| Aspirus Stevens Point Clinic - Illinois Avenue | |
|
824 Illinois Ave Stevens Point WI 54481-3112 | |
| (715) 342-7725 | |
| Not Available |
| Full Name | Aspirus Stevens Point Clinic - Illinois Avenue |
|---|---|
| Speciality | Clinic/Center |
| Location | 824 Illinois Ave, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Lori Paige Peck (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 7157482988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Stevens Point Clinic - Illinois Avenue 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Stevens Point Clinic - Illinois Avenue 824 Illinois Ave Stevens Point WI 54481-3112 Ph: (715) 342-7725 |
| NPI Number | 1144991340 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 05/27/2022 |
| Medicare PECOS PAC ID | 9335059856 |
|---|---|
| Medicare Enrollment ID | O20031126000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144991340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Kshamata Shalini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023099306 PECOS PAC ID: 0840196036 Enrollment ID: I20031209000630 |
| Provider Name | Patricio L Ilada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679630156 PECOS PAC ID: 4587565338 Enrollment ID: I20040115000781 |
| Provider Name | Laurie A Demro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336151190 PECOS PAC ID: 4082515424 Enrollment ID: I20040119000021 |
| Provider Name | Joel L Furda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588642755 PECOS PAC ID: 9032011044 Enrollment ID: I20040121000825 |
| Provider Name | Todd A Sandstrom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972583029 PECOS PAC ID: 3678467750 Enrollment ID: I20040210000695 |
| Provider Name | Katharina L Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841345667 PECOS PAC ID: 8820983646 Enrollment ID: I20040219000429 |
| Provider Name | Terri A Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265587976 PECOS PAC ID: 3274428016 Enrollment ID: I20040219000489 |
| Provider Name | Bradley F Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386681393 PECOS PAC ID: 1355253824 Enrollment ID: I20040219000839 |
| Provider Name | Randolph B Waskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497780134 PECOS PAC ID: 2961390364 Enrollment ID: I20040308000878 |
| Provider Name | Timothy J Wirtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134277833 PECOS PAC ID: 8022909852 Enrollment ID: I20040322001704 |
| Provider Name | Haleem J Rasool |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790766392 PECOS PAC ID: 2961495114 Enrollment ID: I20040405001266 |
| Provider Name | Luciana C Berceanu |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1629033055 PECOS PAC ID: 2365435872 Enrollment ID: I20040408000100 |
| Provider Name | Tania M Hassler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225012057 PECOS PAC ID: 4385638725 Enrollment ID: I20040409000235 |
| Provider Name | Michael J Thielman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881722239 PECOS PAC ID: 5496749632 Enrollment ID: I20040412000944 |
| Provider Name | Amy Marie Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578529186 PECOS PAC ID: 5799779542 Enrollment ID: I20040417000215 |
| Provider Name | William E Raduege |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114959525 PECOS PAC ID: 0446247134 Enrollment ID: I20040426001578 |
| Provider Name | Gail T Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326125691 PECOS PAC ID: 9931198496 Enrollment ID: I20040510000896 |
| Provider Name | Christopher L Younker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528001716 PECOS PAC ID: 5092706168 Enrollment ID: I20040519000620 |
| Provider Name | Scott J Rotar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376586099 PECOS PAC ID: 2365433364 Enrollment ID: I20040519000877 |
| Provider Name | Kraig Alan Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760467773 PECOS PAC ID: 9931196235 Enrollment ID: I20040520000017 |
| Provider Name | Mark Banas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972698827 PECOS PAC ID: 4880685338 Enrollment ID: I20040521001260 |
| Provider Name | Carol D Barber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245270867 PECOS PAC ID: 3577554021 Enrollment ID: I20040521001290 |
| Provider Name | Kevin R Krueger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568403806 PECOS PAC ID: 6507847035 Enrollment ID: I20040528000946 |
| Provider Name | Victor M Ierulli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982650818 PECOS PAC ID: 8820070220 Enrollment ID: I20040601000880 |
| Provider Name | Laurence R Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942220900 PECOS PAC ID: 4486636354 Enrollment ID: I20040603001212 |
| Provider Name | Ifueko B Okundaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467460410 PECOS PAC ID: 9638152101 Enrollment ID: I20040609000226 |
| Provider Name | Michael Paul Byrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881622801 PECOS PAC ID: 6507840956 Enrollment ID: I20040615000401 |
| Provider Name | Linda A Jerzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437190584 PECOS PAC ID: 5496739641 Enrollment ID: I20040615001266 |
| Provider Name | David C Rohde |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649213588 PECOS PAC ID: 8224939178 Enrollment ID: I20040625000676 |
| Provider Name | Laura E Sherrill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417985805 PECOS PAC ID: 2365421187 Enrollment ID: I20040715000972 |
| Provider Name | Ralph Bradley Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841209178 PECOS PAC ID: 5890775829 Enrollment ID: I20040721001024 |
| Provider Name | Richard J Mayrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023047859 PECOS PAC ID: 7810977717 Enrollment ID: I20040721001565 |
| Provider Name | Theodore J Shinners |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902981160 PECOS PAC ID: 9931173598 Enrollment ID: I20040820000643 |
| Provider Name | Virginia M Aguilar-sincaban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730172081 PECOS PAC ID: 6608840111 Enrollment ID: I20040820001126 |
| Provider Name | Mary K Schwanebeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053429233 PECOS PAC ID: 8527033364 Enrollment ID: I20040826000656 |
| Provider Name | Michael D Redman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386648665 PECOS PAC ID: 5092780601 Enrollment ID: I20040827000736 |
| Provider Name | Gary L Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043275241 PECOS PAC ID: 1557337433 Enrollment ID: I20040902001003 |
| Provider Name | Thomas F Marren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952309833 PECOS PAC ID: 7012985104 Enrollment ID: I20040916001240 |
| Provider Name | Heath J Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962442574 PECOS PAC ID: 9133197163 Enrollment ID: I20040917001004 |
| Provider Name | William E Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366427593 PECOS PAC ID: 4880662832 Enrollment ID: I20040917001135 |
| Provider Name | Susan E Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578670089 PECOS PAC ID: 2769450501 Enrollment ID: I20040920001171 |
| Provider Name | Bruce R Abrams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710927413 PECOS PAC ID: 9436127941 Enrollment ID: I20040922000883 |
| Provider Name | Lea Ann Schroeter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699773887 PECOS PAC ID: 8022917061 Enrollment ID: I20040927001101 |
| Provider Name | Eric D Dichsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922053990 PECOS PAC ID: 5597725861 Enrollment ID: I20041012001193 |
| Provider Name | Sara M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265479299 PECOS PAC ID: 8123088390 Enrollment ID: I20041012001298 |
| Provider Name | Amy A Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902821747 PECOS PAC ID: 0749243228 Enrollment ID: I20041105000396 |
| Provider Name | Dawn E Baker |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992889620 PECOS PAC ID: 7012970569 Enrollment ID: I20041105000891 |
| Provider Name | Douglas M Grube |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760420558 PECOS PAC ID: 7113983966 Enrollment ID: I20041203000586 |
| Provider Name | Jennifer M Schoepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114054210 PECOS PAC ID: 5991761256 Enrollment ID: I20041208000418 |
| Provider Name | David D Vanderkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962407197 PECOS PAC ID: 3779486030 Enrollment ID: I20050106000937 |
| Provider Name | Gilberto Cantu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437157831 PECOS PAC ID: 4082671136 Enrollment ID: I20050127000873 |
| Provider Name | Channing C Wiersema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457416166 PECOS PAC ID: 5991755605 Enrollment ID: I20050129000156 |
| Provider Name | Hien T Vo-hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427186741 PECOS PAC ID: 3870543580 Enrollment ID: I20050129000179 |
| Provider Name | Shelley A Szymkowiak Raczek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467589143 PECOS PAC ID: 5991755621 Enrollment ID: I20050131000066 |
| Provider Name | Steven J Slezak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215064043 PECOS PAC ID: 4183674823 Enrollment ID: I20050131000128 |
| Provider Name | Lisa M Jamison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437204575 PECOS PAC ID: 7719938315 Enrollment ID: I20050201000363 |
| Provider Name | Paul E Munck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881749984 PECOS PAC ID: 5395796783 Enrollment ID: I20050202000930 |
| Provider Name | Marco C Dotti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508916263 PECOS PAC ID: 3375594708 Enrollment ID: I20050203000025 |
| Provider Name | Alfred L Neuhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700951639 PECOS PAC ID: 2163473430 Enrollment ID: I20050203000409 |
| Provider Name | Dean R Hagness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922037100 PECOS PAC ID: 9234180514 Enrollment ID: I20050203000505 |
| Provider Name | Todd A Rave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407982978 PECOS PAC ID: 6709837024 Enrollment ID: I20050203000750 |
| Provider Name | Peter A Sanderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689721979 PECOS PAC ID: 5597734798 Enrollment ID: I20050203000809 |
| Provider Name | Cynthia Pangallo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710946132 PECOS PAC ID: 5890746069 Enrollment ID: I20050204000267 |
| Provider Name | John S Oglesby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245385962 PECOS PAC ID: 2365493558 Enrollment ID: I20050204000372 |
| Provider Name | Jay J Rusek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285761601 PECOS PAC ID: 6608827894 Enrollment ID: I20050204000388 |
| Provider Name | Thomas P O'malley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952456055 PECOS PAC ID: 7214988419 Enrollment ID: I20050204000416 |
| Provider Name | Julie L Kessler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144365123 PECOS PAC ID: 3870544752 Enrollment ID: I20050208000889 |
| Provider Name | Clare A Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831246172 PECOS PAC ID: 8527019397 Enrollment ID: I20050209000486 |
| Provider Name | Craig Steven Zastrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407835903 PECOS PAC ID: 7911959507 Enrollment ID: I20050211000163 |
| Provider Name | Mark T Szmanda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912060971 PECOS PAC ID: 1658323720 Enrollment ID: I20050216000914 |
| Provider Name | Kathleen S Marsceau |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003924846 PECOS PAC ID: 7012969900 Enrollment ID: I20050218000718 |
| Provider Name | Ahmad Al Moujahed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194813824 PECOS PAC ID: 9537113220 Enrollment ID: I20050304000804 |
| Provider Name | David J Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902833700 PECOS PAC ID: 9931154515 Enrollment ID: I20050316000709 |
| Provider Name | John E Almquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104810118 PECOS PAC ID: 9133174642 Enrollment ID: I20050317000587 |
| Provider Name | Glenn B Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891796553 PECOS PAC ID: 0547215774 Enrollment ID: I20050321000436 |
| Provider Name | Choon P Ng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497793533 PECOS PAC ID: 1355330598 Enrollment ID: I20050322001004 |
| Provider Name | Ellen J Westdorp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407898521 PECOS PAC ID: 4486620564 Enrollment ID: I20050329000241 |
| Provider Name | Walter G Kao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457328940 PECOS PAC ID: 4981662350 Enrollment ID: I20050330000756 |
| Provider Name | Shawn A Pflugardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346358447 PECOS PAC ID: 5496702854 Enrollment ID: I20050407000316 |
| Provider Name | Harriet I Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427098045 PECOS PAC ID: 5496795346 Enrollment ID: I20050510000625 |
| Provider Name | Yoseph Shalev |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821065467 PECOS PAC ID: 6507750429 Enrollment ID: I20050613000817 |
| Provider Name | Andrew R Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376563361 PECOS PAC ID: 4486690187 Enrollment ID: I20050705000298 |
| Provider Name | Mark T Hoffmann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356342034 PECOS PAC ID: 8527966803 Enrollment ID: I20050706000135 |
| Provider Name | Benjamin S Battino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417998451 PECOS PAC ID: 3971549346 Enrollment ID: I20050707000544 |
| 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 | Patricia L Gump |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588640239 PECOS PAC ID: 9032146865 Enrollment ID: I20050722000456 |
| Provider Name | Dane J Harder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215974977 PECOS PAC ID: 9739118605 Enrollment ID: I20050810001134 |
| Provider Name | Lori L Mott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578648432 PECOS PAC ID: 1456382035 Enrollment ID: I20050824000876 |
| Provider Name | Michael Todd Tennier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922084615 PECOS PAC ID: 5799717393 Enrollment ID: I20050902000704 |
