| Richboro Medical | |
|
7 Upper Holland Rd Richboro PA 18954-1551 | |
| (215) 364-8040 | |
| (215) 364-3791 |
| Full Name | Richboro Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 7 Upper Holland Rd, Richboro, Pennsylvania |
| Authorized Official Name and Position | Ronald Kumor (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2156124858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richboro Medical Po Box 825395 Philadelphia PA 19182-5395 Ph: (215) 481-6873 | Richboro Medical 7 Upper Holland Rd Richboro PA 18954-1551 Ph: (215) 364-8040 |
| NPI Number | 1750949806 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 3577467018 |
|---|---|
| Medicare Enrollment ID | O20040224000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750949806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erik C Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922007699 PECOS PAC ID: 1052224045 Enrollment ID: I20031106000376 |
| Provider Name | Alfred R Bogucki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740219955 PECOS PAC ID: 7719891019 Enrollment ID: I20031119000236 |
| Provider Name | Joseph R Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386679827 PECOS PAC ID: 3072417476 Enrollment ID: I20031126000002 |
| Provider Name | Herbert Patrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811938558 PECOS PAC ID: 7214831684 Enrollment ID: I20031126000369 |
| Provider Name | Rajiv J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093703241 PECOS PAC ID: 6507765617 Enrollment ID: I20040107000962 |
| Provider Name | Ashrafe S Ewida |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255361325 PECOS PAC ID: 2860393857 Enrollment ID: I20040114000002 |
| Provider Name | Yana A Saknovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720036239 PECOS PAC ID: 7517869407 Enrollment ID: I20040122000084 |
| Provider Name | Jimmy J Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962408351 PECOS PAC ID: 2062305097 Enrollment ID: I20040204000570 |
| Provider Name | Kenneth E Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629019211 PECOS PAC ID: 1153215033 Enrollment ID: I20040211000820 |
| Provider Name | Deborah Carolyn Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558399717 PECOS PAC ID: 1052205937 Enrollment ID: I20040211000861 |
| Provider Name | Christopher J Wisgo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861459000 PECOS PAC ID: 8527953835 Enrollment ID: I20040217000127 |
| Provider Name | Jill R Kane |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124021431 PECOS PAC ID: 8224923461 Enrollment ID: I20040217001008 |
| Provider Name | Roderick E Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104933779 PECOS PAC ID: 0840185740 Enrollment ID: I20040219000238 |
| Provider Name | Robert B Schlesinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225031172 PECOS PAC ID: 5193611044 Enrollment ID: I20040226000443 |
| Provider Name | Maureen B Byrne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306840095 PECOS PAC ID: 7810989324 Enrollment ID: I20040402000160 |
| Provider Name | Justina Tarczewski Vilella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427054147 PECOS PAC ID: 5193718427 Enrollment ID: I20040405000426 |
| Provider Name | Diane M Hershock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770652158 PECOS PAC ID: 4789670084 Enrollment ID: I20040422000563 |
| Provider Name | Channarayapatna V Kishan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942203906 PECOS PAC ID: 3779574553 Enrollment ID: I20040520000706 |
| Provider Name | Roger A Marinchak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104829068 PECOS PAC ID: 7214928019 Enrollment ID: I20040520000786 |
| Provider Name | John Petolillo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780684084 PECOS PAC ID: 8123005113 Enrollment ID: I20040707001242 |
| Provider Name | Paul G Grena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851365308 PECOS PAC ID: 4082692298 Enrollment ID: I20040713000401 |
| Provider Name | Robert I Danoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194898965 PECOS PAC ID: 3274511480 Enrollment ID: I20040713000477 |
| Provider Name | Ronald P Emmi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689677650 PECOS PAC ID: 1254310741 Enrollment ID: I20040719000102 |
| Provider Name | Jeffrey S Fierstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487657458 PECOS PAC ID: 9830178185 Enrollment ID: I20040719001331 |
| Provider Name | Steven P Goldberg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619942372 PECOS PAC ID: 1557341344 Enrollment ID: I20040722000553 |
| Provider Name | Richard L Sohn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184659807 PECOS PAC ID: 2365422615 Enrollment ID: I20040726000762 |
| Provider Name | Rebecca L Jacobs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770589434 PECOS PAC ID: 6204809981 Enrollment ID: I20040819000863 |
| Provider Name | Michelle A. Moreschi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083607394 PECOS PAC ID: 8022084904 Enrollment ID: I20040902000980 |
| Provider Name | Raymond C Decesare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720058597 PECOS PAC ID: 8628044849 Enrollment ID: I20040908001114 |
| Provider Name | Jonathan M Cox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013987544 PECOS PAC ID: 1456329275 Enrollment ID: I20040920001038 |
| Provider Name | Michael F Kinslow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801830906 PECOS PAC ID: 8820057714 Enrollment ID: I20041006001030 |
| Provider Name | Jonathan E Ostroff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629187836 PECOS PAC ID: 8729048301 Enrollment ID: I20041018000899 |
| Provider Name | Patrick Michael Adler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346322161 PECOS PAC ID: 0840251641 Enrollment ID: I20041025000906 |
| Provider Name | Patricia O Dechellis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659306231 PECOS PAC ID: 8820052830 Enrollment ID: I20041118000391 |
| Provider Name | Joseph M Loynd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851397566 PECOS PAC ID: 9133185176 Enrollment ID: I20041202000054 |
| Provider Name | Jessica W Jerrard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376533521 PECOS PAC ID: 6406844810 Enrollment ID: I20041206000323 |
| Provider Name | Andrew C Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598737223 PECOS PAC ID: 4486555943 Enrollment ID: I20041213000299 |
| Provider Name | Diane M Gaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023275153 PECOS PAC ID: 2961469606 Enrollment ID: I20041215000031 |
| Provider Name | Marybeth Daley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518963354 PECOS PAC ID: 8729045935 Enrollment ID: I20041220000086 |
| Provider Name | Frances S Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225067630 PECOS PAC ID: 1850358086 Enrollment ID: I20041220000246 |
| Provider Name | Karen Ann Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477559136 PECOS PAC ID: 7113975392 Enrollment ID: I20050104000858 |
| Provider Name | Karen A Colbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831195668 PECOS PAC ID: 3173571361 Enrollment ID: I20050104000882 |
| Provider Name | Paul R Berman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811993645 PECOS PAC ID: 8729036108 Enrollment ID: I20050112000540 |
| Provider Name | Katherine Anne Behan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593491 PECOS PAC ID: 7113976523 Enrollment ID: I20050114000142 |
| Provider Name | Adam Mark Mikulski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437129574 PECOS PAC ID: 8820047590 Enrollment ID: I20050120000072 |
| Provider Name | Howard K Horne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356395883 PECOS PAC ID: 0446214308 Enrollment ID: I20050125000912 |
| Provider Name | Christel Beth Morelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295812634 PECOS PAC ID: 4082664750 Enrollment ID: I20050131000386 |
| Provider Name | Andres Ferber |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1841213048 PECOS PAC ID: 3476504333 Enrollment ID: I20050208000680 |
| Provider Name | Marlene Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366414765 PECOS PAC ID: 5890746614 Enrollment ID: I20050209000080 |
| Provider Name | Andrei Belsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639109796 PECOS PAC ID: 5395799233 Enrollment ID: I20050303000675 |
| Provider Name | Kathleen A Rosas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447256151 PECOS PAC ID: 8426039041 Enrollment ID: I20050309000139 |
| Provider Name | Rohinton J Morris |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1346271038 PECOS PAC ID: 7315992179 Enrollment ID: I20050315000685 |
| Provider Name | James S Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336169416 PECOS PAC ID: 4082652524 Enrollment ID: I20050425000456 |
| Provider Name | Clifton R Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497775589 PECOS PAC ID: 2860430592 Enrollment ID: I20050425000803 |
| Provider Name | Thomas P Zavitsanos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144240243 PECOS PAC ID: 6103865589 Enrollment ID: I20050426000405 |
| Provider Name | Jung Shin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821078478 PECOS PAC ID: 3971542127 Enrollment ID: I20050427001195 |
| Provider Name | Peter J Farano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194743989 PECOS PAC ID: 4789624198 Enrollment ID: I20050505000170 |
| Provider Name | Benjamin Adam Kohl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699717389 PECOS PAC ID: 8022058007 Enrollment ID: I20050510000097 |
| Provider Name | Mitchell I Edelson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255305546 PECOS PAC ID: 0749220432 Enrollment ID: I20050512000364 |
| Provider Name | Neil E Morrow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801851787 PECOS PAC ID: 1658279138 Enrollment ID: I20050513000773 |
| Provider Name | Evelyn A Waddell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538193222 PECOS PAC ID: 1052352424 Enrollment ID: I20050516000741 |
| Provider Name | Thomas Lamb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730152315 PECOS PAC ID: 4981687894 Enrollment ID: I20050519000868 |
| Provider Name | Michael J Ramirez |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679640320 PECOS PAC ID: 0648212159 Enrollment ID: I20050525000383 |
| Provider Name | Anthony Joseph Abbruzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034905 PECOS PAC ID: 2163481318 Enrollment ID: I20050610000135 |
| Provider Name | Jason Charles Cwik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417900911 PECOS PAC ID: 4981516283 Enrollment ID: I20050628001183 |
| Provider Name | Edmund Francis Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932139888 PECOS PAC ID: 7719914233 Enrollment ID: I20050726000671 |
| Provider Name | Andrew R Ogden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770514507 PECOS PAC ID: 4688602121 Enrollment ID: I20050727000369 |
| Provider Name | Miriam Rosado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891745287 PECOS PAC ID: 8123057718 Enrollment ID: I20050804000129 |
| Provider Name | Gokhan Gormus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609874577 PECOS PAC ID: 4385699339 Enrollment ID: I20050812000630 |
| Provider Name | Aneela Ashraf Ali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215901400 PECOS PAC ID: 2264462530 Enrollment ID: I20050816000927 |
| Provider Name | Susan E Glennon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275567216 PECOS PAC ID: 5193755155 Enrollment ID: I20050818000865 |
| Provider Name | David B Berman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205827011 PECOS PAC ID: 1557392396 Enrollment ID: I20050822001178 |
| Provider Name | Mary Eileen Mcsorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023150570 PECOS PAC ID: 4385677475 Enrollment ID: I20050919000470 |
| Provider Name | Delia Christ Meltontate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114907334 PECOS PAC ID: 5496789323 Enrollment ID: I20050921000067 |
| Provider Name | Nkiruka Nnebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982667069 PECOS PAC ID: 3577597285 Enrollment ID: I20050922000268 |
| Provider Name | Costas D Lallas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922024090 PECOS PAC ID: 4587655089 Enrollment ID: I20050929001144 |
