| Aurora Medical Group, Inc. | |
|
3301 W Forest Home Ave Milwaukee WI 53215-2843 | |
| (877) 576-3544 | |
| Not Available |
| Full Name | Aurora Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Nan Nelson (SVP) |
| Authorized Official Contact | 4142191610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Medical Group, Inc. Po Box 735044 Chicago IL 60673-5044 Ph: (877) 576-3544 | Aurora Medical Group, Inc. 3301 W Forest Home Ave Milwaukee WI 53215-2843 Ph: (877) 576-3544 |
| NPI Number | 1427271378 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 6709794258 |
|---|---|
| Medicare Enrollment ID | O20031105000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427271378 | NPI | - | NPPES |
| 32762100 | Medicaid | WI | |
| 32838500 | Medicaid | WI | |
| 32841800 | Medicaid | WI | |
| 32844700 | Medicaid | WI | |
| 32878000 | Medicaid | WI | |
| 32895600 | Medicaid | WI | |
| 32749100 | Medicaid | WI | |
| 32826200 | Medicaid | WI | |
| 32829500 | Medicaid | WI | |
| 32852100 | Medicaid | WI | |
| 32871900 | Medicaid | WI | |
| 32891500 | Medicaid | WI | |
| 42234500 | Medicaid | WI | |
| 21268100 | Medicaid | WI | |
| 32830000 | Medicaid | WI | |
| 32816700 | Medicaid | WI | |
| 42215800 | Medicaid | WI | |
| 32838200 | Medicaid | WI | |
| 32872300 | Medicaid | WI | |
| 32843400 | Medicaid | WI | |
| 32844600 | Medicaid | WI |
| Provider Name | Jaideep S Joshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972572592 PECOS PAC ID: 8123922283 Enrollment ID: I20031121000094 |
| Provider Name | Hany G Mikhaeel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194773796 PECOS PAC ID: 4688578461 Enrollment ID: I20031124000075 |
| Provider Name | Lin Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841394921 PECOS PAC ID: 2062316730 Enrollment ID: I20031124000568 |
| Provider Name | Krishna Kumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295796639 PECOS PAC ID: 0547172819 Enrollment ID: I20031125000698 |
| Provider Name | Jeanette Braun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124163464 PECOS PAC ID: 9537064357 Enrollment ID: I20031204000919 |
| Provider Name | Susan M Hagnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871672923 PECOS PAC ID: 9537065024 Enrollment ID: I20031208000182 |
| Provider Name | Kshamata Shalini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023099306 PECOS PAC ID: 0840196036 Enrollment ID: I20031209000630 |
| Provider Name | Patrick Cloud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396780037 PECOS PAC ID: 7810893591 Enrollment ID: I20031212000087 |
| Provider Name | Alvin Wells |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134234859 PECOS PAC ID: 3476450883 Enrollment ID: I20031215000545 |
| Provider Name | Lisa A Sullivan Vedder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700993805 PECOS PAC ID: 8123926599 Enrollment ID: I20031222000900 |
| Provider Name | Jacob L Bidwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912916636 PECOS PAC ID: 5698674380 Enrollment ID: I20031231000607 |
| Provider Name | Edward W Lake |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336131101 PECOS PAC ID: 1557260619 Enrollment ID: I20040113000426 |
| Provider Name | Louie N Kostopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356431001 PECOS PAC ID: 1557262383 Enrollment ID: I20040115000695 |
| Provider Name | Paul M Maes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881701340 PECOS PAC ID: 0042111213 Enrollment ID: I20040120000393 |
| Provider Name | Brian K Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659488690 PECOS PAC ID: 5890696066 Enrollment ID: I20040120000421 |
| Provider Name | Susan M Jacquez-dean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659482339 PECOS PAC ID: 4385545425 Enrollment ID: I20040120000762 |
| Provider Name | Raaid Museitif |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992974174 PECOS PAC ID: 3072414150 Enrollment ID: I20040120001037 |
| Provider Name | Daniel A Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902913304 PECOS PAC ID: 5193627255 Enrollment ID: I20040121000419 |
| Provider Name | Kern A Reid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477660710 PECOS PAC ID: 4385546969 Enrollment ID: I20040123000497 |
| Provider Name | Gabriel S Litman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184731630 PECOS PAC ID: 3678475183 Enrollment ID: I20040124000144 |
| Provider Name | Susan H Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205943990 PECOS PAC ID: 6103728621 Enrollment ID: I20040124000231 |
| Provider Name | Terry A Kollenbroich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235180076 PECOS PAC ID: 9436051851 Enrollment ID: I20040124000268 |
| Provider Name | Noelle C Kisting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649378969 PECOS PAC ID: 9234031659 Enrollment ID: I20040124000283 |
| Provider Name | Martin R Crain |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1285655159 PECOS PAC ID: 1658273057 Enrollment ID: I20040126000351 |
| Provider Name | Daniel P Malone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972540664 PECOS PAC ID: 9436051844 Enrollment ID: I20040126000378 |
| Provider Name | Mack Alan Karnes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225072721 PECOS PAC ID: 6305758624 Enrollment ID: I20040126000476 |
| Provider Name | Edward W St Ville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003838111 PECOS PAC ID: 7810809142 Enrollment ID: I20040126000498 |
| Provider Name | Daniel T Rapp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881643880 PECOS PAC ID: 8022920347 Enrollment ID: I20040126000516 |
| Provider Name | Roger F Axtell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215958178 PECOS PAC ID: 4385546605 Enrollment ID: I20040126000541 |
| Provider Name | John C Cline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982623229 PECOS PAC ID: 8628970977 Enrollment ID: I20040126000701 |
| Provider Name | Lawrence Rufer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174560742 PECOS PAC ID: 6507768850 Enrollment ID: I20040126000714 |
| Provider Name | Peter Drescher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063436996 PECOS PAC ID: 3173425444 Enrollment ID: I20040126000812 |
| Provider Name | Richard J Jochem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893191 PECOS PAC ID: 9931001211 Enrollment ID: I20040126000865 |
| Provider Name | Mark W Mewissen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417064999 PECOS PAC ID: 0244142511 Enrollment ID: I20040127000075 |
| Provider Name | Jean E Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790757243 PECOS PAC ID: 2062315484 Enrollment ID: I20040131000195 |
| Provider Name | Gregory J Nystrom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871572321 PECOS PAC ID: 4183517196 Enrollment ID: I20040204000432 |
| Provider Name | Michelle D Hiebert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093773244 PECOS PAC ID: 7517850084 Enrollment ID: I20040206000876 |
| Provider Name | Eileen M Nyholt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184654196 PECOS PAC ID: 9436042876 Enrollment ID: I20040207000350 |
| Provider Name | Mislav Tonkovic Capin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962476879 PECOS PAC ID: 5597658930 Enrollment ID: I20040207000360 |
| Provider Name | Leslie C Abitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093723645 PECOS PAC ID: 1254224611 Enrollment ID: I20040209000043 |
| Provider Name | Ann M Rohrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174630420 PECOS PAC ID: 2163316357 Enrollment ID: I20040210000087 |
| Provider Name | Maritoni M Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083649925 PECOS PAC ID: 4981598109 Enrollment ID: I20040210000277 |
| Provider Name | Anita L Steliga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720195639 PECOS PAC ID: 3971497033 Enrollment ID: I20040210000537 |
| Provider Name | Nicky Plementosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467461053 PECOS PAC ID: 3173417268 Enrollment ID: I20040210000737 |
| Provider Name | Tracy M Ferguson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740325984 PECOS PAC ID: 2961396940 Enrollment ID: I20040211000086 |
| Provider Name | Jerry M Bloomstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356475594 PECOS PAC ID: 5395639397 Enrollment ID: I20040211000185 |
| Provider Name | Ariba Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891802328 PECOS PAC ID: 9739073743 Enrollment ID: I20040211000271 |
| Provider Name | Sheri S Rocco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376650622 PECOS PAC ID: 3274427299 Enrollment ID: I20040211000341 |
| Provider Name | Pamela J Pardini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881701100 PECOS PAC ID: 6901790831 Enrollment ID: I20040211001030 |
| Provider Name | William N Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710044151 PECOS PAC ID: 0143114801 Enrollment ID: I20040212000305 |
| Provider Name | Robert L Riegert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962519215 PECOS PAC ID: 2769376276 Enrollment ID: I20040213000218 |
| Provider Name | Satchidanand J Hiremath |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316968290 PECOS PAC ID: 6002718509 Enrollment ID: I20040216001276 |
| Provider Name | John C Farrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275625444 PECOS PAC ID: 1153215603 Enrollment ID: I20040226000591 |
| Provider Name | David H Hinke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225146368 PECOS PAC ID: 7517854128 Enrollment ID: I20040301000940 |
| Provider Name | Biana Leybishkis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558478008 PECOS PAC ID: 2961399175 Enrollment ID: I20040302001177 |
| Provider Name | John J Klinkhammer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033173174 PECOS PAC ID: 8729975941 Enrollment ID: I20040302001298 |
| Provider Name | Francis G Wolf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801817432 PECOS PAC ID: 5294643961 Enrollment ID: I20040305000175 |
| Provider Name | Robert B Devermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598713026 PECOS PAC ID: 3072421569 Enrollment ID: I20040308000159 |
| Provider Name | Lauren S Lopez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730143744 PECOS PAC ID: 2466348503 Enrollment ID: I20040308000208 |
| Provider Name | Kari A Kluessendorf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477589869 PECOS PAC ID: 1557250214 Enrollment ID: I20040311001288 |
| Provider Name | Steven M Gryniewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457386153 PECOS PAC ID: 9335034586 Enrollment ID: I20040312000062 |
| Provider Name | Paul J Grebe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1295764702 PECOS PAC ID: 7416842661 Enrollment ID: I20040312000199 |
| Provider Name | Lynn M Gilles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194757955 PECOS PAC ID: 7315832565 Enrollment ID: I20040312000232 |
| Provider Name | Mohamed Djelmami Hani |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912955766 PECOS PAC ID: 4284523515 Enrollment ID: I20040313000391 |
| Provider Name | William V Elbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326154139 PECOS PAC ID: 8224930409 Enrollment ID: I20040315001530 |
| Provider Name | Joseph R James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407962855 PECOS PAC ID: 0648160606 Enrollment ID: I20040316000388 |
| Provider Name | Christopher M Marowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508896788 PECOS PAC ID: 0143110114 Enrollment ID: I20040316000421 |
| Provider Name | Venkata K Thota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134183783 PECOS PAC ID: 2961395421 Enrollment ID: I20040317001176 |
| Provider Name | Paul S Bernstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013917962 PECOS PAC ID: 3678485968 Enrollment ID: I20040318000684 |
| Provider Name | Anthony G Locurto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821098773 PECOS PAC ID: 7911897376 Enrollment ID: I20040318000794 |
| Provider Name | Robert L Panther |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770583643 PECOS PAC ID: 4688586977 Enrollment ID: I20040318000921 |
| Provider Name | Steven C Port |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598765471 PECOS PAC ID: 5698687986 Enrollment ID: I20040318000954 |
| Provider Name | Prakash D Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013917996 PECOS PAC ID: 7315859600 Enrollment ID: I20040318001000 |
| Provider Name | Mary B Ames |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215989751 PECOS PAC ID: 1557252681 Enrollment ID: I20040320000139 |
| Provider Name | John W Utrie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154438265 PECOS PAC ID: 6103717244 Enrollment ID: I20040320000225 |
| Provider Name | Tanya Wollner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093822975 PECOS PAC ID: 1052202116 Enrollment ID: I20040320000382 |
| Provider Name | Joseph M Feder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801901988 PECOS PAC ID: 6103717186 Enrollment ID: I20040320000665 |
| Provider Name | Ranganatha R Sriram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972512895 PECOS PAC ID: 5698666204 Enrollment ID: I20040323001010 |
| Provider Name | Wende A Moline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457351355 PECOS PAC ID: 7719878263 Enrollment ID: I20040323001354 |
| Provider Name | Joseph W Shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164446944 PECOS PAC ID: 2163313321 Enrollment ID: I20040324001489 |
| Provider Name | Nancy Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972584324 PECOS PAC ID: 0840182911 Enrollment ID: I20040325000923 |
| Provider Name | Ganna V Oosting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861500886 PECOS PAC ID: 1355233222 Enrollment ID: I20040325001588 |
| Provider Name | Saleem A Awan |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1275500910 PECOS PAC ID: 4082506399 Enrollment ID: I20040329001710 |
| Provider Name | Douglas E Batesky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194702704 PECOS PAC ID: 5698667970 Enrollment ID: I20040330000302 |
| Provider Name | Kimberly A Woyach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174630057 PECOS PAC ID: 3577555747 Enrollment ID: I20040330001731 |
| Provider Name | Richard Laurence London |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679689368 PECOS PAC ID: 6709878598 Enrollment ID: I20040401000338 |
| Provider Name | Imran K Niazi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689670754 PECOS PAC ID: 3274422431 Enrollment ID: I20040401000775 |
| Provider Name | Phyllis E Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124010749 PECOS PAC ID: 4486646130 Enrollment ID: I20040401000819 |
| Provider Name | David J Madigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922190115 PECOS PAC ID: 5294727848 Enrollment ID: I20040401001487 |
| Provider Name | Colleen M Bonkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508814286 PECOS PAC ID: 1658364930 Enrollment ID: I20040405000125 |
| Provider Name | Brian L Muehlbauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396720900 PECOS PAC ID: 3375536337 Enrollment ID: I20040406000352 |
| Provider Name | Najwa A Beit Shawish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396740296 PECOS PAC ID: 6608869631 Enrollment ID: I20040406000769 |
| Provider Name | Michelle L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881701753 PECOS PAC ID: 2860485802 Enrollment ID: I20040406000876 |
| Provider Name | Robert E Neimon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336174036 PECOS PAC ID: 3678468824 Enrollment ID: I20040406000913 |
| Provider Name | William B Macdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407883093 PECOS PAC ID: 8527953769 Enrollment ID: I20040406000970 |
| Provider Name | Mark T Lawton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932128568 PECOS PAC ID: 7214822469 Enrollment ID: I20040406001277 |
| Provider Name | Rebecca M Striet |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1023080603 PECOS PAC ID: 6608869524 Enrollment ID: I20040406001508 |
| Provider Name | Rick L Strickroot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629043120 PECOS PAC ID: 2062406507 Enrollment ID: I20040408001185 |
| Provider Name | Peeush Singhal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346270220 PECOS PAC ID: 7618961764 Enrollment ID: I20040412001085 |
| Provider Name | Thomas J Kirages |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346231396 PECOS PAC ID: 4385533124 Enrollment ID: I20040412001353 |
| Provider Name | Sacha Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316025844 PECOS PAC ID: 4789678749 Enrollment ID: I20040413000147 |
| Provider Name | Tanvir Khalid Bajwa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740257385 PECOS PAC ID: 6608760525 Enrollment ID: I20040413000549 |
| Provider Name | Paul Mihalakakos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790877082 PECOS PAC ID: 8224022926 Enrollment ID: I20040414000868 |
| Provider Name | David Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124037254 PECOS PAC ID: 6103810759 Enrollment ID: I20040414001274 |
| Provider Name | Harsha Kaza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598786436 PECOS PAC ID: 7214922814 Enrollment ID: I20040414001695 |
| Provider Name | Stephen T Vanblarcom |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982678553 PECOS PAC ID: 0345235958 Enrollment ID: I20040414001736 |
| Provider Name | Jeanette A Kalupa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285690198 PECOS PAC ID: 2365437787 Enrollment ID: I20040415001327 |
| Provider Name | Karl Klotzbuecher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780791210 PECOS PAC ID: 9133114598 Enrollment ID: I20040416000277 |
| Provider Name | Fawad K Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184603755 PECOS PAC ID: 7810982048 Enrollment ID: I20040417000238 |
| Provider Name | Timothy S Staacke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457335523 PECOS PAC ID: 9638165251 Enrollment ID: I20040421000307 |
| Provider Name | Pennapa Chan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457405128 PECOS PAC ID: 2163418336 Enrollment ID: I20040422001154 |
| Provider Name | Lance P Longo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356458806 PECOS PAC ID: 6608862883 Enrollment ID: I20040422001229 |
| Provider Name | Adegboyega H Lawal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093799504 PECOS PAC ID: 1658367487 Enrollment ID: I20040426000286 |
| Provider Name | Timothy G Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912085416 PECOS PAC ID: 8729074513 Enrollment ID: I20040426000792 |
| Provider Name | Deanne J Keim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619056587 PECOS PAC ID: 8123015914 Enrollment ID: I20040426000848 |
| Provider Name | Igor Levin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376527895 PECOS PAC ID: 7315934114 Enrollment ID: I20040426000932 |
| Provider Name | Paul H Zuzick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598872400 PECOS PAC ID: 3072500842 Enrollment ID: I20040426001445 |
| Provider Name | Salim A Torania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760425441 PECOS PAC ID: 3274529102 Enrollment ID: I20040427000345 |
| Provider Name | Frank Lavora |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316025893 PECOS PAC ID: 3577550094 Enrollment ID: I20040427001424 |
| Provider Name | Darin A Maccoux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891874764 PECOS PAC ID: 6800883323 Enrollment ID: I20040427001461 |
| Provider Name | Paul Madsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760440994 PECOS PAC ID: 8426045717 Enrollment ID: I20040428001117 |
| Provider Name | Mark Glazer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396823878 PECOS PAC ID: 3779495098 Enrollment ID: I20040428001193 |
| Provider Name | Shailesh G Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316920861 PECOS PAC ID: 7315847134 Enrollment ID: I20040429000162 |
| Provider Name | Mark C Nemetz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770525958 PECOS PAC ID: 5193712099 Enrollment ID: I20040430000281 |
| Provider Name | Shereen Mohis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043264609 PECOS PAC ID: 4486641354 Enrollment ID: I20040430000771 |
| Provider Name | Lawrence A Sterkin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255307997 PECOS PAC ID: 4082601448 Enrollment ID: I20040505000364 |
| Provider Name | Mabria Loqman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891862678 PECOS PAC ID: 1254320096 Enrollment ID: I20040507000938 |
| Provider Name | Michael L Bentz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952366635 PECOS PAC ID: 3274522818 Enrollment ID: I20040510000732 |
| Provider Name | Jeffrey S Villwock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659335743 PECOS PAC ID: 1355330663 Enrollment ID: I20040511001224 |
| Provider Name | Renee R Jahnke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770545329 PECOS PAC ID: 9739178955 Enrollment ID: I20040511001361 |
| Provider Name | Toula Lazarides |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699737247 PECOS PAC ID: 8527057751 Enrollment ID: I20040511001392 |
| Provider Name | Christopher J Ostromecki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497746390 PECOS PAC ID: 9537159579 Enrollment ID: I20040513000555 |
| Provider Name | Julie Sheehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588771778 PECOS PAC ID: 2365432143 Enrollment ID: I20040513001336 |
| Provider Name | Jane E Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528042793 PECOS PAC ID: 7810985595 Enrollment ID: I20040514000274 |
| Provider Name | Joseph J Burgarino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598829665 PECOS PAC ID: 1254325814 Enrollment ID: I20040515000172 |
| Provider Name | David L Stittsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689636540 PECOS PAC ID: 4789677576 Enrollment ID: I20040519000278 |
| Provider Name | Jeffrey T Malone |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891861472 PECOS PAC ID: 6103817754 Enrollment ID: I20040521000471 |
| Provider Name | Robert A Corish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194708008 PECOS PAC ID: 4789665704 Enrollment ID: I20040526000769 |
| Provider Name | Peter J Baye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912945189 PECOS PAC ID: 4284624644 Enrollment ID: I20040526000817 |
| Provider Name | Scott T Hardin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518074129 PECOS PAC ID: 2365423258 Enrollment ID: I20040526001302 |
| Provider Name | Ramon S Pajarillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609985548 PECOS PAC ID: 9436130200 Enrollment ID: I20040527000226 |
| Provider Name | Amy S Emmer Sheldon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376658492 PECOS PAC ID: 2365423159 Enrollment ID: I20040527000397 |
| Provider Name | Abbas Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336163690 PECOS PAC ID: 2466433073 Enrollment ID: I20040528000788 |
| Provider Name | Jamie Heiman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083786859 PECOS PAC ID: 9032190582 Enrollment ID: I20040528001116 |
| Provider Name | Leonid Bouinyi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871564013 PECOS PAC ID: 4981685443 Enrollment ID: I20040528001163 |
| Provider Name | Jack D Ohringer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285658393 PECOS PAC ID: 8426039835 Enrollment ID: I20040601000050 |
| Provider Name | James L Napier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043327489 PECOS PAC ID: 2264413624 Enrollment ID: I20040601000476 |
| Provider Name | Sara J Beno Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598774200 PECOS PAC ID: 2062493430 Enrollment ID: I20040601000575 |
| Provider Name | Moises A Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386640811 PECOS PAC ID: 3779564166 Enrollment ID: I20040601000668 |
| Provider Name | Madeline N Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568425791 PECOS PAC ID: 1557343977 Enrollment ID: I20040601000962 |
| Provider Name | Jay J Chrostowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891704946 PECOS PAC ID: 9234111667 Enrollment ID: I20040601001057 |
| Provider Name | Devin T Artley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831172881 PECOS PAC ID: 0648252965 Enrollment ID: I20040602000169 |
| Provider Name | Kevin D Erlinder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447233382 PECOS PAC ID: 9830171164 Enrollment ID: I20040602000240 |
| Provider Name | Stephen L Webber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437220621 PECOS PAC ID: 8426031840 Enrollment ID: I20040609000982 |
| Provider Name | Heidi L Rymaszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275640534 PECOS PAC ID: 7719960822 Enrollment ID: I20040610000327 |
| Provider Name | Catherine L Conely |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205884400 PECOS PAC ID: 3274516398 Enrollment ID: I20040610000392 |
| Provider Name | Kelly A Gerl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083646061 PECOS PAC ID: 6800879941 Enrollment ID: I20040610000573 |
| Provider Name | Julie T Cavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083874622 PECOS PAC ID: 1951384924 Enrollment ID: I20040610000933 |
| Provider Name | David M Bokerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336107986 PECOS PAC ID: 7517940430 Enrollment ID: I20040611000120 |
| Provider Name | John J Mcguinness |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649247347 PECOS PAC ID: 0547243461 Enrollment ID: I20040611000179 |
| Provider Name | Moon Ja Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518074046 PECOS PAC ID: 8325022874 Enrollment ID: I20040614001313 |
| Provider Name | Federico A Sanchez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396710836 PECOS PAC ID: 3173507472 Enrollment ID: I20040615000809 |
| Provider Name | Richard S Stein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033143318 PECOS PAC ID: 5799686770 Enrollment ID: I20040616001299 |
| Provider Name | Kathryn Shisler Harrod |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326155938 PECOS PAC ID: 0749265262 Enrollment ID: I20040621000199 |
| Provider Name | Barbara S Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336135300 PECOS PAC ID: 5991780439 Enrollment ID: I20040621000436 |
| Provider Name | Sushil S Sabnis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922034982 PECOS PAC ID: 3971496373 Enrollment ID: I20040621001750 |
| Provider Name | Zahid N Dar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003850645 PECOS PAC ID: 1254316391 Enrollment ID: I20040622001117 |
| Provider Name | Robert O Ong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396729760 PECOS PAC ID: 8820073976 Enrollment ID: I20040622001182 |
| Provider Name | Alice C Bustos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861440505 PECOS PAC ID: 8426033580 Enrollment ID: I20040622001304 |
| Provider Name | Ethel V Sabnis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558395905 PECOS PAC ID: 0143113548 Enrollment ID: I20040622001618 |
| Provider Name | David S Wargowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043288921 PECOS PAC ID: 3072599331 Enrollment ID: I20040628000157 |
| Provider Name | Mauricio E Palencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770558264 PECOS PAC ID: 5294711560 Enrollment ID: I20040628000218 |
| Provider Name | Jennifer W Hartlaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962519579 PECOS PAC ID: 5193701472 Enrollment ID: I20040628000307 |
| Provider Name | Andrew D Simon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285665729 PECOS PAC ID: 7416933742 Enrollment ID: I20040628000669 |
| Provider Name | Vivian L Dehahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538154539 PECOS PAC ID: 4385620574 Enrollment ID: I20040628001188 |
| Provider Name | Mathew G Mathai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104854363 PECOS PAC ID: 4284610247 Enrollment ID: I20040629000787 |
| Provider Name | Paul E Robey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952489445 PECOS PAC ID: 1052224003 Enrollment ID: I20040630000859 |
| Provider Name | Omer Afzal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952393944 PECOS PAC ID: 4688651300 Enrollment ID: I20040701000308 |
| Provider Name | Amy M Seuser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801903091 PECOS PAC ID: 6608853353 Enrollment ID: I20040701000451 |
| Provider Name | Syed Ali A Gardezi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689626574 PECOS PAC ID: 9133106727 Enrollment ID: I20040701000815 |
| Provider Name | David Munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104905009 PECOS PAC ID: 2668459256 Enrollment ID: I20040701000834 |
| Provider Name | Michael D Damico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386722866 PECOS PAC ID: 7315924966 Enrollment ID: I20040701001197 |
| Provider Name | Eric M Dorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033192562 PECOS PAC ID: 2668459173 Enrollment ID: I20040702000071 |
| Provider Name | Todd H Goodman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952489478 PECOS PAC ID: 9537146915 Enrollment ID: I20040702000687 |
| Provider Name | Malini A Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285709816 PECOS PAC ID: 4880671262 Enrollment ID: I20040702000701 |
| Provider Name | Thomas J Broihier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578641155 PECOS PAC ID: 5799762027 Enrollment ID: I20040702001101 |
| Provider Name | Rebecca L Scerpella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518045038 PECOS PAC ID: 9830177617 Enrollment ID: I20040708001211 |
| Provider Name | Madhu N Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457466419 PECOS PAC ID: 9335127927 Enrollment ID: I20040709001286 |
| Provider Name | Mustafa Farooque |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902901598 PECOS PAC ID: 4082692553 Enrollment ID: I20040712000003 |
| Provider Name | John R Brill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285643932 PECOS PAC ID: 1153309505 Enrollment ID: I20040712000709 |
| Provider Name | David W Litzau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811929672 PECOS PAC ID: 0042299356 Enrollment ID: I20040719001028 |
| Provider Name | Todd G Saikie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972610244 PECOS PAC ID: 8729068952 Enrollment ID: I20040720001172 |
| Provider Name | Dennis D Kozel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689775348 PECOS PAC ID: 9931189933 Enrollment ID: I20040721000842 |
| Provider Name | Vicki F Fresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801901954 PECOS PAC ID: 0547240590 Enrollment ID: I20040721001170 |
| Provider Name | Steven K Dankle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811908387 PECOS PAC ID: 2860481678 Enrollment ID: I20040722000078 |
| Provider Name | David S Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659488500 PECOS PAC ID: 3072502806 Enrollment ID: I20040722000095 |
| Provider Name | Michael R Nordstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376554832 PECOS PAC ID: 4587653399 Enrollment ID: I20040722000119 |
| Provider Name | Diana L Bolmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386658649 PECOS PAC ID: 9931189727 Enrollment ID: I20040722000543 |
| Provider Name | Shaik O Sayeed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679651103 PECOS PAC ID: 7618957416 Enrollment ID: I20040722000629 |
| Provider Name | Donald J Beno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669481388 PECOS PAC ID: 4284614587 Enrollment ID: I20040726000411 |
| Provider Name | Lawrence E Colassacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366451429 PECOS PAC ID: 6204816523 Enrollment ID: I20040726000550 |
| Provider Name | Leah A Nitke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053428417 PECOS PAC ID: 2961482211 Enrollment ID: I20040726000784 |
| Provider Name | Jason M Nitke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629026059 PECOS PAC ID: 1456331743 Enrollment ID: I20040726001011 |
| Provider Name | Randall W Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295842573 PECOS PAC ID: 4981674553 Enrollment ID: I20040729001494 |
| Provider Name | Beau M Stricker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437134467 PECOS PAC ID: 2062482458 Enrollment ID: I20040731000293 |
| Provider Name | Jennifer L Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306921291 PECOS PAC ID: 3375513765 Enrollment ID: I20040731000341 |
| Provider Name | Kendal J Hoard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740349984 PECOS PAC ID: 4385615780 Enrollment ID: I20040802000095 |
| Provider Name | Joseph M Cronin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164431219 PECOS PAC ID: 3476525866 Enrollment ID: I20040806000784 |
| Provider Name | James R Holmberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902889736 PECOS PAC ID: 6507855046 Enrollment ID: I20040806001152 |
| Provider Name | Katherine M Hoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932214822 PECOS PAC ID: 8123090297 Enrollment ID: I20040810000016 |
| Provider Name | Diane L Staudinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326155532 PECOS PAC ID: 0547232654 Enrollment ID: I20040810000324 |
| Provider Name | Kirsten J Simanonok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225083447 PECOS PAC ID: 0547233017 Enrollment ID: I20040813000974 |
| Provider Name | Dongyuan P Cheng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326021049 PECOS PAC ID: 9537131214 Enrollment ID: I20040813001136 |
| Provider Name | Thomas J Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588779581 PECOS PAC ID: 2567435969 Enrollment ID: I20040813001212 |
| Provider Name | Rubina Qamar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366423774 PECOS PAC ID: 9830090737 Enrollment ID: I20040813001255 |
| Provider Name | Srikrishna Mylavarapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700993136 PECOS PAC ID: 9335112739 Enrollment ID: I20040813001256 |
| Provider Name | Ann M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033160783 PECOS PAC ID: 1658344098 Enrollment ID: I20040816000005 |
| Provider Name | Chihab E Bilal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275542961 PECOS PAC ID: 9537132857 Enrollment ID: I20040816000754 |
| Provider Name | John P Mooney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548208259 PECOS PAC ID: 4688647928 Enrollment ID: I20040816000875 |
| Provider Name | Scott G Zahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407830011 PECOS PAC ID: 5991778243 Enrollment ID: I20040816001016 |
| Provider Name | Ali Sadeghi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114901345 PECOS PAC ID: 2961399647 Enrollment ID: I20040819000027 |
| Provider Name | Joseph A Wenszell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063462687 PECOS PAC ID: 6406742493 Enrollment ID: I20040819000673 |
| Provider Name | Joseph L Paukner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922115252 PECOS PAC ID: 6901870542 Enrollment ID: I20040820000501 |
| Provider Name | Atul Bhatia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962479527 PECOS PAC ID: 5991779464 Enrollment ID: I20040820000759 |
| Provider Name | Mehran Jabbarzadeh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164483145 PECOS PAC ID: 8921072422 Enrollment ID: I20040820000948 |
| Provider Name | Thomas M Derrig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588779771 PECOS PAC ID: 1850365396 Enrollment ID: I20040821000108 |
| Provider Name | Alexander Roitstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255358685 PECOS PAC ID: 1153395595 Enrollment ID: I20040823000573 |
| Provider Name | Christopher J Zellmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346275435 PECOS PAC ID: 6800860933 Enrollment ID: I20040824000469 |
| Provider Name | Rajesh Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689781874 PECOS PAC ID: 1850365982 Enrollment ID: I20040824000508 |
| Provider Name | Tarif Smadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588759344 PECOS PAC ID: 7214901131 Enrollment ID: I20040825000531 |
| Provider Name | Michelle C Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013934447 PECOS PAC ID: 6305811910 Enrollment ID: I20040827000640 |
| Provider Name | Gita R Baruah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154486223 PECOS PAC ID: 9931174760 Enrollment ID: I20040830000804 |
| Provider Name | Vee T Ly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336256882 PECOS PAC ID: 1850366071 Enrollment ID: I20040831001362 |
| Provider Name | Julia D Hester Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386751998 PECOS PAC ID: 4486629532 Enrollment ID: I20040901000038 |
| Provider Name | Jonathan M Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992726707 PECOS PAC ID: 2163498775 Enrollment ID: I20040904000108 |
| Provider Name | James A Rorrer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982711248 PECOS PAC ID: 7113993643 Enrollment ID: I20040907000921 |
| Provider Name | Edmund J Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669587739 PECOS PAC ID: 2769458132 Enrollment ID: I20040907001298 |
| Provider Name | Christopher Skowlund |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740201540 PECOS PAC ID: 3173599115 Enrollment ID: I20040909001136 |
| Provider Name | Sandra Lee Mikolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164539656 PECOS PAC ID: 5991772931 Enrollment ID: I20040910000536 |
| Provider Name | Caroline C Mcdonald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316054885 PECOS PAC ID: 9234106170 Enrollment ID: I20040910001298 |
| Provider Name | Maelynn D Colinco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447207642 PECOS PAC ID: 0244207140 Enrollment ID: I20040911000172 |
| Provider Name | Antony Ruggeri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417922949 PECOS PAC ID: 6709853237 Enrollment ID: I20040914001004 |
| Provider Name | Gregory Reiser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245250323 PECOS PAC ID: 1355318700 Enrollment ID: I20040914001239 |
| Provider Name | David C Hanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982680286 PECOS PAC ID: 5294702544 Enrollment ID: I20040915000585 |
| Provider Name | Mark J Waples |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235120247 PECOS PAC ID: 1153395090 Enrollment ID: I20040916000210 |
| Provider Name | Jeffrey A Derus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679564660 PECOS PAC ID: 8729055900 Enrollment ID: I20040916000271 |
| Provider Name | Amy C Treichel Brandt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275640385 PECOS PAC ID: 6800863978 Enrollment ID: I20040916000998 |
| Provider Name | Raed A Hamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740241793 PECOS PAC ID: 9133197122 Enrollment ID: I20040917000668 |
| Provider Name | William B Tisol |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932150695 PECOS PAC ID: 7911975909 Enrollment ID: I20040917000701 |
| Provider Name | Nicholas G Stephani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114987203 PECOS PAC ID: 1456329457 Enrollment ID: I20040917000709 |
| Provider Name | Kimberley E Culp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912902149 PECOS PAC ID: 5991773673 Enrollment ID: I20040921000421 |
| Provider Name | Charles A Bomzer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629069372 PECOS PAC ID: 2668373556 Enrollment ID: I20040922000403 |
| Provider Name | Albert Deibele |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033151766 PECOS PAC ID: 8022919414 Enrollment ID: I20040923000028 |
| Provider Name | William G Matthaeus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326039074 PECOS PAC ID: 0749181691 Enrollment ID: I20040923000223 |
| Provider Name | Brenda M Pierce |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437140175 PECOS PAC ID: 3476454380 Enrollment ID: I20040923000264 |
| Provider Name | Laurie A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982695136 PECOS PAC ID: 3173591575 Enrollment ID: I20040923000311 |
| Provider Name | Syed N Haider |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871584250 PECOS PAC ID: 1658349972 Enrollment ID: I20040923000542 |
| Provider Name | Peter D Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477583359 PECOS PAC ID: 2365411386 Enrollment ID: I20040927001145 |
| Provider Name | Matthew J Kemnitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457468985 PECOS PAC ID: 7911976840 Enrollment ID: I20040928000821 |
| Provider Name | Christine M Nervi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720063738 PECOS PAC ID: 7810966215 Enrollment ID: I20041001000706 |
| Provider Name | Penny A Wesson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184810830 PECOS PAC ID: 6800794652 Enrollment ID: I20041006001384 |
| Provider Name | Anthony H Balcom |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487604906 PECOS PAC ID: 6608835103 Enrollment ID: I20041008001323 |
| Provider Name | Kim T Duczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346355542 PECOS PAC ID: 1658330154 Enrollment ID: I20041008001372 |
| Provider Name | Debora A Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487744173 PECOS PAC ID: 5092775494 Enrollment ID: I20041011000503 |
| Provider Name | Randall S Nemerovski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912065491 PECOS PAC ID: 0042270266 Enrollment ID: I20041013000059 |
| Provider Name | Wilson H Luy Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295803427 PECOS PAC ID: 9739149725 Enrollment ID: I20041014000068 |
| Provider Name | Glenn A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295842409 PECOS PAC ID: 6608836432 Enrollment ID: I20041015000075 |
| Provider Name | Julie E Faber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124045661 PECOS PAC ID: 5395714687 Enrollment ID: I20041018000097 |
| Provider Name | Vera Bocoun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235233560 PECOS PAC ID: 4789644295 Enrollment ID: I20041018001152 |
| Provider Name | Stephanie R Petrucci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891753109 PECOS PAC ID: 8224098751 Enrollment ID: I20041019000043 |
| Provider Name | Gregory D Schramka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548377831 PECOS PAC ID: 3274594551 Enrollment ID: I20041020000612 |
| Provider Name | Ramon Ray G Rayel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407828676 PECOS PAC ID: 8123089398 Enrollment ID: I20041021000027 |
| Provider Name | Renee B Marszalek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730163445 PECOS PAC ID: 4284695362 Enrollment ID: I20041021000912 |
| Provider Name | John Matteucci |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558456749 PECOS PAC ID: 2961463070 Enrollment ID: I20041025001125 |
| Provider Name | Eric J Kirk |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508973033 PECOS PAC ID: 7911966635 Enrollment ID: I20041026000480 |
| Provider Name | Patrick E Daly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023123122 PECOS PAC ID: 8325937360 Enrollment ID: I20041026000652 |
| Provider Name | Tonia T Whalen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366474249 PECOS PAC ID: 1153310479 Enrollment ID: I20041028000066 |
| Provider Name | Anastasia K Luebke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619084167 PECOS PAC ID: 9436111614 Enrollment ID: I20041029000923 |
| Provider Name | Supriya Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225145410 PECOS PAC ID: 9537121439 Enrollment ID: I20041102001198 |
| Provider Name | Amy Rodriguez Dysart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629123716 PECOS PAC ID: 8426011099 Enrollment ID: I20041105000194 |
| Provider Name | Ronald I Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982697942 PECOS PAC ID: 2961465315 Enrollment ID: I20041108000422 |
| Provider Name | Sany T Khabbaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538227848 PECOS PAC ID: 6507829611 Enrollment ID: I20041110000053 |
| Provider Name | Audrey K Shadd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447298302 PECOS PAC ID: 0042274870 Enrollment ID: I20041112000167 |
| Provider Name | Gloria J Maliszewski Weller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235274598 PECOS PAC ID: 3779547542 Enrollment ID: I20041112000411 |
| Provider Name | Sandra J Perronne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174655377 PECOS PAC ID: 3173587862 Enrollment ID: I20041112000611 |
| Provider Name | Nalini M Guda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750358420 PECOS PAC ID: 2264496314 Enrollment ID: I20041117001100 |
| Provider Name | Darren M Heesacker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013953561 PECOS PAC ID: 7214849405 Enrollment ID: I20041122000946 |
| Provider Name | Hanna Eskinder |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447307160 PECOS PAC ID: 2860457926 Enrollment ID: I20041130001011 |
| Provider Name | Jeffrey N Glaspy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619925237 PECOS PAC ID: 7719885235 Enrollment ID: I20041201000425 |
| Provider Name | Christina T Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750332508 PECOS PAC ID: 4183680903 Enrollment ID: I20041203000386 |
| Provider Name | Patrick G Krismer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831206374 PECOS PAC ID: 6608832357 Enrollment ID: I20041206000130 |
| Provider Name | Dawn M Bolwerk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851563332 PECOS PAC ID: 0143286468 Enrollment ID: I20041208000070 |
| Provider Name | Norman J Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224245 PECOS PAC ID: 7315903630 Enrollment ID: I20041208000084 |
| Provider Name | Donna J Hemphill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033226642 PECOS PAC ID: 8426957614 Enrollment ID: I20041209000831 |
| Provider Name | Julie M Henry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295842805 PECOS PAC ID: 5890752851 Enrollment ID: I20041213000118 |
| Provider Name | Paul C Maurer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922115484 PECOS PAC ID: 0244297976 Enrollment ID: I20041214001205 |
| Provider Name | Monica E Uselding |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003018219 PECOS PAC ID: 4880651470 Enrollment ID: I20041215000561 |
| Provider Name | Asma Sabih |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891802161 PECOS PAC ID: 7416914957 Enrollment ID: I20041215000982 |
| Provider Name | Scott W Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215912209 PECOS PAC ID: 5496712697 Enrollment ID: I20041220000034 |
| Provider Name | Holly C Jeskewitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225145741 PECOS PAC ID: 7315904570 Enrollment ID: I20041220000413 |
| Provider Name | David L Crosby |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538177738 PECOS PAC ID: 4385602200 Enrollment ID: I20041223000238 |
| Provider Name | Jennifer J Nicpon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295842649 PECOS PAC ID: 6204894843 Enrollment ID: I20041229000181 |
| Provider Name | Asha Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417064932 PECOS PAC ID: 1557329109 Enrollment ID: I20041229000205 |
| Provider Name | Megan A Tkachuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790719086 PECOS PAC ID: 2668420332 Enrollment ID: I20050110000401 |
| Provider Name | William T Witmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033130653 PECOS PAC ID: 4183672512 Enrollment ID: I20050112000154 |
| Provider Name | Mark H Hermanoff |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1447309786 PECOS PAC ID: 3274581616 Enrollment ID: I20050112000242 |
| Provider Name | Nancy J Blankenship |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104840636 PECOS PAC ID: 4789632175 Enrollment ID: I20050112000575 |
| Provider Name | Markian J Kuzycz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083721526 PECOS PAC ID: 2264481654 Enrollment ID: I20050112000661 |
| Provider Name | Kathleen R Maginot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922074095 PECOS PAC ID: 9739138983 Enrollment ID: I20050114000516 |
| Provider Name | Paul R Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427088533 PECOS PAC ID: 6406805514 Enrollment ID: I20050115000025 |
| Provider Name | Michelle L Rejman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174630412 PECOS PAC ID: 2860441987 Enrollment ID: I20050115000037 |
| Provider Name | Giuseppe Garretto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427098722 PECOS PAC ID: 2668421546 Enrollment ID: I20050118000707 |
| Provider Name | Janice M Gaeth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093921371 PECOS PAC ID: 6901855824 Enrollment ID: I20050118001026 |
| Provider Name | Neil Guenther |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609859404 PECOS PAC ID: 4385549914 Enrollment ID: I20050124000299 |
| Provider Name | Rizwan Loya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447218755 PECOS PAC ID: 5890785166 Enrollment ID: I20050126000206 |
| Provider Name | Alyson P Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770690224 PECOS PAC ID: 7416907654 Enrollment ID: I20050126000355 |
| Provider Name | Todd R Rieter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730196346 PECOS PAC ID: 2860442936 Enrollment ID: I20050127000147 |
| Provider Name | Istvan Danko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326015645 PECOS PAC ID: 4385694215 Enrollment ID: I20050127000748 |
| Provider Name | Marijan J Jednacak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104842707 PECOS PAC ID: 0749230605 Enrollment ID: I20050127000912 |
| Provider Name | Anna C Wroblewski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437184512 PECOS PAC ID: 9739139650 Enrollment ID: I20050128000265 |
| Provider Name | Kara E Hayford |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1255358073 PECOS PAC ID: 1052361623 Enrollment ID: I20050201000076 |
| Provider Name | Joseph D Mccausland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558416644 PECOS PAC ID: 6002867405 Enrollment ID: I20050202000959 |
| Provider Name | Jeffrey J Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881749935 PECOS PAC ID: 2163473364 Enrollment ID: I20050204000457 |
| Provider Name | Randa K Noseir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205889334 PECOS PAC ID: 4880645993 Enrollment ID: I20050207000441 |
| Provider Name | Suhail Q Allaqaband |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669449203 PECOS PAC ID: 9133170194 Enrollment ID: I20050207000881 |
| Provider Name | Lea H Rayman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578515276 PECOS PAC ID: 1951353507 Enrollment ID: I20050211000508 |
| Provider Name | Laura R Sandberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093772865 PECOS PAC ID: 8729030275 Enrollment ID: I20050214000364 |
| Provider Name | Alfredo Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902911159 PECOS PAC ID: 6709838113 Enrollment ID: I20050214000901 |
| Provider Name | Kaylen Snoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669424420 PECOS PAC ID: 3375595424 Enrollment ID: I20050216000760 |
| Provider Name | Curtis Wayne Hancock |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1083763379 PECOS PAC ID: 7719939602 Enrollment ID: I20050218000745 |
| Provider Name | Jack M Alloy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720143837 PECOS PAC ID: 4981657772 Enrollment ID: I20050221000571 |
| Provider Name | James A Toniolo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801815154 PECOS PAC ID: 4486607249 Enrollment ID: I20050222000441 |
| Provider Name | Ellen S Danto Nocton |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265440002 PECOS PAC ID: 8527011154 Enrollment ID: I20050223000853 |
| Provider Name | Todd A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952352486 PECOS PAC ID: 4284528340 Enrollment ID: I20050228000902 |
| Provider Name | John S Hokanson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700852829 PECOS PAC ID: 2860446382 Enrollment ID: I20050308000886 |
| Provider Name | Cheryl J Dominski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285627976 PECOS PAC ID: 7315850096 Enrollment ID: I20050308001061 |
| Provider Name | Ghudran A Abdulal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083622666 PECOS PAC ID: 8224082664 Enrollment ID: I20050308001093 |
| Provider Name | Edward C Vogel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033130703 PECOS PAC ID: 9638065451 Enrollment ID: I20050309000432 |
| Provider Name | Michael L Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053469536 PECOS PAC ID: 1052365293 Enrollment ID: I20050310000077 |
| Provider Name | Muhammed Nmn Nadeem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760580955 PECOS PAC ID: 1153239181 Enrollment ID: I20050310000444 |
| Provider Name | Veronica N Sosa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356389258 PECOS PAC ID: 3476507492 Enrollment ID: I20050311000361 |
| Provider Name | Carol A Seitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295731529 PECOS PAC ID: 2769437706 Enrollment ID: I20050314000171 |
| Provider Name | John A Cafaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114966801 PECOS PAC ID: 5294780250 Enrollment ID: I20050314000359 |
| Provider Name | Timothy Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104887470 PECOS PAC ID: 0648225961 Enrollment ID: I20050318000593 |
| Provider Name | Rolando L Espiritu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366592271 PECOS PAC ID: 2062467301 Enrollment ID: I20050318000700 |
| Provider Name | Christopher S Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053494559 PECOS PAC ID: 5395790646 Enrollment ID: I20050321000150 |
| Provider Name | Carla J Stevens |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821466673 PECOS PAC ID: 4385699560 Enrollment ID: I20050321000851 |
| Provider Name | Phullara Karmakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578529475 PECOS PAC ID: 8921054974 Enrollment ID: I20050323000786 |
| Provider Name | Paul S Weisman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992730055 PECOS PAC ID: 1355313099 Enrollment ID: I20050324000605 |
| Provider Name | Laura L Vogel-schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538186333 PECOS PAC ID: 6204748486 Enrollment ID: I20050324000694 |
| Provider Name | Tracy L Sherman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1437373586 PECOS PAC ID: 0042266405 Enrollment ID: I20050329000638 |
| Provider Name | Scott W Gage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326076258 PECOS PAC ID: 1052205945 Enrollment ID: I20050404000644 |
| Provider Name | Brian J Pung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346296928 PECOS PAC ID: 8022917020 Enrollment ID: I20050405000208 |
| Provider Name | Nanette R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295788578 PECOS PAC ID: 7315994977 Enrollment ID: I20050405001384 |
| Provider Name | Matt Dubie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639121916 PECOS PAC ID: 8123075785 Enrollment ID: I20050405001394 |
| Provider Name | Richard A Rolain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154372829 PECOS PAC ID: 3476500042 Enrollment ID: I20050405001409 |
| Provider Name | Adnan Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750361267 PECOS PAC ID: 5890742381 Enrollment ID: I20050406001024 |
| Provider Name | Dolly Hakanen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093791618 PECOS PAC ID: 7416937081 Enrollment ID: I20050408000432 |
| Provider Name | Laura J Markham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013047471 PECOS PAC ID: 3971541376 Enrollment ID: I20050419001464 |
| Provider Name | Ellen L Suelflow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891802997 PECOS PAC ID: 4981642097 Enrollment ID: I20050420000121 |
| Provider Name | Luke Joseph Lamers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952353799 PECOS PAC ID: 6305894668 Enrollment ID: I20050420001011 |
| Provider Name | Scott W Voskuil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700993748 PECOS PAC ID: 7113965039 Enrollment ID: I20050421000343 |
| Provider Name | Rina A Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952325904 PECOS PAC ID: 8123928108 Enrollment ID: I20050421001428 |
| Provider Name | Victoria L Bowe Fisher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952464174 PECOS PAC ID: 9739128166 Enrollment ID: I20050427000057 |
| Provider Name | Shelley K Watters |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1407963457 PECOS PAC ID: 3375582141 Enrollment ID: I20050502000067 |
| Provider Name | Jean M Rosiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154438414 PECOS PAC ID: 3476592098 Enrollment ID: I20050503000254 |
| Provider Name | Brian E Lundeen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194775445 PECOS PAC ID: 8123083300 Enrollment ID: I20050504000245 |
| Provider Name | Qamaruddin Qazi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700803541 PECOS PAC ID: 3476594888 Enrollment ID: I20050516000986 |
| Provider Name | Scott C Simmons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528175726 PECOS PAC ID: 9739121559 Enrollment ID: I20050523000651 |
| Provider Name | Kathleen W Uy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255323259 PECOS PAC ID: 8123060365 Enrollment ID: I20050526000890 |
| Provider Name | William G Morrissey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619084027 PECOS PAC ID: 8022050269 Enrollment ID: I20050526000901 |
| Provider Name | Abhilash R Vaishnav |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1063529170 PECOS PAC ID: 9436191475 Enrollment ID: I20050531000739 |
| Provider Name | Matthew Brewer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225052152 PECOS PAC ID: 1557315504 Enrollment ID: I20050603000140 |
| Provider Name | George D Cherayil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952314049 PECOS PAC ID: 6002859758 Enrollment ID: I20050603000868 |
| Provider Name | Rana P Sokhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356458566 PECOS PAC ID: 2466495692 Enrollment ID: I20050608000324 |
| Provider Name | Dean Tajnai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063422467 PECOS PAC ID: 3375586571 Enrollment ID: I20050608000872 |
| Provider Name | Vikram Nangia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316914963 PECOS PAC ID: 3678516788 Enrollment ID: I20050608001029 |
| Provider Name | Michael J Marquart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467436998 PECOS PAC ID: 7517900665 Enrollment ID: I20050609000141 |
| Provider Name | Ryan T Hilbelink |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215963608 PECOS PAC ID: 4587607635 Enrollment ID: I20050609000165 |
| Provider Name | Derek T Schneider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093763740 PECOS PAC ID: 9133104045 Enrollment ID: I20050609000427 |
| Provider Name | Jonathan D Pond |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215044524 PECOS PAC ID: 9537137781 Enrollment ID: I20050609000465 |
| Provider Name | Lubomyr Domashevsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619927159 PECOS PAC ID: 0143263178 Enrollment ID: I20050609000884 |
| Provider Name | Martin A Jacobson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104862929 PECOS PAC ID: 1052355849 Enrollment ID: I20050613001036 |
| Provider Name | Abraham Rami R Gal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992774467 PECOS PAC ID: 2668366584 Enrollment ID: I20050613001145 |
| Provider Name | Anwer A Dhala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932178407 PECOS PAC ID: 6608760517 Enrollment ID: I20050613001199 |
| Provider Name | Ijaz A Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104893296 PECOS PAC ID: 2567406382 Enrollment ID: I20050613001240 |
| Provider Name | Jasbir S Sra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760459309 PECOS PAC ID: 3173567997 Enrollment ID: I20050613001264 |
| Provider Name | David S Stolp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538247051 PECOS PAC ID: 5991749731 Enrollment ID: I20050614000066 |
| Provider Name | Niraj Nijhawan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255448619 PECOS PAC ID: 2668416041 Enrollment ID: I20050616000304 |
| Provider Name | Jonathan E Jennings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760419337 PECOS PAC ID: 3072557495 Enrollment ID: I20050616000618 |
| Provider Name | Nilesh I Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255363636 PECOS PAC ID: 9638113863 Enrollment ID: I20050617000387 |
| Provider Name | Ryan Nadboralski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932126943 PECOS PAC ID: 1254375371 Enrollment ID: I20050620000066 |
| Provider Name | Rupesh Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841302080 PECOS PAC ID: 7012952039 Enrollment ID: I20050621000647 |
| Provider Name | Efstathios S Naum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205866332 PECOS PAC ID: 7719922731 Enrollment ID: I20050621000670 |
| Provider Name | Abhay K Jella |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457307696 PECOS PAC ID: 6002715406 Enrollment ID: I20050621001104 |
| Provider Name | Nicole M Wells |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346356953 PECOS PAC ID: 5496790107 Enrollment ID: I20050623000075 |
| Provider Name | Scott B Lundgren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225011315 PECOS PAC ID: 9638114689 Enrollment ID: I20050624000646 |
| Provider Name | Cory J Matz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700860129 PECOS PAC ID: 2567407976 Enrollment ID: I20050627000553 |
| Provider Name | Donna I Whittle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508821935 PECOS PAC ID: 2163474487 Enrollment ID: I20050628000869 |
| Provider Name | David M Needle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629185061 PECOS PAC ID: 6204739923 Enrollment ID: I20050628001227 |
| Provider Name | Stephen J Welka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508973561 PECOS PAC ID: 6901842020 Enrollment ID: I20050629000501 |
| Provider Name | Brenda N Satchie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952379372 PECOS PAC ID: 5799721791 Enrollment ID: I20050629001177 |
| Provider Name | Brian P Mcsorley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053305706 PECOS PAC ID: 8022921725 Enrollment ID: I20050630000638 |
| Provider Name | Rebecca Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043209968 PECOS PAC ID: 1355387267 Enrollment ID: I20050630000796 |
| Provider Name | David M Sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861570350 PECOS PAC ID: 6901842822 Enrollment ID: I20050630000880 |
| Provider Name | Nick William Turkal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073620183 PECOS PAC ID: 3870402415 Enrollment ID: I20050701000542 |
| Provider Name | Ajaz M Qhavi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184702615 PECOS PAC ID: 9931145471 Enrollment ID: I20050706000528 |
| Provider Name | Vanessa Q Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588673644 PECOS PAC ID: 6709822166 Enrollment ID: I20050707000438 |
| Provider Name | Jodi Lynn Bertsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538243613 PECOS PAC ID: 5799721163 Enrollment ID: I20050707000547 |
| Provider Name | Mansoor H Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508974502 PECOS PAC ID: 3072549021 Enrollment ID: I20050712000423 |
| Provider Name | Terri L Vandenhouten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699882621 PECOS PAC ID: 3577599281 Enrollment ID: I20050714000131 |
| Provider Name | Julia M Usatinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245347350 PECOS PAC ID: 7719913425 Enrollment ID: I20050714000171 |
| Provider Name | Robert J Schlosser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124071501 PECOS PAC ID: 7517931934 Enrollment ID: I20050719000310 |
| Provider Name | Qian Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487689261 PECOS PAC ID: 1355378605 Enrollment ID: I20050719000786 |
| Provider Name | Molly E Mehlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588759641 PECOS PAC ID: 3577590405 Enrollment ID: I20050722000375 |
| Provider Name | Pablo G Bozovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912916545 PECOS PAC ID: 5193752939 Enrollment ID: I20050722000559 |
| Provider Name | Anthony R Ricci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245347590 PECOS PAC ID: 5294762084 Enrollment ID: I20050723000012 |
| Provider Name | Jodi M Kornak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619062072 PECOS PAC ID: 7416984224 Enrollment ID: I20050725000030 |
| Provider Name | Tara A Rakowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437105525 PECOS PAC ID: 3577591031 Enrollment ID: I20050727000467 |
| Provider Name | Nazih Y Botros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700895331 PECOS PAC ID: 3678501087 Enrollment ID: I20050727000956 |
| Provider Name | Elizabeth K Yun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215947601 PECOS PAC ID: 1456389717 Enrollment ID: I20050728001100 |
| Provider Name | Suzanne Kletch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497704902 PECOS PAC ID: 2567490600 Enrollment ID: I20050801000020 |
| Provider Name | Holly A Leider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720014053 PECOS PAC ID: 9638107428 Enrollment ID: I20050802001037 |
| Provider Name | Andrew W Calvert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396703534 PECOS PAC ID: 3173578309 Enrollment ID: I20050802001128 |
| Provider Name | James R Day |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629080494 PECOS PAC ID: 9931198330 Enrollment ID: I20050803001077 |
| Provider Name | John R Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467569426 PECOS PAC ID: 3870521446 Enrollment ID: I20050803001109 |
| Provider Name | Alby K Antoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407864093 PECOS PAC ID: 4688603186 Enrollment ID: I20050804001045 |
| Provider Name | Brian J Hettrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942262712 PECOS PAC ID: 0143259481 Enrollment ID: I20050809000137 |
| Provider Name | Kelly F Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225086036 PECOS PAC ID: 2264461359 Enrollment ID: I20050809000720 |
| Provider Name | Daniel E Sajdak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235246505 PECOS PAC ID: 1355371030 Enrollment ID: I20050813000107 |
| Provider Name | Gregrey G Hiltgen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437266053 PECOS PAC ID: 1951331511 Enrollment ID: I20050815000341 |
| Provider Name | Brian T Schreiber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518908532 PECOS PAC ID: 1850321423 Enrollment ID: I20050815000424 |
| Provider Name | Elizabeth H Nora |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295842656 PECOS PAC ID: 0042206310 Enrollment ID: I20050817001121 |
| Provider Name | Betsy M Winga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669589545 PECOS PAC ID: 0244260396 Enrollment ID: I20050817001151 |
| Provider Name | Walter T Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588771109 PECOS PAC ID: 7315977469 Enrollment ID: I20050817001173 |
| Provider Name | Iram Nadeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770535437 PECOS PAC ID: 0840220893 Enrollment ID: I20050818000854 |
| Provider Name | John C Wlodarski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386702744 PECOS PAC ID: 7012948409 Enrollment ID: I20050825000453 |
| Provider Name | Deanna M Taylor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063589067 PECOS PAC ID: 1355372749 Enrollment ID: I20050825000473 |
| Provider Name | Harry M Brammer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386675650 PECOS PAC ID: 6507897857 Enrollment ID: I20050825000945 |
| Provider Name | Susan R Oneson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538199690 PECOS PAC ID: 7214968569 Enrollment ID: I20050825000958 |
| Provider Name | Sarah E Reimer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750311759 PECOS PAC ID: 9739110099 Enrollment ID: I20050825000989 |
| Provider Name | Michael L Becker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073561908 PECOS PAC ID: 4688605892 Enrollment ID: I20050827000134 |
| Provider Name | Maria Quevedo Visaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487615431 PECOS PAC ID: 0244261329 Enrollment ID: I20050829000543 |
| Provider Name | Emmie A Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699764068 PECOS PAC ID: 4981636073 Enrollment ID: I20050909000474 |
| Provider Name | Magdalena Flejsierowicz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144246737 PECOS PAC ID: 5092747006 Enrollment ID: I20050909000606 |
| Provider Name | Herbert J Fellerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407961584 PECOS PAC ID: 0547292526 Enrollment ID: I20050910000205 |
| Provider Name | David G Tylicki |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518074624 PECOS PAC ID: 0840223863 Enrollment ID: I20050912000343 |
| Provider Name | Catherine Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508818238 PECOS PAC ID: 4587697354 Enrollment ID: I20050913000309 |
| Provider Name | Mark D Wilcox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669456687 PECOS PAC ID: 1850372871 Enrollment ID: I20050914001086 |
| Provider Name | Mark J Schaefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629052428 PECOS PAC ID: 9234110248 Enrollment ID: I20050915000589 |
| Provider Name | John D Simmons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821073529 PECOS PAC ID: 7214918234 Enrollment ID: I20050915000606 |
| Provider Name | Bret J Borowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659354629 PECOS PAC ID: 3678506052 Enrollment ID: I20050915000816 |
| Provider Name | Ulrik T Blaschke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184607715 PECOS PAC ID: 7416980214 Enrollment ID: I20050915000866 |
| Provider Name | James C Ducanto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861475790 PECOS PAC ID: 7214960012 Enrollment ID: I20050915000880 |
| Provider Name | Vetrivel R Balakrishnan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619950672 PECOS PAC ID: 4880627686 Enrollment ID: I20050915001002 |
| Provider Name | Margaret A Berdelman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720097355 PECOS PAC ID: 2062446149 Enrollment ID: I20050920000128 |
| Provider Name | Eric A Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326022799 PECOS PAC ID: 5395778104 Enrollment ID: I20050920000920 |
| Provider Name | Robert D Southwick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417975087 PECOS PAC ID: 8123052735 Enrollment ID: I20050922001171 |
| Provider Name | Brian D Dobbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255364667 PECOS PAC ID: 6507890043 Enrollment ID: I20050923000147 |
| Provider Name | Brian S Woodbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720055817 PECOS PAC ID: 7315971868 Enrollment ID: I20050923000241 |
| Provider Name | Hammad R Haider-shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881709939 PECOS PAC ID: 9830123397 Enrollment ID: I20050923000271 |
| Provider Name | Raul J Mendoza Ayala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619903218 PECOS PAC ID: 2769416221 Enrollment ID: I20050923000331 |
| Provider Name | Arturo Eduardo Eyzaguirre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114029196 PECOS PAC ID: 4587699376 Enrollment ID: I20050929001167 |
| Provider Name | Michal Md Krynicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114948486 PECOS PAC ID: 7618902420 Enrollment ID: I20050929001321 |
| Provider Name | Jessica L Sabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689656639 PECOS PAC ID: 6103841259 Enrollment ID: I20051007000856 |
| Provider Name | Paul V Bullis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184633869 PECOS PAC ID: 8325063290 Enrollment ID: I20051010000812 |
| Provider Name | Michal Chiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497739288 PECOS PAC ID: 8628093382 Enrollment ID: I20051011001133 |
| Provider Name | Colleen M Poggenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558306407 PECOS PAC ID: 8224053947 Enrollment ID: I20051012000314 |
| Provider Name | James P Gapinski |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1922114768 PECOS PAC ID: 6204851876 Enrollment ID: I20051012000828 |
| Provider Name | Gabriel Mihailescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275640765 PECOS PAC ID: 7719902394 Enrollment ID: I20051012000967 |
| Provider Name | Lakesha Y Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700949971 PECOS PAC ID: 0840216834 Enrollment ID: I20051019000431 |
| Provider Name | Douglas J Wermuth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871585505 PECOS PAC ID: 7517984081 Enrollment ID: I20051025000385 |
| Provider Name | William T Harshbarger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750349916 PECOS PAC ID: 9335186436 Enrollment ID: I20051025000882 |
| Provider Name | Glenn E Gessert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255399739 PECOS PAC ID: 6103715545 Enrollment ID: I20051025000928 |
| Provider Name | Mark A Hlava |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821048224 PECOS PAC ID: 2668365131 Enrollment ID: I20051027000816 |
| Provider Name | Aaron I Goldberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669510418 PECOS PAC ID: 6406749977 Enrollment ID: I20051027001087 |
| Provider Name | Keith A Rader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952369241 PECOS PAC ID: 2769375237 Enrollment ID: I20051027001099 |
| Provider Name | George E Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497731756 PECOS PAC ID: 3173421690 Enrollment ID: I20051027001114 |
| Provider Name | Mohammad R Shaker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639223928 PECOS PAC ID: 5395731640 Enrollment ID: I20051028000303 |
| Provider Name | Kyle J Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417905035 PECOS PAC ID: 2365469392 Enrollment ID: I20051028000989 |
| Provider Name | Ronald D Roessler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649238940 PECOS PAC ID: 9537186564 Enrollment ID: I20051028000994 |
| Provider Name | William D Lieber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871541417 PECOS PAC ID: 9436176369 Enrollment ID: I20051028001016 |
| Provider Name | David C Kress |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619938701 PECOS PAC ID: 0042208381 Enrollment ID: I20051102000605 |
| Provider Name | Sridevi Manne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679680136 PECOS PAC ID: 0648298042 Enrollment ID: I20051103001036 |
| Provider Name | Ante A Devcic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700860293 PECOS PAC ID: 2961435763 Enrollment ID: I20051108000875 |
| Provider Name | Sanjay B Suthar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437266533 PECOS PAC ID: 8921026840 Enrollment ID: I20051109000083 |
| Provider Name | Mark W Sharon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679680862 PECOS PAC ID: 4880612712 Enrollment ID: I20051109000125 |
| Provider Name | Robert J Remington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346357688 PECOS PAC ID: 5496773327 Enrollment ID: I20051109000142 |
| Provider Name | Dharmesh Murthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942317375 PECOS PAC ID: 8325066269 Enrollment ID: I20051109000229 |
| Provider Name | Andrea M Gavin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669587655 PECOS PAC ID: 4880612738 Enrollment ID: I20051109000307 |
| Provider Name | Rom A Stevens |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073596730 PECOS PAC ID: 5597783399 Enrollment ID: I20051110000251 |
| Provider Name | Erica L Kroncke |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1861443608 PECOS PAC ID: 5799703492 Enrollment ID: I20051110000313 |
| Provider Name | Piotr J Kolanowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922066422 PECOS PAC ID: 2668491283 Enrollment ID: I20051114000299 |
| Provider Name | Eduardo E Castro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942258884 PECOS PAC ID: 7719876168 Enrollment ID: I20051114000717 |
| Provider Name | Stacy J Kranner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386779452 PECOS PAC ID: 3779502026 Enrollment ID: I20051115001133 |
| Provider Name | David N Crowther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558465633 PECOS PAC ID: 8224028493 Enrollment ID: I20051118000352 |
| Provider Name | William S Dougherty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548298789 PECOS PAC ID: 5991617177 Enrollment ID: I20051130000875 |
| Provider Name | Kelly A Bruhn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144256553 PECOS PAC ID: 7315967619 Enrollment ID: I20051201000423 |
| Provider Name | Jacqueline P Jahnke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356336945 PECOS PAC ID: 0941220065 Enrollment ID: I20051202000628 |
| Provider Name | Andrea L Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164452298 PECOS PAC ID: 1557381530 Enrollment ID: I20051206000389 |
| Provider Name | Cynthia M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114034089 PECOS PAC ID: 1153342043 Enrollment ID: I20051207000417 |