| Provider Name | Tammery M Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104838127 PECOS PAC ID: 0840215562 Enrollment ID: I20051012000337 |
| Provider Name | Eunice Corujo Incha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255371837 PECOS PAC ID: 9931125994 Enrollment ID: I20051019000215 |
| Provider Name | Amy S Kuebler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235121435 PECOS PAC ID: 2961428941 Enrollment ID: I20051019000399 |
| Provider Name | Maria C Gonzalez-cerra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427099589 PECOS PAC ID: 4587680574 Enrollment ID: I20051019000517 |
| Provider Name | Heidi L Grosskopf |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104863026 PECOS PAC ID: 0840216842 Enrollment ID: I20051019000542 |
| Provider Name | Jeanne L Pallagi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841244761 PECOS PAC ID: 4789601261 Enrollment ID: I20051025000490 |
| Provider Name | Nancy J Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386685634 PECOS PAC ID: 0941227425 Enrollment ID: I20051025000512 |
| Provider Name | Adrienne D Laverdure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639119225 PECOS PAC ID: 1850280876 Enrollment ID: I20051025000720 |
| Provider Name | Rebecca D Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023004223 PECOS PAC ID: 2961429378 Enrollment ID: I20051025000874 |
| Provider Name | Shishir N Sheth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144268012 PECOS PAC ID: 4082631403 Enrollment ID: I20051025000939 |
| Provider Name | Sandhya V Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114921046 PECOS PAC ID: 2264459635 Enrollment ID: I20051026000298 |
| Provider Name | Lee A Swank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902845258 PECOS PAC ID: 3375560642 Enrollment ID: I20051026000388 |
| Provider Name | Karen M Teter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326087693 PECOS PAC ID: 6901823285 Enrollment ID: I20051026000409 |
| Provider Name | Jodelle L Bentley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578504825 PECOS PAC ID: 1052338332 Enrollment ID: I20051026000460 |
| Provider Name | Steven R Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861576597 PECOS PAC ID: 1759308034 Enrollment ID: I20051026000496 |
| Provider Name | Richard Lee Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891748000 PECOS PAC ID: 4082631387 Enrollment ID: I20051026000650 |
| Provider Name | Scott R Ghinazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790797124 PECOS PAC ID: 7719977974 Enrollment ID: I20051118000417 |
| Provider Name | Richard S Wessling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649282807 PECOS PAC ID: 3678563830 Enrollment ID: I20051118000549 |
| Provider Name | Rezwan Islam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154417145 PECOS PAC ID: 0143249037 Enrollment ID: I20051121000673 |
| Provider Name | Scott E Dickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588676977 PECOS PAC ID: 1456254572 Enrollment ID: I20051201000363 |
| Provider Name | Michael D Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982646006 PECOS PAC ID: 1759301732 Enrollment ID: I20051206000368 |
| Provider Name | Marjorie S Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487687604 PECOS PAC ID: 3577583418 Enrollment ID: I20051207000376 |
| Provider Name | Michael J Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891734927 PECOS PAC ID: 3375567571 Enrollment ID: I20060113000797 |
| Provider Name | Jeffrey P Blise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821051657 PECOS PAC ID: 3779507918 Enrollment ID: I20060116000091 |
| Provider Name | Michelle L Henrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205882990 PECOS PAC ID: 3577587690 Enrollment ID: I20060117000325 |
| Provider Name | Ann E Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073559639 PECOS PAC ID: 2668496787 Enrollment ID: I20060117000335 |
| Provider Name | Ravindra Hanumaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740237775 PECOS PAC ID: 9537183355 Enrollment ID: I20060119000778 |
| Provider Name | Bradley J Schwager |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265497598 PECOS PAC ID: 1951315761 Enrollment ID: I20060201000194 |
| Provider Name | Heidi Renee Hochhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063412799 PECOS PAC ID: 4981619152 Enrollment ID: I20060208000665 |
| Provider Name | Nicolaus A Schermer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730175480 PECOS PAC ID: 9436114428 Enrollment ID: I20060213000103 |
| Provider Name | Steven R Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235178898 PECOS PAC ID: 0143236430 Enrollment ID: I20060223000390 |
| Provider Name | Carlos X Condado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205028768 PECOS PAC ID: 2860478690 Enrollment ID: I20060313000396 |
| Provider Name | Ronald J Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396799615 PECOS PAC ID: 8022026392 Enrollment ID: I20060328000534 |
| Provider Name | Allen E Faber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407963085 PECOS PAC ID: 5395753560 Enrollment ID: I20060329000635 |
| Provider Name | Robert R Kohl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689628901 PECOS PAC ID: 7214948561 Enrollment ID: I20060526000087 |
| Provider Name | John R Westberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255302337 PECOS PAC ID: 9032108378 Enrollment ID: I20060710000061 |
| Provider Name | Romeo M Barakeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205863503 PECOS PAC ID: 3274546148 Enrollment ID: I20060718000162 |
| Provider Name | Beth Gillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245262351 PECOS PAC ID: 0941110829 Enrollment ID: I20060803000469 |
| Provider Name | Timothy P Ripple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033161856 PECOS PAC ID: 7416950498 Enrollment ID: I20060811000163 |
| Provider Name | Nabeel M Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771069 PECOS PAC ID: 5597786681 Enrollment ID: I20060818000330 |
| Provider Name | Shana M Gliniecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730112814 PECOS PAC ID: 0042214470 Enrollment ID: I20060828000072 |
| Provider Name | Oghomwen K Sule |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043221385 PECOS PAC ID: 7517961642 Enrollment ID: I20060905000106 |
| Provider Name | Kay M Shawbitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669491510 PECOS PAC ID: 8022012731 Enrollment ID: I20060912000420 |
| Provider Name | Kevin J Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982712220 PECOS PAC ID: 6406852508 Enrollment ID: I20061012000549 |
| Provider Name | Shoaib Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275575581 PECOS PAC ID: 6709883325 Enrollment ID: I20061024000516 |
| Provider Name | Peter E Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841385226 PECOS PAC ID: 3971501545 Enrollment ID: I20061114000288 |
| Provider Name | Lucille M Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609941491 PECOS PAC ID: 3476553801 Enrollment ID: I20070108000465 |
| Provider Name | Raymond J Honsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770665937 PECOS PAC ID: 5496755738 Enrollment ID: I20070110000255 |
| Provider Name | Kay L Czerwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962592568 PECOS PAC ID: 6305846684 Enrollment ID: I20070110000555 |
| Provider Name | Sarah Catherine Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598715666 PECOS PAC ID: 2769484948 Enrollment ID: I20070201000447 |
| Provider Name | Lisa Marie Machotka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790853786 PECOS PAC ID: 2264434315 Enrollment ID: I20070202000401 |
| Provider Name | Anna G Gilbertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063430387 PECOS PAC ID: 7416959986 Enrollment ID: I20070213000281 |
| Provider Name | David Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760438659 PECOS PAC ID: 2961446653 Enrollment ID: I20070402000141 |
| Provider Name | Rebecca L England |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457360869 PECOS PAC ID: 7214035500 Enrollment ID: I20070611000307 |
| Provider Name | Amy A Sweet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235340753 PECOS PAC ID: 7113027830 Enrollment ID: I20070711000132 |
| Provider Name | Gregory C Tyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871695452 PECOS PAC ID: 3971603176 Enrollment ID: I20070717000010 |
| Provider Name | Cheruppolil R Santhosh Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649387911 PECOS PAC ID: 8921109455 Enrollment ID: I20070727000041 |
| Provider Name | Erin E Verkerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477612794 PECOS PAC ID: 4789785114 Enrollment ID: I20070728000238 |
| Provider Name | Emmanuel Narh Bedeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578761102 PECOS PAC ID: 5597857235 Enrollment ID: I20070824000821 |
| Provider Name | Robyn A Schertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043410673 PECOS PAC ID: 4688767023 Enrollment ID: I20070830000630 |
| Provider Name | Amber L Heuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699971150 PECOS PAC ID: 9537252812 Enrollment ID: I20070906000128 |
| Provider Name | Richard S Veiga |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134165558 PECOS PAC ID: 1052404852 Enrollment ID: I20070911000057 |
| Provider Name | Andrew M Wilke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124086947 PECOS PAC ID: 6305733585 Enrollment ID: I20070917000739 |
| Provider Name | Joseph D Spennetta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700993458 PECOS PAC ID: 1658378096 Enrollment ID: I20070918000241 |
| Provider Name | Peter M Mccool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306044847 PECOS PAC ID: 3274620133 Enrollment ID: I20071025000076 |
| Provider Name | Diane L Reetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942497185 PECOS PAC ID: 4688762511 Enrollment ID: I20071110000133 |
| Provider Name | Dean M Pollnow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316054612 PECOS PAC ID: 2860582079 Enrollment ID: I20071212000095 |
| Provider Name | James H Whitehurst |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093878787 PECOS PAC ID: 4082638184 Enrollment ID: I20071231000362 |
| Provider Name | Samer Jabbour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043215692 PECOS PAC ID: 7810950136 Enrollment ID: I20080107000050 |
| Provider Name | Jerome C Andres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386750834 PECOS PAC ID: 3375624794 Enrollment ID: I20080111000131 |
| Provider Name | Andrew R Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610707 PECOS PAC ID: 3072697325 Enrollment ID: I20080225000606 |
| Provider Name | Narasimha R Saladi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528257045 PECOS PAC ID: 6901796473 Enrollment ID: I20080306000611 |
| Provider Name | Charles P Lattuada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407858244 PECOS PAC ID: 6507895299 Enrollment ID: I20080310000068 |
| Provider Name | Sean M Cashin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558564203 PECOS PAC ID: 2961588595 Enrollment ID: I20080324000607 |
| Provider Name | Mary C Nofftz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104820638 PECOS PAC ID: 2365529559 Enrollment ID: I20080412000051 |
| Provider Name | Tami R Leslie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003087107 PECOS PAC ID: 6901976240 Enrollment ID: I20080529000575 |
| Provider Name | Mary J Keller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326129867 PECOS PAC ID: 4284704107 Enrollment ID: I20080604000563 |
| Provider Name | Bradley J Boettcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295906675 PECOS PAC ID: 9830269588 Enrollment ID: I20080606000187 |
| Provider Name | Naomi E Arenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033102546 PECOS PAC ID: 4284662545 Enrollment ID: I20080619000612 |
| Provider Name | Thomas R Hogan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376752147 PECOS PAC ID: 2860565322 Enrollment ID: I20080717000263 |
| Provider Name | Andrew Beaumont |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871688135 PECOS PAC ID: 6305910134 Enrollment ID: I20080728000789 |
| Provider Name | Timothy J Moran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437328614 PECOS PAC ID: 0244304632 Enrollment ID: I20080802000107 |
| Provider Name | Luke J Budleski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952366023 PECOS PAC ID: 5991879090 Enrollment ID: I20080807000562 |
| Provider Name | Steven John Gasper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043238405 PECOS PAC ID: 3870667785 Enrollment ID: I20080811000108 |
| Provider Name | Kay L Lockwood |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487686820 PECOS PAC ID: 7416022686 Enrollment ID: I20080822000290 |
| Provider Name | Lisa A Wheeler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629178546 PECOS PAC ID: 7517034903 Enrollment ID: I20080926000555 |
| Provider Name | Taha Jamil |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609812569 PECOS PAC ID: 0345248324 Enrollment ID: I20080927000112 |
| Provider Name | Reed J Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720259112 PECOS PAC ID: 5193892446 Enrollment ID: I20080929000204 |
| Provider Name | Kelly B Jankowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952550576 PECOS PAC ID: 3173691102 Enrollment ID: I20081003000731 |
| Provider Name | Diane L Tatrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588826689 PECOS PAC ID: 2163590977 Enrollment ID: I20081007000437 |
| Provider Name | Meredith Holbrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780770784 PECOS PAC ID: 1254409873 Enrollment ID: I20081009000582 |
| Provider Name | Maria C Dziamski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639158298 PECOS PAC ID: 6204820251 Enrollment ID: I20081015000563 |
| Provider Name | Gislaine E Tsemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851351068 PECOS PAC ID: 1456388750 Enrollment ID: I20081017000195 |
| Provider Name | Oluwakunle Oluwatosin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396912796 PECOS PAC ID: 1557439262 Enrollment ID: I20081023000761 |
