| Ascension Medical Group | |
|
101 Main St Neenah WI 54956-2570 | |
| (920) 727-4200 | |
| Not Available |
| Full Name | Ascension Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Main St, Neenah, Wisconsin |
| Authorized Official Name and Position | J. Bryan Fissel (VP-FINANCE) |
| Authorized Official Contact | 4144653000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Group 101 Main St Neenah WI 54956-2570 Ph: (920) 727-4200 | Ascension Medical Group 101 Main St Neenah WI 54956-2570 Ph: (920) 727-4200 |
| NPI Number | 1730126392 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 0244142420 |
|---|---|
| Medicare Enrollment ID | O20031105000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730126392 | NPI | - | NPPES |
| 42244300 | Medicaid | WI | |
| 32752000 | Medicaid | WI |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20040123000027 |
| Provider Name | David E Coleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639170301 PECOS PAC ID: 1759284599 Enrollment ID: I20040129000747 |
| Provider Name | Dionisio J Mariano |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649220229 PECOS PAC ID: 4688587694 Enrollment ID: I20040130001002 |
| Provider Name | Nicky Plementosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467461053 PECOS PAC ID: 3173417268 Enrollment ID: I20040210000737 |
| Provider Name | John Elliott Daniels |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821052705 PECOS PAC ID: 7113837261 Enrollment ID: I20040308000244 |
| Provider Name | Lisa R Anthony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659346773 PECOS PAC ID: 6608765334 Enrollment ID: I20040311001117 |
| Provider Name | Steven A Goedderz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841226818 PECOS PAC ID: 0840182473 Enrollment ID: I20040327000139 |
| Provider Name | Zenoun O Abouzelam |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699769695 PECOS PAC ID: 2668466327 Enrollment ID: I20040414000562 |
| Provider Name | Donald J Brescia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740275122 PECOS PAC ID: 9537153218 Enrollment ID: I20040414000755 |
| Provider Name | Patrick D Obrien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265427496 PECOS PAC ID: 8729072426 Enrollment ID: I20040414000891 |
| Provider Name | George L Morris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295778629 PECOS PAC ID: 2769477975 Enrollment ID: I20040417000080 |
| Provider Name | Bryan A Avery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548254568 PECOS PAC ID: 9032105507 Enrollment ID: I20040421000730 |
| Provider Name | Todd E Painton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952369647 PECOS PAC ID: 2466449392 Enrollment ID: I20040430000457 |
| Provider Name | Michal F Slovick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285768572 PECOS PAC ID: 4587654736 Enrollment ID: I20040518000589 |
| Provider Name | Mossadig S Jaffri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710972294 PECOS PAC ID: 5698756286 Enrollment ID: I20040528000572 |
| Provider Name | Chandralekha Bommakanti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215033527 PECOS PAC ID: 3476534868 Enrollment ID: I20040601000695 |
| Provider Name | Ifueko B Okundaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467460410 PECOS PAC ID: 9638152101 Enrollment ID: I20040609000226 |
| Provider Name | Raul R Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487648499 PECOS PAC ID: 2466437462 Enrollment ID: I20040623000635 |
| Provider Name | Natalie A Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740231174 PECOS PAC ID: 3476531500 Enrollment ID: I20040713001298 |
| Provider Name | Kenneth J Bruder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750375515 PECOS PAC ID: 2062484421 Enrollment ID: I20040806001221 |
| Provider Name | Susan Hibbs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053353268 PECOS PAC ID: 9739152174 Enrollment ID: I20040816000018 |
| Provider Name | Jay M Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396739488 PECOS PAC ID: 1850365966 Enrollment ID: I20040824001036 |
| Provider Name | Kay F Heimerl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194909614 PECOS PAC ID: 8224003454 Enrollment ID: I20040831000686 |
| Provider Name | Robert W Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679630263 PECOS PAC ID: 3779559406 Enrollment ID: I20040907000158 |
| Provider Name | Daniel J Higgins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588607717 PECOS PAC ID: 4789652975 Enrollment ID: I20040924000576 |
| Provider Name | Christoffer K Birn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790779601 PECOS PAC ID: 8325017015 Enrollment ID: I20040929000739 |
| Provider Name | Noah S Horowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215071402 PECOS PAC ID: 8123088515 Enrollment ID: I20041011000455 |
| Provider Name | Patrick C Mannebach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801971221 PECOS PAC ID: 8426018177 Enrollment ID: I20041016000078 |
| Provider Name | Ronald Scott Sokovich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396796074 PECOS PAC ID: 3870552250 Enrollment ID: I20041022000151 |
| Provider Name | Francisco J Zornosa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225070774 PECOS PAC ID: 5698674398 Enrollment ID: I20041207001133 |
| Provider Name | Jessica M Lillie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932100096 PECOS PAC ID: 0941266134 Enrollment ID: I20041209000178 |
| Provider Name | Nicole A Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538229729 PECOS PAC ID: 6608827183 Enrollment ID: I20050202000027 |
| Provider Name | Ramana R Marada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477525350 PECOS PAC ID: 9537110002 Enrollment ID: I20050202000708 |
| Provider Name | Laura A Andrews |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548254535 PECOS PAC ID: 0840242129 Enrollment ID: I20050215000510 |
| Provider Name | Karl E Baum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497749402 PECOS PAC ID: 2365494655 Enrollment ID: I20050215000544 |
| Provider Name | Carl A Rasmussen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851386262 PECOS PAC ID: 1052363348 Enrollment ID: I20050215000583 |
| Provider Name | Peter H Ackell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710937115 PECOS PAC ID: 1456264464 Enrollment ID: I20050222000239 |
| Provider Name | Douglas W Mielke |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104878149 PECOS PAC ID: 9436062445 Enrollment ID: I20050222000448 |
| Provider Name | Simon E Roselaar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689626632 PECOS PAC ID: 8325951338 Enrollment ID: I20050222000561 |
| Provider Name | Robert L Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568413466 PECOS PAC ID: 4789597790 Enrollment ID: I20050222000586 |
| Provider Name | Jay Marvin Hartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982828885 PECOS PAC ID: 2466406475 Enrollment ID: I20050311000293 |
| Provider Name | William J Kasper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093709891 PECOS PAC ID: 5597712083 Enrollment ID: I20050406000969 |
| 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 | Patricia H Kasper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104811686 PECOS PAC ID: 2062325624 Enrollment ID: I20050512000946 |
| Provider Name | Peter C Frommelt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508817461 PECOS PAC ID: 4789627514 Enrollment ID: I20050602001089 |
| Provider Name | Cheryl M Habeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114912425 PECOS PAC ID: 1557307865 Enrollment ID: I20050707000930 |
| Provider Name | Eromi S Jayasingha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588681522 PECOS PAC ID: 8729014337 Enrollment ID: I20050714001018 |
| Provider Name | Michael C Beckett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417941337 PECOS PAC ID: 4789612656 Enrollment ID: I20050801001256 |
| Provider Name | Arthur A Arena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376583286 PECOS PAC ID: 3779512876 Enrollment ID: I20050809000750 |
| Provider Name | Dylan Foss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225023542 PECOS PAC ID: 4880624626 Enrollment ID: I20050822000268 |
| Provider Name | Ronald W Slovick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932163524 PECOS PAC ID: 3274563044 Enrollment ID: I20050822000489 |
| Provider Name | Deborah L Scuglik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962496984 PECOS PAC ID: 0547293284 Enrollment ID: I20050914000309 |
| Provider Name | Meena P Vir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144277625 PECOS PAC ID: 6103850128 Enrollment ID: I20050920000554 |
| Provider Name | Lee A Cleveland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295722957 PECOS PAC ID: 8224063268 Enrollment ID: I20050928001280 |
| Provider Name | Brian N Guttormsen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629045232 PECOS PAC ID: 3375578271 Enrollment ID: I20050929000269 |
| Provider Name | Gladys Beth Michaelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205828654 PECOS PAC ID: 5799700225 Enrollment ID: I20051031000189 |
| Provider Name | Stephen J Marquis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831183490 PECOS PAC ID: 0547283137 Enrollment ID: I20060110000469 |
| Provider Name | Eric G Eberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790780708 PECOS PAC ID: 7416850045 Enrollment ID: I20060213000340 |