| Provider Name | Thomas Felton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043294531 PECOS PAC ID: 6103724406 Enrollment ID: I20051207000525 |
| Provider Name | Kirk A Hansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710960257 PECOS PAC ID: 6406889203 Enrollment ID: I20051207000558 |
| Provider Name | John D Crouch |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437138427 PECOS PAC ID: 4688576143 Enrollment ID: I20051207001001 |
| Provider Name | Barbara J Gonzales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841307170 PECOS PAC ID: 0648291385 Enrollment ID: I20051209000458 |
| Provider Name | Dawn H S Reinemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730397100 PECOS PAC ID: 2062433683 Enrollment ID: I20051212000306 |
| Provider Name | Basil M Salaymeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033149059 PECOS PAC ID: 1557342508 Enrollment ID: I20051213000571 |
| Provider Name | Theresa J Baseley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043279805 PECOS PAC ID: 5395766703 Enrollment ID: I20051213000793 |
| Provider Name | Yoganand Gundamraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104859370 PECOS PAC ID: 5890716096 Enrollment ID: I20051215000617 |
| Provider Name | Nicole M Pfaff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861422883 PECOS PAC ID: 3779504980 Enrollment ID: I20051215000643 |
| Provider Name | John A Feilbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538191168 PECOS PAC ID: 8820019037 Enrollment ID: I20051215000677 |
| Provider Name | Kevin L Scheu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083666440 PECOS PAC ID: 2860414869 Enrollment ID: I20051219000631 |
| Provider Name | Kiran K Padala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194805200 PECOS PAC ID: 2163441718 Enrollment ID: I20051220000884 |
| Provider Name | Gabriel C Leis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457487092 PECOS PAC ID: 5799707535 Enrollment ID: I20051221000529 |
| Provider Name | Robert S Goldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972618973 PECOS PAC ID: 3476575226 Enrollment ID: I20051221000577 |
| Provider Name | Barbara Grzaba-gracz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366557316 PECOS PAC ID: 4385553056 Enrollment ID: I20051221000773 |
| Provider Name | Eric C Duwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710092978 PECOS PAC ID: 4880616994 Enrollment ID: I20060103000410 |
| Provider Name | Marie A Dauenhauer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346355443 PECOS PAC ID: 2860415726 Enrollment ID: I20060106000407 |
| Provider Name | Emily T Carman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619928090 PECOS PAC ID: 0749203545 Enrollment ID: I20060106000774 |
| Provider Name | John P Simanonok |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1003870395 PECOS PAC ID: 5294758884 Enrollment ID: I20060110000453 |
| Provider Name | Elizabeth W Ciurlik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043241458 PECOS PAC ID: 2062436223 Enrollment ID: I20060116000285 |
| Provider Name | Laura S Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265464408 PECOS PAC ID: 9234153412 Enrollment ID: I20060116000371 |
| Provider Name | Huong V Dangvu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861423261 PECOS PAC ID: 5991729170 Enrollment ID: I20060116000441 |
| Provider Name | Eric R Sover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366472136 PECOS PAC ID: 4880618859 Enrollment ID: I20060117000843 |
| Provider Name | Edward H Kovnar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366472524 PECOS PAC ID: 6800810615 Enrollment ID: I20060119000706 |
| Provider Name | Jeffrey Bahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770511453 PECOS PAC ID: 0042234866 Enrollment ID: I20060119000742 |
| Provider Name | Hanumantha R Kothur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306876552 PECOS PAC ID: 3678597408 Enrollment ID: I20060119000820 |
| Provider Name | Shaibal Mazumdar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093749566 PECOS PAC ID: 2769406495 Enrollment ID: I20060120000802 |
| Provider Name | Mary S Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972533834 PECOS PAC ID: 0941224539 Enrollment ID: I20060123000394 |
| Provider Name | John E Schuck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376573246 PECOS PAC ID: 1355365941 Enrollment ID: I20060123000435 |
| Provider Name | Maria R Merrill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275567745 PECOS PAC ID: 7618991027 Enrollment ID: I20060124000471 |
| Provider Name | Kenneth J Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982638318 PECOS PAC ID: 4981676624 Enrollment ID: I20060125000397 |
| Provider Name | Richard Ernest Carballo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245208644 PECOS PAC ID: 3274445937 Enrollment ID: I20060202000426 |
| Provider Name | Amy J Schott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538189816 PECOS PAC ID: 5597770958 Enrollment ID: I20060207000578 |
| Provider Name | James J Kambol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205863370 PECOS PAC ID: 1052326303 Enrollment ID: I20060208000393 |
| Provider Name | Xing Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003896093 PECOS PAC ID: 4385659556 Enrollment ID: I20060208000707 |
| Provider Name | Kimberly A Winburn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952418824 PECOS PAC ID: 6608881800 Enrollment ID: I20060209000055 |
| Provider Name | Roman T Pyasta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487607115 PECOS PAC ID: 5890700033 Enrollment ID: I20060209000434 |
| Provider Name | Brian L Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851408371 PECOS PAC ID: 0345207031 Enrollment ID: I20060213000404 |
| Provider Name | Stephanie J Boyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124081765 PECOS PAC ID: 4385659275 Enrollment ID: I20060214000417 |
| Provider Name | Kathleen K Glaaser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881768174 PECOS PAC ID: 9931114642 Enrollment ID: I20060217000089 |
| Provider Name | Mirela Sturzu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285741389 PECOS PAC ID: 6507871068 Enrollment ID: I20060221000097 |
| Provider Name | Katherine Gerhard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689789653 PECOS PAC ID: 3274548763 Enrollment ID: I20060221000334 |
| Provider Name | Judith Arnold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578592572 PECOS PAC ID: 4880600386 Enrollment ID: I20060222000242 |
| Provider Name | Kathleen G Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346334034 PECOS PAC ID: 0143236497 Enrollment ID: I20060224000051 |
| Provider Name | Christy A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740299387 PECOS PAC ID: 2163438334 Enrollment ID: I20060224000341 |
| Provider Name | Ryszard Cholewa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346214897 PECOS PAC ID: 5395751564 Enrollment ID: I20060224000377 |
| Provider Name | Kristin Louise Koch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306825054 PECOS PAC ID: 2769498948 Enrollment ID: I20060224000458 |
| Provider Name | Charity Geary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013043983 PECOS PAC ID: 8921014135 Enrollment ID: I20060224000662 |
| Provider Name | Kauseruzzaman A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093724304 PECOS PAC ID: 7012924434 Enrollment ID: I20060309000515 |
| Provider Name | Ryan T Zantow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821044892 PECOS PAC ID: 5193732352 Enrollment ID: I20060313000474 |
| Provider Name | Jeffrey P Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568467512 PECOS PAC ID: 7012962632 Enrollment ID: I20060315000025 |
| Provider Name | Melissa L Quandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003904137 PECOS PAC ID: 0143237263 Enrollment ID: I20060315000315 |
| Provider Name | Valerie J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548354434 PECOS PAC ID: 8123035128 Enrollment ID: I20060316000189 |
| Provider Name | Joseph P Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962472589 PECOS PAC ID: 2769372242 Enrollment ID: I20060322000342 |
| Provider Name | Chad Kort |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972552503 PECOS PAC ID: 7113967050 Enrollment ID: I20060327000576 |
| Provider Name | Angela M Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225006695 PECOS PAC ID: 0446268890 Enrollment ID: I20060328000218 |
| Provider Name | Denise Ann Brachmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336124569 PECOS PAC ID: 7214945583 Enrollment ID: I20060328000524 |
| Provider Name | Priti J Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205843067 PECOS PAC ID: 4183663883 Enrollment ID: I20060328000548 |
| Provider Name | John W Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982660684 PECOS PAC ID: 4688682990 Enrollment ID: I20060328000793 |
| Provider Name | Richard L Kiefer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437266962 PECOS PAC ID: 1951319045 Enrollment ID: I20060331000135 |
| Provider Name | John R Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114034493 PECOS PAC ID: 6103835962 Enrollment ID: I20060406000456 |
| Provider Name | Nimish B Vakil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336124585 PECOS PAC ID: 4082623756 Enrollment ID: I20060410000174 |
| Provider Name | Aboud Affi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003891250 PECOS PAC ID: 2365451036 Enrollment ID: I20060410000181 |
| Provider Name | James E Talley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922162593 PECOS PAC ID: 0446269971 Enrollment ID: I20060412000041 |
| Provider Name | Madhu Shyam Sadagopan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235180290 PECOS PAC ID: 0749299691 Enrollment ID: I20060420000404 |
| Provider Name | Sharon J Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245384254 PECOS PAC ID: 8224047170 Enrollment ID: I20060420000447 |
| Provider Name | Peter B Michon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003923582 PECOS PAC ID: 6204846983 Enrollment ID: I20060425000694 |
| Provider Name | Mandy Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447273156 PECOS PAC ID: 3678583325 Enrollment ID: I20060426000390 |
| Provider Name | Thomas H Zukowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912989260 PECOS PAC ID: 2466353370 Enrollment ID: I20060427000463 |
| Provider Name | Albertina T Ricci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508973850 PECOS PAC ID: 0345250312 Enrollment ID: I20060504000759 |
| Provider Name | Brenda Napierala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205095940 PECOS PAC ID: 9234149212 Enrollment ID: I20060504000780 |
| Provider Name | Dawn M Tesky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134171416 PECOS PAC ID: 8921019399 Enrollment ID: I20060523000035 |
| Provider Name | Roxanne L Jadin Cardelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750339040 PECOS PAC ID: 3072553742 Enrollment ID: I20060526000038 |
| Provider Name | Maggie K Zaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629036215 PECOS PAC ID: 6305857418 Enrollment ID: I20060605000020 |
| Provider Name | Eugene Kenny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336187145 PECOS PAC ID: 1153332200 Enrollment ID: I20060606000039 |
| Provider Name | P Perry Phillips |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871542092 PECOS PAC ID: 2860404746 Enrollment ID: I20060614000017 |
| Provider Name | Kristin A Nytes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386692150 PECOS PAC ID: 7810909728 Enrollment ID: I20060614000210 |
| Provider Name | William P Hodous |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477502219 PECOS PAC ID: 5991717761 Enrollment ID: I20060616000054 |
| Provider Name | Selena R Beutler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902845282 PECOS PAC ID: 4789696501 Enrollment ID: I20060619000150 |
| Provider Name | Joaquin Solis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649221516 PECOS PAC ID: 6002828837 Enrollment ID: I20060619000205 |
| Provider Name | Karre M Hermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356305312 PECOS PAC ID: 4688686231 Enrollment ID: I20060622000190 |
| Provider Name | Luther L Gaston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497708234 PECOS PAC ID: 9739191396 Enrollment ID: I20060622000238 |
| Provider Name | Joseph A Nicholas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528094588 PECOS PAC ID: 1850303223 Enrollment ID: I20060629000226 |
| Provider Name | Aaron Sulman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639126170 PECOS PAC ID: 0840235461 Enrollment ID: I20060629000282 |
| Provider Name | Jennifer E Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700815115 PECOS PAC ID: 5799797965 Enrollment ID: I20060707000266 |
| Provider Name | Monica Vasudev |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1598711665 PECOS PAC ID: 0648283804 Enrollment ID: I20060711000362 |
| Provider Name | Bridget E Stillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851335111 PECOS PAC ID: 4385657402 Enrollment ID: I20060713000033 |
| Provider Name | Dorota B Wozniewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942238696 PECOS PAC ID: 1153334909 Enrollment ID: I20060720000122 |
| Provider Name | Chinmaya B Trivedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891723706 PECOS PAC ID: 1153334982 Enrollment ID: I20060724000013 |
| Provider Name | Thomas Anthony Rudek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811928534 PECOS PAC ID: 5092790402 Enrollment ID: I20060725000422 |
| Provider Name | Nicole L Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497714406 PECOS PAC ID: 3173536703 Enrollment ID: I20060726000057 |
| Provider Name | Derek J Orton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790742724 PECOS PAC ID: 8527091842 Enrollment ID: I20060726000168 |
| Provider Name | Dorota Walkiewicz Jedrzejczak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720011984 PECOS PAC ID: 9234142886 Enrollment ID: I20060726000245 |
| Provider Name | Jeremy M Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457339616 PECOS PAC ID: 8820001167 Enrollment ID: I20060803000105 |
| Provider Name | Julie J Bonnin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497770473 PECOS PAC ID: 7416960794 Enrollment ID: I20060803000447 |
| Provider Name | Adam P Myhre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548218829 PECOS PAC ID: 4486691276 Enrollment ID: I20060804000188 |
| Provider Name | Suzanne M Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083640056 PECOS PAC ID: 1951304831 Enrollment ID: I20060815000044 |
| Provider Name | Stephany Albert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619996881 PECOS PAC ID: 1153324827 Enrollment ID: I20060818000162 |
| Provider Name | Laura C Kirkegaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588670616 PECOS PAC ID: 5597768200 Enrollment ID: I20060818000452 |
| Provider Name | Karin Suesser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578579637 PECOS PAC ID: 9638172349 Enrollment ID: I20060818000496 |
| Provider Name | Laith G Alsayegh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093721847 PECOS PAC ID: 8527061233 Enrollment ID: I20060818000504 |
| Provider Name | Tod C Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184651127 PECOS PAC ID: 0345243911 Enrollment ID: I20060821000488 |
| Provider Name | Jolanta Pentala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174535512 PECOS PAC ID: 8820092166 Enrollment ID: I20060829000399 |
| Provider Name | Anita I Gheller-rigoni |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073543096 PECOS PAC ID: 2860496981 Enrollment ID: I20060901000374 |
| Provider Name | Scott T Weslow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104836113 PECOS PAC ID: 2668476698 Enrollment ID: I20060906000430 |
| Provider Name | Nicole L B Sternitzky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386620847 PECOS PAC ID: 6305840299 Enrollment ID: I20060907000306 |
| Provider Name | Heidi A Bemis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295745040 PECOS PAC ID: 4880698638 Enrollment ID: I20060908000329 |
| Provider Name | Christine A Yeomans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881707867 PECOS PAC ID: 6305840968 Enrollment ID: I20060913000156 |
| Provider Name | Willa C Fornetti |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376650572 PECOS PAC ID: 7214932698 Enrollment ID: I20060918000213 |
| Provider Name | Meridith Ann Loe Derrig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780601633 PECOS PAC ID: 2062417421 Enrollment ID: I20060919000293 |
| Provider Name | Anne M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235156878 PECOS PAC ID: 6204831480 Enrollment ID: I20060921000320 |
| Provider Name | Timothy S Fischer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922027697 PECOS PAC ID: 7911902960 Enrollment ID: I20060925000602 |
| Provider Name | Andrew W Yetter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578586368 PECOS PAC ID: 7719982776 Enrollment ID: I20060925000622 |
| Provider Name | Paul J Coogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679526065 PECOS PAC ID: 6002811007 Enrollment ID: I20060926000339 |
| Provider Name | Ayham Chamseddin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932135324 PECOS PAC ID: 5991718785 Enrollment ID: I20060929000512 |
| Provider Name | Amy M Scott Egerbrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255445490 PECOS PAC ID: 5991700635 Enrollment ID: I20061002000209 |
| Provider Name | Michelle L Douglas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730113424 PECOS PAC ID: 5193720845 Enrollment ID: I20061002000300 |
| Provider Name | Frank M Wittmaack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366494676 PECOS PAC ID: 9638174337 Enrollment ID: I20061003000142 |
| Provider Name | Daniel R Langan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922037175 PECOS PAC ID: 2163411406 Enrollment ID: I20061004000416 |
| Provider Name | Scott J Stellmacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043327265 PECOS PAC ID: 2365448792 Enrollment ID: I20061009000090 |
| Provider Name | Marian E Asfeld Freund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487769543 PECOS PAC ID: 9335145762 Enrollment ID: I20061009000111 |
| Provider Name | John D Steiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326155540 PECOS PAC ID: 6305842741 Enrollment ID: I20061009000144 |
| Provider Name | Kathleen A Freeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710094123 PECOS PAC ID: 1850397118 Enrollment ID: I20061010000057 |
| Provider Name | Jodie L Kuiper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235237702 PECOS PAC ID: 8325044506 Enrollment ID: I20061011000330 |
| Provider Name | Chenyang C Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215946611 PECOS PAC ID: 3173529369 Enrollment ID: I20061011000367 |
| Provider Name | Paul J Berce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437267762 PECOS PAC ID: 9032115266 Enrollment ID: I20061011000691 |
| Provider Name | Steven J Pizer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881701183 PECOS PAC ID: 8022014166 Enrollment ID: I20061012000099 |
| Provider Name | Reny Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134131626 PECOS PAC ID: 0941274500 Enrollment ID: I20061017000193 |
| Provider Name | Nadeem Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770577785 PECOS PAC ID: 6507862315 Enrollment ID: I20061018000040 |
| Provider Name | Ernesto Brauer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114970795 PECOS PAC ID: 4385617950 Enrollment ID: I20061019000233 |
| Provider Name | Jeffrey W Britton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801805551 PECOS PAC ID: 4880690585 Enrollment ID: I20061019000238 |
| Provider Name | Marianne H Mainhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932290004 PECOS PAC ID: 5698772382 Enrollment ID: I20061020000448 |
| Provider Name | Rick G Thyes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164536892 PECOS PAC ID: 5991702631 Enrollment ID: I20061023000264 |
| Provider Name | Woosuk Park |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366453656 PECOS PAC ID: 4981601630 Enrollment ID: I20061023000374 |
| Provider Name | Dee Gabbard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598710832 PECOS PAC ID: 9234136847 Enrollment ID: I20061024000438 |
| Provider Name | Angela M Arndt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689632317 PECOS PAC ID: 9537166186 Enrollment ID: I20061025000161 |
| Provider Name | Margery Howard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457326985 PECOS PAC ID: 6406853878 Enrollment ID: I20061026000565 |
| Provider Name | Eric M Siegal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760436158 PECOS PAC ID: 4981500758 Enrollment ID: I20061031000099 |
| Provider Name | David J Bardsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386693711 PECOS PAC ID: 1951307073 Enrollment ID: I20061103000208 |
| Provider Name | Brian-fred M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210594 PECOS PAC ID: 9032116082 Enrollment ID: I20061103000489 |
| Provider Name | Kimberly J Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669571303 PECOS PAC ID: 9638176514 Enrollment ID: I20061107000455 |
| Provider Name | Jennifer L Ladwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285738641 PECOS PAC ID: 1759388655 Enrollment ID: I20061108000135 |
| Provider Name | Shashi Bhushan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689774101 PECOS PAC ID: 3678570454 Enrollment ID: I20061109000171 |
| Provider Name | Narayana Parasu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063484764 PECOS PAC ID: 6204869241 Enrollment ID: I20061109000202 |
| Provider Name | Colleen K Micele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710079231 PECOS PAC ID: 5698773141 Enrollment ID: I20061117000304 |
| Provider Name | Sarah E Van Duser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184705881 PECOS PAC ID: 3678571684 Enrollment ID: I20061129000066 |
| Provider Name | Irina Goncharova |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104857465 PECOS PAC ID: 7012916968 Enrollment ID: I20061204000405 |
| Provider Name | Christopher E French |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841281474 PECOS PAC ID: 1254377534 Enrollment ID: I20061205000500 |
| Provider Name | Timothy J Markowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881679892 PECOS PAC ID: 0244239812 Enrollment ID: I20061208000023 |
| Provider Name | Bonnie L Nickasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508959883 PECOS PAC ID: 4880693407 Enrollment ID: I20061208000490 |
| Provider Name | Dana A Gray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194741389 PECOS PAC ID: 1759315260 Enrollment ID: I20061214000313 |
| Provider Name | Alok K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568418937 PECOS PAC ID: 9931108115 Enrollment ID: I20061218000023 |
| Provider Name | Daniel M Smullen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043245376 PECOS PAC ID: 5698774701 Enrollment ID: I20061218000329 |
| Provider Name | Steffen P White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609850627 PECOS PAC ID: 3678566130 Enrollment ID: I20061218000331 |
| Provider Name | David J Pencikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962579243 PECOS PAC ID: 1254330327 Enrollment ID: I20061219000282 |
| Provider Name | Elizabeth A Mattes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205886173 PECOS PAC ID: 6800895988 Enrollment ID: I20061219000361 |
| Provider Name | Jaimie R Deans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316048002 PECOS PAC ID: 3274532296 Enrollment ID: I20061220000115 |
| Provider Name | Mark T Labor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699741124 PECOS PAC ID: 1951301928 Enrollment ID: I20061226000008 |
| Provider Name | Donald C Steward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083718258 PECOS PAC ID: 4789684515 Enrollment ID: I20070102000043 |
| Provider Name | John K Amuzu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609859651 PECOS PAC ID: 4880687334 Enrollment ID: I20070105000065 |
| Provider Name | Filoreta Diana Udrea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194806141 PECOS PAC ID: 5991705535 Enrollment ID: I20070105000257 |
| Provider Name | Brian K Konowalchuk |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104939453 PECOS PAC ID: 9638120397 Enrollment ID: I20070109000247 |
| Provider Name | Mark R Oleck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215947536 PECOS PAC ID: 1153321534 Enrollment ID: I20070109000268 |
| Provider Name | Tammy L Schladweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013076223 PECOS PAC ID: 2163422411 Enrollment ID: I20070110000332 |
| Provider Name | Soryal A Soryal |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003882994 PECOS PAC ID: 4587624838 Enrollment ID: I20070116000480 |
| Provider Name | Carrie L Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619039344 PECOS PAC ID: 7517968381 Enrollment ID: I20070122000241 |
| Provider Name | Risa A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972664340 PECOS PAC ID: 8022019819 Enrollment ID: I20070122000436 |
| Provider Name | Steven C Borene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851345383 PECOS PAC ID: 1153398615 Enrollment ID: I20070125000020 |
| Provider Name | Wendy L Halm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316941768 PECOS PAC ID: 9537160866 Enrollment ID: I20070129000590 |
| Provider Name | Jodi Jean Doering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396800777 PECOS PAC ID: 2769484872 Enrollment ID: I20070202000133 |
| Provider Name | Joseph M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386653434 PECOS PAC ID: 2163424177 Enrollment ID: I20070205000220 |
| Provider Name | Kimberley G Van Buren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275680290 PECOS PAC ID: 6002818994 Enrollment ID: I20070206000236 |
| Provider Name | Kristina J Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902913940 PECOS PAC ID: 3577565266 Enrollment ID: I20070208000621 |
| Provider Name | Mark Robert Heintzkill |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427118413 PECOS PAC ID: 1153323761 Enrollment ID: I20070212000266 |
| Provider Name | Hind M Gautam |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1316950504 PECOS PAC ID: 5991807075 Enrollment ID: I20070220000299 |
| Provider Name | Heather M Verbunker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912048497 PECOS PAC ID: 3678676574 Enrollment ID: I20070314000263 |
| Provider Name | Bogdan Pudzisz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982625844 PECOS PAC ID: 0345343034 Enrollment ID: I20070319000275 |
| Provider Name | Steven J Ryder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295759165 PECOS PAC ID: 1951211010 Enrollment ID: I20070319000366 |
| Provider Name | Marc V Kennedy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710900667 PECOS PAC ID: 5799773487 Enrollment ID: I20070319000425 |
| Provider Name | Iftekhar H Bader |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508896671 PECOS PAC ID: 2567565179 Enrollment ID: I20070319000552 |
| Provider Name | Dennis J Andersen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831123249 PECOS PAC ID: 1153424775 Enrollment ID: I20070319000601 |
| Provider Name | James M Waltenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033129697 PECOS PAC ID: 5799888335 Enrollment ID: I20070320000086 |
| Provider Name | Thomas G Matkov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972524825 PECOS PAC ID: 7911000567 Enrollment ID: I20070320000156 |
| Provider Name | Terry C Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841212115 PECOS PAC ID: 0042313694 Enrollment ID: I20070320000212 |
| Provider Name | Lynda P Moses |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912920505 PECOS PAC ID: 4385747963 Enrollment ID: I20070320000429 |
| Provider Name | Elizabeth Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962424333 PECOS PAC ID: 6406959923 Enrollment ID: I20070321000155 |
| Provider Name | John M Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487677316 PECOS PAC ID: 0143323691 Enrollment ID: I20070321000463 |
| Provider Name | Timothy B Lesage |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518074962 PECOS PAC ID: 5294838751 Enrollment ID: I20070321000493 |
| Provider Name | Jody A Huebner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063547982 PECOS PAC ID: 8224132543 Enrollment ID: I20070327000215 |
| Provider Name | Michael J Kuhn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730162223 PECOS PAC ID: 4183657992 Enrollment ID: I20070327000436 |
| Provider Name | Jean R Thur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306953419 PECOS PAC ID: 4183728199 Enrollment ID: I20070402000161 |
| Provider Name | Nola M Hardy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366586380 PECOS PAC ID: 0042314957 Enrollment ID: I20070403000239 |
| Provider Name | Joseph P Hardage |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063456614 PECOS PAC ID: 2961506621 Enrollment ID: I20070406000121 |
| Provider Name | Todd J Muche |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861484859 PECOS PAC ID: 8628173515 Enrollment ID: I20070423000116 |
| Provider Name | Marnie A Geiger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790841039 PECOS PAC ID: 1456457902 Enrollment ID: I20070501000102 |
| Provider Name | Shari L Purman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861523318 PECOS PAC ID: 8426155276 Enrollment ID: I20070514000246 |
| Provider Name | Philip L Goolsby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700991718 PECOS PAC ID: 9830296433 Enrollment ID: I20070516000062 |
| Provider Name | Timothy A Fagre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093821829 PECOS PAC ID: 5092812552 Enrollment ID: I20070517000142 |
| Provider Name | Scott Ahmed Kamelle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1124020540 PECOS PAC ID: 4284696766 Enrollment ID: I20070517000224 |
| Provider Name | Karen A Hunnicutt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396838777 PECOS PAC ID: 4789781261 Enrollment ID: I20070517000292 |
| Provider Name | Susan M Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881714582 PECOS PAC ID: 8123125630 Enrollment ID: I20070517000568 |
| Provider Name | Jennifer S Weibel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1285681593 PECOS PAC ID: 9133226590 Enrollment ID: I20070518000251 |
| Provider Name | Michael D Erickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497732408 PECOS PAC ID: 2365549458 Enrollment ID: I20070524000481 |
| Provider Name | William S Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467429860 PECOS PAC ID: 8224136171 Enrollment ID: I20070531000281 |
| Provider Name | Rebecca J Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568686004 PECOS PAC ID: 5890893317 Enrollment ID: I20070607000234 |
| Provider Name | Yaw D Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003952995 PECOS PAC ID: 6608974050 Enrollment ID: I20070607000528 |
| Provider Name | Rajesh M Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184731291 PECOS PAC ID: 9133227408 Enrollment ID: I20070611000204 |
| Provider Name | Hana O Upright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083837413 PECOS PAC ID: 7113025263 Enrollment ID: I20070613000301 |
| Provider Name | Thomas J Wolfe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568548642 PECOS PAC ID: 8123127099 Enrollment ID: I20070619000433 |
| Provider Name | Pedro D Salinas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144422510 PECOS PAC ID: 0547369381 Enrollment ID: I20070620000346 |
| Provider Name | David J Luber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043426067 PECOS PAC ID: 9638278351 Enrollment ID: I20070621000205 |
| Provider Name | Scott A Tschetter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558447938 PECOS PAC ID: 6103925607 Enrollment ID: I20070625000409 |
| Provider Name | Michael A Connor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356468474 PECOS PAC ID: 3274632351 Enrollment ID: I20070702000233 |
| Provider Name | Dennis F Zagrodnik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538155569 PECOS PAC ID: 6709986847 Enrollment ID: I20070703000193 |
| Provider Name | Robert J Oquinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487744769 PECOS PAC ID: 1759481666 Enrollment ID: I20070706000332 |
| Provider Name | Kirsten J Buck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366447278 PECOS PAC ID: 8628178530 Enrollment ID: I20070706000368 |
| Provider Name | Kevin J Brusse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992929582 PECOS PAC ID: 3678673480 Enrollment ID: I20070710000102 |
| Provider Name | Michele H Stueve |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477526887 PECOS PAC ID: 5395718548 Enrollment ID: I20070712000449 |
| Provider Name | Rubina S Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568559169 PECOS PAC ID: 3375643760 Enrollment ID: I20070713000819 |
| Provider Name | David J Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033169438 PECOS PAC ID: 3678561123 Enrollment ID: I20070714000197 |
| Provider Name | Nathan P Gabler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043398423 PECOS PAC ID: 6800996133 Enrollment ID: I20070716000166 |
| Provider Name | Joseph C Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730202987 PECOS PAC ID: 9234239435 Enrollment ID: I20070717000027 |
| Provider Name | Navjot S Kohli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831179506 PECOS PAC ID: 6608873948 Enrollment ID: I20070719000421 |
| Provider Name | Ashwani Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326240128 PECOS PAC ID: 1557462629 Enrollment ID: I20070720000017 |
| Provider Name | Austin F Bacchus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225258171 PECOS PAC ID: 7517068588 Enrollment ID: I20070720000053 |
| Provider Name | Michael W Foster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740483981 PECOS PAC ID: 7012018062 Enrollment ID: I20070720000742 |
| Provider Name | Karl W Droese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629284021 PECOS PAC ID: 1951402858 Enrollment ID: I20070723000263 |
| Provider Name | Cheruppolil R Santhosh Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649387911 PECOS PAC ID: 8921109455 Enrollment ID: I20070727000041 |
| Provider Name | Marc S Eiseman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124091855 PECOS PAC ID: 2769583277 Enrollment ID: I20070727000758 |
| Provider Name | Bradley W Gose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780888115 PECOS PAC ID: 9537260047 Enrollment ID: I20070727000809 |
| Provider Name | Scott M Reabe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982798450 PECOS PAC ID: 3072557867 Enrollment ID: I20070728000097 |
| Provider Name | Stacey L Zarnstorff Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245243369 PECOS PAC ID: 9234230509 Enrollment ID: I20070731000308 |
| Provider Name | Jacqueline M Akert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952339699 PECOS PAC ID: 0042311326 Enrollment ID: I20070731000402 |
| Provider Name | Stephen G Rommelfanger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1497833438 PECOS PAC ID: 1850482126 Enrollment ID: I20070801000538 |
| Provider Name | David J Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801958434 PECOS PAC ID: 1355432246 Enrollment ID: I20070807000443 |
| Provider Name | Mohammad E Mortada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770788036 PECOS PAC ID: 2062503972 Enrollment ID: I20070807000635 |
| Provider Name | Jeffrey D Gentile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699861021 PECOS PAC ID: 1153412796 Enrollment ID: I20070810000277 |
| Provider Name | Nusrat Kalloo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972557973 PECOS PAC ID: 2860412459 Enrollment ID: I20070810000281 |
| Provider Name | Jayant Khitha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184829475 PECOS PAC ID: 0941286686 Enrollment ID: I20070810000328 |
| Provider Name | Diane M Bucaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134321896 PECOS PAC ID: 2264524354 Enrollment ID: I20070821000272 |
| Provider Name | Natasha M Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114119559 PECOS PAC ID: 0244322246 Enrollment ID: I20070822001019 |
| Provider Name | Christina L Sarchet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861487415 PECOS PAC ID: 9638261589 Enrollment ID: I20070822001483 |
| Provider Name | Soniya G Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255448445 PECOS PAC ID: 7911099759 Enrollment ID: I20070823000878 |
| Provider Name | Cheri L Cayon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639378433 PECOS PAC ID: 6002908522 Enrollment ID: I20070828000641 |
| Provider Name | Sarah A Oenning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518085349 PECOS PAC ID: 7618060120 Enrollment ID: I20070829000461 |
| Provider Name | Erik M Almeida |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922298959 PECOS PAC ID: 8527151901 Enrollment ID: I20070830000095 |
| Provider Name | Sarah J Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417147786 PECOS PAC ID: 6305939612 Enrollment ID: I20070831000558 |
| Provider Name | Xue Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265408579 PECOS PAC ID: 6800883992 Enrollment ID: I20070910000738 |
| Provider Name | Erin Leigh Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629038898 PECOS PAC ID: 6507950045 Enrollment ID: I20070914000523 |
| Provider Name | Anne M Kis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235246760 PECOS PAC ID: 5092809467 Enrollment ID: I20070915000208 |
| Provider Name | Deanna J Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619168226 PECOS PAC ID: 7911091228 Enrollment ID: I20070918000205 |
| Provider Name | Syed Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184659971 PECOS PAC ID: 4486567831 Enrollment ID: I20070919000575 |
| Provider Name | Michael G Hartmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215986930 PECOS PAC ID: 8325132145 Enrollment ID: I20070924000354 |
| Provider Name | Ajjampur R Vidyaranya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952375552 PECOS PAC ID: 5991699068 Enrollment ID: I20070926000290 |
| Provider Name | Martin C Baur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013093475 PECOS PAC ID: 1052406766 Enrollment ID: I20070926000696 |
| Provider Name | Jennifer M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366637589 PECOS PAC ID: 9638264245 Enrollment ID: I20070927000406 |
| Provider Name | Annisa Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114129590 PECOS PAC ID: 2365537552 Enrollment ID: I20071003000245 |
| Provider Name | Brenda M Veldboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992990667 PECOS PAC ID: 0143315069 Enrollment ID: I20071005000720 |
| Provider Name | Noah Horkheimer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841485372 PECOS PAC ID: 4284729104 Enrollment ID: I20071005000759 |
| Provider Name | Pamela J Krol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922024082 PECOS PAC ID: 8527093327 Enrollment ID: I20071011000545 |
| Provider Name | Kristen Horkheimer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578750287 PECOS PAC ID: 0143316760 Enrollment ID: I20071012000278 |
| Provider Name | Kari M Stauffer Vrzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730399486 PECOS PAC ID: 6103912605 Enrollment ID: I20071015000151 |
| Provider Name | Cathy A Devalk-holl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083808471 PECOS PAC ID: 3476649906 Enrollment ID: I20071015000442 |
| Provider Name | Christofer David Barth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609839554 PECOS PAC ID: 6305873621 Enrollment ID: I20071019000554 |
| Provider Name | Srinivasa R Pamulapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487632196 PECOS PAC ID: 7719072503 Enrollment ID: I20071025000250 |
| Provider Name | Amy S Coulthard-atwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851369144 PECOS PAC ID: 4587751284 Enrollment ID: I20071026000750 |
| Provider Name | Denielle M Beilfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477741007 PECOS PAC ID: 6103913702 Enrollment ID: I20071029000743 |
| Provider Name | Kathleen M Pulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639224041 PECOS PAC ID: 2163524810 Enrollment ID: I20071030000348 |
| Provider Name | Jeffry J Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114946712 PECOS PAC ID: 9537256755 Enrollment ID: I20071103000042 |
| Provider Name | Moshood A Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457559296 PECOS PAC ID: 7416044664 Enrollment ID: I20071105000141 |
| Provider Name | Carlisa Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346429578 PECOS PAC ID: 2062509052 Enrollment ID: I20071108000078 |
| Provider Name | Christopher J Canitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699742049 PECOS PAC ID: 0547296139 Enrollment ID: I20071116000018 |
| Provider Name | James B Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932178738 PECOS PAC ID: 6406944925 Enrollment ID: I20071116000621 |
| Provider Name | Henry J Duffrin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750358198 PECOS PAC ID: 4082640677 Enrollment ID: I20071117000020 |
| Provider Name | Jose M Leiva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962496760 PECOS PAC ID: 7113015645 Enrollment ID: I20071117000059 |
| Provider Name | Jennifer A Garvin-cress |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245348481 PECOS PAC ID: 5698864650 Enrollment ID: I20071129000142 |
| Provider Name | Annmarie D Wendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932394764 PECOS PAC ID: 8224127055 Enrollment ID: I20071203000082 |
| Provider Name | Farah Salahuddin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437206893 PECOS PAC ID: 4880597616 Enrollment ID: I20071204000658 |
| Provider Name | Kristine L Howley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396852919 PECOS PAC ID: 8123118015 Enrollment ID: I20071215000058 |
| Provider Name | Christopher J Magiera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548334550 PECOS PAC ID: 6709819139 Enrollment ID: I20071217000637 |
| Provider Name | Marybeth Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952598377 PECOS PAC ID: 7911087226 Enrollment ID: I20071227000391 |
| Provider Name | Nighat D Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538296462 PECOS PAC ID: 5193805455 Enrollment ID: I20071228000180 |
| Provider Name | Tracey N Aukerman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568461481 PECOS PAC ID: 4385725548 Enrollment ID: I20080115000104 |
| Provider Name | Maye R Berroya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083679518 PECOS PAC ID: 1850296518 Enrollment ID: I20080116000638 |
| Provider Name | Jo Ann Kiemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194918698 PECOS PAC ID: 8527149293 Enrollment ID: I20080118000625 |
| Provider Name | Jody L Pickruhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194750208 PECOS PAC ID: 9436230125 Enrollment ID: I20080119000049 |
| Provider Name | Laurie B Amundsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689890816 PECOS PAC ID: 1951482652 Enrollment ID: I20080119000094 |
| Provider Name | Magdalen Stepek |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1689853681 PECOS PAC ID: 8123109824 Enrollment ID: I20080119000099 |
| Provider Name | Karen Youngquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073798344 PECOS PAC ID: 2769563295 Enrollment ID: I20080122000691 |
| Provider Name | Robert A Kreuzer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598940710 PECOS PAC ID: 0244312726 Enrollment ID: I20080123000803 |
| Provider Name | Mark J Dykstra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083646772 PECOS PAC ID: 8628150075 Enrollment ID: I20080124000492 |
| Provider Name | Syed I Karim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497853634 PECOS PAC ID: 2567451966 Enrollment ID: I20080125000665 |
| Provider Name | Richard J Wakefield |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811901697 PECOS PAC ID: 9234211731 Enrollment ID: I20080126000054 |
| Provider Name | Crystal M Toll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144275504 PECOS PAC ID: 0648352815 Enrollment ID: I20080126000073 |
| Provider Name | Michael J Mitchell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164501771 PECOS PAC ID: 1355423534 Enrollment ID: I20080126000103 |
| Provider Name | Jeffrey D Schroeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447339809 PECOS PAC ID: 5294757860 Enrollment ID: I20080129000337 |
| Provider Name | Courtney A Hlavinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861685539 PECOS PAC ID: 2264514108 Enrollment ID: I20080130000569 |
| Provider Name | Bermans J Iskandar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720054471 PECOS PAC ID: 1153403092 Enrollment ID: I20080130000578 |
| Provider Name | Shobha Ramaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760668529 PECOS PAC ID: 4486737830 Enrollment ID: I20080208000289 |
| Provider Name | Anthony C De Franco |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215930391 PECOS PAC ID: 4981672748 Enrollment ID: I20080211000092 |
| Provider Name | Julie A Chapman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013926179 PECOS PAC ID: 3072696244 Enrollment ID: I20080211000662 |
| Provider Name | Jacqueline J Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326029356 PECOS PAC ID: 5698702546 Enrollment ID: I20080212000215 |
| Provider Name | Adam T Cios |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407935406 PECOS PAC ID: 8022901149 Enrollment ID: I20080212000253 |
| Provider Name | Joshua D Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740333780 PECOS PAC ID: 6608959580 Enrollment ID: I20080215000320 |
| Provider Name | Tiffany G Fisher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679608848 PECOS PAC ID: 8921181751 Enrollment ID: I20080215000701 |
| Provider Name | Cindy B Catania |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699769596 PECOS PAC ID: 5991889529 Enrollment ID: I20080221000096 |
| Provider Name | Amanpreet K Sethi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649370941 PECOS PAC ID: 5496788341 Enrollment ID: I20080222000557 |
| Provider Name | Lily Qian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164474862 PECOS PAC ID: 3173607363 Enrollment ID: I20080227000070 |
| Provider Name | John C Ralphe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811962921 PECOS PAC ID: 6608853056 Enrollment ID: I20080227000658 |
| Provider Name | Narasimha R Saladi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528257045 PECOS PAC ID: 6901796473 Enrollment ID: I20080306000611 |
| Provider Name | Ted G Thachenkary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346285731 PECOS PAC ID: 8527086032 Enrollment ID: I20080307000448 |
| Provider Name | Kim A Hansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134144850 PECOS PAC ID: 4880770593 Enrollment ID: I20080320000514 |
| Provider Name | Jeffrey L Widell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992754527 PECOS PAC ID: 4587740238 Enrollment ID: I20080321000119 |
| Provider Name | Pamela S Macwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093999500 PECOS PAC ID: 6103903026 Enrollment ID: I20080402000669 |
| Provider Name | Peter Frosio Nichol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245320852 PECOS PAC ID: 3476531146 Enrollment ID: I20080404000661 |
| Provider Name | Jill M Goldsworthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003916149 PECOS PAC ID: 5698852937 Enrollment ID: I20080410000314 |
| Provider Name | Nancy M Rofalikos-welka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972780237 PECOS PAC ID: 9931286119 Enrollment ID: I20080411000659 |
| Provider Name | Lisa Marie Peterson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336131986 PECOS PAC ID: 5496784662 Enrollment ID: I20080428000465 |
| Provider Name | Anna Klyachkina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518928118 PECOS PAC ID: 9537185244 Enrollment ID: I20080501000148 |
| Provider Name | Barbara L Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639340995 PECOS PAC ID: 3072692854 Enrollment ID: I20080505000686 |
| Provider Name | Ankur N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043327372 PECOS PAC ID: 4688743412 Enrollment ID: I20080520000684 |
| Provider Name | Willis Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316048564 PECOS PAC ID: 5193821494 Enrollment ID: I20080529000391 |
| Provider Name | Karen E Dobbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023198074 PECOS PAC ID: 5991875767 Enrollment ID: I20080605000258 |
| Provider Name | Lisa B Lloyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134209174 PECOS PAC ID: 8325118193 Enrollment ID: I20080605000286 |
| Provider Name | Jacek M Kowalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679653786 PECOS PAC ID: 2466522248 Enrollment ID: I20080605000339 |
| Provider Name | Jon D Brethauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720159874 PECOS PAC ID: 6002987385 Enrollment ID: I20080613000123 |
| Provider Name | Peter A Massart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598828790 PECOS PAC ID: 6608947908 Enrollment ID: I20080613000256 |
| Provider Name | Maryam Gardezi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386817989 PECOS PAC ID: 6103997424 Enrollment ID: I20080613000391 |
| Provider Name | Renee H Slusarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518029974 PECOS PAC ID: 9638240591 Enrollment ID: I20080619000644 |
| Provider Name | Esayas T Gebreyesus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609053438 PECOS PAC ID: 3870664618 Enrollment ID: I20080620000621 |
| Provider Name | Jamie K Mullin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205912649 PECOS PAC ID: 2668544073 Enrollment ID: I20080630000482 |
| Provider Name | Deepak Sharma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366657710 PECOS PAC ID: 3072685205 Enrollment ID: I20080703000519 |
| Provider Name | Bogdan Cristescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699966499 PECOS PAC ID: 4183676802 Enrollment ID: I20080708000378 |
| Provider Name | Andrew K Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780737155 PECOS PAC ID: 4981776739 Enrollment ID: I20080711000282 |
| Provider Name | Julie A Kepple |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649206897 PECOS PAC ID: 9133222789 Enrollment ID: I20080711000400 |
| Provider Name | Ryan C Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558334276 PECOS PAC ID: 2961427869 Enrollment ID: I20080715000128 |
| Provider Name | Michael L Otte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427229681 PECOS PAC ID: 1850464371 Enrollment ID: I20080716000755 |
| Provider Name | Rupesh P Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407020258 PECOS PAC ID: 3072686351 Enrollment ID: I20080718000711 |
| Provider Name | Nilay Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427123702 PECOS PAC ID: 4789757071 Enrollment ID: I20080719000112 |
| Provider Name | Tracy A Park |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194712455 PECOS PAC ID: 5698848984 Enrollment ID: I20080719000117 |
| Provider Name | Sara K Aicher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598966947 PECOS PAC ID: 0840363156 Enrollment ID: I20080721000143 |
| Provider Name | Andrew J Braun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912095910 PECOS PAC ID: 4082787122 Enrollment ID: I20080722000580 |
| Provider Name | Geetha Ganesan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003849407 PECOS PAC ID: 1759454689 Enrollment ID: I20080724000785 |
| Provider Name | Muhammad A Iqbal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417039124 PECOS PAC ID: 5294808036 Enrollment ID: I20080726000049 |
| Provider Name | Jayant V Hirpara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912165846 PECOS PAC ID: 5193899813 Enrollment ID: I20080729000676 |
| Provider Name | Mark Y Nunag |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104095017 PECOS PAC ID: 2062450604 Enrollment ID: I20080730000492 |
| Provider Name | Kenneth J Noonan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861457541 PECOS PAC ID: 8527132919 Enrollment ID: I20080802000091 |
| Provider Name | Christopher Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851519078 PECOS PAC ID: 3476654799 Enrollment ID: I20080802000102 |
| Provider Name | Steven E Kenzer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255432134 PECOS PAC ID: 9436223864 Enrollment ID: I20080804000399 |
| Provider Name | Ines C Pacurar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386807170 PECOS PAC ID: 3173697331 Enrollment ID: I20080806000140 |
| Provider Name | Nicholas N Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457329534 PECOS PAC ID: 1355415332 Enrollment ID: I20080808000719 |
| Provider Name | Stephen C Kmecak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225145758 PECOS PAC ID: 2365516291 Enrollment ID: I20080811000284 |
| Provider Name | Heather M Stefaniak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013139641 PECOS PAC ID: 9436223377 Enrollment ID: I20080811000422 |
| Provider Name | Kerry H Henrickson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477623247 PECOS PAC ID: 5799859658 Enrollment ID: I20080811000607 |
| Provider Name | Omar Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801002209 PECOS PAC ID: 5597866616 Enrollment ID: I20080812000432 |
| Provider Name | Mark W Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447448899 PECOS PAC ID: 9436224359 Enrollment ID: I20080812000466 |
| Provider Name | Bjorn S Schweinsberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750464533 PECOS PAC ID: 5698840205 Enrollment ID: I20080816000014 |
| Provider Name | Matthew T Larsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417944737 PECOS PAC ID: 1658446877 Enrollment ID: I20080821000508 |
| Provider Name | David B Sze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770502312 PECOS PAC ID: 6305912320 Enrollment ID: I20080827000466 |
| Provider Name | Ajay Sahajpal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245377233 PECOS PAC ID: 7618073610 Enrollment ID: I20080903000105 |
| Provider Name | Rory M Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588853758 PECOS PAC ID: 6709952492 Enrollment ID: I20080903000500 |
| Provider Name | Andrea D Boeckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194882514 PECOS PAC ID: 2365518073 Enrollment ID: I20080903000664 |
| Provider Name | Eric A Smiltneek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013098821 PECOS PAC ID: 3971679408 Enrollment ID: I20080908000408 |
| Provider Name | Erin L Parkinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164533790 PECOS PAC ID: 0840366225 Enrollment ID: I20080909000307 |
| Provider Name | Peter A Henry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205883766 PECOS PAC ID: 8921020264 Enrollment ID: I20080910000411 |
| Provider Name | Eshraq Al-jaghbeer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184897357 PECOS PAC ID: 6305912403 Enrollment ID: I20080912000428 |
| Provider Name | Kofi A Asiamah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427221621 PECOS PAC ID: 2466528567 Enrollment ID: I20080912000470 |
| Provider Name | Michele R Sobeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568618080 PECOS PAC ID: 0648346775 Enrollment ID: I20080913000079 |
| Provider Name | Crystal D Ruffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285668525 PECOS PAC ID: 4880624527 Enrollment ID: I20080913000163 |
| Provider Name | Edward J Hayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194930958 PECOS PAC ID: 5294802260 Enrollment ID: I20080917000798 |
| Provider Name | Gregg E Hintz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215099924 PECOS PAC ID: 6103993985 Enrollment ID: I20080919000373 |
| Provider Name | Sheryl L Thomsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790978807 PECOS PAC ID: 7113094640 Enrollment ID: I20080924000513 |
| Provider Name | Cathy A Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801940861 PECOS PAC ID: 0840367348 Enrollment ID: I20080925000326 |
| Provider Name | Mary J Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174630636 PECOS PAC ID: 9234206749 Enrollment ID: I20080925000399 |
| Provider Name | Kathleen Powell Mattioli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457530446 PECOS PAC ID: 7315014784 Enrollment ID: I20080926000378 |
| Provider Name | Nathan M Lebak |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1285841155 PECOS PAC ID: 9931276326 Enrollment ID: I20080926000498 |
| Provider Name | Jacquelyn C Kuzminski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063500569 PECOS PAC ID: 6901973395 Enrollment ID: I20080926000521 |
| Provider Name | Lamberto Y Malinis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851570857 PECOS PAC ID: 8426125733 Enrollment ID: I20080927000124 |
| Provider Name | Jill M Witte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386817021 PECOS PAC ID: 0941377105 Enrollment ID: I20080930000426 |
| Provider Name | Lisa L Harshbarger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144337759 PECOS PAC ID: 4587732581 Enrollment ID: I20081003000502 |
| Provider Name | Sara E Fleet |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326083007 PECOS PAC ID: 9133159304 Enrollment ID: I20081003000671 |
| Provider Name | Paresh J Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831374636 PECOS PAC ID: 7618045535 Enrollment ID: I20081006000348 |
| Provider Name | Lubna Majeed Haqqi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588656573 PECOS PAC ID: 9830192475 Enrollment ID: I20081009000300 |
| Provider Name | Kaushik S Shahir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407046816 PECOS PAC ID: 2264500784 Enrollment ID: I20081009000681 |
| Provider Name | Stephen M Kurtin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720175359 PECOS PAC ID: 7315935640 Enrollment ID: I20081009000744 |
| Provider Name | Angela E Mack |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902991078 PECOS PAC ID: 1759331085 Enrollment ID: I20081014000621 |
| Provider Name | Lisa M Blaeser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588782353 PECOS PAC ID: 0446318646 Enrollment ID: I20081016000225 |
| Provider Name | Scott E Stamn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558480574 PECOS PAC ID: 1850459009 Enrollment ID: I20081017000044 |
| Provider Name | Jennifer R Schmidt Cerrato |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922288877 PECOS PAC ID: 4981762135 Enrollment ID: I20081017000083 |
| Provider Name | Jodi L Brehm |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649216045 PECOS PAC ID: 4981608742 Enrollment ID: I20081017000420 |
| Provider Name | Robert E Brueggeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255324273 PECOS PAC ID: 5092628784 Enrollment ID: I20081020000610 |
| Provider Name | Suzanne V Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265458053 PECOS PAC ID: 6709777444 Enrollment ID: I20081030000730 |
| Provider Name | Steven L Leh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780790030 PECOS PAC ID: 7113925611 Enrollment ID: I20081103000501 |
| Provider Name | Mouhammed R Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457395600 PECOS PAC ID: 6800864570 Enrollment ID: I20081104000345 |
| Provider Name | Barbara D Zink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104809284 PECOS PAC ID: 7618036583 Enrollment ID: I20081106000548 |
| Provider Name | Ross G Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508889296 PECOS PAC ID: 1456410208 Enrollment ID: I20081107000376 |
| Provider Name | Diana F Soltis-friesner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174630388 PECOS PAC ID: 8022177831 Enrollment ID: I20081110000064 |
| Provider Name | Syed I Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952519142 PECOS PAC ID: 7810056538 Enrollment ID: I20081110000290 |
| Provider Name | Mark R Kroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124030499 PECOS PAC ID: 5395804025 Enrollment ID: I20081110000356 |
| Provider Name | Erich J Quidzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982616546 PECOS PAC ID: 4082774575 Enrollment ID: I20081113000195 |
| Provider Name | Bennett J Pastika |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467448977 PECOS PAC ID: 8426118159 Enrollment ID: I20081125000316 |
| Provider Name | Hina Mahboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821250333 PECOS PAC ID: 5092876698 Enrollment ID: I20081201000446 |
| Provider Name | Lorelei L Volstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275786600 PECOS PAC ID: 6305907742 Enrollment ID: I20081204000221 |
| Provider Name | Carla J Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528023652 PECOS PAC ID: 0648246397 Enrollment ID: I20081208000596 |
| Provider Name | Minhaj U Husain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265639397 PECOS PAC ID: 8820159619 Enrollment ID: I20081211000816 |
| Provider Name | Vijayashree P Shankar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013089085 PECOS PAC ID: 3274694070 Enrollment ID: I20081212000051 |
| Provider Name | Victoria L Flask |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285886549 PECOS PAC ID: 5890856538 Enrollment ID: I20081212000433 |
| Provider Name | Adine E Rodemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770516130 PECOS PAC ID: 3072674761 Enrollment ID: I20081213000120 |
| Provider Name | Katherine Loveless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972756492 PECOS PAC ID: 2961564695 Enrollment ID: I20081215000366 |
| Provider Name | Akbar H Dastagir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316145071 PECOS PAC ID: 7113089855 Enrollment ID: I20081215000414 |
| Provider Name | Marie L Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760635692 PECOS PAC ID: 0749342111 Enrollment ID: I20081218000335 |
| Provider Name | Susan L Hafemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013166768 PECOS PAC ID: 1658433040 Enrollment ID: I20081218000433 |
| Provider Name | Sharon A Krukowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558478099 PECOS PAC ID: 5698837854 Enrollment ID: I20081222000499 |
| Provider Name | Mitchell W Manthey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942226717 PECOS PAC ID: 1951464411 Enrollment ID: I20090108000712 |
| Provider Name | Susan L Darmstadter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134191661 PECOS PAC ID: 5395808646 Enrollment ID: I20090113000148 |
| Provider Name | Sarah L Konzak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215070909 PECOS PAC ID: 5193888485 Enrollment ID: I20090113000469 |
| Provider Name | Stacey Lampone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689824096 PECOS PAC ID: 9032272133 Enrollment ID: I20090115000681 |
| Provider Name | Mark T Wichman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437136488 PECOS PAC ID: 8022171123 Enrollment ID: I20090115000687 |
| Provider Name | Michael E Flatley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588637672 PECOS PAC ID: 7517020621 Enrollment ID: I20090115000734 |
| Provider Name | Erica R Loppnow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346494770 PECOS PAC ID: 1254495161 Enrollment ID: I20090121000393 |
| Provider Name | Vaseem Iqbal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780655548 PECOS PAC ID: 1557251295 Enrollment ID: I20090126000469 |
| Provider Name | Sandhya Karappattiparthasarathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548405905 PECOS PAC ID: 8426112889 Enrollment ID: I20090129000312 |
| Provider Name | Austin J Boyle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174500276 PECOS PAC ID: 9739243858 Enrollment ID: I20090204000059 |
| Provider Name | Florin Stuleanu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316958705 PECOS PAC ID: 9638234644 Enrollment ID: I20090206000441 |
| Provider Name | Mark D Plumb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821061367 PECOS PAC ID: 3779648787 Enrollment ID: I20090206000479 |
| Provider Name | Jeffrey M Welsch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841296092 PECOS PAC ID: 2466513932 Enrollment ID: I20090213000499 |
| Provider Name | Donna F Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922245604 PECOS PAC ID: 1759447808 Enrollment ID: I20090225000679 |
| Provider Name | John P Hamilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689675845 PECOS PAC ID: 3971663097 Enrollment ID: I20090303000376 |
| Provider Name | Ronggang Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609820224 PECOS PAC ID: 9739245481 Enrollment ID: I20090304000289 |
| Provider Name | Anthony J Mazzeo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386713683 PECOS PAC ID: 2567528284 Enrollment ID: I20090304000811 |
| Provider Name | Gregory V Warren |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649262544 PECOS PAC ID: 5294636429 Enrollment ID: I20090305000511 |
| Provider Name | Joell A Salfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932312246 PECOS PAC ID: 3971669482 Enrollment ID: I20090309000399 |
| Provider Name | Steven M Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174621122 PECOS PAC ID: 9032217336 Enrollment ID: I20090312000524 |
| Provider Name | Hrissanthi Ikonomidou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104063692 PECOS PAC ID: 6608933882 Enrollment ID: I20090316000635 |
| Provider Name | Prateek Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104009505 PECOS PAC ID: 1153488267 Enrollment ID: I20090317000270 |
| Provider Name | Thomas J Ryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104894443 PECOS PAC ID: 8729985270 Enrollment ID: I20090318000134 |
| Provider Name | Kurt E Brueckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114936820 PECOS PAC ID: 4385701374 Enrollment ID: I20090318000436 |
| Provider Name | Jon A Dankle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023123262 PECOS PAC ID: 0749347649 Enrollment ID: I20090320000040 |
| Provider Name | Tami L Ulatowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346288297 PECOS PAC ID: 6002713559 Enrollment ID: I20090331000300 |
| Provider Name | Robert F Koebert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104890334 PECOS PAC ID: 6800793357 Enrollment ID: I20090331000336 |
| Provider Name | Michael Muzi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487606232 PECOS PAC ID: 0446157994 Enrollment ID: I20090331000353 |
| Provider Name | Krishna R Prasad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306822747 PECOS PAC ID: 7517920788 Enrollment ID: I20090402000354 |
| Provider Name | Mark J Donovan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629217633 PECOS PAC ID: 7214084268 Enrollment ID: I20090409000310 |
| Provider Name | Roger M Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518918366 PECOS PAC ID: 2062569437 Enrollment ID: I20090422000423 |
| Provider Name | Dafaallah H Osman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619154432 PECOS PAC ID: 0345398665 Enrollment ID: I20090424000414 |
| Provider Name | Steven S Andrews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649224767 PECOS PAC ID: 6709958416 Enrollment ID: I20090427000251 |
| Provider Name | Anjoo M Gharia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154436160 PECOS PAC ID: 8729136965 Enrollment ID: I20090428000390 |
| Provider Name | Sharon M Bartosh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710953419 PECOS PAC ID: 7719035278 Enrollment ID: I20090511000519 |
| Provider Name | Paula M Kasuboski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801035613 PECOS PAC ID: 2264581701 Enrollment ID: I20090513000016 |
| Provider Name | James F Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740392976 PECOS PAC ID: 4587603485 Enrollment ID: I20090514000325 |
| Provider Name | Michael P Bellino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780670950 PECOS PAC ID: 1153224431 Enrollment ID: I20090602000566 |
| Provider Name | Rebecca A Mokrohisky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821199902 PECOS PAC ID: 8628084613 Enrollment ID: I20090603000388 |
| Provider Name | John F Kispert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447343637 PECOS PAC ID: 4789734286 Enrollment ID: I20090603000563 |
| Provider Name | Richard J Grieshop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215020326 PECOS PAC ID: 2567512080 Enrollment ID: I20090604000017 |
| Provider Name | John T Hambrook |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477760577 PECOS PAC ID: 8628169158 Enrollment ID: I20090604000625 |
| Provider Name | Ann M Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366677528 PECOS PAC ID: 7214087576 Enrollment ID: I20090608000184 |
| Provider Name | Tiffany Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528202256 PECOS PAC ID: 0345390621 Enrollment ID: I20090608000353 |
| Provider Name | Patricia A Sazama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962503086 PECOS PAC ID: 7517017775 Enrollment ID: I20090609000442 |
| Provider Name | Ryan T Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073782637 PECOS PAC ID: 8729147046 Enrollment ID: I20090610000032 |
| Provider Name | Steven W Zils |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659451425 PECOS PAC ID: 6305822255 Enrollment ID: I20090610000047 |
| Provider Name | Soniya K Pawar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255575569 PECOS PAC ID: 6901956028 Enrollment ID: I20090611000518 |
| Provider Name | Sarah E Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851572713 PECOS PAC ID: 7517017452 Enrollment ID: I20090615000383 |
| Provider Name | Tatek K Takele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437339272 PECOS PAC ID: 9830257971 Enrollment ID: I20090617000721 |
| Provider Name | Hasnain Bawaadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861618597 PECOS PAC ID: 7214088970 Enrollment ID: I20090619000514 |
| Provider Name | Anil Chandel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194968313 PECOS PAC ID: 4486705829 Enrollment ID: I20090625000338 |
| Provider Name | Abdul Mateen Khazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023208592 PECOS PAC ID: 8426109752 Enrollment ID: I20090626000507 |
| Provider Name | Christopher K Nussbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174639603 PECOS PAC ID: 4880745066 Enrollment ID: I20090629000428 |
| Provider Name | Laura L Craze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619111713 PECOS PAC ID: 8426109562 Enrollment ID: I20090630000476 |
| Provider Name | Debra M Thompson |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1811043730 PECOS PAC ID: 8729139670 Enrollment ID: I20090706000487 |
| Provider Name | Kevin L Polglaze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053555367 PECOS PAC ID: 9133270960 Enrollment ID: I20090707000664 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | John T Urban |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790841906 PECOS PAC ID: 6709783251 Enrollment ID: I20090715000099 |
| Provider Name | Vesna Starcevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619199288 PECOS PAC ID: 0749332724 Enrollment ID: I20090722000551 |
| Provider Name | Dana L Emery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770600603 PECOS PAC ID: 5890871578 Enrollment ID: I20090722000696 |
| Provider Name | Puneet Menaria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447442942 PECOS PAC ID: 8527111202 Enrollment ID: I20090728000409 |
| Provider Name | Steven J Kream |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780751974 PECOS PAC ID: 3577514124 Enrollment ID: I20090731000070 |
| Provider Name | Eric D Hoyme |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699882571 PECOS PAC ID: 6608929062 Enrollment ID: I20090803000042 |
| Provider Name | Thomas R Mccann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710181912 PECOS PAC ID: 5294896338 Enrollment ID: I20090805000262 |
| Provider Name | Ricardo S Mastrolia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588853667 PECOS PAC ID: 4486707668 Enrollment ID: I20090805000625 |
| Provider Name | Gregory A Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982826509 PECOS PAC ID: 9537212683 Enrollment ID: I20090806000537 |
| Provider Name | Reynaldo V Palines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346357662 PECOS PAC ID: 3678626678 Enrollment ID: I20090807000326 |
| Provider Name | Rica Rodriguez Canseco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538348537 PECOS PAC ID: 4082768999 Enrollment ID: I20090812000100 |
| Provider Name | Robert L Riepenhoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073769279 PECOS PAC ID: 2860544418 Enrollment ID: I20090813000748 |
| Provider Name | Michael C Kreager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609850791 PECOS PAC ID: 2567516099 Enrollment ID: I20090819000179 |
| Provider Name | Katherine M Abbo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962488965 PECOS PAC ID: 0042364481 Enrollment ID: I20090819000318 |
| Provider Name | Andrew R Dodd |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811979156 PECOS PAC ID: 9537213913 Enrollment ID: I20090819000708 |
| Provider Name | Charles R Hollman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205062007 PECOS PAC ID: 5597819821 Enrollment ID: I20090820000321 |
| Provider Name | Deann L Harper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003992389 PECOS PAC ID: 2769537695 Enrollment ID: I20090828000371 |
| Provider Name | Angela N Duffy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427287226 PECOS PAC ID: 8921153859 Enrollment ID: I20090828000390 |
| Provider Name | Mazen A Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609080274 PECOS PAC ID: 6103971981 Enrollment ID: I20090831000330 |
| Provider Name | Laurie B Gesell |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1194895920 PECOS PAC ID: 3274688080 Enrollment ID: I20090831000514 |
| Provider Name | Konrad W De Grandville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831367564 PECOS PAC ID: 9830244599 Enrollment ID: I20090901000416 |
| Provider Name | Sean Nolan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598824468 PECOS PAC ID: 2769537349 Enrollment ID: I20090903000207 |
| Provider Name | Tedmond R O Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851408231 PECOS PAC ID: 5890840227 Enrollment ID: I20090908000360 |
| Provider Name | Mhd Kher Heder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154531846 PECOS PAC ID: 3577618925 Enrollment ID: I20090908000606 |
| Provider Name | Dhwani A Vaishnav |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740496603 PECOS PAC ID: 1153476460 Enrollment ID: I20090909000489 |
| Provider Name | Nasir Z Sulemanjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396940979 PECOS PAC ID: 2961475553 Enrollment ID: I20090911000480 |
| Provider Name | Ali N Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144325051 PECOS PAC ID: 6800848318 Enrollment ID: I20090914000073 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20090914000503 |
| Provider Name | Seth E Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033137815 PECOS PAC ID: 8426104571 Enrollment ID: I20090915000669 |
| Provider Name | Anjum D Dalvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619102449 PECOS PAC ID: 5597811661 Enrollment ID: I20090915000788 |
| Provider Name | Wycliffe Okumu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832354 PECOS PAC ID: 9335295310 Enrollment ID: I20090916000140 |
| Provider Name | Stephanie Slock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033278478 PECOS PAC ID: 2769538743 Enrollment ID: I20090916000171 |
| Provider Name | Christine M Dignan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356456545 PECOS PAC ID: 3173679164 Enrollment ID: I20090916000214 |
| Provider Name | Jolita Satkus |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205028487 PECOS PAC ID: 3375699382 Enrollment ID: I20090916000408 |
| Provider Name | Yousef Karama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477785376 PECOS PAC ID: 9335295146 Enrollment ID: I20090921000310 |
| Provider Name | Fouad J Husnain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295899854 PECOS PAC ID: 9739235466 Enrollment ID: I20090922000723 |
| Provider Name | Lisa M Tuszka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457373581 PECOS PAC ID: 8224184700 Enrollment ID: I20090924000532 |
| Provider Name | Susan M Olszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568693828 PECOS PAC ID: 0749336154 Enrollment ID: I20090925000226 |
| Provider Name | Diane M Foti |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811129950 PECOS PAC ID: 5890841225 Enrollment ID: I20090925000354 |
| Provider Name | Michelle J Wadewitz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609008200 PECOS PAC ID: 9931255262 Enrollment ID: I20090928000725 |