| Provider Name | Cecilia Stroede |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922065754 PECOS PAC ID: 4385696475 Enrollment ID: I20081028000737 |
| Provider Name | James M Panagas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114998499 PECOS PAC ID: 0345270369 Enrollment ID: I20081105000814 |
| Provider Name | Holly L Beede-mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578713335 PECOS PAC ID: 3173682796 Enrollment ID: I20081111000311 |
| Provider Name | Gina K Koeppl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386739597 PECOS PAC ID: 7719047471 Enrollment ID: I20081125000611 |
| Provider Name | Crystal A Harn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972754075 PECOS PAC ID: 4284795899 Enrollment ID: I20081201000669 |
| Provider Name | James E Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962446351 PECOS PAC ID: 4284653965 Enrollment ID: I20081202000561 |
| Provider Name | Rovena L Kessinger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811092877 PECOS PAC ID: 0547322240 Enrollment ID: I20081213000273 |
| Provider Name | Prashanti Pilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174704852 PECOS PAC ID: 2769544048 Enrollment ID: I20081219000578 |
| Provider Name | Margaret Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578775078 PECOS PAC ID: 0345146106 Enrollment ID: I20090107000323 |
| Provider Name | Richard F Mickevicius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487749263 PECOS PAC ID: 5294899134 Enrollment ID: I20090121000636 |
| Provider Name | Suzette L Katchko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073773677 PECOS PAC ID: 4880758721 Enrollment ID: I20090121000668 |
| Provider Name | Margaret Kriesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700049988 PECOS PAC ID: 8921162579 Enrollment ID: I20090127000582 |
| Provider Name | Anthony J Rutkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740223445 PECOS PAC ID: 0042374597 Enrollment ID: I20090127000654 |
| Provider Name | Lisa M Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992959654 PECOS PAC ID: 8123183100 Enrollment ID: I20090209000437 |
| Provider Name | Russell S Sudbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548215312 PECOS PAC ID: 8123183563 Enrollment ID: I20090218000264 |
| Provider Name | Angelene K Timmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265475966 PECOS PAC ID: 9032275151 Enrollment ID: I20090225000489 |
| Provider Name | Robert K Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437119781 PECOS PAC ID: 8022192178 Enrollment ID: I20090306000344 |
| Provider Name | Cheryl L Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891931440 PECOS PAC ID: 6901963172 Enrollment ID: I20090316000592 |
| Provider Name | Howard L Dhonau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518958172 PECOS PAC ID: 9638227143 Enrollment ID: I20090511000060 |
| Provider Name | James D Dolan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639270796 PECOS PAC ID: 1759363500 Enrollment ID: I20090603000304 |
| Provider Name | Myung Sun S Jung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477791895 PECOS PAC ID: 3779633946 Enrollment ID: I20090609000545 |
| Provider Name | Christian Zuver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194843367 PECOS PAC ID: 5890887830 Enrollment ID: I20090624000126 |
| Provider Name | Sandip Ghuge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770727083 PECOS PAC ID: 9537211362 Enrollment ID: I20090709000030 |
| Provider Name | Michael R Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396944237 PECOS PAC ID: 6204989015 Enrollment ID: I20090727000547 |
| Provider Name | Philip M Bovet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912118308 PECOS PAC ID: 7810040532 Enrollment ID: I20090728000814 |
| Provider Name | Fariba Nikpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265632764 PECOS PAC ID: 2961555974 Enrollment ID: I20090807000417 |
| Provider Name | Emily M Calonder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255560736 PECOS PAC ID: 7113071721 Enrollment ID: I20090817000561 |
| Provider Name | Brian S Schultz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154338911 PECOS PAC ID: 1658425863 Enrollment ID: I20090821000207 |
| Provider Name | Amber L Post |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760556302 PECOS PAC ID: 7618022393 Enrollment ID: I20090901000582 |
| Provider Name | Thomas A Klinkhammer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851479067 PECOS PAC ID: 7517969728 Enrollment ID: I20090904000363 |
| Provider Name | Rafal G Ciecierski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093916595 PECOS PAC ID: 2163577586 Enrollment ID: I20090908000264 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023207586 PECOS PAC ID: 9638268865 Enrollment ID: I20090914000419 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20090914000503 |
| Provider Name | Jeffrey Meincke Reza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629039607 PECOS PAC ID: 7719973122 Enrollment ID: I20091109000440 |
| Provider Name | Robert V Gouthro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285752089 PECOS PAC ID: 5698813509 Enrollment ID: I20091113000391 |
| Provider Name | Anna K Mitura Lewandowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801980602 PECOS PAC ID: 8921146556 Enrollment ID: I20091118000640 |
| Provider Name | Kathy A Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881929891 PECOS PAC ID: 5597804773 Enrollment ID: I20091201000336 |
| Provider Name | Ann M Chizek Liermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780696542 PECOS PAC ID: 9436299872 Enrollment ID: I20091216000417 |
| Provider Name | Karl C Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063528529 PECOS PAC ID: 1153462361 Enrollment ID: I20100111000375 |
| Provider Name | Rescha L Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487683637 PECOS PAC ID: 8921140849 Enrollment ID: I20100114000817 |
| Provider Name | Felisa Antonchorgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750617536 PECOS PAC ID: 9234271495 Enrollment ID: I20100126000698 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407026214 PECOS PAC ID: 1557449741 Enrollment ID: I20100225000169 |
| Provider Name | Jonathan Currie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477743649 PECOS PAC ID: 1557406279 Enrollment ID: I20100305000685 |
| Provider Name | Steven D Dahm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508969130 PECOS PAC ID: 4880739291 Enrollment ID: I20100309000516 |
| Provider Name | Joseph S Fok |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194772855 PECOS PAC ID: 8820123516 Enrollment ID: I20100319000553 |
| Provider Name | Chirasakdi Ratanawong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760583462 PECOS PAC ID: 8820124050 Enrollment ID: I20100326000950 |
| Provider Name | Douglas J Reding |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760582076 PECOS PAC ID: 8123065059 Enrollment ID: I20100604000921 |
| Provider Name | James E Svenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700847183 PECOS PAC ID: 5698805455 Enrollment ID: I20100604001133 |
| Provider Name | Brenda K Jenkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610301 PECOS PAC ID: 4688704448 Enrollment ID: I20100604001146 |
| Provider Name | Jeffrey Kirk Chism |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285621730 PECOS PAC ID: 2860448818 Enrollment ID: I20100608000818 |
| Provider Name | Katherine M Kaplan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316057482 PECOS PAC ID: 3870623010 Enrollment ID: I20100614000757 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Daniel E Tvedten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003979030 PECOS PAC ID: 5294701496 Enrollment ID: I20100624000030 |
| Provider Name | Kent J Lowry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396808325 PECOS PAC ID: 8123075967 Enrollment ID: I20100624000202 |
| Provider Name | Diane M Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023115219 PECOS PAC ID: 3072645027 Enrollment ID: I20100709000805 |
| Provider Name | Jason Heese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093860132 PECOS PAC ID: 7618009945 Enrollment ID: I20100721000700 |
| Provider Name | Sabine J Hale |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982737904 PECOS PAC ID: 1355473620 Enrollment ID: I20100722000137 |
| Provider Name | Zainab Basir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689625105 PECOS PAC ID: 4284767245 Enrollment ID: I20100728000843 |
| Provider Name | Christopher W Swiecki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588646517 PECOS PAC ID: 2466586375 Enrollment ID: I20100813000876 |
| Provider Name | Denise Kniprath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962436162 PECOS PAC ID: 8921132762 Enrollment ID: I20100817000067 |
| Provider Name | Kris M Lahren |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700891546 PECOS PAC ID: 9133243884 Enrollment ID: I20100901000541 |
| Provider Name | Christine A Lundberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629090170 PECOS PAC ID: 9335152677 Enrollment ID: I20100920001108 |
| Provider Name | Dennis Mcfadden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184758237 PECOS PAC ID: 2961580717 Enrollment ID: I20101004000991 |
| Provider Name | Leilani F Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013002500 PECOS PAC ID: 1052503216 Enrollment ID: I20101006000214 |
| Provider Name | Denise A Kennedy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407896962 PECOS PAC ID: 3577755651 Enrollment ID: I20101007000683 |
| Provider Name | Emmanuel O Odeyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566460 PECOS PAC ID: 7810189925 Enrollment ID: I20101007000972 |
| Provider Name | Sandhya Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114182771 PECOS PAC ID: 6901098904 Enrollment ID: I20101008000780 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Jodi L Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013234889 PECOS PAC ID: 4981897329 Enrollment ID: I20101019000301 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| 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 | Ruth Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659518199 PECOS PAC ID: 9234322900 Enrollment ID: I20101026000991 |
| Provider Name | Anna Kathryn Olson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790992295 PECOS PAC ID: 7214122050 Enrollment ID: I20101105001271 |
| Provider Name | Kristine M Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437208022 PECOS PAC ID: 2567657752 Enrollment ID: I20101112001267 |
| Provider Name | Candace A Fedrowitz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477648368 PECOS PAC ID: 4284820978 Enrollment ID: I20101119000801 |
| Provider Name | Nishad J Nadkarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447392840 PECOS PAC ID: 0941237762 Enrollment ID: I20101123000989 |
| Provider Name | Jonathan Parisi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659455970 PECOS PAC ID: 3971790981 Enrollment ID: I20101202001153 |
| Provider Name | Kelly Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023328226 PECOS PAC ID: 4789871666 Enrollment ID: I20101203000771 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20101208000240 |
| Provider Name | Tina M Schulist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689994196 PECOS PAC ID: 1355539578 Enrollment ID: I20110103000417 |
| Provider Name | James M Holma |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699869016 PECOS PAC ID: 6002005295 Enrollment ID: I20110104000352 |
| Provider Name | Judith M Walton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174618359 PECOS PAC ID: 8628257052 Enrollment ID: I20110131001000 |
| Provider Name | Gurkirpal S Sikka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326022591 PECOS PAC ID: 1658310248 Enrollment ID: I20110211000939 |
| Provider Name | Rebecca L Kretlow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417048901 PECOS PAC ID: 0143401612 Enrollment ID: I20110217000179 |
| Provider Name | Chester W Jablonski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982703989 PECOS PAC ID: 3375502727 Enrollment ID: I20110221000706 |
| Provider Name | Ashley J Seiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992015580 PECOS PAC ID: 2365623964 Enrollment ID: I20110301000913 |
| Provider Name | Rebecca A Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790086692 PECOS PAC ID: 8224210810 Enrollment ID: I20110302000844 |
| Provider Name | Jeffrey A Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174796478 PECOS PAC ID: 8224212469 Enrollment ID: I20110412000708 |
| Provider Name | Megan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891090387 PECOS PAC ID: 1052595915 Enrollment ID: I20110418000786 |
| Provider Name | David R Beck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326169822 PECOS PAC ID: 6406032457 Enrollment ID: I20110509000855 |
| Provider Name | James Kraatz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336186071 PECOS PAC ID: 1052215795 Enrollment ID: I20110513000377 |
| Provider Name | Bababo O Opaneye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255621710 PECOS PAC ID: 7810174935 Enrollment ID: I20110526000619 |
| Provider Name | John P Jarocki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972525368 PECOS PAC ID: 7315078623 Enrollment ID: I20110526000790 |
| Provider Name | Theresa L Bruss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902103054 PECOS PAC ID: 3971781444 Enrollment ID: I20110705000241 |
| Provider Name | Nathan L Shefveland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811157753 PECOS PAC ID: 3870771199 Enrollment ID: I20110708000440 |
| Provider Name | Jill Blank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083802375 PECOS PAC ID: 0244408599 Enrollment ID: I20110713000113 |
| Provider Name | Olumide A Omiwade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427210699 PECOS PAC ID: 2961670005 Enrollment ID: I20110715000624 |
| Provider Name | Jennifer J Friday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568750834 PECOS PAC ID: 0941478317 Enrollment ID: I20110729000631 |
