| American Health Network of Indiana, LLC | |
|
13000 N Meridian St Ste 250 Carmel IN 46032-1404 | |
| (855) 246-2273 | |
| Not Available |
| Full Name | American Health Network of Indiana, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13000 N Meridian St Ste 250, Carmel, Indiana |
| Authorized Official Name and Position | Samuel Michael Fox (SR. DIRECTOR, OPERATIONAL PLANNING) |
| Authorized Official Contact | 5075811367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Health Network of Indiana, LLC 13000 N Meridian St Ste 250 Carmel IN 46032-1404 Ph: (855) 246-2273 | American Health Network of Indiana, LLC 13000 N Meridian St Ste 250 Carmel IN 46032-1404 Ph: (855) 246-2273 |
| NPI Number | 1831236272 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 09/17/2026 |
| Certification Date | 09/17/2026 |
| Medicare PECOS PAC ID | 9830093533 |
|---|---|
| Medicare Enrollment ID | O20031124000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831236272 | NPI | - | NPPES |
| Provider Name | Andrew M Cougill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508959487 PECOS PAC ID: 8022921162 Enrollment ID: I20031106000121 |
| Provider Name | Jayakrishnakamal Konijeti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295739076 PECOS PAC ID: 0547168007 Enrollment ID: I20031222000790 |
| Provider Name | Donald I Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114020567 PECOS PAC ID: 6002701216 Enrollment ID: I20040217000772 |
| Provider Name | Paula a Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558455899 PECOS PAC ID: 7214921063 Enrollment ID: I20040413001693 |
| Provider Name | Anthony Charles Simchak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639176530 PECOS PAC ID: 7517952807 Enrollment ID: I20040416000604 |
| Provider Name | Lloyd D Lorenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255418125 PECOS PAC ID: 1557358678 Enrollment ID: I20040429000453 |
| Provider Name | Heather a Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013094994 PECOS PAC ID: 5698762763 Enrollment ID: I20040429000809 |
| Provider Name | Michael W Mull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134206014 PECOS PAC ID: 1456348556 Enrollment ID: I20040429001011 |
| Provider Name | Cassandra E Curtis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093808917 PECOS PAC ID: 7517956303 Enrollment ID: I20040507000542 |
| Provider Name | William a Rauh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811914443 PECOS PAC ID: 1153310594 Enrollment ID: I20040520001446 |
| Provider Name | Bonnie Jean Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255331112 PECOS PAC ID: 3678554326 Enrollment ID: I20040527000956 |
| Provider Name | Wanda L Estep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386632644 PECOS PAC ID: 4183606122 Enrollment ID: I20040603000961 |
| Provider Name | Raud Duane Estep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497723605 PECOS PAC ID: 3173506490 Enrollment ID: I20040609000251 |
| Provider Name | Monica C Hauger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659460541 PECOS PAC ID: 6507840998 Enrollment ID: I20040615000003 |
| Provider Name | David G Brunck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730141789 PECOS PAC ID: 4284614348 Enrollment ID: I20040721000466 |
| Provider Name | Kay M Lowney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740276161 PECOS PAC ID: 2062492135 Enrollment ID: I20040721000499 |
| Provider Name | Gregory K Gahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124105879 PECOS PAC ID: 2365412277 Enrollment ID: I20040728001130 |
| Provider Name | James David Brinkruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578657813 PECOS PAC ID: 2264408665 Enrollment ID: I20040908000090 |
| Provider Name | Christopher M Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467553149 PECOS PAC ID: 1254308448 Enrollment ID: I20040916000371 |
| Provider Name | Dawn Denise Lagerkvist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407802531 PECOS PAC ID: 0941261440 Enrollment ID: I20041019000661 |
| Provider Name | Robert J Blok |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497748552 PECOS PAC ID: 6800857723 Enrollment ID: I20041025000331 |
| Provider Name | Gina C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669474631 PECOS PAC ID: 2961466131 Enrollment ID: I20041117000428 |
| Provider Name | Michael Eugene Pauszek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982718250 PECOS PAC ID: 9537126610 Enrollment ID: I20041210000592 |
| Provider Name | Rajiv Tewari |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1245292606 PECOS PAC ID: 0345208047 Enrollment ID: I20041229000298 |
