| Acclaim Physician Group, Inc | |
|
1500 S Main St Fort Worth TX 76104-4917 | |
| (817) 702-6770 | |
| Not Available |
| Full Name | Acclaim Physician Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 S Main St, Fort Worth, Texas |
| Authorized Official Name and Position | Kade Rutherford (EXECUTIVE DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 8177026770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acclaim Physician Group, Inc 1500 S Main St Fort Worth TX 76104-4917 Ph: (817) 702-6770 | Acclaim Physician Group, Inc 1500 S Main St Fort Worth TX 76104-4917 Ph: (817) 702-6770 |
| NPI Number | 1780076562 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4587963582 |
|---|---|
| Medicare Enrollment ID | O20160426000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780076562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Primary |
| Provider Name | John Mark Bayouth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710904396 PECOS PAC ID: 0446154454 Enrollment ID: I20031121000344 |
| Provider Name | Sandeep A Kamath |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417974155 PECOS PAC ID: 6204734684 Enrollment ID: I20031222000971 |
| Provider Name | Carol A Nati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326091075 PECOS PAC ID: 8426957465 Enrollment ID: I20040108000166 |
| Provider Name | Diana Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538152400 PECOS PAC ID: 2860393865 Enrollment ID: I20040114000121 |
| Provider Name | Patricia A Mcbride Houtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134214877 PECOS PAC ID: 4183526262 Enrollment ID: I20040121000550 |
| Provider Name | William B Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306866504 PECOS PAC ID: 2163324021 Enrollment ID: I20040122000472 |
| Provider Name | Jack M Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205801347 PECOS PAC ID: 2961304738 Enrollment ID: I20040130000361 |
| Provider Name | Gerald G Payne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407821366 PECOS PAC ID: 0143122911 Enrollment ID: I20040130000577 |
| Provider Name | Navneet K Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669456414 PECOS PAC ID: 9436045267 Enrollment ID: I20040226001057 |
| Provider Name | Oladapo Olukayode Afolabi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588656391 PECOS PAC ID: 4880582360 Enrollment ID: I20040306000261 |
| Provider Name | Cheryl L Hurd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962539312 PECOS PAC ID: 5294728705 Enrollment ID: I20040408001437 |
| Provider Name | Kathleen A Donaldson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558377598 PECOS PAC ID: 1850388703 Enrollment ID: I20040430000586 |
| Provider Name | Sreekumaran K Nair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578519856 PECOS PAC ID: 1456349323 Enrollment ID: I20040501000218 |
| Provider Name | Melchor M Boone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629084082 PECOS PAC ID: 9830187343 Enrollment ID: I20040504000527 |
| Provider Name | David B Grissom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033188677 PECOS PAC ID: 2860481090 Enrollment ID: I20040511001412 |
| Provider Name | Paul J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710075239 PECOS PAC ID: 4385634161 Enrollment ID: I20040513001389 |
| Provider Name | Holly R Battaile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255495982 PECOS PAC ID: 7012908262 Enrollment ID: I20040518001309 |
| Provider Name | Jeremiah N Keng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437166691 PECOS PAC ID: 5799766754 Enrollment ID: I20040526000278 |
| Provider Name | Susan Elizabeth Mcneil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124048327 PECOS PAC ID: 7315929080 Enrollment ID: I20040605000121 |
| Provider Name | David Paul Capper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720075690 PECOS PAC ID: 2163405796 Enrollment ID: I20040612000330 |
| Provider Name | Andrey Manov |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801829676 PECOS PAC ID: 6406834589 Enrollment ID: I20040713001619 |
| Provider Name | Richard Paul Wikoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255566592 PECOS PAC ID: 1254310089 Enrollment ID: I20040716000149 |
| Provider Name | Balaji Veerappan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912999152 PECOS PAC ID: 3375522741 Enrollment ID: I20040719000695 |
| Provider Name | Gerald R Stephenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598781122 PECOS PAC ID: 5597735167 Enrollment ID: I20040729001515 |
| Provider Name | Terri L Major-kincade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326085473 PECOS PAC ID: 7113998428 Enrollment ID: I20040802000918 |
| Provider Name | Sandra Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902895386 PECOS PAC ID: 3971574914 Enrollment ID: I20040804000062 |
| Provider Name | Elma Granado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215980644 PECOS PAC ID: 3577534205 Enrollment ID: I20040804001668 |
| Provider Name | John O Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801808589 PECOS PAC ID: 5991776452 Enrollment ID: I20040805001486 |
| Provider Name | Aruna Boddu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801868773 PECOS PAC ID: 1052388857 Enrollment ID: I20040913000141 |
| Provider Name | Amy G Haufler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932220332 PECOS PAC ID: 7517936974 Enrollment ID: I20041001000392 |
| Provider Name | Manuel Lois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376576132 PECOS PAC ID: 6305805219 Enrollment ID: I20041006001177 |
| Provider Name | Sabna Thoppil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912930652 PECOS PAC ID: 6507826260 Enrollment ID: I20041016000190 |
| Provider Name | Jerry D Henderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255420816 PECOS PAC ID: 0941261341 Enrollment ID: I20041019001435 |
| Provider Name | Latha S Neerukonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215960018 PECOS PAC ID: 7113989435 Enrollment ID: I20041029000318 |
| Provider Name | John H Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497775696 PECOS PAC ID: 3678548294 Enrollment ID: I20041029000734 |
| Provider Name | Patrick Chen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639261423 PECOS PAC ID: 9537121082 Enrollment ID: I20041029000796 |
| Provider Name | Jadwiga Alina Klymiuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093768434 PECOS PAC ID: 4183686207 Enrollment ID: I20041101000952 |
| Provider Name | James E Anderson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245240290 PECOS PAC ID: 0749243343 Enrollment ID: I20041104001050 |
| Provider Name | Ramon A Cintron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912981655 PECOS PAC ID: 4385607910 Enrollment ID: I20041104001183 |
| Provider Name | Sherif Al-farra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093770737 PECOS PAC ID: 8527021153 Enrollment ID: I20041104001216 |
| Provider Name | Alan B Frol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922060078 PECOS PAC ID: 0941264709 Enrollment ID: I20041112000336 |
| Provider Name | Cecilia Prieto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659391852 PECOS PAC ID: 4486618568 Enrollment ID: I20041118000051 |
| Provider Name | Maya M Namboodiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437128303 PECOS PAC ID: 7911963822 Enrollment ID: I20041202000581 |
| Provider Name | Rejesh R Gandhi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083634489 PECOS PAC ID: 0244296069 Enrollment ID: I20041203000436 |
| Provider Name | Geethanjali Ramamurthy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093707887 PECOS PAC ID: 0244297299 Enrollment ID: I20041213000051 |
| Provider Name | Dong V Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962486431 PECOS PAC ID: 4587613187 Enrollment ID: I20050121000068 |
| Provider Name | Ping K Yeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457393290 PECOS PAC ID: 8325094501 Enrollment ID: I20050330001048 |
| Provider Name | Mariam N Alame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396793121 PECOS PAC ID: 0042259731 Enrollment ID: I20050616000807 |
| Provider Name | Monte E Troutman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225000326 PECOS PAC ID: 6204871817 Enrollment ID: I20050623000977 |
| Provider Name | Ponnaiah Chandra Mohan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487646295 PECOS PAC ID: 8224074497 Enrollment ID: I20050628001462 |
| Provider Name | Sean Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902850936 PECOS PAC ID: 3779529607 Enrollment ID: I20050630000930 |
| Provider Name | Forrest O'dell Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548286693 PECOS PAC ID: 4183689151 Enrollment ID: I20050715000864 |
| Provider Name | Avinash Vallurupalli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457553224 PECOS PAC ID: 1355378084 Enrollment ID: I20050725000287 |
| Provider Name | Alan G Garrett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588608459 PECOS PAC ID: 3274561683 Enrollment ID: I20050727000906 |
| Provider Name | Samatha Chandupatla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114918356 PECOS PAC ID: 4082642871 Enrollment ID: I20050802001040 |
| Provider Name | Kirit C Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386716090 PECOS PAC ID: 8123057759 Enrollment ID: I20050808000387 |
| Provider Name | Peter V Nguyen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790709285 PECOS PAC ID: 1052340080 Enrollment ID: I20050809001125 |
| Provider Name | Jesse E Smith |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194742791 PECOS PAC ID: 1153397393 Enrollment ID: I20050815000858 |
| Provider Name | Marija Djokovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700839123 PECOS PAC ID: 0840220992 Enrollment ID: I20050817001198 |
| Provider Name | Christopher Jordan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679523625 PECOS PAC ID: 4587694443 Enrollment ID: I20050819000545 |
| Provider Name | Valorie G Tadlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144406612 PECOS PAC ID: 0042241887 Enrollment ID: I20050822001216 |
| Provider Name | Marta C Dahiya |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962474403 PECOS PAC ID: 1153352372 Enrollment ID: I20050827000211 |
| Provider Name | Robert T. Coles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407876691 PECOS PAC ID: 0648202556 Enrollment ID: I20050831000284 |
| Provider Name | Lesca C Hadley |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114916715 PECOS PAC ID: 6709818636 Enrollment ID: I20050831000478 |
| Provider Name | William B Pate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316936701 PECOS PAC ID: 0042242992 Enrollment ID: I20050831000580 |
| Provider Name | Suzanne B Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033146436 PECOS PAC ID: 5092747949 Enrollment ID: I20050831000609 |
| Provider Name | Barbara L Slee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174512719 PECOS PAC ID: 2961434816 Enrollment ID: I20050831000639 |
| Provider Name | Richard A Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720008923 PECOS PAC ID: 4385676246 Enrollment ID: I20050831000669 |
| Provider Name | Donald Nelms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841223641 PECOS PAC ID: 5991737793 Enrollment ID: I20050831000951 |
| Provider Name | Mark Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174512651 PECOS PAC ID: 8527090224 Enrollment ID: I20050901000866 |
| Provider Name | Edward S Ferree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184699654 PECOS PAC ID: 8325070451 Enrollment ID: I20050908001177 |
| Provider Name | Jose B Arellano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235105651 PECOS PAC ID: 4688606742 Enrollment ID: I20050909000220 |
| Provider Name | Richard Fulkerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770503971 PECOS PAC ID: 6507899549 Enrollment ID: I20050912000486 |
| Provider Name | Prasanna N Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215957410 PECOS PAC ID: 4284667247 Enrollment ID: I20050912000629 |
| Provider Name | Rim Bannout |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841246113 PECOS PAC ID: 9739112517 Enrollment ID: I20050913000422 |
| Provider Name | Sangameshwar P Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710918594 PECOS PAC ID: 5991738783 Enrollment ID: I20050913000442 |
| Provider Name | Matthew Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568482768 PECOS PAC ID: 8628001443 Enrollment ID: I20050913000670 |
| Provider Name | Jorge Pinilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740200948 PECOS PAC ID: 2860425527 Enrollment ID: I20050913001138 |
| Provider Name | Linda K Boughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699701649 PECOS PAC ID: 6709819444 Enrollment ID: I20050914000328 |
| Provider Name | Tela M Isik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881775948 PECOS PAC ID: 6103859707 Enrollment ID: I20050914000776 |
| Provider Name | Folashade Asekun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982785093 PECOS PAC ID: 2466485081 Enrollment ID: I20050914000993 |
| Provider Name | David J Moreland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104831924 PECOS PAC ID: 8022041664 Enrollment ID: I20050914001146 |
| Provider Name | Peter J Elliott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487660411 PECOS PAC ID: 2365475845 Enrollment ID: I20050915000042 |
| Provider Name | Kathleen Crowley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063428126 PECOS PAC ID: 5698708170 Enrollment ID: I20050915000064 |
| Provider Name | Frank D De Leon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235145301 PECOS PAC ID: 7315970894 Enrollment ID: I20050915000075 |
| Provider Name | George Sealy Massingill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902812977 PECOS PAC ID: 1759314248 Enrollment ID: I20050915000093 |
| Provider Name | Bethany Mcclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639148190 PECOS PAC ID: 5991738411 Enrollment ID: I20050915000346 |
| Provider Name | Elizabeth Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184613663 PECOS PAC ID: 3072546423 Enrollment ID: I20050915000585 |
| Provider Name | Chi Ha Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033171525 PECOS PAC ID: 1658304001 Enrollment ID: I20050915000642 |
| Provider Name | Daniel C Lum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285603167 PECOS PAC ID: 7810920279 Enrollment ID: I20050915000660 |
| Provider Name | Vibha V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881663151 PECOS PAC ID: 2860425220 Enrollment ID: I20050915000703 |
| Provider Name | Mytrang Thi Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518929090 PECOS PAC ID: 1052344421 Enrollment ID: I20050915000789 |
| Provider Name | Khoi B Chu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467468843 PECOS PAC ID: 2860425238 Enrollment ID: I20050915000803 |
| Provider Name | Linda M Siy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689635765 PECOS PAC ID: 1850324229 Enrollment ID: I20050915000812 |
| Provider Name | Robert C Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558322107 PECOS PAC ID: 5294768677 Enrollment ID: I20050915000838 |
| Provider Name | Mayme F Richie Gillespie |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1386647048 PECOS PAC ID: 6406889757 Enrollment ID: I20050916000152 |
| Provider Name | Phyllis Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508835380 PECOS PAC ID: 7719910074 Enrollment ID: I20050916000186 |
| Provider Name | Meihwa F Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508835950 PECOS PAC ID: 1951334218 Enrollment ID: I20050916000222 |
| Provider Name | Gary Etter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427000264 PECOS PAC ID: 6305879693 Enrollment ID: I20050916000392 |
| Provider Name | Delwin Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942257209 PECOS PAC ID: 9335172626 Enrollment ID: I20050916000447 |
| Provider Name | Anthony Scott Winter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194777839 PECOS PAC ID: 6204869506 Enrollment ID: I20050916000504 |
| Provider Name | Alan Podawiltz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184693145 PECOS PAC ID: 8628001930 Enrollment ID: I20050916000607 |
| Provider Name | Walter A Lajara-nanson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528050283 PECOS PAC ID: 1951335736 Enrollment ID: I20050921000529 |
| Provider Name | Russell A Wagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154365013 PECOS PAC ID: 4880628445 Enrollment ID: I20050922000793 |
| Provider Name | Arvind Dahyabhai Nana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679515340 PECOS PAC ID: 9638103237 Enrollment ID: I20050922001120 |
| Provider Name | Travis A Motley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003850991 PECOS PAC ID: 3173557477 Enrollment ID: I20050926001054 |
