| Mcr Health, Inc. | |
|
12271 Us Highway 301 N, Parrish, FL 34219-8410 | |
| (941) 776-4050 | |
| (941) 776-4057 |
| Full Name | Mcr Health, Inc. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12271 Us Highway 301 N, Parrish, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255376000 | NPI | - | NPPES |
| 029561200 | Medicaid | FL |
| Provider Name | Michael L Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265434542 PECOS PAC ID: 2062306418 Enrollment ID: I20040209000576 |
| Provider Name | Jeffrey B Greenbarg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942249461 PECOS PAC ID: 5193718799 Enrollment ID: I20040407001690 |
| Provider Name | Michael Haghighi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770508707 PECOS PAC ID: 8325032238 Enrollment ID: I20040413001287 |
| Provider Name | Victor G Ghobrial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194728279 PECOS PAC ID: 3375537186 Enrollment ID: I20040414000165 |
| Provider Name | Francisco Sosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376512657 PECOS PAC ID: 2365432952 Enrollment ID: I20040515000079 |
| Provider Name | Mahendrakumar A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124178975 PECOS PAC ID: 9436149069 Enrollment ID: I20040515000363 |
| Provider Name | James N Horst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235154089 PECOS PAC ID: 8426031337 Enrollment ID: I20040611000041 |
| Provider Name | Rajivi Rucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194721522 PECOS PAC ID: 0648256792 Enrollment ID: I20040701000867 |
| Provider Name | James Donald Demaio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154322717 PECOS PAC ID: 1254319080 Enrollment ID: I20040709000044 |
| Provider Name | Donald W Reimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245346071 PECOS PAC ID: 7315913217 Enrollment ID: I20040902000424 |
| Provider Name | Wanda J Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245252782 PECOS PAC ID: 7113993437 Enrollment ID: I20040908001065 |
| Provider Name | Jane A Dacri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740378322 PECOS PAC ID: 1951377944 Enrollment ID: I20040910000058 |
| Provider Name | Ann Marie L. Janus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972589281 PECOS PAC ID: 4284601246 Enrollment ID: I20040910000686 |
| Provider Name | Farid Chekaoui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326056813 PECOS PAC ID: 2466344437 Enrollment ID: I20040922000408 |
| Provider Name | Lisa M Gonzalez Abello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124094339 PECOS PAC ID: 1254300957 Enrollment ID: I20040929000805 |
| Provider Name | Srinivas Yerneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871552570 PECOS PAC ID: 9739074923 Enrollment ID: I20041007000515 |
| Provider Name | Douglas A Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356347520 PECOS PAC ID: 2264491844 Enrollment ID: I20041008000362 |
| Provider Name | April Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629043864 PECOS PAC ID: 8729040456 Enrollment ID: I20041103001000 |
| Provider Name | Ileana Bascuas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174624589 PECOS PAC ID: 5890759096 Enrollment ID: I20041117000614 |
| Provider Name | Carmen I Tozzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104915313 PECOS PAC ID: 5799749883 Enrollment ID: I20041118000172 |
| Provider Name | Daniel Francis Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578515912 PECOS PAC ID: 0941265516 Enrollment ID: I20041123000256 |
| Provider Name | Francisco A Estevez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942397690 PECOS PAC ID: 2466423926 Enrollment ID: I20041215000663 |
| Provider Name | Carlos I Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831187053 PECOS PAC ID: 7911965413 Enrollment ID: I20041231000018 |
| Provider Name | Dimitrios Hatzivlassiou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992769400 PECOS PAC ID: 3779531843 Enrollment ID: I20050105000485 |
| Provider Name | Stephen L Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447282025 PECOS PAC ID: 8022067578 Enrollment ID: I20050121000543 |
| Provider Name | Donna E Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497757926 PECOS PAC ID: 9830149418 Enrollment ID: I20050201000196 |
| Provider Name | Victor J Genchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497820070 PECOS PAC ID: 9335191626 Enrollment ID: I20050215000571 |
| Provider Name | Joseph Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255309340 PECOS PAC ID: 5799739553 Enrollment ID: I20050304000496 |
| Provider Name | Randall C Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356335111 PECOS PAC ID: 7911967682 Enrollment ID: I20050323000229 |
| Provider Name | James J Rooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922053594 PECOS PAC ID: 6103867858 Enrollment ID: I20050512000839 |
| Provider Name | Leslie Decou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427026764 PECOS PAC ID: 2365483021 Enrollment ID: I20050512000953 |
| Provider Name | Manuel F Gallego |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508816752 PECOS PAC ID: 0446292494 Enrollment ID: I20050531000816 |
| Provider Name | Michelle Antoinette Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659336634 PECOS PAC ID: 7416992128 Enrollment ID: I20050623000126 |
| Provider Name | Steven M Page |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467415596 PECOS PAC ID: 3072549088 Enrollment ID: I20050712000180 |
| Provider Name | Elizabeth H Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760496129 PECOS PAC ID: 9436187853 Enrollment ID: I20050727001035 |
| Provider Name | Luis A Urrutia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508849829 PECOS PAC ID: 8628007093 Enrollment ID: I20050805000490 |
| Provider Name | Angelo M Fernandes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316980071 PECOS PAC ID: 8729017041 Enrollment ID: I20050808000417 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20050810000396 |
| Provider Name | Daniel E Rieders |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114927449 PECOS PAC ID: 0042243214 Enrollment ID: I20050917000045 |
| Provider Name | Thomas E Uttley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619929353 PECOS PAC ID: 5496658049 Enrollment ID: I20050917000116 |
| Provider Name | Pratibha Kirit Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861488454 PECOS PAC ID: 3072538149 Enrollment ID: I20051007000277 |
| Provider Name | Diane K Brantley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366451874 PECOS PAC ID: 8123043288 Enrollment ID: I20051008000016 |
| Provider Name | Elizabeth A Handte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144293168 PECOS PAC ID: 3476572413 Enrollment ID: I20051118000182 |
| Provider Name | Fidel A Ventura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578513594 PECOS PAC ID: 6709826324 Enrollment ID: I20060104000955 |
| Provider Name | Rafael J Calzadilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457448102 PECOS PAC ID: 6901877463 Enrollment ID: I20060130000230 |
| Provider Name | Antonio J Larranaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073575320 PECOS PAC ID: 4082621339 Enrollment ID: I20060313000289 |
| Provider Name | Neta Strum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770552580 PECOS PAC ID: 6507877552 Enrollment ID: I20060505000543 |
| Provider Name | Sandra Kay Simpson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316985518 PECOS PAC ID: 4789695743 Enrollment ID: I20060505000552 |
| Provider Name | Jacqueline Arriola Gomogda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770551632 PECOS PAC ID: 0244241107 Enrollment ID: I20060508000382 |
| Provider Name | Richard Kuehne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801847504 PECOS PAC ID: 7911918412 Enrollment ID: I20060517000025 |
| Provider Name | Leila T Charlemangne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134177330 PECOS PAC ID: 8729099932 Enrollment ID: I20060612000042 |
| Provider Name | Christopher J Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336138536 PECOS PAC ID: 4082651757 Enrollment ID: I20060808000016 |
| Provider Name | Lonny C Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154319655 PECOS PAC ID: 5395758858 Enrollment ID: I20060822000186 |
| Provider Name | Jennifer H Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083602544 PECOS PAC ID: 1355345117 Enrollment ID: I20060908000414 |
| Provider Name | Janet L Helfand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609811694 PECOS PAC ID: 0345246120 Enrollment ID: I20061019000021 |
| Provider Name | Theodore J Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316975691 PECOS PAC ID: 6709874399 Enrollment ID: I20070117000082 |
| Provider Name | Michael M Speisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205856978 PECOS PAC ID: 2961404736 Enrollment ID: I20070207000291 |
| Provider Name | Erik A Levy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205861101 PECOS PAC ID: 6507969979 Enrollment ID: I20070306000292 |
| Provider Name | Mark A Manuel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447339783 PECOS PAC ID: 2567433790 Enrollment ID: I20070719000629 |
| Provider Name | Taha Dias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013089028 PECOS PAC ID: 5597866293 Enrollment ID: I20070725000305 |
| Provider Name | James Donner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710919105 PECOS PAC ID: 7214029297 Enrollment ID: I20070822000828 |
| Provider Name | Karmon Sears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417024290 PECOS PAC ID: 3072521400 Enrollment ID: I20071004000781 |
| Provider Name | Andrea Suplick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912190497 PECOS PAC ID: 4880781277 Enrollment ID: I20071101000297 |
| Provider Name | Richard J Sassatelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083769897 PECOS PAC ID: 5698862894 Enrollment ID: I20071105000516 |
| Provider Name | Tina L Gulli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174688931 PECOS PAC ID: 7315035193 Enrollment ID: I20071112000456 |
| Provider Name | Leslie L Case |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215126776 PECOS PAC ID: 6002905593 Enrollment ID: I20071207000122 |
| Provider Name | Brendon Connolly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144306572 PECOS PAC ID: 9830286004 Enrollment ID: I20071231000218 |
| Provider Name | James Webb Cole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093868127 PECOS PAC ID: 9739260076 Enrollment ID: I20080114000051 |
| Provider Name | Pamela Kay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700077716 PECOS PAC ID: 2668555889 Enrollment ID: I20080212000204 |
| Provider Name | Elena Dolskaya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881607208 PECOS PAC ID: 9931134715 Enrollment ID: I20080409000322 |
| Provider Name | Lavinia Suciu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427059922 PECOS PAC ID: 7315026044 Enrollment ID: I20080507000221 |
| Provider Name | Michael J Warner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124242367 PECOS PAC ID: 9234209503 Enrollment ID: I20080529000800 |
| Provider Name | Karen A Castellano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275725749 PECOS PAC ID: 1850464769 Enrollment ID: I20080724000577 |
| Provider Name | Daniel A Patz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558548081 PECOS PAC ID: 7719052240 Enrollment ID: I20080820000280 |
| Provider Name | Lisa Cicetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316102114 PECOS PAC ID: 0446328512 Enrollment ID: I20081003000177 |
| Provider Name | Estafan Ns Farag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740320050 PECOS PAC ID: 6406924430 Enrollment ID: I20081003000684 |
| Provider Name | Kimberly R Giuliani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215918099 PECOS PAC ID: 3971661695 Enrollment ID: I20081024000440 |
| Provider Name | Laura J Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801056742 PECOS PAC ID: 9032279831 Enrollment ID: I20081124000782 |
| Provider Name | Pamela L Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003072349 PECOS PAC ID: 1052476975 Enrollment ID: I20090210000246 |
| Provider Name | Shayne N Moyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407032030 PECOS PAC ID: 7214092022 Enrollment ID: I20090211000383 |
| Provider Name | Manoj Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215139498 PECOS PAC ID: 0345305603 Enrollment ID: I20090220000011 |
| Provider Name | Riz J Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194735837 PECOS PAC ID: 5597820803 Enrollment ID: I20090220000441 |
