| Aspirus Ironwood Hospital & Clinics, Inc. | |
|
N10565 Grandview Ln Ironwood MI 49938-9622 | |
| (906) 932-1500 | |
| (906) 932-5630 |
| Full Name | Aspirus Ironwood Hospital & Clinics, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | N10565 Grandview Ln, Ironwood, Michigan |
| Authorized Official Name and Position | Paula Chermside (CEO) |
| Authorized Official Contact | 9069322525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Ironwood Hospital & Clinics, Inc. N10565 Grandview Ln Ironwood MI 49938-9622 Ph: (906) 932-1500 | Aspirus Ironwood Hospital & Clinics, Inc. N10565 Grandview Ln Ironwood MI 49938-9622 Ph: (906) 932-1500 |
| NPI Number | 1992704753 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 12/27/2016 |
| Medicare PECOS PAC ID | 9032013198 |
|---|---|
| Medicare Enrollment ID | O20031121000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992704753 | NPI | - | NPPES |
| 700B710030 | Other | MI | BCBS |
| 02W43GR | Other | MN | BCBS |
| 383005582010 | Other | WI | BCBS |
| 32849900 | Medicaid | WI |
| Provider Name | James E Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891793733 PECOS PAC ID: 2567364078 Enrollment ID: I20040124000155 |
| Provider Name | David S Wood |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619975869 PECOS PAC ID: 0042103210 Enrollment ID: I20040203000728 |
| Provider Name | Bartholomew D Sak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093755167 PECOS PAC ID: 1658267877 Enrollment ID: I20040225000342 |
| Provider Name | Don M Benson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609823921 PECOS PAC ID: 5395634679 Enrollment ID: I20040313000730 |
| Provider Name | Bradley D Benton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720060064 PECOS PAC ID: 6305736919 Enrollment ID: I20040317001260 |
| Provider Name | J Michael Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992790570 PECOS PAC ID: 2769373901 Enrollment ID: I20040324001370 |
| Provider Name | Enrico David Braucher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407854409 PECOS PAC ID: 8224029384 Enrollment ID: I20040519000514 |
| Provider Name | Vincent Shen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881751261 PECOS PAC ID: 7214918242 Enrollment ID: I20040603000150 |
| Provider Name | Sharon E Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568440725 PECOS PAC ID: 2466437512 Enrollment ID: I20040622001185 |
| Provider Name | Michael E Zevitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871543843 PECOS PAC ID: 4183602451 Enrollment ID: I20040713000030 |
| Provider Name | Zubair A Shaikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205867082 PECOS PAC ID: 2860464757 Enrollment ID: I20040811000322 |
| Provider Name | Shahar Madjar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740208701 PECOS PAC ID: 9739155722 Enrollment ID: I20050412001278 |
| Provider Name | Mark E Stempihar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255323531 PECOS PAC ID: 2163419953 Enrollment ID: I20050422000149 |
| Provider Name | Crystal M Carrington-hellier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689666968 PECOS PAC ID: 5395731913 Enrollment ID: I20050422000466 |
| Provider Name | Robert Allen Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437220878 PECOS PAC ID: 4587697628 Enrollment ID: I20050920000074 |
| Provider Name | Christina Marie Barber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184606238 PECOS PAC ID: 7012933088 Enrollment ID: I20051019000325 |
| Provider Name | Daryl M Lawrence Friedl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124083365 PECOS PAC ID: 1951320548 Enrollment ID: I20051114000142 |
| Provider Name | Eric Andrew Maki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073607156 PECOS PAC ID: 8921020348 Enrollment ID: I20051229000350 |
| Provider Name | Jamison M Gould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326131137 PECOS PAC ID: 3375566953 Enrollment ID: I20060110000357 |
| Provider Name | Frank Y Duncan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922048800 PECOS PAC ID: 5799753448 Enrollment ID: I20060117000754 |
| Provider Name | David J Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902833700 PECOS PAC ID: 9931154515 Enrollment ID: I20060224000294 |
| Provider Name | Evon Louise Schexnaydre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386603561 PECOS PAC ID: 8325052061 Enrollment ID: I20060410000136 |
| Provider Name | Petio V Kotov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790731651 PECOS PAC ID: 2264443407 Enrollment ID: I20060601000009 |
| Provider Name | Wes L Frisbey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497747687 PECOS PAC ID: 5698771624 Enrollment ID: I20061013000212 |
| Provider Name | David R Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447276167 PECOS PAC ID: 6709888589 Enrollment ID: I20070207000370 |
