provider Name | Jonathan P Crites |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366588253 PECOS PAC ID: 5597898171 Enrollment ID: I20100803000726 |
| Provider Name | Arthur E Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346330784 PECOS PAC ID: 7810020401 Enrollment ID: I20100803000797 |
| Provider Name | Christina L Litherland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205909470 PECOS PAC ID: 0042343592 Enrollment ID: I20100804000281 |
| Provider Name | Juliette A Gibbons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548333727 PECOS PAC ID: 0941333496 Enrollment ID: I20100804000291 |
| Provider Name | Kenneth W Larson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689741795 PECOS PAC ID: 5496888943 Enrollment ID: I20100804000300 |
| Provider Name | Robert F Fraser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942342654 PECOS PAC ID: 8224161781 Enrollment ID: I20100804000437 |
| Provider Name | John D Baurichter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538200134 PECOS PAC ID: 3173656642 Enrollment ID: I20100804000530 |
| Provider Name | A Daniel Pinheiro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225128655 PECOS PAC ID: 5496888976 Enrollment ID: I20100804000612 |
| Provider Name | Meera R Scarrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881629863 PECOS PAC ID: 4880727361 Enrollment ID: I20100804000695 |
| Provider Name | Youssef Y Yassa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124163282 PECOS PAC ID: 7214060722 Enrollment ID: I20100804000994 |
| Provider Name | Dee E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376626218 PECOS PAC ID: 3173656683 Enrollment ID: I20100804001057 |
| Provider Name | Roderick H White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184701757 PECOS PAC ID: 2264506922 Enrollment ID: I20100804001109 |
| Provider Name | Philip V Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467530303 PECOS PAC ID: 6608909809 Enrollment ID: I20100809000033 |
| Provider Name | Keith A Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770667925 PECOS PAC ID: 4587797733 Enrollment ID: I20100809000616 |
| Provider Name | William W Sistrunk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932277613 PECOS PAC ID: 8921102435 Enrollment ID: I20100810000081 |
| Provider Name | Ronald J Pak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225171911 PECOS PAC ID: 3173656360 Enrollment ID: I20100810000102 |
| Provider Name | John Daniel Broughton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578621272 PECOS PAC ID: 7618001801 Enrollment ID: I20100810000129 |
| Provider Name | Lisa K Ovens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962568717 PECOS PAC ID: 9335273523 Enrollment ID: I20100810000151 |
| Provider Name | John R Bumberry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992872311 PECOS PAC ID: 2769516954 Enrollment ID: I20100810000192 |
| Provider Name | Rick W Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063596278 PECOS PAC ID: 4385748805 Enrollment ID: I20100810000526 |
| Provider Name | Patrick M Dopp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184782096 PECOS PAC ID: 4587798582 Enrollment ID: I20100812000648 |
| Provider Name | Teresa A Olsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093875411 PECOS PAC ID: 6002910528 Enrollment ID: I20100812000687 |
| Provider Name | Thomas W Rossiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720143118 PECOS PAC ID: 2365576378 Enrollment ID: I20100812000708 |
| Provider Name | Henry A Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437219854 PECOS PAC ID: 9234263245 Enrollment ID: I20100812000764 |
| Provider Name | Dominic M Meldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528135985 PECOS PAC ID: 2961310305 Enrollment ID: I20100812000980 |
| Provider Name | Kody B Finstad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932396777 PECOS PAC ID: 5890829717 Enrollment ID: I20100813001029 |
| Provider Name | Mark V Griesemer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295990059 PECOS PAC ID: 2264581586 Enrollment ID: I20100813001090 |
| Provider Name | Nelson M Dela Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669530564 PECOS PAC ID: 1456485390 Enrollment ID: I20100814000206 |
| Provider Name | James T Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346306115 PECOS PAC ID: 6800920745 Enrollment ID: I20100814000228 |
| Provider Name | Keith W Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033275896 PECOS PAC ID: 0345374294 Enrollment ID: I20100814000244 |
| Provider Name | Hee-sun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285774760 PECOS PAC ID: 7113051061 Enrollment ID: I20100816000032 |
| Provider Name | Margaret E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306986807 PECOS PAC ID: 8628102571 Enrollment ID: I20100816000091 |
| Provider Name | Alexander R Hover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144398256 PECOS PAC ID: 7214072156 Enrollment ID: I20100816000344 |
| Provider Name | David J Merriman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245434828 PECOS PAC ID: 0648304394 Enrollment ID: I20100817000357 |
| Provider Name | Jim R Elam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326188806 PECOS PAC ID: 2668506346 Enrollment ID: I20100817000652 |
| Provider Name | Christine M Mitchell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881839132 PECOS PAC ID: 2668506353 Enrollment ID: I20100817000786 |
| Provider Name | David A Barbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871667618 PECOS PAC ID: 3870403967 Enrollment ID: I20100817000866 |
| Provider Name | Robert L Swords |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407914468 PECOS PAC ID: 7416081104 Enrollment ID: I20100817000876 |
| Provider Name | Bala Sudhakar Reddy Allam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104024231 PECOS PAC ID: 9638203334 Enrollment ID: I20100817000936 |
| Provider Name | Jennie L Gorham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730166257 PECOS PAC ID: 9638203375 Enrollment ID: I20100818000281 |
| Provider Name | Jennifer S Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417157546 PECOS PAC ID: 2769516368 Enrollment ID: I20100818000686 |
| Provider Name | Richard L Havens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285772640 PECOS PAC ID: 7214061761 Enrollment ID: I20100819000105 |
| Provider Name | Ronald T Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487791349 PECOS PAC ID: 9931233491 Enrollment ID: I20100819000151 |
| Provider Name | Christopher A Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629115696 PECOS PAC ID: 8628102183 Enrollment ID: I20100819000195 |
| Provider Name | Anthony M Giglio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134268956 PECOS PAC ID: 2860526357 Enrollment ID: I20100819000534 |
| Provider Name | Jay A Woodring |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760529150 PECOS PAC ID: 0749314185 Enrollment ID: I20100819001236 |
| Provider Name | Kimberly S Kershner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407160013 PECOS PAC ID: 1456485705 Enrollment ID: I20100823000413 |
| Provider Name | Sara L Kruse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235443797 PECOS PAC ID: 9234253527 Enrollment ID: I20100823000996 |
| Provider Name | John M Burson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255473088 PECOS PAC ID: 1658495791 Enrollment ID: I20100826000699 |
| Provider Name | Joseph A Myers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598731242 PECOS PAC ID: 7113961277 Enrollment ID: I20100826001225 |
| Provider Name | Timothy O Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972645117 PECOS PAC ID: 2961526900 Enrollment ID: I20100827000822 |
| Provider Name | Toni Almond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346263852 PECOS PAC ID: 7618091661 Enrollment ID: I20100827000913 |
| Provider Name | Brian S Pallohusky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477671212 PECOS PAC ID: 4486745858 Enrollment ID: I20100901000650 |
| Provider Name | Aaron R Morrison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982743977 PECOS PAC ID: 5799809455 Enrollment ID: I20100901000667 |
| Provider Name | Marla A Nichols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417284662 PECOS PAC ID: 2567587983 Enrollment ID: I20100908000994 |
| Provider Name | Deborah F Essary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275547218 PECOS PAC ID: 6406971837 Enrollment ID: I20100909000027 |
| Provider Name | Daryl T Steen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033225701 PECOS PAC ID: 0749305191 Enrollment ID: I20100909000200 |
| Provider Name | James R Eden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093883167 PECOS PAC ID: 7315062775 Enrollment ID: I20100909000286 |
| Provider Name | Kristin J Kruse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669537916 PECOS PAC ID: 1658496849 Enrollment ID: I20100910000964 |
| Provider Name | Luke P R Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780848341 PECOS PAC ID: 7012032261 Enrollment ID: I20100913000347 |
| Provider Name | Jenetta D Bliss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578878724 PECOS PAC ID: 9436274446 Enrollment ID: I20100914001360 |
| Provider Name | Christine H Gosch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114030012 PECOS PAC ID: 0840315685 Enrollment ID: I20100916000454 |
| Provider Name | Rajamanikkam Anandarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962560953 PECOS PAC ID: 9335264076 Enrollment ID: I20100917000429 |
| Provider Name | Anthonia O Ekpenike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659577484 PECOS PAC ID: 8426174814 Enrollment ID: I20100922000975 |
| Provider Name | Jeffrey Paul Semeyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598800609 PECOS PAC ID: 2769580307 Enrollment ID: I20100923000086 |
| Provider Name | Daniel J Tivener |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992926539 PECOS PAC ID: 6002932027 Enrollment ID: I20100928000678 |
| Provider Name | Melinda A Crockett Maples |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154485993 PECOS PAC ID: 0941493456 Enrollment ID: I20101015001247 |
| Provider Name | Sara A Neal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962540211 PECOS PAC ID: 2062605074 Enrollment ID: I20101022000703 |
| Provider Name | Vernon C Tegtmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487732368 PECOS PAC ID: 2062605702 Enrollment ID: I20101026000693 |
| Provider Name | Cybil True |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487635660 PECOS PAC ID: 7911900956 Enrollment ID: I20101201000223 |
| Provider Name | Vickie Pence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336199363 PECOS PAC ID: 9133110612 Enrollment ID: I20110105000701 |
| Provider Name | Erica A Kosar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235430893 PECOS PAC ID: 0446449508 Enrollment ID: I20110105001156 |
| Provider Name | Sandra R Nicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972804656 PECOS PAC ID: 1850580150 Enrollment ID: I20110118000394 |
| Provider Name | Christopher Alan Chaffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104129436 PECOS PAC ID: 7416137179 Enrollment ID: I20110211000953 |
| Provider Name | Noah A Current |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780908079 PECOS PAC ID: 2163602707 Enrollment ID: I20110214000760 |
| Provider Name | Andrea D Applegate |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649576794 PECOS PAC ID: 6507048287 Enrollment ID: I20110317000084 |
| Provider Name | Stacy Howard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740298462 PECOS PAC ID: 3072796143 Enrollment ID: I20110328000218 |
| Provider Name | Tyler L. Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477850964 PECOS PAC ID: 6103000526 Enrollment ID: I20110409000065 |
| Provider Name | Chelsie N Holman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447558929 PECOS PAC ID: 3173707429 Enrollment ID: I20110411000424 |
| Provider Name | Gary T Sturtevant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649314204 PECOS PAC ID: 2264493154 Enrollment ID: I20110419000210 |
| Provider Name | Amanda G Thornsberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386942936 PECOS PAC ID: 4082899919 Enrollment ID: I20110419000730 |
| Provider Name | John Heckathorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013183631 PECOS PAC ID: 6709942154 Enrollment ID: I20110504000080 |
| Provider Name | Cynthia A Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952609224 PECOS PAC ID: 8820274780 Enrollment ID: I20110511000286 |
| Provider Name | Lori A Taula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790074052 PECOS PAC ID: 1355527680 Enrollment ID: I20110520000155 |
| Provider Name | Michael Burks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871552075 PECOS PAC ID: 7810173127 Enrollment ID: I20110523000500 |
| Provider Name | Keith A Gildehaus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659574465 PECOS PAC ID: 9234316563 Enrollment ID: I20110614000082 |
| Provider Name | Brian R Swenson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1922116086 PECOS PAC ID: 1052319456 Enrollment ID: I20110720000738 |
| Provider Name | Roger Ohanes Oghlakian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245449461 PECOS PAC ID: 8022286541 Enrollment ID: I20110727000336 |
| Provider Name | Gerard Oghlakian |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1679779979 PECOS PAC ID: 1456529981 Enrollment ID: I20110727000363 |
| Provider Name | Mark L Kerr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972701811 PECOS PAC ID: 5294903647 Enrollment ID: I20110729000424 |
| Provider Name | Husam H Najjar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154485381 PECOS PAC ID: 1456457589 Enrollment ID: I20110801000197 |
| Provider Name | Shamant Tippor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679744809 PECOS PAC ID: 0244386407 Enrollment ID: I20110808000136 |
| Provider Name | Rajashree Voraganti Ramamurthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942457759 PECOS PAC ID: 7911176045 Enrollment ID: I20110808000173 |
| Provider Name | Deanna S Sweaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407147663 PECOS PAC ID: 9032389499 Enrollment ID: I20110823000633 |
| Provider Name | Spencer Park Kirk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518165331 PECOS PAC ID: 7810081403 Enrollment ID: I20110825000504 |
| Provider Name | Michelle D Schuster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427336320 PECOS PAC ID: 6406026426 Enrollment ID: I20110831000299 |
| Provider Name | Megan Hudson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467767087 PECOS PAC ID: 5496870081 Enrollment ID: I20110831000670 |
| Provider Name | Matthew T Gaddis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265710107 PECOS PAC ID: 7810167715 Enrollment ID: I20110901000540 |
| Provider Name | Mohan K Tummala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174667109 PECOS PAC ID: 0244306520 Enrollment ID: I20110907000796 |
| Provider Name | Jason B Gatewood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568652691 PECOS PAC ID: 3072669498 Enrollment ID: I20110908002217 |
| Provider Name | Jacob Taussig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346326782 PECOS PAC ID: 6305941626 Enrollment ID: I20110912000104 |
| Provider Name | Anthony R Divito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336303411 PECOS PAC ID: 2769515030 Enrollment ID: I20110912000257 |
| Provider Name | Jo Ellen Feugate |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346420593 PECOS PAC ID: 8224198650 Enrollment ID: I20110915000293 |
| Provider Name | Krisi A Causa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376773317 PECOS PAC ID: 9830360148 Enrollment ID: I20110919000061 |
| Provider Name | Sombabu N Maganti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407142474 PECOS PAC ID: 5193996403 Enrollment ID: I20110919000080 |
| Provider Name | Natalie A Bieker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093093304 PECOS PAC ID: 9537330840 Enrollment ID: I20110919000098 |
| Provider Name | James Belk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205931177 PECOS PAC ID: 4688686470 Enrollment ID: I20110920000887 |
| Provider Name | Sripriya Raman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548345192 PECOS PAC ID: 0941471890 Enrollment ID: I20110926000376 |
| Provider Name | Anoop Parameswaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144435728 PECOS PAC ID: 0042385098 Enrollment ID: I20111012000248 |
| Provider Name | Dana L Clawson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447531124 PECOS PAC ID: 1557533379 Enrollment ID: I20111020000041 |
| Provider Name | Mary P Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831393602 PECOS PAC ID: 9234302019 Enrollment ID: I20111024000734 |
| Provider Name | Patrick J Weis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881837649 PECOS PAC ID: 6901070580 Enrollment ID: I20111116000466 |
| Provider Name | Debra Rowland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679583223 PECOS PAC ID: 1850566415 Enrollment ID: I20111208000814 |
| Provider Name | Todd C Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629117361 PECOS PAC ID: 5698941839 Enrollment ID: I20120110000401 |
| Provider Name | Dale J Klein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801990437 PECOS PAC ID: 7214992809 Enrollment ID: I20120201000401 |
| Provider Name | Kimberly E Dionysus-rouintree |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164709747 PECOS PAC ID: 7113185075 Enrollment ID: I20120223000131 |
| Provider Name | Amber Nicole Case |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790057016 PECOS PAC ID: 8820257322 Enrollment ID: I20120301000704 |
| Provider Name | Deanna Gish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639409394 PECOS PAC ID: 4688853195 Enrollment ID: I20120312000869 |
| Provider Name | Kusai Umran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003892787 PECOS PAC ID: 0446411094 Enrollment ID: I20120409000511 |
| Provider Name | William Scott Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033483474 PECOS PAC ID: 6800057647 Enrollment ID: I20120423000134 |
| Provider Name | Bethany A Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982977005 PECOS PAC ID: 0941463863 Enrollment ID: I20120511000476 |
| Provider Name | Faith Robin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336407949 PECOS PAC ID: 1951565811 Enrollment ID: I20120606000224 |
| Provider Name | Kathy A. Palen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649530825 PECOS PAC ID: 8426214198 Enrollment ID: I20120724000857 |
| Provider Name | Anees Afroze |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043352057 PECOS PAC ID: 4587810759 Enrollment ID: I20120804000040 |
| Provider Name | Landon D Hough |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952563215 PECOS PAC ID: 2466608633 Enrollment ID: I20120804000069 |
| Provider Name | Mark J Perna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871790113 PECOS PAC ID: 3971759929 Enrollment ID: I20120808000176 |
| Provider Name | Prabin Dhakal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780998062 PECOS PAC ID: 6204082928 Enrollment ID: I20120813000739 |
| Provider Name | Kimberly M Creach |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558568618 PECOS PAC ID: 8729234232 Enrollment ID: I20120815000445 |
| Provider Name | Ashley P Merrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306080569 PECOS PAC ID: 6901052349 Enrollment ID: I20120817000220 |
| Provider Name | Abigail Crisostomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720347867 PECOS PAC ID: 2466609623 Enrollment ID: I20120823000732 |
| Provider Name | Jill R Layman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205184959 PECOS PAC ID: 9638326614 Enrollment ID: I20120827000362 |
| Provider Name | Nicole Andrea Pele |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972765956 PECOS PAC ID: 4082861844 Enrollment ID: I20120829000743 |
| Provider Name | Kevin M Tompkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124257142 PECOS PAC ID: 3274780960 Enrollment ID: I20120831000457 |
| Provider Name | Bashir Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659537827 PECOS PAC ID: 5799932406 Enrollment ID: I20120831000625 |
| Provider Name | Perry D Maleare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356698799 PECOS PAC ID: 1759538200 Enrollment ID: I20120906000020 |
| Provider Name | Laura Ankrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730314337 PECOS PAC ID: 2769630417 Enrollment ID: I20120921000242 |
| Provider Name | Kendra L Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851574198 PECOS PAC ID: 5991876534 Enrollment ID: I20121002000777 |
| Provider Name | Katie L Drew |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710248794 PECOS PAC ID: 2365691516 Enrollment ID: I20121005000150 |
| Provider Name | Hilary A Frescoln |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366478588 PECOS PAC ID: 2163425265 Enrollment ID: I20121009000739 |
| Provider Name | James Allan Guy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760731608 PECOS PAC ID: 2769632751 Enrollment ID: I20121029000547 |
| Provider Name | Victoria J Verheyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972851897 PECOS PAC ID: 7113177015 Enrollment ID: I20121031000385 |
| Provider Name | Erica L Melrose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275774887 PECOS PAC ID: 7113178914 Enrollment ID: I20121102000367 |
| Provider Name | Chastidy Anne Whitford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851640056 PECOS PAC ID: 5294986006 Enrollment ID: I20121102000495 |
| Provider Name | Ashley N Duey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679824395 PECOS PAC ID: 3375794944 Enrollment ID: I20121107000311 |
| Provider Name | Richard J Mulrenin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013228071 PECOS PAC ID: 0345491965 Enrollment ID: I20121108000049 |
| Provider Name | Diane C Lipscomb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780677732 PECOS PAC ID: 1355431289 Enrollment ID: I20121108000230 |
| Provider Name | William E Smart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801155270 PECOS PAC ID: 4789835232 Enrollment ID: I20121110000220 |
| Provider Name | Kimberly D Stoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124137252 PECOS PAC ID: 7214188556 Enrollment ID: I20121113000616 |
| Provider Name | Melanie R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417204025 PECOS PAC ID: 4284885476 Enrollment ID: I20121116000270 |
| Provider Name | Jamie L Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417205287 PECOS PAC ID: 1153574975 Enrollment ID: I20130103000343 |
| Provider Name | Jonathan D Brady |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215287990 PECOS PAC ID: 7416106760 Enrollment ID: I20130108000017 |
| Provider Name | Sunthosh V Parvathaneni |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982814935 PECOS PAC ID: 2466605001 Enrollment ID: I20130110000533 |
| Provider Name | Jason A Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578535357 PECOS PAC ID: 5193978245 Enrollment ID: I20130123000490 |
| Provider Name | Lirong Zhu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1396940201 PECOS PAC ID: 5193979599 Enrollment ID: I20130213000126 |
| Provider Name | Tyler A Grout |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851555312 PECOS PAC ID: 1759569635 Enrollment ID: I20130219000425 |
| Provider Name | Stephanie K Voorhis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801133343 PECOS PAC ID: 0547415416 Enrollment ID: I20130226000044 |
| Provider Name | Matthew C Kincade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396963658 PECOS PAC ID: 5991877508 Enrollment ID: I20130308000466 |
| Provider Name | Jason L Box |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841339058 PECOS PAC ID: 3971748278 Enrollment ID: I20130314000009 |
| Provider Name | Nicole Viola Gayle Konda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558608067 PECOS PAC ID: 2567607898 Enrollment ID: I20130314000273 |
| Provider Name | Warren W Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821338476 PECOS PAC ID: 3678718822 Enrollment ID: I20130318000450 |
| Provider Name | Margaret Mary Sabini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407946627 PECOS PAC ID: 5698762748 Enrollment ID: I20130321000233 |
| Provider Name | Cynthia A Griessel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659510725 PECOS PAC ID: 8325283302 Enrollment ID: I20130321000511 |
| Provider Name | Jaime Penix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760597025 PECOS PAC ID: 5890792543 Enrollment ID: I20130323000069 |
| Provider Name | Andrew Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497008254 PECOS PAC ID: 3779728209 Enrollment ID: I20130403000515 |
| Provider Name | Faraz Kureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437383080 PECOS PAC ID: 9739325713 Enrollment ID: I20130417000411 |
| Provider Name | Laura L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043281199 PECOS PAC ID: 8729233028 Enrollment ID: I20130425000531 |
| Provider Name | Cherrie L Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710227038 PECOS PAC ID: 4587800156 Enrollment ID: I20130426000469 |
| Provider Name | Kara D Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073852604 PECOS PAC ID: 5294971784 Enrollment ID: I20130430000145 |