| Provider Name | Arthur E Betancourt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275540783 PECOS PAC ID: 8123185618 Enrollment ID: I20090327000360 |
| Provider Name | Narinder Trehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215932249 PECOS PAC ID: 7911064258 Enrollment ID: I20090331000555 |
| Provider Name | Mark Clay Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619998416 PECOS PAC ID: 3678620614 Enrollment ID: I20090409000201 |
| Provider Name | Cary L Dunn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639163298 PECOS PAC ID: 2860478153 Enrollment ID: I20090427000594 |
| Provider Name | Isaac E Trelles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538152228 PECOS PAC ID: 5395894422 Enrollment ID: I20090520000578 |
| Provider Name | Rachael V Burnetsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245471002 PECOS PAC ID: 5092864744 Enrollment ID: I20090528000591 |
| Provider Name | Lesley H Hulett-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407899008 PECOS PAC ID: 2163484460 Enrollment ID: I20090605000375 |
| Provider Name | Bonni S Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881830982 PECOS PAC ID: 1254483902 Enrollment ID: I20090710000383 |
| Provider Name | Cathryn E Vanbrackle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760686422 PECOS PAC ID: 3173675410 Enrollment ID: I20090716000428 |
| Provider Name | Miguel A Espinal Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679740930 PECOS PAC ID: 2567515703 Enrollment ID: I20090805000343 |
| Provider Name | Gabriel L Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962603340 PECOS PAC ID: 3870649312 Enrollment ID: I20090924000183 |
| Provider Name | Naveen Acharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891893863 PECOS PAC ID: 0547268641 Enrollment ID: I20091016000466 |
| Provider Name | Stephanie L Burrows |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063525608 PECOS PAC ID: 5193794378 Enrollment ID: I20091019000294 |
| Provider Name | Andrew P Villamagna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578510889 PECOS PAC ID: 6002900545 Enrollment ID: I20100215000095 |
| Provider Name | Bassam Altajar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013945815 PECOS PAC ID: 1456495399 Enrollment ID: I20100216000799 |
| Provider Name | Melvin B Price |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841267424 PECOS PAC ID: 6901941020 Enrollment ID: I20100301000560 |
| Provider Name | Rebecca L Bowden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982671624 PECOS PAC ID: 4284769738 Enrollment ID: I20100323000187 |
| Provider Name | Avani K Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902873128 PECOS PAC ID: 7911032479 Enrollment ID: I20100323000302 |
| Provider Name | Reginald A Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063489565 PECOS PAC ID: 5092841122 Enrollment ID: I20100329000509 |
| Provider Name | Aaron W Guthrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144361494 PECOS PAC ID: 2961538848 Enrollment ID: I20100330000966 |
| Provider Name | Wilfredo Rivera-ortiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629045216 PECOS PAC ID: 1456487297 Enrollment ID: I20100331000176 |
| Provider Name | Carlos Vazquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942279971 PECOS PAC ID: 4486780947 Enrollment ID: I20100413000131 |
| Provider Name | Joseph N Pace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205823838 PECOS PAC ID: 6800923509 Enrollment ID: I20100429000503 |
| Provider Name | Teresita Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003974056 PECOS PAC ID: 5496883910 Enrollment ID: I20100504000595 |
| Provider Name | Emily C Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497779243 PECOS PAC ID: 3072404367 Enrollment ID: I20100526000374 |
| Provider Name | Kenneth Joseph Urban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609884899 PECOS PAC ID: 3971635848 Enrollment ID: I20100713000687 |
| Provider Name | Joseph Brannen Ganey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528071248 PECOS PAC ID: 7012987332 Enrollment ID: I20100719000225 |
| Provider Name | Thomas Harris Ganey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619980331 PECOS PAC ID: 7911039557 Enrollment ID: I20100719000234 |
| Provider Name | Ashwinkumar R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801844071 PECOS PAC ID: 7416071741 Enrollment ID: I20100824000399 |
| Provider Name | Robert Klukoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104130335 PECOS PAC ID: 2062536691 Enrollment ID: I20100902000621 |
| Provider Name | Robert Alan Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902134380 PECOS PAC ID: 9537284583 Enrollment ID: I20100914000487 |
| Provider Name | Christine C Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770517450 PECOS PAC ID: 9133244858 Enrollment ID: I20100917000179 |
| Provider Name | Sherrie A Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285947606 PECOS PAC ID: 2163615790 Enrollment ID: I20101015000025 |
| Provider Name | Mabel Z Echeandia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063565471 PECOS PAC ID: 0244424026 Enrollment ID: I20101105000417 |
| Provider Name | Jack C Jawitz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316934714 PECOS PAC ID: 4486849858 Enrollment ID: I20101110001425 |
| Provider Name | Deborah L Cuadra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831203249 PECOS PAC ID: 5092994616 Enrollment ID: I20110127000724 |
| Provider Name | Denise M Guevara |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356644264 PECOS PAC ID: 7315129970 Enrollment ID: I20110303000539 |
| Provider Name | Babette Merchand Pachence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417034810 PECOS PAC ID: 3375645187 Enrollment ID: I20110329000138 |
| Provider Name | Ana L Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477686947 PECOS PAC ID: 7113100199 Enrollment ID: I20110329000595 |
| Provider Name | Stephanie M Lockett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629032073 PECOS PAC ID: 5991799173 Enrollment ID: I20110401000617 |
| Provider Name | Delwin Lee Pitzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619061595 PECOS PAC ID: 4385637404 Enrollment ID: I20110628000882 |
| Provider Name | Susan M Lloyd-merrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932357993 PECOS PAC ID: 9133268204 Enrollment ID: I20110823000878 |
| Provider Name | April Marie Felton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871827279 PECOS PAC ID: 0840460820 Enrollment ID: I20110830000577 |
| Provider Name | Rafat S Nashed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902877830 PECOS PAC ID: 9234204702 Enrollment ID: I20110929000546 |
| Provider Name | Tracey Nicole Waite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053507020 PECOS PAC ID: 1557533767 Enrollment ID: I20111012000670 |
| Provider Name | Mohammad Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285940452 PECOS PAC ID: 9931395209 Enrollment ID: I20111020000580 |
| Provider Name | John B Hodgens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710106521 PECOS PAC ID: 0446423180 Enrollment ID: I20111025000824 |
| Provider Name | Cathy Jean Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447229471 PECOS PAC ID: 4587838370 Enrollment ID: I20111111000673 |
| Provider Name | Douglas Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770671323 PECOS PAC ID: 0244404580 Enrollment ID: I20111122000625 |
| Provider Name | Jose A Prieto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376573782 PECOS PAC ID: 2062686041 Enrollment ID: I20111201000423 |
| Provider Name | Karen A Raimer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851320543 PECOS PAC ID: 1153596465 Enrollment ID: I20111215000460 |
| Provider Name | Kena R Watkins-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912159666 PECOS PAC ID: 9436316908 Enrollment ID: I20120210000681 |
| Provider Name | Beverly Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699048157 PECOS PAC ID: 7719147271 Enrollment ID: I20120321000448 |
| Provider Name | Tiffany Schiffner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316228950 PECOS PAC ID: 9931369113 Enrollment ID: I20120326000523 |
| Provider Name | Christine Marie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568748879 PECOS PAC ID: 1355502915 Enrollment ID: I20120409000625 |
| Provider Name | Ana L Hernandez Santiago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043305634 PECOS PAC ID: 8729249891 Enrollment ID: I20120417000395 |
| Provider Name | Melissa R Fogel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558670679 PECOS PAC ID: 4981892189 Enrollment ID: I20120510000198 |
| Provider Name | Tamera D Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578036 PECOS PAC ID: 1557524394 Enrollment ID: I20120515000440 |
| Provider Name | Teresa R Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841566585 PECOS PAC ID: 6002079779 Enrollment ID: I20120516000142 |
| Provider Name | Cynthia L Quinton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770850588 PECOS PAC ID: 2365606852 Enrollment ID: I20120613000442 |
| Provider Name | Kimberly S Harbison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033478664 PECOS PAC ID: 1759545163 Enrollment ID: I20120615000200 |
| Provider Name | Beverly Jean-jacques |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700077666 PECOS PAC ID: 5991960957 Enrollment ID: I20120626000474 |
| Provider Name | Enitan O Ekwotafia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598904278 PECOS PAC ID: 6800051665 Enrollment ID: I20120628000097 |
| Provider Name | Stuart A Offner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508950692 PECOS PAC ID: 5193870830 Enrollment ID: I20120709000503 |
| Provider Name | Rachelle A Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861627085 PECOS PAC ID: 6002952256 Enrollment ID: I20120710000293 |
| Provider Name | Parikshit Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437395845 PECOS PAC ID: 3173789948 Enrollment ID: I20120723000717 |
| Provider Name | Marina Polur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639302078 PECOS PAC ID: 0446406904 Enrollment ID: I20120816000143 |
| Provider Name | Tracee Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396090726 PECOS PAC ID: 1850549270 Enrollment ID: I20120910000614 |
| Provider Name | Deanna L Feher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740427541 PECOS PAC ID: 9234387317 Enrollment ID: I20120914000157 |
| Provider Name | Morgan W Nesmith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598944514 PECOS PAC ID: 8729237219 Enrollment ID: I20120926000640 |
| Provider Name | Delia Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043524895 PECOS PAC ID: 4385893825 Enrollment ID: I20120927000366 |
| Provider Name | Rosemary Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518217181 PECOS PAC ID: 6901055755 Enrollment ID: I20121011000236 |
| Provider Name | Athena B Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700146552 PECOS PAC ID: 5799934410 Enrollment ID: I20121012000212 |
| Provider Name | Karla D Aguilu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215263223 PECOS PAC ID: 8729238985 Enrollment ID: I20121024000216 |
| Provider Name | Nirmala Kishun-jit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164756334 PECOS PAC ID: 7113177387 Enrollment ID: I20121024000391 |
| Provider Name | Scott David Joseph Bakay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063644805 PECOS PAC ID: 8921258021 Enrollment ID: I20121026000182 |
| Provider Name | Kendra Back |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437408093 PECOS PAC ID: 5597916940 Enrollment ID: I20121112000130 |
| Provider Name | Andrea D Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316242464 PECOS PAC ID: 8729239140 Enrollment ID: I20121113000281 |
| Provider Name | Dally Ivette Rios-ortega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659621324 PECOS PAC ID: 6406007517 Enrollment ID: I20121120000394 |
| Provider Name | Brooke A Leever |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891048922 PECOS PAC ID: 3678727625 Enrollment ID: I20130129000353 |
| Provider Name | Erin M Gennocro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023006376 PECOS PAC ID: 7012985864 Enrollment ID: I20130205000241 |
| Provider Name | Rhonda G Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861738817 PECOS PAC ID: 3173777539 Enrollment ID: I20130212000248 |
| Provider Name | Kay L Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144534041 PECOS PAC ID: 7618165150 Enrollment ID: I20130306000599 |
| Provider Name | Karen E.m. Ferris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013256387 PECOS PAC ID: 7113162843 Enrollment ID: I20130328000200 |
