| Avh Physicians Billing | |
|
9660 S 1300 E Sandy UT 84094-3762 | |
| (801) 442-1400 | |
| Not Available |
| Full Name | Avh Physicians Billing |
|---|---|
| Speciality | Clinic/Center |
| Location | 9660 S 1300 E, Sandy, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avh Physicians Billing Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Avh Physicians Billing 9660 S 1300 E Sandy UT 84094-3762 Ph: (801) 442-1400 |
| NPI Number | 1942325154 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 1850209420 |
|---|---|
| Medicare Enrollment ID | O20080610000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942325154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Karen Murray Radley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508868563 PECOS PAC ID: 3375455785 Enrollment ID: I20031110000127 |
| Provider Name | Ryan John Garfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538166855 PECOS PAC ID: 0547173890 Enrollment ID: I20031111000941 |
| Provider Name | Renee Olesen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578786851 PECOS PAC ID: 0345154795 Enrollment ID: I20031118001162 |
| Provider Name | Bert Kamolsit Lopansri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538261292 PECOS PAC ID: 9436053626 Enrollment ID: I20031120000248 |
| Provider Name | Tristy Lee Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093753469 PECOS PAC ID: 2163326398 Enrollment ID: I20031120000470 |
| Provider Name | Alberto Brizolara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164488961 PECOS PAC ID: 5193629780 Enrollment ID: I20031125000342 |
| Provider Name | Brian W Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760498687 PECOS PAC ID: 9638073117 Enrollment ID: I20031125000865 |
| Provider Name | Victor W Varela |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538277660 PECOS PAC ID: 0749184117 Enrollment ID: I20031126000383 |
| Provider Name | Bruce a Hendrix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336153030 PECOS PAC ID: 7618871005 Enrollment ID: I20031126000436 |
| Provider Name | David Ware Branch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922012830 PECOS PAC ID: 6103721550 Enrollment ID: I20031129000009 |
| Provider Name | Janice L.B. Byrne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629158530 PECOS PAC ID: 1658276001 Enrollment ID: I20031129000013 |
| Provider Name | John H Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699781674 PECOS PAC ID: 6608771829 Enrollment ID: I20031202000006 |
| Provider Name | Neil Barton Callister |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1548331358 PECOS PAC ID: 1658275151 Enrollment ID: I20031203000676 |
| Provider Name | Bruce N Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326135807 PECOS PAC ID: 5799680641 Enrollment ID: I20031203000708 |
| Provider Name | Robert L Andres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356362875 PECOS PAC ID: 7214832161 Enrollment ID: I20031203000718 |
| Provider Name | Jason Karl North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285760132 PECOS PAC ID: 1456256361 Enrollment ID: I20031204000248 |
| Provider Name | Scott L Carpenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346271715 PECOS PAC ID: 0446155287 Enrollment ID: I20031204000419 |
| Provider Name | Matthew Gunn Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053346734 PECOS PAC ID: 9032014808 Enrollment ID: I20031204000651 |
| Provider Name | Douglas Neil Esplin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063421451 PECOS PAC ID: 9234034810 Enrollment ID: I20031205000467 |
| Provider Name | Michael L Draper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992769368 PECOS PAC ID: 9830094358 Enrollment ID: I20031205000715 |
| Provider Name | Mark K Dodson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275570467 PECOS PAC ID: 6901701432 Enrollment ID: I20031205000723 |
| Provider Name | Andrew P Soisson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790794568 PECOS PAC ID: 0840195335 Enrollment ID: I20031208000146 |
| Provider Name | Kory U Woodbury |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225056575 PECOS PAC ID: 7810893997 Enrollment ID: I20031209001132 |
| Provider Name | Tom Christian Poynor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588623896 PECOS PAC ID: 0941106991 Enrollment ID: I20031210000381 |
| Provider Name | Robert M Silver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306926217 PECOS PAC ID: 7113823147 Enrollment ID: I20031210000808 |
| Provider Name | Amy E Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922028166 PECOS PAC ID: 3971409806 Enrollment ID: I20031210000839 |
| Provider Name | David C Boorman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659344471 PECOS PAC ID: 7618874082 Enrollment ID: I20031215000391 |
| Provider Name | Penny Ann Emett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417978917 PECOS PAC ID: 8325945744 Enrollment ID: I20031215000634 |
| Provider Name | Paige S Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891709325 PECOS PAC ID: 8022915461 Enrollment ID: I20031215000697 |
| Provider Name | Kirk W Leininger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386653772 PECOS PAC ID: 6406753607 Enrollment ID: I20031217000784 |
| Provider Name | Mark M Loveless |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063427904 PECOS PAC ID: 9133026834 Enrollment ID: I20031218000786 |
| Provider Name | Mary Ruth Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265534135 PECOS PAC ID: 8729986450 Enrollment ID: I20031219000446 |
| Provider Name | Brandon Wintle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932122520 PECOS PAC ID: 7113825613 Enrollment ID: I20031222000488 |
| Provider Name | Gary Lynn Whipple |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083621361 PECOS PAC ID: 1951209006 Enrollment ID: I20031227000001 |
| Provider Name | Troy Flint Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245310143 PECOS PAC ID: 2668370719 Enrollment ID: I20031227000020 |
| Provider Name | Curtis G Andersen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396858262 PECOS PAC ID: 3476452152 Enrollment ID: I20031231000565 |
| Provider Name | John R Macfarlane |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679533343 PECOS PAC ID: 9739088428 Enrollment ID: I20031231000639 |
| Provider Name | Robert J Andruss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952326373 PECOS PAC ID: 9830097807 Enrollment ID: I20040106000550 |
| Provider Name | Drew H Van Boerum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710925631 PECOS PAC ID: 9638078553 Enrollment ID: I20040108000579 |
| Provider Name | Douglas Lamar Fillmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447341193 PECOS PAC ID: 7012816986 Enrollment ID: I20040108001106 |
| Provider Name | K.C. Hafen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194740522 PECOS PAC ID: 3577462480 Enrollment ID: I20040112000251 |
| Provider Name | Michael G Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265423594 PECOS PAC ID: 9335049618 Enrollment ID: I20040112000302 |
| Provider Name | Gary M Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598705139 PECOS PAC ID: 9830099084 Enrollment ID: I20040113000081 |
| Provider Name | Kari Fulp Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508827072 PECOS PAC ID: 4385545995 Enrollment ID: I20040116000482 |
| Provider Name | Cordell Wayne Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770642480 PECOS PAC ID: 3274434881 Enrollment ID: I20040116000496 |
| Provider Name | Taj N Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497976864 PECOS PAC ID: 6901707512 Enrollment ID: I20040116000498 |
| Provider Name | Daniel Brennan Vine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841219375 PECOS PAC ID: 3072414598 Enrollment ID: I20040117000140 |
| Provider Name | Charles C Rich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851351530 PECOS PAC ID: 9234030669 Enrollment ID: I20040117000215 |
| Provider Name | Luciana De Saibro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033175765 PECOS PAC ID: 7315848744 Enrollment ID: I20040117000221 |
| Provider Name | Ernest Brett Horsley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003826439 PECOS PAC ID: 4587565916 Enrollment ID: I20040117000226 |
| Provider Name | Elwood Neil Longenecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912004466 PECOS PAC ID: 2961303243 Enrollment ID: I20040120000003 |
| Provider Name | Scott E Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972545861 PECOS PAC ID: 9931001591 Enrollment ID: I20040123000423 |
| Provider Name | Steven W Merrell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063452050 PECOS PAC ID: 5294637898 Enrollment ID: I20040123000637 |
| Provider Name | Kristine a Weaver-miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962459040 PECOS PAC ID: 3870495211 Enrollment ID: I20040124000428 |
| Provider Name | Brian Craig Hancey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851308902 PECOS PAC ID: 9739081183 Enrollment ID: I20040126000045 |
| Provider Name | Nathan J Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831106681 PECOS PAC ID: 8325940778 Enrollment ID: I20040126000067 |
| Provider Name | Thomas Jeremy Boud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871500926 PECOS PAC ID: 1759283104 Enrollment ID: I20040126000084 |
| Provider Name | Mark Kelly Milligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194833244 PECOS PAC ID: 1254232747 Enrollment ID: I20040126000735 |
| Provider Name | Daniel C Rapp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265528723 PECOS PAC ID: 3678475977 Enrollment ID: I20040126000982 |
| Provider Name | Colleen Harker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851347959 PECOS PAC ID: 0446153852 Enrollment ID: I20040131000108 |
| Provider Name | David E Pisani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932149119 PECOS PAC ID: 3678476090 Enrollment ID: I20040131000211 |
| Provider Name | Robert Jeffrey Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548219991 PECOS PAC ID: 4587567862 Enrollment ID: I20040202000857 |
| Provider Name | Vilija Neris Avizonis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003865932 PECOS PAC ID: 9032017355 Enrollment ID: I20040202000906 |
| Provider Name | Susan Etheridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952480527 PECOS PAC ID: 9032002894 Enrollment ID: I20040205000287 |
| Provider Name | Donald Lewis Lappe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669440277 PECOS PAC ID: 6507759313 Enrollment ID: I20040205000500 |