| Provider Name | Bradley G Binsfeld |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285837641 PECOS PAC ID: 7810096286 Enrollment ID: I20070626000327 |
| Provider Name | Madhavi Naidu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083813331 PECOS PAC ID: 8022100387 Enrollment ID: I20070816000716 |
| Provider Name | Darlene F Daly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093712457 PECOS PAC ID: 6204926157 Enrollment ID: I20071217000254 |
| Provider Name | Joshua D Vanderlugt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407079536 PECOS PAC ID: 7113008814 Enrollment ID: I20080119000105 |
| Provider Name | Kristen M Telfor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225227721 PECOS PAC ID: 2961583588 Enrollment ID: I20080121000210 |
| Provider Name | Marites Q Ansay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609871904 PECOS PAC ID: 4880771096 Enrollment ID: I20080411000082 |
| Provider Name | Jeffrey A Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043436132 PECOS PAC ID: 8921108366 Enrollment ID: I20080924000578 |
| Provider Name | Patrick J Triggiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194880286 PECOS PAC ID: 6608936034 Enrollment ID: I20081114000742 |
| Provider Name | Maureen J Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790777688 PECOS PAC ID: 9830136571 Enrollment ID: I20090311000403 |
| Provider Name | Nathan D Mcparlan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073656955 PECOS PAC ID: 3173680089 Enrollment ID: I20090320000203 |
| Provider Name | Virginia V Harrington |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487635850 PECOS PAC ID: 6406754381 Enrollment ID: I20090428000456 |
| Provider Name | Tamika M Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407009640 PECOS PAC ID: 1759430705 Enrollment ID: I20090521000230 |
| Provider Name | Steven P Phillipson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023034105 PECOS PAC ID: 0345141313 Enrollment ID: I20090608000496 |
| Provider Name | Sherrie S Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831297688 PECOS PAC ID: 6608922364 Enrollment ID: I20100126000289 |
| Provider Name | Franklin A Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912905159 PECOS PAC ID: 0648312744 Enrollment ID: I20100128000229 |
| Provider Name | Tina M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578897666 PECOS PAC ID: 9537202973 Enrollment ID: I20100206000144 |
| Provider Name | Jeffrey D Baril |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588992788 PECOS PAC ID: 6507900305 Enrollment ID: I20100217000472 |
| Provider Name | Michelle L Harma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982602926 PECOS PAC ID: 6608903307 Enrollment ID: I20100429000505 |
| Provider Name | Dustin M Forney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245569631 PECOS PAC ID: 4385774066 Enrollment ID: I20100607000162 |
| Provider Name | John A Goodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922219278 PECOS PAC ID: 2860526878 Enrollment ID: I20100812000779 |
| Provider Name | Nitin Nigam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295058790 PECOS PAC ID: 9931233764 Enrollment ID: I20100816001086 |
| Provider Name | Lonna L Grosskopf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003856618 PECOS PAC ID: 4284765116 Enrollment ID: I20101206000308 |
| Provider Name | Thomas K Carlson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699732834 PECOS PAC ID: 7214927912 Enrollment ID: I20101214001310 |
| Provider Name | Adnan A Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942470042 PECOS PAC ID: 0749463289 Enrollment ID: I20110322000316 |
| Provider Name | Christopher L Younker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528001716 PECOS PAC ID: 5092706168 Enrollment ID: I20110525000626 |
| Provider Name | Maleah Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942530019 PECOS PAC ID: 4587853437 Enrollment ID: I20110914000391 |
| Provider Name | Zuhair Ghanem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649474099 PECOS PAC ID: 8426229741 Enrollment ID: I20110919000255 |
| Provider Name | Leyda M Su Ham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912169657 PECOS PAC ID: 1557533957 Enrollment ID: I20111006000728 |
| Provider Name | Rodney O Swan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033119110 PECOS PAC ID: 6103866884 Enrollment ID: I20111017000774 |
| Provider Name | Suresh J Desilva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356304869 PECOS PAC ID: 4385619972 Enrollment ID: I20111219000171 |
| Provider Name | Carl Joseph Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316218639 PECOS PAC ID: 7517125412 Enrollment ID: I20120223000552 |