| Provider Name | Grecia Sofia Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891030417 PECOS PAC ID: 7618112285 Enrollment ID: I20130402000358 |
| Provider Name | Alice Katherine Lovell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033451026 PECOS PAC ID: 2062659436 Enrollment ID: I20130503000113 |
| Provider Name | Karla D Tamakloe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235266651 PECOS PAC ID: 7517104805 Enrollment ID: I20130503000440 |
| Provider Name | Andy Victor Chi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275844003 PECOS PAC ID: 3274770383 Enrollment ID: I20130509000301 |
| Provider Name | Gary B Blume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447318274 PECOS PAC ID: 0547252884 Enrollment ID: I20130514000392 |
| Provider Name | Iryna I Chyshkevych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235317140 PECOS PAC ID: 6204020886 Enrollment ID: I20130604000040 |
| Provider Name | Adam M Au |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841588837 PECOS PAC ID: 9335387323 Enrollment ID: I20130604000042 |
| Provider Name | Dipesh Deray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427382407 PECOS PAC ID: 5395983035 Enrollment ID: I20130607000366 |
| Provider Name | Karla D Pena Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437595550 PECOS PAC ID: 4082853965 Enrollment ID: I20130626000121 |
| Provider Name | Danilo Zuniga-pedrianes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215258207 PECOS PAC ID: 2365683695 Enrollment ID: I20130729000501 |
| Provider Name | Monica Raquel Rider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659616670 PECOS PAC ID: 9436390754 Enrollment ID: I20130730000384 |
| Provider Name | Willine Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013272228 PECOS PAC ID: 8527209576 Enrollment ID: I20130802000434 |
| Provider Name | Brittany S Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871933978 PECOS PAC ID: 5496996456 Enrollment ID: I20130802000474 |
| Provider Name | Canaan S Herrygers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972828499 PECOS PAC ID: 4385886068 Enrollment ID: I20130808000497 |
| Provider Name | Anitha Mogallapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003176835 PECOS PAC ID: 9133361298 Enrollment ID: I20130820000524 |
| Provider Name | Brian Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023208444 PECOS PAC ID: 0547430431 Enrollment ID: I20130823001229 |
| Provider Name | Wendy B Mayper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821421884 PECOS PAC ID: 8426292590 Enrollment ID: I20130912000112 |
| Provider Name | Dedrix B Daka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316202401 PECOS PAC ID: 1658505508 Enrollment ID: I20131008000487 |
| Provider Name | Carmen Luisa Galano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669660064 PECOS PAC ID: 6901030857 Enrollment ID: I20131014000237 |
| Provider Name | Timothy B Eagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619319944 PECOS PAC ID: 6608001243 Enrollment ID: I20131106001574 |
| Provider Name | Michelle R Demenkow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063606614 PECOS PAC ID: 7214835966 Enrollment ID: I20131118001588 |
| Provider Name | Laura Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972616027 PECOS PAC ID: 3476452160 Enrollment ID: I20131119001019 |
| Provider Name | Valerie Witkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922033398 PECOS PAC ID: 7911998554 Enrollment ID: I20131122001826 |
| Provider Name | Dolores Stefanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295070647 PECOS PAC ID: 7012143753 Enrollment ID: I20131202000589 |
| Provider Name | Anne Jones Kovacs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922344266 PECOS PAC ID: 9931335502 Enrollment ID: I20131204001321 |
| Provider Name | Kimberly D Jasch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467775056 PECOS PAC ID: 4880722503 Enrollment ID: I20131204001434 |
| Provider Name | Cynthia A Schackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154419877 PECOS PAC ID: 9830125483 Enrollment ID: I20131204001441 |
| Provider Name | Xuan O Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881920031 PECOS PAC ID: 1153457098 Enrollment ID: I20131211001829 |
| Provider Name | Patrick S Weston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306813423 PECOS PAC ID: 5991807661 Enrollment ID: I20140114000570 |
| Provider Name | Sara F King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073753604 PECOS PAC ID: 3577793157 Enrollment ID: I20140226002159 |
| Provider Name | Ana Cristina Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982049359 PECOS PAC ID: 0446474035 Enrollment ID: I20140623001521 |
| Provider Name | Ann Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447565817 PECOS PAC ID: 6800083056 Enrollment ID: I20140710001466 |
| Provider Name | Michele Trang Thi Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093006066 PECOS PAC ID: 5991928400 Enrollment ID: I20140821000626 |
| Provider Name | Yvonne P Ekonomou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427278969 PECOS PAC ID: 2668690074 Enrollment ID: I20140827000692 |
| Provider Name | Marco A Rabines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780833038 PECOS PAC ID: 5597912055 Enrollment ID: I20140828001414 |
| Provider Name | Mark D Suran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548252364 PECOS PAC ID: 8628152873 Enrollment ID: I20141009001225 |
| Provider Name | Isabelle Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710955059 PECOS PAC ID: 2668692856 Enrollment ID: I20141010001471 |
| Provider Name | Connie Horne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679853345 PECOS PAC ID: 4981824026 Enrollment ID: I20141013001256 |
| Provider Name | Laurie Marie Donaldson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356369961 PECOS PAC ID: 9931099678 Enrollment ID: I20141030000751 |
| Provider Name | Bendji Thony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164824694 PECOS PAC ID: 6002038296 Enrollment ID: I20141103001390 |
| Provider Name | Brett G Althafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467761593 PECOS PAC ID: 7810119807 Enrollment ID: I20141106001032 |
| Provider Name | Thomas A Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003998394 PECOS PAC ID: 6800865288 Enrollment ID: I20141106002365 |
| Provider Name | Cara Leigh Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811232309 PECOS PAC ID: 4284856469 Enrollment ID: I20141107000466 |
| Provider Name | Lornitta Williams Sylvester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134407141 PECOS PAC ID: 8820210412 Enrollment ID: I20141114002100 |
| Provider Name | Michelle Dan El Carr |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740511815 PECOS PAC ID: 1658593140 Enrollment ID: I20141118001690 |
| Provider Name | Maria Gonzalez De Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689078164 PECOS PAC ID: 0749402089 Enrollment ID: I20141120002122 |
| Provider Name | Carol A Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629082789 PECOS PAC ID: 9335116284 Enrollment ID: I20150121001035 |
| Provider Name | Dale Wolford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417902164 PECOS PAC ID: 6800818816 Enrollment ID: I20150123000788 |
| Provider Name | Malieri Colon-rivera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427131200 PECOS PAC ID: 4981628146 Enrollment ID: I20150204002416 |
| Provider Name | Morris Seamon Bollegraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528005196 PECOS PAC ID: 1759414071 Enrollment ID: I20150205001264 |
| Provider Name | Chrissyl Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609217280 PECOS PAC ID: 3870819428 Enrollment ID: I20150226000794 |
| Provider Name | Christy D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891183323 PECOS PAC ID: 9739405119 Enrollment ID: I20150302001004 |
| Provider Name | Julie Ann Sabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750722765 PECOS PAC ID: 3577791516 Enrollment ID: I20150413001519 |
| Provider Name | Sara A Lepisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497066245 PECOS PAC ID: 1759415144 Enrollment ID: I20150416001263 |
| Provider Name | Sohail Arif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386638898 PECOS PAC ID: 8224222534 Enrollment ID: I20150519002229 |
| Provider Name | Jerry W Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538559265 PECOS PAC ID: 6204156540 Enrollment ID: I20150527002905 |
| Provider Name | Francisco Battaglia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962664375 PECOS PAC ID: 0648451971 Enrollment ID: I20150604000512 |
| Provider Name | Robert Potorski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063455756 PECOS PAC ID: 4688567787 Enrollment ID: I20150616000770 |
| Provider Name | Rosalie Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275929713 PECOS PAC ID: 7113239831 Enrollment ID: I20150708002153 |
| Provider Name | Maura E Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235560939 PECOS PAC ID: 3971816729 Enrollment ID: I20150722004923 |
| Provider Name | Stacy L Carmichael |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487858403 PECOS PAC ID: 7315252699 Enrollment ID: I20150814014649 |
| Provider Name | Joseph Saturley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225068331 PECOS PAC ID: 4385951011 Enrollment ID: I20150914001239 |
| Provider Name | Katie E Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669765111 PECOS PAC ID: 5991920183 Enrollment ID: I20150916003483 |
| Provider Name | Teodora Carolyn Bayindiryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407885361 PECOS PAC ID: 6507889102 Enrollment ID: I20151009001889 |
| Provider Name | Wendy M Winkleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942242029 PECOS PAC ID: 9830088376 Enrollment ID: I20151016000780 |
| Provider Name | Heather Cumbo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063668077 PECOS PAC ID: 1153649124 Enrollment ID: I20151029001763 |
| Provider Name | Nena Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366610156 PECOS PAC ID: 1850477258 Enrollment ID: I20151030000003 |
| Provider Name | Jolene R Montano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356396287 PECOS PAC ID: 7012012859 Enrollment ID: I20151105000365 |
| Provider Name | Damaris Vandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720270648 PECOS PAC ID: 3678883287 Enrollment ID: I20151111002075 |
| Provider Name | Henry Zoon-hon Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326483009 PECOS PAC ID: 9537479837 Enrollment ID: I20151116001786 |
| Provider Name | Shara Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124072962 PECOS PAC ID: 0143258491 Enrollment ID: I20151118000871 |
| Provider Name | Allison L Kennel-besselieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044885 PECOS PAC ID: 9830490200 Enrollment ID: I20151209002236 |
| Provider Name | Derek S Hopson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982826020 PECOS PAC ID: 0941501142 Enrollment ID: I20151211002395 |
| Provider Name | Sabine San Tun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639378128 PECOS PAC ID: 2365578416 Enrollment ID: I20151211002439 |
| Provider Name | Julie Ann Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366514374 PECOS PAC ID: 9830490689 Enrollment ID: I20151221000750 |
| Provider Name | Marie Marlene Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346630092 PECOS PAC ID: 1759685324 Enrollment ID: I20160203000267 |
| Provider Name | Nasser Lavaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207883 PECOS PAC ID: 0042514226 Enrollment ID: I20160209000868 |
| Provider Name | Nwe Oo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306962956 PECOS PAC ID: 0345415675 Enrollment ID: I20160212001042 |
| Provider Name | Charles Maddix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790047926 PECOS PAC ID: 4789989252 Enrollment ID: I20160222000162 |
| Provider Name | Judith E Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730375338 PECOS PAC ID: 3577860303 Enrollment ID: I20160322002571 |
| Provider Name | Barbara Bakus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871790337 PECOS PAC ID: 2365527512 Enrollment ID: I20160331002062 |
| Provider Name | Robinder K Bhangoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073533543 PECOS PAC ID: 7113981333 Enrollment ID: I20160406002503 |
| Provider Name | Theresa A Prescott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457404576 PECOS PAC ID: 6507164530 Enrollment ID: I20160407001408 |
| Provider Name | Sunghwan Byun |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780925792 PECOS PAC ID: 8426278367 Enrollment ID: I20160408001351 |