| Provider Name | Robert W Sedlacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003072687 PECOS PAC ID: 3173792579 Enrollment ID: I20110801000376 |
| Provider Name | Peggy S Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053608992 PECOS PAC ID: 3375712904 Enrollment ID: I20110816000220 |
| Provider Name | Taiwo B Kanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730477589 PECOS PAC ID: 0244400349 Enrollment ID: I20110829000347 |
| Provider Name | Daniel S Skeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487942694 PECOS PAC ID: 6608046404 Enrollment ID: I20110906000343 |
| Provider Name | Marilyn J Borst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134123003 PECOS PAC ID: 5890684161 Enrollment ID: I20110916000160 |
| Provider Name | Cortney L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942582416 PECOS PAC ID: 3870764996 Enrollment ID: I20110921000878 |
| Provider Name | Steven P Phillipson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023034105 PECOS PAC ID: 0345141313 Enrollment ID: I20110923000055 |
| Provider Name | Kristin T Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619256906 PECOS PAC ID: 8022289990 Enrollment ID: I20110926000524 |
| Provider Name | Michael E Traktman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356325740 PECOS PAC ID: 6406820513 Enrollment ID: I20111004000296 |
| Provider Name | Brett G Masayesva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437358702 PECOS PAC ID: 6406929629 Enrollment ID: I20111005000618 |
| Provider Name | Mary J Kahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326328972 PECOS PAC ID: 6709058746 Enrollment ID: I20111017000367 |
| Provider Name | Carolyn M Hedrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386928471 PECOS PAC ID: 4385817550 Enrollment ID: I20111103000308 |
| Provider Name | Megan L Stankowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407890312 PECOS PAC ID: 7719151539 Enrollment ID: I20111114000145 |
| Provider Name | Andrew M Rawlsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043594005 PECOS PAC ID: 0345415964 Enrollment ID: I20111209000619 |
| Provider Name | Andrea S Dirksen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194909309 PECOS PAC ID: 8628146941 Enrollment ID: I20111221000723 |
| Provider Name | Thomas J D Innocenzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982843181 PECOS PAC ID: 9830248251 Enrollment ID: I20120126000350 |
| Provider Name | Rhonda L Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063788180 PECOS PAC ID: 0446412787 Enrollment ID: I20120502000126 |
| Provider Name | Nancy Schell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609888320 PECOS PAC ID: 9931002904 Enrollment ID: I20120507000718 |
| Provider Name | Graig A Aders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265758734 PECOS PAC ID: 3971766049 Enrollment ID: I20120530000266 |
| Provider Name | Angela M Rhode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750647368 PECOS PAC ID: 1759545684 Enrollment ID: I20120605000693 |
| Provider Name | Muhammad Abdulbasit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265704225 PECOS PAC ID: 9537324991 Enrollment ID: I20120710000294 |
| Provider Name | Lynn P Gehrmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265663413 PECOS PAC ID: 6709041189 Enrollment ID: I20120710000550 |
| Provider Name | Patricia K Lillis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619960507 PECOS PAC ID: 9739345893 Enrollment ID: I20120718000579 |
| Provider Name | Elmer L Linboom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487882320 PECOS PAC ID: 8820254337 Enrollment ID: I20120727000790 |
| Provider Name | Vimarsh Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20120815000587 |
| Provider Name | James N Frimpong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083857023 PECOS PAC ID: 6406003821 Enrollment ID: I20120820001013 |
| Provider Name | Tarundeep Kaur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326161076 PECOS PAC ID: 2062694870 Enrollment ID: I20120911000803 |
| Provider Name | Joelle A Wennlund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437258100 PECOS PAC ID: 8426064114 Enrollment ID: I20120913000726 |
| Provider Name | Lulseged S Zenebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104186287 PECOS PAC ID: 6507014503 Enrollment ID: I20120917000802 |
| Provider Name | Corrie M Kassler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063762482 PECOS PAC ID: 5890944946 Enrollment ID: I20121004000309 |
| Provider Name | Michael T Landis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558624908 PECOS PAC ID: 2668621731 Enrollment ID: I20121004000573 |
| Provider Name | Timothy E Wasano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982959391 PECOS PAC ID: 1658356175 Enrollment ID: I20121012000317 |
| Provider Name | Anna K Nummelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740504745 PECOS PAC ID: 1153571716 Enrollment ID: I20121017000594 |
| Provider Name | Jennifer T Krall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336497197 PECOS PAC ID: 9436309515 Enrollment ID: I20121025000783 |
| Provider Name | Thomas D Boostrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164773685 PECOS PAC ID: 7810147931 Enrollment ID: I20121026000450 |
| Provider Name | Katie B Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568714723 PECOS PAC ID: 7315198603 Enrollment ID: I20121114000432 |
| Provider Name | Julie L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982956827 PECOS PAC ID: 8527219849 Enrollment ID: I20121115000086 |
| Provider Name | Sarah J Staff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881944858 PECOS PAC ID: 0345492724 Enrollment ID: I20121228000191 |
| Provider Name | Dawn R Giese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548504996 PECOS PAC ID: 4385898931 Enrollment ID: I20130206000442 |
| Provider Name | Linda Sue Faulk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790727303 PECOS PAC ID: 2062423734 Enrollment ID: I20130206000602 |
| Provider Name | Joseph F Ponik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619214152 PECOS PAC ID: 5597900613 Enrollment ID: I20130320000618 |
| Provider Name | Marcy M Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992055594 PECOS PAC ID: 1658517115 Enrollment ID: I20130429000557 |
| Provider Name | Deanna S Davidson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457317075 PECOS PAC ID: 0042396772 Enrollment ID: I20130502000453 |
| Provider Name | Christopher S Platta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811127301 PECOS PAC ID: 6305083312 Enrollment ID: I20130511000060 |
| Provider Name | Michael E Zevitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871543843 PECOS PAC ID: 4183602451 Enrollment ID: I20130604000929 |
| Provider Name | Nathan Paul Vakharia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952694531 PECOS PAC ID: 1153569827 Enrollment ID: I20130608000066 |
| Provider Name | Elizabeth A Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225296635 PECOS PAC ID: 2769622216 Enrollment ID: I20130708000096 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20130716000336 |
| Provider Name | Oscar G Padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326365206 PECOS PAC ID: 9133360019 Enrollment ID: I20130719000346 |
| Provider Name | Jolyne Check-ostrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750725339 PECOS PAC ID: 1254572829 Enrollment ID: I20130724000167 |
| Provider Name | Muhammad T Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366790719 PECOS PAC ID: 1850532383 Enrollment ID: I20130726000071 |
| Provider Name | Adebowale Mofikoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275794422 PECOS PAC ID: 0143477166 Enrollment ID: I20130726000394 |
| Provider Name | Mikhail A Barchugov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952614521 PECOS PAC ID: 0749421923 Enrollment ID: I20130731000191 |
| Provider Name | Michael W Trenkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184069817 PECOS PAC ID: 2961643028 Enrollment ID: I20130801000327 |
| Provider Name | Michael J Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891062592 PECOS PAC ID: 0941466585 Enrollment ID: I20130806000324 |
| Provider Name | Heather L Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487975934 PECOS PAC ID: 6507008422 Enrollment ID: I20130806000337 |
| Provider Name | Melissa A Goetter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174751580 PECOS PAC ID: 0143468702 Enrollment ID: I20130807000455 |
| Provider Name | Krishna Thandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942512777 PECOS PAC ID: 4284877127 Enrollment ID: I20130826000444 |
| Provider Name | Nicole M Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447593454 PECOS PAC ID: 9931333119 Enrollment ID: I20131001000043 |
| Provider Name | Douglas R Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992784904 PECOS PAC ID: 5597866863 Enrollment ID: I20131009000266 |
| Provider Name | Eric R Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710131842 PECOS PAC ID: 6002041449 Enrollment ID: I20131021000896 |
| Provider Name | Nina E Ferraris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487815973 PECOS PAC ID: 4183852015 Enrollment ID: I20140122000858 |
| Provider Name | Shannon M Villeneuve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255762993 PECOS PAC ID: 7214164003 Enrollment ID: I20140212000848 |
| Provider Name | Andrew J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790108793 PECOS PAC ID: 7810127644 Enrollment ID: I20140224000353 |
| Provider Name | Jennifer S Saul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487610853 PECOS PAC ID: 4082672233 Enrollment ID: I20140304001362 |
| Provider Name | Jamie L Hein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245655356 PECOS PAC ID: 4486885860 Enrollment ID: I20140327002035 |
| Provider Name | Joelle J Frank |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689091233 PECOS PAC ID: 6507099348 Enrollment ID: I20140502000297 |
| Provider Name | Silvia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20140509000902 |
| Provider Name | Anthony Kehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629225099 PECOS PAC ID: 5395918304 Enrollment ID: I20140521000689 |
| Provider Name | Samantha J Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225457526 PECOS PAC ID: 3173746047 Enrollment ID: I20140521001749 |
| Provider Name | Matthew J Koeberl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396975165 PECOS PAC ID: 1254555774 Enrollment ID: I20140624000090 |
| Provider Name | Ridhwi Mukerji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366735755 PECOS PAC ID: 5698990364 Enrollment ID: I20140714001681 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Chizoba Emmanuel Ugwummadu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700174232 PECOS PAC ID: 0547486722 Enrollment ID: I20140724000058 |
| Provider Name | Amy L Kloehn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669883591 PECOS PAC ID: 7315164217 Enrollment ID: I20140818001364 |
| Provider Name | Hazem Ahmed Elariny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649203118 PECOS PAC ID: 8729045042 Enrollment ID: I20140822000447 |
| Provider Name | Kimberly Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407148042 PECOS PAC ID: 3971723487 Enrollment ID: I20141006001155 |
| Provider Name | Keshani Bhushan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124250790 PECOS PAC ID: 1052508942 Enrollment ID: I20141006002322 |
| Provider Name | Nickolas S Demark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114214004 PECOS PAC ID: 4880825363 Enrollment ID: I20141013002380 |
| Provider Name | Carla A Ziolkowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174881809 PECOS PAC ID: 6305067737 Enrollment ID: I20141028000692 |
| Provider Name | Bradley C Heraly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063730042 PECOS PAC ID: 1254552508 Enrollment ID: I20141030000091 |
| Provider Name | Erin C Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194129353 PECOS PAC ID: 4486876349 Enrollment ID: I20141107001369 |
| Provider Name | Joelle D Millikin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518286947 PECOS PAC ID: 9638310055 Enrollment ID: I20141108000129 |
| Provider Name | Jason S Duelge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326032509 PECOS PAC ID: 2769676667 Enrollment ID: I20141108000172 |
| Provider Name | Heather Clarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443144 PECOS PAC ID: 0840513875 Enrollment ID: I20141226000297 |
| Provider Name | Kiarash Mirkia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063420701 PECOS PAC ID: 0648278762 Enrollment ID: I20150117000064 |
| Provider Name | Jennifer J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831530583 PECOS PAC ID: 4688899552 Enrollment ID: I20150218000270 |
| Provider Name | Kris Ferguson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376751271 PECOS PAC ID: 1658422480 Enrollment ID: I20150226001814 |
| 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 | Kayleena Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316337165 PECOS PAC ID: 4688991730 Enrollment ID: I20150330000586 |
| Provider Name | Jennifer I Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255739470 PECOS PAC ID: 1850618901 Enrollment ID: I20150330000620 |
| Provider Name | Jonathan S Paton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366834392 PECOS PAC ID: 8325366982 Enrollment ID: I20150409002611 |
| Provider Name | Nicole K Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831582436 PECOS PAC ID: 3476872896 Enrollment ID: I20150507000572 |
| Provider Name | Rachel M Gilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568557056 PECOS PAC ID: 3678607314 Enrollment ID: I20150508001054 |
| Provider Name | Stephen M Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351800 PECOS PAC ID: 9739492083 Enrollment ID: I20150716000893 |
| Provider Name | Cristina Ipatii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609135490 PECOS PAC ID: 2365755915 Enrollment ID: I20150724012096 |
| Provider Name | Suchada Chaiwechakarn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558647495 PECOS PAC ID: 3678748647 Enrollment ID: I20150730011426 |
| Provider Name | Nicholas Otten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013277714 PECOS PAC ID: 2264651108 Enrollment ID: I20150806010351 |