| Provider Name | Jonathan N Brueggeman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790836401 PECOS PAC ID: 7719045566 Enrollment ID: I20120430000711 |
| Provider Name | Robert Michaelson Covington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225363062 PECOS PAC ID: 6507013919 Enrollment ID: I20120820000865 |
| Provider Name | Angelene K Timmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265475966 PECOS PAC ID: 9032275151 Enrollment ID: I20120823000668 |
| Provider Name | Brian S Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417001371 PECOS PAC ID: 8123175221 Enrollment ID: I20130114000053 |
| Provider Name | Hassan S Sheikho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982620829 PECOS PAC ID: 1850349002 Enrollment ID: I20130225000358 |
| Provider Name | Nickole Bazger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609031202 PECOS PAC ID: 3173796794 Enrollment ID: I20130509000272 |
| Provider Name | Christopher R Faber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417243973 PECOS PAC ID: 7113169251 Enrollment ID: I20130820000270 |
| Provider Name | John Pietila |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841450772 PECOS PAC ID: 9133353014 Enrollment ID: I20131008001305 |
| Provider Name | Scott J Rotar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376586099 PECOS PAC ID: 2365433364 Enrollment ID: I20131015000143 |
| Provider Name | Akhter Saeed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699783340 PECOS PAC ID: 8921236449 Enrollment ID: I20140108000736 |
| Provider Name | Maureen L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770912776 PECOS PAC ID: 2163650110 Enrollment ID: I20140121000195 |
| Provider Name | Ashley Elizabeth Croasdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477984607 PECOS PAC ID: 2062642622 Enrollment ID: I20140226001029 |
| Provider Name | Jovana K Spreitzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700116159 PECOS PAC ID: 8224260500 Enrollment ID: I20140421001305 |
| Provider Name | Aaron J Cutlip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376957068 PECOS PAC ID: 7012134745 Enrollment ID: I20140804001440 |
| Provider Name | Lisa A Polkky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619385366 PECOS PAC ID: 0840419826 Enrollment ID: I20140924001860 |
| Provider Name | Ganesh L Pawar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568623999 PECOS PAC ID: 0042406753 Enrollment ID: I20141007001287 |
| Provider Name | Mary J Degrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255735494 PECOS PAC ID: 1456673128 Enrollment ID: I20141208001624 |
| Provider Name | Heather K Nyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588925101 PECOS PAC ID: 9234394313 Enrollment ID: I20150204002292 |
| Provider Name | James R Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871661868 PECOS PAC ID: 9436474731 Enrollment ID: I20150209000657 |
| Provider Name | Kelsey L Ladwig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316341571 PECOS PAC ID: 3173849247 Enrollment ID: I20150309000307 |
| Provider Name | Thomas D Boostrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164773685 PECOS PAC ID: 7810147931 Enrollment ID: I20150420000095 |
| Provider Name | Daniel J Lukes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376854869 PECOS PAC ID: 4486965944 Enrollment ID: I20150624002306 |
| Provider Name | Eric W Toth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205247665 PECOS PAC ID: 4082834924 Enrollment ID: I20150804003313 |
| Provider Name | Stephen W. Hubbard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366434961 PECOS PAC ID: 6002705811 Enrollment ID: I20151116001289 |
| Provider Name | Peter L Skellenger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003288531 PECOS PAC ID: 9537462700 Enrollment ID: I20160121001191 |
| Provider Name | Scott Kantola |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326211384 PECOS PAC ID: 4880840362 Enrollment ID: I20160204001439 |
| Provider Name | Nicole J Sederholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942663877 PECOS PAC ID: 2264723535 Enrollment ID: I20160616000045 |
| Provider Name | Prachi B Raut |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104113653 PECOS PAC ID: 0446554752 Enrollment ID: I20160727001328 |
| Provider Name | Todd Brittain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073876397 PECOS PAC ID: 6305153495 Enrollment ID: I20160801000398 |
| Provider Name | Gurmail Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639529951 PECOS PAC ID: 6103145339 Enrollment ID: I20160816002717 |
| Provider Name | Tatyana Bombard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255629861 PECOS PAC ID: 0941595748 Enrollment ID: I20160818000112 |
