| Augusta Medical Group | |
|
78 Medical Center Dr Fishersville VA 22939-2332 | |
| (540) 932-5162 | |
| (540) 932-4616 |
| Full Name | Augusta Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 78 Medical Center Dr, Fishersville, Virginia |
| Authorized Official Name and Position | Mary N Mannix (FACHE) |
| Authorized Official Contact | 5409324000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Medical Group Po Box 388 Fishersville VA 22939-0388 Ph: (540) 932-5162 | Augusta Medical Group 78 Medical Center Dr Fishersville VA 22939-2332 Ph: (540) 932-5162 |
| NPI Number | 1245489590 |
|---|---|
| Provider Enumeration Date | 09/11/2008 |
| Last Update Date | 07/25/2013 |
| Medicare PECOS PAC ID | 3678632544 |
|---|---|
| Medicare Enrollment ID | O20081106000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245489590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Clinton Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114990207 PECOS PAC ID: 2668376815 Enrollment ID: I20031120000551 |
| Provider Name | Marsha a Almarode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023062965 PECOS PAC ID: 4789579202 Enrollment ID: I20040216000319 |
| Provider Name | Margaret D Flather |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730176710 PECOS PAC ID: 1052301512 Enrollment ID: I20040517000112 |
| Provider Name | Jack Wayne Higginbotham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700859253 PECOS PAC ID: 0749271088 Enrollment ID: I20040524001048 |
| Provider Name | James Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20040610000420 |
| Provider Name | Johnathon D Chisum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538104138 PECOS PAC ID: 2769466481 Enrollment ID: I20040617001491 |
| Provider Name | Franklin a Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225055791 PECOS PAC ID: 2365420197 Enrollment ID: I20040709000021 |
| Provider Name | Oscar F Figueroa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801889720 PECOS PAC ID: 4981682689 Enrollment ID: I20040709000604 |
| Provider Name | Caroline Hackley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467427260 PECOS PAC ID: 6103886866 Enrollment ID: I20041016000128 |
| Provider Name | John Qunicy Adams Mattern |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164495354 PECOS PAC ID: 3870556053 Enrollment ID: I20041109000354 |
| Provider Name | Roberto Lianez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881764199 PECOS PAC ID: 3274596176 Enrollment ID: I20041111000354 |
| Provider Name | Patricia M Clough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659345866 PECOS PAC ID: 0749248359 Enrollment ID: I20041229000705 |
| Provider Name | Paul D Lyons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083656250 PECOS PAC ID: 1355383027 Enrollment ID: I20050524000618 |
| Provider Name | Ramon C Esteban |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770531378 PECOS PAC ID: 2961447388 Enrollment ID: I20050624000973 |
| Provider Name | Donald Carmichael |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861406852 PECOS PAC ID: 1456328483 Enrollment ID: I20050719000359 |
| Provider Name | Evan J Wenger |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1467411983 PECOS PAC ID: 0143295535 Enrollment ID: I20050722000747 |
| Provider Name | Stephanie Ann Pitsilos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558431452 PECOS PAC ID: 2961431440 Enrollment ID: I20050804000887 |
| Provider Name | Bradley J Cashion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144208901 PECOS PAC ID: 3173552288 Enrollment ID: I20050809000904 |
| Provider Name | Ami Hiatt Keatts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639260391 PECOS PAC ID: 2567491558 Enrollment ID: I20050810000438 |
| Provider Name | John Ulmer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437138187 PECOS PAC ID: 1052206737 Enrollment ID: I20050901000814 |
| Provider Name | Michael Plautz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932173408 PECOS PAC ID: 8729012224 Enrollment ID: I20050923000685 |
| Provider Name | George Michael Spencer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184604068 PECOS PAC ID: 3870507114 Enrollment ID: I20060126000108 |
| Provider Name | Timothy K Bowers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801843271 PECOS PAC ID: 4981611431 Enrollment ID: I20060308000818 |
| Provider Name | Paul H Ting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205905841 PECOS PAC ID: 3971511536 Enrollment ID: I20060323000717 |
| Provider Name | Barry K Diduch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095924 PECOS PAC ID: 2961410493 Enrollment ID: I20060324000636 |
| Provider Name | George M Verghese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235176371 PECOS PAC ID: 4789692658 Enrollment ID: I20060404000407 |
| Provider Name | Tara D Balint |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932156304 PECOS PAC ID: 5395757124 Enrollment ID: I20060619000175 |
| Provider Name | Timothy Hellewell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922030733 PECOS PAC ID: 7113930306 Enrollment ID: I20060710000105 |
| Provider Name | Heidi E Martinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336155316 PECOS PAC ID: 8820092752 Enrollment ID: I20060908000094 |
| Provider Name | Edward Franklin Eisenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295742773 PECOS PAC ID: 3072517705 Enrollment ID: I20060911000486 |
| Provider Name | Ilham C Grant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457355075 PECOS PAC ID: 4385649722 Enrollment ID: I20060919000167 |
| Provider Name | Shelley L Snodgrass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154345932 PECOS PAC ID: 6507861770 Enrollment ID: I20060921000205 |
| Provider Name | Kimberly M Cheek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619995438 PECOS PAC ID: 0749285732 Enrollment ID: I20060926000232 |
| Provider Name | Brahim Elouardighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598741191 PECOS PAC ID: 3678503869 Enrollment ID: I20061012000419 |
| Provider Name | Nelly a Maybee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023113768 PECOS PAC ID: 1456359868 Enrollment ID: I20061120000211 |
| Provider Name | Karen C Wright-sheridan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588686315 PECOS PAC ID: 9537168208 Enrollment ID: I20061206000181 |
| Provider Name | Jennifer M Visger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194757773 PECOS PAC ID: 2264432038 Enrollment ID: I20061228000366 |
| Provider Name | Heidi Henson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962426254 PECOS PAC ID: 6406880129 Enrollment ID: I20070228000525 |
| Provider Name | Carl a Recine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013979780 PECOS PAC ID: 1254245723 Enrollment ID: I20070327000153 |
| Provider Name | Timothy J Nitzsche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295720712 PECOS PAC ID: 5698740223 Enrollment ID: I20070614000642 |
| Provider Name | Scott G Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629196316 PECOS PAC ID: 7517066285 Enrollment ID: I20070620000580 |
| Provider Name | Scott D Woogen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215939251 PECOS PAC ID: 7416056726 Enrollment ID: I20070627000707 |
| Provider Name | John C Garber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972528339 PECOS PAC ID: 5597858084 Enrollment ID: I20070829000319 |
| Provider Name | Angela V Sutton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265529291 PECOS PAC ID: 1456445287 Enrollment ID: I20070924000418 |
| Provider Name | Christy a Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942491865 PECOS PAC ID: 0749376598 Enrollment ID: I20071010000197 |
| Provider Name | Christopher D Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407061534 PECOS PAC ID: 3779679469 Enrollment ID: I20071010000654 |
| Provider Name | Meghal R Antani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215927900 PECOS PAC ID: 7810943479 Enrollment ID: I20071129000168 |
| Provider Name | Christopher C Heck |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730170028 PECOS PAC ID: 0941381974 Enrollment ID: I20080116000406 |
| Provider Name | Justin L Nolen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891829693 PECOS PAC ID: 1658452115 Enrollment ID: I20080123000027 |
| Provider Name | Mirjam C Molenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225226533 PECOS PAC ID: 1052493426 Enrollment ID: I20080124000568 |
| Provider Name | Bruce a Urban |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376578369 PECOS PAC ID: 0840256624 Enrollment ID: I20080228000366 |
| Provider Name | George Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912999566 PECOS PAC ID: 2365463775 Enrollment ID: I20080610000275 |
| Provider Name | James B Chadduck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952381741 PECOS PAC ID: 4284704750 Enrollment ID: I20080610000583 |
| Provider Name | Tseday E Sirak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346348992 PECOS PAC ID: 5294805180 Enrollment ID: I20080710000372 |
| Provider Name | David B Reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457320137 PECOS PAC ID: 6002980612 Enrollment ID: I20080730000741 |
| Provider Name | Surjya P Das |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063598696 PECOS PAC ID: 7214975994 Enrollment ID: I20080911000323 |