| Provider Name | Yuvaraj D Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194783274 PECOS PAC ID: 8729012992 Enrollment ID: I20050927000340 |
| Provider Name | Kathleen M Robertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881600864 PECOS PAC ID: 3274566617 Enrollment ID: I20050928000072 |
| Provider Name | Daniel W Ziegler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356368948 PECOS PAC ID: 9436184033 Enrollment ID: I20051003000571 |
| Provider Name | Fernando Garcia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881610749 PECOS PAC ID: 3072548593 Enrollment ID: I20051003000747 |
| Provider Name | Darien W Bradford |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376560961 PECOS PAC ID: 2567487739 Enrollment ID: I20051014000346 |
| Provider Name | Maria Liliana Asprilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558339192 PECOS PAC ID: 0446276349 Enrollment ID: I20051020000273 |
| Provider Name | Daniel F Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457340010 PECOS PAC ID: 8820014392 Enrollment ID: I20051024000675 |
| Provider Name | Curtis L Studey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821090002 PECOS PAC ID: 8325065469 Enrollment ID: I20051028000231 |
| Provider Name | Rose S Simonian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831134667 PECOS PAC ID: 4385664945 Enrollment ID: I20051129000416 |
| Provider Name | Quyen T Hamilton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326195595 PECOS PAC ID: 6002839370 Enrollment ID: I20060112000657 |
| Provider Name | Karen M Kirk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417984055 PECOS PAC ID: 5890718076 Enrollment ID: I20060113000574 |
| Provider Name | Celso Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932100559 PECOS PAC ID: 6901829183 Enrollment ID: I20060113000616 |
| Provider Name | Urussa A Jabbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740259605 PECOS PAC ID: 5092739912 Enrollment ID: I20060118000950 |
| Provider Name | Rajbir K Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144281981 PECOS PAC ID: 7719901636 Enrollment ID: I20060118000962 |
| Provider Name | Tam T Huynh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235177098 PECOS PAC ID: 7517971989 Enrollment ID: I20060206000783 |
| Provider Name | Saji Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760458343 PECOS PAC ID: 1951317478 Enrollment ID: I20060221000675 |
| Provider Name | Prema Manjunath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013962745 PECOS PAC ID: 0840200325 Enrollment ID: I20060427000655 |
| Provider Name | Roger Lewis Wallace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609838481 PECOS PAC ID: 4385687342 Enrollment ID: I20060711000369 |
| Provider Name | Jaime L Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720094626 PECOS PAC ID: 1850395666 Enrollment ID: I20060911000280 |
| Provider Name | Suman Bireddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093765299 PECOS PAC ID: 5698679082 Enrollment ID: I20061002000083 |
| Provider Name | Caroline G Ferris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376576652 PECOS PAC ID: 6103821848 Enrollment ID: I20061002000180 |
| Provider Name | Valerie A Agena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669498481 PECOS PAC ID: 2264438423 Enrollment ID: I20061011000129 |
| Provider Name | Creed L Wait |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609809185 PECOS PAC ID: 4789608902 Enrollment ID: I20061025000148 |
| Provider Name | David P Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548233968 PECOS PAC ID: 4688656432 Enrollment ID: I20061026000480 |
| Provider Name | Michael E Wimmer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801868906 PECOS PAC ID: 0244231181 Enrollment ID: I20070120000093 |
| Provider Name | Mark H Oltermann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154353357 PECOS PAC ID: 3971504820 Enrollment ID: I20070120000095 |
| Provider Name | Trang Le |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942319892 PECOS PAC ID: 8325049059 Enrollment ID: I20070124000244 |
| Provider Name | Kollier J Hinkle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760496632 PECOS PAC ID: 4082615257 Enrollment ID: I20070131000220 |
| Provider Name | Stephanie R Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598774945 PECOS PAC ID: 5193827202 Enrollment ID: I20070220000627 |
| Provider Name | Francis K Mascarenhas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043326093 PECOS PAC ID: 3274635156 Enrollment ID: I20070223000125 |
| Provider Name | Phuc Nguyen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881798270 PECOS PAC ID: 2961504857 Enrollment ID: I20070223000250 |
| Provider Name | Manjula Cherukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477632016 PECOS PAC ID: 1850493743 Enrollment ID: I20070223000265 |
| Provider Name | Neena N Bhagat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992806632 PECOS PAC ID: 5597869040 Enrollment ID: I20070322000545 |
| Provider Name | Maria D Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912993650 PECOS PAC ID: 1153317078 Enrollment ID: I20070328000624 |
| Provider Name | Phyllis L. Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881795854 PECOS PAC ID: 3577668474 Enrollment ID: I20070423000204 |
| Provider Name | Zubair H Latif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255427712 PECOS PAC ID: 7719082528 Enrollment ID: I20070423000371 |
| Provider Name | Brenda M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346221009 PECOS PAC ID: 7012013402 Enrollment ID: I20070501000440 |
| Provider Name | Robert L Marshall |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891991881 PECOS PAC ID: 0143327908 Enrollment ID: I20070514000252 |
| Provider Name | Shelagh B Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215077219 PECOS PAC ID: 4981702073 Enrollment ID: I20070613000729 |
| Provider Name | Nikki B Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699842195 PECOS PAC ID: 5597867986 Enrollment ID: I20070627000281 |
| Provider Name | Elizabeth Holper |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528121043 PECOS PAC ID: 8628178746 Enrollment ID: I20070702000668 |
| Provider Name | Diane St Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750427068 PECOS PAC ID: 9830299320 Enrollment ID: I20070712000745 |
| Provider Name | Bobby J Wroten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982648440 PECOS PAC ID: 3173623667 Enrollment ID: I20070712000760 |
| Provider Name | Stephen R Huang |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1891837225 PECOS PAC ID: 9133220379 Enrollment ID: I20070718000594 |
| Provider Name | Lindi R Berry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538370457 PECOS PAC ID: 4587755806 Enrollment ID: I20070801000147 |
| Provider Name | Stephen James Ferney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043270358 PECOS PAC ID: 9133129992 Enrollment ID: I20070810000740 |
| Provider Name | Amanda C Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487780540 PECOS PAC ID: 9335232537 Enrollment ID: I20070904000604 |
| Provider Name | Chad Randal Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780753681 PECOS PAC ID: 2567555311 Enrollment ID: I20070910000698 |
| Provider Name | Udaya Gavini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942382080 PECOS PAC ID: 7012013774 Enrollment ID: I20071127000280 |
| Provider Name | Murali K Manne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821170978 PECOS PAC ID: 3678679354 Enrollment ID: I20071127000351 |
| Provider Name | Cynthia A Claassen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487616561 PECOS PAC ID: 7517056609 Enrollment ID: I20071127000441 |
| Provider Name | Anuradha Lingam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942342696 PECOS PAC ID: 1658453162 Enrollment ID: I20080123000434 |
| Provider Name | Robin Mckelvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730228727 PECOS PAC ID: 3971687039 Enrollment ID: I20080227000710 |
| Provider Name | Nabila S Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992990386 PECOS PAC ID: 1456438019 Enrollment ID: I20080407000223 |
| Provider Name | David M Slife |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730137522 PECOS PAC ID: 7719064377 Enrollment ID: I20080407000230 |
| Provider Name | Kristina Simic Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336338565 PECOS PAC ID: 3577641539 Enrollment ID: I20080417000078 |
| Provider Name | Chandrakant H Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356409981 PECOS PAC ID: 5597843474 Enrollment ID: I20080417000127 |
| Provider Name | Josephine Rebecca Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467425033 PECOS PAC ID: 0042399248 Enrollment ID: I20080429000700 |
| Provider Name | Rohan Courtney Clarke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336364041 PECOS PAC ID: 0547349532 Enrollment ID: I20080501000475 |
| Provider Name | Beverly Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417136144 PECOS PAC ID: 4486733474 Enrollment ID: I20080501000536 |
| Provider Name | Saira Dar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366412165 PECOS PAC ID: 7911949540 Enrollment ID: I20080607000056 |
| Provider Name | Steven Q Davis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437277381 PECOS PAC ID: 8022081397 Enrollment ID: I20080620000089 |
| Provider Name | Angela P Cornelius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730383316 PECOS PAC ID: 4688748254 Enrollment ID: I20080730000433 |
| Provider Name | Jaya Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750566394 PECOS PAC ID: 2466526470 Enrollment ID: I20080808000146 |
| Provider Name | Patrick C Nef |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194901330 PECOS PAC ID: 9032284450 Enrollment ID: I20080820000289 |
| Provider Name | Munir S Merchant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104860394 PECOS PAC ID: 5991739047 Enrollment ID: I20080821000238 |
| Provider Name | Lisa M Coles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578751129 PECOS PAC ID: 2163597469 Enrollment ID: I20080821000256 |
| Provider Name | Yun Tzu Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275747842 PECOS PAC ID: 6204902539 Enrollment ID: I20080910000146 |
| Provider Name | Helene M Alphonso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972779734 PECOS PAC ID: 9830265040 Enrollment ID: I20080911000266 |
| Provider Name | Cherryll Phoebe T Libed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194980011 PECOS PAC ID: 6709954878 Enrollment ID: I20081003000089 |
| Provider Name | Jessie D Hicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811994023 PECOS PAC ID: 5698843548 Enrollment ID: I20081006000549 |
| Provider Name | Heather L Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932370863 PECOS PAC ID: 1850469388 Enrollment ID: I20081009000793 |
| Provider Name | Sandra K Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568447431 PECOS PAC ID: 7113095613 Enrollment ID: I20081010000507 |
| Provider Name | Timothy M Kremer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750301446 PECOS PAC ID: 8123020039 Enrollment ID: I20081015000267 |
| Provider Name | Ricardo Cristobal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801059514 PECOS PAC ID: 3476611724 Enrollment ID: I20081015000480 |
| Provider Name | James R Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467652990 PECOS PAC ID: 9830257674 Enrollment ID: I20081022000506 |
| Provider Name | Brian G Webb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144378928 PECOS PAC ID: 1557454493 Enrollment ID: I20081023000862 |
| Provider Name | Robert E Miles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689834186 PECOS PAC ID: 8729146287 Enrollment ID: I20081028000224 |
| Provider Name | Misty G Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396997987 PECOS PAC ID: 4789746371 Enrollment ID: I20081216000127 |
| Provider Name | Himabindu Ramireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285809657 PECOS PAC ID: 1355403536 Enrollment ID: I20081222000674 |
| Provider Name | Christie L Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548412018 PECOS PAC ID: 8729141007 Enrollment ID: I20090113000378 |
| Provider Name | John L Fewins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982662672 PECOS PAC ID: 9931279882 Enrollment ID: I20090120000354 |
| Provider Name | Rachel Velarde |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649336074 PECOS PAC ID: 5193889533 Enrollment ID: I20090129000172 |
| Provider Name | Premal T Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427237627 PECOS PAC ID: 3971667346 Enrollment ID: I20090129000394 |
| Provider Name | Ugonna D Chike-obi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841237203 PECOS PAC ID: 1951466549 Enrollment ID: I20090216000028 |
| Provider Name | Mohamed Summakia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962430553 PECOS PAC ID: 4789680661 Enrollment ID: I20090317000248 |
| Provider Name | Daniel Dube |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629214028 PECOS PAC ID: 8123185980 Enrollment ID: I20090323000088 |
| Provider Name | Stephanie R Carson Henderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952386104 PECOS PAC ID: 7911064464 Enrollment ID: I20090327000041 |
| Provider Name | Lindsay K Griffith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144259003 PECOS PAC ID: 9638236078 Enrollment ID: I20090330000273 |
| Provider Name | Lakshmi P Gujju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974026 PECOS PAC ID: 8820145006 Enrollment ID: I20090403000247 |
| Provider Name | Suguna K Neelakantan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326257205 PECOS PAC ID: 5698823607 Enrollment ID: I20090501000066 |
| Provider Name | Mukhtiaar H Karjeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427122670 PECOS PAC ID: 4981753183 Enrollment ID: I20090519000062 |
| Provider Name | Stuart Gregory Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033269006 PECOS PAC ID: 7810046570 Enrollment ID: I20090529000021 |
| Provider Name | Donald Patrick Lesslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104027135 PECOS PAC ID: 9335232206 Enrollment ID: I20090616000076 |
| Provider Name | Peter B Ramirez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992989206 PECOS PAC ID: 5294886214 Enrollment ID: I20090701000599 |
| Provider Name | Shazli P Naseer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912928987 PECOS PAC ID: 9931100591 Enrollment ID: I20090707000484 |
| Provider Name | Hugo B Sanchez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275780215 PECOS PAC ID: 1951453547 Enrollment ID: I20090713000193 |
| Provider Name | Jason Brewington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093994717 PECOS PAC ID: 3678625209 Enrollment ID: I20090713000532 |
| Provider Name | Sireesha Kolachalama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154494110 PECOS PAC ID: 2466453923 Enrollment ID: I20090724000218 |
| Provider Name | Stacie L Bingaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073715165 PECOS PAC ID: 8325191224 Enrollment ID: I20090724000239 |
| Provider Name | Gary Young |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528008646 PECOS PAC ID: 1951341668 Enrollment ID: I20090724000665 |
| Provider Name | Shilpa Madadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356540330 PECOS PAC ID: 4587717004 Enrollment ID: I20090731000243 |
| Provider Name | Azhar Afaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518906569 PECOS PAC ID: 5395778294 Enrollment ID: I20090731000259 |
| Provider Name | Rose M Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235364530 PECOS PAC ID: 4981757416 Enrollment ID: I20090731000396 |
| Provider Name | Joseph D Pallone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710135694 PECOS PAC ID: 3072666361 Enrollment ID: I20090804000595 |
| Provider Name | Bhavna Tanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013971225 PECOS PAC ID: 3375696404 Enrollment ID: I20090806000323 |
| Provider Name | Balamurugan P Sankarapandian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881816437 PECOS PAC ID: 1658425244 Enrollment ID: I20090817000366 |
| Provider Name | Ambika K Nair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942411889 PECOS PAC ID: 7214081819 Enrollment ID: I20090817000448 |
| Provider Name | Malathi Chamarthi Raju |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477716116 PECOS PAC ID: 2365596863 Enrollment ID: I20090818000711 |
| Provider Name | Leslie W Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336249630 PECOS PAC ID: 6204879653 Enrollment ID: I20090819000661 |
| Provider Name | Charles A Huggins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669634838 PECOS PAC ID: 3678649530 Enrollment ID: I20090827000553 |
| Provider Name | Asfia A Sayeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407039753 PECOS PAC ID: 6305991175 Enrollment ID: I20090831000223 |
| Provider Name | Mary A Rather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982842217 PECOS PAC ID: 6002962990 Enrollment ID: I20090917000398 |