| Provider Name | Carlos X Condado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205028768 PECOS PAC ID: 2860478690 Enrollment ID: I20160823000843 |
| Provider Name | Jamie S Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861577355 PECOS PAC ID: 3779721899 Enrollment ID: I20160919000195 |
| Provider Name | Leanna K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356898415 PECOS PAC ID: 3971881145 Enrollment ID: I20161024001693 |
| Provider Name | Lis Carol Bernuy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154613735 PECOS PAC ID: 1153553532 Enrollment ID: I20161202000481 |
| Provider Name | Charity A Caverly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396289492 PECOS PAC ID: 4789965922 Enrollment ID: I20170103000302 |
| Provider Name | Michael J Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891062592 PECOS PAC ID: 0941466585 Enrollment ID: I20170111002795 |
| Provider Name | Heather Kozlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841732542 PECOS PAC ID: 6507149853 Enrollment ID: I20170210000749 |
| Provider Name | Robert J Benkendorf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558434217 PECOS PAC ID: 8224122684 Enrollment ID: I20170214000080 |
| Provider Name | Akachi Azubuike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467867762 PECOS PAC ID: 0941511471 Enrollment ID: I20170227001094 |
| Provider Name | Karim Robert Saleeby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710322110 PECOS PAC ID: 7517264732 Enrollment ID: I20170315001018 |
| Provider Name | Elena Shinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952688731 PECOS PAC ID: 3274772454 Enrollment ID: I20170410001267 |
| Provider Name | Jennifer S Pantely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871699132 PECOS PAC ID: 3476550690 Enrollment ID: I20170504001839 |
| Provider Name | Paula Slack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174858914 PECOS PAC ID: 5294873717 Enrollment ID: I20170612003029 |
| Provider Name | Jason F Bombard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013184183 PECOS PAC ID: 0345496634 Enrollment ID: I20170627001732 |
| Provider Name | Steven C Holt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528127651 PECOS PAC ID: 9335110774 Enrollment ID: I20170707002615 |
| Provider Name | Akinbode S Egbelakin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104117522 PECOS PAC ID: 3577780626 Enrollment ID: I20170710000894 |
| Provider Name | Mindy Ilene Fine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689674640 PECOS PAC ID: 5092783852 Enrollment ID: I20170810003596 |
| Provider Name | Jeremy Zarski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396194049 PECOS PAC ID: 7315210606 Enrollment ID: I20170908000149 |
| Provider Name | Craig L Skold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093810467 PECOS PAC ID: 2365449451 Enrollment ID: I20171003006890 |
| Provider Name | Conrad J Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437672516 PECOS PAC ID: 9133494917 Enrollment ID: I20171004001219 |
| Provider Name | Kristen Tweedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891133559 PECOS PAC ID: 1759522568 Enrollment ID: I20171004003491 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20171012000836 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20171128002621 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20171218003372 |
| Provider Name | Gayle J Maslakow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275031015 PECOS PAC ID: 4688934029 Enrollment ID: I20180205000875 |
| Provider Name | Albert D Penney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083680847 PECOS PAC ID: 2961305404 Enrollment ID: I20180213002198 |
| Provider Name | Dana Lynn Leannah |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245504562 PECOS PAC ID: 8921369232 Enrollment ID: I20180301001799 |
| Provider Name | Nicole K Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831582436 PECOS PAC ID: 3476872896 Enrollment ID: I20180524002080 |
| Provider Name | Taylor L Douglas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487150165 PECOS PAC ID: 2567718752 Enrollment ID: I20180630000049 |
| Provider Name | Debra R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700133865 PECOS PAC ID: 5496993768 Enrollment ID: I20180713002149 |
| Provider Name | Lisa M Mcintosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407941578 PECOS PAC ID: 6305941915 Enrollment ID: I20180717001373 |
| Provider Name | Andrew Beaumont |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871688135 PECOS PAC ID: 6305910134 Enrollment ID: I20180806002647 |
| Provider Name | Brittany S Schneller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427543750 PECOS PAC ID: 3971852971 Enrollment ID: I20180824000990 |
| Provider Name | Clayton Aaron Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20190110001512 |
