| Ascension Columbia St Mary's Hospital Milwaukee | |
|
2350 N Lake Dr Milwaukee WI 53211 | |
| (414) 585-1000 | |
| Not Available |
| Full Name | Ascension Columbia St Mary's Hospital Milwaukee |
|---|---|
| Speciality | Clinic/Center |
| Location | 2350 N Lake Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Matthew Hanselman (CFO) |
| Authorized Official Contact | 4144653000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Columbia St Mary's Hospital Milwaukee Po Box 860496 Minneapolis MN 55486-0496 Ph: (414) 585-1000 | Ascension Columbia St Mary's Hospital Milwaukee 2350 N Lake Dr Milwaukee WI 53211 Ph: (414) 585-1000 |
| NPI Number | 1023064482 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 01/05/2022 |
| Medicare PECOS PAC ID | 5890604722 |
|---|---|
| Medicare Enrollment ID | O20031105000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023064482 | NPI | - | NPPES |
| 32793800 | Medicaid | WI |
| Provider Name | Ralph J Galdieri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992746168 PECOS PAC ID: 4587578778 Enrollment ID: I20031112000728 |
| Provider Name | Zhaowei Ai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487645271 PECOS PAC ID: 5395649677 Enrollment ID: I20031120000205 |
| Provider Name | James Mathew |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245278852 PECOS PAC ID: 8022912500 Enrollment ID: I20031125000849 |
| Provider Name | Lee S Wann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316907975 PECOS PAC ID: 7517879885 Enrollment ID: I20031126000128 |
| Provider Name | Glen A Bordak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588683718 PECOS PAC ID: 4486558020 Enrollment ID: I20031210000958 |
| Provider Name | Linda M Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770545030 PECOS PAC ID: 2668378472 Enrollment ID: I20031211000656 |
| Provider Name | Marcia Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225115652 PECOS PAC ID: 4183520893 Enrollment ID: I20031211000731 |
| Provider Name | Barbara L Earnest |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902827561 PECOS PAC ID: 2769386309 Enrollment ID: I20031211001108 |
| Provider Name | Robert G Teehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366522393 PECOS PAC ID: 5294633384 Enrollment ID: I20031229000210 |
| Provider Name | Benjamin Broghammer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154303824 PECOS PAC ID: 3870492911 Enrollment ID: I20040107000680 |
| Provider Name | Rajit Saluja |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467550491 PECOS PAC ID: 2163323973 Enrollment ID: I20040115000595 |
| Provider Name | Julie A Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265511471 PECOS PAC ID: 1456253988 Enrollment ID: I20040123000912 |
| Provider Name | David W Grambow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235178674 PECOS PAC ID: 2860395845 Enrollment ID: I20040128000596 |
| Provider Name | Robert B Roth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386684231 PECOS PAC ID: 2961305941 Enrollment ID: I20040128000664 |
| Provider Name | Jamie W Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336204973 PECOS PAC ID: 3476456419 Enrollment ID: I20040128000841 |
| Provider Name | Michael D Plotkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881636819 PECOS PAC ID: 4789587585 Enrollment ID: I20040129000536 |
| Provider Name | Stephen G Sievers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174597488 PECOS PAC ID: 7214821388 Enrollment ID: I20040210000644 |
| Provider Name | Larry L Duenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649236985 PECOS PAC ID: 2769376631 Enrollment ID: I20040211000694 |
| Provider Name | Venkata V Anne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972520823 PECOS PAC ID: 2062307408 Enrollment ID: I20040216001057 |
| Provider Name | Nguyen H Phan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194721407 PECOS PAC ID: 9537054994 Enrollment ID: I20040216001175 |
| Provider Name | Sean R Amoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295752251 PECOS PAC ID: 0446147912 Enrollment ID: I20040301000288 |
| Provider Name | Robert K Breger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003837816 PECOS PAC ID: 6507753118 Enrollment ID: I20040301000655 |
| Provider Name | Paul L Minor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285655084 PECOS PAC ID: 1153218763 Enrollment ID: I20040301001057 |
| Provider Name | Shirish P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538179783 PECOS PAC ID: 6901793348 Enrollment ID: I20040302000061 |
| Provider Name | Emil Hurst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891717716 PECOS PAC ID: 9537056973 Enrollment ID: I20040302000072 |
| Provider Name | Melanie M Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417920828 PECOS PAC ID: 9234029182 Enrollment ID: I20040316001001 |
| Provider Name | Manish J Gharia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376565267 PECOS PAC ID: 1456241322 Enrollment ID: I20040316001158 |
| Provider Name | Sheldon A Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720167018 PECOS PAC ID: 4385536523 Enrollment ID: I20040325000184 |
| Provider Name | Shobha P Desai |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1255315784 PECOS PAC ID: 2264324623 Enrollment ID: I20040329001298 |
| Provider Name | Ramin Golchini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841273372 PECOS PAC ID: 4284526682 Enrollment ID: I20040329001587 |
| Provider Name | Bhupinder S Saini |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063489797 PECOS PAC ID: 6901702125 Enrollment ID: I20040329001648 |
| Provider Name | Timothy L Workman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003890278 PECOS PAC ID: 9335031673 Enrollment ID: I20040330000062 |
| Provider Name | Mehran Edalatpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548248347 PECOS PAC ID: 4789575648 Enrollment ID: I20040406000848 |
| Provider Name | Melanie E Plante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386721710 PECOS PAC ID: 3779576715 Enrollment ID: I20040406000871 |
| Provider Name | Philip H Rohde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285718668 PECOS PAC ID: 8123012721 Enrollment ID: I20040414000948 |
| Provider Name | Karl Klotzbuecher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780791210 PECOS PAC ID: 9133114598 Enrollment ID: I20040416000277 |
| Provider Name | George L Morris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295778629 PECOS PAC ID: 2769477975 Enrollment ID: I20040417000080 |
| Provider Name | David A Ferber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891772711 PECOS PAC ID: 3072501501 Enrollment ID: I20040504000698 |
| Provider Name | Anil Dogra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992788814 PECOS PAC ID: 6800889361 Enrollment ID: I20040505001635 |
| Provider Name | Wesley V Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598845646 PECOS PAC ID: 5294725065 Enrollment ID: I20040513001301 |
| Provider Name | Susan W Rusch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700864311 PECOS PAC ID: 3678555497 Enrollment ID: I20040604000721 |
| Provider Name | Kenneth E Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124059316 PECOS PAC ID: 3476536046 Enrollment ID: I20040612000663 |
| Provider Name | Beth E Abramson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922045996 PECOS PAC ID: 9537142104 Enrollment ID: I20040612000690 |
| Provider Name | Frederick F Origenes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720062250 PECOS PAC ID: 8022092519 Enrollment ID: I20040614000946 |
| Provider Name | Christopher J Withers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942221114 PECOS PAC ID: 2668456005 Enrollment ID: I20040615000347 |
| Provider Name | Gina A Buono |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467411546 PECOS PAC ID: 2163407370 Enrollment ID: I20040622000852 |
| Provider Name | Robert L Huxley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669412425 PECOS PAC ID: 4082698402 Enrollment ID: I20040628000651 |
| Provider Name | Omer Afzal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952393944 PECOS PAC ID: 4688651300 Enrollment ID: I20040701000308 |
| Provider Name | Eric M Dorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033192562 PECOS PAC ID: 2668459173 Enrollment ID: I20040702000071 |
| Provider Name | Chad J Stepke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093789315 PECOS PAC ID: 6204815954 Enrollment ID: I20040715001281 |
| Provider Name | Barry K Gimbel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093715856 PECOS PAC ID: 9931179991 Enrollment ID: I20040727001587 |
| Provider Name | Kamal S Muzaffar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174599500 PECOS PAC ID: 6709856172 Enrollment ID: I20040731000210 |
| Provider Name | Heather M Wells-holtey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447320403 PECOS PAC ID: 0941271647 Enrollment ID: I20040805000156 |
| Provider Name | John B Ester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063527547 PECOS PAC ID: 2668444613 Enrollment ID: I20040810000781 |
| Provider Name | Jason K Boudreau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518959378 PECOS PAC ID: 8426021718 Enrollment ID: I20040816000505 |
| Provider Name | Andrew Mcgown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912954017 PECOS PAC ID: 2365415551 Enrollment ID: I20040816001360 |
| Provider Name | Jacqueline M Irland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992760136 PECOS PAC ID: 3173435401 Enrollment ID: I20040823000436 |
| Provider Name | Jeffrey P Tushaus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801067814 PECOS PAC ID: 8022082221 Enrollment ID: I20040824000204 |
| Provider Name | Kenneth W Reichert |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619986130 PECOS PAC ID: 9830164326 Enrollment ID: I20040827001238 |
| Provider Name | Gregg E Moral |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871575407 PECOS PAC ID: 7517879661 Enrollment ID: I20040902001063 |
| Provider Name | Richard S Rozran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295717825 PECOS PAC ID: 9537071683 Enrollment ID: I20040902001087 |
| Provider Name | Cornelia M Riedl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407830623 PECOS PAC ID: 0446227037 Enrollment ID: I20040915000391 |
| Provider Name | Joseph P Regan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639116486 PECOS PAC ID: 0547238438 Enrollment ID: I20040921000251 |
| Provider Name | Mysore S Shivaram |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750318903 PECOS PAC ID: 1557339355 Enrollment ID: I20040922000253 |
| Provider Name | Mark L Leitschuh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336217066 PECOS PAC ID: 5890767537 Enrollment ID: I20040927000275 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487662060 PECOS PAC ID: 1052210762 Enrollment ID: I20040927000962 |
| Provider Name | Elizabeth L Tucker Sanfelippo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982694329 PECOS PAC ID: 5799676656 Enrollment ID: I20041004000842 |
| Provider Name | Sanjay Deshpande |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780786665 PECOS PAC ID: 9335033257 Enrollment ID: I20041005000018 |
| Provider Name | Scott A Schlidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063463719 PECOS PAC ID: 6608835145 Enrollment ID: I20041008000863 |
| Provider Name | John P Krebsbach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598704793 PECOS PAC ID: 2466430517 Enrollment ID: I20041014000044 |
| Provider Name | Masoud Ganji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861595910 PECOS PAC ID: 2466412408 Enrollment ID: I20041014000541 |
| Provider Name | Marcus T Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619056264 PECOS PAC ID: 8426019464 Enrollment ID: I20041022000327 |
| Provider Name | Jose C Mendez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013965482 PECOS PAC ID: 0941261887 Enrollment ID: I20041022001183 |
| Provider Name | Emad S Botros |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689621864 PECOS PAC ID: 3577524446 Enrollment ID: I20041026000430 |
| Provider Name | Cynthia A Rice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043292675 PECOS PAC ID: 0547172694 Enrollment ID: I20041104000420 |
| Provider Name | James G Linn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710983275 PECOS PAC ID: 5698738276 Enrollment ID: I20041104000866 |
| Provider Name | Lisa A Korban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932193638 PECOS PAC ID: 1557325776 Enrollment ID: I20041117000789 |
| Provider Name | Shireen A Jayne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942382775 PECOS PAC ID: 8426012444 Enrollment ID: I20041118000427 |
| Provider Name | John W Stech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184704108 PECOS PAC ID: 7719943000 Enrollment ID: I20041208000706 |
| Provider Name | Srutha Rajkumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801887914 PECOS PAC ID: 0345207957 Enrollment ID: I20041215000740 |
| Provider Name | Quentin J Mattern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003996158 PECOS PAC ID: 8325097769 Enrollment ID: I20050112001107 |
| Provider Name | Steve R Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275623993 PECOS PAC ID: 8527017789 Enrollment ID: I20050114000543 |
| Provider Name | Steven J Donatello |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1619950375 PECOS PAC ID: 8921091489 Enrollment ID: I20050124000049 |
| Provider Name | Floyd W Elftman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275656597 PECOS PAC ID: 6002866001 Enrollment ID: I20050127000468 |
| Provider Name | Danish Siddiqui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215987128 PECOS PAC ID: 0042262917 Enrollment ID: I20050218000539 |
| Provider Name | Djerrick Tan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124002654 PECOS PAC ID: 1557315991 Enrollment ID: I20050308001119 |
| Provider Name | Patricia Heywood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548377161 PECOS PAC ID: 4183678576 Enrollment ID: I20050309000171 |
| Provider Name | Brian S Hirano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770672818 PECOS PAC ID: 4284689365 Enrollment ID: I20050322000593 |
| Provider Name | Leandrea S Lamberton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588615322 PECOS PAC ID: 1557308954 Enrollment ID: I20050415000690 |