| Provider Name | Christopher F Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316131253 PECOS PAC ID: 1254417793 Enrollment ID: I20130513000370 |
| Provider Name | Dawn Michelle Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669692158 PECOS PAC ID: 8426240672 Enrollment ID: I20130515000331 |
| Provider Name | Tisha K Joplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295074615 PECOS PAC ID: 2062650161 Enrollment ID: I20130531000358 |
| Provider Name | Tabatha R Luneau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881936797 PECOS PAC ID: 5597904862 Enrollment ID: I20130617000672 |
| Provider Name | Eric D Albaugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184965212 PECOS PAC ID: 8921247248 Enrollment ID: I20130618000462 |
| Provider Name | Kyli Ann Myears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881032795 PECOS PAC ID: 5193965218 Enrollment ID: I20130712000164 |
| Provider Name | Danny T Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740487552 PECOS PAC ID: 1951541010 Enrollment ID: I20130712000629 |
| Provider Name | Ryan N Davies |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295927473 PECOS PAC ID: 9032375159 Enrollment ID: I20130731000640 |
| Provider Name | Mayrol G Juarez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447440656 PECOS PAC ID: 7113168279 Enrollment ID: I20130801000274 |
| Provider Name | Ryan A Birlew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598963761 PECOS PAC ID: 1355581463 Enrollment ID: I20130806000088 |
| Provider Name | Jacqueline Rickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336235928 PECOS PAC ID: 0244330629 Enrollment ID: I20130815000886 |
| Provider Name | Brian B Draper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316225295 PECOS PAC ID: 5799928602 Enrollment ID: I20130826000097 |
| Provider Name | Stephanie Hove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629208368 PECOS PAC ID: 8123201290 Enrollment ID: I20130826000411 |
| Provider Name | Osamede Edokpolo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326334459 PECOS PAC ID: 2062655723 Enrollment ID: I20130827000958 |
| Provider Name | Stephanie J Hampton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154761583 PECOS PAC ID: 4789827387 Enrollment ID: I20130829000774 |
| Provider Name | Ifeanyi Izediuno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043443401 PECOS PAC ID: 3779726146 Enrollment ID: I20130904000476 |
| Provider Name | Craig Randall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992888259 PECOS PAC ID: 0244386175 Enrollment ID: I20130910000468 |
| Provider Name | Jason D Brewer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851731962 PECOS PAC ID: 4880838531 Enrollment ID: I20130918000682 |
| Provider Name | Carolyn T Hanger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992939680 PECOS PAC ID: 3779720248 Enrollment ID: I20130920000666 |
| Provider Name | Ricky J Deville |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457692857 PECOS PAC ID: 7719121284 Enrollment ID: I20130924000163 |
| Provider Name | Trena J Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295172468 PECOS PAC ID: 4587808910 Enrollment ID: I20130924000951 |
| Provider Name | Erin R Golden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992981195 PECOS PAC ID: 0143454470 Enrollment ID: I20130927000686 |
| Provider Name | Jessica N Snider |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477760437 PECOS PAC ID: 0244369684 Enrollment ID: I20131001000380 |
| Provider Name | Ghulam J Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023260874 PECOS PAC ID: 0648404731 Enrollment ID: I20131002000698 |
| Provider Name | Lacy A Schnelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831539428 PECOS PAC ID: 9931333077 Enrollment ID: I20131003000560 |
| Provider Name | Shelby M Little |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669804845 PECOS PAC ID: 4082848007 Enrollment ID: I20131007000996 |
| Provider Name | Tedi E Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083055800 PECOS PAC ID: 8820222755 Enrollment ID: I20131009000731 |
| Provider Name | Jeremy D Onnen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255599841 PECOS PAC ID: 3274767025 Enrollment ID: I20131009001459 |
| Provider Name | Christopher L Petrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245551795 PECOS PAC ID: 6002052644 Enrollment ID: I20131014001734 |
| Provider Name | Laura Vricella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316150907 PECOS PAC ID: 5092846006 Enrollment ID: I20131022002140 |
| Provider Name | David P Hayes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215161997 PECOS PAC ID: 1254566318 Enrollment ID: I20131025000116 |
| Provider Name | Jeremy P Broadnax |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1326204611 PECOS PAC ID: 0345475430 Enrollment ID: I20131025001047 |
| Provider Name | Kiran Bandaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376721209 PECOS PAC ID: 6103972559 Enrollment ID: I20131025001623 |
| Provider Name | Julie Roushdi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881027027 PECOS PAC ID: 8628203106 Enrollment ID: I20131109000627 |
| Provider Name | Christa L Torrisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265866917 PECOS PAC ID: 7416183637 Enrollment ID: I20131118001785 |
| Provider Name | Jay Barton Osborne |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609201987 PECOS PAC ID: 3173759206 Enrollment ID: I20131120001465 |
| Provider Name | Jeremy Baird |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609823467 PECOS PAC ID: 3274557376 Enrollment ID: I20131122000705 |
| Provider Name | Brandi Elizabeth Upton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1457561789 PECOS PAC ID: 5991931867 Enrollment ID: I20131125000082 |
| Provider Name | Scott Y Lin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700211059 PECOS PAC ID: 2668609793 Enrollment ID: I20131218000226 |
| Provider Name | Melissa L Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932322559 PECOS PAC ID: 6800024597 Enrollment ID: I20131231000665 |
| Provider Name | Jennifer C Massengale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093981102 PECOS PAC ID: 5193890549 Enrollment ID: I20140124000311 |
| Provider Name | Jefferson L Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528490711 PECOS PAC ID: 6204064074 Enrollment ID: I20140124001512 |
| Provider Name | Leslie E Yearta Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225378524 PECOS PAC ID: 9032349527 Enrollment ID: I20140301000068 |
| Provider Name | James Patton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235453150 PECOS PAC ID: 6305077991 Enrollment ID: I20140325000393 |
| Provider Name | Kristen Macdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689098691 PECOS PAC ID: 0042442055 Enrollment ID: I20140404001941 |
| Provider Name | Danielle R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629410766 PECOS PAC ID: 8921230152 Enrollment ID: I20140422001079 |
| Provider Name | Lane B Garner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336439173 PECOS PAC ID: 8426286550 Enrollment ID: I20140513001250 |
| Provider Name | Adam R Todd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366607087 PECOS PAC ID: 1850514787 Enrollment ID: I20140522001029 |
| Provider Name | Travis T Hawks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700053444 PECOS PAC ID: 9032332606 Enrollment ID: I20140529000624 |
| Provider Name | Lindsay M. Banta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891119251 PECOS PAC ID: 9133344690 Enrollment ID: I20140626000248 |
| Provider Name | Amy Hinkle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154617033 PECOS PAC ID: 8820213283 Enrollment ID: I20140627001628 |
| Provider Name | George B Kyei |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710133129 PECOS PAC ID: 7315176476 Enrollment ID: I20140711000429 |
| Provider Name | William Jason Cook |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578583423 PECOS PAC ID: 4981785706 Enrollment ID: I20140714000708 |
| Provider Name | Sean M Doyle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679694822 PECOS PAC ID: 1951451715 Enrollment ID: I20140714000759 |
| Provider Name | Douglas G Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679797260 PECOS PAC ID: 3476613852 Enrollment ID: I20140717001657 |
| Provider Name | Tamer A Dabous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356506711 PECOS PAC ID: 0446476709 Enrollment ID: I20140722000905 |
| Provider Name | Thomas Horn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516598 PECOS PAC ID: 2264695501 Enrollment ID: I20140722002256 |
| Provider Name | Scott E Litwiller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558382028 PECOS PAC ID: 8527149343 Enrollment ID: I20140728001328 |
| Provider Name | Shaun S. Grewal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972764496 PECOS PAC ID: 2365677168 Enrollment ID: I20140729000492 |
| Provider Name | Kevin J Gancarczyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013983741 PECOS PAC ID: 1052464617 Enrollment ID: I20140729000713 |
| Provider Name | Daniel E Brady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184644064 PECOS PAC ID: 8628294436 Enrollment ID: I20140730001674 |
| Provider Name | Royce D Moore |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205157641 PECOS PAC ID: 1456577212 Enrollment ID: I20140731000492 |
| Provider Name | William Mark Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982990214 PECOS PAC ID: 0648414433 Enrollment ID: I20140731000598 |
| Provider Name | Cherie L Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659707669 PECOS PAC ID: 1557588282 Enrollment ID: I20140804001491 |
| Provider Name | Rebecca D Ziehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245646934 PECOS PAC ID: 5496972176 Enrollment ID: I20140805000741 |
| Provider Name | Jonathan B Sperry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689081143 PECOS PAC ID: 5597982132 Enrollment ID: I20140805002974 |
| Provider Name | Carol D Curless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427465194 PECOS PAC ID: 1759508013 Enrollment ID: I20140808002274 |
| Provider Name | Adam A Carver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588824221 PECOS PAC ID: 7517122203 Enrollment ID: I20140812000601 |
| Provider Name | Johnson Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922231331 PECOS PAC ID: 0941427074 Enrollment ID: I20140813000408 |
| Provider Name | Dustin R Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790077600 PECOS PAC ID: 6901023084 Enrollment ID: I20140813002068 |
| Provider Name | Ibrahim Binalsheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578741922 PECOS PAC ID: 6901023712 Enrollment ID: I20140818001970 |
| Provider Name | Kim R Edson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518985456 PECOS PAC ID: 2860454030 Enrollment ID: I20140819001492 |
| Provider Name | Samir Mukundray Dalia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235331455 PECOS PAC ID: 7416080858 Enrollment ID: I20140821002848 |
| Provider Name | Talha Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326335126 PECOS PAC ID: 8325266851 Enrollment ID: I20140826000490 |
| Provider Name | Lisa L Gilmore |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629484647 PECOS PAC ID: 5092933440 Enrollment ID: I20140826001904 |
| Provider Name | Christian Orji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172145 PECOS PAC ID: 0143459909 Enrollment ID: I20140828000888 |
| Provider Name | Olivia M Kilburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013325422 PECOS PAC ID: 2860610003 Enrollment ID: I20140829000245 |
| Provider Name | Amanda K Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235546490 PECOS PAC ID: 3072732676 Enrollment ID: I20140912001890 |
| Provider Name | Elizabeth A Mullings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952700783 PECOS PAC ID: 7214156694 Enrollment ID: I20140917001110 |
| Provider Name | Katie S Schroeder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487818001 PECOS PAC ID: 1557581550 Enrollment ID: I20140925000398 |
| Provider Name | Sara R Catania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952613119 PECOS PAC ID: 6406089374 Enrollment ID: I20140926000995 |
| Provider Name | Jamie L Odem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700013372 PECOS PAC ID: 9537396726 Enrollment ID: I20141013000996 |
| Provider Name | Eric Bryan Engel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659444305 PECOS PAC ID: 2466554035 Enrollment ID: I20141013002506 |
| Provider Name | Gerri L Stuppy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518369396 PECOS PAC ID: 7315168119 Enrollment ID: I20141020002721 |
| Provider Name | Rebecca R Wayman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447425327 PECOS PAC ID: 1951551340 Enrollment ID: I20141024000143 |
| Provider Name | Windsor M Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984163 PECOS PAC ID: 2264653641 Enrollment ID: I20141028002846 |
| Provider Name | Jessica E Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568863959 PECOS PAC ID: 3375765142 Enrollment ID: I20141111000733 |
| Provider Name | Yuyang Tian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912290461 PECOS PAC ID: 0042532111 Enrollment ID: I20141126000671 |
| Provider Name | Robert B Carr |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538194774 PECOS PAC ID: 5890973358 Enrollment ID: I20141201001252 |
| Provider Name | Emily C Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003222357 PECOS PAC ID: 2860714912 Enrollment ID: I20141201001476 |
| Provider Name | Erin R Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962804781 PECOS PAC ID: 4183946130 Enrollment ID: I20141203000757 |
| Provider Name | Mohsin U Qazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461084 PECOS PAC ID: 6507091469 Enrollment ID: I20141205001733 |
| Provider Name | Joseph L Padalino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730322744 PECOS PAC ID: 2365570025 Enrollment ID: I20141223000338 |
| Provider Name | Mary Dean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962526202 PECOS PAC ID: 6709815004 Enrollment ID: I20150202002022 |
| Provider Name | Julie Senne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538500913 PECOS PAC ID: 4385969195 Enrollment ID: I20150218001524 |
| Provider Name | Lisa K Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275502379 PECOS PAC ID: 4981599057 Enrollment ID: I20150220001670 |
| Provider Name | Mark A Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316338924 PECOS PAC ID: 9739405515 Enrollment ID: I20150313002207 |
| Provider Name | Inna L Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588055578 PECOS PAC ID: 4082931696 Enrollment ID: I20150319000983 |
| Provider Name | Annette Noel Mense |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992196778 PECOS PAC ID: 8628395936 Enrollment ID: I20150326000277 |
| Provider Name | Clinton J Pace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821234717 PECOS PAC ID: 8022148154 Enrollment ID: I20150330000107 |
| Provider Name | Julie R Belk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427440742 PECOS PAC ID: 2961729009 Enrollment ID: I20150330000146 |
| Provider Name | Foram A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710113535 PECOS PAC ID: 2163566704 Enrollment ID: I20150402001840 |
| Provider Name | Stacey L Fawbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104215854 PECOS PAC ID: 1254659089 Enrollment ID: I20150407002297 |
| Provider Name | Misty D Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033501374 PECOS PAC ID: 9830417211 Enrollment ID: I20150415000527 |
| Provider Name | Haley J Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558658302 PECOS PAC ID: 8628396835 Enrollment ID: I20150421000194 |
| Provider Name | Joshua S Reece |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497145767 PECOS PAC ID: 9234457367 Enrollment ID: I20150421001261 |
| Provider Name | Katelyn D Maben |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447640123 PECOS PAC ID: 7012235112 Enrollment ID: I20150422001152 |
| Provider Name | Jennifer L Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487684015 PECOS PAC ID: 3678636073 Enrollment ID: I20150428002109 |
| Provider Name | Natalie A Kendrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376936203 PECOS PAC ID: 2668791724 Enrollment ID: I20150512001692 |
| Provider Name | Megan A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811382500 PECOS PAC ID: 9436479847 Enrollment ID: I20150527001280 |
| Provider Name | Laura C Fleetwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639565823 PECOS PAC ID: 2365763448 Enrollment ID: I20150601002075 |
| Provider Name | Sharada Nagotu Kambagiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629381611 PECOS PAC ID: 6709074610 Enrollment ID: I20150604000580 |
| Provider Name | Amber Ashley Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144617697 PECOS PAC ID: 5991016891 Enrollment ID: I20150618002283 |
| Provider Name | Kristoffer Jon Bylow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174815955 PECOS PAC ID: 2668795832 Enrollment ID: I20150619000457 |
| Provider Name | Somer A Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730566969 PECOS PAC ID: 2567773120 Enrollment ID: I20150623002119 |
| Provider Name | Jose S Padilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265449755 PECOS PAC ID: 7416144290 Enrollment ID: I20150625002335 |
| Provider Name | Aaron T May |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306224639 PECOS PAC ID: 8628380045 Enrollment ID: I20150626001515 |
| Provider Name | Garima Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427369073 PECOS PAC ID: 5890921258 Enrollment ID: I20150702000673 |
| Provider Name | Nathan P Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567728 PECOS PAC ID: 1254644164 Enrollment ID: I20150722003447 |
| Provider Name | Chase Lynn Sessions |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366702813 PECOS PAC ID: 7012238843 Enrollment ID: I20150722004190 |
| Provider Name | Sarah Duda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508206152 PECOS PAC ID: 5092028860 Enrollment ID: I20150722005582 |
| Provider Name | Amit C Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689806978 PECOS PAC ID: 3678739984 Enrollment ID: I20150723007568 |
| Provider Name | Timothy J Hayes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205065109 PECOS PAC ID: 9234363912 Enrollment ID: I20150731015530 |
| Provider Name | Victor Ivan Gomez Lorenzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821357864 PECOS PAC ID: 5092020610 Enrollment ID: I20150811005837 |
| Provider Name | Carla K. Athen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134501695 PECOS PAC ID: 6002121670 Enrollment ID: I20150812007525 |
| Provider Name | Robert B Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093957565 PECOS PAC ID: 2860668050 Enrollment ID: I20150817002015 |
| Provider Name | Christopher D Knudsen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124258777 PECOS PAC ID: 1153519004 Enrollment ID: I20150819006545 |
| Provider Name | Megan Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881076495 PECOS PAC ID: 9830404771 Enrollment ID: I20150820011507 |
| Provider Name | Ioulia I. Doulova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026763 PECOS PAC ID: 5799090544 Enrollment ID: I20150824000259 |
| Provider Name | Bethany L. Murrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164802757 PECOS PAC ID: 6901112671 Enrollment ID: I20150826002626 |
| Provider Name | David L Houzenga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134595952 PECOS PAC ID: 9234445677 Enrollment ID: I20150901000286 |
| Provider Name | Mauricio D Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316201312 PECOS PAC ID: 4688980980 Enrollment ID: I20150901002546 |
| Provider Name | Calen T Coyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316320740 PECOS PAC ID: 7810203957 Enrollment ID: I20150903001003 |
| Provider Name | Steven Choi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700085263 PECOS PAC ID: 9335315894 Enrollment ID: I20150910001142 |
| Provider Name | Jacqueline A Hauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619289311 PECOS PAC ID: 4688981418 Enrollment ID: I20150911000303 |
| Provider Name | Lisa M. Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403944 PECOS PAC ID: 1951618792 Enrollment ID: I20150911000315 |
| Provider Name | Peyman N Shirani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306009451 PECOS PAC ID: 2264676550 Enrollment ID: I20150914000919 |
| Provider Name | Wendy L. Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336521798 PECOS PAC ID: 8325355910 Enrollment ID: I20150915000791 |
| Provider Name | Jennifer Rippon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003020348 PECOS PAC ID: 1355467374 Enrollment ID: I20150915002570 |
| Provider Name | Billie A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073994224 PECOS PAC ID: 6709193287 Enrollment ID: I20150916000435 |
| Provider Name | Jared D Emery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346655636 PECOS PAC ID: 5294042693 Enrollment ID: I20150917001118 |
| Provider Name | Kunalpreet Singh S. Gugnani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114207354 PECOS PAC ID: 1153548920 Enrollment ID: I20150917002385 |
| Provider Name | Justin P. Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609135011 PECOS PAC ID: 1951541879 Enrollment ID: I20150921000408 |
| Provider Name | Ichha Sethi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588911580 PECOS PAC ID: 6204143456 Enrollment ID: I20150921001204 |
| Provider Name | Marlisa G. Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295119220 PECOS PAC ID: 4981911146 Enrollment ID: I20150921001395 |
| Provider Name | Dustin L Gammon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972943918 PECOS PAC ID: 0547577686 Enrollment ID: I20150922001249 |
| Provider Name | Carolyn A. Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225306269 PECOS PAC ID: 0648424259 Enrollment ID: I20150922001900 |
| Provider Name | Crystal Stillwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649649773 PECOS PAC ID: 3971811647 Enrollment ID: I20150929002222 |
| Provider Name | Christopher F. Estes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073824553 PECOS PAC ID: 8325356934 Enrollment ID: I20151001001006 |
| Provider Name | Danielle C. Schweke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215313598 PECOS PAC ID: 5193033496 Enrollment ID: I20151007000638 |
| Provider Name | Katherine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528437936 PECOS PAC ID: 2264741933 Enrollment ID: I20151020000920 |
| Provider Name | Jennifer A Cooper-lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720228950 PECOS PAC ID: 5294981718 Enrollment ID: I20151023000097 |
| Provider Name | Richard D Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801154091 PECOS PAC ID: 5799908661 Enrollment ID: I20151023002502 |
| Provider Name | Lori A. Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681265 PECOS PAC ID: 2062722028 Enrollment ID: I20151104001091 |
| Provider Name | Kelly Demuynck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750772349 PECOS PAC ID: 2163749045 Enrollment ID: I20151109001887 |
| Provider Name | Michelle M Englert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538539325 PECOS PAC ID: 2769792175 Enrollment ID: I20151113000943 |
| Provider Name | Amy C Grover |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578934147 PECOS PAC ID: 8022328491 Enrollment ID: I20151116000444 |
| Provider Name | Ramakrishna Venkatesh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548286768 PECOS PAC ID: 1759446792 Enrollment ID: I20151120001011 |
| Provider Name | Hina Sarwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417278474 PECOS PAC ID: 9537469424 Enrollment ID: I20151125000980 |
| Provider Name | Jessica E. Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255704599 PECOS PAC ID: 3274836838 Enrollment ID: I20160114002903 |
| Provider Name | George Shuert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376716985 PECOS PAC ID: 4688706393 Enrollment ID: I20160126001604 |
| Provider Name | Amanda Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396119822 PECOS PAC ID: 0446553465 Enrollment ID: I20160126001746 |
| Provider Name | Jenna D Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164895363 PECOS PAC ID: 3375846249 Enrollment ID: I20160127000733 |
| Provider Name | Eric Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528425501 PECOS PAC ID: 9830494095 Enrollment ID: I20160225001238 |
| Provider Name | Melissa Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558726034 PECOS PAC ID: 2163727231 Enrollment ID: I20160226002013 |
| Provider Name | Callie R Pearson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487024147 PECOS PAC ID: 8224333273 Enrollment ID: I20160229002331 |
| Provider Name | Jason J Forbes |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1841357357 PECOS PAC ID: 8022100882 Enrollment ID: I20160229002954 |
| Provider Name | Lauren N Stock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184083263 PECOS PAC ID: 3173829678 Enrollment ID: I20160309001912 |
| Provider Name | Omolola Ajoke Omotoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154514529 PECOS PAC ID: 4183781420 Enrollment ID: I20160314000288 |
| Provider Name | Corey William Iqbal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578533675 PECOS PAC ID: 6608839717 Enrollment ID: I20160316002139 |