| Provider Name | Rachel Laszko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568876621 PECOS PAC ID: 5698992121 Enrollment ID: I20190612002981 |
| Provider Name | Allison K Harr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205140761 PECOS PAC ID: 4486989662 Enrollment ID: I20190710001831 |
| Provider Name | Murphy Lauren Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699332668 PECOS PAC ID: 8022340025 Enrollment ID: I20191024000377 |
| Provider Name | Ricardo De Leon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639402795 PECOS PAC ID: 3779734934 Enrollment ID: I20191216001964 |
| Provider Name | Jason Matthew Perlman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164614459 PECOS PAC ID: 7810033727 Enrollment ID: I20191216002080 |
| Provider Name | Timothy Turbett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407917867 PECOS PAC ID: 6608775739 Enrollment ID: I20191216002222 |
| Provider Name | Ana Hubert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20191223001602 |
| Provider Name | Coty J Bliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265853758 PECOS PAC ID: 2860622040 Enrollment ID: I20200408000336 |
| Provider Name | Jeffery D Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043248701 PECOS PAC ID: 8123259256 Enrollment ID: I20200419000349 |
| Provider Name | Angela N Tinkham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598231995 PECOS PAC ID: 1456698505 Enrollment ID: I20200425000157 |
| Provider Name | Tina M Ploe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952951485 PECOS PAC ID: 2062843634 Enrollment ID: I20200514002054 |
| Provider Name | Tammy King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962871624 PECOS PAC ID: 1951732346 Enrollment ID: I20200519003021 |
| Provider Name | Bradley David Lepore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898239 PECOS PAC ID: 0345517413 Enrollment ID: I20200608002653 |
| Provider Name | Tom D Raisanen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124481544 PECOS PAC ID: 5799071817 Enrollment ID: I20200723003141 |
| Provider Name | Amy Nielsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356736995 PECOS PAC ID: 5496057655 Enrollment ID: I20200928002153 |
| Provider Name | Ellena Lois Boddie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689673790 PECOS PAC ID: 0840399515 Enrollment ID: I20201120001808 |
| Provider Name | Nicklas Lee Raycraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154934842 PECOS PAC ID: 3173934700 Enrollment ID: I20201202002385 |
| Provider Name | Douglas Tice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942314620 PECOS PAC ID: 0749240844 Enrollment ID: I20201208000823 |
| Provider Name | Shirin Sultana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053610691 PECOS PAC ID: 7416266846 Enrollment ID: I20210106002658 |
| Provider Name | Leah Becicka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396790390 PECOS PAC ID: 2466519715 Enrollment ID: I20210114001005 |
| Provider Name | Michael P Dick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013936814 PECOS PAC ID: 2264326743 Enrollment ID: I20210222002028 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487662060 PECOS PAC ID: 1052210762 Enrollment ID: I20210414001338 |
| Provider Name | David Joseph Burkard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285129643 PECOS PAC ID: 9830443266 Enrollment ID: I20210426002692 |
| Provider Name | Meredith E Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609461789 PECOS PAC ID: 9638588775 Enrollment ID: I20210503000504 |
| Provider Name | Matthew James Verbrigghe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790379220 PECOS PAC ID: 9335548932 Enrollment ID: I20210602001636 |
| Provider Name | Mikhail A Barchugov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952614521 PECOS PAC ID: 0749421923 Enrollment ID: I20210607001530 |
| Provider Name | Tymon J Horn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104311786 PECOS PAC ID: 1658784939 Enrollment ID: I20210623001526 |
| Provider Name | Steven J Kass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356760656 PECOS PAC ID: 1557604808 Enrollment ID: I20210702001508 |
| Provider Name | Zachary Ahola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003307539 PECOS PAC ID: 3971935396 Enrollment ID: I20210719003426 |
| Provider Name | Gina E Ramthun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033428271 PECOS PAC ID: 1355521402 Enrollment ID: I20210730001152 |
| Provider Name | Ahmed Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407231178 PECOS PAC ID: 1557619913 Enrollment ID: I20210805000104 |
| Provider Name | Olga Barchugova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750562617 PECOS PAC ID: 2567658388 Enrollment ID: I20210928000905 |
