| Bozeman Health Deaconess Hospital | |
|
915 Highland Blvd, Bozeman, MT 59715-6902 | |
| (406) 414-5000 | |
| (406) 414-1071 |
| Full Name | Bozeman Health Deaconess Hospital |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 915 Highland Blvd, Bozeman, Montana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619347390 | NPI | - | NPPES |
| Provider Name | Lori B Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699873646 PECOS PAC ID: 7214831528 Enrollment ID: I20031119000895 |
| Provider Name | Melissa C Wolfson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275543076 PECOS PAC ID: 0941104665 Enrollment ID: I20031124000782 |
| Provider Name | Shaun J Gillis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265465207 PECOS PAC ID: 7113821695 Enrollment ID: I20031125000848 |
| Provider Name | Cathy W Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760587984 PECOS PAC ID: 6608775697 Enrollment ID: I20040108000375 |
| Provider Name | Heather D Kjerstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003846577 PECOS PAC ID: 0345133088 Enrollment ID: I20040205000744 |
| Provider Name | Cindy K Sharp |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629138797 PECOS PAC ID: 0749272904 Enrollment ID: I20040330001678 |
| Provider Name | Michael J Vlases |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073521654 PECOS PAC ID: 2961479662 Enrollment ID: I20040913000919 |
| Provider Name | Gretchen M Coble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801874870 PECOS PAC ID: 1850356122 Enrollment ID: I20041129000405 |
| Provider Name | Michael T Herring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104840842 PECOS PAC ID: 9931150547 Enrollment ID: I20050201000518 |
| Provider Name | Pamela J Hiebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023030079 PECOS PAC ID: 9234180852 Enrollment ID: I20050201000591 |
| Provider Name | James E Loeffelholz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861416331 PECOS PAC ID: 9436100062 Enrollment ID: I20050201000663 |
| Provider Name | John B Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285658757 PECOS PAC ID: 9537132915 Enrollment ID: I20050201000736 |
| Provider Name | David G Nigh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790876514 PECOS PAC ID: 9133175896 Enrollment ID: I20050324001188 |
| Provider Name | Richard Sellman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487837563 PECOS PAC ID: 6204870348 Enrollment ID: I20050620000208 |
| Provider Name | Dane E Sobek |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043257306 PECOS PAC ID: 9032148424 Enrollment ID: I20050805000545 |
| Provider Name | Blair D Erb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265479521 PECOS PAC ID: 8628061975 Enrollment ID: I20050912000360 |
| Provider Name | Jeffrey M Cory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427110600 PECOS PAC ID: 6901812312 Enrollment ID: I20060223000350 |
| Provider Name | Sebastian C White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417028853 PECOS PAC ID: 0143237602 Enrollment ID: I20060308000845 |
| Provider Name | Justin C Eisel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801818356 PECOS PAC ID: 4486621802 Enrollment ID: I20060324000597 |
| Provider Name | Deric Olin Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639252398 PECOS PAC ID: 0042228074 Enrollment ID: I20060331000577 |
| Provider Name | Kendall A Child |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255300851 PECOS PAC ID: 9335157239 Enrollment ID: I20060404000610 |
| Provider Name | Shannon R Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548207350 PECOS PAC ID: 0749292167 Enrollment ID: I20060628000261 |
| Provider Name | Jami L Chisdak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720033053 PECOS PAC ID: 2860486776 Enrollment ID: I20060718000185 |
| Provider Name | Kari S Ritter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902831530 PECOS PAC ID: 5890708119 Enrollment ID: I20060802000509 |
| Provider Name | Elaine Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992813257 PECOS PAC ID: 4486650595 Enrollment ID: I20061012000639 |
| Provider Name | Keven J Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063594182 PECOS PAC ID: 7517967359 Enrollment ID: I20070102000144 |
| Provider Name | Robert D Pfeffer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679563639 PECOS PAC ID: 2264424761 Enrollment ID: I20071018000245 |
| Provider Name | Charlotte A Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942499645 PECOS PAC ID: 2466541677 Enrollment ID: I20071211000083 |
| Provider Name | Joseph J Sofianek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568494052 PECOS PAC ID: 7517926181 Enrollment ID: I20080121000136 |
| Provider Name | Mark B Hodgson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548289648 PECOS PAC ID: 7012098627 Enrollment ID: I20080121000147 |
| Provider Name | Pepper J Kerr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215952049 PECOS PAC ID: 5193806701 Enrollment ID: I20080121000154 |
| Provider Name | Jennifer K Sofie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770618340 PECOS PAC ID: 2163318569 Enrollment ID: I20080122000179 |
| Provider Name | Connie H Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194908202 PECOS PAC ID: 0941386478 Enrollment ID: I20080325000299 |
| Provider Name | Mark D. Winton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316943673 PECOS PAC ID: 2163418765 Enrollment ID: I20080325000662 |
| Provider Name | Andrew W Grace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437154291 PECOS PAC ID: 2860562873 Enrollment ID: I20080603000386 |
| Provider Name | Matthew W Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720070675 PECOS PAC ID: 0244301505 Enrollment ID: I20080616000037 |
| Provider Name | Richard J Teff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982675104 PECOS PAC ID: 6305917543 Enrollment ID: I20080617000047 |
| Provider Name | Eric G Lowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164593281 PECOS PAC ID: 5395829410 Enrollment ID: I20080701000392 |
| Provider Name | Mary D Orourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033125091 PECOS PAC ID: 2860564135 Enrollment ID: I20080701000411 |
| Provider Name | Melissa A Wolf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619940590 PECOS PAC ID: 0547292971 Enrollment ID: I20080811000118 |
| Provider Name | Eileen M Ralicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346334794 PECOS PAC ID: 1153495015 Enrollment ID: I20080811000616 |
| Provider Name | David L Parks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790829489 PECOS PAC ID: 3173698719 Enrollment ID: I20080818000234 |