| Provider Name | Ashley Hrabik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750741112 PECOS PAC ID: 5092011031 Enrollment ID: I20160317000042 |
| Provider Name | Jason Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306205414 PECOS PAC ID: 1153627112 Enrollment ID: I20160317000663 |
| Provider Name | Eric Stewart |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1881820280 PECOS PAC ID: 7911137997 Enrollment ID: I20160407000375 |
| Provider Name | Sarah E Joy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255791851 PECOS PAC ID: 7214235639 Enrollment ID: I20160418001586 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20160427001827 |
| Provider Name | Ryan Hegg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033436670 PECOS PAC ID: 7315116290 Enrollment ID: I20160516000323 |
| Provider Name | Onaopemipo Ajiboye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801155593 PECOS PAC ID: 9436468188 Enrollment ID: I20160531001523 |
| Provider Name | Cassie Booth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154594976 PECOS PAC ID: 3779749890 Enrollment ID: I20160531001616 |
| Provider Name | Carolyn D Hoekstra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679539746 PECOS PAC ID: 4284696980 Enrollment ID: I20160531001913 |
| Provider Name | Justin Allphin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528461621 PECOS PAC ID: 9931321593 Enrollment ID: I20160607000611 |
| Provider Name | Savannah Marie Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770930927 PECOS PAC ID: 3577854561 Enrollment ID: I20160622001384 |
| Provider Name | Matthew Hansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891145827 PECOS PAC ID: 8022309640 Enrollment ID: I20160628002998 |
| Provider Name | Jacqulynn D Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578911350 PECOS PAC ID: 9638461288 Enrollment ID: I20160630000930 |
| Provider Name | Michel B Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174973879 PECOS PAC ID: 0547552101 Enrollment ID: I20160630001226 |
| Provider Name | Joseph Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750655072 PECOS PAC ID: 4486885043 Enrollment ID: I20160630002026 |
| Provider Name | Katherine T. Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922457886 PECOS PAC ID: 1052603560 Enrollment ID: I20160701000616 |
| Provider Name | Christopher Stout |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760697783 PECOS PAC ID: 3072638725 Enrollment ID: I20160705000760 |
| Provider Name | Harold R Bandalan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063594638 PECOS PAC ID: 4082636089 Enrollment ID: I20160707002421 |
| Provider Name | Christina P Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750679908 PECOS PAC ID: 0042463184 Enrollment ID: I20160713000376 |
| Provider Name | Laura E Kresta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558637298 PECOS PAC ID: 1557663499 Enrollment ID: I20160714000584 |
| Provider Name | Nichole J Rodrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023460623 PECOS PAC ID: 3476845298 Enrollment ID: I20160714000695 |
| Provider Name | Lori A Pumphrey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952750846 PECOS PAC ID: 6305138058 Enrollment ID: I20160715002118 |
| Provider Name | Abhishek Watts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356652606 PECOS PAC ID: 0840431011 Enrollment ID: I20160726002847 |
| Provider Name | Benjamin Hodnett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730400813 PECOS PAC ID: 1355662990 Enrollment ID: I20160728001578 |
| Provider Name | Joseph A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851731582 PECOS PAC ID: 9335382217 Enrollment ID: I20160801001144 |
| Provider Name | Ashley Crisp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376835215 PECOS PAC ID: 0749503589 Enrollment ID: I20160801001365 |
| Provider Name | Joseph Polcaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598716920 PECOS PAC ID: 6507045317 Enrollment ID: I20160801001438 |
| Provider Name | Bennett Adam Bolyard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386986545 PECOS PAC ID: 9335377829 Enrollment ID: I20160801002534 |
| Provider Name | Travis Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477913853 PECOS PAC ID: 0547554339 Enrollment ID: I20160802000892 |
| Provider Name | Richard Seagrave |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033421300 PECOS PAC ID: 8921313925 Enrollment ID: I20160802002999 |
| Provider Name | Kiersten M Moreno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114281730 PECOS PAC ID: 0345546057 Enrollment ID: I20160804000755 |
| Provider Name | Nathan Tonlaar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811284375 PECOS PAC ID: 7911291117 Enrollment ID: I20160811000338 |
| Provider Name | Nanette Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780016584 PECOS PAC ID: 8921232653 Enrollment ID: I20160812000680 |
| Provider Name | Jordan A Chance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548571524 PECOS PAC ID: 0941515142 Enrollment ID: I20160817002652 |
| Provider Name | Jennifer Moutray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891148417 PECOS PAC ID: 0446545032 Enrollment ID: I20160822001131 |
| Provider Name | Lisa C Galligher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437502739 PECOS PAC ID: 2769777093 Enrollment ID: I20160825000079 |
| Provider Name | Jacquelyn B Marshall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023561552 PECOS PAC ID: 5890080139 Enrollment ID: I20160825000279 |
| Provider Name | Jocelyn P Morey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255391 PECOS PAC ID: 2264727395 Enrollment ID: I20160829000194 |
| Provider Name | Marcia Hernandez |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1902177074 PECOS PAC ID: 4385875541 Enrollment ID: I20160830001720 |
| Provider Name | Courtney E Beard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164765756 PECOS PAC ID: 9537487780 Enrollment ID: I20160831000707 |
| Provider Name | Jennifer L Wolf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194089144 PECOS PAC ID: 5890924823 Enrollment ID: I20160906000393 |
| Provider Name | Ashley Nicole Bell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669732376 PECOS PAC ID: 2264741180 Enrollment ID: I20160914001121 |
| Provider Name | Krystal M August |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477008753 PECOS PAC ID: 6709173792 Enrollment ID: I20160919001683 |
| Provider Name | Ian Michael Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730594136 PECOS PAC ID: 2567759814 Enrollment ID: I20160929002041 |
| Provider Name | Jacob L Baalman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831537570 PECOS PAC ID: 5496065021 Enrollment ID: I20161003001479 |
| Provider Name | Meredith Hoffmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710437488 PECOS PAC ID: 3375831027 Enrollment ID: I20161012000940 |
| Provider Name | Amanda Elaine Mccreary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392766 PECOS PAC ID: 4183902455 Enrollment ID: I20161021000689 |
| Provider Name | Ashley Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052686 PECOS PAC ID: 6608154737 Enrollment ID: I20161025001454 |
| Provider Name | Saurav Raj Baral |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316225774 PECOS PAC ID: 9739482514 Enrollment ID: I20161101002561 |
| Provider Name | Zachary D Seagrave |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043573280 PECOS PAC ID: 1759669203 Enrollment ID: I20161103001010 |
| Provider Name | Kelly Goodin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497207831 PECOS PAC ID: 6204114705 Enrollment ID: I20161104000432 |
| Provider Name | Noaman F Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124294749 PECOS PAC ID: 7618157470 Enrollment ID: I20161108001131 |
| Provider Name | Bryan S Shearer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992048037 PECOS PAC ID: 8224355201 Enrollment ID: I20161108002288 |
| Provider Name | Chanchal Suthar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265788178 PECOS PAC ID: 9436399193 Enrollment ID: I20161111001168 |
| Provider Name | Chitra Balasundaram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356656839 PECOS PAC ID: 4789964008 Enrollment ID: I20161202001438 |
| Provider Name | Chandan Mal Suthar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316235310 PECOS PAC ID: 6406093087 Enrollment ID: I20161205000266 |
| Provider Name | Manisha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871035766 PECOS PAC ID: 7719267913 Enrollment ID: I20161205002080 |
| Provider Name | Kristin L Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639544802 PECOS PAC ID: 4284924960 Enrollment ID: I20170109000057 |
| Provider Name | Edward J Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20170116000319 |
| Provider Name | Carmen Saeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841371390 PECOS PAC ID: 9830184027 Enrollment ID: I20170124000804 |
| Provider Name | Farzin Fotouhi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679562920 PECOS PAC ID: 4385669076 Enrollment ID: I20170126002378 |
| Provider Name | Asif Saeed Choudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134560865 PECOS PAC ID: 4183850548 Enrollment ID: I20170131001288 |
| Provider Name | Melanie Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819274 PECOS PAC ID: 0345523999 Enrollment ID: I20170207000206 |
| Provider Name | Tedra E Estis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612468 PECOS PAC ID: 8921381245 Enrollment ID: I20170213000871 |
| Provider Name | Desiree A Wickenhauser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912453945 PECOS PAC ID: 8628351798 Enrollment ID: I20170215002088 |
| Provider Name | Craig Karnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548709355 PECOS PAC ID: 4486937406 Enrollment ID: I20170216001430 |
| Provider Name | Robert C Montana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649290370 PECOS PAC ID: 1850397282 Enrollment ID: I20170303001110 |
| Provider Name | James E Mbogori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710185533 PECOS PAC ID: 8628100732 Enrollment ID: I20170307000858 |
| Provider Name | John Adamski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407819535 PECOS PAC ID: 1759301997 Enrollment ID: I20170324001850 |
| Provider Name | Santhosh Koshy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124108493 PECOS PAC ID: 2264429539 Enrollment ID: I20170426001052 |
| Provider Name | Samantha Lynne Warkentien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851769350 PECOS PAC ID: 9638488141 Enrollment ID: I20170427000211 |
| Provider Name | Joel Kalavelil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801234810 PECOS PAC ID: 3577796457 Enrollment ID: I20170501000434 |
| Provider Name | Crystal Spangler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518491042 PECOS PAC ID: 0941587240 Enrollment ID: I20170512002272 |
| Provider Name | Sara Mccalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992252852 PECOS PAC ID: 1052689361 Enrollment ID: I20170609000578 |
| Provider Name | Muneer N Hassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205129590 PECOS PAC ID: 8022255470 Enrollment ID: I20170612000691 |
| Provider Name | John Hornick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477842151 PECOS PAC ID: 5597033704 Enrollment ID: I20170612002720 |
| Provider Name | Madhu Kalyan Pendurthi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750661286 PECOS PAC ID: 8820366560 Enrollment ID: I20170621000682 |
| Provider Name | Chukwudi Obiora Chiaghana |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417214529 PECOS PAC ID: 4688809478 Enrollment ID: I20170628000798 |
| Provider Name | Melanie Ann Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114454048 PECOS PAC ID: 3072882497 Enrollment ID: I20170628001708 |
| Provider Name | Hari Salana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922390418 PECOS PAC ID: 8426371014 Enrollment ID: I20170705000666 |
| Provider Name | Sarah Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447785282 PECOS PAC ID: 0648549709 Enrollment ID: I20170705001138 |
| Provider Name | Jillian Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194254664 PECOS PAC ID: 1153690060 Enrollment ID: I20170710001172 |
| Provider Name | Margaret Slagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164951117 PECOS PAC ID: 5698044501 Enrollment ID: I20170710001229 |
| Provider Name | John Ikenroth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407378839 PECOS PAC ID: 8921378514 Enrollment ID: I20170713002923 |
| Provider Name | Alicia S Stogsdill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619497740 PECOS PAC ID: 9931479425 Enrollment ID: I20170717000538 |
| Provider Name | Jessica Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528597564 PECOS PAC ID: 6103196415 Enrollment ID: I20170719002706 |
| Provider Name | Ryan Huslig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497284475 PECOS PAC ID: 5294005427 Enrollment ID: I20170721000185 |
| Provider Name | Stephanie L Nimmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457881716 PECOS PAC ID: 0446520464 Enrollment ID: I20170725002099 |
| Provider Name | Christina M Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285155929 PECOS PAC ID: 7315218096 Enrollment ID: I20170731001813 |
| Provider Name | Anthony T Thrower |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972032035 PECOS PAC ID: 8527339027 Enrollment ID: I20170802000086 |
| Provider Name | Todd Macdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689108839 PECOS PAC ID: 3072884352 Enrollment ID: I20170804000495 |
| Provider Name | Ivana Vettraino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417007428 PECOS PAC ID: 0446286249 Enrollment ID: I20170809002441 |
| Provider Name | Erica Embry Ballard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922447853 PECOS PAC ID: 6507091683 Enrollment ID: I20170810000919 |
| Provider Name | Amanda Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578093266 PECOS PAC ID: 4789956186 Enrollment ID: I20170821000220 |
| Provider Name | Simran K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811131055 PECOS PAC ID: 8527376656 Enrollment ID: I20170830000467 |
| Provider Name | Melinda Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518481217 PECOS PAC ID: 8921371519 Enrollment ID: I20170901001114 |
| Provider Name | Madhavi Kuppi Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144620055 PECOS PAC ID: 1557634813 Enrollment ID: I20170907002786 |
| Provider Name | Louis Hirsch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679839872 PECOS PAC ID: 4486941457 Enrollment ID: I20170911001515 |
| Provider Name | Melissa Mcginnis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528478732 PECOS PAC ID: 5597039529 Enrollment ID: I20170914002389 |
| Provider Name | Marwan Jaoudeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629498894 PECOS PAC ID: 1557684909 Enrollment ID: I20170914002429 |
| Provider Name | Joshua B Pead |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043315039 PECOS PAC ID: 9133433568 Enrollment ID: I20170929001700 |
| Provider Name | Trudy Shady |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417940354 PECOS PAC ID: 0840194718 Enrollment ID: I20171003004894 |
| Provider Name | Erica Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345842 PECOS PAC ID: 0244505949 Enrollment ID: I20171005002430 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20171010002643 |
| Provider Name | Laura Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619488855 PECOS PAC ID: 5698041614 Enrollment ID: I20171019000337 |
| Provider Name | Jennifer Veo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871003319 PECOS PAC ID: 3072889005 Enrollment ID: I20171019000667 |
| Provider Name | Amberlyn Casie Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184135113 PECOS PAC ID: 6800162660 Enrollment ID: I20171023000754 |
| Provider Name | Brandon S Ruble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396255493 PECOS PAC ID: 2163798851 Enrollment ID: I20171025000400 |
| Provider Name | Abby E Starrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952820722 PECOS PAC ID: 0749556066 Enrollment ID: I20171031002943 |
| Provider Name | Shravan Narmala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700071008 PECOS PAC ID: 0345460150 Enrollment ID: I20171102002927 |
| Provider Name | Roberta Lynne Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952576837 PECOS PAC ID: 5092071092 Enrollment ID: I20171107003572 |
| Provider Name | Mariah Shiloh Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164933933 PECOS PAC ID: 0941566368 Enrollment ID: I20171117000354 |
| Provider Name | April Jean Bensing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255844429 PECOS PAC ID: 2567729874 Enrollment ID: I20171121002673 |
| Provider Name | Charity Hs Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225542863 PECOS PAC ID: 4880951193 Enrollment ID: I20171121002904 |
| Provider Name | Kenneth Fondren Starnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851772065 PECOS PAC ID: 9032476270 Enrollment ID: I20171127001573 |
| Provider Name | Alyssa Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073023586 PECOS PAC ID: 0042577017 Enrollment ID: I20171129001409 |
| Provider Name | Melissa D Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710231139 PECOS PAC ID: 2466607510 Enrollment ID: I20171130001993 |
| Provider Name | Daniel O'loughlin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1083096671 PECOS PAC ID: 1153638598 Enrollment ID: I20171205002124 |
| Provider Name | Shawna Renea Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926020 PECOS PAC ID: 6800155367 Enrollment ID: I20180109002628 |
| Provider Name | Naveen Balasundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104054162 PECOS PAC ID: 1759640063 Enrollment ID: I20180112000592 |
| Provider Name | David E Eisenhauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720281330 PECOS PAC ID: 2668652371 Enrollment ID: I20180117002931 |
| Provider Name | Timothy Charles Brazeal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083933485 PECOS PAC ID: 0547520561 Enrollment ID: I20180212001368 |
| Provider Name | Kelsey L. Storer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598265894 PECOS PAC ID: 4183985443 Enrollment ID: I20180228002901 |
| Provider Name | Celia Rae Posada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184915985 PECOS PAC ID: 3678704889 Enrollment ID: I20180306001749 |
| Provider Name | Kelsey M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255830147 PECOS PAC ID: 2668734559 Enrollment ID: I20180312001658 |
| Provider Name | Caroline Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548242894 PECOS PAC ID: 7113289901 Enrollment ID: I20180314001083 |
| Provider Name | Jennifer White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982103784 PECOS PAC ID: 3274895016 Enrollment ID: I20180315000457 |
| Provider Name | Charles R. Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114017555 PECOS PAC ID: 0446381982 Enrollment ID: I20180326000399 |
| Provider Name | Ashley M Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750885901 PECOS PAC ID: 8729340013 Enrollment ID: I20180327000173 |
| Provider Name | Ahmed Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033423744 PECOS PAC ID: 2062645542 Enrollment ID: I20180411000512 |
| Provider Name | Joanna D Twombly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780857284 PECOS PAC ID: 2567538770 Enrollment ID: I20180504001158 |
| Provider Name | Anita G Unnithan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740574490 PECOS PAC ID: 0749429116 Enrollment ID: I20180507000996 |
| Provider Name | Brigitte Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407352594 PECOS PAC ID: 8325302912 Enrollment ID: I20180508000169 |
| Provider Name | W. Richard Sylvanovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053356840 PECOS PAC ID: 9638434335 Enrollment ID: I20180530001898 |
| Provider Name | Casey Carr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598254666 PECOS PAC ID: 1153686597 Enrollment ID: I20180605003058 |
| Provider Name | Maegan Elise Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093212177 PECOS PAC ID: 1052676384 Enrollment ID: I20180607000892 |
| Provider Name | Hillary G Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457843740 PECOS PAC ID: 2668727397 Enrollment ID: I20180620001154 |
| Provider Name | Janell Tabora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811334410 PECOS PAC ID: 7113168477 Enrollment ID: I20180622002424 |
| Provider Name | Vikas Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043650799 PECOS PAC ID: 5395977037 Enrollment ID: I20180626001381 |
| Provider Name | Harsh Bhartee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376959841 PECOS PAC ID: 5991921355 Enrollment ID: I20180626001406 |
| Provider Name | Mandy L Rust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186781 PECOS PAC ID: 0840546271 Enrollment ID: I20180627001913 |
| Provider Name | Charles Wesley Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346246105 PECOS PAC ID: 3577720051 Enrollment ID: I20180627002000 |
| Provider Name | Trevor Lynn Bond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811212202 PECOS PAC ID: 4082867346 Enrollment ID: I20180711001420 |
| Provider Name | Heather Kristin Dearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417449042 PECOS PAC ID: 9234485897 Enrollment ID: I20180712000364 |
| Provider Name | Sarah E Hostetter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124438130 PECOS PAC ID: 7618271529 Enrollment ID: I20180712000371 |
| Provider Name | Sandhya Samavedam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114177748 PECOS PAC ID: 3072708544 Enrollment ID: I20180712000472 |
| Provider Name | Christina M Otterness |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992091284 PECOS PAC ID: 4183970775 Enrollment ID: I20180712001432 |
| Provider Name | Angela R Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568954865 PECOS PAC ID: 2668728171 Enrollment ID: I20180712002665 |
| Provider Name | James Orlando |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619388592 PECOS PAC ID: 2961722178 Enrollment ID: I20180712003530 |
| Provider Name | Delia A Gayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043702343 PECOS PAC ID: 5294081733 Enrollment ID: I20180712003638 |
| Provider Name | Kelsi B Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366934069 PECOS PAC ID: 8820344377 Enrollment ID: I20180713000373 |
| Provider Name | Kathryn Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598250961 PECOS PAC ID: 0749536233 Enrollment ID: I20180713002120 |
| Provider Name | Dwight E Hand |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780766238 PECOS PAC ID: 4385742998 Enrollment ID: I20180720000977 |
| Provider Name | Rodney Jay Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154522696 PECOS PAC ID: 8022180306 Enrollment ID: I20180720001564 |
| Provider Name | Misty Denevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477044162 PECOS PAC ID: 7517214505 Enrollment ID: I20180723001076 |
| Provider Name | Patrick Ryan Mullin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881957793 PECOS PAC ID: 5890084073 Enrollment ID: I20180724003761 |
| Provider Name | Andrew J Kochevar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871781765 PECOS PAC ID: 0648409995 Enrollment ID: I20180726001693 |
| Provider Name | Kellie Soles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104302256 PECOS PAC ID: 7315295789 Enrollment ID: I20180801000415 |
| Provider Name | Patrick Antone Granneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679954093 PECOS PAC ID: 9436466034 Enrollment ID: I20180801001930 |
| Provider Name | Jessica Terrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154807634 PECOS PAC ID: 0446508683 Enrollment ID: I20180806000932 |
| Provider Name | Sarah Boss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467939280 PECOS PAC ID: 1658629415 Enrollment ID: I20180810000220 |
| Provider Name | Farhan Siddiq |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740472745 PECOS PAC ID: 7214006618 Enrollment ID: I20180816001052 |
| Provider Name | Kaleen Nicole Long |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386026375 PECOS PAC ID: 4688979743 Enrollment ID: I20180828003336 |
| Provider Name | Asal Fathian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629202270 PECOS PAC ID: 7719113000 Enrollment ID: I20180905001921 |
| Provider Name | Ronald M Angles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245284918 PECOS PAC ID: 3870490311 Enrollment ID: I20180912000317 |
| Provider Name | Pawel Szurnicki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164829636 PECOS PAC ID: 8325307861 Enrollment ID: I20180918001427 |
| Provider Name | Anthony J Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831676287 PECOS PAC ID: 4486906369 Enrollment ID: I20181003002105 |
| Provider Name | Henry Keiler Bluhm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104096429 PECOS PAC ID: 6507042777 Enrollment ID: I20181004002327 |
| Provider Name | Ryan Jeffrey Heady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295028058 PECOS PAC ID: 0446481980 Enrollment ID: I20181009002324 |
| Provider Name | Gritz Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215319140 PECOS PAC ID: 2961718259 Enrollment ID: I20181016004047 |
| Provider Name | Debra Ann Carson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043410392 PECOS PAC ID: 5799967410 Enrollment ID: I20181018001231 |