| Provider Name | Elmer G Lehman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1922114651 PECOS PAC ID: 0446290944 Enrollment ID: I20050504000388 |
| Provider Name | Randall L Dei |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487608329 PECOS PAC ID: 1456339506 Enrollment ID: I20050523000881 |
| Provider Name | Debra Berridge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194707968 PECOS PAC ID: 0749223402 Enrollment ID: I20050603000967 |
| Provider Name | John P Tomashek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013999564 PECOS PAC ID: 6103869284 Enrollment ID: I20050609000393 |
| Provider Name | Elizabeth K Shepler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043854474 PECOS PAC ID: 4284679341 Enrollment ID: I20050621000143 |
| Provider Name | Robert W Pachner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255376026 PECOS PAC ID: 0042256869 Enrollment ID: I20050701000559 |
| Provider Name | Karen F Lupa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144226614 PECOS PAC ID: 7719914647 Enrollment ID: I20050722000408 |
| Provider Name | Claude M Lataille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558448977 PECOS PAC ID: 0648207456 Enrollment ID: I20050725000082 |
| Provider Name | Nancy Suzanne Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245270362 PECOS PAC ID: 5799712519 Enrollment ID: I20050725000121 |
| Provider Name | Mark D Horneffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710928965 PECOS PAC ID: 3971530601 Enrollment ID: I20050725000295 |
| Provider Name | Daniel K Mui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154363364 PECOS PAC ID: 0446287189 Enrollment ID: I20050725000368 |
| Provider Name | Tara A Rakowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437105525 PECOS PAC ID: 3577591031 Enrollment ID: I20050727000467 |
| Provider Name | Renee Sinopoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972559060 PECOS PAC ID: 5799713269 Enrollment ID: I20050727000511 |
| Provider Name | Sophie K Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457307449 PECOS PAC ID: 2365470846 Enrollment ID: I20050727000670 |
| Provider Name | Evelyn E Burdick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942243464 PECOS PAC ID: 5799713095 Enrollment ID: I20050728000563 |
| Provider Name | Julie A Mickelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356347744 PECOS PAC ID: 1658300207 Enrollment ID: I20050804000603 |
| Provider Name | Linda C Tampa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730105750 PECOS PAC ID: 8527097757 Enrollment ID: I20050809000168 |
| Provider Name | Shauna M Leinbach |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497751952 PECOS PAC ID: 0042241424 Enrollment ID: I20050825000424 |
| Provider Name | Michael Swank |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912972878 PECOS PAC ID: 7416988464 Enrollment ID: I20050830000101 |
| Provider Name | Laurie A Kabins |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114900677 PECOS PAC ID: 0840221719 Enrollment ID: I20050830000974 |
| Provider Name | Michael Todd Tennier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922084615 PECOS PAC ID: 5799717393 Enrollment ID: I20050902000704 |
| Provider Name | Laura R Field |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174585582 PECOS PAC ID: 0244264786 Enrollment ID: I20050923000142 |
| Provider Name | Robert Lyon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457335614 PECOS PAC ID: 5890729081 Enrollment ID: I20050927000479 |
| Provider Name | Michael A Braun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154305316 PECOS PAC ID: 0941112080 Enrollment ID: I20050927000583 |
| Provider Name | Michal Md Krynicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114948486 PECOS PAC ID: 7618902420 Enrollment ID: I20050929001321 |
| Provider Name | Chafik Bengana |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881796001 PECOS PAC ID: 9436184108 Enrollment ID: I20050930000523 |
| Provider Name | Michael W Tetkoski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316994676 PECOS PAC ID: 0749205268 Enrollment ID: I20051013000142 |
| Provider Name | Mark A Lindstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760580096 PECOS PAC ID: 0840217386 Enrollment ID: I20051025000132 |
| Provider Name | James Volberding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629007125 PECOS PAC ID: 9537060975 Enrollment ID: I20051114000458 |
| Provider Name | Jose O Toledo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295767952 PECOS PAC ID: 1951321785 Enrollment ID: I20051123000062 |
| Provider Name | George M Lange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508898263 PECOS PAC ID: 0840210688 Enrollment ID: I20051123000082 |
| Provider Name | Abdul Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720010473 PECOS PAC ID: 7012937857 Enrollment ID: I20051123000089 |
| Provider Name | Mohammad N Fareed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841229044 PECOS PAC ID: 1557381399 Enrollment ID: I20051123000100 |
| Provider Name | Mark D Shewczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609809672 PECOS PAC ID: 1355361650 Enrollment ID: I20051201000485 |
| Provider Name | Jacqueline P Jahnke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356336945 PECOS PAC ID: 0941220065 Enrollment ID: I20051202000628 |
| Provider Name | Rakesh Waghray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124059969 PECOS PAC ID: 5597786509 Enrollment ID: I20051216000707 |
| Provider Name | Gary J Leo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336182237 PECOS PAC ID: 0143242099 Enrollment ID: I20051220000834 |
| Provider Name | Maurice W Chung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124042015 PECOS PAC ID: 4385636810 Enrollment ID: I20060201000487 |
| Provider Name | Diane R Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745487 PECOS PAC ID: 1456365048 Enrollment ID: I20060202000938 |
| Provider Name | Vincents Janis Dindzans |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437106606 PECOS PAC ID: 5597770586 Enrollment ID: I20060213000381 |
| Provider Name | E Ivey |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1568459212 PECOS PAC ID: 5799790614 Enrollment ID: I20060214000615 |
| Provider Name | Carlos J Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427098680 PECOS PAC ID: 4880663996 Enrollment ID: I20060330000057 |
| Provider Name | Mario Kapetsonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306833991 PECOS PAC ID: 1759399843 Enrollment ID: I20060331000152 |
| Provider Name | Kathleen R Moloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811956451 PECOS PAC ID: 1254349129 Enrollment ID: I20060404000396 |
| Provider Name | Pedro M Banda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033106877 PECOS PAC ID: 0446268338 Enrollment ID: I20060404000587 |
| Provider Name | Richard A Pircon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619966496 PECOS PAC ID: 8123037710 Enrollment ID: I20060410000404 |
| Provider Name | James E Talley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922162593 PECOS PAC ID: 0446269971 Enrollment ID: I20060412000041 |
| Provider Name | Kristi L Rupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366552846 PECOS PAC ID: 4789694787 Enrollment ID: I20060504000153 |
| Provider Name | Matthew F Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407801996 PECOS PAC ID: 9133130487 Enrollment ID: I20060526000078 |
| Provider Name | Don Suk Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336135375 PECOS PAC ID: 1456363894 Enrollment ID: I20060629000006 |
| Provider Name | Sheeba A Minhas-pannu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669425344 PECOS PAC ID: 6406869569 Enrollment ID: I20060713000318 |
| Provider Name | Mary S Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831127893 PECOS PAC ID: 6103839956 Enrollment ID: I20060720000167 |
| Provider Name | Allison M Ring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013969955 PECOS PAC ID: 0143233973 Enrollment ID: I20060724000023 |
| Provider Name | Timothy P Ripple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033161856 PECOS PAC ID: 7416950498 Enrollment ID: I20060811000163 |
| Provider Name | Nabeel M Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771069 PECOS PAC ID: 5597786681 Enrollment ID: I20060818000330 |
| Provider Name | Adrienne M Maurer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073567939 PECOS PAC ID: 7810992054 Enrollment ID: I20060922000138 |
| Provider Name | Agron S Ismaili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922093707 PECOS PAC ID: 9638106057 Enrollment ID: I20061003000136 |
| Provider Name | Brian-fred M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210594 PECOS PAC ID: 9032116082 Enrollment ID: I20061103000489 |
| Provider Name | Christopher E French |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841281474 PECOS PAC ID: 1254377534 Enrollment ID: I20061205000500 |
| Provider Name | Menachem H Graupe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518952563 PECOS PAC ID: 4880681691 Enrollment ID: I20061206000078 |
| Provider Name | Antoni J Gofron |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871501593 PECOS PAC ID: 4486653052 Enrollment ID: I20061208000057 |
| Provider Name | Suzanne M Wilkerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649297227 PECOS PAC ID: 8729088554 Enrollment ID: I20070102000016 |
| Provider Name | Andrew V Beykovsky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114036092 PECOS PAC ID: 4688675887 Enrollment ID: I20070130000407 |
| Provider Name | Jeffrey G Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457440919 PECOS PAC ID: 6709887110 Enrollment ID: I20070209000240 |
| Provider Name | David S Sandock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124015961 PECOS PAC ID: 2365545456 Enrollment ID: I20070309000384 |
| Provider Name | Daniel P Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235191511 PECOS PAC ID: 6709894678 Enrollment ID: I20070313000386 |
| Provider Name | James T Lipusch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548376726 PECOS PAC ID: 5991808933 Enrollment ID: I20070313000446 |
| Provider Name | Douglas E Puffer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366463267 PECOS PAC ID: 0143323840 Enrollment ID: I20070319000336 |
| Provider Name | James P Hurth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376534487 PECOS PAC ID: 6204939739 Enrollment ID: I20070321000285 |
| Provider Name | Timothy L Smykal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619976263 PECOS PAC ID: 7911001201 Enrollment ID: I20070326000444 |
| Provider Name | Steven R Ullrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871536482 PECOS PAC ID: 8426152745 Enrollment ID: I20070327000203 |
| Provider Name | John D Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962486498 PECOS PAC ID: 9739285446 Enrollment ID: I20070426000006 |
| Provider Name | John Broderick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508939976 PECOS PAC ID: 4688771587 Enrollment ID: I20070529000230 |
| Provider Name | Czarina A Helf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710016852 PECOS PAC ID: 1850499633 Enrollment ID: I20070601000044 |
| Provider Name | Rebecca L England |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457360869 PECOS PAC ID: 7214035500 Enrollment ID: I20070611000307 |
| Provider Name | Karl Sillay |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184734030 PECOS PAC ID: 0941309447 Enrollment ID: I20070625000397 |
| Provider Name | Sarfraz S Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801946462 PECOS PAC ID: 2860591278 Enrollment ID: I20070626000677 |
| Provider Name | Brett E Twente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194784629 PECOS PAC ID: 0749228419 Enrollment ID: I20070703000122 |
| Provider Name | Allen H Babbitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326022849 PECOS PAC ID: 7113028333 Enrollment ID: I20070718000438 |
| Provider Name | Dawn M Regner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437122652 PECOS PAC ID: 8022911130 Enrollment ID: I20070718000624 |
| Provider Name | Lawrence J Maciolek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811925381 PECOS PAC ID: 1355345653 Enrollment ID: I20070720000409 |
| Provider Name | Srihari R Ramanujam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568534824 PECOS PAC ID: 4486745304 Enrollment ID: I20070807000677 |
| Provider Name | John D Bivins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841230463 PECOS PAC ID: 4082706767 Enrollment ID: I20070827000178 |
| Provider Name | Kim A Merriman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881638724 PECOS PAC ID: 8921190521 Enrollment ID: I20070828000416 |
| Provider Name | William L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992747091 PECOS PAC ID: 1052403557 Enrollment ID: I20070828000475 |
| Provider Name | John J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013950922 PECOS PAC ID: 4385737303 Enrollment ID: I20070907000334 |
| Provider Name | Alysandra Lal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538127949 PECOS PAC ID: 0143314674 Enrollment ID: I20070914000405 |
| Provider Name | Deanna J Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619168226 PECOS PAC ID: 7911091228 Enrollment ID: I20070918000205 |
| Provider Name | Paul E Seifert |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609839406 PECOS PAC ID: 1254329592 Enrollment ID: I20071012000138 |
| Provider Name | Maria N Mendoza Lemes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598843021 PECOS PAC ID: 1759477136 Enrollment ID: I20071017000058 |
| Provider Name | James E Berman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821047283 PECOS PAC ID: 2062508401 Enrollment ID: I20071017000500 |
| Provider Name | Darcy S Jenkins Holick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255522389 PECOS PAC ID: 0143316380 Enrollment ID: I20071018000518 |
| Provider Name | Ryan J Kehoe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184675365 PECOS PAC ID: 4880694892 Enrollment ID: I20071025000011 |
| Provider Name | Jack E Maloney |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043272396 PECOS PAC ID: 3870680846 Enrollment ID: I20071107000720 |
| Provider Name | Tracy B Wandtke Herrmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003009010 PECOS PAC ID: 0042307019 Enrollment ID: I20071107000735 |
| Provider Name | Dima Adl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851365506 PECOS PAC ID: 3173547171 Enrollment ID: I20071109000591 |