| Provider Name | Laurence J Eckel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740275296 PECOS PAC ID: 8527046101 Enrollment ID: I20050118001005 |
| Provider Name | Lori J Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154306124 PECOS PAC ID: 0244280428 Enrollment ID: I20050125001064 |
| Provider Name | Brian J Wiegel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609852359 PECOS PAC ID: 1052361235 Enrollment ID: I20050125001072 |
| Provider Name | John M Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972698009 PECOS PAC ID: 8729032313 Enrollment ID: I20050307000452 |
| Provider Name | William E Sowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841378833 PECOS PAC ID: 9133169444 Enrollment ID: I20050505001033 |
| Provider Name | Christopher L Winters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275628398 PECOS PAC ID: 8820039019 Enrollment ID: I20050518000466 |
| Provider Name | Mohammad S Bahrami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083791719 PECOS PAC ID: 5890738249 Enrollment ID: I20050607000090 |
| Provider Name | Jonathan D Condit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194803189 PECOS PAC ID: 9931143880 Enrollment ID: I20050613000575 |
| Provider Name | Steve L Rousseau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306924394 PECOS PAC ID: 2860436730 Enrollment ID: I20050613000763 |
| Provider Name | Kimberly R Mauller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164500153 PECOS PAC ID: 6901840875 Enrollment ID: I20050613000797 |
| Provider Name | Mark a Reedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508944596 PECOS PAC ID: 6103860929 Enrollment ID: I20050613001239 |
| Provider Name | Adam a a French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902857147 PECOS PAC ID: 4284612425 Enrollment ID: I20050707000089 |
| Provider Name | Patricia a Hallett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194802611 PECOS PAC ID: 1658308952 Enrollment ID: I20050719000442 |
| Provider Name | Samuel M Horton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073531257 PECOS PAC ID: 7113951476 Enrollment ID: I20050926000646 |
| Provider Name | George M Cornett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808199 PECOS PAC ID: 5496776148 Enrollment ID: I20051209000525 |
| Provider Name | Dawn T Zapinski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720086739 PECOS PAC ID: 9436164829 Enrollment ID: I20060206000923 |
| Provider Name | William C Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689602062 PECOS PAC ID: 9234138108 Enrollment ID: I20061204000573 |
| Provider Name | Michelle R Cropper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669480315 PECOS PAC ID: 2860491800 Enrollment ID: I20061220000363 |
| Provider Name | Kenneth a Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437150067 PECOS PAC ID: 0244230589 Enrollment ID: I20070110000278 |
| Provider Name | Martha J Hoshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275616864 PECOS PAC ID: 7517060213 Enrollment ID: I20070319000293 |
| Provider Name | Kimberly Renee Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306916739 PECOS PAC ID: 6507761053 Enrollment ID: I20070606000006 |
| Provider Name | Karen Denise Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255464665 PECOS PAC ID: 7810096757 Enrollment ID: I20070619000197 |
| Provider Name | Brian Patrick Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376599506 PECOS PAC ID: 2365454386 Enrollment ID: I20070801000405 |
| Provider Name | Lisa K Montgomery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639253347 PECOS PAC ID: 2769575315 Enrollment ID: I20070912000560 |
| Provider Name | Mahesh K Jindal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194948364 PECOS PAC ID: 4789664962 Enrollment ID: I20071001000717 |
| Provider Name | Emily Marie Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952448995 PECOS PAC ID: 1658467345 Enrollment ID: I20071010000682 |
| Provider Name | John M Beerbower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891832846 PECOS PAC ID: 0840388450 Enrollment ID: I20071115000326 |
| Provider Name | Sabrina L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912986217 PECOS PAC ID: 1456438605 Enrollment ID: I20080411000401 |
| Provider Name | Ashish Thapar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174724207 PECOS PAC ID: 2365516515 Enrollment ID: I20080806000019 |
| Provider Name | Elisha M Hart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356509160 PECOS PAC ID: 2668547100 Enrollment ID: I20080819000440 |