| Provider Name | Jennifer M Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649397498 PECOS PAC ID: 5698867117 Enrollment ID: I20090929000369 |
| Provider Name | Benjamin P Sampang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730352196 PECOS PAC ID: 5597839928 Enrollment ID: I20090930000323 |
| Provider Name | Theresa L Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831320118 PECOS PAC ID: 9537205885 Enrollment ID: I20090930000381 |
| Provider Name | Patricia Morales Valdes Brost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851503064 PECOS PAC ID: 2264578533 Enrollment ID: I20090930000591 |
| Provider Name | Dwight D Bentley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912230368 PECOS PAC ID: 8123164373 Enrollment ID: I20091001000605 |
| Provider Name | Khawaja A Ammar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477528065 PECOS PAC ID: 1951342963 Enrollment ID: I20091002000443 |
| Provider Name | Sarah Frogge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124255831 PECOS PAC ID: 8123164274 Enrollment ID: I20091005000220 |
| Provider Name | Monica T Bradtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437482403 PECOS PAC ID: 7618013335 Enrollment ID: I20091012000156 |
| Provider Name | Michelle A Depa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356442081 PECOS PAC ID: 1456497015 Enrollment ID: I20091013000164 |
| Provider Name | Kevin Douglas Greve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932331766 PECOS PAC ID: 6507902954 Enrollment ID: I20091015000281 |
| Provider Name | Leslie Gerbitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154540284 PECOS PAC ID: 6305982778 Enrollment ID: I20091015000424 |
| Provider Name | Batul Valika |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992864334 PECOS PAC ID: 0648209205 Enrollment ID: I20091019000720 |
| Provider Name | Marjorie Ann Willett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598996258 PECOS PAC ID: 4688711617 Enrollment ID: I20091023000660 |
| Provider Name | Christopher M Garvey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780679795 PECOS PAC ID: 4385679844 Enrollment ID: I20091026000092 |
| Provider Name | Alina M Petculescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972762979 PECOS PAC ID: 6800933797 Enrollment ID: I20091026000581 |
| Provider Name | Lisa M Cottrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255505848 PECOS PAC ID: 9830236561 Enrollment ID: I20091028000539 |
| Provider Name | Josephine-liezl P Cueto |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467619916 PECOS PAC ID: 4789722943 Enrollment ID: I20091109000082 |
| Provider Name | Sheila W Thiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265452296 PECOS PAC ID: 9638217839 Enrollment ID: I20091109000445 |
| Provider Name | Paul S Pienkos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508904186 PECOS PAC ID: 3173661279 Enrollment ID: I20091110000623 |
| Provider Name | Umang Gautam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477564292 PECOS PAC ID: 5496893067 Enrollment ID: I20091119000245 |
| Provider Name | Rachel L Kordonskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972836468 PECOS PAC ID: 2062551393 Enrollment ID: I20091130000419 |
| Provider Name | Jonny A Macias Tejada |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508075409 PECOS PAC ID: 3375683006 Enrollment ID: I20091210000490 |
| Provider Name | Rebecca L Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861625220 PECOS PAC ID: 2860532520 Enrollment ID: I20091210000754 |
| Provider Name | James F Bencivenga |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1659304434 PECOS PAC ID: 0345386371 Enrollment ID: I20091223000182 |
| Provider Name | Andrea C Schimke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790892073 PECOS PAC ID: 2264572023 Enrollment ID: I20091229000656 |
| Provider Name | James V Klas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467420653 PECOS PAC ID: 5496851248 Enrollment ID: I20100105000531 |
| Provider Name | Michael R Brooks |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942358403 PECOS PAC ID: 6406997964 Enrollment ID: I20100105000754 |
| Provider Name | Lisa A Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366611634 PECOS PAC ID: 3577604099 Enrollment ID: I20100106000460 |
| Provider Name | Karen A Breit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457476897 PECOS PAC ID: 2769523919 Enrollment ID: I20100109000256 |
| Provider Name | Paul R Webber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831206887 PECOS PAC ID: 6103967369 Enrollment ID: I20100109000284 |
| Provider Name | Rachel L Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629268412 PECOS PAC ID: 0840384061 Enrollment ID: I20100111000677 |
| Provider Name | Gregory J Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841299385 PECOS PAC ID: 9335040575 Enrollment ID: I20100113000417 |
| Provider Name | Colleen J Reichel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104933449 PECOS PAC ID: 4688716525 Enrollment ID: I20100115000240 |
| Provider Name | Robert W Bjoraker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497783641 PECOS PAC ID: 9638065444 Enrollment ID: I20100116000191 |
| Provider Name | Amit Aneja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487891560 PECOS PAC ID: 7012059843 Enrollment ID: I20100116000250 |
| Provider Name | Amy L Diestelhorst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124007901 PECOS PAC ID: 2365521846 Enrollment ID: I20100116000356 |
| Provider Name | Michael A Hensien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346294956 PECOS PAC ID: 9638211477 Enrollment ID: I20100116000401 |
| Provider Name | Pamela A Netzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790892149 PECOS PAC ID: 2264574938 Enrollment ID: I20100118000277 |
| Provider Name | Jeffrey P Antonissen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760494512 PECOS PAC ID: 8628110368 Enrollment ID: I20100119000648 |
| Provider Name | Gregory G Sehring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346421112 PECOS PAC ID: 2466594908 Enrollment ID: I20100122000155 |
| Provider Name | Shubhi Sehgal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124006028 PECOS PAC ID: 9032134044 Enrollment ID: I20100122000433 |
| Provider Name | India L Finke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831428986 PECOS PAC ID: 4587706965 Enrollment ID: I20100122000652 |
| Provider Name | Douglas W Lillie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811004369 PECOS PAC ID: 0941342323 Enrollment ID: I20100122000654 |
| Provider Name | Michael M Karkkainen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821199100 PECOS PAC ID: 5294877692 Enrollment ID: I20100122000775 |
| Provider Name | Ahmad Khayat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619084142 PECOS PAC ID: 3274675426 Enrollment ID: I20100126000527 |
| Provider Name | Felisa Antonchorgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750617536 PECOS PAC ID: 9234271495 Enrollment ID: I20100126000698 |
| Provider Name | James P Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760478499 PECOS PAC ID: 5597679886 Enrollment ID: I20100129000402 |
| Provider Name | Nancy S Asencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962410530 PECOS PAC ID: 8022151075 Enrollment ID: I20100130000027 |
| Provider Name | Tyler Steward |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205991254 PECOS PAC ID: 9032273560 Enrollment ID: I20100130000347 |
| Provider Name | Jolanta M Twardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982711099 PECOS PAC ID: 3678616653 Enrollment ID: I20100130000370 |
| Provider Name | Amy L Kowalke Laabs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447417993 PECOS PAC ID: 1254492499 Enrollment ID: I20100203000730 |
| Provider Name | Vikas Bhatara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811026446 PECOS PAC ID: 5496762726 Enrollment ID: I20100204000121 |
| Provider Name | Gian C Daroach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922113166 PECOS PAC ID: 9638212145 Enrollment ID: I20100205000557 |
| Provider Name | Michael Scumaci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891774337 PECOS PAC ID: 2365433596 Enrollment ID: I20100206000268 |
| Provider Name | Dmitriy Stalivonenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710966395 PECOS PAC ID: 8921099144 Enrollment ID: I20100209000242 |
| Provider Name | Sarah K Hambrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285842781 PECOS PAC ID: 8325113152 Enrollment ID: I20100212000026 |
| Provider Name | Jenny L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871825323 PECOS PAC ID: 1850435678 Enrollment ID: I20100217000605 |
| Provider Name | Andrew C Pahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194807925 PECOS PAC ID: 5991849606 Enrollment ID: I20100218000753 |
| Provider Name | Kanwardeep Singh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1467439729 PECOS PAC ID: 3274560388 Enrollment ID: I20100222000494 |
| Provider Name | Jill M Patzner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629033618 PECOS PAC ID: 4183768401 Enrollment ID: I20100224000221 |
| Provider Name | Thomas P Bormes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639156995 PECOS PAC ID: 7113027285 Enrollment ID: I20100224000580 |
| Provider Name | Sarah Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861698037 PECOS PAC ID: 7517002728 Enrollment ID: I20100226000350 |
| Provider Name | Antonio C Caballero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245213941 PECOS PAC ID: 6507846508 Enrollment ID: I20100304000097 |
| Provider Name | Abdul J Tajik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164406450 PECOS PAC ID: 1557377983 Enrollment ID: I20100304000825 |
| Provider Name | Michael J Fehling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528173663 PECOS PAC ID: 1658416326 Enrollment ID: I20100305000113 |
| Provider Name | Alex C Canda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396894705 PECOS PAC ID: 0547305211 Enrollment ID: I20100305000135 |
| Provider Name | Linda J Barbian |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548336027 PECOS PAC ID: 9335284066 Enrollment ID: I20100305000724 |
| Provider Name | John N Korger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952315723 PECOS PAC ID: 8123092293 Enrollment ID: I20100306000177 |
| Provider Name | Jason W Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184724015 PECOS PAC ID: 9739224395 Enrollment ID: I20100306000334 |
| Provider Name | Karen A Hartje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679802144 PECOS PAC ID: 0143365551 Enrollment ID: I20100309000534 |
| Provider Name | Michael C Swanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386745545 PECOS PAC ID: 1052446010 Enrollment ID: I20100316000251 |
| Provider Name | Kelan A Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912986589 PECOS PAC ID: 2961493192 Enrollment ID: I20100319000484 |
| Provider Name | Melanie A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568579779 PECOS PAC ID: 2062547748 Enrollment ID: I20100319000497 |
| Provider Name | Jennifer L Hoyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114034733 PECOS PAC ID: 3375678915 Enrollment ID: I20100320000261 |
| Provider Name | Indira P Andhole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184632747 PECOS PAC ID: 8820123466 Enrollment ID: I20100320000271 |
| Provider Name | Louie Coulis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023070364 PECOS PAC ID: 6901707371 Enrollment ID: I20100322000894 |
| Provider Name | Douglas A Fehrman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083729149 PECOS PAC ID: 6800922188 Enrollment ID: I20100325000466 |
| Provider Name | David L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235246331 PECOS PAC ID: 1759375298 Enrollment ID: I20100326000694 |
| Provider Name | James M Santarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477660744 PECOS PAC ID: 7416083647 Enrollment ID: I20100326001007 |
| Provider Name | Nevin Uysal Biggs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649508177 PECOS PAC ID: 7911033576 Enrollment ID: I20100407000526 |
| Provider Name | Michael Roy Lunde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134177082 PECOS PAC ID: 4082741558 Enrollment ID: I20100415000414 |
| Provider Name | Daniel Nordin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710094172 PECOS PAC ID: 0345377297 Enrollment ID: I20100423000626 |
| Provider Name | Jesusa S Andres- Palines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043228612 PECOS PAC ID: 3476680331 Enrollment ID: I20100423000705 |
| Provider Name | Tracy Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588771794 PECOS PAC ID: 3779610639 Enrollment ID: I20100423000782 |
| Provider Name | Shardha Srinivasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205804010 PECOS PAC ID: 1850428657 Enrollment ID: I20100428000150 |
| Provider Name | Henry Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841244118 PECOS PAC ID: 5597892190 Enrollment ID: I20100429000565 |
| Provider Name | Lisa K Seefeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235246190 PECOS PAC ID: 9830226471 Enrollment ID: I20100429001025 |
| Provider Name | Karen N Layde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205007952 PECOS PAC ID: 9830226406 Enrollment ID: I20100430000158 |
| Provider Name | Lauren M Pawlowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194059485 PECOS PAC ID: 6608904206 Enrollment ID: I20100430000653 |
| Provider Name | Tri V Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417064866 PECOS PAC ID: 4082742416 Enrollment ID: I20100505001043 |
| Provider Name | Sarah Cs Kaldem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649508102 PECOS PAC ID: 7012045339 Enrollment ID: I20100506001016 |
| Provider Name | Kay M Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346564929 PECOS PAC ID: 9335277250 Enrollment ID: I20100513000088 |
| Provider Name | Roberta R Ashby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952480022 PECOS PAC ID: 4284762022 Enrollment ID: I20100514000384 |
| Provider Name | Roland I Moreno |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376650788 PECOS PAC ID: 7810026382 Enrollment ID: I20100520000835 |
| Provider Name | Alex Sassani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669504494 PECOS PAC ID: 1052412004 Enrollment ID: I20100521000101 |
| Provider Name | Vincent M Rizzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205943552 PECOS PAC ID: 5193854651 Enrollment ID: I20100521000876 |
| Provider Name | Gregory N Rocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538276886 PECOS PAC ID: 7911036348 Enrollment ID: I20100524000731 |
| Provider Name | George V Kuttickat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447367982 PECOS PAC ID: 0244369692 Enrollment ID: I20100524000922 |
| Provider Name | Paul V Tuttle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558485136 PECOS PAC ID: 5799814075 Enrollment ID: I20100525000530 |
| Provider Name | Allison E Soerens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275640484 PECOS PAC ID: 5092844324 Enrollment ID: I20100526000010 |
| Provider Name | Michael R Pierson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295723948 PECOS PAC ID: 7517994791 Enrollment ID: I20100527000563 |
| Provider Name | Noreen Ellen Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457371890 PECOS PAC ID: 6709915820 Enrollment ID: I20100528000329 |
| Provider Name | Drazen Zagorac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992882492 PECOS PAC ID: 5294864237 Enrollment ID: I20100601000050 |
| Provider Name | Michael S Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073620696 PECOS PAC ID: 3678602661 Enrollment ID: I20100601000554 |
| Provider Name | Nicholas Vonbergen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124229406 PECOS PAC ID: 6002986619 Enrollment ID: I20100603000634 |
| Provider Name | Ngozi Nduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902137201 PECOS PAC ID: 3476682246 Enrollment ID: I20100603000955 |
| Provider Name | Elise H Opel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861509242 PECOS PAC ID: 0244369015 Enrollment ID: I20100604000016 |
| Provider Name | Teresa H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700871209 PECOS PAC ID: 2163552902 Enrollment ID: I20100604000943 |
| Provider Name | John M Agaiby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235147877 PECOS PAC ID: 6709916588 Enrollment ID: I20100605000209 |
| Provider Name | Haley P Owen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093886145 PECOS PAC ID: 0840320529 Enrollment ID: I20100607000153 |
| Provider Name | Linda M Ahrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891796678 PECOS PAC ID: 1850421405 Enrollment ID: I20100609000242 |
| Provider Name | Richard W Theobald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952418063 PECOS PAC ID: 2860522422 Enrollment ID: I20100609000370 |
| Provider Name | Richard A Ellingstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467567578 PECOS PAC ID: 6204966864 Enrollment ID: I20100609000397 |
| Provider Name | Brian J Demaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043325293 PECOS PAC ID: 1355471822 Enrollment ID: I20100609000603 |
| Provider Name | Mary L Geralts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386759397 PECOS PAC ID: 9537299987 Enrollment ID: I20100610000581 |
| Provider Name | Ammar Alzoubi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598773152 PECOS PAC ID: 1153451505 Enrollment ID: I20100610000611 |
| Provider Name | Mark S Lang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952418402 PECOS PAC ID: 2668502931 Enrollment ID: I20100612000088 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Kristin K Cassidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366451411 PECOS PAC ID: 7810027752 Enrollment ID: I20100618000823 |
| Provider Name | Laura M Rosol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598872855 PECOS PAC ID: 0446380380 Enrollment ID: I20100618000842 |
| Provider Name | Lisa M Frisque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700066685 PECOS PAC ID: 5496886343 Enrollment ID: I20100622000192 |
| Provider Name | Charlene M Karls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013024546 PECOS PAC ID: 1850422650 Enrollment ID: I20100623000059 |
| Provider Name | Jon K Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639188782 PECOS PAC ID: 8224169933 Enrollment ID: I20100624000440 |
| Provider Name | James J Gatto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932214020 PECOS PAC ID: 3476684861 Enrollment ID: I20100629000408 |
| Provider Name | Mary Jo R Rolfes-lo |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1508839838 PECOS PAC ID: 1254462302 Enrollment ID: I20100706000548 |
| Provider Name | Kari A Schmidt Oliver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275506321 PECOS PAC ID: 2769513829 Enrollment ID: I20100706000619 |
| Provider Name | Paul C Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841235652 PECOS PAC ID: 4789766643 Enrollment ID: I20100708000468 |
| Provider Name | Sara E Northway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609995893 PECOS PAC ID: 1557493905 Enrollment ID: I20100720000724 |
| Provider Name | Peter A Garza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942228598 PECOS PAC ID: 2062309966 Enrollment ID: I20100721000908 |
| Provider Name | Patricia J Liethen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285741736 PECOS PAC ID: 7416089768 Enrollment ID: I20100721000986 |
| Provider Name | Anton V Strunets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952543597 PECOS PAC ID: 2365597226 Enrollment ID: I20100723000335 |
| Provider Name | Tresa A Teehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144337247 PECOS PAC ID: 7315079506 Enrollment ID: I20100723000534 |
| Provider Name | Donald R Sipes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225145428 PECOS PAC ID: 8628100815 Enrollment ID: I20100723000609 |
| Provider Name | Srivivasan G Varadarajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871544544 PECOS PAC ID: 2567595655 Enrollment ID: I20100726000662 |
| Provider Name | Mark A Philips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891934634 PECOS PAC ID: 8426109935 Enrollment ID: I20100728000592 |
| Provider Name | Kathryn E Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356669105 PECOS PAC ID: 0345373395 Enrollment ID: I20100728000747 |
| Provider Name | Brian P Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093955833 PECOS PAC ID: 4880751536 Enrollment ID: I20100729000813 |
| Provider Name | Amy J Schleunes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316054695 PECOS PAC ID: 0941333256 Enrollment ID: I20100805001025 |
| Provider Name | John J Meidl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063477941 PECOS PAC ID: 5799721981 Enrollment ID: I20100816000044 |
| Provider Name | Ritesh Panwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588826531 PECOS PAC ID: 5799819454 Enrollment ID: I20100817000438 |
| Provider Name | Gregory M Heideman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295820546 PECOS PAC ID: 6305970021 Enrollment ID: I20100817001190 |
| Provider Name | Kevin L Eggleston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003851825 PECOS PAC ID: 6507990132 Enrollment ID: I20100817001469 |
| Provider Name | Michele D Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205992237 PECOS PAC ID: 9335243690 Enrollment ID: I20100818000388 |
| Provider Name | Elwaleed Elnagar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972788388 PECOS PAC ID: 2567596182 Enrollment ID: I20100818001008 |
| Provider Name | Angela S Goetsch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962714311 PECOS PAC ID: 8325172729 Enrollment ID: I20100820000773 |
| Provider Name | Rajeev K Seth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881707073 PECOS PAC ID: 3072652239 Enrollment ID: I20100820001131 |
| Provider Name | Kenneth B De Santes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427027317 PECOS PAC ID: 3476677766 Enrollment ID: I20100823001033 |
| Provider Name | Paul J Warren |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487646477 PECOS PAC ID: 6507980885 Enrollment ID: I20100824000957 |
| Provider Name | David A Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740252972 PECOS PAC ID: 4082738364 Enrollment ID: I20100824001038 |
| Provider Name | Lisa L Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073841938 PECOS PAC ID: 3577687581 Enrollment ID: I20100827000387 |
| Provider Name | Ubaid Nawaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093987703 PECOS PAC ID: 7810011590 Enrollment ID: I20100901000905 |
| Provider Name | Luther Sigurdsson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508194457 PECOS PAC ID: 1355465899 Enrollment ID: I20100903000876 |
| Provider Name | David C Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871566349 PECOS PAC ID: 9638293012 Enrollment ID: I20100908000444 |
| Provider Name | Bradley R Ferguson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194862474 PECOS PAC ID: 7618028580 Enrollment ID: I20100910001061 |
| Provider Name | Mark T Weidemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194030981 PECOS PAC ID: 8426173501 Enrollment ID: I20100913000819 |
| Provider Name | Colleen Mary Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174507933 PECOS PAC ID: 4981799566 Enrollment ID: I20100914000903 |
| Provider Name | Aijaz Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861476624 PECOS PAC ID: 6103941075 Enrollment ID: I20100915000713 |
| Provider Name | Frederick A Heiden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982603957 PECOS PAC ID: 1153446760 Enrollment ID: I20100918000232 |
| Provider Name | Oludamilola A Salami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336347574 PECOS PAC ID: 9537284138 Enrollment ID: I20100920001102 |
| Provider Name | Ewelina I Jurczyk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649460908 PECOS PAC ID: 5991820458 Enrollment ID: I20100921000744 |
| Provider Name | Mark A Girzadas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992842272 PECOS PAC ID: 6103941687 Enrollment ID: I20100921000981 |
| Provider Name | Jeffrey A Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104891209 PECOS PAC ID: 8628194131 Enrollment ID: I20100921001440 |
| Provider Name | Jeffrey T V Kroeger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154651115 PECOS PAC ID: 6204952765 Enrollment ID: I20100922000493 |
| Provider Name | Jonathan G Tlachac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629204078 PECOS PAC ID: 2163575671 Enrollment ID: I20100927001005 |
| Provider Name | Julia C Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295976629 PECOS PAC ID: 9638295611 Enrollment ID: I20100928000094 |
| Provider Name | Man Dick Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114001922 PECOS PAC ID: 3870619869 Enrollment ID: I20100928000304 |
| Provider Name | Theodore J Gronski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659320059 PECOS PAC ID: 7012076227 Enrollment ID: I20100929001054 |
| Provider Name | Matas Morkevicius |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235312067 PECOS PAC ID: 9638361058 Enrollment ID: I20101004001181 |
| Provider Name | Susanne Peschl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326155714 PECOS PAC ID: 9335278381 Enrollment ID: I20101004001376 |
| Provider Name | Colleen M Koster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417279001 PECOS PAC ID: 8921290396 Enrollment ID: I20101005000304 |
| Provider Name | Dennis J Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013022037 PECOS PAC ID: 9931391083 Enrollment ID: I20101007000288 |
| Provider Name | Caroline Pace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467636464 PECOS PAC ID: 5092907063 Enrollment ID: I20101008000403 |
| Provider Name | William M Kraklow |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184616187 PECOS PAC ID: 8123210119 Enrollment ID: I20101008000605 |
| Provider Name | Amir Daniel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154313153 PECOS PAC ID: 5890987887 Enrollment ID: I20101008000670 |
| Provider Name | Joel W. Niebuhr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902015167 PECOS PAC ID: 3476745498 Enrollment ID: I20101008001019 |
| Provider Name | Amy L Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679649123 PECOS PAC ID: 9830381763 Enrollment ID: I20101008001297 |
| Provider Name | Vasundhara Ganne |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053303057 PECOS PAC ID: 1759384704 Enrollment ID: I20101008001305 |
| Provider Name | Farah Nosheen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497986608 PECOS PAC ID: 4587856497 Enrollment ID: I20101011000926 |
| Provider Name | John Revelis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437266780 PECOS PAC ID: 8921290792 Enrollment ID: I20101012000611 |
| Provider Name | Stephen J Krummel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285741728 PECOS PAC ID: 4284826058 Enrollment ID: I20101012000635 |
| Provider Name | Katherine C Cleveland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912916040 PECOS PAC ID: 1254523020 Enrollment ID: I20101012000655 |
| Provider Name | Terry L Spears Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437266640 PECOS PAC ID: 1052503828 Enrollment ID: I20101012000675 |
| Provider Name | Dwight L Dyksterhouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255446423 PECOS PAC ID: 4688866452 Enrollment ID: I20101012000692 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Kevin J Kass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740397272 PECOS PAC ID: 7911199526 Enrollment ID: I20101013001261 |
| Provider Name | Vipul Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831274109 PECOS PAC ID: 5496809279 Enrollment ID: I20101014000386 |
| Provider Name | Costa Hanna Sousou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225032857 PECOS PAC ID: 0244261592 Enrollment ID: I20101018000273 |
| Provider Name | Joel D Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285896753 PECOS PAC ID: 5597958942 Enrollment ID: I20101019000335 |
| Provider Name | Brenda L Edmunds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639482805 PECOS PAC ID: 2668665977 Enrollment ID: I20101019001179 |
| Provider Name | Lisa A Held |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457665861 PECOS PAC ID: 7618160920 Enrollment ID: I20101019001238 |
| Provider Name | Scott F Kenitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871516310 PECOS PAC ID: 4486760394 Enrollment ID: I20101019001438 |
| Provider Name | Courtney B Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376866285 PECOS PAC ID: 4183817240 Enrollment ID: I20101021000148 |
| Provider Name | Andrew E Nicoli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124280052 PECOS PAC ID: 6406049402 Enrollment ID: I20101022000580 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | Elaine D Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639329915 PECOS PAC ID: 6305039223 Enrollment ID: I20101022000968 |
| Provider Name | Katie M Teichmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871802025 PECOS PAC ID: 3274726104 Enrollment ID: I20101022001014 |
| Provider Name | Steven J Hunter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477660991 PECOS PAC ID: 7810180718 Enrollment ID: I20101025000193 |
| Provider Name | Anthony J Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417064742 PECOS PAC ID: 4486848017 Enrollment ID: I20101027001542 |
| Provider Name | Kerry A Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394372 PECOS PAC ID: 9436343860 Enrollment ID: I20101029001202 |
| Provider Name | Ahmad S Khraisat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750375143 PECOS PAC ID: 4587613682 Enrollment ID: I20101029001309 |
| Provider Name | Gwendolyn A Tanel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821160763 PECOS PAC ID: 1759467715 Enrollment ID: I20101030000134 |
| Provider Name | Stephen F Sehring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578670865 PECOS PAC ID: 8325232622 Enrollment ID: I20101101000522 |
| Provider Name | Jeanne M Valicenti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063529188 PECOS PAC ID: 0042404345 Enrollment ID: I20101101000543 |
| Provider Name | Richard Kowalczyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548466675 PECOS PAC ID: 8325232663 Enrollment ID: I20101101000991 |
| Provider Name | Binoy Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295805174 PECOS PAC ID: 5799793212 Enrollment ID: I20101101001589 |
| Provider Name | Thomas J Saphner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700970894 PECOS PAC ID: 1658384375 Enrollment ID: I20101102001447 |
| Provider Name | Matthew W Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881685808 PECOS PAC ID: 4789658626 Enrollment ID: I20101103001152 |
| Provider Name | Peter F Leonovicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972594976 PECOS PAC ID: 3870787880 Enrollment ID: I20101103001347 |
| Provider Name | Bryan J Laundre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578543401 PECOS PAC ID: 4082646393 Enrollment ID: I20101104001663 |
| Provider Name | Darryl Prince |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851300362 PECOS PAC ID: 2567437049 Enrollment ID: I20101105001283 |
| Provider Name | Lynn Margaret Bartl |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871502476 PECOS PAC ID: 0749255222 Enrollment ID: I20101105001292 |
| Provider Name | Jason M Tomasello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083879480 PECOS PAC ID: 8921293762 Enrollment ID: I20101105001299 |
| Provider Name | Leandro A Espinosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124144217 PECOS PAC ID: 5890849558 Enrollment ID: I20101108000647 |
| Provider Name | David E Tompa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790872232 PECOS PAC ID: 5395930036 Enrollment ID: I20101108001286 |
| Provider Name | Amy J Hanna Salami |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1619177870 PECOS PAC ID: 4981758935 Enrollment ID: I20101109000052 |
| Provider Name | Cory J Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902066780 PECOS PAC ID: 3375738784 Enrollment ID: I20101111000350 |
| Provider Name | Kim H Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420620 PECOS PAC ID: 7315132560 Enrollment ID: I20101112000783 |
| Provider Name | Christopher J Tocco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881622454 PECOS PAC ID: 5698960854 Enrollment ID: I20101112000914 |
| Provider Name | Beth G Keefe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013980234 PECOS PAC ID: 3476748641 Enrollment ID: I20101112000973 |
| Provider Name | Stephen H Laskiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477792406 PECOS PAC ID: 0143374546 Enrollment ID: I20101115001223 |
| Provider Name | Mihail A Andreev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053592857 PECOS PAC ID: 1355536285 Enrollment ID: I20101117000449 |
| Provider Name | Christopher J Lundh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831219914 PECOS PAC ID: 4385839240 Enrollment ID: I20101117000828 |
| Provider Name | Donna R Daufenbach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467567602 PECOS PAC ID: 6608061593 Enrollment ID: I20101117001184 |
| Provider Name | Vani Ray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134236474 PECOS PAC ID: 9436345212 Enrollment ID: I20101118000834 |
| Provider Name | Veena V Gonuguntla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598959967 PECOS PAC ID: 2062608839 Enrollment ID: I20101119000434 |
| Provider Name | Naohide Arakaki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457669582 PECOS PAC ID: 7012103732 Enrollment ID: I20101119001179 |
| Provider Name | Nicholas P Webber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720146640 PECOS PAC ID: 4688710874 Enrollment ID: I20101123000728 |
| Provider Name | Brian Buggy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578549713 PECOS PAC ID: 9436195625 Enrollment ID: I20101123000749 |
| Provider Name | Antony V George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235377391 PECOS PAC ID: 0042340572 Enrollment ID: I20101124000846 |
| Provider Name | Michael S Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982711412 PECOS PAC ID: 0840486114 Enrollment ID: I20101129000514 |
| Provider Name | Donald F Van Beek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649263989 PECOS PAC ID: 9133159551 Enrollment ID: I20101129000527 |
| Provider Name | Stephen Peter Feuerbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386608677 PECOS PAC ID: 7517919343 Enrollment ID: I20101129000562 |
| Provider Name | Oksana I Strunets |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104061563 PECOS PAC ID: 7810183068 Enrollment ID: I20101130000502 |
| Provider Name | Daniel P Wiske |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1285808337 PECOS PAC ID: 2466648639 Enrollment ID: I20101130000758 |
| Provider Name | Kathleen E Omara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437362035 PECOS PAC ID: 5698826170 Enrollment ID: I20101201000144 |
| Provider Name | Louis S Seno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376650564 PECOS PAC ID: 0345150405 Enrollment ID: I20101202001274 |
| Provider Name | Mary K Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346357761 PECOS PAC ID: 3870780893 Enrollment ID: I20101202001290 |
| Provider Name | Sarah J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528377868 PECOS PAC ID: 0749477727 Enrollment ID: I20101203000679 |
| Provider Name | James V Pavlich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659548089 PECOS PAC ID: 1658568555 Enrollment ID: I20101203001052 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20101208000240 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922200443 PECOS PAC ID: 1557558160 Enrollment ID: I20101208001066 |
| Provider Name | Saira M A Khan |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1780892927 PECOS PAC ID: 6406043892 Enrollment ID: I20101210000692 |
| Provider Name | Frank M Baur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700895406 PECOS PAC ID: 4385831429 Enrollment ID: I20101215000237 |
| Provider Name | Caryl Ann Dellinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588833925 PECOS PAC ID: 5395802078 Enrollment ID: I20101217000564 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20101217000896 |
| Provider Name | Rebekah R Schroeder |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1265549554 PECOS PAC ID: 8921296716 Enrollment ID: I20101221000254 |
| Provider Name | Wendi A Quentin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083749147 PECOS PAC ID: 4789872573 Enrollment ID: I20101221000316 |
| Provider Name | Christian J Camus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700895836 PECOS PAC ID: 0446448161 Enrollment ID: I20101222000617 |
| Provider Name | Russell G Temme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780791889 PECOS PAC ID: 2365630902 Enrollment ID: I20101222000996 |
| Provider Name | James S Hoell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417064031 PECOS PAC ID: 2163610726 Enrollment ID: I20101223000080 |
| Provider Name | James J Gibson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639284649 PECOS PAC ID: 1557445301 Enrollment ID: I20101223000191 |
| Provider Name | Cynthia L Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548259658 PECOS PAC ID: 5991993461 Enrollment ID: I20101228000349 |
| Provider Name | Loren M Potter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942400544 PECOS PAC ID: 0244428621 Enrollment ID: I20101229000789 |
| Provider Name | Arif G Jaka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619986916 PECOS PAC ID: 5193732501 Enrollment ID: I20101230000326 |
| Provider Name | Camille J Zizzo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619084522 PECOS PAC ID: 4385832625 Enrollment ID: I20101230000415 |
| Provider Name | David M Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669502050 PECOS PAC ID: 4082803143 Enrollment ID: I20110105001164 |
| Provider Name | Linda G Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609983667 PECOS PAC ID: 7810186855 Enrollment ID: I20110106000833 |
| Provider Name | Mary F Schroeder Capelli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346357639 PECOS PAC ID: 5496944209 Enrollment ID: I20110110000733 |
| Provider Name | Diana A David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649386574 PECOS PAC ID: 6800085630 Enrollment ID: I20110111000118 |
| Provider Name | Debora E Bensi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558542332 PECOS PAC ID: 6507055183 Enrollment ID: I20110113000136 |
| Provider Name | Kiz W Robertson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417097320 PECOS PAC ID: 0648469247 Enrollment ID: I20110113000320 |
| Provider Name | Michael G Manske |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396775466 PECOS PAC ID: 0840284915 Enrollment ID: I20110121000061 |
| Provider Name | Rakesh J Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508878422 PECOS PAC ID: 9931208006 Enrollment ID: I20110121000918 |
| Provider Name | Dena M Mayer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588794895 PECOS PAC ID: 3779762745 Enrollment ID: I20110122000023 |
| Provider Name | Rommel O Bote |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841280948 PECOS PAC ID: 2264427061 Enrollment ID: I20110124001029 |
| Provider Name | Jill K Wanggaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396734034 PECOS PAC ID: 8022297985 Enrollment ID: I20110124001179 |
| Provider Name | Clement M Grum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205810405 PECOS PAC ID: 1355374166 Enrollment ID: I20110126000816 |
| Provider Name | Robert G Zick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376586834 PECOS PAC ID: 3870593460 Enrollment ID: I20110127001097 |
| Provider Name | Amy S Karakas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336469378 PECOS PAC ID: 9234318742 Enrollment ID: I20110128000574 |
| Provider Name | Megan N Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598909244 PECOS PAC ID: 1850570367 Enrollment ID: I20110128000601 |
| Provider Name | Heather K Green |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760637045 PECOS PAC ID: 7113106634 Enrollment ID: I20110128000747 |
| Provider Name | Brian A Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033425392 PECOS PAC ID: 0042499584 Enrollment ID: I20110128000985 |
| Provider Name | Sarah S Silver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396736740 PECOS PAC ID: 5395924799 Enrollment ID: I20110131000665 |
| Provider Name | William H Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023094356 PECOS PAC ID: 5294768008 Enrollment ID: I20110131000675 |
| Provider Name | Paul O Odusanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720395411 PECOS PAC ID: 6608056064 Enrollment ID: I20110202000708 |
| Provider Name | Daniel Thomas Minkel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497739841 PECOS PAC ID: 6002849817 Enrollment ID: I20110203000145 |
| Provider Name | Meenakshi S Bhillakar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922245356 PECOS PAC ID: 6901086974 Enrollment ID: I20110208000581 |
| Provider Name | Leon Besthoff Rosen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477661437 PECOS PAC ID: 5799758603 Enrollment ID: I20110208000976 |
| Provider Name | Michele M Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013024496 PECOS PAC ID: 3476733205 Enrollment ID: I20110210000512 |
| Provider Name | Richard A Paulsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588735435 PECOS PAC ID: 7113107871 Enrollment ID: I20110211000874 |
| Provider Name | Amit G Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699952861 PECOS PAC ID: 9931389608 Enrollment ID: I20110211000989 |
| Provider Name | Palaniandy Sekaran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407830664 PECOS PAC ID: 2365622933 Enrollment ID: I20110215000076 |
| Provider Name | Carol F Polinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497901359 PECOS PAC ID: 5193880086 Enrollment ID: I20110215000531 |
| Provider Name | Laura C Whisler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376550707 PECOS PAC ID: 4183804610 Enrollment ID: I20110215000837 |
| Provider Name | Sara R Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174833883 PECOS PAC ID: 6103007653 Enrollment ID: I20110216001163 |
| Provider Name | Jessica L Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245489145 PECOS PAC ID: 7214095173 Enrollment ID: I20110217000209 |
| Provider Name | Jennifer L Mcdole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417267758 PECOS PAC ID: 4789865197 Enrollment ID: I20110217000832 |
| Provider Name | Sharon A Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073778502 PECOS PAC ID: 7911188180 Enrollment ID: I20110221000913 |
| Provider Name | Steven Weiner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386629525 PECOS PAC ID: 9638205610 Enrollment ID: I20110222000252 |
| Provider Name | Susan M Stickney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619085453 PECOS PAC ID: 8921289000 Enrollment ID: I20110222001074 |
| Provider Name | Dmitry K Pasikhov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780791012 PECOS PAC ID: 2062693021 Enrollment ID: I20110223000916 |
| Provider Name | Rachel A Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720380942 PECOS PAC ID: 2860673464 Enrollment ID: I20110301000856 |
| Provider Name | Holly A Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952635864 PECOS PAC ID: 2769664366 Enrollment ID: I20110302000997 |
| Provider Name | Amber G Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386944122 PECOS PAC ID: 1557543154 Enrollment ID: I20110302001028 |
| Provider Name | Brian F Ceranski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215038559 PECOS PAC ID: 1658553201 Enrollment ID: I20110303000461 |
| Provider Name | Tina L Videtic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396930707 PECOS PAC ID: 3375725856 Enrollment ID: I20110303000961 |
| Provider Name | Jennifer L Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346552007 PECOS PAC ID: 4082896543 Enrollment ID: I20110304000872 |
| Provider Name | Shmuel Mandelbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942221601 PECOS PAC ID: 2062542111 Enrollment ID: I20110307001012 |
| Provider Name | Kimberly A Spitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881998565 PECOS PAC ID: 4587846704 Enrollment ID: I20110309000797 |
| Provider Name | Amit Jhaveri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326007949 PECOS PAC ID: 5890756340 Enrollment ID: I20110310000773 |
| Provider Name | Sarah Reck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528218203 PECOS PAC ID: 1557485067 Enrollment ID: I20110311000281 |
| Provider Name | Samer Shuaib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720294440 PECOS PAC ID: 3971785965 Enrollment ID: I20110311000819 |
| Provider Name | Gina M Rehkemper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326119926 PECOS PAC ID: 4082896915 Enrollment ID: I20110314000340 |
| Provider Name | Pablo E Holguin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841505336 PECOS PAC ID: 9830371699 Enrollment ID: I20110315000862 |
| Provider Name | Heidi E Eckelberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427367184 PECOS PAC ID: 2163604927 Enrollment ID: I20110315000919 |
| Provider Name | Rose H Fjeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013219757 PECOS PAC ID: 8022290782 Enrollment ID: I20110316000987 |
| Provider Name | Mohammed H Mohammed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922246164 PECOS PAC ID: 2961552823 Enrollment ID: I20110318000426 |
| Provider Name | Catherine M De Grandville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023299765 PECOS PAC ID: 8527241033 Enrollment ID: I20110321001053 |
| Provider Name | Tedd P Cain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750358115 PECOS PAC ID: 9931382397 Enrollment ID: I20110322000623 |
| Provider Name | Melissa Das-gordziej |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639488794 PECOS PAC ID: 9335322718 Enrollment ID: I20110322000838 |
| Provider Name | Mihirkumar G Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437364676 PECOS PAC ID: 1355524638 Enrollment ID: I20110323000933 |
| Provider Name | Anne Therese Lehman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598703472 PECOS PAC ID: 0446433460 Enrollment ID: I20110328000791 |
| Provider Name | Amy L Galati |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063660751 PECOS PAC ID: 6709073885 Enrollment ID: I20110329000696 |
| Provider Name | Richard E Galgon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972583896 PECOS PAC ID: 9537342407 Enrollment ID: I20110330000791 |
| Provider Name | Kelly M Quandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538462650 PECOS PAC ID: 8022292754 Enrollment ID: I20110405000229 |
| Provider Name | Charles I Ojielo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366462111 PECOS PAC ID: 6305731720 Enrollment ID: I20110411000046 |
| Provider Name | Joshua Dpt Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477859320 PECOS PAC ID: 7911181268 Enrollment ID: I20110411000512 |
| Provider Name | Karie L Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346548328 PECOS PAC ID: 2264616408 Enrollment ID: I20110412000661 |
| Provider Name | Julie A Offutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225288509 PECOS PAC ID: 9830373083 Enrollment ID: I20110412000891 |
| Provider Name | Pradeep G Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164463261 PECOS PAC ID: 9931383874 Enrollment ID: I20110418000489 |
| Provider Name | Debora J Sportiello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588719660 PECOS PAC ID: 3476738311 Enrollment ID: I20110419000818 |
| Provider Name | Douglas Lee Carlson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336294438 PECOS PAC ID: 1456536390 Enrollment ID: I20110419000836 |
| Provider Name | Philip M Detrana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013992643 PECOS PAC ID: 0547348898 Enrollment ID: I20110419000886 |
| Provider Name | Rosanne M Champagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245536077 PECOS PAC ID: 6608051453 Enrollment ID: I20110421000418 |
| Provider Name | Lori L Mcallister |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1316148273 PECOS PAC ID: 2163607920 Enrollment ID: I20110421000538 |
| Provider Name | Linda E Culhane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780774018 PECOS PAC ID: 0648455345 Enrollment ID: I20110422000114 |
| Provider Name | Dana M Beyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255664447 PECOS PAC ID: 8527243252 Enrollment ID: I20110425000097 |
| Provider Name | Lauren Geigel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508008616 PECOS PAC ID: 7416133426 Enrollment ID: I20110509000447 |
| Provider Name | Shilpa A Bamrolia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306042999 PECOS PAC ID: 8729172333 Enrollment ID: I20110511000250 |
| Provider Name | Ann E Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215236278 PECOS PAC ID: 2264618131 Enrollment ID: I20110511000437 |
| Provider Name | Heather L Sielaff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295907418 PECOS PAC ID: 0648456822 Enrollment ID: I20110524000561 |
| Provider Name | Sarah B Kuranz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922066950 PECOS PAC ID: 5890972921 Enrollment ID: I20110526000796 |
| Provider Name | Navid A Majid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225327828 PECOS PAC ID: 9931386406 Enrollment ID: I20110609000346 |
| Provider Name | James Samuel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104949635 PECOS PAC ID: 5395931679 Enrollment ID: I20110613000846 |
| Provider Name | Mouyyad W Rahaby |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528207537 PECOS PAC ID: 0244413144 Enrollment ID: I20110615000155 |
| Provider Name | Matthew A Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275628935 PECOS PAC ID: 8820275043 Enrollment ID: I20110615000314 |
| Provider Name | Scott D Caldwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477511905 PECOS PAC ID: 8123048857 Enrollment ID: I20110615000486 |
| Provider Name | Kathleen E Marquart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851563837 PECOS PAC ID: 8123206208 Enrollment ID: I20110620000126 |
| Provider Name | Min K Koo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538374566 PECOS PAC ID: 2365620424 Enrollment ID: I20110621000349 |
| Provider Name | Nikhath Irfana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578793949 PECOS PAC ID: 0042498115 Enrollment ID: I20110621000430 |
| Provider Name | Katherine Ann Hallenbeck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427237403 PECOS PAC ID: 3779616784 Enrollment ID: I20110621000503 |
| Provider Name | John A Bennett |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144483439 PECOS PAC ID: 7113105115 Enrollment ID: I20110622000160 |
| Provider Name | Jessica L Tommerup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114225067 PECOS PAC ID: 7113105925 Enrollment ID: I20110627000451 |
| Provider Name | Brian M Ames |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730353517 PECOS PAC ID: 8628256179 Enrollment ID: I20110701000340 |
| Provider Name | Molly M Spaulding |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629360839 PECOS PAC ID: 1850579269 Enrollment ID: I20110706000309 |
| Provider Name | Melissa Villanueva Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114175619 PECOS PAC ID: 0345428660 Enrollment ID: I20110708000412 |
| Provider Name | Babak Haddadian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801070487 PECOS PAC ID: 3971771148 Enrollment ID: I20110714000650 |
| Provider Name | Robert N Fish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942292610 PECOS PAC ID: 9537290317 Enrollment ID: I20110715000212 |
| Provider Name | Shamsuddin Virani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821209768 PECOS PAC ID: 6103094164 Enrollment ID: I20110718000381 |
| Provider Name | Diane M Gerlach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689789687 PECOS PAC ID: 0547438525 Enrollment ID: I20110718000537 |
| Provider Name | Teri L Kaczmarek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326330291 PECOS PAC ID: 9234307216 Enrollment ID: I20110718000578 |
| Provider Name | Joseph T Weber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881870277 PECOS PAC ID: 3870761729 Enrollment ID: I20110719000708 |
| Provider Name | Tracey L Dovi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417120825 PECOS PAC ID: 8224117460 Enrollment ID: I20110720000109 |
| Provider Name | Jesika M Weigel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497987010 PECOS PAC ID: 2567630221 Enrollment ID: I20110722000664 |
| Provider Name | Vera V Martonito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265697569 PECOS PAC ID: 7214105824 Enrollment ID: I20110727000067 |
| Provider Name | Laurel R Marek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013206663 PECOS PAC ID: 2062680515 Enrollment ID: I20110727000650 |
| Provider Name | Jaclyn M Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114215258 PECOS PAC ID: 8921276346 Enrollment ID: I20110729000166 |
| Provider Name | Melissa L Jilot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043509284 PECOS PAC ID: 8527243823 Enrollment ID: I20110729000596 |
| Provider Name | Jennifer J Friday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568750834 PECOS PAC ID: 0941478317 Enrollment ID: I20110729000631 |
| Provider Name | Hani A Hashim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922266394 PECOS PAC ID: 5698944924 Enrollment ID: I20110803000259 |
| Provider Name | Paul J Luikart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659573269 PECOS PAC ID: 1254499056 Enrollment ID: I20110808000510 |
| Provider Name | Andrew R Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801069091 PECOS PAC ID: 8921277971 Enrollment ID: I20110808000546 |
| Provider Name | Kelly K Malloy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578787073 PECOS PAC ID: 5991974958 Enrollment ID: I20110808000585 |
| Provider Name | Kavita Sharma |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033210968 PECOS PAC ID: 5597889998 Enrollment ID: I20110808000664 |
| Provider Name | Tracy L Capes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740448828 PECOS PAC ID: 2769663657 Enrollment ID: I20110809000685 |
| Provider Name | Cari L Duffy-sebero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417241803 PECOS PAC ID: 2466621354 Enrollment ID: I20110810000415 |
| Provider Name | Paragkumar Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801055868 PECOS PAC ID: 8123297033 Enrollment ID: I20110810000623 |
| Provider Name | Donna M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467740126 PECOS PAC ID: 3779752563 Enrollment ID: I20110811000858 |
| Provider Name | Jessica Chapin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477747103 PECOS PAC ID: 6103911417 Enrollment ID: I20110812000475 |
| Provider Name | Michael F Iossi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164556684 PECOS PAC ID: 7012041338 Enrollment ID: I20110812000505 |
| Provider Name | Jacqueline C Southard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962795021 PECOS PAC ID: 3072782739 Enrollment ID: I20110815000259 |
| Provider Name | Catherine I Kuo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396917035 PECOS PAC ID: 8325217094 Enrollment ID: I20110815000400 |
| Provider Name | Erik E Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770531279 PECOS PAC ID: 6406025196 Enrollment ID: I20110815000567 |
| Provider Name | Amy K Dankwardt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992810170 PECOS PAC ID: 7416126123 Enrollment ID: I20110815000820 |
| Provider Name | Rebecca L Lescher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023270899 PECOS PAC ID: 5092984518 Enrollment ID: I20110817000560 |
| Provider Name | Laurie L Muller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962496869 PECOS PAC ID: 8325218613 Enrollment ID: I20110824000085 |
| Provider Name | Scott J Schutten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699079343 PECOS PAC ID: 7517137839 Enrollment ID: I20110824000459 |
| Provider Name | Rebecca S Severe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124004445 PECOS PAC ID: 3678597473 Enrollment ID: I20110826000624 |
| Provider Name | Mathew Pothen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255505434 PECOS PAC ID: 9335319136 Enrollment ID: I20110906000338 |
| Provider Name | Nadia S Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598924839 PECOS PAC ID: 5193996783 Enrollment ID: I20110912000032 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Shaheera Kader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467622787 PECOS PAC ID: 5890966428 Enrollment ID: I20110912000502 |
| Provider Name | Mollie C May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508096819 PECOS PAC ID: 9032380530 Enrollment ID: I20110913000690 |
| Provider Name | Hanna M Cusey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487812913 PECOS PAC ID: 0345411716 Enrollment ID: I20110914000628 |
| Provider Name | Chad G Vanden Heuvel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467436444 PECOS PAC ID: 0446421820 Enrollment ID: I20110914000741 |
| Provider Name | John Bosco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164441556 PECOS PAC ID: 3577505502 Enrollment ID: I20110914000807 |
| Provider Name | Stefanie M Hernet |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205115920 PECOS PAC ID: 5799956124 Enrollment ID: I20110915000523 |
| Provider Name | Farzan Mahmood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841484961 PECOS PAC ID: 3971675166 Enrollment ID: I20110921000241 |
| Provider Name | Diana L Rawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033497953 PECOS PAC ID: 3870764848 Enrollment ID: I20110922000778 |
| Provider Name | Candena L Allenbrand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285626846 PECOS PAC ID: 9638340342 Enrollment ID: I20110928000584 |
| Provider Name | Jenna R Buckley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811278070 PECOS PAC ID: 4587835202 Enrollment ID: I20110928000768 |
| Provider Name | Kenneth G Gilbertson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811150923 PECOS PAC ID: 2466624960 Enrollment ID: I20111005000379 |
| Provider Name | Mark Riedy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780681445 PECOS PAC ID: 7012928773 Enrollment ID: I20111012000769 |
| Provider Name | Andrew Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982742847 PECOS PAC ID: 4981646759 Enrollment ID: I20111013000332 |
| Provider Name | Tonga K Nfor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821277724 PECOS PAC ID: 0547432627 Enrollment ID: I20111014000085 |
| Provider Name | Heather L Harren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730334962 PECOS PAC ID: 8921156258 Enrollment ID: I20111020000315 |
| Provider Name | Jorge L Alarcon Mangini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689981508 PECOS PAC ID: 7618149469 Enrollment ID: I20111020000503 |
| Provider Name | Argyro Sylvia Hatseras |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194791871 PECOS PAC ID: 1850315045 Enrollment ID: I20111021000497 |
| Provider Name | Leah M Borchardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467735944 PECOS PAC ID: 9739352469 Enrollment ID: I20111025000647 |
| Provider Name | Heidi L Handrich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528216124 PECOS PAC ID: 3274706908 Enrollment ID: I20111025000669 |
| Provider Name | Nina R Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780965418 PECOS PAC ID: 5890968564 Enrollment ID: I20111026000202 |
| Provider Name | Emmaleigh Madeline Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487812889 PECOS PAC ID: 9537203302 Enrollment ID: I20111026000335 |
| Provider Name | Robert C Zilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336436484 PECOS PAC ID: 1355514886 Enrollment ID: I20111028000512 |
| Provider Name | Maryanne M Scherer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508145210 PECOS PAC ID: 4688847031 Enrollment ID: I20111031000090 |
| Provider Name | Kara K Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326294711 PECOS PAC ID: 2769655083 Enrollment ID: I20111102000518 |
| Provider Name | Melissa A Kersten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316228620 PECOS PAC ID: 7719150689 Enrollment ID: I20111109000785 |
| Provider Name | David Kramer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336136225 PECOS PAC ID: 2163567587 Enrollment ID: I20111110000161 |
| Provider Name | Dinshah D Gagrat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194740068 PECOS PAC ID: 4385679281 Enrollment ID: I20111110000180 |
| Provider Name | Jayzon P Martonito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306099676 PECOS PAC ID: 9032383922 Enrollment ID: I20111110000219 |
| Provider Name | Jennifer A Hoenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639452386 PECOS PAC ID: 7517131253 Enrollment ID: I20111115000842 |
| Provider Name | Shelli A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952699217 PECOS PAC ID: 6002080553 Enrollment ID: I20111117000647 |
| Provider Name | Pradeep Reddy Tatagari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467614610 PECOS PAC ID: 5991987505 Enrollment ID: I20111123000054 |
| Provider Name | Anatoliy Daskal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295782688 PECOS PAC ID: 3072787159 Enrollment ID: I20111130000215 |
| Provider Name | Michael Peter Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477543544 PECOS PAC ID: 0840465662 Enrollment ID: I20111206000734 |
| Provider Name | Kelly S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023395118 PECOS PAC ID: 1052587763 Enrollment ID: I20111230000325 |
| Provider Name | David M Wehby |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1689817959 PECOS PAC ID: 4082880406 Enrollment ID: I20120105000441 |
| Provider Name | Rachael L Zastrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982907077 PECOS PAC ID: 1850568429 Enrollment ID: I20120123000413 |
| Provider Name | Nicole E Camosy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679840466 PECOS PAC ID: 5799952156 Enrollment ID: I20120125000838 |
| Provider Name | Jennifer L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659406569 PECOS PAC ID: 9638336613 Enrollment ID: I20120202000227 |
| Provider Name | Victor Olavarria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891072005 PECOS PAC ID: 3678730439 Enrollment ID: I20120206000731 |
| Provider Name | Warren Richard Entwistle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225004310 PECOS PAC ID: 2961421797 Enrollment ID: I20120209000237 |
| Provider Name | Jennifer L Donath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134406390 PECOS PAC ID: 2769649367 Enrollment ID: I20120209000620 |
| Provider Name | Jane M Sebzda |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578501730 PECOS PAC ID: 0840458386 Enrollment ID: I20120229000808 |
| Provider Name | Anna F Berg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598083057 PECOS PAC ID: 0446419717 Enrollment ID: I20120306000167 |
| Provider Name | Amber N Petersen-kuemmel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598042285 PECOS PAC ID: 8729247861 Enrollment ID: I20120309000372 |
| Provider Name | Kristen M Jerabek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316239254 PECOS PAC ID: 9234398850 Enrollment ID: I20120316000410 |
| Provider Name | Joseph H Mehring |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104198605 PECOS PAC ID: 5294995700 Enrollment ID: I20120320000921 |
| Provider Name | Lauren K Konkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932489168 PECOS PAC ID: 0840450375 Enrollment ID: I20120321000068 |
| Provider Name | Timothy Oneal Broaddrick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417038316 PECOS PAC ID: 7810157500 Enrollment ID: I20120404001007 |
| Provider Name | Valerie M Albers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396015830 PECOS PAC ID: 4385805993 Enrollment ID: I20120409000033 |
| Provider Name | Edward V Braun |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194856070 PECOS PAC ID: 8022279132 Enrollment ID: I20120417000817 |
| Provider Name | Kyle J Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891012449 PECOS PAC ID: 1951562917 Enrollment ID: I20120418000571 |
| Provider Name | Amanda M Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295008399 PECOS PAC ID: 0648431528 Enrollment ID: I20120420000153 |
| Provider Name | Pamela S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336412980 PECOS PAC ID: 4082875836 Enrollment ID: I20120423000247 |
| Provider Name | Kelly A Kastein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043485444 PECOS PAC ID: 4981773173 Enrollment ID: I20120424000237 |
| Provider Name | Laura E Dauenhauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558576215 PECOS PAC ID: 0547422263 Enrollment ID: I20120425000583 |
| Provider Name | Lisa K Muchard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588837207 PECOS PAC ID: 1557523776 Enrollment ID: I20120507000008 |
| Provider Name | Anthony V Teresinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851657738 PECOS PAC ID: 0941462998 Enrollment ID: I20120509000025 |
| Provider Name | Aubrey J Hoye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396977278 PECOS PAC ID: 6305005059 Enrollment ID: I20120509000079 |
| Provider Name | Sarah R Hizon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568735819 PECOS PAC ID: 6901069566 Enrollment ID: I20120517000323 |
| Provider Name | Jessica A Dekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699044156 PECOS PAC ID: 5698938140 Enrollment ID: I20120518000548 |
| Provider Name | Mohammed A Qadeer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477750271 PECOS PAC ID: 1951205731 Enrollment ID: I20120525000242 |
| Provider Name | Lynne M Nevershoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417234428 PECOS PAC ID: 0941463004 Enrollment ID: I20120530000080 |
| Provider Name | Kira R Grebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831467232 PECOS PAC ID: 1658534672 Enrollment ID: I20120531000240 |
| Provider Name | Rebecca L Zimmermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669788477 PECOS PAC ID: 0345404109 Enrollment ID: I20120607000595 |
| Provider Name | Mae R Mcewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093071649 PECOS PAC ID: 7315101516 Enrollment ID: I20120620000391 |
| Provider Name | Brett R St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205192200 PECOS PAC ID: 3274797345 Enrollment ID: I20120621000391 |
| Provider Name | Heidi L Ludtke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275767279 PECOS PAC ID: 2264697374 Enrollment ID: I20120622000123 |
| Provider Name | Michael S Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588754667 PECOS PAC ID: 3779474440 Enrollment ID: I20120628000476 |
| Provider Name | Hardik C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376812941 PECOS PAC ID: 7113182908 Enrollment ID: I20120628000547 |
| Provider Name | Meghan L Luh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780819326 PECOS PAC ID: 0143485896 Enrollment ID: I20120629000499 |
| Provider Name | Kathryn Sullivan Dillie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548426141 PECOS PAC ID: 6507021151 Enrollment ID: I20120703000662 |
| Provider Name | Valentine Niderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194099721 PECOS PAC ID: 3577728989 Enrollment ID: I20120711000033 |
| Provider Name | Mervin J Langley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932317831 PECOS PAC ID: 6709041908 Enrollment ID: I20120712000516 |
| Provider Name | Erich N Mussak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639343148 PECOS PAC ID: 2264698471 Enrollment ID: I20120716000262 |
| Provider Name | Joshua R Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962477075 PECOS PAC ID: 7012173230 Enrollment ID: I20120716000348 |
| Provider Name | Sharon A Bardele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467592808 PECOS PAC ID: 2264698299 Enrollment ID: I20120719000352 |
| Provider Name | Wilhelm Lehmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497789838 PECOS PAC ID: 0042284366 Enrollment ID: I20120723000356 |
| Provider Name | Kimberly J Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598907685 PECOS PAC ID: 6709042583 Enrollment ID: I20120723000841 |
| Provider Name | Fadi Amin Hussein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902004096 PECOS PAC ID: 1557533320 Enrollment ID: I20120725000136 |
| Provider Name | Enisa Hodzic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285869560 PECOS PAC ID: 8527224153 Enrollment ID: I20120725000541 |
| Provider Name | Jayna K Griesbach |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336403625 PECOS PAC ID: 7416113063 Enrollment ID: I20120725000848 |
| Provider Name | Elmer L Linboom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487882320 PECOS PAC ID: 8820254337 Enrollment ID: I20120727000790 |
| Provider Name | Aaron L Staley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093073736 PECOS PAC ID: 2668638941 Enrollment ID: I20120801000303 |
| Provider Name | Lamya Boujelbane |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376786384 PECOS PAC ID: 8224284542 Enrollment ID: I20120801000897 |
| Provider Name | Kirk S Vigil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396771382 PECOS PAC ID: 9133318249 Enrollment ID: I20120803000812 |
| Provider Name | Travis J Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881950350 PECOS PAC ID: 9335395219 Enrollment ID: I20120808000638 |
| Provider Name | Rachel A Wiegand |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376802454 PECOS PAC ID: 1759537665 Enrollment ID: I20120808000915 |
| Provider Name | Daniel A Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518109735 PECOS PAC ID: 3476709171 Enrollment ID: I20120813000502 |
| Provider Name | Hirenkumar Pansheriya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457620189 PECOS PAC ID: 3678729191 Enrollment ID: I20120815000531 |
| Provider Name | Ran Guan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275774192 PECOS PAC ID: 2769638246 Enrollment ID: I20120816000343 |
| Provider Name | Nicole M Pullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790046118 PECOS PAC ID: 1658527080 Enrollment ID: I20120817000060 |
| Provider Name | Jason E Foil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073786422 PECOS PAC ID: 5092962449 Enrollment ID: I20120821000115 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245497510 PECOS PAC ID: 8022288729 Enrollment ID: I20120821000723 |
| Provider Name | Bradley C Lepkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831446921 PECOS PAC ID: 3375790561 Enrollment ID: I20120822000690 |
| Provider Name | Katherine M Torres |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316037617 PECOS PAC ID: 4183761703 Enrollment ID: I20120822000755 |
| Provider Name | Muhammad Fuad Jan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912956178 PECOS PAC ID: 6406875913 Enrollment ID: I20120823000683 |
| Provider Name | Craig R Cook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003070095 PECOS PAC ID: 0840447918 Enrollment ID: I20120823000958 |
| Provider Name | Erinn E Kimmler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396008991 PECOS PAC ID: 1658528526 Enrollment ID: I20120828000567 |
| Provider Name | Charles J Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528283926 PECOS PAC ID: 7113197799 Enrollment ID: I20120828000896 |
| Provider Name | Ashley B Skosey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225385487 PECOS PAC ID: 5991952723 Enrollment ID: I20120829000378 |
| Provider Name | Mazin M Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881838910 PECOS PAC ID: 4981851573 Enrollment ID: I20120905000164 |
| Provider Name | Michelle L Lichtenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225390354 PECOS PAC ID: 7810144342 Enrollment ID: I20120905000659 |
| Provider Name | Elizabeth A Vissat |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609003508 PECOS PAC ID: 4688821168 Enrollment ID: I20120906000378 |
| Provider Name | Sara M Kotschi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811242894 PECOS PAC ID: 5294983623 Enrollment ID: I20120910000631 |
| Provider Name | Tarundeep Kaur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326161076 PECOS PAC ID: 2062694870 Enrollment ID: I20120911000803 |
| Provider Name | Erin N Grinhaug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134350994 PECOS PAC ID: 6901064724 Enrollment ID: I20120912000609 |
| Provider Name | Bryan J Mulheron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215163720 PECOS PAC ID: 0345410403 Enrollment ID: I20120913000704 |
| Provider Name | Jeremy R Naples |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649438243 PECOS PAC ID: 9133282296 Enrollment ID: I20120914000532 |
| Provider Name | Karen J Padua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922273275 PECOS PAC ID: 4688822620 Enrollment ID: I20120917000105 |
| Provider Name | Lulseged S Zenebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104186287 PECOS PAC ID: 6507014503 Enrollment ID: I20120917000802 |
| Provider Name | Ricardo R Sanga |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093948895 PECOS PAC ID: 5496903221 Enrollment ID: I20120919000542 |
| Provider Name | Jeremy F Siegrist |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386682060 PECOS PAC ID: 7618990730 Enrollment ID: I20120924000746 |
| Provider Name | Kumar Akashdeep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720210008 PECOS PAC ID: 4183873722 Enrollment ID: I20120926000017 |
| Provider Name | Anju I Bradford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629208483 PECOS PAC ID: 9335398825 Enrollment ID: I20120926000669 |
| Provider Name | Prince P Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487963492 PECOS PAC ID: 4587813084 Enrollment ID: I20120926000806 |
| Provider Name | Jane M Uraynar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962759852 PECOS PAC ID: 1658520028 Enrollment ID: I20120927000847 |
| Provider Name | Andrea J Poulson Port |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326280611 PECOS PAC ID: 8820247299 Enrollment ID: I20120927000853 |
| Provider Name | Joseph F Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336499888 PECOS PAC ID: 1850540154 Enrollment ID: I20121002000283 |
| Provider Name | Lindsay W Davel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255686416 PECOS PAC ID: 0749439073 Enrollment ID: I20121002000563 |
| Provider Name | Taira L. Cullinane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811244841 PECOS PAC ID: 1759530827 Enrollment ID: I20121004000570 |
| Provider Name | Kim M Ellingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265781231 PECOS PAC ID: 1456500438 Enrollment ID: I20121008000259 |
| Provider Name | Eric G Roberts |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407010879 PECOS PAC ID: 8729272992 Enrollment ID: I20121012000033 |
| Provider Name | Nicholas J Heezen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114227857 PECOS PAC ID: 7315197993 Enrollment ID: I20121016000517 |
| Provider Name | Brian Moloney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578775755 PECOS PAC ID: 2264525021 Enrollment ID: I20121017000249 |
| Provider Name | Charmaine G Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447297221 PECOS PAC ID: 4880774710 Enrollment ID: I20121018000792 |
| Provider Name | Peter J Kucharas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851647937 PECOS PAC ID: 0648420190 Enrollment ID: I20121018000814 |
| Provider Name | Michael B Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265783062 PECOS PAC ID: 5991955007 Enrollment ID: I20121026000332 |
| Provider Name | Ann M Vanden Heuvel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861742504 PECOS PAC ID: 7113177072 Enrollment ID: I20121030000526 |
| Provider Name | Dayton P Stumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427303866 PECOS PAC ID: 9234389065 Enrollment ID: I20121101000131 |
| Provider Name | Kelly N Billingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063761724 PECOS PAC ID: 4789834573 Enrollment ID: I20121102000101 |
| Provider Name | Beth A Weidman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316248073 PECOS PAC ID: 8820263718 Enrollment ID: I20121106000658 |
| Provider Name | Deanna M Boettcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477757482 PECOS PAC ID: 5496906083 Enrollment ID: I20121107000524 |
| Provider Name | Lori B Thiry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588913859 PECOS PAC ID: 1759532278 Enrollment ID: I20121109000509 |
| Provider Name | Katie N Kopina Buser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396903167 PECOS PAC ID: 2567537079 Enrollment ID: I20121114000404 |