| Provider Name | Rubens L Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217690 PECOS PAC ID: 9537467352 Enrollment ID: I20160412001433 |
| Provider Name | Stephanie G Haffield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750762530 PECOS PAC ID: 6901104348 Enrollment ID: I20160418001981 |
| Provider Name | Samir Dawod Rajiha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053751149 PECOS PAC ID: 5799090130 Enrollment ID: I20160420002329 |
| Provider Name | Trenace Irene Dubreuil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881623783 PECOS PAC ID: 8527250596 Enrollment ID: I20160503002654 |
| Provider Name | Elisa Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083878995 PECOS PAC ID: 7315236122 Enrollment ID: I20160518001209 |
| Provider Name | Svetlana V Kovtunova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033226899 PECOS PAC ID: 9931201191 Enrollment ID: I20160520000757 |
| Provider Name | Clifton M Ables |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356548853 PECOS PAC ID: 9436449345 Enrollment ID: I20160606001888 |
| Provider Name | Melvin H Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881031516 PECOS PAC ID: 6709176316 Enrollment ID: I20160609000484 |
| Provider Name | Olfa Najar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619099959 PECOS PAC ID: 4789776634 Enrollment ID: I20160616000109 |
| Provider Name | Julie Olson Nejame |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174970321 PECOS PAC ID: 9234420381 Enrollment ID: I20160620001989 |
| Provider Name | Brian L Truelove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942482880 PECOS PAC ID: 5890086847 Enrollment ID: I20160622000257 |
| Provider Name | Dieudonnee Yvonne Nooitmeer-baptiste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417303371 PECOS PAC ID: 0840581716 Enrollment ID: I20160623001268 |
| Provider Name | Pamela L June |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306820394 PECOS PAC ID: 5496720310 Enrollment ID: I20160707002423 |
| Provider Name | Michelle R Demenkow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063606614 PECOS PAC ID: 7214835966 Enrollment ID: I20160726003108 |
| Provider Name | Celestina Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487017422 PECOS PAC ID: 6103111570 Enrollment ID: I20160824001067 |
| Provider Name | Benjamin Hargreaves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588999536 PECOS PAC ID: 4284929613 Enrollment ID: I20160824003164 |
| Provider Name | Aeriel Anjelica Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528410859 PECOS PAC ID: 5698061604 Enrollment ID: I20160830003176 |
| Provider Name | Willie Lee Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659720241 PECOS PAC ID: 3476849829 Enrollment ID: I20160910000267 |
| Provider Name | Brooke Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437603636 PECOS PAC ID: 9739476375 Enrollment ID: I20160924000264 |
| Provider Name | Nicole M Whitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205381977 PECOS PAC ID: 6608163936 Enrollment ID: I20160929001519 |
| Provider Name | Dorica Kaysi Miranda-alevlo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306391784 PECOS PAC ID: 9638466832 Enrollment ID: I20160930001441 |
| Provider Name | Vincent Falanga |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376501825 PECOS PAC ID: 8426096967 Enrollment ID: I20161003000310 |
| Provider Name | Jeannine L Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083614952 PECOS PAC ID: 5294702726 Enrollment ID: I20161103002036 |
| Provider Name | Kristopher Stewart Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619357787 PECOS PAC ID: 7315250248 Enrollment ID: I20161119000257 |
| Provider Name | Mandip Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003368531 PECOS PAC ID: 5294014775 Enrollment ID: I20161128002440 |
| Provider Name | Melissa Ann Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528517562 PECOS PAC ID: 0143500439 Enrollment ID: I20161202000139 |
| Provider Name | John N Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548330939 PECOS PAC ID: 9436461282 Enrollment ID: I20161207000514 |
| Provider Name | Shane Thomas Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124452172 PECOS PAC ID: 7315227212 Enrollment ID: I20161212001479 |
| Provider Name | Charles Keefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861935967 PECOS PAC ID: 7315227972 Enrollment ID: I20161217000077 |
| Provider Name | Amber Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306398607 PECOS PAC ID: 8820378409 Enrollment ID: I20161219000729 |
| Provider Name | Carlos Fernando Pozzi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174599757 PECOS PAC ID: 0143296855 Enrollment ID: I20161220002199 |
| Provider Name | Douglas M Rubano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104126705 PECOS PAC ID: 2264713403 Enrollment ID: I20170103000548 |
| Provider Name | Diane M Kedzierski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497131544 PECOS PAC ID: 7911288956 Enrollment ID: I20170105000474 |
| Provider Name | Gail Elizabeth Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386941631 PECOS PAC ID: 8123203528 Enrollment ID: I20170118002643 |
| Provider Name | Catherine D Van Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710438536 PECOS PAC ID: 1456633650 Enrollment ID: I20170124001201 |
| Provider Name | Nicale L Caravella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174835482 PECOS PAC ID: 5890077895 Enrollment ID: I20170127001283 |
| Provider Name | Steven L Poucher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255874467 PECOS PAC ID: 4284916164 Enrollment ID: I20170130001543 |
| Provider Name | John Thomas Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861846115 PECOS PAC ID: 2860775483 Enrollment ID: I20170206001897 |
| Provider Name | Marvalee T Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972040616 PECOS PAC ID: 2365725926 Enrollment ID: I20170207000511 |
| Provider Name | Gail Bialk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003145384 PECOS PAC ID: 7012290471 Enrollment ID: I20170208002307 |
| Provider Name | Tolulope Aderonke Oduyejo-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720524531 PECOS PAC ID: 2264716919 Enrollment ID: I20170225000045 |
| Provider Name | Elicet Bermudez-cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609310424 PECOS PAC ID: 6406130798 Enrollment ID: I20170306001190 |
| Provider Name | Adriana Bentum-tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801330519 PECOS PAC ID: 7012291198 Enrollment ID: I20170309001645 |
| Provider Name | Gisella Milagro Ubillus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306173919 PECOS PAC ID: 8325323496 Enrollment ID: I20170403000737 |
| Provider Name | Nikole Estelle Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871037770 PECOS PAC ID: 2769768415 Enrollment ID: I20170411001929 |
| Provider Name | Christina M Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225578008 PECOS PAC ID: 4385920925 Enrollment ID: I20170413000797 |
| Provider Name | Nicole Marie Wishon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346780558 PECOS PAC ID: 8224315338 Enrollment ID: I20170427000912 |
| Provider Name | Tamesha C Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831630649 PECOS PAC ID: 1153608203 Enrollment ID: I20170427002404 |
| Provider Name | Amy Beth Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667181 PECOS PAC ID: 9436436284 Enrollment ID: I20170503001081 |
| Provider Name | Rick Verhelst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902926793 PECOS PAC ID: 0042597973 Enrollment ID: I20170504002622 |
| Provider Name | Charles E Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215478649 PECOS PAC ID: 8224305743 Enrollment ID: I20170603000179 |
| Provider Name | Jennifer Michelle Banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104359215 PECOS PAC ID: 9638447907 Enrollment ID: I20170612000492 |
| Provider Name | William H Evans |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477998680 PECOS PAC ID: 4789804717 Enrollment ID: I20170706002119 |
| Provider Name | Dianne E Doane-bustetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790218501 PECOS PAC ID: 6204105976 Enrollment ID: I20170712001265 |
| Provider Name | Manjit Kaur Vohra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866024 PECOS PAC ID: 6901708361 Enrollment ID: I20170814000553 |
| Provider Name | Lajuan P Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093266389 PECOS PAC ID: 3870865256 Enrollment ID: I20170818002878 |
| Provider Name | Stephanie L Philippides |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316088263 PECOS PAC ID: 6305025818 Enrollment ID: I20170908000757 |
| Provider Name | Lisa Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093235731 PECOS PAC ID: 1557634656 Enrollment ID: I20170912003310 |
| Provider Name | Christopher Anthony Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891229712 PECOS PAC ID: 6507139524 Enrollment ID: I20170913001040 |
| Provider Name | Sandra Lee Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144672148 PECOS PAC ID: 7517231566 Enrollment ID: I20170914003157 |
| Provider Name | Amanda Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194248344 PECOS PAC ID: 4284908690 Enrollment ID: I20170925001051 |
| Provider Name | Connie Marie Lapadat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043511900 PECOS PAC ID: 4385872308 Enrollment ID: I20170928001520 |
| Provider Name | Bridgett Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104501 PECOS PAC ID: 2264707009 Enrollment ID: I20171004003546 |
| Provider Name | Raymond E De La Rosa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083667984 PECOS PAC ID: 9537134861 Enrollment ID: I20171019000755 |
| Provider Name | James A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568641611 PECOS PAC ID: 6204739766 Enrollment ID: I20171030002135 |
| Provider Name | Anna Lowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700297942 PECOS PAC ID: 8325339583 Enrollment ID: I20171102001081 |
| Provider Name | Robyn A Summers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508376120 PECOS PAC ID: 9335406743 Enrollment ID: I20171120001381 |
| Provider Name | Maritza Y Grey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740561430 PECOS PAC ID: 4789941006 Enrollment ID: I20171121003407 |
| Provider Name | Leah A Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528583788 PECOS PAC ID: 8628335981 Enrollment ID: I20171122001399 |
| Provider Name | Tamara Martinez Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336572478 PECOS PAC ID: 8426316522 Enrollment ID: I20171219001771 |
| Provider Name | Marcia Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578077160 PECOS PAC ID: 2961760947 Enrollment ID: I20171220002883 |
| Provider Name | Ana Julia Paye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023529286 PECOS PAC ID: 3476811498 Enrollment ID: I20171221001177 |
| Provider Name | Anna Christina Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023527959 PECOS PAC ID: 5193083111 Enrollment ID: I20171221001236 |
| Provider Name | Erik Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528509312 PECOS PAC ID: 2163780982 Enrollment ID: I20171227000356 |
| Provider Name | Bryson Dale Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891208393 PECOS PAC ID: 3971862418 Enrollment ID: I20180109001646 |
| Provider Name | Yasmin Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194266080 PECOS PAC ID: 2163781584 Enrollment ID: I20180110002688 |
| Provider Name | Krista L Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386815306 PECOS PAC ID: 3274893888 Enrollment ID: I20180130001593 |
| Provider Name | Kelly Ann Marechal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649795352 PECOS PAC ID: 2860752961 Enrollment ID: I20180210000013 |
| Provider Name | Stephany L Mahaffey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477006286 PECOS PAC ID: 4385904499 Enrollment ID: I20180212000490 |
| Provider Name | Serina M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376921551 PECOS PAC ID: 8123380631 Enrollment ID: I20180321002024 |
| Provider Name | Terrie L Burney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366980757 PECOS PAC ID: 7810250693 Enrollment ID: I20180409000432 |
| Provider Name | Maria C Geraci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245414747 PECOS PAC ID: 4587927850 Enrollment ID: I20180419000811 |
| Provider Name | Alana Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295231827 PECOS PAC ID: 4587928452 Enrollment ID: I20180430001656 |
| Provider Name | Darneisha Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926319 PECOS PAC ID: 4284998048 Enrollment ID: I20180502000548 |