| Provider Name | Michon Bechamps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356539472 PECOS PAC ID: 4385712645 Enrollment ID: I20081014000386 |
| Provider Name | Syed Ismail M Thiwan Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932174687 PECOS PAC ID: 1254235294 Enrollment ID: I20081016000181 |
| Provider Name | Benjamin G Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275505802 PECOS PAC ID: 5294894960 Enrollment ID: I20081110000658 |
| Provider Name | Alexander E Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760552749 PECOS PAC ID: 3476615907 Enrollment ID: I20081217000602 |
| Provider Name | Justin Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20090115000759 |
| Provider Name | James Backstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497721146 PECOS PAC ID: 1951321512 Enrollment ID: I20090115000774 |
| Provider Name | Derek Armfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477525863 PECOS PAC ID: 5890792329 Enrollment ID: I20090115000781 |
| Provider Name | Claire K Akin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972715829 PECOS PAC ID: 7012070121 Enrollment ID: I20090115000791 |
| Provider Name | Molly J Mcquigg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821152117 PECOS PAC ID: 4981697646 Enrollment ID: I20090216000457 |
| Provider Name | Susan N Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124263298 PECOS PAC ID: 8224187554 Enrollment ID: I20090515000550 |
| Provider Name | Vonda Kay Evans Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457595647 PECOS PAC ID: 7719039585 Enrollment ID: I20090709000437 |
| Provider Name | Robert J Szeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063634624 PECOS PAC ID: 4284786922 Enrollment ID: I20090710000266 |
| Provider Name | Joan B Stalzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245323708 PECOS PAC ID: 0547267411 Enrollment ID: I20090804000002 |
| Provider Name | Emily M Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700110475 PECOS PAC ID: 3779622105 Enrollment ID: I20091124000719 |
| Provider Name | Matthew Hoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003958059 PECOS PAC ID: 3375682040 Enrollment ID: I20091209000603 |
| Provider Name | William Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346258829 PECOS PAC ID: 1850485400 Enrollment ID: I20100109000022 |
| Provider Name | Charles D Goff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508870205 PECOS PAC ID: 4486748035 Enrollment ID: I20100109000036 |
| Provider Name | Stephen E Godshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669474060 PECOS PAC ID: 7810030608 Enrollment ID: I20100202000312 |
| Provider Name | Hanna E Reinford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437300589 PECOS PAC ID: 1658406905 Enrollment ID: I20100312000024 |
| Provider Name | Thomas Pereles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528017811 PECOS PAC ID: 7012952328 Enrollment ID: I20100512000984 |
| Provider Name | Jack F Otteni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205885597 PECOS PAC ID: 6800924804 Enrollment ID: I20100512001004 |
| Provider Name | Pradeep Rajagopalan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750354262 PECOS PAC ID: 2466340708 Enrollment ID: I20100513000092 |
| Provider Name | Victor C Peyton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629041736 PECOS PAC ID: 9032007372 Enrollment ID: I20100513000187 |
| Provider Name | Anthony W Spinelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750354296 PECOS PAC ID: 8123121738 Enrollment ID: I20100513000236 |
| Provider Name | Kerry D Leichty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720080161 PECOS PAC ID: 4284763749 Enrollment ID: I20100521000873 |
| Provider Name | James F Newcity |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295749521 PECOS PAC ID: 9335184274 Enrollment ID: I20100527000379 |
| Provider Name | Joseph L Ranzini |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1699790147 PECOS PAC ID: 9739281072 Enrollment ID: I20100617000724 |
| Provider Name | John a Witman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033111448 PECOS PAC ID: 0648302653 Enrollment ID: I20100709000181 |
| Provider Name | Gavin T Slitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821291485 PECOS PAC ID: 4688707086 Enrollment ID: I20100805000768 |
| Provider Name | Timothy Joe Kane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205805355 PECOS PAC ID: 0446383715 Enrollment ID: I20100806000572 |
| Provider Name | Kerry a Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144390139 PECOS PAC ID: 9234263955 Enrollment ID: I20100817001147 |
| Provider Name | Robert Mcmahon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093775801 PECOS PAC ID: 5193849008 Enrollment ID: I20100830000709 |
| Provider Name | Habib F Bassil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710944707 PECOS PAC ID: 1355336173 Enrollment ID: I20100830000812 |
| Provider Name | Norman Ross Goldin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306820139 PECOS PAC ID: 6507877446 Enrollment ID: I20100917000496 |
| Provider Name | Thomas a Zumsteg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033109228 PECOS PAC ID: 6103957246 Enrollment ID: I20101020000609 |
| Provider Name | Emily C Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518271295 PECOS PAC ID: 1951596519 Enrollment ID: I20101109001411 |
| Provider Name | Nabeel I Babar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942478961 PECOS PAC ID: 5890865505 Enrollment ID: I20101117001599 |
| Provider Name | Ngoc Hai Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629045588 PECOS PAC ID: 6800082058 Enrollment ID: I20101130000544 |
| Provider Name | Jason M Lawrence |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477718922 PECOS PAC ID: 8921295395 Enrollment ID: I20101210000450 |
| Provider Name | Kimberly O Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740433747 PECOS PAC ID: 4587843412 Enrollment ID: I20110125000614 |
| Provider Name | Ami Sethi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518175256 PECOS PAC ID: 1052594975 Enrollment ID: I20110330000193 |
| Provider Name | Roger Giordano |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528011608 PECOS PAC ID: 9436192457 Enrollment ID: I20110426000859 |
| Provider Name | Michael a Valente |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265492078 PECOS PAC ID: 8426236415 Enrollment ID: I20110621000803 |
| Provider Name | Jack L Breaux |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942473905 PECOS PAC ID: 4385778679 Enrollment ID: I20110726000027 |
| Provider Name | Katherine M Black |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033315551 PECOS PAC ID: 0749450542 Enrollment ID: I20110906000397 |
| Provider Name | Jessica D Lewis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205095726 PECOS PAC ID: 0446420111 Enrollment ID: I20110907001335 |
| Provider Name | Jessicah Susanne Collins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679778237 PECOS PAC ID: 5395916860 Enrollment ID: I20110914000560 |
| Provider Name | Gachard Jean-pierre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770779399 PECOS PAC ID: 3870761216 Enrollment ID: I20111024000477 |
| Provider Name | Leonard Wortley Aamodt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497746051 PECOS PAC ID: 0143220095 Enrollment ID: I20111107000057 |
| Provider Name | John Timothy Rhodes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669556627 PECOS PAC ID: 1759555378 Enrollment ID: I20111117000015 |
| Provider Name | Louis E Nelsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487753372 PECOS PAC ID: 5092985184 Enrollment ID: I20111214000029 |
| Provider Name | Douglas Carl Vander Kooi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225215155 PECOS PAC ID: 5294901542 Enrollment ID: I20120109000180 |
| Provider Name | Pamela a Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407007206 PECOS PAC ID: 0941366843 Enrollment ID: I20120301000497 |
| Provider Name | Kari L Somers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164795217 PECOS PAC ID: 3870754955 Enrollment ID: I20120417000565 |
| Provider Name | Atul Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487861720 PECOS PAC ID: 8628255361 Enrollment ID: I20120606000005 |
| Provider Name | Clinton S Pease |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760672042 PECOS PAC ID: 7214193846 Enrollment ID: I20120725000585 |
| Provider Name | Brian Stisser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043461064 PECOS PAC ID: 3173770450 Enrollment ID: I20120821000527 |
| Provider Name | Alan a Brijbassie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992964704 PECOS PAC ID: 7810145083 Enrollment ID: I20120912000633 |
| Provider Name | Amanda I Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033474283 PECOS PAC ID: 9234387259 Enrollment ID: I20120918000064 |
| Provider Name | David Dean Krieger |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1225016470 PECOS PAC ID: 1951550953 Enrollment ID: I20121008000460 |
| Provider Name | Chockeo Syvanthong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992861488 PECOS PAC ID: 8426113192 Enrollment ID: I20121009000182 |
| Provider Name | Monica a Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306194808 PECOS PAC ID: 2264682541 Enrollment ID: I20121022000812 |
| Provider Name | David Strasburg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558398537 PECOS PAC ID: 1456505031 Enrollment ID: I20130206000652 |