| Provider Name | Brian Keith Whisenant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750359253 PECOS PAC ID: 7810880648 Enrollment ID: I20040205000644 |
| Provider Name | Patrick H Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679589881 PECOS PAC ID: 9234022914 Enrollment ID: I20040205001016 |
| Provider Name | Mitchell K Pratte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396782207 PECOS PAC ID: 0345133963 Enrollment ID: I20040205001269 |
| Provider Name | Craig M Grose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003854878 PECOS PAC ID: 2466345087 Enrollment ID: I20040205001317 |
| Provider Name | John Jacobs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912947995 PECOS PAC ID: 6608769286 Enrollment ID: I20040206000238 |
| Provider Name | Juan Dedios Fuentes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184664245 PECOS PAC ID: 0749174183 Enrollment ID: I20040209000492 |
| Provider Name | Michael Webb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881634996 PECOS PAC ID: 0042104408 Enrollment ID: I20040209000590 |
| Provider Name | Kim Thyrill Mcfarlane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326081084 PECOS PAC ID: 2466346994 Enrollment ID: I20040213000324 |
| Provider Name | Shauna Whatcott-sclafani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174633408 PECOS PAC ID: 4981599453 Enrollment ID: I20040216000634 |
| Provider Name | Danny K Worwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144241647 PECOS PAC ID: 9234024449 Enrollment ID: I20040217000815 |
| Provider Name | Adam Rich Nebeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366449241 PECOS PAC ID: 5890680961 Enrollment ID: I20040218000000 |
| Provider Name | Vernon L Christenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376559252 PECOS PAC ID: 9335034222 Enrollment ID: I20040219000205 |
| Provider Name | Mark C Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093812604 PECOS PAC ID: 9739074410 Enrollment ID: I20040220000471 |
| Provider Name | Timothy Louis Pefaur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871628404 PECOS PAC ID: 5092601674 Enrollment ID: I20040223000676 |
| Provider Name | Tyler S Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518973643 PECOS PAC ID: 0446146963 Enrollment ID: I20040223000959 |
| Provider Name | Mary D Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215944475 PECOS PAC ID: 4688560196 Enrollment ID: I20040223000965 |
| Provider Name | Robin Rae Ockey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326046160 PECOS PAC ID: 1557257664 Enrollment ID: I20040225000885 |
| Provider Name | Patrick R Angeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275557977 PECOS PAC ID: 8527955046 Enrollment ID: I20040301000562 |
| Provider Name | Robert Slack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467467399 PECOS PAC ID: 5799672853 Enrollment ID: I20040303000090 |
| Provider Name | Steve L Penman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104850502 PECOS PAC ID: 6204723364 Enrollment ID: I20040303000113 |
| Provider Name | Clare Patricia Meysenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689697450 PECOS PAC ID: 5092602847 Enrollment ID: I20040304000484 |
| Provider Name | Jonathan Phillip Hale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326061185 PECOS PAC ID: 6305734179 Enrollment ID: I20040304001216 |
| Provider Name | Anthony R Wallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881797843 PECOS PAC ID: 2668360447 Enrollment ID: I20040304001290 |
| Provider Name | King F Hom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093731630 PECOS PAC ID: 4688562259 Enrollment ID: I20040305000601 |
| Provider Name | Donna M Barhorst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285654822 PECOS PAC ID: 0345138913 Enrollment ID: I20040305000897 |
| Provider Name | George Gregory Last |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235150731 PECOS PAC ID: 1658269063 Enrollment ID: I20040308000915 |
| Provider Name | Bruce L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811915135 PECOS PAC ID: 6709774110 Enrollment ID: I20040308000946 |
| Provider Name | Clark Thorpe Bishop |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841206844 PECOS PAC ID: 7214825504 Enrollment ID: I20040308001452 |
| Provider Name | Dwight Avard Rigby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508851635 PECOS PAC ID: 4486543287 Enrollment ID: I20040311000322 |
| Provider Name | Ronald H Lepley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588611495 PECOS PAC ID: 2062301237 Enrollment ID: I20040315000535 |
| Provider Name | Daren Owen Gatherum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770504284 PECOS PAC ID: 4688563356 Enrollment ID: I20040315000621 |
| Provider Name | Todd a Child |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770520934 PECOS PAC ID: 6608769294 Enrollment ID: I20040315001423 |
| Provider Name | William Wesley Barney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194799890 PECOS PAC ID: 4284524729 Enrollment ID: I20040317001579 |
| Provider Name | Michelle Elena Schober |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255410726 PECOS PAC ID: 7810887312 Enrollment ID: I20040318000357 |
| Provider Name | Michael James Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497794960 PECOS PAC ID: 1850282609 Enrollment ID: I20040322001870 |
| Provider Name | Christie Ann Benton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255599817 PECOS PAC ID: 3678464278 Enrollment ID: I20040323000937 |
| Provider Name | Jennifer Anne Whitehead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508040031 PECOS PAC ID: 5698667475 Enrollment ID: I20040326000528 |
| Provider Name | Ryan N Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003872433 PECOS PAC ID: 9335031996 Enrollment ID: I20040327000343 |
| Provider Name | William Belot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811929276 PECOS PAC ID: 5597757666 Enrollment ID: I20040330001779 |
| Provider Name | Shayne Ross Mcquivey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720199078 PECOS PAC ID: 2163414178 Enrollment ID: I20040331000799 |
| Provider Name | Douglas Stephen Wirthlin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609816602 PECOS PAC ID: 6002808771 Enrollment ID: I20040401000919 |
| Provider Name | Michael S Frischknecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629019229 PECOS PAC ID: 4082607304 Enrollment ID: I20040405000360 |
| Provider Name | Daniel Jay Ricks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467469239 PECOS PAC ID: 9931192184 Enrollment ID: I20040405001287 |
| Provider Name | Valerie R Bentley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912928730 PECOS PAC ID: 1850384579 Enrollment ID: I20040407000535 |
| Provider Name | Donna Dizon-townson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811918097 PECOS PAC ID: 1254324999 Enrollment ID: I20040407000652 |
| Provider Name | Michael C Holmstrom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356384283 PECOS PAC ID: 1759374366 Enrollment ID: I20040407001187 |
| Provider Name | Richard Adair Whittington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750391322 PECOS PAC ID: 6608869185 Enrollment ID: I20040408000605 |
| Provider Name | Michael James Crookston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699868851 PECOS PAC ID: 9436142924 Enrollment ID: I20040408000669 |
| Provider Name | Bryan S Maulden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184645624 PECOS PAC ID: 5092709444 Enrollment ID: I20040409000337 |
| Provider Name | Kevin Shilling |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144233214 PECOS PAC ID: 9830183847 Enrollment ID: I20040413000501 |
| Provider Name | Holly B Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376639047 PECOS PAC ID: 7214921170 Enrollment ID: I20040413000966 |
| Provider Name | Mark C Foote |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619047743 PECOS PAC ID: 7214921048 Enrollment ID: I20040413001545 |
| Provider Name | Marc S Robins |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780671453 PECOS PAC ID: 5890789697 Enrollment ID: I20040414000112 |
| Provider Name | Dean Edwards Roller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770638124 PECOS PAC ID: 8820984974 Enrollment ID: I20040414001725 |
| Provider Name | Theodore J Wander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730281478 PECOS PAC ID: 2567457112 Enrollment ID: I20040414002001 |
| Provider Name | Eric L Caten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770504045 PECOS PAC ID: 0648265298 Enrollment ID: I20040414002004 |
| Provider Name | Lynn M Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053457085 PECOS PAC ID: 5092700641 Enrollment ID: I20040414002009 |
| Provider Name | Iqbal Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740391622 PECOS PAC ID: 3173518727 Enrollment ID: I20040414002014 |
| Provider Name | Charles Reese Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083669204 PECOS PAC ID: 4981690617 Enrollment ID: I20040420001567 |
| Provider Name | Tracy Arnold Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992711253 PECOS PAC ID: 4981690484 Enrollment ID: I20040421000905 |
| Provider Name | Holly Major-yeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578540407 PECOS PAC ID: 5294721585 Enrollment ID: I20040422000439 |
| Provider Name | Michael J Pearce |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568478832 PECOS PAC ID: 2668468679 Enrollment ID: I20040423001223 |
| Provider Name | Scott Christopher Woller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508966326 PECOS PAC ID: 5991792764 Enrollment ID: I20040426001432 |
| Provider Name | Lovenia M Stam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982621660 PECOS PAC ID: 2264429950 Enrollment ID: I20040426001580 |
| Provider Name | Kelly D Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245251776 PECOS PAC ID: 9739176447 Enrollment ID: I20040426001700 |
| Provider Name | Lisa M Saturnino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336362490 PECOS PAC ID: 5799772356 Enrollment ID: I20040427000882 |
| Provider Name | Robert Thomas Winn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912951393 PECOS PAC ID: 3476540949 Enrollment ID: I20040427001099 |
| Provider Name | Joseph P Ferriter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023063575 PECOS PAC ID: 7012808371 Enrollment ID: I20040427001548 |
| Provider Name | Mark William Pulsipher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689631913 PECOS PAC ID: 2365430097 Enrollment ID: I20040503000926 |