| Provider Name | Heidi L Scholten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194238493 PECOS PAC ID: 5890059430 Enrollment ID: I20180507000414 |
| Provider Name | Jean C Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629583406 PECOS PAC ID: 7719241033 Enrollment ID: I20180514000165 |
| Provider Name | Stephen Lawrence Voigt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104910009 PECOS PAC ID: 4688939879 Enrollment ID: I20180516002919 |
| Provider Name | Sondra Marie Bantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193177 PECOS PAC ID: 8224394036 Enrollment ID: I20180522000110 |
| Provider Name | Felicia Ann Seal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326310780 PECOS PAC ID: 9032474416 Enrollment ID: I20180606001127 |
| Provider Name | Cherie T King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548584683 PECOS PAC ID: 6709915945 Enrollment ID: I20180614000682 |
| Provider Name | Satish C. Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598850398 PECOS PAC ID: 3375610181 Enrollment ID: I20180615001111 |
| Provider Name | Joseph F Lindley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538556675 PECOS PAC ID: 6204105745 Enrollment ID: I20180703001503 |
| Provider Name | Merlyn S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173500 PECOS PAC ID: 3072860295 Enrollment ID: I20180719001181 |
| Provider Name | Brittany Faith Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205338266 PECOS PAC ID: 3678820586 Enrollment ID: I20180724002380 |
| Provider Name | Antonio Anglero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851535579 PECOS PAC ID: 9234421926 Enrollment ID: I20180821000961 |
| Provider Name | Marinette Asuncion-uy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477880326 PECOS PAC ID: 0042561508 Enrollment ID: I20180921001173 |
| Provider Name | Johnnie Bradley-goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306322656 PECOS PAC ID: 0042561078 Enrollment ID: I20181001002367 |
| Provider Name | Lisa Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649681867 PECOS PAC ID: 0648521633 Enrollment ID: I20181002001488 |
| Provider Name | Diana Theresa Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275030629 PECOS PAC ID: 4486907003 Enrollment ID: I20181030000439 |
| Provider Name | Elizabeth Ortiz-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629350871 PECOS PAC ID: 5294088829 Enrollment ID: I20181030000788 |
| Provider Name | Amit K Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114252475 PECOS PAC ID: 2365608429 Enrollment ID: I20181030002885 |
| Provider Name | Mayra A Cruz Ithier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619263027 PECOS PAC ID: 2466719430 Enrollment ID: I20181109000433 |
| Provider Name | Christopher Corriveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811479728 PECOS PAC ID: 4486908423 Enrollment ID: I20181112000204 |
| Provider Name | Dallas Carey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023516150 PECOS PAC ID: 3072867852 Enrollment ID: I20181114000824 |
| Provider Name | Myshanda Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669974804 PECOS PAC ID: 6800140690 Enrollment ID: I20181114001278 |
| Provider Name | Andrea L Coverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255759338 PECOS PAC ID: 4688928120 Enrollment ID: I20181119002880 |
| Provider Name | Carl Harry Zamor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114933462 PECOS PAC ID: 0143574616 Enrollment ID: I20181120000752 |
| Provider Name | Rebecca Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386119121 PECOS PAC ID: 9032463518 Enrollment ID: I20181120000843 |
| Provider Name | Natalia Saunders-roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063858249 PECOS PAC ID: 5092069393 Enrollment ID: I20181126000587 |
| Provider Name | Claudia L Iantorno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861468126 PECOS PAC ID: 8628249919 Enrollment ID: I20181126000711 |
| Provider Name | Dawn M Yockey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760666515 PECOS PAC ID: 3971684960 Enrollment ID: I20181127001871 |
| Provider Name | Allison P Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221158 PECOS PAC ID: 9537403498 Enrollment ID: I20181203003349 |
| Provider Name | Michelle Paisley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033649512 PECOS PAC ID: 0840534780 Enrollment ID: I20181204003238 |
| Provider Name | Denise Lindsay-blue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043590359 PECOS PAC ID: 7810231669 Enrollment ID: I20181204003840 |
| Provider Name | Amanda Waggoner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164999421 PECOS PAC ID: 9537403936 Enrollment ID: I20181211001993 |
| Provider Name | Janet M Bertoldi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750305587 PECOS PAC ID: 0446293195 Enrollment ID: I20181219000644 |
| Provider Name | Peter Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255499281 PECOS PAC ID: 7416842802 Enrollment ID: I20181221000555 |
| Provider Name | Ruchia Handy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588131312 PECOS PAC ID: 7911242656 Enrollment ID: I20181227000583 |
| Provider Name | Catherine Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225425622 PECOS PAC ID: 8527360783 Enrollment ID: I20190109001417 |
| Provider Name | Dalton Remell Carpenter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982638045 PECOS PAC ID: 6103066337 Enrollment ID: I20190111001801 |
| Provider Name | Canisha Gillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063981892 PECOS PAC ID: 0446597009 Enrollment ID: I20190122000623 |
| Provider Name | Jena L Lieb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710455936 PECOS PAC ID: 8022355593 Enrollment ID: I20190123000887 |
| Provider Name | Ann Kurka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598958738 PECOS PAC ID: 1951490812 Enrollment ID: I20190129002929 |
| Provider Name | Cynthia Marengo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255821088 PECOS PAC ID: 0840537759 Enrollment ID: I20190131001051 |
| Provider Name | Chika Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962755876 PECOS PAC ID: 9234477977 Enrollment ID: I20190205002125 |
| Provider Name | Jaelah Enoc Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952889974 PECOS PAC ID: 4880932540 Enrollment ID: I20190205003127 |
| Provider Name | Robin Ginyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083186860 PECOS PAC ID: 0840538252 Enrollment ID: I20190211000824 |
| Provider Name | Jessica Alexandra Fennell-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730623851 PECOS PAC ID: 1456634021 Enrollment ID: I20190213003007 |
| Provider Name | Deborah Zolkos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659845980 PECOS PAC ID: 0648518738 Enrollment ID: I20190215000239 |
| Provider Name | Maurice Jeter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558543447 PECOS PAC ID: 8729151758 Enrollment ID: I20190220001839 |
| Provider Name | Rachel E Reichert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699246173 PECOS PAC ID: 4183963986 Enrollment ID: I20190221001989 |
| Provider Name | Tonya L Succio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902314479 PECOS PAC ID: 7315290749 Enrollment ID: I20190305003203 |
| Provider Name | Jonni E Kitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295292381 PECOS PAC ID: 6002155041 Enrollment ID: I20190308000946 |
| Provider Name | Lauren S Baer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538556238 PECOS PAC ID: 5799025458 Enrollment ID: I20190318000592 |
| Provider Name | David E Vincent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033167135 PECOS PAC ID: 2860388402 Enrollment ID: I20190329001721 |
| Provider Name | Christine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124402888 PECOS PAC ID: 4688915655 Enrollment ID: I20190402000122 |
| Provider Name | Orville V Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700344686 PECOS PAC ID: 8628319050 Enrollment ID: I20190411000348 |
| Provider Name | Richard Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538459656 PECOS PAC ID: 9931342151 Enrollment ID: I20190411000892 |
| Provider Name | Paul A Furino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902065931 PECOS PAC ID: 2062575236 Enrollment ID: I20190415000314 |
| Provider Name | Astrich Sandra Bodden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851892087 PECOS PAC ID: 8729320940 Enrollment ID: I20190508001146 |
| Provider Name | Chrisbel Nuseli Dafeamekpor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144615527 PECOS PAC ID: 0143562330 Enrollment ID: I20190509000793 |
| Provider Name | Roshni Dasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881252435 PECOS PAC ID: 9436482916 Enrollment ID: I20190617000530 |
| Provider Name | Veronica Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932763174 PECOS PAC ID: 3173856549 Enrollment ID: I20190618001224 |
| Provider Name | Yvonka S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548681190 PECOS PAC ID: 1658605084 Enrollment ID: I20190619000058 |
| Provider Name | Lillian J Vargas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215216460 PECOS PAC ID: 9931433984 Enrollment ID: I20190625000954 |
| Provider Name | Alina M Clavijo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396798351 PECOS PAC ID: 0345279436 Enrollment ID: I20190626001910 |
| Provider Name | Julia B Murchison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467730499 PECOS PAC ID: 0143555334 Enrollment ID: I20190710002177 |
| Provider Name | Louella C Marinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689230591 PECOS PAC ID: 7618202565 Enrollment ID: I20190715001347 |
| Provider Name | Sheryl Ann Meeuwsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730658790 PECOS PAC ID: 6406181015 Enrollment ID: I20190718000092 |
| Provider Name | Sonya Vachhani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659932259 PECOS PAC ID: 2062748692 Enrollment ID: I20190719001457 |
| Provider Name | Elizabeth Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518442169 PECOS PAC ID: 9335475888 Enrollment ID: I20190723000325 |
| Provider Name | William F Dewolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346405511 PECOS PAC ID: 5799831954 Enrollment ID: I20190723000608 |
| Provider Name | Susan E Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366005357 PECOS PAC ID: 6103152848 Enrollment ID: I20190801002374 |
| Provider Name | Jesus Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033779590 PECOS PAC ID: 2961738620 Enrollment ID: I20190801003323 |
| Provider Name | Rachel Lynn Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694850 PECOS PAC ID: 7911123419 Enrollment ID: I20190802002755 |
| Provider Name | Tiffany Dawn Ragan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447793542 PECOS PAC ID: 8123393311 Enrollment ID: I20190809001104 |
| Provider Name | Rozina Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821033432 PECOS PAC ID: 7618130428 Enrollment ID: I20190813001418 |
| Provider Name | Anton Maki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053355602 PECOS PAC ID: 9234022823 Enrollment ID: I20190823002773 |
| Provider Name | Dean John Rotondo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588226575 PECOS PAC ID: 7719216191 Enrollment ID: I20190910002754 |
| Provider Name | Brooke Wacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033771563 PECOS PAC ID: 9335478692 Enrollment ID: I20190911002482 |
| Provider Name | Michele Lucille Coward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841760832 PECOS PAC ID: 5890025878 Enrollment ID: I20190918002395 |
| Provider Name | Shaheedah M Imano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285950931 PECOS PAC ID: 5193003887 Enrollment ID: I20190919003194 |
| Provider Name | Marilyn Leann Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881240273 PECOS PAC ID: 8325378979 Enrollment ID: I20190924002020 |
| Provider Name | Tamara Anne Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689142846 PECOS PAC ID: 0143550624 Enrollment ID: I20190926000078 |
| Provider Name | Erika Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396392304 PECOS PAC ID: 6305178005 Enrollment ID: I20191030000962 |
| Provider Name | Katherine Apostolakis-kyrus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528358397 PECOS PAC ID: 1254575020 Enrollment ID: I20191111000642 |
| Provider Name | Tiffany Romelle Tonismae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245505478 PECOS PAC ID: 8022251818 Enrollment ID: I20191121000881 |
| Provider Name | Aundrea Shalise Guillaume-sponsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823723 PECOS PAC ID: 0143652636 Enrollment ID: I20191121002747 |