| Provider Name | Dominick A Commodaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821160276 PECOS PAC ID: 0749185981 Enrollment ID: I20051010000463 |
| Provider Name | Gerald C Wydro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134198245 PECOS PAC ID: 5092735142 Enrollment ID: I20051203000048 |
| Provider Name | Michelle Mccarron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659399780 PECOS PAC ID: 1951321934 Enrollment ID: I20051206000933 |
| Provider Name | David Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689692873 PECOS PAC ID: 0244251015 Enrollment ID: I20051208000780 |
| Provider Name | Paul G Vandervoort |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225056401 PECOS PAC ID: 0547281172 Enrollment ID: I20051212000364 |
| Provider Name | Scott L Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785370 PECOS PAC ID: 0042233264 Enrollment ID: I20060113000039 |
| Provider Name | Hong S Ra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952370520 PECOS PAC ID: 4183638182 Enrollment ID: I20060130000272 |
| Provider Name | Xia Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588661706 PECOS PAC ID: 6204841596 Enrollment ID: I20060208000233 |
| Provider Name | Marcia S Brose |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316975451 PECOS PAC ID: 5092720821 Enrollment ID: I20060215000106 |
| Provider Name | Heather Gottlieb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164402806 PECOS PAC ID: 5698755254 Enrollment ID: I20060421000317 |
| Provider Name | Mark Shahin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1568440451 PECOS PAC ID: 7810908209 Enrollment ID: I20060524000030 |
| Provider Name | Robert L Zimmerman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265472427 PECOS PAC ID: 4880606375 Enrollment ID: I20060627000367 |
| Provider Name | Melissa A Malloy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013948678 PECOS PAC ID: 1355354614 Enrollment ID: I20060803000322 |
| Provider Name | Marina Cherkassky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801840459 PECOS PAC ID: 2466455068 Enrollment ID: I20060822000403 |
| Provider Name | Amy M Lamoreau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699792267 PECOS PAC ID: 3577567882 Enrollment ID: I20060829000206 |
| Provider Name | Lakshmana R Yalamanchi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154431674 PECOS PAC ID: 8426054750 Enrollment ID: I20061010000678 |
| Provider Name | Cherie Mininger Mazeffa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497723571 PECOS PAC ID: 0840297859 Enrollment ID: I20061106000363 |
| Provider Name | Deborah Schiller Schrager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013021476 PECOS PAC ID: 5092713610 Enrollment ID: I20061115000114 |
| Provider Name | Mehmood Durrani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366411274 PECOS PAC ID: 5193797884 Enrollment ID: I20061120000399 |
| Provider Name | Christopher M Schulze |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760572556 PECOS PAC ID: 6709832132 Enrollment ID: I20070223000436 |
| Provider Name | Shawn Ulmen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710934856 PECOS PAC ID: 8123024841 Enrollment ID: I20070323000100 |
| Provider Name | Scott W Cowan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437219987 PECOS PAC ID: 5092813659 Enrollment ID: I20070606000042 |
| Provider Name | Muzammil Mahmood Qaisar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518160803 PECOS PAC ID: 7517067598 Enrollment ID: I20070703000610 |
| Provider Name | Dollie Daungta Silpasuvan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407059942 PECOS PAC ID: 0840391637 Enrollment ID: I20070724000162 |
| Provider Name | Scott Solomon Plasner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245437045 PECOS PAC ID: 3678674355 Enrollment ID: I20070725000200 |
| Provider Name | John P Carlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447450572 PECOS PAC ID: 8820189558 Enrollment ID: I20070809000165 |
| Provider Name | Michael H Goodyear |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073538740 PECOS PAC ID: 6406948934 Enrollment ID: I20070828000807 |
| Provider Name | Mario C Deangelis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427257955 PECOS PAC ID: 2567555212 Enrollment ID: I20070911000531 |
| Provider Name | Laurence J Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235181892 PECOS PAC ID: 7517919947 Enrollment ID: I20070920000566 |
| Provider Name | Luca Giordano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407049604 PECOS PAC ID: 5193819944 Enrollment ID: I20070924000554 |
| Provider Name | Jason R Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861559387 PECOS PAC ID: 7911093232 Enrollment ID: I20071018000309 |
| Provider Name | Yvette P Winstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235328527 PECOS PAC ID: 6800984659 Enrollment ID: I20071113000349 |
| Provider Name | Waneta Ann Ramlall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194754770 PECOS PAC ID: 7315905783 Enrollment ID: I20071115000376 |
| Provider Name | Marguerite Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467486704 PECOS PAC ID: 3476643941 Enrollment ID: I20071220000379 |
| Provider Name | William S Hirsch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679555320 PECOS PAC ID: 0547249450 Enrollment ID: I20080123000312 |
| Provider Name | Charles G Sweeney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972772721 PECOS PAC ID: 5092890152 Enrollment ID: I20080313000193 |
| Provider Name | Bradley M Bacik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356377196 PECOS PAC ID: 3375540487 Enrollment ID: I20080326000168 |
| Provider Name | Tameka P Lafayette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972782878 PECOS PAC ID: 5799862926 Enrollment ID: I20080411000264 |
| Provider Name | David J Defilippis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982605192 PECOS PAC ID: 3779653639 Enrollment ID: I20080604000051 |
| Provider Name | Leonard M Malamud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306826672 PECOS PAC ID: 5395815872 Enrollment ID: I20080610000664 |
| Provider Name | Barry L Benner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710905013 PECOS PAC ID: 0345311759 Enrollment ID: I20080612000299 |
| Provider Name | Manoj R Muttreja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346238284 PECOS PAC ID: 5799857181 Enrollment ID: I20080630000319 |
| Provider Name | Brian W Mccarthy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811175367 PECOS PAC ID: 9931271210 Enrollment ID: I20080701000499 |
| Provider Name | Ronit Z Sugar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932193190 PECOS PAC ID: 0345312542 Enrollment ID: I20080703000250 |
| Provider Name | Dany D Morel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497910202 PECOS PAC ID: 9436223690 Enrollment ID: I20080806000150 |
| Provider Name | Matthew J Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306023122 PECOS PAC ID: 6507931052 Enrollment ID: I20080818000387 |
| Provider Name | Mohammed Murtaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245214089 PECOS PAC ID: 3678550647 Enrollment ID: I20080923000594 |
| Provider Name | Shaila Quazi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710060850 PECOS PAC ID: 6204904915 Enrollment ID: I20081008000422 |
| Provider Name | Leslie M Partem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689823403 PECOS PAC ID: 1850469453 Enrollment ID: I20081009000424 |
| Provider Name | Avnish Bhatia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528273760 PECOS PAC ID: 3375602188 Enrollment ID: I20081110000078 |
| Provider Name | Anzhelika V Zakharova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821217837 PECOS PAC ID: 2769547660 Enrollment ID: I20090210000068 |
| Provider Name | William Doyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801032610 PECOS PAC ID: 6901961549 Enrollment ID: I20090216000472 |
| Provider Name | Mitul P Afiniwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053594408 PECOS PAC ID: 2163587528 Enrollment ID: I20090218000417 |
| Provider Name | Deirdre F Mcfillin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811147549 PECOS PAC ID: 4981760816 Enrollment ID: I20090302000420 |
| Provider Name | Allison E Keenan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114130887 PECOS PAC ID: 8628135233 Enrollment ID: I20090326000378 |
| Provider Name | Chittur R Mohan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477588259 PECOS PAC ID: 1951458231 Enrollment ID: I20090403000120 |
| Provider Name | Alec E Musten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770725822 PECOS PAC ID: 3577612647 Enrollment ID: I20090520000082 |
| Provider Name | Peter B Frechie |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568465524 PECOS PAC ID: 1850481227 Enrollment ID: I20090520000125 |
| Provider Name | Kevin J Halbe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770644338 PECOS PAC ID: 0749339471 Enrollment ID: I20090528000492 |
| Provider Name | Anne Judith M Kay Hunter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346274669 PECOS PAC ID: 7214822303 Enrollment ID: I20090605000362 |
| Provider Name | Joel I Wagman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609860519 PECOS PAC ID: 0345209698 Enrollment ID: I20090618000055 |
| Provider Name | Lewis Rose |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407923113 PECOS PAC ID: 5193892800 Enrollment ID: I20090706000166 |
| Provider Name | Allison Maria Zibelli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1205865094 PECOS PAC ID: 4183791890 Enrollment ID: I20090708000270 |
| Provider Name | Farhan Tahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750408381 PECOS PAC ID: 9638221773 Enrollment ID: I20090721000078 |
| Provider Name | Alexander Rubin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720273915 PECOS PAC ID: 4688727563 Enrollment ID: I20090727000134 |
| Provider Name | Michael C Burns |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831129188 PECOS PAC ID: 0749334852 Enrollment ID: I20090824000409 |
| Provider Name | Steven A Glasser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740214428 PECOS PAC ID: 7517012586 Enrollment ID: I20090827000610 |
| Provider Name | Kristen L Brake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366671018 PECOS PAC ID: 2062567555 Enrollment ID: I20090904000519 |
| Provider Name | Nomilinne M Nery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164634598 PECOS PAC ID: 4587710389 Enrollment ID: I20090921000118 |
| Provider Name | Spencer L Penn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245361187 PECOS PAC ID: 6608922190 Enrollment ID: I20090924000714 |
| Provider Name | Stephen M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164451605 PECOS PAC ID: 3173669876 Enrollment ID: I20091012000048 |
| Provider Name | Nimish D Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801057641 PECOS PAC ID: 1951449255 Enrollment ID: I20091106000152 |
| Provider Name | Douglas C Sutton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992790513 PECOS PAC ID: 1658410071 Enrollment ID: I20091124000655 |
| Provider Name | Mohammad I Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558506949 PECOS PAC ID: 4385783414 Enrollment ID: I20091203000405 |
| Provider Name | Adil Shakir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679765234 PECOS PAC ID: 3678613783 Enrollment ID: I20091222000303 |
| Provider Name | Arthur R Bartolozzi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710921887 PECOS PAC ID: 3779680228 Enrollment ID: I20100129000015 |
| Provider Name | Robert E Booth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932140266 PECOS PAC ID: 9335163195 Enrollment ID: I20100202000336 |
| Provider Name | William S Haaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366445322 PECOS PAC ID: 7315978772 Enrollment ID: I20100213000010 |
| Provider Name | Thomas R Hatala |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073840237 PECOS PAC ID: 7719021716 Enrollment ID: I20100215000105 |
| Provider Name | Erica Mckiernan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366778094 PECOS PAC ID: 5092859017 Enrollment ID: I20100215000336 |
| Provider Name | William J Vonhofen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265760953 PECOS PAC ID: 9032253067 Enrollment ID: I20100215000405 |