| Provider Name | Carri L Schacherl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512310 PECOS PAC ID: 3678889441 Enrollment ID: I20150825004689 |
| Provider Name | Jayanna Lynn Volm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619358678 PECOS PAC ID: 8224344866 Enrollment ID: I20150827002457 |
| Provider Name | Erin Elizabeth Eyberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669648218 PECOS PAC ID: 4880768571 Enrollment ID: I20150903001628 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20150916001161 |
| Provider Name | Jamie Rae Mings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104075357 PECOS PAC ID: 5193976645 Enrollment ID: I20151002002694 |
| Provider Name | Trung Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972857878 PECOS PAC ID: 4587974373 Enrollment ID: I20151106001164 |
| Provider Name | Stephanie A Mikoliczak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164672911 PECOS PAC ID: 4587974217 Enrollment ID: I20151110001430 |
| Provider Name | Leslie A St. Royal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316044316 PECOS PAC ID: 6103093075 Enrollment ID: I20151214002260 |
| Provider Name | Harvey R Langee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801818042 PECOS PAC ID: 8820040546 Enrollment ID: I20151217000626 |
| Provider Name | Maura L Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831202803 PECOS PAC ID: 9638062565 Enrollment ID: I20151223001797 |
| Provider Name | Jean Hilaire Vincent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841506870 PECOS PAC ID: 9335440874 Enrollment ID: I20151229000562 |
| Provider Name | Amanda S Dernbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326412701 PECOS PAC ID: 1456653435 Enrollment ID: I20160107001977 |
| Provider Name | Henry K Bong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831213438 PECOS PAC ID: 7517140353 Enrollment ID: I20160114001157 |
| Provider Name | Jolie M Dirrigle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891151809 PECOS PAC ID: 5698078673 Enrollment ID: I20160126000511 |
| Provider Name | Marcio A Shiokawa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629388475 PECOS PAC ID: 7416105895 Enrollment ID: I20160127002393 |
| Provider Name | Stephen A Korte |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881615318 PECOS PAC ID: 4587557608 Enrollment ID: I20160129001701 |
| Provider Name | Melissa A Koengeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467813857 PECOS PAC ID: 6507164100 Enrollment ID: I20160415000165 |
| Provider Name | Paul R Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750648481 PECOS PAC ID: 4183943673 Enrollment ID: I20160502000561 |
| Provider Name | Mouhammed Kelta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649633918 PECOS PAC ID: 1557660834 Enrollment ID: I20160509001960 |
| Provider Name | Siarhei Vysotski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902149479 PECOS PAC ID: 9234459413 Enrollment ID: I20160520000169 |
| Provider Name | Colleen L Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861849820 PECOS PAC ID: 0244520617 Enrollment ID: I20160526001715 |
| Provider Name | Michael P Hartung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750660692 PECOS PAC ID: 9133419369 Enrollment ID: I20160531002456 |
| Provider Name | Brittany M Nikolay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962850966 PECOS PAC ID: 9335439991 Enrollment ID: I20160609002226 |
| Provider Name | Earlynda Redmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336254853 PECOS PAC ID: 9436440922 Enrollment ID: I20160613001901 |
| Provider Name | David R Montney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306134499 PECOS PAC ID: 9436328283 Enrollment ID: I20160616000436 |
| Provider Name | Marwan M Dib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225346414 PECOS PAC ID: 7810147899 Enrollment ID: I20160621000772 |
| Provider Name | Wasif A Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497149116 PECOS PAC ID: 2961792379 Enrollment ID: I20160621001919 |
| Provider Name | Maria J Hoertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104871607 PECOS PAC ID: 7315830601 Enrollment ID: I20160623001649 |
| Provider Name | Gregory Wayne Grzesik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316389372 PECOS PAC ID: 2961706643 Enrollment ID: I20160705002027 |
| Provider Name | Patricia Dianne Hudson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700865649 PECOS PAC ID: 0446232458 Enrollment ID: I20160808000795 |
| Provider Name | Jesse Moskowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619131125 PECOS PAC ID: 2567537954 Enrollment ID: I20160809000267 |
| Provider Name | Muhammad S Akhtar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336384460 PECOS PAC ID: 2466775176 Enrollment ID: I20160810002139 |
| Provider Name | Eric Jon Stanelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912155250 PECOS PAC ID: 0042463234 Enrollment ID: I20160811001058 |
| Provider Name | Abigail L Taub |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417222605 PECOS PAC ID: 6608090972 Enrollment ID: I20160815001287 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427481472 PECOS PAC ID: 7810292802 Enrollment ID: I20160816001531 |
| Provider Name | Mohamed Abdulcadir Abdullahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437475431 PECOS PAC ID: 8921227208 Enrollment ID: I20160826001178 |
| Provider Name | Lisa M Barry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902245699 PECOS PAC ID: 6507095239 Enrollment ID: I20160912000322 |
| Provider Name | Vic Liengswangwong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851360796 PECOS PAC ID: 3870512759 Enrollment ID: I20160916000903 |
| Provider Name | Trevor J Nebel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649482704 PECOS PAC ID: 1759678816 Enrollment ID: I20160919000349 |
| Provider Name | Eddie P Kemper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932170602 PECOS PAC ID: 3072511542 Enrollment ID: I20160926000798 |
| Provider Name | Katelyn L Shultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568916708 PECOS PAC ID: 8628366465 Enrollment ID: I20161012000231 |
| Provider Name | Suleman Akbar Umar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568789485 PECOS PAC ID: 1456649102 Enrollment ID: I20161012000580 |
| Provider Name | Megan E Breu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841743382 PECOS PAC ID: 3476841149 Enrollment ID: I20161012001327 |
| Provider Name | Heidi A Pritzl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316393226 PECOS PAC ID: 8325326176 Enrollment ID: I20161028001044 |
| Provider Name | Gina M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174079685 PECOS PAC ID: 1355620824 Enrollment ID: I20161128002145 |
| Provider Name | Patience A Lamers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376624817 PECOS PAC ID: 5698055143 Enrollment ID: I20161129002672 |
| Provider Name | Neil A Masters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013093087 PECOS PAC ID: 4688611205 Enrollment ID: I20170112000347 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20170120002742 |
| Provider Name | Kathryn E Levine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275729774 PECOS PAC ID: 5698723724 Enrollment ID: I20170127002388 |
| Provider Name | Vincent Hinshaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346286671 PECOS PAC ID: 7517928385 Enrollment ID: I20170209001694 |
| Provider Name | Cassandra R Hartwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215476163 PECOS PAC ID: 3870877970 Enrollment ID: I20170309002447 |
| Provider Name | Briget P Matecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417163023 PECOS PAC ID: 7911054077 Enrollment ID: I20170512001277 |
| Provider Name | Bonnie A Soik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245761261 PECOS PAC ID: 6406123447 Enrollment ID: I20170523002804 |
| Provider Name | Heidi L Raddatz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669688347 PECOS PAC ID: 2264709872 Enrollment ID: I20170602002168 |
| Provider Name | Harsha V Poola |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801174354 PECOS PAC ID: 2163727447 Enrollment ID: I20170616001504 |
| Provider Name | Michael A Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316279433 PECOS PAC ID: 5294901526 Enrollment ID: I20170706000889 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Gbolahan D Oyinloye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255695888 PECOS PAC ID: 4385870757 Enrollment ID: I20170807002962 |
| Provider Name | Michele D Rocke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316728 PECOS PAC ID: 0547531337 Enrollment ID: I20170814001328 |
| Provider Name | Charanjeet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891109542 PECOS PAC ID: 9537468285 Enrollment ID: I20170821001370 |
| Provider Name | Christian A Flanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013321660 PECOS PAC ID: 9638391014 Enrollment ID: I20170822003257 |
| Provider Name | Julie A Hennes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023532645 PECOS PAC ID: 4880967215 Enrollment ID: I20170907001090 |
| Provider Name | Brittany Uitenbroek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194177683 PECOS PAC ID: 7214220003 Enrollment ID: I20170922002115 |
| Provider Name | Jappan J Bhatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669594115 PECOS PAC ID: 2567562952 Enrollment ID: I20171026001437 |
| Provider Name | Theresa R Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396009858 PECOS PAC ID: 8426283862 Enrollment ID: I20171102000074 |
| Provider Name | Rodney J Linder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053583567 PECOS PAC ID: 0749546323 Enrollment ID: I20171115000540 |
| Provider Name | Eduardo L Ricaurte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285613422 PECOS PAC ID: 0547225492 Enrollment ID: I20171221002531 |
| Provider Name | Amy L Kufahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518987296 PECOS PAC ID: 3971520149 Enrollment ID: I20171227000509 |
| Provider Name | George Varsos |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639193345 PECOS PAC ID: 1658343355 Enrollment ID: I20180102002724 |
| Provider Name | Howard Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639168560 PECOS PAC ID: 3678557337 Enrollment ID: I20180116001363 |
| Provider Name | Erica D Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427008473 PECOS PAC ID: 2860516424 Enrollment ID: I20180116001761 |
| Provider Name | Erin M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645193 PECOS PAC ID: 2163783416 Enrollment ID: I20180228002387 |
| Provider Name | Luis A Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679660260 PECOS PAC ID: 4486695285 Enrollment ID: I20180301000003 |
| Provider Name | Rebecca E Pflughoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174859342 PECOS PAC ID: 4981849601 Enrollment ID: I20180301000061 |
| Provider Name | Cyril A Morello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962462614 PECOS PAC ID: 8325086374 Enrollment ID: I20180315002029 |
| Provider Name | Maria N Ehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316440209 PECOS PAC ID: 9436413929 Enrollment ID: I20180509001934 |
| Provider Name | Kristen A Klabacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790117992 PECOS PAC ID: 4082858725 Enrollment ID: I20180509002257 |
| Provider Name | Jennifer C Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760820096 PECOS PAC ID: 7214291640 Enrollment ID: I20180510000969 |
| Provider Name | Elizabeth Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578068664 PECOS PAC ID: 5698030278 Enrollment ID: I20180601000006 |
| Provider Name | Felicitas Gatchalian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897509 PECOS PAC ID: 5890724157 Enrollment ID: I20180605001898 |
| Provider Name | Joselin F Joma De Herrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982089975 PECOS PAC ID: 9436404431 Enrollment ID: I20180614002982 |
| Provider Name | Benjamin J Graboyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720424807 PECOS PAC ID: 2264723519 Enrollment ID: I20180615000361 |
| Provider Name | Gerald M Wait |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467493510 PECOS PAC ID: 9436289253 Enrollment ID: I20180615000983 |
| Provider Name | Bret K Stysly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104188416 PECOS PAC ID: 8224344544 Enrollment ID: I20180702002370 |
| Provider Name | Benjamin D Brusch |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760822001 PECOS PAC ID: 1759638174 Enrollment ID: I20180717001316 |
| Provider Name | Melissa M Rendlen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871572362 PECOS PAC ID: 5496843344 Enrollment ID: I20180725003992 |
| Provider Name | Ahmed Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407231178 PECOS PAC ID: 1557619913 Enrollment ID: I20180801004049 |
| Provider Name | Thein Htike Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497139810 PECOS PAC ID: 6406104454 Enrollment ID: I20180807003203 |
| Provider Name | Daniel Joseph Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194104075 PECOS PAC ID: 5597060905 Enrollment ID: I20180813002491 |
| Provider Name | Scott E Bessert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831481704 PECOS PAC ID: 9638428253 Enrollment ID: I20180815001499 |
| Provider Name | Nicole Marie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603913 PECOS PAC ID: 6103197413 Enrollment ID: I20180912003598 |
| Provider Name | Katie E Vangoethem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760962393 PECOS PAC ID: 7012267958 Enrollment ID: I20180913002198 |
| Provider Name | Casey Jo Bube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679059091 PECOS PAC ID: 7315298171 Enrollment ID: I20180918004006 |
| Provider Name | Kelly J Westberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780179820 PECOS PAC ID: 1951652668 Enrollment ID: I20180919002451 |
| Provider Name | Marie Beranek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326524919 PECOS PAC ID: 1355692567 Enrollment ID: I20180927002548 |
| Provider Name | Erika Crockford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962935304 PECOS PAC ID: 1355699869 Enrollment ID: I20181001000540 |