| Provider Name | Reid A Sousek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275501041 PECOS PAC ID: 0749295293 Enrollment ID: I20060220000574 |
| Provider Name | Michael J Foley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629063144 PECOS PAC ID: 7214943166 Enrollment ID: I20060301000530 |
| Provider Name | Kari L Lathrop Capaul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841284643 PECOS PAC ID: 1052328523 Enrollment ID: I20060309000034 |
| Provider Name | Robert R Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780673053 PECOS PAC ID: 6406863877 Enrollment ID: I20060309000134 |
| Provider Name | Sandra K Zernzach Schertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841395464 PECOS PAC ID: 1355351198 Enrollment ID: I20060425000234 |
| Provider Name | Lisa K Schabach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124086640 PECOS PAC ID: 0446260665 Enrollment ID: I20060502000382 |
| Provider Name | Li Zhou |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285608984 PECOS PAC ID: 9335049295 Enrollment ID: I20060616000148 |
| Provider Name | Nabeel M Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771069 PECOS PAC ID: 5597786681 Enrollment ID: I20060818000330 |
| Provider Name | Tait D Fors |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649293358 PECOS PAC ID: 6204830300 Enrollment ID: I20060901000204 |
| Provider Name | Michael J Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265467393 PECOS PAC ID: 4587668371 Enrollment ID: I20060911000081 |
| Provider Name | John P Steinlage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235174657 PECOS PAC ID: 9739185174 Enrollment ID: I20061009000172 |
| Provider Name | David A Holz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447341094 PECOS PAC ID: 5092711374 Enrollment ID: I20061010000172 |
| Provider Name | Satish K Achanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982711198 PECOS PAC ID: 8628075298 Enrollment ID: I20061025000355 |
| Provider Name | Tricia A Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538263223 PECOS PAC ID: 2567460959 Enrollment ID: I20061120000021 |
| Provider Name | David L Jarvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548365844 PECOS PAC ID: 6406855063 Enrollment ID: I20061207000414 |
| Provider Name | Bridget S Huenink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595249 PECOS PAC ID: 1456350073 Enrollment ID: I20061208000479 |
| Provider Name | Elizabeth L Kimbrough |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750366704 PECOS PAC ID: 7012916489 Enrollment ID: I20061212000484 |
| Provider Name | Yaw D Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003952995 PECOS PAC ID: 6608974050 Enrollment ID: I20070607000528 |
| Provider Name | Rebecca L England |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457360869 PECOS PAC ID: 7214035500 Enrollment ID: I20070611000307 |
| Provider Name | Eric J Lawatsch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033296520 PECOS PAC ID: 7113025438 Enrollment ID: I20070611000587 |
| Provider Name | Karl W Droese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629284021 PECOS PAC ID: 1951402858 Enrollment ID: I20070723000263 |
| Provider Name | Roger O Boye |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215039722 PECOS PAC ID: 2769383132 Enrollment ID: I20070813000503 |
| Provider Name | Joshua Kavin Modder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356386270 PECOS PAC ID: 7719981869 Enrollment ID: I20070822001323 |
| Provider Name | Kevin E Gentile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134185861 PECOS PAC ID: 8820180367 Enrollment ID: I20070828000861 |
| Provider Name | David E Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407825029 PECOS PAC ID: 8224121660 Enrollment ID: I20070830000634 |
| Provider Name | Heather K Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437343761 PECOS PAC ID: 6608962485 Enrollment ID: I20071010000456 |
| Provider Name | Kathryn M Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366437071 PECOS PAC ID: 7012007263 Enrollment ID: I20071212000368 |
| Provider Name | Robert E Vlach |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124027610 PECOS PAC ID: 8022074285 Enrollment ID: I20071213000565 |
| Provider Name | Joseph P Mccormick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619961273 PECOS PAC ID: 4880691278 Enrollment ID: I20071227000305 |
| Provider Name | Eric C Gowing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578557666 PECOS PAC ID: 3779663620 Enrollment ID: I20080103000718 |
| Provider Name | Christopher W Wagener |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063406064 PECOS PAC ID: 7214011196 Enrollment ID: I20080303000124 |
| Provider Name | Matthew N Kraemer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972598332 PECOS PAC ID: 9133125651 Enrollment ID: I20080303000159 |
| Provider Name | Chandra K Shekar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982795357 PECOS PAC ID: 8527143049 Enrollment ID: I20080307000603 |
| Provider Name | Raymon E Darling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487648390 PECOS PAC ID: 7214013689 Enrollment ID: I20080326000068 |
| Provider Name | Mark W Faustich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083608848 PECOS PAC ID: 8224940341 Enrollment ID: I20080326000099 |
| Provider Name | Amy S Lahay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063407476 PECOS PAC ID: 5193804110 Enrollment ID: I20080501000726 |
| Provider Name | Jill J Buchinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073725222 PECOS PAC ID: 4688743784 Enrollment ID: I20080515000240 |
| Provider Name | Sara J Kolell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063694537 PECOS PAC ID: 2769552009 Enrollment ID: I20080529000549 |
| Provider Name | David Tennenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710189121 PECOS PAC ID: 3072688662 Enrollment ID: I20080815000489 |
| Provider Name | Sarah J Busse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275666380 PECOS PAC ID: 8022118272 Enrollment ID: I20080908000292 |
| Provider Name | Kofi A Asiamah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427221621 PECOS PAC ID: 2466528567 Enrollment ID: I20080912000470 |
| Provider Name | Melissa D Koehler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477754869 PECOS PAC ID: 0749357697 Enrollment ID: I20080918000705 |
| Provider Name | Jagadeeswara R Musunuru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194940130 PECOS PAC ID: 5799689378 Enrollment ID: I20080919000293 |
| Provider Name | Sandia Y Brekke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538159587 PECOS PAC ID: 3870553480 Enrollment ID: I20081017000490 |
| Provider Name | Sandra K Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588828503 PECOS PAC ID: 3870651425 Enrollment ID: I20081025000160 |
| Provider Name | Mark Rovick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003866864 PECOS PAC ID: 8123089224 Enrollment ID: I20081204000273 |
| Provider Name | Tasha Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033174016 PECOS PAC ID: 4789757303 Enrollment ID: I20090121000453 |
| Provider Name | Kim N Lederhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245477801 PECOS PAC ID: 6608931027 Enrollment ID: I20090219000226 |
| Provider Name | Penny M Bernards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760425573 PECOS PAC ID: 1456409432 Enrollment ID: I20090430000384 |
| Provider Name | Lynn K Dahlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235324849 PECOS PAC ID: 7416005087 Enrollment ID: I20090508000450 |
| Provider Name | John M Frangiskakis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871753632 PECOS PAC ID: 8123195609 Enrollment ID: I20090619000237 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | Burak K Gurses |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649231754 PECOS PAC ID: 5799713962 Enrollment ID: I20090722000775 |
| Provider Name | Gunmeet K Kaleka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285859496 PECOS PAC ID: 5991850547 Enrollment ID: I20090902000544 |
| Provider Name | Sara M Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821220534 PECOS PAC ID: 9830244375 Enrollment ID: I20090904000064 |
| Provider Name | Rafal G Ciecierski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093916595 PECOS PAC ID: 2163577586 Enrollment ID: I20090908000264 |
| Provider Name | Sara J Mornar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376710863 PECOS PAC ID: 5395890701 Enrollment ID: I20090909000410 |
| Provider Name | Peter D Holzwarth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629001912 PECOS PAC ID: 7012063878 Enrollment ID: I20090918000485 |
| Provider Name | Dean R Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760459960 PECOS PAC ID: 4981773314 Enrollment ID: I20091012000358 |
| Provider Name | Christine R Weibel Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952636367 PECOS PAC ID: 6608913819 Enrollment ID: I20091021000053 |
| Provider Name | Linda J Steffen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720155328 PECOS PAC ID: 8022159250 Enrollment ID: I20100109000056 |
| Provider Name | Karl C Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063528529 PECOS PAC ID: 1153462361 Enrollment ID: I20100111000375 |
| Provider Name | Peter A Roloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023002110 PECOS PAC ID: 4587708433 Enrollment ID: I20100216000871 |
| Provider Name | Michele A Holder |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598741803 PECOS PAC ID: 1850435702 Enrollment ID: I20100216000882 |