| Provider Name | Savita Srivastava |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790931558 PECOS PAC ID: 6406923853 Enrollment ID: I20130207000172 |
| Provider Name | Heather Higgins Schulz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558331140 PECOS PAC ID: 6901051382 Enrollment ID: I20130311000288 |
| Provider Name | Kristin L Hanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922359041 PECOS PAC ID: 3577708700 Enrollment ID: I20130318000245 |
| Provider Name | Peter a Puzio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295795003 PECOS PAC ID: 5597901637 Enrollment ID: I20130416000691 |
| Provider Name | Kevin Lawrence |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063513489 PECOS PAC ID: 1759431828 Enrollment ID: I20130716000471 |
| Provider Name | Connie S Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477642841 PECOS PAC ID: 7719976570 Enrollment ID: I20130903000292 |
| Provider Name | Jason William Romesburg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760680862 PECOS PAC ID: 9739322165 Enrollment ID: I20130903000814 |
| Provider Name | John a Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922273432 PECOS PAC ID: 7618155060 Enrollment ID: I20130904000276 |
| Provider Name | Daniel Brian Dean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538363379 PECOS PAC ID: 6204084494 Enrollment ID: I20130930000242 |
| Provider Name | John P Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932361730 PECOS PAC ID: 8527238336 Enrollment ID: I20131001000104 |
| Provider Name | Jenilee V Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295050664 PECOS PAC ID: 0648404350 Enrollment ID: I20131014000332 |
| Provider Name | Joe F Surratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780026757 PECOS PAC ID: 8325272974 Enrollment ID: I20131014001713 |
| Provider Name | Glenn M. Brammer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083822522 PECOS PAC ID: 5799954434 Enrollment ID: I20131022000012 |
| Provider Name | Tami L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740614825 PECOS PAC ID: 8820226434 Enrollment ID: I20140103001405 |
| Provider Name | Michael Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992791081 PECOS PAC ID: 0345133393 Enrollment ID: I20140128001784 |
| Provider Name | Oleg V Glushkov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184830929 PECOS PAC ID: 2860582103 Enrollment ID: I20140430000872 |
| Provider Name | Justin D Deaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265752174 PECOS PAC ID: 3870717028 Enrollment ID: I20140610001317 |
| Provider Name | Richard B Schartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114244274 PECOS PAC ID: 0840440889 Enrollment ID: I20140613000238 |
| Provider Name | Su H Kim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447574934 PECOS PAC ID: 2668616400 Enrollment ID: I20140708000582 |
| Provider Name | Rizwan Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841469061 PECOS PAC ID: 6002972023 Enrollment ID: I20140814002481 |
| Provider Name | Andrew R Vranic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851448716 PECOS PAC ID: 1759433584 Enrollment ID: I20140916001459 |
| Provider Name | Catherine Michelle Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952727216 PECOS PAC ID: 9436378551 Enrollment ID: I20140922001740 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20140922002072 |
| Provider Name | Tonia Lee Markel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073922811 PECOS PAC ID: 1759501570 Enrollment ID: I20140930000559 |
| Provider Name | Julie Anne Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706394 PECOS PAC ID: 8325086069 Enrollment ID: I20140930000730 |
| Provider Name | Jared a Davis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922234699 PECOS PAC ID: 7911134887 Enrollment ID: I20141001000948 |
| Provider Name | Sean N Higginson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235350299 PECOS PAC ID: 8527167725 Enrollment ID: I20141008002580 |
| Provider Name | Lin M Riccio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942468350 PECOS PAC ID: 3577792381 Enrollment ID: I20141020001427 |
| Provider Name | Nicholas Jay Sparler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699095554 PECOS PAC ID: 7214155068 Enrollment ID: I20141104001135 |
| Provider Name | Patrick J Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215982673 PECOS PAC ID: 5698728160 Enrollment ID: I20141119002684 |
| Provider Name | Obiora Jude Ofole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902043490 PECOS PAC ID: 3375716038 Enrollment ID: I20141124002438 |
| Provider Name | Christopher J Porter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679521082 PECOS PAC ID: 8729300785 Enrollment ID: I20141202000086 |
| Provider Name | Kenneth W Donohue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679997316 PECOS PAC ID: 6103058599 Enrollment ID: I20141231000996 |
| Provider Name | Rhonda Sims |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043477649 PECOS PAC ID: 1658425301 Enrollment ID: I20150331001814 |
| Provider Name | Joseph Romagnuolo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336257294 PECOS PAC ID: 8022089283 Enrollment ID: I20150414000751 |
| Provider Name | Erik H Weissler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588985451 PECOS PAC ID: 5597905851 Enrollment ID: I20150630000132 |
| Provider Name | Mohammad Shakhatreh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649430216 PECOS PAC ID: 7911160270 Enrollment ID: I20150706002027 |
| Provider Name | Michael Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20150713002602 |
| Provider Name | Clay W Tingle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508002833 PECOS PAC ID: 1951614312 Enrollment ID: I20150715000205 |
| Provider Name | Kristin C Turza |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194929059 PECOS PAC ID: 3870722812 Enrollment ID: I20150817000421 |
| Provider Name | Jennifer B Hunt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437482312 PECOS PAC ID: 4981750635 Enrollment ID: I20150817001117 |
| Provider Name | Catherine Winifred Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598027559 PECOS PAC ID: 3971728734 Enrollment ID: I20150820012028 |
| Provider Name | David Dante Pellei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427057934 PECOS PAC ID: 5294818696 Enrollment ID: I20150826002449 |
| Provider Name | Amy Chico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033592431 PECOS PAC ID: 9133436819 Enrollment ID: I20150911002163 |
| Provider Name | Mosaab R Bagegni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811144694 PECOS PAC ID: 1658511704 Enrollment ID: I20150911002502 |
| Provider Name | Jason Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023037348 PECOS PAC ID: 9032427950 Enrollment ID: I20150925002495 |
| Provider Name | Michael David Longo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528053600 PECOS PAC ID: 4789762261 Enrollment ID: I20151223000198 |
| Provider Name | Elizabeth Savage Curry Simms |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952690620 PECOS PAC ID: 7810126547 Enrollment ID: I20151228000771 |
| Provider Name | Laura E Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316303753 PECOS PAC ID: 0840597498 Enrollment ID: I20160324001450 |
| Provider Name | Bradley Moore Tipler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790775989 PECOS PAC ID: 6901103480 Enrollment ID: I20160329000130 |
| Provider Name | Charlie Lebron Swanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497775688 PECOS PAC ID: 2466556188 Enrollment ID: I20160329000447 |
| Provider Name | Franklin Goldwire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124227012 PECOS PAC ID: 6709185515 Enrollment ID: I20160429000365 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20160516001507 |
| Provider Name | Eleanor Grimm Hutchens |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043445976 PECOS PAC ID: 4082860465 Enrollment ID: I20160527001206 |
| Provider Name | Shalendra K Varma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912991746 PECOS PAC ID: 1355326190 Enrollment ID: I20160715001535 |
| Provider Name | Raymond I Cruz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609034362 PECOS PAC ID: 8123264819 Enrollment ID: I20160725001203 |
| Provider Name | Christopher Ray Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518229616 PECOS PAC ID: 4880989631 Enrollment ID: I20160818001844 |
| Provider Name | Yulin Chen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104226919 PECOS PAC ID: 9931494333 Enrollment ID: I20160824002043 |
| Provider Name | Amira Z Ali Ibrahim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023277217 PECOS PAC ID: 1557429446 Enrollment ID: I20160906000064 |
| Provider Name | Imran Fayyaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952385692 PECOS PAC ID: 9032110879 Enrollment ID: I20161011001593 |
| Provider Name | Sarah Goodwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497708226 PECOS PAC ID: 2466731567 Enrollment ID: I20161114000175 |
| Provider Name | Geoffrey Rieser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235367053 PECOS PAC ID: 7618105016 Enrollment ID: I20161122000916 |
| Provider Name | Stanley Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801344064 PECOS PAC ID: 9739469982 Enrollment ID: I20161206001662 |