| Provider Name | Douglas S Ross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780690198 PECOS PAC ID: 4688571334 Enrollment ID: I20040503001265 |
| Provider Name | Paul W Goodrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942234976 PECOS PAC ID: 7517948417 Enrollment ID: I20040526001422 |
| Provider Name | Jeffrey Randall Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972519239 PECOS PAC ID: 7113908658 Enrollment ID: I20040528001053 |
| Provider Name | Wayne W Mortensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346256690 PECOS PAC ID: 4284615741 Enrollment ID: I20040528001135 |
| Provider Name | Elizabeth a Firth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699954230 PECOS PAC ID: 9931180494 Enrollment ID: I20040528001154 |
| Provider Name | Jennifer D Avery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982666475 PECOS PAC ID: 9739160136 Enrollment ID: I20040531000005 |
| Provider Name | Kim T Heaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225051089 PECOS PAC ID: 6800877291 Enrollment ID: I20040601000723 |
| Provider Name | Kristine R Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710937826 PECOS PAC ID: 2062494909 Enrollment ID: I20040603001414 |
| Provider Name | Michael Francis Coudreaut |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659441780 PECOS PAC ID: 8426030347 Enrollment ID: I20040603001474 |
| Provider Name | Carolyn M Tometich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952328783 PECOS PAC ID: 4284617572 Enrollment ID: I20040608001355 |
| Provider Name | Ahmad Al Sadat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104828987 PECOS PAC ID: 4587647631 Enrollment ID: I20040609001417 |
| Provider Name | Kerstin Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730102542 PECOS PAC ID: 1951213255 Enrollment ID: I20040610000421 |
| Provider Name | Michael Eugene Crawford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699760397 PECOS PAC ID: 5799768768 Enrollment ID: I20040610000909 |
| Provider Name | Bentley Rowley Mcentire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306875489 PECOS PAC ID: 3375527849 Enrollment ID: I20040614001519 |
| Provider Name | Carl George Rasmusen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619048964 PECOS PAC ID: 6002890878 Enrollment ID: I20040617001072 |
| Provider Name | Daniel Glenn Davie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356376677 PECOS PAC ID: 5799760047 Enrollment ID: I20040621001394 |
| Provider Name | Catherine O Stokes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336164433 PECOS PAC ID: 7810972148 Enrollment ID: I20040622000090 |
| Provider Name | Gudrun Ulrike Mirin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558388256 PECOS PAC ID: 9638154636 Enrollment ID: I20040623000643 |
| Provider Name | Deborah Lynn Bentley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508887043 PECOS PAC ID: 6507841434 Enrollment ID: I20040623000896 |
| Provider Name | Joel Pittman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871675132 PECOS PAC ID: 5395721872 Enrollment ID: I20040625000467 |
| Provider Name | Dennis Hugh Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922029495 PECOS PAC ID: 2860478302 Enrollment ID: I20040625000851 |
| Provider Name | Lisa C French |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871513952 PECOS PAC ID: 2466438668 Enrollment ID: I20040628001287 |
| Provider Name | David Spendlove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710084736 PECOS PAC ID: 9335125558 Enrollment ID: I20040628001377 |
| Provider Name | Robert Alan Dent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174573323 PECOS PAC ID: 9830175959 Enrollment ID: I20040628001492 |
| Provider Name | Liane Chow Emmett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083631428 PECOS PAC ID: 0941286991 Enrollment ID: I20040629000760 |
| Provider Name | Tanya S Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255445383 PECOS PAC ID: 8820075682 Enrollment ID: I20040630000792 |
| Provider Name | Bryan M Watabe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245296623 PECOS PAC ID: 5991782765 Enrollment ID: I20040630000879 |
| Provider Name | Brenda Reiss Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467523621 PECOS PAC ID: 8224015904 Enrollment ID: I20040630001013 |
| Provider Name | Michael Sean Esplin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205916111 PECOS PAC ID: 7810974508 Enrollment ID: I20040630001058 |
| Provider Name | Bret D Hilton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467451609 PECOS PAC ID: 3779560164 Enrollment ID: I20040702000802 |
| Provider Name | Kent H Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821015504 PECOS PAC ID: 6103803218 Enrollment ID: I20040706001174 |
| Provider Name | Wendy Breyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417995911 PECOS PAC ID: 6305824061 Enrollment ID: I20040709000329 |
| Provider Name | David Glen Grygla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518075415 PECOS PAC ID: 2062491020 Enrollment ID: I20040714001356 |
| Provider Name | Lisa Marie Gravelle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821028820 PECOS PAC ID: 4284613142 Enrollment ID: I20040715000548 |
| Provider Name | Eileen M Booth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285651968 PECOS PAC ID: 0648250597 Enrollment ID: I20040722000226 |
| Provider Name | Matthew Victor Wenner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760409486 PECOS PAC ID: 0143200915 Enrollment ID: I20040722000446 |
| Provider Name | Enrique Perez Baires |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548373400 PECOS PAC ID: 2860399177 Enrollment ID: I20040804000365 |
| Provider Name | Brian Kenneth Olenslager |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225036064 PECOS PAC ID: 0840262226 Enrollment ID: I20040806000702 |
| Provider Name | Bryan Alan Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093777047 PECOS PAC ID: 3577535129 Enrollment ID: I20040812000804 |
| Provider Name | Gordon Richard Kimball |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578545919 PECOS PAC ID: 5597737148 Enrollment ID: I20040812000853 |
| Provider Name | James Thomas Dane |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083629828 PECOS PAC ID: 8820061062 Enrollment ID: I20040817000235 |
| Provider Name | Jeffrey Daniel Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770670242 PECOS PAC ID: 6002889060 Enrollment ID: I20040817001176 |
| Provider Name | Easton D Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316049828 PECOS PAC ID: 1355244039 Enrollment ID: I20040818000191 |
| Provider Name | Jay Clark |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952329088 PECOS PAC ID: 4880668540 Enrollment ID: I20040819001538 |
| Provider Name | Audrey Anne Jiricko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962510016 PECOS PAC ID: 0648179218 Enrollment ID: I20040819001576 |
| Provider Name | David Kent Krzymowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730149634 PECOS PAC ID: 0143294306 Enrollment ID: I20040823001569 |
| Provider Name | Glade C Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356307540 PECOS PAC ID: 3678547502 Enrollment ID: I20040825000621 |
| Provider Name | Kathleen Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740235290 PECOS PAC ID: 8729053517 Enrollment ID: I20040826000305 |
| Provider Name | James Silver Coy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174555320 PECOS PAC ID: 8921073370 Enrollment ID: I20040830000263 |
| Provider Name | Sean Patrick Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174589105 PECOS PAC ID: 0749255198 Enrollment ID: I20040830000265 |
| Provider Name | Brent James Christensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275570293 PECOS PAC ID: 7911972161 Enrollment ID: I20040831000791 |
| Provider Name | Bradley D Rasmussen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942230925 PECOS PAC ID: 3274508486 Enrollment ID: I20040831001295 |
| Provider Name | Bernard J Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154341634 PECOS PAC ID: 4587650817 Enrollment ID: I20040901000103 |
| Provider Name | Zachary Mccoy Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326068974 PECOS PAC ID: 9638164304 Enrollment ID: I20040901001184 |
| Provider Name | Sylvie Marie Backman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295846103 PECOS PAC ID: 2466428370 Enrollment ID: I20040902000454 |
| Provider Name | Steven Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417969387 PECOS PAC ID: 8820064744 Enrollment ID: I20040902000524 |
| Provider Name | Jeffrey M Watabe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407945710 PECOS PAC ID: 8325014962 Enrollment ID: I20040907000129 |
| Provider Name | June S Chen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942207048 PECOS PAC ID: 5294639498 Enrollment ID: I20040909000385 |
| Provider Name | Menno Lont |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275588683 PECOS PAC ID: 6305812488 Enrollment ID: I20040909000631 |
| Provider Name | Darren E Campbell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124007836 PECOS PAC ID: 3274500897 Enrollment ID: I20040914000286 |
| Provider Name | Patrice Ann Duvernay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073543872 PECOS PAC ID: 4082681101 Enrollment ID: I20040916000589 |
| Provider Name | Elizabeth Violet Guenzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649369695 PECOS PAC ID: 3678544012 Enrollment ID: I20040917000476 |
| Provider Name | Tricia Petzold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043300668 PECOS PAC ID: 9032187067 Enrollment ID: I20040917000933 |
| Provider Name | Teresa Reading |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043259781 PECOS PAC ID: 4688642648 Enrollment ID: I20040917001150 |
| Provider Name | Karyn a Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225044217 PECOS PAC ID: 1658349535 Enrollment ID: I20040919000004 |
| Provider Name | Celia Webb Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205873478 PECOS PAC ID: 4587632922 Enrollment ID: I20040922001145 |
| Provider Name | Peter Schloesser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508806233 PECOS PAC ID: 8022086305 Enrollment ID: I20040923000969 |
| Provider Name | Sandra D Ehninger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720009285 PECOS PAC ID: 8325016595 Enrollment ID: I20040924000401 |
| Provider Name | Michelle Heather Gilbert |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992876452 PECOS PAC ID: 4284603218 Enrollment ID: I20040927001218 |
| Provider Name | Eric Scott Anding |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487649521 PECOS PAC ID: 0749259414 Enrollment ID: I20040929000517 |