| Provider Name | Sarah Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073652061 PECOS PAC ID: 1153497102 Enrollment ID: I20080828000007 |
| Provider Name | Kathleen Damberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508835232 PECOS PAC ID: 6507932324 Enrollment ID: I20080902000551 |
| Provider Name | Jeffrey S Rasch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598717662 PECOS PAC ID: 3678517679 Enrollment ID: I20081016000626 |
| Provider Name | Kathryn L Lynch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306829536 PECOS PAC ID: 3577549286 Enrollment ID: I20090223000089 |
| Provider Name | Zachary S Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801069802 PECOS PAC ID: 0244396331 Enrollment ID: I20090225000198 |
| Provider Name | Anna C Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164554184 PECOS PAC ID: 1052468527 Enrollment ID: I20090421000197 |
| Provider Name | William E Schoderbek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851386635 PECOS PAC ID: 0143371823 Enrollment ID: I20090622000047 |
| Provider Name | Linda K Waring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023201340 PECOS PAC ID: 6800947680 Enrollment ID: I20090708000357 |
| Provider Name | Stephanie J Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265526768 PECOS PAC ID: 4082760079 Enrollment ID: I20090916000215 |
| Provider Name | Lisa L Gushwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598798316 PECOS PAC ID: 9537180971 Enrollment ID: I20090917000374 |
| Provider Name | David Sheldon |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1497713598 PECOS PAC ID: 6800870924 Enrollment ID: I20090918000056 |
| Provider Name | Michael Joseph Blake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578513701 PECOS PAC ID: 2264400464 Enrollment ID: I20090930000696 |
| Provider Name | Joshua A Knappenberger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093774887 PECOS PAC ID: 2769584689 Enrollment ID: I20091104000704 |
| Provider Name | Trang L Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245565514 PECOS PAC ID: 0042359747 Enrollment ID: I20091208000779 |
| Provider Name | Robert T Terry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588669071 PECOS PAC ID: 8022033059 Enrollment ID: I20100118000120 |
| Provider Name | Tracy M Fairbanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134224512 PECOS PAC ID: 4486749876 Enrollment ID: I20100127000085 |
| Provider Name | Luke W Omohundro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235234469 PECOS PAC ID: 2769577154 Enrollment ID: I20100127000100 |
| Provider Name | Thomas G Hildner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174608210 PECOS PAC ID: 0941395339 Enrollment ID: I20100127000173 |
| Provider Name | Rebecca C Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770810814 PECOS PAC ID: 2961545454 Enrollment ID: I20100205000410 |
| Provider Name | Dennis P Ruggerie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336140276 PECOS PAC ID: 8426193533 Enrollment ID: I20100301000488 |
| Provider Name | Tory B Katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003805847 PECOS PAC ID: 0143357806 Enrollment ID: I20100428000986 |
| Provider Name | Sidney P Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649368044 PECOS PAC ID: 2961530878 Enrollment ID: I20100513001129 |
| Provider Name | Michael H Spinelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831345008 PECOS PAC ID: 7012032410 Enrollment ID: I20100908000816 |
| Provider Name | Richard E Popwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699721746 PECOS PAC ID: 4385678481 Enrollment ID: I20100923001326 |
| Provider Name | Steffan J May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194915397 PECOS PAC ID: 6709078348 Enrollment ID: I20101014000324 |
| Provider Name | Garth A Olds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164427928 PECOS PAC ID: 0345316121 Enrollment ID: I20101020000416 |
| Provider Name | Gregory H Pritham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730228735 PECOS PAC ID: 0648464933 Enrollment ID: I20101101000295 |
| Provider Name | Richard G Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174549877 PECOS PAC ID: 5395930820 Enrollment ID: I20101110000800 |
| Provider Name | Milissa A Priebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073820783 PECOS PAC ID: 2961698899 Enrollment ID: I20101118000197 |
| Provider Name | Michael C Maxwell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114926300 PECOS PAC ID: 3072547801 Enrollment ID: I20101220000390 |
| Provider Name | Scott D Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275633851 PECOS PAC ID: 2062403033 Enrollment ID: I20110127000203 |
| Provider Name | Leslie A Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639130560 PECOS PAC ID: 3678516416 Enrollment ID: I20110208000057 |
| Provider Name | Jeffrey A Tjaden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164583373 PECOS PAC ID: 5294915286 Enrollment ID: I20110208000797 |
| Provider Name | Whitney Pritham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386651347 PECOS PAC ID: 6204898158 Enrollment ID: I20110516000013 |
| Provider Name | Harry Brendan Kelleher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467644765 PECOS PAC ID: 9739248121 Enrollment ID: I20110608000243 |
| Provider Name | Saundra K Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548557960 PECOS PAC ID: 1951570936 Enrollment ID: I20110808000876 |
| Provider Name | Justin D Thomas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104002195 PECOS PAC ID: 4183894306 Enrollment ID: I20110825000788 |
| Provider Name | Tammy J Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407151574 PECOS PAC ID: 4688845704 Enrollment ID: I20110922000004 |
| Provider Name | Kimberly A Borke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154467801 PECOS PAC ID: 1850438698 Enrollment ID: I20111005000937 |
| Provider Name | Peter G Vondoersten |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619962990 PECOS PAC ID: 3173415817 Enrollment ID: I20111104000424 |
| Provider Name | John Mccahan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144319922 PECOS PAC ID: 5597762419 Enrollment ID: I20111201000599 |
| Provider Name | Roger G Santala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396828059 PECOS PAC ID: 5193787596 Enrollment ID: I20111219000490 |
| Provider Name | Kristen E Day |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689826141 PECOS PAC ID: 4284803263 Enrollment ID: I20120627000346 |
| Provider Name | Angelika Ostrowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902088545 PECOS PAC ID: 4981778842 Enrollment ID: I20120711000574 |