| Provider Name | Sarah M Koopman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245468503 PECOS PAC ID: 6406900893 Enrollment ID: I20090819000749 |
| Provider Name | Brian T Heimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972597540 PECOS PAC ID: 8224069240 Enrollment ID: I20091216000529 |
| Provider Name | James Kozarek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235216763 PECOS PAC ID: 9739113903 Enrollment ID: I20100115000515 |
| Provider Name | Wayne C Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629155130 PECOS PAC ID: 4486796174 Enrollment ID: I20100119000218 |
| Provider Name | Mark R Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316036213 PECOS PAC ID: 6608910468 Enrollment ID: I20100217000051 |
| Provider Name | Thaddaeus M Poe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598855967 PECOS PAC ID: 7810031671 Enrollment ID: I20100217000115 |
| Provider Name | Donald P Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427141357 PECOS PAC ID: 2062556871 Enrollment ID: I20100217000572 |
| Provider Name | Talessa L Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629162987 PECOS PAC ID: 0941344485 Enrollment ID: I20100222000205 |
| Provider Name | Stephen W Nale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134153463 PECOS PAC ID: 1052339991 Enrollment ID: I20100302000484 |
| Provider Name | John D Crase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902820798 PECOS PAC ID: 6204971211 Enrollment ID: I20100302000531 |
| Provider Name | Jonathan L Grief |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548281967 PECOS PAC ID: 0446395453 Enrollment ID: I20100302000566 |
| Provider Name | Joseph J Vanvaler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689629180 PECOS PAC ID: 2365519352 Enrollment ID: I20100303000750 |
| Provider Name | Thomas J Moretto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326133612 PECOS PAC ID: 1759470867 Enrollment ID: I20100312000733 |
| Provider Name | Christina M Pinkerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477648665 PECOS PAC ID: 2961537188 Enrollment ID: I20100312000815 |
| Provider Name | Jill R Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710060058 PECOS PAC ID: 0648305755 Enrollment ID: I20100315000670 |
| Provider Name | Mark a Wyant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558456632 PECOS PAC ID: 6406981513 Enrollment ID: I20100315000722 |
| Provider Name | Cheryl L Shaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285965541 PECOS PAC ID: 5193850212 Enrollment ID: I20100315000771 |
| Provider Name | Alison R Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043305279 PECOS PAC ID: 5496880403 Enrollment ID: I20100316000693 |
| Provider Name | Douglas W Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790879914 PECOS PAC ID: 0244365161 Enrollment ID: I20100317000886 |
| Provider Name | Sherri L Nuss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174609150 PECOS PAC ID: 5890822183 Enrollment ID: I20100419000179 |
| Provider Name | Andrew T Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871798793 PECOS PAC ID: 6901939461 Enrollment ID: I20100804000376 |
| Provider Name | Andrew a Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093980609 PECOS PAC ID: 1951434281 Enrollment ID: I20100806000103 |
| Provider Name | Daniel Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699984641 PECOS PAC ID: 4284775057 Enrollment ID: I20100828000051 |
| Provider Name | Praveen C Perni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437368479 PECOS PAC ID: 1759427610 Enrollment ID: I20100913000923 |
| Provider Name | John M Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720021769 PECOS PAC ID: 7113043290 Enrollment ID: I20100927000341 |
| Provider Name | Chrystal L Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053308056 PECOS PAC ID: 0244356061 Enrollment ID: I20100929000333 |
| Provider Name | Emily D Kriech |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891952750 PECOS PAC ID: 3375730997 Enrollment ID: I20101208001215 |
| Provider Name | Doris M Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558661744 PECOS PAC ID: 0840470753 Enrollment ID: I20110210000132 |
| Provider Name | Andrew T Bridge |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174780837 PECOS PAC ID: 7618157231 Enrollment ID: I20110214000525 |
| Provider Name | Abbie M Tolliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437318706 PECOS PAC ID: 6507047016 Enrollment ID: I20110216000730 |