| Provider Name | Heather N Zecca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326379835 PECOS PAC ID: 1254476237 Enrollment ID: I20100302000284 |
| Provider Name | Reginald D Foy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306843800 PECOS PAC ID: 2062502438 Enrollment ID: I20100303000828 |
| Provider Name | Megan C Kane |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629071048 PECOS PAC ID: 4082740378 Enrollment ID: I20100325000572 |
| Provider Name | Daria K Canale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336478726 PECOS PAC ID: 5890821037 Enrollment ID: I20100327000084 |
| Provider Name | Daniel Y Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073781621 PECOS PAC ID: 2860529187 Enrollment ID: I20100419000535 |
| Provider Name | John T Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760485197 PECOS PAC ID: 7113958497 Enrollment ID: I20100420000067 |
| Provider Name | Ruth Leo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215253653 PECOS PAC ID: 3971630609 Enrollment ID: I20100428000601 |
| Provider Name | Benjamin C Bullock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871821090 PECOS PAC ID: 4688702293 Enrollment ID: I20100503000006 |
| Provider Name | Walter J Scott |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164562310 PECOS PAC ID: 2264560515 Enrollment ID: I20100507000394 |
| Provider Name | Steven Mattleman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902809866 PECOS PAC ID: 6204926678 Enrollment ID: I20100513000810 |
| Provider Name | Scott Spielman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932102878 PECOS PAC ID: 0749370112 Enrollment ID: I20100524000083 |
| Provider Name | Joan Ava Lit |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851331052 PECOS PAC ID: 3375672504 Enrollment ID: I20100527000149 |
| Provider Name | Michele C Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649298878 PECOS PAC ID: 7719017854 Enrollment ID: I20100616000112 |
| Provider Name | Srinivas S Atri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669434460 PECOS PAC ID: 8921176926 Enrollment ID: I20100616000565 |
| Provider Name | Rosemary Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992749469 PECOS PAC ID: 1850421843 Enrollment ID: I20100618000151 |
| Provider Name | Donna Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730124777 PECOS PAC ID: 4789714783 Enrollment ID: I20100618000253 |
| Provider Name | Steven Gordon Hess |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245233204 PECOS PAC ID: 3577653948 Enrollment ID: I20100713000552 |
| Provider Name | Lisa Ann Silvotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942439286 PECOS PAC ID: 8224161179 Enrollment ID: I20100729000636 |
| Provider Name | David John Waldstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396748224 PECOS PAC ID: 3375633746 Enrollment ID: I20100802000720 |
| Provider Name | Michael Lieb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770641581 PECOS PAC ID: 8123151594 Enrollment ID: I20100805000434 |
| Provider Name | Scott Pfeffer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982607842 PECOS PAC ID: 8022108497 Enrollment ID: I20100812000194 |
| Provider Name | William L Kliefoth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003844499 PECOS PAC ID: 5193859429 Enrollment ID: I20100823000112 |
| Provider Name | Herman W. Palat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679522957 PECOS PAC ID: 2466576772 Enrollment ID: I20100824000052 |
| Provider Name | Neal L Erkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750338349 PECOS PAC ID: 3072637768 Enrollment ID: I20100902000024 |
| Provider Name | Joseph Richerts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922008861 PECOS PAC ID: 0840315156 Enrollment ID: I20100909001131 |
| Provider Name | Alvin N Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154576841 PECOS PAC ID: 0941325294 Enrollment ID: I20100910000244 |
| Provider Name | Matthew Man |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891954731 PECOS PAC ID: 5799800819 Enrollment ID: I20100914000112 |
| Provider Name | Ivan A. Doner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457300733 PECOS PAC ID: 0244355154 Enrollment ID: I20100916000004 |
| Provider Name | Howard Wenocur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063457596 PECOS PAC ID: 6507982774 Enrollment ID: I20100924000498 |
| Provider Name | David Kraman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386649895 PECOS PAC ID: 9830215029 Enrollment ID: I20100924000700 |
| Provider Name | Cadence Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902809304 PECOS PAC ID: 5991821183 Enrollment ID: I20100924000740 |
| Provider Name | Gary Yeoman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962430314 PECOS PAC ID: 0042265829 Enrollment ID: I20100927000209 |
| Provider Name | Marc A Lavine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801899281 PECOS PAC ID: 5395937726 Enrollment ID: I20101004001277 |
| Provider Name | Elizabeth Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679805709 PECOS PAC ID: 5496947103 Enrollment ID: I20101012001277 |
| Provider Name | Tatjana N Sljapic |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255385845 PECOS PAC ID: 8325231889 Enrollment ID: I20101018000455 |
| Provider Name | Srilatha Polsani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538471008 PECOS PAC ID: 6204029663 Enrollment ID: I20101019000499 |
| Provider Name | Donna M Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578610267 PECOS PAC ID: 8921291915 Enrollment ID: I20101022000475 |
| Provider Name | William C Pace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114188893 PECOS PAC ID: 9234322157 Enrollment ID: I20101022000938 |
| Provider Name | Jay J Handler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649273251 PECOS PAC ID: 5193735017 Enrollment ID: I20101025000120 |
| Provider Name | Brian L Penza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962726893 PECOS PAC ID: 9931392842 Enrollment ID: I20101025000271 |
| Provider Name | Howard Altman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134123102 PECOS PAC ID: 3375736150 Enrollment ID: I20101025001255 |
| Provider Name | Fania Samuels |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255305017 PECOS PAC ID: 0042404436 Enrollment ID: I20101029000737 |
| Provider Name | Amy E Penza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720254931 PECOS PAC ID: 8527252444 Enrollment ID: I20101104000132 |
| Provider Name | Milton E Coll |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487657086 PECOS PAC ID: 2466646260 Enrollment ID: I20101104001305 |
| Provider Name | Clifford Strauss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205800018 PECOS PAC ID: 7416921408 Enrollment ID: I20101105000269 |
| Provider Name | Andrew G Ball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285611541 PECOS PAC ID: 2567656333 Enrollment ID: I20101105000363 |
| Provider Name | Samuel Stever |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891769162 PECOS PAC ID: 4789658774 Enrollment ID: I20101108000381 |
| Provider Name | Kevin Furey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558334318 PECOS PAC ID: 1052385028 Enrollment ID: I20101108000487 |
| Provider Name | Steven B Nagelberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619917267 PECOS PAC ID: 7416037197 Enrollment ID: I20101119001020 |
| Provider Name | Anthony J Mannino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194791574 PECOS PAC ID: 0244265726 Enrollment ID: I20101206000326 |
| Provider Name | Mihaela Biscoveanu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033159231 PECOS PAC ID: 5395932552 Enrollment ID: I20101214000582 |
| Provider Name | Neil T Streisfeld |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700826351 PECOS PAC ID: 8123215399 Enrollment ID: I20101214000681 |
| Provider Name | William J Artz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154378891 PECOS PAC ID: 8729097068 Enrollment ID: I20101214001183 |
| Provider Name | Neal Ira Mermelstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285676171 PECOS PAC ID: 3870494792 Enrollment ID: I20110103000118 |
| Provider Name | Abdul Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720392012 PECOS PAC ID: 8820287048 Enrollment ID: I20110104000608 |
| Provider Name | Kristina H Attryde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992945034 PECOS PAC ID: 7618156399 Enrollment ID: I20110127000096 |
| Provider Name | William J Meis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831124015 PECOS PAC ID: 9133136120 Enrollment ID: I20110131000397 |
| Provider Name | Robert G Ranelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245297399 PECOS PAC ID: 8820066772 Enrollment ID: I20110217000850 |
| Provider Name | Patrick Odell Ogden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235164369 PECOS PAC ID: 8325229966 Enrollment ID: I20110302000180 |
| Provider Name | Behnaz Cyrus Toorkey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912932088 PECOS PAC ID: 9436331477 Enrollment ID: I20110311000155 |
| Provider Name | Ranga A Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184687402 PECOS PAC ID: 5799880894 Enrollment ID: I20110405001072 |
| Provider Name | Jan Olenginski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225069156 PECOS PAC ID: 0941484216 Enrollment ID: I20110411000679 |
| Provider Name | Stuart A Friedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811051303 PECOS PAC ID: 7113101114 Enrollment ID: I20110418000056 |
| Provider Name | Nicholas S Cavallaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942465950 PECOS PAC ID: 3072798149 Enrollment ID: I20110505000257 |
| Provider Name | James M Springstead |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295788693 PECOS PAC ID: 3173554011 Enrollment ID: I20110517000799 |
| Provider Name | Michael Harris Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427216662 PECOS PAC ID: 7911185608 Enrollment ID: I20110628000688 |
| Provider Name | John P Mcmahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780842898 PECOS PAC ID: 4587832761 Enrollment ID: I20110713000530 |
| Provider Name | Ryan K Brannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184887937 PECOS PAC ID: 7214105477 Enrollment ID: I20110714000549 |
| Provider Name | Amy M Witkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669659538 PECOS PAC ID: 8820266950 Enrollment ID: I20110715000554 |
| Provider Name | Jeffrey T Truitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700066040 PECOS PAC ID: 5991973745 Enrollment ID: I20110721000233 |
| Provider Name | Marc Stingone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649313354 PECOS PAC ID: 2062680770 Enrollment ID: I20110725000520 |
| Provider Name | Jimmy Pyakurel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720240112 PECOS PAC ID: 4587832290 Enrollment ID: I20110725000547 |
| Provider Name | Brittania J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063673317 PECOS PAC ID: 8820266315 Enrollment ID: I20110728000326 |
| Provider Name | Komal Bharath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467685073 PECOS PAC ID: 7517136351 Enrollment ID: I20110811000369 |
| Provider Name | Nimshavathani Thaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413682 PECOS PAC ID: 2668465212 Enrollment ID: I20110824000619 |
| Provider Name | Muhammad Y Haroon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265698682 PECOS PAC ID: 6800066044 Enrollment ID: I20110826000290 |
| Provider Name | Rishi B Dave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881855849 PECOS PAC ID: 0143490854 Enrollment ID: I20110906000609 |
| Provider Name | Cynthia R Fusco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528157898 PECOS PAC ID: 0345258117 Enrollment ID: I20111011000020 |
| Provider Name | Karen M. Foscaldo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164455093 PECOS PAC ID: 6305019076 Enrollment ID: I20111026000252 |
| Provider Name | Heewa M Faraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760643944 PECOS PAC ID: 1850564345 Enrollment ID: I20111028000030 |
| Provider Name | Lori C Rafferty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750300257 PECOS PAC ID: 8224201165 Enrollment ID: I20111109000460 |
| Provider Name | Sameer B Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891988226 PECOS PAC ID: 3870680085 Enrollment ID: I20111201000067 |