| Provider Name | Michael P Mcevoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063880995 PECOS PAC ID: 3577867100 Enrollment ID: I20181018002814 |
| Provider Name | Rachel May Bertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068850 PECOS PAC ID: 8224381926 Enrollment ID: I20181026000579 |
| Provider Name | Jonnie Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489774 PECOS PAC ID: 2769735026 Enrollment ID: I20181102001298 |
| Provider Name | Whitney Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609357383 PECOS PAC ID: 7012260375 Enrollment ID: I20181102001356 |
| Provider Name | Patricia Mccallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280935 PECOS PAC ID: 2163776220 Enrollment ID: I20181108002780 |
| Provider Name | Kara Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720555683 PECOS PAC ID: 6608120506 Enrollment ID: I20181113000534 |
| Provider Name | Joy Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386112613 PECOS PAC ID: 1557615275 Enrollment ID: I20181116000337 |
| Provider Name | Matthew Blair Mccoy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063854610 PECOS PAC ID: 3678708674 Enrollment ID: I20181130000716 |
| Provider Name | Francisco B Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063434504 PECOS PAC ID: 3678543394 Enrollment ID: I20181206001150 |
| Provider Name | James Mark Spaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811472822 PECOS PAC ID: 2365786076 Enrollment ID: I20181206003600 |
| Provider Name | Amy Lallathin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194291054 PECOS PAC ID: 5496099889 Enrollment ID: I20181212001775 |
| Provider Name | Kelly Pantazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306326855 PECOS PAC ID: 4587909619 Enrollment ID: I20181218003254 |
| Provider Name | Rhiannon Michelle Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225259278 PECOS PAC ID: 9335264902 Enrollment ID: I20181219002024 |
| Provider Name | Zachary John Peckler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487933719 PECOS PAC ID: 6709172471 Enrollment ID: I20181219003563 |
| Provider Name | Seth Michael Jenks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013438183 PECOS PAC ID: 2567707201 Enrollment ID: I20181227000956 |
| Provider Name | Jaymie L Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649740705 PECOS PAC ID: 3274879465 Enrollment ID: I20190109000439 |
| Provider Name | Stephanie Marie Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306319157 PECOS PAC ID: 4587900527 Enrollment ID: I20190111000278 |
| Provider Name | Lisa Marie Roelle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164664116 PECOS PAC ID: 2567509565 Enrollment ID: I20190129000311 |
| Provider Name | Elizabeth Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922422013 PECOS PAC ID: 6709004914 Enrollment ID: I20190129000349 |
| Provider Name | Whitney Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902108517 PECOS PAC ID: 5991936270 Enrollment ID: I20190129003506 |
| Provider Name | Katharine Clare Stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508349978 PECOS PAC ID: 3274870191 Enrollment ID: I20190130000725 |
| Provider Name | Melva June Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558825430 PECOS PAC ID: 7911244884 Enrollment ID: I20190130002415 |
| Provider Name | Stephanie Marie Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154894475 PECOS PAC ID: 5092052977 Enrollment ID: I20190130002890 |
| Provider Name | Christina Roeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619441201 PECOS PAC ID: 7416295910 Enrollment ID: I20190207002014 |
| Provider Name | Hannah Jo Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427521616 PECOS PAC ID: 5092053504 Enrollment ID: I20190207002295 |
| Provider Name | Jacqueline Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508330689 PECOS PAC ID: 9436497864 Enrollment ID: I20190211001989 |
| Provider Name | Danielle Elizabeth Mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366916041 PECOS PAC ID: 0648518571 Enrollment ID: I20190219000221 |
| Provider Name | Nancy Diane Elmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871065136 PECOS PAC ID: 6709124639 Enrollment ID: I20190219000390 |
| Provider Name | James Warren Siler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114996907 PECOS PAC ID: 7911942263 Enrollment ID: I20190219000538 |
| Provider Name | Caylin L Meister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508360900 PECOS PAC ID: 4880958735 Enrollment ID: I20190220000473 |
| Provider Name | Emily Specker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912430315 PECOS PAC ID: 6305105859 Enrollment ID: I20190221000254 |
| Provider Name | Asia Grishchuk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154887032 PECOS PAC ID: 5698014421 Enrollment ID: I20190222000323 |
| Provider Name | Sarah Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699260521 PECOS PAC ID: 2668711771 Enrollment ID: I20190307002866 |
| Provider Name | Laura Loebel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891254587 PECOS PAC ID: 5991045346 Enrollment ID: I20190320003331 |
| Provider Name | Miricle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770040222 PECOS PAC ID: 9234479684 Enrollment ID: I20190320003407 |
| Provider Name | Mary Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407315195 PECOS PAC ID: 1850631219 Enrollment ID: I20190321000432 |
| Provider Name | Alexandra Marie Cutler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245795558 PECOS PAC ID: 8224378658 Enrollment ID: I20190322000130 |
| Provider Name | Amy Richards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073072781 PECOS PAC ID: 6103166384 Enrollment ID: I20190326001580 |
| Provider Name | Margaret Mary Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306306865 PECOS PAC ID: 1658612163 Enrollment ID: I20190410002336 |
| Provider Name | George Theodore Harris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952575946 PECOS PAC ID: 7810149259 Enrollment ID: I20190417000315 |
| Provider Name | Ayumi Ludwig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194086827 PECOS PAC ID: 4284925272 Enrollment ID: I20190425000342 |
| Provider Name | Kindra L Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144782020 PECOS PAC ID: 5890037402 Enrollment ID: I20190501001848 |
| Provider Name | Travis Alexander Melton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821487455 PECOS PAC ID: 2567760812 Enrollment ID: I20190509000743 |
| Provider Name | Trisha Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730644840 PECOS PAC ID: 5395088553 Enrollment ID: I20190510001249 |
| Provider Name | Emily Conklin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912561135 PECOS PAC ID: 4587907423 Enrollment ID: I20190516002844 |
| Provider Name | Kateryna Sergiyivna Ivanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699066373 PECOS PAC ID: 5294964318 Enrollment ID: I20190520002824 |
| Provider Name | Kaitlynn Lindemeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548824428 PECOS PAC ID: 1557604279 Enrollment ID: I20190521003100 |
| Provider Name | Gregory Austin Melton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962923540 PECOS PAC ID: 5294078853 Enrollment ID: I20190522001399 |
| Provider Name | Andrew Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871056267 PECOS PAC ID: 9739422015 Enrollment ID: I20190530001810 |
| Provider Name | Kenyon M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447816855 PECOS PAC ID: 1658614946 Enrollment ID: I20190530002179 |
| Provider Name | Katelyn Laurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700442670 PECOS PAC ID: 5294068359 Enrollment ID: I20190605002295 |
| Provider Name | Charles Austin Slagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265090138 PECOS PAC ID: 0345573051 Enrollment ID: I20190612002383 |
| Provider Name | Falgun M. Modhia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942470414 PECOS PAC ID: 7911082482 Enrollment ID: I20190613002989 |
| Provider Name | Heather Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225502297 PECOS PAC ID: 6103159710 Enrollment ID: I20190613003175 |
| Provider Name | Karthik Vadamalai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366881393 PECOS PAC ID: 3173810504 Enrollment ID: I20190614000149 |
| Provider Name | Ammar H Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528473758 PECOS PAC ID: 9335445246 Enrollment ID: I20190618000081 |
| Provider Name | Andrew R Lowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649685686 PECOS PAC ID: 3870819808 Enrollment ID: I20190626002883 |
| Provider Name | Ethan M Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447817788 PECOS PAC ID: 6204160021 Enrollment ID: I20190628000417 |
| Provider Name | Daureen K Bloodworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659324341 PECOS PAC ID: 9436167772 Enrollment ID: I20190701000151 |
| Provider Name | Gregory A O'neal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679533657 PECOS PAC ID: 5890775431 Enrollment ID: I20190709003040 |
| Provider Name | Steven David Boren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962069807 PECOS PAC ID: 6002141207 Enrollment ID: I20190710002402 |
| Provider Name | Allison White |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851952956 PECOS PAC ID: 9931434990 Enrollment ID: I20190712001114 |
| Provider Name | Shreyans Bengani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710334610 PECOS PAC ID: 6103151139 Enrollment ID: I20190715000459 |
| Provider Name | Liridon Zguri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992258081 PECOS PAC ID: 4486980067 Enrollment ID: I20190722000293 |
| Provider Name | Katherine Julia St. Romain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770927428 PECOS PAC ID: 4981997889 Enrollment ID: I20190722001330 |
| Provider Name | Louis A Aliperti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861810350 PECOS PAC ID: 5193022614 Enrollment ID: I20190726001659 |
| Provider Name | Amina Hobson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851950612 PECOS PAC ID: 2769718881 Enrollment ID: I20190729000054 |
| Provider Name | Bradley Sean Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346892122 PECOS PAC ID: 3274869201 Enrollment ID: I20190729001137 |
| Provider Name | Errington Casdale Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134194111 PECOS PAC ID: 6406899913 Enrollment ID: I20190729001429 |
| Provider Name | Narius Aresh Virji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144672379 PECOS PAC ID: 9739415787 Enrollment ID: I20190729001616 |
| Provider Name | Alison Reinhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942852959 PECOS PAC ID: 4082940051 Enrollment ID: I20190729002762 |
| Provider Name | Paul Edmond St. Romain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578805610 PECOS PAC ID: 6901132893 Enrollment ID: I20190730004651 |
| Provider Name | Andrea Marie-gioia Spangler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306220488 PECOS PAC ID: 3779898432 Enrollment ID: I20190731000254 |
| Provider Name | Kaye Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982050415 PECOS PAC ID: 1658667795 Enrollment ID: I20190731002033 |
| Provider Name | Swetha Tanguturi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871943530 PECOS PAC ID: 8123395886 Enrollment ID: I20190731002295 |
| Provider Name | Jagdeep S Chinna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740632702 PECOS PAC ID: 1759658248 Enrollment ID: I20190802001921 |
| Provider Name | Jennifer Lu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902149644 PECOS PAC ID: 9739486093 Enrollment ID: I20190803000127 |
| Provider Name | Jessica B Windschitl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427440619 PECOS PAC ID: 0941537617 Enrollment ID: I20190805001060 |
| Provider Name | Tara Parvathaneni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063064012 PECOS PAC ID: 2769719434 Enrollment ID: I20190805001067 |
| Provider Name | Melissa Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689227902 PECOS PAC ID: 4981931664 Enrollment ID: I20190805001351 |
| Provider Name | Zachariah Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437511086 PECOS PAC ID: 7113219528 Enrollment ID: I20190805002853 |
| Provider Name | Ramya Sree Chilukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609227735 PECOS PAC ID: 7911272307 Enrollment ID: I20190805003041 |
| Provider Name | Mahmoud Halawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790230704 PECOS PAC ID: 1850628363 Enrollment ID: I20190806004332 |
| Provider Name | Opeyemi Ayeni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831541325 PECOS PAC ID: 5092042416 Enrollment ID: I20190808000523 |
| Provider Name | Carrie Elise Johans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669734968 PECOS PAC ID: 4486898210 Enrollment ID: I20190808000780 |
| Provider Name | Hossein Mohagheghian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821442948 PECOS PAC ID: 0749517993 Enrollment ID: I20190809001924 |
| Provider Name | Courtney E Owens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922560986 PECOS PAC ID: 8325376155 Enrollment ID: I20190819000521 |
| Provider Name | Jennifer Serwan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750744728 PECOS PAC ID: 0547552515 Enrollment ID: I20190820000062 |
| Provider Name | Natasha Nichole Lewis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962766311 PECOS PAC ID: 4284962234 Enrollment ID: I20190828003704 |
| Provider Name | Heather Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700432846 PECOS PAC ID: 5890023840 Enrollment ID: I20190828003809 |
| Provider Name | Brett Justin Pettett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891139572 PECOS PAC ID: 2163647611 Enrollment ID: I20190828004142 |
| Provider Name | Rita Logan Seger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528307493 PECOS PAC ID: 8022347798 Enrollment ID: I20190905000312 |
| Provider Name | Rozlyn E. Mcteer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073168985 PECOS PAC ID: 0446589188 Enrollment ID: I20190905003369 |
| Provider Name | Jonathan Fausett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417307547 PECOS PAC ID: 7113283292 Enrollment ID: I20190916001463 |
| Provider Name | Kristin S Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831652049 PECOS PAC ID: 1355671975 Enrollment ID: I20190925001145 |
| Provider Name | Mckenzie A Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306208368 PECOS PAC ID: 9436442621 Enrollment ID: I20191003000587 |
| Provider Name | Emanuel A Shapera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407268790 PECOS PAC ID: 2466769864 Enrollment ID: I20191004001494 |
| Provider Name | Adam Christopher Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881076644 PECOS PAC ID: 0547591240 Enrollment ID: I20191010002047 |
| Provider Name | Steven P Gradney |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477743839 PECOS PAC ID: 0547402794 Enrollment ID: I20191015002717 |
| Provider Name | Nathaniel Barbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528598018 PECOS PAC ID: 9931448735 Enrollment ID: I20191022000406 |
| Provider Name | Chaitanya Ravi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457723462 PECOS PAC ID: 4981907433 Enrollment ID: I20191022000738 |
| Provider Name | Christopher S Amundsen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184018632 PECOS PAC ID: 4385947217 Enrollment ID: I20191023000743 |
| Provider Name | Christine Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588213193 PECOS PAC ID: 0345572392 Enrollment ID: I20191024002554 |
| Provider Name | Alyse Megan Fields |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871892083 PECOS PAC ID: 5890027858 Enrollment ID: I20191024002623 |
| Provider Name | Amber L Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801361282 PECOS PAC ID: 0547592313 Enrollment ID: I20191028001944 |
| Provider Name | Carl David Eastep |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477109718 PECOS PAC ID: 1355673989 Enrollment ID: I20191030002618 |
| Provider Name | Rebecca Lynn Smading |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982245767 PECOS PAC ID: 7911239272 Enrollment ID: I20191106000948 |
| Provider Name | Mary E Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003459132 PECOS PAC ID: 3375975584 Enrollment ID: I20191108001423 |
| Provider Name | Cody Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326684945 PECOS PAC ID: 8527491539 Enrollment ID: I20191205001524 |
| Provider Name | Megan Jane Manthe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104050772 PECOS PAC ID: 6002036050 Enrollment ID: I20191217003343 |
| Provider Name | Anthony James Bell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578797148 PECOS PAC ID: 9830315092 Enrollment ID: I20191218000651 |
| Provider Name | Nicole L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013550482 PECOS PAC ID: 2860826088 Enrollment ID: I20191221000503 |
| Provider Name | Stewart Rowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528446283 PECOS PAC ID: 0749560696 Enrollment ID: I20200127000795 |
| Provider Name | Michelle Gail O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437705001 PECOS PAC ID: 5890121552 Enrollment ID: I20200129001083 |
| Provider Name | Teclaire Mindiga Ntui-ayuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569928 PECOS PAC ID: 6800223439 Enrollment ID: I20200220002452 |
| Provider Name | Trevor M Slezak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467804427 PECOS PAC ID: 5991036212 Enrollment ID: I20200229000127 |
| Provider Name | Allan Anyumba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871800771 PECOS PAC ID: 8729258520 Enrollment ID: I20200311002678 |
| Provider Name | Zaria C Murrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730130303 PECOS PAC ID: 4082657887 Enrollment ID: I20200312001121 |
| Provider Name | Amanda Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205460045 PECOS PAC ID: 1759719917 Enrollment ID: I20200322000026 |
| Provider Name | Daniel Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366077240 PECOS PAC ID: 1456780345 Enrollment ID: I20200327001032 |
| Provider Name | Kelly Marie Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770119372 PECOS PAC ID: 1456780386 Enrollment ID: I20200328000059 |
| Provider Name | Casie J. Canning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649806530 PECOS PAC ID: 9931538097 Enrollment ID: I20200411000211 |
| Provider Name | Sarah Geltmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174157879 PECOS PAC ID: 6901235068 Enrollment ID: I20200411000467 |
| Provider Name | Leah M Crouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589144 PECOS PAC ID: 0143659227 Enrollment ID: I20200413000469 |
| Provider Name | Justin Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518596089 PECOS PAC ID: 1355771494 Enrollment ID: I20200414000577 |
| Provider Name | Loretto Glynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235111014 PECOS PAC ID: 6103723747 Enrollment ID: I20200415002617 |
| Provider Name | Joshua Zachariah Vicena |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336347392 PECOS PAC ID: 4587820816 Enrollment ID: I20200420003460 |
| Provider Name | Christopher Livingstone Gibert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033141775 PECOS PAC ID: 2264335645 Enrollment ID: I20200421001092 |
| Provider Name | Erin M Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922307115 PECOS PAC ID: 4688981012 Enrollment ID: I20200422000385 |
| Provider Name | Frank Baciewicz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316984024 PECOS PAC ID: 7810916830 Enrollment ID: I20200429001747 |
| Provider Name | Bonnie Otto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053428177 PECOS PAC ID: 2264508506 Enrollment ID: I20200504002067 |
| Provider Name | Mabelle Cohen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770661167 PECOS PAC ID: 6406033380 Enrollment ID: I20200513001635 |
| Provider Name | Christopher Janson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659425148 PECOS PAC ID: 8022322726 Enrollment ID: I20200519000637 |
| Provider Name | Amber Louise Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740801190 PECOS PAC ID: 5193146421 Enrollment ID: I20200522000248 |
| Provider Name | Danyal Thaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396144259 PECOS PAC ID: 4486075116 Enrollment ID: I20200604000314 |
| Provider Name | Ceara Barmeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679912554 PECOS PAC ID: 8527202308 Enrollment ID: I20200605000152 |
| Provider Name | Shawnee Kay Glenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508323130 PECOS PAC ID: 6901228360 Enrollment ID: I20200612001826 |
| Provider Name | Allison Jeanette Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134745060 PECOS PAC ID: 7214359058 Enrollment ID: I20200624000081 |
| Provider Name | Rafael Bonilla Vasquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871975896 PECOS PAC ID: 0143511634 Enrollment ID: I20200625000355 |
| Provider Name | Morgan Trokey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043832256 PECOS PAC ID: 6406278159 Enrollment ID: I20200625001086 |
| Provider Name | Swati Sood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801247184 PECOS PAC ID: 0446547087 Enrollment ID: I20200626000408 |
| Provider Name | Lisa Nolle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073071619 PECOS PAC ID: 8325460967 Enrollment ID: I20200626001908 |
| Provider Name | Jacob T. Cherry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063035731 PECOS PAC ID: 2264855501 Enrollment ID: I20200706001771 |
| Provider Name | Sweta Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063934842 PECOS PAC ID: 8820362999 Enrollment ID: I20200714002082 |
| Provider Name | Meaghan Magarik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386064525 PECOS PAC ID: 6305149246 Enrollment ID: I20200724002049 |
| Provider Name | Indrajeet Mahata |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619225208 PECOS PAC ID: 2466702469 Enrollment ID: I20200727003061 |
| Provider Name | Jade Oriana Kaniowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275091845 PECOS PAC ID: 4587089263 Enrollment ID: I20200729002358 |
| Provider Name | Juliana Zamora Cubillos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952830127 PECOS PAC ID: 2668740689 Enrollment ID: I20200730002184 |
| Provider Name | Molly Elizabeth Vahldick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689299588 PECOS PAC ID: 5193140663 Enrollment ID: I20200730002301 |
| Provider Name | Steven M Mwanzia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154947935 PECOS PAC ID: 9234554775 Enrollment ID: I20200731000403 |
| Provider Name | Jordan Magarik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205279213 PECOS PAC ID: 8325347933 Enrollment ID: I20200804001628 |
| Provider Name | Alexander Bernard Rose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326422841 PECOS PAC ID: 5092029900 Enrollment ID: I20200804002840 |
| Provider Name | Puneet Randhawa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063880482 PECOS PAC ID: 5294030391 Enrollment ID: I20200807002019 |
| Provider Name | Albin Quiko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235390733 PECOS PAC ID: 1052736949 Enrollment ID: I20200810001862 |
| Provider Name | Amanda Vester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942732367 PECOS PAC ID: 8022433887 Enrollment ID: I20200811000348 |
| Provider Name | Christopher John Blewett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477524502 PECOS PAC ID: 1850490459 Enrollment ID: I20200812002589 |
| Provider Name | Kimberly Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295063 PECOS PAC ID: 1355689589 Enrollment ID: I20200814002061 |
| Provider Name | Maria Stunkel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588042709 PECOS PAC ID: 9436464096 Enrollment ID: I20200817002315 |
| Provider Name | Hector Dox |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154324895 PECOS PAC ID: 4688631138 Enrollment ID: I20200818004001 |
| Provider Name | Ricardo Figueroa-vicenty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407141914 PECOS PAC ID: 7315294287 Enrollment ID: I20200819003274 |
| Provider Name | Harinderjeet Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598011447 PECOS PAC ID: 1850717893 Enrollment ID: I20200820002229 |
| Provider Name | Mitchel Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073047957 PECOS PAC ID: 1153750740 Enrollment ID: I20200825001066 |
| Provider Name | Kayla B Kittle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437679560 PECOS PAC ID: 9931526605 Enrollment ID: I20200826000852 |
| Provider Name | William Andrew Loe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528024783 PECOS PAC ID: 4486623709 Enrollment ID: I20200827003262 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255738597 PECOS PAC ID: 3678869831 Enrollment ID: I20200827003529 |
| Provider Name | Gregory Sainnoval |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164555272 PECOS PAC ID: 5698812022 Enrollment ID: I20200910001832 |
| Provider Name | Graham W Reinhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730611153 PECOS PAC ID: 1456620731 Enrollment ID: I20200914000733 |
| Provider Name | Faiza Bhatti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144556499 PECOS PAC ID: 4789816562 Enrollment ID: I20201012000411 |