| Provider Name | Annmarie D Wendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932394764 PECOS PAC ID: 8224127055 Enrollment ID: I20071203000082 |
| Provider Name | Sonya C. Rayan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134331978 PECOS PAC ID: 0648360230 Enrollment ID: I20071219000730 |
| Provider Name | Ann K Ledbetter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568642833 PECOS PAC ID: 7416047980 Enrollment ID: I20071220000439 |
| Provider Name | Gretchen E Durkin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790900900 PECOS PAC ID: 9032290713 Enrollment ID: I20080118000668 |
| Provider Name | Richard N Schmidt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518182724 PECOS PAC ID: 9638250319 Enrollment ID: I20080118000689 |
| Provider Name | Anthony J Linn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619056306 PECOS PAC ID: 4082796263 Enrollment ID: I20080126000098 |
| Provider Name | Michael J Mitchell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164501771 PECOS PAC ID: 1355423534 Enrollment ID: I20080126000103 |
| Provider Name | Deborah M Larkey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437238227 PECOS PAC ID: 6709968985 Enrollment ID: I20080126000107 |
| Provider Name | Charles H.i. Tiber |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750460200 PECOS PAC ID: 7517049794 Enrollment ID: I20080126000119 |
| Provider Name | Cynthia L Jones Nosacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760561518 PECOS PAC ID: 1153403332 Enrollment ID: I20080126000124 |
| Provider Name | Joanna E Galezowska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205905288 PECOS PAC ID: 7416039698 Enrollment ID: I20080126000128 |
| Provider Name | Mitchell G Carneol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205915105 PECOS PAC ID: 9436231628 Enrollment ID: I20080128000031 |
| Provider Name | Bruce E Rowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437197126 PECOS PAC ID: 2668554858 Enrollment ID: I20080128000075 |
| Provider Name | Michael P Fetherston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639130040 PECOS PAC ID: 9830271030 Enrollment ID: I20080128000090 |
| Provider Name | Michael F Johnstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982665394 PECOS PAC ID: 0547342743 Enrollment ID: I20080128000105 |
| Provider Name | Gregory J Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770524746 PECOS PAC ID: 0648352856 Enrollment ID: I20080128000184 |
| Provider Name | Jaime D Cabatingan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144406869 PECOS PAC ID: 7618059353 Enrollment ID: I20080202000016 |
| Provider Name | Jane A Novitzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508942541 PECOS PAC ID: 5799790960 Enrollment ID: I20080306000365 |
| Provider Name | David Hadcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861574691 PECOS PAC ID: 0143306712 Enrollment ID: I20080324000081 |
| Provider Name | Michael P Obrien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194777888 PECOS PAC ID: 1850477423 Enrollment ID: I20080324000106 |
| Provider Name | Joseph P Schwind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982641304 PECOS PAC ID: 6204913015 Enrollment ID: I20080403000272 |
| Provider Name | William F Digilio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669433058 PECOS PAC ID: 0547347288 Enrollment ID: I20080407000026 |
| Provider Name | Claudia Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891756466 PECOS PAC ID: 6507943826 Enrollment ID: I20080410000113 |
| Provider Name | Daniel T Kopesky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114034659 PECOS PAC ID: 9133206428 Enrollment ID: I20080410000722 |
| Provider Name | Ann E Markuson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023121266 PECOS PAC ID: 5698845022 Enrollment ID: I20080528000410 |
| Provider Name | Richard P Cattey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548294960 PECOS PAC ID: 5496826307 Enrollment ID: I20080620000276 |
| Provider Name | Kevin R Gee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710975289 PECOS PAC ID: 1052483575 Enrollment ID: I20080627000493 |
| Provider Name | Michael A Martella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194849398 PECOS PAC ID: 9335211390 Enrollment ID: I20080708000414 |
| Provider Name | Kevin S Packman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437159399 PECOS PAC ID: 8527060615 Enrollment ID: I20080709000061 |
| Provider Name | Soliven C Bautista |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669470134 PECOS PAC ID: 8325111651 Enrollment ID: I20080721000298 |
| Provider Name | Jayant V Hirpara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912165846 PECOS PAC ID: 5193899813 Enrollment ID: I20080729000676 |
| Provider Name | Yer Xiong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659442176 PECOS PAC ID: 8628079746 Enrollment ID: I20080811000575 |
| Provider Name | David Tennenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710189121 PECOS PAC ID: 3072688662 Enrollment ID: I20080815000489 |
| Provider Name | Mario N Ponticello |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134395734 PECOS PAC ID: 3274608351 Enrollment ID: I20080825000483 |
| Provider Name | Aaron Hendon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902922651 PECOS PAC ID: 5991899510 Enrollment ID: I20080825000609 |
| Provider Name | Oscar C Wille |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376738336 PECOS PAC ID: 2860568672 Enrollment ID: I20080902000416 |
| Provider Name | Andrea D Boeckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194882514 PECOS PAC ID: 2365518073 Enrollment ID: I20080903000664 |
| Provider Name | Ludmil Lazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285826404 PECOS PAC ID: 1254407729 Enrollment ID: I20080906000160 |
| Provider Name | Joshua D Liberman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265551196 PECOS PAC ID: 1355366402 Enrollment ID: I20080910000555 |
| Provider Name | Ekaterina V Soforo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700077054 PECOS PAC ID: 3072543784 Enrollment ID: I20081009000252 |
| Provider Name | Nazih J Yousif |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003085846 PECOS PAC ID: 3870651565 Enrollment ID: I20081024000271 |
| Provider Name | Lindsey A Sisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376705632 PECOS PAC ID: 7416015003 Enrollment ID: I20081027000317 |
| Provider Name | Anne M Lent |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1477630705 PECOS PAC ID: 7517909591 Enrollment ID: I20081027000839 |
| Provider Name | Katherine Loveless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972756492 PECOS PAC ID: 2961564695 Enrollment ID: I20081215000366 |
| Provider Name | Tina M Olander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427164995 PECOS PAC ID: 5395808141 Enrollment ID: I20090106000339 |
| Provider Name | Mary Kay Voegeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508017625 PECOS PAC ID: 1456414465 Enrollment ID: I20090116000096 |
| Provider Name | Denise M Grebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649423799 PECOS PAC ID: 9638232572 Enrollment ID: I20090120000415 |
| Provider Name | Jonathan H Berkoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679623326 PECOS PAC ID: 4688738107 Enrollment ID: I20090128000553 |
| Provider Name | Tara Renee Seleen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932365434 PECOS PAC ID: 6608931514 Enrollment ID: I20090210000139 |
| Provider Name | Anthony M Muchard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457536740 PECOS PAC ID: 5193872422 Enrollment ID: I20090402000360 |
| Provider Name | Dafaallah H Osman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619154432 PECOS PAC ID: 0345398665 Enrollment ID: I20090424000414 |
| Provider Name | Jennifer Rench |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013090455 PECOS PAC ID: 8628126893 Enrollment ID: I20090427000354 |
| Provider Name | Avi N Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972643252 PECOS PAC ID: 8729138383 Enrollment ID: I20090603000141 |
| Provider Name | Christine A Wynveen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659469096 PECOS PAC ID: 3971669516 Enrollment ID: I20090713000371 |
| Provider Name | Joshua D Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023139805 PECOS PAC ID: 6507945748 Enrollment ID: I20090714000269 |
| Provider Name | Burak K Gurses |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649231754 PECOS PAC ID: 5799713962 Enrollment ID: I20090722000775 |
| Provider Name | Kimberly Ann Tritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225269574 PECOS PAC ID: 2163576935 Enrollment ID: I20090812000750 |
| Provider Name | Om P Ahuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861563058 PECOS PAC ID: 9931253788 Enrollment ID: I20090813000619 |
| Provider Name | Stephanie A Momper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194899005 PECOS PAC ID: 4789739681 Enrollment ID: I20090828000147 |
| Provider Name | Varsha V Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225297856 PECOS PAC ID: 6305900234 Enrollment ID: I20090903000165 |
| Provider Name | Mary K Kautz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013152743 PECOS PAC ID: 4183779796 Enrollment ID: I20090903000449 |
| Provider Name | Thomas N Czarnecki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881769776 PECOS PAC ID: 7012063092 Enrollment ID: I20090916000183 |
| Provider Name | Karolyn Ivanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457337867 PECOS PAC ID: 2264460799 Enrollment ID: I20090917000294 |
| Provider Name | Maisha K Berry Hooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811076516 PECOS PAC ID: 6608922505 Enrollment ID: I20090917000563 |
| Provider Name | Audra L Felker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083947451 PECOS PAC ID: 1658417266 Enrollment ID: I20091013000605 |
| Provider Name | Vikram Gunnala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356414890 PECOS PAC ID: 5597704239 Enrollment ID: I20091013000617 |
| Provider Name | Shannon J Reinbold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912065855 PECOS PAC ID: 8325185614 Enrollment ID: I20091019000343 |
| Provider Name | Ranveer K Nand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831262534 PECOS PAC ID: 2769529494 Enrollment ID: I20091028000527 |
| Provider Name | Paul S Pienkos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508904186 PECOS PAC ID: 3173661279 Enrollment ID: I20091110000623 |
| Provider Name | Patricia Hago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770589202 PECOS PAC ID: 5890833933 Enrollment ID: I20091111000179 |
| Provider Name | Matthew J Schubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508987835 PECOS PAC ID: 2860530482 Enrollment ID: I20091118000606 |
| Provider Name | Kristina A Drehobl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629173893 PECOS PAC ID: 4183763618 Enrollment ID: I20091123000386 |
| Provider Name | Lisa A Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366611634 PECOS PAC ID: 3577604099 Enrollment ID: I20100106000460 |
| Provider Name | Sophos G Geroulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295820637 PECOS PAC ID: 4587705942 Enrollment ID: I20100107000073 |
| Provider Name | Francisca A Olmedo Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831204338 PECOS PAC ID: 0547301772 Enrollment ID: I20100109000083 |
| Provider Name | Francis X Ruzicka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104886902 PECOS PAC ID: 3577605989 Enrollment ID: I20100123000061 |
| Provider Name | Sami Roumani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306936414 PECOS PAC ID: 1658340021 Enrollment ID: I20100201000015 |
| Provider Name | John T Kroner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427052448 PECOS PAC ID: 6901869742 Enrollment ID: I20100308000212 |
| Provider Name | Lisa Haller |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245204858 PECOS PAC ID: 2466485776 Enrollment ID: I20100312000837 |
| Provider Name | Robert Stumpf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912925306 PECOS PAC ID: 4587799713 Enrollment ID: I20100312000838 |
| Provider Name | Vijay K Kantamneni |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1316997406 PECOS PAC ID: 4183759723 Enrollment ID: I20100320000277 |
| Provider Name | Lucy Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801975313 PECOS PAC ID: 2264567726 Enrollment ID: I20100323000323 |
| Provider Name | Robert Sharpe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588631329 PECOS PAC ID: 9234168139 Enrollment ID: I20100323000728 |
| Provider Name | Anne M Lipinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154354280 PECOS PAC ID: 4789711284 Enrollment ID: I20100414000580 |
| Provider Name | Channagatta R Triyambakaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578642856 PECOS PAC ID: 6002943040 Enrollment ID: I20100422000447 |
| Provider Name | Susan M Elrich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063675023 PECOS PAC ID: 9739238106 Enrollment ID: I20100514000837 |
| Provider Name | Gary P Fait |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700896933 PECOS PAC ID: 8224167341 Enrollment ID: I20100604000056 |
| Provider Name | Daniel F Jablonski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083647002 PECOS PAC ID: 8628108461 Enrollment ID: I20100604000923 |
| Provider Name | Brenda K Jenkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610301 PECOS PAC ID: 4688704448 Enrollment ID: I20100604001146 |
| Provider Name | Catherine V Aleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528147428 PECOS PAC ID: 5890825442 Enrollment ID: I20100609000325 |
| Provider Name | Andrew P Brayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104921360 PECOS PAC ID: 0547390619 Enrollment ID: I20100616000508 |
| Provider Name | Timothy R Enright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487688016 PECOS PAC ID: 3072644525 Enrollment ID: I20100626000359 |
| Provider Name | Abdul Bari Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740493063 PECOS PAC ID: 1153453550 Enrollment ID: I20100721000299 |
| Provider Name | Frederick Westreich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801814207 PECOS PAC ID: 2062544398 Enrollment ID: I20100721000719 |
| Provider Name | David B Kornreich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851386346 PECOS PAC ID: 8921076431 Enrollment ID: I20100803000648 |