| Provider Name | Anita E Herrmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801812722 PECOS PAC ID: 9830364355 Enrollment ID: I20111213000109 |
| Provider Name | Richard Reynolds Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659387439 PECOS PAC ID: 9133219942 Enrollment ID: I20111213000672 |
| Provider Name | Mark L Bierhoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568527372 PECOS PAC ID: 8224226923 Enrollment ID: I20120215000238 |
| Provider Name | Ramu Channamsetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891908265 PECOS PAC ID: 5698867828 Enrollment ID: I20120215000385 |
| Provider Name | Elizabeth Matray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306915780 PECOS PAC ID: 7416115407 Enrollment ID: I20120222000427 |
| Provider Name | Lawrence B Grossman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477618270 PECOS PAC ID: 0042408742 Enrollment ID: I20120228000453 |
| Provider Name | William A Prin |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1154327682 PECOS PAC ID: 3779742234 Enrollment ID: I20120302000315 |
| Provider Name | Robert Quinby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619995636 PECOS PAC ID: 6002075850 Enrollment ID: I20120314000179 |
| Provider Name | Adelina M Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689629438 PECOS PAC ID: 4385804459 Enrollment ID: I20120327000686 |
| Provider Name | Rachel A Polish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447487269 PECOS PAC ID: 1052576733 Enrollment ID: I20120702000292 |
| Provider Name | Andrew B Rose |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750591939 PECOS PAC ID: 0648435024 Enrollment ID: I20120710000515 |
| Provider Name | Daniel Haimowitz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013064377 PECOS PAC ID: 8426204454 Enrollment ID: I20120808000045 |
| Provider Name | Ronald Anthony Felipe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306968805 PECOS PAC ID: 1355245382 Enrollment ID: I20120822000599 |
| Provider Name | George J Tsiotsias |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295745966 PECOS PAC ID: 3476659392 Enrollment ID: I20120822000616 |
| Provider Name | Aleksey V Shchurin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659565224 PECOS PAC ID: 9830257120 Enrollment ID: I20120831000594 |
| Provider Name | Raghava Reddy Levaka Veera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447487491 PECOS PAC ID: 7315194875 Enrollment ID: I20120906000119 |
| Provider Name | Alexander A. Kleinmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013128909 PECOS PAC ID: 5597899682 Enrollment ID: I20120918000557 |
| Provider Name | Elizabeth R Burton |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1124352315 PECOS PAC ID: 9436275815 Enrollment ID: I20120926000274 |
| Provider Name | Sheema Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336399963 PECOS PAC ID: 9830253962 Enrollment ID: I20121003000422 |
| Provider Name | Faisal Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235440785 PECOS PAC ID: 4789833625 Enrollment ID: I20121009000383 |
| Provider Name | Ankur Parikh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1245499144 PECOS PAC ID: 1658521497 Enrollment ID: I20121101000190 |
| Provider Name | Qurrat-ul-ain Q Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396972089 PECOS PAC ID: 4486805264 Enrollment ID: I20121105000485 |
| Provider Name | Bradley S Wilkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255561171 PECOS PAC ID: 0244481513 Enrollment ID: I20121114000174 |
| Provider Name | Lauren R Delbuono |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487908414 PECOS PAC ID: 8325291057 Enrollment ID: I20130109000190 |
| Provider Name | Kimberly Elizabeth Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700804804 PECOS PAC ID: 0042465932 Enrollment ID: I20130226000285 |
| Provider Name | James Ryan Mark |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336382027 PECOS PAC ID: 6103071899 Enrollment ID: I20130304000021 |
| Provider Name | John J Madison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932453487 PECOS PAC ID: 6709031271 Enrollment ID: I20130307000190 |
| Provider Name | Melissa R Kenig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711640 PECOS PAC ID: 0143465294 Enrollment ID: I20130321000041 |
| Provider Name | Patrice Nelson Bachmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992715643 PECOS PAC ID: 7416193610 Enrollment ID: I20130412000495 |
| Provider Name | Chirdeep K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164658050 PECOS PAC ID: 4789820879 Enrollment ID: I20130416000224 |
| Provider Name | Lauren A Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437401288 PECOS PAC ID: 5092951657 Enrollment ID: I20130426000381 |
| Provider Name | Christopher V Oneill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851563043 PECOS PAC ID: 8426136581 Enrollment ID: I20130510000529 |
| Provider Name | Salil Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083881023 PECOS PAC ID: 1355501651 Enrollment ID: I20130517000294 |
| Provider Name | Michael J Prasto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205157617 PECOS PAC ID: 5799923900 Enrollment ID: I20130530000108 |
| Provider Name | Chad A Gunsolly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376700781 PECOS PAC ID: 7315186863 Enrollment ID: I20130613000645 |
| Provider Name | James E Miranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760703417 PECOS PAC ID: 8921248782 Enrollment ID: I20130628000337 |
| Provider Name | Daniel Sackett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952510372 PECOS PAC ID: 9133360886 Enrollment ID: I20130723000911 |
| Provider Name | Ali M Farooki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073779682 PECOS PAC ID: 1850532342 Enrollment ID: I20130725000658 |
| Provider Name | Richard A Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801043815 PECOS PAC ID: 9537125646 Enrollment ID: I20130725000688 |
| Provider Name | Tricia L Cattani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912243692 PECOS PAC ID: 8527200088 Enrollment ID: I20130813000106 |
| Provider Name | Muhammad A Pervez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245578632 PECOS PAC ID: 5597907055 Enrollment ID: I20130813000155 |
| Provider Name | Bhavna Mohandas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841414000 PECOS PAC ID: 2961680632 Enrollment ID: I20130820000243 |
| Provider Name | Patrick J Mille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346561230 PECOS PAC ID: 4183867070 Enrollment ID: I20130824000034 |
| Provider Name | Jacqueline M Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063753598 PECOS PAC ID: 6507009255 Enrollment ID: I20130827000831 |
| Provider Name | Lisa Marie P Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861414351 PECOS PAC ID: 8123261898 Enrollment ID: I20130828000150 |
| Provider Name | Brian S Engles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811163751 PECOS PAC ID: 3476716358 Enrollment ID: I20130917000039 |
| Provider Name | Allison B Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134440027 PECOS PAC ID: 5294979043 Enrollment ID: I20130917000232 |
| Provider Name | Elizabeth Hannah Ssebayigga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366768822 PECOS PAC ID: 2668616343 Enrollment ID: I20130919000100 |
| Provider Name | John W Schroeder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497983712 PECOS PAC ID: 5092770115 Enrollment ID: I20130920000150 |
| Provider Name | Farhan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013251347 PECOS PAC ID: 7810121837 Enrollment ID: I20131007000973 |
| Provider Name | Elizabeth G Tucciarone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063791416 PECOS PAC ID: 2264666106 Enrollment ID: I20131009001188 |
| Provider Name | Peter Ghobrial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407176621 PECOS PAC ID: 2769506401 Enrollment ID: I20131017000070 |
| Provider Name | Masood Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063731354 PECOS PAC ID: 9537393947 Enrollment ID: I20131017000843 |
| Provider Name | Son D Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487611430 PECOS PAC ID: 7618989690 Enrollment ID: I20131029001702 |
| Provider Name | Prabha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487086310 PECOS PAC ID: 8224263801 Enrollment ID: I20131107000626 |
| Provider Name | Matthew J Fallstick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891015517 PECOS PAC ID: 0345479671 Enrollment ID: I20140210000061 |
| Provider Name | Usaima N Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063707347 PECOS PAC ID: 4981834603 Enrollment ID: I20140225001734 |
| Provider Name | Shahid Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538391552 PECOS PAC ID: 0840446530 Enrollment ID: I20140326000242 |
| Provider Name | Angela Sefah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700013968 PECOS PAC ID: 5597949024 Enrollment ID: I20140416000820 |
| Provider Name | Ryan B Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083934871 PECOS PAC ID: 1951534882 Enrollment ID: I20140430001334 |
| Provider Name | Elena Konakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124449434 PECOS PAC ID: 4587897087 Enrollment ID: I20140508000547 |
| Provider Name | Elsayed A Sahloul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452565 PECOS PAC ID: 2567452394 Enrollment ID: I20140521002275 |
| Provider Name | Michael Tramontana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487967816 PECOS PAC ID: 6608090337 Enrollment ID: I20140618002213 |
| Provider Name | Katrina Kissman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881977742 PECOS PAC ID: 8729202494 Enrollment ID: I20140619001393 |
| Provider Name | Elizabeth Paterek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093009045 PECOS PAC ID: 2365666906 Enrollment ID: I20140620001735 |
| Provider Name | Christopher Pitsch |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720309297 PECOS PAC ID: 2264657832 Enrollment ID: I20140716000319 |
| Provider Name | Eyad I Kanawati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750518650 PECOS PAC ID: 9638395973 Enrollment ID: I20140723001302 |
| Provider Name | Molly E. Mulflur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437447273 PECOS PAC ID: 3779709803 Enrollment ID: I20140728000327 |
| Provider Name | Maria Golow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619256492 PECOS PAC ID: 8820214679 Enrollment ID: I20140731000116 |
| Provider Name | Jad Georges Skaf |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770813719 PECOS PAC ID: 7012181639 Enrollment ID: I20140801001566 |
| Provider Name | Anthony J Cannon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831259340 PECOS PAC ID: 7315842929 Enrollment ID: I20140808000674 |
| Provider Name | Sarah R Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912292970 PECOS PAC ID: 2961629167 Enrollment ID: I20140812002032 |
| Provider Name | Matthew Montgomery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689988305 PECOS PAC ID: 1951528033 Enrollment ID: I20140813002207 |
| Provider Name | Sara J Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558659250 PECOS PAC ID: 5890947428 Enrollment ID: I20140822001014 |
| Provider Name | Liana Lera Ayotte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841382835 PECOS PAC ID: 0244334092 Enrollment ID: I20140903001427 |
| Provider Name | Yetunde O Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285895771 PECOS PAC ID: 4880869122 Enrollment ID: I20140909001828 |
| Provider Name | Sosheel Nayyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295083616 PECOS PAC ID: 4385863497 Enrollment ID: I20140922001600 |
| Provider Name | Mohammad Sarhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013204320 PECOS PAC ID: 5799904744 Enrollment ID: I20140924000917 |
| Provider Name | Kamal Kamel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013296292 PECOS PAC ID: 8921222324 Enrollment ID: I20141001001681 |
| Provider Name | Uneeza K Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649565367 PECOS PAC ID: 3971742255 Enrollment ID: I20141024001620 |
| Provider Name | Thomas Steven Guagliardo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538321617 PECOS PAC ID: 3375795438 Enrollment ID: I20141106001632 |
| Provider Name | Kimberly I Groen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568776847 PECOS PAC ID: 7012139348 Enrollment ID: I20141120001763 |