| Provider Name | Sharron P Grannis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194773267 PECOS PAC ID: 6901089150 Enrollment ID: I20110324000719 |
| Provider Name | Sarah Allison Feider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639483753 PECOS PAC ID: 6204013444 Enrollment ID: I20110615000551 |
| Provider Name | Larry L Stover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366647034 PECOS PAC ID: 9032387337 Enrollment ID: I20110712000266 |
| Provider Name | Heidi Jo Coher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386934982 PECOS PAC ID: 7416126438 Enrollment ID: I20110809000370 |
| Provider Name | Terry I Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053306712 PECOS PAC ID: 4385818863 Enrollment ID: I20111118000119 |
| Provider Name | Whitney Ann Crider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942579321 PECOS PAC ID: 2860668803 Enrollment ID: I20111222000149 |
| Provider Name | Stephen Richard Clingman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891898326 PECOS PAC ID: 9537169115 Enrollment ID: I20120305000477 |
| Provider Name | Travis Edward Clegg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740494418 PECOS PAC ID: 2062675705 Enrollment ID: I20120517000045 |
| Provider Name | Brian J Coppinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649407685 PECOS PAC ID: 8628232014 Enrollment ID: I20120615000034 |
| Provider Name | Ryan N. Sauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427243385 PECOS PAC ID: 1052491883 Enrollment ID: I20120628000224 |
| Provider Name | Hope L Spitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164782645 PECOS PAC ID: 8325204712 Enrollment ID: I20120731000079 |
| Provider Name | Aaron C Coats |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376752071 PECOS PAC ID: 8426208075 Enrollment ID: I20121017000580 |
| Provider Name | Cayla Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427131143 PECOS PAC ID: 1557361797 Enrollment ID: I20130626000450 |
| Provider Name | Kelly L Foutch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043558596 PECOS PAC ID: 6507007192 Enrollment ID: I20130724000427 |
| Provider Name | Kathy J Scifres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437408150 PECOS PAC ID: 8527217579 Enrollment ID: I20130805000025 |
| Provider Name | Shane Kesler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992056774 PECOS PAC ID: 6901051986 Enrollment ID: I20130913000234 |
| Provider Name | Jeremy M Paden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982044764 PECOS PAC ID: 2365677085 Enrollment ID: I20131104001574 |
| Provider Name | John W Wildman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275965311 PECOS PAC ID: 0143456004 Enrollment ID: I20131122001945 |
| Provider Name | Michelle M Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609201680 PECOS PAC ID: 5698903045 Enrollment ID: I20140110001583 |
| Provider Name | Susan Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437583390 PECOS PAC ID: 3072741040 Enrollment ID: I20140121000831 |
| Provider Name | Tamera Crowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275520629 PECOS PAC ID: 6305888629 Enrollment ID: I20140212001544 |
| Provider Name | Angela Geissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891112769 PECOS PAC ID: 4486568391 Enrollment ID: I20140417000461 |
| Provider Name | Scott M Hoffman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437447620 PECOS PAC ID: 2062635832 Enrollment ID: I20140523000439 |
| Provider Name | Caleb R Overpeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576529 PECOS PAC ID: 4789820655 Enrollment ID: I20140623000870 |
| Provider Name | Drew W Bright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962796649 PECOS PAC ID: 8729226659 Enrollment ID: I20140627001373 |
| Provider Name | Todd J Capes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568757227 PECOS PAC ID: 6406094929 Enrollment ID: I20140710000411 |
| Provider Name | Martin Pruss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053363861 PECOS PAC ID: 6800811985 Enrollment ID: I20140730001429 |
| Provider Name | Parminder Wadhwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346479375 PECOS PAC ID: 5092979039 Enrollment ID: I20140804000192 |
| Provider Name | Norman L Silva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861800245 PECOS PAC ID: 9931328424 Enrollment ID: I20140916000276 |
| Provider Name | Sean Michael Kellihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467867028 PECOS PAC ID: 0042534703 Enrollment ID: I20150129000344 |
| Provider Name | Eric W Hewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265531909 PECOS PAC ID: 4183848468 Enrollment ID: I20150210002196 |