| Provider Name | Justin Laraine Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568532125 PECOS PAC ID: 4284603887 Enrollment ID: I20040930000288 |
| Provider Name | Jacqueline Lee Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215908322 PECOS PAC ID: 4082683685 Enrollment ID: I20040930000304 |
| Provider Name | Lonnie Jefferson Miner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942220645 PECOS PAC ID: 6204896525 Enrollment ID: I20041012000830 |
| Provider Name | Von F Welch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134136302 PECOS PAC ID: 3678533759 Enrollment ID: I20041013000627 |
| Provider Name | Angela Michele Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376657692 PECOS PAC ID: 5991765901 Enrollment ID: I20041014000255 |
| Provider Name | Wilson S Hunt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871503201 PECOS PAC ID: 3971563818 Enrollment ID: I20041014000572 |
| Provider Name | Melissa Athena Boll |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124080775 PECOS PAC ID: 7315834934 Enrollment ID: I20041019001194 |
| Provider Name | Kathryn J Waddell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891833257 PECOS PAC ID: 8022079482 Enrollment ID: I20041020000394 |
| Provider Name | Bryan Croft King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194735670 PECOS PAC ID: 1658332259 Enrollment ID: I20041026000497 |
| Provider Name | Darin Dale Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295805893 PECOS PAC ID: 5496717027 Enrollment ID: I20041027000394 |
| Provider Name | Robert Bruce Burr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306895677 PECOS PAC ID: 3678560547 Enrollment ID: I20041027000559 |
| Provider Name | Tawnya M Constantino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891802591 PECOS PAC ID: 9638131212 Enrollment ID: I20041027000766 |
| Provider Name | Jill a Erickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407946007 PECOS PAC ID: 9739141615 Enrollment ID: I20041102001053 |
| Provider Name | Jaime C Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316957863 PECOS PAC ID: 1658334396 Enrollment ID: I20041104000526 |
| Provider Name | James Lee Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669493185 PECOS PAC ID: 9638132996 Enrollment ID: I20041108000563 |
| Provider Name | Gordon William Harkness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376557611 PECOS PAC ID: 8022001361 Enrollment ID: I20041108000953 |
| Provider Name | Donna Lister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104848118 PECOS PAC ID: 6709849920 Enrollment ID: I20041109000675 |
| Provider Name | Douglas Roland Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174681928 PECOS PAC ID: 3274596184 Enrollment ID: I20041110001076 |
| Provider Name | Robert Wallace Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083645709 PECOS PAC ID: 4284698093 Enrollment ID: I20041111001084 |
| Provider Name | Shannon Cooke Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518025360 PECOS PAC ID: 0446214258 Enrollment ID: I20041111001105 |
| Provider Name | Julianne Fallentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356366181 PECOS PAC ID: 2264496033 Enrollment ID: I20041112000446 |
| Provider Name | Ryan P Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346237393 PECOS PAC ID: 4981668266 Enrollment ID: I20041116000955 |
| Provider Name | John E Zachary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871580829 PECOS PAC ID: 2961466800 Enrollment ID: I20041119000089 |
| Provider Name | Jon B Wheiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134156565 PECOS PAC ID: 4587629233 Enrollment ID: I20041122001297 |
| Provider Name | Daniel B Tovey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952316150 PECOS PAC ID: 1658336201 Enrollment ID: I20041123000844 |
| Provider Name | Vincent Lee Hansen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528044385 PECOS PAC ID: 9436145711 Enrollment ID: I20041129000433 |
| Provider Name | David P Murray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417967902 PECOS PAC ID: 1153387618 Enrollment ID: I20041206001243 |
| Provider Name | Pilar W Dechet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174577381 PECOS PAC ID: 3779540752 Enrollment ID: I20041210000630 |
| Provider Name | Ryan Christopher Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043328610 PECOS PAC ID: 2466419890 Enrollment ID: I20041216000734 |
| Provider Name | Jill Bateman Faatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417981002 PECOS PAC ID: 4486611829 Enrollment ID: I20041216000809 |
| Provider Name | Scott Hansen Beckstead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508810854 PECOS PAC ID: 7911964135 Enrollment ID: I20041220000144 |
| Provider Name | Julie Asch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083740070 PECOS PAC ID: 4486644028 Enrollment ID: I20041229000270 |
| Provider Name | Dean Arthur Mayer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316915432 PECOS PAC ID: 4284682592 Enrollment ID: I20050104000213 |
| Provider Name | Brian K Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780696641 PECOS PAC ID: 5496703472 Enrollment ID: I20050106000290 |
| Provider Name | Michael Coleman Scheuller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336192566 PECOS PAC ID: 1355306770 Enrollment ID: I20050110000374 |
| Provider Name | Walter Karl Townson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548350176 PECOS PAC ID: 9032167564 Enrollment ID: I20050111000489 |
| Provider Name | Bharani G Srinivasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730286287 PECOS PAC ID: 1456309939 Enrollment ID: I20050111000865 |
| Provider Name | Amy Michelle Geroso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578643482 PECOS PAC ID: 3072561554 Enrollment ID: I20050111000876 |
| Provider Name | Jeffrey Edward Booth |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174552830 PECOS PAC ID: 0446208854 Enrollment ID: I20050111001132 |
| Provider Name | Eileen G Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906320 PECOS PAC ID: 9133178577 Enrollment ID: I20050112001116 |
| Provider Name | Michael B Noyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538173612 PECOS PAC ID: 6204885478 Enrollment ID: I20050113001104 |
| Provider Name | Troy S Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730197252 PECOS PAC ID: 0446209548 Enrollment ID: I20050114000863 |
| Provider Name | Eric Richard Scaife |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902996523 PECOS PAC ID: 0042269094 Enrollment ID: I20050117000205 |
| Provider Name | Joseph H Berman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780772624 PECOS PAC ID: 6901855923 Enrollment ID: I20050118000235 |
| Provider Name | Theodore S Paisley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952415556 PECOS PAC ID: 3072562826 Enrollment ID: I20050119000262 |
| Provider Name | Steven John Carabine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689761165 PECOS PAC ID: 8820048093 Enrollment ID: I20050125001029 |
| Provider Name | David Louis Paulson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740252196 PECOS PAC ID: 8628028669 Enrollment ID: I20050126001198 |
| Provider Name | Erica R Hensman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649287905 PECOS PAC ID: 4385694041 Enrollment ID: I20050131000280 |
| Provider Name | Abinash C Roy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295825818 PECOS PAC ID: 8921059544 Enrollment ID: I20050201000530 |
| Provider Name | Jason Sidney Biggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750471389 PECOS PAC ID: 7315998549 Enrollment ID: I20050204000670 |
| Provider Name | Allan D Anderson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710991344 PECOS PAC ID: 0446209126 Enrollment ID: I20050207000094 |
| Provider Name | D Nell B Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326077934 PECOS PAC ID: 4284685074 Enrollment ID: I20050209000639 |
| Provider Name | Sabrina Lee Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205993607 PECOS PAC ID: 1355392051 Enrollment ID: I20050209000745 |
| Provider Name | David P Hill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053350132 PECOS PAC ID: 0345291050 Enrollment ID: I20050209000842 |
| Provider Name | Barbara Ann Kerwin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972517639 PECOS PAC ID: 2668423377 Enrollment ID: I20050209000879 |
| Provider Name | Adam Craig Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255371878 PECOS PAC ID: 7012968738 Enrollment ID: I20050209000957 |
| Provider Name | Frank Henry Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174635353 PECOS PAC ID: 7618928359 Enrollment ID: I20050209001085 |
| Provider Name | Craig C Pulley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205923760 PECOS PAC ID: 5496707812 Enrollment ID: I20050214000937 |
| Provider Name | Lisa Jane Samson-fang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821188442 PECOS PAC ID: 2769434034 Enrollment ID: I20050215000403 |
| Provider Name | Matthew Steven Cobb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528099710 PECOS PAC ID: 6608828728 Enrollment ID: I20050217000286 |
| Provider Name | Teryl Ray Hunsaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376553834 PECOS PAC ID: 5698664035 Enrollment ID: I20050217000916 |
| Provider Name | Sean David Biggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841233558 PECOS PAC ID: 4486606332 Enrollment ID: I20050218000371 |
| Provider Name | Lisa Kay Kuwahara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538103015 PECOS PAC ID: 3870545726 Enrollment ID: I20050218000440 |
| Provider Name | Margaret M Baldwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699785105 PECOS PAC ID: 0840243002 Enrollment ID: I20050228000717 |
| Provider Name | Neil Smith Whitaker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245341155 PECOS PAC ID: 0941253140 Enrollment ID: I20050228000993 |
| Provider Name | Michael Joseph Gale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821003138 PECOS PAC ID: 0749233674 Enrollment ID: I20050302000862 |
| Provider Name | Steven C Vigil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598786139 PECOS PAC ID: 4284688052 Enrollment ID: I20050304000628 |
| Provider Name | Jill Richardson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942390562 PECOS PAC ID: 4587618640 Enrollment ID: I20050310000948 |
| Provider Name | Linda Ranae Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932235926 PECOS PAC ID: 9436103504 Enrollment ID: I20050310001077 |