| Provider Name | Peder L Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245465210 PECOS PAC ID: 6406002294 Enrollment ID: I20120810000074 |
| Provider Name | David J Crites |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164457453 PECOS PAC ID: 3870678873 Enrollment ID: I20120910000768 |
| Provider Name | Nathanial J Madsen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609927607 PECOS PAC ID: 6406933720 Enrollment ID: I20121031000379 |
| Provider Name | Melissa Rae Reily |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003090481 PECOS PAC ID: 7517118276 Enrollment ID: I20121107000019 |
| Provider Name | Shauna K Werth Kronfuss |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265624209 PECOS PAC ID: 0446401053 Enrollment ID: I20121107000699 |
| Provider Name | Jessica A Hoge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235363573 PECOS PAC ID: 4981855590 Enrollment ID: I20121107000713 |
| Provider Name | Kenneth F May |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376695064 PECOS PAC ID: 0143488742 Enrollment ID: I20121110000112 |
| Provider Name | Cynthia R Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821013160 PECOS PAC ID: 8729181227 Enrollment ID: I20130121000239 |
| Provider Name | April Patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386887842 PECOS PAC ID: 2769636141 Enrollment ID: I20130212000446 |
| Provider Name | Amy Kathleen Mouat-hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215958921 PECOS PAC ID: 1052346731 Enrollment ID: I20130226000434 |
| Provider Name | Lisa A Murdoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144337940 PECOS PAC ID: 0749266278 Enrollment ID: I20130606000202 |
| Provider Name | Zachary S Sturges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992980353 PECOS PAC ID: 7416011267 Enrollment ID: I20130808000277 |
| Provider Name | Andrew B Gentry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922072560 PECOS PAC ID: 4789822206 Enrollment ID: I20131025001489 |
| Provider Name | Ronald G Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093726259 PECOS PAC ID: 0143259432 Enrollment ID: I20131031000602 |
| Provider Name | Kristi M Washburn-tolsma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932258647 PECOS PAC ID: 7012193394 Enrollment ID: I20131106001364 |
| Provider Name | Tiffany A Kuehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538241096 PECOS PAC ID: 7810988276 Enrollment ID: I20140114001839 |
| Provider Name | William J Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932409133 PECOS PAC ID: 4385823632 Enrollment ID: I20140320000656 |
| Provider Name | Justin N Bottsford-miller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1598986200 PECOS PAC ID: 0749446763 Enrollment ID: I20140730002817 |
| Provider Name | Jason C Marley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902032816 PECOS PAC ID: 8820247976 Enrollment ID: I20140731000057 |
| Provider Name | Stewart Chumbley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316351810 PECOS PAC ID: 4981823226 Enrollment ID: I20140918000113 |
| Provider Name | Christoffer A Spoja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003062076 PECOS PAC ID: 4183898281 Enrollment ID: I20140923000620 |
| Provider Name | Andrew K Sullivan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154412799 PECOS PAC ID: 0143294587 Enrollment ID: I20140925002457 |
| Provider Name | Lee R Perry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215347778 PECOS PAC ID: 9133341274 Enrollment ID: I20141105001526 |
| Provider Name | Christopher C Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609011881 PECOS PAC ID: 6305092552 Enrollment ID: I20141222002352 |
| Provider Name | James Osmanski |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1235275660 PECOS PAC ID: 3971519950 Enrollment ID: I20150119000715 |
| Provider Name | Alice Running |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962541359 PECOS PAC ID: 7113000456 Enrollment ID: I20150131000150 |
| Provider Name | Shauna L Bethel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770691842 PECOS PAC ID: 1850358987 Enrollment ID: I20150304000516 |
| Provider Name | Margaret B Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851569438 PECOS PAC ID: 4880667559 Enrollment ID: I20150318002468 |
| Provider Name | Hillary A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666258 PECOS PAC ID: 4688991235 Enrollment ID: I20150319002510 |
| Provider Name | Loreen L Pettit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417994328 PECOS PAC ID: 7810160652 Enrollment ID: I20150323001060 |
| Provider Name | Paul A Merguerian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700895000 PECOS PAC ID: 3577533470 Enrollment ID: I20150326001823 |
| Provider Name | Elizabeth A Stelz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073556676 PECOS PAC ID: 1052368909 Enrollment ID: I20150410000205 |
| Provider Name | Joshua P Holexa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740443407 PECOS PAC ID: 1456520907 Enrollment ID: I20150506000280 |
| Provider Name | Wendy H Gwinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063782563 PECOS PAC ID: 8022336759 Enrollment ID: I20150508001429 |
| Provider Name | Bjorn Sauerwein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457443251 PECOS PAC ID: 6608877733 Enrollment ID: I20150512001103 |
| Provider Name | Marilee M Simons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932352176 PECOS PAC ID: 4880858000 Enrollment ID: I20150618001711 |
| Provider Name | Charlene L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851640767 PECOS PAC ID: 8022329945 Enrollment ID: I20150618002762 |
| Provider Name | Mae Bixby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992061741 PECOS PAC ID: 9133359029 Enrollment ID: I20150709000844 |
| Provider Name | Leslie A Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225077464 PECOS PAC ID: 6204813314 Enrollment ID: I20150710000634 |
| Provider Name | Robert W Jensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164469698 PECOS PAC ID: 9133194004 Enrollment ID: I20150724012030 |
| Provider Name | Anne M Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346276888 PECOS PAC ID: 8527061712 Enrollment ID: I20150813012223 |
| Provider Name | Christopher E Rich |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770545485 PECOS PAC ID: 7618917006 Enrollment ID: I20150914001758 |
| Provider Name | Gyorgy Mundruczo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487621207 PECOS PAC ID: 9739196742 Enrollment ID: I20150921003198 |