| Provider Name | Marcus Sublette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851000 PECOS PAC ID: 5597067983 Enrollment ID: I20211001000477 |
| Provider Name | Ryon Edward Hokens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881985679 PECOS PAC ID: 5395143119 Enrollment ID: I20211008001775 |
| Provider Name | Susan Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851316301 PECOS PAC ID: 5395894216 Enrollment ID: I20211014002192 |
| Provider Name | Brianne Lehrkamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669628681 PECOS PAC ID: 4789745688 Enrollment ID: I20211018000429 |
| Provider Name | Mihaela Suru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093026940 PECOS PAC ID: 6709037765 Enrollment ID: I20211020001345 |
| Provider Name | Tom T Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922389048 PECOS PAC ID: 0941578736 Enrollment ID: I20220113000222 |
| Provider Name | Monica Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20220126000954 |
| Provider Name | Bryan Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316997943 PECOS PAC ID: 3678511326 Enrollment ID: I20220321001718 |
| Provider Name | Elizabeth G Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084306 PECOS PAC ID: 6800849258 Enrollment ID: I20220325000615 |
| Provider Name | Aarti Attreya-latuso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538514799 PECOS PAC ID: 9234422361 Enrollment ID: I20220331001328 |
| Provider Name | Courtney Lockhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952689259 PECOS PAC ID: 0547582017 Enrollment ID: I20220404000957 |
| Provider Name | Vrunda H Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306294988 PECOS PAC ID: 6608149471 Enrollment ID: I20220513000793 |
| Provider Name | Colleen E Lane |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659717312 PECOS PAC ID: 3779722251 Enrollment ID: I20220606000897 |
| Provider Name | Lara Briseno Kenney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083688584 PECOS PAC ID: 5395928550 Enrollment ID: I20220718000968 |
| Provider Name | Matthew Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619239936 PECOS PAC ID: 6103130653 Enrollment ID: I20220718001076 |
| Provider Name | Daniel J Krause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457768327 PECOS PAC ID: 8224419304 Enrollment ID: I20220720003361 |
| Provider Name | Karen Lynn Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013652080 PECOS PAC ID: 5890177695 Enrollment ID: I20220726002168 |
| Provider Name | Traci Rae Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861948101 PECOS PAC ID: 9739468208 Enrollment ID: I20220806000553 |
| Provider Name | Terry Marie Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003998915 PECOS PAC ID: 7113300492 Enrollment ID: I20220818003259 |
| Provider Name | Jannel Carandang Fink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386133486 PECOS PAC ID: 2567846330 Enrollment ID: I20220827000045 |
| Provider Name | Michael David Mcpherson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972004000 PECOS PAC ID: 5092199737 Enrollment ID: I20220830003421 |
| Provider Name | Christopher Jay Wuorinen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740560697 PECOS PAC ID: 3971987140 Enrollment ID: I20220907002866 |
| Provider Name | Edna Melissa Mccarthy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598094930 PECOS PAC ID: 5698150290 Enrollment ID: I20220919001108 |
| Provider Name | Erin Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922265305 PECOS PAC ID: 0143396184 Enrollment ID: I20220926003082 |
| Provider Name | Carla Marie Loeffler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437437894 PECOS PAC ID: 8022494111 Enrollment ID: I20220927001597 |
| Provider Name | Jordan A Fuller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386266211 PECOS PAC ID: 0446636203 Enrollment ID: I20220930001593 |
| Provider Name | Michelle L Douglas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730113424 PECOS PAC ID: 5193720845 Enrollment ID: I20220930001792 |
| Provider Name | Ludmil Lazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285826404 PECOS PAC ID: 1254407729 Enrollment ID: I20221006000502 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20221025001015 |
| Provider Name | Megan Lynn Jacobs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053783217 PECOS PAC ID: 6103293972 Enrollment ID: I20221108000788 |
| Provider Name | Daniel Galban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215432661 PECOS PAC ID: 4284036153 Enrollment ID: I20221117001125 |
| Provider Name | Elias G Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053305888 PECOS PAC ID: 6002840584 Enrollment ID: I20221128001507 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20221216002202 |