| Provider Name | Marie Joassaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366895799 PECOS PAC ID: 3971936121 Enrollment ID: I20191203000379 |
| Provider Name | Alyssa Putzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942850409 PECOS PAC ID: 7517390172 Enrollment ID: I20191212001171 |
| Provider Name | Heather Marie Samuelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710270426 PECOS PAC ID: 6709181191 Enrollment ID: I20191216000302 |
| Provider Name | Michelle Rubin Rosenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619172699 PECOS PAC ID: 0345674305 Enrollment ID: I20191227000961 |
| Provider Name | Luciane Lopes De Oliveira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518217942 PECOS PAC ID: 7012341902 Enrollment ID: I20191231001726 |
| Provider Name | Kimberly A Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831741388 PECOS PAC ID: 4385970474 Enrollment ID: I20200102001346 |
| Provider Name | Ruth Amise Exantus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285278226 PECOS PAC ID: 7012341696 Enrollment ID: I20200108000026 |
| Provider Name | Katsie Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669027991 PECOS PAC ID: 5698100980 Enrollment ID: I20200114003173 |
| Provider Name | Diana Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336792464 PECOS PAC ID: 8123453966 Enrollment ID: I20200124000356 |
| Provider Name | Michael A Retino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154390532 PECOS PAC ID: 2365523776 Enrollment ID: I20200204000409 |
| Provider Name | Mary Mattice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700221645 PECOS PAC ID: 5496181430 Enrollment ID: I20200211000489 |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699150284 PECOS PAC ID: 9537595467 Enrollment ID: I20200212001031 |
| Provider Name | David Adam Koerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346351392 PECOS PAC ID: 0042647885 Enrollment ID: I20200217004605 |
| Provider Name | Cynthia N Conseillant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194224568 PECOS PAC ID: 1254768724 Enrollment ID: I20200221001182 |
| Provider Name | Jenny Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346898947 PECOS PAC ID: 8224465604 Enrollment ID: I20200225000311 |
| Provider Name | Raul San Juan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124489331 PECOS PAC ID: 3971930371 Enrollment ID: I20200225000998 |
| Provider Name | Mary Loftus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386134039 PECOS PAC ID: 2466880174 Enrollment ID: I20200311002057 |
| Provider Name | Shannon Jamerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841169 PECOS PAC ID: 2264603414 Enrollment ID: I20200317001917 |
| Provider Name | Bridgette Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962035634 PECOS PAC ID: 3971931353 Enrollment ID: I20200318000899 |
| Provider Name | Natasha Leslie Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174183701 PECOS PAC ID: 4284064288 Enrollment ID: I20200414003935 |
| Provider Name | Rosalyn A Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982890976 PECOS PAC ID: 1355772559 Enrollment ID: I20200501002158 |
| Provider Name | Lucie Remy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477112993 PECOS PAC ID: 3274964721 Enrollment ID: I20200515002458 |
| Provider Name | Lena R Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346515913 PECOS PAC ID: 3072756824 Enrollment ID: I20200520000359 |
| Provider Name | Tanisha Cieply |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326675646 PECOS PAC ID: 4880015031 Enrollment ID: I20200527000420 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20200612001426 |
| Provider Name | Clare Sophia Walter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235522897 PECOS PAC ID: 5092137356 Enrollment ID: I20200616000804 |
| Provider Name | Jessica Lee Betancourt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639550619 PECOS PAC ID: 2062834773 Enrollment ID: I20200625003264 |
| Provider Name | Rashad Jamar Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174962856 PECOS PAC ID: 0042511974 Enrollment ID: I20200630002616 |
| Provider Name | Julie Wilhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780231092 PECOS PAC ID: 2264855477 Enrollment ID: I20200707001443 |
| Provider Name | Racquel Findlay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629222351 PECOS PAC ID: 4587087374 Enrollment ID: I20200713002107 |
| Provider Name | Janet Kai Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104465228 PECOS PAC ID: 1052735784 Enrollment ID: I20200728000775 |
| Provider Name | Mobola T Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295940138 PECOS PAC ID: 4082702907 Enrollment ID: I20200729003239 |
| Provider Name | Sandra Elizabeth Flamenco De Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609495894 PECOS PAC ID: 8123443769 Enrollment ID: I20200730000535 |
| Provider Name | Krista L Robertson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1386815306 PECOS PAC ID: 3274893888 Enrollment ID: I20200731000487 |
| Provider Name | Sarah Palasciano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427672062 PECOS PAC ID: 0143645184 Enrollment ID: I20200807000202 |
| Provider Name | Cynthia Michelle Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033732276 PECOS PAC ID: 8022434760 Enrollment ID: I20200812002399 |
| Provider Name | Steven M Pouls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063513687 PECOS PAC ID: 2860483443 Enrollment ID: I20200902000128 |
| Provider Name | Jose Perez Yordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497193924 PECOS PAC ID: 4284905407 Enrollment ID: I20200914001304 |
| Provider Name | Janique Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346790474 PECOS PAC ID: 6002235488 Enrollment ID: I20201005001071 |
| Provider Name | Brittney Tattersall Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043556624 PECOS PAC ID: 3971922121 Enrollment ID: I20201007002606 |
| Provider Name | Jill A Collum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902432164 PECOS PAC ID: 7719307792 Enrollment ID: I20201013000728 |
| Provider Name | Benjamin Kyle Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992332373 PECOS PAC ID: 0840610564 Enrollment ID: I20201020000105 |
| Provider Name | Shelley Droescher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306906573 PECOS PAC ID: 7618147844 Enrollment ID: I20201022000724 |
| Provider Name | Brittany C Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194258566 PECOS PAC ID: 1850665266 Enrollment ID: I20201027001275 |
| Provider Name | Karla A Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174879480 PECOS PAC ID: 4688084825 Enrollment ID: I20201029001467 |
| Provider Name | Janet Rosemarie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457950107 PECOS PAC ID: 3779993647 Enrollment ID: I20201104000540 |
| Provider Name | Turnisha Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114389392 PECOS PAC ID: 7012327950 Enrollment ID: I20201105000380 |
| Provider Name | Donald Roy Pake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417140542 PECOS PAC ID: 6002227147 Enrollment ID: I20201123000596 |
| Provider Name | Shaina Briann Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215537048 PECOS PAC ID: 3173934791 Enrollment ID: I20201202001970 |
| Provider Name | Emmanuella Armand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447863345 PECOS PAC ID: 6406267095 Enrollment ID: I20201203001475 |
| Provider Name | Colleen Mcclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396261293 PECOS PAC ID: 5698034577 Enrollment ID: I20201204002185 |
| Provider Name | Poon Lanh Rollinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891703120 PECOS PAC ID: 6709298136 Enrollment ID: I20201209001043 |
| Provider Name | Tracy Mallet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417054990 PECOS PAC ID: 8022420223 Enrollment ID: I20201211001484 |
| Provider Name | Meredith Leigh Templin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811599822 PECOS PAC ID: 4587076534 Enrollment ID: I20201215002755 |
| Provider Name | Rubena Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649687567 PECOS PAC ID: 5092089920 Enrollment ID: I20201216000256 |
| Provider Name | Julienne Anna-carmelle Calixte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831795897 PECOS PAC ID: 9436561420 Enrollment ID: I20201216000928 |
| Provider Name | Rosie Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372003 PECOS PAC ID: 1456763382 Enrollment ID: I20201216003165 |
| Provider Name | Lisa Margo Guertin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073940631 PECOS PAC ID: 5799198040 Enrollment ID: I20210106001824 |
| Provider Name | Jannia Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316457948 PECOS PAC ID: 1355754524 Enrollment ID: I20210107000241 |
| Provider Name | Brittany L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386203818 PECOS PAC ID: 1759794894 Enrollment ID: I20210108000829 |
| Provider Name | Robin Kay Ohar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194339788 PECOS PAC ID: 9739593153 Enrollment ID: I20210126003369 |
| Provider Name | Daniel M Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659969137 PECOS PAC ID: 8820402852 Enrollment ID: I20210202002007 |
| Provider Name | Matthew J Jalazo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437263233 PECOS PAC ID: 5991119877 Enrollment ID: I20210204002204 |
| Provider Name | Kiristin Eggett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962023903 PECOS PAC ID: 1759796089 Enrollment ID: I20210219000868 |
| Provider Name | Tatiana C Grant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134771629 PECOS PAC ID: 6608281514 Enrollment ID: I20210225003199 |
| Provider Name | Jan Faeri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356352793 PECOS PAC ID: 4183808637 Enrollment ID: I20210303001030 |
| Provider Name | Carlton Cranford |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649532912 PECOS PAC ID: 9830330232 Enrollment ID: I20210308000097 |
| Provider Name | Martha Haydee Corvea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275623076 PECOS PAC ID: 3274949615 Enrollment ID: I20210309001976 |
| Provider Name | Brittany N Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982296984 PECOS PAC ID: 2264848324 Enrollment ID: I20210316000142 |
| Provider Name | Samantha Mangino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073166757 PECOS PAC ID: 7911314745 Enrollment ID: I20210323002488 |
| Provider Name | Samantha M Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659962363 PECOS PAC ID: 5294142519 Enrollment ID: I20210401001066 |
| Provider Name | Carrie M Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336724061 PECOS PAC ID: 4981011046 Enrollment ID: I20210408000155 |
| Provider Name | Carolyn M Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922699602 PECOS PAC ID: 3779991864 Enrollment ID: I20210408001607 |
| Provider Name | Aurora Maria Pardo Yero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154911980 PECOS PAC ID: 2365850427 Enrollment ID: I20210409001957 |
| Provider Name | Tabitha M World |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760076442 PECOS PAC ID: 5294143111 Enrollment ID: I20210414001025 |
| Provider Name | Angel Luis Guindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295315083 PECOS PAC ID: 1850709361 Enrollment ID: I20210422001314 |
| Provider Name | Danielle L Ruben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932766623 PECOS PAC ID: 2769817345 Enrollment ID: I20210422001614 |
| Provider Name | Allison Delores Brathwaite Delpesche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417515321 PECOS PAC ID: 8921417114 Enrollment ID: I20210428002769 |
| Provider Name | Marianne Y Alfaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558949990 PECOS PAC ID: 4789093915 Enrollment ID: I20210429001226 |
| Provider Name | Rachel M Gregoroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274712 PECOS PAC ID: 0446530984 Enrollment ID: I20210510001101 |
| Provider Name | Robert D Desmarais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679067383 PECOS PAC ID: 6901137983 Enrollment ID: I20210511003124 |
| Provider Name | Nina Lundberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902200702 PECOS PAC ID: 8628366580 Enrollment ID: I20210519002948 |
| Provider Name | Dawn R Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053995241 PECOS PAC ID: 7315346343 Enrollment ID: I20210525001412 |
| Provider Name | Shannette M Ailes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677210 PECOS PAC ID: 0042530958 Enrollment ID: I20210525002516 |