| Provider Name | Janet B Goldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063438109 PECOS PAC ID: 6002940939 Enrollment ID: I20100814000066 |
| Provider Name | Carla J Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336226646 PECOS PAC ID: 2961536511 Enrollment ID: I20100818000051 |
| Provider Name | Guglielmo C Sala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548349046 PECOS PAC ID: 3678697851 Enrollment ID: I20100824001129 |
| Provider Name | Michael T Vonrueden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790870756 PECOS PAC ID: 4082739529 Enrollment ID: I20100921000450 |
| Provider Name | Jennifer A Minessale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649597519 PECOS PAC ID: 9436274990 Enrollment ID: I20100921000748 |
| Provider Name | Adam G King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932257623 PECOS PAC ID: 0244422384 Enrollment ID: I20101007001301 |
| Provider Name | Justin C Ngene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265637128 PECOS PAC ID: 0749472637 Enrollment ID: I20101011000686 |
| Provider Name | Armando Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205896669 PECOS PAC ID: 8527251552 Enrollment ID: I20101021001149 |
| Provider Name | Lynn M Stanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841380318 PECOS PAC ID: 8921291758 Enrollment ID: I20101025000702 |
| Provider Name | Amy M Sheldon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831274927 PECOS PAC ID: 5890738280 Enrollment ID: I20101026000851 |
| Provider Name | Daniel L Hettinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952411514 PECOS PAC ID: 2466554373 Enrollment ID: I20101028001094 |
| Provider Name | Ali Mahdavi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578628350 PECOS PAC ID: 3779517834 Enrollment ID: I20101101001528 |
| Provider Name | Thomas S Haas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821177973 PECOS PAC ID: 8820074222 Enrollment ID: I20101105000935 |
| Provider Name | Christopher King |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043228141 PECOS PAC ID: 8921073404 Enrollment ID: I20101112001229 |
| Provider Name | Craig Schulz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316938855 PECOS PAC ID: 6800782798 Enrollment ID: I20101122001150 |
| Provider Name | Sandeep R Ramanujam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770756678 PECOS PAC ID: 1052507548 Enrollment ID: I20101123000612 |
| Provider Name | Darcy L Lesniak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104859198 PECOS PAC ID: 8426047986 Enrollment ID: I20110105001058 |
| Provider Name | Jin S Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306043716 PECOS PAC ID: 8820287857 Enrollment ID: I20110106000688 |
| Provider Name | Andrew P Swietlik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700992666 PECOS PAC ID: 5890974620 Enrollment ID: I20110126000595 |
| Provider Name | Anita Thakur |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255434353 PECOS PAC ID: 9931389160 Enrollment ID: I20110204000879 |
| Provider Name | Rosemary S Presser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225032691 PECOS PAC ID: 6800076035 Enrollment ID: I20110204000933 |
| Provider Name | Kerry A Case |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780747923 PECOS PAC ID: 6406036359 Enrollment ID: I20110209000568 |
| Provider Name | John R Zandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104899798 PECOS PAC ID: 7012198302 Enrollment ID: I20110218000889 |
| Provider Name | Guillermo G Martinez Torres |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982710935 PECOS PAC ID: 3577583012 Enrollment ID: I20110221000593 |
| Provider Name | Camellia Eshoa Affi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942302971 PECOS PAC ID: 3274714449 Enrollment ID: I20110221000820 |
| Provider Name | Sharon A Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073778502 PECOS PAC ID: 7911188180 Enrollment ID: I20110221000913 |
| Provider Name | Joseph A Novak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376659292 PECOS PAC ID: 4284693631 Enrollment ID: I20110224000434 |
| Provider Name | Eric W Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215964374 PECOS PAC ID: 4385827328 Enrollment ID: I20110329000211 |
| Provider Name | Susan K Vandertie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023221660 PECOS PAC ID: 9537343280 Enrollment ID: I20110405000654 |
| Provider Name | Linda A Wright |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043334576 PECOS PAC ID: 8224212840 Enrollment ID: I20110406000405 |
| Provider Name | Lisa L Hanson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356560700 PECOS PAC ID: 9830373257 Enrollment ID: I20110409000052 |
| Provider Name | Bruce D Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225094790 PECOS PAC ID: 0244206597 Enrollment ID: I20110419000716 |
| Provider Name | Amy M Degueme |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548436371 PECOS PAC ID: 3274710405 Enrollment ID: I20110615000445 |
| Provider Name | Erika L Swanson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528268471 PECOS PAC ID: 6204014186 Enrollment ID: I20110623000442 |
| Provider Name | Helen R Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417288879 PECOS PAC ID: 5294913083 Enrollment ID: I20110627000243 |
| Provider Name | Mark D Rhyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679668750 PECOS PAC ID: 3072791524 Enrollment ID: I20110701000357 |
| Provider Name | Michael Keefe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073510004 PECOS PAC ID: 9739116286 Enrollment ID: I20110728000112 |
| Provider Name | Lisa M Speidel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255507034 PECOS PAC ID: 9739358300 Enrollment ID: I20110816000738 |
| Provider Name | Dawn A Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841136 PECOS PAC ID: 1850561242 Enrollment ID: I20110822000346 |
| Provider Name | Katherine N Burrows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942323878 PECOS PAC ID: 3476723586 Enrollment ID: I20110829000429 |
| Provider Name | Ashwin Uttam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891948089 PECOS PAC ID: 1153503396 Enrollment ID: I20111012000818 |
| Provider Name | Aaron Thornton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033370085 PECOS PAC ID: 3779658976 Enrollment ID: I20111017000713 |
| Provider Name | Sandra A Boerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093099269 PECOS PAC ID: 8527231000 Enrollment ID: I20111027000843 |
| Provider Name | Melissa A Kersten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316228620 PECOS PAC ID: 7719150689 Enrollment ID: I20111109000785 |
| Provider Name | Sharon M Maney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609953991 PECOS PAC ID: 7810162203 Enrollment ID: I20111214000087 |
| Provider Name | Deanna M Birling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316218225 PECOS PAC ID: 7113184821 Enrollment ID: I20120208000659 |
| Provider Name | Alicia Marie Broeren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538164132 PECOS PAC ID: 1658539358 Enrollment ID: I20120227000814 |
| Provider Name | Ivaylo I Hristov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255405320 PECOS PAC ID: 4486813029 Enrollment ID: I20120316000585 |
| Provider Name | Nathan D Glassman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255432696 PECOS PAC ID: 6709810047 Enrollment ID: I20120411000852 |
| Provider Name | Karen A Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407121676 PECOS PAC ID: 5698939593 Enrollment ID: I20120605000457 |
| Provider Name | Hardik C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376812941 PECOS PAC ID: 7113182908 Enrollment ID: I20120628000547 |
| Provider Name | Grace M Janik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871693176 PECOS PAC ID: 5496911638 Enrollment ID: I20120716000547 |
| Provider Name | Naveen Bilgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346482775 PECOS PAC ID: 4082870019 Enrollment ID: I20120719000354 |
| Provider Name | Deanna L Schultz Depies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164439816 PECOS PAC ID: 1456508902 Enrollment ID: I20120906000056 |
| Provider Name | Heather M Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982846960 PECOS PAC ID: 2769630359 Enrollment ID: I20120925000176 |
| Provider Name | Zlatina G Manov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477701639 PECOS PAC ID: 3072762251 Enrollment ID: I20121003000389 |
| Provider Name | Christopher E Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619140001 PECOS PAC ID: 6901055847 Enrollment ID: I20121009000338 |
| Provider Name | Jessica L Hoelzle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548433295 PECOS PAC ID: 9931358876 Enrollment ID: I20121009000415 |
| Provider Name | Rachel E Lochen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427313691 PECOS PAC ID: 6103076039 Enrollment ID: I20121030000317 |
| Provider Name | Abdullah A Fayyad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568466019 PECOS PAC ID: 4789645821 Enrollment ID: I20121204000205 |
| Provider Name | Tracy M Warmka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942557400 PECOS PAC ID: 8022260421 Enrollment ID: I20121211000420 |
| Provider Name | Nicholas A Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245294131 PECOS PAC ID: 1355239690 Enrollment ID: I20121218000363 |
| Provider Name | Kate M Ratajczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306199435 PECOS PAC ID: 5092968362 Enrollment ID: I20130117000241 |
| Provider Name | Kathy L O'bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871899641 PECOS PAC ID: 4385880301 Enrollment ID: I20130418000139 |
| Provider Name | Rudra P Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750539599 PECOS PAC ID: 5991859803 Enrollment ID: I20130424000479 |
| Provider Name | Nahdika A Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417218132 PECOS PAC ID: 2264678887 Enrollment ID: I20130425000676 |
| Provider Name | Ella T Jah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962739375 PECOS PAC ID: 6406092089 Enrollment ID: I20130426000569 |
| Provider Name | Tina K Dhaliwal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760703912 PECOS PAC ID: 7012154024 Enrollment ID: I20130511000073 |
| Provider Name | Anthony J Marquis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679898233 PECOS PAC ID: 0648410209 Enrollment ID: I20130703000250 |
| Provider Name | Adam E Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184913055 PECOS PAC ID: 6204076458 Enrollment ID: I20130711000214 |
| Provider Name | Adebowale Mofikoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275794422 PECOS PAC ID: 0143477166 Enrollment ID: I20130726000394 |
| Provider Name | Kathryn L Schmit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861644742 PECOS PAC ID: 7214178573 Enrollment ID: I20130729000830 |
| Provider Name | Jennifer A Moralez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669601241 PECOS PAC ID: 3678715562 Enrollment ID: I20130805000963 |
| Provider Name | Anushayanthan Alfred |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871765859 PECOS PAC ID: 2860639457 Enrollment ID: I20130806000510 |
| Provider Name | Amanda N Umnus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619311040 PECOS PAC ID: 1153564125 Enrollment ID: I20130823000975 |
| Provider Name | Ofonime O Essien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568783413 PECOS PAC ID: 1850534538 Enrollment ID: I20130828000279 |
| Provider Name | Alice Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770624629 PECOS PAC ID: 3173689643 Enrollment ID: I20130916000122 |
| Provider Name | James Gehl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700066800 PECOS PAC ID: 3375787138 Enrollment ID: I20130917000367 |
| Provider Name | Abby L Risse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487988432 PECOS PAC ID: 8325282023 Enrollment ID: I20130919000444 |
| Provider Name | Michael A Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366403743 PECOS PAC ID: 9234363433 Enrollment ID: I20131001000254 |
| Provider Name | Krishna Kottapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952678286 PECOS PAC ID: 4486888484 Enrollment ID: I20131007000296 |
| Provider Name | Tajdeep K Dhindsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992022081 PECOS PAC ID: 1052546694 Enrollment ID: I20131106001588 |
| Provider Name | Patricia G Wilhelme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134556889 PECOS PAC ID: 9638305113 Enrollment ID: I20131112001796 |
| Provider Name | Chris K Rokkas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508295841 PECOS PAC ID: 0042447195 Enrollment ID: I20131216001662 |
| Provider Name | Noa Holoshitz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730379017 PECOS PAC ID: 7214165943 Enrollment ID: I20140102000419 |
| Provider Name | Jennifer L Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043469414 PECOS PAC ID: 5294964185 Enrollment ID: I20140219001457 |
| Provider Name | Amanda J Mentjes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871914713 PECOS PAC ID: 1850521634 Enrollment ID: I20140221001013 |
| Provider Name | Laurie B Schaefgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174951115 PECOS PAC ID: 1355571837 Enrollment ID: I20140228001346 |
| Provider Name | Whitney L Weideman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972924660 PECOS PAC ID: 6901037357 Enrollment ID: I20140327001100 |
| Provider Name | Kellen C Gregori |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770872475 PECOS PAC ID: 7113150616 Enrollment ID: I20140508000556 |
| Provider Name | Silvia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20140509000902 |
| Provider Name | Anthony Kehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629225099 PECOS PAC ID: 5395918304 Enrollment ID: I20140521000689 |
| Provider Name | Linda M Bremberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073939039 PECOS PAC ID: 8224251046 Enrollment ID: I20140523001970 |
| Provider Name | Katherine O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922231075 PECOS PAC ID: 1254554900 Enrollment ID: I20140527000861 |
| Provider Name | Erik Stilp |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821272014 PECOS PAC ID: 8426101981 Enrollment ID: I20140604000021 |
| Provider Name | Katie R Hausmann |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952544702 PECOS PAC ID: 8921263393 Enrollment ID: I20140604000085 |