| Provider Name | Cacia L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619362076 PECOS PAC ID: 9739409681 Enrollment ID: I20150518001338 |
| Provider Name | Sarah K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316337744 PECOS PAC ID: 0042523763 Enrollment ID: I20150723007652 |
| Provider Name | Colin Blackburn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790042638 PECOS PAC ID: 6901110220 Enrollment ID: I20150730013478 |
| Provider Name | Christine Ohara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346613866 PECOS PAC ID: 2365745833 Enrollment ID: I20160119000223 |
| Provider Name | Andrew T Daluga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790103315 PECOS PAC ID: 3072739960 Enrollment ID: I20160506001367 |
| Provider Name | Jaclyn Marise Selders-williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962858605 PECOS PAC ID: 2264729177 Enrollment ID: I20160921000098 |
| Provider Name | Angela M Cottey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669830592 PECOS PAC ID: 1355638701 Enrollment ID: I20160928001619 |
| Provider Name | Melissa Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053860502 PECOS PAC ID: 4486933306 Enrollment ID: I20161117000999 |
| Provider Name | David B Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750762506 PECOS PAC ID: 9335451541 Enrollment ID: I20161213002013 |
| Provider Name | Joni a Laser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720317670 PECOS PAC ID: 5092096230 Enrollment ID: I20170103000522 |
| Provider Name | Yousuf a Bahrami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548641525 PECOS PAC ID: 8224341359 Enrollment ID: I20170119002368 |
| Provider Name | Kylee C Stinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578000568 PECOS PAC ID: 9234414905 Enrollment ID: I20170320001310 |
| Provider Name | Sei Young V Kwak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689126674 PECOS PAC ID: 4587949946 Enrollment ID: I20170327001574 |
| Provider Name | Anuj Amrut Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336439652 PECOS PAC ID: 1355564543 Enrollment ID: I20170605001549 |
| Provider Name | Andrew Kapsalis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780093765 PECOS PAC ID: 5698076230 Enrollment ID: I20170731000753 |
| Provider Name | Abby N Merrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255862223 PECOS PAC ID: 4082985577 Enrollment ID: I20170801003595 |
| Provider Name | Candace R Wooten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174941801 PECOS PAC ID: 4688960354 Enrollment ID: I20170816001224 |
| Provider Name | Kelly E Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801306808 PECOS PAC ID: 4880960814 Enrollment ID: I20171019000697 |
| Provider Name | Kristen L Fox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538678289 PECOS PAC ID: 6901172949 Enrollment ID: I20171019000988 |
| Provider Name | Monish M Merchant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609187186 PECOS PAC ID: 9436444320 Enrollment ID: I20171019002776 |
| Provider Name | Adam T Metzler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942710025 PECOS PAC ID: 5799051397 Enrollment ID: I20171026002061 |
| Provider Name | Heather R Hutchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548700511 PECOS PAC ID: 0941566632 Enrollment ID: I20171114000093 |
| Provider Name | Matthew Nettleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659756484 PECOS PAC ID: 6800193095 Enrollment ID: I20180710001919 |
| Provider Name | Karen Louise Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770062440 PECOS PAC ID: 0941554638 Enrollment ID: I20181115001804 |
| Provider Name | Hope M Lowhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871076794 PECOS PAC ID: 9830433911 Enrollment ID: I20181129003021 |
| Provider Name | Arich R Reynolds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679869010 PECOS PAC ID: 8224375241 Enrollment ID: I20190130000117 |
| Provider Name | Amanda K Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255815379 PECOS PAC ID: 1951646850 Enrollment ID: I20190130002765 |
| Provider Name | Lashelle M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497219430 PECOS PAC ID: 3274873658 Enrollment ID: I20190321001141 |
| Provider Name | James G Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164407326 PECOS PAC ID: 7012001902 Enrollment ID: I20190508000569 |
| Provider Name | Mary Katherine Crase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689222879 PECOS PAC ID: 6800125972 Enrollment ID: I20190916001293 |