| Provider Name | Sonia Choute-edouard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396347217 PECOS PAC ID: 8527467414 Enrollment ID: I20210526000680 |
| Provider Name | Sophia Layana Crittenden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932503174 PECOS PAC ID: 2264831775 Enrollment ID: I20210602002301 |
| Provider Name | Priscille M Joglar Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861469140 PECOS PAC ID: 1850301888 Enrollment ID: I20210602003288 |
| Provider Name | Michael J Bachop |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003149576 PECOS PAC ID: 5092953059 Enrollment ID: I20210604001887 |
| Provider Name | Robert James Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447851076 PECOS PAC ID: 2769883248 Enrollment ID: I20210622003549 |
| Provider Name | Roberto Gouthman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437688702 PECOS PAC ID: 8022419449 Enrollment ID: I20210623001143 |
| Provider Name | Mary R Rollo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720593338 PECOS PAC ID: 7113328428 Enrollment ID: I20210624000431 |
| Provider Name | Rosalie Lober |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518293257 PECOS PAC ID: 5496886939 Enrollment ID: I20210624001097 |
| Provider Name | Kali Ashlyn Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639746902 PECOS PAC ID: 8921409764 Enrollment ID: I20210630001699 |
| Provider Name | Douglas Scott Quirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124697503 PECOS PAC ID: 4284035080 Enrollment ID: I20210630003784 |
| Provider Name | Zorana Grujic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174009989 PECOS PAC ID: 1052655115 Enrollment ID: I20210630003858 |
| Provider Name | Yamira Marie Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235707696 PECOS PAC ID: 0749682037 Enrollment ID: I20210708002794 |
| Provider Name | Tamika Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891363982 PECOS PAC ID: 5698178028 Enrollment ID: I20210722003468 |
| Provider Name | Sandra Arocho Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346296498 PECOS PAC ID: 6901209238 Enrollment ID: I20210726000260 |
| Provider Name | Kelly Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396251054 PECOS PAC ID: 0648674002 Enrollment ID: I20210806000826 |
| Provider Name | Violetta D Hinkell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780697391 PECOS PAC ID: 6406025741 Enrollment ID: I20210810003584 |
| Provider Name | Paula R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821564576 PECOS PAC ID: 0042623167 Enrollment ID: I20210811002548 |
| Provider Name | Nadia A Insanally |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942633094 PECOS PAC ID: 2567867419 Enrollment ID: I20210816003466 |
| Provider Name | Erika Charrell Albertie-young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508530668 PECOS PAC ID: 2668877937 Enrollment ID: I20210825000234 |
| Provider Name | Marlene Caridad Egusquiza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669014460 PECOS PAC ID: 9931505922 Enrollment ID: I20210830002865 |
| Provider Name | Salacia L Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497263297 PECOS PAC ID: 1355747924 Enrollment ID: I20210907001852 |
| Provider Name | Kelsey C Beers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124527478 PECOS PAC ID: 2961750211 Enrollment ID: I20210908003023 |
| Provider Name | Utpal K Bhatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649218983 PECOS PAC ID: 1456362565 Enrollment ID: I20210909002496 |
| Provider Name | Julie Marly Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386249837 PECOS PAC ID: 0840696233 Enrollment ID: I20210910000041 |
| Provider Name | Jessica J Pena Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639318819 PECOS PAC ID: 7517094816 Enrollment ID: I20210910002996 |
| Provider Name | Charissa Zayas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841875630 PECOS PAC ID: 6204233307 Enrollment ID: I20210915003853 |
| Provider Name | Bosede Omolara Babalola-adejokun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659989549 PECOS PAC ID: 3173920824 Enrollment ID: I20210922001282 |
| Provider Name | Joel Socarras-rosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780866541 PECOS PAC ID: 3779649884 Enrollment ID: I20210927001382 |
| Provider Name | Sonia Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871196337 PECOS PAC ID: 3173938446 Enrollment ID: I20210928002930 |
| Provider Name | Bridgette Denise Agee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194494351 PECOS PAC ID: 7315344538 Enrollment ID: I20210930000473 |
| Provider Name | Jasmine A Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376213611 PECOS PAC ID: 9931507092 Enrollment ID: I20211005000974 |
| Provider Name | Rita Thanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508480229 PECOS PAC ID: 0648678326 Enrollment ID: I20211011001288 |
| Provider Name | Julie B. Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568138030 PECOS PAC ID: 2466850912 Enrollment ID: I20211013002262 |
| Provider Name | Kristi A Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699441725 PECOS PAC ID: 8426456740 Enrollment ID: I20211018000277 |
| Provider Name | Benjamin R Glidden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093485427 PECOS PAC ID: 4789072679 Enrollment ID: I20211026002067 |
| Provider Name | Melinda Marino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164184537 PECOS PAC ID: 1052709870 Enrollment ID: I20211028000623 |
| Provider Name | Lori Joan Honeyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376214338 PECOS PAC ID: 6305235763 Enrollment ID: I20211105001669 |
| Provider Name | Matthew Liwski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316137383 PECOS PAC ID: 9133201494 Enrollment ID: I20211108001219 |
| Provider Name | Beata Irena Pawelski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871997171 PECOS PAC ID: 3779972047 Enrollment ID: I20211109000487 |
| Provider Name | Jessica Morgan Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972266831 PECOS PAC ID: 9032508304 Enrollment ID: I20211109000510 |
| Provider Name | Anzola Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154092245 PECOS PAC ID: 3173912342 Enrollment ID: I20211109000777 |
| Provider Name | Anna Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275206716 PECOS PAC ID: 7618366790 Enrollment ID: I20211110002651 |
| Provider Name | Jewel L Tartt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144886177 PECOS PAC ID: 0446649545 Enrollment ID: I20211111000188 |
| Provider Name | Lauren Elizabeth Goworowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144885617 PECOS PAC ID: 5799174769 Enrollment ID: I20211112000343 |
| Provider Name | Yulia Zhirnova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972273514 PECOS PAC ID: 2163811092 Enrollment ID: I20211116000840 |
| Provider Name | Tamara Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760844807 PECOS PAC ID: 6002206596 Enrollment ID: I20211123002373 |
| Provider Name | Tajuana Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285398156 PECOS PAC ID: 5799175162 Enrollment ID: I20211130000752 |
| Provider Name | Dennelle Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932377827 PECOS PAC ID: 0244552073 Enrollment ID: I20211201001110 |
| Provider Name | Briana Marie Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376215517 PECOS PAC ID: 7214327295 Enrollment ID: I20211206002657 |
| Provider Name | Mindy Ann Hughett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619415627 PECOS PAC ID: 7214271022 Enrollment ID: I20211210002503 |
| Provider Name | Emily Burch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992477087 PECOS PAC ID: 1557752052 Enrollment ID: I20211216001606 |
| Provider Name | Kathleen Saucedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679667661 PECOS PAC ID: 8224132998 Enrollment ID: I20211220001513 |
| Provider Name | Mutinta Yvonne Tembo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003575523 PECOS PAC ID: 1658762943 Enrollment ID: I20211221001030 |
| Provider Name | April Charlene Dawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811180946 PECOS PAC ID: 8729479936 Enrollment ID: I20211223000951 |
| Provider Name | Jenifer Taylor Mchale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881351922 PECOS PAC ID: 3476944497 Enrollment ID: I20211230002122 |
| Provider Name | Christine Louise Rudkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245216225 PECOS PAC ID: 8426449257 Enrollment ID: I20220105000213 |
| Provider Name | Angela Johnson Register |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053077628 PECOS PAC ID: 9739570474 Enrollment ID: I20220106001817 |
| Provider Name | Moses Enakiruvie Ekakitie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538831110 PECOS PAC ID: 7214329929 Enrollment ID: I20220110000025 |
| Provider Name | Noeline Coore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235513680 PECOS PAC ID: 2769874304 Enrollment ID: I20220111002898 |
| Provider Name | Travis Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205448560 PECOS PAC ID: 2567854128 Enrollment ID: I20220112000890 |
| Provider Name | Adeduntan Olabisi Oke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457010860 PECOS PAC ID: 7810389319 Enrollment ID: I20220112002846 |
| Provider Name | Kaydean J Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063908242 PECOS PAC ID: 6204255805 Enrollment ID: I20220113000569 |
| Provider Name | Yanysel Gonzalez Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538824727 PECOS PAC ID: 2264824556 Enrollment ID: I20220118002446 |
| Provider Name | Sandra L Risoldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972745206 PECOS PAC ID: 7012309214 Enrollment ID: I20220120001801 |
| Provider Name | Brian Howard Goldman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245699446 PECOS PAC ID: 0244523264 Enrollment ID: I20220208002899 |
| Provider Name | Jerika Terese Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922762467 PECOS PAC ID: 0446643597 Enrollment ID: I20220214000054 |
| Provider Name | Bradley Sipe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003233578 PECOS PAC ID: 1052619095 Enrollment ID: I20220214000591 |
| Provider Name | Krishnakumar Parameswran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851050850 PECOS PAC ID: 6709270622 Enrollment ID: I20220218000660 |
| Provider Name | Tasia Nadine Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922616275 PECOS PAC ID: 6305253782 Enrollment ID: I20220222001195 |
| Provider Name | Carol T Gallegos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386399012 PECOS PAC ID: 8729472154 Enrollment ID: I20220301002885 |
| Provider Name | Anna M Louiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871542290 PECOS PAC ID: 9335210830 Enrollment ID: I20220312000338 |
| Provider Name | Julae E Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841954286 PECOS PAC ID: 7911392691 Enrollment ID: I20220315002565 |
| Provider Name | Kathryn Jean Steckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013128719 PECOS PAC ID: 8820197197 Enrollment ID: I20220317001682 |
| Provider Name | Carolyn Diane Cates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962758656 PECOS PAC ID: 3274928809 Enrollment ID: I20220318000090 |
| Provider Name | Adara C Abdalah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295321412 PECOS PAC ID: 0749675262 Enrollment ID: I20220321001261 |
| Provider Name | Nashalie M Rodriguez-almodovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396492542 PECOS PAC ID: 3173918356 Enrollment ID: I20220325000892 |
| Provider Name | Melissa Karen Aull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386312353 PECOS PAC ID: 6406248541 Enrollment ID: I20220331002220 |
| Provider Name | Yolanda Y Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295987758 PECOS PAC ID: 8820373434 Enrollment ID: I20220331002278 |
| Provider Name | Linda Rebecca Pierre-paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710575410 PECOS PAC ID: 2769878560 Enrollment ID: I20220404002091 |
| Provider Name | Lindsay Kathleen Nowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164176186 PECOS PAC ID: 3577959931 Enrollment ID: I20220412000464 |
| Provider Name | Adam Psyd Shemony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336809904 PECOS PAC ID: 7911394911 Enrollment ID: I20220421000768 |
| Provider Name | Pamela J Gatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598416497 PECOS PAC ID: 8123415809 Enrollment ID: I20220427002259 |
| Provider Name | Johari Patrice Faison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386399095 PECOS PAC ID: 9133516826 Enrollment ID: I20220427002713 |