| Provider Name | George A Sisson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669763082 PECOS PAC ID: 1557584935 Enrollment ID: I20140604000470 |
| Provider Name | Laura W Oloughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588081913 PECOS PAC ID: 8123242443 Enrollment ID: I20140606000975 |
| Provider Name | Anand Pullapilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457647729 PECOS PAC ID: 6507080496 Enrollment ID: I20140616001885 |
| Provider Name | Anna M De La Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659650471 PECOS PAC ID: 2567686041 Enrollment ID: I20140624002367 |
| Provider Name | Tamara A Adducci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083939367 PECOS PAC ID: 6305061615 Enrollment ID: I20140630001360 |
| Provider Name | Naishalkumar B Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275880726 PECOS PAC ID: 0941426480 Enrollment ID: I20140718001495 |
| Provider Name | Jasna Coralic |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1528296753 PECOS PAC ID: 8325264021 Enrollment ID: I20140731002113 |
| Provider Name | Rashad H Khazi Syed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306018007 PECOS PAC ID: 5496816084 Enrollment ID: I20140804002178 |
| Provider Name | Robert R Grindell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962791608 PECOS PAC ID: 6507083649 Enrollment ID: I20140813000772 |
| Provider Name | Peter D Leo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376950931 PECOS PAC ID: 7315165909 Enrollment ID: I20140822001659 |
| Provider Name | Tristan Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275940769 PECOS PAC ID: 9931327855 Enrollment ID: I20140905001111 |
| Provider Name | Katie L Prucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376943803 PECOS PAC ID: 2365661337 Enrollment ID: I20140924001552 |
| Provider Name | Elizabeth Yardley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528370806 PECOS PAC ID: 6507091089 Enrollment ID: I20141002002461 |
| Provider Name | Katherine J Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124290952 PECOS PAC ID: 6103047170 Enrollment ID: I20141016002579 |
| Provider Name | Donna M Mullen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558557504 PECOS PAC ID: 9830311927 Enrollment ID: I20141104002847 |
| Provider Name | Stephanie L Breslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972904522 PECOS PAC ID: 3375765191 Enrollment ID: I20141112000269 |
| Provider Name | Richard P Thiede |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154421865 PECOS PAC ID: 5395712731 Enrollment ID: I20141201001644 |
| Provider Name | Brent Jones |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275777260 PECOS PAC ID: 3274788823 Enrollment ID: I20141215000402 |
| Provider Name | Margaret M Pearsall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023055910 PECOS PAC ID: 8022186584 Enrollment ID: I20150114000697 |
| Provider Name | Cheryl A Kaminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215325873 PECOS PAC ID: 5991029936 Enrollment ID: I20150121001543 |
| Provider Name | Dorisse M Nguimfack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422963 PECOS PAC ID: 1658504519 Enrollment ID: I20150223001076 |
| Provider Name | Dina W Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144643537 PECOS PAC ID: 0941430953 Enrollment ID: I20150306001692 |
| Provider Name | Kamekea Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235220302 PECOS PAC ID: 4789823550 Enrollment ID: I20150319001326 |
| Provider Name | Erin K Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205225125 PECOS PAC ID: 3779800123 Enrollment ID: I20150323001871 |
| Provider Name | Kristin M Shtulberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285966101 PECOS PAC ID: 0840416608 Enrollment ID: I20150331001597 |
| Provider Name | Dorothy A Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124241823 PECOS PAC ID: 8527385509 Enrollment ID: I20150401001014 |
| Provider Name | Ricardo Cortez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154340958 PECOS PAC ID: 4385713544 Enrollment ID: I20150404000034 |
| Provider Name | Charan Mungara |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1649423872 PECOS PAC ID: 9537339411 Enrollment ID: I20150420002267 |
| Provider Name | Amanda N Cooper |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588808562 PECOS PAC ID: 2466689740 Enrollment ID: I20150513001091 |
| Provider Name | Eoin P Gorman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881949907 PECOS PAC ID: 6305166919 Enrollment ID: I20150521002742 |
| Provider Name | Erica Berg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144421991 PECOS PAC ID: 3971772997 Enrollment ID: I20150602001559 |
| Provider Name | Rachel Loomans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295978344 PECOS PAC ID: 2365671922 Enrollment ID: I20150610001337 |
| Provider Name | Bradley R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023442654 PECOS PAC ID: 2264743335 Enrollment ID: I20150616000611 |
| Provider Name | Jennifer L Thickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093984692 PECOS PAC ID: 3779719091 Enrollment ID: I20150617001469 |
| Provider Name | Grant G Boschult |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346516820 PECOS PAC ID: 7012228026 Enrollment ID: I20150617002063 |
| Provider Name | Biana Kotlyar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023397668 PECOS PAC ID: 1759520687 Enrollment ID: I20150630000270 |
| Provider Name | Karina M Arkush |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659690741 PECOS PAC ID: 0840502449 Enrollment ID: I20150710001294 |
| Provider Name | Michael Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780945857 PECOS PAC ID: 7113143553 Enrollment ID: I20150715000650 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Nicolette E Deveneau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982877866 PECOS PAC ID: 4880857853 Enrollment ID: I20150727002802 |
| Provider Name | Tatyana T Radulovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871974964 PECOS PAC ID: 9638483035 Enrollment ID: I20150729008799 |
| Provider Name | Mohammed U Elahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528322674 PECOS PAC ID: 6002031028 Enrollment ID: I20150729010349 |
| Provider Name | Deborah E Pichler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497017057 PECOS PAC ID: 5193039360 Enrollment ID: I20150731015464 |
| Provider Name | Krunalbhai R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154697845 PECOS PAC ID: 9032423108 Enrollment ID: I20150803001563 |
| Provider Name | Andrew J Zane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477817351 PECOS PAC ID: 6709017387 Enrollment ID: I20150805006723 |
| Provider Name | Daniel Md Lemieux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902166044 PECOS PAC ID: 8729234778 Enrollment ID: I20150824000025 |
| Provider Name | Lindsay K Biddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487039707 PECOS PAC ID: 4385950195 Enrollment ID: I20150825002741 |
| Provider Name | Amrita Sikka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376770909 PECOS PAC ID: 5496061806 Enrollment ID: I20150831002534 |
| Provider Name | Jennifer Leber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528014057 PECOS PAC ID: 1153339403 Enrollment ID: I20150911000942 |
| Provider Name | Sarah A Snoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538543863 PECOS PAC ID: 7810204567 Enrollment ID: I20150914002083 |
| Provider Name | Abdul Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265679724 PECOS PAC ID: 6406048321 Enrollment ID: I20150915002549 |
| Provider Name | Jose Antony Paul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629219936 PECOS PAC ID: 7517138373 Enrollment ID: I20150918000427 |
| Provider Name | Emily A Murthy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386022895 PECOS PAC ID: 7416265046 Enrollment ID: I20151001001382 |
| Provider Name | Patricia K Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770968521 PECOS PAC ID: 3072821412 Enrollment ID: I20151005000174 |
| Provider Name | David T Miyama |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568443240 PECOS PAC ID: 7810064292 Enrollment ID: I20151102000557 |
| Provider Name | Eduardo E Delgado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780850008 PECOS PAC ID: 5698813848 Enrollment ID: I20151120001362 |
| Provider Name | Renee Marie Zimmermann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871810416 PECOS PAC ID: 6901121599 Enrollment ID: I20151123000541 |
| Provider Name | Jorge Ernesto Perez Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497041370 PECOS PAC ID: 3173824760 Enrollment ID: I20151228001104 |
| Provider Name | Karlee A Fahey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013381185 PECOS PAC ID: 3678874104 Enrollment ID: I20151229000346 |
| Provider Name | Dalia Shibeika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831486711 PECOS PAC ID: 3577877596 Enrollment ID: I20160126002487 |
| Provider Name | Anne C Kozuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972961365 PECOS PAC ID: 4789980616 Enrollment ID: I20160302002349 |
| Provider Name | Catherine M Bares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104285873 PECOS PAC ID: 6002113081 Enrollment ID: I20160318002111 |
| Provider Name | Daniel P. Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952477929 PECOS PAC ID: 8426235193 Enrollment ID: I20160411000667 |
| Provider Name | Rebecca A Bott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659732790 PECOS PAC ID: 0547559775 Enrollment ID: I20160511001904 |
| Provider Name | Waqas Sohail |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730389784 PECOS PAC ID: 4284804089 Enrollment ID: I20160602000363 |
| Provider Name | Yao Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346566734 PECOS PAC ID: 2264747187 Enrollment ID: I20160608001245 |
| Provider Name | Mitch D Hulbert |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518307248 PECOS PAC ID: 7517258759 Enrollment ID: I20160620001220 |
| Provider Name | Manan S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083920698 PECOS PAC ID: 4486896842 Enrollment ID: I20160622000923 |
| Provider Name | Joseph J Zechlinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447575402 PECOS PAC ID: 2769773753 Enrollment ID: I20160622001349 |
| Provider Name | Bret J. Valentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659536969 PECOS PAC ID: 5092028167 Enrollment ID: I20160705001009 |
| Provider Name | Ryan W Berg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073803391 PECOS PAC ID: 1052630589 Enrollment ID: I20160706000290 |
| Provider Name | Tejwant Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841433638 PECOS PAC ID: 7911147772 Enrollment ID: I20160707000743 |
| Provider Name | Carlos R Galvao Sobrinho |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073936274 PECOS PAC ID: 7315239167 Enrollment ID: I20160714001594 |
| Provider Name | Vipul S Bodar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073903803 PECOS PAC ID: 6709179369 Enrollment ID: I20160721000039 |
| Provider Name | Hongmei Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780972364 PECOS PAC ID: 7517251390 Enrollment ID: I20160803000000 |
| Provider Name | J. Rod Gimbel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932199627 PECOS PAC ID: 2961484837 Enrollment ID: I20160803002593 |
| Provider Name | Katherine M Troy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992978050 PECOS PAC ID: 0840584918 Enrollment ID: I20160811002621 |
| Provider Name | Chelsea L Holtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306280276 PECOS PAC ID: 9739408113 Enrollment ID: I20160816000604 |
| Provider Name | Michelle M Kosmalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427491992 PECOS PAC ID: 0547555393 Enrollment ID: I20160818001746 |
| Provider Name | Tracy L Donahue |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114230935 PECOS PAC ID: 1951520220 Enrollment ID: I20160830001547 |
| Provider Name | Kathleen E Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164978581 PECOS PAC ID: 1658669551 Enrollment ID: I20161010000385 |
| Provider Name | Suleman Akbar Umar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568789485 PECOS PAC ID: 1456649102 Enrollment ID: I20161012000580 |
| Provider Name | Gerald J Nora |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083980841 PECOS PAC ID: 7517247281 Enrollment ID: I20161215001118 |
| Provider Name | Marie M Tamanji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073963773 PECOS PAC ID: 3375829369 Enrollment ID: I20170405001275 |
| Provider Name | Nenoi Umeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467744730 PECOS PAC ID: 4082990882 Enrollment ID: I20170410002182 |
| Provider Name | Kelly Devous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710359047 PECOS PAC ID: 8527346196 Enrollment ID: I20170411001851 |
| Provider Name | Elizabeth M Arnold |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093248213 PECOS PAC ID: 6901182468 Enrollment ID: I20170417002109 |
| Provider Name | Sarah E Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638212 PECOS PAC ID: 6305123159 Enrollment ID: I20170503001223 |
| Provider Name | Janet R Rewasiewicz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780994293 PECOS PAC ID: 0749557452 Enrollment ID: I20170601000454 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Jason Mcmaster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184990178 PECOS PAC ID: 3678892775 Enrollment ID: I20170628000995 |
| Provider Name | Brian P Curtin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1093001851 PECOS PAC ID: 0547487837 Enrollment ID: I20170706001075 |
| Provider Name | John Trimberger |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649616335 PECOS PAC ID: 3072813898 Enrollment ID: I20170727003704 |
| Provider Name | Jessica Lenaghan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053738906 PECOS PAC ID: 8022317395 Enrollment ID: I20170808003926 |
| Provider Name | Jeffrey P Stein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750701223 PECOS PAC ID: 0345523098 Enrollment ID: I20170911000860 |
| Provider Name | Syed M Qadri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376550806 PECOS PAC ID: 9436045655 Enrollment ID: I20170911001311 |
| Provider Name | Hani Y Hasan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861791014 PECOS PAC ID: 7810216207 Enrollment ID: I20170920002698 |