| Provider Name | Yue-qing Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548401094 PECOS PAC ID: 8921154527 Enrollment ID: I20090923000618 |
| Provider Name | Muhammad H Isa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548284342 PECOS PAC ID: 0446343081 Enrollment ID: I20090924000465 |
| Provider Name | Cheow Meng Tee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023207479 PECOS PAC ID: 4082751326 Enrollment ID: I20091020000108 |
| Provider Name | Mohd R Uddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154504496 PECOS PAC ID: 0446397335 Enrollment ID: I20091026000584 |
| Provider Name | Melanie M Schneidmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083852347 PECOS PAC ID: 9335287762 Enrollment ID: I20091105000181 |
| Provider Name | Jason A Mogonye |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205015930 PECOS PAC ID: 0446399620 Enrollment ID: I20091201000307 |
| Provider Name | Jusan Galarza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013140094 PECOS PAC ID: 1658412457 Enrollment ID: I20091230000353 |
| Provider Name | Autumn Brianne Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629306709 PECOS PAC ID: 3779626635 Enrollment ID: I20100201000773 |
| Provider Name | John D Orr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104880046 PECOS PAC ID: 9032252333 Enrollment ID: I20100209000544 |
| Provider Name | Kathryn M Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316962038 PECOS PAC ID: 7113944331 Enrollment ID: I20100226000853 |
| Provider Name | Grant C Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982639860 PECOS PAC ID: 6608911532 Enrollment ID: I20100303000892 |
| Provider Name | Jimmy Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679809024 PECOS PAC ID: 9335284280 Enrollment ID: I20100303000999 |
| Provider Name | Reena Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477717858 PECOS PAC ID: 3971639899 Enrollment ID: I20100330001225 |
| Provider Name | Stephanie L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821222654 PECOS PAC ID: 1355478355 Enrollment ID: I20100422001156 |
| Provider Name | Stephen E Weis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396700399 PECOS PAC ID: 6608903521 Enrollment ID: I20100426000379 |
| Provider Name | Frank R Lonergan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700856051 PECOS PAC ID: 2567544885 Enrollment ID: I20100518000167 |
| Provider Name | Chet D Schrader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043235344 PECOS PAC ID: 4183783368 Enrollment ID: I20100719000370 |
| Provider Name | Tania D Lopez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861408775 PECOS PAC ID: 0840219937 Enrollment ID: I20100720000493 |
| Provider Name | Lori L Gordon |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1053386045 PECOS PAC ID: 6406940162 Enrollment ID: I20100722000197 |
| Provider Name | Mohammed A Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386661965 PECOS PAC ID: 2264440213 Enrollment ID: I20100726000621 |
| Provider Name | Shawn Marie Strain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871597823 PECOS PAC ID: 7911031109 Enrollment ID: I20100810000224 |
| Provider Name | Peter Gordon Mcdougall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548264948 PECOS PAC ID: 6103876255 Enrollment ID: I20100818000317 |
| Provider Name | Long T Hoang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477516128 PECOS PAC ID: 2365576667 Enrollment ID: I20100820000975 |
| Provider Name | Tsr Murugan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598757387 PECOS PAC ID: 2668442344 Enrollment ID: I20100825000795 |
| Provider Name | Anjali Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386892966 PECOS PAC ID: 3779607601 Enrollment ID: I20100830000954 |
| Provider Name | Rebecca Ann Reyes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538141817 PECOS PAC ID: 3072564285 Enrollment ID: I20100901000131 |
| Provider Name | Elmer D Bickford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376534297 PECOS PAC ID: 2466439914 Enrollment ID: I20100903000275 |
| Provider Name | Ponniah S Sankarapandian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699767798 PECOS PAC ID: 5698683910 Enrollment ID: I20100910000520 |
| Provider Name | Cezar D Sandu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699932210 PECOS PAC ID: 1052503075 Enrollment ID: I20101008000971 |
| Provider Name | Paul Bhella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457538548 PECOS PAC ID: 6103019369 Enrollment ID: I20101020000368 |
| Provider Name | Sumitha Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265513923 PECOS PAC ID: 8123028818 Enrollment ID: I20101025001094 |
| Provider Name | Tricia C Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467548743 PECOS PAC ID: 7113111642 Enrollment ID: I20101028001309 |
| Provider Name | Rachel A Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780810887 PECOS PAC ID: 7911059415 Enrollment ID: I20101110000079 |
| Provider Name | Vinu Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376599209 PECOS PAC ID: 5597758433 Enrollment ID: I20101110000751 |
| Provider Name | Didi Ebert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649596305 PECOS PAC ID: 2961698501 Enrollment ID: I20101122001261 |
| Provider Name | Geeta Manthena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326257163 PECOS PAC ID: 1951496678 Enrollment ID: I20101123000901 |
| Provider Name | Ratna Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528166147 PECOS PAC ID: 0547290454 Enrollment ID: I20101129000891 |
| Provider Name | Lorraine Choi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215166897 PECOS PAC ID: 8022205756 Enrollment ID: I20101207001311 |
| Provider Name | Geetha Rani Swamy Iyah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538480694 PECOS PAC ID: 5092902312 Enrollment ID: I20101213000034 |
| Provider Name | Saud Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821126525 PECOS PAC ID: 3577662808 Enrollment ID: I20101230000419 |
| Provider Name | Mark J Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821307141 PECOS PAC ID: 3375731524 Enrollment ID: I20110103000764 |
| Provider Name | Long Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831139880 PECOS PAC ID: 1658560545 Enrollment ID: I20110107000206 |
| Provider Name | Brian H Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205904190 PECOS PAC ID: 9335211481 Enrollment ID: I20110207000817 |
| Provider Name | Paul A Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659604221 PECOS PAC ID: 1355522343 Enrollment ID: I20110223001257 |
| Provider Name | Rekha D Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841496262 PECOS PAC ID: 6800988965 Enrollment ID: I20110324000104 |
| Provider Name | Francis T Wiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154653418 PECOS PAC ID: 9032247283 Enrollment ID: I20110411000286 |
| Provider Name | Vassilis Dimas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477754190 PECOS PAC ID: 0547444879 Enrollment ID: I20110412000507 |
| Provider Name | Anthony M Zepeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538320379 PECOS PAC ID: 0244377422 Enrollment ID: I20110414000942 |
| Provider Name | Julia Zepeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366605008 PECOS PAC ID: 0446439640 Enrollment ID: I20110414000945 |
| Provider Name | John B Mcintyre |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851591648 PECOS PAC ID: 7618152240 Enrollment ID: I20110426000479 |
| Provider Name | Lili Meisamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386894277 PECOS PAC ID: 0446436182 Enrollment ID: I20110516000153 |
| Provider Name | Carla K Morrow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093734535 PECOS PAC ID: 3577660752 Enrollment ID: I20110517000600 |
| Provider Name | Katherine Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154624476 PECOS PAC ID: 9537345863 Enrollment ID: I20110520000153 |
| Provider Name | Nneka Nsofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063632578 PECOS PAC ID: 5193901494 Enrollment ID: I20110523000355 |
| Provider Name | Stefan Buca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417121799 PECOS PAC ID: 1850578816 Enrollment ID: I20110601000074 |
| Provider Name | Melissa S De Hoyos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982993077 PECOS PAC ID: 4284811795 Enrollment ID: I20110610000102 |
| Provider Name | Laine F Foran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265477996 PECOS PAC ID: 4284802265 Enrollment ID: I20110718000531 |
| Provider Name | Franklin B Gluck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154421055 PECOS PAC ID: 3971549130 Enrollment ID: I20110801000355 |
| Provider Name | Jocelyn Zee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114181633 PECOS PAC ID: 8820267768 Enrollment ID: I20110809000811 |
| Provider Name | Amy L. Zahn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992007678 PECOS PAC ID: 9931379450 Enrollment ID: I20110818000928 |
| Provider Name | Manhan Khac Vu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255534285 PECOS PAC ID: 7719157767 Enrollment ID: I20110830000252 |
| Provider Name | Zulfiqar F Cheema |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831304724 PECOS PAC ID: 2466623863 Enrollment ID: I20110915000088 |
| Provider Name | Richard L Sundermeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477529576 PECOS PAC ID: 4688769870 Enrollment ID: I20110919000281 |
| Provider Name | Aarthi Narasimhan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740433226 PECOS PAC ID: 0042373334 Enrollment ID: I20110928000593 |
| Provider Name | Laura Denise Curlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134376056 PECOS PAC ID: 3274705124 Enrollment ID: I20111019000041 |
| Provider Name | Katherine L Hopkins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093098691 PECOS PAC ID: 6002089943 Enrollment ID: I20111109000403 |
| Provider Name | Henah Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699738971 PECOS PAC ID: 0749340206 Enrollment ID: I20111123000042 |
| Provider Name | Sridhar Reddy Allam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700061819 PECOS PAC ID: 0143498873 Enrollment ID: I20111202000115 |
| Provider Name | Carina C Manalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487942280 PECOS PAC ID: 1557536588 Enrollment ID: I20111202000357 |
| Provider Name | Timothy Glen Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649555061 PECOS PAC ID: 3173798592 Enrollment ID: I20111214000470 |
| Provider Name | Marc Richard Dean |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730381310 PECOS PAC ID: 5395876510 Enrollment ID: I20111214000564 |
| Provider Name | Van A Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356545040 PECOS PAC ID: 1557537305 Enrollment ID: I20111229000356 |
| Provider Name | Farhana Amir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356559751 PECOS PAC ID: 6608916895 Enrollment ID: I20120110000571 |
| Provider Name | Christina Chamberlain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407891930 PECOS PAC ID: 4688832116 Enrollment ID: I20120229000776 |
| Provider Name | Jeffrey Heitkamp |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821087636 PECOS PAC ID: 5294646394 Enrollment ID: I20120320000680 |
| Provider Name | Tracy Papa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942281928 PECOS PAC ID: 6709837917 Enrollment ID: I20120515000314 |
| Provider Name | Douglas Darko Dickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093918245 PECOS PAC ID: 4981867710 Enrollment ID: I20120515000377 |
| Provider Name | Osama M Elmhishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306095849 PECOS PAC ID: 2062564461 Enrollment ID: I20120530000659 |
| Provider Name | Monica Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043584329 PECOS PAC ID: 4082878202 Enrollment ID: I20120619000258 |
| Provider Name | Shanna Marie Combs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790011815 PECOS PAC ID: 5294999397 Enrollment ID: I20120620000553 |
| Provider Name | Victor Jesus Olivas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619159670 PECOS PAC ID: 3375708480 Enrollment ID: I20120622000103 |
| Provider Name | Juan R Pagan-ferrer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1386817914 PECOS PAC ID: 5890950950 Enrollment ID: I20120625000037 |
| Provider Name | Polly J Logan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215063987 PECOS PAC ID: 9638334063 Enrollment ID: I20120709000659 |
| Provider Name | Razaq A Badamosi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982813432 PECOS PAC ID: 1850460478 Enrollment ID: I20120714000077 |
| Provider Name | Amanda Raye Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174881395 PECOS PAC ID: 0840456877 Enrollment ID: I20120719000308 |
| Provider Name | Shannon R Dougrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609065093 PECOS PAC ID: 8729252010 Enrollment ID: I20120725000826 |
| Provider Name | Daniel Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801087093 PECOS PAC ID: 1759537533 Enrollment ID: I20120809000786 |
| Provider Name | Michele Denise Lightfoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659633311 PECOS PAC ID: 7416104724 Enrollment ID: I20120821000911 |
| Provider Name | Arnette L Kelley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891096582 PECOS PAC ID: 2769639715 Enrollment ID: I20120827000059 |
| Provider Name | Kristin M Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760737969 PECOS PAC ID: 4284881269 Enrollment ID: I20120827000359 |
| Provider Name | Salam Jarrah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609957588 PECOS PAC ID: 3870632425 Enrollment ID: I20120831000140 |
| Provider Name | Jagadeshwar Reddy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649250960 PECOS PAC ID: 2567423817 Enrollment ID: I20120906000367 |
| Provider Name | Dana M Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396909289 PECOS PAC ID: 9931357472 Enrollment ID: I20120907000217 |
| Provider Name | Masheika Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073757357 PECOS PAC ID: 3173771078 Enrollment ID: I20120919000121 |
| Provider Name | Gennady G Miroshnichenko |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1164784450 PECOS PAC ID: 6507015278 Enrollment ID: I20121012000700 |
| Provider Name | Rhoda G Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033467477 PECOS PAC ID: 3072763556 Enrollment ID: I20121017000954 |
| Provider Name | Umesh Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285864777 PECOS PAC ID: 7810140407 Enrollment ID: I20130110000013 |
| Provider Name | Sabrina Didarali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508118282 PECOS PAC ID: 1052564598 Enrollment ID: I20130110000599 |
| Provider Name | Virginia E. Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669600052 PECOS PAC ID: 0749433886 Enrollment ID: I20130123000355 |
| Provider Name | Asha Thomas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568442960 PECOS PAC ID: 4486677788 Enrollment ID: I20130129000114 |
| Provider Name | Sudharani Dikkala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275798019 PECOS PAC ID: 7012076813 Enrollment ID: I20130130000129 |
| Provider Name | Christine A Zethraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639423452 PECOS PAC ID: 8921253196 Enrollment ID: I20130220000186 |
| Provider Name | Melissa Rowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578808606 PECOS PAC ID: 3375798465 Enrollment ID: I20130220000521 |
| Provider Name | Julie S Durand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407100282 PECOS PAC ID: 9638324403 Enrollment ID: I20130227000489 |
| Provider Name | Harold H Fain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346239258 PECOS PAC ID: 5698734861 Enrollment ID: I20130403000221 |
| Provider Name | Christy B Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881948750 PECOS PAC ID: 1759529829 Enrollment ID: I20130531000098 |
| Provider Name | Pamela Davis Beezley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619218849 PECOS PAC ID: 1658510714 Enrollment ID: I20130620000516 |
| Provider Name | Cindy G Joffrion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902149198 PECOS PAC ID: 9335388321 Enrollment ID: I20130624000656 |
| Provider Name | Imran Adam Memon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952582157 PECOS PAC ID: 0345413605 Enrollment ID: I20130711000829 |
| Provider Name | Becky O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790930303 PECOS PAC ID: 8628218765 Enrollment ID: I20130712000325 |
| Provider Name | Cheryl A Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801230727 PECOS PAC ID: 6406096437 Enrollment ID: I20130715000695 |
| Provider Name | Nekesha Oliphant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952567539 PECOS PAC ID: 9234370263 Enrollment ID: I20130802000185 |