| Provider Name | Kortney Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689201147 PECOS PAC ID: 6608296595 Enrollment ID: I20201014002639 |
| Provider Name | Nathaniel Levi Kenady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619580537 PECOS PAC ID: 7113347436 Enrollment ID: I20201026001349 |
| Provider Name | Cassandra E Spruill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508019308 PECOS PAC ID: 0941331854 Enrollment ID: I20201029002040 |
| Provider Name | Jill Marie Westcott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730526724 PECOS PAC ID: 3577787050 Enrollment ID: I20201103001065 |
| Provider Name | William C Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821609082 PECOS PAC ID: 8224449541 Enrollment ID: I20201117003389 |
| Provider Name | Leann N Rensch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417562307 PECOS PAC ID: 7012328081 Enrollment ID: I20201123002505 |
| Provider Name | Marina Podolskiy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124413323 PECOS PAC ID: 1759792658 Enrollment ID: I20201125001417 |
| Provider Name | Laura Kay Forsyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285235937 PECOS PAC ID: 5193136091 Enrollment ID: I20201125001523 |
| Provider Name | Adrienne Rebecca Arnone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945196 PECOS PAC ID: 0446527667 Enrollment ID: I20201125002253 |
| Provider Name | Mohammed Ageel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932441623 PECOS PAC ID: 4385948827 Enrollment ID: I20201203001002 |
| Provider Name | Danielle Shadrach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053958678 PECOS PAC ID: 5395157887 Enrollment ID: I20201207000841 |
| Provider Name | Lacey L Zanzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740894799 PECOS PAC ID: 8820400310 Enrollment ID: I20201207000874 |
| Provider Name | Danielle Dombrowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285997338 PECOS PAC ID: 8123450814 Enrollment ID: I20201209001893 |
| Provider Name | Kylie Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629672555 PECOS PAC ID: 5799197851 Enrollment ID: I20201214001692 |
| Provider Name | Jessica Alene Graff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316555980 PECOS PAC ID: 6608288709 Enrollment ID: I20201215000346 |
| Provider Name | Amanda Mary Mcalister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811429293 PECOS PAC ID: 6507134897 Enrollment ID: I20201216003163 |
| Provider Name | Kevin Krazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376146670 PECOS PAC ID: 6800208620 Enrollment ID: I20201218000509 |
| Provider Name | Chibuike Anokwute |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669731741 PECOS PAC ID: 1658683370 Enrollment ID: I20201218000519 |
| Provider Name | Richard Scott Herman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972750289 PECOS PAC ID: 6305032988 Enrollment ID: I20210112000947 |
| Provider Name | Robert W Santa-cruz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508816869 PECOS PAC ID: 8123004249 Enrollment ID: I20210114001224 |
| Provider Name | Amber Littleton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649880618 PECOS PAC ID: 1658784376 Enrollment ID: I20210119001224 |
| Provider Name | Alexandra Caitlin Philpott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275136665 PECOS PAC ID: 7012320773 Enrollment ID: I20210119002588 |
| Provider Name | Nicholas Allen Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841889854 PECOS PAC ID: 1153734843 Enrollment ID: I20210120000788 |
| Provider Name | Jeanne James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790371565 PECOS PAC ID: 8729492277 Enrollment ID: I20210125003164 |
| Provider Name | Elizabeth Carrie Phelps |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073132817 PECOS PAC ID: 1355755547 Enrollment ID: I20210129000993 |
| Provider Name | Krista Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073744751 PECOS PAC ID: 4587702790 Enrollment ID: I20210202003045 |
| Provider Name | Jessica N Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522150 PECOS PAC ID: 9830504521 Enrollment ID: I20210210000861 |
| Provider Name | Lindsey A See |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982293676 PECOS PAC ID: 0547675936 Enrollment ID: I20210217000881 |
| Provider Name | Monica Clement |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295326122 PECOS PAC ID: 7719392950 Enrollment ID: I20210219001573 |
| Provider Name | Colin Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912595778 PECOS PAC ID: 7315352705 Enrollment ID: I20210226001820 |
| Provider Name | Christina Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457942542 PECOS PAC ID: 5496161283 Enrollment ID: I20210302001962 |
| Provider Name | Richard D Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750645388 PECOS PAC ID: 0345559084 Enrollment ID: I20210303003385 |
| Provider Name | Lindsay White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538762737 PECOS PAC ID: 3577979236 Enrollment ID: I20210304002081 |
| Provider Name | Derek B Benz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033703624 PECOS PAC ID: 8022424456 Enrollment ID: I20210310001548 |
| Provider Name | Coleman Douglas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518551365 PECOS PAC ID: 7719393925 Enrollment ID: I20210315000948 |
| Provider Name | Murray Thomas Myers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225683444 PECOS PAC ID: 8426464488 Enrollment ID: I20210317001372 |
| Provider Name | David Michael Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215520820 PECOS PAC ID: 6002223070 Enrollment ID: I20210319000236 |
| Provider Name | Zachary W Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184221160 PECOS PAC ID: 7517374010 Enrollment ID: I20210330001148 |
| Provider Name | Echo Reardon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124041884 PECOS PAC ID: 6002718822 Enrollment ID: I20210331000523 |
| Provider Name | Chase Doyle Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194301457 PECOS PAC ID: 1355758707 Enrollment ID: I20210331000676 |
| Provider Name | Geoffrey L Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497705933 PECOS PAC ID: 0244313708 Enrollment ID: I20210405000638 |
| Provider Name | Garrett Wade Harmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457937849 PECOS PAC ID: 1355758517 Enrollment ID: I20210406000884 |
| Provider Name | Brandon Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417541103 PECOS PAC ID: 5799193645 Enrollment ID: I20210414002125 |
| Provider Name | Lawrence Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902341878 PECOS PAC ID: 8325322530 Enrollment ID: I20210420002640 |
| Provider Name | Jennifer Ploch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750345336 PECOS PAC ID: 4486778891 Enrollment ID: I20210426000765 |
| Provider Name | Bryant N Monteith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871934521 PECOS PAC ID: 1951544790 Enrollment ID: I20210428002518 |
| Provider Name | Russell Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326457557 PECOS PAC ID: 4486875408 Enrollment ID: I20210430000864 |
| Provider Name | Jared Lee Hodgson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932595626 PECOS PAC ID: 1456653450 Enrollment ID: I20210507001069 |
| Provider Name | James Brandon Reeves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053444323 PECOS PAC ID: 1254740731 Enrollment ID: I20210513001226 |
| Provider Name | Matthew Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972039329 PECOS PAC ID: 8325312101 Enrollment ID: I20210602000728 |
| Provider Name | Natalie L Kamberos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689769531 PECOS PAC ID: 9032367412 Enrollment ID: I20210603001803 |
| Provider Name | Genny Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306412119 PECOS PAC ID: 0648553792 Enrollment ID: I20210603002082 |
| Provider Name | Trevor William Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174132948 PECOS PAC ID: 6608276563 Enrollment ID: I20210614003423 |
| Provider Name | Muhammad Z Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902257504 PECOS PAC ID: 0749510709 Enrollment ID: I20210624001128 |
| Provider Name | Hugo David Montejo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518532738 PECOS PAC ID: 9234530577 Enrollment ID: I20210624001536 |
| Provider Name | James Joseph Evrette Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154998862 PECOS PAC ID: 5890196158 Enrollment ID: I20210624002262 |
| Provider Name | Adriel J Schmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922675511 PECOS PAC ID: 8729489943 Enrollment ID: I20210625000930 |
| Provider Name | Brittany Woodall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548837404 PECOS PAC ID: 7719388933 Enrollment ID: I20210625000943 |
| Provider Name | Anthony Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831767920 PECOS PAC ID: 2466853601 Enrollment ID: I20210625001566 |
| Provider Name | Kati Anne Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558938613 PECOS PAC ID: 4981005030 Enrollment ID: I20210625002024 |
| Provider Name | Robert Garner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689934226 PECOS PAC ID: 6709157746 Enrollment ID: I20210630001253 |
| Provider Name | Christin Elizabeth Baird |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225607146 PECOS PAC ID: 6709287444 Enrollment ID: I20210701001156 |
| Provider Name | Alexandria Placencia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538620430 PECOS PAC ID: 5496080186 Enrollment ID: I20210712002191 |
| Provider Name | Courtney Nicole Chance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942891007 PECOS PAC ID: 0143622217 Enrollment ID: I20210712003365 |
| Provider Name | Joel M Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750765558 PECOS PAC ID: 9032511811 Enrollment ID: I20210716001271 |
| Provider Name | Erin Renee Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700193174 PECOS PAC ID: 4385047042 Enrollment ID: I20210720000264 |
| Provider Name | Christopher D Muncie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003260985 PECOS PAC ID: 5991108474 Enrollment ID: I20210721001201 |
| Provider Name | Eminajulo Adekoya |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497040208 PECOS PAC ID: 1557654779 Enrollment ID: I20210721001582 |
| Provider Name | Jacob Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245579200 PECOS PAC ID: 3274770912 Enrollment ID: I20210722001506 |
| Provider Name | Fabian Oechsle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972094225 PECOS PAC ID: 2860748498 Enrollment ID: I20210722001531 |
| Provider Name | Mildred Anne Ehrhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134189137 PECOS PAC ID: 2062434111 Enrollment ID: I20210729000893 |
| Provider Name | Scott Jenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245684745 PECOS PAC ID: 7810245263 Enrollment ID: I20210729003489 |
| Provider Name | Shyam Krishna Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407351448 PECOS PAC ID: 9739582560 Enrollment ID: I20210730000866 |
| Provider Name | Matthew R Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184121998 PECOS PAC ID: 1759625536 Enrollment ID: I20210730001695 |
| Provider Name | Bradley A Schuessler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942658240 PECOS PAC ID: 7113211848 Enrollment ID: I20210730002329 |
| Provider Name | Michael Brett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700559093 PECOS PAC ID: 9537563903 Enrollment ID: I20210806000894 |
| Provider Name | Dmitriy Alex Grishchuk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780257659 PECOS PAC ID: 6204230683 Enrollment ID: I20210806001551 |
| Provider Name | Jonathan Randolph Weese |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699125518 PECOS PAC ID: 2365846557 Enrollment ID: I20210810003332 |
| Provider Name | Allison Joyce Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346588696 PECOS PAC ID: 1759648314 Enrollment ID: I20210811000796 |
| Provider Name | Tina Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861924003 PECOS PAC ID: 9436494739 Enrollment ID: I20210817001354 |
| Provider Name | Stuart Conner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568704088 PECOS PAC ID: 3274852686 Enrollment ID: I20210817002231 |
| Provider Name | Trevor S Doren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639707912 PECOS PAC ID: 2466857131 Enrollment ID: I20210818001144 |
| Provider Name | Jubran Afzal Khan Rind |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679959712 PECOS PAC ID: 2668786740 Enrollment ID: I20210818001314 |
| Provider Name | Ulfur T Gudjonsson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467656926 PECOS PAC ID: 3779678594 Enrollment ID: I20210818001347 |
| Provider Name | Ashley E Uryasz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679935647 PECOS PAC ID: 7517250707 Enrollment ID: I20210831001619 |
| Provider Name | Renae Jenelle Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659045847 PECOS PAC ID: 4486050036 Enrollment ID: I20210907001174 |
| Provider Name | Julio Nasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578912788 PECOS PAC ID: 2365738499 Enrollment ID: I20210908000872 |
| Provider Name | Gabrielle Ruthann Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013681832 PECOS PAC ID: 9335545979 Enrollment ID: I20210908001205 |
| Provider Name | Matthew J Mchale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245431220 PECOS PAC ID: 6709020761 Enrollment ID: I20210909000153 |
| Provider Name | Christine I Tolu-ajayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326544255 PECOS PAC ID: 2365787827 Enrollment ID: I20210913001488 |
| Provider Name | Thomas Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053706689 PECOS PAC ID: 3274847215 Enrollment ID: I20210913002158 |
| Provider Name | Thomas J Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497767578 PECOS PAC ID: 8022060037 Enrollment ID: I20210915000683 |
| Provider Name | Zachary Beam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245640713 PECOS PAC ID: 9335438654 Enrollment ID: I20210915000685 |
| Provider Name | Jordan Edward Bock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447821889 PECOS PAC ID: 5496151532 Enrollment ID: I20210915000729 |
| Provider Name | Talat Qadeer Alvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184881245 PECOS PAC ID: 4385777473 Enrollment ID: I20210915002525 |
| Provider Name | Rachel N Hendon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649836826 PECOS PAC ID: 4880924810 Enrollment ID: I20210915003159 |
| Provider Name | Shannon Coles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551470 PECOS PAC ID: 5294132205 Enrollment ID: I20210917001072 |
| Provider Name | Jay H Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316359565 PECOS PAC ID: 1658673116 Enrollment ID: I20210922000771 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20210924000747 |
| Provider Name | Cody Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750842944 PECOS PAC ID: 6103151899 Enrollment ID: I20211004000337 |
| Provider Name | Taylor Austin Ragland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467121319 PECOS PAC ID: 8224436217 Enrollment ID: I20211005002777 |
| Provider Name | Shelby Lynn Icenhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619645918 PECOS PAC ID: 8123426046 Enrollment ID: I20211007000942 |
| Provider Name | Katlin Lee Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912674938 PECOS PAC ID: 8628476140 Enrollment ID: I20211013000940 |
| Provider Name | Maggie Anne Swafford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083172621 PECOS PAC ID: 6608274196 Enrollment ID: I20211014000551 |
| Provider Name | Denis A Shishko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588330633 PECOS PAC ID: 4385042795 Enrollment ID: I20211014001707 |
| Provider Name | Jessica Lindiwe Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851066864 PECOS PAC ID: 8426446725 Enrollment ID: I20211019000607 |
| Provider Name | Julie Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376877381 PECOS PAC ID: 3779620695 Enrollment ID: I20211020002972 |
| Provider Name | Xuanbo Stone Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912676057 PECOS PAC ID: 0244628097 Enrollment ID: I20211027001213 |
| Provider Name | Katarzyna Kaczmarczyk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275979692 PECOS PAC ID: 5092139485 Enrollment ID: I20211028001889 |
| Provider Name | Zenab Mansoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669770400 PECOS PAC ID: 0648424663 Enrollment ID: I20211029002446 |
| Provider Name | Michael J Munn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720612641 PECOS PAC ID: 7113357096 Enrollment ID: I20211101003020 |
| Provider Name | Andrew J Donofrio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124546221 PECOS PAC ID: 4587930383 Enrollment ID: I20211102000730 |
| Provider Name | Majdee M Islam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447645304 PECOS PAC ID: 5799098562 Enrollment ID: I20211109000259 |
| Provider Name | Swetha Nemargommula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467700559 PECOS PAC ID: 7911213376 Enrollment ID: I20211109000393 |
| Provider Name | Suzanna Chatterjee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942439377 PECOS PAC ID: 8921234816 Enrollment ID: I20211109002346 |
| Provider Name | Inta Davidyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902577141 PECOS PAC ID: 6800285446 Enrollment ID: I20211119000968 |
| Provider Name | Caroline Elizabeth Wasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588320923 PECOS PAC ID: 1456741909 Enrollment ID: I20211124001133 |
| Provider Name | Benedict Painter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154314839 PECOS PAC ID: 6305831769 Enrollment ID: I20211129000245 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20211203001122 |
| Provider Name | Hector E Santiago Belledonne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487852919 PECOS PAC ID: 4385885268 Enrollment ID: I20211206000058 |
| Provider Name | Sarah Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245902477 PECOS PAC ID: 7911397740 Enrollment ID: I20211209000828 |
| Provider Name | Mark Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225130933 PECOS PAC ID: 2163411133 Enrollment ID: I20211222000298 |
| Provider Name | Angela Dean Pringle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083206130 PECOS PAC ID: 5193117877 Enrollment ID: I20220111000174 |
| Provider Name | Shelley Jenee Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861803215 PECOS PAC ID: 9234521816 Enrollment ID: I20220111000393 |
| Provider Name | Sarah E Stephens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184382046 PECOS PAC ID: 1355733908 Enrollment ID: I20220112000552 |
| Provider Name | Brandi Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497413389 PECOS PAC ID: 3173915733 Enrollment ID: I20220112001011 |
| Provider Name | Kara Brianne Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306505128 PECOS PAC ID: 5799177366 Enrollment ID: I20220112001160 |
| Provider Name | Daraspreet Kainth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497915904 PECOS PAC ID: 1658692215 Enrollment ID: I20220118000778 |
| Provider Name | Johnna Tenberge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962161802 PECOS PAC ID: 9436541570 Enrollment ID: I20220121000889 |
| Provider Name | Jonalyn Pascua Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457010381 PECOS PAC ID: 3678965464 Enrollment ID: I20220128001750 |
| Provider Name | Ashley Rorman Hale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144972969 PECOS PAC ID: 0143613752 Enrollment ID: I20220203000430 |
| Provider Name | Austin Neal Barber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912142787 PECOS PAC ID: 8820314834 Enrollment ID: I20220203002072 |
| Provider Name | Ivy Tobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801553938 PECOS PAC ID: 2466845672 Enrollment ID: I20220211000725 |
| Provider Name | Ashley Lynn Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254399 PECOS PAC ID: 0547653685 Enrollment ID: I20220211002026 |
| Provider Name | Hemn H Qader |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952797490 PECOS PAC ID: 0446588263 Enrollment ID: I20220216001391 |
| Provider Name | Kaylea Beth Perjak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811513369 PECOS PAC ID: 4486048188 Enrollment ID: I20220223000647 |
| Provider Name | Amanda E Tainter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225782683 PECOS PAC ID: 0042604464 Enrollment ID: I20220301002178 |
| Provider Name | Austyn Jade Elizabeth Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073268199 PECOS PAC ID: 1557755873 Enrollment ID: I20220303000587 |
| Provider Name | Emilee Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871245985 PECOS PAC ID: 4688068760 Enrollment ID: I20220307001654 |
| Provider Name | Chris Allen Benge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245900398 PECOS PAC ID: 5294120226 Enrollment ID: I20220309002617 |
| Provider Name | Billy Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972258721 PECOS PAC ID: 3678968559 Enrollment ID: I20220310001824 |
| Provider Name | Lindsey Frerichs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215698477 PECOS PAC ID: 9436544145 Enrollment ID: I20220316001099 |
| Provider Name | Kimberly West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609837319 PECOS PAC ID: 5597763672 Enrollment ID: I20220317001204 |
| Provider Name | Courtney Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235764218 PECOS PAC ID: 3375974652 Enrollment ID: I20220318001363 |
| Provider Name | Jessica Renee Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346993714 PECOS PAC ID: 1052706587 Enrollment ID: I20220321001551 |
| Provider Name | Andrea A Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962753004 PECOS PAC ID: 4082865548 Enrollment ID: I20220323002226 |
| Provider Name | Holly A Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902553407 PECOS PAC ID: 5991190209 Enrollment ID: I20220324000662 |
| Provider Name | Tambra L Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669129193 PECOS PAC ID: 5799170916 Enrollment ID: I20220324001213 |
| Provider Name | Detlef Sleichter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780104000 PECOS PAC ID: 5193070746 Enrollment ID: I20220329000886 |
| Provider Name | Michelle C Esselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073268082 PECOS PAC ID: 7911393012 Enrollment ID: I20220329001508 |
| Provider Name | Margaret Brown Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013553098 PECOS PAC ID: 4082030192 Enrollment ID: I20220331001241 |
| Provider Name | Abdul-qader Alarhayem |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053676049 PECOS PAC ID: 5799102737 Enrollment ID: I20220405001175 |
| Provider Name | Christina D Neumeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871244749 PECOS PAC ID: 9739575440 Enrollment ID: I20220406000712 |
| Provider Name | James Slotto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487814117 PECOS PAC ID: 1759782931 Enrollment ID: I20220406001021 |
| Provider Name | Brian Rapp |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407014657 PECOS PAC ID: 3577704006 Enrollment ID: I20220406001054 |
| Provider Name | Tiffany Nicole Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346993409 PECOS PAC ID: 1951797513 Enrollment ID: I20220407000317 |
| Provider Name | Cynthia A De Meester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476168 PECOS PAC ID: 4486656501 Enrollment ID: I20220409000247 |
| Provider Name | Sarah Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992450456 PECOS PAC ID: 7911393327 Enrollment ID: I20220412002799 |
| Provider Name | Angela Denise Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083361604 PECOS PAC ID: 4587050885 Enrollment ID: I20220414000876 |
| Provider Name | Logan Elaine James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306592092 PECOS PAC ID: 1456747609 Enrollment ID: I20220415000481 |
| Provider Name | Shelby Britt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063172278 PECOS PAC ID: 3779970983 Enrollment ID: I20220418001458 |
| Provider Name | Derek Lee Scott Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043896301 PECOS PAC ID: 5890182059 Enrollment ID: I20220419000724 |
| Provider Name | Abigail Vera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861140444 PECOS PAC ID: 5395132385 Enrollment ID: I20220421000683 |
| Provider Name | Kayla Jean Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437806445 PECOS PAC ID: 6901293604 Enrollment ID: I20220427002949 |
| Provider Name | Chelsea Diane Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811645708 PECOS PAC ID: 5294122859 Enrollment ID: I20220428001951 |
| Provider Name | Stephanie Dawn Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720736119 PECOS PAC ID: 1254718471 Enrollment ID: I20220509002504 |
| Provider Name | Chelsea Crespo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982352696 PECOS PAC ID: 6507243581 Enrollment ID: I20220512001157 |
| Provider Name | Atif Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225097041 PECOS PAC ID: 7113972225 Enrollment ID: I20220518001320 |
| Provider Name | Paul J Granet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992785497 PECOS PAC ID: 8527083377 Enrollment ID: I20220519000831 |
| Provider Name | Michael White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508513532 PECOS PAC ID: 9638556020 Enrollment ID: I20220525000898 |