| Provider Name | Peter Janu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538154026 PECOS PAC ID: 7012096514 Enrollment ID: I20100216000885 |
| Provider Name | Omar Atassi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154380046 PECOS PAC ID: 7517862642 Enrollment ID: I20100219000055 |
| Provider Name | Matthew S Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083674212 PECOS PAC ID: 2769387802 Enrollment ID: I20100219000061 |
| Provider Name | Peggy A Flease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538119128 PECOS PAC ID: 2567597545 Enrollment ID: I20100316000489 |
| Provider Name | Kent L Partain |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154316560 PECOS PAC ID: 7315072295 Enrollment ID: I20100317000467 |
| Provider Name | Sudeep S Sodhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679567606 PECOS PAC ID: 5597761015 Enrollment ID: I20100317000565 |
| Provider Name | Todd J Talbot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285628206 PECOS PAC ID: 6709912975 Enrollment ID: I20100326000311 |
| Provider Name | Shanthi A Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417941212 PECOS PAC ID: 4284760901 Enrollment ID: I20100331001081 |
| Provider Name | Jeremy G Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811982333 PECOS PAC ID: 7113055393 Enrollment ID: I20100508000068 |
| Provider Name | Sarah C Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184637795 PECOS PAC ID: 6901875988 Enrollment ID: I20100508000077 |
| Provider Name | Susan M Szabo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255326575 PECOS PAC ID: 9739217514 Enrollment ID: I20100514000892 |
| Provider Name | Carrie B Chapman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396703732 PECOS PAC ID: 9234268830 Enrollment ID: I20100519000833 |
| Provider Name | Joi M Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932172988 PECOS PAC ID: 8224937818 Enrollment ID: I20100524000077 |
| Provider Name | Ann M Gierl |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558356022 PECOS PAC ID: 8921137001 Enrollment ID: I20100527000767 |
| Provider Name | Dale L Schlais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508851403 PECOS PAC ID: 9739090499 Enrollment ID: I20100604000553 |
| Provider Name | Lars V Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457346686 PECOS PAC ID: 4981734704 Enrollment ID: I20100604000655 |
| Provider Name | Christopher T Wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528053758 PECOS PAC ID: 7517097330 Enrollment ID: I20100604000664 |
| Provider Name | Christopher E Rocke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417942996 PECOS PAC ID: 0941330781 Enrollment ID: I20100604000865 |
| Provider Name | Douglas J Reding |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760582076 PECOS PAC ID: 8123065059 Enrollment ID: I20100604000921 |
| Provider Name | Misty L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578557146 PECOS PAC ID: 0244360089 Enrollment ID: I20100604000951 |
| Provider Name | Maria Editha M Bautista-santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386638393 PECOS PAC ID: 6507996345 Enrollment ID: I20100604000967 |
| Provider Name | Mary A Reszczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093701831 PECOS PAC ID: 0547390825 Enrollment ID: I20100612000140 |
| Provider Name | James R Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225022080 PECOS PAC ID: 7113058660 Enrollment ID: I20100626000401 |
| Provider Name | John M Oestreicher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619962024 PECOS PAC ID: 7214060599 Enrollment ID: I20100806000647 |
| Provider Name | Effie E Siomos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376589572 PECOS PAC ID: 0547394322 Enrollment ID: I20100816000475 |
| Provider Name | Norris A Norman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245473172 PECOS PAC ID: 7810021482 Enrollment ID: I20100818000289 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | William Y Ansa Otu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
| Provider Name | Steven J Price |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457302432 PECOS PAC ID: 9335053222 Enrollment ID: I20101026000582 |
| Provider Name | Herbert C Coussons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427007624 PECOS PAC ID: 4284699117 Enrollment ID: I20101027000327 |
| Provider Name | Julie A Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396053187 PECOS PAC ID: 0648464248 Enrollment ID: I20101027001193 |
| Provider Name | Jeffrey M Bastasic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164547600 PECOS PAC ID: 0840485025 Enrollment ID: I20101112001099 |
| Provider Name | Aditya K Rangbulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659571867 PECOS PAC ID: 6002001088 Enrollment ID: I20101116000964 |
| Provider Name | Jonathan Parisi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659455970 PECOS PAC ID: 3971790981 Enrollment ID: I20101202001153 |
| Provider Name | Santi Budiasih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578748802 PECOS PAC ID: 4688861610 Enrollment ID: I20101203000085 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20101208000240 |
| Provider Name | Wesley R Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396714812 PECOS PAC ID: 0244324390 Enrollment ID: I20110114000618 |
| Provider Name | Richard Hammond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457328320 PECOS PAC ID: 8527091586 Enrollment ID: I20110209001068 |
| Provider Name | Mary E Nordstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578558391 PECOS PAC ID: 7214118892 Enrollment ID: I20110302000577 |
| Provider Name | Christopher J Laufer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508850306 PECOS PAC ID: 4587846019 Enrollment ID: I20110304000433 |
| Provider Name | Mary J Stastny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073533402 PECOS PAC ID: 9032391495 Enrollment ID: I20110308000032 |
| Provider Name | Michael Fetterolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821069691 PECOS PAC ID: 3779523030 Enrollment ID: I20110321000310 |
| Provider Name | Alejandro G Garcia |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073703153 PECOS PAC ID: 8921155417 Enrollment ID: I20110405000911 |
| Provider Name | Sara M Calmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962700286 PECOS PAC ID: 6507041639 Enrollment ID: I20110504000604 |
| Provider Name | David R Beck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326169822 PECOS PAC ID: 6406032457 Enrollment ID: I20110509000855 |
| Provider Name | Bababo O Opaneye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255621710 PECOS PAC ID: 7810174935 Enrollment ID: I20110526000619 |
| Provider Name | Thomas R Rowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942413513 PECOS PAC ID: 7416032560 Enrollment ID: I20110608000566 |
| Provider Name | Kelly T Badger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558523258 PECOS PAC ID: 8527236850 Enrollment ID: I20110712000620 |
| Provider Name | Amy E Poliak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851694285 PECOS PAC ID: 2062680259 Enrollment ID: I20110713000621 |
| Provider Name | Jennifer E Steinhoff |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922267996 PECOS PAC ID: 4082882022 Enrollment ID: I20110719000528 |
| Provider Name | Benjamin J Heinzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083886733 PECOS PAC ID: 8022287291 Enrollment ID: I20110803000793 |
| Provider Name | Joseph C Mccormick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265503882 PECOS PAC ID: 0143346940 Enrollment ID: I20110812000527 |
| Provider Name | Francie Laeyendecker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962477240 PECOS PAC ID: 7618147018 Enrollment ID: I20110822000430 |
| Provider Name | Kelley J Parnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154328896 PECOS PAC ID: 1456346725 Enrollment ID: I20110901000304 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Stefanie M Hernet |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205115920 PECOS PAC ID: 5799956124 Enrollment ID: I20110915000523 |
| Provider Name | Elzbieta Perry |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457529133 PECOS PAC ID: 8325219058 Enrollment ID: I20110928000864 |
| Provider Name | Travis R Novy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700169240 PECOS PAC ID: 2860664521 Enrollment ID: I20111003000142 |
| Provider Name | Ashwin Uttam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891948089 PECOS PAC ID: 1153503396 Enrollment ID: I20111012000818 |
| Provider Name | Jennifer E Resch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952685794 PECOS PAC ID: 0244403970 Enrollment ID: I20111025000706 |
| Provider Name | James David Hall |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972693018 PECOS PAC ID: 8527961648 Enrollment ID: I20111026000828 |
| Provider Name | Sarah A Eskofski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790069920 PECOS PAC ID: 2062685415 Enrollment ID: I20111031000063 |
| Provider Name | Wendy C Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932207636 PECOS PAC ID: 8527233022 Enrollment ID: I20111212000842 |
| Provider Name | Todd Mckenzie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528090990 PECOS PAC ID: 7214194497 Enrollment ID: I20120130000782 |
| Provider Name | Andrea L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336425040 PECOS PAC ID: 7911167440 Enrollment ID: I20120321000085 |