| Provider Name | Meghan E Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518256866 PECOS PAC ID: 4385877810 Enrollment ID: I20150922000124 |
| Provider Name | Jonathan A Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326290180 PECOS PAC ID: 4486822277 Enrollment ID: I20150924000013 |
| Provider Name | Daniel S Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083980619 PECOS PAC ID: 5395061022 Enrollment ID: I20151005002996 |
| Provider Name | Jason F Skenazy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134449267 PECOS PAC ID: 7517276744 Enrollment ID: I20151028002854 |
| Provider Name | Brooke Cadwell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851762561 PECOS PAC ID: 1850692997 Enrollment ID: I20151215002222 |
| Provider Name | Robin Todd Hape |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639371818 PECOS PAC ID: 6305945700 Enrollment ID: I20160127002571 |
| Provider Name | Claire Anne Caitlin Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902279961 PECOS PAC ID: 9133423510 Enrollment ID: I20160204001486 |
| Provider Name | Dana Myers Sauerwein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417952615 PECOS PAC ID: 3577500719 Enrollment ID: I20160218000726 |
| Provider Name | Timothy J Strigenz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801991682 PECOS PAC ID: 8325220635 Enrollment ID: I20160421000594 |
| Provider Name | Hugh Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881774313 PECOS PAC ID: 5193740199 Enrollment ID: I20160428002375 |
| Provider Name | Bret M Birrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902069131 PECOS PAC ID: 6103806146 Enrollment ID: I20160429001365 |
| Provider Name | Brian G Rose |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093845513 PECOS PAC ID: 4385536697 Enrollment ID: I20160602000281 |
| Provider Name | Jayson Vincent Singson Lingan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326364902 PECOS PAC ID: 5395037097 Enrollment ID: I20160715000752 |
| Provider Name | Cody H Hood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336481464 PECOS PAC ID: 7810118577 Enrollment ID: I20160725000277 |
| Provider Name | Preston M Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922240621 PECOS PAC ID: 1557527447 Enrollment ID: I20160728001590 |
| Provider Name | Benjamin Joseph Ruffatto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285074526 PECOS PAC ID: 9335433440 Enrollment ID: I20160812000944 |
| Provider Name | Tia E Utzinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346636099 PECOS PAC ID: 6709171135 Enrollment ID: I20160824002937 |
| Provider Name | Timothy B Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255597084 PECOS PAC ID: 8820275449 Enrollment ID: I20160913002046 |
| Provider Name | Gwendolyn G Mccall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871537878 PECOS PAC ID: 5698728582 Enrollment ID: I20160923002001 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20170719000145 |
| Provider Name | Macgregor Woodward Brownlow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275952269 PECOS PAC ID: 9537387600 Enrollment ID: I20170824002239 |
| Provider Name | Mario John Pizzini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871868042 PECOS PAC ID: 6507167376 Enrollment ID: I20170829001460 |
| Provider Name | Jacob Ryan Opfer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790042331 PECOS PAC ID: 9133492846 Enrollment ID: I20170831001290 |
| Provider Name | Katie D'ardenne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730403502 PECOS PAC ID: 1153565155 Enrollment ID: I20170915001174 |
| Provider Name | Dorothy A Sizemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205248465 PECOS PAC ID: 1355660135 Enrollment ID: I20170915002036 |
| Provider Name | Kleanthis Dendrinos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861528457 PECOS PAC ID: 5294712709 Enrollment ID: I20170915003174 |
| Provider Name | Christopher R D'ardenne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467776021 PECOS PAC ID: 6507000403 Enrollment ID: I20170918001998 |
| Provider Name | John Gannon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861634289 PECOS PAC ID: 0648403741 Enrollment ID: I20171101003365 |
| Provider Name | Peter Walsh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255372736 PECOS PAC ID: 9537050596 Enrollment ID: I20171201000049 |
| Provider Name | Andrea Kate Lachniet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740739200 PECOS PAC ID: 3072891712 Enrollment ID: I20180319001839 |
| Provider Name | Sowmini Oomman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1043435068 PECOS PAC ID: 9234309071 Enrollment ID: I20180319002849 |
| Provider Name | Lynne A Foss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225024086 PECOS PAC ID: 7911210224 Enrollment ID: I20180620003322 |
| Provider Name | Breanne M Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760991020 PECOS PAC ID: 7618224890 Enrollment ID: I20180718003726 |
| Provider Name | Alice Carol Bremner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730574674 PECOS PAC ID: 0244546166 Enrollment ID: I20180723002828 |
| Provider Name | Karli Edholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508083122 PECOS PAC ID: 6709073323 Enrollment ID: I20180730001607 |
| Provider Name | Maria Christine Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437425626 PECOS PAC ID: 0547586604 Enrollment ID: I20181022001555 |
| Provider Name | Melissa Ann Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437131661 PECOS PAC ID: 7911003389 Enrollment ID: I20181113000300 |
| Provider Name | Laura E Stump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326483884 PECOS PAC ID: 3173756699 Enrollment ID: I20190104002487 |
| Provider Name | Jill Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891174546 PECOS PAC ID: 6204144629 Enrollment ID: I20190109000351 |
| Provider Name | Jessica Koscielski Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407333438 PECOS PAC ID: 2769720465 Enrollment ID: I20190205000443 |
| Provider Name | Byron E Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972563930 PECOS PAC ID: 9234227141 Enrollment ID: I20190219002541 |
| Provider Name | Louay Joseph Toni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215057765 PECOS PAC ID: 4789991787 Enrollment ID: I20190227001024 |
| Provider Name | Kelly Michele Euwema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942764873 PECOS PAC ID: 8325388655 Enrollment ID: I20190322000529 |
| Provider Name | Gregory Paul Lemense |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912904483 PECOS PAC ID: 0143370155 Enrollment ID: I20190326002622 |