| Provider Name | Michelle Lynn Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114675501 PECOS PAC ID: 3375921604 Enrollment ID: I20220527001064 |
| Provider Name | Katy E Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144663568 PECOS PAC ID: 8729381595 Enrollment ID: I20220603000501 |
| Provider Name | Mahmoud Adeeb Ah Hamdan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164839361 PECOS PAC ID: 7012243124 Enrollment ID: I20220613001043 |
| Provider Name | Megan Breann Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023758885 PECOS PAC ID: 6204214786 Enrollment ID: I20220613001494 |
| Provider Name | Courtney Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538805643 PECOS PAC ID: 6002294584 Enrollment ID: I20220613001606 |
| Provider Name | Jena Lyn Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861121253 PECOS PAC ID: 8729467022 Enrollment ID: I20220616001020 |
| Provider Name | Caleb Tyrel Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639814619 PECOS PAC ID: 2264811165 Enrollment ID: I20220623002265 |
| Provider Name | Batool El-atoum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427503770 PECOS PAC ID: 1456649466 Enrollment ID: I20220624000808 |
| Provider Name | Amod Amritphale |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053675157 PECOS PAC ID: 0244452118 Enrollment ID: I20220624001089 |
| Provider Name | Laura Michelle Corum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083360275 PECOS PAC ID: 5991184798 Enrollment ID: I20220624002358 |
| Provider Name | Steven Sadler Morrison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487158978 PECOS PAC ID: 1850648288 Enrollment ID: I20220627003586 |
| Provider Name | Tanya Auzenne Kindrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285922955 PECOS PAC ID: 1254500853 Enrollment ID: I20220629003017 |
| Provider Name | Molly Ternes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326771957 PECOS PAC ID: 4981084811 Enrollment ID: I20220708001894 |
| Provider Name | Olivia May Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700361755 PECOS PAC ID: 9436402732 Enrollment ID: I20220708003467 |
| Provider Name | Nupur Amritphale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699208314 PECOS PAC ID: 0143552992 Enrollment ID: I20220711003309 |
| Provider Name | Christopher Michael Daniels |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578901849 PECOS PAC ID: 1658751318 Enrollment ID: I20220712001735 |
| Provider Name | Rebekah Bade Bruning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508505223 PECOS PAC ID: 4880075266 Enrollment ID: I20220715002185 |
| Provider Name | Tyler Thill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275154106 PECOS PAC ID: 5193106599 Enrollment ID: I20220716000379 |
| Provider Name | Muhammad Umair Mian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215383518 PECOS PAC ID: 2567756398 Enrollment ID: I20220716000417 |
| Provider Name | Chad D Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417307083 PECOS PAC ID: 9537565320 Enrollment ID: I20220718002030 |
| Provider Name | Pratik Khatiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073173241 PECOS PAC ID: 8224364633 Enrollment ID: I20220718003632 |
| Provider Name | Jose Luis Vega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558503458 PECOS PAC ID: 1850583790 Enrollment ID: I20220719000746 |
| Provider Name | Eric Sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831119502 PECOS PAC ID: 2961553268 Enrollment ID: I20220721002089 |
| Provider Name | Annum Faisal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871945204 PECOS PAC ID: 1153616750 Enrollment ID: I20220726002424 |
| Provider Name | Jaehyeon Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447802681 PECOS PAC ID: 6901131911 Enrollment ID: I20220726002792 |
| Provider Name | Rachel Elizabeth Plate |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982163747 PECOS PAC ID: 7810223237 Enrollment ID: I20220727000256 |
| Provider Name | Elizabeth Anne Shaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437718483 PECOS PAC ID: 4880929173 Enrollment ID: I20220727002773 |
| Provider Name | Mohamed Mady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740846591 PECOS PAC ID: 1153659966 Enrollment ID: I20220727003305 |
| Provider Name | Meagan Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801535836 PECOS PAC ID: 0244612695 Enrollment ID: I20220801002434 |
| Provider Name | Ross M Blackshear |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417453531 PECOS PAC ID: 0648526277 Enrollment ID: I20220802003062 |
| Provider Name | Joe Debrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205499969 PECOS PAC ID: 8123401080 Enrollment ID: I20220810002723 |
| Provider Name | Cameron Hess |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184152746 PECOS PAC ID: 6204108608 Enrollment ID: I20220811000756 |
| Provider Name | Nicholas S Timmerwilke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780144691 PECOS PAC ID: 1052641388 Enrollment ID: I20220811002485 |
| Provider Name | Zachary Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336870641 PECOS PAC ID: 6709269277 Enrollment ID: I20220816001553 |
| Provider Name | Jamie B Phelps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083275580 PECOS PAC ID: 0042548877 Enrollment ID: I20220816002567 |
| Provider Name | Jessica Raeann Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821721523 PECOS PAC ID: 6305229899 Enrollment ID: I20220816002681 |
| Provider Name | Brandon James Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467886275 PECOS PAC ID: 0840427357 Enrollment ID: I20220817000214 |
| Provider Name | Amanda Jordan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841923885 PECOS PAC ID: 7113300641 Enrollment ID: I20220817000311 |
| Provider Name | Amanda Kay Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134852817 PECOS PAC ID: 0840673380 Enrollment ID: I20220817000882 |
| Provider Name | Olakunle Oni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033774716 PECOS PAC ID: 6507249984 Enrollment ID: I20220817003091 |
| Provider Name | Rachel Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194267708 PECOS PAC ID: 6507299013 Enrollment ID: I20220818003655 |
| Provider Name | Amulya Yadlapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134681117 PECOS PAC ID: 3173906492 Enrollment ID: I20220819001375 |
| Provider Name | Claire Lee Hartfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740917426 PECOS PAC ID: 0648653857 Enrollment ID: I20220822001995 |
| Provider Name | Matthew Blaine Lebaron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164913448 PECOS PAC ID: 5092062794 Enrollment ID: I20220824000353 |
| Provider Name | Jason Singh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174056469 PECOS PAC ID: 6709260631 Enrollment ID: I20220826000909 |
| Provider Name | Anthony Pappas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649684168 PECOS PAC ID: 1456576594 Enrollment ID: I20220827000582 |
| Provider Name | Adnan Kassier |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144575283 PECOS PAC ID: 7719118116 Enrollment ID: I20220907001182 |
| Provider Name | Chandra Shekar Pingili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063734069 PECOS PAC ID: 7517093347 Enrollment ID: I20220908000860 |
| Provider Name | Tapasya Raavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093374514 PECOS PAC ID: 8426386236 Enrollment ID: I20220909002238 |
| Provider Name | Carla S Rouw |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376095760 PECOS PAC ID: 9739564881 Enrollment ID: I20220910000140 |
| Provider Name | Charity Shea Hightree |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053046383 PECOS PAC ID: 2365827425 Enrollment ID: I20220910000661 |
| Provider Name | Christopher P Coppola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952389082 PECOS PAC ID: 4486705613 Enrollment ID: I20220913002469 |
| Provider Name | Mehul Lohia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912262684 PECOS PAC ID: 8325351554 Enrollment ID: I20220913002743 |
| Provider Name | Valentina Marie Rosco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922752237 PECOS PAC ID: 5799160610 Enrollment ID: I20220913003580 |
| Provider Name | Sandy Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114590478 PECOS PAC ID: 0446635395 Enrollment ID: I20220914000855 |
| Provider Name | Maureen Rise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548929797 PECOS PAC ID: 4688059447 Enrollment ID: I20220914001549 |
| Provider Name | Nancy Kay Pinkston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639805161 PECOS PAC ID: 8820473697 Enrollment ID: I20220914002264 |
| Provider Name | Conrad Mitchell Bajor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023577178 PECOS PAC ID: 7911235254 Enrollment ID: I20220914002356 |
| Provider Name | Christopher D Koehn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144677618 PECOS PAC ID: 1951693647 Enrollment ID: I20220914002439 |
| Provider Name | Neesha Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558714915 PECOS PAC ID: 4183912223 Enrollment ID: I20220919000195 |
| Provider Name | Kelsey Keeling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295267581 PECOS PAC ID: 0446635908 Enrollment ID: I20220920000209 |
| Provider Name | Kelly A Koehn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154779387 PECOS PAC ID: 5395038087 Enrollment ID: I20220926003481 |
| Provider Name | Phillip J Finley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235799826 PECOS PAC ID: 4284010257 Enrollment ID: I20220928001090 |
| Provider Name | Htin Aung |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982040580 PECOS PAC ID: 4486893989 Enrollment ID: I20220928001296 |
| Provider Name | Angela Folstad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669478582 PECOS PAC ID: 6406042506 Enrollment ID: I20220929003031 |
| Provider Name | Kristin Patrick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326561507 PECOS PAC ID: 9436415429 Enrollment ID: I20221003001622 |
| Provider Name | Carrie Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730529546 PECOS PAC ID: 4981969557 Enrollment ID: I20221014000413 |
| Provider Name | Dante Dali |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124468517 PECOS PAC ID: 9133362585 Enrollment ID: I20221014002447 |
| Provider Name | Elizabeth Louise Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770156762 PECOS PAC ID: 5698141653 Enrollment ID: I20221014002773 |
| Provider Name | Samantha Jean Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700500592 PECOS PAC ID: 7810363744 Enrollment ID: I20221018003172 |
| Provider Name | Rajeev Masson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619322039 PECOS PAC ID: 0648507210 Enrollment ID: I20221020001664 |
| Provider Name | Tyler Shane Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376737874 PECOS PAC ID: 6204977309 Enrollment ID: I20221022000123 |
| Provider Name | Aurora Elizabeth Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508581372 PECOS PAC ID: 4284000639 Enrollment ID: I20221026001635 |
| Provider Name | Derek B Douglas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902307762 PECOS PAC ID: 6901202951 Enrollment ID: I20221027001672 |
| Provider Name | Matthew Winterton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740675552 PECOS PAC ID: 0749606291 Enrollment ID: I20221104001868 |
| Provider Name | Joseph W Meyn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003883844 PECOS PAC ID: 5890722565 Enrollment ID: I20221116000283 |
| Provider Name | Jennifer Renee Zabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245956358 PECOS PAC ID: 6103294509 Enrollment ID: I20221116000346 |
| Provider Name | Allison Nazinitsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922324011 PECOS PAC ID: 5092020313 Enrollment ID: I20221116000809 |
| Provider Name | Ana Abrudan-danalache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035394 PECOS PAC ID: 0244608537 Enrollment ID: I20221117000602 |
| Provider Name | Devon S. O'brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770089575 PECOS PAC ID: 7113395237 Enrollment ID: I20221122000420 |
| Provider Name | Brittany Joy Lanham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407588551 PECOS PAC ID: 3173991056 Enrollment ID: I20221128000507 |
| Provider Name | Jonathan Osita Nwiloh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194782011 PECOS PAC ID: 1254244932 Enrollment ID: I20221205001181 |
| Provider Name | Clive A Goulbourne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083024970 PECOS PAC ID: 9032451976 Enrollment ID: I20221205001317 |
| Provider Name | Riki Lee Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104541150 PECOS PAC ID: 3870962301 Enrollment ID: I20221206000720 |
| Provider Name | Michael Robert Tobin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548725013 PECOS PAC ID: 1254750763 Enrollment ID: I20221208002863 |
| Provider Name | Scotti Manes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518681824 PECOS PAC ID: 8123497245 Enrollment ID: I20221213001124 |
| Provider Name | Sydney Kay Fryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912616277 PECOS PAC ID: 1759750870 Enrollment ID: I20221213001191 |
| Provider Name | Bradley Bowles |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922458892 PECOS PAC ID: 4486941945 Enrollment ID: I20221214002860 |
| Provider Name | Amanda Stone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992250385 PECOS PAC ID: 3476955022 Enrollment ID: I20221216002455 |
| Provider Name | Almutasem Hamed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851943781 PECOS PAC ID: 5193054237 Enrollment ID: I20221221000888 |
| Provider Name | Zainab Kakakhel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861835100 PECOS PAC ID: 6800021452 Enrollment ID: I20230106002060 |
| Provider Name | Jonathan Casey Brant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457029258 PECOS PAC ID: 2769852789 Enrollment ID: I20230106002087 |
| Provider Name | Eric Njiforfut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053844027 PECOS PAC ID: 4688077555 Enrollment ID: I20230110001158 |
| Provider Name | Narayan Pokhrel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780840298 PECOS PAC ID: 3870633134 Enrollment ID: I20230112002067 |
| Provider Name | Mohanad Abu Speitan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942563820 PECOS PAC ID: 7618286675 Enrollment ID: I20230124001756 |
| Provider Name | Melody Ann Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114699923 PECOS PAC ID: 7315318342 Enrollment ID: I20230130001121 |
| Provider Name | Alisha A Gauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114632981 PECOS PAC ID: 6901277805 Enrollment ID: I20230131002195 |
| Provider Name | Charles N Spear |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780070276 PECOS PAC ID: 6103128442 Enrollment ID: I20230207001622 |
| Provider Name | Erin Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254753 PECOS PAC ID: 3678988060 Enrollment ID: I20230208003112 |
| Provider Name | Dawn Marie Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871080267 PECOS PAC ID: 5698039048 Enrollment ID: I20230209001347 |
| Provider Name | Christine Elizabeth Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821700733 PECOS PAC ID: 8820460348 Enrollment ID: I20230209003009 |
| Provider Name | Jason Denney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407233604 PECOS PAC ID: 2163741224 Enrollment ID: I20230225000407 |
| Provider Name | Brian Cardona |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447769617 PECOS PAC ID: 8325305063 Enrollment ID: I20230227001219 |
| Provider Name | Tracian James-goulbourne |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821475781 PECOS PAC ID: 0648503888 Enrollment ID: I20230227002546 |
| Provider Name | Aime N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578262911 PECOS PAC ID: 8123491453 Enrollment ID: I20230307000910 |
| Provider Name | Andria Elizabeth Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306502471 PECOS PAC ID: 0446623615 Enrollment ID: I20230309000554 |
| Provider Name | Tarah A Trokey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720335672 PECOS PAC ID: 4183988587 Enrollment ID: I20230310000407 |
| Provider Name | Lauren E Robb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710691381 PECOS PAC ID: 7214300342 Enrollment ID: I20230310000500 |
| Provider Name | Haven Macfee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215643713 PECOS PAC ID: 2567836356 Enrollment ID: I20230317000729 |
| Provider Name | Megan Taylor Benton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033824024 PECOS PAC ID: 2062886237 Enrollment ID: I20230330001042 |
| Provider Name | Samantha Lynne Puhl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477283414 PECOS PAC ID: 6901271006 Enrollment ID: I20230403001192 |
| Provider Name | Vanna Lynn Carr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295440667 PECOS PAC ID: 0547635658 Enrollment ID: I20230403001636 |
| Provider Name | Mallory B Warren-brothers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043925639 PECOS PAC ID: 0547635617 Enrollment ID: I20230404001727 |
| Provider Name | Alexandria Belle Bowering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508563875 PECOS PAC ID: 0345615316 Enrollment ID: I20230404001829 |
| Provider Name | Crystal Neises |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770020141 PECOS PAC ID: 5991080608 Enrollment ID: I20230406001774 |
| Provider Name | Charlotte Ann Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770227746 PECOS PAC ID: 2163897836 Enrollment ID: I20230411001478 |
| Provider Name | Vismay J Thakkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912301508 PECOS PAC ID: 7113148370 Enrollment ID: I20230411002971 |
| Provider Name | John Thomas Compton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144928474 PECOS PAC ID: 3577938299 Enrollment ID: I20230412000347 |
| Provider Name | Scott Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225079189 PECOS PAC ID: 7012814155 Enrollment ID: I20230412002161 |
| Provider Name | Laura Oberholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110490 PECOS PAC ID: 8224403639 Enrollment ID: I20230417000431 |
| Provider Name | Leah Peppard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679272355 PECOS PAC ID: 7113382490 Enrollment ID: I20230421000419 |
| Provider Name | Elaine Joetta Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306583935 PECOS PAC ID: 5294190468 Enrollment ID: I20230424002155 |
| Provider Name | Venkata Samavedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340589 PECOS PAC ID: 0749339216 Enrollment ID: I20230501001300 |
| Provider Name | Christopher L Mygatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255710885 PECOS PAC ID: 2062729122 Enrollment ID: I20230502001247 |
| Provider Name | Melvyn Karp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871579243 PECOS PAC ID: 2466415120 Enrollment ID: I20230503002924 |
| Provider Name | Kyla Ashley Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356042964 PECOS PAC ID: 4183080674 Enrollment ID: I20230526000126 |
| Provider Name | Mileah Colene Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194411173 PECOS PAC ID: 1052778768 Enrollment ID: I20230611000071 |
| Provider Name | Mckenzie Adam-hager |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720714587 PECOS PAC ID: 4789041336 Enrollment ID: I20230613001879 |
| Provider Name | Syed F Salik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093212573 PECOS PAC ID: 4082940416 Enrollment ID: I20230617000368 |
| Provider Name | Stephanie Rose Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285319491 PECOS PAC ID: 1951769132 Enrollment ID: I20230620003040 |
| Provider Name | Ashley Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734934 PECOS PAC ID: 4688032808 Enrollment ID: I20230621000908 |
| Provider Name | Katherine Michelle Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396234308 PECOS PAC ID: 2961739347 Enrollment ID: I20230628003790 |
| Provider Name | Nasser Razack |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225141328 PECOS PAC ID: 3375574668 Enrollment ID: I20230703000177 |
| Provider Name | Patrick E Duffy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477726271 PECOS PAC ID: 2264599869 Enrollment ID: I20230705000401 |
| Provider Name | Agnes Yahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023089190 PECOS PAC ID: 4183651128 Enrollment ID: I20230710001117 |
| Provider Name | Mostafa Jafari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891255725 PECOS PAC ID: 2961861802 Enrollment ID: I20230710002851 |
| Provider Name | Shannon Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952088130 PECOS PAC ID: 6901266717 Enrollment ID: I20230712000870 |
| Provider Name | Samantha E Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639725823 PECOS PAC ID: 5193145696 Enrollment ID: I20230712002683 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205321171 PECOS PAC ID: 7810246352 Enrollment ID: I20230712004256 |
| Provider Name | Benjamin L Malonzo |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881944957 PECOS PAC ID: 6103075528 Enrollment ID: I20230714000159 |
| Provider Name | Silvia Andrea Cabrera Guerrero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447771258 PECOS PAC ID: 1759741945 Enrollment ID: I20230719003445 |
| Provider Name | Mark Morasch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790719219 PECOS PAC ID: 0648300533 Enrollment ID: I20230719003543 |
| Provider Name | Anna Biernbaum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659062149 PECOS PAC ID: 5799145819 Enrollment ID: I20230720000780 |
| Provider Name | Mihir Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275915506 PECOS PAC ID: 7810209871 Enrollment ID: I20230720002066 |
| Provider Name | Mariam Saeed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396274593 PECOS PAC ID: 3678995487 Enrollment ID: I20230721003157 |
| Provider Name | Harwinder K Dhanoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003594318 PECOS PAC ID: 4587024567 Enrollment ID: I20230721003168 |
| Provider Name | Brittni Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588289177 PECOS PAC ID: 3274958418 Enrollment ID: I20230724000837 |
| Provider Name | Cindy Sturt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073838173 PECOS PAC ID: 0042342719 Enrollment ID: I20230727000943 |
| Provider Name | Marcus R Hennon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811321 PECOS PAC ID: 3274811039 Enrollment ID: I20230727001874 |
| Provider Name | Marc Alumno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396301040 PECOS PAC ID: 6204163413 Enrollment ID: I20230728001942 |
| Provider Name | Allison Abma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033613302 PECOS PAC ID: 2466884846 Enrollment ID: I20230801000540 |
| Provider Name | Aaron Guyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619986718 PECOS PAC ID: 6709826357 Enrollment ID: I20230802001550 |
| Provider Name | Prince Sethi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659727014 PECOS PAC ID: 4183918204 Enrollment ID: I20230803003561 |
| Provider Name | Luke Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912382987 PECOS PAC ID: 5597126789 Enrollment ID: I20230803004044 |
| Provider Name | Gagan Neupane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285258756 PECOS PAC ID: 7214349828 Enrollment ID: I20230804000188 |
| Provider Name | Rylan Smelcer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689283665 PECOS PAC ID: 7012327968 Enrollment ID: I20230804002433 |
| Provider Name | Vasudha Kota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669092243 PECOS PAC ID: 0547681702 Enrollment ID: I20230804002707 |
| Provider Name | Anthony Northcote |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881223873 PECOS PAC ID: 6204259864 Enrollment ID: I20230804002978 |
| Provider Name | Jeffrey Thiebaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831727148 PECOS PAC ID: 8921424722 Enrollment ID: I20230804003379 |
| Provider Name | Leanna Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457086258 PECOS PAC ID: 3375905300 Enrollment ID: I20230808002752 |
| Provider Name | Danielle Rae Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681992 PECOS PAC ID: 6305208349 Enrollment ID: I20230808003063 |
| Provider Name | Amina Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033739404 PECOS PAC ID: 2961864913 Enrollment ID: I20230808003866 |
| Provider Name | Roger Nightengale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508428632 PECOS PAC ID: 9335478981 Enrollment ID: I20230808004090 |
| Provider Name | Brendan Ellebracht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164157145 PECOS PAC ID: 8921460908 Enrollment ID: I20230809000577 |
| Provider Name | Parul Goyal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154841419 PECOS PAC ID: 8820369754 Enrollment ID: I20230809001866 |
| Provider Name | Robin Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376956979 PECOS PAC ID: 5395962633 Enrollment ID: I20230809002990 |
| Provider Name | Jennifer Barclay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831556455 PECOS PAC ID: 6709179781 Enrollment ID: I20230810000413 |
| Provider Name | Daiyoon Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477182798 PECOS PAC ID: 7416348990 Enrollment ID: I20230810000952 |
| Provider Name | Sydney Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710505557 PECOS PAC ID: 5395107189 Enrollment ID: I20230810001974 |