| Provider Name | Anita F Conte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295706646 PECOS PAC ID: 2961488820 Enrollment ID: I20181009000467 |
| Provider Name | Prabeer Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720420839 PECOS PAC ID: 1951689017 Enrollment ID: I20181015003510 |
| Provider Name | Milagros Delcarmen Oliviery-lorenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265442016 PECOS PAC ID: 1456486174 Enrollment ID: I20181018000834 |
| Provider Name | Billy Bravo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033389150 PECOS PAC ID: 5698954592 Enrollment ID: I20181024002319 |
| Provider Name | Daniel C Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124503677 PECOS PAC ID: 5991059289 Enrollment ID: I20181127001145 |
| Provider Name | Jacob D Levy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679594675 PECOS PAC ID: 0345234407 Enrollment ID: I20181204003639 |
| Provider Name | Rania H Saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326280264 PECOS PAC ID: 8022265685 Enrollment ID: I20181206001462 |
| Provider Name | Hoda K Elzawahry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972791002 PECOS PAC ID: 4183751241 Enrollment ID: I20181218001546 |
| Provider Name | Arnaldo Efrain Velez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427242536 PECOS PAC ID: 3870736176 Enrollment ID: I20181218002398 |
| Provider Name | Anneliese E Bessette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780152736 PECOS PAC ID: 8022353002 Enrollment ID: I20181219001959 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20181226000644 |
| Provider Name | Khrystyne Lindgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831621994 PECOS PAC ID: 5698023133 Enrollment ID: I20190131001076 |
| Provider Name | Elizabeth R Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386091809 PECOS PAC ID: 8224309646 Enrollment ID: I20190131001536 |
| Provider Name | Van De Bruyn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871518522 PECOS PAC ID: 0446159966 Enrollment ID: I20190207002894 |
| Provider Name | Cynthia Go |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639259443 PECOS PAC ID: 3274507629 Enrollment ID: I20190207002918 |
| Provider Name | Christian A Rosado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871804468 PECOS PAC ID: 3274774930 Enrollment ID: I20190208000011 |
| Provider Name | Elvira Samardzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700265840 PECOS PAC ID: 9032487624 Enrollment ID: I20190212002654 |
| Provider Name | Thomas W Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360012 PECOS PAC ID: 0749310316 Enrollment ID: I20190213003238 |
| Provider Name | Lee A Diamond |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548276603 PECOS PAC ID: 8921047838 Enrollment ID: I20190225000090 |
| Provider Name | Richard C Prokesch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427064583 PECOS PAC ID: 2668411570 Enrollment ID: I20190319000054 |
| Provider Name | Glenn R Figueroa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437149408 PECOS PAC ID: 1052338571 Enrollment ID: I20190319000465 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20190419000481 |
| Provider Name | Zephron G Newmark |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811950744 PECOS PAC ID: 6305835133 Enrollment ID: I20190425002120 |
| Provider Name | Amanda Marie Baright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598971772 PECOS PAC ID: 6901077841 Enrollment ID: I20190509002108 |
| Provider Name | Michelle L Whitehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090169 PECOS PAC ID: 7911240924 Enrollment ID: I20190515000019 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Rakesh R Chawla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023082278 PECOS PAC ID: 6002703188 Enrollment ID: I20190524000421 |
| Provider Name | Sarah Deloris Clairday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669868873 PECOS PAC ID: 0446566624 Enrollment ID: I20190528001809 |
| Provider Name | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20190531000002 |
| Provider Name | Choua N Thao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20190607000155 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20190617001176 |
| Provider Name | Chain-wen Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861802928 PECOS PAC ID: 3779708607 Enrollment ID: I20190618000947 |
| Provider Name | Charlene M Sealy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609229327 PECOS PAC ID: 3577897503 Enrollment ID: I20190626000071 |
| Provider Name | Niriksha Chandrani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477562478 PECOS PAC ID: 6305831397 Enrollment ID: I20190709002535 |
| Provider Name | Andrew Kanarek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497137327 PECOS PAC ID: 6800176611 Enrollment ID: I20190710001675 |
| Provider Name | Kinjal Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679860290 PECOS PAC ID: 5294050951 Enrollment ID: I20190715000416 |
| Provider Name | Chizoba Ezepue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568802148 PECOS PAC ID: 1850666520 Enrollment ID: I20190716000021 |
| Provider Name | Nath Chongsuwat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225416829 PECOS PAC ID: 9638479603 Enrollment ID: I20190719000970 |
| Provider Name | Khurram Nazir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619261252 PECOS PAC ID: 1951615871 Enrollment ID: I20190729001665 |
| Provider Name | Robyn A Gilbertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407148349 PECOS PAC ID: 3173779345 Enrollment ID: I20190731000856 |
| Provider Name | Samuel W Markert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750947263 PECOS PAC ID: 9032446463 Enrollment ID: I20190808000749 |
| Provider Name | Sabu J George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942234208 PECOS PAC ID: 3779581202 Enrollment ID: I20190815000685 |
| Provider Name | Velisar L Rill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659363141 PECOS PAC ID: 7618865999 Enrollment ID: I20190829000000 |
| Provider Name | Tanweer Hussain Majid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093912370 PECOS PAC ID: 6204086937 Enrollment ID: I20190918000243 |
| Provider Name | Grethe June Mortenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205183415 PECOS PAC ID: 7315196920 Enrollment ID: I20190920000072 |
| Provider Name | Alicia L Wojtalewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427618487 PECOS PAC ID: 9537499033 Enrollment ID: I20190926000706 |
| Provider Name | Elizabeth Lee Horwath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053965822 PECOS PAC ID: 0143550640 Enrollment ID: I20190926000879 |
| Provider Name | Tracy A Nims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639183155 PECOS PAC ID: 6800866427 Enrollment ID: I20190926001082 |
| Provider Name | Jeffrey Anthony Van Lier Ribbink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508814229 PECOS PAC ID: 4385660570 Enrollment ID: I20190927000779 |
| Provider Name | Leah M Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528416146 PECOS PAC ID: 0547523219 Enrollment ID: I20190927000906 |
| Provider Name | Obiageli C Sogbetun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477702082 PECOS PAC ID: 3274789292 Enrollment ID: I20190930001934 |
| Provider Name | Melissa M Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295381481 PECOS PAC ID: 4789915752 Enrollment ID: I20191007001981 |
| Provider Name | Elizabeth A Renaker-jansen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427204965 PECOS PAC ID: 4082745013 Enrollment ID: I20191021002085 |
| Provider Name | Vanita Mishra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295831618 PECOS PAC ID: 3072500693 Enrollment ID: I20191024000974 |
| Provider Name | Kayla J Palmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841841244 PECOS PAC ID: 0547592305 Enrollment ID: I20191028001376 |
| Provider Name | Calla J Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417599804 PECOS PAC ID: 5698107613 Enrollment ID: I20191113002019 |
| Provider Name | Mehmet Cilingiroglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710922125 PECOS PAC ID: 8022036110 Enrollment ID: I20191119001908 |
| Provider Name | Paul B Fischbuch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164841466 PECOS PAC ID: 4789931601 Enrollment ID: I20191120002619 |
| Provider Name | Fidelis M Kiungua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285037101 PECOS PAC ID: 4385962885 Enrollment ID: I20191125001963 |
| Provider Name | Danielle Marie Polega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235782772 PECOS PAC ID: 5597198804 Enrollment ID: I20191127000524 |
| Provider Name | Stephanie S Croft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235789199 PECOS PAC ID: 9931533692 Enrollment ID: I20200106001061 |
| Provider Name | James Matthew Tracey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598102527 PECOS PAC ID: 9638487804 Enrollment ID: I20200213000878 |
| Provider Name | Hilary K Eggen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790291300 PECOS PAC ID: 1153680863 Enrollment ID: I20200218001016 |
| Provider Name | Dung B Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736625 PECOS PAC ID: 3375537590 Enrollment ID: I20200226001784 |
| Provider Name | Kathleen M Hamblen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114373214 PECOS PAC ID: 2466742044 Enrollment ID: I20200227000463 |
| Provider Name | Jamie S Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861577355 PECOS PAC ID: 3779721899 Enrollment ID: I20200305001778 |
| Provider Name | Baochong B Chang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790851525 PECOS PAC ID: 8325021652 Enrollment ID: I20200319001007 |
| Provider Name | Samantha J Ross |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710522578 PECOS PAC ID: 3173952967 Enrollment ID: I20200330002457 |
| Provider Name | John F Swietlik |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285029314 PECOS PAC ID: 4880974666 Enrollment ID: I20200331002012 |
| Provider Name | Renee Helen Barany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700417805 PECOS PAC ID: 1456780808 Enrollment ID: I20200406001396 |
| Provider Name | Lynn Maria Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720628688 PECOS PAC ID: 9436589587 Enrollment ID: I20200414001188 |
| Provider Name | Lalit Vadlamani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770552648 PECOS PAC ID: 2668467481 Enrollment ID: I20200424000681 |
| Provider Name | Hans Eriksson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942627161 PECOS PAC ID: 2769600378 Enrollment ID: I20200521000516 |
| Provider Name | Nicholas Wayne Solum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528682291 PECOS PAC ID: 9133540800 Enrollment ID: I20200604001919 |
| Provider Name | Jessica M Clauson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639718141 PECOS PAC ID: 9537580188 Enrollment ID: I20200605002358 |
| Provider Name | Andrew Huang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679957526 PECOS PAC ID: 7113256025 Enrollment ID: I20200610000620 |
| Provider Name | Thomas C Howard |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932369584 PECOS PAC ID: 0749583706 Enrollment ID: I20200610001054 |
| Provider Name | Donald Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841678489 PECOS PAC ID: 7214285543 Enrollment ID: I20200615003540 |
| Provider Name | Justin Teresinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134615131 PECOS PAC ID: 1153679048 Enrollment ID: I20200618000908 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20200620000057 |
| Provider Name | Jeffrey R Jast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740718592 PECOS PAC ID: 5092137919 Enrollment ID: I20200623002529 |
| Provider Name | Kalyna Jakibchuk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639566045 PECOS PAC ID: 0143523688 Enrollment ID: I20200714000615 |
| Provider Name | Kemal Kucuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053844142 PECOS PAC ID: 7214205764 Enrollment ID: I20200805002483 |
| Provider Name | Bradley Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20200806002317 |
| Provider Name | Donna Ellen Newsome |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225132277 PECOS PAC ID: 9234233529 Enrollment ID: I20200811001779 |
| Provider Name | David Gearhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386655140 PECOS PAC ID: 5496912503 Enrollment ID: I20200903003504 |
| Provider Name | Adam Tod Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890003 PECOS PAC ID: 3779901764 Enrollment ID: I20200908001109 |
| Provider Name | Gregory P Harbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679558290 PECOS PAC ID: 5294889028 Enrollment ID: I20200910000082 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20200917001379 |
| Provider Name | Susan Acuna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720030893 PECOS PAC ID: 8527056340 Enrollment ID: I20200922002401 |
| Provider Name | Kimberly Idoko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003080896 PECOS PAC ID: 2769605344 Enrollment ID: I20200922003082 |
| Provider Name | Justin Asquith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699031138 PECOS PAC ID: 1052603636 Enrollment ID: I20200925001250 |
| Provider Name | Raviraj Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366760092 PECOS PAC ID: 4183846934 Enrollment ID: I20200928002124 |
| Provider Name | Mark R Riser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457309619 PECOS PAC ID: 4789673294 Enrollment ID: I20200929002809 |
| Provider Name | John Parr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841629375 PECOS PAC ID: 8426366642 Enrollment ID: I20200930001305 |
| Provider Name | Jennifer Enman-bourgon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265789572 PECOS PAC ID: 1355589243 Enrollment ID: I20201009000890 |
| Provider Name | Jordan Knopf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588015465 PECOS PAC ID: 1759701402 Enrollment ID: I20201019000687 |
| Provider Name | Muaiad Kittaneh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730350794 PECOS PAC ID: 7012078058 Enrollment ID: I20201029001192 |