| Provider Name | Lewis a Siegel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023017928 PECOS PAC ID: 0648295972 Enrollment ID: I20161213002295 |
| Provider Name | Meghan E. Gaare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295964260 PECOS PAC ID: 7517116403 Enrollment ID: I20161227000144 |
| Provider Name | Muhammad Z Bawany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093970097 PECOS PAC ID: 9436327640 Enrollment ID: I20170123000098 |
| Provider Name | Paul Alexander Detrana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891230108 PECOS PAC ID: 1153604384 Enrollment ID: I20170213001582 |
| Provider Name | Caitlin E Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679015879 PECOS PAC ID: 5597040667 Enrollment ID: I20170403000797 |
| Provider Name | Marshall Crespin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497125009 PECOS PAC ID: 0648574251 Enrollment ID: I20170427001434 |
| Provider Name | Michael D Flam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396729679 PECOS PAC ID: 9436180601 Enrollment ID: I20170502001398 |
| Provider Name | Claire Michelle Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770922254 PECOS PAC ID: 4486931201 Enrollment ID: I20170504001160 |
| Provider Name | Zainab Shamma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164455101 PECOS PAC ID: 3678609948 Enrollment ID: I20170504001481 |
| Provider Name | Lee Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104116730 PECOS PAC ID: 2567687122 Enrollment ID: I20170607002581 |
| Provider Name | Charles F Pagels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154765444 PECOS PAC ID: 2860620630 Enrollment ID: I20170711001895 |
| Provider Name | Jonathan a Craun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295931293 PECOS PAC ID: 0042435380 Enrollment ID: I20170717003017 |
| Provider Name | Jeffrey S Genda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528355971 PECOS PAC ID: 1951528124 Enrollment ID: I20170719001425 |
| Provider Name | Adil Shamim Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528477502 PECOS PAC ID: 3971825142 Enrollment ID: I20170727001655 |
| Provider Name | Nicole Y Linton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134563026 PECOS PAC ID: 7012145949 Enrollment ID: I20170731000525 |
| Provider Name | Salim Benjamin Mathew |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861468449 PECOS PAC ID: 9032379904 Enrollment ID: I20170802000646 |
| Provider Name | Jennifer B Lambka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417355355 PECOS PAC ID: 4183949076 Enrollment ID: I20170810003786 |
| Provider Name | Divyangkumar K Gandhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386993343 PECOS PAC ID: 8022307941 Enrollment ID: I20170814002161 |
| Provider Name | Kimberly a Greer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366785917 PECOS PAC ID: 2668609397 Enrollment ID: I20170815002285 |
| Provider Name | Yonis Geberemariam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558624619 PECOS PAC ID: 7618281270 Enrollment ID: I20170907000665 |
| Provider Name | Kelvin B Raybon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750395364 PECOS PAC ID: 4789582628 Enrollment ID: I20170928000354 |
| Provider Name | Beverly G Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942604012 PECOS PAC ID: 7517232523 Enrollment ID: I20171002000522 |
| Provider Name | Michael D Reiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285609339 PECOS PAC ID: 8729026588 Enrollment ID: I20171012000085 |
| Provider Name | Todd Blodgett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689877730 PECOS PAC ID: 7012008667 Enrollment ID: I20171012003432 |
| Provider Name | Danika a Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336302207 PECOS PAC ID: 6507005451 Enrollment ID: I20171017000706 |
| Provider Name | Mark T Andres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700080249 PECOS PAC ID: 3274768197 Enrollment ID: I20171017000923 |
| Provider Name | Dane Marc Larsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972569523 PECOS PAC ID: 9133311780 Enrollment ID: I20171031000575 |
| Provider Name | Polly Arey Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851817175 PECOS PAC ID: 3577829555 Enrollment ID: I20171107002766 |
| Provider Name | Chinor Fattahi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861916785 PECOS PAC ID: 6800152281 Enrollment ID: I20171118000056 |
| Provider Name | Harjot Dulai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356557763 PECOS PAC ID: 8426121559 Enrollment ID: I20171128000432 |
| Provider Name | Joseph James Freeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831608504 PECOS PAC ID: 4284991159 Enrollment ID: I20171130002301 |
| Provider Name | Katherine F Bryant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912197765 PECOS PAC ID: 9638361785 Enrollment ID: I20171207000049 |
| Provider Name | Seth Dukes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316258221 PECOS PAC ID: 8123304821 Enrollment ID: I20171220002191 |
| Provider Name | Mark Casteel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093782674 PECOS PAC ID: 3274525597 Enrollment ID: I20171227002350 |
| Provider Name | Mark Jablonski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942407135 PECOS PAC ID: 4385735828 Enrollment ID: I20171227002820 |
| Provider Name | David Hursh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033359096 PECOS PAC ID: 5799736815 Enrollment ID: I20180108000761 |
| Provider Name | Amanda Guedes De Morais |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417143660 PECOS PAC ID: 7416184106 Enrollment ID: I20180201003101 |
| Provider Name | William Chuang |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1396723193 PECOS PAC ID: 4284538638 Enrollment ID: I20180205000327 |
| Provider Name | Frank M. Volberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427082650 PECOS PAC ID: 4981783990 Enrollment ID: I20180208001893 |
| Provider Name | Clark Bryan Bernard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477654937 PECOS PAC ID: 1153364989 Enrollment ID: I20180306000020 |
| Provider Name | Danielle T Cormier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467951608 PECOS PAC ID: 8527320217 Enrollment ID: I20180316000263 |
| Provider Name | Edward Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477509644 PECOS PAC ID: 4385531060 Enrollment ID: I20180322002019 |
| Provider Name | Kevin Charles Greer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275876823 PECOS PAC ID: 8325275639 Enrollment ID: I20180410000462 |
| Provider Name | Joseph Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411011 PECOS PAC ID: 5395641401 Enrollment ID: I20180417000122 |
| Provider Name | Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629026091 PECOS PAC ID: 2466346440 Enrollment ID: I20180423002620 |
| Provider Name | Jawad Hussain |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124394390 PECOS PAC ID: 2668728304 Enrollment ID: I20180710003400 |
| Provider Name | Matthew Thomas Meade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689069262 PECOS PAC ID: 6709133283 Enrollment ID: I20180716002976 |
| Provider Name | Paul Hudson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376939181 PECOS PAC ID: 3577870815 Enrollment ID: I20180720000035 |
| Provider Name | John Andrew Starr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780841833 PECOS PAC ID: 9830406313 Enrollment ID: I20180725003482 |
| Provider Name | Amit P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538696950 PECOS PAC ID: 4981952322 Enrollment ID: I20180801003128 |
| Provider Name | Christopher Thomas Bunn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164798716 PECOS PAC ID: 6709003742 Enrollment ID: I20180822002515 |
| Provider Name | Christine OU |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851684666 PECOS PAC ID: 5496004244 Enrollment ID: I20180828000848 |
| Provider Name | Leah Mccown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437635570 PECOS PAC ID: 9335491505 Enrollment ID: I20181017000073 |
| Provider Name | Chesney Blythe Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124504949 PECOS PAC ID: 9830442953 Enrollment ID: I20181018002844 |
| Provider Name | Christopher Andrew Sanders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245341254 PECOS PAC ID: 5496795304 Enrollment ID: I20181019001292 |
| Provider Name | Malinda Tiffany |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467996264 PECOS PAC ID: 4587917802 Enrollment ID: I20181102000004 |
| Provider Name | Kelli D Cash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023595154 PECOS PAC ID: 3173876364 Enrollment ID: I20181106001378 |
| Provider Name | Ronald Kunst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326026543 PECOS PAC ID: 6608866553 Enrollment ID: I20181114003473 |
| Provider Name | Rachel M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299903 PECOS PAC ID: 6507101946 Enrollment ID: I20181213000727 |
| Provider Name | Bert Cody Piggott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104901354 PECOS PAC ID: 3173674900 Enrollment ID: I20181217000699 |
| Provider Name | Tanika Kay Cushing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891147328 PECOS PAC ID: 2769778919 Enrollment ID: I20181220003164 |
| Provider Name | Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811464688 PECOS PAC ID: 3577808351 Enrollment ID: I20181226000312 |