| Provider Name | Jose Alfonso Rodriguez Claramunt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922591874 PECOS PAC ID: 1355699422 Enrollment ID: I20230815000281 |
| Provider Name | Leah Nicole Spoonts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548946643 PECOS PAC ID: 5991167314 Enrollment ID: I20230817001439 |
| Provider Name | Kevin A Copley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871591115 PECOS PAC ID: 8123017175 Enrollment ID: I20230817002224 |
| Provider Name | Hailee Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659050284 PECOS PAC ID: 7719349950 Enrollment ID: I20230818002951 |
| Provider Name | Alejandra Roa Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528527314 PECOS PAC ID: 5395086425 Enrollment ID: I20230822003260 |
| Provider Name | Muhammad Khalid Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447877089 PECOS PAC ID: 5597183095 Enrollment ID: I20230823000565 |
| Provider Name | Gila Hoffman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700316718 PECOS PAC ID: 3072885045 Enrollment ID: I20230824002424 |
| Provider Name | Muhammad Saad Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497363444 PECOS PAC ID: 8022471978 Enrollment ID: I20230825001215 |
| Provider Name | Emma P To |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841768868 PECOS PAC ID: 0941549901 Enrollment ID: I20230828000567 |
| Provider Name | Adam Olszewski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164818753 PECOS PAC ID: 9436479516 Enrollment ID: I20230829000651 |
| Provider Name | Victor M Costa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053707638 PECOS PAC ID: 9335502699 Enrollment ID: I20230905000690 |
| Provider Name | Andrew Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093056988 PECOS PAC ID: 8729309042 Enrollment ID: I20230905002369 |
| Provider Name | James W Wycoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457733883 PECOS PAC ID: 8921311499 Enrollment ID: I20230909000225 |
| Provider Name | Wade D Kubat |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1235379256 PECOS PAC ID: 0840344263 Enrollment ID: I20230911001394 |
| Provider Name | Elaina Alumno |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609432350 PECOS PAC ID: 0840527040 Enrollment ID: I20230911001688 |
| Provider Name | David Kull |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235523648 PECOS PAC ID: 8527372952 Enrollment ID: I20230915002868 |
| Provider Name | Taksh J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629690797 PECOS PAC ID: 6800250390 Enrollment ID: I20230918000982 |
| Provider Name | Leland Crumpton Stoddard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457814329 PECOS PAC ID: 4880921261 Enrollment ID: I20230918003963 |
| Provider Name | Justin C Burney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851613335 PECOS PAC ID: 0244366938 Enrollment ID: I20230920003975 |
| Provider Name | Abigail Katherine Heaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134748981 PECOS PAC ID: 8628422839 Enrollment ID: I20230921002435 |
| Provider Name | Zachary J Alholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043873862 PECOS PAC ID: 3274867882 Enrollment ID: I20230922001227 |
| Provider Name | Micah D Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013981901 PECOS PAC ID: 4183805757 Enrollment ID: I20230922003473 |
| Provider Name | Anganile E Gondwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801573282 PECOS PAC ID: 2769836766 Enrollment ID: I20230925003232 |
| Provider Name | Lillian F Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871936344 PECOS PAC ID: 5991040792 Enrollment ID: I20231006002868 |
| Provider Name | Taylor Pospisil Stoddard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023571445 PECOS PAC ID: 9739416280 Enrollment ID: I20231010003202 |
| Provider Name | Tasnuva T Fariza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508488792 PECOS PAC ID: 8729472907 Enrollment ID: I20231011003437 |
| Provider Name | Yifang Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386165355 PECOS PAC ID: 7416302294 Enrollment ID: I20231013002746 |
| Provider Name | Joshua M Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427474964 PECOS PAC ID: 5092004929 Enrollment ID: I20231014000333 |
| Provider Name | Jeesanul Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174144372 PECOS PAC ID: 2062885197 Enrollment ID: I20231016000364 |
| Provider Name | Sheila Whitney Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811679905 PECOS PAC ID: 2062867708 Enrollment ID: I20231016001637 |
| Provider Name | Stephanie Renee Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366221475 PECOS PAC ID: 2062868318 Enrollment ID: I20231024000702 |
| Provider Name | Ashton M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316628266 PECOS PAC ID: 7911353198 Enrollment ID: I20231024002372 |
| Provider Name | Darren J Tapley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376575357 PECOS PAC ID: 8820040389 Enrollment ID: I20231025003166 |
| Provider Name | Megan Danielle Marie Matney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467134445 PECOS PAC ID: 8325494446 Enrollment ID: I20231026000509 |
| Provider Name | Rewa Arar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205456878 PECOS PAC ID: 3870915168 Enrollment ID: I20231116002928 |
| Provider Name | Kristopher Stephen Flynt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578340766 PECOS PAC ID: 1153778824 Enrollment ID: I20231117001165 |
| Provider Name | Johanna L Aldrighetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932987385 PECOS PAC ID: 4183071863 Enrollment ID: I20231117001435 |
| Provider Name | Gregory D Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225040645 PECOS PAC ID: 9032255609 Enrollment ID: I20231118000398 |
| Provider Name | Brenda Michelle Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669084208 PECOS PAC ID: 4183072812 Enrollment ID: I20231118000528 |
| Provider Name | Temitope Gafaar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609423888 PECOS PAC ID: 8527398114 Enrollment ID: I20231127002430 |
| Provider Name | Kelsi L Goans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003680539 PECOS PAC ID: 7911356530 Enrollment ID: I20231207003770 |
| Provider Name | Brittany L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023881943 PECOS PAC ID: 2466801923 Enrollment ID: I20231208001461 |
| Provider Name | Dana Kinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659548790 PECOS PAC ID: 0941476337 Enrollment ID: I20231213002157 |
| Provider Name | Noor M Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679102446 PECOS PAC ID: 0446626998 Enrollment ID: I20231215001924 |
| Provider Name | April C Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114044294 PECOS PAC ID: 3476654716 Enrollment ID: I20231220003126 |
| Provider Name | Garrett Daniel Harrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326585217 PECOS PAC ID: 8224308671 Enrollment ID: I20231226000428 |
| Provider Name | Katie Elizabeth Beal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558709469 PECOS PAC ID: 3375777220 Enrollment ID: I20240110001034 |
| Provider Name | Douglas J Gottschalk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598724619 PECOS PAC ID: 4688640972 Enrollment ID: I20240118003694 |
| Provider Name | Emily Rachel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396515722 PECOS PAC ID: 7113379736 Enrollment ID: I20240119000994 |
| Provider Name | Blanca E Medellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972373637 PECOS PAC ID: 8729431861 Enrollment ID: I20240125001260 |
| Provider Name | Benjamin L Wagenman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467636951 PECOS PAC ID: 0446305866 Enrollment ID: I20240129001103 |
| Provider Name | Amy E Plott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992570444 PECOS PAC ID: 6204289630 Enrollment ID: I20240201000890 |
| Provider Name | Eric M Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275103038 PECOS PAC ID: 3173980554 Enrollment ID: I20240208003339 |
| Provider Name | Emmanuel Jean-jacques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023253648 PECOS PAC ID: 5294905618 Enrollment ID: I20240209001579 |
| Provider Name | Christopher Slankard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326745480 PECOS PAC ID: 0840651972 Enrollment ID: I20240212001677 |
| Provider Name | Kaitland E Ard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487291829 PECOS PAC ID: 0648691501 Enrollment ID: I20240213001653 |
| Provider Name | Anh T Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609325711 PECOS PAC ID: 5193086106 Enrollment ID: I20240213003125 |
| Provider Name | Joshua W Burrow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265626840 PECOS PAC ID: 5092809871 Enrollment ID: I20240213003307 |
| Provider Name | Salvatrice Fetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700647856 PECOS PAC ID: 1951745322 Enrollment ID: I20240214001425 |
| Provider Name | Amanda S Boardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902141286 PECOS PAC ID: 2264660505 Enrollment ID: I20240214001652 |
| Provider Name | Amanda L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619743143 PECOS PAC ID: 8022452002 Enrollment ID: I20240217000645 |
| Provider Name | Elizabeth Ann Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649033952 PECOS PAC ID: 8527402510 Enrollment ID: I20240217000833 |
| Provider Name | Aubrey Elizabeth Hutchings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295502987 PECOS PAC ID: 4082058987 Enrollment ID: I20240220000269 |
| Provider Name | Nicole Rae Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902677537 PECOS PAC ID: 9335583269 Enrollment ID: I20240220001185 |
| Provider Name | Courtney Breanne Weatherford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104688084 PECOS PAC ID: 4688018518 Enrollment ID: I20240220001258 |
| Provider Name | Jacob C Stramel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225733884 PECOS PAC ID: 6103283908 Enrollment ID: I20240221004187 |
| Provider Name | Leslie Bell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578598819 PECOS PAC ID: 0345250825 Enrollment ID: I20240304000583 |
| Provider Name | Alicia M Zacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881456101 PECOS PAC ID: 8022453778 Enrollment ID: I20240304002437 |
| Provider Name | Taylor Nicole Kensinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235909458 PECOS PAC ID: 4284079864 Enrollment ID: I20240305003628 |
| Provider Name | Matthew James Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700482171 PECOS PAC ID: 4981010121 Enrollment ID: I20240306001751 |
| Provider Name | Andrew C Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346550829 PECOS PAC ID: 5395920409 Enrollment ID: I20240306002035 |
| Provider Name | Sara M Mcelroy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023466463 PECOS PAC ID: 7315273513 Enrollment ID: I20240306003623 |
| Provider Name | Alexis Christine Zahn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851161079 PECOS PAC ID: 5597101840 Enrollment ID: I20240309000411 |
| Provider Name | Yevheniy Lider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033593629 PECOS PAC ID: 9335490226 Enrollment ID: I20240313002836 |
| Provider Name | Shannen B Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427759877 PECOS PAC ID: 8527404250 Enrollment ID: I20240315001986 |
| Provider Name | Craig S Cookman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770997462 PECOS PAC ID: 8426274366 Enrollment ID: I20240315003034 |
| Provider Name | Christopher P Slayden |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265798771 PECOS PAC ID: 0446482111 Enrollment ID: I20240403002792 |
| Provider Name | Kami M Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104688506 PECOS PAC ID: 6305284712 Enrollment ID: I20240404001565 |
| Provider Name | Ting Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730337452 PECOS PAC ID: 2062717416 Enrollment ID: I20240405001264 |
| Provider Name | Erika Dawn Goetzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871361220 PECOS PAC ID: 3779922182 Enrollment ID: I20240418001363 |
| Provider Name | Monica Lynn Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740043728 PECOS PAC ID: 6406295708 Enrollment ID: I20240419000804 |
| Provider Name | James M Emerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336117993 PECOS PAC ID: 2466420476 Enrollment ID: I20240419001011 |
| Provider Name | April Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093579096 PECOS PAC ID: 5991144214 Enrollment ID: I20240419001627 |
| Provider Name | Jeremy J Song |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467879379 PECOS PAC ID: 4587901947 Enrollment ID: I20240419001667 |
| Provider Name | Thomas R Olivera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962949842 PECOS PAC ID: 3375929599 Enrollment ID: I20240422003105 |
| Provider Name | Sharyn Salkil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023860855 PECOS PAC ID: 0345680377 Enrollment ID: I20240424002833 |
| Provider Name | Makenzie Taylor Cameron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548024342 PECOS PAC ID: 1850731373 Enrollment ID: I20240501002550 |
| Provider Name | Paul Lee Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881654218 PECOS PAC ID: 5092776799 Enrollment ID: I20240502001367 |
| Provider Name | Jason Bustin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265732549 PECOS PAC ID: 7214113869 Enrollment ID: I20240515001277 |
| Provider Name | Deirdre Stocks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043874803 PECOS PAC ID: 3274929021 Enrollment ID: I20240523001294 |
| Provider Name | Aloysius Forcha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639148604 PECOS PAC ID: 8224072301 Enrollment ID: I20240525000310 |
| Provider Name | Angela E Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669648457 PECOS PAC ID: 9638362387 Enrollment ID: I20240525000366 |
| Provider Name | Asa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811443526 PECOS PAC ID: 4082993464 Enrollment ID: I20240528000440 |
| Provider Name | Matt S Jenkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104585322 PECOS PAC ID: 4688067382 Enrollment ID: I20240528003349 |
| Provider Name | Stephanie Lynn Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538911672 PECOS PAC ID: 0547602146 Enrollment ID: I20240529000416 |
| Provider Name | Jenna Marie Glodowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720838741 PECOS PAC ID: 8022450592 Enrollment ID: I20240529003035 |
| Provider Name | Cassidy Seedall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558007781 PECOS PAC ID: 6901287911 Enrollment ID: I20240530002659 |
| Provider Name | Candi Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790545069 PECOS PAC ID: 3577905827 Enrollment ID: I20240531001703 |
| Provider Name | Emma Hinds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619745676 PECOS PAC ID: 8022460641 Enrollment ID: I20240612000824 |
| Provider Name | James W. Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942208434 PECOS PAC ID: 5890604151 Enrollment ID: I20240612004309 |
| Provider Name | Samantha Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871345637 PECOS PAC ID: 9032652441 Enrollment ID: I20240613002393 |
| Provider Name | Justin Whisenant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164602926 PECOS PAC ID: 9436205093 Enrollment ID: I20240613003581 |
| Provider Name | Debra K Marti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578013504 PECOS PAC ID: 0941581979 Enrollment ID: I20240615000271 |
| Provider Name | Deborah Tabachnick |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790074912 PECOS PAC ID: 2567689607 Enrollment ID: I20240705002580 |
| Provider Name | Trent Ledbetter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306427893 PECOS PAC ID: 0749685121 Enrollment ID: I20240708003325 |
| Provider Name | Kimberly Ann Purcell-houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740917129 PECOS PAC ID: 9638614191 Enrollment ID: I20240709004334 |
| Provider Name | Jaime Gnau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669030714 PECOS PAC ID: 0547705352 Enrollment ID: I20240716002794 |
| Provider Name | Laura Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336476 PECOS PAC ID: 5294019493 Enrollment ID: I20240718001726 |
| Provider Name | Lila E Sheikhi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457790032 PECOS PAC ID: 8527484278 Enrollment ID: I20240718002506 |
| Provider Name | Roman Davidyuk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861173056 PECOS PAC ID: 7719423144 Enrollment ID: I20240722003932 |
| Provider Name | Michael Tilley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144371147 PECOS PAC ID: 7315083813 Enrollment ID: I20240723000287 |
| Provider Name | Mindy Quarles Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932955564 PECOS PAC ID: 9931645108 Enrollment ID: I20240724000984 |
| Provider Name | Vignesh Sundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215509435 PECOS PAC ID: 1557807559 Enrollment ID: I20240726000595 |
| Provider Name | Denis Bokov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205698842 PECOS PAC ID: 5799221701 Enrollment ID: I20240726000799 |
| Provider Name | Amanda Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164058020 PECOS PAC ID: 0648696450 Enrollment ID: I20240726001080 |
| Provider Name | Mark Richard Bonnell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215123450 PECOS PAC ID: 1355430158 Enrollment ID: I20240726002288 |
| Provider Name | Elvis Camacho |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407385057 PECOS PAC ID: 5890067417 Enrollment ID: I20240726003301 |
| Provider Name | Lissette Paloma Quintero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679335848 PECOS PAC ID: 0648716514 Enrollment ID: I20240726003646 |
| Provider Name | Elizabeth Ann Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891537221 PECOS PAC ID: 3476090853 Enrollment ID: I20240802001291 |
| Provider Name | Natasha Diane Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265272777 PECOS PAC ID: 3779020052 Enrollment ID: I20240805001251 |
| Provider Name | Saroj Kandel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003337437 PECOS PAC ID: 1254753767 Enrollment ID: I20240805002925 |
| Provider Name | Rolando Castillo Salcedo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144883968 PECOS PAC ID: 2062742554 Enrollment ID: I20240806001182 |
| Provider Name | Sarah Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902650203 PECOS PAC ID: 4385181411 Enrollment ID: I20240806004200 |
| Provider Name | Anthony Vito Maioriello |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366432932 PECOS PAC ID: 9234128141 Enrollment ID: I20240808000451 |
| Provider Name | Gregory Bryant Giles |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609313774 PECOS PAC ID: 2769929769 Enrollment ID: I20240808001717 |
| Provider Name | Nouhad Raissouni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821226655 PECOS PAC ID: 9133367436 Enrollment ID: I20240809002768 |
| Provider Name | Varun C Sankuratri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275160384 PECOS PAC ID: 7012339963 Enrollment ID: I20240814003175 |
| Provider Name | Nitesh Kumar Byrappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427672708 PECOS PAC ID: 2769805662 Enrollment ID: I20240814004136 |
| Provider Name | Laith Abushanab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669046645 PECOS PAC ID: 3375081888 Enrollment ID: I20240815001240 |
| Provider Name | Muhammad Al Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558367284 PECOS PAC ID: 5193715175 Enrollment ID: I20240816003396 |
| Provider Name | Erin Clare Burke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891533790 PECOS PAC ID: 7113465337 Enrollment ID: I20240819001801 |
| Provider Name | Ethan Fort |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588308571 PECOS PAC ID: 8527444066 Enrollment ID: I20240819002195 |
| Provider Name | Allison Marie Clendenin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649023417 PECOS PAC ID: 0840738076 Enrollment ID: I20240819002199 |
| Provider Name | Sami Hourieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770165706 PECOS PAC ID: 5395144208 Enrollment ID: I20240820000689 |
| Provider Name | Amber Michelle Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316788060 PECOS PAC ID: 7618415738 Enrollment ID: I20240820001390 |
| Provider Name | Yong Y Han |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275549446 PECOS PAC ID: 5395636500 Enrollment ID: I20240820002028 |
| Provider Name | Gene Peir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699194787 PECOS PAC ID: 9032465448 Enrollment ID: I20240820002482 |
| Provider Name | Anthony Yee-ho Kam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033798541 PECOS PAC ID: 2961940010 Enrollment ID: I20240820002824 |
| Provider Name | Emily Yan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205494952 PECOS PAC ID: 2365849544 Enrollment ID: I20240820003180 |
| Provider Name | Kindall Martin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841859519 PECOS PAC ID: 2668910738 Enrollment ID: I20240820003575 |
| Provider Name | Gisela Ocasio Quinones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821583204 PECOS PAC ID: 7012266109 Enrollment ID: I20240820003750 |
| Provider Name | Edidiong Offiong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073286142 PECOS PAC ID: 2264970342 Enrollment ID: I20240820004197 |
| Provider Name | Amanda Kimberley Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780254268 PECOS PAC ID: 4981097110 Enrollment ID: I20240821002393 |
| Provider Name | Elizabeth Bhatta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447792981 PECOS PAC ID: 4587940556 Enrollment ID: I20240822004148 |
| Provider Name | Thomas D Creeden |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891256772 PECOS PAC ID: 8123354420 Enrollment ID: I20240823000747 |
| Provider Name | Supriya Sigdel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760068118 PECOS PAC ID: 8729488259 Enrollment ID: I20240826000292 |
| Provider Name | Eliza Kay Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033784988 PECOS PAC ID: 5991105264 Enrollment ID: I20240826003739 |
| Provider Name | Youjin Na |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568041564 PECOS PAC ID: 1052712114 Enrollment ID: I20240827001605 |
| Provider Name | Jessica Leigh Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699512426 PECOS PAC ID: 5092254664 Enrollment ID: I20240827002436 |
| Provider Name | Khalil Masabni |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497173017 PECOS PAC ID: 3476778325 Enrollment ID: I20240827003899 |
| Provider Name | Sheena R Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629813555 PECOS PAC ID: 5496294001 Enrollment ID: I20240827004030 |
| Provider Name | Joseph A Intriago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629650304 PECOS PAC ID: 6800298126 Enrollment ID: I20240829000329 |
| Provider Name | Joel Fort |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477529246 PECOS PAC ID: 6901849918 Enrollment ID: I20240831000334 |
| Provider Name | Janell Ann Dady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306583042 PECOS PAC ID: 7416496609 Enrollment ID: I20240903000219 |
| Provider Name | Kayla Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487274916 PECOS PAC ID: 8325462385 Enrollment ID: I20240906003565 |
| Provider Name | Kasey Ann Endres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013745413 PECOS PAC ID: 1052851201 Enrollment ID: I20240913003031 |
| Provider Name | Daniel Nguyen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790340297 PECOS PAC ID: 4688906761 Enrollment ID: I20240913003697 |
| Provider Name | Jordan A Mcmanus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043836844 PECOS PAC ID: 7911321310 Enrollment ID: I20240914000058 |
| Provider Name | Ricardo Jose Ramirez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548610850 PECOS PAC ID: 8224578406 Enrollment ID: I20240914000062 |
| Provider Name | Katherine Foerster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679066922 PECOS PAC ID: 5496007080 Enrollment ID: I20240918000286 |
| Provider Name | Jakob H Allen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1548759194 PECOS PAC ID: 3072862762 Enrollment ID: I20240918002616 |
| Provider Name | Paul Ormston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861060527 PECOS PAC ID: 8426459892 Enrollment ID: I20240918003991 |
| Provider Name | Sophia Creeden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760979892 PECOS PAC ID: 3476971516 Enrollment ID: I20240918004649 |
| Provider Name | Mackenzie Blake Lesh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154817286 PECOS PAC ID: 5597206367 Enrollment ID: I20240919002860 |
| Provider Name | David Foster Sigmon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215382288 PECOS PAC ID: 3375830532 Enrollment ID: I20240919003395 |
| Provider Name | Hejab Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093389710 PECOS PAC ID: 7810390507 Enrollment ID: I20240920000192 |
| Provider Name | Heather Rene Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922623263 PECOS PAC ID: 3274955703 Enrollment ID: I20240920000240 |
| Provider Name | Regina Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639464811 PECOS PAC ID: 9931458353 Enrollment ID: I20240920001440 |
| Provider Name | Collin Andrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497383988 PECOS PAC ID: 4981022167 Enrollment ID: I20240920002120 |