| Provider Name | Luz Elenia Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700923455 PECOS PAC ID: 7517911522 Enrollment ID: I20050314000210 |
| Provider Name | Jerry John |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659440543 PECOS PAC ID: 8426003476 Enrollment ID: I20050314000311 |
| Provider Name | Brian J Rush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184672511 PECOS PAC ID: 9032165758 Enrollment ID: I20050325000322 |
| Provider Name | Terry Inkley Finlayson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316935539 PECOS PAC ID: 1153372768 Enrollment ID: I20050330000604 |
| Provider Name | Rachelle Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730105214 PECOS PAC ID: 6103872320 Enrollment ID: I20050330000631 |
| Provider Name | Charlie R Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336162890 PECOS PAC ID: 8729034954 Enrollment ID: I20050330000667 |
| Provider Name | Peter Chase Lindgren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255370961 PECOS PAC ID: 7810944790 Enrollment ID: I20050402000018 |
| Provider Name | Trevor Michael Gerber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083632335 PECOS PAC ID: 4880641604 Enrollment ID: I20050405000114 |
| Provider Name | Jordan Andrew Kimball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386673135 PECOS PAC ID: 8426005026 Enrollment ID: I20050406000239 |
| Provider Name | Anthony Eugene Apollo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861445454 PECOS PAC ID: 2264335108 Enrollment ID: I20050411000451 |
| Provider Name | G Richard Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184840597 PECOS PAC ID: 7517904477 Enrollment ID: I20050412000841 |
| Provider Name | Andrea N Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831155746 PECOS PAC ID: 1759293392 Enrollment ID: I20050412000947 |
| Provider Name | Charles D Mallender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942261037 PECOS PAC ID: 2668438193 Enrollment ID: I20050413000070 |
| Provider Name | David Morris Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881617348 PECOS PAC ID: 8527053552 Enrollment ID: I20050413000311 |
| Provider Name | William N Peugh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730147711 PECOS PAC ID: 6305884610 Enrollment ID: I20050418001297 |
| Provider Name | Bryan Kelly Searle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427037738 PECOS PAC ID: 9436197753 Enrollment ID: I20050418001353 |
| Provider Name | Jeffrey Holt Call |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093747743 PECOS PAC ID: 3274571450 Enrollment ID: I20050419000538 |
| Provider Name | Anthony R Groathouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710900568 PECOS PAC ID: 3779521729 Enrollment ID: I20050420000494 |
| Provider Name | Ryoma Tanaka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922294214 PECOS PAC ID: 5496793499 Enrollment ID: I20050420001113 |
| Provider Name | Russell P Maxwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083640767 PECOS PAC ID: 4082652730 Enrollment ID: I20050421001602 |
| Provider Name | Sanjeev Trehan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750335907 PECOS PAC ID: 5698714897 Enrollment ID: I20050427000812 |
| Provider Name | April Lee Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518971134 PECOS PAC ID: 5890781579 Enrollment ID: I20050427000950 |
| Provider Name | Patricia Anne Gurell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619005659 PECOS PAC ID: 5991744021 Enrollment ID: I20050428000474 |
| Provider Name | Ryan Michael Budge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811399512 PECOS PAC ID: 8224077052 Enrollment ID: I20050429000875 |
| Provider Name | Alexandra Eller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922188838 PECOS PAC ID: 7214977628 Enrollment ID: I20050505000200 |
| Provider Name | Marlan Len Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184634511 PECOS PAC ID: 6800836941 Enrollment ID: I20050506000784 |
| Provider Name | Troy B Demill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841322161 PECOS PAC ID: 7517907686 Enrollment ID: I20050509000203 |
| Provider Name | Elizabeth Reynolds Sunderman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790723195 PECOS PAC ID: 8022058197 Enrollment ID: I20050509000230 |
| Provider Name | Dustin L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598786303 PECOS PAC ID: 3173563251 Enrollment ID: I20050509000265 |
| Provider Name | Marian Hong Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285667980 PECOS PAC ID: 9032190723 Enrollment ID: I20050509000801 |
| Provider Name | Dale a Rutledge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639283054 PECOS PAC ID: 4486695988 Enrollment ID: I20050516000146 |
| Provider Name | Kolleen Marchand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740206630 PECOS PAC ID: 6406897701 Enrollment ID: I20050517000827 |
| Provider Name | Catherine Elizabeth Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114940954 PECOS PAC ID: 7719928027 Enrollment ID: I20050517000899 |
| Provider Name | Paul a House |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083704688 PECOS PAC ID: 6103867361 Enrollment ID: I20050518000286 |
| Provider Name | Birgitta Hope Mitchell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982887741 PECOS PAC ID: 0840231015 Enrollment ID: I20050518000359 |
| Provider Name | Deepa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790708550 PECOS PAC ID: 5395787782 Enrollment ID: I20050525001041 |
| Provider Name | Ellen H Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497868392 PECOS PAC ID: 2365484755 Enrollment ID: I20050525001065 |
| Provider Name | Krista Marie Schonrock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578575403 PECOS PAC ID: 0941242085 Enrollment ID: I20050527000726 |
| Provider Name | Douglas Maurice Romney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427060342 PECOS PAC ID: 3476595513 Enrollment ID: I20050527000734 |
| Provider Name | Christopher W Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417967837 PECOS PAC ID: 9830131978 Enrollment ID: I20050527000740 |
| Provider Name | Thomas Higginbotham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588673800 PECOS PAC ID: 7810958931 Enrollment ID: I20050602001071 |
| Provider Name | Gitte Yvonne Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871672444 PECOS PAC ID: 7719920198 Enrollment ID: I20050607000317 |
| Provider Name | Gary M Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811067762 PECOS PAC ID: 2466495882 Enrollment ID: I20050607000681 |
| Provider Name | Christopher J Mendoza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538185749 PECOS PAC ID: 3476597022 Enrollment ID: I20050614001077 |
| Provider Name | Perry Eugene Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164442125 PECOS PAC ID: 2062456379 Enrollment ID: I20050617000184 |
| Provider Name | Jeffrey Prince |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013027085 PECOS PAC ID: 3678517786 Enrollment ID: I20050618000189 |
| Provider Name | William Charles Andolsek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235249392 PECOS PAC ID: 4587608690 Enrollment ID: I20050618000190 |
| Provider Name | Giosue Peter Feola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447351978 PECOS PAC ID: 5496799504 Enrollment ID: I20050618000191 |
| Provider Name | David Thomas Waldron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669418455 PECOS PAC ID: 2769426899 Enrollment ID: I20050620000190 |
| Provider Name | Andrea Juliet Hebert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437189594 PECOS PAC ID: 8628013729 Enrollment ID: I20050620000823 |
| Provider Name | Mark L Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508861964 PECOS PAC ID: 7911942909 Enrollment ID: I20050621000457 |
| Provider Name | Spencer E Richards |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609845775 PECOS PAC ID: 0143265025 Enrollment ID: I20050621001262 |
| Provider Name | J Scott Parkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316965627 PECOS PAC ID: 5698710549 Enrollment ID: I20050622000401 |
| Provider Name | Roland G Ruegner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871688267 PECOS PAC ID: 9335184837 Enrollment ID: I20050624000766 |
| Provider Name | Wayne O Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003822909 PECOS PAC ID: 7012952534 Enrollment ID: I20050624000899 |
| Provider Name | Roger S Hansen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811036478 PECOS PAC ID: 9133106297 Enrollment ID: I20050627001173 |
| Provider Name | Scott Ronald Barnes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215102298 PECOS PAC ID: 1254377252 Enrollment ID: I20050629001175 |
| Provider Name | Douglas Reed Newbold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363239 PECOS PAC ID: 1759327778 Enrollment ID: I20050629001304 |
| Provider Name | Charles Allen Caton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750341210 PECOS PAC ID: 3476457656 Enrollment ID: I20050708000581 |
| Provider Name | William D Winters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720198716 PECOS PAC ID: 6305872508 Enrollment ID: I20050711000351 |
| Provider Name | Lindsay C Park |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487817516 PECOS PAC ID: 0648206656 Enrollment ID: I20050712000165 |
| Provider Name | David Stuart Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871516625 PECOS PAC ID: 3173509809 Enrollment ID: I20050713000310 |
| Provider Name | Jamal Horani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770585564 PECOS PAC ID: 2163458761 Enrollment ID: I20050714000942 |
| Provider Name | Stephen Daryl Scharmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295805117 PECOS PAC ID: 0244267391 Enrollment ID: I20050720001040 |
| Provider Name | Zachary Robert Leitze |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053341115 PECOS PAC ID: 1759358500 Enrollment ID: I20050721000083 |
| Provider Name | Brent Jason Bowles |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114950714 PECOS PAC ID: 0042285447 Enrollment ID: I20050721000475 |
| Provider Name | Stephen Edward Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043238363 PECOS PAC ID: 0244268167 Enrollment ID: I20050802000330 |
| Provider Name | Bryan Alan Swapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588777403 PECOS PAC ID: 0749193860 Enrollment ID: I20050803000277 |
| Provider Name | Richard Andrew Dal Canto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114978533 PECOS PAC ID: 0143258780 Enrollment ID: I20050803000910 |