| Provider Name | Jodi Dykstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306866066 PECOS PAC ID: 9537162292 Enrollment ID: I20170927001673 |
| Provider Name | Benjamin Eppinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962815860 PECOS PAC ID: 8820214588 Enrollment ID: I20170927001830 |
| Provider Name | Usonwanne U Ibekwe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730509639 PECOS PAC ID: 4082989199 Enrollment ID: I20170928003388 |
| Provider Name | Harsimran Singh Sekhon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659788123 PECOS PAC ID: 4587935838 Enrollment ID: I20171005003123 |
| Provider Name | Elise C Mossallati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841436987 PECOS PAC ID: 1850429408 Enrollment ID: I20171009001682 |
| Provider Name | Mousa Matar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992116982 PECOS PAC ID: 2567737026 Enrollment ID: I20171009003016 |
| Provider Name | Erika L Konkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447593587 PECOS PAC ID: 2264751387 Enrollment ID: I20171013002016 |
| Provider Name | Pooja Madan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972732170 PECOS PAC ID: 0143596965 Enrollment ID: I20171024000255 |
| Provider Name | Laura R Toppen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326563495 PECOS PAC ID: 8729354360 Enrollment ID: I20171025002787 |
| Provider Name | Carissa Aboubakare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497206916 PECOS PAC ID: 2466728043 Enrollment ID: I20171026000904 |
| Provider Name | Amanda Jean Stokke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275061731 PECOS PAC ID: 7911273487 Enrollment ID: I20171027001671 |
| Provider Name | Jill Litkowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437677473 PECOS PAC ID: 5395001366 Enrollment ID: I20171107002243 |
| Provider Name | Charles R Spelich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811334675 PECOS PAC ID: 8921221888 Enrollment ID: I20171117002413 |
| Provider Name | Kathryn Anne Sarnoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275876864 PECOS PAC ID: 0345546594 Enrollment ID: I20171120002317 |
| Provider Name | Devarsh Murthy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356864276 PECOS PAC ID: 3779840418 Enrollment ID: I20171205001077 |
| Provider Name | Laura L Grover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871999003 PECOS PAC ID: 9436478476 Enrollment ID: I20171213000533 |
| Provider Name | Eric Klinedinst |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902347123 PECOS PAC ID: 7719257559 Enrollment ID: I20171218003275 |
| Provider Name | Mark R Staszkiewicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417914524 PECOS PAC ID: 6800154634 Enrollment ID: I20171227000933 |
| Provider Name | Michele M Mastalarz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851668669 PECOS PAC ID: 4688935851 Enrollment ID: I20180305000100 |
| Provider Name | Rachel Treuting |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396989257 PECOS PAC ID: 6709024417 Enrollment ID: I20180313002338 |
| Provider Name | Joshua X Condado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861900201 PECOS PAC ID: 2961764287 Enrollment ID: I20180327001396 |
| Provider Name | Jillian E Stancevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033615786 PECOS PAC ID: 7719240951 Enrollment ID: I20180420001786 |
| Provider Name | Kristina Bolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831691831 PECOS PAC ID: 7113280231 Enrollment ID: I20180424000582 |
| Provider Name | Katherine M Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376720359 PECOS PAC ID: 3476879990 Enrollment ID: I20180514001430 |
| Provider Name | Robert A Rawski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598148058 PECOS PAC ID: 2567727712 Enrollment ID: I20180517002305 |
| Provider Name | Ikechukwu Ibekwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568859320 PECOS PAC ID: 1254630163 Enrollment ID: I20180521000661 |
| Provider Name | Jennifer Marie Jamison |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265827562 PECOS PAC ID: 0446515415 Enrollment ID: I20180521003207 |
| Provider Name | Elton Mustafaraj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396009072 PECOS PAC ID: 6901127851 Enrollment ID: I20180611000813 |
| Provider Name | Joseph Roel Reyes |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1528054947 PECOS PAC ID: 3173597879 Enrollment ID: I20180611002876 |
| Provider Name | Zachary C Beth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578959623 PECOS PAC ID: 6204181662 Enrollment ID: I20180626002605 |
| Provider Name | Amy Lynn Bohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932690880 PECOS PAC ID: 0244586063 Enrollment ID: I20180710001784 |
| Provider Name | Sarah B Jelinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659872984 PECOS PAC ID: 9830445550 Enrollment ID: I20180710002471 |
| Provider Name | Brad Ryan Stair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275775488 PECOS PAC ID: 2860718475 Enrollment ID: I20180731000391 |
| Provider Name | Chioma Ezeani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134402670 PECOS PAC ID: 7618196478 Enrollment ID: I20180811000158 |
| Provider Name | Leo Taiberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457346322 PECOS PAC ID: 4981515541 Enrollment ID: I20180811000236 |
| Provider Name | Daniel J Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437545670 PECOS PAC ID: 1557610151 Enrollment ID: I20180815000494 |
| Provider Name | Harrison M Gimbel |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1184042723 PECOS PAC ID: 7012217078 Enrollment ID: I20180817001220 |
| Provider Name | Erin Quasney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689167694 PECOS PAC ID: 4981953866 Enrollment ID: I20180827001793 |
| Provider Name | Teresa A Gonzaga |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073776928 PECOS PAC ID: 1456522812 Enrollment ID: I20180828003391 |
| Provider Name | Lindsay M Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427536911 PECOS PAC ID: 5395095913 Enrollment ID: I20180831001541 |
| Provider Name | Nisha Y Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548656663 PECOS PAC ID: 5496005035 Enrollment ID: I20180901000016 |
| Provider Name | Robert Michael Kitsis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336534403 PECOS PAC ID: 0941577092 Enrollment ID: I20180905000888 |
| Provider Name | Michael Leechun Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265871032 PECOS PAC ID: 1557661089 Enrollment ID: I20180918001256 |
| Provider Name | Alison H Stoffer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568784817 PECOS PAC ID: 2163615741 Enrollment ID: I20180928001146 |
| Provider Name | Zeenath Asma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023277928 PECOS PAC ID: 4587730007 Enrollment ID: I20181016000461 |
| Provider Name | Thea A Chojnacki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689157638 PECOS PAC ID: 0244583698 Enrollment ID: I20181101000065 |
| Provider Name | Lourdes Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174099063 PECOS PAC ID: 2860736790 Enrollment ID: I20181204002808 |
| Provider Name | Chaksau C Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851774822 PECOS PAC ID: 1052655610 Enrollment ID: I20181207002325 |
| Provider Name | Suren Ravuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104063536 PECOS PAC ID: 2860647682 Enrollment ID: I20181210001581 |
| Provider Name | Eman Wja Jammali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508249681 PECOS PAC ID: 6709193477 Enrollment ID: I20181213001851 |
| Provider Name | Hoda K Elzawahry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972791002 PECOS PAC ID: 4183751241 Enrollment ID: I20181218001546 |
| Provider Name | Arnaldo Efrain Velez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427242536 PECOS PAC ID: 3870736176 Enrollment ID: I20181218002398 |
| Provider Name | Jarett Edward Roseberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093230088 PECOS PAC ID: 3072879188 Enrollment ID: I20181226000236 |
| Provider Name | Nicole Viccari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346224839 PECOS PAC ID: 8628218476 Enrollment ID: I20190104001782 |
| Provider Name | Lindsay M Witkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730659343 PECOS PAC ID: 9931445210 Enrollment ID: I20190108000273 |
| Provider Name | Leah M Blakeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518439033 PECOS PAC ID: 8022354844 Enrollment ID: I20190115001637 |
| Provider Name | Althea Danae Dykiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598248734 PECOS PAC ID: 1658615653 Enrollment ID: I20190115002418 |
| Provider Name | Arti R Muralidhara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245496678 PECOS PAC ID: 1951536333 Enrollment ID: I20190222001252 |
| Provider Name | Adam Bryant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593165 PECOS PAC ID: 0749532489 Enrollment ID: I20190226002589 |
| Provider Name | Gina Marie Hubacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477026185 PECOS PAC ID: 7719226620 Enrollment ID: I20190311001188 |
| Provider Name | Mahendra Ghanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861656548 PECOS PAC ID: 3870764582 Enrollment ID: I20190313001240 |
| Provider Name | Megan Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497228274 PECOS PAC ID: 9234479973 Enrollment ID: I20190316000081 |
| Provider Name | John J Alarcon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184663494 PECOS PAC ID: 3072416239 Enrollment ID: I20190402001822 |
| Provider Name | Jonathan P Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043232879 PECOS PAC ID: 3870596018 Enrollment ID: I20190402002206 |
| Provider Name | Paul C. Nau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538109103 PECOS PAC ID: 9537156781 Enrollment ID: I20190416000163 |
| Provider Name | Jeffrey Todd Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336189521 PECOS PAC ID: 8325032287 Enrollment ID: I20190416000707 |
| Provider Name | Dana N Bonaminio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659606788 PECOS PAC ID: 9032355870 Enrollment ID: I20190416002548 |
| Provider Name | Amer A Haque |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760672026 PECOS PAC ID: 8022259258 Enrollment ID: I20190416002766 |
| Provider Name | Michael S Metzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912953555 PECOS PAC ID: 5395735567 Enrollment ID: I20190416003115 |
| Provider Name | Michael James Spellman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336188457 PECOS PAC ID: 7618870866 Enrollment ID: I20190416003223 |
| Provider Name | Matthew Renaud Bernhard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073773982 PECOS PAC ID: 3476781261 Enrollment ID: I20190423000191 |
| Provider Name | Daniel J Wunder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457306565 PECOS PAC ID: 2163488545 Enrollment ID: I20190423000452 |
| Provider Name | Melinda Rixey Sava |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013184340 PECOS PAC ID: 8729255831 Enrollment ID: I20190423001942 |
| Provider Name | Viraj K Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134321235 PECOS PAC ID: 5496895898 Enrollment ID: I20190424001030 |
| Provider Name | Brett L Thorstad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568417772 PECOS PAC ID: 5597668749 Enrollment ID: I20190425000108 |
| Provider Name | Tahir Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548577182 PECOS PAC ID: 4385879014 Enrollment ID: I20190430000648 |
| Provider Name | Alexandra Cristina Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790292225 PECOS PAC ID: 5991047417 Enrollment ID: I20190503000472 |
| Provider Name | Jack Michael Friday |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700825940 PECOS PAC ID: 5991606725 Enrollment ID: I20190509000174 |
| Provider Name | Adam Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801117585 PECOS PAC ID: 4486883014 Enrollment ID: I20190509000180 |
| Provider Name | James Centre King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164461315 PECOS PAC ID: 7214927474 Enrollment ID: I20190509000849 |
| Provider Name | Michael R Couden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750320966 PECOS PAC ID: 1850344706 Enrollment ID: I20190509001003 |
| Provider Name | Kevin Patrick Cunneely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356389597 PECOS PAC ID: 9830100767 Enrollment ID: I20190509001143 |
| Provider Name | Robert Stanley Burcham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942254883 PECOS PAC ID: 7012958218 Enrollment ID: I20190509001188 |
| Provider Name | Michael C Cian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902845118 PECOS PAC ID: 7810899499 Enrollment ID: I20190509001226 |
| Provider Name | Steven Michael Blount |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386683118 PECOS PAC ID: 7315850617 Enrollment ID: I20190521002500 |
| Provider Name | John Raseman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730529561 PECOS PAC ID: 2567752678 Enrollment ID: I20190522001323 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Daniel Knapp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629413927 PECOS PAC ID: 3274826128 Enrollment ID: I20190522001491 |
| Provider Name | Joe M Maccurdy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326093345 PECOS PAC ID: 7214993690 Enrollment ID: I20190529000905 |
| Provider Name | Michael J Levitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649219742 PECOS PAC ID: 2365432549 Enrollment ID: I20190529001855 |
| Provider Name | George W. Dehoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588807606 PECOS PAC ID: 5698911311 Enrollment ID: I20190530001442 |
| Provider Name | Joshua Bonis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225478159 PECOS PAC ID: 5092048371 Enrollment ID: I20190603000433 |
| Provider Name | Stephen M Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184990574 PECOS PAC ID: 9830466101 Enrollment ID: I20190605001902 |
| Provider Name | Byard Edwards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609898808 PECOS PAC ID: 2466551502 Enrollment ID: I20190605002550 |
| Provider Name | Iantha Lucille Harney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851339634 PECOS PAC ID: 9830132869 Enrollment ID: I20190606000566 |
| Provider Name | Adam Henry Romeiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558527044 PECOS PAC ID: 2365576055 Enrollment ID: I20190617000823 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20190617001176 |