| Provider Name | Gregg David Schubach |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1558369900 PECOS PAC ID: 7416927132 Enrollment ID: I20190107000648 |
| Provider Name | Gregory Trecha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396716577 PECOS PAC ID: 0244228666 Enrollment ID: I20190109002673 |
| Provider Name | Jamie M Ewing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437625340 PECOS PAC ID: 2163769688 Enrollment ID: I20190122003054 |
| Provider Name | Brenton J Ellison |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033377460 PECOS PAC ID: 1557519782 Enrollment ID: I20190219000837 |
| Provider Name | Matthew Douglas Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791104 PECOS PAC ID: 4789656604 Enrollment ID: I20190225003125 |
| Provider Name | Andrew M Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629064951 PECOS PAC ID: 7113824582 Enrollment ID: I20190401000128 |
| Provider Name | Tim Alan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922091073 PECOS PAC ID: 6103845961 Enrollment ID: I20190408002649 |
| Provider Name | Jamie Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043775554 PECOS PAC ID: 0345582417 Enrollment ID: I20190422002065 |
| Provider Name | Christopher Maxwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073909206 PECOS PAC ID: 9436492543 Enrollment ID: I20190513001341 |
| Provider Name | Eric T Field |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467809830 PECOS PAC ID: 6305132218 Enrollment ID: I20190812000246 |
| Provider Name | Roberta R Gray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285614685 PECOS PAC ID: 8022100817 Enrollment ID: I20190821004940 |
| Provider Name | Susanna Lynch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558724138 PECOS PAC ID: 7810280146 Enrollment ID: I20190918003554 |
| Provider Name | Rachel a Binda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629634860 PECOS PAC ID: 8628308590 Enrollment ID: I20190919003284 |
| Provider Name | Shannon N Tierney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003020660 PECOS PAC ID: 4587716451 Enrollment ID: I20190924000741 |
| Provider Name | Arathi M Gorur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669823183 PECOS PAC ID: 2466726682 Enrollment ID: I20191009000390 |
| Provider Name | Matthew Frederick Rhodes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376109744 PECOS PAC ID: 2668703471 Enrollment ID: I20191009001404 |
| Provider Name | Jordan E Larew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326692716 PECOS PAC ID: 7113258864 Enrollment ID: I20191009003610 |
| Provider Name | Brandy L Hollabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477105377 PECOS PAC ID: 5698007839 Enrollment ID: I20191021003536 |
| Provider Name | Margaret Byler Spory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275195513 PECOS PAC ID: 2668704990 Enrollment ID: I20191106000012 |
| Provider Name | Scott Twentyman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902125453 PECOS PAC ID: 0345672499 Enrollment ID: I20191112001848 |
| Provider Name | Caitlin Ann Going |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285910471 PECOS PAC ID: 9234564105 Enrollment ID: I20200123000319 |
| Provider Name | Laura L Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033220819 PECOS PAC ID: 5092946962 Enrollment ID: I20200221002556 |
| Provider Name | April Matiasek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992859417 PECOS PAC ID: 8426295619 Enrollment ID: I20200409002437 |
| Provider Name | Rachel Stepp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023644697 PECOS PAC ID: 3274964028 Enrollment ID: I20200511001934 |
| Provider Name | Catherine Kight Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831667567 PECOS PAC ID: 0446673792 Enrollment ID: I20200706002226 |
| Provider Name | Tianyi Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346777398 PECOS PAC ID: 4183994833 Enrollment ID: I20200709000306 |
| Provider Name | Gregory Michael Wade |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942647888 PECOS PAC ID: 5294974283 Enrollment ID: I20200715002603 |
| Provider Name | Christopher R Klimek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174720866 PECOS PAC ID: 0143312173 Enrollment ID: I20200723003621 |
| Provider Name | Jennifer M Cornwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780084913 PECOS PAC ID: 7911321807 Enrollment ID: I20200724001426 |
| Provider Name | Amar Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477828523 PECOS PAC ID: 1153623749 Enrollment ID: I20200810001180 |
| Provider Name | Michael Timothy Quinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225370893 PECOS PAC ID: 5799910329 Enrollment ID: I20200814001615 |
| Provider Name | Anastasia Snelling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023541372 PECOS PAC ID: 8628355740 Enrollment ID: I20200831002593 |
| Provider Name | Tiffany a Stoddard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720114846 PECOS PAC ID: 1557517893 Enrollment ID: I20200902002552 |
| Provider Name | Mary Victoria Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679188767 PECOS PAC ID: 3173933967 Enrollment ID: I20201105002934 |
| Provider Name | Liisa L Laakso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003894221 PECOS PAC ID: 3971496241 Enrollment ID: I20201130000561 |
| Provider Name | Samara R Stovall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871118497 PECOS PAC ID: 5092127324 Enrollment ID: I20201210001476 |
| Provider Name | Benjamin A. Stovall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508481128 PECOS PAC ID: 5395157440 Enrollment ID: I20201214001330 |
| Provider Name | Dalton Daniel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346227493 PECOS PAC ID: 2466425640 Enrollment ID: I20201216000310 |
| Provider Name | Sarah Coleman Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093311888 PECOS PAC ID: 9032525878 Enrollment ID: I20210303000407 |
| Provider Name | Emad Hamid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457553588 PECOS PAC ID: 7618021999 Enrollment ID: I20210527001353 |
| Provider Name | Tyler a Dailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700150406 PECOS PAC ID: 4587925862 Enrollment ID: I20210609000741 |
| Provider Name | John D Morrissey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740293984 PECOS PAC ID: 5597934422 Enrollment ID: I20210623000991 |
| Provider Name | Andrew Sekhon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295189504 PECOS PAC ID: 1355635467 Enrollment ID: I20210714002210 |
| Provider Name | Patrick Greenwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346635984 PECOS PAC ID: 2668771841 Enrollment ID: I20210715001146 |
| Provider Name | Joseph F O'brien |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417486937 PECOS PAC ID: 8729346341 Enrollment ID: I20210722003653 |
| Provider Name | Leann N Denlinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063807303 PECOS PAC ID: 1557678950 Enrollment ID: I20210729000340 |
| Provider Name | Claire V Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396315263 PECOS PAC ID: 1355746884 Enrollment ID: I20210823000977 |
| Provider Name | Darin H Poulsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659942464 PECOS PAC ID: 3971908419 Enrollment ID: I20210823001086 |
| Provider Name | Elizabeth C Ullrich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912403767 PECOS PAC ID: 8820405749 Enrollment ID: I20210830000205 |
| Provider Name | Anit Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114337029 PECOS PAC ID: 8224321013 Enrollment ID: I20210831000776 |
| Provider Name | Shavitri Mahendiran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326339946 PECOS PAC ID: 5890081186 Enrollment ID: I20210907000951 |
| Provider Name | Meredith Holmes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891286001 PECOS PAC ID: 4183972714 Enrollment ID: I20210907001329 |
| Provider Name | Michelle a Gibb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518517366 PECOS PAC ID: 6901138023 Enrollment ID: I20210911000110 |
| Provider Name | Noel Patrice Dianas-hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194228122 PECOS PAC ID: 9335545409 Enrollment ID: I20210915002037 |
| Provider Name | Lauren Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205409141 PECOS PAC ID: 2466850102 Enrollment ID: I20211011000043 |
| Provider Name | Emily Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659942043 PECOS PAC ID: 0345648796 Enrollment ID: I20211014003295 |
| Provider Name | Sarah Leanne Grow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881266708 PECOS PAC ID: 0941698005 Enrollment ID: I20211022002019 |
| Provider Name | Cameron P Lewis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609194695 PECOS PAC ID: 2668783960 Enrollment ID: I20211111001481 |
| Provider Name | Charles Hunter Shomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295407229 PECOS PAC ID: 0345630836 Enrollment ID: I20211123001968 |
| Provider Name | Bronwyn Alise Brocklehurst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407430549 PECOS PAC ID: 6608266739 Enrollment ID: I20211206000066 |
| Provider Name | Payton Mackenzie Dickman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861169476 PECOS PAC ID: 0143611376 Enrollment ID: I20211227000006 |
| Provider Name | Mustafa Anssar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588168603 PECOS PAC ID: 3577801695 Enrollment ID: I20211229001004 |