| Provider Name | Susanne L Riedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598014359 PECOS PAC ID: 2961653175 Enrollment ID: I20121116000458 |
| Provider Name | Alecia K Sadowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801146923 PECOS PAC ID: 2860643970 Enrollment ID: I20121120000388 |
| Provider Name | Erin E Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356685515 PECOS PAC ID: 1850542812 Enrollment ID: I20121121000487 |
| Provider Name | Hsuan-ling Chen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265401210 PECOS PAC ID: 3072573575 Enrollment ID: I20121127000664 |
| Provider Name | Christina A Sauld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851667539 PECOS PAC ID: 5193977957 Enrollment ID: I20121201000052 |
| Provider Name | Steven D Mayo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821196833 PECOS PAC ID: 3577517085 Enrollment ID: I20121207000349 |
| Provider Name | Akiko Inoue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780941344 PECOS PAC ID: 0042462574 Enrollment ID: I20121210000183 |
| Provider Name | Melissa A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851643498 PECOS PAC ID: 5294987731 Enrollment ID: I20121210000335 |
| Provider Name | Vanessa L Abejuela-matt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558687749 PECOS PAC ID: 0749432185 Enrollment ID: I20121210000421 |
| Provider Name | Tracy M Warmka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942557400 PECOS PAC ID: 8022260421 Enrollment ID: I20121211000420 |
| Provider Name | Margaret Gladysz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366516312 PECOS PAC ID: 9234266446 Enrollment ID: I20121215000034 |
| Provider Name | Matthew P Barnard |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508115767 PECOS PAC ID: 0941453823 Enrollment ID: I20121228000102 |
| Provider Name | Muhammad R Marwali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053536078 PECOS PAC ID: 6901974708 Enrollment ID: I20130108000179 |
| Provider Name | Wael S Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821230178 PECOS PAC ID: 7719130376 Enrollment ID: I20130109000551 |
| Provider Name | Jodi Wilde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598013534 PECOS PAC ID: 1456504828 Enrollment ID: I20130115000190 |
| Provider Name | Kate M Ratajczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306199435 PECOS PAC ID: 5092968362 Enrollment ID: I20130117000241 |
| Provider Name | Mai Lutfiyya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932483187 PECOS PAC ID: 0143473355 Enrollment ID: I20130118000265 |
| Provider Name | Marie B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124210448 PECOS PAC ID: 2567526304 Enrollment ID: I20130123000603 |
| Provider Name | Lisa Winnekens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447594114 PECOS PAC ID: 2668626656 Enrollment ID: I20130128000420 |
| Provider Name | Mary C Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003169376 PECOS PAC ID: 4688828023 Enrollment ID: I20130212000104 |
| Provider Name | Stephanie M Rabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083968143 PECOS PAC ID: 1052565389 Enrollment ID: I20130213000525 |
| Provider Name | Anil Paturi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578763611 PECOS PAC ID: 0143414748 Enrollment ID: I20130214000552 |
| Provider Name | Stephanie L Baginski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992816748 PECOS PAC ID: 5395791693 Enrollment ID: I20130313000461 |
| Provider Name | Amanda L Dufour |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457696346 PECOS PAC ID: 6406091669 Enrollment ID: I20130319000058 |
| Provider Name | Hilary A Cain |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740585801 PECOS PAC ID: 1759526916 Enrollment ID: I20130319000075 |
| Provider Name | Kelly A Kristbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215271994 PECOS PAC ID: 0143465252 Enrollment ID: I20130320000492 |
| Provider Name | Emily M Bartelt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447596507 PECOS PAC ID: 8224273370 Enrollment ID: I20130321000049 |
| Provider Name | Mary E Petoskey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265706444 PECOS PAC ID: 7214172931 Enrollment ID: I20130401000268 |
| Provider Name | Carl L Chojnacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043551971 PECOS PAC ID: 1456596881 Enrollment ID: I20130405000345 |
| Provider Name | Manpreet S Chadha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225242787 PECOS PAC ID: 6103086087 Enrollment ID: I20130417000077 |
| Provider Name | Jennifer A Junghen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558604843 PECOS PAC ID: 1658517636 Enrollment ID: I20130417000404 |
| Provider Name | Paul A Lisi |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1194943399 PECOS PAC ID: 9335385947 Enrollment ID: I20130425000577 |
| Provider Name | Madeline A Mcnally |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457517195 PECOS PAC ID: 0648417105 Enrollment ID: I20130501000217 |
| Provider Name | Rebecca J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639324981 PECOS PAC ID: 3678710936 Enrollment ID: I20130506000552 |
| Provider Name | Kelly J Dominski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083984868 PECOS PAC ID: 9133366149 Enrollment ID: I20130511000042 |
| Provider Name | Emily M Hanizeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972816999 PECOS PAC ID: 2163669805 Enrollment ID: I20130516000356 |
| Provider Name | Melissa R Nowicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679831655 PECOS PAC ID: 4486892049 Enrollment ID: I20130521000667 |
| Provider Name | Orlin Hadjiev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528269719 PECOS PAC ID: 7719030493 Enrollment ID: I20130524000299 |
| Provider Name | Jenifer M Leistiko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659612026 PECOS PAC ID: 2769620624 Enrollment ID: I20130604000911 |
| Provider Name | Timothy R Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275725384 PECOS PAC ID: 2466545637 Enrollment ID: I20130613000405 |
| Provider Name | Andra K Cicero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275789752 PECOS PAC ID: 6608044813 Enrollment ID: I20130626000130 |
| Provider Name | Kristin A Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942644984 PECOS PAC ID: 7618117326 Enrollment ID: I20130701000160 |
| Provider Name | Lindsay M Tanty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801230883 PECOS PAC ID: 0648410001 Enrollment ID: I20130708000329 |
| Provider Name | Michael T Cicero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831337385 PECOS PAC ID: 4183750771 Enrollment ID: I20130708000351 |
| Provider Name | Sara M Veinot |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609211812 PECOS PAC ID: 0143460527 Enrollment ID: I20130708000522 |
| Provider Name | Keri Karst |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043559982 PECOS PAC ID: 1850531039 Enrollment ID: I20130711000435 |
| Provider Name | Katie C Tuler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366684912 PECOS PAC ID: 0840430989 Enrollment ID: I20130712000386 |
| Provider Name | Ruthie Su |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952544793 PECOS PAC ID: 5294981692 Enrollment ID: I20130715000682 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20130716000336 |
| Provider Name | Lucy C Tapia Franco |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629413786 PECOS PAC ID: 8022258029 Enrollment ID: I20130716000684 |
| Provider Name | Gregg Tetting |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023196524 PECOS PAC ID: 8123268042 Enrollment ID: I20130717000130 |
| Provider Name | Chukwuma E Ugwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457666315 PECOS PAC ID: 0749420636 Enrollment ID: I20130718000047 |
| Provider Name | Dinesh J Belani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659642452 PECOS PAC ID: 7719127604 Enrollment ID: I20130718000072 |
| Provider Name | Nana K Tabi Nsiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508039611 PECOS PAC ID: 1153562038 Enrollment ID: I20130719000332 |
| Provider Name | Bonnie L Bobot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164748570 PECOS PAC ID: 8325289804 Enrollment ID: I20130725000508 |
| Provider Name | John Alexander Jennings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457798738 PECOS PAC ID: 0840431177 Enrollment ID: I20130729000471 |
| Provider Name | Celeste M Buchaklian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720363005 PECOS PAC ID: 3971744210 Enrollment ID: I20130729000551 |
| Provider Name | Kari E Bentley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316382781 PECOS PAC ID: 7618118928 Enrollment ID: I20130730000373 |
| Provider Name | Molla Y Teshome |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093039851 PECOS PAC ID: 6103067350 Enrollment ID: I20130730000842 |
| Provider Name | Mikhail A Barchugov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952614521 PECOS PAC ID: 0749421923 Enrollment ID: I20130731000191 |
| Provider Name | Suhas Channappa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851604383 PECOS PAC ID: 3274783840 Enrollment ID: I20130731000305 |
| Provider Name | Michael W Trenkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184069817 PECOS PAC ID: 2961643028 Enrollment ID: I20130801000327 |
| Provider Name | James D Larson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164632410 PECOS PAC ID: 9537317946 Enrollment ID: I20130806000132 |
| Provider Name | Eric T Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417156142 PECOS PAC ID: 9638210339 Enrollment ID: I20130808000119 |
| Provider Name | Arnel D Magno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457580250 PECOS PAC ID: 3173765823 Enrollment ID: I20130809000367 |
| Provider Name | Craig A Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609047208 PECOS PAC ID: 9830331412 Enrollment ID: I20130809000741 |
| Provider Name | Lora L Carpentier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609218031 PECOS PAC ID: 1456593987 Enrollment ID: I20130813000972 |
| Provider Name | Jared E Boyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659507184 PECOS PAC ID: 9931341302 Enrollment ID: I20130814000504 |
| Provider Name | Robert J Zimmanck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821230483 PECOS PAC ID: 6103068382 Enrollment ID: I20130819000347 |
| Provider Name | Carrie E Doine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568611614 PECOS PAC ID: 0840281895 Enrollment ID: I20130819000552 |
| Provider Name | Charles C Santilukka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205192648 PECOS PAC ID: 7315180403 Enrollment ID: I20130820001069 |
| Provider Name | Karen L Lorfeld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437342003 PECOS PAC ID: 6103081153 Enrollment ID: I20130821000163 |
| Provider Name | Steve M Czymbor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285949420 PECOS PAC ID: 9032352109 Enrollment ID: I20130821000885 |
| Provider Name | Vijay Johnson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023298072 PECOS PAC ID: 8820231822 Enrollment ID: I20130823000130 |
| Provider Name | Todd R Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457562126 PECOS PAC ID: 4082857008 Enrollment ID: I20130823000420 |
| Provider Name | Matthew R Willsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912107954 PECOS PAC ID: 1850534884 Enrollment ID: I20130823000500 |
| Provider Name | Richard N Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124342738 PECOS PAC ID: 7911140942 Enrollment ID: I20130823000527 |
| Provider Name | Ursala B Marinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700227865 PECOS PAC ID: 5294978243 Enrollment ID: I20130823000785 |
| Provider Name | Kelly C Comp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508042318 PECOS PAC ID: 9931342706 Enrollment ID: I20130826000947 |
| Provider Name | Jacob R Paul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780022871 PECOS PAC ID: 2365685195 Enrollment ID: I20130827000500 |
| Provider Name | Al Majdi Bugazia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982869087 PECOS PAC ID: 6507028107 Enrollment ID: I20130827000612 |
| Provider Name | Michelle J Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346566577 PECOS PAC ID: 7810130572 Enrollment ID: I20130827000910 |
| Provider Name | Vikram Bamra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952569667 PECOS PAC ID: 6507009263 Enrollment ID: I20130827000974 |
| Provider Name | Inna A Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649581315 PECOS PAC ID: 3971747148 Enrollment ID: I20130910000714 |
| Provider Name | Amer S Tfaili |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548287550 PECOS PAC ID: 0648278572 Enrollment ID: I20130910000838 |
| Provider Name | Leah M Del Gaudio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710322276 PECOS PAC ID: 7113161001 Enrollment ID: I20130916000199 |
| Provider Name | Mridani Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275847519 PECOS PAC ID: 0547404204 Enrollment ID: I20130918000763 |
| Provider Name | Anna J Igler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508096017 PECOS PAC ID: 8224272869 Enrollment ID: I20130920000177 |
| Provider Name | Brenda Ann Blunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878839 PECOS PAC ID: 8921242454 Enrollment ID: I20130923000591 |
| Provider Name | Lisa A Ignasiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720195241 PECOS PAC ID: 6709020217 Enrollment ID: I20130924000559 |
| Provider Name | Stacie M Valukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995876 PECOS PAC ID: 6103060595 Enrollment ID: I20130925000696 |
| Provider Name | Jaclynn A Lien Skubal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710237078 PECOS PAC ID: 5395979678 Enrollment ID: I20130930000537 |
| Provider Name | Rebecca L Landgraf |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073773453 PECOS PAC ID: 5294969473 Enrollment ID: I20131001000067 |
| Provider Name | Ann Y Lagerlund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497965172 PECOS PAC ID: 7315077336 Enrollment ID: I20131004000286 |
| Provider Name | Krishna Kottapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952678286 PECOS PAC ID: 4486888484 Enrollment ID: I20131007000296 |
| Provider Name | Jennifer S Markus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508020389 PECOS PAC ID: 7911131412 Enrollment ID: I20131017000393 |
| Provider Name | Katherine A Bunce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740506948 PECOS PAC ID: 0042445413 Enrollment ID: I20131021001821 |
| Provider Name | Breanna L Reimer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295167724 PECOS PAC ID: 0749415933 Enrollment ID: I20131023002312 |
| Provider Name | Kristina J Krogstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492469 PECOS PAC ID: 2860627015 Enrollment ID: I20131024001599 |
| Provider Name | Jamey M Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275967994 PECOS PAC ID: 5092940049 Enrollment ID: I20131028001707 |
| Provider Name | Eric R Yoerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333253 PECOS PAC ID: 1456586395 Enrollment ID: I20131030000706 |
| Provider Name | Heather K Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346518115 PECOS PAC ID: 9436310851 Enrollment ID: I20131030000953 |
| Provider Name | Norah Khangura |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275861080 PECOS PAC ID: 1456520766 Enrollment ID: I20131101001352 |
| Provider Name | Charles Player |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376779215 PECOS PAC ID: 2466687116 Enrollment ID: I20131105000482 |
| Provider Name | Tajdeep K Dhindsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992022081 PECOS PAC ID: 1052546694 Enrollment ID: I20131106001588 |
| Provider Name | Manisha Chaturvedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023329042 PECOS PAC ID: 1355583899 Enrollment ID: I20131107001224 |
| Provider Name | Kari L Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699101006 PECOS PAC ID: 2466687975 Enrollment ID: I20131108000228 |
| Provider Name | Basil U Maduka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457785883 PECOS PAC ID: 5193950640 Enrollment ID: I20131108001315 |
| Provider Name | Angela M Katsma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093032104 PECOS PAC ID: 8527294024 Enrollment ID: I20131111000661 |
| Provider Name | Shanna M Sebero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124453188 PECOS PAC ID: 1052547528 Enrollment ID: I20131112001123 |
| Provider Name | Patricia G Wilhelme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134556889 PECOS PAC ID: 9638305113 Enrollment ID: I20131112001796 |
| Provider Name | Lisa M Wochos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538311386 PECOS PAC ID: 9335317429 Enrollment ID: I20131114001774 |
| Provider Name | Megan M Heppe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336576800 PECOS PAC ID: 8022244235 Enrollment ID: I20131118001176 |
| Provider Name | Jennifer L Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333204 PECOS PAC ID: 5193951317 Enrollment ID: I20131118001626 |
| Provider Name | Emily A Staszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366878100 PECOS PAC ID: 1254567472 Enrollment ID: I20131118001722 |
| Provider Name | Christina Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568701043 PECOS PAC ID: 8527294644 Enrollment ID: I20131120001123 |
| Provider Name | David L Baugh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790948438 PECOS PAC ID: 3274769211 Enrollment ID: I20131121000066 |
| Provider Name | Jodi C Burany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457787384 PECOS PAC ID: 8123254174 Enrollment ID: I20131121000251 |
| Provider Name | Hesham M Elghannam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023212289 PECOS PAC ID: 8426129669 Enrollment ID: I20131122000624 |
| Provider Name | Matthew P Downs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376651596 PECOS PAC ID: 1850360132 Enrollment ID: I20131126000187 |
| Provider Name | Nicole P Salvo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457594483 PECOS PAC ID: 0244466084 Enrollment ID: I20131126001037 |
| Provider Name | Eric L Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790112050 PECOS PAC ID: 4385870120 Enrollment ID: I20131126001253 |
| Provider Name | Jessica M Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291277 PECOS PAC ID: 9133355910 Enrollment ID: I20131127000268 |
| Provider Name | Jennifer A Merker Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043647027 PECOS PAC ID: 0244467827 Enrollment ID: I20131206000599 |
| Provider Name | Aida Shanti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023108511 PECOS PAC ID: 7214909308 Enrollment ID: I20131209001260 |
| Provider Name | Nataly N Stenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437591005 PECOS PAC ID: 7214164607 Enrollment ID: I20131210000938 |
| Provider Name | Gregory Heise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346679040 PECOS PAC ID: 7214967629 Enrollment ID: I20131213001050 |
| Provider Name | Jacqueline J Budynek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619153384 PECOS PAC ID: 6608003645 Enrollment ID: I20131218000815 |
| Provider Name | Noelle E Jauregui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568892032 PECOS PAC ID: 3678700564 Enrollment ID: I20131223000311 |
| Provider Name | Angela K Pease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568890598 PECOS PAC ID: 8022245893 Enrollment ID: I20131226001431 |
| Provider Name | Robert J Burcham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952676488 PECOS PAC ID: 8022279124 Enrollment ID: I20131227000541 |
| Provider Name | Christopher B Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609944693 PECOS PAC ID: 5092903401 Enrollment ID: I20140102000510 |
| Provider Name | Brian A White |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528407376 PECOS PAC ID: 7214165968 Enrollment ID: I20140102000834 |
| Provider Name | Katie M Soung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033547963 PECOS PAC ID: 8123256708 Enrollment ID: I20140103000588 |
| Provider Name | Stacy L Luedeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639295421 PECOS PAC ID: 2365670833 Enrollment ID: I20140107000895 |
| Provider Name | Michelle J Medvecz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871923086 PECOS PAC ID: 3779711239 Enrollment ID: I20140109000193 |
| Provider Name | Laura T Mirhoseini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487646436 PECOS PAC ID: 4587892948 Enrollment ID: I20140109000511 |
| Provider Name | Gabriel M Mikhael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043521917 PECOS PAC ID: 9234376534 Enrollment ID: I20140127001553 |
| Provider Name | Ashley L Kwasinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801225164 PECOS PAC ID: 9234368853 Enrollment ID: I20140131000310 |
| Provider Name | Houa Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984548 PECOS PAC ID: 6800025305 Enrollment ID: I20140203001309 |
| Provider Name | Alicia M Lanzito |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811137102 PECOS PAC ID: 0749473411 Enrollment ID: I20140219001424 |
| Provider Name | Courtney B Prusak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952722324 PECOS PAC ID: 5698905586 Enrollment ID: I20140219001722 |
| Provider Name | Katarine V Egressy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871760736 PECOS PAC ID: 7214167865 Enrollment ID: I20140228000023 |
| Provider Name | Kathleen M Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326283813 PECOS PAC ID: 5496985046 Enrollment ID: I20140228000037 |
| Provider Name | Brandi M Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669802492 PECOS PAC ID: 3274763693 Enrollment ID: I20140305000702 |
| Provider Name | Deborah M Hermes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174655195 PECOS PAC ID: 5799915930 Enrollment ID: I20140307001068 |
| Provider Name | Marissa S Lowenthal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205059847 PECOS PAC ID: 8628131141 Enrollment ID: I20140310001713 |
| Provider Name | Katalin Szaniszlo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265557045 PECOS PAC ID: 5698906634 Enrollment ID: I20140317000103 |
| Provider Name | Matthew J Howenstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548419336 PECOS PAC ID: 5799957163 Enrollment ID: I20140320002155 |
| Provider Name | Arshad Jahangir |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164402137 PECOS PAC ID: 0648348672 Enrollment ID: I20140327000386 |
| Provider Name | Whitney L Weideman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972924660 PECOS PAC ID: 6901037357 Enrollment ID: I20140327001100 |
| Provider Name | Ren M Iossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154744977 PECOS PAC ID: 9638300825 Enrollment ID: I20140402000264 |
| Provider Name | Holly N Everts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689099475 PECOS PAC ID: 4981835030 Enrollment ID: I20140402002238 |
| Provider Name | Jayme L Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356765663 PECOS PAC ID: 3870725815 Enrollment ID: I20140407000862 |
| Provider Name | Anthony J Wampole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124306113 PECOS PAC ID: 5294967790 Enrollment ID: I20140416000940 |
| Provider Name | Rafath Ullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326350034 PECOS PAC ID: 8224277330 Enrollment ID: I20140424000955 |
| Provider Name | Gena M Mosconi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912324476 PECOS PAC ID: 4183857048 Enrollment ID: I20140429001809 |
| Provider Name | Hetalben N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679899207 PECOS PAC ID: 6103070933 Enrollment ID: I20140429002002 |
| Provider Name | Jamie Hosmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841452927 PECOS PAC ID: 8527209386 Enrollment ID: I20140507001005 |
| Provider Name | Kimberly C Turner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194977975 PECOS PAC ID: 9234362773 Enrollment ID: I20140507001185 |
| Provider Name | Joseph A Rebro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699192104 PECOS PAC ID: 4880817162 Enrollment ID: I20140514002087 |
| Provider Name | Simone Koester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677430 PECOS PAC ID: 9638392913 Enrollment ID: I20140514002321 |
| Provider Name | Natasha T El Hmaini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891112405 PECOS PAC ID: 0648493833 Enrollment ID: I20140515000550 |
| Provider Name | Daniel M O Connell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043434798 PECOS PAC ID: 0244427268 Enrollment ID: I20140519001265 |
| Provider Name | Anthony Kehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629225099 PECOS PAC ID: 5395918304 Enrollment ID: I20140521000689 |
| Provider Name | Rehana Begum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861461626 PECOS PAC ID: 5193791069 Enrollment ID: I20140528000277 |
| Provider Name | Eric S Weiss |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1417966151 PECOS PAC ID: 9133120926 Enrollment ID: I20140529002169 |
| Provider Name | Leah Marie Phillippi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285933473 PECOS PAC ID: 0840413357 Enrollment ID: I20140529002481 |
| Provider Name | Brandon R Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538396437 PECOS PAC ID: 4284873274 Enrollment ID: I20140602000482 |
| Provider Name | Steven D Huffman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922266105 PECOS PAC ID: 1153544507 Enrollment ID: I20140603002168 |
| Provider Name | Jaya Buddineni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376742312 PECOS PAC ID: 1850442997 Enrollment ID: I20140604000694 |
| Provider Name | Brandon M Rucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477843001 PECOS PAC ID: 8022232420 Enrollment ID: I20140604001687 |
| Provider Name | Juan L Vega |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396061859 PECOS PAC ID: 8325262769 Enrollment ID: I20140605000410 |
| Provider Name | Erik P Skulborstad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831494996 PECOS PAC ID: 1052535424 Enrollment ID: I20140605001128 |
| Provider Name | Asif Nadeem Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750329728 PECOS PAC ID: 5698787521 Enrollment ID: I20140609000075 |
| Provider Name | Katherine M Karczewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447661673 PECOS PAC ID: 9436373792 Enrollment ID: I20140609000246 |
| Provider Name | Renuka Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811037161 PECOS PAC ID: 0143246678 Enrollment ID: I20140613000524 |
| Provider Name | Tarun Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104037340 PECOS PAC ID: 0648362186 Enrollment ID: I20140616002098 |
| Provider Name | Maqsood Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811019680 PECOS PAC ID: 2769534528 Enrollment ID: I20140617000574 |
| Provider Name | Veitla S Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013148204 PECOS PAC ID: 3779707450 Enrollment ID: I20140619001661 |
| Provider Name | Karin B Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477766848 PECOS PAC ID: 9638393317 Enrollment ID: I20140619001822 |
| Provider Name | James A Rydlewicz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689744476 PECOS PAC ID: 4183864804 Enrollment ID: I20140619002245 |
| Provider Name | Tarun Kaura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255640058 PECOS PAC ID: 7012131725 Enrollment ID: I20140620000404 |
| Provider Name | Nicholas L Marinelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427287549 PECOS PAC ID: 1951524735 Enrollment ID: I20140620000574 |
| Provider Name | Nels J Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225328727 PECOS PAC ID: 3779708243 Enrollment ID: I20140626000703 |
| Provider Name | Minuja Muralidharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346539434 PECOS PAC ID: 5193940559 Enrollment ID: I20140627001646 |
| Provider Name | Hani Alboushi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669624813 PECOS PAC ID: 0042488645 Enrollment ID: I20140627001873 |
| Provider Name | Matthew B Mellon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336302504 PECOS PAC ID: 6507035060 Enrollment ID: I20140630000876 |
| Provider Name | Umang M Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629212782 PECOS PAC ID: 5597980722 Enrollment ID: I20140702001012 |
| Provider Name | Angel M Buettner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831501816 PECOS PAC ID: 2466677695 Enrollment ID: I20140702001204 |
| Provider Name | Stephenie E Duelge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598177099 PECOS PAC ID: 2466677547 Enrollment ID: I20140703000404 |
| Provider Name | Jan G Mrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679607212 PECOS PAC ID: 5597717686 Enrollment ID: I20140703001881 |
| Provider Name | Owusu-bekoe Opoku-owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528121647 PECOS PAC ID: 9931207347 Enrollment ID: I20140707001452 |
| Provider Name | Amul M Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437391851 PECOS PAC ID: 3173748068 Enrollment ID: I20140709001694 |
| Provider Name | Hany S B Marcos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396093662 PECOS PAC ID: 3870718786 Enrollment ID: I20140709002267 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Nebiyu Biru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780983320 PECOS PAC ID: 8426274929 Enrollment ID: I20140718000302 |
| Provider Name | Nicholas J Draeger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902031909 PECOS PAC ID: 8426274937 Enrollment ID: I20140718000638 |
| Provider Name | Brian Temple |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033378856 PECOS PAC ID: 0143414128 Enrollment ID: I20140722000568 |
| Provider Name | Kirk J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861770729 PECOS PAC ID: 8325264401 Enrollment ID: I20140725001058 |
| Provider Name | Matthew R Krzemienski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346482817 PECOS PAC ID: 6305062290 Enrollment ID: I20140730000726 |
| Provider Name | Elizabeth C Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164746715 PECOS PAC ID: 3173749975 Enrollment ID: I20140731001998 |
| Provider Name | Abdul Hafeez Qureshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316912512 PECOS PAC ID: 7315962966 Enrollment ID: I20140731002482 |
| Provider Name | Charles A Czeczok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770808404 PECOS PAC ID: 0244463404 Enrollment ID: I20140804001706 |
| Provider Name | Michael G Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376623991 PECOS PAC ID: 1951201896 Enrollment ID: I20140805002245 |
| Provider Name | Nisha D Sheth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992949895 PECOS PAC ID: 6901023530 Enrollment ID: I20140805002743 |
| Provider Name | Ashley K Cayo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174796627 PECOS PAC ID: 3678713245 Enrollment ID: I20140805002746 |
| Provider Name | Jodi L Priebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254089 PECOS PAC ID: 2567531957 Enrollment ID: I20140808001403 |
| Provider Name | Marina Kovacevic Horschak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134548274 PECOS PAC ID: 2668699851 Enrollment ID: I20140812001453 |
| Provider Name | Wamiq Y Banday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659520229 PECOS PAC ID: 5193870327 Enrollment ID: I20140812001967 |
| Provider Name | Samantha J Klinkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942617220 PECOS PAC ID: 0345467114 Enrollment ID: I20140819001539 |
| Provider Name | Turia M Hollingsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245539915 PECOS PAC ID: 1456578236 Enrollment ID: I20140819001868 |
| Provider Name | Naweed Chowdhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306133673 PECOS PAC ID: 5597982389 Enrollment ID: I20140819002034 |
| Provider Name | Marie M Forgie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669797122 PECOS PAC ID: 5193943991 Enrollment ID: I20140820000031 |
| Provider Name | Jennifer Y Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538458401 PECOS PAC ID: 7113145921 Enrollment ID: I20140820000331 |
| Provider Name | Karissa R Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386933075 PECOS PAC ID: 7315165172 Enrollment ID: I20140820001915 |
| Provider Name | Christopher D Chancey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588833370 PECOS PAC ID: 4981758232 Enrollment ID: I20140827001034 |
| Provider Name | Brianna L Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932512522 PECOS PAC ID: 6507084811 Enrollment ID: I20140828001392 |
| Provider Name | Heather L Bartlett |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1487649323 PECOS PAC ID: 9133146012 Enrollment ID: I20140828001997 |
| Provider Name | Brian J Obrochta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912136656 PECOS PAC ID: 4385886837 Enrollment ID: I20140905000032 |
| Provider Name | Jenna M Schlicht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144639683 PECOS PAC ID: 3375761216 Enrollment ID: I20140905001625 |
| Provider Name | Michael J Stoesz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689833774 PECOS PAC ID: 9931333457 Enrollment ID: I20140908001198 |
| Provider Name | Adriana M Siehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609283076 PECOS PAC ID: 6002035839 Enrollment ID: I20140910000337 |
| Provider Name | Matthew L White |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1821118506 PECOS PAC ID: 4385808492 Enrollment ID: I20140915002193 |
| Provider Name | Junwei Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275832875 PECOS PAC ID: 3476773466 Enrollment ID: I20140925000022 |
| Provider Name | Laura K Cichocki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952409575 PECOS PAC ID: 3072558402 Enrollment ID: I20140927000175 |
| Provider Name | Anne E Getzin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780974717 PECOS PAC ID: 7214154954 Enrollment ID: I20140930001783 |
| Provider Name | Lindsey Panko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659780674 PECOS PAC ID: 3274753850 Enrollment ID: I20141002000507 |
| Provider Name | Jessie A Lamberty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154730133 PECOS PAC ID: 0648490284 Enrollment ID: I20141003000393 |
| Provider Name | Daniel S Gale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346530979 PECOS PAC ID: 2860612306 Enrollment ID: I20141003000661 |
| Provider Name | Tamara J Van Lannen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114240199 PECOS PAC ID: 8921228370 Enrollment ID: I20141007000367 |
| Provider Name | James D Prahl |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437211539 PECOS PAC ID: 8426213331 Enrollment ID: I20141008002300 |
| Provider Name | Sarah J Peppers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417357476 PECOS PAC ID: 0042430241 Enrollment ID: I20141010001763 |
| Provider Name | Holly L Leahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538578653 PECOS PAC ID: 7719108687 Enrollment ID: I20141016002698 |
| Provider Name | Leana K Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982006417 PECOS PAC ID: 0446471387 Enrollment ID: I20141018000205 |
| Provider Name | Maryam Shittu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689922882 PECOS PAC ID: 1456572155 Enrollment ID: I20141022000761 |
| Provider Name | Kjersti E Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619276151 PECOS PAC ID: 1658598040 Enrollment ID: I20141024000540 |
| Provider Name | Brittany V Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360981 PECOS PAC ID: 6002037579 Enrollment ID: I20141027000618 |
| Provider Name | Yasmin K Bhathena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114953825 PECOS PAC ID: 2062694284 Enrollment ID: I20141104000643 |
| Provider Name | Jordan Elizabeth Toman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710142237 PECOS PAC ID: 5092958967 Enrollment ID: I20141104001443 |
| Provider Name | Monica Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528208436 PECOS PAC ID: 0749417715 Enrollment ID: I20141105001850 |
| Provider Name | Kelle J Tomatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912764 PECOS PAC ID: 8426270497 Enrollment ID: I20141106000319 |
| Provider Name | David C Newell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649282674 PECOS PAC ID: 7214948744 Enrollment ID: I20141107001153 |
| Provider Name | Kirk A Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659650653 PECOS PAC ID: 5991950263 Enrollment ID: I20141107001501 |
| Provider Name | Jami M Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548661242 PECOS PAC ID: 2668694134 Enrollment ID: I20141118000764 |
| Provider Name | Ryan A Stone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346454634 PECOS PAC ID: 9931272481 Enrollment ID: I20141118001860 |
| Provider Name | Laura M Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427338243 PECOS PAC ID: 8123240553 Enrollment ID: I20141119000833 |
| Provider Name | Joanna M Smogoleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013317254 PECOS PAC ID: 3678895737 Enrollment ID: I20141201001914 |
| Provider Name | Katie L Dolezal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013310168 PECOS PAC ID: 5395067318 Enrollment ID: I20141202002095 |
| Provider Name | Malani Guha Majumder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871864629 PECOS PAC ID: 0042462269 Enrollment ID: I20141202002625 |
| Provider Name | Veronica L Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518373166 PECOS PAC ID: 5991027898 Enrollment ID: I20141203002735 |
| Provider Name | Edward B Pierson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598816092 PECOS PAC ID: 3072690312 Enrollment ID: I20141204001637 |
| Provider Name | Dina Bruce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497052468 PECOS PAC ID: 2769704535 Enrollment ID: I20141205000349 |
| Provider Name | Salman Waheeduddin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598700387 PECOS PAC ID: 8729096953 Enrollment ID: I20141208000893 |
| Provider Name | Victoria M Bleser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235148974 PECOS PAC ID: 3173845708 Enrollment ID: I20141209001785 |
| Provider Name | Jessica A Larrabee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821418971 PECOS PAC ID: 5698097236 Enrollment ID: I20141209002220 |
| Provider Name | Igor Tkachyk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063822005 PECOS PAC ID: 6103149448 Enrollment ID: I20141218000040 |
| Provider Name | Paul Albert Sauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902914401 PECOS PAC ID: 9537257456 Enrollment ID: I20150108001712 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043615560 PECOS PAC ID: 1658695077 Enrollment ID: I20150113001122 |
| Provider Name | Timothy W Lineberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912984121 PECOS PAC ID: 0244373116 Enrollment ID: I20150116001337 |
| Provider Name | Anna K Tyszkowska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720354640 PECOS PAC ID: 4385968502 Enrollment ID: I20150116002162 |
| Provider Name | Theresa E Sullivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447539655 PECOS PAC ID: 3072837160 Enrollment ID: I20150120002107 |
| Provider Name | Nicola M Charlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326050436 PECOS PAC ID: 7810211463 Enrollment ID: I20150130001135 |
| Provider Name | Krissy Connor |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346499332 PECOS PAC ID: 6800018532 Enrollment ID: I20150206000403 |
| Provider Name | Samuel H Cannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831432996 PECOS PAC ID: 1658508593 Enrollment ID: I20150209001093 |
| Provider Name | Richard A Rovin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285614974 PECOS PAC ID: 3375525538 Enrollment ID: I20150210001119 |
| Provider Name | Herb C Becker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801852314 PECOS PAC ID: 7719943794 Enrollment ID: I20150211001645 |
| Provider Name | Jennifer L Weier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891198735 PECOS PAC ID: 0941525067 Enrollment ID: I20150212002017 |
| Provider Name | Kelly E Feller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639577786 PECOS PAC ID: 0648595660 Enrollment ID: I20150216001918 |
| Provider Name | Cheston Geye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750786208 PECOS PAC ID: 1456676329 Enrollment ID: I20150217001945 |
| Provider Name | Shari L Asher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194072736 PECOS PAC ID: 1355666264 Enrollment ID: I20150218001284 |
| Provider Name | Elizabeth J Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619374592 PECOS PAC ID: 4284959008 Enrollment ID: I20150218002046 |
| Provider Name | Claudia M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760882211 PECOS PAC ID: 5597081257 Enrollment ID: I20150224001808 |
| Provider Name | Lindsey M Kastner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104215110 PECOS PAC ID: 0547586117 Enrollment ID: I20150226001733 |
| Provider Name | Vaida Stoik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326004706 PECOS PAC ID: 1658334123 Enrollment ID: I20150302000467 |
| Provider Name | Dina W Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144643537 PECOS PAC ID: 0941430953 Enrollment ID: I20150306001692 |
| Provider Name | Adam Gulhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841294345 PECOS PAC ID: 6204803620 Enrollment ID: I20150309002042 |
| Provider Name | Matthew Bielecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144537721 PECOS PAC ID: 0547586463 Enrollment ID: I20150311001096 |
| Provider Name | Jamie S Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913552 PECOS PAC ID: 8224354030 Enrollment ID: I20150312002410 |
| Provider Name | Kunal Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518138833 PECOS PAC ID: 1355494659 Enrollment ID: I20150313001766 |
| Provider Name | Krista E Tarrien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689072472 PECOS PAC ID: 4183940950 Enrollment ID: I20150313001839 |
| Provider Name | Melissa R Themar Geck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861641565 PECOS PAC ID: 0042496432 Enrollment ID: I20150320000286 |
| Provider Name | Robert D Geck |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144412628 PECOS PAC ID: 5698931806 Enrollment ID: I20150320000880 |
| Provider Name | Janelle M Schaal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528459070 PECOS PAC ID: 6406173442 Enrollment ID: I20150331002360 |
| Provider Name | Elyse M Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477943918 PECOS PAC ID: 4981921897 Enrollment ID: I20150401002466 |
| Provider Name | Elizabeth L Merry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366833188 PECOS PAC ID: 3375861271 Enrollment ID: I20150404000036 |
| Provider Name | Samantha G Dagenhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659642841 PECOS PAC ID: 8527383900 Enrollment ID: I20150407000155 |
| Provider Name | Carey L Willman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316330087 PECOS PAC ID: 8022336635 Enrollment ID: I20150410001666 |
| Provider Name | Jill R Lotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679963706 PECOS PAC ID: 5395063879 Enrollment ID: I20150413002094 |
| Provider Name | Megan E Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336468206 PECOS PAC ID: 4183942840 Enrollment ID: I20150413002516 |
| Provider Name | Kristin M Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643812 PECOS PAC ID: 0941528442 Enrollment ID: I20150413002563 |
| Provider Name | Britani R Weidman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477947935 PECOS PAC ID: 1052630043 Enrollment ID: I20150423002635 |
| Provider Name | James J Vyskocil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972503274 PECOS PAC ID: 9335146679 Enrollment ID: I20150424000183 |
| Provider Name | Scott B Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215045836 PECOS PAC ID: 0941529887 Enrollment ID: I20150428000240 |
| Provider Name | Stephanie M Dreher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023374188 PECOS PAC ID: 0345569919 Enrollment ID: I20150501001870 |
| Provider Name | Benjamin C Gillen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316108343 PECOS PAC ID: 7911073739 Enrollment ID: I20150508001768 |
| Provider Name | Laurie A Bartels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245626415 PECOS PAC ID: 7214256338 Enrollment ID: I20150512000524 |
| Provider Name | Nancy Y Tsai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528277225 PECOS PAC ID: 5395064430 Enrollment ID: I20150512001003 |
| Provider Name | Dilip Rajesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376682377 PECOS PAC ID: 4284897059 Enrollment ID: I20150513001015 |
| Provider Name | Alexandra M Roznowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205233467 PECOS PAC ID: 3577883610 Enrollment ID: I20150513001618 |
| Provider Name | Samuel I Frost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861704223 PECOS PAC ID: 6002136983 Enrollment ID: I20150515001326 |
| Provider Name | Michael T Nord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639435381 PECOS PAC ID: 2567782428 Enrollment ID: I20150518001691 |
| Provider Name | Sheila Jean Garrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679668859 PECOS PAC ID: 9133449812 Enrollment ID: I20150520001462 |
| Provider Name | Nicole J Rosalez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578731667 PECOS PAC ID: 9436479136 Enrollment ID: I20150520002081 |
| Provider Name | Amanda J Shear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104210988 PECOS PAC ID: 7810217445 Enrollment ID: I20150522000765 |
| Provider Name | Diana R Dovorany |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497021422 PECOS PAC ID: 6608196456 Enrollment ID: I20150527000013 |
| Provider Name | Emily Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811382070 PECOS PAC ID: 8426378662 Enrollment ID: I20150529000207 |
| Provider Name | Niel A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649233255 PECOS PAC ID: 2264320720 Enrollment ID: I20150529001044 |
| Provider Name | Kathleen A Senebouttarath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295053775 PECOS PAC ID: 2466421599 Enrollment ID: I20150609003064 |
| Provider Name | Amber L Widenski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417255902 PECOS PAC ID: 1951535558 Enrollment ID: I20150610002099 |
| Provider Name | Kyle Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053798918 PECOS PAC ID: 8527389907 Enrollment ID: I20150610002541 |
| Provider Name | John C Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790079119 PECOS PAC ID: 3072762749 Enrollment ID: I20150612000824 |
| Provider Name | John B Newman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740362458 PECOS PAC ID: 2769560499 Enrollment ID: I20150612002123 |
| Provider Name | Bryan R Klauk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619239258 PECOS PAC ID: 3072824333 Enrollment ID: I20150612002367 |
| Provider Name | Alwin A Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245610658 PECOS PAC ID: 8022329085 Enrollment ID: I20150617000572 |
| Provider Name | Andinet W Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093081077 PECOS PAC ID: 9537470091 Enrollment ID: I20150624002415 |
| Provider Name | Jawad Pervez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912206384 PECOS PAC ID: 8527379932 Enrollment ID: I20150625000896 |
| Provider Name | Azra M Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700804028 PECOS PAC ID: 3678577020 Enrollment ID: I20150625002712 |
| Provider Name | Stephanie J Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639505019 PECOS PAC ID: 5890925358 Enrollment ID: I20150626000510 |
| Provider Name | Kyle I Swanson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194980136 PECOS PAC ID: 9638302268 Enrollment ID: I20150626001053 |
| Provider Name | Katie Lee Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740453141 PECOS PAC ID: 3375621865 Enrollment ID: I20150630002444 |
| Provider Name | Kristina L Diehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013305200 PECOS PAC ID: 6103138268 Enrollment ID: I20150701001938 |
| Provider Name | Rebecca D Rudella |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588046890 PECOS PAC ID: 2769794858 Enrollment ID: I20150702000035 |
| Provider Name | Adam P Siegel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750616561 PECOS PAC ID: 7113158262 Enrollment ID: I20150702000329 |
| Provider Name | Nnamdi C Otuwa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568751600 PECOS PAC ID: 7214249341 Enrollment ID: I20150702001097 |
| Provider Name | Rebekka M Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669853057 PECOS PAC ID: 6103138136 Enrollment ID: I20150706001791 |
| Provider Name | Jessica L Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225417488 PECOS PAC ID: 2961714845 Enrollment ID: I20150707000942 |
| Provider Name | Anil Y Tumu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508094756 PECOS PAC ID: 3779895537 Enrollment ID: I20150708000165 |
| Provider Name | Asam Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104188267 PECOS PAC ID: 7618289497 Enrollment ID: I20150708000692 |
| Provider Name | Ashley C Caravelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508126509 PECOS PAC ID: 5991938375 Enrollment ID: I20150708001276 |
| Provider Name | Aaron M Ginster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265726582 PECOS PAC ID: 9931411741 Enrollment ID: I20150708001524 |
| Provider Name | Danielle Marie Goeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942688171 PECOS PAC ID: 3476865296 Enrollment ID: I20150708001844 |
| Provider Name | Karole M Kuslak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033344221 PECOS PAC ID: 8527370113 Enrollment ID: I20150710001123 |
| Provider Name | Karina M Arkush |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659690741 PECOS PAC ID: 0840502449 Enrollment ID: I20150710001294 |
| Provider Name | Fisseha Y Ghidey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013145887 PECOS PAC ID: 8224286786 Enrollment ID: I20150714003195 |
| Provider Name | Jennifer R Cappelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467710202 PECOS PAC ID: 0749413284 Enrollment ID: I20150715001385 |
| Provider Name | Joshua R Lacey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407134620 PECOS PAC ID: 1355573593 Enrollment ID: I20150716001820 |
| Provider Name | Andrew Nmi Chet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033422811 PECOS PAC ID: 5698901288 Enrollment ID: I20150716002732 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Christina G Crumbliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790047900 PECOS PAC ID: 8325287725 Enrollment ID: I20150721001011 |
| Provider Name | Thomas A Paulick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669726642 PECOS PAC ID: 2961715792 Enrollment ID: I20150722004267 |
| Provider Name | Mohammed U Elahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528322674 PECOS PAC ID: 6002031028 Enrollment ID: I20150729010349 |
| Provider Name | Suchada Chaiwechakarn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558647495 PECOS PAC ID: 3678748647 Enrollment ID: I20150730011426 |
| Provider Name | Sulaiman Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730521014 PECOS PAC ID: 4880816677 Enrollment ID: I20150730011903 |
| Provider Name | Maria F Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087839 PECOS PAC ID: 1052625332 Enrollment ID: I20150730012095 |
| Provider Name | Eugene C Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639309453 PECOS PAC ID: 5890941116 Enrollment ID: I20150730012221 |
| Provider Name | David J Miller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780769638 PECOS PAC ID: 6204802572 Enrollment ID: I20150730012284 |
| Provider Name | Mubeen Khan Mohammed Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275817991 PECOS PAC ID: 0446476733 Enrollment ID: I20150730012354 |
| Provider Name | Lindsey M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760865901 PECOS PAC ID: 6901110212 Enrollment ID: I20150730013045 |
| Provider Name | David L Hamel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871818344 PECOS PAC ID: 9830403153 Enrollment ID: I20150730013327 |
| Provider Name | Jessica M Mccardell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235518945 PECOS PAC ID: 0244544492 Enrollment ID: I20150731014877 |
| Provider Name | Andrea O Akpoguma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508091117 PECOS PAC ID: 3971743592 Enrollment ID: I20150803000238 |
| Provider Name | Jing X Zhang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396006508 PECOS PAC ID: 2567776628 Enrollment ID: I20150803001275 |
| Provider Name | Niraj K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326300831 PECOS PAC ID: 8820302938 Enrollment ID: I20150803002853 |
| Provider Name | Kamil Krukowski |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1366703563 PECOS PAC ID: 6709190770 Enrollment ID: I20150804005354 |
| Provider Name | Kristen E Kotecki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336574847 PECOS PAC ID: 6709190713 Enrollment ID: I20150805006679 |
| Provider Name | Zachary S Siehoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639437999 PECOS PAC ID: 7214241157 Enrollment ID: I20150805007847 |
| Provider Name | Grace I Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366824658 PECOS PAC ID: 6507170487 Enrollment ID: I20150805009351 |
| Provider Name | Nicholas Otten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013277714 PECOS PAC ID: 2264651108 Enrollment ID: I20150806010351 |
| Provider Name | Jacqueline A Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811052319 PECOS PAC ID: 1850512799 Enrollment ID: I20150806012540 |
| Provider Name | Ayalew Muluneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942576046 PECOS PAC ID: 7911211792 Enrollment ID: I20150807013036 |
| Provider Name | Jodi L Zilinski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023213626 PECOS PAC ID: 3072770817 Enrollment ID: I20150807013838 |
| Provider Name | Jill Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164819033 PECOS PAC ID: 8729392410 Enrollment ID: I20150810001282 |
| Provider Name | Tonia M Greenwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386870244 PECOS PAC ID: 0446565154 Enrollment ID: I20150810002133 |
| Provider Name | Paul A Fagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063646305 PECOS PAC ID: 1951616630 Enrollment ID: I20150811004276 |
| Provider Name | Jesse M Justus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932487816 PECOS PAC ID: 0345483913 Enrollment ID: I20150812008506 |
| Provider Name | Pablo J Colon Nieves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376794362 PECOS PAC ID: 1153640636 Enrollment ID: I20150812009023 |
| Provider Name | Elizabeth L Dickson Michelson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669664744 PECOS PAC ID: 9335326354 Enrollment ID: I20150813010750 |
| Provider Name | Deanna J Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710362850 PECOS PAC ID: 1951616200 Enrollment ID: I20150814013483 |
| Provider Name | Briana B Czymbor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144456732 PECOS PAC ID: 5991929689 Enrollment ID: I20150817000606 |
| Provider Name | Garbis Vartanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407110976 PECOS PAC ID: 8224343488 Enrollment ID: I20150817002287 |
| Provider Name | Jay M Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033485040 PECOS PAC ID: 9537474747 Enrollment ID: I20150818003965 |
| Provider Name | Michael J Litrenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043694276 PECOS PAC ID: 0648585869 Enrollment ID: I20150818004264 |
| Provider Name | Fatima Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740546829 PECOS PAC ID: 2961717020 Enrollment ID: I20150818005832 |
| Provider Name | Anton John Sella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154632412 PECOS PAC ID: 1759523095 Enrollment ID: I20150819008358 |
| Provider Name | Tracy P Lemmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851774772 PECOS PAC ID: 2961717913 Enrollment ID: I20150819008885 |
| Provider Name | Tatiana Petrikova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528313061 PECOS PAC ID: 0042525008 Enrollment ID: I20150819009220 |
| Provider Name | Sarah L Eilers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104203744 PECOS PAC ID: 5496060451 Enrollment ID: I20150819009259 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508121286 PECOS PAC ID: 4981919974 Enrollment ID: I20150820010055 |
| Provider Name | Jeffrey A Swift |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548569767 PECOS PAC ID: 8224260393 Enrollment ID: I20150821013615 |
| Provider Name | Melissa Lee Chmela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316313844 PECOS PAC ID: 0840505608 Enrollment ID: I20150824000386 |
| Provider Name | Nicole A Hoftender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659755056 PECOS PAC ID: 8527374271 Enrollment ID: I20150826002004 |
| Provider Name | Becky S Dienberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659757789 PECOS PAC ID: 6901112515 Enrollment ID: I20150827001293 |
| Provider Name | Andrew D Navarrete |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518197326 PECOS PAC ID: 0840413076 Enrollment ID: I20150828001711 |
| Provider Name | Jeffrey M Tomasini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417272535 PECOS PAC ID: 1052627569 Enrollment ID: I20150828001823 |
| Provider Name | Wesley A Papenfuss |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518993369 PECOS PAC ID: 1355340795 Enrollment ID: I20150828002126 |
| Provider Name | John R Meister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538503982 PECOS PAC ID: 4385868041 Enrollment ID: I20150831002346 |
| Provider Name | Maureen Kathryn Wery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104205731 PECOS PAC ID: 2466768783 Enrollment ID: I20150901003402 |
| Provider Name | Renelle L Staus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013393768 PECOS PAC ID: 8527035443 Enrollment ID: I20150902000864 |
| Provider Name | Elisa L Lambie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780068692 PECOS PAC ID: 0648586891 Enrollment ID: I20150902001050 |
| Provider Name | Chelsea M Tauer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063898468 PECOS PAC ID: 0143536367 Enrollment ID: I20150903000102 |
| Provider Name | Siddesh V Besur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467653279 PECOS PAC ID: 1951495415 Enrollment ID: I20150903000142 |
| Provider Name | Kathleen M Boettcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568838951 PECOS PAC ID: 4981910049 Enrollment ID: I20150903001789 |
| Provider Name | Courtney M Bendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467837229 PECOS PAC ID: 2163738238 Enrollment ID: I20150903002156 |
| Provider Name | Venkata Muddana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912055237 PECOS PAC ID: 7810147725 Enrollment ID: I20150908002678 |
| Provider Name | Julia Leo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891953295 PECOS PAC ID: 3678889524 Enrollment ID: I20150908002919 |
| Provider Name | Megan M Rorabeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104202282 PECOS PAC ID: 5698082535 Enrollment ID: I20150910000103 |
| Provider Name | Ashley L Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699151712 PECOS PAC ID: 7012224975 Enrollment ID: I20150910000598 |
| Provider Name | Leslie A Mueller Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323041 PECOS PAC ID: 8527375484 Enrollment ID: I20150910000763 |
| Provider Name | Shirley N Tetteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20150911000555 |
| Provider Name | Marissa Le |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326369901 PECOS PAC ID: 3870800626 Enrollment ID: I20150911000617 |
| Provider Name | Ruchit D Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023383031 PECOS PAC ID: 4385951136 Enrollment ID: I20150911000752 |
| Provider Name | Kristin A Stanley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275909202 PECOS PAC ID: 4082921838 Enrollment ID: I20150911000821 |
| Provider Name | Lauren Michelle Perow-krieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306221551 PECOS PAC ID: 4284941048 Enrollment ID: I20150911001181 |
| Provider Name | Paula M Osgood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043509268 PECOS PAC ID: 9335325380 Enrollment ID: I20150914001837 |
| Provider Name | Tanya L Pakulski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245615558 PECOS PAC ID: 2668789322 Enrollment ID: I20150914002354 |
| Provider Name | Abdul Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265679724 PECOS PAC ID: 6406048321 Enrollment ID: I20150915002549 |
| Provider Name | Angela K Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033586292 PECOS PAC ID: 6901113463 Enrollment ID: I20150915003280 |
| Provider Name | Nyama M Sillah |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770713182 PECOS PAC ID: 1557584778 Enrollment ID: I20150916000386 |
| Provider Name | Omar A Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215227251 PECOS PAC ID: 5890002380 Enrollment ID: I20150916000748 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20150916001161 |
| Provider Name | Drew Goede |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952785719 PECOS PAC ID: 1658688163 Enrollment ID: I20150916001255 |
| Provider Name | Lisa A Ziarko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851767784 PECOS PAC ID: 8628385168 Enrollment ID: I20150916002522 |
| Provider Name | Valentin S Suma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821282401 PECOS PAC ID: 9335222801 Enrollment ID: I20150916003334 |
| Provider Name | Lakshmi Muthukumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538315221 PECOS PAC ID: 1759442924 Enrollment ID: I20150916003420 |
| Provider Name | Amy R Ford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073838918 PECOS PAC ID: 7719294198 Enrollment ID: I20150917000478 |
| Provider Name | Julia A Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336525740 PECOS PAC ID: 5294042594 Enrollment ID: I20150918002048 |
| Provider Name | Khalyne T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720341274 PECOS PAC ID: 4082831722 Enrollment ID: I20150921001596 |
| Provider Name | Kushal R Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588981088 PECOS PAC ID: 1658598388 Enrollment ID: I20150921001828 |
| Provider Name | Alfredo A Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225404536 PECOS PAC ID: 3678880879 Enrollment ID: I20150921002795 |
| Provider Name | Casey E Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285002667 PECOS PAC ID: 0244547222 Enrollment ID: I20150923003247 |
| Provider Name | Crystal Y Rieser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174899819 PECOS PAC ID: 9335457316 Enrollment ID: I20150925000178 |
| Provider Name | Varun Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881958478 PECOS PAC ID: 8628386588 Enrollment ID: I20150928000558 |
| Provider Name | Sarnarendra S Miranpuri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770727851 PECOS PAC ID: 6204875164 Enrollment ID: I20150930003343 |
| Provider Name | Emily A Murthy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386022895 PECOS PAC ID: 7416265046 Enrollment ID: I20151001001382 |
| Provider Name | Clayton Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595051 PECOS PAC ID: 7416265962 Enrollment ID: I20151001002581 |
| Provider Name | Christina A Vitkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497122238 PECOS PAC ID: 8224346580 Enrollment ID: I20151006002290 |
| Provider Name | Alyssa M Mohorek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730455213 PECOS PAC ID: 6507089125 Enrollment ID: I20151008000542 |
| Provider Name | Kaitlin A Creasap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831566587 PECOS PAC ID: 9830407014 Enrollment ID: I20151008000629 |
| Provider Name | Luis J Trujillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861752826 PECOS PAC ID: 3375851553 Enrollment ID: I20151008000703 |
| Provider Name | Dianna L Langner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528322849 PECOS PAC ID: 3173779014 Enrollment ID: I20151012000594 |
| Provider Name | Abdel Aziz A Jaffan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871799304 PECOS PAC ID: 2264584747 Enrollment ID: I20151013000178 |
| Provider Name | Kathleen J Krickeberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366810020 PECOS PAC ID: 5193034189 Enrollment ID: I20151013002214 |
| Provider Name | Neelofar Nabi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194083493 PECOS PAC ID: 6204145139 Enrollment ID: I20151015002225 |
| Provider Name | Jason A Brooks |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427215128 PECOS PAC ID: 8921172990 Enrollment ID: I20151016001499 |
| Provider Name | Gurkit K Miranpuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164719548 PECOS PAC ID: 8527288331 Enrollment ID: I20151019002453 |
| Provider Name | Danielle E Defreese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396039632 PECOS PAC ID: 8921317645 Enrollment ID: I20151020003088 |
| Provider Name | Mengyao Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225304157 PECOS PAC ID: 3072822378 Enrollment ID: I20151028001146 |
| Provider Name | John-jeremiah Kretchy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487902805 PECOS PAC ID: 3274842570 Enrollment ID: I20151028001445 |
| Provider Name | Joseph G Shaoul |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1023488897 PECOS PAC ID: 8628387925 Enrollment ID: I20151028001458 |
| Provider Name | Monica L Gaulke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861861502 PECOS PAC ID: 6204145428 Enrollment ID: I20151028002593 |
| Provider Name | Janna Kroiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063831022 PECOS PAC ID: 4688984800 Enrollment ID: I20151030000388 |
| Provider Name | Sandra L Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194193813 PECOS PAC ID: 1254641335 Enrollment ID: I20151102000278 |
| Provider Name | Nicole M Kubeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295105088 PECOS PAC ID: 9638489636 Enrollment ID: I20151103002055 |
| Provider Name | Jolene K Oehlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356725543 PECOS PAC ID: 8628388642 Enrollment ID: I20151103002933 |
| Provider Name | Gregory A Burek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730507773 PECOS PAC ID: 6204146889 Enrollment ID: I20151111000803 |
| Provider Name | Kimberly K Davies-robinet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518151653 PECOS PAC ID: 1759567936 Enrollment ID: I20151113001547 |
| Provider Name | Ulviye Menekseoglu |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1912378126 PECOS PAC ID: 9133439474 Enrollment ID: I20151117001086 |
| Provider Name | Jeffrey D Tiemstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336252238 PECOS PAC ID: 0345136008 Enrollment ID: I20151117002114 |
| Provider Name | Michael Pothen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124382999 PECOS PAC ID: 1456590876 Enrollment ID: I20151119000378 |
| Provider Name | Gary Y Cheung |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326410002 PECOS PAC ID: 0648570861 Enrollment ID: I20151119001918 |
| Provider Name | Paul A Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447563200 PECOS PAC ID: 0042469116 Enrollment ID: I20151125000963 |
| Provider Name | Heather J Greiling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861879462 PECOS PAC ID: 7810298239 Enrollment ID: I20151209000202 |
| Provider Name | Heather Rubio-cockroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386038677 PECOS PAC ID: 6800197179 Enrollment ID: I20151211000725 |
| Provider Name | Edward J Wasie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538252572 PECOS PAC ID: 1759303175 Enrollment ID: I20151216000028 |
| Provider Name | Steven A Sandstrom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174625610 PECOS PAC ID: 9537484720 Enrollment ID: I20151218000109 |
| Provider Name | Shannon M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437524725 PECOS PAC ID: 2769783398 Enrollment ID: I20151223001407 |
| Provider Name | Karlee A Fahey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013381185 PECOS PAC ID: 3678874104 Enrollment ID: I20151229000346 |
| Provider Name | Emilie M Padfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982022752 PECOS PAC ID: 0042512402 Enrollment ID: I20151231001795 |
| Provider Name | Kanisha L Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649643776 PECOS PAC ID: 1254633514 Enrollment ID: I20160105000457 |
| Provider Name | Jaskiran Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942561857 PECOS PAC ID: 9234431248 Enrollment ID: I20160107002789 |
| Provider Name | Natalie A Fox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063887529 PECOS PAC ID: 3779886270 Enrollment ID: I20160115001373 |
| Provider Name | Nora M Badi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861768673 PECOS PAC ID: 3779886742 Enrollment ID: I20160126000151 |
| Provider Name | Nanette K Cherba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477928000 PECOS PAC ID: 9537463005 Enrollment ID: I20160203000426 |
| Provider Name | Chante Strelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750746772 PECOS PAC ID: 5294039772 Enrollment ID: I20160203001098 |
| Provider Name | Cynthia M Bellanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164887063 PECOS PAC ID: 5799089132 Enrollment ID: I20160205000748 |
| Provider Name | Andrea E Vandermolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134542616 PECOS PAC ID: 9739304692 Enrollment ID: I20160210000387 |
| Provider Name | Rhiannon M Jauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699130732 PECOS PAC ID: 7719281641 Enrollment ID: I20160212000740 |
| Provider Name | Lindsay A Ellwein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356716062 PECOS PAC ID: 5395049191 Enrollment ID: I20160215000807 |
| Provider Name | Breana M Vandoorn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407220239 PECOS PAC ID: 9032413885 Enrollment ID: I20160215002093 |
| Provider Name | Kelly Tritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710357116 PECOS PAC ID: 0941504708 Enrollment ID: I20160215002413 |
| Provider Name | Lindsay Rb Locklar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023361771 PECOS PAC ID: 5799937199 Enrollment ID: I20160217001984 |
| Provider Name | Maria Sarandos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366807208 PECOS PAC ID: 6507161171 Enrollment ID: I20160218001538 |
| Provider Name | Nicholas Perifanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730549387 PECOS PAC ID: 9739485491 Enrollment ID: I20160308000139 |
| Provider Name | Diane C Lamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750962 PECOS PAC ID: 8527364678 Enrollment ID: I20160315002984 |
| Provider Name | Gurjeet Singh Kaleka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306046834 PECOS PAC ID: 6901960715 Enrollment ID: I20160315003035 |
| Provider Name | Rebecca L Rennert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831558923 PECOS PAC ID: 6901103779 Enrollment ID: I20160322000748 |
| Provider Name | Carrie A Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681222 PECOS PAC ID: 4082911508 Enrollment ID: I20160329001819 |
| Provider Name | Alexandria L Goldin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326337742 PECOS PAC ID: 1557680071 Enrollment ID: I20160329002242 |
| Provider Name | Samantha M Walch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538521372 PECOS PAC ID: 2668779026 Enrollment ID: I20160330000550 |
| Provider Name | Vikram Khatri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124149703 PECOS PAC ID: 8022316876 Enrollment ID: I20160412002352 |
| Provider Name | Stephanie A Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063840650 PECOS PAC ID: 4880996776 Enrollment ID: I20160412002554 |
| Provider Name | Nicole R Casady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417310160 PECOS PAC ID: 3274831755 Enrollment ID: I20160418000190 |
| Provider Name | Tammy A Francour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942661913 PECOS PAC ID: 4183922669 Enrollment ID: I20160418000193 |
| Provider Name | Dhruvangkumar A Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831326719 PECOS PAC ID: 4789830753 Enrollment ID: I20160421000906 |
| Provider Name | Ancy George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851752984 PECOS PAC ID: 2365741345 Enrollment ID: I20160425002564 |
| Provider Name | Breion Marie Tafoya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902088057 PECOS PAC ID: 3971730458 Enrollment ID: I20160503001805 |
| Provider Name | Erik R Eisberner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346603032 PECOS PAC ID: 9032418553 Enrollment ID: I20160504000728 |
| Provider Name | Robert L Richmond |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689930612 PECOS PAC ID: 2567751811 Enrollment ID: I20160510001722 |
| Provider Name | Iqbal M Kahloon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235575689 PECOS PAC ID: 3072736271 Enrollment ID: I20160510002110 |
| Provider Name | Julie E Niedfeldt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477982585 PECOS PAC ID: 9133356942 Enrollment ID: I20160512000820 |
| Provider Name | Laam V Ko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467624197 PECOS PAC ID: 6800024803 Enrollment ID: I20160513001789 |
| Provider Name | Nathan E Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780902395 PECOS PAC ID: 4880997121 Enrollment ID: I20160516001129 |
| Provider Name | Zachary R Laste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417243866 PECOS PAC ID: 3678862596 Enrollment ID: I20160517000989 |
| Provider Name | Adrianne L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578919791 PECOS PAC ID: 2466741848 Enrollment ID: I20160525002179 |
| Provider Name | Anastasia H Fischer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235130782 PECOS PAC ID: 6608804778 Enrollment ID: I20160526000132 |
| Provider Name | Jude J Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194755587 PECOS PAC ID: 8224037122 Enrollment ID: I20160531001764 |
| Provider Name | Kathryn A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578923306 PECOS PAC ID: 8729378955 Enrollment ID: I20160601000001 |
| Provider Name | Meghan R Wisneski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851604078 PECOS PAC ID: 0446540579 Enrollment ID: I20160602000861 |
| Provider Name | Danielle K Szudrowitz Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487008348 PECOS PAC ID: 4082904123 Enrollment ID: I20160602001195 |
| Provider Name | Adam B Schlichting |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982800991 PECOS PAC ID: 4486801495 Enrollment ID: I20160610000174 |
| Provider Name | Samuel E Godana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760724249 PECOS PAC ID: 5496045916 Enrollment ID: I20160610001873 |
| Provider Name | Kevin E Hudak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275826760 PECOS PAC ID: 3476872839 Enrollment ID: I20160614000454 |
| Provider Name | Lauren M Kayser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861849432 PECOS PAC ID: 8022309558 Enrollment ID: I20160614000545 |
| Provider Name | Christopher M Arndt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558709105 PECOS PAC ID: 6608010665 Enrollment ID: I20160615000004 |
| Provider Name | Jill C Schuld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497195309 PECOS PAC ID: 4880985274 Enrollment ID: I20160615000112 |
| Provider Name | Melissa I Swainston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689029217 PECOS PAC ID: 8426349580 Enrollment ID: I20160620002356 |
| Provider Name | Ronald J Schmitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316268360 PECOS PAC ID: 4385959865 Enrollment ID: I20160621001699 |
| Provider Name | Lindsey A Mckee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841511276 PECOS PAC ID: 3375834294 Enrollment ID: I20160624000401 |
| Provider Name | Jennifer M Halbach-giese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598112963 PECOS PAC ID: 2466743109 Enrollment ID: I20160627002621 |
| Provider Name | Ben M Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487004172 PECOS PAC ID: 2567753247 Enrollment ID: I20160628001240 |
| Provider Name | Kumar R Sannagowdara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779601 PECOS PAC ID: 7618296732 Enrollment ID: I20160701000471 |
| Provider Name | Tai T Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699951418 PECOS PAC ID: 8224194956 Enrollment ID: I20160701000664 |
| Provider Name | Saada A Zegar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386987303 PECOS PAC ID: 6901125491 Enrollment ID: I20160701000671 |