| Provider Name | Jeanne Nizigiye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598833253 PECOS PAC ID: 1658268768 Enrollment ID: I20190618001522 |
| Provider Name | Krista T Shorey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952852477 PECOS PAC ID: 5890076384 Enrollment ID: I20190627000104 |
| Provider Name | Manish Y Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205070851 PECOS PAC ID: 5991944068 Enrollment ID: I20190627000211 |
| Provider Name | Steven Thomas Shaba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396909255 PECOS PAC ID: 4284804022 Enrollment ID: I20190627000604 |
| Provider Name | Andrew R Hutchens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215257670 PECOS PAC ID: 5698081966 Enrollment ID: I20190627000833 |
| Provider Name | Jeffrey Michael Huggett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447299698 PECOS PAC ID: 5092618256 Enrollment ID: I20190627001040 |
| Provider Name | Jose Javier Pratts Emanuelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629249891 PECOS PAC ID: 9335303320 Enrollment ID: I20190627001192 |
| Provider Name | Arpana Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285668624 PECOS PAC ID: 1456399609 Enrollment ID: I20190703000106 |
| Provider Name | Vineet S Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508804337 PECOS PAC ID: 5597710863 Enrollment ID: I20190703000357 |
| Provider Name | Gabriel Edward Starace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992960298 PECOS PAC ID: 1052557907 Enrollment ID: I20190703001206 |
| Provider Name | Elliot H Himmelfarb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710932017 PECOS PAC ID: 2961309919 Enrollment ID: I20190703002009 |
| Provider Name | Subhankar Samal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235368358 PECOS PAC ID: 8022250463 Enrollment ID: I20190705000052 |
| Provider Name | Keely Bornor Browning |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144676727 PECOS PAC ID: 0446542062 Enrollment ID: I20190708000441 |
| Provider Name | Kelly Payne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588173199 PECOS PAC ID: 7517292972 Enrollment ID: I20190709000112 |
| Provider Name | Sasanka Nishani Jayasuriya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891014148 PECOS PAC ID: 9436337565 Enrollment ID: I20190709001249 |
| Provider Name | Marc G Soble |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003862566 PECOS PAC ID: 1951204114 Enrollment ID: I20190709003020 |
| Provider Name | Timothy Leupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760760474 PECOS PAC ID: 3072749068 Enrollment ID: I20190711001000 |
| Provider Name | Chizoba Ezepue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568802148 PECOS PAC ID: 1850666520 Enrollment ID: I20190716000021 |
| Provider Name | Cadie Leigh Roszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659936169 PECOS PAC ID: 9133454754 Enrollment ID: I20190718000438 |
| Provider Name | Katsiaryna Frantskevich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801280284 PECOS PAC ID: 0941513618 Enrollment ID: I20190723002565 |
| Provider Name | Ajith R Susai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992250419 PECOS PAC ID: 9830425081 Enrollment ID: I20190725000574 |
| Provider Name | Neal James Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114371721 PECOS PAC ID: 4082940200 Enrollment ID: I20190725003079 |
| Provider Name | Khurram Nazir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619261252 PECOS PAC ID: 1951615871 Enrollment ID: I20190729001665 |
| Provider Name | Andrew D Clithero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639528037 PECOS PAC ID: 0941567028 Enrollment ID: I20190731002137 |
| Provider Name | Merin Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114371176 PECOS PAC ID: 9032401518 Enrollment ID: I20190805001663 |
| Provider Name | Lena R Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699125385 PECOS PAC ID: 4688901135 Enrollment ID: I20190807001293 |
| Provider Name | Luna Younan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588026587 PECOS PAC ID: 6002143435 Enrollment ID: I20190808000874 |
| Provider Name | Sheila S Bhat |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982090817 PECOS PAC ID: 9537496799 Enrollment ID: I20190809002080 |
| Provider Name | Sean Samuel Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548624885 PECOS PAC ID: 3274871595 Enrollment ID: I20190809002081 |
| Provider Name | Kaitlyn E Schneck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508252354 PECOS PAC ID: 2567711047 Enrollment ID: I20190814000221 |
| Provider Name | Michael Aaron Parish |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407953425 PECOS PAC ID: 7517851009 Enrollment ID: I20190820004012 |
| Provider Name | Mitchell S Felder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891767042 PECOS PAC ID: 7911978226 Enrollment ID: I20190829002044 |
| Provider Name | Mary Maureen Boren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881008738 PECOS PAC ID: 2264738293 Enrollment ID: I20190903000612 |
| Provider Name | Krista M Jelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912559451 PECOS PAC ID: 9739418427 Enrollment ID: I20190905000892 |
| Provider Name | Linda P Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154978310 PECOS PAC ID: 9234468554 Enrollment ID: I20190912000694 |
| Provider Name | Melody R Socha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427610740 PECOS PAC ID: 9436488657 Enrollment ID: I20190912001057 |
| Provider Name | Sarada Y Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962851972 PECOS PAC ID: 5890088066 Enrollment ID: I20190912002343 |
| Provider Name | Elizabeth W Dzwonczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427411875 PECOS PAC ID: 6800158874 Enrollment ID: I20190916000034 |
| Provider Name | Margaret Ann Knezevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801184288 PECOS PAC ID: 7810226909 Enrollment ID: I20190916002076 |
| Provider Name | Aisha Batool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356698229 PECOS PAC ID: 1850606914 Enrollment ID: I20190916002147 |
| Provider Name | Faith C Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649294869 PECOS PAC ID: 0446255475 Enrollment ID: I20190918002699 |
| Provider Name | Neal Weston Langdon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376986828 PECOS PAC ID: 3678875283 Enrollment ID: I20190919001468 |
| Provider Name | Abby Lauren Kosmoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689224735 PECOS PAC ID: 9830420520 Enrollment ID: I20191010001406 |
| Provider Name | Victoria E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134574643 PECOS PAC ID: 7012202849 Enrollment ID: I20191011002143 |
| Provider Name | Vanita Mishra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295831618 PECOS PAC ID: 3072500693 Enrollment ID: I20191024000974 |
| Provider Name | Kimberly Anne Tuggle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295376937 PECOS PAC ID: 1557693140 Enrollment ID: I20191031001584 |
| Provider Name | Aja Nicole Aviles-soto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609426956 PECOS PAC ID: 4789916206 Enrollment ID: I20191101000032 |
| Provider Name | Josepha-pearl A Immanuel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578853586 PECOS PAC ID: 3870721764 Enrollment ID: I20191104000678 |
| Provider Name | Roya E Gandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023665924 PECOS PAC ID: 1658703830 Enrollment ID: I20191108000314 |
| Provider Name | Thomas D Ilic |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912438417 PECOS PAC ID: 3870925704 Enrollment ID: I20191204000537 |
| Provider Name | Jessica A Mauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164063996 PECOS PAC ID: 9032543442 Enrollment ID: I20191218000125 |
| Provider Name | Lense Tessema Duresso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578008991 PECOS PAC ID: 4284068958 Enrollment ID: I20200106001630 |
| Provider Name | Abbey Beck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083251631 PECOS PAC ID: 5092140038 Enrollment ID: I20200121000609 |
| Provider Name | Melanie Hope Scharrer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912385238 PECOS PAC ID: 7911217492 Enrollment ID: I20200130000774 |
| Provider Name | Christine E Pentek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821566464 PECOS PAC ID: 6103252564 Enrollment ID: I20200203000861 |
| Provider Name | Emily E Lombard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073837332 PECOS PAC ID: 9537355433 Enrollment ID: I20200203001543 |
| Provider Name | Tareq Kass-hout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144513359 PECOS PAC ID: 4880910512 Enrollment ID: I20200214001550 |
| Provider Name | Bradley L Abramson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477756484 PECOS PAC ID: 1153493556 Enrollment ID: I20200318000306 |
| Provider Name | Vivek Rajani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912393091 PECOS PAC ID: 5890084859 Enrollment ID: I20200330000790 |
| Provider Name | Hun Hee Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957987 PECOS PAC ID: 7416386149 Enrollment ID: I20200401001476 |
| Provider Name | Mohamed Shaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194248914 PECOS PAC ID: 1557633203 Enrollment ID: I20200528000875 |
| Provider Name | Kai San Edie Cheung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518377340 PECOS PAC ID: 2769718329 Enrollment ID: I20200604002898 |
| Provider Name | Jessica M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497380778 PECOS PAC ID: 2264853977 Enrollment ID: I20200605000282 |
| Provider Name | Tracy M Jaglinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821627886 PECOS PAC ID: 0941621361 Enrollment ID: I20200610001752 |
| Provider Name | Rishi Kora |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053708511 PECOS PAC ID: 8527377985 Enrollment ID: I20200630000430 |
| Provider Name | Ali Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861929580 PECOS PAC ID: 9537430046 Enrollment ID: I20200715000862 |
| Provider Name | Rebecca Joy Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760910608 PECOS PAC ID: 7113290693 Enrollment ID: I20200716000704 |
| Provider Name | Lucian G Dorneanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922539790 PECOS PAC ID: 9931430352 Enrollment ID: I20200716001557 |
| Provider Name | Lucy Lu-weinlander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952721045 PECOS PAC ID: 6204251697 Enrollment ID: I20200731002895 |
| Provider Name | Edward Chi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639617665 PECOS PAC ID: 9335419340 Enrollment ID: I20200811003234 |
| Provider Name | Charles H Fehring |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841618774 PECOS PAC ID: 6305262015 Enrollment ID: I20200812001579 |
| Provider Name | Eben Eno Mbei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740698554 PECOS PAC ID: 7113204637 Enrollment ID: I20200814000581 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306363940 PECOS PAC ID: 3577989094 Enrollment ID: I20200814000850 |
| Provider Name | Lydia R Assioun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487049128 PECOS PAC ID: 4183926546 Enrollment ID: I20200814001440 |
| Provider Name | Shawn S Shukla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235592619 PECOS PAC ID: 7719261585 Enrollment ID: I20200814002639 |
| Provider Name | Eugene Kligman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265872998 PECOS PAC ID: 2567602691 Enrollment ID: I20200818002607 |
| Provider Name | Kathryn A Kaminski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811429459 PECOS PAC ID: 8224366018 Enrollment ID: I20200819004003 |
| Provider Name | Maria Olex |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235752353 PECOS PAC ID: 9931525953 Enrollment ID: I20200820001377 |
| Provider Name | Srinevas Reddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811162225 PECOS PAC ID: 7517151186 Enrollment ID: I20200826001119 |
| Provider Name | Karissa Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306457163 PECOS PAC ID: 7911324264 Enrollment ID: I20200901001053 |
| Provider Name | Krishna Upadhyaya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861804684 PECOS PAC ID: 1759602238 Enrollment ID: I20200901003040 |
| Provider Name | Francesca H Mazzulla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407275969 PECOS PAC ID: 2567768724 Enrollment ID: I20200902002462 |
| Provider Name | Elizabeth A Jaruseski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063023521 PECOS PAC ID: 0547687758 Enrollment ID: I20200902003180 |
| Provider Name | Amber Erin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003459629 PECOS PAC ID: 0244657351 Enrollment ID: I20200902003324 |
| Provider Name | Mary A Kuder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962932970 PECOS PAC ID: 5991139396 Enrollment ID: I20200903000889 |
| Provider Name | Megan Rotzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285084335 PECOS PAC ID: 4688965361 Enrollment ID: I20200903001894 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20200917001379 |
| Provider Name | William S Ragalie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619243813 PECOS PAC ID: 7618296112 Enrollment ID: I20200917002394 |
| Provider Name | Lauren Weasler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013449685 PECOS PAC ID: 4587909528 Enrollment ID: I20200929002109 |
| Provider Name | Isabel C Nellen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508220344 PECOS PAC ID: 0941549018 Enrollment ID: I20201002000278 |
| Provider Name | Kristin J Magliocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679004980 PECOS PAC ID: 8628317856 Enrollment ID: I20201002000353 |
| Provider Name | Heather F Crabtree |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790195675 PECOS PAC ID: 9638598147 Enrollment ID: I20201002001172 |
| Provider Name | Bernard Nartey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811428303 PECOS PAC ID: 6002141025 Enrollment ID: I20201005000538 |
| Provider Name | Nipun G Verma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447608112 PECOS PAC ID: 5799062873 Enrollment ID: I20201030000345 |
| Provider Name | Margaret Anne Germanotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649880808 PECOS PAC ID: 6800206921 Enrollment ID: I20201031000005 |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20201125000122 |