| Provider Name | Stephanie Maughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356808356 PECOS PAC ID: 2668714510 Enrollment ID: I20190425001653 |
| Provider Name | Kristie L Bodnar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134194970 PECOS PAC ID: 4082680152 Enrollment ID: I20190531001871 |
| Provider Name | Renee A Frederickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528039930 PECOS PAC ID: 5698700508 Enrollment ID: I20190531001933 |
| Provider Name | Crystal Laree Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757247 PECOS PAC ID: 8426342569 Enrollment ID: I20190604003205 |
| Provider Name | Tyler G Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174816193 PECOS PAC ID: 8022259449 Enrollment ID: I20190614002193 |
| Provider Name | Matthew Niedzwiecki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174859284 PECOS PAC ID: 4183866981 Enrollment ID: I20190701001671 |
| Provider Name | Mary Bethany L Mcmaster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356704498 PECOS PAC ID: 2466745690 Enrollment ID: I20190712002162 |
| Provider Name | David Keith Lorance |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316366495 PECOS PAC ID: 6608178306 Enrollment ID: I20190731002730 |
| Provider Name | Kathryn D Bertany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215161427 PECOS PAC ID: 5193022135 Enrollment ID: I20190910001846 |
| Provider Name | William Y Childs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083648000 PECOS PAC ID: 1355395021 Enrollment ID: I20190926002481 |
| Provider Name | Crystal J Marx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770135782 PECOS PAC ID: 9335479732 Enrollment ID: I20190927001774 |
| Provider Name | Joanna Lynn Strub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891345732 PECOS PAC ID: 5193057347 Enrollment ID: I20191022000139 |
| Provider Name | Joseph C Fox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164867370 PECOS PAC ID: 4082960034 Enrollment ID: I20191024001352 |
| Provider Name | Clarissa M Lorance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063060143 PECOS PAC ID: 0749612018 Enrollment ID: I20191107002760 |
| Provider Name | Brian J Langford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568451151 PECOS PAC ID: 4284066317 Enrollment ID: I20191112000678 |
| Provider Name | Jentry De Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164920088 PECOS PAC ID: 7416380761 Enrollment ID: I20191127001839 |
| Provider Name | Emily Nichols Roskos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528441383 PECOS PAC ID: 1153636006 Enrollment ID: I20191206001227 |
| Provider Name | Caroline Whisman-blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326274770 PECOS PAC ID: 4284068792 Enrollment ID: I20191216001673 |
| Provider Name | Paige Lauren Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093363921 PECOS PAC ID: 1658705090 Enrollment ID: I20191218001243 |
| Provider Name | Shalina F Lingley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346667805 PECOS PAC ID: 8123344587 Enrollment ID: I20200210001248 |
| Provider Name | Amy J Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174935688 PECOS PAC ID: 1456675313 Enrollment ID: I20200227000573 |
| Provider Name | Niels R Harden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083819445 PECOS PAC ID: 3375606247 Enrollment ID: I20200317002037 |
| Provider Name | Waring Trible |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043206238 PECOS PAC ID: 6608854914 Enrollment ID: I20200320001268 |
| Provider Name | Claire A Nordeen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841533544 PECOS PAC ID: 7012203482 Enrollment ID: I20200413000190 |
| Provider Name | Charlotte L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538614946 PECOS PAC ID: 3971882507 Enrollment ID: I20200421001664 |
| Provider Name | Lauren M Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568082808 PECOS PAC ID: 2466882923 Enrollment ID: I20200423002193 |
| Provider Name | Steven Weindling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073625059 PECOS PAC ID: 7719930957 Enrollment ID: I20200501001393 |
| Provider Name | Shaina Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669567038 PECOS PAC ID: 7214033083 Enrollment ID: I20200612000523 |
| Provider Name | Lindsey Marie Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417332578 PECOS PAC ID: 5092095570 Enrollment ID: I20200616000374 |
| Provider Name | Katelyn Marie Luter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770923336 PECOS PAC ID: 4981839685 Enrollment ID: I20200616002794 |
| Provider Name | Gabriella M Torti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851826028 PECOS PAC ID: 1456783240 Enrollment ID: I20200618002607 |
| Provider Name | Samuel R Nave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043845142 PECOS PAC ID: 7214359355 Enrollment ID: I20200618002957 |
| Provider Name | Moriah Z Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639543846 PECOS PAC ID: 7911329487 Enrollment ID: I20200630000882 |
| Provider Name | Margaret B Hammersla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235157439 PECOS PAC ID: 7911907712 Enrollment ID: I20200714003747 |
| Provider Name | Deanna M Dykema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932470366 PECOS PAC ID: 1355651522 Enrollment ID: I20200727000617 |
| Provider Name | Amy Dawn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396362299 PECOS PAC ID: 2062837321 Enrollment ID: I20200803002761 |
| Provider Name | Anna Carl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811979909 PECOS PAC ID: 8123087749 Enrollment ID: I20200810002508 |
| Provider Name | Courtney K Regan Wagner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205092400 PECOS PAC ID: 3375764749 Enrollment ID: I20200923002717 |
| Provider Name | Stephanie H Oberfoell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477896074 PECOS PAC ID: 8628356862 Enrollment ID: I20201008002556 |
| Provider Name | Tiffani J Pimley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568956225 PECOS PAC ID: 6305266289 Enrollment ID: I20201015000823 |
| Provider Name | Kimberly J Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831463983 PECOS PAC ID: 1052672458 Enrollment ID: I20201105001469 |
| Provider Name | Nicole Bressler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669897856 PECOS PAC ID: 4486958923 Enrollment ID: I20201111000878 |
| Provider Name | Julie G Topping |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700823226 PECOS PAC ID: 4486624822 Enrollment ID: I20201111000906 |
| Provider Name | Shaina Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245541945 PECOS PAC ID: 2961712690 Enrollment ID: I20201120000644 |