| Provider Name | Mhd Hashem Rajabbik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528422631 PECOS PAC ID: 3375888431 Enrollment ID: I20201103000422 |
| Provider Name | Trent P Carlson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588689947 PECOS PAC ID: 9830215318 Enrollment ID: I20201116001761 |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20201125000122 |
| Provider Name | Fidelis A Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20201203002469 |
| Provider Name | Arun K Sherma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942474614 PECOS PAC ID: 1153616313 Enrollment ID: I20201204001816 |
| Provider Name | Evon Louise Schexnaydre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386603561 PECOS PAC ID: 8325052061 Enrollment ID: I20201222000551 |
| Provider Name | Laura Donatelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326574732 PECOS PAC ID: 1951675784 Enrollment ID: I20210104001527 |
| Provider Name | Amanda Whipple |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609194893 PECOS PAC ID: 3274946389 Enrollment ID: I20210111001349 |
| Provider Name | Bradley Richard Brossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968687 PECOS PAC ID: 3577977057 Enrollment ID: I20210125000293 |
| Provider Name | Haritha Pabbathi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215000989 PECOS PAC ID: 4789683210 Enrollment ID: I20210126002539 |
| Provider Name | Nancy A Rihana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982835237 PECOS PAC ID: 5294954699 Enrollment ID: I20210201000594 |
| Provider Name | Michael P Wenzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770922700 PECOS PAC ID: 3971917733 Enrollment ID: I20210208000440 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20210218000155 |
| Provider Name | Hannah Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972108611 PECOS PAC ID: 1456767359 Enrollment ID: I20210301000982 |
| Provider Name | John Isaac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225037435 PECOS PAC ID: 3375595408 Enrollment ID: I20210301002160 |
| 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 | Tracy Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841347069 PECOS PAC ID: 8123188141 Enrollment ID: I20210312000972 |
| Provider Name | Neha Thapa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508155698 PECOS PAC ID: 0840608493 Enrollment ID: I20210420000812 |
| Provider Name | Samantha Hepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700461282 PECOS PAC ID: 9739597386 Enrollment ID: I20210420000906 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20210420001089 |
| Provider Name | Amy S Butterworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487036703 PECOS PAC ID: 8820304280 Enrollment ID: I20210426000967 |
| Provider Name | Janet Atkinson Wimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548840267 PECOS PAC ID: 5395894075 Enrollment ID: I20210514002415 |
| Provider Name | Shuang Qin Zhang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518284900 PECOS PAC ID: 5991941585 Enrollment ID: I20210519000628 |
| Provider Name | Erin Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568046548 PECOS PAC ID: 8123427341 Enrollment ID: I20210520001211 |
| Provider Name | Daniel Hoppe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891228607 PECOS PAC ID: 8820337975 Enrollment ID: I20210601001436 |
| Provider Name | Waqas Yasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477075372 PECOS PAC ID: 4183963408 Enrollment ID: I20210601001802 |
| Provider Name | Arshad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083068332 PECOS PAC ID: 7214336809 Enrollment ID: I20210602001368 |
| Provider Name | Alan G.y. Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255398285 PECOS PAC ID: 7719963230 Enrollment ID: I20210603001051 |
| Provider Name | Casey W Neuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184226805 PECOS PAC ID: 4284034240 Enrollment ID: I20210611002359 |
| Provider Name | Heidi Warmbold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285886531 PECOS PAC ID: 8921167214 Enrollment ID: I20210618001932 |
| Provider Name | Joseph Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598258717 PECOS PAC ID: 9335499706 Enrollment ID: I20210621003030 |
| Provider Name | Kristen Jean Hoyord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020081 PECOS PAC ID: 8022419761 Enrollment ID: I20210701001278 |
| Provider Name | James M Billings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528563400 PECOS PAC ID: 1557782406 Enrollment ID: I20210708000594 |
| Provider Name | Jalel Abera Hunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220558 PECOS PAC ID: 5597167569 Enrollment ID: I20210713003344 |
| Provider Name | Nathalie Jean |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700134293 PECOS PAC ID: 2264663186 Enrollment ID: I20210714001952 |
| Provider Name | Frances Norene Lein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841864188 PECOS PAC ID: 9537563051 Enrollment ID: I20210805002287 |
| Provider Name | Hope A Moczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407428329 PECOS PAC ID: 2466856851 Enrollment ID: I20210806001629 |
| Provider Name | Angelica T Hon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144892464 PECOS PAC ID: 5799189742 Enrollment ID: I20210812001983 |
| Provider Name | Justin M Pilger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336678309 PECOS PAC ID: 7911303375 Enrollment ID: I20210909002638 |
| Provider Name | Anna M Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972966125 PECOS PAC ID: 8628349222 Enrollment ID: I20210929002662 |
| Provider Name | Nathan John Walters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730281312 PECOS PAC ID: 1254366933 Enrollment ID: I20211007003223 |
| Provider Name | Richard B Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205812948 PECOS PAC ID: 9830271865 Enrollment ID: I20211007003547 |
| Provider Name | Danielle Espe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750985453 PECOS PAC ID: 3577975176 Enrollment ID: I20211130003075 |
| Provider Name | Joy L Verfuerth |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952497570 PECOS PAC ID: 2769874452 Enrollment ID: I20220107001649 |
| Provider Name | Kristen M Kelly-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659532265 PECOS PAC ID: 6305093873 Enrollment ID: I20220121001539 |
| Provider Name | Tamara North |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245593656 PECOS PAC ID: 6305238171 Enrollment ID: I20220128000766 |
| Provider Name | Anna-maria Meriwether |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235710880 PECOS PAC ID: 1355734559 Enrollment ID: I20220211000407 |
| Provider Name | Mary P Spielman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558576777 PECOS PAC ID: 8224421177 Enrollment ID: I20220217000740 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220221001176 |
| Provider Name | James Schoenecker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871565572 PECOS PAC ID: 9638180029 Enrollment ID: I20220222001294 |
| Provider Name | Marcel Odaimi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467436279 PECOS PAC ID: 2264500263 Enrollment ID: I20220304000594 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20220321001036 |
| Provider Name | Andrea K Janikowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750677878 PECOS PAC ID: 1951797638 Enrollment ID: I20220406001637 |
| Provider Name | Dana Garner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952485138 PECOS PAC ID: 0244626679 Enrollment ID: I20220411002064 |
| Provider Name | Adrienne N Kaster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073631511 PECOS PAC ID: 0749676005 Enrollment ID: I20220413001919 |
| Provider Name | Lori L Kessenich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366480345 PECOS PAC ID: 7911394978 Enrollment ID: I20220422000584 |
| Provider Name | Robyn Chip |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134245962 PECOS PAC ID: 6800283615 Enrollment ID: I20220426002104 |
| Provider Name | Kim Mills |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386637692 PECOS PAC ID: 3577455203 Enrollment ID: I20220504001074 |
| Provider Name | Stuart Babcock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366463689 PECOS PAC ID: 4880756790 Enrollment ID: I20220519002656 |
| Provider Name | Stephanie Flynn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639643851 PECOS PAC ID: 8426388802 Enrollment ID: I20220526003083 |
| Provider Name | Maria Roman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700412921 PECOS PAC ID: 1456730787 Enrollment ID: I20220616002310 |
| Provider Name | Thomas C Rayson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649219130 PECOS PAC ID: 0143311456 Enrollment ID: I20220616002851 |
| Provider Name | Lauren W Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144564170 PECOS PAC ID: 0941454599 Enrollment ID: I20220622001144 |
| Provider Name | Benjamin J Wales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346806346 PECOS PAC ID: 6709265796 Enrollment ID: I20220622001470 |
| Provider Name | Sally B Mergendahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508131137 PECOS PAC ID: 7618356429 Enrollment ID: I20220624002395 |
| Provider Name | Seyun Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508197591 PECOS PAC ID: 0547484099 Enrollment ID: I20220630001553 |
| Provider Name | Akinyinka Abidem Ajelabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20220630001979 |
| Provider Name | Idiris Abdirahman Esse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457813420 PECOS PAC ID: 8628458932 Enrollment ID: I20220705001239 |
| Provider Name | Abbas Zagnoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033313028 PECOS PAC ID: 7315073707 Enrollment ID: I20220708001821 |
| Provider Name | Eileen A Emond |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194396937 PECOS PAC ID: 4587046958 Enrollment ID: I20220802000092 |
| Provider Name | Rachel Lea Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174260673 PECOS PAC ID: 7416339346 Enrollment ID: I20220809001247 |
| Provider Name | Edward Mckenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164884433 PECOS PAC ID: 6406111764 Enrollment ID: I20220809003475 |
| Provider Name | Kayleena Kelly |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1316337165 PECOS PAC ID: 4688991730 Enrollment ID: I20220811000463 |
| Provider Name | Gregory White |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932180486 PECOS PAC ID: 5799725032 Enrollment ID: I20220812002667 |
| Provider Name | Ajay Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366654865 PECOS PAC ID: 1153454210 Enrollment ID: I20220819002828 |
| Provider Name | Tracy Lytle Huffstatler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538305800 PECOS PAC ID: 2163588534 Enrollment ID: I20220822000544 |
| Provider Name | Tracy L. Kiener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124177894 PECOS PAC ID: 3870976913 Enrollment ID: I20220823000151 |
| Provider Name | Kyle L Lacy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356847834 PECOS PAC ID: 1759638711 Enrollment ID: I20220823002348 |
| Provider Name | Karla A Wetley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205330644 PECOS PAC ID: 0345575270 Enrollment ID: I20220825001496 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699755496 PECOS PAC ID: 9931150570 Enrollment ID: I20220826001109 |
| Provider Name | Salman Mandhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445166 PECOS PAC ID: 4981914538 Enrollment ID: I20220826002130 |
| Provider Name | Andrew C Berry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487049193 PECOS PAC ID: 9537464565 Enrollment ID: I20220826002587 |
| Provider Name | Heather Osterbrink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831377241 PECOS PAC ID: 9436298031 Enrollment ID: I20220829000708 |
| Provider Name | Jeffrey L Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235115064 PECOS PAC ID: 2860415593 Enrollment ID: I20220909001074 |
| Provider Name | Jennifer Pitts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801203724 PECOS PAC ID: 9032594155 Enrollment ID: I20220909002239 |
| Provider Name | Andrew Wilke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427785872 PECOS PAC ID: 5395120976 Enrollment ID: I20220918000028 |
| Provider Name | Bridget Daly |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437642014 PECOS PAC ID: 1052796653 Enrollment ID: I20220919001095 |
| Provider Name | Abigail Jean Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205563574 PECOS PAC ID: 9335524883 Enrollment ID: I20220919003348 |
| Provider Name | Beth E Wojcik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942469937 PECOS PAC ID: 4587049960 Enrollment ID: I20220921001913 |
| Provider Name | Huitzilin Mauricio Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20220930000651 |
| Provider Name | Neal J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134681927 PECOS PAC ID: 9537493879 Enrollment ID: I20221003002737 |
| Provider Name | Matthew William Oley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376273474 PECOS PAC ID: 4486030020 Enrollment ID: I20221004003993 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20221008000304 |
| Provider Name | Aditya Ancha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912258070 PECOS PAC ID: 1850689845 Enrollment ID: I20221017003229 |
| Provider Name | Lyle James Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20221019000386 |
| Provider Name | Alexis Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710617949 PECOS PAC ID: 6709252596 Enrollment ID: I20221019001984 |
| Provider Name | Amy Jo Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912621822 PECOS PAC ID: 9931576337 Enrollment ID: I20221027001194 |
| Provider Name | Ashley C Logan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053874222 PECOS PAC ID: 7214320324 Enrollment ID: I20221110000948 |
| Provider Name | Spencer Allen Shupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205553617 PECOS PAC ID: 1355719758 Enrollment ID: I20221116000098 |
| Provider Name | George Shenouda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316457914 PECOS PAC ID: 8628446929 Enrollment ID: I20221117000878 |