| Provider Name | Celeste R Thomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285724815 PECOS PAC ID: 4486683075 Enrollment ID: I20050804000134 |
| Provider Name | Rebecca Louise Ponder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669499349 PECOS PAC ID: 5395774905 Enrollment ID: I20050804000310 |
| Provider Name | Christopher Coulson Rich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245328053 PECOS PAC ID: 3678502994 Enrollment ID: I20050808000370 |
| Provider Name | Nathaniel Anthony Bryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548204290 PECOS PAC ID: 5294764262 Enrollment ID: I20050810000249 |
| Provider Name | Michael C Marsden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568480804 PECOS PAC ID: 0941239651 Enrollment ID: I20050811000878 |
| Provider Name | Kerri Naifeh Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528086865 PECOS PAC ID: 5193754802 Enrollment ID: I20050811000900 |
| Provider Name | Martin Nygaard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659305688 PECOS PAC ID: 0143259861 Enrollment ID: I20050811000941 |
| Provider Name | Brian Craig Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316058670 PECOS PAC ID: 8123059805 Enrollment ID: I20050823000145 |
| Provider Name | David Allen Vande Merwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003859547 PECOS PAC ID: 4385675792 Enrollment ID: I20050825000606 |
| Provider Name | Jeanne Marie Falk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588673974 PECOS PAC ID: 4981635885 Enrollment ID: I20050830000434 |
| Provider Name | Dolly Louise Peach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447276076 PECOS PAC ID: 6002848801 Enrollment ID: I20050831000939 |
| Provider Name | Jennifer G Rolley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568552172 PECOS PAC ID: 9335171628 Enrollment ID: I20050907001178 |
| Provider Name | Thomas J Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245254739 PECOS PAC ID: 2961435680 Enrollment ID: I20050914000164 |
| Provider Name | David Reed Goff |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255449351 PECOS PAC ID: 7416987391 Enrollment ID: I20050916000245 |
| Provider Name | Scott Frederick Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235212192 PECOS PAC ID: 1557394665 Enrollment ID: I20050917000516 |
| Provider Name | Lorie Ann Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154315521 PECOS PAC ID: 9830165851 Enrollment ID: I20050926001202 |
| Provider Name | Joseph L Bowcutt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255428728 PECOS PAC ID: 2860427002 Enrollment ID: I20050927001048 |
| Provider Name | Lori Stones Trauntvein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790795102 PECOS PAC ID: 1658338488 Enrollment ID: I20050930000429 |
| Provider Name | Brant Wahlen Fonnesbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033156849 PECOS PAC ID: 3274558564 Enrollment ID: I20051005001126 |
| Provider Name | Zachary W Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255356275 PECOS PAC ID: 3678598976 Enrollment ID: I20051005001176 |
| Provider Name | Kathleen G Miller-andersen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740221738 PECOS PAC ID: 0840215125 Enrollment ID: I20051006000505 |
| Provider Name | Andrew Christian Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730157868 PECOS PAC ID: 4284659228 Enrollment ID: I20051010000533 |
| Provider Name | Rex a Outtrim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558355313 PECOS PAC ID: 4385632918 Enrollment ID: I20051015000082 |
| Provider Name | Tom Vernon Cloward |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1053407726 PECOS PAC ID: 5294751665 Enrollment ID: I20051015000144 |
| Provider Name | Charles Gregory Elliott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538253372 PECOS PAC ID: 9830115203 Enrollment ID: I20051015000148 |
| Provider Name | Claudia G Gerard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750471355 PECOS PAC ID: 4789600982 Enrollment ID: I20051018000075 |
| Provider Name | Bonnie Bateman Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154355204 PECOS PAC ID: 1456377571 Enrollment ID: I20051018001101 |
| Provider Name | Matthew a Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144236225 PECOS PAC ID: 4981620010 Enrollment ID: I20051018001172 |
| Provider Name | Julie Anne Gainer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538106414 PECOS PAC ID: 4385660240 Enrollment ID: I20051020000021 |
| Provider Name | Sharon a Korhel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003830761 PECOS PAC ID: 5890711634 Enrollment ID: I20051020000523 |
| Provider Name | Christopher Conrad Bell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669592069 PECOS PAC ID: 6204853013 Enrollment ID: I20051101000159 |
| Provider Name | Alisa Ann Knowlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124073556 PECOS PAC ID: 9638196371 Enrollment ID: I20051101000432 |
| Provider Name | Jamile Sarah Woods |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114931540 PECOS PAC ID: 7012934763 Enrollment ID: I20051101000517 |
| Provider Name | Mitchell J Melling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528063617 PECOS PAC ID: 8628988391 Enrollment ID: I20051102000252 |
| Provider Name | Russell Wayne Rhoades |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1164436507 PECOS PAC ID: 6507884004 Enrollment ID: I20051103000279 |
| Provider Name | Marc Leon Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447320163 PECOS PAC ID: 8921026303 Enrollment ID: I20051103000939 |
| Provider Name | Melissa Ann Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508881210 PECOS PAC ID: 2668490061 Enrollment ID: I20051103001083 |
| Provider Name | Megan E Jensen-hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083649750 PECOS PAC ID: 5698793982 Enrollment ID: I20051104000471 |
| Provider Name | John Fredrick Lund |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477578557 PECOS PAC ID: 9133147424 Enrollment ID: I20051104000479 |
| Provider Name | Felix Leung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265446090 PECOS PAC ID: 8527086651 Enrollment ID: I20051108000247 |
| Provider Name | Brian Gregory Crandall |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669440269 PECOS PAC ID: 0547238461 Enrollment ID: I20051108000380 |
| Provider Name | James Everett Pearl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417959206 PECOS PAC ID: 7416975222 Enrollment ID: I20051109000854 |
| Provider Name | Roger P Harrie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982639787 PECOS PAC ID: 1850319609 Enrollment ID: I20051109001237 |
| Provider Name | Roy H Trawick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609800945 PECOS PAC ID: 6608894381 Enrollment ID: I20051110000919 |
| Provider Name | Allen Merrill Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518908110 PECOS PAC ID: 2062431695 Enrollment ID: I20051114000432 |
| Provider Name | Agnieszka M Szpunar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033216858 PECOS PAC ID: 7517859226 Enrollment ID: I20051115000322 |
| Provider Name | Mark a Stowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760410203 PECOS PAC ID: 6305865759 Enrollment ID: I20051115001064 |
| Provider Name | Layne Keliiokalam Kamalu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104987916 PECOS PAC ID: 9335048701 Enrollment ID: I20051116000272 |
| Provider Name | Julie Anne Dolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477501252 PECOS PAC ID: 0042239097 Enrollment ID: I20051118000256 |
| Provider Name | Jeffrey Louis Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760422802 PECOS PAC ID: 9830118793 Enrollment ID: I20051121000421 |
| Provider Name | Roland P Dimick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932153145 PECOS PAC ID: 7911926720 Enrollment ID: I20051121001007 |
| Provider Name | Brent J Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477660389 PECOS PAC ID: 3274552096 Enrollment ID: I20051121001024 |
| Provider Name | Enrique Alfaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184606279 PECOS PAC ID: 2567493042 Enrollment ID: I20051128000419 |
| Provider Name | Mark Richard Briesacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154333029 PECOS PAC ID: 5496775009 Enrollment ID: I20051128000868 |
| Provider Name | Jonathan J Atzet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730290636 PECOS PAC ID: 6103843511 Enrollment ID: I20051209000535 |
| Provider Name | Wayne Richard Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699781054 PECOS PAC ID: 9931120995 Enrollment ID: I20051219000199 |
| Provider Name | Rajiv J Kaddu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275566291 PECOS PAC ID: 1850313743 Enrollment ID: I20051220000354 |
| Provider Name | Annemarie a Edwards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538171467 PECOS PAC ID: 7517989387 Enrollment ID: I20051221000070 |
| Provider Name | David Kent Tensmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336169176 PECOS PAC ID: 3779505508 Enrollment ID: I20051221000366 |
| Provider Name | June Steinvorth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003849019 PECOS PAC ID: 0244252955 Enrollment ID: I20051222000082 |
| Provider Name | Cynthia L Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770530495 PECOS PAC ID: 2163401290 Enrollment ID: I20051222000176 |
| Provider Name | Christian S Millward |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205942059 PECOS PAC ID: 2668494303 Enrollment ID: I20051222000313 |
| Provider Name | Bradley J Middleton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003928086 PECOS PAC ID: 4486676004 Enrollment ID: I20051223000287 |
| Provider Name | King Smith Udall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699719559 PECOS PAC ID: 9830111459 Enrollment ID: I20051224000003 |
| Provider Name | Lynn M Gaufin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205857158 PECOS PAC ID: 8820010382 Enrollment ID: I20051227000332 |
| Provider Name | Kevin J Walsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609845734 PECOS PAC ID: 5395767883 Enrollment ID: I20051227000576 |
| Provider Name | Bryan Joe Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386719227 PECOS PAC ID: 4688696172 Enrollment ID: I20051227000643 |
| Provider Name | Jeffrey Scott Osborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043288368 PECOS PAC ID: 3173591096 Enrollment ID: I20051230000024 |
| Provider Name | Kelli Elaine Groomer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568412724 PECOS PAC ID: 7416979620 Enrollment ID: I20051230000283 |