| Provider Name | Brenda L Brusky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760749097 PECOS PAC ID: 4587826409 Enrollment ID: I20120510000026 |
| Provider Name | Jessica A Dekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699044156 PECOS PAC ID: 5698938140 Enrollment ID: I20120518000548 |
| Provider Name | Dustin M Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326204785 PECOS PAC ID: 1658536404 Enrollment ID: I20120629000428 |
| Provider Name | Joseph C Neilitz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043473234 PECOS PAC ID: 4183889710 Enrollment ID: I20120706000093 |
| Provider Name | Edward Anafi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841429461 PECOS PAC ID: 8729235866 Enrollment ID: I20120824000723 |
| Provider Name | Lulseged S Zenebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104186287 PECOS PAC ID: 6507014503 Enrollment ID: I20120917000802 |
| Provider Name | Allison L Stallbohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619223146 PECOS PAC ID: 4789833039 Enrollment ID: I20121002000772 |
| Provider Name | Jonathan J Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699974378 PECOS PAC ID: 3173688256 Enrollment ID: I20121005000702 |
| Provider Name | Alicia M Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013264571 PECOS PAC ID: 7416106208 Enrollment ID: I20121011000656 |
| Provider Name | My See Luangla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861749293 PECOS PAC ID: 9335390970 Enrollment ID: I20121108000298 |
| Provider Name | Elena L Fry Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528319761 PECOS PAC ID: 2264684984 Enrollment ID: I20121204000152 |
| Provider Name | Andrea L Verhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356691240 PECOS PAC ID: 6305091844 Enrollment ID: I20130306000479 |
| Provider Name | Cathleen C Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245317833 PECOS PAC ID: 2466697305 Enrollment ID: I20130326000366 |
| Provider Name | Deborah J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972843464 PECOS PAC ID: 4587720255 Enrollment ID: I20130515000184 |
| Provider Name | Anthony P Zeimet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902848377 PECOS PAC ID: 1456483064 Enrollment ID: I20130711000833 |
| Provider Name | Adebowale Mofikoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275794422 PECOS PAC ID: 0143477166 Enrollment ID: I20130726000394 |
| Provider Name | Stacey Gruber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790948073 PECOS PAC ID: 1153564984 Enrollment ID: I20130827000532 |
| Provider Name | Stephanie K Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148512 PECOS PAC ID: 3971747585 Enrollment ID: I20130923000199 |
| Provider Name | Deborah A Bartmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619318714 PECOS PAC ID: 8921242348 Enrollment ID: I20130924000850 |
| Provider Name | Arun Cherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235478538 PECOS PAC ID: 7214161215 Enrollment ID: I20131007000525 |
| Provider Name | Laura L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205268398 PECOS PAC ID: 3476787409 Enrollment ID: I20131007001225 |
| Provider Name | Khine T Swe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568787653 PECOS PAC ID: 3274768304 Enrollment ID: I20131028000577 |
| Provider Name | Marci E Messerschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174950398 PECOS PAC ID: 3870729320 Enrollment ID: I20131112000723 |
| Provider Name | Jessica J Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720412299 PECOS PAC ID: 0547496598 Enrollment ID: I20131121000089 |
| Provider Name | Carol A Veltus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080446 PECOS PAC ID: 6709012750 Enrollment ID: I20131121000166 |
| Provider Name | Jill N Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861826273 PECOS PAC ID: 9739315433 Enrollment ID: I20131203000898 |
| Provider Name | Lisa L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245666452 PECOS PAC ID: 8921235318 Enrollment ID: I20131210001005 |
| Provider Name | Kristin G Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124454830 PECOS PAC ID: 2961630694 Enrollment ID: I20140102000365 |
| Provider Name | Sally A Marohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720415581 PECOS PAC ID: 3577791672 Enrollment ID: I20140117001080 |
| Provider Name | Ryan Gerhartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669771721 PECOS PAC ID: 6103055082 Enrollment ID: I20140219001072 |
| Provider Name | Katlyn S Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649693326 PECOS PAC ID: 7315170958 Enrollment ID: I20140506000133 |
| Provider Name | Jodi L Beggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417373952 PECOS PAC ID: 5597989780 Enrollment ID: I20140609001763 |
| Provider Name | Courtney Collien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124443726 PECOS PAC ID: 3476777699 Enrollment ID: I20140610000206 |
| Provider Name | Emily A Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437448131 PECOS PAC ID: 9032333687 Enrollment ID: I20140623000099 |
| Provider Name | Kelly E O'connor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225448681 PECOS PAC ID: 8628293925 Enrollment ID: I20140630000782 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Ping D Lady |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174767271 PECOS PAC ID: 9436376829 Enrollment ID: I20140807002421 |
| Provider Name | Katie L Prucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376943803 PECOS PAC ID: 2365661337 Enrollment ID: I20140924001552 |
| Provider Name | Cherian J Varghese |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689870370 PECOS PAC ID: 0042443004 Enrollment ID: I20140930001733 |
| Provider Name | Jessica L Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538451307 PECOS PAC ID: 8921228594 Enrollment ID: I20141002000370 |
| Provider Name | Maryam Shittu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689922882 PECOS PAC ID: 1456572155 Enrollment ID: I20141022000761 |
| Provider Name | Georgine E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578972733 PECOS PAC ID: 1658592274 Enrollment ID: I20141024000751 |
| Provider Name | George N Gandev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548445927 PECOS PAC ID: 0143262048 Enrollment ID: I20141103001077 |
| Provider Name | Jessica E Gorenc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942604897 PECOS PAC ID: 9830311901 Enrollment ID: I20141106000046 |
| Provider Name | Kelyn M O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811390180 PECOS PAC ID: 8527280213 Enrollment ID: I20141113000682 |
| Provider Name | John T Siebers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948638 PECOS PAC ID: 9638391006 Enrollment ID: I20141119002227 |
| Provider Name | Amanda Haack Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790193993 PECOS PAC ID: 1658693262 Enrollment ID: I20141210002143 |
| Provider Name | Lacy B Ihde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265847305 PECOS PAC ID: 8123341138 Enrollment ID: I20141224000719 |
| Provider Name | Paula Rae Hubert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487647087 PECOS PAC ID: 5597790006 Enrollment ID: I20150306000074 |
| Provider Name | Luke E Menet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588063390 PECOS PAC ID: 4183940935 Enrollment ID: I20150313000968 |
| Provider Name | Jennifer Jean Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992733166 PECOS PAC ID: 2365493061 Enrollment ID: I20150320001396 |
| Provider Name | Cheryl L Montag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316341688 PECOS PAC ID: 1456679356 Enrollment ID: I20150403000795 |
| Provider Name | Abra E Seidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689063950 PECOS PAC ID: 3476873878 Enrollment ID: I20150527001142 |
| Provider Name | Atul Dogra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104011386 PECOS PAC ID: 5698924256 Enrollment ID: I20150602002932 |
| Provider Name | Courtney Forte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316342827 PECOS PAC ID: 1759692700 Enrollment ID: I20150618000305 |
| Provider Name | Kingston Okrah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528222312 PECOS PAC ID: 7315086410 Enrollment ID: I20150619000382 |
| Provider Name | Daniel P Leonard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366671489 PECOS PAC ID: 5294980553 Enrollment ID: I20150707003333 |
| Provider Name | Karina M Arkush |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659690741 PECOS PAC ID: 0840502449 Enrollment ID: I20150710001294 |
| Provider Name | Valary Ruth Gass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558533695 PECOS PAC ID: 4587810593 Enrollment ID: I20150715001928 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Kwabena Oware Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154677391 PECOS PAC ID: 2961633375 Enrollment ID: I20150729007482 |
| Provider Name | Sally M Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366871634 PECOS PAC ID: 1658685656 Enrollment ID: I20150804006264 |
| Provider Name | Charles M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275896946 PECOS PAC ID: 1052551173 Enrollment ID: I20150824002507 |
| Provider Name | Elizabeth L Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477713022 PECOS PAC ID: 8426364134 Enrollment ID: I20150826000451 |
| Provider Name | Joseph J Schumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194083089 PECOS PAC ID: 8123334760 Enrollment ID: I20150827002481 |
| Provider Name | Sharon M Kaplon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639555311 PECOS PAC ID: 6103132147 Enrollment ID: I20150904001521 |