| Provider Name | Tamar R Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528350816 PECOS PAC ID: 1850523424 Enrollment ID: I20141124001569 |
| Provider Name | Rebecca N Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619250776 PECOS PAC ID: 7719209295 Enrollment ID: I20141212000227 |
| Provider Name | Nathaniel Rutherford Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659437549 PECOS PAC ID: 8426372723 Enrollment ID: I20150114002181 |
| Provider Name | Amy Abouzied |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316079874 PECOS PAC ID: 5496870198 Enrollment ID: I20150122000205 |
| Provider Name | Cynthia Possanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710929435 PECOS PAC ID: 7012233497 Enrollment ID: I20150302001406 |
| Provider Name | Elizabeth Minges Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538466529 PECOS PAC ID: 5991021347 Enrollment ID: I20150303001498 |
| Provider Name | Shilpa Chaudhari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083952493 PECOS PAC ID: 4981921624 Enrollment ID: I20150318000663 |
| Provider Name | Ahsan Z Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033499371 PECOS PAC ID: 1658698089 Enrollment ID: I20150324002426 |
| Provider Name | Jamie Adamski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902003528 PECOS PAC ID: 0244380269 Enrollment ID: I20150402000813 |
| Provider Name | Dara J Waiters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073808531 PECOS PAC ID: 3870811482 Enrollment ID: I20150410001940 |
| Provider Name | Christine T Wanjeri Hasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013202803 PECOS PAC ID: 2961722582 Enrollment ID: I20150522000179 |
| Provider Name | Lauren A Diamond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215291794 PECOS PAC ID: 3173844172 Enrollment ID: I20150602002798 |
| Provider Name | Christine Deborah Martino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205156676 PECOS PAC ID: 6305157504 Enrollment ID: I20150615001253 |
| Provider Name | Michael Samodio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881987758 PECOS PAC ID: 5395057673 Enrollment ID: I20150629002006 |
| Provider Name | Marc Heller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225169808 PECOS PAC ID: 5890774822 Enrollment ID: I20150702001977 |
| Provider Name | Ashton Monica Davey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942561360 PECOS PAC ID: 9133432628 Enrollment ID: I20150713001464 |
| Provider Name | Christopher W Komurek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427343490 PECOS PAC ID: 2062421407 Enrollment ID: I20150715001425 |
| Provider Name | Patrick R Teefey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174758155 PECOS PAC ID: 2264674910 Enrollment ID: I20150716001700 |
| Provider Name | Emily Williams Drechsel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720349160 PECOS PAC ID: 6204149362 Enrollment ID: I20150717001773 |
| Provider Name | Matthew Ryan Biery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043530504 PECOS PAC ID: 4880907807 Enrollment ID: I20150721000269 |
| Provider Name | Ashley Marie Czepiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538587308 PECOS PAC ID: 2163736711 Enrollment ID: I20150728003171 |
| Provider Name | Matthew W Ufberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487975496 PECOS PAC ID: 9638483670 Enrollment ID: I20150804004217 |
| Provider Name | Stephen Francis Goldberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922394477 PECOS PAC ID: 6305069196 Enrollment ID: I20150917002854 |
| Provider Name | Lisa Marie Scaccetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366745200 PECOS PAC ID: 0749598696 Enrollment ID: I20150928000039 |
| Provider Name | Marissa Lynn Lahart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568862944 PECOS PAC ID: 8224347398 Enrollment ID: I20151013000646 |
| Provider Name | Katherine Elizabeth Radvansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801157250 PECOS PAC ID: 0840509261 Enrollment ID: I20151026000043 |
| Provider Name | Kamesh Parashar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861747420 PECOS PAC ID: 8224350301 Enrollment ID: I20151026001276 |
| Provider Name | Mona Sodhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407117831 PECOS PAC ID: 4880904861 Enrollment ID: I20151103001312 |
| Provider Name | Xu Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659631885 PECOS PAC ID: 0244454031 Enrollment ID: I20151118002635 |
| Provider Name | Hajar Muhammad-gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107056 PECOS PAC ID: 8628378569 Enrollment ID: I20151130000586 |
| Provider Name | Bineetha J Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922499219 PECOS PAC ID: 1658673306 Enrollment ID: I20160112001868 |
| Provider Name | Anna Dymarsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396066155 PECOS PAC ID: 2961706858 Enrollment ID: I20160215000112 |
| Provider Name | Jenny Youjin Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740521541 PECOS PAC ID: 8123325404 Enrollment ID: I20160331001627 |
| Provider Name | Anda Oprea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164860565 PECOS PAC ID: 1355630864 Enrollment ID: I20160523000320 |
| Provider Name | Huikai Tian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699024323 PECOS PAC ID: 9537459375 Enrollment ID: I20160607000096 |
| Provider Name | Kashif Tufail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164523908 PECOS PAC ID: 0042230872 Enrollment ID: I20160607000833 |
| Provider Name | Evan Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669735494 PECOS PAC ID: 1052603107 Enrollment ID: I20160711000222 |
| Provider Name | Kenn Ghaffarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578825816 PECOS PAC ID: 5991098576 Enrollment ID: I20160719001968 |
| Provider Name | Edward Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578803649 PECOS PAC ID: 0042503591 Enrollment ID: I20160721001627 |
| Provider Name | Karen Julie Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912041575 PECOS PAC ID: 8628152535 Enrollment ID: I20160831001429 |
| Provider Name | Andrea Darnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760829618 PECOS PAC ID: 5294021192 Enrollment ID: I20160901000062 |
| Provider Name | Teresa Giamboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679956122 PECOS PAC ID: 2961798475 Enrollment ID: I20160909001008 |
| Provider Name | Darragh Cullen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568723906 PECOS PAC ID: 6406142868 Enrollment ID: I20160912000174 |
| Provider Name | Orit Gal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164783510 PECOS PAC ID: 3577859966 Enrollment ID: I20160912000878 |
| Provider Name | Reuben Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598104515 PECOS PAC ID: 6901049345 Enrollment ID: I20160922000293 |
| Provider Name | Aditi U Joshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023200714 PECOS PAC ID: 4789737800 Enrollment ID: I20160928000067 |
| Provider Name | Maria Bernadette B Yballe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730501206 PECOS PAC ID: 1759679491 Enrollment ID: I20161012000440 |
| Provider Name | Larry Nguyen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407142870 PECOS PAC ID: 2264720531 Enrollment ID: I20161019002690 |
| Provider Name | Ruchita Savalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023455979 PECOS PAC ID: 5496033540 Enrollment ID: I20161025002044 |
| Provider Name | Avigad Lilya Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073977245 PECOS PAC ID: 4284925298 Enrollment ID: I20161101000652 |
| Provider Name | Jay B Slutsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871857136 PECOS PAC ID: 7517245186 Enrollment ID: I20161102001127 |
| Provider Name | Brett Carestia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407119944 PECOS PAC ID: 7012297294 Enrollment ID: I20161205001447 |
| Provider Name | Christopher R Kleinberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851736391 PECOS PAC ID: 2466732110 Enrollment ID: I20161215000160 |
| Provider Name | Michael Yefimovich Neyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619224615 PECOS PAC ID: 9436467222 Enrollment ID: I20161221000030 |
| Provider Name | Adriana Marciales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194141663 PECOS PAC ID: 2961706312 Enrollment ID: I20170103001361 |
| Provider Name | Olubunmi Olarewaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225324502 PECOS PAC ID: 3476835984 Enrollment ID: I20170118000826 |
| Provider Name | Mary Clare Parrott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871934950 PECOS PAC ID: 8022390582 Enrollment ID: I20170119000035 |
| Provider Name | Lisa M Cosgrove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336527225 PECOS PAC ID: 6608177738 Enrollment ID: I20170215000026 |
| Provider Name | Charlena A Ware |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417389107 PECOS PAC ID: 7416232210 Enrollment ID: I20170317000712 |
| Provider Name | Shireen Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962815563 PECOS PAC ID: 2062705874 Enrollment ID: I20170426001182 |
| Provider Name | David A Berg |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124286604 PECOS PAC ID: 5092853010 Enrollment ID: I20170502000504 |
| Provider Name | Jennifer Minkovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619383460 PECOS PAC ID: 8527336981 Enrollment ID: I20170608000987 |
| Provider Name | Peter J Puthenveetil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003234345 PECOS PAC ID: 1153544911 Enrollment ID: I20170619002613 |
| Provider Name | Marianna Diloyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285187260 PECOS PAC ID: 3577831312 Enrollment ID: I20170620000095 |
| Provider Name | Michael C. Piscitelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841604154 PECOS PAC ID: 0840586020 Enrollment ID: I20170712001211 |
| Provider Name | Rajan Singla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215228531 PECOS PAC ID: 7911139498 Enrollment ID: I20170721000188 |
| Provider Name | Pranay R. Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275947939 PECOS PAC ID: 5092001206 Enrollment ID: I20170725000743 |
| Provider Name | George Michael Comas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578715454 PECOS PAC ID: 0143463711 Enrollment ID: I20170727002665 |
| Provider Name | Benjamin Slovis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245513118 PECOS PAC ID: 9739496993 Enrollment ID: I20170811001450 |
| Provider Name | Niraj Agarwalla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023374204 PECOS PAC ID: 6901107770 Enrollment ID: I20170822003442 |
| Provider Name | Douglas Robert Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881032787 PECOS PAC ID: 9032482583 Enrollment ID: I20170905000875 |
| Provider Name | Brendan M Obrien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225270978 PECOS PAC ID: 6406072024 Enrollment ID: I20171009000884 |
| Provider Name | Amanda Rose Mortillaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629482658 PECOS PAC ID: 5597030072 Enrollment ID: I20171010000596 |
| Provider Name | Brian J Steiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174866818 PECOS PAC ID: 5294048112 Enrollment ID: I20171012000964 |
| Provider Name | Benjamin Hagendorf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083811806 PECOS PAC ID: 6709931223 Enrollment ID: I20171017002156 |
| Provider Name | Kerry E Krauss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851653927 PECOS PAC ID: 3274809397 Enrollment ID: I20171017003343 |
| Provider Name | Neeta Chaudhary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235309543 PECOS PAC ID: 9638334121 Enrollment ID: I20171102002538 |
| Provider Name | Karen Appiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427390434 PECOS PAC ID: 6507153848 Enrollment ID: I20171108000442 |
| Provider Name | Maureen P Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205324 PECOS PAC ID: 2466719844 Enrollment ID: I20171121001092 |
| Provider Name | Jillian Ashley Pilotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790139608 PECOS PAC ID: 5991062895 Enrollment ID: I20171201000424 |
| Provider Name | Irina V Esteva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184985905 PECOS PAC ID: 0042534968 Enrollment ID: I20171212001020 |