| Provider Name | Glenn K Schemmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689628992 PECOS PAC ID: 7517989734 Enrollment ID: I20051230000363 |
| Provider Name | David a Nichols |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902893993 PECOS PAC ID: 2466474622 Enrollment ID: I20051230000661 |
| Provider Name | Robert E Fowles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811927965 PECOS PAC ID: 8224050331 Enrollment ID: I20060103000423 |
| Provider Name | Polly P Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639271398 PECOS PAC ID: 7214959329 Enrollment ID: I20060103000432 |
| Provider Name | Patrick Raphael Mcdermott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699883280 PECOS PAC ID: 9739101866 Enrollment ID: I20060103000578 |
| Provider Name | Gilbert Eugene Caillouet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689771362 PECOS PAC ID: 1759304850 Enrollment ID: I20060104000308 |
| Provider Name | Ronald H Crouch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952342248 PECOS PAC ID: 3274556089 Enrollment ID: I20060106000882 |
| Provider Name | Lindell Ken Weaver |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1447270699 PECOS PAC ID: 2769405588 Enrollment ID: I20060107000038 |
| Provider Name | Stephen John Warner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164453106 PECOS PAC ID: 9537182209 Enrollment ID: I20060109000483 |
| Provider Name | Spencer W Galt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598733586 PECOS PAC ID: 1355334269 Enrollment ID: I20060110000262 |
| Provider Name | Gregory P Tayler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043297815 PECOS PAC ID: 8729001334 Enrollment ID: I20060110000673 |
| Provider Name | Patrick W Marcroft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942313739 PECOS PAC ID: 6608899133 Enrollment ID: I20060110000879 |
| Provider Name | Lynn S Chidester |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932156247 PECOS PAC ID: 3577586007 Enrollment ID: I20060110000922 |
| Provider Name | Michael W Mangelson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114944790 PECOS PAC ID: 6709809288 Enrollment ID: I20060111000145 |
| Provider Name | Hugh Sloan West |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538101563 PECOS PAC ID: 8921021411 Enrollment ID: I20060111000211 |
| Provider Name | Raymond Richard Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386669018 PECOS PAC ID: 5890718217 Enrollment ID: I20060111000483 |
| Provider Name | Jeffrey Michael Mcnally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093733354 PECOS PAC ID: 5496778821 Enrollment ID: I20060111000622 |
| Provider Name | James M Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780627273 PECOS PAC ID: 2567485931 Enrollment ID: I20060111000946 |
| Provider Name | Thomas Houston Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295741114 PECOS PAC ID: 7517989171 Enrollment ID: I20060111001244 |
| Provider Name | Joel G Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417977075 PECOS PAC ID: 3375566599 Enrollment ID: I20060112001072 |
| Provider Name | Howard Reed Reichman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932123940 PECOS PAC ID: 7810910031 Enrollment ID: I20060112001078 |
| Provider Name | Tod L Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497713648 PECOS PAC ID: 7315961513 Enrollment ID: I20060113000764 |
| Provider Name | Kent C Romney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720027378 PECOS PAC ID: 6305860503 Enrollment ID: I20060113000771 |
| Provider Name | Wayne Robert Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952317851 PECOS PAC ID: 8022032226 Enrollment ID: I20060113000778 |
| Provider Name | Douglas Paul Plowman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255362273 PECOS PAC ID: 5991602732 Enrollment ID: I20060113000891 |
| Provider Name | Stephanie Sue Gelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114017712 PECOS PAC ID: 3577587708 Enrollment ID: I20060114000021 |
| Provider Name | Kristina E Esham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164533071 PECOS PAC ID: 3375567506 Enrollment ID: I20060114000040 |
| Provider Name | Ali Ahmed Fazili |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013994813 PECOS PAC ID: 6800810037 Enrollment ID: I20060114000062 |
| Provider Name | Michael Cary Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902827322 PECOS PAC ID: 2062436207 Enrollment ID: I20060116000082 |
| Provider Name | Robert Sheldon Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679598312 PECOS PAC ID: 1951325190 Enrollment ID: I20060116000098 |
| Provider Name | Rudolf Otrusinik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003922394 PECOS PAC ID: 4789576406 Enrollment ID: I20060116000223 |
| Provider Name | Kenneth S Larsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588767081 PECOS PAC ID: 1658395819 Enrollment ID: I20060116000239 |
| Provider Name | Michael Ernest Raemisch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588603039 PECOS PAC ID: 7911921176 Enrollment ID: I20060116000244 |
| Provider Name | Shauna Ann Leonard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598707820 PECOS PAC ID: 0244254415 Enrollment ID: I20060116000289 |
| Provider Name | Michael Stanley Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326061920 PECOS PAC ID: 4981628161 Enrollment ID: I20060116000355 |
| Provider Name | Carl Preston Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376651448 PECOS PAC ID: 0042234064 Enrollment ID: I20060118000053 |
| Provider Name | Brian Christopher Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265464960 PECOS PAC ID: 3577587500 Enrollment ID: I20060118000082 |
| Provider Name | Kenneth M Jorgensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083648026 PECOS PAC ID: 0042234098 Enrollment ID: I20060118000279 |
| Provider Name | Cynthia L Coor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114038015 PECOS PAC ID: 8921022898 Enrollment ID: I20060118000559 |
| Provider Name | Kirk Grant Watkins |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1326220559 PECOS PAC ID: 2961432729 Enrollment ID: I20060118000587 |
| Provider Name | Hildegard K Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003820754 PECOS PAC ID: 5890719421 Enrollment ID: I20060120000851 |
| Provider Name | Jennifer Linford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316950967 PECOS PAC ID: 0143244772 Enrollment ID: I20060120000869 |
| Provider Name | Kara a Alexander Agresta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235146937 PECOS PAC ID: 8921022559 Enrollment ID: I20060121000018 |
| Provider Name | Karee Michelle Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952332223 PECOS PAC ID: 0749204378 Enrollment ID: I20060121000019 |
| Provider Name | Kevin Alan Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083641385 PECOS PAC ID: 3678597994 Enrollment ID: I20060125000338 |
| Provider Name | David T Tullis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548340714 PECOS PAC ID: 3971517129 Enrollment ID: I20060126001047 |
| Provider Name | Cynthia C Berwald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033117874 PECOS PAC ID: 8628082880 Enrollment ID: I20060127000019 |
| Provider Name | Jannette Jolley Yorgason |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053418111 PECOS PAC ID: 4486668233 Enrollment ID: I20060131000748 |
| Provider Name | David J Kotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487615852 PECOS PAC ID: 9133133937 Enrollment ID: I20060201000089 |
| Provider Name | Matthew J Badger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912029778 PECOS PAC ID: 3072527746 Enrollment ID: I20060201000818 |
| Provider Name | Susan Marie Kons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770500456 PECOS PAC ID: 8224042841 Enrollment ID: I20060202000383 |
| Provider Name | Nathan G Momberger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467486795 PECOS PAC ID: 3971560202 Enrollment ID: I20060208000372 |
| Provider Name | Laurie Lynne Hilyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326093758 PECOS PAC ID: 0840205084 Enrollment ID: I20060209000402 |
| Provider Name | Nathan C Dean |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063437770 PECOS PAC ID: 2961417027 Enrollment ID: I20060209000674 |
| Provider Name | Clint Oren Bunker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306850011 PECOS PAC ID: 2860389350 Enrollment ID: I20060220000301 |
| Provider Name | Randall Lynn Steinfeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578598298 PECOS PAC ID: 6406861921 Enrollment ID: I20060220000386 |
| Provider Name | Todd Lenard Shelby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275556870 PECOS PAC ID: 8921013442 Enrollment ID: I20060220000407 |
| Provider Name | James R Revenaugh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316915952 PECOS PAC ID: 6800864729 Enrollment ID: I20060222000165 |
| Provider Name | Dixie Lee Harris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740296730 PECOS PAC ID: 6800858192 Enrollment ID: I20060222000454 |
| Provider Name | Steven Winder Wynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962510040 PECOS PAC ID: 0941216378 Enrollment ID: I20060222000617 |
| Provider Name | John Harold Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003975145 PECOS PAC ID: 2466468657 Enrollment ID: I20060224000486 |
| Provider Name | David Reed Glassford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285854612 PECOS PAC ID: 1456367432 Enrollment ID: I20060228000619 |
| Provider Name | John Curtis Christensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992742951 PECOS PAC ID: 6305852088 Enrollment ID: I20060306000108 |
| Provider Name | Robert M Lym |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750494548 PECOS PAC ID: 6305853003 Enrollment ID: I20060321000092 |
| Provider Name | Tareq Shehadeh Harb |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407851488 PECOS PAC ID: 6901898709 Enrollment ID: I20060403000292 |
| Provider Name | Matthew G Ollerton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518959733 PECOS PAC ID: 4082623491 Enrollment ID: I20060413000289 |
| Provider Name | Quincey L Atkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255445672 PECOS PAC ID: 0446260582 Enrollment ID: I20060503000470 |
| Provider Name | Jennifer Lynne Sorensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891708319 PECOS PAC ID: 8426068560 Enrollment ID: I20060503000500 |
| Provider Name | Susan Thorup Greenhalgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891745873 PECOS PAC ID: 9931110160 Enrollment ID: I20060531000248 |