| Provider Name | Melissa S Skoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700309796 PECOS PAC ID: 7719250869 Enrollment ID: I20230105000726 |
| Provider Name | Kristine E Flowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669405676 PECOS PAC ID: 9830127588 Enrollment ID: I20230109001152 |
| Provider Name | Kehinde Idowu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063806982 PECOS PAC ID: 1153695887 Enrollment ID: I20230124000345 |
| Provider Name | Sherif Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518167188 PECOS PAC ID: 9830221233 Enrollment ID: I20230125002224 |
| Provider Name | Katherine Vosburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326332040 PECOS PAC ID: 1850517269 Enrollment ID: I20230127002771 |
| Provider Name | Sandip Ghuge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770727083 PECOS PAC ID: 9537211362 Enrollment ID: I20230128000092 |
| Provider Name | Adrienne Hiatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194090894 PECOS PAC ID: 6204204191 Enrollment ID: I20230131003606 |
| Provider Name | Vimarsh Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20230207003072 |
| Provider Name | Judith Jennings |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538240080 PECOS PAC ID: 5496149338 Enrollment ID: I20230313001987 |
| Provider Name | Furhan Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20230327000665 |
| Provider Name | Kyle Dembowiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235499815 PECOS PAC ID: 7517271539 Enrollment ID: I20230330000439 |
| Provider Name | Abdel Azim Bayoumy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942402243 PECOS PAC ID: 4183706609 Enrollment ID: I20230419001178 |
| Provider Name | Abdullahi Mahgoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093371999 PECOS PAC ID: 1951767987 Enrollment ID: I20230517003362 |
| Provider Name | Kimberlee Hunsaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396076048 PECOS PAC ID: 3971638040 Enrollment ID: I20230519002472 |
| Provider Name | Mounir Djemil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053763862 PECOS PAC ID: 9537453931 Enrollment ID: I20230601003026 |
| Provider Name | Parth Pareshkumar Bhavsar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104323203 PECOS PAC ID: 4789932518 Enrollment ID: I20230626000603 |
| Provider Name | Blake Dupuis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588355739 PECOS PAC ID: 4688034002 Enrollment ID: I20230718000186 |
| Provider Name | Nicole Konoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376119800 PECOS PAC ID: 0648676452 Enrollment ID: I20230808001262 |
| Provider Name | Suhaib Kamal Elobaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730455189 PECOS PAC ID: 1850607086 Enrollment ID: I20230928001232 |
| Provider Name | Sam Kuchinka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639412000 PECOS PAC ID: 3577865989 Enrollment ID: I20231006002512 |
| Provider Name | Laura Elizabeth Sowatsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639843436 PECOS PAC ID: 6709232200 Enrollment ID: I20231019000774 |
| Provider Name | Piersan Elizabeth Suriano Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598546814 PECOS PAC ID: 3971950999 Enrollment ID: I20231114000622 |
| Provider Name | Ashley Koski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205590759 PECOS PAC ID: 0345697181 Enrollment ID: I20231115002972 |
| Provider Name | Laura Polakowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679945844 PECOS PAC ID: 6901254036 Enrollment ID: I20231129002465 |
| Provider Name | Jason Heese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093860132 PECOS PAC ID: 7618009945 Enrollment ID: I20231228003771 |
| Provider Name | Barbara Rumberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184641912 PECOS PAC ID: 4688738370 Enrollment ID: I20240205002147 |
| Provider Name | Adrienne Stevenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497020697 PECOS PAC ID: 8426346958 Enrollment ID: I20240304000606 |
Aspirus Grand View Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N10561 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-2525 Fax: 906-932-2290 | |
Ashland Audiology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 715-682-9311 Fax: 715-682-9313 | |
Aspirus Cardiovascular Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N10561 Grand View Lane, Ironwood, MI 49938 Phone: 715-847-2611 | |
Aspirus Ironwood Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-1500 | |
Aspirus Grand View Cardiology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-1500 | |
Aspirus Grand View Cardiology Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-1500 | |
Essentia Health Ironwood Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N10504 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-3493 |