| Provider Name | Timothy Joseph Baures |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104111376 PECOS PAC ID: 8820315542 Enrollment ID: I20160705000022 |
| Provider Name | Danielle M Fox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477904738 PECOS PAC ID: 2062704489 Enrollment ID: I20160706000194 |
| Provider Name | Amritha C Karkera |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003129958 PECOS PAC ID: 8123256138 Enrollment ID: I20160706000642 |
| Provider Name | Zechariah D Spychalla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578806790 PECOS PAC ID: 4587968094 Enrollment ID: I20160706001693 |
| Provider Name | Suraj Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033420922 PECOS PAC ID: 7214176213 Enrollment ID: I20160707002054 |
| Provider Name | Katie L Lloyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013352582 PECOS PAC ID: 7214253491 Enrollment ID: I20160708000635 |
| Provider Name | Caitlin M Ferron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114293925 PECOS PAC ID: 4587984661 Enrollment ID: I20160713000973 |
| Provider Name | Timothy Hazard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003199720 PECOS PAC ID: 2062670052 Enrollment ID: I20160713002031 |
| Provider Name | Amitjeet Kalirao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801116306 PECOS PAC ID: 3971895681 Enrollment ID: I20160715001013 |
| Provider Name | Thomas F Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730503657 PECOS PAC ID: 3375836083 Enrollment ID: I20160718002006 |
| Provider Name | Grigory Roginsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598027104 PECOS PAC ID: 7911200258 Enrollment ID: I20160719000074 |
| Provider Name | Melissa W Koss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477796233 PECOS PAC ID: 0244459378 Enrollment ID: I20160719000297 |
| Provider Name | Jafar S Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992047153 PECOS PAC ID: 1456644632 Enrollment ID: I20160726001123 |
| Provider Name | Paul P Heideman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144546870 PECOS PAC ID: 6002085107 Enrollment ID: I20160726002065 |
| Provider Name | Yimenu W Dagnew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457693665 PECOS PAC ID: 1951694900 Enrollment ID: I20160728000276 |
| Provider Name | Drew E Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497097620 PECOS PAC ID: 4486961935 Enrollment ID: I20160728001448 |
| Provider Name | Martin O Bazelak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831456367 PECOS PAC ID: 4981917838 Enrollment ID: I20160728002323 |
| Provider Name | Andrew D Carmichael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144562398 PECOS PAC ID: 9638462567 Enrollment ID: I20160729000118 |
| Provider Name | Shawn Whitton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508144080 PECOS PAC ID: 5799929501 Enrollment ID: I20160729000295 |
| Provider Name | Subhadeep Barman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922205996 PECOS PAC ID: 0648441634 Enrollment ID: I20160802001604 |
| Provider Name | Nathan Wallenfang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386090512 PECOS PAC ID: 2062706757 Enrollment ID: I20160803000675 |
| Provider Name | Khalid G Al Abdul Raheem |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306112305 PECOS PAC ID: 3375862865 Enrollment ID: I20160803001477 |
| Provider Name | Kim Doan Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548632219 PECOS PAC ID: 1254621311 Enrollment ID: I20160803002331 |
| Provider Name | Sapna Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649409418 PECOS PAC ID: 1557524451 Enrollment ID: I20160803002530 |
| Provider Name | Omar Gladwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417213190 PECOS PAC ID: 0446544084 Enrollment ID: I20160804002151 |
| Provider Name | Dovile Baniulis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609118033 PECOS PAC ID: 1153621016 Enrollment ID: I20160804002342 |
| Provider Name | Tarek M Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710322789 PECOS PAC ID: 3779802947 Enrollment ID: I20160805001152 |
| Provider Name | Benjamin A Abeyta |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447511597 PECOS PAC ID: 6002100500 Enrollment ID: I20160805001412 |
| Provider Name | Jamie Hsien Chin Chao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811156185 PECOS PAC ID: 4183848617 Enrollment ID: I20160805001718 |
| Provider Name | Sandra D Verhaeghe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699127571 PECOS PAC ID: 2466746839 Enrollment ID: I20160808001200 |
| Provider Name | Derek Hoyme |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245469808 PECOS PAC ID: 2062657372 Enrollment ID: I20160808002817 |
| Provider Name | Anthony Herrera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891081360 PECOS PAC ID: 6901190131 Enrollment ID: I20160810001250 |
| Provider Name | Ankoor Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255774972 PECOS PAC ID: 4385938562 Enrollment ID: I20160810002651 |
| Provider Name | Gena M Dermody |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609141761 PECOS PAC ID: 9537488010 Enrollment ID: I20160810002894 |
| Provider Name | Taylor Finseth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588950232 PECOS PAC ID: 7618294141 Enrollment ID: I20160810002988 |
| Provider Name | Kristopher Wnek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205192416 PECOS PAC ID: 5890005862 Enrollment ID: I20160811002218 |
| Provider Name | Kayla M Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386987071 PECOS PAC ID: 1052605037 Enrollment ID: I20160815000924 |
| Provider Name | Elizabeth V Kurowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982946638 PECOS PAC ID: 6002134913 Enrollment ID: I20160815001919 |
| Provider Name | Rachel Fournogerakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275809519 PECOS PAC ID: 3476857277 Enrollment ID: I20160815002362 |
| Provider Name | Jacob T Demaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215373147 PECOS PAC ID: 3779892914 Enrollment ID: I20160816001713 |
| Provider Name | Cynthia Y Abban |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841556735 PECOS PAC ID: 6608160593 Enrollment ID: I20160816001863 |
| Provider Name | Nita M Schwab |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720531940 PECOS PAC ID: 6305131293 Enrollment ID: I20160816002437 |
| Provider Name | Laurence A Donahue |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376856195 PECOS PAC ID: 5890080709 Enrollment ID: I20160817000002 |
| Provider Name | William L Ritt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811283526 PECOS PAC ID: 2062732977 Enrollment ID: I20160817000862 |
| Provider Name | Margaret Mary Greco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686414 PECOS PAC ID: 9739251703 Enrollment ID: I20160817003183 |
| Provider Name | Amanda J Hiemstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922458785 PECOS PAC ID: 1658666326 Enrollment ID: I20160818002850 |
| Provider Name | Dylan A. Bray |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790135457 PECOS PAC ID: 9739474438 Enrollment ID: I20160819000626 |
| Provider Name | Corina E Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184075053 PECOS PAC ID: 2567757156 Enrollment ID: I20160822001001 |
| Provider Name | Chasity Lynn Callender |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760935902 PECOS PAC ID: 5496040099 Enrollment ID: I20160822001685 |
| Provider Name | Mandeep K Kalirao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750662813 PECOS PAC ID: 9739306937 Enrollment ID: I20160823001405 |
| Provider Name | Catherine Cooch Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265673164 PECOS PAC ID: 5991090110 Enrollment ID: I20160825002781 |
| Provider Name | Nicole M Becher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976874 PECOS PAC ID: 3577858695 Enrollment ID: I20160829000042 |
| Provider Name | Krishna M Raol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477996627 PECOS PAC ID: 3072808146 Enrollment ID: I20160829001417 |
| Provider Name | Ashley A Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780034736 PECOS PAC ID: 7416242490 Enrollment ID: I20160830001647 |
| Provider Name | Paras B Bhavsar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912252719 PECOS PAC ID: 2567696735 Enrollment ID: I20160831000022 |
| Provider Name | Joseph Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952538001 PECOS PAC ID: 3072809912 Enrollment ID: I20160901001538 |
| Provider Name | Ellie E Mercado-schoessow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780137737 PECOS PAC ID: 6800182601 Enrollment ID: I20160902001110 |
| Provider Name | Hannah R Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184987240 PECOS PAC ID: 0547410557 Enrollment ID: I20160902001428 |
| Provider Name | Justine M Benin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942541362 PECOS PAC ID: 2466748223 Enrollment ID: I20160906001102 |
| Provider Name | Nichelle N Rothong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033443122 PECOS PAC ID: 1456647023 Enrollment ID: I20160907002399 |
| Provider Name | Lauren T H Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578016143 PECOS PAC ID: 4385930957 Enrollment ID: I20160907002702 |
| Provider Name | David E Sliwoski |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1184923468 PECOS PAC ID: 7214237742 Enrollment ID: I20160908001277 |
| Provider Name | Jennifer Leigh Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750834057 PECOS PAC ID: 9234425547 Enrollment ID: I20160913002470 |
| Provider Name | Angela M Kochanik-pirelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659825701 PECOS PAC ID: 6103112347 Enrollment ID: I20160914000877 |
| Provider Name | Maureen T Blaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541186 PECOS PAC ID: 5092001107 Enrollment ID: I20160915000618 |
| Provider Name | Julie A Reichle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568915650 PECOS PAC ID: 0840586954 Enrollment ID: I20160915000766 |
| Provider Name | Christie Hanrahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437602729 PECOS PAC ID: 1658667761 Enrollment ID: I20160915000791 |
| Provider Name | Lauren M Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174889034 PECOS PAC ID: 6406090943 Enrollment ID: I20160915001844 |
| Provider Name | Crystal Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609011261 PECOS PAC ID: 8123181468 Enrollment ID: I20160915002562 |
| Provider Name | Arslan Zaidi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922397660 PECOS PAC ID: 1850694795 Enrollment ID: I20160916000222 |
| Provider Name | Timothy E Gundlach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144200205 PECOS PAC ID: 4587655717 Enrollment ID: I20160920000532 |
| Provider Name | Angela M Pirrung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306390422 PECOS PAC ID: 3375830219 Enrollment ID: I20160921001122 |
| Provider Name | Jessica N Schaefer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083161244 PECOS PAC ID: 5496042269 Enrollment ID: I20160921002393 |
| Provider Name | Katherine A Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154876175 PECOS PAC ID: 6608163456 Enrollment ID: I20160922001737 |
| Provider Name | Jessica L O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619311701 PECOS PAC ID: 5698088763 Enrollment ID: I20160926000178 |
| Provider Name | Anelia J Andreeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255673687 PECOS PAC ID: 5799072393 Enrollment ID: I20160926001704 |
| Provider Name | Priya Ramdass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023458171 PECOS PAC ID: 2769779370 Enrollment ID: I20160926001813 |
| Provider Name | Aharon B Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487102471 PECOS PAC ID: 2264729771 Enrollment ID: I20160928000086 |
| Provider Name | Mark R Wendling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215164314 PECOS PAC ID: 7416198759 Enrollment ID: I20160929000089 |
| Provider Name | Ravneet K Kaleka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841490372 PECOS PAC ID: 8729121645 Enrollment ID: I20160929000296 |
| Provider Name | Jena Cruciani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053868265 PECOS PAC ID: 7214225465 Enrollment ID: I20161004001707 |
| Provider Name | Alan J Licup |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205048246 PECOS PAC ID: 0547484602 Enrollment ID: I20161004002703 |
| Provider Name | Katie M Slocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659826238 PECOS PAC ID: 3870881873 Enrollment ID: I20161006001486 |
| Provider Name | Kerri Leanne Schey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275087561 PECOS PAC ID: 6305134305 Enrollment ID: I20161006001559 |
| Provider Name | Erin K Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902359250 PECOS PAC ID: 9436447448 Enrollment ID: I20161006001772 |
| Provider Name | Nicole Ebel Mubanga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285976563 PECOS PAC ID: 8527285030 Enrollment ID: I20161007000817 |
| Provider Name | Kirsten Winger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508310889 PECOS PAC ID: 6709174642 Enrollment ID: I20161010002046 |
| Provider Name | Angela K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881149441 PECOS PAC ID: 7911295860 Enrollment ID: I20161010002288 |
| Provider Name | Rachel M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306391883 PECOS PAC ID: 1355639931 Enrollment ID: I20161014000097 |
| Provider Name | Olivera Catic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386192045 PECOS PAC ID: 4183912702 Enrollment ID: I20161014001499 |
| Provider Name | Veronica Elchert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801344213 PECOS PAC ID: 0244528735 Enrollment ID: I20161017001710 |
| Provider Name | Syed A Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447485784 PECOS PAC ID: 4880842764 Enrollment ID: I20161018000664 |
| Provider Name | Susan C Sample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316496565 PECOS PAC ID: 0345538666 Enrollment ID: I20161019000740 |
| Provider Name | Jon P Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528517661 PECOS PAC ID: 5597053850 Enrollment ID: I20161019002016 |
| Provider Name | Adam Carow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912452533 PECOS PAC ID: 9739477027 Enrollment ID: I20161020000219 |
| Provider Name | Julie Hart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194859827 PECOS PAC ID: 0941588024 Enrollment ID: I20161024002553 |
| Provider Name | Sarah Arvelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594474 PECOS PAC ID: 3577841469 Enrollment ID: I20161027001297 |
| Provider Name | Jaya Phookan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417187493 PECOS PAC ID: 2365691599 Enrollment ID: I20161027001903 |
| Provider Name | Rachel K Conlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851849277 PECOS PAC ID: 9335427269 Enrollment ID: I20161028000037 |
| Provider Name | Sarah Kordus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154872497 PECOS PAC ID: 4284912908 Enrollment ID: I20161101001776 |
| Provider Name | Ryan R Mathews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790136455 PECOS PAC ID: 2668750217 Enrollment ID: I20161102000449 |
| Provider Name | Heather M Paar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021398 PECOS PAC ID: 0244518728 Enrollment ID: I20161103002453 |
| Provider Name | Mohamed Y Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164861043 PECOS PAC ID: 7012149891 Enrollment ID: I20161104001545 |
| Provider Name | Lacey M Bukhari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205386885 PECOS PAC ID: 7911285309 Enrollment ID: I20161107001419 |
| Provider Name | Nathan W Balk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578914503 PECOS PAC ID: 4688953805 Enrollment ID: I20161110002430 |
| Provider Name | Carolyn Veronica Essmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578014817 PECOS PAC ID: 5698054823 Enrollment ID: I20161111000076 |
| Provider Name | Kelly A Cihowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497202303 PECOS PAC ID: 6709165764 Enrollment ID: I20161115000136 |
| Provider Name | Monica C Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386872596 PECOS PAC ID: 7214216233 Enrollment ID: I20161115002619 |
| Provider Name | Brett J Leiknes |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1285186510 PECOS PAC ID: 3072892009 Enrollment ID: I20161116000576 |
| Provider Name | Lindsey Kay Rozewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003365909 PECOS PAC ID: 9436438058 Enrollment ID: I20161122000581 |
| Provider Name | Matthew A Lenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495195 PECOS PAC ID: 6103106679 Enrollment ID: I20161130000309 |
| Provider Name | Rebecca L Bons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558642629 PECOS PAC ID: 1850671330 Enrollment ID: I20161130000665 |
| Provider Name | Suprasad M Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467490631 PECOS PAC ID: 6901809433 Enrollment ID: I20161130001086 |
| Provider Name | Emily L Kastenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841742152 PECOS PAC ID: 3274813464 Enrollment ID: I20161205001566 |
| Provider Name | Casey J Reetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497201107 PECOS PAC ID: 2860772951 Enrollment ID: I20161207000709 |
| Provider Name | Ashvini V Biswas |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154616795 PECOS PAC ID: 4587944673 Enrollment ID: I20161207000780 |
| Provider Name | Tara A Kersten |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548569890 PECOS PAC ID: 6608195110 Enrollment ID: I20161208001885 |
| Provider Name | Nicole J Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205378114 PECOS PAC ID: 8729368725 Enrollment ID: I20161208002433 |
| Provider Name | Sharatchandra S Bidari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568769099 PECOS PAC ID: 5597943290 Enrollment ID: I20161214002069 |
| Provider Name | Charlotte N Lim |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1154343200 PECOS PAC ID: 1658364112 Enrollment ID: I20161215001661 |
| Provider Name | Nevena Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295278885 PECOS PAC ID: 5890076202 Enrollment ID: I20161223000249 |
| Provider Name | Harry F Laws |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508823592 PECOS PAC ID: 6709795180 Enrollment ID: I20161223000304 |
| Provider Name | Michael L Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902907454 PECOS PAC ID: 7810030129 Enrollment ID: I20161227002079 |
| Provider Name | Saad Mohsin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043754310 PECOS PAC ID: 8426339656 Enrollment ID: I20161230001772 |
| Provider Name | Rachel A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265975825 PECOS PAC ID: 2961783709 Enrollment ID: I20170110000950 |
| Provider Name | John Pokorney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821417064 PECOS PAC ID: 3779861737 Enrollment ID: I20170124002826 |
| Provider Name | Sussy Lynn King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942325923 PECOS PAC ID: 2769465061 Enrollment ID: I20170127001335 |
| Provider Name | Jamie Heiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083786859 PECOS PAC ID: 9032190582 Enrollment ID: I20170208000588 |
| Provider Name | Gerald C Godfrey |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1487689451 PECOS PAC ID: 1557467214 Enrollment ID: I20170209001007 |
| Provider Name | Molly Yurk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528515954 PECOS PAC ID: 8224317482 Enrollment ID: I20170213001870 |
| Provider Name | Patrice R Fedel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881132199 PECOS PAC ID: 6901189158 Enrollment ID: I20170213002258 |
| Provider Name | Andrea S Bond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952848343 PECOS PAC ID: 3678857570 Enrollment ID: I20170221000551 |
| Provider Name | Megan M Brezinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356888176 PECOS PAC ID: 1951685882 Enrollment ID: I20170221001826 |
| Provider Name | Elisa Marie Diermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710289384 PECOS PAC ID: 2769766344 Enrollment ID: I20170227001162 |
| Provider Name | Jason R Gehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881133593 PECOS PAC ID: 9032493465 Enrollment ID: I20170303000974 |
| Provider Name | Priya Sabharwal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841218997 PECOS PAC ID: 5395782254 Enrollment ID: I20170306002042 |
| Provider Name | Ashley L Vos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686211 PECOS PAC ID: 3173807484 Enrollment ID: I20170306002210 |
| Provider Name | Amber Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689112492 PECOS PAC ID: 0840574018 Enrollment ID: I20170307001944 |
| Provider Name | Suzanne C Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629518238 PECOS PAC ID: 7911281027 Enrollment ID: I20170308001482 |
| Provider Name | Spencer W Rogers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962480780 PECOS PAC ID: 2769610906 Enrollment ID: I20170310000006 |
| Provider Name | Vivek Nair |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1275896367 PECOS PAC ID: 0749436434 Enrollment ID: I20170313001966 |
| Provider Name | Melissa Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881134054 PECOS PAC ID: 1759666753 Enrollment ID: I20170313002282 |
| Provider Name | Brian E Giuliani |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063862076 PECOS PAC ID: 7517242548 Enrollment ID: I20170314000903 |
| Provider Name | Carolyn T Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063464337 PECOS PAC ID: 4587687538 Enrollment ID: I20170314000952 |
| Provider Name | Erica L Dessart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174958193 PECOS PAC ID: 3173808946 Enrollment ID: I20170316002030 |
| Provider Name | Sarah L Bahe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891234100 PECOS PAC ID: 0749565513 Enrollment ID: I20170316002310 |
| Provider Name | Juli A Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437534476 PECOS PAC ID: 7911215488 Enrollment ID: I20170317001111 |
| Provider Name | Kristen N Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306384268 PECOS PAC ID: 0244515096 Enrollment ID: I20170318000238 |
| Provider Name | Sahil P Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811282320 PECOS PAC ID: 4789812108 Enrollment ID: I20170320000067 |
| Provider Name | Kay A Zier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859942 PECOS PAC ID: 9133404981 Enrollment ID: I20170320000105 |
| Provider Name | Brooke L Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760837793 PECOS PAC ID: 1850676420 Enrollment ID: I20170322000447 |
| Provider Name | Shelley Flasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417497710 PECOS PAC ID: 2062797699 Enrollment ID: I20170322002661 |
| Provider Name | Deborah Nealon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538603196 PECOS PAC ID: 3577848092 Enrollment ID: I20170324001527 |
| Provider Name | Tracy L Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013454362 PECOS PAC ID: 8123303658 Enrollment ID: I20170324001994 |
| Provider Name | Dave L Gembel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215178348 PECOS PAC ID: 9537205067 Enrollment ID: I20170328002154 |
| Provider Name | Desiree A Mengo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447791363 PECOS PAC ID: 7113203217 Enrollment ID: I20170403002593 |
| Provider Name | Deborah J Ruebbelke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366812463 PECOS PAC ID: 9739465881 Enrollment ID: I20170404002007 |
| Provider Name | Ruth A Sohns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255877510 PECOS PAC ID: 3072899616 Enrollment ID: I20170413000571 |
| Provider Name | Stacy M Syrcle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023339132 PECOS PAC ID: 2163642760 Enrollment ID: I20170420000817 |
| Provider Name | Kerri L Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326497868 PECOS PAC ID: 5698051860 Enrollment ID: I20170425000405 |
| Provider Name | Allyson K Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588102180 PECOS PAC ID: 8921385121 Enrollment ID: I20170425002200 |
| Provider Name | Michael Dreis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992123459 PECOS PAC ID: 8729365838 Enrollment ID: I20170427000753 |
| Provider Name | Sarah E Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638212 PECOS PAC ID: 6305123159 Enrollment ID: I20170503001223 |
| Provider Name | Lisa A Schwartz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548699945 PECOS PAC ID: 5991082638 Enrollment ID: I20170504002301 |
| Provider Name | Elisabeth Mary Schoofs Ziebell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346775905 PECOS PAC ID: 7517244270 Enrollment ID: I20170505000600 |
| Provider Name | David Bingham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831393628 PECOS PAC ID: 7911186549 Enrollment ID: I20170505000850 |
| Provider Name | Bridget K Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285993725 PECOS PAC ID: 3476836024 Enrollment ID: I20170505001209 |
| Provider Name | Daniel R Harland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619234937 PECOS PAC ID: 0547543118 Enrollment ID: I20170510002888 |
| Provider Name | Lori L Leidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932633724 PECOS PAC ID: 0547547051 Enrollment ID: I20170511000822 |
| Provider Name | Andrew T Knox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568752665 PECOS PAC ID: 1658658000 Enrollment ID: I20170511002688 |
| Provider Name | Carol Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922473065 PECOS PAC ID: 3274800495 Enrollment ID: I20170518001408 |
| Provider Name | Mark E Sharafinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952612194 PECOS PAC ID: 4486932951 Enrollment ID: I20170525001641 |
| Provider Name | Titilola O Britto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982697215 PECOS PAC ID: 1759331366 Enrollment ID: I20170525002508 |
| Provider Name | Rachel R Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053845826 PECOS PAC ID: 9234406950 Enrollment ID: I20170601000684 |
| Provider Name | Walter P Jacobsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649419169 PECOS PAC ID: 3375781842 Enrollment ID: I20170606001323 |
| Provider Name | Peter V Gikas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396001327 PECOS PAC ID: 2769793447 Enrollment ID: I20170612000184 |
| Provider Name | Prashan Gunasekera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770848194 PECOS PAC ID: 4284876087 Enrollment ID: I20170612001722 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Roberto F Rojas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326347667 PECOS PAC ID: 4688942758 Enrollment ID: I20170613002335 |
| Provider Name | Franklin I Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750796132 PECOS PAC ID: 4981909603 Enrollment ID: I20170614002713 |
| Provider Name | Stefan G Doerge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295034445 PECOS PAC ID: 3072803261 Enrollment ID: I20170616001122 |
| Provider Name | Timothy M Klusman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124429022 PECOS PAC ID: 7517289689 Enrollment ID: I20170616001299 |
| Provider Name | Alok Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093121527 PECOS PAC ID: 9133441801 Enrollment ID: I20170619000989 |
| Provider Name | Alexander D Means |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518228576 PECOS PAC ID: 2860795457 Enrollment ID: I20170619001827 |
| Provider Name | Nicole L Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588118087 PECOS PAC ID: 7517235377 Enrollment ID: I20170620000841 |
| Provider Name | Patrick J Dawson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356598726 PECOS PAC ID: 3779641972 Enrollment ID: I20170621002610 |
| Provider Name | Miguel Aguilera |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1366616864 PECOS PAC ID: 8628346293 Enrollment ID: I20170622002851 |
| Provider Name | David Radovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649588872 PECOS PAC ID: 4486922994 Enrollment ID: I20170623001767 |
| Provider Name | Massihullah Hamidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043509680 PECOS PAC ID: 9739484791 Enrollment ID: I20170627001571 |
| Provider Name | Rajeev Gupta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770731077 PECOS PAC ID: 8527283209 Enrollment ID: I20170628003209 |
| Provider Name | Rebecca J Ioder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922558931 PECOS PAC ID: 6507135977 Enrollment ID: I20170629000370 |
| Provider Name | Amy L Pesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760837850 PECOS PAC ID: 5496048951 Enrollment ID: I20170629002573 |
| Provider Name | Sree Ramya Punukollu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033525837 PECOS PAC ID: 0547539751 Enrollment ID: I20170703000347 |
| Provider Name | Molly Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205366507 PECOS PAC ID: 5193094159 Enrollment ID: I20170706002002 |
| Provider Name | Moosa Kaleemullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215279088 PECOS PAC ID: 3476856725 Enrollment ID: I20170712002772 |
| Provider Name | Nicholas Z Pryomski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760897912 PECOS PAC ID: 9335418946 Enrollment ID: I20170712003197 |
| Provider Name | Abel H Irena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205255650 PECOS PAC ID: 7810270626 Enrollment ID: I20170712003683 |
| Provider Name | Bethany Graesslin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922528710 PECOS PAC ID: 6800166406 Enrollment ID: I20170713003133 |
| Provider Name | Bijan Nezami |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003201625 PECOS PAC ID: 9739459249 Enrollment ID: I20170717000977 |
| Provider Name | Maximilian W Hecht |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700056744 PECOS PAC ID: 3779762182 Enrollment ID: I20170718002488 |
| Provider Name | Amina I Merchant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992951909 PECOS PAC ID: 0446477129 Enrollment ID: I20170718002721 |
| Provider Name | Dajun Wang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174847867 PECOS PAC ID: 1951671213 Enrollment ID: I20170719000543 |
| Provider Name | Gina Suchocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770018756 PECOS PAC ID: 0143590489 Enrollment ID: I20170719003755 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Aiman Ghufran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023320637 PECOS PAC ID: 9830321223 Enrollment ID: I20170720000347 |
| Provider Name | Katie L Gierach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750810024 PECOS PAC ID: 4981974185 Enrollment ID: I20170720002399 |
| Provider Name | Christopher E Howson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508129826 PECOS PAC ID: 4587943220 Enrollment ID: I20170721002204 |
| Provider Name | Timothy J Bergan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1194922864 PECOS PAC ID: 7810267713 Enrollment ID: I20170726001485 |
| Provider Name | Timothy J Maher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275976086 PECOS PAC ID: 5991095895 Enrollment ID: I20170726003902 |
| Provider Name | Alexander M Riordan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972879534 PECOS PAC ID: 8527387166 Enrollment ID: I20170727000470 |
| Provider Name | Srinivas Bhadriraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790796084 PECOS PAC ID: 1759363989 Enrollment ID: I20170727003000 |
| Provider Name | Jacqueline M Fiala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750623344 PECOS PAC ID: 0042539108 Enrollment ID: I20170728000775 |
| Provider Name | Abiy A Gesese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245659408 PECOS PAC ID: 0446532295 Enrollment ID: I20170731000982 |
| Provider Name | Britain A O'connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281765 PECOS PAC ID: 9638476229 Enrollment ID: I20170801001403 |
| Provider Name | Mikias A Kebede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053622399 PECOS PAC ID: 2769626472 Enrollment ID: I20170802001028 |
| Provider Name | David Steven Demos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356502314 PECOS PAC ID: 9638301112 Enrollment ID: I20170802001635 |
| Provider Name | Emad K Barsoum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750657250 PECOS PAC ID: 5092003095 Enrollment ID: I20170802001828 |
| Provider Name | Gemechis H Tollera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942629084 PECOS PAC ID: 0840572608 Enrollment ID: I20170802003299 |
| Provider Name | Alexander M Maley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699018531 PECOS PAC ID: 1052618964 Enrollment ID: I20170803002122 |
| Provider Name | Niketa A Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033452743 PECOS PAC ID: 6901106921 Enrollment ID: I20170803002980 |
| Provider Name | Adam D Wallace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386969079 PECOS PAC ID: 2264744945 Enrollment ID: I20170804002869 |
| Provider Name | Erin Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013206887 PECOS PAC ID: 6709014087 Enrollment ID: I20170807000034 |
| Provider Name | Farooq S Ghouri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20170807001962 |
| Provider Name | John P Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094993 PECOS PAC ID: 1951679034 Enrollment ID: I20170809001118 |
| Provider Name | Milind B Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174890792 PECOS PAC ID: 5799096053 Enrollment ID: I20170810000626 |
| Provider Name | Cory Dubose |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1811356736 PECOS PAC ID: 9436449089 Enrollment ID: I20170810000827 |
| Provider Name | Kyle J Dubose |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1285093104 PECOS PAC ID: 7517238447 Enrollment ID: I20170810001236 |
| Provider Name | Margaret M Steinmetz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578909784 PECOS PAC ID: 5597036301 Enrollment ID: I20170811001448 |
| Provider Name | Jeremy T Knoble |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134650443 PECOS PAC ID: 5294006037 Enrollment ID: I20170811002582 |
| Provider Name | Bryan Simmons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609175009 PECOS PAC ID: 5799939856 Enrollment ID: I20170814002398 |
| Provider Name | Samantha J Ghanayem Bouikidis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588083232 PECOS PAC ID: 5597060079 Enrollment ID: I20170814002595 |
| Provider Name | Aaron Bos |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629363130 PECOS PAC ID: 1557665197 Enrollment ID: I20170815003108 |
| Provider Name | James R Bruno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578973087 PECOS PAC ID: 6709194772 Enrollment ID: I20170815004191 |
| Provider Name | Josie M Rukamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257236 PECOS PAC ID: 3779855341 Enrollment ID: I20170816002193 |
| Provider Name | Jessica A Schilz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770865933 PECOS PAC ID: 5799959706 Enrollment ID: I20170817001355 |
| Provider Name | Teresita Zapata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992228373 PECOS PAC ID: 6709158363 Enrollment ID: I20170817001389 |
| Provider Name | Richard J Deklotz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104169556 PECOS PAC ID: 2163741687 Enrollment ID: I20170817002145 |
| Provider Name | Fernando Velazquez Vazquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699184671 PECOS PAC ID: 4385940527 Enrollment ID: I20170819000263 |
| Provider Name | Kyle C Janicke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265956288 PECOS PAC ID: 1850663295 Enrollment ID: I20170821001638 |
| Provider Name | Brianne T Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922543081 PECOS PAC ID: 4789956038 Enrollment ID: I20170821002637 |
| Provider Name | Misty B Lesnjak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932621752 PECOS PAC ID: 2264704592 Enrollment ID: I20170822002953 |
| Provider Name | Meghan M Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538698618 PECOS PAC ID: 6204108418 Enrollment ID: I20170823002575 |
| Provider Name | Melissa J Paasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225550718 PECOS PAC ID: 9739451832 Enrollment ID: I20170824001954 |
| Provider Name | Kimberly M Hennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420852 PECOS PAC ID: 0648542746 Enrollment ID: I20170824001957 |
| Provider Name | Shalini Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861832990 PECOS PAC ID: 2668795915 Enrollment ID: I20170824002015 |
| Provider Name | Amy P Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043638083 PECOS PAC ID: 3476852831 Enrollment ID: I20170824002277 |
| Provider Name | Mark Splittgerber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700185204 PECOS PAC ID: 7719259829 Enrollment ID: I20170824002479 |
| Provider Name | Leah Probst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487074910 PECOS PAC ID: 9537431648 Enrollment ID: I20170824002489 |
| Provider Name | Jonathan D Lester |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659660793 PECOS PAC ID: 4789994781 Enrollment ID: I20170825000502 |
| Provider Name | Nathan C Gilling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477991602 PECOS PAC ID: 8022245919 Enrollment ID: I20170825001881 |
| Provider Name | Cassandra A Hertrampf |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619402781 PECOS PAC ID: 3274805197 Enrollment ID: I20170828000084 |
| Provider Name | Adnan Zaidi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114205101 PECOS PAC ID: 4183857618 Enrollment ID: I20170829003717 |
| Provider Name | Robert P Zemple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881951838 PECOS PAC ID: 3779726245 Enrollment ID: I20170829003908 |
| Provider Name | Michael F Girolami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326380726 PECOS PAC ID: 5597084616 Enrollment ID: I20170831000468 |
| Provider Name | Michelle R Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609293042 PECOS PAC ID: 6305147760 Enrollment ID: I20170831000621 |
| Provider Name | Jeffrey P Brejwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124384490 PECOS PAC ID: 8123304458 Enrollment ID: I20170831003397 |
| Provider Name | Matthew R Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013394717 PECOS PAC ID: 4688947245 Enrollment ID: I20170901000090 |
| Provider Name | Kelsey A Metzig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750810594 PECOS PAC ID: 7810260437 Enrollment ID: I20170901002485 |
| Provider Name | Christy L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588188288 PECOS PAC ID: 2163795626 Enrollment ID: I20170905001147 |
| Provider Name | Tobias D Kaemmerer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114449949 PECOS PAC ID: 8921371444 Enrollment ID: I20170906000204 |
| Provider Name | Rasheed Baya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013207745 PECOS PAC ID: 0749504256 Enrollment ID: I20170906000350 |
| Provider Name | Robert J Hartman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730404385 PECOS PAC ID: 3476868019 Enrollment ID: I20170906000494 |
| Provider Name | Manish H Rochwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841605425 PECOS PAC ID: 5092000885 Enrollment ID: I20170906003313 |
| Provider Name | Jamie D Vandenheuvel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093244840 PECOS PAC ID: 1355614777 Enrollment ID: I20170907000938 |
| Provider Name | Kari E Brueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770006835 PECOS PAC ID: 6608149968 Enrollment ID: I20170907003013 |
| Provider Name | Michele Duda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023543865 PECOS PAC ID: 6002189313 Enrollment ID: I20170908001262 |
| Provider Name | Jyot M Soni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861831729 PECOS PAC ID: 5496980724 Enrollment ID: I20170908002341 |
| Provider Name | Christie Smiskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558885467 PECOS PAC ID: 5496028656 Enrollment ID: I20170911000392 |
| Provider Name | Ashley L Mcsorley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790121663 PECOS PAC ID: 9931472008 Enrollment ID: I20170912001740 |
| Provider Name | Katrina Buretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457806390 PECOS PAC ID: 4587945720 Enrollment ID: I20170913003340 |
| Provider Name | Laura E Yahr Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326333451 PECOS PAC ID: 6204068166 Enrollment ID: I20170914002842 |
| Provider Name | Elisabeth J Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477075422 PECOS PAC ID: 2466726351 Enrollment ID: I20170915000987 |
| Provider Name | Melissa A Wingate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114456712 PECOS PAC ID: 0547534463 Enrollment ID: I20170915001914 |
| Provider Name | Genevieve S Kuchinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972028090 PECOS PAC ID: 4385918218 Enrollment ID: I20170915002332 |
| Provider Name | Phawanjit K Demos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205065026 PECOS PAC ID: 3476704560 Enrollment ID: I20170915003177 |
| Provider Name | Asad Ullah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588896369 PECOS PAC ID: 8820217060 Enrollment ID: I20170916000627 |
| Provider Name | Jeremiah C Parve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306360409 PECOS PAC ID: 4385918168 Enrollment ID: I20170918001112 |
| Provider Name | Bridget Freeman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1649346032 PECOS PAC ID: 4486729159 Enrollment ID: I20170918002739 |
| Provider Name | Andrey Strunets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609122050 PECOS PAC ID: 7113246539 Enrollment ID: I20170919000482 |
| Provider Name | Michael S Aleksandrowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235556127 PECOS PAC ID: 5597039271 Enrollment ID: I20170919001990 |
| Provider Name | Asad Ghafoor |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1598915621 PECOS PAC ID: 9436329547 Enrollment ID: I20170919002966 |
| Provider Name | Kimberly J Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117539 PECOS PAC ID: 9133493844 Enrollment ID: I20170919003577 |
| Provider Name | Hani Y Hasan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861791014 PECOS PAC ID: 7810216207 Enrollment ID: I20170920002698 |
| Provider Name | Kimberly E Poenisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710320023 PECOS PAC ID: 1951675396 Enrollment ID: I20170922001907 |
| Provider Name | Jessica A Behrens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245673847 PECOS PAC ID: 6305110776 Enrollment ID: I20170923000000 |
| Provider Name | Nicole M Zaremba |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013203397 PECOS PAC ID: 7719277474 Enrollment ID: I20170923000286 |
| Provider Name | Amy M Croatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159087 PECOS PAC ID: 4981978228 Enrollment ID: I20170925002843 |
| Provider Name | Heather N Korus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770018848 PECOS PAC ID: 9335413624 Enrollment ID: I20170926001522 |
| Provider Name | Saritha Kundoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316277130 PECOS PAC ID: 4486824836 Enrollment ID: I20170928002360 |
| Provider Name | Garima Chawla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306264965 PECOS PAC ID: 8921318965 Enrollment ID: I20170929002348 |
| Provider Name | Varoon R Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20171002001834 |
| Provider Name | Chad A Ermis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588894018 PECOS PAC ID: 9638393952 Enrollment ID: I20171003003896 |
| Provider Name | Marianna M Herrera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225565302 PECOS PAC ID: 2668747577 Enrollment ID: I20171003005572 |
| Provider Name | Amanda R Motl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982073557 PECOS PAC ID: 4981979713 Enrollment ID: I20171004003122 |
| Provider Name | Juvaria Shahabuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801152673 PECOS PAC ID: 8527333210 Enrollment ID: I20171005001930 |
| Provider Name | Heather J Wade Newell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326194903 PECOS PAC ID: 7012163868 Enrollment ID: I20171011001089 |
| Provider Name | Krisen Rampersad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558774430 PECOS PAC ID: 8224303623 Enrollment ID: I20171011002218 |
| Provider Name | Megan Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427576966 PECOS PAC ID: 8325313638 Enrollment ID: I20171011003124 |
| Provider Name | Emily B Ermis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821228073 PECOS PAC ID: 8921373234 Enrollment ID: I20171011003314 |
| Provider Name | Patrycja Galazka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700015658 PECOS PAC ID: 2264707553 Enrollment ID: I20171012002904 |
| Provider Name | Hamza Abdul Majeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881013282 PECOS PAC ID: 5890090633 Enrollment ID: I20171013001728 |
| Provider Name | Leslie L Schweitzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134409824 PECOS PAC ID: 6204102429 Enrollment ID: I20171016002478 |
| Provider Name | Dorothy Katherine Free |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053700682 PECOS PAC ID: 3779808134 Enrollment ID: I20171018001683 |
| Provider Name | Ahmed H Abdelmagid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144589383 PECOS PAC ID: 7214203272 Enrollment ID: I20171019001823 |
| Provider Name | Dawn M Garthee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639693138 PECOS PAC ID: 8325314222 Enrollment ID: I20171020000995 |
| Provider Name | Lauren Stieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334194 PECOS PAC ID: 5395011191 Enrollment ID: I20171023002537 |
| Provider Name | Dana M Griffin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265798060 PECOS PAC ID: 4082911102 Enrollment ID: I20171023002858 |
| Provider Name | Emily J Kadow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700232899 PECOS PAC ID: 4486945631 Enrollment ID: I20171025001089 |
| Provider Name | Ramona Klevgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710403324 PECOS PAC ID: 7012283104 Enrollment ID: I20171026002607 |
| Provider Name | Marissa J Klinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709583 PECOS PAC ID: 9830465327 Enrollment ID: I20171027002662 |
| Provider Name | Alyssa A Profita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709708 PECOS PAC ID: 0749556165 Enrollment ID: I20171030001416 |
| Provider Name | Mihir Sanjay Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023366010 PECOS PAC ID: 8325314727 Enrollment ID: I20171031001281 |
| Provider Name | Stacy N Lorenz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548789811 PECOS PAC ID: 1355607698 Enrollment ID: I20171102001247 |
| Provider Name | Kimberly J Roeloffs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568986537 PECOS PAC ID: 6709142821 Enrollment ID: I20171106002967 |
| Provider Name | Boyd Joseph Decker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649799644 PECOS PAC ID: 6204192214 Enrollment ID: I20171108000247 |
| Provider Name | Michael James Bills |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1184149387 PECOS PAC ID: 8921364720 Enrollment ID: I20171110002153 |
| Provider Name | Kristen M Murdoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802375 PECOS PAC ID: 2668738394 Enrollment ID: I20171113000997 |
| Provider Name | Kathryn Anne Sarnoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275876864 PECOS PAC ID: 0345546594 Enrollment ID: I20171120002317 |
| Provider Name | Maureen A Mahlik Puls |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346370657 PECOS PAC ID: 7517224801 Enrollment ID: I20171121001854 |
| Provider Name | Samir P Shah |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063535995 PECOS PAC ID: 6002139045 Enrollment ID: I20171121002980 |
| Provider Name | Jimmy Viet Ninh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104088939 PECOS PAC ID: 6608913835 Enrollment ID: I20171127002601 |
| Provider Name | Maikeng Her |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255843397 PECOS PAC ID: 5395002307 Enrollment ID: I20171129002912 |
| Provider Name | Dawn Cheri Mcgaffick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639689813 PECOS PAC ID: 6709143720 Enrollment ID: I20171130000028 |
| Provider Name | Brian J Robertson-dick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033452453 PECOS PAC ID: 9133419021 Enrollment ID: I20171205001966 |
| Provider Name | Katherine M Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780197269 PECOS PAC ID: 8224395033 Enrollment ID: I20171205003542 |
| Provider Name | Kelly M Olsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235417320 PECOS PAC ID: 9830487016 Enrollment ID: I20171206003482 |
| Provider Name | Duachy Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157354 PECOS PAC ID: 3173897477 Enrollment ID: I20171214000665 |
| Provider Name | Bao Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548712 PECOS PAC ID: 4385902550 Enrollment ID: I20171215001454 |
| Provider Name | Adam Kadlec |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447416243 PECOS PAC ID: 7719299536 Enrollment ID: I20171221002696 |
| Provider Name | Pamela J Masci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336676360 PECOS PAC ID: 3577821479 Enrollment ID: I20171226001109 |
| Provider Name | Margaret L Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720499957 PECOS PAC ID: 4688972995 Enrollment ID: I20171226001123 |
| Provider Name | Isaac Melguizo-gavilanes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710157078 PECOS PAC ID: 7315106408 Enrollment ID: I20171228000285 |
| Provider Name | Ashley M Wolfgram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114292224 PECOS PAC ID: 8729219381 Enrollment ID: I20171228000305 |
| Provider Name | John Mate-kole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558374371 PECOS PAC ID: 3577705755 Enrollment ID: I20180102000552 |
| Provider Name | Dena K Edmunds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740248079 PECOS PAC ID: 1153366521 Enrollment ID: I20180105000366 |
| Provider Name | Nathan Jay Herrild |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619480407 PECOS PAC ID: 7719246354 Enrollment ID: I20180105000764 |
| Provider Name | Kari Megan Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689189482 PECOS PAC ID: 7214296656 Enrollment ID: I20180110003428 |
| Provider Name | Scott D Mingilino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770090102 PECOS PAC ID: 6204195076 Enrollment ID: I20180124001816 |
| Provider Name | Saurabh Narad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922283910 PECOS PAC ID: 9335333061 Enrollment ID: I20180125000781 |
| Provider Name | Jesse L Selestow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780192799 PECOS PAC ID: 7618236365 Enrollment ID: I20180125002385 |
| Provider Name | Caitlin M Kraft |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649785767 PECOS PAC ID: 5092075523 Enrollment ID: I20180201001370 |
| Provider Name | Amar Y Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396253571 PECOS PAC ID: 2062772320 Enrollment ID: I20180205002556 |
| Provider Name | Krishna Rama Mudimbi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477728475 PECOS PAC ID: 0042343618 Enrollment ID: I20180207001103 |
| Provider Name | Michelle K Rusboldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366817165 PECOS PAC ID: 4082974126 Enrollment ID: I20180209000020 |
| Provider Name | Preethi Donakonda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376559161 PECOS PAC ID: 2163519703 Enrollment ID: I20180219001650 |
| Provider Name | Jennifer L Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912206814 PECOS PAC ID: 8628339173 Enrollment ID: I20180227000364 |
| Provider Name | Orest Carnevale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720357999 PECOS PAC ID: 0941561351 Enrollment ID: I20180228000024 |
| Provider Name | Eric Michael Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497261333 PECOS PAC ID: 4880955004 Enrollment ID: I20180305001950 |
| Provider Name | Andy Kieu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215355730 PECOS PAC ID: 1658650023 Enrollment ID: I20180307000825 |
| Provider Name | Kelly A. Litersky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447620042 PECOS PAC ID: 5799046728 Enrollment ID: I20180307001898 |
| Provider Name | Amber C Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346748092 PECOS PAC ID: 1456613306 Enrollment ID: I20180313001360 |
| Provider Name | Gregory E Crovetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750311999 PECOS PAC ID: 6406844364 Enrollment ID: I20180315000511 |
| Provider Name | Dena M Horvath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740797851 PECOS PAC ID: 9032471800 Enrollment ID: I20180315001627 |
| Provider Name | Trevor N Tolman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124544127 PECOS PAC ID: 8820350598 Enrollment ID: I20180315002233 |
| Provider Name | Rachel M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366941403 PECOS PAC ID: 7719249275 Enrollment ID: I20180320003345 |
| Provider Name | Eiman Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205262094 PECOS PAC ID: 6608175948 Enrollment ID: I20180322002303 |
| Provider Name | Steven Ropers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043522600 PECOS PAC ID: 9830333954 Enrollment ID: I20180323000094 |
| Provider Name | Alyson E.k. Lippman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962757419 PECOS PAC ID: 5698910487 Enrollment ID: I20180327000527 |
| Provider Name | Mark M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760982763 PECOS PAC ID: 0941563936 Enrollment ID: I20180404000073 |
| Provider Name | Susan C Nystrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285894311 PECOS PAC ID: 9234303140 Enrollment ID: I20180404000385 |
| Provider Name | Felicia Kay Livermore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619477791 PECOS PAC ID: 9234492232 Enrollment ID: I20180404000485 |
| Provider Name | Melissa L Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982106738 PECOS PAC ID: 3375806300 Enrollment ID: I20180404001609 |
| Provider Name | Kari L Chakrabarti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063920734 PECOS PAC ID: 1951664929 Enrollment ID: I20180405000265 |
| Provider Name | Carol Lynn Wandler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902274418 PECOS PAC ID: 0749543627 Enrollment ID: I20180405001221 |
| Provider Name | Grace L Van Valin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396248084 PECOS PAC ID: 6204199151 Enrollment ID: I20180406001209 |
| Provider Name | Carly A Wabiszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285136457 PECOS PAC ID: 6406119379 Enrollment ID: I20180406002155 |
| Provider Name | Cynthia L Beishir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225108178 PECOS PAC ID: 7618114604 Enrollment ID: I20180410000721 |
| Provider Name | Stephen Paul Nystrom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750541942 PECOS PAC ID: 7911148846 Enrollment ID: I20180417000838 |
| Provider Name | Robert John Blanco |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1316272099 PECOS PAC ID: 1951664101 Enrollment ID: I20180423000035 |
| Provider Name | David Alan Sorrentino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053495846 PECOS PAC ID: 0143323824 Enrollment ID: I20180423000685 |
| Provider Name | Hampton Lee Mcclendon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801053103 PECOS PAC ID: 3274852140 Enrollment ID: I20180426002353 |
| Provider Name | Kimberly J Gehrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437655438 PECOS PAC ID: 4385908359 Enrollment ID: I20180430001281 |
| Provider Name | Elizabeth D Morawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932601838 PECOS PAC ID: 8123382876 Enrollment ID: I20180503001798 |
| Provider Name | Tanya J Zinski-loomer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306358437 PECOS PAC ID: 3870857428 Enrollment ID: I20180507000912 |
| Provider Name | Kailyn E Heiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568967339 PECOS PAC ID: 8921362559 Enrollment ID: I20180508001736 |
| Provider Name | Tamer O Katamesh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578721403 PECOS PAC ID: 9032426747 Enrollment ID: I20180511000631 |
| Provider Name | Katherine M Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376720359 PECOS PAC ID: 3476879990 Enrollment ID: I20180514001430 |
| Provider Name | Gail Joyce |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982702601 PECOS PAC ID: 3870679491 Enrollment ID: I20180515000668 |
| Provider Name | Maria C Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497251011 PECOS PAC ID: 1254696438 Enrollment ID: I20180518000534 |
| Provider Name | Jennifer Marie Jamison |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265827562 PECOS PAC ID: 0446515415 Enrollment ID: I20180521003207 |
| Provider Name | Claire Connell O'brien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093134884 PECOS PAC ID: 0042438889 Enrollment ID: I20180525000399 |
| Provider Name | Krystian K Kozak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336522531 PECOS PAC ID: 1355606187 Enrollment ID: I20180529002198 |
| Provider Name | Raymond D Nava |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174778922 PECOS PAC ID: 9931386208 Enrollment ID: I20180530003285 |
| Provider Name | Tony T Tran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891081709 PECOS PAC ID: 2769625557 Enrollment ID: I20180606002325 |
| Provider Name | William J Fischer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1982920344 PECOS PAC ID: 6709190309 Enrollment ID: I20180611001507 |
| Provider Name | Adam Kevin Kney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043586480 PECOS PAC ID: 4688929870 Enrollment ID: I20180612000092 |
| Provider Name | Jennifer L Rudnik |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508397464 PECOS PAC ID: 1153699202 Enrollment ID: I20180613000574 |
| Provider Name | Hamza Shahran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043643836 PECOS PAC ID: 9537303763 Enrollment ID: I20180614000523 |
| Provider Name | Douglas J Henke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871696005 PECOS PAC ID: 7517945942 Enrollment ID: I20180620000431 |
| Provider Name | Nicole L Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962897132 PECOS PAC ID: 2264787084 Enrollment ID: I20180620000441 |
| Provider Name | Daniel R Farber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356639553 PECOS PAC ID: 9436381126 Enrollment ID: I20180621000858 |
| Provider Name | Christina E Amend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780070086 PECOS PAC ID: 0042516668 Enrollment ID: I20180621001171 |
| Provider Name | Resha Soni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366889156 PECOS PAC ID: 1153676713 Enrollment ID: I20180622000367 |
| Provider Name | Jeremy M Groth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205254067 PECOS PAC ID: 0446540520 Enrollment ID: I20180622001416 |
| Provider Name | Christopher Andrew Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497140826 PECOS PAC ID: 8022377290 Enrollment ID: I20180625001810 |
| Provider Name | David T Nowakowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588153514 PECOS PAC ID: 1759636228 Enrollment ID: I20180625002037 |
| Provider Name | Scott A Cameron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912297078 PECOS PAC ID: 9931454394 Enrollment ID: I20180626002571 |
| Provider Name | Yassir Abduljewad Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689068942 PECOS PAC ID: 0446517460 Enrollment ID: I20180702000201 |
| Provider Name | Mansoor Mohammad Aman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1487094074 PECOS PAC ID: 6406127463 Enrollment ID: I20180703000125 |
| Provider Name | Yihenew A Negatu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407167323 PECOS PAC ID: 1557505955 Enrollment ID: I20180703001670 |
| Provider Name | Mitchell Dobberpuhl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558705327 PECOS PAC ID: 7618285354 Enrollment ID: I20180703001804 |
| Provider Name | Jonathan Shih |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528446713 PECOS PAC ID: 8224384367 Enrollment ID: I20180703002339 |
| Provider Name | Nicole De Lio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669422317 PECOS PAC ID: 6608122478 Enrollment ID: I20180709003379 |
| Provider Name | Amy Lynn Bohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932690880 PECOS PAC ID: 0244586063 Enrollment ID: I20180710001784 |
| Provider Name | Kate M Essad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497098123 PECOS PAC ID: 7719119718 Enrollment ID: I20180710001913 |
| Provider Name | David B Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306230719 PECOS PAC ID: 6507112224 Enrollment ID: I20180710002346 |
| Provider Name | Matthew J Hobbins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710367123 PECOS PAC ID: 1759690571 Enrollment ID: I20180711003319 |
| Provider Name | Kenneth Degnan Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386131324 PECOS PAC ID: 2264788827 Enrollment ID: I20180712000218 |
| Provider Name | Jamie L Goehner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090908 PECOS PAC ID: 1759666001 Enrollment ID: I20180712000671 |
| Provider Name | Alyssa Kaleta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174917199 PECOS PAC ID: 0042515587 Enrollment ID: I20180712002697 |
| Provider Name | Michael David Nezworski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225520927 PECOS PAC ID: 2062769565 Enrollment ID: I20180713002942 |
| Provider Name | Amit Gupta |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1679991277 PECOS PAC ID: 9234354119 Enrollment ID: I20180716000000 |
| Provider Name | Joseph S Brantman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982090676 PECOS PAC ID: 0749594018 Enrollment ID: I20180716001299 |
| Provider Name | Abby M Safranski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588043186 PECOS PAC ID: 3274843206 Enrollment ID: I20180717000742 |
| Provider Name | Amy Lynn Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851898233 PECOS PAC ID: 9931456209 Enrollment ID: I20180717003993 |
| Provider Name | Jodi Lynn Bertsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538243613 PECOS PAC ID: 5799721163 Enrollment ID: I20180718000093 |
| Provider Name | Daniel R Opel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316357874 PECOS PAC ID: 5698079952 Enrollment ID: I20180718001869 |
| Provider Name | Nicole M Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312709 PECOS PAC ID: 7911254123 Enrollment ID: I20180719000527 |
| Provider Name | Mikhail Eiseler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568843696 PECOS PAC ID: 6901100940 Enrollment ID: I20180719001107 |
| Provider Name | Christopher Joseph Bermudez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578729190 PECOS PAC ID: 1759604119 Enrollment ID: I20180719001998 |
| Provider Name | Nabila Quadri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124413935 PECOS PAC ID: 6608171152 Enrollment ID: I20180719002266 |
| Provider Name | Katie L Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811492929 PECOS PAC ID: 1951658004 Enrollment ID: I20180719002532 |
| Provider Name | Steven M Sperry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922262401 PECOS PAC ID: 0941441067 Enrollment ID: I20180719003271 |
| Provider Name | Ricardo Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356835680 PECOS PAC ID: 9436406469 Enrollment ID: I20180723002439 |
| Provider Name | Brooke A Schlappe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093039869 PECOS PAC ID: 5294082038 Enrollment ID: I20180725000012 |
| Provider Name | Kathryn A Zavala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912312026 PECOS PAC ID: 7618298118 Enrollment ID: I20180725001087 |
| Provider Name | Eric S Hulse |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396269395 PECOS PAC ID: 0840547519 Enrollment ID: I20180726001077 |
| Provider Name | Lara N Mrak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063832608 PECOS PAC ID: 2062716541 Enrollment ID: I20180727001506 |
| Provider Name | David A Hyman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497098917 PECOS PAC ID: 2668695263 Enrollment ID: I20180727002492 |
| Provider Name | Shahzad C Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457745630 PECOS PAC ID: 8820304199 Enrollment ID: I20180730000278 |
| Provider Name | Lauren N Seline |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790102762 PECOS PAC ID: 9537444898 Enrollment ID: I20180730000792 |
| Provider Name | Heidi M Loewe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518016310 PECOS PAC ID: 2365672821 Enrollment ID: I20180730002189 |
| Provider Name | Jonathan E Kiechle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083903512 PECOS PAC ID: 6709134281 Enrollment ID: I20180731000739 |
| Provider Name | Christopher M Eernisse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558742726 PECOS PAC ID: 1759693211 Enrollment ID: I20180731000948 |
| Provider Name | Lauren J Hollandsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760877559 PECOS PAC ID: 6901154483 Enrollment ID: I20180731001016 |
| Provider Name | Jonathan Gabriel Bonchak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053670307 PECOS PAC ID: 4183945884 Enrollment ID: I20180801000064 |
| Provider Name | Kathleen H Elverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134618903 PECOS PAC ID: 1355699737 Enrollment ID: I20180801000699 |
| Provider Name | Jennifer Greenwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568656064 PECOS PAC ID: 4880942176 Enrollment ID: I20180802001555 |
| Provider Name | Jeffrey W Reed |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538569009 PECOS PAC ID: 9234487539 Enrollment ID: I20180802002007 |
| Provider Name | Adeel Pervez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174901615 PECOS PAC ID: 4082929658 Enrollment ID: I20180806001514 |
| Provider Name | Alexandra C Glasscock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275952848 PECOS PAC ID: 1759653355 Enrollment ID: I20180806001736 |
| Provider Name | Anoop Mohamed Iqbal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265788574 PECOS PAC ID: 8820309560 Enrollment ID: I20180807001018 |
| Provider Name | Scott A Rogalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700362084 PECOS PAC ID: 2163770157 Enrollment ID: I20180808000677 |
| Provider Name | Tesalia R Jordens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750762472 PECOS PAC ID: 3375840168 Enrollment ID: I20180808001091 |
| Provider Name | Mohammed Hussaini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740667310 PECOS PAC ID: 9931498474 Enrollment ID: I20180809000068 |
| Provider Name | Walter J Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497011852 PECOS PAC ID: 8527378637 Enrollment ID: I20180809000134 |
| Provider Name | Zachary D Morrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699268276 PECOS PAC ID: 8921356817 Enrollment ID: I20180809000871 |
| Provider Name | Lance Kong |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1942793245 PECOS PAC ID: 6103174933 Enrollment ID: I20180809005528 |
| Provider Name | Ahmed M Ibn-mahfoudh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457320970 PECOS PAC ID: 8820019946 Enrollment ID: I20180810000540 |
| Provider Name | Aaron Gabriel Benson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285616193 PECOS PAC ID: 3971530668 Enrollment ID: I20180810001759 |
| Provider Name | Sadashiv Santosh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366653891 PECOS PAC ID: 5799938833 Enrollment ID: I20180813000025 |
| Provider Name | Kevin M Zeeck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598108458 PECOS PAC ID: 9335468537 Enrollment ID: I20180814001176 |
| Provider Name | Altaf Aman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942381132 PECOS PAC ID: 6406888320 Enrollment ID: I20180814003241 |
| Provider Name | Jessica L Nokovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790102838 PECOS PAC ID: 0941559538 Enrollment ID: I20180815000372 |
| Provider Name | Daniel J Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437545670 PECOS PAC ID: 1557610151 Enrollment ID: I20180815000494 |
| Provider Name | Rajbir K Dhillon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871615096 PECOS PAC ID: 2163572066 Enrollment ID: I20180815000960 |
| Provider Name | Lisa A Sienkiewicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942566906 PECOS PAC ID: 8527387091 Enrollment ID: I20180818000007 |
| Provider Name | Betiel F Voss |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023378445 PECOS PAC ID: 9739408055 Enrollment ID: I20180820000450 |
| Provider Name | Meredith Witten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629312467 PECOS PAC ID: 1153693338 Enrollment ID: I20180820001043 |
| Provider Name | Jessica L Kozel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366929309 PECOS PAC ID: 3779832068 Enrollment ID: I20180820003012 |
| Provider Name | Sara Marie Stanenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609296250 PECOS PAC ID: 7719236959 Enrollment ID: I20180821001110 |
| Provider Name | Omar Sinno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477997955 PECOS PAC ID: 3678701828 Enrollment ID: I20180821001534 |
| Provider Name | Ruth L Musselman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295171833 PECOS PAC ID: 4385941483 Enrollment ID: I20180823000783 |
| Provider Name | Kristen Wilde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275927642 PECOS PAC ID: 0345599452 Enrollment ID: I20180823000903 |
| Provider Name | Valerie M Oliver |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891282752 PECOS PAC ID: 8426307448 Enrollment ID: I20180823001477 |
| Provider Name | Amanda Marie Court |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275010878 PECOS PAC ID: 2062761034 Enrollment ID: I20180824000001 |
| Provider Name | Tyler J Veldkamp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902291818 PECOS PAC ID: 1254636426 Enrollment ID: I20180824001444 |
| Provider Name | Benjamin P Hermanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174919807 PECOS PAC ID: 1153670088 Enrollment ID: I20180824002728 |
| Provider Name | Carrie J Haass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841777646 PECOS PAC ID: 3678822442 Enrollment ID: I20180828001764 |
| Provider Name | Shibani Dogra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982960563 PECOS PAC ID: 5890045603 Enrollment ID: I20180828004293 |
| Provider Name | Lauren M Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407346422 PECOS PAC ID: 8123378817 Enrollment ID: I20180829004061 |
| Provider Name | Mallory Florence Andrews |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780177675 PECOS PAC ID: 8921358680 Enrollment ID: I20180830002284 |
| Provider Name | Lindsay M Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427536911 PECOS PAC ID: 5395095913 Enrollment ID: I20180831001541 |
| Provider Name | Kathryn M Lilly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861873408 PECOS PAC ID: 2668787714 Enrollment ID: I20180904000008 |
| Provider Name | Brooke M Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326526864 PECOS PAC ID: 2062762503 Enrollment ID: I20180905000464 |
| Provider Name | Mia L Manabat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336408905 PECOS PAC ID: 1456641406 Enrollment ID: I20180905000532 |
| Provider Name | Michelle K Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700041472 PECOS PAC ID: 1052479193 Enrollment ID: I20180905003801 |
| Provider Name | Umber Ahmad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083957153 PECOS PAC ID: 1557599941 Enrollment ID: I20180907000242 |
| Provider Name | Timothy Chung Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225456296 PECOS PAC ID: 5496056301 Enrollment ID: I20180907001780 |
| Provider Name | Emilie I Franchow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295229037 PECOS PAC ID: 8123378213 Enrollment ID: I20180911003065 |
| Provider Name | Monique Lynne Bushman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629304266 PECOS PAC ID: 8022288232 Enrollment ID: I20180912001608 |
| Provider Name | Billie Jo H Cornett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326527425 PECOS PAC ID: 5698025674 Enrollment ID: I20180912003114 |
| Provider Name | Ehab El-khabiry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023306230 PECOS PAC ID: 7113148131 Enrollment ID: I20180912003387 |
| Provider Name | Daniel P Hertel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285047373 PECOS PAC ID: 5294048302 Enrollment ID: I20180913001521 |
| Provider Name | Kayla J Groshek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990992 PECOS PAC ID: 9133470958 Enrollment ID: I20180918002640 |
| Provider Name | Timothy D Kuckuk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558848325 PECOS PAC ID: 8628329398 Enrollment ID: I20180919000313 |
| Provider Name | Shawn E Schoch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205101664 PECOS PAC ID: 3779809710 Enrollment ID: I20180924000521 |
| Provider Name | Kassie L Quinlevan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023482312 PECOS PAC ID: 8628376050 Enrollment ID: I20180925000897 |
| Provider Name | Neil P Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376821082 PECOS PAC ID: 3274806245 Enrollment ID: I20180925004135 |
| Provider Name | David W Barbara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538322631 PECOS PAC ID: 3577617356 Enrollment ID: I20180926000333 |
| Provider Name | Kerry Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679703961 PECOS PAC ID: 2668627324 Enrollment ID: I20180927000446 |
| Provider Name | Renee Schnuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487135141 PECOS PAC ID: 1456602630 Enrollment ID: I20180927000966 |
| Provider Name | Elisabeth E Solwold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689155020 PECOS PAC ID: 0446501621 Enrollment ID: I20180927000988 |
| Provider Name | Samantha J Riehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972080976 PECOS PAC ID: 1951652163 Enrollment ID: I20180927002238 |
| Provider Name | Jordan Jean Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275015679 PECOS PAC ID: 7113278243 Enrollment ID: I20180928000424 |
| Provider Name | Mary Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578824710 PECOS PAC ID: 7719265404 Enrollment ID: I20181001000530 |
| Provider Name | Brooke T Yakel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386126845 PECOS PAC ID: 8527319573 Enrollment ID: I20181001003237 |
| Provider Name | Julie A Paluch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598248890 PECOS PAC ID: 8426309402 Enrollment ID: I20181002000796 |
| Provider Name | Juli Hafeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114438231 PECOS PAC ID: 3678824661 Enrollment ID: I20181002001400 |
| Provider Name | Jessica M Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083192603 PECOS PAC ID: 0143572107 Enrollment ID: I20181003000501 |
| Provider Name | Toni M Kulju |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346727120 PECOS PAC ID: 2264784222 Enrollment ID: I20181003000808 |
| Provider Name | Cailin K Loose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518446707 PECOS PAC ID: 4183976947 Enrollment ID: I20181008000346 |
| Provider Name | Anita F Conte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295706646 PECOS PAC ID: 2961488820 Enrollment ID: I20181009000467 |
| Provider Name | Adam M Khalid |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902267651 PECOS PAC ID: 1951690346 Enrollment ID: I20181009001035 |
| Provider Name | Jason R Brandeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518440866 PECOS PAC ID: 0840542593 Enrollment ID: I20181009001108 |
| Provider Name | Adam M Stoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023354214 PECOS PAC ID: 9739431487 Enrollment ID: I20181009001173 |
| Provider Name | Luis-alejandro Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184101586 PECOS PAC ID: 3274885629 Enrollment ID: I20181011002846 |
| Provider Name | Lauren H Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174910608 PECOS PAC ID: 1951616747 Enrollment ID: I20181017000021 |
| Provider Name | Katlyn M Pinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801377080 PECOS PAC ID: 6204188402 Enrollment ID: I20181017001168 |
| Provider Name | Samuel E Kaminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013495068 PECOS PAC ID: 0648522847 Enrollment ID: I20181017001229 |
| Provider Name | Jessica L Sigl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821345091 PECOS PAC ID: 1456603653 Enrollment ID: I20181017001260 |
| Provider Name | Maryana Yevtukh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281989 PECOS PAC ID: 2264738780 Enrollment ID: I20181018000008 |