| Provider Name | Lauren Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144823329 PECOS PAC ID: 3072924646 Enrollment ID: I20201203000820 |
| Provider Name | Anne Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578934014 PECOS PAC ID: 5799073953 Enrollment ID: I20210108002526 |
| Provider Name | Christopher A Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306289707 PECOS PAC ID: 9638453780 Enrollment ID: I20210128000369 |
| Provider Name | Kelly A Earle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104410745 PECOS PAC ID: 6305252420 Enrollment ID: I20210315001552 |
| Provider Name | Amy E Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396195384 PECOS PAC ID: 6800180951 Enrollment ID: I20210323002687 |
| Provider Name | Hillary Brenna Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346648649 PECOS PAC ID: 2769890375 Enrollment ID: I20210420002874 |
| Provider Name | Catherine C Branch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417334111 PECOS PAC ID: 6406264977 Enrollment ID: I20210421002976 |
| Provider Name | Catey Harwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285168237 PECOS PAC ID: 0244583052 Enrollment ID: I20210601002353 |
| Provider Name | Michele Morrison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710949516 PECOS PAC ID: 2567655640 Enrollment ID: I20210630001960 |
| Provider Name | Jason E Sarisky |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1083102255 PECOS PAC ID: 2365799392 Enrollment ID: I20210708001627 |
| Provider Name | Joy Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285287680 PECOS PAC ID: 8325440076 Enrollment ID: I20210716002640 |
| Provider Name | Amy Oliver Stetson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891361549 PECOS PAC ID: 6507269677 Enrollment ID: I20210727002357 |
| Provider Name | Anna Hamzehpour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952075343 PECOS PAC ID: 5496150112 Enrollment ID: I20210818002987 |
| Provider Name | Robert Lindsay Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659427243 PECOS PAC ID: 5991877284 Enrollment ID: I20210820002837 |
| Provider Name | Alaina Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316364276 PECOS PAC ID: 4284928912 Enrollment ID: I20210824000769 |
| Provider Name | Carlos Ortiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306041116 PECOS PAC ID: 2163515651 Enrollment ID: I20210825001713 |
| Provider Name | Esther Y Nickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164068268 PECOS PAC ID: 3375965254 Enrollment ID: I20210902001900 |
| Provider Name | Melissa Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003581489 PECOS PAC ID: 4981000437 Enrollment ID: I20210908002059 |
| Provider Name | Mara Zello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619640091 PECOS PAC ID: 9638575046 Enrollment ID: I20210910001047 |
| Provider Name | Meghan A Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376210328 PECOS PAC ID: 1153728456 Enrollment ID: I20210929003010 |
| Provider Name | Hugh Emmett Wright |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932547734 PECOS PAC ID: 9931426285 Enrollment ID: I20211015001344 |
| Provider Name | Jordan Marie Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052619 PECOS PAC ID: 4183022429 Enrollment ID: I20211018001050 |
| Provider Name | Cody H Pendergrass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700279262 PECOS PAC ID: 9739577644 Enrollment ID: I20211026002765 |
| Provider Name | Khaled Ahmed Rikabi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851375489 PECOS PAC ID: 4284895905 Enrollment ID: I20211207000977 |
| Provider Name | James Pulju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194757823 PECOS PAC ID: 6305831033 Enrollment ID: I20220125001644 |
| Provider Name | Mark Hancock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003954637 PECOS PAC ID: 7810934544 Enrollment ID: I20220126001638 |
| Provider Name | Eleonor Quan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770502254 PECOS PAC ID: 9739174814 Enrollment ID: I20220204001819 |
| Provider Name | Mark Okonski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952393209 PECOS PAC ID: 5092751800 Enrollment ID: I20220214000584 |
| Provider Name | Tina D States |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952315046 PECOS PAC ID: 0547657090 Enrollment ID: I20220502000347 |
| Provider Name | Rodolfo Soca |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427288323 PECOS PAC ID: 9133344781 Enrollment ID: I20220504001556 |
| Provider Name | Stephanie Starr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043299233 PECOS PAC ID: 4880729516 Enrollment ID: I20220510001306 |
| Provider Name | Dallas Arnold Estey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225251259 PECOS PAC ID: 0749667111 Enrollment ID: I20220524003313 |
| Provider Name | Juliana Bennison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679951396 PECOS PAC ID: 1355695206 Enrollment ID: I20220528000208 |
| Provider Name | Alexander Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023407806 PECOS PAC ID: 5799078622 Enrollment ID: I20220621001609 |
| Provider Name | Anna Rudolphi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467872358 PECOS PAC ID: 7517263650 Enrollment ID: I20220627000914 |
| Provider Name | Marcia Voigt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144726522 PECOS PAC ID: 8527315464 Enrollment ID: I20220725001297 |
| Provider Name | James Fair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881984326 PECOS PAC ID: 7911139746 Enrollment ID: I20220726001461 |
| Provider Name | Matthew M Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437449337 PECOS PAC ID: 5496976482 Enrollment ID: I20220801001501 |
| Provider Name | Amanda Kull |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497287775 PECOS PAC ID: 0244583557 Enrollment ID: I20220802000055 |
| Provider Name | Samuel G Wittekind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316262710 PECOS PAC ID: 7911133640 Enrollment ID: I20220802001665 |
| Provider Name | Peter Kurt Bulger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295157642 PECOS PAC ID: 1850603739 Enrollment ID: I20220803001871 |
| Provider Name | Stephanie Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306135785 PECOS PAC ID: 5496974867 Enrollment ID: I20220809001025 |
| Provider Name | Janet Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124327762 PECOS PAC ID: 8729208749 Enrollment ID: I20220817000426 |
| Provider Name | Alexander Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730683335 PECOS PAC ID: 1759780521 Enrollment ID: I20220829002841 |