| Provider Name | Loretta Van Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725007 PECOS PAC ID: 1658639604 Enrollment ID: I20171220001250 |
| Provider Name | Kelly Anne Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811332703 PECOS PAC ID: 4385968965 Enrollment ID: I20171229000900 |
| Provider Name | Neeraja Peri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750795811 PECOS PAC ID: 6709145147 Enrollment ID: I20180111000056 |
| Provider Name | Devon M Punchello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932637766 PECOS PAC ID: 2466712088 Enrollment ID: I20180130001977 |
| Provider Name | Hardeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487160933 PECOS PAC ID: 4082974563 Enrollment ID: I20180131002275 |
| Provider Name | Mohammed Ibrahim Shakhatreh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811278088 PECOS PAC ID: 9234359365 Enrollment ID: I20180305000774 |
| Provider Name | Kathleen Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851806442 PECOS PAC ID: 1658632583 Enrollment ID: I20180309000866 |
| Provider Name | Xiao Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932547742 PECOS PAC ID: 4284930645 Enrollment ID: I20180313000743 |
| Provider Name | Rebecca Lynn Darragh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316454051 PECOS PAC ID: 0446512776 Enrollment ID: I20180326000300 |
| Provider Name | Lorenzo Zanotti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255656211 PECOS PAC ID: 1355617671 Enrollment ID: I20180328001487 |
| Provider Name | Eugenia Wede Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124531900 PECOS PAC ID: 0941563001 Enrollment ID: I20180424002132 |
| Provider Name | Anne L Torna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952352999 PECOS PAC ID: 8022021583 Enrollment ID: I20180425002329 |
| Provider Name | Carolyn R Kanter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699156828 PECOS PAC ID: 5092008532 Enrollment ID: I20180515000821 |
| Provider Name | Uzma Shahzad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295174324 PECOS PAC ID: 7315218302 Enrollment ID: I20180522001368 |
| Provider Name | Evan Kingsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598146961 PECOS PAC ID: 2668765587 Enrollment ID: I20180525000231 |
| Provider Name | Julia C Todd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033556808 PECOS PAC ID: 6709131048 Enrollment ID: I20180611000320 |
| Provider Name | Jessalyn Hatsumi Nishimori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487033957 PECOS PAC ID: 8224384334 Enrollment ID: I20180703001579 |
| Provider Name | Daniel Asihene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639558901 PECOS PAC ID: 7214283167 Enrollment ID: I20180706001018 |
| Provider Name | Michelle Joy Brucal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720425580 PECOS PAC ID: 8921394222 Enrollment ID: I20180710000573 |
| Provider Name | Alicja Karolina Ignatowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972984201 PECOS PAC ID: 3173879848 Enrollment ID: I20180711000479 |
| Provider Name | Elizabeth Barr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932586898 PECOS PAC ID: 9133476120 Enrollment ID: I20180723001155 |
| Provider Name | Sheba Syeda Asghar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780865758 PECOS PAC ID: 2567543150 Enrollment ID: I20180724003069 |
| Provider Name | Gajan Jeganathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942681184 PECOS PAC ID: 9436446952 Enrollment ID: I20180808001022 |
| Provider Name | Levi Ocken |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598176810 PECOS PAC ID: 4183934847 Enrollment ID: I20180808001375 |
| Provider Name | Nicole Caputo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932565934 PECOS PAC ID: 0244588119 Enrollment ID: I20180809000303 |
| Provider Name | Aekata Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972984458 PECOS PAC ID: 8729337324 Enrollment ID: I20180815000547 |
| Provider Name | Paul Modelewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033556881 PECOS PAC ID: 9133415490 Enrollment ID: I20180815001379 |
| Provider Name | Manuela Modelewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023455896 PECOS PAC ID: 8426344656 Enrollment ID: I20180815001482 |
| Provider Name | Arjun Ramprasad |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992125413 PECOS PAC ID: 2264747864 Enrollment ID: I20180816000915 |
| Provider Name | Muhammad Younus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629496195 PECOS PAC ID: 6709180003 Enrollment ID: I20180816000932 |
| Provider Name | Justen J Sumner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629496294 PECOS PAC ID: 7517287840 Enrollment ID: I20180821001200 |
| Provider Name | Sudeshna Chatterjee-paer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1962794743 PECOS PAC ID: 8123378593 Enrollment ID: I20180905002493 |
| Provider Name | Pinki B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063723351 PECOS PAC ID: 0143571679 Enrollment ID: I20180924000498 |
| Provider Name | Philip Motley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598179657 PECOS PAC ID: 1759651003 Enrollment ID: I20180926003667 |
| Provider Name | Nikhil Bharadwaj Chinmaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003298118 PECOS PAC ID: 0143571307 Enrollment ID: I20180927000160 |
| Provider Name | Shawn Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013013 PECOS PAC ID: 6002137890 Enrollment ID: I20180927000464 |
| Provider Name | Hamid Mukhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134455892 PECOS PAC ID: 9032360318 Enrollment ID: I20181004003012 |
| Provider Name | Kathleen C Degen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679952493 PECOS PAC ID: 6901158138 Enrollment ID: I20181016002057 |
| Provider Name | Kevin Michael Everett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669917209 PECOS PAC ID: 8426335324 Enrollment ID: I20181025001398 |
| Provider Name | Theresa R Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396009858 PECOS PAC ID: 8426283862 Enrollment ID: I20181031001160 |
| Provider Name | Rishi Kalwani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265814925 PECOS PAC ID: 2365796794 Enrollment ID: I20181121000210 |
| Provider Name | Benjamin E Jack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346606001 PECOS PAC ID: 2163766510 Enrollment ID: I20181212000404 |
| Provider Name | Juhi Shukla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427500339 PECOS PAC ID: 6305181488 Enrollment ID: I20190108001393 |
| Provider Name | Jolly S Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902390461 PECOS PAC ID: 1456697697 Enrollment ID: I20190109002476 |
| Provider Name | Joseph C Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285115451 PECOS PAC ID: 3870830524 Enrollment ID: I20190204001086 |
| Provider Name | Matthew W Szymaszek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417395161 PECOS PAC ID: 8820384068 Enrollment ID: I20190306000892 |
| Provider Name | Feba Susan George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528452893 PECOS PAC ID: 1850631722 Enrollment ID: I20190313001114 |
| Provider Name | Smina Khilnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457790578 PECOS PAC ID: 1759511298 Enrollment ID: I20190418001651 |
| Provider Name | Thomas James Alne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538631353 PECOS PAC ID: 2466794201 Enrollment ID: I20190429000317 |
| Provider Name | Lindsey Anne Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972088292 PECOS PAC ID: 0547502395 Enrollment ID: I20190429000725 |
| Provider Name | Gabriella Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831668821 PECOS PAC ID: 5597007138 Enrollment ID: I20190430001960 |
| Provider Name | Soroosh Hashemi |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1437543386 PECOS PAC ID: 0143521682 Enrollment ID: I20190513002051 |
| Provider Name | Justin I Palatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356696348 PECOS PAC ID: 7719284157 Enrollment ID: I20190513002469 |
| Provider Name | Benita Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912388745 PECOS PAC ID: 8426344631 Enrollment ID: I20190621000979 |
| Provider Name | Jason Azzara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270748 PECOS PAC ID: 0547594129 Enrollment ID: I20190702001361 |
| Provider Name | Frances Norton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457709545 PECOS PAC ID: 5496042806 Enrollment ID: I20190702001654 |
| Provider Name | Laura Bertolino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083975858 PECOS PAC ID: 1951694223 Enrollment ID: I20190702002740 |
| Provider Name | Tina Koottumialil Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689022568 PECOS PAC ID: 1052607298 Enrollment ID: I20190702003597 |
| Provider Name | Sean Currie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073994554 PECOS PAC ID: 1153618665 Enrollment ID: I20190703001137 |
| Provider Name | Alexandra Anne Evans |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427406925 PECOS PAC ID: 8022304211 Enrollment ID: I20190705000111 |
| Provider Name | Patricia Finkbinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750471694 PECOS PAC ID: 6002141413 Enrollment ID: I20190708001558 |
| Provider Name | Michael Baigis Halpin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265893481 PECOS PAC ID: 1254614530 Enrollment ID: I20190709002524 |
| Provider Name | Shawn K Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841671468 PECOS PAC ID: 6709111727 Enrollment ID: I20190715000222 |
| Provider Name | Angela Kuehn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144601600 PECOS PAC ID: 5698001956 Enrollment ID: I20190724001005 |
| Provider Name | Angela Lee-kilpatrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639583289 PECOS PAC ID: 8820385354 Enrollment ID: I20190729000394 |
| Provider Name | Sagar Kadakia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831452051 PECOS PAC ID: 0244523272 Enrollment ID: I20190729003572 |
| Provider Name | Aykut A Unsal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487095527 PECOS PAC ID: 8921358490 Enrollment ID: I20190730000822 |
| Provider Name | Argun Can |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821432766 PECOS PAC ID: 0749428605 Enrollment ID: I20190809000597 |
| Provider Name | Yi Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063755395 PECOS PAC ID: 4284987496 Enrollment ID: I20190813002685 |
| Provider Name | Andrew Craig Margules |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043577091 PECOS PAC ID: 9032415971 Enrollment ID: I20190813002761 |
| Provider Name | Maryam Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490448 PECOS PAC ID: 2264715572 Enrollment ID: I20190830000450 |
| Provider Name | William James Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376794925 PECOS PAC ID: 6608105499 Enrollment ID: I20190903003171 |
| Provider Name | Kathleen Minerly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447608427 PECOS PAC ID: 3274826482 Enrollment ID: I20190909000040 |
| Provider Name | Nyasha Kianne George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801138334 PECOS PAC ID: 8022241991 Enrollment ID: I20190911003126 |
| Provider Name | Jeremy Chanan Boxer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760845028 PECOS PAC ID: 9335427343 Enrollment ID: I20190919001947 |
| Provider Name | Baljit Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285998914 PECOS PAC ID: 9436461290 Enrollment ID: I20191001000073 |
| Provider Name | Vivian Phung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804316 PECOS PAC ID: 8628299898 Enrollment ID: I20191009002476 |
| Provider Name | Shreyal C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710336417 PECOS PAC ID: 4587950985 Enrollment ID: I20191011000527 |
| Provider Name | Monica Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184283749 PECOS PAC ID: 4385975895 Enrollment ID: I20191015002193 |
| Provider Name | Jason Smyth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720444565 PECOS PAC ID: 2567767155 Enrollment ID: I20191024003269 |
| Provider Name | Mallory Mohn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760032361 PECOS PAC ID: 6204168974 Enrollment ID: I20191030000126 |
| Provider Name | Patricia Catherine Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891056891 PECOS PAC ID: 7719207133 Enrollment ID: I20191031001344 |