| Provider Name | Melissa M Grube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538690292 PECOS PAC ID: 8527305358 Enrollment ID: I20201211000693 |
| Provider Name | Kimberly Dee Chobanian Balash |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215547369 PECOS PAC ID: 2860804655 Enrollment ID: I20201221000657 |
| Provider Name | Mariia Steffeny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992319065 PECOS PAC ID: 4183036890 Enrollment ID: I20201221002306 |
| Provider Name | Akashni Bhasin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679621916 PECOS PAC ID: 3072606086 Enrollment ID: I20210121000945 |
| Provider Name | Atuhani Burnett |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1902125701 PECOS PAC ID: 8628329208 Enrollment ID: I20210128000185 |
| Provider Name | Trisha L West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067894 PECOS PAC ID: 6406195494 Enrollment ID: I20210211001520 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20210218000155 |
| Provider Name | Tariq Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20210303003067 |
| Provider Name | Ashley Silovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538772702 PECOS PAC ID: 3274949854 Enrollment ID: I20210305000205 |
| Provider Name | Courtney Anne Hill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295026540 PECOS PAC ID: 3779881776 Enrollment ID: I20210305001812 |
| Provider Name | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20210308000402 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20210420001089 |
| Provider Name | Toni-denise Espina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962829994 PECOS PAC ID: 6204130594 Enrollment ID: I20210520000279 |
| Provider Name | Mohamed Hendawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134624034 PECOS PAC ID: 8224438601 Enrollment ID: I20210608000533 |
| Provider Name | Jennifer Barr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649596362 PECOS PAC ID: 5092932087 Enrollment ID: I20210615000915 |
| Provider Name | Jackson Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700381977 PECOS PAC ID: 3072933050 Enrollment ID: I20210616001023 |
| Provider Name | Elizabeth Masterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093211658 PECOS PAC ID: 6507267267 Enrollment ID: I20210701001934 |
| Provider Name | Erin Ashley Christmas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003493487 PECOS PAC ID: 5799187357 Enrollment ID: I20210706002299 |
| Provider Name | Leah Marie Leja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659964088 PECOS PAC ID: 8820490709 Enrollment ID: I20210714003623 |
| Provider Name | Solomon Zerga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159273 PECOS PAC ID: 9830592682 Enrollment ID: I20210730001662 |
| Provider Name | Mathew D Engmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225535131 PECOS PAC ID: 2264853217 Enrollment ID: I20210916000460 |
| Provider Name | Nouraddin Nouraddin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1659649010 PECOS PAC ID: 4385895655 Enrollment ID: I20210916001302 |
| Provider Name | Mohammad Alghalith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134626393 PECOS PAC ID: 9234536962 Enrollment ID: I20210923000912 |
| Provider Name | Polly Godfrey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194257154 PECOS PAC ID: 4385913854 Enrollment ID: I20210923001136 |
| Provider Name | Joanna Irene Betry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578235214 PECOS PAC ID: 3971901414 Enrollment ID: I20211013001953 |
| Provider Name | Jennifer M Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194103010 PECOS PAC ID: 6608178041 Enrollment ID: I20211013003215 |
| Provider Name | Maxwell Henricks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578927547 PECOS PAC ID: 0941547301 Enrollment ID: I20211109003207 |
| Provider Name | Tanner M Fullmer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285028753 PECOS PAC ID: 2567881584 Enrollment ID: I20211123001623 |
| Provider Name | Nicole Steil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720457526 PECOS PAC ID: 4789074196 Enrollment ID: I20211129001340 |
| Provider Name | Theresa Ann Nameth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316612245 PECOS PAC ID: 3577953900 Enrollment ID: I20211129001981 |
| Provider Name | Alexander Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619461324 PECOS PAC ID: 5496002289 Enrollment ID: I20211202000561 |
| Provider Name | Mateusz Gwizdala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821580135 PECOS PAC ID: 0345597373 Enrollment ID: I20211202002760 |
| Provider Name | Andrea A Jurgilanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952079568 PECOS PAC ID: 8224428263 Enrollment ID: I20211206000970 |
| Provider Name | Lindsay M Jopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952064412 PECOS PAC ID: 8820489735 Enrollment ID: I20220104002191 |
| Provider Name | Kofi Kessey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427386895 PECOS PAC ID: 5496885105 Enrollment ID: I20220105002268 |
| Provider Name | Katherine Puleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174181903 PECOS PAC ID: 2264764893 Enrollment ID: I20220106000337 |
| Provider Name | Curren R Sharma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831694751 PECOS PAC ID: 0143636803 Enrollment ID: I20220111002065 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220221001176 |
| Provider Name | Sarah Purpura |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295347227 PECOS PAC ID: 0648665778 Enrollment ID: I20220328000493 |
| Provider Name | Noormuhammad O Abbasakoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558645895 PECOS PAC ID: 6800283177 Enrollment ID: I20220505001090 |
| Provider Name | David Andrew Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427723170 PECOS PAC ID: 1456738277 Enrollment ID: I20220517002914 |
| Provider Name | William Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134582729 PECOS PAC ID: 1850684143 Enrollment ID: I20220519001404 |
| Provider Name | Andrew Goelz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689107815 PECOS PAC ID: 9830435122 Enrollment ID: I20220615000523 |
| Provider Name | James Troken |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538515101 PECOS PAC ID: 2062794035 Enrollment ID: I20220627001441 |
| Provider Name | Paul Tseng |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811990484 PECOS PAC ID: 1951299213 Enrollment ID: I20220711003135 |
| Provider Name | Ahmet Aksu |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700974284 PECOS PAC ID: 4385654136 Enrollment ID: I20220714001491 |
| Provider Name | Wonhong D Min |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053304204 PECOS PAC ID: 8628005022 Enrollment ID: I20220802003575 |
| Provider Name | Candace B Borders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457855686 PECOS PAC ID: 2163843707 Enrollment ID: I20220805001751 |
| Provider Name | Ellen Sono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437812054 PECOS PAC ID: 3870977309 Enrollment ID: I20220901002658 |
| Provider Name | George Robert Dulabon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649264680 PECOS PAC ID: 4789789322 Enrollment ID: I20220907002911 |
| Provider Name | Varun R Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124434683 PECOS PAC ID: 9931427275 Enrollment ID: I20220908000687 |
| Provider Name | Xu Zhao |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1972860872 PECOS PAC ID: 5991180739 Enrollment ID: I20220915001317 |
| Provider Name | Toan Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255892238 PECOS PAC ID: 5395121529 Enrollment ID: I20220926001932 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20221216000693 |
| Provider Name | Molly Heilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497469191 PECOS PAC ID: 9032583851 Enrollment ID: I20230317002085 |
| Provider Name | Erin E Jung |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851005391 PECOS PAC ID: 9133593890 Enrollment ID: I20230320001334 |
| Provider Name | Michael L Burks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871552075 PECOS PAC ID: 7810173127 Enrollment ID: I20230322000155 |
| Provider Name | Erica V Carballo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407382146 PECOS PAC ID: 6406126580 Enrollment ID: I20230324001275 |
| Provider Name | Precious M Gaddis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235592270 PECOS PAC ID: 9436488087 Enrollment ID: I20230405001160 |
| Provider Name | Ann L West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801816277 PECOS PAC ID: 1456357144 Enrollment ID: I20230407001426 |
| Provider Name | Elizabeth R Kentra Gorey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649212341 PECOS PAC ID: 8921177197 Enrollment ID: I20230427002189 |
| Provider Name | Katherine Clarke Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407363385 PECOS PAC ID: 2062877525 Enrollment ID: I20230505001033 |
| Provider Name | Sarah Rae Zarenana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467162016 PECOS PAC ID: 6709241276 Enrollment ID: I20230505001507 |
| Provider Name | Lisa Maria Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831851070 PECOS PAC ID: 2860859964 Enrollment ID: I20230606000241 |
| Provider Name | Daniele Doberstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538880844 PECOS PAC ID: 1052778859 Enrollment ID: I20230609002256 |
| Provider Name | Kelly K Schill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881344604 PECOS PAC ID: 2860850484 Enrollment ID: I20230614000863 |
| Provider Name | Melissa Tyesa Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174224547 PECOS PAC ID: 3779941281 Enrollment ID: I20230615000739 |
| Provider Name | Arlena White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861831331 PECOS PAC ID: 6709245764 Enrollment ID: I20230708000405 |
| Provider Name | Marilu M Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699467506 PECOS PAC ID: 7618321951 Enrollment ID: I20230920003640 |
| Provider Name | Matthew Carbonelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396259818 PECOS PAC ID: 0547635237 Enrollment ID: I20230929000927 |
| Provider Name | Jenna R Haeberle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033577762 PECOS PAC ID: 6800191388 Enrollment ID: I20230929001799 |
| Provider Name | Daniel H Sahlein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578769188 PECOS PAC ID: 8628249133 Enrollment ID: I20231002000757 |
| Provider Name | Scott R Geraghty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871715995 PECOS PAC ID: 8022286343 Enrollment ID: I20231003000535 |
| Provider Name | Kristy Marie Kuehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811686546 PECOS PAC ID: 5799130571 Enrollment ID: I20231013002733 |
| Provider Name | Tara R Semenkovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962841924 PECOS PAC ID: 0446532063 Enrollment ID: I20231016002949 |
| Provider Name | Sara Kathleen Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427744465 PECOS PAC ID: 9638525108 Enrollment ID: I20231020000310 |
| Provider Name | Nicole Borden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841977634 PECOS PAC ID: 6608225909 Enrollment ID: I20231212003021 |
| Provider Name | Thea Hunter-spiekermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083045801 PECOS PAC ID: 7618342940 Enrollment ID: I20231227002735 |
| Provider Name | Katherine Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467236448 PECOS PAC ID: 2062862204 Enrollment ID: I20231229001237 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194162834 PECOS PAC ID: 4688818776 Enrollment ID: I20240101000225 |
| Provider Name | Melissajo Truckenbrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922873850 PECOS PAC ID: 3476905183 Enrollment ID: I20240118001767 |
| Provider Name | Demetrio Aguila |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376503391 PECOS PAC ID: 0547366403 Enrollment ID: I20240123001046 |
| Provider Name | Kaitlin Grigoryev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619601770 PECOS PAC ID: 8820440027 Enrollment ID: I20240123002591 |
| Provider Name | Irina Dimitrova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003847237 PECOS PAC ID: 8527082999 Enrollment ID: I20240131002090 |
| Provider Name | Patrick Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891197703 PECOS PAC ID: 9931574530 Enrollment ID: I20240207000371 |
| Provider Name | Kelly Dubord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649370727 PECOS PAC ID: 2264898865 Enrollment ID: I20240207002328 |
| Provider Name | Terrence Zipfel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932139227 PECOS PAC ID: 3870512148 Enrollment ID: I20240215002969 |
| Provider Name | Griffith S Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669448056 PECOS PAC ID: 0042105652 Enrollment ID: I20240221002445 |
| Provider Name | Keirsen M Muffler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114139409 PECOS PAC ID: 5890130991 Enrollment ID: I20240228003439 |
| Provider Name | Marisa Abbinanti |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841988748 PECOS PAC ID: 2062857899 Enrollment ID: I20240301003059 |
| Provider Name | Lauren Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264295 PECOS PAC ID: 7719322452 Enrollment ID: I20240304002187 |
| Provider Name | Graham Strub |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558650960 PECOS PAC ID: 1052601812 Enrollment ID: I20240304002273 |
| Provider Name | Emily R Valkenburgh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376860627 PECOS PAC ID: 8123383668 Enrollment ID: I20240306001785 |
| Provider Name | Ahmed A Cheema |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942435375 PECOS PAC ID: 9537450705 Enrollment ID: I20240308001856 |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 | |
Healing Center Of Milwaukee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 W Forest Home Ave, Milwaukee, WI 53220 Phone: 414-323-3513 | |
Muhammad Akbar Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 | |
La Clinica Latina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 | |
Medzone Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 W Capitol Dr, Milwaukee, WI 53216 Phone: 414-395-0009 | |
Jeremias B. Vinluan M.d. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 | |
Romeo C Lo Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 Phone: 414-383-4700 Fax: 414-383-4759 |