| Provider Name | Hadi Farouk Shaaban |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659529196 PECOS PAC ID: 4385879378 Enrollment ID: I20150909002588 |
| Provider Name | Cheong W Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922395623 PECOS PAC ID: 5890002745 Enrollment ID: I20150910000373 |
| Provider Name | Shirley N Tetteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20150911000555 |
| Provider Name | Trilok Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295991701 PECOS PAC ID: 2668629437 Enrollment ID: I20150916000773 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20150916001161 |
| Provider Name | Ruth A Staszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518340090 PECOS PAC ID: 4385951763 Enrollment ID: I20150917000373 |
| Provider Name | Maggie Jean Van Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871960674 PECOS PAC ID: 5799092011 Enrollment ID: I20150918002744 |
| Provider Name | Emily A Farkas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811197742 PECOS PAC ID: 5890889810 Enrollment ID: I20151013001659 |
| Provider Name | Angela L Sargeant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467710350 PECOS PAC ID: 6901116318 Enrollment ID: I20151113001129 |
| Provider Name | Hashim Mumtaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184885048 PECOS PAC ID: 7719158104 Enrollment ID: I20160125002570 |
| Provider Name | Amanda E Hackbarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699131482 PECOS PAC ID: 0446555262 Enrollment ID: I20160216001710 |
| Provider Name | Jennifer R Haen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193282 PECOS PAC ID: 1951606698 Enrollment ID: I20160218000258 |
| Provider Name | Samantha L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853622 PECOS PAC ID: 3375850951 Enrollment ID: I20160314001774 |
| Provider Name | Tracy M Rank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699321 PECOS PAC ID: 8123326956 Enrollment ID: I20160412001645 |
| Provider Name | Branden J Kooiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295189686 PECOS PAC ID: 0840589479 Enrollment ID: I20160520000236 |
| Provider Name | Ann Marie Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619318508 PECOS PAC ID: 8123259629 Enrollment ID: I20160608001608 |
| Provider Name | Weston W Radford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700229416 PECOS PAC ID: 9335378058 Enrollment ID: I20160629002229 |
| Provider Name | Tara J Schairer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336415876 PECOS PAC ID: 7810216918 Enrollment ID: I20160713001964 |
| Provider Name | Thomas F Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730503657 PECOS PAC ID: 3375836083 Enrollment ID: I20160718002006 |
| Provider Name | Jaime Filtzkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356690549 PECOS PAC ID: 4486948205 Enrollment ID: I20160802001762 |
| Provider Name | Allison M Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216367 PECOS PAC ID: 0840584074 Enrollment ID: I20160810001147 |
| Provider Name | Meha Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700072931 PECOS PAC ID: 2769529452 Enrollment ID: I20160810001293 |
| Provider Name | Chandra S Pingili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063734069 PECOS PAC ID: 7517093347 Enrollment ID: I20160811000015 |
| Provider Name | James M Bailey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225059819 PECOS PAC ID: 8820032246 Enrollment ID: I20160829001359 |
| Provider Name | Aimee C Morell-watton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073776134 PECOS PAC ID: 0941495345 Enrollment ID: I20160913000102 |
| Provider Name | Eric S Rueff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891085130 PECOS PAC ID: 7719125293 Enrollment ID: I20161116001560 |
| Provider Name | Kathryn R Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659821007 PECOS PAC ID: 1456631225 Enrollment ID: I20161213002387 |
| Provider Name | Kaylee A Leroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417491606 PECOS PAC ID: 2567743784 Enrollment ID: I20161230001543 |
| Provider Name | Cynthia F Susedik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043358914 PECOS PAC ID: 0941257802 Enrollment ID: I20170109000478 |
| Provider Name | Benjamin M Dellaria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942695713 PECOS PAC ID: 0941583793 Enrollment ID: I20170202000073 |
| Provider Name | Tonya Maria Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265976286 PECOS PAC ID: 0446535470 Enrollment ID: I20170314000853 |
| Provider Name | Nicole Gutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104364637 PECOS PAC ID: 6507141124 Enrollment ID: I20170322002229 |
| Provider Name | Elise Gessler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497292528 PECOS PAC ID: 9739464173 Enrollment ID: I20170327000754 |
| Provider Name | Terry R Reisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295720779 PECOS PAC ID: 6507931128 Enrollment ID: I20170405000760 |
| Provider Name | Gabriela C Van Eperen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770017725 PECOS PAC ID: 7911274071 Enrollment ID: I20170522002223 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Nicole P Ver Voort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215463146 PECOS PAC ID: 3476823766 Enrollment ID: I20170719001776 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Jackie L Nehls-feucht |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538402235 PECOS PAC ID: 2264727510 Enrollment ID: I20170725001250 |
| Provider Name | Katherine K Nonweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598183089 PECOS PAC ID: 2961790589 Enrollment ID: I20170726001931 |
| Provider Name | Jaclyn M Mullins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316364201 PECOS PAC ID: 2567748890 Enrollment ID: I20170726002261 |
| Provider Name | Farooq S Ghouri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20170807001962 |
| Provider Name | Gbolahan D Oyinloye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255695888 PECOS PAC ID: 4385870757 Enrollment ID: I20170807002962 |
| Provider Name | Margaret M Steinmetz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578909784 PECOS PAC ID: 5597036301 Enrollment ID: I20170811001448 |
| Provider Name | Michele D Rocke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316728 PECOS PAC ID: 0547531337 Enrollment ID: I20170814001328 |
| Provider Name | Kimberly Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114448040 PECOS PAC ID: 7618249301 Enrollment ID: I20170815002979 |
| Provider Name | Agei O Enoh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518275718 PECOS PAC ID: 1254592017 Enrollment ID: I20170818000114 |
| Provider Name | Blessing Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323193 PECOS PAC ID: 9335411313 Enrollment ID: I20170825002278 |
| Provider Name | Rachel M Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063935450 PECOS PAC ID: 3072886183 Enrollment ID: I20170911002560 |
| Provider Name | Cassandra M Toeppler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356864201 PECOS PAC ID: 6608149679 Enrollment ID: I20170913003393 |
| Provider Name | Paul R Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144731498 PECOS PAC ID: 5092600866 Enrollment ID: I20171202000222 |
| Provider Name | Karen Christy Nelson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285848119 PECOS PAC ID: 6608028857 Enrollment ID: I20171207000493 |
| Provider Name | Kara T Bos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942596408 PECOS PAC ID: 2466767199 Enrollment ID: I20180118000819 |
| Provider Name | Erin L Heathman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801301734 PECOS PAC ID: 0941569800 Enrollment ID: I20180123000045 |
| Provider Name | Emily E Favret |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346624178 PECOS PAC ID: 3072873702 Enrollment ID: I20180129000564 |
| Provider Name | Tanya M Elmergreen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952814733 PECOS PAC ID: 2961762596 Enrollment ID: I20180130002762 |
| Provider Name | Cesar A Jara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295789618 PECOS PAC ID: 1759378219 Enrollment ID: I20180221000499 |
| Provider Name | Salil T Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467853929 PECOS PAC ID: 5799005781 Enrollment ID: I20180330000570 |
| Provider Name | Angela M Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881197028 PECOS PAC ID: 1557625399 Enrollment ID: I20180503000932 |
| Provider Name | Kunal S Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922425040 PECOS PAC ID: 6901021997 Enrollment ID: I20180525000523 |
| Provider Name | David John Muron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922078005 PECOS PAC ID: 1759396047 Enrollment ID: I20180601000529 |
| Provider Name | Rebecca Lynn Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508369059 PECOS PAC ID: 2264797588 Enrollment ID: I20180607000239 |
| Provider Name | Jelena K Shadick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316331960 PECOS PAC ID: 0941556682 Enrollment ID: I20180710003360 |
| Provider Name | Alexander Starr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790722619 PECOS PAC ID: 9436113263 Enrollment ID: I20180730001240 |
| Provider Name | Megan L Thistle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659734911 PECOS PAC ID: 0547518748 Enrollment ID: I20180803002125 |