| Provider Name | Richard Hodgson |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1932108354 PECOS PAC ID: 4587705041 Enrollment ID: I20181022000624 |
| Provider Name | Amanda K Stinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740558030 PECOS PAC ID: 7012260565 Enrollment ID: I20181030002287 |
| Provider Name | Arthur A Panczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881981918 PECOS PAC ID: 4183844715 Enrollment ID: I20181106002973 |
| Provider Name | Amy E Perdomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679052104 PECOS PAC ID: 0941554109 Enrollment ID: I20181107001474 |
| Provider Name | Crispus N Ombui |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578084281 PECOS PAC ID: 4486908654 Enrollment ID: I20181107001982 |
| Provider Name | Adrienne A Hernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699258871 PECOS PAC ID: 4486908381 Enrollment ID: I20181113000311 |
| Provider Name | Samantha J Seidling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730662024 PECOS PAC ID: 8022362938 Enrollment ID: I20181113000716 |
| Provider Name | Taylor C Villwock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639645740 PECOS PAC ID: 3072867902 Enrollment ID: I20181113001833 |
| Provider Name | Brittany Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174037667 PECOS PAC ID: 7719231653 Enrollment ID: I20181113002239 |
| Provider Name | Mahesh V Desai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235223686 PECOS PAC ID: 3375687817 Enrollment ID: I20181114000598 |
| Provider Name | Katherine D Franz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851763114 PECOS PAC ID: 6901192954 Enrollment ID: I20181119001699 |
| Provider Name | Elizabeth Ann Doro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578038899 PECOS PAC ID: 1557615952 Enrollment ID: I20181126000205 |
| Provider Name | Anna L Anklam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487129565 PECOS PAC ID: 9335483338 Enrollment ID: I20181203000671 |
| Provider Name | Sara J Hutchins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487129011 PECOS PAC ID: 4688918683 Enrollment ID: I20181203000767 |
| Provider Name | Sylvia Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669646295 PECOS PAC ID: 7719221720 Enrollment ID: I20181203000990 |
| Provider Name | Lourdes Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174099063 PECOS PAC ID: 2860736790 Enrollment ID: I20181204002808 |
| Provider Name | Robert Garretto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316171317 PECOS PAC ID: 3072779610 Enrollment ID: I20181206000693 |
| Provider Name | John R Slaby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134309354 PECOS PAC ID: 7810185147 Enrollment ID: I20181206001576 |
| Provider Name | Jorja K Chrnelich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083183198 PECOS PAC ID: 6204170863 Enrollment ID: I20181207002067 |
| Provider Name | Ivana Spaciel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205335957 PECOS PAC ID: 8820351554 Enrollment ID: I20181208000426 |
| Provider Name | Mirza A Baig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679868707 PECOS PAC ID: 9335376409 Enrollment ID: I20181211003149 |
| Provider Name | Pamela Norma Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164728721 PECOS PAC ID: 6901080910 Enrollment ID: I20181213002515 |
| Provider Name | Bhavna Kapurji Thakor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245572817 PECOS PAC ID: 4789977729 Enrollment ID: I20181218000106 |
| Provider Name | Michael T Mcqueen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508111865 PECOS PAC ID: 6507013760 Enrollment ID: I20181222000012 |
| Provider Name | Erich A Roush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407236300 PECOS PAC ID: 8527303338 Enrollment ID: I20181226001798 |
| Provider Name | Amanda N Stelzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992283386 PECOS PAC ID: 7810232592 Enrollment ID: I20181228000108 |
| Provider Name | Ashanti Alexandria Dean |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780153387 PECOS PAC ID: 6709121353 Enrollment ID: I20181231000454 |
| Provider Name | Andrea F Penister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427374156 PECOS PAC ID: 5395080998 Enrollment ID: I20190102000667 |
| Provider Name | Kerre A Kingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366936346 PECOS PAC ID: 1658616255 Enrollment ID: I20190102000682 |
| Provider Name | Kirby H Curby-warner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649740614 PECOS PAC ID: 6406191956 Enrollment ID: I20190102003088 |
| Provider Name | Linsey D Demaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376916007 PECOS PAC ID: 8022353507 Enrollment ID: I20190103000868 |
| Provider Name | Stephanie Marie Prado |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1649344391 PECOS PAC ID: 6507960747 Enrollment ID: I20190107002243 |
| Provider Name | John C Cherukara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447240098 PECOS PAC ID: 0244248276 Enrollment ID: I20190107003172 |
| Provider Name | Mary Beth Pelon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770031833 PECOS PAC ID: 7810233129 Enrollment ID: I20190108001149 |
| Provider Name | Sharesea Busser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356813661 PECOS PAC ID: 1658617543 Enrollment ID: I20190114003269 |
| Provider Name | Lindsay K Gardner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699240283 PECOS PAC ID: 6305182064 Enrollment ID: I20190116003976 |
| Provider Name | Liesel Oechsner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184170128 PECOS PAC ID: 8022355502 Enrollment ID: I20190122001655 |
| Provider Name | Ryan W Freund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639642598 PECOS PAC ID: 2365789435 Enrollment ID: I20190128001554 |
| Provider Name | Phenu V Zachariah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386838340 PECOS PAC ID: 7517052434 Enrollment ID: I20190131000551 |
| Provider Name | Heidi L Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578048203 PECOS PAC ID: 0446597173 Enrollment ID: I20190204000017 |
| Provider Name | Laura M Harrigan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336567437 PECOS PAC ID: 7214275957 Enrollment ID: I20190205001815 |
| Provider Name | Anthony J Sawall |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649749417 PECOS PAC ID: 2769720416 Enrollment ID: I20190205002306 |
| Provider Name | Isaac A Pratzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316489453 PECOS PAC ID: 2365780780 Enrollment ID: I20190211001425 |
| Provider Name | Alissa R Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790256774 PECOS PAC ID: 8426396599 Enrollment ID: I20190214002848 |
| Provider Name | Elizabeth M Ullig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467923409 PECOS PAC ID: 6204174154 Enrollment ID: I20190219001099 |
| Provider Name | Kaelyn E Huebschman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912478835 PECOS PAC ID: 8628316577 Enrollment ID: I20190219001261 |
| Provider Name | Joel M Wood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730441437 PECOS PAC ID: 7911139449 Enrollment ID: I20190226001550 |
| Provider Name | Megan L Burg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649744558 PECOS PAC ID: 4981943594 Enrollment ID: I20190226002142 |
| Provider Name | Samuel Z Simons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578803896 PECOS PAC ID: 5496095226 Enrollment ID: I20190314000404 |
| Provider Name | Thomas Michael Albert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457465098 PECOS PAC ID: 2860453156 Enrollment ID: I20190315000754 |
| Provider Name | Heather H Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831319748 PECOS PAC ID: 0840382156 Enrollment ID: I20190319001018 |
| Provider Name | Ikram W Khan |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1538314752 PECOS PAC ID: 4082751573 Enrollment ID: I20190320002381 |
| Provider Name | Lena Dimatteo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427514132 PECOS PAC ID: 3678813813 Enrollment ID: I20190326000019 |
| Provider Name | Stacie A Binter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467918375 PECOS PAC ID: 0648510891 Enrollment ID: I20190326000163 |
| Provider Name | Judith A Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871896175 PECOS PAC ID: 8426398579 Enrollment ID: I20190327002171 |
| Provider Name | Martin R Hevesy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295115442 PECOS PAC ID: 1052626397 Enrollment ID: I20190329000593 |
| Provider Name | Valerie Green Duncan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1912478983 PECOS PAC ID: 3779824727 Enrollment ID: I20190401001776 |
| Provider Name | Ryan D George |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1073089363 PECOS PAC ID: 8426399494 Enrollment ID: I20190402000010 |
| Provider Name | Katie A Kowaleski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689165243 PECOS PAC ID: 8022365329 Enrollment ID: I20190402000298 |
| Provider Name | John W Gottwald |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851875959 PECOS PAC ID: 2860733847 Enrollment ID: I20190402000615 |
| Provider Name | Samantha J Goedde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770048134 PECOS PAC ID: 7113268905 Enrollment ID: I20190404000035 |
| Provider Name | Cheryl M Cladas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578020558 PECOS PAC ID: 4082955760 Enrollment ID: I20190405001171 |
| Provider Name | Pamela Aong Xiong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821346800 PECOS PAC ID: 3375884083 Enrollment ID: I20190406000081 |
| Provider Name | Amy M Thibodeaux |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285003731 PECOS PAC ID: 2163763871 Enrollment ID: I20190408000039 |
| Provider Name | Lindsay Jo Hoogenboom Hang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770977605 PECOS PAC ID: 7719228253 Enrollment ID: I20190409002947 |
| Provider Name | Angela J David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538624010 PECOS PAC ID: 3779824297 Enrollment ID: I20190410002617 |
| Provider Name | Ruthann Bartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760946446 PECOS PAC ID: 8628319944 Enrollment ID: I20190412001701 |
| Provider Name | Tynisha Mcwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346700820 PECOS PAC ID: 5496096729 Enrollment ID: I20190413000099 |
| Provider Name | Zachery John Rosenthal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720549553 PECOS PAC ID: 1759622087 Enrollment ID: I20190413000135 |
| Provider Name | Kristen D Holzwart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330414 PECOS PAC ID: 4880935097 Enrollment ID: I20190416000491 |
| Provider Name | Leslie Anne Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740747211 PECOS PAC ID: 4981945086 Enrollment ID: I20190417001378 |
| Provider Name | Robert C Reff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871006536 PECOS PAC ID: 9032473103 Enrollment ID: I20190417002612 |
| Provider Name | Joshua Alan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447719463 PECOS PAC ID: 6608118716 Enrollment ID: I20190419000441 |
| Provider Name | Steffany Marie Di Biase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679032148 PECOS PAC ID: 5496097503 Enrollment ID: I20190419000530 |
| Provider Name | Stephanie Ada Banaszynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972063550 PECOS PAC ID: 2163764226 Enrollment ID: I20190422001704 |
| Provider Name | Lindsay M Lyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508327412 PECOS PAC ID: 4385986215 Enrollment ID: I20190425000624 |
| Provider Name | Benjamin Krause |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154783165 PECOS PAC ID: 5193089480 Enrollment ID: I20190425001670 |
| Provider Name | Andrew L Ricci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780047530 PECOS PAC ID: 4284976135 Enrollment ID: I20190425001993 |
| Provider Name | Nicole M Ballinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104914951 PECOS PAC ID: 3577805795 Enrollment ID: I20190508001435 |
| Provider Name | Catharine Aune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573086 PECOS PAC ID: 6002039997 Enrollment ID: I20190509000791 |
| Provider Name | Linsey M Bishop |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639697717 PECOS PAC ID: 9931473576 Enrollment ID: I20190514002296 |
| Provider Name | Ruchi Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598184764 PECOS PAC ID: 9931322385 Enrollment ID: I20190515001038 |
| Provider Name | Alison Marie Damato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508421728 PECOS PAC ID: 1951644665 Enrollment ID: I20190521002340 |
| Provider Name | Cameron M Malone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366838203 PECOS PAC ID: 6406199124 Enrollment ID: I20190521002940 |
| Provider Name | Loue Nassar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841684016 PECOS PAC ID: 6901143312 Enrollment ID: I20190522002199 |
| Provider Name | Michael P Mullin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891136743 PECOS PAC ID: 3274880810 Enrollment ID: I20190523000022 |
| Provider Name | Justin E Friske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477896447 PECOS PAC ID: 1557616406 Enrollment ID: I20190523000563 |
| Provider Name | Harry Merrill Matschke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629032115 PECOS PAC ID: 0941233373 Enrollment ID: I20190523002705 |
| Provider Name | Cody Allen Pangrazzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295259596 PECOS PAC ID: 9931442399 Enrollment ID: I20190528002229 |
| Provider Name | Mariel C Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689109183 PECOS PAC ID: 7012281124 Enrollment ID: I20190529000861 |
| Provider Name | Teresa A Mulzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861959371 PECOS PAC ID: 1456694728 Enrollment ID: I20190530001351 |
| Provider Name | Joshua P Lechusz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841533692 PECOS PAC ID: 4587914924 Enrollment ID: I20190604000560 |
| Provider Name | Sarah J Swarts |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205803681 PECOS PAC ID: 5496758203 Enrollment ID: I20190604003072 |
| Provider Name | Samie Z Meskele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437513215 PECOS PAC ID: 1557694569 Enrollment ID: I20190606001106 |
| Provider Name | Choua N Thao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20190607000155 |
| Provider Name | Samantha Orlowski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427458470 PECOS PAC ID: 1951634872 Enrollment ID: I20190610000040 |
| Provider Name | Sotirios A Vasilopoulos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568432912 PECOS PAC ID: 7719931849 Enrollment ID: I20190611003332 |
| Provider Name | Heidi L Newton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306363551 PECOS PAC ID: 2466785142 Enrollment ID: I20190612000869 |
| Provider Name | Betsy Harper Cammack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639411622 PECOS PAC ID: 5597991638 Enrollment ID: I20190612001380 |
| Provider Name | Corinne Nadine Klein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730492992 PECOS PAC ID: 3678708310 Enrollment ID: I20190612001768 |
| Provider Name | Anne P Stroze |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376937227 PECOS PAC ID: 1355642976 Enrollment ID: I20190613000435 |
| Provider Name | Ashleigh Douglas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669940664 PECOS PAC ID: 4385977719 Enrollment ID: I20190617002757 |
| Provider Name | Alemieneh H Woldeyesus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760845622 PECOS PAC ID: 2163755638 Enrollment ID: I20190621001516 |
| Provider Name | Michael Goshorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750737367 PECOS PAC ID: 3375813900 Enrollment ID: I20190621001660 |
| Provider Name | Bilal Omery |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083933170 PECOS PAC ID: 8224264056 Enrollment ID: I20190621001848 |
| Provider Name | Kun Xiao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710326889 PECOS PAC ID: 4183904154 Enrollment ID: I20190624000718 |
| Provider Name | Joseph J Doherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457746448 PECOS PAC ID: 5193088300 Enrollment ID: I20190624000887 |
| Provider Name | James F Reeves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437537248 PECOS PAC ID: 4183994262 Enrollment ID: I20190624001112 |
| Provider Name | Callie Marie Cox Bauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538458765 PECOS PAC ID: 0143554238 Enrollment ID: I20190624001803 |
| Provider Name | Graham E Hill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730507153 PECOS PAC ID: 1850672874 Enrollment ID: I20190625000133 |
| Provider Name | Nicholas W Seglund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316343916 PECOS PAC ID: 5991039042 Enrollment ID: I20190625000679 |
| Provider Name | Walid A Farhat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861052441 PECOS PAC ID: 8325372311 Enrollment ID: I20190625002604 |
| Provider Name | Brian G Sapp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336189588 PECOS PAC ID: 7012241011 Enrollment ID: I20190625002816 |
| Provider Name | Brigham J Voigt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447638572 PECOS PAC ID: 8022310465 Enrollment ID: I20190626001790 |
| Provider Name | Mahmoud Ali |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366837635 PECOS PAC ID: 5698077410 Enrollment ID: I20190626003140 |
| Provider Name | Mark J Kaeppler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104184100 PECOS PAC ID: 7315179066 Enrollment ID: I20190628000079 |
| Provider Name | Joseph R Leschke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316332125 PECOS PAC ID: 4082948898 Enrollment ID: I20190628000140 |
| Provider Name | Brian Kelley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902268055 PECOS PAC ID: 1658633615 Enrollment ID: I20190701001341 |
| Provider Name | Irene Valerio |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1992982573 PECOS PAC ID: 4486988995 Enrollment ID: I20190702002736 |
| Provider Name | Brittani S Gierisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992150148 PECOS PAC ID: 4688966732 Enrollment ID: I20190703002370 |
| Provider Name | Girma Tesfaye Beyene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467816561 PECOS PAC ID: 4789986597 Enrollment ID: I20190709001016 |
| Provider Name | Kelli E Barrett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982066569 PECOS PAC ID: 5294060562 Enrollment ID: I20190709001020 |
| Provider Name | Syed A Rahman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376981068 PECOS PAC ID: 0446515639 Enrollment ID: I20190710002883 |
| Provider Name | Mohammad Shoiab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770515850 PECOS PAC ID: 7517951528 Enrollment ID: I20190710003095 |
| Provider Name | Danielle C Orrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609230861 PECOS PAC ID: 3476841016 Enrollment ID: I20190710003137 |
| Provider Name | Jared Connolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790130474 PECOS PAC ID: 6305171547 Enrollment ID: I20190710003533 |
| Provider Name | Brandon M Kuchta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659766277 PECOS PAC ID: 8729313960 Enrollment ID: I20190711000040 |
| Provider Name | Casey A Melcher |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689014417 PECOS PAC ID: 7911262928 Enrollment ID: I20190711001524 |
| Provider Name | Amanda L Willcox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407241250 PECOS PAC ID: 5698042745 Enrollment ID: I20190711002732 |
| Provider Name | William J Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215355607 PECOS PAC ID: 3274751193 Enrollment ID: I20190712001007 |
| Provider Name | Madeline Ann Schafer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962060905 PECOS PAC ID: 2769717735 Enrollment ID: I20190712001461 |
| Provider Name | Robert A Marsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366903361 PECOS PAC ID: 7719212661 Enrollment ID: I20190715001322 |
| Provider Name | Nichole Lea Adami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972997344 PECOS PAC ID: 1052623501 Enrollment ID: I20190717001504 |
| Provider Name | Ann M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387975 PECOS PAC ID: 8325373939 Enrollment ID: I20190718000034 |
| Provider Name | Timothy J Schnettler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790027613 PECOS PAC ID: 3274833215 Enrollment ID: I20190718000154 |
| Provider Name | Scott Johnson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1821438375 PECOS PAC ID: 2062634835 Enrollment ID: I20190723000402 |
| Provider Name | Laura M Sheets |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699188540 PECOS PAC ID: 2567772692 Enrollment ID: I20190723000953 |
| Provider Name | Nicholas W Hawley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992166821 PECOS PAC ID: 0941536361 Enrollment ID: I20190723002842 |
| Provider Name | Nader N Sallam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083068316 PECOS PAC ID: 0446501720 Enrollment ID: I20190723003699 |
| Provider Name | Naser Yamani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578871497 PECOS PAC ID: 9830339498 Enrollment ID: I20190724001372 |
| Provider Name | Benjamin M Pike |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639614902 PECOS PAC ID: 5496030256 Enrollment ID: I20190724002054 |
| Provider Name | Terra L Menghini-cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972163467 PECOS PAC ID: 8921334228 Enrollment ID: I20190724002391 |
| Provider Name | Amanda Halpin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467728121 PECOS PAC ID: 4284949322 Enrollment ID: I20190725000223 |
| Provider Name | Tatyana Taranukha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124361639 PECOS PAC ID: 5991024341 Enrollment ID: I20190725001320 |
| Provider Name | Jacob T Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437512613 PECOS PAC ID: 4688967417 Enrollment ID: I20190725003837 |
| Provider Name | Lindsay M Eaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780249920 PECOS PAC ID: 2163758210 Enrollment ID: I20190726000424 |
| Provider Name | Vishal M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619313475 PECOS PAC ID: 2668612938 Enrollment ID: I20190726001130 |
| Provider Name | Lauren M Littlefield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902241003 PECOS PAC ID: 5597016980 Enrollment ID: I20190726001226 |
| Provider Name | Nahal J Rahmanpanah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922651827 PECOS PAC ID: 1153657267 Enrollment ID: I20190727000256 |
| Provider Name | Molly W Meyers |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356636781 PECOS PAC ID: 1658676879 Enrollment ID: I20190729000823 |
| Provider Name | Nolan P Machernis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669765681 PECOS PAC ID: 4587947833 Enrollment ID: I20190729002156 |
| Provider Name | Pamela R Portschy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962636043 PECOS PAC ID: 7810153913 Enrollment ID: I20190729002180 |
| Provider Name | Hector Sierra Escobedo |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538629274 PECOS PAC ID: 5890020168 Enrollment ID: I20190730002540 |
| Provider Name | Euil Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770930828 PECOS PAC ID: 4789977927 Enrollment ID: I20190730003677 |
| Provider Name | Melanie M Dicello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447819347 PECOS PAC ID: 1658607460 Enrollment ID: I20190731001151 |
| Provider Name | Caroline Anne Deboer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093177248 PECOS PAC ID: 8224329529 Enrollment ID: I20190801002645 |
| Provider Name | Courtney F Klatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962064436 PECOS PAC ID: 5991031643 Enrollment ID: I20190801002887 |
| Provider Name | Cory B Robers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366822884 PECOS PAC ID: 6204175508 Enrollment ID: I20190802001369 |
| Provider Name | Janis H Schnell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891916458 PECOS PAC ID: 3577890227 Enrollment ID: I20190805000185 |
| Provider Name | Stephanie L Labomascus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154681377 PECOS PAC ID: 0244544559 Enrollment ID: I20190805000572 |
| Provider Name | Abdulrehman Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003278268 PECOS PAC ID: 1153683826 Enrollment ID: I20190805002835 |
| Provider Name | Marissa A Bacon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073068722 PECOS PAC ID: 2062749617 Enrollment ID: I20190806001620 |
| Provider Name | April L Decker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457911455 PECOS PAC ID: 5496082059 Enrollment ID: I20190806001778 |
| Provider Name | Guillermo H Contreras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831575141 PECOS PAC ID: 7416263223 Enrollment ID: I20190807000013 |
| Provider Name | Caroline Irene Uttech |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063666980 PECOS PAC ID: 4587991005 Enrollment ID: I20190807000022 |
| Provider Name | Kurtis J Sustachek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396305330 PECOS PAC ID: 1557698081 Enrollment ID: I20190807000593 |
| Provider Name | Ezzideen Barjes Alrawi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366732752 PECOS PAC ID: 6800016601 Enrollment ID: I20190807003303 |
| Provider Name | Natalie D Stella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265091912 PECOS PAC ID: 0648507954 Enrollment ID: I20190809000041 |
| Provider Name | Alma L Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518389683 PECOS PAC ID: 9436486529 Enrollment ID: I20190813000628 |
| Provider Name | Dominic Michael Colella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932530680 PECOS PAC ID: 2769719715 Enrollment ID: I20190813003732 |
| Provider Name | Gregory C Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801250394 PECOS PAC ID: 6204186935 Enrollment ID: I20190814000043 |
| Provider Name | Kelly J Herbst-frailing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053889840 PECOS PAC ID: 4688901507 Enrollment ID: I20190814003042 |
| Provider Name | Justin Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033558010 PECOS PAC ID: 0547580185 Enrollment ID: I20190814003398 |
| Provider Name | Sabry Khalil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053559229 PECOS PAC ID: 3779749734 Enrollment ID: I20190814003507 |
| Provider Name | Jesslyn J Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215582440 PECOS PAC ID: 3678800570 Enrollment ID: I20190815001884 |
| Provider Name | Elizabeth M Lenzner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801027438 PECOS PAC ID: 0143557983 Enrollment ID: I20190816000278 |
| Provider Name | Jeffrey T Lyvers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003255530 PECOS PAC ID: 0547569899 Enrollment ID: I20190816001924 |
| Provider Name | Alexis M Ventura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003475609 PECOS PAC ID: 1658609466 Enrollment ID: I20190817000342 |
| Provider Name | Steven J Wiebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932593324 PECOS PAC ID: 1951606771 Enrollment ID: I20190820002112 |
| Provider Name | Javier Gallegos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568819845 PECOS PAC ID: 1951691930 Enrollment ID: I20190820002165 |
| Provider Name | Jordan A Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972158954 PECOS PAC ID: 8426386194 Enrollment ID: I20190820002556 |
| Provider Name | Ryan F Brower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497102347 PECOS PAC ID: 6204128051 Enrollment ID: I20190820003586 |
| Provider Name | Shane Breeze-baldauf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891159612 PECOS PAC ID: 3375805351 Enrollment ID: I20190821001795 |
| Provider Name | Emily A Ollerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942854914 PECOS PAC ID: 5193053759 Enrollment ID: I20190821002140 |
| Provider Name | Tiffani Driessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114570132 PECOS PAC ID: 8628306198 Enrollment ID: I20190821002576 |
| Provider Name | Christina L. Clancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679017925 PECOS PAC ID: 5890023279 Enrollment ID: I20190822002971 |
| Provider Name | Nirav D Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225335482 PECOS PAC ID: 5092956169 Enrollment ID: I20190822004279 |
| Provider Name | Tabitha Ongstad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811301997 PECOS PAC ID: 8729203856 Enrollment ID: I20190823000050 |
| Provider Name | Megan K Hilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104488360 PECOS PAC ID: 3476881608 Enrollment ID: I20190826001306 |
| Provider Name | Katrina M Gardetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629623640 PECOS PAC ID: 9335477397 Enrollment ID: I20190829000018 |
| Provider Name | Chloe H Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649632308 PECOS PAC ID: 6800189986 Enrollment ID: I20190829000073 |
| Provider Name | Laura R Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558915074 PECOS PAC ID: 8921336900 Enrollment ID: I20190829000845 |
| Provider Name | Andrew R Wroblewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083273197 PECOS PAC ID: 0143559039 Enrollment ID: I20190830001870 |
| Provider Name | Jesse Chiu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881183259 PECOS PAC ID: 9234485376 Enrollment ID: I20190830002722 |
| Provider Name | Maigan L Buyeske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144648130 PECOS PAC ID: 5294002275 Enrollment ID: I20190905000059 |
| Provider Name | Amanpreet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548756281 PECOS PAC ID: 4789913401 Enrollment ID: I20190905002521 |
| Provider Name | Alonzo J Jalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699138941 PECOS PAC ID: 7719246743 Enrollment ID: I20190905002652 |
| Provider Name | Linda M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265487805 PECOS PAC ID: 2668482563 Enrollment ID: I20190905002764 |
| Provider Name | Brianne K Gebhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538714316 PECOS PAC ID: 8426387010 Enrollment ID: I20190906001909 |
| Provider Name | Kayla M Bauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386006047 PECOS PAC ID: 4183985427 Enrollment ID: I20190912000463 |
| Provider Name | Shelly L P Glascock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310468 PECOS PAC ID: 7911236138 Enrollment ID: I20190912001365 |
| Provider Name | Erin Lynne Pape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720635485 PECOS PAC ID: 6002145240 Enrollment ID: I20190912002053 |
| Provider Name | Justin H Sandver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073925293 PECOS PAC ID: 0143446195 Enrollment ID: I20190912002481 |
| Provider Name | Jin K Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548554660 PECOS PAC ID: 4284963455 Enrollment ID: I20190912003471 |
| Provider Name | Michael S Strupp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992144844 PECOS PAC ID: 5496970634 Enrollment ID: I20190916002613 |
| Provider Name | Benjamin R Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053809285 PECOS PAC ID: 0244560142 Enrollment ID: I20190919000078 |
| Provider Name | Bridget A Kampman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922237023 PECOS PAC ID: 5991951022 Enrollment ID: I20190919001214 |
| Provider Name | Cassandra R Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598027203 PECOS PAC ID: 0345460846 Enrollment ID: I20190923001170 |
| Provider Name | Kristal D Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740835073 PECOS PAC ID: 5092045765 Enrollment ID: I20190923001704 |
| Provider Name | Tina Correen Brossow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444694 PECOS PAC ID: 5294065843 Enrollment ID: I20190924002240 |
| Provider Name | Niharika Kunapuli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700220167 PECOS PAC ID: 4981993235 Enrollment ID: I20190926000146 |
| Provider Name | Annakaren Morelos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891145090 PECOS PAC ID: 3971864182 Enrollment ID: I20190926001485 |
| Provider Name | Kelsey L Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528618014 PECOS PAC ID: 4789914219 Enrollment ID: I20190926001895 |
| Provider Name | Leslie A Shoulders |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124448717 PECOS PAC ID: 5496979270 Enrollment ID: I20190926001940 |
| Provider Name | Sarah M Stauder |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730509845 PECOS PAC ID: 6507142924 Enrollment ID: I20190927000561 |
| Provider Name | Christine D Schubring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952951402 PECOS PAC ID: 8527398916 Enrollment ID: I20190927001334 |
| Provider Name | Nakash Grant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366691016 PECOS PAC ID: 3971732116 Enrollment ID: I20191002001544 |
| Provider Name | Tarra Anne Combs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912252198 PECOS PAC ID: 2062742182 Enrollment ID: I20191002002081 |
| Provider Name | Yousuf Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609286590 PECOS PAC ID: 1254633605 Enrollment ID: I20191002003210 |
| Provider Name | Jessica S Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588214860 PECOS PAC ID: 0042541096 Enrollment ID: I20191007000993 |
| Provider Name | Shawn Marie Stemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588219679 PECOS PAC ID: 5496086191 Enrollment ID: I20191010001883 |
| Provider Name | Brittany L Aman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730730730 PECOS PAC ID: 2062743628 Enrollment ID: I20191011001724 |
| Provider Name | Margarita Luckhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679957781 PECOS PAC ID: 2668717653 Enrollment ID: I20191014001625 |
| Provider Name | Aldo Martinez Vaca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326499682 PECOS PAC ID: 1850683574 Enrollment ID: I20191022002060 |
| Provider Name | Rebecca L Lessard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861863813 PECOS PAC ID: 5799094652 Enrollment ID: I20191023001068 |
| Provider Name | Madeline Marie Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972144376 PECOS PAC ID: 1759613524 Enrollment ID: I20191028002281 |
| Provider Name | Hema Kamthamneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417262932 PECOS PAC ID: 1254565872 Enrollment ID: I20191028003082 |
| Provider Name | Jill D Bushberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497105837 PECOS PAC ID: 2062744808 Enrollment ID: I20191029001669 |
| Provider Name | Elizabeth Anne Lyvers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043878416 PECOS PAC ID: 9133451834 Enrollment ID: I20191030000895 |
| Provider Name | Kathie E Golata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982245072 PECOS PAC ID: 0941532667 Enrollment ID: I20191030001972 |
| Provider Name | Aaron R Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538710827 PECOS PAC ID: 8123350790 Enrollment ID: I20191031000957 |
| Provider Name | Jennifer Beth Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649596925 PECOS PAC ID: 8729310149 Enrollment ID: I20191104001575 |
| Provider Name | Omar U Farrukh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174817373 PECOS PAC ID: 2466675681 Enrollment ID: I20191108002392 |
| Provider Name | Caleb Samuel Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457902108 PECOS PAC ID: 3476985540 Enrollment ID: I20191111001384 |
| Provider Name | Erin B Schmeling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417339656 PECOS PAC ID: 5395050504 Enrollment ID: I20191113003095 |
| Provider Name | Eric J. Belin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093859548 PECOS PAC ID: 5799910030 Enrollment ID: I20191114000720 |
| Provider Name | Nick C Douglas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780229039 PECOS PAC ID: 6800228511 Enrollment ID: I20191119001670 |
| Provider Name | Stephanie Cooper |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588198857 PECOS PAC ID: 7315370723 Enrollment ID: I20191125002172 |
| Provider Name | Sarah Jane Bouc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619302239 PECOS PAC ID: 4082047238 Enrollment ID: I20191203000710 |
| Provider Name | Daniel D Medlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639439433 PECOS PAC ID: 5395178453 Enrollment ID: I20191203001425 |
| Provider Name | Nikolas M Blascoe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508232729 PECOS PAC ID: 2466762836 Enrollment ID: I20191204001689 |
| Provider Name | Steven D Filardo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740286814 PECOS PAC ID: 5799672259 Enrollment ID: I20191209002854 |
| Provider Name | Merissa E Lauzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346617941 PECOS PAC ID: 4587097373 Enrollment ID: I20191209002978 |
| Provider Name | Thomas J Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225006984 PECOS PAC ID: 2769452002 Enrollment ID: I20191210001058 |
| Provider Name | Dana L Neu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912440736 PECOS PAC ID: 4183057821 Enrollment ID: I20191210002429 |
| Provider Name | Ilana M Ruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851550743 PECOS PAC ID: 1355593302 Enrollment ID: I20191212000960 |
| Provider Name | Joseph Thomas Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821634056 PECOS PAC ID: 8325471923 Enrollment ID: I20191212002571 |
| Provider Name | Megan Nicole Forsythe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184078768 PECOS PAC ID: 4688008170 Enrollment ID: I20191216001026 |
| Provider Name | Sridhar Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164740122 PECOS PAC ID: 9638304314 Enrollment ID: I20191217000556 |
| Provider Name | Adam Jt Schuldt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659682771 PECOS PAC ID: 3072801273 Enrollment ID: I20191218002718 |
| Provider Name | Anna Seckar-anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023654662 PECOS PAC ID: 6305270414 Enrollment ID: I20191226000729 |
| Provider Name | Nichole P Gunyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942846811 PECOS PAC ID: 2365876109 Enrollment ID: I20200102001374 |
| Provider Name | Jacob Luthman |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1396735049 PECOS PAC ID: 9638067929 Enrollment ID: I20200103001335 |
| Provider Name | Yeri L Arias-jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750929311 PECOS PAC ID: 2062847668 Enrollment ID: I20200108001122 |
| Provider Name | Lisa J Liedke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783042 PECOS PAC ID: 2466887062 Enrollment ID: I20200108001355 |
| Provider Name | Kate S Laurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548807282 PECOS PAC ID: 5597190074 Enrollment ID: I20200109001914 |
| Provider Name | Kristin Marie Sell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962537878 PECOS PAC ID: 5294160644 Enrollment ID: I20200114000857 |
| Provider Name | Gary J Plato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497902555 PECOS PAC ID: 1052746344 Enrollment ID: I20200114003156 |
| Provider Name | Molly Jorde |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073166518 PECOS PAC ID: 1052746260 Enrollment ID: I20200116001555 |
| Provider Name | Chung Kuang Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427499961 PECOS PAC ID: 5890088751 Enrollment ID: I20200116002212 |
| Provider Name | Melissa L Fry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497202998 PECOS PAC ID: 4880029966 Enrollment ID: I20200117001637 |
| Provider Name | Riley A Kruel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821638941 PECOS PAC ID: 3870928856 Enrollment ID: I20200122000294 |
| Provider Name | Lance D Rank |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1750920112 PECOS PAC ID: 9739514639 Enrollment ID: I20200123001393 |
| Provider Name | Elizabeth Halley Finseth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699060806 PECOS PAC ID: 4880818368 Enrollment ID: I20200124001208 |
| Provider Name | Andrea J Cychosz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538448527 PECOS PAC ID: 7810323540 Enrollment ID: I20200128002953 |
| Provider Name | Bianca M Shubert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669869061 PECOS PAC ID: 6002116480 Enrollment ID: I20200130001633 |
| Provider Name | Shelly A Gaatz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548715600 PECOS PAC ID: 8729414966 Enrollment ID: I20200206000004 |
| Provider Name | Mackenzie L Zuleger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205473584 PECOS PAC ID: 0042646101 Enrollment ID: I20200207002509 |
| Provider Name | Peter Papapetrou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710232772 PECOS PAC ID: 3971801648 Enrollment ID: I20200210002371 |
| Provider Name | Pamela Newbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232270 PECOS PAC ID: 2567898513 Enrollment ID: I20200211000575 |
| Provider Name | Tara J Palma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417588997 PECOS PAC ID: 0042646002 Enrollment ID: I20200211001187 |
| Provider Name | Barak Bar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306085048 PECOS PAC ID: 4981848058 Enrollment ID: I20200211002601 |
| Provider Name | Jennifer L Macgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144869942 PECOS PAC ID: 2769818772 Enrollment ID: I20200212000013 |
| Provider Name | Lea Van Heule |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1023658549 PECOS PAC ID: 6305272105 Enrollment ID: I20200213001844 |
| Provider Name | Gaurav Jain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457788564 PECOS PAC ID: 7214169903 Enrollment ID: I20200220001402 |
| Provider Name | Paula A Ulch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659835379 PECOS PAC ID: 6507293073 Enrollment ID: I20200221001253 |
| Provider Name | Stephanie L Holschbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154961050 PECOS PAC ID: 6305273897 Enrollment ID: I20200221002329 |
| Provider Name | Carmela Gonzales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699904623 PECOS PAC ID: 4385864198 Enrollment ID: I20200227000409 |
| Provider Name | Kristina A Roscizewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912539974 PECOS PAC ID: 9739517533 Enrollment ID: I20200309002474 |
| Provider Name | Joseph H Helm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184067837 PECOS PAC ID: 5698094043 Enrollment ID: I20200313001260 |
| Provider Name | Suzanne M Girard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578196770 PECOS PAC ID: 6608204110 Enrollment ID: I20200317000461 |
| Provider Name | Joleen Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447892583 PECOS PAC ID: 2466880869 Enrollment ID: I20200318001596 |
| Provider Name | David F Mccoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891245478 PECOS PAC ID: 2961830203 Enrollment ID: I20200319001103 |
| Provider Name | Sierra R Milosch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538792379 PECOS PAC ID: 9436587714 Enrollment ID: I20200319002863 |
| Provider Name | Shannon M Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649567751 PECOS PAC ID: 3375971435 Enrollment ID: I20200324000998 |
| Provider Name | Nan Wu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073903142 PECOS PAC ID: 5597052514 Enrollment ID: I20200325002235 |
| Provider Name | Scottie-lynn Hecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154960201 PECOS PAC ID: 2264861285 Enrollment ID: I20200326001444 |
| Provider Name | Katayonsadat Tabatabaei Dakhili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912243924 PECOS PAC ID: 4183053085 Enrollment ID: I20200327001700 |
| Provider Name | Jeffrey L Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780010744 PECOS PAC ID: 7113356940 Enrollment ID: I20200331000265 |
| Provider Name | Jeffrey Matthew Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144531724 PECOS PAC ID: 7416195110 Enrollment ID: I20200402002422 |
| Provider Name | Latasha S Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346875259 PECOS PAC ID: 3476982869 Enrollment ID: I20200406003302 |
| Provider Name | Jeremy S Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124658422 PECOS PAC ID: 2466881636 Enrollment ID: I20200409001321 |
| Provider Name | Nadear A Elmahi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639278799 PECOS PAC ID: 8426059106 Enrollment ID: I20200413000028 |
| Provider Name | Nicholas E Tadeo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992192256 PECOS PAC ID: 2769812841 Enrollment ID: I20200414002564 |
| Provider Name | Sarah C Kessenich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649703083 PECOS PAC ID: 2163767534 Enrollment ID: I20200422003245 |
| Provider Name | Tochukwu Hilary Igwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376890392 PECOS PAC ID: 9335453307 Enrollment ID: I20200423000612 |
| Provider Name | Aaron J Schmidt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710272133 PECOS PAC ID: 8921247040 Enrollment ID: I20200423002289 |
| Provider Name | Oscar Raul Quintero Cardona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578889937 PECOS PAC ID: 1456642412 Enrollment ID: I20200423002501 |
| Provider Name | Jennifer Vargo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861940330 PECOS PAC ID: 4880972926 Enrollment ID: I20200427000358 |
| Provider Name | Amanda M Wellnitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588299697 PECOS PAC ID: 1850721267 Enrollment ID: I20200428000032 |
| Provider Name | Peter J Bernardy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083975437 PECOS PAC ID: 9830529197 Enrollment ID: I20200429000289 |
| Provider Name | Sabina C Mullin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275890584 PECOS PAC ID: 0840620068 Enrollment ID: I20200430000801 |
| Provider Name | Dylan Caliva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588112049 PECOS PAC ID: 1850675943 Enrollment ID: I20200505002342 |
| Provider Name | Karin L Beal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669008488 PECOS PAC ID: 3173954179 Enrollment ID: I20200506003339 |
| Provider Name | Radhika Sharma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407110547 PECOS PAC ID: 0345559720 Enrollment ID: I20200507002982 |
| Provider Name | Kelly Jane Delzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659906113 PECOS PAC ID: 7315378270 Enrollment ID: I20200508000154 |
| Provider Name | Scott D Curtis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235493628 PECOS PAC ID: 4385953264 Enrollment ID: I20200511002002 |
| Provider Name | Michael J Mulroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154797306 PECOS PAC ID: 4880025675 Enrollment ID: I20200512000000 |
| Provider Name | Katherine M Zukowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629114145 PECOS PAC ID: 2365462272 Enrollment ID: I20200512000007 |
| Provider Name | Sean M Seiler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295244846 PECOS PAC ID: 4789015579 Enrollment ID: I20200512000045 |
| Provider Name | Mary K Santarelli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972881183 PECOS PAC ID: 0345671145 Enrollment ID: I20200512000360 |
| Provider Name | Jessica L Read |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831643212 PECOS PAC ID: 2860823663 Enrollment ID: I20200512000503 |
| Provider Name | Lauren D Toner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831646496 PECOS PAC ID: 5193156925 Enrollment ID: I20200512001991 |
| Provider Name | Jacob M Perotto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154805836 PECOS PAC ID: 5193156933 Enrollment ID: I20200512002590 |
| Provider Name | Simona Slavinskiene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669094165 PECOS PAC ID: 4789015207 Enrollment ID: I20200515001360 |
| Provider Name | Louis J Cohn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538560248 PECOS PAC ID: 1951732494 Enrollment ID: I20200515002211 |
| Provider Name | Milan Devusic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629370911 PECOS PAC ID: 8022449560 Enrollment ID: I20200515002271 |
| Provider Name | Vincent Diviero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912425141 PECOS PAC ID: 9032475603 Enrollment ID: I20200515002332 |
| Provider Name | Heather D Hemauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982906814 PECOS PAC ID: 5395176846 Enrollment ID: I20200516000227 |
| Provider Name | Joanne L Cain |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982814174 PECOS PAC ID: 0143651604 Enrollment ID: I20200518000196 |
| Provider Name | Aasim Mohammed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326477233 PECOS PAC ID: 2668794744 Enrollment ID: I20200518000651 |
| Provider Name | Abdurahman Said Elkhetali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023495413 PECOS PAC ID: 3577844216 Enrollment ID: I20200521001719 |
| Provider Name | Shehla Baig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356863047 PECOS PAC ID: 7719312883 Enrollment ID: I20200527000415 |
| Provider Name | Subash Bastakoti |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770967036 PECOS PAC ID: 6204257330 Enrollment ID: I20200528000954 |
| Provider Name | Hannah Walton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518498161 PECOS PAC ID: 1557795499 Enrollment ID: I20200601000520 |
| Provider Name | Hishita Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134548340 PECOS PAC ID: 8921318023 Enrollment ID: I20200601001643 |
| Provider Name | Sara L Madsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104243252 PECOS PAC ID: 2961797279 Enrollment ID: I20200608000356 |
| Provider Name | Melissa C Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598222465 PECOS PAC ID: 4486997483 Enrollment ID: I20200608002223 |
| Provider Name | Mark D Mudarth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447647839 PECOS PAC ID: 7719214345 Enrollment ID: I20200608002386 |
| Provider Name | Momcilo Durdevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881114254 PECOS PAC ID: 5294075917 Enrollment ID: I20200608002858 |
| Provider Name | Dahlia Rice |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700226057 PECOS PAC ID: 7719222033 Enrollment ID: I20200609001282 |
| Provider Name | Joshua H Finkle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528408903 PECOS PAC ID: 9638472764 Enrollment ID: I20200610001858 |
| Provider Name | Eyob A Tadesse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225569189 PECOS PAC ID: 0547593519 Enrollment ID: I20200615001493 |
| Provider Name | Jacqueline Ann Ots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003456823 PECOS PAC ID: 7214359561 Enrollment ID: I20200616000191 |
| Provider Name | Joshua White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275996340 PECOS PAC ID: 2062776420 Enrollment ID: I20200616002577 |
| Provider Name | Moaz Hamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902338882 PECOS PAC ID: 4880016088 Enrollment ID: I20200616003295 |
| Provider Name | Khushboo M Gandhi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568845519 PECOS PAC ID: 2961704796 Enrollment ID: I20200618001929 |
| Provider Name | Amin H Jiminian Wilmot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710268412 PECOS PAC ID: 5799931788 Enrollment ID: I20200618002311 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20200620000057 |
| Provider Name | Zachary E. Pflum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225416662 PECOS PAC ID: 3274844626 Enrollment ID: I20200624000236 |
| Provider Name | Sudeepta Dandapat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073801882 PECOS PAC ID: 8527206044 Enrollment ID: I20200624002255 |
| Provider Name | Justine E Wergin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922531235 PECOS PAC ID: 6002156668 Enrollment ID: I20200625001250 |
| Provider Name | Michael A Stanton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336503374 PECOS PAC ID: 8820348204 Enrollment ID: I20200625003041 |
| Provider Name | Nicholas P Vaughn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629462965 PECOS PAC ID: 8628341807 Enrollment ID: I20200626001251 |
| Provider Name | Jedediah L Jensen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952621872 PECOS PAC ID: 5092945279 Enrollment ID: I20200626001678 |
| Provider Name | Nour R Sinno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619326295 PECOS PAC ID: 3274820592 Enrollment ID: I20200706000487 |
| Provider Name | Kevin Glatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194179093 PECOS PAC ID: 5395079057 Enrollment ID: I20200706002769 |
| Provider Name | Rajendra K Karnatak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225465149 PECOS PAC ID: 8325270754 Enrollment ID: I20200707001834 |
| Provider Name | Donald E Keen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669793147 PECOS PAC ID: 2567765423 Enrollment ID: I20200707002077 |
| Provider Name | Katie E Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760911721 PECOS PAC ID: 7719256833 Enrollment ID: I20200708000812 |
| Provider Name | Katherine A Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558672170 PECOS PAC ID: 9830322775 Enrollment ID: I20200709002605 |
| Provider Name | Marina Doliner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841452489 PECOS PAC ID: 3678895638 Enrollment ID: I20200709003277 |
| Provider Name | Collin D Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720605744 PECOS PAC ID: 4284057019 Enrollment ID: I20200713000295 |
| Provider Name | Victoria Gillet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104351915 PECOS PAC ID: 4082984109 Enrollment ID: I20200714000195 |
| Provider Name | Kao Feng Moua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528319472 PECOS PAC ID: 0749603488 Enrollment ID: I20200714000347 |
| Provider Name | Carrie D Mendoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932174513 PECOS PAC ID: 3072568138 Enrollment ID: I20200714001179 |
| Provider Name | Andrew B Ingraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841642642 PECOS PAC ID: 8628362126 Enrollment ID: I20200714002284 |
| Provider Name | Ali Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861929580 PECOS PAC ID: 9537430046 Enrollment ID: I20200715000862 |
| Provider Name | Geoffrey Bellini |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1639436629 PECOS PAC ID: 7416371034 Enrollment ID: I20200715003012 |
| Provider Name | Carl Bellinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558892539 PECOS PAC ID: 0941539837 Enrollment ID: I20200716000140 |
| Provider Name | Isaac M Alghoosen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1659991891 PECOS PAC ID: 4385068931 Enrollment ID: I20200716000269 |
| Provider Name | Mallory A Mews |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972122448 PECOS PAC ID: 6507280153 Enrollment ID: I20200716000498 |
| Provider Name | Melody Chen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558789388 PECOS PAC ID: 2365866928 Enrollment ID: I20200716000736 |
| Provider Name | Elizabeth K Corey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073931010 PECOS PAC ID: 9638479355 Enrollment ID: I20200716001409 |
| Provider Name | Erik G Bergersen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649666751 PECOS PAC ID: 9638470388 Enrollment ID: I20200716001576 |
| Provider Name | Steven Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134507015 PECOS PAC ID: 7719282094 Enrollment ID: I20200716002094 |
| Provider Name | Jason R Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336766971 PECOS PAC ID: 9436573938 Enrollment ID: I20200716002350 |
| Provider Name | Anthony E Lazaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003347451 PECOS PAC ID: 9234463225 Enrollment ID: I20200717001972 |
| Provider Name | Dane A Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386178804 PECOS PAC ID: 9234472044 Enrollment ID: I20200722000286 |
| Provider Name | Peter J Polewski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659784940 PECOS PAC ID: 6901187319 Enrollment ID: I20200724000053 |
| Provider Name | Daniel Joseph Diaczok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992190052 PECOS PAC ID: 7911321815 Enrollment ID: I20200724001826 |
| Provider Name | Zaid Abood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194254334 PECOS PAC ID: 5698043248 Enrollment ID: I20200727000102 |
| Provider Name | Bora You |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134579493 PECOS PAC ID: 2567755143 Enrollment ID: I20200728002187 |
| Provider Name | Anushka Baruah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669887675 PECOS PAC ID: 2860798931 Enrollment ID: I20200728004026 |
| Provider Name | Zeid Kalarikkal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134548290 PECOS PAC ID: 9931402484 Enrollment ID: I20200729000805 |
| Provider Name | Allison M Blonski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013366608 PECOS PAC ID: 1850726712 Enrollment ID: I20200729003774 |
| Provider Name | Samuel S Yoon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043692627 PECOS PAC ID: 5698026540 Enrollment ID: I20200730000102 |
| Provider Name | Mitchell R Elgin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528421369 PECOS PAC ID: 4082039623 Enrollment ID: I20200730000775 |
| Provider Name | Jonathan D Weseman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043730690 PECOS PAC ID: 4082988282 Enrollment ID: I20200731002285 |
| Provider Name | Anand Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730445255 PECOS PAC ID: 5890074140 Enrollment ID: I20200803001596 |
| Provider Name | Inshirah V Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447870050 PECOS PAC ID: 3971928037 Enrollment ID: I20200806000856 |
| Provider Name | Jacob L Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689024788 PECOS PAC ID: 1355633165 Enrollment ID: I20200807000166 |
| Provider Name | Christina S Thomas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831509470 PECOS PAC ID: 2567765936 Enrollment ID: I20200807001292 |
| Provider Name | Lawrence Tse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972035517 PECOS PAC ID: 3375871635 Enrollment ID: I20200810002774 |
| Provider Name | Harsh Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730528340 PECOS PAC ID: 4789994500 Enrollment ID: I20200811003173 |
| Provider Name | Thomas Joseph Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528590221 PECOS PAC ID: 6002151560 Enrollment ID: I20200812000276 |
| Provider Name | Grace Abigaille Barranco-laxamana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912427469 PECOS PAC ID: 0446599781 Enrollment ID: I20200813000303 |
| Provider Name | Katrina L Destree |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295021079 PECOS PAC ID: 9032400072 Enrollment ID: I20200813001771 |
| Provider Name | Colin Stair |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659766525 PECOS PAC ID: 6608149620 Enrollment ID: I20200813002688 |
| Provider Name | Mateusz Danieluk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336670900 PECOS PAC ID: 5395015317 Enrollment ID: I20200814002643 |
| Provider Name | Ifeyinwa N Igwe |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508021593 PECOS PAC ID: 6002062270 Enrollment ID: I20200817001782 |
| Provider Name | Elizabeth V Craig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245523216 PECOS PAC ID: 9830492784 Enrollment ID: I20200817003312 |
| Provider Name | Harry S Nayar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588009658 PECOS PAC ID: 6204050636 Enrollment ID: I20200818000514 |
| Provider Name | Lukman Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669824074 PECOS PAC ID: 7810225414 Enrollment ID: I20200818003433 |
| Provider Name | Daniel J Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063953313 PECOS PAC ID: 9739459637 Enrollment ID: I20200820000668 |
| Provider Name | Mary J Kao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679927826 PECOS PAC ID: 5698067726 Enrollment ID: I20200820001002 |
| Provider Name | Ginger Renee Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205451564 PECOS PAC ID: 1254757297 Enrollment ID: I20200820002042 |
| Provider Name | Ryan A Rosenberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295140945 PECOS PAC ID: 0244538684 Enrollment ID: I20200820002071 |
| Provider Name | Ishwar S Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467983866 PECOS PAC ID: 4082985866 Enrollment ID: I20200820002490 |
| Provider Name | Krizelle Garde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649700675 PECOS PAC ID: 6901222827 Enrollment ID: I20200821001312 |
| Provider Name | Jennifer S Wenzel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407158991 PECOS PAC ID: 1456777317 Enrollment ID: I20200821002910 |
| Provider Name | Rachael Bree Hosein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073997755 PECOS PAC ID: 1052737921 Enrollment ID: I20200823000036 |
| Provider Name | Peter J Cote |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700240751 PECOS PAC ID: 2062767130 Enrollment ID: I20200824000753 |
| Provider Name | Michelle M Hofmeister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053726026 PECOS PAC ID: 2264732163 Enrollment ID: I20200824002153 |
| Provider Name | Samad B Farooqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922549872 PECOS PAC ID: 5496026932 Enrollment ID: I20200824003148 |
| Provider Name | Kaitlin M Piggot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417570482 PECOS PAC ID: 4880011733 Enrollment ID: I20200824003513 |
| Provider Name | George M Lessmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134641384 PECOS PAC ID: 1456617331 Enrollment ID: I20200825001651 |
| Provider Name | Jessica N Schrage |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306281050 PECOS PAC ID: 8123445970 Enrollment ID: I20200825003606 |
| Provider Name | Shilpa Chaku |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780091959 PECOS PAC ID: 3173815701 Enrollment ID: I20200826001486 |
| Provider Name | Greta R Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619404977 PECOS PAC ID: 3072858083 Enrollment ID: I20200826002368 |
| Provider Name | Joseph Vogelgesang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982067922 PECOS PAC ID: 6901168285 Enrollment ID: I20200827001391 |
| Provider Name | Thang D Ngo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538352059 PECOS PAC ID: 4789751439 Enrollment ID: I20200827001919 |
| Provider Name | Manmeet Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508021700 PECOS PAC ID: 4284881442 Enrollment ID: I20200831000622 |
| Provider Name | Elaine Melissa Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629502513 PECOS PAC ID: 9436576881 Enrollment ID: I20200831000823 |
| Provider Name | Danielle Rose Balzano Kobeszko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568015394 PECOS PAC ID: 1052643632 Enrollment ID: I20200901000824 |
| Provider Name | Karissa Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306457163 PECOS PAC ID: 7911324264 Enrollment ID: I20200901001053 |
| Provider Name | Hung Nhat Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023548161 PECOS PAC ID: 4385061662 Enrollment ID: I20200901002058 |
| Provider Name | Sarah M Wiles |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831708114 PECOS PAC ID: 6800213026 Enrollment ID: I20200902000086 |
| Provider Name | Milka Sagud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255949079 PECOS PAC ID: 1254758279 Enrollment ID: I20200904000029 |
| Provider Name | Samantha M Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082780 PECOS PAC ID: 6305264193 Enrollment ID: I20200910001594 |
| Provider Name | Daniel D Kopatich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659802197 PECOS PAC ID: 4789012865 Enrollment ID: I20200916000161 |
| Provider Name | Payal Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104358753 PECOS PAC ID: 3577981935 Enrollment ID: I20200916002504 |
| Provider Name | Nguyen Q Ha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366983686 PECOS PAC ID: 8729358825 Enrollment ID: I20200916002533 |
| Provider Name | Nicholas R Hempeck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447544788 PECOS PAC ID: 8729374764 Enrollment ID: I20200917000537 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20200917001379 |
| Provider Name | Long Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962817700 PECOS PAC ID: 1658606777 Enrollment ID: I20200917002959 |
| Provider Name | Kristen A Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316470099 PECOS PAC ID: 9830526722 Enrollment ID: I20200918000109 |
| Provider Name | Elizabeth Gastineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376197574 PECOS PAC ID: 9638504129 Enrollment ID: I20200921000968 |
| Provider Name | Jeremy N Reese |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174844245 PECOS PAC ID: 8820382732 Enrollment ID: I20200921002141 |
| Provider Name | Kali M Rivas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255794376 PECOS PAC ID: 4587956529 Enrollment ID: I20200922001768 |
| Provider Name | Eftu Boru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174055131 PECOS PAC ID: 2264762178 Enrollment ID: I20200923000367 |
| Provider Name | Samantha A Kottka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285242214 PECOS PAC ID: 0941629042 Enrollment ID: I20200923000449 |
| Provider Name | Priti Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669904090 PECOS PAC ID: 7618212762 Enrollment ID: I20200926000181 |
| Provider Name | Claudia A Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831719962 PECOS PAC ID: 3577982388 Enrollment ID: I20200929000242 |
| Provider Name | Nawras Alshoubaki |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003290586 PECOS PAC ID: 5395032627 Enrollment ID: I20200929000425 |
| Provider Name | Kellie A Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962036830 PECOS PAC ID: 0749609402 Enrollment ID: I20200929002828 |
| Provider Name | Anna K Coppin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245849264 PECOS PAC ID: 9537588223 Enrollment ID: I20200930000011 |
| Provider Name | Carly B Worden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053926949 PECOS PAC ID: 5193144822 Enrollment ID: I20200930001448 |
| Provider Name | Melissa A Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700499845 PECOS PAC ID: 4486073129 Enrollment ID: I20200930001803 |
| Provider Name | Maria K Emmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033728423 PECOS PAC ID: 7416376090 Enrollment ID: I20200930003693 |
| Provider Name | Stephanie Philipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073993457 PECOS PAC ID: 4183043771 Enrollment ID: I20201001000133 |
| Provider Name | Brittney K Timmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245840578 PECOS PAC ID: 2567881162 Enrollment ID: I20201001000460 |
| Provider Name | Geoffrey B Watters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407464118 PECOS PAC ID: 6002235603 Enrollment ID: I20201001000514 |
| Provider Name | David J Guerard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831700483 PECOS PAC ID: 7810316429 Enrollment ID: I20201001000825 |
| Provider Name | Victoria C Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194250597 PECOS PAC ID: 7911273123 Enrollment ID: I20201002000097 |
| Provider Name | Dennis M Orellana Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992177976 PECOS PAC ID: 0749609238 Enrollment ID: I20201002000231 |
| Provider Name | Crystal E Rayon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265968655 PECOS PAC ID: 8820369184 Enrollment ID: I20201002001011 |
| Provider Name | Maryann Chrzaszcz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750777470 PECOS PAC ID: 3577857051 Enrollment ID: I20201005000293 |
| Provider Name | Michael S Wingrove |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770198012 PECOS PAC ID: 1153740550 Enrollment ID: I20201005001695 |
| Provider Name | Ariel N Dimitrijevic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518586965 PECOS PAC ID: 5799104196 Enrollment ID: I20201005001701 |
| Provider Name | Natasha Marie Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952570814 PECOS PAC ID: 5294992624 Enrollment ID: I20201005001987 |
| Provider Name | Marzenna M Schoeneich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558460139 PECOS PAC ID: 3375637218 Enrollment ID: I20201005002830 |
| Provider Name | Bryce A Lewellen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093167074 PECOS PAC ID: 2567744790 Enrollment ID: I20201008003228 |
| Provider Name | Andrew Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659413656 PECOS PAC ID: 4082710561 Enrollment ID: I20201009000195 |
| Provider Name | Stacy L Fairbanks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730389644 PECOS PAC ID: 6507014750 Enrollment ID: I20201012000537 |
| Provider Name | Namita Dhiman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134364151 PECOS PAC ID: 4880820786 Enrollment ID: I20201012001447 |
| Provider Name | Alix Komar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699086504 PECOS PAC ID: 7719281542 Enrollment ID: I20201013003573 |
| Provider Name | Elle L Fisch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528420064 PECOS PAC ID: 8921345323 Enrollment ID: I20201014002039 |
| Provider Name | Fauzan Ali |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831705664 PECOS PAC ID: 9032539812 Enrollment ID: I20201016000103 |
| Provider Name | Diana K Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831700574 PECOS PAC ID: 7517387251 Enrollment ID: I20201019000119 |
| Provider Name | Zeinab Saleh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134501448 PECOS PAC ID: 3779893912 Enrollment ID: I20201019000376 |
| Provider Name | Tyler J Beranek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134532435 PECOS PAC ID: 1355636242 Enrollment ID: I20201019002043 |
| Provider Name | Scott C Simandl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558977322 PECOS PAC ID: 2769802362 Enrollment ID: I20201021000331 |
| Provider Name | Kaylan G Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386265155 PECOS PAC ID: 1557771896 Enrollment ID: I20201028000198 |
| Provider Name | Muaiad Kittaneh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730350794 PECOS PAC ID: 7012078058 Enrollment ID: I20201029001192 |
| Provider Name | Andrew M Thorson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376930214 PECOS PAC ID: 6204191869 Enrollment ID: I20201029002175 |
| Provider Name | Nipun G Verma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447608112 PECOS PAC ID: 5799062873 Enrollment ID: I20201030000345 |
| Provider Name | Courtney Amborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629685110 PECOS PAC ID: 6002226180 Enrollment ID: I20201030000795 |
| Provider Name | Margaret Anne Germanotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649880808 PECOS PAC ID: 6800206921 Enrollment ID: I20201031000005 |
| Provider Name | Mhd Hashem Rajabbik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528422631 PECOS PAC ID: 3375888431 Enrollment ID: I20201103000422 |
| Provider Name | Samantha A Magyar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821619859 PECOS PAC ID: 9436569464 Enrollment ID: I20201103002307 |
| Provider Name | Sarah E Gelhaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992318091 PECOS PAC ID: 2668882614 Enrollment ID: I20201103002413 |
| Provider Name | Jodi L Merlock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952405441 PECOS PAC ID: 2769892504 Enrollment ID: I20201105000791 |
| Provider Name | Tatiana Zaldua |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245838838 PECOS PAC ID: 8921418765 Enrollment ID: I20201105000849 |
| Provider Name | Jenna Ogor-lopez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952779936 PECOS PAC ID: 8123438991 Enrollment ID: I20201105002175 |
| Provider Name | Fatima T Diaban |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336586098 PECOS PAC ID: 1254638778 Enrollment ID: I20201110001207 |
| Provider Name | Chanthorn Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356691836 PECOS PAC ID: 2668882010 Enrollment ID: I20201113001151 |
| Provider Name | Jamie L Kivisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568074359 PECOS PAC ID: 6901216381 Enrollment ID: I20201113002799 |
| Provider Name | Brittany A Kosinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790266963 PECOS PAC ID: 4981958899 Enrollment ID: I20201116000367 |
| Provider Name | Saralyn Paredes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796574 PECOS PAC ID: 8325459761 Enrollment ID: I20201116002643 |
| Provider Name | Andrea C Olsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790338655 PECOS PAC ID: 8729499181 Enrollment ID: I20201117000191 |
| Provider Name | Ahmed A Quraishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770010167 PECOS PAC ID: 5991074866 Enrollment ID: I20201125001700 |
| Provider Name | Zachary Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508493198 PECOS PAC ID: 4880005628 Enrollment ID: I20201130000669 |
| Provider Name | Ross Kulick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386252476 PECOS PAC ID: 3072937176 Enrollment ID: I20201203000108 |
| Provider Name | Fidelis A Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20201203002469 |
| Provider Name | Elfrida Zakrzewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861947814 PECOS PAC ID: 1456763507 Enrollment ID: I20201214001460 |
| Provider Name | Patrick O Odia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20201216001494 |
| Provider Name | Karlie E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518572940 PECOS PAC ID: 1658783568 Enrollment ID: I20201217003084 |
| Provider Name | Taylor T Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376145060 PECOS PAC ID: 7810309630 Enrollment ID: I20201218000798 |
| Provider Name | Melissa M O'hanison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790382323 PECOS PAC ID: 7911319785 Enrollment ID: I20201221000032 |
| Provider Name | Abdel N Hosein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538574892 PECOS PAC ID: 0244642858 Enrollment ID: I20201223000575 |
| Provider Name | Adam J Basler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376983627 PECOS PAC ID: 5395094775 Enrollment ID: I20201228000049 |
| Provider Name | Nicholas J Gustafson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508286386 PECOS PAC ID: 8426343559 Enrollment ID: I20201229000344 |
| Provider Name | Luke Stoltzfus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417106881 PECOS PAC ID: 6800042664 Enrollment ID: I20201229001289 |
| Provider Name | Stacey Mendez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780195545 PECOS PAC ID: 2365704772 Enrollment ID: I20201229002382 |
| Provider Name | George Vanags |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598382004 PECOS PAC ID: 6800209214 Enrollment ID: I20210104000704 |
| Provider Name | Kristina A Strupp |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053967091 PECOS PAC ID: 2062825474 Enrollment ID: I20210104000781 |
| Provider Name | Kristopher J Selke |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376747733 PECOS PAC ID: 7517114630 Enrollment ID: I20210105000059 |
| Provider Name | Amber R Marasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900474 PECOS PAC ID: 4981017290 Enrollment ID: I20210106000212 |
| Provider Name | Waseem Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497276091 PECOS PAC ID: 8729350095 Enrollment ID: I20210107001962 |
| Provider Name | Nasrein C Bahrami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437606696 PECOS PAC ID: 0547673535 Enrollment ID: I20210112002709 |
| Provider Name | Luc M Oke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588781942 PECOS PAC ID: 9436242245 Enrollment ID: I20210119002198 |
| Provider Name | Jamison M Gould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326131137 PECOS PAC ID: 3375566953 Enrollment ID: I20210121002758 |
| Provider Name | Justin Michael Cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003403791 PECOS PAC ID: 5890109425 Enrollment ID: I20210122000717 |
| Provider Name | Vy Dinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497286470 PECOS PAC ID: 4981939964 Enrollment ID: I20210122002473 |
| Provider Name | Brittany J Sheahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932797594 PECOS PAC ID: 1052725454 Enrollment ID: I20210126002516 |
| Provider Name | Jacqueline Brownson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225642226 PECOS PAC ID: 0749694164 Enrollment ID: I20210126003320 |
| Provider Name | Haylee A. Eliasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982239786 PECOS PAC ID: 1759795958 Enrollment ID: I20210129001309 |
| Provider Name | Jamie L Paiva-sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952916686 PECOS PAC ID: 8820402985 Enrollment ID: I20210201001099 |
| Provider Name | Darin R Atkinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568623080 PECOS PAC ID: 9931513801 Enrollment ID: I20210204001500 |
| Provider Name | Kari B Steffes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043811391 PECOS PAC ID: 4789098559 Enrollment ID: I20210208000524 |
| Provider Name | Brooke D Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811530116 PECOS PAC ID: 9830520022 Enrollment ID: I20210210002197 |