| Provider Name | James L Henderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750366860 PECOS PAC ID: 9133107683 Enrollment ID: I20220120000337 |
| Provider Name | Jerilyn Marie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437802717 PECOS PAC ID: 2062806979 Enrollment ID: I20220218000260 |
| Provider Name | Victor J Mandanas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356413785 PECOS PAC ID: 8628077948 Enrollment ID: I20220312000145 |
| Provider Name | Hannah Elizabeth Stephenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700540093 PECOS PAC ID: 6002201555 Enrollment ID: I20220318001416 |
| Provider Name | Danielle Tamara Hoo Fatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083031546 PECOS PAC ID: 9739311218 Enrollment ID: I20220321000213 |
| Provider Name | Jakob Kinsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184299000 PECOS PAC ID: 7012302516 Enrollment ID: I20220321000359 |
| Provider Name | Mellony S Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699767095 PECOS PAC ID: 6002901865 Enrollment ID: I20220407001332 |
| Provider Name | Ellen Marie Danni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811643877 PECOS PAC ID: 8123405479 Enrollment ID: I20220506001646 |
| Provider Name | Raeanna Poplus Simcoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174917082 PECOS PAC ID: 6608111315 Enrollment ID: I20220525002057 |
| Provider Name | Hilary Binda Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982909669 PECOS PAC ID: 0840471538 Enrollment ID: I20220629002621 |
| Provider Name | Jose Perez Lara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013461060 PECOS PAC ID: 8426438508 Enrollment ID: I20220707000548 |
| Provider Name | Keith Justin Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093459521 PECOS PAC ID: 5294118022 Enrollment ID: I20220811002064 |
| Provider Name | Andrew Kaiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588070197 PECOS PAC ID: 4880995893 Enrollment ID: I20220824000876 |
| Provider Name | Lindsey Marie Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477208213 PECOS PAC ID: 9931583820 Enrollment ID: I20220825003712 |
| Provider Name | Kylie P Risendal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285067868 PECOS PAC ID: 3476789371 Enrollment ID: I20220829003697 |
| Provider Name | Josephine Lynn Maddra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427791573 PECOS PAC ID: 6305220005 Enrollment ID: I20220830001697 |
| Provider Name | Christina K Herrmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659499200 PECOS PAC ID: 5193825628 Enrollment ID: I20220901000321 |
| Provider Name | Owusu Asamoah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083840870 PECOS PAC ID: 0840439931 Enrollment ID: I20220902000164 |
| Provider Name | Usama Hasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780099267 PECOS PAC ID: 0143560144 Enrollment ID: I20220922002472 |
| Provider Name | Ahmad Arab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417448697 PECOS PAC ID: 7113275553 Enrollment ID: I20220922002728 |
| Provider Name | Gary L Aragon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013978139 PECOS PAC ID: 6305749854 Enrollment ID: I20221020000333 |
| Provider Name | Nicole a Tormey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881316529 PECOS PAC ID: 3678940913 Enrollment ID: I20221031000508 |
| Provider Name | Stephanie Osborne Findley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922728153 PECOS PAC ID: 7113396649 Enrollment ID: I20221206000400 |
| Provider Name | Monica Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528208436 PECOS PAC ID: 0749417715 Enrollment ID: I20221209002109 |
| Provider Name | Romy Abou Mrad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851655518 PECOS PAC ID: 8022379924 Enrollment ID: I20221212002845 |
| Provider Name | Deborah Jo Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053038463 PECOS PAC ID: 8123498797 Enrollment ID: I20221227000044 |
| Provider Name | Brian Comeaux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831192350 PECOS PAC ID: 0042394637 Enrollment ID: I20230113000240 |
| Provider Name | Sameh Sakla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518250307 PECOS PAC ID: 5294080230 Enrollment ID: I20230117001554 |
| Provider Name | Ahmad a Karim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831416940 PECOS PAC ID: 7911148572 Enrollment ID: I20230125000586 |
| Provider Name | Solange Flore Kamdem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528770948 PECOS PAC ID: 8820460512 Enrollment ID: I20230206001981 |
| Provider Name | Alexander C Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619687167 PECOS PAC ID: 1052783701 Enrollment ID: I20230207001701 |
| Provider Name | Shayan a Gates |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356722284 PECOS PAC ID: 8628452984 Enrollment ID: I20230207001780 |
| Provider Name | David Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457305195 PECOS PAC ID: 2769385236 Enrollment ID: I20230221000193 |
| Provider Name | Daniel Taraskiewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578051470 PECOS PAC ID: 3779834353 Enrollment ID: I20230223001977 |
| Provider Name | Jessica Margaret Cave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518697085 PECOS PAC ID: 0547633976 Enrollment ID: I20230306000176 |
| Provider Name | Lori Ann Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215667902 PECOS PAC ID: 5991173486 Enrollment ID: I20230307003412 |
| Provider Name | Karen L Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033636337 PECOS PAC ID: 2961769393 Enrollment ID: I20230406001211 |
| Provider Name | Hollie M Cappo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417655721 PECOS PAC ID: 1557736352 Enrollment ID: I20230410001040 |
| Provider Name | Anthony Chijioke Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285349100 PECOS PAC ID: 4688039373 Enrollment ID: I20230502002812 |
| Provider Name | Theodore Cisu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891285417 PECOS PAC ID: 5991052037 Enrollment ID: I20230623001812 |
| Provider Name | Steven Derick Todd Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841985934 PECOS PAC ID: 2769840982 Enrollment ID: I20230627000224 |
| Provider Name | Janelle Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891285490 PECOS PAC ID: 6608116363 Enrollment ID: I20230629001756 |
| Provider Name | Kara H Monger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134841091 PECOS PAC ID: 3476915463 Enrollment ID: I20230808001105 |
| Provider Name | Kaya J Payne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174066633 PECOS PAC ID: 7214212687 Enrollment ID: I20230822004392 |
| Provider Name | Carissa Harnish-cruz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740817501 PECOS PAC ID: 9638594831 Enrollment ID: I20230828000819 |
| Provider Name | Courtney Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316502347 PECOS PAC ID: 3870829955 Enrollment ID: I20230911002647 |
| Provider Name | Richard Herzig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922078443 PECOS PAC ID: 6507854882 Enrollment ID: I20230927001207 |
| Provider Name | Hibatullah Mohammad Khader Abu El-haija |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083139422 PECOS PAC ID: 1355743519 Enrollment ID: I20231004003097 |
| Provider Name | Jonathan Farrar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174657761 PECOS PAC ID: 4082708177 Enrollment ID: I20231006001835 |
| Provider Name | Andrew Fontaine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417484742 PECOS PAC ID: 1951756741 Enrollment ID: I20231013002895 |
| Provider Name | April Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538943857 PECOS PAC ID: 6103271689 Enrollment ID: I20231018003948 |
| Provider Name | Danielle Steele Mccown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265138309 PECOS PAC ID: 8527415124 Enrollment ID: I20231102003840 |
| Provider Name | Justine Elaine Paladino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225811078 PECOS PAC ID: 7315394806 Enrollment ID: I20231106000089 |
| Provider Name | George E Eigbire |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093165367 PECOS PAC ID: 7113213455 Enrollment ID: I20231116003778 |
| Provider Name | Angela Grace Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366906240 PECOS PAC ID: 8527415272 Enrollment ID: I20231117000315 |
| Provider Name | Jacob C Mcquiggan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538840079 PECOS PAC ID: 7810344587 Enrollment ID: I20231117001010 |
| Provider Name | Nashwa Abdalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396524278 PECOS PAC ID: 9032567763 Enrollment ID: I20231129001054 |
| Provider Name | Suzanna Hicks Rea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609579143 PECOS PAC ID: 2567812423 Enrollment ID: I20231219002332 |
| Provider Name | Briana M Cattafesta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669123204 PECOS PAC ID: 4082061965 Enrollment ID: I20240117004582 |
| Provider Name | Susan Echols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881366623 PECOS PAC ID: 0446600522 Enrollment ID: I20240122000926 |
| Provider Name | Duke R Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578579728 PECOS PAC ID: 3870591100 Enrollment ID: I20240122002276 |
| Provider Name | Hassan Semaan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209420 PECOS PAC ID: 9830081744 Enrollment ID: I20240126003542 |