| Provider Name | Kelsey M Kienert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134501190 PECOS PAC ID: 9931412814 Enrollment ID: I20180822003189 |
| Provider Name | Vikas Khullar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952665804 PECOS PAC ID: 8527299486 Enrollment ID: I20180827003124 |
| Provider Name | Sean Huff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679954614 PECOS PAC ID: 4688924038 Enrollment ID: I20180905001560 |
| Provider Name | Megan E Abler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669952297 PECOS PAC ID: 5294086013 Enrollment ID: I20180918002390 |
| Provider Name | Natasha Garbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588155139 PECOS PAC ID: 4688925795 Enrollment ID: I20180927002804 |
| Provider Name | Benjamin R Ciske |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104245851 PECOS PAC ID: 9032332929 Enrollment ID: I20181016002540 |
| Provider Name | Kassondra K Korth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336639202 PECOS PAC ID: 0446503056 Enrollment ID: I20181030000114 |
| Provider Name | Donna Jo Hawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770050585 PECOS PAC ID: 9032463302 Enrollment ID: I20181127000074 |
| Provider Name | Jonathan Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265909949 PECOS PAC ID: 6204180573 Enrollment ID: I20181127000128 |
| Provider Name | Rania H Saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326280264 PECOS PAC ID: 8022265685 Enrollment ID: I20181206001462 |
| Provider Name | David A Shafique |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659715076 PECOS PAC ID: 0042518359 Enrollment ID: I20181227000111 |
| Provider Name | Spencer Land |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407820491 PECOS PAC ID: 1456388370 Enrollment ID: I20190410000277 |
| Provider Name | Tosha Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629547633 PECOS PAC ID: 7113268442 Enrollment ID: I20190413000103 |
| Provider Name | Kristen D Holzwart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330414 PECOS PAC ID: 4880935097 Enrollment ID: I20190416000491 |
| Provider Name | Tahir Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548577182 PECOS PAC ID: 4385879014 Enrollment ID: I20190430000648 |
| Provider Name | Susan M Trocciola |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1831365345 PECOS PAC ID: 2769631183 Enrollment ID: I20190504000031 |
| Provider Name | Elizabeth Nicole Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821556424 PECOS PAC ID: 4880937838 Enrollment ID: I20190515001856 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20190531000002 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20190617001176 |
| Provider Name | Jeffrey Aaron Kenny |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316019946 PECOS PAC ID: 4183729064 Enrollment ID: I20190716002707 |
| Provider Name | Hillary N Herman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972951127 PECOS PAC ID: 4284924036 Enrollment ID: I20190717000333 |
| Provider Name | Ann M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387975 PECOS PAC ID: 8325373939 Enrollment ID: I20190718000034 |
| Provider Name | Ashraf M Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558723775 PECOS PAC ID: 1153657747 Enrollment ID: I20190718003359 |
| Provider Name | Nicholas Scott-patrick Freeman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578904884 PECOS PAC ID: 0446578686 Enrollment ID: I20190724003454 |
| Provider Name | Shawn A Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316401706 PECOS PAC ID: 2062748130 Enrollment ID: I20190726001452 |
| Provider Name | Kelsey A Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458177 PECOS PAC ID: 3971839929 Enrollment ID: I20190729001846 |
| Provider Name | Gretchen Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194187864 PECOS PAC ID: 1850653882 Enrollment ID: I20190731000690 |
| Provider Name | Ujuchukwu Chizurum Okpechi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366997496 PECOS PAC ID: 9931487295 Enrollment ID: I20190801001329 |
| Provider Name | Samuel W Markert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750947263 PECOS PAC ID: 9032446463 Enrollment ID: I20190808000749 |
| Provider Name | Noah L Wride |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457766982 PECOS PAC ID: 1153630843 Enrollment ID: I20190808002981 |
| Provider Name | Omar Saud Waqhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881081685 PECOS PAC ID: 0547562480 Enrollment ID: I20190814003508 |
| Provider Name | Michael Aaron Parish |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407953425 PECOS PAC ID: 7517851009 Enrollment ID: I20190820004012 |
| Provider Name | Chey V Collura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326453200 PECOS PAC ID: 1355568122 Enrollment ID: I20190829000709 |
| Provider Name | Danielle L Leick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902467731 PECOS PAC ID: 6002145950 Enrollment ID: I20190903001110 |
| Provider Name | Sue Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609430396 PECOS PAC ID: 8022347509 Enrollment ID: I20190909002334 |
| Provider Name | Brianna M Montano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861045957 PECOS PAC ID: 3173852340 Enrollment ID: I20190912003572 |
| Provider Name | Obiageli C Sogbetun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477702082 PECOS PAC ID: 3274789292 Enrollment ID: I20190930001934 |
| Provider Name | Yousuf Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609286590 PECOS PAC ID: 1254633605 Enrollment ID: I20191002003210 |
| Provider Name | Maykong C Leepalao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033559588 PECOS PAC ID: 8729200886 Enrollment ID: I20191010002729 |
| Provider Name | Jenna M Spude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750930079 PECOS PAC ID: 5991036220 Enrollment ID: I20191017000222 |
| Provider Name | Hitomi Gunsolley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477104388 PECOS PAC ID: 5193159135 Enrollment ID: I20191227000287 |
| Provider Name | Melanie Hope Scharrer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912385238 PECOS PAC ID: 7911217492 Enrollment ID: I20200130000774 |
| Provider Name | Ahmad Zeeshan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336292010 PECOS PAC ID: 5890911747 Enrollment ID: I20200206001737 |
| Provider Name | Lee A Kutchenriter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376069930 PECOS PAC ID: 0648606715 Enrollment ID: I20200208000180 |
| Provider Name | Alicia J Sprecher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689091092 PECOS PAC ID: 6002243631 Enrollment ID: I20200220002347 |
| Provider Name | Cyril E Tabe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558457135 PECOS PAC ID: 4183624125 Enrollment ID: I20200225000571 |
| Provider Name | Rebecca Ann Kloehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063044782 PECOS PAC ID: 9436587201 Enrollment ID: I20200310002833 |
| Provider Name | Ghada Metwally Ahmed Elsayed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225470701 PECOS PAC ID: 0143532093 Enrollment ID: I20200317000140 |
| Provider Name | Renee Helen Barany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700417805 PECOS PAC ID: 1456780808 Enrollment ID: I20200406001396 |
| Provider Name | Sulaiman B Hasan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962481689 PECOS PAC ID: 3971594946 Enrollment ID: I20200413001241 |
| Provider Name | Laura M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336776350 PECOS PAC ID: 6507296100 Enrollment ID: I20200422003064 |
| Provider Name | Lalit Vadlamani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770552648 PECOS PAC ID: 2668467481 Enrollment ID: I20200424000681 |
| Provider Name | Richard H Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811023625 PECOS PAC ID: 9335307172 Enrollment ID: I20200509000238 |
| Provider Name | Sankalp Dwivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902215759 PECOS PAC ID: 6406165232 Enrollment ID: I20200608003067 |
| Provider Name | Nicholas Marc Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861912669 PECOS PAC ID: 2567883085 Enrollment ID: I20200609000231 |
| Provider Name | Elisa Demet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144877077 PECOS PAC ID: 4981036191 Enrollment ID: I20200713002798 |
| Provider Name | Nicholas Anthony Poponea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538579776 PECOS PAC ID: 5092935163 Enrollment ID: I20200805000199 |
| Provider Name | John E Lassetter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477578300 PECOS PAC ID: 6305746983 Enrollment ID: I20200811001115 |
| Provider Name | Allison Ann Brubaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386094050 PECOS PAC ID: 0749606556 Enrollment ID: I20200811002407 |
| Provider Name | Andrew Beine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194256040 PECOS PAC ID: 3870837438 Enrollment ID: I20200818002251 |
| Provider Name | Lauren E Schneekloth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538690409 PECOS PAC ID: 2668745415 Enrollment ID: I20200818003913 |
| Provider Name | Kristian Noelle Bastress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154947851 PECOS PAC ID: 3072930742 Enrollment ID: I20200826000684 |
| Provider Name | Boyd C Marts |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295823425 PECOS PAC ID: 3476501966 Enrollment ID: I20200904000043 |
| Provider Name | Gavin Shokar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568727659 PECOS PAC ID: 5991946436 Enrollment ID: I20200911001329 |