| Provider Name | Radha Pasala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871753780 PECOS PAC ID: 0840432464 Enrollment ID: I20130812000370 |
| Provider Name | Vitaly Golub |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346404993 PECOS PAC ID: 8022294081 Enrollment ID: I20130814000915 |
| Provider Name | Rebecca J Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043654577 PECOS PAC ID: 8729220074 Enrollment ID: I20130815000534 |
| Provider Name | Khalilah Q Clarke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093977449 PECOS PAC ID: 2860635562 Enrollment ID: I20130828000534 |
| Provider Name | Sarah Diaz De Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275854093 PECOS PAC ID: 0941443667 Enrollment ID: I20130828000699 |
| Provider Name | Sam Eljammal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669604310 PECOS PAC ID: 3577694751 Enrollment ID: I20130830000473 |
| Provider Name | Nanette N Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942469143 PECOS PAC ID: 6709029226 Enrollment ID: I20130903000477 |
| Provider Name | Skeetora Delraye Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487965646 PECOS PAC ID: 0042454258 Enrollment ID: I20130910000041 |
| Provider Name | Holly H Cannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043547623 PECOS PAC ID: 5193969228 Enrollment ID: I20130911000590 |
| Provider Name | Timothy Cahill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255569034 PECOS PAC ID: 5597999003 Enrollment ID: I20131015001969 |
| Provider Name | Jacquelyn C Shekarchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861747024 PECOS PAC ID: 6608000146 Enrollment ID: I20131016000632 |
| Provider Name | Demequa L Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861749624 PECOS PAC ID: 4183859598 Enrollment ID: I20131019000168 |
| Provider Name | Mallika Kuruba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932333705 PECOS PAC ID: 1052546199 Enrollment ID: I20131028000753 |
| Provider Name | Anamarina Jarecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447535463 PECOS PAC ID: 0446486138 Enrollment ID: I20131203000587 |
| Provider Name | Mary A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003251539 PECOS PAC ID: 7618103292 Enrollment ID: I20131204001836 |
| Provider Name | Sartaj K Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942468541 PECOS PAC ID: 8921276593 Enrollment ID: I20131206000113 |
| Provider Name | Florence K Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205266913 PECOS PAC ID: 7810124716 Enrollment ID: I20131223000829 |
| Provider Name | Robin L Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760818835 PECOS PAC ID: 3476780107 Enrollment ID: I20131230000040 |
| Provider Name | Lisa P Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043645476 PECOS PAC ID: 6406915800 Enrollment ID: I20140102000517 |
| Provider Name | Kari D Herman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235564246 PECOS PAC ID: 2668600230 Enrollment ID: I20140107000361 |
| Provider Name | Shannon Riley Dasilva |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033461785 PECOS PAC ID: 5193953602 Enrollment ID: I20140108000494 |
| Provider Name | Uwe M Fischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407124357 PECOS PAC ID: 1254569601 Enrollment ID: I20140110001482 |
| Provider Name | Margaret E Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962655100 PECOS PAC ID: 5395905962 Enrollment ID: I20140124000904 |
| Provider Name | Stephen J Hoyt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346539491 PECOS PAC ID: 6002045283 Enrollment ID: I20140211000226 |
| Provider Name | Carolyn L Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114263530 PECOS PAC ID: 8729218664 Enrollment ID: I20140220001067 |
| Provider Name | Modena Clare Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881015063 PECOS PAC ID: 6406086388 Enrollment ID: I20140221000629 |
| Provider Name | Bindu Poudel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093137846 PECOS PAC ID: 9830329259 Enrollment ID: I20140305000607 |
| Provider Name | Navakanth Gorrepati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346455599 PECOS PAC ID: 3971772245 Enrollment ID: I20140312001567 |
| Provider Name | Justin E Ford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932540978 PECOS PAC ID: 7810128469 Enrollment ID: I20140324001298 |
| Provider Name | Amanda Shay Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740629591 PECOS PAC ID: 3678704129 Enrollment ID: I20140326000270 |
| Provider Name | Mohammed S Iqbal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902009780 PECOS PAC ID: 2062691694 Enrollment ID: I20140401000616 |
| Provider Name | Joanne R Dispo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477981702 PECOS PAC ID: 0446482335 Enrollment ID: I20140408000497 |
| Provider Name | Kameka F James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508207291 PECOS PAC ID: 9739311481 Enrollment ID: I20140410001639 |
| Provider Name | Jeanine L Ratliff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881829901 PECOS PAC ID: 2769615848 Enrollment ID: I20140424001655 |
| Provider Name | Jessica N Barreto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679885529 PECOS PAC ID: 0749403806 Enrollment ID: I20140519002117 |
| Provider Name | Dustin S Demoss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730322710 PECOS PAC ID: 8820211220 Enrollment ID: I20140603000366 |
| Provider Name | Raza Jafry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073629986 PECOS PAC ID: 8022231406 Enrollment ID: I20140604000365 |
| Provider Name | Carla Kaloustian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831516137 PECOS PAC ID: 8729202866 Enrollment ID: I20140612000209 |
| Provider Name | Sumit K Katyal |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1629244538 PECOS PAC ID: 7214083005 Enrollment ID: I20140619001560 |
| Provider Name | Amr R Hegazi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275572810 PECOS PAC ID: 9335280866 Enrollment ID: I20140623000788 |
| Provider Name | Adewuni Seyi Ojo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1770744914 PECOS PAC ID: 3678713971 Enrollment ID: I20140630001435 |
| Provider Name | Montserrat Abadie Sole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245437078 PECOS PAC ID: 5698852424 Enrollment ID: I20140721000832 |
| Provider Name | Juzar Onali Lokhandwala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104092741 PECOS PAC ID: 6002969581 Enrollment ID: I20140729001162 |
| Provider Name | Steven E Mapula |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861623704 PECOS PAC ID: 0143446021 Enrollment ID: I20140730000641 |
| Provider Name | Bradley S Putty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225051774 PECOS PAC ID: 7012169840 Enrollment ID: I20140804000687 |
| Provider Name | Dolly Kay Barter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518370451 PECOS PAC ID: 5092932624 Enrollment ID: I20140805002742 |
| Provider Name | Yetunde E Adio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770856155 PECOS PAC ID: 6204061617 Enrollment ID: I20140812000685 |
| Provider Name | Gbonjubola Oluwatoyin Onawunmi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134417736 PECOS PAC ID: 3375760549 Enrollment ID: I20140812000740 |
| Provider Name | Lena M Levine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326334483 PECOS PAC ID: 3779700711 Enrollment ID: I20140814001381 |
| Provider Name | Therese M Duane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427131598 PECOS PAC ID: 0244369833 Enrollment ID: I20140822002040 |
| Provider Name | Di Lin Parks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073886008 PECOS PAC ID: 5294977211 Enrollment ID: I20140825000845 |
| Provider Name | Halim Fadil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982814570 PECOS PAC ID: 2961558234 Enrollment ID: I20140827000841 |
| Provider Name | Jacob Raymond O Meilia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942442512 PECOS PAC ID: 4688892706 Enrollment ID: I20140902000931 |
| Provider Name | Abrar A Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124227608 PECOS PAC ID: 7214028943 Enrollment ID: I20140904001779 |
| Provider Name | Saba Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114031556 PECOS PAC ID: 2365596376 Enrollment ID: I20140925001442 |
| Provider Name | Jeffrey M Tessier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548313513 PECOS PAC ID: 4688766843 Enrollment ID: I20140926001739 |
| Provider Name | Hannah B Diamond |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639584634 PECOS PAC ID: 1557581477 Enrollment ID: I20140927000053 |
| Provider Name | Nnyekaa Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639499858 PECOS PAC ID: 6406076223 Enrollment ID: I20140930000863 |
| Provider Name | Stevie Ann Daniel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699116590 PECOS PAC ID: 7214157817 Enrollment ID: I20141002001117 |
| Provider Name | Kimber Foust |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013176718 PECOS PAC ID: 2466602198 Enrollment ID: I20141010001617 |
| Provider Name | Manu Mathews |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346457751 PECOS PAC ID: 4981774379 Enrollment ID: I20141031001543 |
| Provider Name | Kurt J Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801843115 PECOS PAC ID: 7012828353 Enrollment ID: I20141103000515 |
| Provider Name | Ricardo Castellon Inestroza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326268798 PECOS PAC ID: 8325131220 Enrollment ID: I20141105001216 |
| Provider Name | Janice R Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306110366 PECOS PAC ID: 6709008618 Enrollment ID: I20141110000792 |
| Provider Name | Jacqueline L Garda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952622706 PECOS PAC ID: 6901028844 Enrollment ID: I20141110002072 |
| Provider Name | Princy Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578983052 PECOS PAC ID: 4789806589 Enrollment ID: I20141111002137 |
| Provider Name | Shakir Alattar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356696744 PECOS PAC ID: 6507088093 Enrollment ID: I20141118001531 |
| Provider Name | Rhonda A Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629470331 PECOS PAC ID: 0446572770 Enrollment ID: I20141124000233 |
| Provider Name | Bassam Ghabach |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1245374180 PECOS PAC ID: 6608976253 Enrollment ID: I20141125000386 |
| Provider Name | Parvaneh A Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760882518 PECOS PAC ID: 5890017750 Enrollment ID: I20141203001252 |
| Provider Name | Yvonne Lane Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306188289 PECOS PAC ID: 4183864911 Enrollment ID: I20141208001736 |
| Provider Name | Rochelle Sexton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053645812 PECOS PAC ID: 0749503696 Enrollment ID: I20141229000815 |
| Provider Name | April Dawn Whitacre |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003219379 PECOS PAC ID: 5597088427 Enrollment ID: I20141230001518 |
| Provider Name | Jessica Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186740 PECOS PAC ID: 6608199427 Enrollment ID: I20150102000361 |
| Provider Name | Saleema A Hirani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770926123 PECOS PAC ID: 5395069892 Enrollment ID: I20150109000977 |
| Provider Name | Constance Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285037051 PECOS PAC ID: 0446574040 Enrollment ID: I20150129001831 |
| Provider Name | Saravanan Balamuthusamy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932395811 PECOS PAC ID: 7315034972 Enrollment ID: I20150202000538 |
| Provider Name | Gary D Paradiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033213640 PECOS PAC ID: 1254501489 Enrollment ID: I20150206000450 |
| Provider Name | Bret D Beavers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821354119 PECOS PAC ID: 7618292822 Enrollment ID: I20150211000380 |
| Provider Name | Keely N Grant-mirle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093117848 PECOS PAC ID: 0244555290 Enrollment ID: I20150213001406 |
| Provider Name | Anupa Seth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063551661 PECOS PAC ID: 4789773847 Enrollment ID: I20150220000829 |
| Provider Name | Tomi O Ola-peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760737142 PECOS PAC ID: 7517283609 Enrollment ID: I20150309001138 |
| Provider Name | Mandeep Matta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295053072 PECOS PAC ID: 8921285149 Enrollment ID: I20150309001992 |
| Provider Name | Travis E. Rhodes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275979056 PECOS PAC ID: 5991022709 Enrollment ID: I20150316000728 |
| Provider Name | Stephen Twyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396182390 PECOS PAC ID: 4082931548 Enrollment ID: I20150320000450 |
| Provider Name | Joy Ana Keeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942604830 PECOS PAC ID: 2860719192 Enrollment ID: I20150326000833 |
| Provider Name | Terrence Guy Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922437706 PECOS PAC ID: 2466779640 Enrollment ID: I20150327000481 |
| Provider Name | Sandra L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871616318 PECOS PAC ID: 3678890894 Enrollment ID: I20150327001947 |
| Provider Name | Sun A Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174915805 PECOS PAC ID: 4284952839 Enrollment ID: I20150413000724 |
| Provider Name | Ellisa A R Krumm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124105457 PECOS PAC ID: 9830241116 Enrollment ID: I20150421000152 |
| Provider Name | Ann M Palagi Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588076483 PECOS PAC ID: 1557689619 Enrollment ID: I20150421002294 |
| Provider Name | Victor M Burgos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285851865 PECOS PAC ID: 3779704002 Enrollment ID: I20150507000976 |
| Provider Name | Leisel Sonia Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336534478 PECOS PAC ID: 7618298704 Enrollment ID: I20150601002151 |
| Provider Name | Victoria Lyn Klein-olarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306889381 PECOS PAC ID: 0547258824 Enrollment ID: I20150605000254 |
| Provider Name | Kent Brantly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063745768 PECOS PAC ID: 1456662386 Enrollment ID: I20150619000083 |
| Provider Name | Carra Dedusevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421654 PECOS PAC ID: 0840501581 Enrollment ID: I20150622001247 |
| Provider Name | Sheelarani J Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184019929 PECOS PAC ID: 7012228786 Enrollment ID: I20150622001835 |
| Provider Name | Christine N Hoang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851681373 PECOS PAC ID: 2163733882 Enrollment ID: I20150623000595 |
| Provider Name | Jamie Beth Benjamin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740575059 PECOS PAC ID: 6507178522 Enrollment ID: I20150706001277 |
| Provider Name | Lahri Kancharla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124385471 PECOS PAC ID: 4486966389 Enrollment ID: I20150707001322 |
| Provider Name | Brindha Ramesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376704817 PECOS PAC ID: 2264744051 Enrollment ID: I20150708000969 |
| Provider Name | Stephen Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528218880 PECOS PAC ID: 5597079921 Enrollment ID: I20150729009752 |
| Provider Name | Bryan W Ming |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548540792 PECOS PAC ID: 0547489270 Enrollment ID: I20150730013651 |
| Provider Name | Kellie F Flood-shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992795611 PECOS PAC ID: 8325090087 Enrollment ID: I20150804003889 |
| Provider Name | Queeneth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869558 PECOS PAC ID: 6709190473 Enrollment ID: I20150810000566 |
| Provider Name | James Richard Haliburton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063737021 PECOS PAC ID: 3577788355 Enrollment ID: I20150818004022 |
| Provider Name | Christopher J Kliethermes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912299058 PECOS PAC ID: 4486960218 Enrollment ID: I20150825003105 |
| Provider Name | Magdalena M Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710362769 PECOS PAC ID: 9638485212 Enrollment ID: I20150827000145 |
| Provider Name | Naren N Venkatesan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346484318 PECOS PAC ID: 3971722810 Enrollment ID: I20150908002832 |
| Provider Name | Machaiah Madhrira |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043453293 PECOS PAC ID: 1456401876 Enrollment ID: I20150915000424 |
| Provider Name | Arun K Amaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528279171 PECOS PAC ID: 6507940947 Enrollment ID: I20150917000921 |
| Provider Name | Christie P Shanafelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194075101 PECOS PAC ID: 2567770423 Enrollment ID: I20150928000478 |