| Provider Name | Jennifer Mazzoni Clifford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891879375 PECOS PAC ID: 7719084417 Enrollment ID: I20191115001469 |
| Provider Name | Manju Philip-nedumakel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508416645 PECOS PAC ID: 3577998509 Enrollment ID: I20200121000417 |
| Provider Name | Xiaowen Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144683442 PECOS PAC ID: 3870822679 Enrollment ID: I20200131000005 |
| Provider Name | Elisabetta Spadafora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235775230 PECOS PAC ID: 3870929631 Enrollment ID: I20200214001524 |
| Provider Name | Julia A Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609208255 PECOS PAC ID: 0446687297 Enrollment ID: I20200218000074 |
| Provider Name | Galyna Vorokhib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403569 PECOS PAC ID: 0840627402 Enrollment ID: I20200221000479 |
| Provider Name | Adam Francis Pennarola |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174979298 PECOS PAC ID: 1658662580 Enrollment ID: I20200228002337 |
| Provider Name | Nathan Dincher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972917250 PECOS PAC ID: 4789928136 Enrollment ID: I20200324003100 |
| Provider Name | Victoria H Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316585029 PECOS PAC ID: 4385683119 Enrollment ID: I20200330000044 |
| Provider Name | Frederick Gmora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366874372 PECOS PAC ID: 4183910490 Enrollment ID: I20200330002297 |
| Provider Name | Jason Lei |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821353517 PECOS PAC ID: 2163772542 Enrollment ID: I20200401002326 |
| Provider Name | Abimbola Olowo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295990588 PECOS PAC ID: 7517034614 Enrollment ID: I20200402001816 |
| Provider Name | Mariah Day Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093178790 PECOS PAC ID: 5890081103 Enrollment ID: I20200402002851 |
| Provider Name | Anum Khan Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780032037 PECOS PAC ID: 5092002527 Enrollment ID: I20200415002572 |
| Provider Name | Patrick John Flannery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144600297 PECOS PAC ID: 2466749874 Enrollment ID: I20200429001484 |
| Provider Name | David Signarovitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922362235 PECOS PAC ID: 8426332479 Enrollment ID: I20200504000203 |
| Provider Name | Jessica Souchet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871800607 PECOS PAC ID: 9739319294 Enrollment ID: I20200520001873 |
| Provider Name | Kendra Mendez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295265361 PECOS PAC ID: 9234407297 Enrollment ID: I20200529002926 |
| Provider Name | Jacob Finkle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992153498 PECOS PAC ID: 7416243605 Enrollment ID: I20200604001479 |
| Provider Name | Sarah Anne Case |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225566987 PECOS PAC ID: 0042554412 Enrollment ID: I20200615001380 |
| Provider Name | Elizabeth Warburton Teixeira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154579852 PECOS PAC ID: 2668748534 Enrollment ID: I20200616002198 |
| Provider Name | Erblina Koka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851827851 PECOS PAC ID: 6103161518 Enrollment ID: I20200618001964 |
| Provider Name | Sarah Rachel Rubin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578911699 PECOS PAC ID: 3577850072 Enrollment ID: I20200622002266 |
| Provider Name | Jilcy Mathew |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194145698 PECOS PAC ID: 3375847643 Enrollment ID: I20200623001543 |
| Provider Name | Elizabeth Rose Chambers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316563901 PECOS PAC ID: 5496178956 Enrollment ID: I20200701000755 |
| Provider Name | Abdelsalam Elshaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225568165 PECOS PAC ID: 5092138008 Enrollment ID: I20200709002132 |
| Provider Name | John Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700310794 PECOS PAC ID: 9335418953 Enrollment ID: I20200710000378 |
| Provider Name | Sandra Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871955575 PECOS PAC ID: 4587087341 Enrollment ID: I20200713001183 |
| Provider Name | Hira Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699209866 PECOS PAC ID: 3476824418 Enrollment ID: I20200715000005 |
| Provider Name | Tommy R Buchanan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1982992095 PECOS PAC ID: 2567762826 Enrollment ID: I20200716004092 |
| Provider Name | William E Wieczorek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588027908 PECOS PAC ID: 2860783586 Enrollment ID: I20200720003566 |
| Provider Name | Allen Naygauzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558775684 PECOS PAC ID: 5991080657 Enrollment ID: I20200721004094 |
| Provider Name | Amy Phillips |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609255025 PECOS PAC ID: 3678862943 Enrollment ID: I20200729003528 |
| Provider Name | Jyoti Pradhananga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518115047 PECOS PAC ID: 9133382450 Enrollment ID: I20200730000041 |
| Provider Name | Katelyn Phelps |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194111880 PECOS PAC ID: 1355640459 Enrollment ID: I20200730000700 |
| Provider Name | Elise Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376078444 PECOS PAC ID: 0143645713 Enrollment ID: I20200730001727 |
| Provider Name | Daniel Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477081396 PECOS PAC ID: 6002231966 Enrollment ID: I20200810001126 |
| Provider Name | Kevon Hatamian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841725777 PECOS PAC ID: 1951659127 Enrollment ID: I20200810001364 |
| Provider Name | Kelly Garrahy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629500137 PECOS PAC ID: 6406126192 Enrollment ID: I20200819004261 |
| Provider Name | Sehrish Memon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528482908 PECOS PAC ID: 7517186752 Enrollment ID: I20200909000559 |
| Provider Name | Lauren Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952781015 PECOS PAC ID: 7810231214 Enrollment ID: I20200909001711 |
| Provider Name | Jaquelyn Rohui Yeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265886659 PECOS PAC ID: 3971899378 Enrollment ID: I20200916001019 |
| Provider Name | Lasongia Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376579573 PECOS PAC ID: 0244229847 Enrollment ID: I20200917001199 |
| Provider Name | Charyl Ovalle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245763713 PECOS PAC ID: 0042540288 Enrollment ID: I20201002000901 |
| Provider Name | Phuoc Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164029906 PECOS PAC ID: 7012337918 Enrollment ID: I20201014002935 |
| Provider Name | Muhammad Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841619632 PECOS PAC ID: 1951692235 Enrollment ID: I20201021000664 |
| Provider Name | Clayton Tyan Chiem |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841898327 PECOS PAC ID: 5799105128 Enrollment ID: I20201023000165 |
| Provider Name | David Goldberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255727954 PECOS PAC ID: 6901151893 Enrollment ID: I20201030000814 |
| Provider Name | Maliha Amjed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700499969 PECOS PAC ID: 9537573902 Enrollment ID: I20210126000882 |
| Provider Name | Melissa E Peard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598996175 PECOS PAC ID: 4082760251 Enrollment ID: I20210127003352 |
| Provider Name | Matthew Carey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144677188 PECOS PAC ID: 4284907775 Enrollment ID: I20210209001317 |
| Provider Name | Conor Coogan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497141923 PECOS PAC ID: 6103132568 Enrollment ID: I20210311000166 |
| Provider Name | Matthew Upham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043801392 PECOS PAC ID: 8921414046 Enrollment ID: I20210315001609 |
| Provider Name | Elizabeth Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538755673 PECOS PAC ID: 5092121160 Enrollment ID: I20210316000515 |
| Provider Name | Colleen F Koller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710141064 PECOS PAC ID: 1254748288 Enrollment ID: I20210318001350 |
| Provider Name | Alena Gerasimova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770015778 PECOS PAC ID: 2365871092 Enrollment ID: I20210413000193 |
| Provider Name | Mary Susan Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194301614 PECOS PAC ID: 4981012614 Enrollment ID: I20210420000009 |
| Provider Name | Tehilla Apfel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396163341 PECOS PAC ID: 0345519070 Enrollment ID: I20210422001552 |
| Provider Name | Megan Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174119705 PECOS PAC ID: 9133537491 Enrollment ID: I20210427000058 |
| Provider Name | Joseph Edward Alagna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790270221 PECOS PAC ID: 3678821774 Enrollment ID: I20210507000668 |
| Provider Name | Kuljit Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336597772 PECOS PAC ID: 5698021764 Enrollment ID: I20210511000224 |
| Provider Name | Caitlin Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780032284 PECOS PAC ID: 0547556763 Enrollment ID: I20210511000391 |
| Provider Name | Divyasudha Mohan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336597780 PECOS PAC ID: 3779982442 Enrollment ID: I20210528002206 |
| Provider Name | John Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720449531 PECOS PAC ID: 2062756646 Enrollment ID: I20210615000136 |
| Provider Name | Hanisha Manickavasagan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437539640 PECOS PAC ID: 8820499577 Enrollment ID: I20210701001366 |
| Provider Name | Michael William Taddonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108833 PECOS PAC ID: 8123420759 Enrollment ID: I20210706001281 |
| Provider Name | Sarah Elizabeth Chmielewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538665302 PECOS PAC ID: 7214339670 Enrollment ID: I20210708001429 |
| Provider Name | Ojeagbase Asikhia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215420971 PECOS PAC ID: 4789083429 Enrollment ID: I20210708001790 |
| Provider Name | Jason Morris Selim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801244918 PECOS PAC ID: 1153617436 Enrollment ID: I20210728002461 |
| Provider Name | Kevin Ye Hou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316327885 PECOS PAC ID: 2668701509 Enrollment ID: I20210730000457 |
| Provider Name | Courtney Michelle Ranzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558030106 PECOS PAC ID: 3072919133 Enrollment ID: I20210915001417 |
| Provider Name | Alyssa Christofas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083387799 PECOS PAC ID: 7214334127 Enrollment ID: I20210920003004 |
| Provider Name | Melinda Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275007825 PECOS PAC ID: 2365784212 Enrollment ID: I20211014000209 |
| Provider Name | Latifah Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114514882 PECOS PAC ID: 2567852197 Enrollment ID: I20211214000524 |
| Provider Name | Sundara Kesiraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942797295 PECOS PAC ID: 9032509484 Enrollment ID: I20211229000014 |
| Provider Name | Aaron Rosenthal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407236250 PECOS PAC ID: 8527354893 Enrollment ID: I20220105001731 |
| Provider Name | Ilona Sali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275294357 PECOS PAC ID: 4183016223 Enrollment ID: I20220121000805 |
| Provider Name | Stacy Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649923095 PECOS PAC ID: 1052705613 Enrollment ID: I20220224000113 |
| Provider Name | Kerry Dermody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801566344 PECOS PAC ID: 4789078270 Enrollment ID: I20220226000218 |
| Provider Name | Regina F Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427718196 PECOS PAC ID: 2163817297 Enrollment ID: I20220328000593 |
| Provider Name | Syed Fahad Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942823307 PECOS PAC ID: 9739576265 Enrollment ID: I20220430000257 |
| Provider Name | Leah Fesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003457037 PECOS PAC ID: 3274924972 Enrollment ID: I20220519002619 |