| Provider Name | Chee Nou Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255865697 PECOS PAC ID: 3971843335 Enrollment ID: I20200912000048 |
| Provider Name | Mara L Veltus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013356526 PECOS PAC ID: 8426476151 Enrollment ID: I20200914000389 |
| Provider Name | Sarah Pergande |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700275500 PECOS PAC ID: 5496083412 Enrollment ID: I20200923000323 |
| Provider Name | Patricia Rivera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144684242 PECOS PAC ID: 3072861269 Enrollment ID: I20200923001321 |
| Provider Name | Diane Kuehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598286940 PECOS PAC ID: 0749559532 Enrollment ID: I20201002001592 |
| Provider Name | Ekezie M Francis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619255213 PECOS PAC ID: 9739302639 Enrollment ID: I20201009001467 |
| Provider Name | Clay C Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104072636 PECOS PAC ID: 7416088430 Enrollment ID: I20201023002501 |
| Provider Name | Sarah Wypiszynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568994853 PECOS PAC ID: 8527391598 Enrollment ID: I20201109001270 |
| Provider Name | Sylvia Kirgis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265611263 PECOS PAC ID: 4587731997 Enrollment ID: I20201111001105 |
| Provider Name | Gillian Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184041782 PECOS PAC ID: 5799087664 Enrollment ID: I20201112003204 |
| Provider Name | Richard Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932427218 PECOS PAC ID: 4880810282 Enrollment ID: I20201119000904 |
| Provider Name | Hillary Ann Bashaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265048805 PECOS PAC ID: 8022429117 Enrollment ID: I20201120001627 |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20201125000122 |
| Provider Name | Arun K Sherma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942474614 PECOS PAC ID: 1153616313 Enrollment ID: I20201204001816 |
| Provider Name | Emily Bicanic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174020788 PECOS PAC ID: 7810252269 Enrollment ID: I20201223001436 |
| Provider Name | Amber R Marasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900474 PECOS PAC ID: 4981017290 Enrollment ID: I20210106000212 |
| Provider Name | Melanie M Quella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083225767 PECOS PAC ID: 9830503515 Enrollment ID: I20210121001521 |
| Provider Name | Jessica Anne Bielmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235253030 PECOS PAC ID: 8022422567 Enrollment ID: I20210125002583 |
| Provider Name | Atuhani Burnett |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1902125701 PECOS PAC ID: 8628329208 Enrollment ID: I20210128000185 |
| Provider Name | Amanda E Zorn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720424294 PECOS PAC ID: 6406260546 Enrollment ID: I20210201000500 |
| Provider Name | Nancy A Rihana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982835237 PECOS PAC ID: 5294954699 Enrollment ID: I20210201000594 |
| 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 | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20210308000402 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20210311001519 |
| Provider Name | Jonathon M Gutzeit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154828812 PECOS PAC ID: 8224467113 Enrollment ID: I20210401000019 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20210420001089 |
| Provider Name | Sarah Rechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427044767 PECOS PAC ID: 5890771638 Enrollment ID: I20210427001913 |
| Provider Name | Shih-wen Chang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629084579 PECOS PAC ID: 6608821921 Enrollment ID: I20210505000783 |
| Provider Name | David Austin Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508356544 PECOS PAC ID: 4587065966 Enrollment ID: I20210623000122 |
| Provider Name | Christopher Lutman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255321568 PECOS PAC ID: 1355310087 Enrollment ID: I20210716002610 |
| Provider Name | Spencer Gantz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639600547 PECOS PAC ID: 1759611239 Enrollment ID: I20210728002398 |
| Provider Name | Erin Salter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851754287 PECOS PAC ID: 7416292255 Enrollment ID: I20210728003005 |
| Provider Name | Annemarie Uphus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033362066 PECOS PAC ID: 3870723745 Enrollment ID: I20210728004044 |
| Provider Name | Michael Andrew Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275114712 PECOS PAC ID: 7911301916 Enrollment ID: I20210813000258 |
| Provider Name | Hillary Marie Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407529001 PECOS PAC ID: 2466857271 Enrollment ID: I20210817002224 |
| Provider Name | Laura Marie Butch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952974206 PECOS PAC ID: 4183029903 Enrollment ID: I20210817002704 |
| Provider Name | Eyob Kassaye Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609372929 PECOS PAC ID: 2062818818 Enrollment ID: I20210902002367 |
| Provider Name | Breana L Fellinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184129009 PECOS PAC ID: 1557788676 Enrollment ID: I20210928002084 |
| Provider Name | Thomas M Tamlyn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831176338 PECOS PAC ID: 0941225254 Enrollment ID: I20211004001697 |
| Provider Name | Mildred A Opondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609189463 PECOS PAC ID: 1456576347 Enrollment ID: I20211006001933 |
| Provider Name | Kaitrin Conniff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538830963 PECOS PAC ID: 9638567951 Enrollment ID: I20211019001514 |
| Provider Name | Lisa Genell Urbaniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700457264 PECOS PAC ID: 2466842331 Enrollment ID: I20211208001331 |
| Provider Name | Ann M Hefter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003584145 PECOS PAC ID: 6507258175 Enrollment ID: I20220112001197 |
| Provider Name | Kristen M Kelly-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659532265 PECOS PAC ID: 6305093873 Enrollment ID: I20220121001539 |
| Provider Name | Nicole Malfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629534912 PECOS PAC ID: 2567796659 Enrollment ID: I20220208000543 |
| Provider Name | Lynn Seto |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1164486049 PECOS PAC ID: 3779551957 Enrollment ID: I20220215001539 |
| Provider Name | Kelly Scudder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871154138 PECOS PAC ID: 6103153077 Enrollment ID: I20220216000924 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220221001176 |
| Provider Name | Kirsten E Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316696552 PECOS PAC ID: 7416343744 Enrollment ID: I20220413000773 |
| Provider Name | Kiley Kuepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306589965 PECOS PAC ID: 8123405990 Enrollment ID: I20220517000816 |
| Provider Name | William Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134582729 PECOS PAC ID: 1850684143 Enrollment ID: I20220519001404 |
| Provider Name | Kelsey Mcnamee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104469360 PECOS PAC ID: 3173901238 Enrollment ID: I20220601000972 |
| Provider Name | Stephen L Meyer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396712972 PECOS PAC ID: 3577664382 Enrollment ID: I20220628001189 |
| Provider Name | Candace B Borders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457855686 PECOS PAC ID: 2163843707 Enrollment ID: I20220805001751 |
| Provider Name | Kevin J Flynn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891174017 PECOS PAC ID: 5890008924 Enrollment ID: I20220815003237 |
| Provider Name | Evan Krueger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861807174 PECOS PAC ID: 2264721067 Enrollment ID: I20220817002253 |
| Provider Name | Michael Assefa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457849333 PECOS PAC ID: 6709293871 Enrollment ID: I20220823003505 |
| Provider Name | Vinod Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639730765 PECOS PAC ID: 0042694044 Enrollment ID: I20220824003268 |
| Provider Name | Sarah J Brosman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285368449 PECOS PAC ID: 1153705058 Enrollment ID: I20220825004029 |
| Provider Name | Morgan E. Schubbe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821447418 PECOS PAC ID: 0749575496 Enrollment ID: I20220908001605 |
| Provider Name | Lisa Thiltgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609455591 PECOS PAC ID: 5496164618 Enrollment ID: I20220914000575 |
| Provider Name | Huitzilin Mauricio Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20220930000651 |
| Provider Name | Katie Geiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013648591 PECOS PAC ID: 0648656348 Enrollment ID: I20221004001573 |
| Provider Name | Mohamed Ragab Zakarya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598291346 PECOS PAC ID: 4486079191 Enrollment ID: I20221004003487 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20221008000304 |
| Provider Name | Lyle James Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20221019000386 |
| Provider Name | Lacey Harrington |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174987176 PECOS PAC ID: 1254668965 Enrollment ID: I20221028002256 |
| Provider Name | Sophia Marie Bergner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760101638 PECOS PAC ID: 8123499696 Enrollment ID: I20230119001916 |