| Provider Name | Jacqueline A Eubany |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912986944 PECOS PAC ID: 6204882277 Enrollment ID: I20210210003062 |
| Provider Name | Angela M Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417018664 PECOS PAC ID: 2264847847 Enrollment ID: I20210211001908 |
| Provider Name | Tommy H Quach |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871181065 PECOS PAC ID: 1850706458 Enrollment ID: I20210211003232 |
| Provider Name | Paige H Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871198747 PECOS PAC ID: 9537574835 Enrollment ID: I20210218002801 |
| Provider Name | Dean G Karahalios |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245205210 PECOS PAC ID: 1557319175 Enrollment ID: I20210219000996 |
| Provider Name | Stephanie Cowling-schroeder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831793728 PECOS PAC ID: 2264848191 Enrollment ID: I20210301002049 |
| Provider Name | Stephanie L Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053894378 PECOS PAC ID: 2567878309 Enrollment ID: I20210303000486 |
| Provider Name | Ashley Silovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538772702 PECOS PAC ID: 3274949854 Enrollment ID: I20210305000205 |
| Provider Name | Christina M Schreiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831783372 PECOS PAC ID: 8628484250 Enrollment ID: I20210306000007 |
| Provider Name | Kerry M O'mahar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356639173 PECOS PAC ID: 7113193517 Enrollment ID: I20210309000640 |
| Provider Name | Mounica Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194176651 PECOS PAC ID: 9234422460 Enrollment ID: I20210311001396 |
| Provider Name | Melanie S Falsetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932794542 PECOS PAC ID: 1850707076 Enrollment ID: I20210311002729 |
| Provider Name | Laura E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467041483 PECOS PAC ID: 7810303005 Enrollment ID: I20210315000003 |
| Provider Name | Grace A Pohlmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871178855 PECOS PAC ID: 0941616908 Enrollment ID: I20210317001085 |
| Provider Name | Jihan Akhtar Bhikhapurwala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679894901 PECOS PAC ID: 6608094206 Enrollment ID: I20210317002004 |
| Provider Name | Andrew J Wieting |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740800606 PECOS PAC ID: 4183031107 Enrollment ID: I20210318000894 |
| Provider Name | Molly E Ireland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659969715 PECOS PAC ID: 2769899798 Enrollment ID: I20210318001547 |
| Provider Name | Craig P Swanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437511557 PECOS PAC ID: 9234546292 Enrollment ID: I20210318002532 |
| Provider Name | Kathleen R Treager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609461276 PECOS PAC ID: 0143637124 Enrollment ID: I20210319000416 |
| Provider Name | Kimberly Ann Buntrock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386191195 PECOS PAC ID: 1951718774 Enrollment ID: I20210323002286 |
| Provider Name | Emily G Holzwart |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902482243 PECOS PAC ID: 9537576293 Enrollment ID: I20210324001250 |
| Provider Name | Valerie Griffeth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902292493 PECOS PAC ID: 0345557914 Enrollment ID: I20210325002415 |
| Provider Name | Megan Mr Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174108815 PECOS PAC ID: 7012325095 Enrollment ID: I20210412000834 |
| Provider Name | Autumn D Unrein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053999581 PECOS PAC ID: 4486062486 Enrollment ID: I20210412001738 |
| Provider Name | Mary R Steffes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497221949 PECOS PAC ID: 4587900931 Enrollment ID: I20210412002683 |
| Provider Name | Jessica R Badwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730405689 PECOS PAC ID: 2668619867 Enrollment ID: I20210414000158 |
| Provider Name | Angela K King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417338351 PECOS PAC ID: 7911298716 Enrollment ID: I20210414001457 |
| Provider Name | Alan D Moreno |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427468651 PECOS PAC ID: 6305140070 Enrollment ID: I20210419001916 |
| Provider Name | Marina Deatherage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538706858 PECOS PAC ID: 3274941711 Enrollment ID: I20210421001374 |
| Provider Name | Shakellah Amini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598144347 PECOS PAC ID: 6204131782 Enrollment ID: I20210422001251 |
| Provider Name | Sheena M Sweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619264934 PECOS PAC ID: 9931321411 Enrollment ID: I20210426001839 |
| Provider Name | Emma J Saunders |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346829280 PECOS PAC ID: 2365850617 Enrollment ID: I20210426002246 |
| Provider Name | Kristin L Wasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255688305 PECOS PAC ID: 9335397173 Enrollment ID: I20210430001288 |
| Provider Name | Joanne Rousseau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891936969 PECOS PAC ID: 2961677026 Enrollment ID: I20210503001673 |
| Provider Name | Meng-chun Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023032299 PECOS PAC ID: 5698772465 Enrollment ID: I20210504001004 |
| Provider Name | Seamus W Doyle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396105987 PECOS PAC ID: 3476962416 Enrollment ID: I20210504002200 |
| Provider Name | Agnieszka Durski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376892117 PECOS PAC ID: 6608014709 Enrollment ID: I20210512002743 |
| Provider Name | Chul Won Chung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326533019 PECOS PAC ID: 8729497284 Enrollment ID: I20210513000243 |
| Provider Name | Jessy Charles-james Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033792155 PECOS PAC ID: 5496164790 Enrollment ID: I20210517000667 |
| Provider Name | Dean Milton Weich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922534031 PECOS PAC ID: 5294006078 Enrollment ID: I20210517002138 |
| Provider Name | Anas Kizawi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154771772 PECOS PAC ID: 8820329204 Enrollment ID: I20210517002442 |
| Provider Name | Motasem Mohd F Ghazi Alkhasoneh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023533403 PECOS PAC ID: 9638588908 Enrollment ID: I20210518000487 |
| Provider Name | Amanda M Clough-knapp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275938474 PECOS PAC ID: 5890194138 Enrollment ID: I20210519000497 |
| Provider Name | Shelly W Reimer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306200886 PECOS PAC ID: 2769881044 Enrollment ID: I20210519002056 |
| Provider Name | Toni-denise Espina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962829994 PECOS PAC ID: 6204130594 Enrollment ID: I20210520000279 |
| Provider Name | Cheryl K Marcott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003362674 PECOS PAC ID: 5294134490 Enrollment ID: I20210520000446 |
| Provider Name | Amy B Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972898401 PECOS PAC ID: 4688843279 Enrollment ID: I20210520002311 |
| Provider Name | Hung-wen Yen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235625286 PECOS PAC ID: 1254742588 Enrollment ID: I20210521000518 |
| Provider Name | Patrick Joseph Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649856139 PECOS PAC ID: 6901205459 Enrollment ID: I20210603000619 |
| Provider Name | Babak Yasmeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417392622 PECOS PAC ID: 3870887938 Enrollment ID: I20210603002159 |
| Provider Name | Aniruddh Kapoor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982098042 PECOS PAC ID: 3971850744 Enrollment ID: I20210607002682 |
| Provider Name | Esther M Motlhatlhedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023347010 PECOS PAC ID: 7012195688 Enrollment ID: I20210608000364 |
| Provider Name | Mohamed Hendawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134624034 PECOS PAC ID: 8224438601 Enrollment ID: I20210608000533 |
| Provider Name | Sarah L Casper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043831670 PECOS PAC ID: 4082014386 Enrollment ID: I20210608001613 |
| Provider Name | Valdez R Rahming |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578090098 PECOS PAC ID: 7214337518 Enrollment ID: I20210608001763 |
| Provider Name | Vladyslav Dieiev |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962855627 PECOS PAC ID: 6406195320 Enrollment ID: I20210608003143 |
| Provider Name | Ulysses S Boco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396239372 PECOS PAC ID: 8921408287 Enrollment ID: I20210609000347 |
| Provider Name | Emmanouil Alimpertis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366827768 PECOS PAC ID: 7517274145 Enrollment ID: I20210609000438 |
| Provider Name | Jasmin J David |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073682134 PECOS PAC ID: 0143222851 Enrollment ID: I20210609000732 |
| Provider Name | Olachi Jennifer Egbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427535152 PECOS PAC ID: 8224378153 Enrollment ID: I20210609003574 |
| Provider Name | Jorena L Lewandowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730296286 PECOS PAC ID: 1658771803 Enrollment ID: I20210610000700 |
| Provider Name | Jacob Deutsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942689450 PECOS PAC ID: 4284970906 Enrollment ID: I20210615001885 |
| Provider Name | Abdalla Kara Balla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518458470 PECOS PAC ID: 1557617164 Enrollment ID: I20210616000773 |
| Provider Name | Jackson Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700381977 PECOS PAC ID: 3072933050 Enrollment ID: I20210616001023 |
| Provider Name | Faisal Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245737261 PECOS PAC ID: 4789084401 Enrollment ID: I20210616002355 |
| Provider Name | Abdul Moniem Abdul Moniem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194175042 PECOS PAC ID: 4284069121 Enrollment ID: I20210617000611 |
| Provider Name | Bilal H Shaikh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174975601 PECOS PAC ID: 7315272556 Enrollment ID: I20210621001299 |
| Provider Name | Itamar Yaakov Gnatt |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1447781992 PECOS PAC ID: 8527306414 Enrollment ID: I20210621002219 |
| Provider Name | Samuel E Zehnder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194393926 PECOS PAC ID: 9830590157 Enrollment ID: I20210624000852 |
| Provider Name | Zakkary A Perez, |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124500772 PECOS PAC ID: 4789085036 Enrollment ID: I20210624001928 |
| Provider Name | Karen C Goebel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700143120 PECOS PAC ID: 6709287931 Enrollment ID: I20210625001348 |
| Provider Name | Joseph Allen Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578050688 PECOS PAC ID: 3072914159 Enrollment ID: I20210628000083 |
| Provider Name | Nicole Hammes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386620987 PECOS PAC ID: 2365491107 Enrollment ID: I20210628002228 |
| Provider Name | Shaun T Oleary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841256377 PECOS PAC ID: 8123003365 Enrollment ID: I20210629000718 |
| Provider Name | Haroon Zubair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013295583 PECOS PAC ID: 2062734866 Enrollment ID: I20210629001494 |
| Provider Name | Prabhpreet Singh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093026833 PECOS PAC ID: 5092957415 Enrollment ID: I20210630003925 |
| Provider Name | Pablo Ermelo G Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578658993 PECOS PAC ID: 7113090085 Enrollment ID: I20210701002317 |
| Provider Name | Matthew James Degroot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811494966 PECOS PAC ID: 3274883921 Enrollment ID: I20210706001431 |
| Provider Name | Nicholas Brandon Bier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093241002 PECOS PAC ID: 6103228507 Enrollment ID: I20210707003516 |
| Provider Name | Mohsin K Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184856312 PECOS PAC ID: 2769638782 Enrollment ID: I20210709001617 |
| Provider Name | Katelyn A Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619356359 PECOS PAC ID: 0749682961 Enrollment ID: I20210712000756 |
| Provider Name | Jennifer Zanow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265002562 PECOS PAC ID: 9032511274 Enrollment ID: I20210712001504 |
| Provider Name | Pamela J Sines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174835227 PECOS PAC ID: 9234531278 Enrollment ID: I20210713001931 |
| Provider Name | Jalel Abera Hunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220558 PECOS PAC ID: 5597167569 Enrollment ID: I20210713003344 |
| Provider Name | Leart Neziri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073018347 PECOS PAC ID: 9436580644 Enrollment ID: I20210714000096 |
| Provider Name | Eugene Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447755657 PECOS PAC ID: 7810399813 Enrollment ID: I20210714000293 |
| Provider Name | Kanisha Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699341834 PECOS PAC ID: 8224430152 Enrollment ID: I20210714001725 |
| Provider Name | Joao Vitor Andreoli Saltao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851870976 PECOS PAC ID: 2567709454 Enrollment ID: I20210714003708 |
| Provider Name | Radhika Krishnan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790216604 PECOS PAC ID: 6507291465 Enrollment ID: I20210716000155 |
| Provider Name | Harvinder P Bhardwaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992884019 PECOS PAC ID: 8022145291 Enrollment ID: I20210716002307 |
| Provider Name | Abdul Hamid Alraiyes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861626731 PECOS PAC ID: 5092957951 Enrollment ID: I20210719000705 |
| Provider Name | Jeffrey C Grzelka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780124875 PECOS PAC ID: 4486924610 Enrollment ID: I20210720003188 |
| Provider Name | Jeffrey J Lauzon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114034667 PECOS PAC ID: 2163592395 Enrollment ID: I20210721000027 |
| Provider Name | Anwar D Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689051666 PECOS PAC ID: 5799011318 Enrollment ID: I20210722000495 |
| Provider Name | Jonathan A Chinea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275995433 PECOS PAC ID: 7113211756 Enrollment ID: I20210723001040 |
| Provider Name | Nathan P Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538612445 PECOS PAC ID: 1557655701 Enrollment ID: I20210723001082 |
| Provider Name | Jacob Brugger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619474129 PECOS PAC ID: 4284987710 Enrollment ID: I20210723002044 |
| Provider Name | Bria R Prososki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316423056 PECOS PAC ID: 5597190132 Enrollment ID: I20210724000032 |
| Provider Name | Cristina Alexandra Senger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184128324 PECOS PAC ID: 9335542653 Enrollment ID: I20210725000000 |
| Provider Name | Samantha A Franzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154998458 PECOS PAC ID: 0749683928 Enrollment ID: I20210726002076 |
| Provider Name | Brad Johnson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013250737 PECOS PAC ID: 5597997429 Enrollment ID: I20210726003654 |
| Provider Name | Shaun Raganyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710482229 PECOS PAC ID: 1850716192 Enrollment ID: I20210728003225 |
| Provider Name | Cassandra A Schandel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659877660 PECOS PAC ID: 6002164431 Enrollment ID: I20210728003410 |
| Provider Name | Kavit B Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730507930 PECOS PAC ID: 1456576495 Enrollment ID: I20210728003792 |
| Provider Name | Asheema Saripalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144751140 PECOS PAC ID: 9335410471 Enrollment ID: I20210729000211 |
| Provider Name | Kalpana Yeddula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285913079 PECOS PAC ID: 2961727706 Enrollment ID: I20210729000472 |
| Provider Name | Katheryn Hope Wilkinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639531866 PECOS PAC ID: 0648535831 Enrollment ID: I20210729001882 |
| Provider Name | Lee Stratton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316329774 PECOS PAC ID: 5991060295 Enrollment ID: I20210729002242 |
| Provider Name | Crista S Herebia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225528318 PECOS PAC ID: 3577819994 Enrollment ID: I20210730001237 |
| Provider Name | Solomon Zerga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159273 PECOS PAC ID: 9830592682 Enrollment ID: I20210730001662 |
| Provider Name | Diego Villacis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124399449 PECOS PAC ID: 8224322276 Enrollment ID: I20210730003215 |
| Provider Name | Taylor R Kohlhagen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043888712 PECOS PAC ID: 6305249194 Enrollment ID: I20210731000061 |
| Provider Name | Kenneth A Swanson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730541285 PECOS PAC ID: 4284927328 Enrollment ID: I20210802000034 |
| Provider Name | Tayler Mayefski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710555750 PECOS PAC ID: 0749684587 Enrollment ID: I20210802001614 |
| Provider Name | Laura Marie Steele |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235730672 PECOS PAC ID: 6709280555 Enrollment ID: I20210802002297 |
| Provider Name | Jeremy Michael Philipsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740773613 PECOS PAC ID: 7810391455 Enrollment ID: I20210804002798 |
| Provider Name | Moe Zafarani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548582547 PECOS PAC ID: 0244496149 Enrollment ID: I20210806000793 |
| Provider Name | Dharani Guttikonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154717684 PECOS PAC ID: 7618223306 Enrollment ID: I20210809002046 |
| Provider Name | Heather M Cloum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154701076 PECOS PAC ID: 6406160456 Enrollment ID: I20210809002047 |
| Provider Name | Matthew S Conrad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528593613 PECOS PAC ID: 6305118258 Enrollment ID: I20210809003523 |
| Provider Name | Zachary Allegretti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952807554 PECOS PAC ID: 4183956212 Enrollment ID: I20210809003717 |
| Provider Name | David Koenig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346739042 PECOS PAC ID: 3870928757 Enrollment ID: I20210810000007 |
| Provider Name | Bryn Elizabeth Eisfelder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417481128 PECOS PAC ID: 9537563762 Enrollment ID: I20210810000668 |
| Provider Name | Darren Z Almagro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295262624 PECOS PAC ID: 1759651276 Enrollment ID: I20210810000883 |
| Provider Name | Cody A Mather |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629640115 PECOS PAC ID: 1557765708 Enrollment ID: I20210810001551 |
| Provider Name | Megan G Bisson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184297632 PECOS PAC ID: 6709280951 Enrollment ID: I20210810001661 |
| Provider Name | Karen M Mckenzie-butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902479413 PECOS PAC ID: 8123422375 Enrollment ID: I20210810001793 |
| Provider Name | Stacie M Hauenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508424300 PECOS PAC ID: 8921331679 Enrollment ID: I20210810001904 |
| Provider Name | Zahra Nouri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285018788 PECOS PAC ID: 4183905516 Enrollment ID: I20210810002539 |
| Provider Name | Maggie C Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053989202 PECOS PAC ID: 3476957663 Enrollment ID: I20210810003238 |
| Provider Name | Eric J Kessler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922256601 PECOS PAC ID: 1254492317 Enrollment ID: I20210810003815 |
| Provider Name | Stephaney Anne Bublitz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013589035 PECOS PAC ID: 8123422268 Enrollment ID: I20210811001553 |
| Provider Name | Richard S Otto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487913513 PECOS PAC ID: 4981998788 Enrollment ID: I20210811002250 |
| Provider Name | Andre N Cernasov |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518495407 PECOS PAC ID: 7719381805 Enrollment ID: I20210811003643 |
| Provider Name | Ramandeep Kaur Dhaliwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851895858 PECOS PAC ID: 4486058492 Enrollment ID: I20210812000309 |
| Provider Name | Hamid Afsari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053672048 PECOS PAC ID: 9739494980 Enrollment ID: I20210812000840 |
| Provider Name | Mary Dunkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679070700 PECOS PAC ID: 9133545304 Enrollment ID: I20210812001265 |
| Provider Name | Hailee R Brayton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013585611 PECOS PAC ID: 5294139184 Enrollment ID: I20210816000710 |
| Provider Name | Erin L Storeygard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447841952 PECOS PAC ID: 5799180527 Enrollment ID: I20210817003264 |
| Provider Name | Jamie L Schoknecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295300010 PECOS PAC ID: 4486059227 Enrollment ID: I20210817003517 |
| Provider Name | Kristyn E St Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750954616 PECOS PAC ID: 9830594688 Enrollment ID: I20210817004154 |
| Provider Name | John M Leschke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164798393 PECOS PAC ID: 4981923471 Enrollment ID: I20210818003457 |
| Provider Name | Ross A Laurent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528564838 PECOS PAC ID: 2567719305 Enrollment ID: I20210819000542 |
| Provider Name | Khalid Abdulrahman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780068031 PECOS PAC ID: 2860821584 Enrollment ID: I20210819000616 |
| Provider Name | Thomas N Mukai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457842932 PECOS PAC ID: 6901201813 Enrollment ID: I20210819000687 |
| Provider Name | James R Heaberlin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043604960 PECOS PAC ID: 8820307101 Enrollment ID: I20210819001144 |
| Provider Name | Michael J Conrardy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356733182 PECOS PAC ID: 4284907569 Enrollment ID: I20210819001181 |
| Provider Name | Vinaya P Bhatia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538589064 PECOS PAC ID: 5799029260 Enrollment ID: I20210819002317 |
| Provider Name | Paul A Lambert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265886949 PECOS PAC ID: 3375892458 Enrollment ID: I20210820000109 |
| Provider Name | Rebecca L Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457747156 PECOS PAC ID: 0749565042 Enrollment ID: I20210820000939 |
| Provider Name | Andrew Mahnke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750055125 PECOS PAC ID: 1355746843 Enrollment ID: I20210820003015 |
| Provider Name | Sonya Kirmani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861712358 PECOS PAC ID: 4385886811 Enrollment ID: I20210820003138 |
| Provider Name | Joseph Michael De Rubeis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841797818 PECOS PAC ID: 7315342821 Enrollment ID: I20210821000416 |
| Provider Name | Chelsea Marie Ellingham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720413248 PECOS PAC ID: 2668877192 Enrollment ID: I20210823000811 |
| Provider Name | Kartik Kesavabhotla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548689144 PECOS PAC ID: 6901189778 Enrollment ID: I20210824001331 |
| Provider Name | Alexandra Kushnir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063949618 PECOS PAC ID: 9931479151 Enrollment ID: I20210824001522 |
| Provider Name | Christopher A Sarkiss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902123920 PECOS PAC ID: 1951633551 Enrollment ID: I20210824002463 |
| Provider Name | Michelle Guenther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285206201 PECOS PAC ID: 8729483094 Enrollment ID: I20210825000352 |
| Provider Name | Jamie L Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699346171 PECOS PAC ID: 1254736531 Enrollment ID: I20210825000876 |
| Provider Name | Thomas N Thorsen |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1205299146 PECOS PAC ID: 3476806449 Enrollment ID: I20210825001862 |
| Provider Name | Hayley Demario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538834510 PECOS PAC ID: 0547665697 Enrollment ID: I20210827000215 |
| Provider Name | Eric R Anderson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952763328 PECOS PAC ID: 2062707334 Enrollment ID: I20210827001222 |
| Provider Name | Morgan Altinok |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093247181 PECOS PAC ID: 8628322039 Enrollment ID: I20210827001433 |
| Provider Name | Sarah Katherine Dimezza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861985988 PECOS PAC ID: 0446505895 Enrollment ID: I20210827001660 |
| Provider Name | Emma C Nash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578911228 PECOS PAC ID: 8628360070 Enrollment ID: I20210831001912 |
| Provider Name | Lloyd R Munson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679775860 PECOS PAC ID: 0345646238 Enrollment ID: I20210831003629 |
| Provider Name | Carol Buentello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720429566 PECOS PAC ID: 8224434113 Enrollment ID: I20210831003726 |
| Provider Name | Shujahat Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184112963 PECOS PAC ID: 2668721655 Enrollment ID: I20210901001006 |
| Provider Name | Lisa A Kumbalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023681350 PECOS PAC ID: 4789080623 Enrollment ID: I20210901002021 |
| Provider Name | Rachel E Caliva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700369634 PECOS PAC ID: 1759635873 Enrollment ID: I20210902000685 |
| Provider Name | Keyonna L Taylor-coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063916997 PECOS PAC ID: 0941635163 Enrollment ID: I20210902001877 |
| Provider Name | Shannon Cannon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558604512 PECOS PAC ID: 9638496177 Enrollment ID: I20210908000789 |
| Provider Name | Aasifuddin S Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417481508 PECOS PAC ID: 1153699129 Enrollment ID: I20210909000019 |
| Provider Name | Kaitlyn Lenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710553698 PECOS PAC ID: 9739585043 Enrollment ID: I20210913002128 |
| Provider Name | Lauren N Hobbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831545516 PECOS PAC ID: 7012260078 Enrollment ID: I20210915002575 |
| Provider Name | Courtney J Rigden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528732138 PECOS PAC ID: 6305243221 Enrollment ID: I20210920003084 |
| Provider Name | Kristin Kress |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528453347 PECOS PAC ID: 9335441930 Enrollment ID: I20210921002831 |
| Provider Name | Yalew Debella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700172947 PECOS PAC ID: 9830345768 Enrollment ID: I20210921003629 |
| Provider Name | Saloni Jaiswal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588152342 PECOS PAC ID: 0345647087 Enrollment ID: I20210923001279 |
| Provider Name | Megan Roidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457924466 PECOS PAC ID: 4981001534 Enrollment ID: I20210923002165 |
| Provider Name | Pamela A Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053502625 PECOS PAC ID: 7012314677 Enrollment ID: I20210923002858 |
| Provider Name | Danielle M Billmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366843252 PECOS PAC ID: 8325445992 Enrollment ID: I20210923003101 |
| Provider Name | Nicole F Flatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659046332 PECOS PAC ID: 9537566112 Enrollment ID: I20210923003433 |
| Provider Name | April Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235754136 PECOS PAC ID: 3274955760 Enrollment ID: I20210924002373 |
| Provider Name | Arij Ghaith Beshish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457857930 PECOS PAC ID: 4082966494 Enrollment ID: I20210924002641 |
| Provider Name | Elizabeth M Krepelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659948719 PECOS PAC ID: 1456758960 Enrollment ID: I20210927002029 |
| Provider Name | Kong Meng P Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164198644 PECOS PAC ID: 9234536665 Enrollment ID: I20210927003061 |
| Provider Name | Carolyn F Gaebler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124550397 PECOS PAC ID: 5890193999 Enrollment ID: I20211004001963 |
| Provider Name | Courtney M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891199733 PECOS PAC ID: 4082012117 Enrollment ID: I20211004003328 |
| Provider Name | Gregory L Rasmussen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225419989 PECOS PAC ID: 8224436357 Enrollment ID: I20211005000041 |
| Provider Name | Emily K Birenbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184294779 PECOS PAC ID: 5395143432 Enrollment ID: I20211005000150 |
| Provider Name | Syed M Hussaini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992292155 PECOS PAC ID: 1355688664 Enrollment ID: I20211007002764 |
| Provider Name | Anna G Mirer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871097899 PECOS PAC ID: 5597172197 Enrollment ID: I20211007003185 |
| Provider Name | Ilya Kadushin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932874971 PECOS PAC ID: 2668870403 Enrollment ID: I20211008002683 |
| Provider Name | Lester Ferra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023324696 PECOS PAC ID: 3072757566 Enrollment ID: I20211009000192 |
| Provider Name | Alexandra Lelchuk |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1336594910 PECOS PAC ID: 4688966203 Enrollment ID: I20211011001575 |
| Provider Name | Katie L Cole |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639200181 PECOS PAC ID: 1951356559 Enrollment ID: I20211012001660 |
| Provider Name | Suraj Bopanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740433291 PECOS PAC ID: 9436390325 Enrollment ID: I20211012003134 |
| Provider Name | Lynn L Maxa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598298275 PECOS PAC ID: 3072883958 Enrollment ID: I20211013001706 |
| Provider Name | Kirk I O'hanison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877663 PECOS PAC ID: 7517365059 Enrollment ID: I20211013001939 |
| Provider Name | Kevin A Huck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699441089 PECOS PAC ID: 2062810526 Enrollment ID: I20211013002917 |
| Provider Name | Katie D Swor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629481445 PECOS PAC ID: 1759634116 Enrollment ID: I20211013003154 |
| Provider Name | Elizabeth Bart |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952757809 PECOS PAC ID: 1951693464 Enrollment ID: I20211015002121 |
| Provider Name | Liane Nicole Bahar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760156087 PECOS PAC ID: 3870991177 Enrollment ID: I20211015002341 |
| Provider Name | Parker Michael Slimmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962179176 PECOS PAC ID: 7214335520 Enrollment ID: I20211016000072 |
| Provider Name | Jennifer Wooden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467959643 PECOS PAC ID: 5991042384 Enrollment ID: I20211020000897 |
| Provider Name | Ambir L Dorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598437782 PECOS PAC ID: 3274921416 Enrollment ID: I20211021000320 |
| Provider Name | Chantelle Carneiro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730542234 PECOS PAC ID: 8325331614 Enrollment ID: I20211021000485 |
| Provider Name | Arielle M Tenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922770858 PECOS PAC ID: 7012305261 Enrollment ID: I20211021000635 |
| Provider Name | Susiani Intan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114274529 PECOS PAC ID: 6709105190 Enrollment ID: I20211025001227 |
| Provider Name | Lauren E Hanline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265737464 PECOS PAC ID: 9133550379 Enrollment ID: I20211025003080 |
| Provider Name | Robert D Para |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245646157 PECOS PAC ID: 3072876705 Enrollment ID: I20211026000586 |
| Provider Name | Mohamed Aly Khalil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205270964 PECOS PAC ID: 6507146990 Enrollment ID: I20211026002735 |
| Provider Name | Megan L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891464723 PECOS PAC ID: 5294123121 Enrollment ID: I20211027000014 |
| Provider Name | Samantha L Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235806928 PECOS PAC ID: 0244628022 Enrollment ID: I20211027002619 |
| Provider Name | Kelly Marie Liebergen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063062271 PECOS PAC ID: 4183012974 Enrollment ID: I20211027003019 |
| Provider Name | Julie A Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457020638 PECOS PAC ID: 4385032184 Enrollment ID: I20211028000029 |
| Provider Name | Kristin M Ebert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275959199 PECOS PAC ID: 6406146984 Enrollment ID: I20211028001176 |
| Provider Name | Kindel N Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750051306 PECOS PAC ID: 5395133854 Enrollment ID: I20211102002662 |
| Provider Name | Jammie Schrab |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467820464 PECOS PAC ID: 1557759057 Enrollment ID: I20211103001162 |
| Provider Name | Rachel E Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508353178 PECOS PAC ID: 4789939372 Enrollment ID: I20211105002274 |
| Provider Name | Alina M Winans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013447739 PECOS PAC ID: 3577984947 Enrollment ID: I20211108001618 |
| Provider Name | Amy A Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225603418 PECOS PAC ID: 1850780123 Enrollment ID: I20211109000527 |
| Provider Name | James David Nencka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417526179 PECOS PAC ID: 3870982903 Enrollment ID: I20211111001119 |
| Provider Name | Kelly Tunder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902293145 PECOS PAC ID: 5991007221 Enrollment ID: I20211112001922 |
| Provider Name | Ali Pervez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679000178 PECOS PAC ID: 6305118845 Enrollment ID: I20211115001793 |
| Provider Name | Nathaniel R Marshall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447779319 PECOS PAC ID: 6002205986 Enrollment ID: I20211115002133 |
| Provider Name | Debra L Arrowood |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831174200 PECOS PAC ID: 3476942368 Enrollment ID: I20211115002456 |
| Provider Name | Tina L Jesse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336343342 PECOS PAC ID: 4981093739 Enrollment ID: I20211116002318 |
| Provider Name | Karli C Eterno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710510227 PECOS PAC ID: 0749679504 Enrollment ID: I20211116002534 |
| Provider Name | Samantha J Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164196291 PECOS PAC ID: 3678962347 Enrollment ID: I20211118000842 |
| Provider Name | Melanie Kaneshiro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487984605 PECOS PAC ID: 9537572631 Enrollment ID: I20211119001598 |
| Provider Name | Mallory A Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104340769 PECOS PAC ID: 5597039727 Enrollment ID: I20211122000931 |
| Provider Name | Savannah M Haririe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962009381 PECOS PAC ID: 5890100036 Enrollment ID: I20211122001745 |
| Provider Name | Priscilla Hidalgo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447416672 PECOS PAC ID: 9234367574 Enrollment ID: I20211123000699 |
| Provider Name | Melissa E Lechelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871262261 PECOS PAC ID: 5193114668 Enrollment ID: I20211123001009 |
| Provider Name | Nina E Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457862435 PECOS PAC ID: 3072870856 Enrollment ID: I20211206002724 |
| Provider Name | Tamara L Morris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922353986 PECOS PAC ID: 6507256328 Enrollment ID: I20211209000254 |
| Provider Name | Darren Robert Chesner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447514930 PECOS PAC ID: 6204226855 Enrollment ID: I20211214001309 |
| Provider Name | Maria V Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982087433 PECOS PAC ID: 0941505994 Enrollment ID: I20211215001612 |
| Provider Name | Kelly M Romberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619630365 PECOS PAC ID: 4880085372 Enrollment ID: I20211216001305 |
| Provider Name | Ariel B Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376211318 PECOS PAC ID: 4082005582 Enrollment ID: I20211216001711 |
| Provider Name | Kimberly J Schlinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659037067 PECOS PAC ID: 9133510639 Enrollment ID: I20211216001834 |
| Provider Name | Safoora M Choudry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982086948 PECOS PAC ID: 1759694250 Enrollment ID: I20211216002057 |
| Provider Name | Natalya L Berce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497003362 PECOS PAC ID: 9638560147 Enrollment ID: I20211216002106 |
| Provider Name | Erika R Breeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033886239 PECOS PAC ID: 2769873298 Enrollment ID: I20211216002836 |
| Provider Name | Amanda J Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295939270 PECOS PAC ID: 3476944844 Enrollment ID: I20211217001792 |
| Provider Name | Anessa S Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235894874 PECOS PAC ID: 3971994252 Enrollment ID: I20211221000745 |
| Provider Name | Rachel Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376112755 PECOS PAC ID: 5496146706 Enrollment ID: I20211221001898 |
| Provider Name | Austin Abts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548939226 PECOS PAC ID: 6507257714 Enrollment ID: I20211223001226 |
| Provider Name | Matthew B Kowalke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932605425 PECOS PAC ID: 9537417316 Enrollment ID: I20211230000527 |
| Provider Name | Kaoutar Tlemcani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023238862 PECOS PAC ID: 5890895809 Enrollment ID: I20220104001757 |
| Provider Name | Sharon L Frigo Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689248098 PECOS PAC ID: 3476945080 Enrollment ID: I20220111001558 |
| Provider Name | Raymond R Glon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629435102 PECOS PAC ID: 3678877123 Enrollment ID: I20220111002820 |
| Provider Name | Michael G Olenchek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972897544 PECOS PAC ID: 1658763206 Enrollment ID: I20220112000406 |
| Provider Name | Corrina L Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427082924 PECOS PAC ID: 5496707283 Enrollment ID: I20220112001629 |
| Provider Name | Mai See Yang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386306322 PECOS PAC ID: 3173915659 Enrollment ID: I20220112001917 |
| Provider Name | Sherrie L Bencik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952539462 PECOS PAC ID: 6901058429 Enrollment ID: I20220114001035 |
| Provider Name | Egli Spaho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033870720 PECOS PAC ID: 9133511553 Enrollment ID: I20220115000176 |
| Provider Name | Kaitlin E Paterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932865102 PECOS PAC ID: 7315339652 Enrollment ID: I20220119001886 |
| Provider Name | Jayson C Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861999492 PECOS PAC ID: 3971918111 Enrollment ID: I20220121000961 |
| Provider Name | Ashley A Mikkelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043976202 PECOS PAC ID: 9537551692 Enrollment ID: I20220121001662 |
| Provider Name | Pinkey A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240185 PECOS PAC ID: 1456668391 Enrollment ID: I20220124000389 |
| Provider Name | Erin M Nachreiner-mackesey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245895655 PECOS PAC ID: 3870985963 Enrollment ID: I20220124000536 |
| Provider Name | Quinn J Kruel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215691761 PECOS PAC ID: 6901298017 Enrollment ID: I20220124001313 |
| Provider Name | Matthew Klinka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790274934 PECOS PAC ID: 8224387519 Enrollment ID: I20220124001643 |
| Provider Name | Melissa K Kaufmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1811652340 PECOS PAC ID: 6901298975 Enrollment ID: I20220125001356 |
| Provider Name | Taylor S Levin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700540267 PECOS PAC ID: 4486046315 Enrollment ID: I20220126001377 |
| Provider Name | Isaure Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225072002 PECOS PAC ID: 2567363625 Enrollment ID: I20220126002997 |
| Provider Name | Nimmy Thakolkaran |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255746376 PECOS PAC ID: 0143590885 Enrollment ID: I20220126003077 |
| Provider Name | Sarah Fedeli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235588054 PECOS PAC ID: 2365735933 Enrollment ID: I20220127000141 |
| Provider Name | Nicholas Michael Alessi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427714773 PECOS PAC ID: 6800289638 Enrollment ID: I20220131001288 |
| Provider Name | Mary Lewis Delcore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477508489 PECOS PAC ID: 5890188502 Enrollment ID: I20220201002245 |
| Provider Name | Zeeshan Ehsan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518174598 PECOS PAC ID: 7113198334 Enrollment ID: I20220201002617 |
| Provider Name | Andrew J Ow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487918611 PECOS PAC ID: 8527351188 Enrollment ID: I20220202000157 |
| Provider Name | Chiedza Nwakudu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043596547 PECOS PAC ID: 1052586278 Enrollment ID: I20220204000142 |
| Provider Name | Abbi L Christiansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720661531 PECOS PAC ID: 7214320761 Enrollment ID: I20220207000909 |
| Provider Name | Chloe T Leszczynski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720638323 PECOS PAC ID: 6406188499 Enrollment ID: I20220207002578 |
| Provider Name | Kaitlyn K Frisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053077693 PECOS PAC ID: 4587057906 Enrollment ID: I20220208001313 |
| Provider Name | Tracie L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679633853 PECOS PAC ID: 8820136526 Enrollment ID: I20220208001477 |
| Provider Name | Leah E Taugher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245608140 PECOS PAC ID: 6406249564 Enrollment ID: I20220214000515 |
| Provider Name | Patricia A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598424541 PECOS PAC ID: 5698169357 Enrollment ID: I20220223002645 |
| Provider Name | Caitlin F Walchonski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326632480 PECOS PAC ID: 2466846050 Enrollment ID: I20220224001247 |
| Provider Name | Kendra L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083377386 PECOS PAC ID: 7214321827 Enrollment ID: I20220224002064 |
| Provider Name | Brianne M Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841955085 PECOS PAC ID: 6709270044 Enrollment ID: I20220302000543 |
| Provider Name | Sabrina R Hafeman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710653282 PECOS PAC ID: 4284028531 Enrollment ID: I20220302000878 |
| Provider Name | Melissa Klosterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275194474 PECOS PAC ID: 5496149692 Enrollment ID: I20220304001072 |
| Provider Name | Kristin N Fohr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609521731 PECOS PAC ID: 4486048683 Enrollment ID: I20220304001087 |
| Provider Name | Samantha N Beck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467059329 PECOS PAC ID: 6507286341 Enrollment ID: I20220304001250 |
| Provider Name | Anibal R Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124349675 PECOS PAC ID: 6709023880 Enrollment ID: I20220310001862 |
| Provider Name | Navneesh Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922319805 PECOS PAC ID: 6709010176 Enrollment ID: I20220311001489 |
| Provider Name | Ifenlota O Ojiako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437164258 PECOS PAC ID: 2860480258 Enrollment ID: I20220314001070 |
| Provider Name | Adan F Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043709850 PECOS PAC ID: 8426485640 Enrollment ID: I20220314001636 |
| Provider Name | Tyler R Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467129890 PECOS PAC ID: 1759776487 Enrollment ID: I20220316001863 |
| Provider Name | Victoria M Sawall |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962162610 PECOS PAC ID: 3375938020 Enrollment ID: I20220316003505 |
| Provider Name | Andrew L Aswegan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548227812 PECOS PAC ID: 9133175433 Enrollment ID: I20220321000233 |
| Provider Name | Kristin Randa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417452996 PECOS PAC ID: 9335564848 Enrollment ID: I20220321000432 |
| Provider Name | Mohammed Mehdi Premjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548643778 PECOS PAC ID: 0547655052 Enrollment ID: I20220321000931 |
| Provider Name | Mary K Duffy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1619625233 PECOS PAC ID: 4789079187 Enrollment ID: I20220322001704 |
| Provider Name | David William Schimenz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215313531 PECOS PAC ID: 1951796366 Enrollment ID: I20220322002226 |
| Provider Name | Yolanda Renee Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699426718 PECOS PAC ID: 8628463049 Enrollment ID: I20220322002983 |
| Provider Name | Syed Noman Haider |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477516524 PECOS PAC ID: 9638121221 Enrollment ID: I20220331002283 |
| Provider Name | Michael L Douglass |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1154070738 PECOS PAC ID: 8022404961 Enrollment ID: I20220401001575 |
| Provider Name | Kim Marie Kastein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255088092 PECOS PAC ID: 7012303852 Enrollment ID: I20220405000626 |
| Provider Name | Betty N Hawkins-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295838357 PECOS PAC ID: 7618945239 Enrollment ID: I20220405001661 |
| Provider Name | Solange A Toguem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356353460 PECOS PAC ID: 6204734395 Enrollment ID: I20220405002147 |
| Provider Name | Gillian G Lettre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194471292 PECOS PAC ID: 5395131932 Enrollment ID: I20220406002591 |
| Provider Name | Jaime L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598411902 PECOS PAC ID: 3476949942 Enrollment ID: I20220408002118 |
| Provider Name | Jay K Pascual |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700917952 PECOS PAC ID: 3577461102 Enrollment ID: I20220412000855 |
| Provider Name | Chantal L Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792015 PECOS PAC ID: 2567858970 Enrollment ID: I20220412002764 |
| Provider Name | Tabassum Y Nafsi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396931069 PECOS PAC ID: 3577797901 Enrollment ID: I20220413002346 |
| Provider Name | Katherine A Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386390250 PECOS PAC ID: 7012303381 Enrollment ID: I20220413002430 |
| Provider Name | Angelica Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558015420 PECOS PAC ID: 5597151878 Enrollment ID: I20220413002851 |
| Provider Name | Hisham Gibriel Bakhiet Elkhider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831610815 PECOS PAC ID: 2961772884 Enrollment ID: I20220414000435 |
| Provider Name | Courtney Q Recknagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013662733 PECOS PAC ID: 0648666859 Enrollment ID: I20220414001889 |
| Provider Name | Gary D Homeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366043051 PECOS PAC ID: 5193112308 Enrollment ID: I20220418001189 |
| Provider Name | Anthony L Nguyen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295153575 PECOS PAC ID: 0244662864 Enrollment ID: I20220419001030 |
| Provider Name | Amy Jo Roanhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619620499 PECOS PAC ID: 7416344510 Enrollment ID: I20220419002896 |
| Provider Name | Haley A Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467101436 PECOS PAC ID: 5092102095 Enrollment ID: I20220421000868 |
| Provider Name | Colleen L Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932849668 PECOS PAC ID: 0749677631 Enrollment ID: I20220422001886 |
| Provider Name | Josey R Lust |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831791383 PECOS PAC ID: 3274947338 Enrollment ID: I20220425000243 |
| Provider Name | Mallory M Washington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538836945 PECOS PAC ID: 9739576588 Enrollment ID: I20220425002123 |
| Provider Name | Heidi L Mackey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366646358 PECOS PAC ID: 0042697310 Enrollment ID: I20220509000115 |
| Provider Name | Brandon M St Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598406977 PECOS PAC ID: 5496132573 Enrollment ID: I20220510002771 |
| Provider Name | Stephanie R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548903594 PECOS PAC ID: 8022495167 Enrollment ID: I20220511001894 |
| Provider Name | Liliana D Lozano De Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518601947 PECOS PAC ID: 8527445519 Enrollment ID: I20220512001504 |
| Provider Name | Tryn A Gasiorowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396489746 PECOS PAC ID: 8426435421 Enrollment ID: I20220512001958 |
| Provider Name | Lauren E Heaberlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033503958 PECOS PAC ID: 1658758685 Enrollment ID: I20220513000363 |
| Provider Name | Margaret R Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093141210 PECOS PAC ID: 6002047719 Enrollment ID: I20220520000967 |
| Provider Name | Deborah Zdarstek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083224661 PECOS PAC ID: 2769801505 Enrollment ID: I20220523000303 |
| Provider Name | Virginia Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184725806 PECOS PAC ID: 2365545811 Enrollment ID: I20220523002186 |
| Provider Name | Chelsea Lyn Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275287948 PECOS PAC ID: 2365829777 Enrollment ID: I20220524000627 |
| Provider Name | Noah Chudy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073030466 PECOS PAC ID: 7618354069 Enrollment ID: I20220524002554 |
| Provider Name | Kenneth A Lahrman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750822953 PECOS PAC ID: 4688051048 Enrollment ID: I20220524002745 |
| Provider Name | Shumet Lonsako Adnew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659805059 PECOS PAC ID: 2062842883 Enrollment ID: I20220526000335 |
| Provider Name | Karen A Lien |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326517525 PECOS PAC ID: 6204214539 Enrollment ID: I20220527000996 |
| Provider Name | Sridivya Chavali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881128908 PECOS PAC ID: 3173860608 Enrollment ID: I20220601001811 |
| Provider Name | Nicole A Veldhorst |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770236457 PECOS PAC ID: 2567840507 Enrollment ID: I20220603002007 |
| Provider Name | Rachael R Mandrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588306591 PECOS PAC ID: 2567840416 Enrollment ID: I20220604000382 |
| Provider Name | Osman Ahmedtaha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598140105 PECOS PAC ID: 8022307396 Enrollment ID: I20220607001429 |
| Provider Name | Melinda Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821499740 PECOS PAC ID: 2860614542 Enrollment ID: I20220607001984 |
| Provider Name | Molly S Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346774726 PECOS PAC ID: 0941571152 Enrollment ID: I20220610000996 |
| Provider Name | Yizez M Gebrehiwot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689170656 PECOS PAC ID: 8729416615 Enrollment ID: I20220613002843 |
| Provider Name | John A Scherer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598151193 PECOS PAC ID: 8224326509 Enrollment ID: I20220614000093 |
| Provider Name | Kevin C Caruana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528527686 PECOS PAC ID: 2163801697 Enrollment ID: I20220614000753 |
| Provider Name | Ryan B Dick-perez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982962783 PECOS PAC ID: 7719295872 Enrollment ID: I20220614000988 |
| Provider Name | Siva Rama Krishna Cheetirala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730635095 PECOS PAC ID: 9739417650 Enrollment ID: I20220614001142 |
| Provider Name | Nebiyu A Tilahun |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356800478 PECOS PAC ID: 5698154144 Enrollment ID: I20220614001663 |
| Provider Name | Zebi Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063074011 PECOS PAC ID: 3678983137 Enrollment ID: I20220615000575 |
| Provider Name | Thomas A Puffett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184276792 PECOS PAC ID: 6002295425 Enrollment ID: I20220615001256 |
| Provider Name | Mekbib G Onkiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477013993 PECOS PAC ID: 4981083300 Enrollment ID: I20220615001390 |
| Provider Name | Diane Aranda |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841850401 PECOS PAC ID: 4082093323 Enrollment ID: I20220616002748 |
| Provider Name | Rinya I Hanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932660651 PECOS PAC ID: 7911235668 Enrollment ID: I20220620001978 |
| Provider Name | Ian Haseltine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376006023 PECOS PAC ID: 4789917493 Enrollment ID: I20220621000848 |
| Provider Name | Duane D Stich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023121662 PECOS PAC ID: 2466477054 Enrollment ID: I20220621002149 |
| Provider Name | Yasir Yafai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205395381 PECOS PAC ID: 8224417357 Enrollment ID: I20220621002161 |
| Provider Name | John R Caron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013646900 PECOS PAC ID: 5698154623 Enrollment ID: I20220622002722 |
| Provider Name | Yaser Dawod |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104232065 PECOS PAC ID: 1254552003 Enrollment ID: I20220623003515 |
| Provider Name | Ye Eun Kwak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205218658 PECOS PAC ID: 9537416409 Enrollment ID: I20220624000070 |
| Provider Name | Melissa F Leist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891213401 PECOS PAC ID: 0941563076 Enrollment ID: I20220624001146 |
| Provider Name | Samuel T Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184989436 PECOS PAC ID: 5496076861 Enrollment ID: I20220626000043 |
| Provider Name | Saqib Walayat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649729732 PECOS PAC ID: 2264710128 Enrollment ID: I20220627000551 |
| Provider Name | David N Sheftel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255443594 PECOS PAC ID: 5799813382 Enrollment ID: I20220627000609 |
| Provider Name | Alison E Wild |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881940104 PECOS PAC ID: 0941689608 Enrollment ID: I20220627001433 |
| Provider Name | Mahammed Z Khan Suheb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770959439 PECOS PAC ID: 7315296878 Enrollment ID: I20220628000799 |
| Provider Name | Yuchen Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285018549 PECOS PAC ID: 1052617172 Enrollment ID: I20220628001020 |
| Provider Name | Idiris Abdirahman Esse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457813420 PECOS PAC ID: 8628458932 Enrollment ID: I20220705001239 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760042568 PECOS PAC ID: 6204216344 Enrollment ID: I20220706003459 |
| Provider Name | Madeline Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780273326 PECOS PAC ID: 9537549605 Enrollment ID: I20220707000247 |
| Provider Name | Krishna Pakanati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770870867 PECOS PAC ID: 1759502503 Enrollment ID: I20220707000772 |
| Provider Name | Abbas Zagnoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033313028 PECOS PAC ID: 7315073707 Enrollment ID: I20220708001821 |
| Provider Name | Erin K Mcglynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407411168 PECOS PAC ID: 9032442934 Enrollment ID: I20220711001345 |
| Provider Name | Emily Ann Feather |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639792666 PECOS PAC ID: 7517348238 Enrollment ID: I20220713000236 |
| Provider Name | Bennett S Serchen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770221459 PECOS PAC ID: 4981085628 Enrollment ID: I20220713000965 |
| Provider Name | Jiahao Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902260433 PECOS PAC ID: 2668853235 Enrollment ID: I20220714001231 |
| Provider Name | Dereje T Siyum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164981007 PECOS PAC ID: 6305227802 Enrollment ID: I20220714002927 |
| Provider Name | Muneebah Sohaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700300985 PECOS PAC ID: 5698156156 Enrollment ID: I20220715000898 |
| Provider Name | Kathryn M Haberman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841686326 PECOS PAC ID: 2668802059 Enrollment ID: I20220718000665 |
| Provider Name | Saivenkat H Vagvala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831546571 PECOS PAC ID: 2860783891 Enrollment ID: I20220719000465 |
| Provider Name | Laura J Phelan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588195812 PECOS PAC ID: 2769754449 Enrollment ID: I20220719002176 |
| Provider Name | Zacharias P Zitterkopf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023469186 PECOS PAC ID: 6002218989 Enrollment ID: I20220719002343 |
| Provider Name | Lina Melcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558766683 PECOS PAC ID: 2860714045 Enrollment ID: I20220719002431 |
| Provider Name | Lindsay N Raab |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821450297 PECOS PAC ID: 4486035680 Enrollment ID: I20220719003497 |
| Provider Name | Zachary A Jaffa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679998587 PECOS PAC ID: 9335445501 Enrollment ID: I20220719003651 |
| Provider Name | Linda M Serrano |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811382609 PECOS PAC ID: 1759686512 Enrollment ID: I20220720002179 |
| Provider Name | Austin C Ko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962909622 PECOS PAC ID: 8921414681 Enrollment ID: I20220720003348 |
| Provider Name | Brett S Knudsen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861953721 PECOS PAC ID: 2668853755 Enrollment ID: I20220720003487 |
| Provider Name | Kidus M Kebede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508326646 PECOS PAC ID: 5395046999 Enrollment ID: I20220720003512 |
| Provider Name | Hector E Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639668718 PECOS PAC ID: 0547689713 Enrollment ID: I20220720003538 |
| Provider Name | Jigar P Mankad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710229109 PECOS PAC ID: 5193043008 Enrollment ID: I20220721003223 |
| Provider Name | Kara D Thomsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912657040 PECOS PAC ID: 5395126221 Enrollment ID: I20220722002071 |
| Provider Name | George G Hefner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548279649 PECOS PAC ID: 2365330529 Enrollment ID: I20220723000386 |
| Provider Name | Dragana Durdevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053969600 PECOS PAC ID: 2466833363 Enrollment ID: I20220725001312 |
| Provider Name | Jacob M Meleski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184285744 PECOS PAC ID: 2466833272 Enrollment ID: I20220725002135 |
| Provider Name | Joseph D Roehrkasse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760120570 PECOS PAC ID: 7810378668 Enrollment ID: I20220725003539 |
| Provider Name | Joshua D Erickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104212414 PECOS PAC ID: 1254634967 Enrollment ID: I20220726003301 |
| Provider Name | Kevin J Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831652940 PECOS PAC ID: 5597095679 Enrollment ID: I20220727001841 |
| Provider Name | Anne C Strange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366180978 PECOS PAC ID: 9436531126 Enrollment ID: I20220727002317 |
| Provider Name | Alexandra B Huml |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649733031 PECOS PAC ID: 2668801549 Enrollment ID: I20220727003427 |
| Provider Name | Trevor C Pugh |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184165474 PECOS PAC ID: 7012285141 Enrollment ID: I20220727004104 |
| Provider Name | Kathryn E Brucato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447920079 PECOS PAC ID: 6204224462 Enrollment ID: I20220728001183 |
| Provider Name | Emily E Hurst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376277509 PECOS PAC ID: 3476935073 Enrollment ID: I20220728002835 |
| Provider Name | Gonzalo Madrigal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821550716 PECOS PAC ID: 8628471539 Enrollment ID: I20220728003373 |
| Provider Name | Stephanie Schoenleber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609301555 PECOS PAC ID: 7517237555 Enrollment ID: I20220729000681 |
| Provider Name | Kelly Donnelly Mueller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932369923 PECOS PAC ID: 3375778723 Enrollment ID: I20220729002913 |
| Provider Name | Mercedes M Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558866079 PECOS PAC ID: 8123379583 Enrollment ID: I20220801001083 |
| Provider Name | Lindsey Tuntland |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750919510 PECOS PAC ID: 0547658437 Enrollment ID: I20220801002807 |
| Provider Name | Caitlin Mk Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952050288 PECOS PAC ID: 9739561135 Enrollment ID: I20220802001140 |
| Provider Name | Elise M Wallgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184356883 PECOS PAC ID: 7618359019 Enrollment ID: I20220802001271 |
| Provider Name | Lindsey V Leibham |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346986718 PECOS PAC ID: 7517349913 Enrollment ID: I20220802001288 |
| Provider Name | Nishant K Vaidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841510492 PECOS PAC ID: 2163648767 Enrollment ID: I20220803000871 |
| Provider Name | Jared Ludlow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306339643 PECOS PAC ID: 2961757547 Enrollment ID: I20220803001656 |
| Provider Name | Lilian Del Carmen Gonzalez |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1417332016 PECOS PAC ID: 2365758943 Enrollment ID: I20220803002607 |
| Provider Name | Paul W Stevenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386021970 PECOS PAC ID: 4981910528 Enrollment ID: I20220803003627 |
| Provider Name | Zeeshan Yacoob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316409352 PECOS PAC ID: 8426469867 Enrollment ID: I20220809000216 |
| Provider Name | Kate W Vasconcellos |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437477320 PECOS PAC ID: 8820376965 Enrollment ID: I20220809000684 |
| Provider Name | Gregory L Woodfill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477558724 PECOS PAC ID: 6305814757 Enrollment ID: I20220809000725 |
| Provider Name | Alexandrea L Spindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811456155 PECOS PAC ID: 4789098336 Enrollment ID: I20220809000833 |
| Provider Name | Jack Steiner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164926499 PECOS PAC ID: 8527471747 Enrollment ID: I20220809001503 |
| Provider Name | Randall S Yale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710328307 PECOS PAC ID: 0042645897 Enrollment ID: I20220810003405 |
| Provider Name | Shuaib Raza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952898355 PECOS PAC ID: 3173906963 Enrollment ID: I20220811000356 |
| Provider Name | Eduardo K Moioli |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154697274 PECOS PAC ID: 7012210636 Enrollment ID: I20220811001306 |
| Provider Name | Emma Gibson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538690078 PECOS PAC ID: 0749520120 Enrollment ID: I20220815001106 |
| Provider Name | Steven Vang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912385378 PECOS PAC ID: 9032418751 Enrollment ID: I20220816000127 |
| Provider Name | Bogusia E Miszczyszyn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356763213 PECOS PAC ID: 2163651233 Enrollment ID: I20220816001882 |
| Provider Name | Umair Mubashar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083174528 PECOS PAC ID: 3173906658 Enrollment ID: I20220816002007 |
| Provider Name | Adrian M Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255301974 PECOS PAC ID: 0941284020 Enrollment ID: I20220817000341 |
| Provider Name | Michael D Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295462901 PECOS PAC ID: 6800279332 Enrollment ID: I20220817000611 |
| Provider Name | Fekadesilassie H Moges |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891255121 PECOS PAC ID: 5092198457 Enrollment ID: I20220817001908 |
| Provider Name | Taaha S Rafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255825212 PECOS PAC ID: 5991053613 Enrollment ID: I20220817003430 |
| Provider Name | Hui Zhang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134581200 PECOS PAC ID: 1153615018 Enrollment ID: I20220818003320 |
| Provider Name | Zaheer Akhtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366002966 PECOS PAC ID: 9436485216 Enrollment ID: I20220819001617 |
| Provider Name | Ajay Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366654865 PECOS PAC ID: 1153454210 Enrollment ID: I20220819002828 |
| Provider Name | Fan Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952808875 PECOS PAC ID: 0143603316 Enrollment ID: I20220822000451 |
| Provider Name | Nathan Tesfaye Asfaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740740984 PECOS PAC ID: 3173906294 Enrollment ID: I20220822002599 |
| Provider Name | Jeffrey A Farvour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669931978 PECOS PAC ID: 7113335894 Enrollment ID: I20220822003688 |
| Provider Name | Lindsay Erin Bromley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659536126 PECOS PAC ID: 3779732433 Enrollment ID: I20220823001622 |
| Provider Name | Humaira Achakzai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275173270 PECOS PAC ID: 8224411228 Enrollment ID: I20220823002885 |
| Provider Name | Dana James Irrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063771228 PECOS PAC ID: 9931406774 Enrollment ID: I20220823003131 |
| Provider Name | Brianna M Berti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508325846 PECOS PAC ID: 6608271077 Enrollment ID: I20220823003446 |
| Provider Name | Michael Assefa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457849333 PECOS PAC ID: 6709293871 Enrollment ID: I20220823003505 |
| Provider Name | Elizabeth Sprague |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871949834 PECOS PAC ID: 4789949025 Enrollment ID: I20220824000135 |
| Provider Name | Nicholas M Beaudrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801391875 PECOS PAC ID: 8325395684 Enrollment ID: I20220824000549 |
| Provider Name | Tricia L Snow-nault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770218976 PECOS PAC ID: 6305220328 Enrollment ID: I20220825000419 |
| Provider Name | Kenneth R Taylor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225457534 PECOS PAC ID: 3971806183 Enrollment ID: I20220825001480 |
| Provider Name | Stephen A Chao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508220831 PECOS PAC ID: 4183916554 Enrollment ID: I20220825001875 |
| Provider Name | Michael K Zoelle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871175257 PECOS PAC ID: 4981088861 Enrollment ID: I20220825003025 |
| Provider Name | Sara L Thoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740914548 PECOS PAC ID: 2062896954 Enrollment ID: I20220825003569 |
| Provider Name | Patricia M Trekas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568198372 PECOS PAC ID: 0648654541 Enrollment ID: I20220825003914 |
| Provider Name | Stanley G Jablonski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316479637 PECOS PAC ID: 7214209972 Enrollment ID: I20220826000277 |
| Provider Name | Anas Raed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780099218 PECOS PAC ID: 6305250606 Enrollment ID: I20220826001031 |
| Provider Name | Carol E Soteropulos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831552041 PECOS PAC ID: 9032401880 Enrollment ID: I20220826002828 |
| Provider Name | Kiryl N Shada |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841667797 PECOS PAC ID: 9537543368 Enrollment ID: I20220829001565 |
| Provider Name | Molly Marie Dahlke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831820703 PECOS PAC ID: 7113301979 Enrollment ID: I20220829002888 |
| Provider Name | Ajith R Susai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992250419 PECOS PAC ID: 9830425081 Enrollment ID: I20220831001883 |
| Provider Name | Ellen Sono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437812054 PECOS PAC ID: 3870977309 Enrollment ID: I20220901002658 |
| Provider Name | David J Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851027502 PECOS PAC ID: 4385028653 Enrollment ID: I20220906001258 |
| Provider Name | Angelea Heider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477048437 PECOS PAC ID: 7719231018 Enrollment ID: I20220906001430 |
| Provider Name | Raissa G Spencer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043973407 PECOS PAC ID: 1658755863 Enrollment ID: I20220907000344 |
| Provider Name | Michael Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356685150 PECOS PAC ID: 5092067462 Enrollment ID: I20220907002263 |
| Provider Name | Heather M Englund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730810136 PECOS PAC ID: 3173908209 Enrollment ID: I20220909002456 |
| Provider Name | Ivie Okundaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679968077 PECOS PAC ID: 5890098016 Enrollment ID: I20220912000630 |
| Provider Name | Breanna M O'neil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407384043 PECOS PAC ID: 1951672138 Enrollment ID: I20220913003975 |
| Provider Name | Molly O'hearn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649998832 PECOS PAC ID: 2769867530 Enrollment ID: I20220914002159 |
| Provider Name | Krista M Michel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902355795 PECOS PAC ID: 5496130288 Enrollment ID: I20220914003209 |
| Provider Name | Ashley M Beadling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477939338 PECOS PAC ID: 6103126909 Enrollment ID: I20220915000055 |
| Provider Name | Tyler Reece Burnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275916447 PECOS PAC ID: 4183931819 Enrollment ID: I20220915000353 |
| Provider Name | Amber N Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770211898 PECOS PAC ID: 0648655464 Enrollment ID: I20220915000411 |
| Provider Name | Patrick Donald Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659768182 PECOS PAC ID: 5991042350 Enrollment ID: I20220915001337 |
| Provider Name | Carrie Ricci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275543191 PECOS PAC ID: 9032594791 Enrollment ID: I20220915002445 |
| Provider Name | Michael S Menard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043873805 PECOS PAC ID: 9436554565 Enrollment ID: I20220915002961 |
| Provider Name | Mark Ehlers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003342866 PECOS PAC ID: 6204107808 Enrollment ID: I20220916000778 |
| Provider Name | Lawrence M Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699235598 PECOS PAC ID: 0749698686 Enrollment ID: I20220916003094 |
| Provider Name | Mischel Marie Marshall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326160730 PECOS PAC ID: 6901281583 Enrollment ID: I20220919000108 |
| Provider Name | Daniel C Fullin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487040366 PECOS PAC ID: 9638487119 Enrollment ID: I20220920000298 |
| Provider Name | Suneel Varma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871097840 PECOS PAC ID: 7012264278 Enrollment ID: I20220920000850 |
| Provider Name | Asya V Chiaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952030686 PECOS PAC ID: 1052796539 Enrollment ID: I20220920001256 |
| Provider Name | Anirudha S Rathnam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700306537 PECOS PAC ID: 5991075996 Enrollment ID: I20220920001598 |
| Provider Name | Andrew James Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649908187 PECOS PAC ID: 0547645970 Enrollment ID: I20220920003617 |
| Provider Name | Jordan Hayward Talley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205255528 PECOS PAC ID: 9638481963 Enrollment ID: I20220921002221 |
| Provider Name | Michele G Fojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073232799 PECOS PAC ID: 1254716558 Enrollment ID: I20220922003438 |
| Provider Name | Teresa M Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467833715 PECOS PAC ID: 9335430297 Enrollment ID: I20220923002523 |
| Provider Name | William Alan Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740913904 PECOS PAC ID: 1658757505 Enrollment ID: I20220930000923 |
| Provider Name | Angela Martine Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770730343 PECOS PAC ID: 8820256415 Enrollment ID: I20221005001098 |
| Provider Name | Daniel Y Cho |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043605868 PECOS PAC ID: 3375850316 Enrollment ID: I20221005002785 |
| Provider Name | Hemendra B Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316025398 PECOS PAC ID: 1759285364 Enrollment ID: I20221009000005 |
| Provider Name | Allysa Ozzello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457070682 PECOS PAC ID: 6103202478 Enrollment ID: I20221011000519 |
| Provider Name | Christopher A Zablocki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871156349 PECOS PAC ID: 9931575271 Enrollment ID: I20221012000468 |
| Provider Name | Ross Ira Clair |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942501770 PECOS PAC ID: 5597131839 Enrollment ID: I20221012000830 |
| Provider Name | Johnequia Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164983789 PECOS PAC ID: 7810363017 Enrollment ID: I20221012003357 |
| Provider Name | Kelly Sandberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841615754 PECOS PAC ID: 6709180599 Enrollment ID: I20221017002223 |
| Provider Name | Jeffrey J Mahlum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659877348 PECOS PAC ID: 5294082350 Enrollment ID: I20221017002327 |
| Provider Name | Alana M Messer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487303731 PECOS PAC ID: 8628444528 Enrollment ID: I20221018001749 |
| Provider Name | Michael Itagaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902058555 PECOS PAC ID: 1254509680 Enrollment ID: I20221018002517 |
| Provider Name | Muddasir Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487819520 PECOS PAC ID: 2163555210 Enrollment ID: I20221020000307 |
| Provider Name | Amber V Huberty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073249058 PECOS PAC ID: 1355717000 Enrollment ID: I20221020001029 |
| Provider Name | Lama R Hourani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093435075 PECOS PAC ID: 5799151452 Enrollment ID: I20221020001629 |
| Provider Name | Heidi Kathryn Bergman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073130670 PECOS PAC ID: 8628444270 Enrollment ID: I20221021002262 |
| Provider Name | Michelle A Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376279893 PECOS PAC ID: 6103292784 Enrollment ID: I20221024000422 |
| Provider Name | Nicole R Dassow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073237442 PECOS PAC ID: 6608242292 Enrollment ID: I20221024001089 |
| Provider Name | Kindra Lee Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336863018 PECOS PAC ID: 8123494572 Enrollment ID: I20221026001505 |
| Provider Name | Adriana E Marciniak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295406031 PECOS PAC ID: 1759758097 Enrollment ID: I20221031000537 |
| Provider Name | Timothy Yazzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639218662 PECOS PAC ID: 1456448026 Enrollment ID: I20221031001051 |
| Provider Name | Jay P Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1275893281 PECOS PAC ID: 9032369384 Enrollment ID: I20221031001104 |
| Provider Name | Erin K Holtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770201444 PECOS PAC ID: 6103293337 Enrollment ID: I20221101001850 |
| Provider Name | Jessica A Mee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487374989 PECOS PAC ID: 3678940814 Enrollment ID: I20221101002217 |
| Provider Name | Amy S Stuhlmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548982747 PECOS PAC ID: 1850768003 Enrollment ID: I20221101002677 |
| Provider Name | Jacquelyn A Kubiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083157473 PECOS PAC ID: 5092182188 Enrollment ID: I20221102001311 |
| Provider Name | Emily Lampe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881868412 PECOS PAC ID: 3678738127 Enrollment ID: I20221102001405 |