| Provider Name | Josephine N Ndungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942690284 PECOS PAC ID: 5890003370 Enrollment ID: I20151002000453 |
| Provider Name | Navrin Dhamani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831417930 PECOS PAC ID: 0244401958 Enrollment ID: I20151003000060 |
| Provider Name | Petya V Taskov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609257534 PECOS PAC ID: 0648588913 Enrollment ID: I20151006002522 |
| Provider Name | Nishant Jalandhara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932116902 PECOS PAC ID: 0840354627 Enrollment ID: I20151009001182 |
| Provider Name | Jose Lucena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336129501 PECOS PAC ID: 4880903822 Enrollment ID: I20151014001984 |
| Provider Name | Bethany Norberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598911349 PECOS PAC ID: 6002047354 Enrollment ID: I20151016000645 |
| Provider Name | Alex Autry |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982845343 PECOS PAC ID: 0648426890 Enrollment ID: I20151020000603 |
| Provider Name | Heather Autry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093979395 PECOS PAC ID: 3173779337 Enrollment ID: I20151024000012 |
| Provider Name | Inemesit Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353703 PECOS PAC ID: 7416267349 Enrollment ID: I20151105001057 |
| Provider Name | Manoj M Abraham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952500159 PECOS PAC ID: 3375793094 Enrollment ID: I20151110000110 |
| Provider Name | Bhavik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013234996 PECOS PAC ID: 9537395900 Enrollment ID: I20151112003073 |
| Provider Name | Gerald R Fortuna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447479829 PECOS PAC ID: 3779620851 Enrollment ID: I20151117001602 |
| Provider Name | Nicole Bramlett Bolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093184780 PECOS PAC ID: 7810297793 Enrollment ID: I20151125000630 |
| Provider Name | Adeline E Abam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277056 PECOS PAC ID: 6204136138 Enrollment ID: I20151130000194 |
| Provider Name | Mohammad H Kabir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285859389 PECOS PAC ID: 6800940404 Enrollment ID: I20151201001512 |
| Provider Name | Devin R Sandlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366679342 PECOS PAC ID: 3476733635 Enrollment ID: I20151207000121 |
| Provider Name | Christian Anthony Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952747404 PECOS PAC ID: 4880994268 Enrollment ID: I20151208001725 |
| Provider Name | Taina A Trevino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841453164 PECOS PAC ID: 6204004153 Enrollment ID: I20160107000681 |
| Provider Name | Georgena Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346587680 PECOS PAC ID: 5193028710 Enrollment ID: I20160114001454 |
| Provider Name | Nehal Masalawala |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013380831 PECOS PAC ID: 6507169877 Enrollment ID: I20160120000794 |
| Provider Name | Jose R Reyna |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740297712 PECOS PAC ID: 6204721715 Enrollment ID: I20160125002658 |
| Provider Name | Susan Badidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184989642 PECOS PAC ID: 8224331913 Enrollment ID: I20160130000031 |
| Provider Name | Olivia O Akpaibor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110193 PECOS PAC ID: 6800190505 Enrollment ID: I20160201000332 |
| Provider Name | Megan C Monroe-ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174925127 PECOS PAC ID: 9739484346 Enrollment ID: I20160219000093 |
| Provider Name | Aubrey Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912373895 PECOS PAC ID: 4284939620 Enrollment ID: I20160224000211 |
| Provider Name | Melanie C Akon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700258944 PECOS PAC ID: 5092010348 Enrollment ID: I20160224000625 |
| Provider Name | Andrew S Patton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134549892 PECOS PAC ID: 0345546909 Enrollment ID: I20160308000262 |
| Provider Name | Maura E Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043677180 PECOS PAC ID: 1254637275 Enrollment ID: I20160316002157 |
| Provider Name | Damaris Bousi Michoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295109445 PECOS PAC ID: 0345547733 Enrollment ID: I20160330001378 |
| Provider Name | Antay Lane Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649638776 PECOS PAC ID: 7315244506 Enrollment ID: I20160404000659 |
| Provider Name | Charlotte Yvonne Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144688656 PECOS PAC ID: 6103124961 Enrollment ID: I20160411001856 |
| Provider Name | Mary Catherine Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891193744 PECOS PAC ID: 7719285428 Enrollment ID: I20160413001925 |
| Provider Name | Caroline K Mose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720447584 PECOS PAC ID: 8022316645 Enrollment ID: I20160415000607 |
| Provider Name | Glenn Maas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417393646 PECOS PAC ID: 1355649781 Enrollment ID: I20160418001734 |
| Provider Name | Jessica Mears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306202650 PECOS PAC ID: 8729387782 Enrollment ID: I20160427000256 |
| Provider Name | Audra L Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477945954 PECOS PAC ID: 7416275235 Enrollment ID: I20160427000279 |
| Provider Name | Aaron R Assefaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427317544 PECOS PAC ID: 0648569657 Enrollment ID: I20160516000039 |
| Provider Name | Michelle C Summerall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578929147 PECOS PAC ID: 6709175417 Enrollment ID: I20160519001948 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790046555 PECOS PAC ID: 3870891112 Enrollment ID: I20160523001867 |
| Provider Name | Jacquelyn Elizabeth Alvarado |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528430410 PECOS PAC ID: 8022308865 Enrollment ID: I20160607000245 |
| Provider Name | Ranjit Kumar Dhelaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386891315 PECOS PAC ID: 1456539915 Enrollment ID: I20160614002276 |
| Provider Name | Chao Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194981126 PECOS PAC ID: 1951567635 Enrollment ID: I20160615000237 |
| Provider Name | Kiran Master |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326485848 PECOS PAC ID: 2062703135 Enrollment ID: I20160621000166 |
| Provider Name | Francisca Nebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326492935 PECOS PAC ID: 1254623754 Enrollment ID: I20160701000173 |
| Provider Name | Shuang Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943993 PECOS PAC ID: 6002109816 Enrollment ID: I20160801000737 |
| Provider Name | Melissa M Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649532953 PECOS PAC ID: 6709170236 Enrollment ID: I20160806000005 |
| Provider Name | Olasimbo I Odutayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376994566 PECOS PAC ID: 2567757495 Enrollment ID: I20160817000585 |
| Provider Name | Donte Hicks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528474996 PECOS PAC ID: 0143515486 Enrollment ID: I20160825000600 |
| Provider Name | Angelica Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205298528 PECOS PAC ID: 1951697994 Enrollment ID: I20160831000896 |
| Provider Name | Monica M Reno |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205275237 PECOS PAC ID: 1557591658 Enrollment ID: I20160909000134 |
| Provider Name | Kuangi Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093161309 PECOS PAC ID: 9133416324 Enrollment ID: I20161003002269 |
| Provider Name | Appolonia Chineme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750740486 PECOS PAC ID: 2668769852 Enrollment ID: I20161003002354 |
| Provider Name | Angela Jaeger-chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174951321 PECOS PAC ID: 4385932482 Enrollment ID: I20161005001053 |
| Provider Name | Victoria Carrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245597335 PECOS PAC ID: 2567750623 Enrollment ID: I20161005002984 |
| Provider Name | Chan Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073926309 PECOS PAC ID: 6709001357 Enrollment ID: I20161108001586 |
| Provider Name | Sunita S Ghimire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578918025 PECOS PAC ID: 4183903370 Enrollment ID: I20161110001194 |
| Provider Name | Rachael N Cowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467899302 PECOS PAC ID: 7719266808 Enrollment ID: I20161112000224 |
| Provider Name | Jocelyn M Urbano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037467 PECOS PAC ID: 5496034456 Enrollment ID: I20161115000301 |
| Provider Name | Chinnapa Reddy Gade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912156407 PECOS PAC ID: 5294891230 Enrollment ID: I20161116001107 |
| Provider Name | Pooja Tolaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144209040 PECOS PAC ID: 5092759258 Enrollment ID: I20161118000467 |
| Provider Name | Katherine Bergs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194911792 PECOS PAC ID: 5991084568 Enrollment ID: I20161123000176 |
| Provider Name | Hei Nam C Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447608872 PECOS PAC ID: 5193005692 Enrollment ID: I20161129000698 |
| Provider Name | Maureen Evelyn Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265980247 PECOS PAC ID: 7810277399 Enrollment ID: I20161130000828 |
| Provider Name | Megan E Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649729419 PECOS PAC ID: 3870873086 Enrollment ID: I20161206000141 |
| Provider Name | Oluyemi M Shorunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053860148 PECOS PAC ID: 1052691839 Enrollment ID: I20161214000129 |
| Provider Name | Amy Elizabeth Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253066 PECOS PAC ID: 7012298037 Enrollment ID: I20170106000845 |
| Provider Name | Julius S Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073883815 PECOS PAC ID: 7810277985 Enrollment ID: I20170109000583 |
| Provider Name | Solomon Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023021029 PECOS PAC ID: 1254326374 Enrollment ID: I20170110002094 |
| Provider Name | Tope A Adeyomola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285186965 PECOS PAC ID: 8325329006 Enrollment ID: I20170112000082 |
| Provider Name | Theresa Franco Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215481544 PECOS PAC ID: 8820370489 Enrollment ID: I20170117001393 |
| Provider Name | Donna Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710434055 PECOS PAC ID: 6709168081 Enrollment ID: I20170120002315 |
| Provider Name | Ryan P Kirby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053573055 PECOS PAC ID: 9638335615 Enrollment ID: I20170123002463 |
| Provider Name | Joseph Candido Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447211644 PECOS PAC ID: 4183906340 Enrollment ID: I20170123002618 |
| Provider Name | Ashley Nicole Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669928891 PECOS PAC ID: 5193007375 Enrollment ID: I20170124000331 |
| Provider Name | Jennifer R Tonini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104185651 PECOS PAC ID: 1951684992 Enrollment ID: I20170216002316 |
| Provider Name | Akosua S Obeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255592424 PECOS PAC ID: 3577847490 Enrollment ID: I20170221001464 |
| Provider Name | Jordan A Cain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326364548 PECOS PAC ID: 5890089486 Enrollment ID: I20170228000120 |
| Provider Name | Spiro Khoury |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740591155 PECOS PAC ID: 2769791649 Enrollment ID: I20170301000678 |
| Provider Name | Matthew A Richardson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457662702 PECOS PAC ID: 0547584419 Enrollment ID: I20170310000414 |
| Provider Name | Drew Heiple |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376665646 PECOS PAC ID: 1153472618 Enrollment ID: I20170314001241 |
| Provider Name | Shivum K Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700220738 PECOS PAC ID: 6305121294 Enrollment ID: I20170315001697 |
| Provider Name | Susan Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407241995 PECOS PAC ID: 6002191509 Enrollment ID: I20170324000731 |
| Provider Name | Angella Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851839740 PECOS PAC ID: 3779869672 Enrollment ID: I20170407000227 |
| Provider Name | Felicia D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387592 PECOS PAC ID: 0244516961 Enrollment ID: I20170420000366 |
| Provider Name | Kristin E Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093166688 PECOS PAC ID: 8729364906 Enrollment ID: I20170425001040 |
| Provider Name | Laura E Smelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174545636 PECOS PAC ID: 4880617406 Enrollment ID: I20170426001081 |
| Provider Name | Sahar L Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881032969 PECOS PAC ID: 6406133438 Enrollment ID: I20170501000774 |
| Provider Name | Rebecca Munzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159388 PECOS PAC ID: 0143507012 Enrollment ID: I20170502000333 |
| Provider Name | Kimberly Jean Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180024 PECOS PAC ID: 8820375744 Enrollment ID: I20170502002437 |
| Provider Name | Nicole Renee Stell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841738234 PECOS PAC ID: 7810274735 Enrollment ID: I20170502002481 |
| Provider Name | Nadia Alawi Kakomanolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285831503 PECOS PAC ID: 9537252259 Enrollment ID: I20170517001352 |
| Provider Name | Sarah Clifford Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235581372 PECOS PAC ID: 3971870239 Enrollment ID: I20170517002146 |
| Provider Name | Melinda Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043768872 PECOS PAC ID: 9931476116 Enrollment ID: I20170518000038 |
| Provider Name | Elizabeth Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952723637 PECOS PAC ID: 7719254671 Enrollment ID: I20170524000834 |
| Provider Name | Brady W Rhodes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245650050 PECOS PAC ID: 4284901885 Enrollment ID: I20170602001355 |
| Provider Name | Padmaja G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851737118 PECOS PAC ID: 8729356423 Enrollment ID: I20170621003155 |
| Provider Name | Claudette S Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396101119 PECOS PAC ID: 8820367170 Enrollment ID: I20170630000633 |
| Provider Name | Omolara Olajide |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1710240874 PECOS PAC ID: 1658510920 Enrollment ID: I20170711000497 |
| Provider Name | Charity J Stauter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194099085 PECOS PAC ID: 9537457007 Enrollment ID: I20170711001459 |
| Provider Name | Michelle M Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174853154 PECOS PAC ID: 0648315895 Enrollment ID: I20170712002171 |
| Provider Name | Dana C Ciobanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003186644 PECOS PAC ID: 4880812031 Enrollment ID: I20170717002943 |
| Provider Name | Eric A Barcak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134418312 PECOS PAC ID: 1658667738 Enrollment ID: I20170721000765 |
| Provider Name | Demishe Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154707560 PECOS PAC ID: 8527338680 Enrollment ID: I20170721001823 |
| Provider Name | Friday Odomore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821539131 PECOS PAC ID: 3375813454 Enrollment ID: I20170721002739 |
| Provider Name | Nels Kermit Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326104241 PECOS PAC ID: 3971873076 Enrollment ID: I20170724000363 |
| Provider Name | Anna Maria Schweitzer Nellikappallil |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508390998 PECOS PAC ID: 5698045706 Enrollment ID: I20170724000460 |
| Provider Name | David Kim Do |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184068256 PECOS PAC ID: 7416227202 Enrollment ID: I20170727001101 |
| Provider Name | James M Tarin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194168211 PECOS PAC ID: 3274803952 Enrollment ID: I20170728001237 |
| Provider Name | Somsouk Southichack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497280598 PECOS PAC ID: 5698046217 Enrollment ID: I20170801000291 |
| Provider Name | Bailey M Hosford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689108904 PECOS PAC ID: 0941571400 Enrollment ID: I20170802002617 |
| Provider Name | Jennifer Natashsa David |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740571496 PECOS PAC ID: 3476796111 Enrollment ID: I20170807000046 |
| Provider Name | Whitney Beck Lefevre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245731 PECOS PAC ID: 1456588615 Enrollment ID: I20170817001572 |
| Provider Name | Jennifer Kay Allard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760719397 PECOS PAC ID: 2062688732 Enrollment ID: I20170822000032 |