| Provider Name | Raziela Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114512506 PECOS PAC ID: 3870970635 Enrollment ID: I20220517000334 |
| Provider Name | Leidi Karina Perez-estremera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861052516 PECOS PAC ID: 6608253398 Enrollment ID: I20220518002770 |
| Provider Name | Erica Tilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982355178 PECOS PAC ID: 7416334016 Enrollment ID: I20220520001105 |
| Provider Name | Caleb Philippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881266526 PECOS PAC ID: 0345628517 Enrollment ID: I20220531000205 |
| Provider Name | Ivan Dario Escobar Roldan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770060204 PECOS PAC ID: 9436537677 Enrollment ID: I20220601000084 |
| Provider Name | Maya J Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760859136 PECOS PAC ID: 1153709316 Enrollment ID: I20220601000610 |
| Provider Name | Mario Roberto Barrera Del Aguila |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093237521 PECOS PAC ID: 1951789114 Enrollment ID: I20220601000709 |
| Provider Name | Antonio Edoardo Lubrano Heinsen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801317367 PECOS PAC ID: 7012395106 Enrollment ID: I20220601002196 |
| Provider Name | John Betancourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225564982 PECOS PAC ID: 1557749660 Enrollment ID: I20220601003042 |
| Provider Name | Autumn Blair Belahmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679232714 PECOS PAC ID: 4486032059 Enrollment ID: I20220610000022 |
| Provider Name | Matthew James Dougherty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255822599 PECOS PAC ID: 8325394091 Enrollment ID: I20220618000181 |
| Provider Name | Lisa Marie Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972170926 PECOS PAC ID: 8325427362 Enrollment ID: I20220621002926 |
| Provider Name | Latasha Yvette Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871101691 PECOS PAC ID: 5597144568 Enrollment ID: I20220622000574 |
| Provider Name | Deshire Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932854726 PECOS PAC ID: 8426437260 Enrollment ID: I20220624000352 |
| Provider Name | Sara Mousikos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023753910 PECOS PAC ID: 2668851445 Enrollment ID: I20220624001517 |
| Provider Name | Nicole Schrank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891439477 PECOS PAC ID: 0244619823 Enrollment ID: I20220628002700 |
| Provider Name | Mark Ira Bornstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518078351 PECOS PAC ID: 3173426582 Enrollment ID: I20220701000812 |
| Provider Name | John Warren Hill |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1922047661 PECOS PAC ID: 1557339405 Enrollment ID: I20220705002389 |
| Provider Name | Ashley Dawn Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508104050 PECOS PAC ID: 2365687886 Enrollment ID: I20220707001024 |
| Provider Name | Maria Cristina Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619281151 PECOS PAC ID: 2567842560 Enrollment ID: I20220708000658 |
| Provider Name | Dinah Elizabeth Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124113444 PECOS PAC ID: 4284631714 Enrollment ID: I20220802000804 |
| Provider Name | Shaquitia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144830191 PECOS PAC ID: 0446633382 Enrollment ID: I20220810001970 |
| Provider Name | Ulinda Coralee Mcdowall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700929 PECOS PAC ID: 7214310887 Enrollment ID: I20220815000826 |
| Provider Name | Yanett Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487386132 PECOS PAC ID: 3476936519 Enrollment ID: I20220822003527 |
| Provider Name | Maxine Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295478733 PECOS PAC ID: 1557745577 Enrollment ID: I20220825000122 |
| Provider Name | Kari Kay Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316675390 PECOS PAC ID: 6305220054 Enrollment ID: I20220830003689 |
| Provider Name | Michael A Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366068298 PECOS PAC ID: 8820472269 Enrollment ID: I20220902000011 |
| Provider Name | Kristin Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409318 PECOS PAC ID: 9335523554 Enrollment ID: I20220907000568 |
| Provider Name | Paul Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770219701 PECOS PAC ID: 7719362623 Enrollment ID: I20220913003024 |
| Provider Name | Jacqueline M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730826538 PECOS PAC ID: 1658756184 Enrollment ID: I20220919002683 |
| Provider Name | Vennessa Kay-ann Beaumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144988288 PECOS PAC ID: 4587040746 Enrollment ID: I20220926003299 |
| Provider Name | Yanet Quiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841926276 PECOS PAC ID: 2961888904 Enrollment ID: I20220928003749 |
| Provider Name | Janile Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588122386 PECOS PAC ID: 6507242047 Enrollment ID: I20221006000636 |
| Provider Name | Cristina Elena Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174259709 PECOS PAC ID: 5597141945 Enrollment ID: I20221007002347 |
| Provider Name | Evelyn Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083906226 PECOS PAC ID: 0840666178 Enrollment ID: I20221011002975 |
| Provider Name | Jill C Rockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811503808 PECOS PAC ID: 6800262163 Enrollment ID: I20221012001638 |
| Provider Name | Luis Wilfredo Lopez-rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619502846 PECOS PAC ID: 9830565068 Enrollment ID: I20221013000609 |
| Provider Name | Angela Faye Kemmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346415759 PECOS PAC ID: 9931575008 Enrollment ID: I20221013002863 |
| Provider Name | Lisa Diann Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902528581 PECOS PAC ID: 2567839418 Enrollment ID: I20221104002210 |
| Provider Name | Elizabeth Jean Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841838653 PECOS PAC ID: 1557738382 Enrollment ID: I20221107003043 |
| Provider Name | Audrey Kathryn Dona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598486482 PECOS PAC ID: 9739557265 Enrollment ID: I20221115000542 |
| Provider Name | Jennifer Lynn Emrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346957388 PECOS PAC ID: 0840668315 Enrollment ID: I20221115002181 |
| Provider Name | Megan Colleen-higgins Stoddart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851025159 PECOS PAC ID: 4587040449 Enrollment ID: I20221123000046 |
| Provider Name | Janile Contreras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326775180 PECOS PAC ID: 0345619086 Enrollment ID: I20221220000217 |
| Provider Name | Tirsit Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376603951 PECOS PAC ID: 7719269620 Enrollment ID: I20221220001310 |
| Provider Name | Lucas Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932534781 PECOS PAC ID: 1557731510 Enrollment ID: I20230109000672 |
| Provider Name | Ariagne Ramirez Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780301374 PECOS PAC ID: 9739559600 Enrollment ID: I20230110003283 |
| Provider Name | Amy Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497068878 PECOS PAC ID: 5395116081 Enrollment ID: I20230117000324 |
| Provider Name | Marilou Galvan Folk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952030835 PECOS PAC ID: 4183096761 Enrollment ID: I20230207003687 |
| Provider Name | Arlene Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669197323 PECOS PAC ID: 2163894288 Enrollment ID: I20230217000818 |
| Provider Name | Sasha Gay Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265148894 PECOS PAC ID: 2567834559 Enrollment ID: I20230221003069 |
| Provider Name | Allyson Penn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831647171 PECOS PAC ID: 1254704208 Enrollment ID: I20230222002528 |
| Provider Name | Wilson Tadeu Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683778 PECOS PAC ID: 9234502063 Enrollment ID: I20230227001415 |
| Provider Name | Mark W Nickels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679520837 PECOS PAC ID: 9739363532 Enrollment ID: I20230228001015 |
| Provider Name | Arnise Lanell Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033816038 PECOS PAC ID: 9234502964 Enrollment ID: I20230228002493 |
| Provider Name | Giuseppe Ventre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073683215 PECOS PAC ID: 2163489741 Enrollment ID: I20230314001261 |
| Provider Name | Tania Sophia Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295445914 PECOS PAC ID: 4284008244 Enrollment ID: I20230315001178 |
| Provider Name | Mandy L Poginy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457744344 PECOS PAC ID: 0648599894 Enrollment ID: I20230322000169 |
| Provider Name | Hanna Soliman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154078129 PECOS PAC ID: 1658745286 Enrollment ID: I20230323000061 |
| Provider Name | Stacey Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295434637 PECOS PAC ID: 4486028941 Enrollment ID: I20230323001996 |
| Provider Name | Jennifer Ann Barton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124667795 PECOS PAC ID: 7618341108 Enrollment ID: I20230323003310 |
| Provider Name | Sreejithkumar Sasidharan Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579669 PECOS PAC ID: 5799150934 Enrollment ID: I20230331001317 |
| Provider Name | Yolande Maxius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649789306 PECOS PAC ID: 1456690403 Enrollment ID: I20230408000171 |
| Provider Name | Krystle Mcgrady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194366799 PECOS PAC ID: 3274908017 Enrollment ID: I20230411000105 |
| Provider Name | Khadene Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902502008 PECOS PAC ID: 8022483668 Enrollment ID: I20230412001614 |
| Provider Name | Carmen Herbruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922346477 PECOS PAC ID: 7810362365 Enrollment ID: I20230414000157 |
| Provider Name | Paula Maness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437312097 PECOS PAC ID: 6406150465 Enrollment ID: I20230419001768 |
| Provider Name | Vivian Tejera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184034050 PECOS PAC ID: 0749645562 Enrollment ID: I20230501002547 |
| Provider Name | Yvonne Benco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598468845 PECOS PAC ID: 1153787460 Enrollment ID: I20230511001441 |
| Provider Name | Jill Nancy Lebenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144863762 PECOS PAC ID: 9335506781 Enrollment ID: I20230531001462 |
| Provider Name | Latara T Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255088563 PECOS PAC ID: 0042678534 Enrollment ID: I20230614004169 |
| Provider Name | Carly Heidenreich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700267143 PECOS PAC ID: 1951634492 Enrollment ID: I20230615003185 |
| Provider Name | Michael Gregory Foss |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285193193 PECOS PAC ID: 9537529771 Enrollment ID: I20230719001216 |
| Provider Name | Consuelo G Lule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962196824 PECOS PAC ID: 0941661029 Enrollment ID: I20230804003647 |
| Provider Name | Maikel Perez Carrodeguas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033836929 PECOS PAC ID: 0840652285 Enrollment ID: I20230816002522 |
| Provider Name | Johndell Directo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881388379 PECOS PAC ID: 8224491147 Enrollment ID: I20230825000295 |
| Provider Name | Lina Marcela Rengifo Bedoya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386296366 PECOS PAC ID: 8325377674 Enrollment ID: I20231011000994 |
| Provider Name | Edward John Wasloski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952307084 PECOS PAC ID: 4789634643 Enrollment ID: I20231030001500 |
| Provider Name | Isabel Maria Rodriguez Carmenaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962857540 PECOS PAC ID: 5991151508 Enrollment ID: I20231101003338 |
| Provider Name | Stevenson Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215716774 PECOS PAC ID: 3072962976 Enrollment ID: I20231216000248 |
| Provider Name | Victoria T Hine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952183030 PECOS PAC ID: 0446602353 Enrollment ID: I20240116004059 |
| Provider Name | Gladys Gonzalez Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154102143 PECOS PAC ID: 5698127447 Enrollment ID: I20240117004323 |
| Mailing Address | Practice Location Address |
|---|---|
| Mcr Health, Inc. 101 Riverfront Blvd Ste 710, Bradenton, FL 34205-8812 Ph: (941) 776-4000 | Mcr Health, Inc. 12271 Us Highway 301 N, Parrish, FL 34219-8410 Ph: (941) 776-4050 |