| Provider Name | Mac Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619407913 PECOS PAC ID: 7214201870 Enrollment ID: I20240222000137 |
| Provider Name | Amanda Thacker Mikolay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568230464 PECOS PAC ID: 4789020959 Enrollment ID: I20240311000568 |
| Provider Name | Sarah K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275298291 PECOS PAC ID: 3072906098 Enrollment ID: I20240313003842 |
| Provider Name | Heather Marie Fitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972383669 PECOS PAC ID: 0547606428 Enrollment ID: I20240314000079 |
| Provider Name | Ashley Nicole Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932961596 PECOS PAC ID: 9931545837 Enrollment ID: I20240314000687 |
| Provider Name | Michael Leonard Battle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306607387 PECOS PAC ID: 0446696207 Enrollment ID: I20240314003381 |
| Provider Name | Robert Port |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932208568 PECOS PAC ID: 0345135091 Enrollment ID: I20240315000398 |
| Provider Name | Nicholas a Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639609829 PECOS PAC ID: 8022387752 Enrollment ID: I20240318001488 |
| Provider Name | Jon Myers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295095842 PECOS PAC ID: 0749563864 Enrollment ID: I20240411000572 |
| Provider Name | Darlene Hilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386076701 PECOS PAC ID: 5991008567 Enrollment ID: I20240509000645 |
| Provider Name | Ivo O Besong Mangeb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881089456 PECOS PAC ID: 5991093353 Enrollment ID: I20240619000403 |
| Provider Name | Jessica Nicole Adkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265289540 PECOS PAC ID: 0941745780 Enrollment ID: I20240716003946 |
| Provider Name | Keith Cauley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811039464 PECOS PAC ID: 2264590942 Enrollment ID: I20240718002990 |
| Provider Name | Bryon Nastasi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841485406 PECOS PAC ID: 0446414767 Enrollment ID: I20240724002622 |
| Provider Name | Rajiv Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770797359 PECOS PAC ID: 5294923272 Enrollment ID: I20240724002671 |
| Provider Name | David L Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871586685 PECOS PAC ID: 3577547751 Enrollment ID: I20240729001417 |
| Provider Name | Andrew Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356452056 PECOS PAC ID: 6305746694 Enrollment ID: I20240805003834 |
| Provider Name | Amr Issam Al-ramahi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952896268 PECOS PAC ID: 6406393529 Enrollment ID: I20240806003554 |
| Provider Name | Anthony Sparks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952634651 PECOS PAC ID: 1456650795 Enrollment ID: I20240809001947 |
| Provider Name | Venkata Sunil Bendi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932761780 PECOS PAC ID: 3971832957 Enrollment ID: I20240812000000 |
| Provider Name | Zachary Elton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104454875 PECOS PAC ID: 3577981182 Enrollment ID: I20240814000686 |
| Provider Name | Nimish H Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134184310 PECOS PAC ID: 0345278925 Enrollment ID: I20240814001466 |
| Provider Name | Orlando Castillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477710507 PECOS PAC ID: 9234270752 Enrollment ID: I20240816002461 |
| Provider Name | Arslan Kadriovski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750841052 PECOS PAC ID: 0244699585 Enrollment ID: I20240827003723 |
| Provider Name | Najla Issa Najim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144766247 PECOS PAC ID: 5092087197 Enrollment ID: I20240827004669 |
| Provider Name | Wilfred Carey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235121336 PECOS PAC ID: 2163327511 Enrollment ID: I20240828002086 |
| Provider Name | Sarah Dey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770141202 PECOS PAC ID: 6406285733 Enrollment ID: I20240911003723 |
| Provider Name | Zachary Leuschner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801174800 PECOS PAC ID: 1951611946 Enrollment ID: I20241001004559 |
| Provider Name | Cynthia Lynn Pender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265279632 PECOS PAC ID: 9335670264 Enrollment ID: I20241003000149 |
| Provider Name | Ahmed Fadl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144510603 PECOS PAC ID: 2668742974 Enrollment ID: I20241014000939 |
| Provider Name | Shannon Leigh Blount |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578330247 PECOS PAC ID: 8820520851 Enrollment ID: I20241016000950 |
| Provider Name | John D Mcarthur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144206806 PECOS PAC ID: 8527005602 Enrollment ID: I20241016004991 |
| Provider Name | Varun Jain |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1386262863 PECOS PAC ID: 4486077013 Enrollment ID: I20241021003338 |
| Provider Name | Sheryl G Jordan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053314609 PECOS PAC ID: 2062563307 Enrollment ID: I20241022005384 |
| Provider Name | Mounika Guduru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568983484 PECOS PAC ID: 6709150428 Enrollment ID: I20241023004107 |
| Provider Name | Virginia G Berry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700413465 PECOS PAC ID: 7911324629 Enrollment ID: I20241031002151 |
| Provider Name | William Lynn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013954304 PECOS PAC ID: 7315950854 Enrollment ID: I20241108002578 |
| Provider Name | Jasmine Brickey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023873908 PECOS PAC ID: 3476087438 Enrollment ID: I20241113001793 |
| Provider Name | Daniel Poulsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215440342 PECOS PAC ID: 8921092016 Enrollment ID: I20241114001871 |
| Provider Name | Hunter Dale Jenkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184360844 PECOS PAC ID: 4587029640 Enrollment ID: I20241121002008 |
| Provider Name | Christopher Sowers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003265505 PECOS PAC ID: 5799210043 Enrollment ID: I20241122001396 |
| Provider Name | Daniel Portal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104358480 PECOS PAC ID: 3577808179 Enrollment ID: I20241209003435 |
| Provider Name | Olivia Elizabeth Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093551152 PECOS PAC ID: 3072049485 Enrollment ID: I20241209003563 |
| Provider Name | Babak Raissi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841280369 PECOS PAC ID: 8325017007 Enrollment ID: I20241216003838 |
| Provider Name | Timothy Kokanovich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477057768 PECOS PAC ID: 6103228440 Enrollment ID: I20241217000207 |
| Provider Name | Lindsay Middlemas Showalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407674724 PECOS PAC ID: 8325576200 Enrollment ID: I20250106001163 |
| Provider Name | Enrico Doganiero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679579502 PECOS PAC ID: 5597725879 Enrollment ID: I20250107003172 |
| Provider Name | Lindsey Kokanovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144779307 PECOS PAC ID: 2466732185 Enrollment ID: I20250108003448 |
| Provider Name | Sukhman Kaur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407418452 PECOS PAC ID: 2062748668 Enrollment ID: I20250112000051 |
| Provider Name | Mary Lou Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326448093 PECOS PAC ID: 6103148408 Enrollment ID: I20250126000158 |
| Provider Name | Heather N Clarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443144 PECOS PAC ID: 0840513875 Enrollment ID: I20250129003339 |
| Provider Name | Rebecca J Lassetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821342296 PECOS PAC ID: 3173889995 Enrollment ID: I20250205001197 |
| Provider Name | Mohamed Talaat |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730665340 PECOS PAC ID: 8527449214 Enrollment ID: I20250305000044 |
| Provider Name | Leonard a Deriggi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275520470 PECOS PAC ID: 2769380153 Enrollment ID: I20250306001549 |
| Provider Name | Renee Taylor Gilliam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457168833 PECOS PAC ID: 8729500095 Enrollment ID: I20250315000044 |
| Provider Name | Kanchan P Kulkarni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073503355 PECOS PAC ID: 1052374931 Enrollment ID: I20250321003084 |
| Provider Name | Sherrie Lynn Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215740014 PECOS PAC ID: 1052834199 Enrollment ID: I20250328002248 |
| Provider Name | Alison Fox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548098379 PECOS PAC ID: 4385169317 Enrollment ID: I20250422002947 |
| Provider Name | Kara Bowman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346068350 PECOS PAC ID: 6204352131 Enrollment ID: I20250423003895 |
| Provider Name | Bishow Paudel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932458304 PECOS PAC ID: 4587967112 Enrollment ID: I20250424002507 |
| Provider Name | Neal R Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487688065 PECOS PAC ID: 4880593532 Enrollment ID: I20250501000056 |
| Provider Name | Masood Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902034663 PECOS PAC ID: 8022161371 Enrollment ID: I20250501001155 |