| Provider Name | Paul Visscher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699193359 PECOS PAC ID: 8527384569 Enrollment ID: I20220914001866 |
| Provider Name | Dhimant R Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851330120 PECOS PAC ID: 7810914397 Enrollment ID: I20221010002234 |
| Provider Name | Jennifer Anne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326766833 PECOS PAC ID: 3375929615 Enrollment ID: I20221010002750 |
| Provider Name | Daniel Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902302698 PECOS PAC ID: 1254689003 Enrollment ID: I20221013000172 |
| Provider Name | Melissa Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902300486 PECOS PAC ID: 7214336452 Enrollment ID: I20221018002467 |
| Provider Name | Alicia Kelso |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689042251 PECOS PAC ID: 3274838123 Enrollment ID: I20221021002640 |
| Provider Name | Robert Redwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639457740 PECOS PAC ID: 7416181508 Enrollment ID: I20221115002066 |
| Provider Name | Lauren Prest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881012235 PECOS PAC ID: 3971804147 Enrollment ID: I20221215001307 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538689609 PECOS PAC ID: 1557769064 Enrollment ID: I20230106002460 |
| Provider Name | Casey R Mcgowan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417489659 PECOS PAC ID: 6608111620 Enrollment ID: I20230113001298 |
| Provider Name | Emily G Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518381417 PECOS PAC ID: 1355698531 Enrollment ID: I20230119002892 |
| Provider Name | Khoa Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20230123000903 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20230126002454 |
| Provider Name | Andrew Herman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003260217 PECOS PAC ID: 5092193755 Enrollment ID: I20230206002915 |
| Provider Name | Kendra E Fajardo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649919721 PECOS PAC ID: 5991170094 Enrollment ID: I20230403001234 |
| Provider Name | Larissa Chism-buggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952460933 PECOS PAC ID: 2769579069 Enrollment ID: I20230420001620 |
| Provider Name | Benedict Painter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154314839 PECOS PAC ID: 6305831769 Enrollment ID: I20230519001904 |
| Provider Name | William Conkright |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316998362 PECOS PAC ID: 4082602396 Enrollment ID: I20230621002684 |
| Provider Name | Jacob M Breeding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891733366 PECOS PAC ID: 7517960222 Enrollment ID: I20230711001396 |
| Provider Name | Sean Michael Bell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528593225 PECOS PAC ID: 2860760816 Enrollment ID: I20230719001183 |
| Provider Name | Kara Mirski Schenk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588904346 PECOS PAC ID: 7810216173 Enrollment ID: I20230725003806 |
| Provider Name | Anna Jovanovich |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164697017 PECOS PAC ID: 3274796941 Enrollment ID: I20230727002400 |
| Provider Name | Amanda Rizner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619502309 PECOS PAC ID: 3274963251 Enrollment ID: I20230804002966 |
| Provider Name | Maryam Nouhi Arbatani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255748182 PECOS PAC ID: 3779851530 Enrollment ID: I20230808000297 |
| Provider Name | Elizabeth A Mcclure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881121606 PECOS PAC ID: 5395016406 Enrollment ID: I20230811002755 |
| Provider Name | Benjamin P Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497929368 PECOS PAC ID: 7810153319 Enrollment ID: I20230829003843 |
| Provider Name | Robert Joseph Mcmickle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114489473 PECOS PAC ID: 3678937828 Enrollment ID: I20230907000191 |
| Provider Name | Marina Mudd Sprague |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780144469 PECOS PAC ID: 6608230859 Enrollment ID: I20230907000424 |
| Provider Name | Daniel Hyman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922493675 PECOS PAC ID: 8123454337 Enrollment ID: I20230908000715 |
| Provider Name | Logan Wilz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982264008 PECOS PAC ID: 7315273976 Enrollment ID: I20230913001405 |
| Provider Name | Alexa Rodin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851826820 PECOS PAC ID: 1850669763 Enrollment ID: I20230914000792 |
| Provider Name | Mysha Mason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316213887 PECOS PAC ID: 1052546819 Enrollment ID: I20230915001065 |
| Provider Name | Guru Khalsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104010818 PECOS PAC ID: 5991997587 Enrollment ID: I20230925001768 |
| Provider Name | Shannyn Dewey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083121180 PECOS PAC ID: 2365705290 Enrollment ID: I20231027002904 |
| Provider Name | Matthew E Bain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225052798 PECOS PAC ID: 0941258297 Enrollment ID: I20231130001882 |
| Provider Name | Nicole Oberfoell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083141683 PECOS PAC ID: 5597035089 Enrollment ID: I20231206003325 |
| Provider Name | Erin Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114679933 PECOS PAC ID: 3476904061 Enrollment ID: I20240108005398 |
| Provider Name | Guy Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629175195 PECOS PAC ID: 0648250605 Enrollment ID: I20240125003395 |
| Provider Name | Adeola Adelayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996907 PECOS PAC ID: 1557322641 Enrollment ID: I20240208003972 |
| Provider Name | Tiffany White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053846139 PECOS PAC ID: 4486087301 Enrollment ID: I20240208004118 |
| Provider Name | Ryan Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285429 PECOS PAC ID: 9032567078 Enrollment ID: I20240208004545 |
| Provider Name | Tokunbo L Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422274 PECOS PAC ID: 3173763661 Enrollment ID: I20240209000912 |
| Provider Name | Kara A Combs |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225504624 PECOS PAC ID: 7214370832 Enrollment ID: I20240209002787 |
| Provider Name | Danielle Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255856464 PECOS PAC ID: 5799045878 Enrollment ID: I20240212000817 |
| Provider Name | Michael Ronald Kurz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538891080 PECOS PAC ID: 5799120788 Enrollment ID: I20240229002070 |