| Provider Name | Joshua R Crase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235789421 PECOS PAC ID: 0244562346 Enrollment ID: I20191022002791 |
| Provider Name | Amy Staritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427168145 PECOS PAC ID: 1759370984 Enrollment ID: I20191126001511 |
| Provider Name | Kyndra Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152015 PECOS PAC ID: 7719310259 Enrollment ID: I20191213001512 |
| Provider Name | Jordan K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174157929 PECOS PAC ID: 2264861194 Enrollment ID: I20200328000123 |
| Provider Name | Sarah Knoth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083245088 PECOS PAC ID: 0840629903 Enrollment ID: I20200411000214 |
| Provider Name | Juliet M Nottingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717279 PECOS PAC ID: 4880024397 Enrollment ID: I20200424000934 |
| Provider Name | Angela Ni Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821618521 PECOS PAC ID: 3779914189 Enrollment ID: I20200518002710 |
| Provider Name | Sarah Lynne Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053932970 PECOS PAC ID: 8426479601 Enrollment ID: I20200526000150 |
| Provider Name | Andrew R Morrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689194086 PECOS PAC ID: 5698040160 Enrollment ID: I20200813001947 |
| Provider Name | Nathan S Timm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902301195 PECOS PAC ID: 5698193373 Enrollment ID: I20200911001643 |
| Provider Name | Katlin Rene Purlee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306458666 PECOS PAC ID: 7214356153 Enrollment ID: I20200928000354 |
| Provider Name | Caitlyn M Shepherd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750962841 PECOS PAC ID: 9537578646 Enrollment ID: I20210430001774 |
| Provider Name | Rebecca M Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447833207 PECOS PAC ID: 0840609798 Enrollment ID: I20210506001005 |
| Provider Name | Madison Gail Zigenfus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154904290 PECOS PAC ID: 5991100075 Enrollment ID: I20210827001553 |
| Provider Name | Donna M Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215593983 PECOS PAC ID: 7214332303 Enrollment ID: I20210827001752 |
| Provider Name | Jesse David Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114590080 PECOS PAC ID: 6002204419 Enrollment ID: I20211103002198 |
| Provider Name | Brandi T Gubor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841653482 PECOS PAC ID: 9436441037 Enrollment ID: I20211117001954 |
| Provider Name | Rina a Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962576330 PECOS PAC ID: 3779573530 Enrollment ID: I20211130000798 |
| Provider Name | Akxay S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841368222 PECOS PAC ID: 2668481748 Enrollment ID: I20211130001561 |
| Provider Name | Adriana K Segatta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831695402 PECOS PAC ID: 5395092647 Enrollment ID: I20211214001753 |
| Provider Name | Nageshwari Golla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811661499 PECOS PAC ID: 4981096245 Enrollment ID: I20220118001109 |
| Provider Name | Michelle Louise Lovelace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609446475 PECOS PAC ID: 5991198871 Enrollment ID: I20220217001852 |
| Provider Name | Sara Brainerd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013924224 PECOS PAC ID: 2769861970 Enrollment ID: I20220617002137 |
| Provider Name | Rebecca Irene Smock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063974814 PECOS PAC ID: 3870826076 Enrollment ID: I20220711002504 |
| Provider Name | Katelyn Lacy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912584467 PECOS PAC ID: 1658752464 Enrollment ID: I20220725002102 |
| Provider Name | Kelcey L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629705298 PECOS PAC ID: 5698159226 Enrollment ID: I20220831002499 |
| Provider Name | Michael Joseph Behna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417677972 PECOS PAC ID: 3577930551 Enrollment ID: I20221103002279 |
| Provider Name | Britain Gailliot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821401159 PECOS PAC ID: 7315354750 Enrollment ID: I20230209002654 |
| Provider Name | Elaine Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023717907 PECOS PAC ID: 4981079886 Enrollment ID: I20230406001408 |
| Provider Name | Elisha Carol Trapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215504147 PECOS PAC ID: 4082089990 Enrollment ID: I20230406001877 |
| Provider Name | Amanda Nichole Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144915455 PECOS PAC ID: 5991161259 Enrollment ID: I20230512000278 |