| Provider Name | Saad A Mir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356603161 PECOS PAC ID: 2466606926 Enrollment ID: I20221102003089 |
| Provider Name | Alicia Bennett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023317633 PECOS PAC ID: 6002033370 Enrollment ID: I20221104000202 |
| Provider Name | Jeffrey Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033321914 PECOS PAC ID: 2769580075 Enrollment ID: I20221104000406 |
| Provider Name | Alexandra M Cistaro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619640109 PECOS PAC ID: 2062889009 Enrollment ID: I20221104001023 |
| Provider Name | Kim M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073232674 PECOS PAC ID: 9739556671 Enrollment ID: I20221104001702 |
| Provider Name | Megan Ziegler Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770208563 PECOS PAC ID: 0648647362 Enrollment ID: I20221109000138 |
| Provider Name | Samantha Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598484362 PECOS PAC ID: 5496122004 Enrollment ID: I20221110000259 |
| Provider Name | Fuad-al Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932581428 PECOS PAC ID: 7012224744 Enrollment ID: I20221110000974 |
| Provider Name | Sumant Tumuluru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215270285 PECOS PAC ID: 6204057250 Enrollment ID: I20221110001143 |
| Provider Name | Tara Zehrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457745887 PECOS PAC ID: 2062760325 Enrollment ID: I20221110002032 |
| Provider Name | Kevin Schmitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952780108 PECOS PAC ID: 2567709959 Enrollment ID: I20221114001880 |
| Provider Name | Kayla E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922723261 PECOS PAC ID: 5799153235 Enrollment ID: I20221115001061 |
| Provider Name | Josephine M Krizek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144741257 PECOS PAC ID: 4385012830 Enrollment ID: I20221115001331 |
| Provider Name | Braden M Sims |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063002376 PECOS PAC ID: 3375911829 Enrollment ID: I20221115001350 |
| Provider Name | Na Kita Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720718224 PECOS PAC ID: 5890163208 Enrollment ID: I20221116000564 |
| Provider Name | Niral Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083845945 PECOS PAC ID: 4587815329 Enrollment ID: I20221116001044 |
| Provider Name | Saviour Kelechi Achilike |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033506688 PECOS PAC ID: 9032440433 Enrollment ID: I20221118000414 |
| Provider Name | Amanda B Novitski-juedes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356069744 PECOS PAC ID: 3577931757 Enrollment ID: I20221118001424 |
| Provider Name | Christopher Fanale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598776452 PECOS PAC ID: 6103803465 Enrollment ID: I20221121002438 |
| Provider Name | Janeeka Benoit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824700 PECOS PAC ID: 0547653941 Enrollment ID: I20221121002545 |
| Provider Name | Nadiia Marenych |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235668831 PECOS PAC ID: 1557775285 Enrollment ID: I20221121002959 |
| Provider Name | Dominic A Hovsepian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154749588 PECOS PAC ID: 5991136160 Enrollment ID: I20221122000492 |
| Provider Name | Chalita Charles Atallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265731418 PECOS PAC ID: 9638478589 Enrollment ID: I20221123002161 |
| Provider Name | Aaron Russell Plitt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598151953 PECOS PAC ID: 8325428972 Enrollment ID: I20221129001596 |
| Provider Name | Mark D Skyiepal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124040266 PECOS PAC ID: 0648241083 Enrollment ID: I20221201001471 |
| Provider Name | Steven J Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306160031 PECOS PAC ID: 1254649353 Enrollment ID: I20221202000669 |
| Provider Name | Arcangelo M Iusco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609834225 PECOS PAC ID: 3577466564 Enrollment ID: I20221202001151 |
| Provider Name | Crystal A Wittrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437870680 PECOS PAC ID: 6103295704 Enrollment ID: I20221202001674 |
| Provider Name | Kaitlyn M Reinke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811486541 PECOS PAC ID: 9436528056 Enrollment ID: I20221202002454 |
| Provider Name | Amber Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891411567 PECOS PAC ID: 8426427048 Enrollment ID: I20221202002509 |
| Provider Name | Taylor J Drews |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1912635848 PECOS PAC ID: 5193194769 Enrollment ID: I20221205001019 |
| Provider Name | Gary B. Sinensky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376585067 PECOS PAC ID: 8921284449 Enrollment ID: I20221205001799 |
| Provider Name | Lucelina B Badura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134309230 PECOS PAC ID: 6204074578 Enrollment ID: I20221205001868 |
| Provider Name | Baxter Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710253737 PECOS PAC ID: 0547530743 Enrollment ID: I20221206001873 |
| Provider Name | Kelly Anne Aschenbrenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548978687 PECOS PAC ID: 0345619763 Enrollment ID: I20221207001041 |
| Provider Name | Jessica Lynn Danison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477874618 PECOS PAC ID: 2163640590 Enrollment ID: I20221208000287 |
| Provider Name | Rami Abumasmah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972779551 PECOS PAC ID: 0143478636 Enrollment ID: I20221208000715 |
| Provider Name | Jenna Moe |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1811606304 PECOS PAC ID: 4981073202 Enrollment ID: I20221208002047 |
| Provider Name | Kathleen A Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386360279 PECOS PAC ID: 7810366085 Enrollment ID: I20221209000964 |
| Provider Name | Boby G Theckedath |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194788315 PECOS PAC ID: 9234183369 Enrollment ID: I20221209001652 |
| Provider Name | Kelly Marie Gallois Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467169276 PECOS PAC ID: 6709255847 Enrollment ID: I20221212000971 |
| Provider Name | Sara Jayne Alexander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316660756 PECOS PAC ID: 0244609303 Enrollment ID: I20221212001871 |
| Provider Name | Jennifer P Florentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245638014 PECOS PAC ID: 0749505212 Enrollment ID: I20221214000083 |
| Provider Name | Thomas A Beck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780726083 PECOS PAC ID: 1951295591 Enrollment ID: I20221214002036 |
| Provider Name | Elena M Peris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750007076 PECOS PAC ID: 5799154639 Enrollment ID: I20221215000617 |
| Provider Name | Amanda R Olstinski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316400880 PECOS PAC ID: 5698105427 Enrollment ID: I20221219000302 |
| Provider Name | Katherine L Pampuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831800200 PECOS PAC ID: 2567831217 Enrollment ID: I20221220000528 |
| Provider Name | Thomas D Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528778321 PECOS PAC ID: 9335518000 Enrollment ID: I20221220001687 |
| Provider Name | Tess C Richerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427775055 PECOS PAC ID: 8325417009 Enrollment ID: I20221220001804 |
| Provider Name | Kimberly Schauland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801326533 PECOS PAC ID: 3274801832 Enrollment ID: I20221220001966 |
| Provider Name | Michelle A Schindel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154047330 PECOS PAC ID: 0244600831 Enrollment ID: I20221222001232 |
| Provider Name | Jonathan P Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629787056 PECOS PAC ID: 4082084637 Enrollment ID: I20221223001007 |
| Provider Name | Breanne M Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861090466 PECOS PAC ID: 7810367307 Enrollment ID: I20221227001111 |
| Provider Name | Jennifer A Berg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144266891 PECOS PAC ID: 2264472349 Enrollment ID: I20221227001195 |
| Provider Name | Jennifer K Millisor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992475321 PECOS PAC ID: 9032589528 Enrollment ID: I20221227001390 |
| Provider Name | Scott D Caganap |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962845073 PECOS PAC ID: 7315239548 Enrollment ID: I20221227002477 |
| Provider Name | Melissa Kasbohm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356382659 PECOS PAC ID: 9931579463 Enrollment ID: I20221228000579 |
| Provider Name | Lise Labiche |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487621306 PECOS PAC ID: 7214014992 Enrollment ID: I20221228000717 |
| Provider Name | Johanna L Pipia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275191058 PECOS PAC ID: 5991175150 Enrollment ID: I20230104000513 |
| Provider Name | Robert Thurman |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1104905967 PECOS PAC ID: 6204739089 Enrollment ID: I20230104001151 |
| Provider Name | Muhammad Janjua |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265474068 PECOS PAC ID: 9931154325 Enrollment ID: I20230106001421 |
| Provider Name | Hammam Hussien Hakim Shereef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982184156 PECOS PAC ID: 7911377981 Enrollment ID: I20230109001123 |
| Provider Name | Ashley M Yungwirth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063053494 PECOS PAC ID: 9133599111 Enrollment ID: I20230109001436 |
| Provider Name | Ashley R Schwoerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285344218 PECOS PAC ID: 5991175986 Enrollment ID: I20230109002237 |
| Provider Name | Tanvi Adusumilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861888307 PECOS PAC ID: 1850638875 Enrollment ID: I20230110000618 |
| Provider Name | Mary Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548426414 PECOS PAC ID: 8325109614 Enrollment ID: I20230110002914 |
| Provider Name | Connor Harmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043772486 PECOS PAC ID: 0749514826 Enrollment ID: I20230117000517 |
| Provider Name | Sarah J Jean-pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588399356 PECOS PAC ID: 8729459326 Enrollment ID: I20230118001612 |
| Provider Name | Dirk J Van Leeuwen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205941309 PECOS PAC ID: 3072671981 Enrollment ID: I20230122000030 |
| Provider Name | Adnan Aldurah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811302227 PECOS PAC ID: 9638466980 Enrollment ID: I20230123000503 |
| Provider Name | Maja I Kern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194283580 PECOS PAC ID: 8123499464 Enrollment ID: I20230124000860 |
| Provider Name | Christine M Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235853581 PECOS PAC ID: 4486025723 Enrollment ID: I20230124000922 |
| Provider Name | Wish Mema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194141861 PECOS PAC ID: 0648400275 Enrollment ID: I20230124000959 |
| Provider Name | Molly Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902177876 PECOS PAC ID: 5698927119 Enrollment ID: I20230125002667 |
| Provider Name | Kevin Douglas Liberty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982243432 PECOS PAC ID: 5698146777 Enrollment ID: I20230127002384 |
| Provider Name | Melanie Goeckerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912212598 PECOS PAC ID: 3971974999 Enrollment ID: I20230130000593 |
| Provider Name | Kaitlyn M Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730819517 PECOS PAC ID: 9739550781 Enrollment ID: I20230130001790 |
| Provider Name | Ellen Resnick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730205519 PECOS PAC ID: 5991757239 Enrollment ID: I20230130002213 |
| Provider Name | Kourosh Kahkeshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992048615 PECOS PAC ID: 1759714504 Enrollment ID: I20230131000785 |
| Provider Name | Pouya Khankhanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689093668 PECOS PAC ID: 5395044036 Enrollment ID: I20230131002115 |
| Provider Name | Jacqueline M Karman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336852342 PECOS PAC ID: 3274904180 Enrollment ID: I20230131002241 |
| Provider Name | Sandi J. Nath |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629233788 PECOS PAC ID: 3870965692 Enrollment ID: I20230203002089 |
| Provider Name | Murugavel Muthusamy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467420760 PECOS PAC ID: 1850362062 Enrollment ID: I20230206001785 |
| Provider Name | Steven F Wipijewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407350556 PECOS PAC ID: 3971930520 Enrollment ID: I20230208001713 |
| Provider Name | Jonathan K Jandrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538460175 PECOS PAC ID: 7618349242 Enrollment ID: I20230208002063 |
| Provider Name | Paula D Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437587961 PECOS PAC ID: 8325338916 Enrollment ID: I20230211000054 |
| Provider Name | Sarah Jean Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1023721701 PECOS PAC ID: 1254703630 Enrollment ID: I20230213000640 |
| Provider Name | Abo B Mosa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871848259 PECOS PAC ID: 8527388263 Enrollment ID: I20230213000865 |
| Provider Name | Austin Epping |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326753369 PECOS PAC ID: 2769854157 Enrollment ID: I20230213000884 |
| Provider Name | Andrea S Gundelach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336864669 PECOS PAC ID: 3577935865 Enrollment ID: I20230215000409 |
| Provider Name | Janki K Lavingia |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1831485960 PECOS PAC ID: 0244559722 Enrollment ID: I20230215000597 |
| Provider Name | Jennifer L Pogodzinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639626260 PECOS PAC ID: 9537531777 Enrollment ID: I20230215002926 |
| Provider Name | Nicholas D Osteraas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790071553 PECOS PAC ID: 4082905674 Enrollment ID: I20230221002962 |
| Provider Name | Melodie L Kriefall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366155459 PECOS PAC ID: 9436522422 Enrollment ID: I20230221003369 |
| Provider Name | John J Basich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912618729 PECOS PAC ID: 5496128407 Enrollment ID: I20230222000932 |
| Provider Name | Bethany Hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568194710 PECOS PAC ID: 1557734449 Enrollment ID: I20230223001240 |
| Provider Name | Rut Dinkar Dholakia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164633913 PECOS PAC ID: 3870789415 Enrollment ID: I20230223001525 |
| Provider Name | Mikayla Nicole Ehlert |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700591344 PECOS PAC ID: 6002289709 Enrollment ID: I20230228001350 |
| Provider Name | Lauren E Trautner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114630522 PECOS PAC ID: 5991178410 Enrollment ID: I20230303001937 |
| Provider Name | Hassan Ghazwan Katmeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467164830 PECOS PAC ID: 9335510650 Enrollment ID: I20230308000382 |
| Provider Name | Pouya Mohajer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871819599 PECOS PAC ID: 6901036474 Enrollment ID: I20230308000568 |
| Provider Name | Michael Heiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689304958 PECOS PAC ID: 0143693457 Enrollment ID: I20230308000753 |
| Provider Name | Enid Burnett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750368932 PECOS PAC ID: 8628149051 Enrollment ID: I20230315003101 |
| Provider Name | Daniel P Mundt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053870147 PECOS PAC ID: 7416321369 Enrollment ID: I20230316001470 |
| Provider Name | Abdulhamid Firas Al-douri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093205197 PECOS PAC ID: 5890104624 Enrollment ID: I20230316001675 |
| Provider Name | Ahmed U Otokiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760867204 PECOS PAC ID: 9537410824 Enrollment ID: I20230316001775 |
| Provider Name | Jared M Warczytowa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821558743 PECOS PAC ID: 4082948625 Enrollment ID: I20230317001969 |
| Provider Name | Kathryn M Kalvestrand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679288765 PECOS PAC ID: 5092189811 Enrollment ID: I20230317002247 |
| Provider Name | Ally Victoria Kellerman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558060285 PECOS PAC ID: 7719351535 Enrollment ID: I20230317002268 |
| Provider Name | Clare E Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679270060 PECOS PAC ID: 2163896986 Enrollment ID: I20230317002370 |
| Provider Name | Shena M Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683901 PECOS PAC ID: 3971977661 Enrollment ID: I20230320002941 |
| Provider Name | Tanner Jack Duffy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1770282873 PECOS PAC ID: 2264806801 Enrollment ID: I20230321002173 |
| Provider Name | Hannah Elizabeth Bitter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932825403 PECOS PAC ID: 3375917909 Enrollment ID: I20230323000116 |
| Provider Name | Haseeb Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962023069 PECOS PAC ID: 9739500711 Enrollment ID: I20230323000914 |
| Provider Name | Adam Kristopher Graham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427252725 PECOS PAC ID: 2860653334 Enrollment ID: I20230323002665 |
| Provider Name | Tulay X Aksoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245485697 PECOS PAC ID: 0446428569 Enrollment ID: I20230323003250 |
| Provider Name | Kelsey Bulvony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982138467 PECOS PAC ID: 5496024895 Enrollment ID: I20230323003261 |
| Provider Name | Rama Kuchipudi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295700979 PECOS PAC ID: 0042287864 Enrollment ID: I20230324000191 |
| Provider Name | Peter George Andrew |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821704545 PECOS PAC ID: 3870967391 Enrollment ID: I20230324001074 |
| Provider Name | Brandon Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548820038 PECOS PAC ID: 2860726528 Enrollment ID: I20230330000565 |
| Provider Name | Amy Nicole Wimmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710691837 PECOS PAC ID: 8426422601 Enrollment ID: I20230330001086 |
| Provider Name | Katharine Elizabeth Hays Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851897573 PECOS PAC ID: 0244585321 Enrollment ID: I20230404000203 |
| Provider Name | Keegan Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942656327 PECOS PAC ID: 8527461367 Enrollment ID: I20230406001181 |
| Provider Name | Julian B Schuenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326746686 PECOS PAC ID: 0648645598 Enrollment ID: I20230407000909 |
| Provider Name | Daniel J Tonellato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629426259 PECOS PAC ID: 5193011732 Enrollment ID: I20230407000987 |
| Provider Name | Simran Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932760253 PECOS PAC ID: 2769713510 Enrollment ID: I20230410000547 |
| Provider Name | Peter Mark Knabel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245543495 PECOS PAC ID: 8729228945 Enrollment ID: I20230410000931 |
| Provider Name | Angella E Koncarevic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194106575 PECOS PAC ID: 1759674864 Enrollment ID: I20230412001078 |
| Provider Name | Evan J Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154819951 PECOS PAC ID: 4688009574 Enrollment ID: I20230414001424 |
| Provider Name | Suleika Jb Michel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710945928 PECOS PAC ID: 0941210074 Enrollment ID: I20230415000181 |
| Provider Name | Katherine M Russo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992413132 PECOS PAC ID: 6800261306 Enrollment ID: I20230415000192 |
| Provider Name | Nancy C Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699734699 PECOS PAC ID: 0840194288 Enrollment ID: I20230415000199 |
| Provider Name | Ihor V Melnytskyy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184882789 PECOS PAC ID: 7315183654 Enrollment ID: I20230418000660 |
| Provider Name | Patrick E Roach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710335112 PECOS PAC ID: 5294021481 Enrollment ID: I20230424000139 |
| Provider Name | Leonard Razzu Allmond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649285321 PECOS PAC ID: 8022049550 Enrollment ID: I20230424000982 |
| Provider Name | Jonathan Thomas Kleinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912262080 PECOS PAC ID: 9739479528 Enrollment ID: I20230425001327 |
| Provider Name | Michael Yandel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578664140 PECOS PAC ID: 8921080581 Enrollment ID: I20230427002464 |
| Provider Name | Stuart Craig Jarvis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467415067 PECOS PAC ID: 4789629262 Enrollment ID: I20230427002511 |
| Provider Name | Laura M Venere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124725593 PECOS PAC ID: 7113382094 Enrollment ID: I20230427002671 |
| Provider Name | Shadia Ajaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598252900 PECOS PAC ID: 9032580998 Enrollment ID: I20230428002374 |
| Provider Name | Jenna J Klermund |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831885508 PECOS PAC ID: 6709241557 Enrollment ID: I20230429000032 |
| Provider Name | Pamela S Troutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447692942 PECOS PAC ID: 1759605330 Enrollment ID: I20230429000114 |
| Provider Name | Ifeanyichukwu Anoka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639522998 PECOS PAC ID: 6305170747 Enrollment ID: I20230502000069 |
| Provider Name | Carissa A Sommer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497319941 PECOS PAC ID: 8022473651 Enrollment ID: I20230503001733 |
| Provider Name | Brooke L Vandenboogaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124742903 PECOS PAC ID: 8921463589 Enrollment ID: I20230503002880 |
| Provider Name | David S Rayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194287870 PECOS PAC ID: 0840626149 Enrollment ID: I20230505000530 |
| Provider Name | Jared B Burton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700057395 PECOS PAC ID: 3678717592 Enrollment ID: I20230508002075 |
| Provider Name | David Borislow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003809419 PECOS PAC ID: 1355474511 Enrollment ID: I20230509001099 |
| Provider Name | Charisse J Ward |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528243300 PECOS PAC ID: 4688729601 Enrollment ID: I20230511001334 |
| Provider Name | Martin P. Kasofsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598783722 PECOS PAC ID: 4183665284 Enrollment ID: I20230511001845 |
| Provider Name | Razan R Assad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275253171 PECOS PAC ID: 6406212729 Enrollment ID: I20230511002139 |
| Provider Name | Susan Larson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588370902 PECOS PAC ID: 3476919713 Enrollment ID: I20230511002814 |
| Provider Name | Corinne Marcia Anthony-manswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538793443 PECOS PAC ID: 0547640542 Enrollment ID: I20230512000648 |
| Provider Name | Jordyn L Gaie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457066771 PECOS PAC ID: 0042676280 Enrollment ID: I20230515001004 |
| Provider Name | Rebecca Anna Fellenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114623048 PECOS PAC ID: 7315303153 Enrollment ID: I20230519001976 |
| Provider Name | John Paul Korducki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851910772 PECOS PAC ID: 5597121392 Enrollment ID: I20230522001042 |
| Provider Name | Emmanuel I Olawusi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720607831 PECOS PAC ID: 8325404023 Enrollment ID: I20230523001565 |
| Provider Name | Luis Soruco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013065556 PECOS PAC ID: 7719875533 Enrollment ID: I20230523002502 |
| Provider Name | Jack Short |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346650942 PECOS PAC ID: 2466671284 Enrollment ID: I20230523002616 |
| Provider Name | Nicholas D Nassif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427675230 PECOS PAC ID: 6204292824 Enrollment ID: I20230523002935 |
| Provider Name | Richard Phillip Poirier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467811091 PECOS PAC ID: 4183990872 Enrollment ID: I20230523003046 |
| Provider Name | Hayley Lynn Bunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841905247 PECOS PAC ID: 0042677429 Enrollment ID: I20230530001685 |
| Provider Name | Hasan Abad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356872006 PECOS PAC ID: 4284905324 Enrollment ID: I20230531000994 |
| Provider Name | Emily A Fedro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174970545 PECOS PAC ID: 6406144229 Enrollment ID: I20230531001091 |
| Provider Name | Gina Budjak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588350771 PECOS PAC ID: 7113384488 Enrollment ID: I20230531002638 |
| Provider Name | Brendan M Thomas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497989644 PECOS PAC ID: 8628228004 Enrollment ID: I20230601000390 |
| Provider Name | Abigail J Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184299851 PECOS PAC ID: 4688031842 Enrollment ID: I20230601002845 |
| Provider Name | Sabra N Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982396594 PECOS PAC ID: 5092172247 Enrollment ID: I20230605000965 |
| Provider Name | Keshav M Menon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669816658 PECOS PAC ID: 7416198700 Enrollment ID: I20230606002753 |
| Provider Name | April Kristin Klipstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831888015 PECOS PAC ID: 1557728524 Enrollment ID: I20230606003152 |
| Provider Name | Nanak Singh Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568080596 PECOS PAC ID: 9638593627 Enrollment ID: I20230609002295 |
| Provider Name | Amy S Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083758999 PECOS PAC ID: 3274990080 Enrollment ID: I20230609003011 |
| Provider Name | Kristen A Speerschneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942724752 PECOS PAC ID: 5597122267 Enrollment ID: I20230612001722 |
| Provider Name | Emily J Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881392165 PECOS PAC ID: 1951768639 Enrollment ID: I20230612002050 |
| Provider Name | Emily N Bohman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225728264 PECOS PAC ID: 0446617088 Enrollment ID: I20230613001325 |
| Provider Name | Lisa A Kommer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649472838 PECOS PAC ID: 2769849314 Enrollment ID: I20230613001584 |
| Provider Name | Syed F Hussaini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770014847 PECOS PAC ID: 3375888985 Enrollment ID: I20230614001379 |
| Provider Name | Nicole M Mugan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881388155 PECOS PAC ID: 7618335894 Enrollment ID: I20230620002905 |
| Provider Name | Amy Crowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831164342 PECOS PAC ID: 3072590249 Enrollment ID: I20230622001467 |
| Provider Name | Samantha Nichole Cassity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316635923 PECOS PAC ID: 3274991302 Enrollment ID: I20230622002003 |
| Provider Name | Cassandra A Shedal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891488490 PECOS PAC ID: 3072971035 Enrollment ID: I20230622003558 |
| Provider Name | Prabhjot Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427686682 PECOS PAC ID: 1557785078 Enrollment ID: I20230626000928 |
| Provider Name | Mu Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518497940 PECOS PAC ID: 4880968551 Enrollment ID: I20230626001041 |
| Provider Name | Luke Chong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467847731 PECOS PAC ID: 2163787896 Enrollment ID: I20230626001126 |
| Provider Name | Brittni C Peach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649899667 PECOS PAC ID: 9739507229 Enrollment ID: I20230627001390 |
| Provider Name | Kuo Sheng Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508557323 PECOS PAC ID: 4880052596 Enrollment ID: I20230627002758 |
| Provider Name | Bryahna Rambo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558987362 PECOS PAC ID: 6901264639 Enrollment ID: I20230628000073 |
| Provider Name | Adam R Naker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124403027 PECOS PAC ID: 2961860630 Enrollment ID: I20230628001339 |
| Provider Name | Kayla L Tilkens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881258572 PECOS PAC ID: 1759615941 Enrollment ID: I20230628001835 |
| Provider Name | Anuj Aryal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992903504 PECOS PAC ID: 9234309758 Enrollment ID: I20230628002224 |
| Provider Name | Carla Andreina Montero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437769221 PECOS PAC ID: 3971962671 Enrollment ID: I20230628003040 |
| Provider Name | Haroon Yousaf Chaudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295027498 PECOS PAC ID: 5698080844 Enrollment ID: I20230628003440 |
| Provider Name | Brandon L Overholt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275064792 PECOS PAC ID: 6608206347 Enrollment ID: I20230628004127 |
| Provider Name | Chiamaka Josephine Ogemdi Isiguzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154958304 PECOS PAC ID: 3678932266 Enrollment ID: I20230629001758 |
| Provider Name | Ashley Swan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336839596 PECOS PAC ID: 9830558436 Enrollment ID: I20230629002287 |
| Provider Name | Ahmed Ismail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346863321 PECOS PAC ID: 3678932233 Enrollment ID: I20230629004018 |
| Provider Name | Abbey E Elsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528760691 PECOS PAC ID: 2365801842 Enrollment ID: I20230630000691 |
| Provider Name | Nicholas P Konowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194213363 PECOS PAC ID: 9335508837 Enrollment ID: I20230630001608 |
| Provider Name | Anna Maria Guanzon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043660582 PECOS PAC ID: 8729373816 Enrollment ID: I20230703002259 |
| Provider Name | Maria A Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881307916 PECOS PAC ID: 6305205758 Enrollment ID: I20230704000341 |
| Provider Name | Erin D Guenther |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174028161 PECOS PAC ID: 2961829080 Enrollment ID: I20230706000427 |
| Provider Name | Trent R Schmeling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548721509 PECOS PAC ID: 9638404098 Enrollment ID: I20230706001316 |
| Provider Name | Alec Wilhelmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962964882 PECOS PAC ID: 5395133284 Enrollment ID: I20230706001846 |
| Provider Name | Daniel O Johnsrud |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427437599 PECOS PAC ID: 2062723737 Enrollment ID: I20230706002437 |
| Provider Name | Kerry-gay Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992333173 PECOS PAC ID: 7315306537 Enrollment ID: I20230706002861 |
| Provider Name | Alexandra Guillaume |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396981197 PECOS PAC ID: 8426343591 Enrollment ID: I20230710002420 |
| Provider Name | Karen G Garrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780788471 PECOS PAC ID: 0840483616 Enrollment ID: I20230712000076 |
| Provider Name | Heba Kalaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053949339 PECOS PAC ID: 5799107579 Enrollment ID: I20230712001620 |
| Provider Name | Olivia J Barnhart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184327314 PECOS PAC ID: 2365802006 Enrollment ID: I20230713001521 |
| Provider Name | Michael K Knight |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134899248 PECOS PAC ID: 8022478676 Enrollment ID: I20230714001712 |
| Provider Name | Daniel J Lunetta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780204933 PECOS PAC ID: 6204296783 Enrollment ID: I20230714003556 |
| Provider Name | Joana Folayan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730119041 PECOS PAC ID: 6204938236 Enrollment ID: I20230717002017 |
| Provider Name | Martha Holterman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508598152 PECOS PAC ID: 8820458292 Enrollment ID: I20230717002185 |
| Provider Name | Gesina Thiry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326508979 PECOS PAC ID: 6002284999 Enrollment ID: I20230720001470 |
| Provider Name | Timothy Buyeske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225756653 PECOS PAC ID: 3870979016 Enrollment ID: I20230724002499 |
| Provider Name | Matthew Michael Gevelinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851747794 PECOS PAC ID: 8820333818 Enrollment ID: I20230724003651 |
| Provider Name | David Michael Jorgensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497383541 PECOS PAC ID: 9739549619 Enrollment ID: I20230725000075 |
| Provider Name | Zachary Kozel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568825602 PECOS PAC ID: 5799029666 Enrollment ID: I20230725002155 |
| Provider Name | Kyle James Haselton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831620491 PECOS PAC ID: 4587936224 Enrollment ID: I20230725002960 |
| Provider Name | Dylan G Washkuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174217467 PECOS PAC ID: 2961863808 Enrollment ID: I20230725003275 |
| Provider Name | Brittany Anna Mohoney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629605076 PECOS PAC ID: 9436573540 Enrollment ID: I20230726000925 |
| Provider Name | Sushant Nanavati |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821449182 PECOS PAC ID: 8325427826 Enrollment ID: I20230726002421 |
| Provider Name | Adil Ghafoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689109126 PECOS PAC ID: 0345519013 Enrollment ID: I20230727001529 |
| Provider Name | Hallie J Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790476042 PECOS PAC ID: 9931560661 Enrollment ID: I20230727003632 |
| Provider Name | Rachel L Sipple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679205181 PECOS PAC ID: 1254792872 Enrollment ID: I20230731000453 |
| Provider Name | Sara Gurda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689359457 PECOS PAC ID: 2163883554 Enrollment ID: I20230801004496 |
| Provider Name | Meredith Nitka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205537909 PECOS PAC ID: 6507227931 Enrollment ID: I20230802001157 |
| Provider Name | Faraz Ahmad Khan Daha |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1235545534 PECOS PAC ID: 5991096869 Enrollment ID: I20230802003948 |
| Provider Name | Sameen Kinza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184185845 PECOS PAC ID: 0941661003 Enrollment ID: I20230804002796 |
| Provider Name | Isaac Taiwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114546900 PECOS PAC ID: 2264899822 Enrollment ID: I20230804003037 |
| Provider Name | Pang S Hang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417576653 PECOS PAC ID: 5890179030 Enrollment ID: I20230807000860 |
| Provider Name | Manveer K Ubhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811519127 PECOS PAC ID: 0143681189 Enrollment ID: I20230807002669 |
| Provider Name | Nicholas E Foster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063972024 PECOS PAC ID: 1052746567 Enrollment ID: I20230807002873 |
| Provider Name | Abdelrazeg Abubaker A Houssein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841817087 PECOS PAC ID: 7618392101 Enrollment ID: I20230808001712 |
| Provider Name | Benjamin Knight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851823066 PECOS PAC ID: 6608114525 Enrollment ID: I20230808002321 |
| Provider Name | Kristin Laura Kniech |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003479775 PECOS PAC ID: 3173985199 Enrollment ID: I20230808002390 |
| Provider Name | Jonathan Lee Eichelsdoerfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518583236 PECOS PAC ID: 1658733696 Enrollment ID: I20230808003119 |
| Provider Name | Vini Chopra Konowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063874097 PECOS PAC ID: 7214220425 Enrollment ID: I20230809000688 |
| Provider Name | Bahareh N Alavi-dunn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447783501 PECOS PAC ID: 8022352095 Enrollment ID: I20230809000813 |
| Provider Name | Madison D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396385787 PECOS PAC ID: 1850753781 Enrollment ID: I20230809002766 |
| Provider Name | Amjed Zidan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538621321 PECOS PAC ID: 7416280201 Enrollment ID: I20230809002890 |
| Provider Name | Huzaifah Salat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831626647 PECOS PAC ID: 2567824345 Enrollment ID: I20230810001465 |
| Provider Name | Stacey L Rooker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093065062 PECOS PAC ID: 8325400138 Enrollment ID: I20230810002916 |
| Provider Name | Megan D Sekora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104510809 PECOS PAC ID: 7315309135 Enrollment ID: I20230810003454 |
| Provider Name | Garrett Westman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598389611 PECOS PAC ID: 8729403936 Enrollment ID: I20230811001082 |
| Provider Name | Julian Savu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568082022 PECOS PAC ID: 1658796164 Enrollment ID: I20230811002021 |
| Provider Name | Amit B Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265967046 PECOS PAC ID: 9133541857 Enrollment ID: I20230815003710 |
| Provider Name | Daniel C O'brien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548659980 PECOS PAC ID: 7517259716 Enrollment ID: I20230815003741 |
| Provider Name | Leng Xiong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376160366 PECOS PAC ID: 2466814967 Enrollment ID: I20230816000055 |
| Provider Name | Samuel Racette |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902347255 PECOS PAC ID: 9537405469 Enrollment ID: I20230816001207 |
| Provider Name | Jenny Rae Christl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669934063 PECOS PAC ID: 1456693647 Enrollment ID: I20230816003067 |
| Provider Name | Vincent J Borkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043849961 PECOS PAC ID: 9739502774 Enrollment ID: I20230817000927 |
| Provider Name | Laura R Slykhouse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992334759 PECOS PAC ID: 5799100707 Enrollment ID: I20230817001762 |
| Provider Name | Rachael Christine Baird |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538620885 PECOS PAC ID: 1456694819 Enrollment ID: I20230818001722 |
| Provider Name | Raheel Akhtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750904132 PECOS PAC ID: 0042632085 Enrollment ID: I20230818002799 |
| Provider Name | Yuting Patrick Chiang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760879977 PECOS PAC ID: 0244692481 Enrollment ID: I20230818003266 |
| Provider Name | Meredith K Humiston |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265034169 PECOS PAC ID: 1759795743 Enrollment ID: I20230819000023 |
| Provider Name | Grace Kathleen Dehoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679063408 PECOS PAC ID: 7315309598 Enrollment ID: I20230821001228 |
| Provider Name | Shaohan Deng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467080044 PECOS PAC ID: 8921460049 Enrollment ID: I20230821003714 |
| Provider Name | Michael Eaton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225534373 PECOS PAC ID: 5294080636 Enrollment ID: I20230822000076 |
| Provider Name | Tyler J Rehman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912495599 PECOS PAC ID: 9537404397 Enrollment ID: I20230822000116 |
| Provider Name | Kenzie J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992480727 PECOS PAC ID: 3476916560 Enrollment ID: I20230822002859 |
| Provider Name | Ashley K Ottman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497431068 PECOS PAC ID: 9032572136 Enrollment ID: I20230822003266 |
| Provider Name | Matthew Adam Pilecki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033508981 PECOS PAC ID: 8628453057 Enrollment ID: I20230822003882 |
| Provider Name | Mohammad I Obaidullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942856778 PECOS PAC ID: 3476959339 Enrollment ID: I20230822004183 |
| Provider Name | Christian J Sanvanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457513566 PECOS PAC ID: 6709058431 Enrollment ID: I20230823002012 |
| Provider Name | Simran K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811131055 PECOS PAC ID: 8527376656 Enrollment ID: I20230823002445 |
| Provider Name | Tom Sangkyou Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457465676 PECOS PAC ID: 7113957523 Enrollment ID: I20230824002590 |
| Provider Name | Kristen E Garey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487331187 PECOS PAC ID: 0143683029 Enrollment ID: I20230824002799 |
| Provider Name | Ali Daneshmand |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619316650 PECOS PAC ID: 9436448289 Enrollment ID: I20230824003945 |
| Provider Name | Alison M Fernandes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518489467 PECOS PAC ID: 0042582983 Enrollment ID: I20230825000026 |
| Provider Name | Nadria Lyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568788941 PECOS PAC ID: 0446492334 Enrollment ID: I20230825000953 |
| Provider Name | Brett Keith Fulleylove-krause |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922637172 PECOS PAC ID: 6103244652 Enrollment ID: I20230825001845 |
| Provider Name | Meinuo Chen Baca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043689870 PECOS PAC ID: 8527448190 Enrollment ID: I20230825002376 |
| Provider Name | Sierra Raine Legg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730774852 PECOS PAC ID: 6901212141 Enrollment ID: I20230828001216 |
| Provider Name | Laura R Weins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982329942 PECOS PAC ID: 4587027313 Enrollment ID: I20230828001528 |
| Provider Name | Don Custodio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316152598 PECOS PAC ID: 2062585359 Enrollment ID: I20230828002128 |
| Provider Name | Andrew Qing Lin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760864961 PECOS PAC ID: 6800279951 Enrollment ID: I20230829002395 |
| Provider Name | Brooke E Gorzek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356034615 PECOS PAC ID: 1355704081 Enrollment ID: I20230829002727 |
| Provider Name | Danika Brianne Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033746888 PECOS PAC ID: 2062835226 Enrollment ID: I20230829002833 |
| Provider Name | Angela Rae Derouin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760710693 PECOS PAC ID: 1456714047 Enrollment ID: I20230830000802 |
| Provider Name | Jacob Bagley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447678172 PECOS PAC ID: 5395964209 Enrollment ID: I20230830000854 |
| Provider Name | Arjun S Raval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720605983 PECOS PAC ID: 0244693844 Enrollment ID: I20230830001351 |
| Provider Name | Emily G Lago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285312967 PECOS PAC ID: 0345603882 Enrollment ID: I20230830003299 |
| Provider Name | Lara Ries |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124393228 PECOS PAC ID: 4880828235 Enrollment ID: I20230831001486 |
| Provider Name | Ayman Elbatanony |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285260240 PECOS PAC ID: 3375908882 Enrollment ID: I20230831003761 |
| Provider Name | Michael Medapally Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992060693 PECOS PAC ID: 2769721240 Enrollment ID: I20230901001492 |
| Provider Name | Blake Bashor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417339748 PECOS PAC ID: 5193009843 Enrollment ID: I20230905001280 |
| Provider Name | Devika Chakrabarti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821559188 PECOS PAC ID: 3678808367 Enrollment ID: I20230905001294 |
| Provider Name | Alexandra M Petrie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407317456 PECOS PAC ID: 3072948496 Enrollment ID: I20230906000487 |
| Provider Name | Afshin Heidari |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255865119 PECOS PAC ID: 0345514154 Enrollment ID: I20230906001870 |
| Provider Name | Kate Weis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699456798 PECOS PAC ID: 8325402514 Enrollment ID: I20230906002183 |
| Provider Name | Hartmut Uschmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972517308 PECOS PAC ID: 3072406032 Enrollment ID: I20230907001410 |
| Provider Name | Adel Khdour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083806384 PECOS PAC ID: 7113013178 Enrollment ID: I20230907001893 |
| Provider Name | Erika Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225712524 PECOS PAC ID: 6507220621 Enrollment ID: I20230907003873 |
| Provider Name | Michael C Schmitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083177919 PECOS PAC ID: 7810327764 Enrollment ID: I20230907004379 |
| Provider Name | Priscilla Wessly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891180295 PECOS PAC ID: 8729387360 Enrollment ID: I20230908002169 |
| Provider Name | Sarah Marie Lamont |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740608256 PECOS PAC ID: 5193947562 Enrollment ID: I20230911001672 |
| Provider Name | Noah Wlodarski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1578242269 PECOS PAC ID: 4082078860 Enrollment ID: I20230912003235 |
| Provider Name | William J Lyon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023791241 PECOS PAC ID: 3173987914 Enrollment ID: I20230913001569 |
| Provider Name | Evan Cretney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528563442 PECOS PAC ID: 9537417134 Enrollment ID: I20230913001861 |
| Provider Name | Marie C Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417730854 PECOS PAC ID: 7012371750 Enrollment ID: I20230913001882 |
| Provider Name | Jared Schprechman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205365749 PECOS PAC ID: 8123390085 Enrollment ID: I20230915000427 |
| Provider Name | Amber N Kieck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780128124 PECOS PAC ID: 4486018942 Enrollment ID: I20230915003252 |
| Provider Name | Catherine M Miosi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336923200 PECOS PAC ID: 5496119950 Enrollment ID: I20230915003621 |
| Provider Name | Rachael R Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407538531 PECOS PAC ID: 0840654257 Enrollment ID: I20230918002333 |
| Provider Name | Vallikantha Nellaiappan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548557812 PECOS PAC ID: 8022250042 Enrollment ID: I20230918002859 |
| Provider Name | Brenna Lee Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811672371 PECOS PAC ID: 9830553270 Enrollment ID: I20230918003408 |
| Provider Name | Allison C Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154827996 PECOS PAC ID: 5991134504 Enrollment ID: I20230919002930 |
| Provider Name | Adam Y Pfaller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922667575 PECOS PAC ID: 8224366174 Enrollment ID: I20230920000742 |
| Provider Name | Samantha N Pawela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538789763 PECOS PAC ID: 1850745142 Enrollment ID: I20230920001396 |
| Provider Name | Tyler J Veling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679102115 PECOS PAC ID: 9638597271 Enrollment ID: I20230920002136 |
| Provider Name | Marilu M Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699467506 PECOS PAC ID: 7618321951 Enrollment ID: I20230920003640 |
| Provider Name | Rebecca D Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295518454 PECOS PAC ID: 8820442023 Enrollment ID: I20230921001837 |
| Provider Name | Mitchell A Coval |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851918635 PECOS PAC ID: 3072938844 Enrollment ID: I20230926001055 |
| Provider Name | Nicole Cimbalnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478998 PECOS PAC ID: 7315391174 Enrollment ID: I20230927002239 |
| Provider Name | Alex Schultz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972127496 PECOS PAC ID: 9537582432 Enrollment ID: I20230928001153 |
| Provider Name | Billye Ruth Chapman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699835298 PECOS PAC ID: 0042212797 Enrollment ID: I20230928001629 |
| Provider Name | Jennifer Elizabeth Darling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285312058 PECOS PAC ID: 5496109100 Enrollment ID: I20230929000450 |
| Provider Name | Hendrik Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649212861 PECOS PAC ID: 3577576800 Enrollment ID: I20230929001455 |
| Provider Name | Timothy Swords |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639738958 PECOS PAC ID: 2163752759 Enrollment ID: I20230929002029 |
| Provider Name | Marissa K Falkiewicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235636705 PECOS PAC ID: 0345597597 Enrollment ID: I20231002000616 |
| Provider Name | Steven Bradley Goldin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114962248 PECOS PAC ID: 6709921802 Enrollment ID: I20231003000758 |
| Provider Name | Indre Aleksaite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346863875 PECOS PAC ID: 8325493307 Enrollment ID: I20231011001439 |
| Provider Name | Jacob Hess |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760167407 PECOS PAC ID: 1850746835 Enrollment ID: I20231011001527 |
| Provider Name | Ramesh K Muthukumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518123116 PECOS PAC ID: 1355538158 Enrollment ID: I20231012000315 |
| Provider Name | Chinyere M Nwosu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144426487 PECOS PAC ID: 2961527163 Enrollment ID: I20231012002254 |
| Provider Name | Jacquelyn Marie Spring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669091807 PECOS PAC ID: 6406201334 Enrollment ID: I20231012004007 |
| Provider Name | Ali Mahmood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780022905 PECOS PAC ID: 1052607892 Enrollment ID: I20231016002875 |
| Provider Name | Sophia House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609559426 PECOS PAC ID: 9436504057 Enrollment ID: I20231017000500 |
| Provider Name | Amanda R Punzenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831875277 PECOS PAC ID: 0446605943 Enrollment ID: I20231018000223 |
| Provider Name | Anna T Tabone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518620038 PECOS PAC ID: 6103271614 Enrollment ID: I20231018000927 |
| Provider Name | Ngassa A Mssika |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932410461 PECOS PAC ID: 5991984189 Enrollment ID: I20231018002782 |
| Provider Name | Laura C Socha |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053599605 PECOS PAC ID: 5496101966 Enrollment ID: I20231020000144 |
| Provider Name | Kristine L Wehrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194426924 PECOS PAC ID: 6507212941 Enrollment ID: I20231021000643 |
| Provider Name | Kacey R Gajeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942927140 PECOS PAC ID: 8426429903 Enrollment ID: I20231023001848 |
| Provider Name | Rachel Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801577481 PECOS PAC ID: 6002262227 Enrollment ID: I20231025000092 |
| Provider Name | Ghazal Shafiei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093036188 PECOS PAC ID: 9830339621 Enrollment ID: I20231025000576 |
| Provider Name | Anand S Brahmamdam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063830784 PECOS PAC ID: 6800129511 Enrollment ID: I20231026001324 |
| Provider Name | Angela M Holtzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386935120 PECOS PAC ID: 8224484274 Enrollment ID: I20231026002610 |
| Provider Name | Hope Borland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225710429 PECOS PAC ID: 9931555935 Enrollment ID: I20231027000462 |
| Provider Name | Christopher A Raasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578921532 PECOS PAC ID: 8123324951 Enrollment ID: I20231027000696 |
| Provider Name | Rachel D Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699550053 PECOS PAC ID: 6406202332 Enrollment ID: I20231027002364 |
| Provider Name | Jessica L Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578342143 PECOS PAC ID: 7810343639 Enrollment ID: I20231030002762 |
| Provider Name | Anna Tai Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033892237 PECOS PAC ID: 2769838481 Enrollment ID: I20231031003288 |
| Provider Name | Lindsey P Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760266670 PECOS PAC ID: 8426404153 Enrollment ID: I20231031003660 |
| Provider Name | Charl Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851755375 PECOS PAC ID: 3870830169 Enrollment ID: I20231102000896 |
| Provider Name | Sarah A Devcich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851174114 PECOS PAC ID: 9537516117 Enrollment ID: I20231104000268 |
| Provider Name | Claire M Schallhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922741719 PECOS PAC ID: 2365899879 Enrollment ID: I20231106000688 |
| Provider Name | Holly R Ortman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326538042 PECOS PAC ID: 2860825346 Enrollment ID: I20231107001492 |
| Provider Name | Mindy Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649953993 PECOS PAC ID: 6103273545 Enrollment ID: I20231107002749 |
| Provider Name | Naveen Kumar Vukka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508388380 PECOS PAC ID: 1254769094 Enrollment ID: I20231109000696 |
| Provider Name | Hoang June Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538652946 PECOS PAC ID: 0345697413 Enrollment ID: I20231110001161 |
| Provider Name | Stephenie J Quirke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710516125 PECOS PAC ID: 4981088184 Enrollment ID: I20231111000162 |
| Provider Name | Kacey Hug |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841071834 PECOS PAC ID: 1557718681 Enrollment ID: I20231113000582 |
| Provider Name | Barbara Rose Eckes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285413088 PECOS PAC ID: 7911354931 Enrollment ID: I20231114000782 |
| Provider Name | Courtney Stephens |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1679354054 PECOS PAC ID: 1355798257 Enrollment ID: I20231115001029 |
| Provider Name | Tracy Jo Lords |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649438524 PECOS PAC ID: 5799979118 Enrollment ID: I20231115001127 |
| Provider Name | Andrea M Lovas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235917956 PECOS PAC ID: 6002264710 Enrollment ID: I20231117002826 |
| Provider Name | Bryce Zdanovec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992435945 PECOS PAC ID: 8123476702 Enrollment ID: I20231120002125 |
| Provider Name | Kelsey R Gerena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477326536 PECOS PAC ID: 7517315179 Enrollment ID: I20231121001734 |
| Provider Name | Aradhana Pathak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689060006 PECOS PAC ID: 3274959796 Enrollment ID: I20231121002546 |
| Provider Name | Nicole Paulus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689448847 PECOS PAC ID: 4880042332 Enrollment ID: I20231122001573 |
| Provider Name | Muhammad Rk Orakzai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033402672 PECOS PAC ID: 1456574276 Enrollment ID: I20231122001891 |
| Provider Name | Amy Seegers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447604657 PECOS PAC ID: 4486911823 Enrollment ID: I20231127001550 |
| Provider Name | Michael A Pugnale |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881031474 PECOS PAC ID: 8628371564 Enrollment ID: I20231128001423 |
| Provider Name | Emily M Marshall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598103442 PECOS PAC ID: 5698123834 Enrollment ID: I20231128002145 |
| Provider Name | Mauli Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831727734 PECOS PAC ID: 4587012638 Enrollment ID: I20231129003184 |
| Provider Name | Shoua Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489360 PECOS PAC ID: 5597099168 Enrollment ID: I20231129003503 |
| Provider Name | Nicholas Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144781568 PECOS PAC ID: 9537499512 Enrollment ID: I20231130001635 |
| Provider Name | David Jacob Elkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891291506 PECOS PAC ID: 1254676257 Enrollment ID: I20231130001721 |
| Provider Name | James Clancy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679539811 PECOS PAC ID: 0042353005 Enrollment ID: I20231201000769 |
| Provider Name | Jonathon C Rosploch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205193604 PECOS PAC ID: 4385092238 Enrollment ID: I20231202000637 |
| Provider Name | Madelyn E Boney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144006560 PECOS PAC ID: 9537517404 Enrollment ID: I20231204000629 |
| Provider Name | Anya Ring |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902391782 PECOS PAC ID: 7618223231 Enrollment ID: I20231206001754 |
| Provider Name | Analysa T Howe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447025267 PECOS PAC ID: 4789033465 Enrollment ID: I20231206002052 |
| Provider Name | Melissa S Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821873092 PECOS PAC ID: 7517316201 Enrollment ID: I20231206002395 |
| Provider Name | Bhakti Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902243215 PECOS PAC ID: 7719283803 Enrollment ID: I20231206003056 |
| Provider Name | Vanpraseuth Fongnaly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265574461 PECOS PAC ID: 7315092061 Enrollment ID: I20231207002350 |
| Provider Name | Sheryl Bedno |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1225138761 PECOS PAC ID: 8123437910 Enrollment ID: I20231209000271 |
| Provider Name | Natesa Shanmugam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235160540 PECOS PAC ID: 8527058544 Enrollment ID: I20231211000543 |
| Provider Name | Johnathan Brett Reddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245988781 PECOS PAC ID: 9537555735 Enrollment ID: I20231211001768 |
| Provider Name | John Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477916039 PECOS PAC ID: 3274866181 Enrollment ID: I20231214002952 |
| Provider Name | Laura K Kollatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265114045 PECOS PAC ID: 1254781164 Enrollment ID: I20231219000443 |
| Provider Name | Meghan Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205453404 PECOS PAC ID: 0941614804 Enrollment ID: I20231219001388 |
| Provider Name | David Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023202280 PECOS PAC ID: 1052567021 Enrollment ID: I20231219002186 |
| Provider Name | Jacob R Mcchrystal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184335366 PECOS PAC ID: 9032569900 Enrollment ID: I20231219002688 |
| Provider Name | Kyla R Phu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083076798 PECOS PAC ID: 1153603121 Enrollment ID: I20231219002981 |
| Provider Name | Justin D Zwieg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962897397 PECOS PAC ID: 1557680584 Enrollment ID: I20231219003240 |
| Provider Name | Melody Mumford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629242078 PECOS PAC ID: 2365609674 Enrollment ID: I20231220002087 |
| Provider Name | Jennifer Minor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851745103 PECOS PAC ID: 8022370063 Enrollment ID: I20231220002656 |
| Provider Name | Krisos Spyratos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780203901 PECOS PAC ID: 6305269259 Enrollment ID: I20231220002898 |
| Provider Name | Tutu Mekete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558051474 PECOS PAC ID: 3072963784 Enrollment ID: I20231221000523 |
| Provider Name | Erin J Holzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013690924 PECOS PAC ID: 1456701184 Enrollment ID: I20231221001267 |
| Provider Name | Aliasghar Hashim Arastu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407411226 PECOS PAC ID: 1658729215 Enrollment ID: I20231227001935 |
| Provider Name | Stephani L Diagne |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023746179 PECOS PAC ID: 8022468396 Enrollment ID: I20231228002267 |
| Provider Name | Danielle D Sidjanin Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952184988 PECOS PAC ID: 2264882364 Enrollment ID: I20240102003735 |
| Provider Name | Maria T Mcdermit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205267994 PECOS PAC ID: 4183075104 Enrollment ID: I20240103004399 |
| Provider Name | Katherine Swords |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720642622 PECOS PAC ID: 0941632582 Enrollment ID: I20240105002990 |
| Provider Name | Stephanie M Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265511364 PECOS PAC ID: 9032560735 Enrollment ID: I20240108000142 |
| Provider Name | Montine R Pauers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154338374 PECOS PAC ID: 3476904186 Enrollment ID: I20240108000225 |
| Provider Name | Fabiola Rodriguez-strande |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760678056 PECOS PAC ID: 9638520349 Enrollment ID: I20240108000270 |
| Provider Name | Robert W Marrs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558449769 PECOS PAC ID: 7517318108 Enrollment ID: I20240108005549 |
| Provider Name | Don Anthony Neumann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134335474 PECOS PAC ID: 2769833359 Enrollment ID: I20240108005659 |
| Provider Name | Krystle L Schmitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710227699 PECOS PAC ID: 0244681856 Enrollment ID: I20240109000165 |
| Provider Name | Lisa Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407270465 PECOS PAC ID: 1355792979 Enrollment ID: I20240109000472 |
| Provider Name | Lisa K Schobert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639422389 PECOS PAC ID: 1153772785 Enrollment ID: I20240109000590 |
| Provider Name | Morgan L Vanderloop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508407545 PECOS PAC ID: 5991156531 Enrollment ID: I20240109001283 |
| Provider Name | Muhammad Alsayid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326356411 PECOS PAC ID: 0345470027 Enrollment ID: I20240109001932 |
| Provider Name | Thomas Schuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447455050 PECOS PAC ID: 9638121528 Enrollment ID: I20240109002242 |
| Provider Name | Vladislav Solc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902985179 PECOS PAC ID: 2264883735 Enrollment ID: I20240109002438 |
| Provider Name | Nicole R Wendt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578013702 PECOS PAC ID: 2567813058 Enrollment ID: I20240109003084 |
| Provider Name | Andrew D Ronquillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316213929 PECOS PAC ID: 4981055407 Enrollment ID: I20240109004533 |
| Provider Name | Brooke E Muggenthaler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043864242 PECOS PAC ID: 5890146328 Enrollment ID: I20240109004601 |
| Provider Name | Amanda L Gragg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033455324 PECOS PAC ID: 9133570518 Enrollment ID: I20240110002222 |
| Provider Name | Traci J Hempler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447757596 PECOS PAC ID: 9032560446 Enrollment ID: I20240110003149 |
| Provider Name | Nicole F Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023276417 PECOS PAC ID: 9436500840 Enrollment ID: I20240110003332 |
| Provider Name | Mark Hufen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245335157 PECOS PAC ID: 3678654910 Enrollment ID: I20240110003421 |
| Provider Name | Melissa V Howard-argall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326460049 PECOS PAC ID: 8921459348 Enrollment ID: I20240110003536 |
| Provider Name | Luke J Huffman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205150505 PECOS PAC ID: 7618328931 Enrollment ID: I20240110003695 |
| Provider Name | Lynne Guinther |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164537171 PECOS PAC ID: 7113813072 Enrollment ID: I20240110003800 |
| Provider Name | Caroline Zehren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376273961 PECOS PAC ID: 2466803788 Enrollment ID: I20240110004026 |
| Provider Name | Jennifer M Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154589778 PECOS PAC ID: 6305297631 Enrollment ID: I20240110004424 |
| Provider Name | Robert W Haas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659754158 PECOS PAC ID: 6608227947 Enrollment ID: I20240110004637 |
| Provider Name | Laura S Gertz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689814279 PECOS PAC ID: 8325499684 Enrollment ID: I20240111000094 |
| Provider Name | Sharon M Hempel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154640456 PECOS PAC ID: 5698126951 Enrollment ID: I20240111000134 |
| Provider Name | Samantha M Scherer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619621356 PECOS PAC ID: 2668823931 Enrollment ID: I20240111000264 |
| Provider Name | Sarah M Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477793180 PECOS PAC ID: 5496106775 Enrollment ID: I20240111000641 |
| Provider Name | David Charles Low |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265832141 PECOS PAC ID: 7517318827 Enrollment ID: I20240111001739 |
| Provider Name | Nicholas Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134623689 PECOS PAC ID: 6305249657 Enrollment ID: I20240111003635 |
| Provider Name | Andrea K Jackett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932422953 PECOS PAC ID: 5092166256 Enrollment ID: I20240111004127 |
| Provider Name | Alexander J Jeske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194101550 PECOS PAC ID: 9133570393 Enrollment ID: I20240111004277 |
| Provider Name | Brittany Sabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922886993 PECOS PAC ID: 2062863194 Enrollment ID: I20240112001823 |
| Provider Name | Cary L Voskuil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376021006 PECOS PAC ID: 7416308507 Enrollment ID: I20240112003739 |
| Provider Name | Chibuzo C Ohanaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720609001 PECOS PAC ID: 7315368909 Enrollment ID: I20240117001544 |
| Provider Name | Danny W Powell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376747956 PECOS PAC ID: 3173697950 Enrollment ID: I20240117001642 |
| Provider Name | Kingsley Nwokelo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992265441 PECOS PAC ID: 5193056695 Enrollment ID: I20240117003643 |
| Provider Name | Sara Renee James |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669716072 PECOS PAC ID: 0042662702 Enrollment ID: I20240118000203 |
| Provider Name | Pragnyadipta Mishra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932423845 PECOS PAC ID: 8325162498 Enrollment ID: I20240118001198 |
| Provider Name | Amy Rebecca Cisar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457446536 PECOS PAC ID: 1951753649 Enrollment ID: I20240118001237 |
| Provider Name | Denise L Batton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730651159 PECOS PAC ID: 4789034174 Enrollment ID: I20240118002138 |
| Provider Name | Jill M Bley Klink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891832283 PECOS PAC ID: 8820440563 Enrollment ID: I20240118002869 |
| Provider Name | Bryanna T Bruger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275940504 PECOS PAC ID: 4587043773 Enrollment ID: I20240123000300 |
| Provider Name | Aswin Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629469382 PECOS PAC ID: 5799184628 Enrollment ID: I20240123002559 |
| Provider Name | Kellee L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215705900 PECOS PAC ID: 3779935986 Enrollment ID: I20240123002860 |
| Provider Name | Kelsey A Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033810510 PECOS PAC ID: 6901258136 Enrollment ID: I20240123003476 |
| Provider Name | Laura Ceccato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760720932 PECOS PAC ID: 7911359153 Enrollment ID: I20240123003810 |
| Provider Name | Krista Ann Dudley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528332046 PECOS PAC ID: 4789037995 Enrollment ID: I20240124001489 |
| Provider Name | Christine Thoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457132532 PECOS PAC ID: 2163875188 Enrollment ID: I20240125004443 |
| Provider Name | Emily R Fenton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730852120 PECOS PAC ID: 3476906306 Enrollment ID: I20240126003976 |
| Provider Name | Kristen Kelly Frederiksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093409997 PECOS PAC ID: 7012360753 Enrollment ID: I20240129003530 |
| Provider Name | Choon-kee Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194782169 PECOS PAC ID: 0648227363 Enrollment ID: I20240130000490 |
| Provider Name | Dragana Forcan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336916691 PECOS PAC ID: 5395198006 Enrollment ID: I20240130001037 |
| Provider Name | Dana Holaday Washburn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205001930 PECOS PAC ID: 2264885979 Enrollment ID: I20240130001131 |
| Provider Name | Shan Zhao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548764020 PECOS PAC ID: 4486988979 Enrollment ID: I20240131002579 |
| Provider Name | Kathy Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477889053 PECOS PAC ID: 2860845146 Enrollment ID: I20240202001617 |
| Provider Name | Anthony Christopher Derrico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538516471 PECOS PAC ID: 6901298264 Enrollment ID: I20240205000172 |
| Provider Name | Amanda Alejandra Harmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972370849 PECOS PAC ID: 0547603821 Enrollment ID: I20240205001282 |
| Provider Name | Paul E Butts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770711566 PECOS PAC ID: 2466764238 Enrollment ID: I20240205001422 |
| Provider Name | Peter Russell Hutcheson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629232558 PECOS PAC ID: 7113070236 Enrollment ID: I20240205002522 |
| Provider Name | Holly B Moran |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811779390 PECOS PAC ID: 9830532852 Enrollment ID: I20240207000677 |
| Provider Name | Manuchehr Habibi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922569961 PECOS PAC ID: 0840524385 Enrollment ID: I20240207001111 |
| Provider Name | Christine M Eckblad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689933376 PECOS PAC ID: 0840633608 Enrollment ID: I20240208001800 |
| Provider Name | April Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073092979 PECOS PAC ID: 0345592440 Enrollment ID: I20240208003876 |
| Provider Name | Jodi Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376311324 PECOS PAC ID: 8224471990 Enrollment ID: I20240209000849 |
| Provider Name | Robin R Halper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225697360 PECOS PAC ID: 6305289075 Enrollment ID: I20240209000922 |
| Provider Name | Jennifer Trsar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154749620 PECOS PAC ID: 9739303827 Enrollment ID: I20240209001028 |
| Provider Name | Sarah Beth Donovan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447349832 PECOS PAC ID: 3274976972 Enrollment ID: I20240209001855 |
| Provider Name | David Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659465243 PECOS PAC ID: 1658355508 Enrollment ID: I20240209002098 |
| Provider Name | Alyssa Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093584328 PECOS PAC ID: 4587007109 Enrollment ID: I20240209002802 |
| Provider Name | Molly Schulteis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760243992 PECOS PAC ID: 0749623361 Enrollment ID: I20240209002850 |
| Provider Name | Lai Kuang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932300969 PECOS PAC ID: 7214081017 Enrollment ID: I20240212000946 |
| Provider Name | Rajaninder Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679905202 PECOS PAC ID: 9436441615 Enrollment ID: I20240213001835 |
| Provider Name | Jennifer Schoenborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588838049 PECOS PAC ID: 5597109868 Enrollment ID: I20240215000829 |
| Provider Name | Mackenzie Tenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922874015 PECOS PAC ID: 6901240183 Enrollment ID: I20240215001368 |
| Provider Name | Caroline S Chalk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316531932 PECOS PAC ID: 5991149122 Enrollment ID: I20240215003342 |
| Provider Name | Luis E Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184799835 PECOS PAC ID: 1153765391 Enrollment ID: I20240215003785 |
| Provider Name | Joseph Fairbanks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073507067 PECOS PAC ID: 3577907666 Enrollment ID: I20240216001396 |
| Provider Name | Barbara A Bergstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093585549 PECOS PAC ID: 2961846985 Enrollment ID: I20240219000601 |
| Provider Name | Mara Katherine Lungay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326739343 PECOS PAC ID: 2466896485 Enrollment ID: I20240219000771 |
| Provider Name | Alen Michael |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154827293 PECOS PAC ID: 3274880679 Enrollment ID: I20240219002054 |
| Provider Name | Sophia Y Shields |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1760252407 PECOS PAC ID: 2961846795 Enrollment ID: I20240220001587 |
| Provider Name | Raquel Rodriguez Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700240603 PECOS PAC ID: 3072869700 Enrollment ID: I20240220002428 |
| Provider Name | Melinda L Merola |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093109506 PECOS PAC ID: 5395040836 Enrollment ID: I20240220002979 |
| Provider Name | Devon Van Beek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245854587 PECOS PAC ID: 0648614453 Enrollment ID: I20240220004583 |
| Provider Name | Marina Bron Howell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205816683 PECOS PAC ID: 6709806557 Enrollment ID: I20240221000095 |
| Provider Name | Hussein Alramini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497106512 PECOS PAC ID: 2264725506 Enrollment ID: I20240222000053 |
| Provider Name | Jill R Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609931724 PECOS PAC ID: 1557711181 Enrollment ID: I20240223002082 |
| Provider Name | Richard Eugene Eccles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053525014 PECOS PAC ID: 1052581501 Enrollment ID: I20240227001723 |
| Provider Name | William Henry Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013575364 PECOS PAC ID: 7618312968 Enrollment ID: I20240227002215 |
| Provider Name | Lisa Marie Regner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487196812 PECOS PAC ID: 1850736935 Enrollment ID: I20240228002760 |
| Provider Name | Jillian Shirilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720453566 PECOS PAC ID: 3375988207 Enrollment ID: I20240229003961 |
| Provider Name | Syed Abutalib |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114183290 PECOS PAC ID: 7911066436 Enrollment ID: I20240304001454 |
| Provider Name | Joshua B Ng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245435767 PECOS PAC ID: 4981872793 Enrollment ID: I20240304002376 |
| Provider Name | Adam C Poquette |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871354704 PECOS PAC ID: 3173968864 Enrollment ID: I20240305000072 |
| Provider Name | Stephanie R Potts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144873159 PECOS PAC ID: 1254661432 Enrollment ID: I20240305000850 |
| Provider Name | David Schalk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013973718 PECOS PAC ID: 3779481635 Enrollment ID: I20240305003401 |
| Provider Name | Jay C Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730508276 PECOS PAC ID: 8325266331 Enrollment ID: I20240305003869 |
| Provider Name | Vikramjit Singh Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720281785 PECOS PAC ID: 1355507351 Enrollment ID: I20240306002433 |
| Provider Name | Zhen Hou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912994872 PECOS PAC ID: 7012808405 Enrollment ID: I20240306003592 |
| Provider Name | Amanda R Cardinal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265969950 PECOS PAC ID: 1052757515 Enrollment ID: I20240307000918 |
| Provider Name | Nene Ugoeke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285926840 PECOS PAC ID: 2860768207 Enrollment ID: I20240311001792 |
| Provider Name | Hannah E Sugden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346001575 PECOS PAC ID: 1850737099 Enrollment ID: I20240311003041 |
| Provider Name | Leo Hsiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164560207 PECOS PAC ID: 2163596248 Enrollment ID: I20240312003681 |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 | |
Healing Center Of Milwaukee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 W Forest Home Ave, Milwaukee, WI 53220 Phone: 414-323-3513 | |
Muhammad Akbar Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 | |
La Clinica Latina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 | |
Medzone Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 W Capitol Dr, Milwaukee, WI 53216 Phone: 414-395-0009 | |
Jeremias B. Vinluan M.d. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 | |
Romeo C Lo Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 Phone: 414-383-4700 Fax: 414-383-4759 |