| Provider Name | Nicholas Michael Lefevre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255845 PECOS PAC ID: 3577707082 Enrollment ID: I20170824000369 |
| Provider Name | Natalie Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356785315 PECOS PAC ID: 8224300215 Enrollment ID: I20170825002418 |
| Provider Name | Bridget Awosika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255728457 PECOS PAC ID: 6103199625 Enrollment ID: I20170906000252 |
| Provider Name | Ramya Seeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770927600 PECOS PAC ID: 9032482385 Enrollment ID: I20170907002552 |
| Provider Name | Daniel Munoz-santamaria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437605797 PECOS PAC ID: 4284907502 Enrollment ID: I20170908001757 |
| Provider Name | Ghazanfar Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063852655 PECOS PAC ID: 5092939785 Enrollment ID: I20170919000213 |
| Provider Name | Sathish Karmegam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528268331 PECOS PAC ID: 3577689470 Enrollment ID: I20170923000134 |
| Provider Name | Ganesh Sundar Kumpati |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871508671 PECOS PAC ID: 3173528098 Enrollment ID: I20170925000258 |
| Provider Name | Cynthia A Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205356045 PECOS PAC ID: 2062786320 Enrollment ID: I20170926000194 |
| Provider Name | Jessica Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336679000 PECOS PAC ID: 8426323973 Enrollment ID: I20171009002755 |
| Provider Name | Jean Whitten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265477145 PECOS PAC ID: 3476729864 Enrollment ID: I20171010000266 |
| Provider Name | Patricia Magness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124537212 PECOS PAC ID: 0244505733 Enrollment ID: I20171010000914 |
| Provider Name | Edward Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891115614 PECOS PAC ID: 0749556900 Enrollment ID: I20171017000447 |
| Provider Name | Ahsan T Ali |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396835963 PECOS PAC ID: 1254234446 Enrollment ID: I20171020001998 |
| Provider Name | Ayesha Kamal Quayyum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720348782 PECOS PAC ID: 5496011686 Enrollment ID: I20171103000504 |
| Provider Name | Oliver Lee Kesterson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306997515 PECOS PAC ID: 9335116300 Enrollment ID: I20171202000140 |
| Provider Name | Umang Patel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1710305735 PECOS PAC ID: 5698093847 Enrollment ID: I20171204002945 |
| Provider Name | Stephen Robert Manock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487865325 PECOS PAC ID: 4284735564 Enrollment ID: I20171205000607 |
| Provider Name | Sarah Katherine Morrow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093052300 PECOS PAC ID: 0749407856 Enrollment ID: I20171205000938 |
| Provider Name | Margaret N Ndichu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831633973 PECOS PAC ID: 6709143449 Enrollment ID: I20171205000974 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20171205002080 |
| Provider Name | Lee C Yang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548203615 PECOS PAC ID: 8527950203 Enrollment ID: I20171206000160 |
| Provider Name | Raghu R Turebylu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154349199 PECOS PAC ID: 0648373977 Enrollment ID: I20171207001551 |
| Provider Name | Latoya C Nottage-murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467896415 PECOS PAC ID: 9830457977 Enrollment ID: I20171220000233 |
| Provider Name | Andrew James Saverine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851753198 PECOS PAC ID: 9335407089 Enrollment ID: I20171229001516 |
| Provider Name | Hanna Araya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538671912 PECOS PAC ID: 6305002734 Enrollment ID: I20180103000287 |
| Provider Name | Gladys Onchwati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669719035 PECOS PAC ID: 3375802580 Enrollment ID: I20180116001980 |
| Provider Name | Ifeoma Nwankwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993398 PECOS PAC ID: 0345159497 Enrollment ID: I20180119000902 |
| Provider Name | Tanya Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053829093 PECOS PAC ID: 7214296227 Enrollment ID: I20180122000363 |
| Provider Name | Jennifer L Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215444104 PECOS PAC ID: 3678833308 Enrollment ID: I20180129000720 |
| Provider Name | Jamie Renee Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316457278 PECOS PAC ID: 9739449232 Enrollment ID: I20180131003261 |
| Provider Name | Sandhya Kommana |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619185519 PECOS PAC ID: 7315018439 Enrollment ID: I20180219002755 |
| Provider Name | Zhanna Tulchinskaya-winchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194111484 PECOS PAC ID: 3173884939 Enrollment ID: I20180220000084 |
| Provider Name | Michele L. Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225536188 PECOS PAC ID: 4688935737 Enrollment ID: I20180306001204 |
| Provider Name | Rae Leen Hannah-lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619499241 PECOS PAC ID: 2163783242 Enrollment ID: I20180306002627 |
| Provider Name | Stacy Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215489356 PECOS PAC ID: 1658633599 Enrollment ID: I20180313000885 |
| Provider Name | Whitney Johnson Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750716064 PECOS PAC ID: 3173885795 Enrollment ID: I20180320000915 |
| Provider Name | Stacy S Crownover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528560844 PECOS PAC ID: 4981966496 Enrollment ID: I20180321002307 |
| Provider Name | Elizabeth Spooner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356329205 PECOS PAC ID: 9638488216 Enrollment ID: I20180322000588 |
| Provider Name | Mary C Selzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265737738 PECOS PAC ID: 7517142185 Enrollment ID: I20180424001085 |
| Provider Name | Smriti Shrestha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457526485 PECOS PAC ID: 6305014853 Enrollment ID: I20180426001939 |
| Provider Name | Tochukwu Toby Udegbune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467964221 PECOS PAC ID: 1355605338 Enrollment ID: I20180426002275 |
| Provider Name | Katherine Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689170185 PECOS PAC ID: 4385908102 Enrollment ID: I20180503000056 |
| Provider Name | Margi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770938789 PECOS PAC ID: 0345521522 Enrollment ID: I20180507001916 |
| Provider Name | Kristin Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083066906 PECOS PAC ID: 3173887312 Enrollment ID: I20180516000177 |
| Provider Name | Christopher Darren Smoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497242960 PECOS PAC ID: 1355605536 Enrollment ID: I20180516002147 |
| Provider Name | Emmanuel Okechukwu Okoroafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336638709 PECOS PAC ID: 3779848973 Enrollment ID: I20180517000294 |
| Provider Name | Jorge E Rico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194225920 PECOS PAC ID: 4587929690 Enrollment ID: I20180521000277 |
| Provider Name | Shicobie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902239387 PECOS PAC ID: 5496077570 Enrollment ID: I20180614002027 |
| Provider Name | Daine Thompson Bennett |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1679899660 PECOS PAC ID: 6800117805 Enrollment ID: I20180622001237 |
| Provider Name | Jude P Crino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184664278 PECOS PAC ID: 2961550744 Enrollment ID: I20180702003146 |
| Provider Name | Koshy O Abraham |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780658559 PECOS PAC ID: 0446307599 Enrollment ID: I20180706000253 |
| Provider Name | Lynn Marlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225000250 PECOS PAC ID: 6709875529 Enrollment ID: I20180718003506 |
| Provider Name | Ludmila Kosmari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414596 PECOS PAC ID: 1052668282 Enrollment ID: I20180719001311 |
| Provider Name | Amy T Winslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417286824 PECOS PAC ID: 4587911714 Enrollment ID: I20180719001404 |
| Provider Name | Andrew Nathan Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023521069 PECOS PAC ID: 5395093330 Enrollment ID: I20180807002813 |
| Provider Name | Goran Tesic |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174802334 PECOS PAC ID: 4082962741 Enrollment ID: I20180813001843 |
| Provider Name | Carlos Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215991054 PECOS PAC ID: 1951493444 Enrollment ID: I20180813002815 |
| Provider Name | Kalyani Narra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104016674 PECOS PAC ID: 3971697772 Enrollment ID: I20180814003155 |
| Provider Name | William F Pientka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275899734 PECOS PAC ID: 2466701016 Enrollment ID: I20180815002910 |
| Provider Name | Brett Robert Westbrook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962822791 PECOS PAC ID: 5799034070 Enrollment ID: I20180820002442 |
| Provider Name | Saqib Hasan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053462069 PECOS PAC ID: 5890974208 Enrollment ID: I20180822003538 |
| Provider Name | Raju Amaregouda Patil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457526832 PECOS PAC ID: 2961566393 Enrollment ID: I20180823002022 |
| Provider Name | Telema D Nga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184916769 PECOS PAC ID: 3779872049 Enrollment ID: I20180823002763 |
| Provider Name | Trevor Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003278003 PECOS PAC ID: 6305195280 Enrollment ID: I20180827001409 |
| Provider Name | Kathryn E Berryman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225249568 PECOS PAC ID: 5698037885 Enrollment ID: I20180831001752 |
| Provider Name | Katherine A Sandlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881124089 PECOS PAC ID: 3476803776 Enrollment ID: I20180907000591 |
| Provider Name | Cheryl K Smitherman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851722979 PECOS PAC ID: 5294085338 Enrollment ID: I20180911001399 |
| Provider Name | Kimberly Ann Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225446446 PECOS PAC ID: 5193002863 Enrollment ID: I20180924000139 |
| Provider Name | Cristhiaan D Ochoa Arenas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891051215 PECOS PAC ID: 6608127139 Enrollment ID: I20180924000468 |
| Provider Name | Natalie Roye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730587817 PECOS PAC ID: 3072838150 Enrollment ID: I20180924001167 |
| Provider Name | Cara L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992731921 PECOS PAC ID: 9436456878 Enrollment ID: I20180924002327 |
| Provider Name | Sylvia Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902290117 PECOS PAC ID: 5799037768 Enrollment ID: I20181003000973 |
| Provider Name | Veronica Del Socorro Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235365826 PECOS PAC ID: 8729330667 Enrollment ID: I20181004000903 |
| Provider Name | Leslie Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854121 PECOS PAC ID: 1355693219 Enrollment ID: I20181004001911 |
| Provider Name | Shonquatta Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487041760 PECOS PAC ID: 2264784057 Enrollment ID: I20181005000116 |
| Provider Name | Mini Joseph |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144550336 PECOS PAC ID: 8527310705 Enrollment ID: I20181017000433 |
| Provider Name | Adedeji Jonathan Adebayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295140150 PECOS PAC ID: 9032460639 Enrollment ID: I20181018002235 |
| Provider Name | Adrianna L Fitch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992298186 PECOS PAC ID: 1658624705 Enrollment ID: I20181019000874 |
| Provider Name | Awesta Amin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184996951 PECOS PAC ID: 3678887155 Enrollment ID: I20181023001583 |
| Provider Name | Babak Attaran Rezaei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205141041 PECOS PAC ID: 5799905394 Enrollment ID: I20181101002697 |
| Provider Name | Sheeba Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013443696 PECOS PAC ID: 2961755269 Enrollment ID: I20181105000194 |
| Provider Name | Michael C Messina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902927924 PECOS PAC ID: 1850645839 Enrollment ID: I20181109000941 |
| Provider Name | Paras M Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497926737 PECOS PAC ID: 7315014248 Enrollment ID: I20181115002464 |
| Provider Name | Satish Kumar Reddy Gaddam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023301819 PECOS PAC ID: 5294038980 Enrollment ID: I20181127000303 |
| Provider Name | Thuy Thanh Nguyen-tran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548387822 PECOS PAC ID: 2466530134 Enrollment ID: I20181128000110 |
| Provider Name | Patricia Ann Mohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762646 PECOS PAC ID: 8224372966 Enrollment ID: I20181206000516 |
| Provider Name | Asgar A Dudhbhai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730177007 PECOS PAC ID: 3779579198 Enrollment ID: I20181211001471 |
| Provider Name | Achala Kumari Ellepola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881703023 PECOS PAC ID: 7113262437 Enrollment ID: I20181214000548 |
| Provider Name | Stephen A. Schulman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760413173 PECOS PAC ID: 6901141951 Enrollment ID: I20181219000743 |
| Provider Name | Indira Fazlijevic Jusic |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992834766 PECOS PAC ID: 1355686296 Enrollment ID: I20181220000938 |
| Provider Name | Keon Rashard Anderson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891178539 PECOS PAC ID: 3072858752 Enrollment ID: I20181228000255 |
| Provider Name | Trang M Keung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043724867 PECOS PAC ID: 6305182700 Enrollment ID: I20190107000194 |
| Provider Name | Silas Po Kwong Lai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629458641 PECOS PAC ID: 5698046514 Enrollment ID: I20190110003036 |
| Provider Name | Adam Joseph Guck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205319217 PECOS PAC ID: 3375889918 Enrollment ID: I20190117003781 |
| Provider Name | Shaneel S Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740419662 PECOS PAC ID: 2466750062 Enrollment ID: I20190206002174 |
| Provider Name | Aswani Daraboina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063853638 PECOS PAC ID: 0941577241 Enrollment ID: I20190211001514 |
| Provider Name | Melinda Ann Marie Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295329 PECOS PAC ID: 9537407895 Enrollment ID: I20190212000238 |
| Provider Name | Sherry V Lexington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326515214 PECOS PAC ID: 8426396318 Enrollment ID: I20190219003007 |
| Provider Name | Stefan Meyering |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861837569 PECOS PAC ID: 7315249091 Enrollment ID: I20190220001052 |
| Provider Name | Nicolina Egydia Mboya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705383 PECOS PAC ID: 9739428897 Enrollment ID: I20190307000443 |
| Provider Name | Ricardo Aaron Miranda |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083929087 PECOS PAC ID: 4486961877 Enrollment ID: I20190308000101 |
| Provider Name | Joong Yong Kwon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942422886 PECOS PAC ID: 0648303529 Enrollment ID: I20190320001107 |
| Provider Name | Zinal Soni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720342405 PECOS PAC ID: 0840508321 Enrollment ID: I20190325002672 |
| Provider Name | Elizabeth Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568751006 PECOS PAC ID: 9739401829 Enrollment ID: I20190326000967 |
| Provider Name | Priyanka Kandhari |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417066507 PECOS PAC ID: 8426398538 Enrollment ID: I20190327000060 |
| Provider Name | Kristen Charleen Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174087415 PECOS PAC ID: 9830430834 Enrollment ID: I20190401000132 |
| Provider Name | Sheron A Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194021931 PECOS PAC ID: 4082849575 Enrollment ID: I20190411000649 |
| Provider Name | Azeza B Uddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255516522 PECOS PAC ID: 6204980469 Enrollment ID: I20190422000666 |
| Provider Name | Jon A Wolfshohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861856999 PECOS PAC ID: 4486997137 Enrollment ID: I20190520002870 |
| Provider Name | Christine Nicole Moreau |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639665755 PECOS PAC ID: 7810220118 Enrollment ID: I20190530002663 |
| Provider Name | Patricia Rawicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922410695 PECOS PAC ID: 0143554568 Enrollment ID: I20190618003696 |