| Provider Name | Howard B Kessler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477500775 PECOS PAC ID: 2769387620 Enrollment ID: I20230530003223 |
| Provider Name | Paul Depippo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114939063 PECOS PAC ID: 9830126051 Enrollment ID: I20230601003226 |
| Provider Name | Kalen Farr |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639794225 PECOS PAC ID: 1254798291 Enrollment ID: I20230606001862 |
| Provider Name | Serge B Sicular |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326276866 PECOS PAC ID: 0941442958 Enrollment ID: I20230607000492 |
| Provider Name | Leyla Nasehi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043629504 PECOS PAC ID: 3577859271 Enrollment ID: I20230607003779 |
| Provider Name | Kristina Broderick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346864527 PECOS PAC ID: 3173909298 Enrollment ID: I20230609002946 |
| Provider Name | Michael Ramsay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942272562 PECOS PAC ID: 5092709014 Enrollment ID: I20230620002473 |
| Provider Name | Wendell H Wilmoth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245499003 PECOS PAC ID: 8123258746 Enrollment ID: I20230620002519 |
| Provider Name | Anthony S Hamame |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184872327 PECOS PAC ID: 8022250752 Enrollment ID: I20230621001985 |
| Provider Name | Samantha Robin Avery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215178090 PECOS PAC ID: 0143443697 Enrollment ID: I20230622003161 |
| Provider Name | Clayton Boyd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720463698 PECOS PAC ID: 9436466901 Enrollment ID: I20230629002364 |
| Provider Name | Megan Rose Dorsa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306541925 PECOS PAC ID: 0345601126 Enrollment ID: I20230726000778 |
| Provider Name | Jaime Shouse Gossan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275827297 PECOS PAC ID: 2567639487 Enrollment ID: I20230726001597 |
| Provider Name | Karena Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760610786 PECOS PAC ID: 9537213756 Enrollment ID: I20230726003130 |
| Provider Name | Johnathan C Hays |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366654162 PECOS PAC ID: 5698825867 Enrollment ID: I20230726003434 |
| Provider Name | Phillip Triantos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104821297 PECOS PAC ID: 9931003035 Enrollment ID: I20230808001092 |
| Provider Name | Corinna Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770651416 PECOS PAC ID: 1759357320 Enrollment ID: I20230811001441 |
| Provider Name | Abhimanyu Aggarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447605704 PECOS PAC ID: 7618365511 Enrollment ID: I20230821000510 |
| Provider Name | Morgan D Eller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225729924 PECOS PAC ID: 5092179739 Enrollment ID: I20230913002017 |
| Provider Name | Todd C Schirmang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134347305 PECOS PAC ID: 8123142882 Enrollment ID: I20230914001577 |
| Provider Name | Monik M Lala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194847038 PECOS PAC ID: 9830264290 Enrollment ID: I20231108001940 |
| Provider Name | Tara Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881467561 PECOS PAC ID: 0941645295 Enrollment ID: I20240227002004 |
| Provider Name | Zachary S Redus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831325307 PECOS PAC ID: 7911146915 Enrollment ID: I20240316000249 |
| Provider Name | Swaminatha Gurudevan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265525174 PECOS PAC ID: 5294779021 Enrollment ID: I20240316000401 |
| Provider Name | Monique Elizabeth Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952433641 PECOS PAC ID: 6800980376 Enrollment ID: I20240316000446 |
| Provider Name | Jamie Giesbrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700020179 PECOS PAC ID: 3779720289 Enrollment ID: I20240411004413 |
| Provider Name | Christopher Kauffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316110364 PECOS PAC ID: 1254571912 Enrollment ID: I20240514002241 |
| Provider Name | Sydney Lee Logsdon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326828393 PECOS PAC ID: 5092258046 Enrollment ID: I20240618002912 |
| Provider Name | Stephen Sabourin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295912889 PECOS PAC ID: 7618028762 Enrollment ID: I20240719001090 |
| Provider Name | Joseph J Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124152574 PECOS PAC ID: 5698809598 Enrollment ID: I20240726003731 |