| Provider Name | Jian Liang Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962853747 PECOS PAC ID: 8123569829 Enrollment ID: I20240921000347 |
| Provider Name | Michael Naylor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992720601 PECOS PAC ID: 5890740039 Enrollment ID: I20240921000361 |
| Provider Name | Candace Wulff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760903538 PECOS PAC ID: 6709142953 Enrollment ID: I20240923000263 |
| Provider Name | Taylor Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164251740 PECOS PAC ID: 8628509965 Enrollment ID: I20240927000622 |
| Provider Name | Abhaya Khatiwada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073188025 PECOS PAC ID: 3476084732 Enrollment ID: I20240927001532 |
| Provider Name | Marilou Padillos Sinclair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578140745 PECOS PAC ID: 5890226179 Enrollment ID: I20240927002183 |
| Provider Name | Samantha Jean Mcaninch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548007305 PECOS PAC ID: 2961933726 Enrollment ID: I20241003001935 |
| Provider Name | Harkirtin Mciver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346280195 PECOS PAC ID: 4385098805 Enrollment ID: I20241003002394 |
| Provider Name | Philippe Tirman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396989216 PECOS PAC ID: 7618295627 Enrollment ID: I20241011001560 |
| Provider Name | Richard Helms |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174085054 PECOS PAC ID: 1951635218 Enrollment ID: I20241015001987 |
| Provider Name | Bradley Tolar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134671381 PECOS PAC ID: 7315229655 Enrollment ID: I20241016002480 |
| Provider Name | Leanna Collier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548092588 PECOS PAC ID: 5991237695 Enrollment ID: I20241019000050 |
| Provider Name | Darya Tajfiroozeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932788551 PECOS PAC ID: 2668905043 Enrollment ID: I20241023003012 |
| Provider Name | Valerie Dobard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518674316 PECOS PAC ID: 0749713196 Enrollment ID: I20241024000877 |
| Provider Name | Mostafa Mahmoud Elgayesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851962930 PECOS PAC ID: 2365847910 Enrollment ID: I20241024003136 |
| Provider Name | Sunil B Gotru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225299415 PECOS PAC ID: 0840427704 Enrollment ID: I20241024004191 |
| Provider Name | Patrick Craddock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477518710 PECOS PAC ID: 1658308218 Enrollment ID: I20241025001108 |
| Provider Name | Samantha Margaret Kennemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629802145 PECOS PAC ID: 7517490774 Enrollment ID: I20241025001909 |
| Provider Name | Nathaniel Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1598333189 PECOS PAC ID: 9931501996 Enrollment ID: I20241025002064 |
| Provider Name | Tiffani Hughson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124501580 PECOS PAC ID: 6103170717 Enrollment ID: I20241029003520 |
| Provider Name | Alec M Maglione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942892880 PECOS PAC ID: 7618371832 Enrollment ID: I20241030002028 |
| Provider Name | Bryan Dickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104887306 PECOS PAC ID: 1951355775 Enrollment ID: I20241112001528 |
| Provider Name | Aleksandr Sakharov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407991490 PECOS PAC ID: 7911242011 Enrollment ID: I20241120003160 |
| Provider Name | Andrea Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780808931 PECOS PAC ID: 3274673801 Enrollment ID: I20241121002576 |
| Provider Name | Beatrice Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861056004 PECOS PAC ID: 2365853033 Enrollment ID: I20241125001190 |
| Provider Name | Jennifer Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702048 PECOS PAC ID: 1850654211 Enrollment ID: I20241126001155 |
| Provider Name | Matthew Neal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740414002 PECOS PAC ID: 0840446977 Enrollment ID: I20241126002687 |
| Provider Name | Iris Swiderski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154754711 PECOS PAC ID: 3375861610 Enrollment ID: I20241126003241 |
| Provider Name | Christian Zapateiro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104447838 PECOS PAC ID: 8325447766 Enrollment ID: I20241127002669 |
| Provider Name | Thomas Frank Delafuente |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1588239974 PECOS PAC ID: 7719370378 Enrollment ID: I20241202002754 |
| Provider Name | Monika Pothamsetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013589621 PECOS PAC ID: 5092249946 Enrollment ID: I20241207000221 |
| Provider Name | Jennifer Nichole Mcvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164243796 PECOS PAC ID: 3971039314 Enrollment ID: I20241210000374 |
| Provider Name | Marielena Bachier-rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376839969 PECOS PAC ID: 8527314533 Enrollment ID: I20241211001317 |
| Provider Name | Caleb Birchler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366892994 PECOS PAC ID: 5092075457 Enrollment ID: I20241211003280 |
| Provider Name | Shelbey Dawn Porod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952122822 PECOS PAC ID: 2365978491 Enrollment ID: I20241211004622 |
| Provider Name | Michael Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669582565 PECOS PAC ID: 9931172681 Enrollment ID: I20241213000476 |
| Provider Name | Alfredo Altamirano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699876862 PECOS PAC ID: 8527008234 Enrollment ID: I20241218003884 |
| Provider Name | Jeevan Bhatta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861844003 PECOS PAC ID: 0840675625 Enrollment ID: I20241221000054 |
| Provider Name | Michelle Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073998829 PECOS PAC ID: 1254640428 Enrollment ID: I20241223000309 |
| Provider Name | Teresa Nimmo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225253248 PECOS PAC ID: 7416023213 Enrollment ID: I20241224000175 |
| Provider Name | Anwar Abdul-hadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710291992 PECOS PAC ID: 1456623586 Enrollment ID: I20241224001073 |
| Provider Name | John Lanoue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093809410 PECOS PAC ID: 0345390522 Enrollment ID: I20241227003026 |
| Provider Name | Michael Kreis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881257343 PECOS PAC ID: 5597153353 Enrollment ID: I20241231003292 |
| Provider Name | Pierre Andre Ovide |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215179643 PECOS PAC ID: 5597197665 Enrollment ID: I20250106001941 |
| Provider Name | Paul Anthony Szefler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629367529 PECOS PAC ID: 0345468906 Enrollment ID: I20250107002832 |
| Provider Name | Stephen Scott Cliff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346734316 PECOS PAC ID: 6002344843 Enrollment ID: I20250108000946 |
| Provider Name | Jon Hernandez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871591198 PECOS PAC ID: 3678550639 Enrollment ID: I20250110003089 |
| Provider Name | Maggie Ann Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174349757 PECOS PAC ID: 7113455569 Enrollment ID: I20250113002157 |
| Provider Name | Warren Albrecht |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134146129 PECOS PAC ID: 8426020272 Enrollment ID: I20250123001112 |
| Provider Name | Laurie Minarich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104950708 PECOS PAC ID: 0941450928 Enrollment ID: I20250205000187 |
| Provider Name | Branden Riggins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053933499 PECOS PAC ID: 3375905359 Enrollment ID: I20250205000605 |
| Provider Name | Kyera Josephene Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487487849 PECOS PAC ID: 4587194964 Enrollment ID: I20250214000796 |
| Provider Name | Jill Austin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770577603 PECOS PAC ID: 6002882941 Enrollment ID: I20250219003018 |
| Provider Name | Shazia Bashir |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073788634 PECOS PAC ID: 8820212517 Enrollment ID: I20250220003576 |
| Provider Name | Monet Marie Charron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336960459 PECOS PAC ID: 6406376219 Enrollment ID: I20250224003284 |
| Provider Name | Kristen Nicole Hook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689487431 PECOS PAC ID: 0143741652 Enrollment ID: I20250312002058 |
| Provider Name | Jay Weston Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205646296 PECOS PAC ID: 1951822469 Enrollment ID: I20250312002125 |
| Provider Name | Ryan Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447031752 PECOS PAC ID: 9234587536 Enrollment ID: I20250314001209 |
| Provider Name | Timothy Laine Nicol |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881407914 PECOS PAC ID: 9931622032 Enrollment ID: I20250331000240 |
| Provider Name | David Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336102979 PECOS PAC ID: 5496711772 Enrollment ID: I20250401002566 |
| Provider Name | Angelyka Hunter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861205783 PECOS PAC ID: 8325561194 Enrollment ID: I20250402001812 |
| Provider Name | Cysco Allen Merisotes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073319232 PECOS PAC ID: 4981127636 Enrollment ID: I20250403000169 |
| Provider Name | Connor F Fraser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144961236 PECOS PAC ID: 8820439987 Enrollment ID: I20250416000692 |
| Provider Name | Walter Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467964072 PECOS PAC ID: 3072877083 Enrollment ID: I20250416002785 |
| Provider Name | Dallen Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629322151 PECOS PAC ID: 0042629834 Enrollment ID: I20250416003614 |
| Provider Name | Meghan Mckeon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926215 PECOS PAC ID: 9032137195 Enrollment ID: I20250417000445 |
| Provider Name | Shahab Abdessalam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174697502 PECOS PAC ID: 5395807242 Enrollment ID: I20250505001512 |
| Provider Name | Carmen T Ramos Irizarry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922081363 PECOS PAC ID: 1658346531 Enrollment ID: I20250507003087 |
| Provider Name | Stephanie Kapfer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518065804 PECOS PAC ID: 8527211804 Enrollment ID: I20250508000899 |
| Provider Name | Mary A Nalder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073937876 PECOS PAC ID: 5991006512 Enrollment ID: I20250513000685 |
| Provider Name | William Charles David Dry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972362630 PECOS PAC ID: 0244758928 Enrollment ID: I20250516000523 |
| Provider Name | Hamza Haider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477014447 PECOS PAC ID: 9931522844 Enrollment ID: I20250521002254 |
| Provider Name | Rebecca M Rentea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831362987 PECOS PAC ID: 3375844517 Enrollment ID: I20250530002785 |
| Provider Name | Alisha Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821381542 PECOS PAC ID: 6608093968 Enrollment ID: I20250612002327 |
| Provider Name | Carsten Ritter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982869343 PECOS PAC ID: 2961674296 Enrollment ID: I20250612002715 |
| Provider Name | Sunny Aroda |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114590254 PECOS PAC ID: 1456741370 Enrollment ID: I20250612003243 |
| Provider Name | John R. Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669610648 PECOS PAC ID: 1052468204 Enrollment ID: I20250616001035 |
| Provider Name | Aviana Yeager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891537965 PECOS PAC ID: 6002327616 Enrollment ID: I20250619000552 |
| Provider Name | Kayley Langford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942092325 PECOS PAC ID: 7810409943 Enrollment ID: I20250625000351 |
| Provider Name | Morgan Beaschler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861289688 PECOS PAC ID: 5799299525 Enrollment ID: I20250703003787 |
| Provider Name | Anita Mallya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508229956 PECOS PAC ID: 6800135203 Enrollment ID: I20250708001014 |
| Provider Name | Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134306566 PECOS PAC ID: 9032276258 Enrollment ID: I20250716003924 |
| Provider Name | Sujan Poudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003552217 PECOS PAC ID: 5294116141 Enrollment ID: I20250718001883 |
| Provider Name | Jordan Lynn Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710724638 PECOS PAC ID: 0941716393 Enrollment ID: I20250722003222 |
| Provider Name | Namya Gaekwad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649914771 PECOS PAC ID: 7517344450 Enrollment ID: I20250801000457 |
| Provider Name | Omar Al-taweel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619428307 PECOS PAC ID: 5799117800 Enrollment ID: I20250804000234 |
| Provider Name | Sarah Luke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306596259 PECOS PAC ID: 0244617967 Enrollment ID: I20250805002264 |
| Provider Name | Ara Hall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538430780 PECOS PAC ID: 4587825468 Enrollment ID: I20250808003885 |
| Provider Name | Jay Daniel Guyll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154070506 PECOS PAC ID: 4183122880 Enrollment ID: I20250812002356 |
| Provider Name | Quinton A Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023768876 PECOS PAC ID: 7911389879 Enrollment ID: I20250812004263 |
| Provider Name | Brenden Herrod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740945484 PECOS PAC ID: 0941682736 Enrollment ID: I20250813000798 |
| Provider Name | John An Kuang Chao |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730683210 PECOS PAC ID: 1658879176 Enrollment ID: I20250813000979 |
| Provider Name | Rikesh Chakradhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538741327 PECOS PAC ID: 8224536768 Enrollment ID: I20250813001248 |
| Provider Name | Anh Tu Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770043606 PECOS PAC ID: 6002294030 Enrollment ID: I20250813002087 |
| Provider Name | Justin Mcfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528791753 PECOS PAC ID: 3678072907 Enrollment ID: I20250814003919 |
| Provider Name | Julee Willard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588981971 PECOS PAC ID: 1759411705 Enrollment ID: I20250815000354 |
| Provider Name | Azeem Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780245266 PECOS PAC ID: 5698003283 Enrollment ID: I20250819002674 |
| Provider Name | Thomas Rashid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992762892 PECOS PAC ID: 9739262544 Enrollment ID: I20250820003710 |
| Provider Name | Ayokunle Osho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548526825 PECOS PAC ID: 5991022600 Enrollment ID: I20250825000236 |
| Provider Name | Raksha Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063142420 PECOS PAC ID: 1254711658 Enrollment ID: I20250826001643 |
| Provider Name | Erin Marie Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669357612 PECOS PAC ID: 1951801505 Enrollment ID: I20250826004860 |
| Provider Name | Mackinzie Mcdaniel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134706898 PECOS PAC ID: 1254710502 Enrollment ID: I20250902000127 |
| Provider Name | La Nyka Arianne Christian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932762184 PECOS PAC ID: 7214439728 Enrollment ID: I20250904003375 |
| Provider Name | Christina Carol Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902426315 PECOS PAC ID: 5496157638 Enrollment ID: I20250906000103 |
| Provider Name | Lylach Haizler Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194259333 PECOS PAC ID: 6002151529 Enrollment ID: I20250911003653 |
| Provider Name | Jennifer Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376114637 PECOS PAC ID: 2769886217 Enrollment ID: I20250912001073 |
| Provider Name | Grant Christopher Paterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689310435 PECOS PAC ID: 5799165130 Enrollment ID: I20250917001385 |
| Provider Name | April Zaniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972250157 PECOS PAC ID: 3173945060 Enrollment ID: I20250917003030 |
| Provider Name | Aprilee Azaula Sta Lucia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306586458 PECOS PAC ID: 1153827662 Enrollment ID: I20251003000204 |
| Provider Name | Nolan Winslow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700235280 PECOS PAC ID: 6507158656 Enrollment ID: I20251009000503 |
| Provider Name | Casie Michelle Grass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790662583 PECOS PAC ID: 6002313327 Enrollment ID: I20251010002148 |
| Provider Name | Christopher Campbell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689037186 PECOS PAC ID: 9032402565 Enrollment ID: I20251013000684 |
| Provider Name | Morgan Kuhn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801559653 PECOS PAC ID: 7113318296 Enrollment ID: I20251015004166 |
| Provider Name | Ashley Renee Behl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609754159 PECOS PAC ID: 2961999347 Enrollment ID: I20251017003417 |
| Provider Name | Tasnim Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205585379 PECOS PAC ID: 0143718346 Enrollment ID: I20251021000985 |
| Provider Name | Babu Guai Welch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891759528 PECOS PAC ID: 9335185503 Enrollment ID: I20251022003639 |
| Provider Name | Isaac Abecassis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326481052 PECOS PAC ID: 5991112286 Enrollment ID: I20251029002961 |
| Provider Name | Lalit Bansal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538324132 PECOS PAC ID: 4284910787 Enrollment ID: I20251106000381 |
| Provider Name | Eric Eskioglu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336222900 PECOS PAC ID: 5890714976 Enrollment ID: I20251113002607 |
| Provider Name | Gbemisola Oluwakemi Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003556903 PECOS PAC ID: 3678947132 Enrollment ID: I20251120003801 |
| Provider Name | Betty Lynn Grow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326935834 PECOS PAC ID: 9931691607 Enrollment ID: I20251120003945 |
| Provider Name | Craig Acosta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467416479 PECOS PAC ID: 9931286002 Enrollment ID: I20251208000259 |
| Provider Name | Michael Kelly Singer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477671683 PECOS PAC ID: 6901027168 Enrollment ID: I20251208001863 |
| Provider Name | Pablo Aguayo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609996412 PECOS PAC ID: 5193993350 Enrollment ID: I20251209001722 |
| Provider Name | Rebecca Anne Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649142662 PECOS PAC ID: 8224522818 Enrollment ID: I20251211000266 |
| Provider Name | Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730370719 PECOS PAC ID: 7113016510 Enrollment ID: I20251211003643 |
| Provider Name | Joshua B Florez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881118925 PECOS PAC ID: 5597023085 Enrollment ID: I20251211003984 |
| Provider Name | Brittany Nicole George |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912863747 PECOS PAC ID: 4688150592 Enrollment ID: I20260110000117 |
| Provider Name | Ali Alsarah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881156891 PECOS PAC ID: 5193052470 Enrollment ID: I20260120003828 |
| Provider Name | Kevin Liao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871116061 PECOS PAC ID: 5991296956 Enrollment ID: I20260203004235 |
| Provider Name | Kurt Rehagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881051217 PECOS PAC ID: 3779880794 Enrollment ID: I20260209001992 |
| Provider Name | Ashley Rigdon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255848073 PECOS PAC ID: 7214292978 Enrollment ID: I20260227000769 |
| Provider Name | Merrie Christen Kandlbinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104782754 PECOS PAC ID: 0547742157 Enrollment ID: I20260303004003 |
| Provider Name | Cyprian Chukwudi Afunugo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437786191 PECOS PAC ID: 8224451745 Enrollment ID: I20260305000102 |
| Provider Name | Razan Al-nahhas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134671647 PECOS PAC ID: 4284903865 Enrollment ID: I20260305000497 |
| Provider Name | Ethan Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619827227 PECOS PAC ID: 6608359674 Enrollment ID: I20260309002873 |
| Provider Name | Amelia Marie Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912656018 PECOS PAC ID: 4981187507 Enrollment ID: I20260312000523 |
| Provider Name | Ryan Derek Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932077237 PECOS PAC ID: 2860975950 Enrollment ID: I20260317002347 |
| Provider Name | Benjamin Daniel Yoder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700739364 PECOS PAC ID: 4183108491 Enrollment ID: I20260324003134 |
| Provider Name | Seth Matlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841140837 PECOS PAC ID: 2961987052 Enrollment ID: I20260326002631 |
| Provider Name | Terry Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043410632 PECOS PAC ID: 9638266463 Enrollment ID: I20260408002911 |
| Provider Name | Sara Moassesfar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265605497 PECOS PAC ID: 2163649435 Enrollment ID: I20260410002356 |
| Provider Name | Jade Tam-williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275845059 PECOS PAC ID: 2769906163 Enrollment ID: I20260421000738 |
| Provider Name | Mathew Saab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194280743 PECOS PAC ID: 5597198101 Enrollment ID: I20260421002817 |
| Provider Name | Alexis Mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497610315 PECOS PAC ID: 4486121571 Enrollment ID: I20260427000704 |
| Provider Name | Michael Larochelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306100706 PECOS PAC ID: 5597983676 Enrollment ID: I20260429000710 |
| Provider Name | April Elise Veurink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144039108 PECOS PAC ID: 0840767646 Enrollment ID: I20260429003070 |
| Provider Name | Tyrone Galbreath |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356636245 PECOS PAC ID: 7416178199 Enrollment ID: I20260429003626 |
| Provider Name | Kaitlyn Kroger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477402105 PECOS PAC ID: 8325516693 Enrollment ID: I20260505002413 |
| Provider Name | Yevgeniy Furman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770164204 PECOS PAC ID: 5597275545 Enrollment ID: I20260506002017 |
| Provider Name | Madison Paige Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205780681 PECOS PAC ID: 0941779391 Enrollment ID: I20260515000459 |
| Provider Name | Samantha Gayle Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265395958 PECOS PAC ID: 7911476221 Enrollment ID: I20260515002243 |
| Provider Name | Alain Cuna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851549661 PECOS PAC ID: 0941448575 Enrollment ID: I20260518000753 |
| Provider Name | Shannon Haines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972094712 PECOS PAC ID: 2062762883 Enrollment ID: I20260518001707 |
| Provider Name | Maggie Vogel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376004358 PECOS PAC ID: 3678936218 Enrollment ID: I20260519000653 |
| Provider Name | Mariana Theodoro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447645312 PECOS PAC ID: 4688064488 Enrollment ID: I20260519000840 |
| Provider Name | Dianne Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942620356 PECOS PAC ID: 3072997204 Enrollment ID: I20260519001187 |
| Provider Name | Ekta Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497173686 PECOS PAC ID: 5092081042 Enrollment ID: I20260519003724 |
| Provider Name | Sarah Milota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538621735 PECOS PAC ID: 3476983966 Enrollment ID: I20260521000524 |
| Provider Name | Alyssa Gafner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700749694 PECOS PAC ID: 4688145519 Enrollment ID: I20260602001757 |
| Provider Name | Shanda Shrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831579853 PECOS PAC ID: 8325336787 Enrollment ID: I20260608000519 |
| Provider Name | Karly Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982544623 PECOS PAC ID: 4486126372 Enrollment ID: I20260611001630 |
| Provider Name | Rebecca Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588045751 PECOS PAC ID: 8820305857 Enrollment ID: I20260611003792 |
| Provider Name | Mary Nguyen Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699137075 PECOS PAC ID: 7012204894 Enrollment ID: I20260611004455 |
| Provider Name | Nidhy Varghese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932402807 PECOS PAC ID: 4688857485 Enrollment ID: I20260612002161 |
| Provider Name | Margarita Guarin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023105301 PECOS PAC ID: 2365457496 Enrollment ID: I20260612003389 |
| Provider Name | Landen Alyse Kozlowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083505580 PECOS PAC ID: 2062985070 Enrollment ID: I20260622002632 |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Springfield Communities Po Box 776071, Chicago, IL 60677-6071 Ph: (855) 420-7900 | Mercy Clinic Springfield Communities 3231 S National Ave Ste 220, Springfield, MO 65807 Ph: (855) 420-7900 |