| Provider Name | Bhradeev Sivasambu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720355365 PECOS PAC ID: 5092933507 Enrollment ID: I20220520001814 |
| Provider Name | Pavel Itersky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205332251 PECOS PAC ID: 8224460019 Enrollment ID: I20220524001146 |
| Provider Name | Ramy Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497242085 PECOS PAC ID: 0749685451 Enrollment ID: I20220603001122 |
| Provider Name | Andres Jose Torres-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518556596 PECOS PAC ID: 1658759485 Enrollment ID: I20220607000190 |
| Provider Name | Katelyn Austin Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861920209 PECOS PAC ID: 3971847302 Enrollment ID: I20220607000346 |
| Provider Name | Yelena Shrayber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922038199 PECOS PAC ID: 3476548942 Enrollment ID: I20220609001770 |
| Provider Name | Jefferey Holoman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578098604 PECOS PAC ID: 9436493939 Enrollment ID: I20220609002651 |
| Provider Name | Gerald Farrell Iii |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578964508 PECOS PAC ID: 9830472729 Enrollment ID: I20220610000671 |
| Provider Name | Hermes Milanes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356904684 PECOS PAC ID: 5597098053 Enrollment ID: I20220629001937 |
| Provider Name | May Jean Counsilman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508252123 PECOS PAC ID: 8022337799 Enrollment ID: I20220630000156 |
| Provider Name | Zachary Michael Messina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336674498 PECOS PAC ID: 0345620761 Enrollment ID: I20220701001419 |
| Provider Name | Alex Uhr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295199396 PECOS PAC ID: 4284932948 Enrollment ID: I20220705000687 |
| Provider Name | Chanel O'brien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326532904 PECOS PAC ID: 3072861533 Enrollment ID: I20220707001399 |
| Provider Name | Courtney Nicole Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407516891 PECOS PAC ID: 8527448653 Enrollment ID: I20220707001960 |
| Provider Name | Ayman Seifin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659923266 PECOS PAC ID: 6406236439 Enrollment ID: I20220707002369 |
| Provider Name | Samantha Lynn Milanes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467912170 PECOS PAC ID: 5799019501 Enrollment ID: I20220711000043 |
| Provider Name | Elizabeth Meadows Fitzgerald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871099200 PECOS PAC ID: 4981084720 Enrollment ID: I20220711001091 |
| Provider Name | Arpona Dev Nath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639637473 PECOS PAC ID: 6002149879 Enrollment ID: I20220725003437 |
| Provider Name | Lea Anne Moukarzel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316359482 PECOS PAC ID: 9638394620 Enrollment ID: I20220728000713 |
| Provider Name | Navin Mani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811429103 PECOS PAC ID: 4880968254 Enrollment ID: I20220802000012 |
| Provider Name | Emma O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598327686 PECOS PAC ID: 0749614931 Enrollment ID: I20220811003881 |
| Provider Name | Scott William Taddonio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164928867 PECOS PAC ID: 8729461751 Enrollment ID: I20220823004040 |
| Provider Name | Anna Grishkevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679093975 PECOS PAC ID: 4981978509 Enrollment ID: I20220826001533 |
| Provider Name | David Parkes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174175178 PECOS PAC ID: 8628450665 Enrollment ID: I20220901000641 |
| Provider Name | Nicholas Cardillo |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1841684131 PECOS PAC ID: 6103139274 Enrollment ID: I20220901001384 |
| Provider Name | Simone Liverpool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619325149 PECOS PAC ID: 5799046942 Enrollment ID: I20220901001653 |
| Provider Name | Julianna Choi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073241048 PECOS PAC ID: 7810371655 Enrollment ID: I20220907000701 |
| Provider Name | Zachary Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366170797 PECOS PAC ID: 2264817899 Enrollment ID: I20220919002409 |
| Provider Name | Michael Steven Boulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326608365 PECOS PAC ID: 3375975170 Enrollment ID: I20220921000888 |
| Provider Name | Yong Mi Shin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316507908 PECOS PAC ID: 2466885801 Enrollment ID: I20220928002378 |
| Provider Name | Pranavi Sreeramoju |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508875170 PECOS PAC ID: 7719916733 Enrollment ID: I20220929000204 |
| Provider Name | Christian Michael Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760101893 PECOS PAC ID: 2860868973 Enrollment ID: I20221014000771 |
| Provider Name | Emily Min Fu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487214706 PECOS PAC ID: 4789919663 Enrollment ID: I20221026000014 |
| Provider Name | Suman J Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417480500 PECOS PAC ID: 9537404470 Enrollment ID: I20221110000083 |
| Provider Name | Isabel Kogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336862770 PECOS PAC ID: 0345617924 Enrollment ID: I20221111000054 |
| Provider Name | Bethany Ann Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013635317 PECOS PAC ID: 1759758287 Enrollment ID: I20221112000162 |
| Provider Name | Rosy F Avendano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912633785 PECOS PAC ID: 7810366481 Enrollment ID: I20221205001024 |
| Provider Name | Iryna Bahdzevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568924553 PECOS PAC ID: 9436520541 Enrollment ID: I20230128000251 |
| Provider Name | Gina Marie Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225740087 PECOS PAC ID: 7214307180 Enrollment ID: I20230131000129 |
| Provider Name | Stephanie Huang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821745738 PECOS PAC ID: 2961886809 Enrollment ID: I20230213001261 |
| Provider Name | Nicole Wittemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407565229 PECOS PAC ID: 2163887837 Enrollment ID: I20230502002048 |
| Provider Name | Aadhar Patil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457748881 PECOS PAC ID: 5395057897 Enrollment ID: I20230508002599 |
| Provider Name | Jessica A Schumann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750816344 PECOS PAC ID: 9638414063 Enrollment ID: I20230522000306 |
| Provider Name | Loren Touma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356901862 PECOS PAC ID: 4486087913 Enrollment ID: I20230523002554 |
| Provider Name | Nicole Ann Mccole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427761550 PECOS PAC ID: 2264898857 Enrollment ID: I20230524002811 |
| Provider Name | Tareva Warrick-stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255827325 PECOS PAC ID: 6305194309 Enrollment ID: I20230602000482 |
| Provider Name | Jeana M Labrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932684578 PECOS PAC ID: 7517366842 Enrollment ID: I20230605000301 |
| Provider Name | Nicole Heston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356053730 PECOS PAC ID: 2365809241 Enrollment ID: I20230608000566 |
| Provider Name | Mark Balceniuk |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255725636 PECOS PAC ID: 3779821152 Enrollment ID: I20230624000139 |
| Provider Name | George Pitsakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710500533 PECOS PAC ID: 9537580469 Enrollment ID: I20230628001258 |
| Provider Name | Brendan G Heeb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528620143 PECOS PAC ID: 8224497912 Enrollment ID: I20230628002622 |
| Provider Name | Martin Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861734188 PECOS PAC ID: 0941594717 Enrollment ID: I20230630000882 |
| Provider Name | Brian O'donnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770106593 PECOS PAC ID: 5092136804 Enrollment ID: I20230705001356 |
| Provider Name | Adam Paul Guss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043693963 PECOS PAC ID: 7416251319 Enrollment ID: I20230705001897 |
| Provider Name | Merna Mikhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023631769 PECOS PAC ID: 6901229582 Enrollment ID: I20230712004655 |
| Provider Name | Jennifer Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619400280 PECOS PAC ID: 7517236375 Enrollment ID: I20230713002110 |
| Provider Name | Onyinyechukwu Okorji |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396273587 PECOS PAC ID: 7214285675 Enrollment ID: I20230724001785 |
| Provider Name | Julia Ann Finkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093375651 PECOS PAC ID: 3577996180 Enrollment ID: I20230807003396 |
| Provider Name | Kelsey J Temple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255952818 PECOS PAC ID: 7618399684 Enrollment ID: I20230809000610 |
| Provider Name | Rachel Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033805585 PECOS PAC ID: 7012379415 Enrollment ID: I20230817000361 |
| Provider Name | Carly Defaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013533124 PECOS PAC ID: 7315301918 Enrollment ID: I20230915000303 |
| Provider Name | Kevin Rolnick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417417643 PECOS PAC ID: 7416348073 Enrollment ID: I20230915000729 |
| Provider Name | Ilya Zhuplatov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063073278 PECOS PAC ID: 2466781307 Enrollment ID: I20230915000916 |
| Provider Name | Sean Loose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063071371 PECOS PAC ID: 1254785330 Enrollment ID: I20230922001546 |
| Provider Name | Emma G Cortes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528553674 PECOS PAC ID: 5890140081 Enrollment ID: I20231007000665 |
| Provider Name | Jane Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073803060 PECOS PAC ID: 9739332073 Enrollment ID: I20231016000039 |
| Provider Name | Lisa Pedevillano |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720433535 PECOS PAC ID: 6305292863 Enrollment ID: I20231019003525 |
| Provider Name | Gamal Damany Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932735131 PECOS PAC ID: 7315391232 Enrollment ID: I20231109002494 |
| Provider Name | Mathews Tony Kadavanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124642913 PECOS PAC ID: 6002264694 Enrollment ID: I20231120002872 |
| Provider Name | Theresa Ann Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013796911 PECOS PAC ID: 6709234925 Enrollment ID: I20231129001661 |
| Provider Name | Sujood Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932120615 PECOS PAC ID: 5890697460 Enrollment ID: I20231204000784 |
| Provider Name | Kissa Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932725165 PECOS PAC ID: 0143643759 Enrollment ID: I20231218001769 |
| Provider Name | Anna Sabeih Salom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831978550 PECOS PAC ID: 6901257849 Enrollment ID: I20240104004221 |
| Provider Name | Amelia Tanne Bauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588227607 PECOS PAC ID: 3476975913 Enrollment ID: I20240126000975 |
| Provider Name | Muhammad Zubair Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962998039 PECOS PAC ID: 6608115977 Enrollment ID: I20240129003890 |
| Provider Name | Jason Sing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962031559 PECOS PAC ID: 9234551052 Enrollment ID: I20240215004538 |
Thma Mg Primary Care Richboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 Second Street Pike, Richboro, PA 18954 Phone: 215-710-2770 Fax: 215-710-2772 | |
Medica Center Of Richboro, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 778 2nd Street Pike, Richboro, PA 18954 Phone: 215-942-2850 Fax: 215-942-2854 | |
Dr. Ronald Goppold P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Almshouse Rd, Suite 103, Richboro, PA 18954 Phone: 215-357-5760 Fax: 215-357-5731 | |
Richard A Koff Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Almshouse Rd, Suite 600, Richboro, PA 18954 Phone: 215-357-9330 Fax: 215-357-4096 | |
Rediclinic Of Pa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Bustleton Pike Ste A10, Richboro, PA 18954 Phone: 713-335-1742 Fax: 713-358-4881 | |
St. Mary Family Practice - Richboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Almshouse Rd, Suite 103, Richboro, PA 18954 Phone: 215-357-5760 Fax: 215-357-5731 |