| Provider Name | Julie Anne Bauml |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063738599 PECOS PAC ID: 0648590950 Enrollment ID: I20240731003023 |
| Provider Name | Shawn Gabriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336725878 PECOS PAC ID: 0840692604 Enrollment ID: I20240813002343 |
| Provider Name | Murray H Weissmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285614602 PECOS PAC ID: 0345141867 Enrollment ID: I20240814004137 |
| Provider Name | Alex Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295230092 PECOS PAC ID: 1759639362 Enrollment ID: I20240816000180 |
| Provider Name | Adrian R Begaye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164876363 PECOS PAC ID: 4183917271 Enrollment ID: I20241031000981 |
| Provider Name | Tyler Joseph Doerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730963133 PECOS PAC ID: 6709310287 Enrollment ID: I20241106000998 |
| Provider Name | Laura Elizabeth Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194547083 PECOS PAC ID: 7618402488 Enrollment ID: I20241203002403 |
| Provider Name | Rachel Nicole Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417709403 PECOS PAC ID: 4486180601 Enrollment ID: I20241211003993 |
| Provider Name | Andrew Aldridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114706447 PECOS PAC ID: 2062865579 Enrollment ID: I20250314002181 |
| Provider Name | Alexiah Spence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699587105 PECOS PAC ID: 8123544772 Enrollment ID: I20250428002075 |
| Provider Name | Emma Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104545763 PECOS PAC ID: 7719359876 Enrollment ID: I20250428002405 |
| Provider Name | Michelle Anne Madera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326516519 PECOS PAC ID: 1052656808 Enrollment ID: I20250523002203 |
| Provider Name | Griffin Van |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508508524 PECOS PAC ID: 3870005895 Enrollment ID: I20250625002179 |
| Provider Name | Justin Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891444378 PECOS PAC ID: 4880074400 Enrollment ID: I20250703003965 |
| Provider Name | Madelyn Ray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477438174 PECOS PAC ID: 0042711129 Enrollment ID: I20250829002219 |
| Provider Name | John Robert Gudeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285471748 PECOS PAC ID: 9537653159 Enrollment ID: I20251211000845 |
| Provider Name | Morgan Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982398889 PECOS PAC ID: 2466946561 Enrollment ID: I20251216000248 |
| Provider Name | Elizabeth Schraeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418714 PECOS PAC ID: 4981076254 Enrollment ID: I20260305000940 |
| Provider Name | Edward Fobben |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235283946 PECOS PAC ID: 0840194825 Enrollment ID: I20260313000334 |
| Provider Name | Jeffrey R Wesolowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962474163 PECOS PAC ID: 3779510821 Enrollment ID: I20260313000562 |
| Provider Name | Jennifer Theoharis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659356913 PECOS PAC ID: 1456380922 Enrollment ID: I20260320000958 |
| Provider Name | Jeffrey Fidel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164483780 PECOS PAC ID: 8123927316 Enrollment ID: I20260327000173 |
| Provider Name | William S Poole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396770111 PECOS PAC ID: 0042291114 Enrollment ID: I20260422000576 |
| Provider Name | Luis Fernandez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881797686 PECOS PAC ID: 8426233081 Enrollment ID: I20260604004565 |
Abode Care Partners VB, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11595 N Meridian St Ste 515, Carmel, IN 46032 Phone: 800-807-6555 Fax: 855-316-2999 |
Nightingale Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 S Range Line Rd, Carmel, IN 46032 Phone: 317-334-7777 Fax: 317-569-1403 |
Hazel Dell Pediatraics, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13250 Hazel Dell Pkwy, Suite 103, Carmel, IN 46033 Phone: 317-843-9475 Fax: 317-843-9476 |
Ascension Medical Group St. Vincent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13450 N Meridian St Ste 363, Carmel, IN 46032 Phone: 317-582-8315 |
Apogee Health Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 Monon Blvd Ste 200, Carmel, IN 46032 Phone: 317-965-0768 |
Sports & Regenerative Medicine PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12188b N Meridian St, Carmel, IN 46032 Phone: 317-660-2173 Fax: 317-660-2393 |