| Provider Name | Maheen S Rehman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194106484 PECOS PAC ID: 3072862549 Enrollment ID: I20230120001777 |
| Provider Name | Jayendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760703318 PECOS PAC ID: 6709029770 Enrollment ID: I20230206000710 |
| Provider Name | Jyoti K Randhawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205037595 PECOS PAC ID: 3274710603 Enrollment ID: I20230209001504 |
| Provider Name | Sarah Bertzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316652373 PECOS PAC ID: 0345612321 Enrollment ID: I20230221002652 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230222001931 |
| Provider Name | Ravindran Arcot Padmanabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730114943 PECOS PAC ID: 5799727616 Enrollment ID: I20230302001458 |
| Provider Name | Lamin Bangura |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790078079 PECOS PAC ID: 8820366719 Enrollment ID: I20230308001447 |
| Provider Name | Emily Klitzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720739543 PECOS PAC ID: 2264806975 Enrollment ID: I20230321000804 |
| Provider Name | Madeline Janell Howard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982316097 PECOS PAC ID: 6709251457 Enrollment ID: I20230411000732 |
| Provider Name | Pamela Jean Tews |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962850826 PECOS PAC ID: 1850766502 Enrollment ID: I20230411000856 |
| Provider Name | Kieran Nicholson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205843653 PECOS PAC ID: 9335105584 Enrollment ID: I20230421000940 |
| Provider Name | Diana C Doeing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730341983 PECOS PAC ID: 2961689955 Enrollment ID: I20230421001817 |
| Provider Name | Hari Gadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285601872 PECOS PAC ID: 0143309179 Enrollment ID: I20230421001875 |
| Provider Name | Karen Omara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235112269 PECOS PAC ID: 7416907670 Enrollment ID: I20230424000860 |
| Provider Name | Melita Igbokwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790004620 PECOS PAC ID: 9537385232 Enrollment ID: I20230424000918 |
| Provider Name | Kizito Ojiako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679520431 PECOS PAC ID: 6800800152 Enrollment ID: I20230424002887 |
| Provider Name | Faisal Amdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689874349 PECOS PAC ID: 3173762184 Enrollment ID: I20230425002313 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20230428000587 |
| Provider Name | Brianna Wolcott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821797085 PECOS PAC ID: 1355706268 Enrollment ID: I20230428000687 |
| Provider Name | Andrea Caballero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173824 PECOS PAC ID: 3274841770 Enrollment ID: I20230428001880 |
| Provider Name | Avery Ann Lebowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619675790 PECOS PAC ID: 6507221058 Enrollment ID: I20230505000620 |
| Provider Name | Joseph Rosman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760478754 PECOS PAC ID: 0648167940 Enrollment ID: I20230524002245 |
| Provider Name | Sai Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801024153 PECOS PAC ID: 1557519089 Enrollment ID: I20230531000295 |
| Provider Name | Joseph Vitello |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962508747 PECOS PAC ID: 1951723899 Enrollment ID: I20230531000980 |
| Provider Name | Oksana Shulzhenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477512838 PECOS PAC ID: 2264406784 Enrollment ID: I20230601001101 |
| Provider Name | Sarah Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720171911 PECOS PAC ID: 1850579152 Enrollment ID: I20230602002504 |
| Provider Name | Paul B Tessmann |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861601833 PECOS PAC ID: 4981850245 Enrollment ID: I20230606002752 |
| Provider Name | Michaela C Machurick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366137333 PECOS PAC ID: 9133586969 Enrollment ID: I20230608002956 |
| Provider Name | Jyothi Jolepalem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669574299 PECOS PAC ID: 6103910880 Enrollment ID: I20230612001268 |
| Provider Name | Michael Krause |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073626115 PECOS PAC ID: 9638164411 Enrollment ID: I20230621001096 |
| Provider Name | Andrew H Goldstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518951284 PECOS PAC ID: 4385629062 Enrollment ID: I20230622000527 |
| Provider Name | Narayana Swamy Nagubadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295782365 PECOS PAC ID: 6709945264 Enrollment ID: I20230701000364 |
| Provider Name | Omar Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639312556 PECOS PAC ID: 2365698669 Enrollment ID: I20230707000993 |
| Provider Name | Megan Michelle Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275222085 PECOS PAC ID: 8123487154 Enrollment ID: I20230707003313 |
| Provider Name | Ashley Preston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154946598 PECOS PAC ID: 3870916315 Enrollment ID: I20230711003460 |
| Provider Name | Jenifer L Grooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104178896 PECOS PAC ID: 7810142841 Enrollment ID: I20230727002122 |
| Provider Name | Peter Staiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932561321 PECOS PAC ID: 3274820394 Enrollment ID: I20230731000174 |
| Provider Name | Monica Grace Bayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659050003 PECOS PAC ID: 6709247265 Enrollment ID: I20230731002340 |
| Provider Name | Roberto Amado-cattaneo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073700225 PECOS PAC ID: 8527955004 Enrollment ID: I20230810004277 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20230814002413 |
| Provider Name | Jaclyn Rose Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104504331 PECOS PAC ID: 5991168320 Enrollment ID: I20230831003003 |
| Provider Name | Mohamad Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679592232 PECOS PAC ID: 5597702001 Enrollment ID: I20230901002062 |
| Provider Name | Tanmay Patwa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790071199 PECOS PAC ID: 1557652708 Enrollment ID: I20230901002446 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20230906001309 |
| Provider Name | Danielle Renne Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710665781 PECOS PAC ID: 8820452535 Enrollment ID: I20230914000425 |
| Provider Name | Morgan Mosling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023797487 PECOS PAC ID: 6204290695 Enrollment ID: I20230919001650 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20231004003130 |
| Provider Name | Katherine Hartstern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437773652 PECOS PAC ID: 1355765124 Enrollment ID: I20231103002261 |
| Provider Name | Jai Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861467037 PECOS PAC ID: 1355243114 Enrollment ID: I20231107001901 |
| Provider Name | Ashima Sahni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972819720 PECOS PAC ID: 2961630801 Enrollment ID: I20231108002677 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231116002241 |
| Provider Name | Appaji Rayi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184930133 PECOS PAC ID: 4981915824 Enrollment ID: I20231117002413 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20231207001766 |
| Provider Name | Oluwatoyin Bola Oladeji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366097008 PECOS PAC ID: 0749639110 Enrollment ID: I20231211001447 |
| Provider Name | Johnny Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144310509 PECOS PAC ID: 9335277631 Enrollment ID: I20231227001050 |
| Provider Name | Thomas M Mcinnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528747300 PECOS PAC ID: 7810349263 Enrollment ID: I20240122001341 |
| Provider Name | Nicole Leeanne Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525793 PECOS PAC ID: 9537424460 Enrollment ID: I20240122001945 |
| Provider Name | Tiffany Lynn Mennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710751813 PECOS PAC ID: 0648623702 Enrollment ID: I20240125001945 |
| Provider Name | Jennifer Miller Houtz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922749464 PECOS PAC ID: 7517301963 Enrollment ID: I20240214000888 |
| Provider Name | Kathleen B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730370719 PECOS PAC ID: 7113016510 Enrollment ID: I20240222000829 |
| Provider Name | Ashish K Rungta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464599 PECOS PAC ID: 1052623238 Enrollment ID: I20240313000728 |
Affinity Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Lincoln St, Neenah, WI 54956 Phone: 920-727-4347 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 | |
St Vincent Hospital-hospital Sisters-third Order Of St Francis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Elm St, Neenah, WI 54956 Phone: 920-496-4700 | |
Gastrointestinal Specialists Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Suite N157, Neenah, WI 54956 Phone: 920-426-2211 Fax: 920-426-2231 | |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-4200 | |
Premier Health S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1540 Lyon Dr, Neenah, WI 54956 Phone: 920-727-4946 Fax: 920-727-4956 | |
Life Wellness Center - Neenah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7273 State Road 76, Neenah, WI 54956 Phone: 920-727-7599 Fax: 888-892-0604 |