| Provider Name | Kodjovi D Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20240306003543 |
| Provider Name | Catalina Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255563268 PECOS PAC ID: 2860538691 Enrollment ID: I20240307003044 |
| Provider Name | Pauravi Rana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801010194 PECOS PAC ID: 7113279225 Enrollment ID: I20240311000001 |
| Provider Name | Nicole Morin Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750077608 PECOS PAC ID: 3476999509 Enrollment ID: I20240312002629 |
| Provider Name | James Ragland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417068420 PECOS PAC ID: 9638104326 Enrollment ID: I20240326004170 |
| Provider Name | Victoria English Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548702913 PECOS PAC ID: 6901151125 Enrollment ID: I20240402002830 |
| Provider Name | Paulette Ginsburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669698494 PECOS PAC ID: 0547152092 Enrollment ID: I20240411001822 |
| Provider Name | Emily Pharr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104009745 PECOS PAC ID: 4486787231 Enrollment ID: I20240415003737 |
| Provider Name | Dajonitta L Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265896195 PECOS PAC ID: 1052745106 Enrollment ID: I20240418004383 |
| Provider Name | Megan Ringle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508271990 PECOS PAC ID: 3577912724 Enrollment ID: I20240513001501 |
| Provider Name | Hillary Waldeisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770235756 PECOS PAC ID: 2466893169 Enrollment ID: I20240513001904 |
| Provider Name | Fraser Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770349219 PECOS PAC ID: 5092252767 Enrollment ID: I20240731002338 |
| Provider Name | Vaani Jegapragasan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295950756 PECOS PAC ID: 7012175672 Enrollment ID: I20240814003456 |
| Provider Name | Eric Noel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194352922 PECOS PAC ID: 9537543244 Enrollment ID: I20240828001541 |
| Provider Name | Morgan Blake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841872512 PECOS PAC ID: 3476092974 Enrollment ID: I20240828003228 |
| Provider Name | Landon Van Dell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609329325 PECOS PAC ID: 6901132505 Enrollment ID: I20240910001573 |
| Provider Name | Jenny Combs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497383210 PECOS PAC ID: 3971043506 Enrollment ID: I20240910004001 |
| Provider Name | Lindsey Ann Hurley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710755525 PECOS PAC ID: 5799225116 Enrollment ID: I20240911003060 |
| Provider Name | Olivia Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053164798 PECOS PAC ID: 4284175274 Enrollment ID: I20240918000112 |
| Provider Name | Ross Wiedemann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437713385 PECOS PAC ID: 4880920198 Enrollment ID: I20240919001106 |
| Provider Name | Katelyn Ann Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942834726 PECOS PAC ID: 1153852991 Enrollment ID: I20241003000984 |
| Provider Name | Andrew Stephen Goldberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184623936 PECOS PAC ID: 3870481146 Enrollment ID: I20241018003514 |
| Provider Name | William J Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396189791 PECOS PAC ID: 5092004788 Enrollment ID: I20241122003183 |
| Provider Name | Carrie Gaffney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215785035 PECOS PAC ID: 5193250132 Enrollment ID: I20241127000956 |
| Provider Name | Kondal Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20241204001840 |
| Provider Name | Jamie Lynn Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841972981 PECOS PAC ID: 5294261798 Enrollment ID: I20241206002863 |
| Provider Name | Shaun C Scissom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750848214 PECOS PAC ID: 4688100183 Enrollment ID: I20241206003112 |
| Provider Name | Robert Michael Rock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073635157 PECOS PAC ID: 5294103149 Enrollment ID: I20241210003085 |
| Provider Name | Jenny Marie Weigum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942577812 PECOS PAC ID: 1850827825 Enrollment ID: I20241213001732 |
| Provider Name | Ian William Udell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396065223 PECOS PAC ID: 5193940666 Enrollment ID: I20241213003127 |
| Provider Name | Michael Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740259001 PECOS PAC ID: 7012953276 Enrollment ID: I20241218001653 |
| Provider Name | Courtney Nicole Skeahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821794017 PECOS PAC ID: 2466989504 Enrollment ID: I20241231001340 |
| Provider Name | Vincenzo Biagio Polsinelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760973580 PECOS PAC ID: 8022410117 Enrollment ID: I20241231002613 |
| Provider Name | Zachary Leighton Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811525066 PECOS PAC ID: 2961896857 Enrollment ID: I20250130003466 |
| Provider Name | Hillary Elder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710796339 PECOS PAC ID: 1153850375 Enrollment ID: I20250131002782 |
| Provider Name | Luca Brunelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790726412 PECOS PAC ID: 3577552389 Enrollment ID: I20250207003435 |
| Provider Name | Bhanu Paturi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033318555 PECOS PAC ID: 6204082878 Enrollment ID: I20250211000904 |
| Provider Name | Olaniyi Osofisan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447333554 PECOS PAC ID: 9638156664 Enrollment ID: I20250227000415 |
| Provider Name | Kevin Saiki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215391990 PECOS PAC ID: 0648561720 Enrollment ID: I20250305004184 |
| Provider Name | Tiffany Tryniszewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467831255 PECOS PAC ID: 4688910078 Enrollment ID: I20250313000830 |
| Provider Name | Nadia Valeska Halstead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235661869 PECOS PAC ID: 9234407883 Enrollment ID: I20250326003190 |
| Provider Name | Rossana Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790728467 PECOS PAC ID: 9133307390 Enrollment ID: I20250609003140 |
| Provider Name | Richard Lesperance |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194927228 PECOS PAC ID: 4284881459 Enrollment ID: I20250612001801 |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Health Deaconess Hospital 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (406) 414-5000 | Bozeman Health Deaconess Hospital 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (406) 414-5000 |