| Provider Name | Uma Edayllam Nambiar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619183522 PECOS PAC ID: 4486842234 Enrollment ID: I20190626000386 |
| Provider Name | Kristal D Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881929214 PECOS PAC ID: 7911231733 Enrollment ID: I20190628000481 |
| Provider Name | Kenzie Reich |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265949168 PECOS PAC ID: 7719211440 Enrollment ID: I20190628001029 |
| Provider Name | April Rae Kuykendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548728348 PECOS PAC ID: 9638403371 Enrollment ID: I20190628001394 |
| Provider Name | Ashly Dawn Fabian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942779368 PECOS PAC ID: 9436483179 Enrollment ID: I20190628001504 |
| Provider Name | Rizwan Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144649187 PECOS PAC ID: 3274871181 Enrollment ID: I20190701000860 |
| Provider Name | Emmanuel Mantilla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477757730 PECOS PAC ID: 2062719875 Enrollment ID: I20190701001801 |
| Provider Name | Srinivas R Puli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326069824 PECOS PAC ID: 7416928593 Enrollment ID: I20190708001274 |
| Provider Name | Sarah M Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700348471 PECOS PAC ID: 5991030223 Enrollment ID: I20190709002853 |
| Provider Name | Jared Criswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265896146 PECOS PAC ID: 9133454101 Enrollment ID: I20190712001407 |
| Provider Name | Jeanneth Isabel Usaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609437375 PECOS PAC ID: 7012244858 Enrollment ID: I20190816000077 |
| Provider Name | Sheba John Jennit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124471594 PECOS PAC ID: 8022346832 Enrollment ID: I20190817000280 |
| Provider Name | Hayley Grover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790170009 PECOS PAC ID: 3971831744 Enrollment ID: I20190819001860 |
| Provider Name | Wali Zari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992191027 PECOS PAC ID: 6608104831 Enrollment ID: I20190826001068 |
| Provider Name | Lindsey Elizabeth Conditt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306400940 PECOS PAC ID: 9739417957 Enrollment ID: I20190827001397 |
| Provider Name | Sangeeta Pal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306017645 PECOS PAC ID: 2466526231 Enrollment ID: I20190827003013 |
| Provider Name | Kimberly Wolfshohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689038598 PECOS PAC ID: 9739417825 Enrollment ID: I20190828000600 |
| Provider Name | Allison Joan Louis Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962864231 PECOS PAC ID: 1951639830 Enrollment ID: I20190830000868 |
| Provider Name | Joseph Mark Payne |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437288214 PECOS PAC ID: 1759610652 Enrollment ID: I20190830002515 |
| Provider Name | Daisy Sobha Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871075119 PECOS PAC ID: 0941539522 Enrollment ID: I20190906001585 |
| Provider Name | Daisy Chou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891037628 PECOS PAC ID: 3779853890 Enrollment ID: I20190910002622 |
| Provider Name | Shannon Paul Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023030764 PECOS PAC ID: 0941197164 Enrollment ID: I20190912001377 |
| Provider Name | Malik U Farooq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396119855 PECOS PAC ID: 5597094623 Enrollment ID: I20190913002949 |
| Provider Name | Dara Grieger |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1700811163 PECOS PAC ID: 7113942996 Enrollment ID: I20190919002299 |
| Provider Name | Nolan Jacob Mischel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811428907 PECOS PAC ID: 4284964875 Enrollment ID: I20190924003785 |
| Provider Name | Lauren Arditti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679960025 PECOS PAC ID: 0042540379 Enrollment ID: I20190930000038 |
| Provider Name | Asma Iram Ahmed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962848531 PECOS PAC ID: 2365735313 Enrollment ID: I20191001000386 |
| Provider Name | Recia Diann Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326229642 PECOS PAC ID: 0244513372 Enrollment ID: I20191002003900 |
| Provider Name | Vikram Palkar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376947135 PECOS PAC ID: 8022381722 Enrollment ID: I20191004002070 |
| Provider Name | Faith Ogechukwu Nwawuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720642747 PECOS PAC ID: 3173854106 Enrollment ID: I20191007000362 |
| Provider Name | Dhara K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174978795 PECOS PAC ID: 9436441219 Enrollment ID: I20191008002473 |
| Provider Name | Kendall Berry Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477103141 PECOS PAC ID: 0244561520 Enrollment ID: I20191017002386 |
| Provider Name | Matthew J Dahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336709393 PECOS PAC ID: 0749511954 Enrollment ID: I20191018001023 |
| Provider Name | Julia Veronica Diaz-white |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891342911 PECOS PAC ID: 6800127028 Enrollment ID: I20191018001198 |
| Provider Name | Emily Katherine Sandlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730567116 PECOS PAC ID: 2264764638 Enrollment ID: I20191105000295 |
| Provider Name | Stephanie Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942852421 PECOS PAC ID: 3678905973 Enrollment ID: I20191106003265 |
| Provider Name | Bryan C Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891937900 PECOS PAC ID: 5799117818 Enrollment ID: I20191112000401 |
| Provider Name | Ixchel Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982976296 PECOS PAC ID: 7911217906 Enrollment ID: I20191115002558 |
| Provider Name | Katherine Mary Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821595554 PECOS PAC ID: 1052743754 Enrollment ID: I20191119000930 |
| Provider Name | Dorothy Elizabeth Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265709034 PECOS PAC ID: 0749447019 Enrollment ID: I20191120003109 |
| Provider Name | Hepsibah M Gekombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609343045 PECOS PAC ID: 7911339338 Enrollment ID: I20191122001066 |
| Provider Name | Shantel R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891231502 PECOS PAC ID: 0547693574 Enrollment ID: I20191205002410 |
| Provider Name | Gunit Kaur Kahlon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467772913 PECOS PAC ID: 6002055332 Enrollment ID: I20191212002172 |
| Provider Name | Kelsey Lea Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376912758 PECOS PAC ID: 9931416120 Enrollment ID: I20191217001058 |
| Provider Name | Dajonitta L Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265896195 PECOS PAC ID: 1052745106 Enrollment ID: I20191223001484 |
| Provider Name | Yolanda Montiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945362 PECOS PAC ID: 7719312313 Enrollment ID: I20200108001018 |
| Provider Name | Nikitha A Cherian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669014437 PECOS PAC ID: 6204261662 Enrollment ID: I20200114001296 |
| Provider Name | Allison Ulbrich Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033652508 PECOS PAC ID: 9931457454 Enrollment ID: I20200115000674 |
| Provider Name | Liza Munoz Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497398531 PECOS PAC ID: 7416382270 Enrollment ID: I20200124001174 |
| Provider Name | Jon Hunter Scarborough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609370394 PECOS PAC ID: 1254768609 Enrollment ID: I20200224001941 |
| Provider Name | Nivedita Shivaram |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174740740 PECOS PAC ID: 5597192906 Enrollment ID: I20200225001127 |
| Provider Name | Roopina Sangha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437276938 PECOS PAC ID: 2365530342 Enrollment ID: I20200225001693 |
| Provider Name | Issis S Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154960680 PECOS PAC ID: 3375970700 Enrollment ID: I20200225002087 |
| Provider Name | Shawn Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790006567 PECOS PAC ID: 3870853971 Enrollment ID: I20200305002299 |
| Provider Name | Tahir Khwaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881804938 PECOS PAC ID: 5092844928 Enrollment ID: I20200316000816 |
| Provider Name | Kimberly L Westmoreland |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1194078253 PECOS PAC ID: 1355653098 Enrollment ID: I20200317000217 |
| Provider Name | Kerry Rifkin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730134644 PECOS PAC ID: 7113056672 Enrollment ID: I20200319001520 |
| Provider Name | Sandra M Umuhoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518503051 PECOS PAC ID: 1456789445 Enrollment ID: I20200325003752 |
| Provider Name | Jeffrey Capati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083034870 PECOS PAC ID: 0547699555 Enrollment ID: I20200326000935 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1215348446 PECOS PAC ID: 9537598156 Enrollment ID: I20200402002816 |
| Provider Name | Dixita Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346608775 PECOS PAC ID: 9830477801 Enrollment ID: I20200403002217 |
| Provider Name | Rachel Le Fevers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295379089 PECOS PAC ID: 1658700927 Enrollment ID: I20200408000152 |
| Provider Name | Amanda C Pientka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760877732 PECOS PAC ID: 0941554539 Enrollment ID: I20200422001412 |
| Provider Name | Thomas Walker Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891158036 PECOS PAC ID: 2860770526 Enrollment ID: I20200501001375 |
| Provider Name | Jennifer Vandenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518594852 PECOS PAC ID: 6406287648 Enrollment ID: I20200504001252 |
| Provider Name | Richard Stephen Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558445668 PECOS PAC ID: 4385668631 Enrollment ID: I20200514002273 |
| Provider Name | Jennifer Danielle Byrd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023540135 PECOS PAC ID: 2668893900 Enrollment ID: I20200522000619 |
| Provider Name | Dawn Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932399813 PECOS PAC ID: 0446557383 Enrollment ID: I20200601001907 |
| Provider Name | Jasmine Arlean Blanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114571957 PECOS PAC ID: 2365876612 Enrollment ID: I20200604000114 |
| Provider Name | Nicholas Saltarelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184074932 PECOS PAC ID: 0648561431 Enrollment ID: I20200615000605 |
| Provider Name | Obiajulu Kanu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104207844 PECOS PAC ID: 7810245438 Enrollment ID: I20200616001745 |
| Provider Name | Emily Sliz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497119390 PECOS PAC ID: 0941622187 Enrollment ID: I20200617001282 |
| Provider Name | Shawna Jae Rubalcaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418045 PECOS PAC ID: 3476975251 Enrollment ID: I20200624001471 |
| Provider Name | Cristina Leonardo Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063053247 PECOS PAC ID: 7911329586 Enrollment ID: I20200629000404 |
| Provider Name | Richard Justin Garling |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841639986 PECOS PAC ID: 9739481151 Enrollment ID: I20200709002921 |
| Provider Name | Arif A Khan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821392986 PECOS PAC ID: 7517273592 Enrollment ID: I20200710001408 |
| Provider Name | Alexandria Self Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255954236 PECOS PAC ID: 7416371950 Enrollment ID: I20200716003842 |
| Provider Name | Kevin William Isbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629609987 PECOS PAC ID: 6103240072 Enrollment ID: I20200724000518 |
| Provider Name | Horacio Chiong-rivero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629403191 PECOS PAC ID: 2264720010 Enrollment ID: I20200806000173 |
| Provider Name | Leanne Dada |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386028157 PECOS PAC ID: 8426302514 Enrollment ID: I20200810000021 |
| Provider Name | Lauren Courtney Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447875760 PECOS PAC ID: 1153748041 Enrollment ID: I20200824001067 |
| Provider Name | Yara Hamade Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609307115 PECOS PAC ID: 7416374764 Enrollment ID: I20200901001189 |
| Provider Name | Ashkan Soltan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790166981 PECOS PAC ID: 2062830623 Enrollment ID: I20200914001367 |
| Provider Name | Christopher Ray Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790216208 PECOS PAC ID: 7214355452 Enrollment ID: I20200921000392 |
| Provider Name | Triet Minh La |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821523366 PECOS PAC ID: 8527486638 Enrollment ID: I20200922000029 |
| Provider Name | Raven Wilkins-shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962018630 PECOS PAC ID: 0143649525 Enrollment ID: I20201005001234 |
| Provider Name | Sandra Hyams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396295044 PECOS PAC ID: 7315214384 Enrollment ID: I20201020000102 |
| Provider Name | Marc E Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730475815 PECOS PAC ID: 5698098069 Enrollment ID: I20201020002108 |
| Provider Name | Yue Guan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689037442 PECOS PAC ID: 4688960388 Enrollment ID: I20201029000048 |
| Provider Name | Carmen Rosario |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629230446 PECOS PAC ID: 0143413716 Enrollment ID: I20201119000886 |
| Provider Name | Jordan Loeffelholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518567395 PECOS PAC ID: 2264843135 Enrollment ID: I20201125000141 |
| Provider Name | Kira Leann Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316462203 PECOS PAC ID: 7012329550 Enrollment ID: I20201207002877 |
| Provider Name | Gregory Kyle Youngs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1710418777 PECOS PAC ID: 5890100556 Enrollment ID: I20210211000878 |
| Provider Name | Kevin R Kniery |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881955029 PECOS PAC ID: 2365754215 Enrollment ID: I20210219000209 |
| Provider Name | Liberty J Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851997449 PECOS PAC ID: 2769898311 Enrollment ID: I20210308000631 |
| Provider Name | Sarah Jane Armendarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900567 PECOS PAC ID: 2264849926 Enrollment ID: I20210324001280 |
| Provider Name | Eugene Galperin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548318330 PECOS PAC ID: 9436127776 Enrollment ID: I20210521000461 |
| Provider Name | Tyler Caton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881089142 PECOS PAC ID: 1759705288 Enrollment ID: I20210610000598 |
| Provider Name | Mohamed Hussein Baradia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528454378 PECOS PAC ID: 7911217617 Enrollment ID: I20210616002698 |
| Provider Name | Shelby R Tieken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255924064 PECOS PAC ID: 4183025398 Enrollment ID: I20210625000626 |
| Provider Name | Donna M Hassani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740770346 PECOS PAC ID: 8123420650 Enrollment ID: I20210707000841 |
| Provider Name | Saurabh Kashyap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275068702 PECOS PAC ID: 3678975141 Enrollment ID: I20210707002258 |
| Provider Name | Mai Nguyen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952756298 PECOS PAC ID: 5294028965 Enrollment ID: I20210709000384 |
| Provider Name | Ryan William Seaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871985408 PECOS PAC ID: 9537561683 Enrollment ID: I20210712002351 |
| Provider Name | Curtis J Brewer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992192801 PECOS PAC ID: 8729386321 Enrollment ID: I20210715000211 |
| Provider Name | Peter Can Wickwire |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427410851 PECOS PAC ID: 4880001833 Enrollment ID: I20210804000260 |
| Provider Name | Sonny Tucker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144487562 PECOS PAC ID: 7810069572 Enrollment ID: I20210805001406 |
| Provider Name | Christina Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487223335 PECOS PAC ID: 0244634632 Enrollment ID: I20210806001815 |
| Provider Name | Leticia Flournoy Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598337172 PECOS PAC ID: 7517361926 Enrollment ID: I20210806002695 |
| Provider Name | Nicole Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427620491 PECOS PAC ID: 7810391042 Enrollment ID: I20210810001063 |
| Provider Name | Emily Lauren Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558932368 PECOS PAC ID: 0840694840 Enrollment ID: I20210813000219 |
| Provider Name | Richard E Seldeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326614223 PECOS PAC ID: 6709281207 Enrollment ID: I20210821000314 |