| Provider Name | Mohammad Saud Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891170825 PECOS PAC ID: 2769787498 Enrollment ID: I20250605000100 |
| Provider Name | Aaron Allen Horton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891506622 PECOS PAC ID: 3678086485 Enrollment ID: I20250703000141 |
| Provider Name | Molly Katherine Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194524983 PECOS PAC ID: 2668985474 Enrollment ID: I20250703000189 |
| Provider Name | Emily Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245881473 PECOS PAC ID: 8022428010 Enrollment ID: I20250710000896 |
| Provider Name | Tuoyo Mene-afejuku |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184076853 PECOS PAC ID: 3072848209 Enrollment ID: I20250728003454 |
| Provider Name | Kathryn Elliot Mckinney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164245395 PECOS PAC ID: 5597264770 Enrollment ID: I20250815000610 |
| Provider Name | Sean Kearns |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568996619 PECOS PAC ID: 0648547810 Enrollment ID: I20250818000421 |
| Provider Name | Joseph Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588484620 PECOS PAC ID: 5597265199 Enrollment ID: I20250826004220 |
| Provider Name | Mark Pressler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831752443 PECOS PAC ID: 4486078557 Enrollment ID: I20250903001666 |
| Provider Name | Martin R Hehir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629657754 PECOS PAC ID: 8628570652 Enrollment ID: I20250908002633 |
| Provider Name | Gail Tromp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326391558 PECOS PAC ID: 4082865589 Enrollment ID: I20250911000872 |
| Provider Name | Nathan Haywood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841721750 PECOS PAC ID: 4486925427 Enrollment ID: I20250926000532 |
| Provider Name | Marc Robert Stauffer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912913971 PECOS PAC ID: 0244244952 Enrollment ID: I20251001002612 |
| Provider Name | Zoya Shakeel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417697772 PECOS PAC ID: 5092198705 Enrollment ID: I20251005000089 |
| Provider Name | Lemma Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023638525 PECOS PAC ID: 0244737047 Enrollment ID: I20251008001665 |
| Provider Name | Jessica Heckel Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629866553 PECOS PAC ID: 4880181080 Enrollment ID: I20251013001544 |
| Provider Name | Hannah Kukla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013804459 PECOS PAC ID: 1759878721 Enrollment ID: I20251014001581 |
| Provider Name | Edward H Estrin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831160142 PECOS PAC ID: 0547258816 Enrollment ID: I20251016004767 |
| Provider Name | Kara Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700670015 PECOS PAC ID: 9739676123 Enrollment ID: I20251017003652 |
| Provider Name | Joyce Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770625048 PECOS PAC ID: 3375599376 Enrollment ID: I20251022000089 |
| Provider Name | Patrick Chesley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871883686 PECOS PAC ID: 6002038320 Enrollment ID: I20251023000134 |
| Provider Name | Sara Elizabeth Speet |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568246783 PECOS PAC ID: 2860980323 Enrollment ID: I20251024003087 |
| Provider Name | Kaitlyn Boccella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033005855 PECOS PAC ID: 6800385931 Enrollment ID: I20251029003135 |
| Provider Name | Timothy J Bruehwiler |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1285861278 PECOS PAC ID: 0042458440 Enrollment ID: I20251030002043 |
| Provider Name | Toni D Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699103549 PECOS PAC ID: 7012147911 Enrollment ID: I20251103001181 |
| Provider Name | Joni Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326884024 PECOS PAC ID: 5193215929 Enrollment ID: I20251109000017 |
| Provider Name | Venkata Tammana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689833048 PECOS PAC ID: 2466671359 Enrollment ID: I20251110000689 |
| Provider Name | Amani Politano |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326207739 PECOS PAC ID: 2062641640 Enrollment ID: I20251113002463 |
| Provider Name | Anna Elizabeth Satterfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326830548 PECOS PAC ID: 0042701484 Enrollment ID: I20251113003858 |
| Provider Name | Erin Stephanie Barth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972765055 PECOS PAC ID: 2860673035 Enrollment ID: I20251114000516 |
| Provider Name | Jamie Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043775554 PECOS PAC ID: 0345582417 Enrollment ID: I20251201001036 |
| Provider Name | Andrew Wilhelm Strobl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154112704 PECOS PAC ID: 7618460460 Enrollment ID: I20251202000112 |
| Provider Name | Syed Abid Mahmood |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518937010 PECOS PAC ID: 0042281321 Enrollment ID: I20251208003113 |
| Provider Name | Bradley Serwer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013978311 PECOS PAC ID: 7517180367 Enrollment ID: I20251210001207 |
| Provider Name | Preeti Agarwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497493860 PECOS PAC ID: 6406340090 Enrollment ID: I20251211000319 |
| Provider Name | Aninchana Sangkharat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730258120 PECOS PAC ID: 6002871233 Enrollment ID: I20251215002570 |
| Provider Name | Umesha Naragalu Boregowda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881977619 PECOS PAC ID: 3971724204 Enrollment ID: I20251230001160 |
| Provider Name | Kelli Burnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013708544 PECOS PAC ID: 9234625898 Enrollment ID: I20260102001939 |
| Provider Name | Matthew J Winfeld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023250149 PECOS PAC ID: 5890008122 Enrollment ID: I20260105000176 |
| Provider Name | Aref Obagi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154716256 PECOS PAC ID: 5890031082 Enrollment ID: I20260108004234 |
| Provider Name | Miranda Ulmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891580296 PECOS PAC ID: 4183101488 Enrollment ID: I20260116001822 |
| Provider Name | Niraj Pandit |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740270198 PECOS PAC ID: 0749362325 Enrollment ID: I20260116003862 |
| Provider Name | Sumit Duggal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386806784 PECOS PAC ID: 5193874857 Enrollment ID: I20260122000729 |
| Provider Name | Amie Luann Harvey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982960621 PECOS PAC ID: 7911484530 Enrollment ID: I20260124000378 |
| Provider Name | Talisa Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215804968 PECOS PAC ID: 5092293555 Enrollment ID: I20260128000237 |
| Provider Name | Dixie Lynn Stromberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477421659 PECOS PAC ID: 4880172725 Enrollment ID: I20260202000370 |
| Provider Name | Natalia Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790280642 PECOS PAC ID: 1254685746 Enrollment ID: I20260202000446 |
| Provider Name | Addi Suleiman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518262088 PECOS PAC ID: 2769796440 Enrollment ID: I20260202002142 |
| Provider Name | Tarek Alansari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063776771 PECOS PAC ID: 2264740885 Enrollment ID: I20260204004423 |
| Provider Name | Abigail Osei-mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245119627 PECOS PAC ID: 9931688223 Enrollment ID: I20260206002931 |
| Provider Name | Eric Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922054097 PECOS PAC ID: 2961427125 Enrollment ID: I20260209000729 |
| Provider Name | Alton Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457319782 PECOS PAC ID: 3870518822 Enrollment ID: I20260220001368 |
| Provider Name | Sanjay Bhat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356322036 PECOS PAC ID: 6103908256 Enrollment ID: I20260221000088 |
| Provider Name | Howard Sterling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245205715 PECOS PAC ID: 2961479860 Enrollment ID: I20260313003782 |
| Provider Name | Farhan Aslam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922268986 PECOS PAC ID: 0941360168 Enrollment ID: I20260407000294 |
| Provider Name | Sandra Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437406063 PECOS PAC ID: 3678723145 Enrollment ID: I20260410001547 |
| Provider Name | Yang Hai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184185597 PECOS PAC ID: 3173912201 Enrollment ID: I20260420000467 |
| Provider Name | Dylan Simmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760747794 PECOS PAC ID: 6507149077 Enrollment ID: I20260430003241 |
| Provider Name | Rozanne Bentt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841374816 PECOS PAC ID: 4587554811 Enrollment ID: I20260505001755 |
| Provider Name | Caitlin Lopez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962683029 PECOS PAC ID: 5799960795 Enrollment ID: I20260515001696 |
| Provider Name | Harry Ameredes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104845528 PECOS PAC ID: 6204867021 Enrollment ID: I20260515002182 |
Valley Family Health PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Wilson Blvd Ste 102, Fishersville, VA 22939 Phone: 540-470-2964 |
Valley Family Health PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Wilson Blvd Ste 102, Fishersville, VA 22939 Phone: 540-470-2964 |