| Provider Name | Katie Seybold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629793948 PECOS PAC ID: 5698143345 Enrollment ID: I20221130001676 |
| Provider Name | Jose Maria Ochoa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144548876 PECOS PAC ID: 5193952299 Enrollment ID: I20221206002543 |
| Provider Name | Deborah Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023085768 PECOS PAC ID: 2163424656 Enrollment ID: I20221214000144 |
| Provider Name | Mitchell T Meagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932621307 PECOS PAC ID: 2668842014 Enrollment ID: I20221230000838 |
| Provider Name | Danielle Perner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629663695 PECOS PAC ID: 2769852979 Enrollment ID: I20230104002947 |
| Provider Name | Sami Abdul Jawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487930905 PECOS PAC ID: 9830314863 Enrollment ID: I20230111000191 |
| Provider Name | Oluwaseun Davies |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164779179 PECOS PAC ID: 6002127990 Enrollment ID: I20230112001289 |
| Provider Name | Ashley Chrisinger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003356858 PECOS PAC ID: 0143691972 Enrollment ID: I20230113001658 |
| Provider Name | Kristie Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356827802 PECOS PAC ID: 6800144569 Enrollment ID: I20230117001834 |
| Provider Name | Dikshya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639581226 PECOS PAC ID: 4688090418 Enrollment ID: I20230124001876 |
| Provider Name | Anthony Ashkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376862417 PECOS PAC ID: 0143462432 Enrollment ID: I20230130001145 |
| Provider Name | Danielle N Zayia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801445226 PECOS PAC ID: 3678945565 Enrollment ID: I20230201002776 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20230206000761 |
| Provider Name | Manisha J Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215012000 PECOS PAC ID: 7517120124 Enrollment ID: I20230208001789 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230222001931 |
| Provider Name | Tigist D Gemechu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20230228002071 |
| Provider Name | Ravindran Arcot Padmanabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730114943 PECOS PAC ID: 5799727616 Enrollment ID: I20230302001458 |
| Provider Name | Ayla Kessler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437359585 PECOS PAC ID: 8426196601 Enrollment ID: I20230307000944 |
| Provider Name | Srinivas Gullapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932356763 PECOS PAC ID: 4385813468 Enrollment ID: I20230405002146 |
| Provider Name | Tilok Ghose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174554638 PECOS PAC ID: 0446392443 Enrollment ID: I20230405002242 |
| Provider Name | Arun Ranganath |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720224223 PECOS PAC ID: 5092851329 Enrollment ID: I20230412001751 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20230428000587 |
| Provider Name | Andrea Caballero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173824 PECOS PAC ID: 3274841770 Enrollment ID: I20230428001880 |
| Provider Name | Ifreah Ali Usmaiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336608165 PECOS PAC ID: 5395101984 Enrollment ID: I20230524002592 |
| Provider Name | Ajit Chary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20230530000543 |
| Provider Name | Elliott Russell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720443922 PECOS PAC ID: 9436573615 Enrollment ID: I20230531002744 |
| Provider Name | Patrick H Archie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982895835 PECOS PAC ID: 0749355543 Enrollment ID: I20230602000332 |
| Provider Name | Tiffany Justine Krusick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861197667 PECOS PAC ID: 5395103238 Enrollment ID: I20230624000180 |
| Provider Name | Joshua Denk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174147987 PECOS PAC ID: 2466876040 Enrollment ID: I20230627002735 |
| Provider Name | Tochi Nworu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326579632 PECOS PAC ID: 3173998440 Enrollment ID: I20230628001906 |
| Provider Name | Nancy Ann B Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003376401 PECOS PAC ID: 7719215763 Enrollment ID: I20230630002127 |
| Provider Name | Brandy N Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124521414 PECOS PAC ID: 8729494406 Enrollment ID: I20230706001220 |
| Provider Name | Ashley Grill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710673462 PECOS PAC ID: 1658730569 Enrollment ID: I20230710001797 |
| Provider Name | Thomas Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083069470 PECOS PAC ID: 9739477324 Enrollment ID: I20230711001880 |
| Provider Name | Troy N Tenbrunsel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013478635 PECOS PAC ID: 1052642360 Enrollment ID: I20230721002571 |
| Provider Name | Joseph Abraham Parks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639580574 PECOS PAC ID: 5597093153 Enrollment ID: I20230721003271 |
| Provider Name | Ifeoma Victoria Oriaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417319526 PECOS PAC ID: 6901131812 Enrollment ID: I20230725004071 |
| Provider Name | Richard Belt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275064263 PECOS PAC ID: 1850643115 Enrollment ID: I20230731000081 |
| Provider Name | Darshan R Dhingani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20230731002279 |
| Provider Name | Kirubel Woldemichael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780145847 PECOS PAC ID: 3577949536 Enrollment ID: I20230802000446 |
| Provider Name | Jordan Ann Boney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093499600 PECOS PAC ID: 9133581887 Enrollment ID: I20230814000938 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20230814002413 |
| Provider Name | Nima Hani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801157219 PECOS PAC ID: 1759651334 Enrollment ID: I20230816001129 |
| Provider Name | Salil Kalra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275983744 PECOS PAC ID: 6002109329 Enrollment ID: I20230816002070 |
| Provider Name | Michaela K Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871278317 PECOS PAC ID: 8628430832 Enrollment ID: I20230818001448 |
| Provider Name | Angela Bostic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659017853 PECOS PAC ID: 2163806670 Enrollment ID: I20230830000704 |
| Provider Name | Christopher S Zeman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356964167 PECOS PAC ID: 8820451370 Enrollment ID: I20230830003615 |
| Provider Name | Nikola Marko Dobrasevic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336358787 PECOS PAC ID: 2567643851 Enrollment ID: I20230831004511 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20230906001309 |
| Provider Name | Cynthia A De Meester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476168 PECOS PAC ID: 4486656501 Enrollment ID: I20230908001217 |
| Provider Name | Jeffrey B Watson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053629527 PECOS PAC ID: 3476873175 Enrollment ID: I20230908001667 |
| Provider Name | Emily M Sievert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578241097 PECOS PAC ID: 5799149654 Enrollment ID: I20230911001951 |
| Provider Name | Flavio W Kruter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972506111 PECOS PAC ID: 4789691148 Enrollment ID: I20230913001669 |
| Provider Name | Kei Ko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649582768 PECOS PAC ID: 3971728791 Enrollment ID: I20230919002471 |
| Provider Name | Amier Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689061897 PECOS PAC ID: 8224359807 Enrollment ID: I20230921000790 |
| Provider Name | Manoel A Moraes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114996170 PECOS PAC ID: 0941254395 Enrollment ID: I20230927002816 |
| Provider Name | Katy Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295412815 PECOS PAC ID: 8527412295 Enrollment ID: I20230928002772 |
| Provider Name | Steven Robles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407143936 PECOS PAC ID: 8527231422 Enrollment ID: I20231003001241 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20231004003130 |
| Provider Name | Ryan P. Dunn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922458843 PECOS PAC ID: 1052603446 Enrollment ID: I20231004003767 |
| Provider Name | Kevin James Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750465910 PECOS PAC ID: 4880636364 Enrollment ID: I20231005000452 |
| Provider Name | Manavjot Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356515845 PECOS PAC ID: 3274658083 Enrollment ID: I20231019001659 |
| Provider Name | Anthony Joseph Willis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972866911 PECOS PAC ID: 4688947120 Enrollment ID: I20231030001447 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231101001255 |
| Provider Name | William Joseph Rusnak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366854325 PECOS PAC ID: 9638450943 Enrollment ID: I20231103001194 |
| Provider Name | Bassem M Samaan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679740302 PECOS PAC ID: 8224271945 Enrollment ID: I20231103001888 |
| Provider Name | Babu Subramaniam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306808258 PECOS PAC ID: 8628165677 Enrollment ID: I20231106001706 |
| Provider Name | Craig Pawlowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528011152 PECOS PAC ID: 5698921906 Enrollment ID: I20231106003144 |
| Provider Name | Rashed N Alhabshan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811316680 PECOS PAC ID: 6002162609 Enrollment ID: I20231109002968 |
| Provider Name | Linda Kang Armstrong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285841916 PECOS PAC ID: 4486816105 Enrollment ID: I20231114003416 |
| Provider Name | Appaji Rayi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184930133 PECOS PAC ID: 4981915824 Enrollment ID: I20231117002413 |
| Provider Name | Anika S. Goodwin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285672345 PECOS PAC ID: 6204879489 Enrollment ID: I20231204001294 |
| Provider Name | Terris L White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467773978 PECOS PAC ID: 4880974146 Enrollment ID: I20231205000989 |
| Provider Name | Faith Ighoyivwi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609261148 PECOS PAC ID: 2961704077 Enrollment ID: I20231206002156 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20231208002478 |
| Provider Name | Morgan Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427306760 PECOS PAC ID: 4688967870 Enrollment ID: I20231211001349 |
| Provider Name | Holly H Omar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104912120 PECOS PAC ID: 4082649934 Enrollment ID: I20231211002035 |
| Provider Name | Yuhann Kenneth Lim Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104093863 PECOS PAC ID: 5799901310 Enrollment ID: I20231221001818 |
| Provider Name | Robert Cagle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063707313 PECOS PAC ID: 2264701549 Enrollment ID: I20231226001113 |
| Provider Name | Erick Muhlenbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902349194 PECOS PAC ID: 8820448202 Enrollment ID: I20231227002068 |
| Provider Name | Jessica L Schiek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841591872 PECOS PAC ID: 7416307640 Enrollment ID: I20231229000832 |
| Provider Name | Tanya Hoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447832456 PECOS PAC ID: 1355791500 Enrollment ID: I20231229001520 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20240103001623 |
| Provider Name | Carrie Louise Shimkus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871911412 PECOS PAC ID: 7416309943 Enrollment ID: I20240119001559 |
| Provider Name | Brooke Elizabeth Kottke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104695246 PECOS PAC ID: 8820440365 Enrollment ID: I20240119002110 |
| Provider Name | Steven Thomas Wiles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740261684 PECOS PAC ID: 4183968456 Enrollment ID: I20240119002557 |
| Provider Name | Omolola Oladunni Idowu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194910448 PECOS PAC ID: 2860553708 Enrollment ID: I20240126001580 |
| Provider Name | Katherine Giarratano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740681386 PECOS PAC ID: 3577906791 Enrollment ID: I20240205002770 |
| Provider Name | Irma Urrutia-potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363890 PECOS PAC ID: 5799702197 Enrollment ID: I20240213001625 |
| Provider Name | Lindsay Anne Rutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710756077 PECOS PAC ID: 2567806359 Enrollment ID: I20240220003736 |
| Provider Name | Faseeh U Khaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053562678 PECOS PAC ID: 6103043237 Enrollment ID: I20240226002160 |
| Provider Name | Amy Catherine Koglin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013209279 PECOS PAC ID: 0941645956 Enrollment ID: I20240229002630 |
| Provider Name | Randall W Ahrens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205955648 PECOS PAC ID: 7214372002 Enrollment ID: I20240304000130 |
| Provider Name | Lisa H Reaves |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346297058 PECOS PAC ID: 9638154248 Enrollment ID: I20240315000854 |
Aspirus Stevens Point Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5409 Vern Holmes Dr, Stevens Point, WI 54481 Phone: 715-344-1600 | |
Anovia Health Ins, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2417 Post Rd, Stevens Point, WI 54481 Phone: 715-883-3200 Fax: 715-544-0908 | |
Uwsp Student Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Fremont St, Stevens Point, WI 54481 Phone: 715-346-4646 | |
Aspirus Stevens Point Hospital & Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 Hoover Rd, Stevens Point, WI 54481 Phone: 715-342-7900 | |
605 Sport And Spine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2212 Division St, Stevens Point, WI 54481 Phone: 715-544-6364 | |
Aspirus Stevens Point Clinic - Stanley Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3301 Stanley St, Stevens Point, WI 54481 Phone: 715-341-7332 |