| Provider Name | Gretchen Lee Mattner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467025858 PECOS PAC ID: 6204231657 Enrollment ID: I20210823002322 |
| Provider Name | Mehmet Cilingiroglu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710922125 PECOS PAC ID: 8022036110 Enrollment ID: I20210831003717 |
| Provider Name | Nadezhda Shvarts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639748940 PECOS PAC ID: 7810393485 Enrollment ID: I20210907001806 |
| Provider Name | Duy H Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407425333 PECOS PAC ID: 8426454893 Enrollment ID: I20210909003327 |
| Provider Name | Alicia Elouise Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467938357 PECOS PAC ID: 8325445224 Enrollment ID: I20210920002426 |
| Provider Name | Jacqueline Mosonyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235702812 PECOS PAC ID: 9931507373 Enrollment ID: I20211014003078 |
| Provider Name | Vincent Moretti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326362864 PECOS PAC ID: 2961718549 Enrollment ID: I20211111000170 |
| Provider Name | Christian J Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891299004 PECOS PAC ID: 6002205119 Enrollment ID: I20211111000556 |
| Provider Name | Twila May Shuquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306450697 PECOS PAC ID: 3173912979 Enrollment ID: I20211117001203 |
| Provider Name | Aisha Kyabwe Musoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922683127 PECOS PAC ID: 8729478094 Enrollment ID: I20211130001463 |
| Provider Name | Tiffany Lynn Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063026029 PECOS PAC ID: 4385034578 Enrollment ID: I20211201003227 |
| Provider Name | Monica Morie Lynott |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1235651795 PECOS PAC ID: 1456742139 Enrollment ID: I20220107000797 |
| Provider Name | Prashanth Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811420763 PECOS PAC ID: 5496148116 Enrollment ID: I20220201002861 |
| Provider Name | Ryan Kostka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023472107 PECOS PAC ID: 5092005595 Enrollment ID: I20220201002958 |
| Provider Name | Tina Tran Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326708991 PECOS PAC ID: 5193118487 Enrollment ID: I20220209001464 |
| Provider Name | Carlos J Garcia Sagnay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376066647 PECOS PAC ID: 6103210356 Enrollment ID: I20220303001804 |
| Provider Name | Wendy Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649468471 PECOS PAC ID: 7517053549 Enrollment ID: I20220303002403 |
| Provider Name | Ashley Nichole Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154901163 PECOS PAC ID: 9234523408 Enrollment ID: I20220304000072 |
| Provider Name | Kristen New |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952054223 PECOS PAC ID: 2769876887 Enrollment ID: I20220304002140 |
| Provider Name | China Rene Santamaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225783715 PECOS PAC ID: 2163656323 Enrollment ID: I20220308002718 |
| Provider Name | Darryl Ong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356848287 PECOS PAC ID: 9537555123 Enrollment ID: I20220407001347 |
| Provider Name | Ashley Nicole Babbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700538766 PECOS PAC ID: 9032505359 Enrollment ID: I20220413000475 |
| Provider Name | Akshita Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336585199 PECOS PAC ID: 0547569857 Enrollment ID: I20220413000746 |
| Provider Name | Jaya Bathina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407086705 PECOS PAC ID: 5799908463 Enrollment ID: I20220510001468 |
| Provider Name | Joshua Kain Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225535230 PECOS PAC ID: 3375920358 Enrollment ID: I20220512000967 |
| Provider Name | Muhammad Arshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467735050 PECOS PAC ID: 5395019137 Enrollment ID: I20220514000040 |
| Provider Name | Carlos Alberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790346781 PECOS PAC ID: 2961882592 Enrollment ID: I20220629001346 |
| Provider Name | Gabriel Gonzalez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134516016 PECOS PAC ID: 8729308002 Enrollment ID: I20220705001070 |
| Provider Name | Jennifer Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063918928 PECOS PAC ID: 0446630636 Enrollment ID: I20220706001140 |
| Provider Name | Meriane Florida Mayhew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063150753 PECOS PAC ID: 9931589827 Enrollment ID: I20220709000174 |
| Provider Name | Domenico Gattozzi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477965846 PECOS PAC ID: 2062739683 Enrollment ID: I20220712001126 |
| Provider Name | Dwain Paul Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518461946 PECOS PAC ID: 6709267222 Enrollment ID: I20220714003777 |
| Provider Name | Christian Sotelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780240101 PECOS PAC ID: 7911232434 Enrollment ID: I20220726002273 |
| Provider Name | Rajasekhar Jagarlamudi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174708341 PECOS PAC ID: 9436329265 Enrollment ID: I20220808000012 |
| Provider Name | Eneida F Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598293284 PECOS PAC ID: 6305266123 Enrollment ID: I20220815002830 |
| Provider Name | Ranie Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609501402 PECOS PAC ID: 6002299559 Enrollment ID: I20220816000928 |
| Provider Name | Miral Amin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1699943720 PECOS PAC ID: 8426173766 Enrollment ID: I20220817000041 |
| Provider Name | Shauna Marioni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053400978 PECOS PAC ID: 7719164631 Enrollment ID: I20220830003042 |
| Provider Name | Kathryn Rose Farishta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740908706 PECOS PAC ID: 8527442086 Enrollment ID: I20220831004004 |
| Provider Name | Jamie Watts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104545862 PECOS PAC ID: 7012392152 Enrollment ID: I20220909002822 |
| Provider Name | Chau Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654068 PECOS PAC ID: 5799161659 Enrollment ID: I20220929001126 |
| Provider Name | Paresh Atu Jaini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699270835 PECOS PAC ID: 2860878733 Enrollment ID: I20220929001627 |
| Provider Name | Patrick Joseph Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871026864 PECOS PAC ID: 9931585783 Enrollment ID: I20220930001367 |
| Provider Name | Kanesha Simmons Banks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699449835 PECOS PAC ID: 0648656413 Enrollment ID: I20220930002031 |
| Provider Name | Jose Amaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295459873 PECOS PAC ID: 2365810751 Enrollment ID: I20221115003138 |
| Provider Name | Asha Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609599760 PECOS PAC ID: 9830567981 Enrollment ID: I20221121001216 |
| Provider Name | Alison Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356979736 PECOS PAC ID: 9335517135 Enrollment ID: I20221129002245 |
| Provider Name | Bryan Becker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386611903 PECOS PAC ID: 1153458948 Enrollment ID: I20221212000056 |
| Provider Name | Cristianna Alicia Abilez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184183295 PECOS PAC ID: 7517299126 Enrollment ID: I20221212002298 |
| Provider Name | Paulos M Yigazu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861738668 PECOS PAC ID: 9830336999 Enrollment ID: I20221222002578 |
| Provider Name | Adrienne Hiatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194090894 PECOS PAC ID: 6204204191 Enrollment ID: I20230110001505 |
| Provider Name | Cynthia Kay Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922715358 PECOS PAC ID: 1951771757 Enrollment ID: I20230111001817 |
| Provider Name | Kinjal Gadhiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205330545 PECOS PAC ID: 7517212442 Enrollment ID: I20230125003338 |
| Provider Name | Anil Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386083343 PECOS PAC ID: 2860780384 Enrollment ID: I20230130002322 |
| Provider Name | Comfort Mudoh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982247722 PECOS PAC ID: 2466870431 Enrollment ID: I20230208002296 |
| Provider Name | Aradhana Gyanwali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881306744 PECOS PAC ID: 4789056219 Enrollment ID: I20230210000061 |
| Provider Name | Caridad Merkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952967952 PECOS PAC ID: 6204169089 Enrollment ID: I20230217000680 |
| Provider Name | Muzammil Mushtaq |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093977639 PECOS PAC ID: 7214073055 Enrollment ID: I20230220000248 |
| Provider Name | Dragana Vujic Kljaic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346738986 PECOS PAC ID: 4486903978 Enrollment ID: I20230309000058 |
| Provider Name | Erica Blomme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851910640 PECOS PAC ID: 8224402359 Enrollment ID: I20230313001754 |
| Provider Name | Mohammed Megri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699162610 PECOS PAC ID: 9032425582 Enrollment ID: I20230322002421 |
| Provider Name | Kofi A Darkwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336854058 PECOS PAC ID: 9032584115 Enrollment ID: I20230403000633 |
| Provider Name | Garret Lane Blankenship |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295181196 PECOS PAC ID: 2668847377 Enrollment ID: I20230412000082 |
| Provider Name | Grishma Khoju Giri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679277842 PECOS PAC ID: 6002281532 Enrollment ID: I20230413002789 |
| Provider Name | Oksana Blankenship |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851950851 PECOS PAC ID: 2466827977 Enrollment ID: I20230417000237 |
| Provider Name | Lindsey Bryce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760177034 PECOS PAC ID: 3476928862 Enrollment ID: I20230418000541 |
| Provider Name | Matthew Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861192346 PECOS PAC ID: 4486019601 Enrollment ID: I20230422000034 |
| Provider Name | Anas Riehani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700298452 PECOS PAC ID: 8426327479 Enrollment ID: I20230428000385 |
| Provider Name | Seth Huffhines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790245850 PECOS PAC ID: 6204291024 Enrollment ID: I20230501002524 |
| Provider Name | Ricardo N/a Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669955696 PECOS PAC ID: 6800251638 Enrollment ID: I20230502000113 |
| Provider Name | Michelle Chinenye Oyeka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376100669 PECOS PAC ID: 3476918012 Enrollment ID: I20230503002291 |
| Provider Name | Ashley Dixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710331699 PECOS PAC ID: 1456731306 Enrollment ID: I20230516001197 |
| Provider Name | Khanh Mai Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861952970 PECOS PAC ID: 1557727443 Enrollment ID: I20230518002889 |
| Provider Name | Victoria Ashley Godwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124648514 PECOS PAC ID: 5294191862 Enrollment ID: I20230524001504 |
| Provider Name | Karla E Rodriguez Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366117095 PECOS PAC ID: 9931566031 Enrollment ID: I20230605003407 |
| Provider Name | Sheila S Rastegari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487184909 PECOS PAC ID: 6709151293 Enrollment ID: I20230606001638 |
| Provider Name | Laura Carolyn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326191701 PECOS PAC ID: 9133287790 Enrollment ID: I20230612001577 |
| Provider Name | Chelsea Angelocci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528529294 PECOS PAC ID: 3971961442 Enrollment ID: I20230615002762 |
| Provider Name | Nikysha Lynette Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538870977 PECOS PAC ID: 4981063542 Enrollment ID: I20230629004191 |
| Provider Name | Douglas Lyle Weier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063973709 PECOS PAC ID: 4789043159 Enrollment ID: I20230703000400 |
| Provider Name | Muhammad Ubaidullah Murad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568924462 PECOS PAC ID: 0345512885 Enrollment ID: I20230705003351 |
| Provider Name | Ashley Grace Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871159004 PECOS PAC ID: 6901132141 Enrollment ID: I20230711001690 |
| Provider Name | Michelle Camden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326708512 PECOS PAC ID: 4981099587 Enrollment ID: I20230712000454 |
| Provider Name | Yordanos Mesfin Agajyelleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558824011 PECOS PAC ID: 2365802196 Enrollment ID: I20230712001710 |
| Provider Name | Carrie Brooks Hooton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104519701 PECOS PAC ID: 7517327455 Enrollment ID: I20230724002598 |
| Provider Name | Paige Stevens Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306523022 PECOS PAC ID: 6608237409 Enrollment ID: I20230726001836 |
| Provider Name | Mehreen Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235699265 PECOS PAC ID: 4981065695 Enrollment ID: I20230727002871 |
| Provider Name | Natalie Vidal Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003443599 PECOS PAC ID: 4183085624 Enrollment ID: I20230801002075 |
| Provider Name | Belinder Njukang Atabongafac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376205286 PECOS PAC ID: 3779944087 Enrollment ID: I20230803000370 |
| Provider Name | Daniel T Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356904437 PECOS PAC ID: 6608237854 Enrollment ID: I20230803002557 |
| Provider Name | Najoua Belouali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497435226 PECOS PAC ID: 7113389743 Enrollment ID: I20230815000903 |
| Provider Name | Shongerwi Chekenyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376276618 PECOS PAC ID: 7113389321 Enrollment ID: I20230818001716 |
| Provider Name | Breanne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376215244 PECOS PAC ID: 9739541921 Enrollment ID: I20230821001816 |
| Provider Name | Timothy Mccade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104506047 PECOS PAC ID: 8022471101 Enrollment ID: I20230823002238 |
| Provider Name | Simisola Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245763887 PECOS PAC ID: 4789961467 Enrollment ID: I20230901002454 |
| Provider Name | Mohanika Gowda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124521695 PECOS PAC ID: 2769846831 Enrollment ID: I20230908001189 |
| Provider Name | Amrita Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144406323 PECOS PAC ID: 5799953113 Enrollment ID: I20230918003774 |
| Provider Name | Anh Thi Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083243406 PECOS PAC ID: 0941631717 Enrollment ID: I20230919003332 |
| Provider Name | Rody Barakat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922637388 PECOS PAC ID: 5597182147 Enrollment ID: I20231016002660 |
| Provider Name | Tania Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891579355 PECOS PAC ID: 7416303920 Enrollment ID: I20231019001249 |
| Provider Name | Alec Vinsant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699242842 PECOS PAC ID: 0648511527 Enrollment ID: I20231021000398 |
| Provider Name | Braden Chase Willburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033853122 PECOS PAC ID: 4981051562 Enrollment ID: I20231103003340 |
| Provider Name | Durwood Neal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801842539 PECOS PAC ID: 8224135090 Enrollment ID: I20231129003414 |
| Provider Name | Lauren Cathrine Deason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942074414 PECOS PAC ID: 4587012554 Enrollment ID: I20231130004050 |
| Provider Name | Firas Al Solaiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679507875 PECOS PAC ID: 4587677877 Enrollment ID: I20240111000046 |
| Provider Name | Nelly Chee-yan Yuen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972876324 PECOS PAC ID: 3274984976 Enrollment ID: I20240212003880 |
| Provider Name | Amir Abuchaei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851929186 PECOS PAC ID: 9739523804 Enrollment ID: I20240216000594 |
Southwest Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132 Phone: 817-346-4000 Fax: 817-263-9398 | |
University Of North Texas Health Science Center At Fort Worth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2000 | |
Hanson Internal Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Harris Pkwy, Suite 240, Fort Worth, TX 76132 Phone: 817-504-5699 | |
Feliz Family Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 6th Ave, Fort Worth, TX 76110 Phone: 817-923-7055 Fax: 817-923-7902 | |
Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 | |
Apex Alliance Medical Group Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177 Phone: 817-837-1091 Fax: 817-837-1097 |