| Provider Name | Amy Catherine Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194760132 PECOS PAC ID: 3274545850 Enrollment ID: I20060623000026 |
| Provider Name | Joshua Steven Romney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649212663 PECOS PAC ID: 4880606169 Enrollment ID: I20060705000243 |
| Provider Name | Mazen Sires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154370765 PECOS PAC ID: 2769494970 Enrollment ID: I20060706000233 |
| Provider Name | Christopher Scott Taylor |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1508811167 PECOS PAC ID: 8628081858 Enrollment ID: I20060711000077 |
| Provider Name | Brent Donald Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831121938 PECOS PAC ID: 3971516303 Enrollment ID: I20060801000124 |
| Provider Name | Margit S Lister |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528098571 PECOS PAC ID: 0547263865 Enrollment ID: I20060807000020 |
| Provider Name | Nicholas Roy Goucher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528015542 PECOS PAC ID: 7416988431 Enrollment ID: I20060807000104 |
| Provider Name | Alexandra Barrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174575716 PECOS PAC ID: 2961405196 Enrollment ID: I20060809000027 |
| Provider Name | Richard Hammond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174541742 PECOS PAC ID: 4880697606 Enrollment ID: I20060817000223 |
| Provider Name | Andre K Crouch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255357927 PECOS PAC ID: 2264435098 Enrollment ID: I20060817000380 |
| Provider Name | Maylinda Rose Reeves |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497770895 PECOS PAC ID: 8224031661 Enrollment ID: I20060824000393 |
| Provider Name | Shelly P Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659307809 PECOS PAC ID: 9638173834 Enrollment ID: I20060830000441 |
| Provider Name | James G Rowley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710098058 PECOS PAC ID: 1658375639 Enrollment ID: I20060905000546 |
| Provider Name | Claron Douglas Alldredge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841200284 PECOS PAC ID: 9638173545 Enrollment ID: I20060907000528 |
| Provider Name | Eric Cline Nielson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013944289 PECOS PAC ID: 0042214546 Enrollment ID: I20060913000558 |
| Provider Name | Christopher Peter Carlisle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194718981 PECOS PAC ID: 0244247104 Enrollment ID: I20060921000034 |
| Provider Name | Diane Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659397545 PECOS PAC ID: 5294730552 Enrollment ID: I20060921000049 |
| Provider Name | Amrapali Mahendra Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407889033 PECOS PAC ID: 3173529922 Enrollment ID: I20061018000419 |
| Provider Name | Spencer Lee Scoville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821192436 PECOS PAC ID: 5092758607 Enrollment ID: I20061026000484 |
| Provider Name | Brian Samuel Oliver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548288806 PECOS PAC ID: 2062431877 Enrollment ID: I20061027000318 |
| Provider Name | Karen Anna Rymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821002262 PECOS PAC ID: 9830196278 Enrollment ID: I20061027000436 |
| Provider Name | Mariam Nabil Nassif |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326043209 PECOS PAC ID: 2163412032 Enrollment ID: I20061028000004 |
| Provider Name | Robert Clark Moesinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497717011 PECOS PAC ID: 4981601234 Enrollment ID: I20061028000005 |
| Provider Name | Erick Bernard Gerday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538172606 PECOS PAC ID: 6709883051 Enrollment ID: I20061028000007 |
| Provider Name | Catherine Ann Strasser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609984798 PECOS PAC ID: 0547267890 Enrollment ID: I20061030000035 |
| Provider Name | Erik Reinhard Riessen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619086493 PECOS PAC ID: 1759341639 Enrollment ID: I20061030000042 |
| Provider Name | Shruti B Sanghvi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518073220 PECOS PAC ID: 7517964828 Enrollment ID: I20061030000561 |
| Provider Name | Corey Wyn Walker |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295707677 PECOS PAC ID: 8729085048 Enrollment ID: I20061031000001 |
| Provider Name | Launce Gouw |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689788325 PECOS PAC ID: 2365440948 Enrollment ID: I20061114000374 |
| Provider Name | Troy Edward Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689609240 PECOS PAC ID: 9638112600 Enrollment ID: I20061117000242 |
| Provider Name | Kelly Diane Nolan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881709889 PECOS PAC ID: 1355372012 Enrollment ID: I20061122000481 |
| Provider Name | Erin Anne Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457305757 PECOS PAC ID: 9335147354 Enrollment ID: I20061129000133 |
| Provider Name | Suzanne Clark Short |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881789618 PECOS PAC ID: 0042218935 Enrollment ID: I20061202000018 |
| Provider Name | Jake Doyle Veigel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720196785 PECOS PAC ID: 2466450358 Enrollment ID: I20061202000057 |
| Provider Name | Rachel a Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205810751 PECOS PAC ID: 3577562149 Enrollment ID: I20061208000058 |
| Provider Name | Chad Ryan Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639288715 PECOS PAC ID: 0941209548 Enrollment ID: I20061208000328 |
| Provider Name | Samuel Morris Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013998947 PECOS PAC ID: 2769452507 Enrollment ID: I20061221000520 |
| Provider Name | Michael H Ferguson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982629200 PECOS PAC ID: 5799785697 Enrollment ID: I20061227000129 |
| Provider Name | Robert Louis Mazzola |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1629142898 PECOS PAC ID: 4284691437 Enrollment ID: I20061227000365 |
| Provider Name | Masarret Ashfaq Fazili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417918145 PECOS PAC ID: 7618977547 Enrollment ID: I20061228000053 |
| Provider Name | Susan Steffen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518988799 PECOS PAC ID: 2264432509 Enrollment ID: I20070110000223 |
| Provider Name | Kathryn Kincaid Chavez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588740500 PECOS PAC ID: 6608876750 Enrollment ID: I20070113000152 |
| Provider Name | Gregory S Taylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932113743 PECOS PAC ID: 1951301035 Enrollment ID: I20070115000210 |
| Provider Name | James Henry Cloyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750450953 PECOS PAC ID: 7911907001 Enrollment ID: I20070115000351 |
| Provider Name | Steven R Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134157613 PECOS PAC ID: 9931175346 Enrollment ID: I20070116000247 |
| Provider Name | Michael R Kline |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073531331 PECOS PAC ID: 8325049273 Enrollment ID: I20070120000105 |
| Provider Name | Harry Oshin Senekjian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760484596 PECOS PAC ID: 7618874959 Enrollment ID: I20070122000193 |
| Provider Name | Casey Nathan Isom |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215964275 PECOS PAC ID: 4587665047 Enrollment ID: I20070125000405 |
| Provider Name | Dawn Ngo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194805978 PECOS PAC ID: 2466453881 Enrollment ID: I20070129000113 |
| Provider Name | Mark L Wardle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639274574 PECOS PAC ID: 2163423393 Enrollment ID: I20070130000648 |
| Provider Name | Anne Perry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457383028 PECOS PAC ID: 7911909007 Enrollment ID: I20070201000641 |
| Provider Name | Robert a Mehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376648212 PECOS PAC ID: 8022010016 Enrollment ID: I20070205000071 |
| Provider Name | Shannon Liz Tilly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093767196 PECOS PAC ID: 2668474404 Enrollment ID: I20070208000131 |
| Provider Name | Jennifer S Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134224090 PECOS PAC ID: 7618979303 Enrollment ID: I20070208000670 |
| Provider Name | Stephen M Clements |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003869421 PECOS PAC ID: 9032212808 Enrollment ID: I20070315000283 |
| Provider Name | Renae Lynn Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770540783 PECOS PAC ID: 7113021031 Enrollment ID: I20070403000327 |
| Provider Name | Christine Kay Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875747 PECOS PAC ID: 7113998360 Enrollment ID: I20070404000438 |
| Provider Name | Matthew James Hegewald |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710094065 PECOS PAC ID: 5294639472 Enrollment ID: I20070412000168 |
| Provider Name | Heidi Kapanka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093753774 PECOS PAC ID: 4082658950 Enrollment ID: I20070502000453 |
| Provider Name | Tyson S Horkley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023150851 PECOS PAC ID: 7810093192 Enrollment ID: I20070502000554 |
| Provider Name | Alan Bitner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972505212 PECOS PAC ID: 6709865660 Enrollment ID: I20070503000181 |
| Provider Name | Lara Cooley Portmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972669182 PECOS PAC ID: 4183720121 Enrollment ID: I20070508000146 |
| Provider Name | Christina Atkinson Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306908264 PECOS PAC ID: 6709982762 Enrollment ID: I20070508000354 |
| Provider Name | Lee Walker Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588660773 PECOS PAC ID: 6305942368 Enrollment ID: I20070508000394 |
| Provider Name | Thomas W White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831184175 PECOS PAC ID: 8628967882 Enrollment ID: I20070516000083 |
| Provider Name | Mustufa T Saifee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568428357 PECOS PAC ID: 9537266135 Enrollment ID: I20070516000089 |
| Provider Name | David Turley Cragun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821005349 PECOS PAC ID: 4284536087 Enrollment ID: I20070517000274 |
| Provider Name | Charles Michael Ayers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649224940 PECOS PAC ID: 6709984628 Enrollment ID: I20070531000043 |
| Provider Name | Sam Wade Wadhvania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386641249 PECOS PAC ID: 7315848454 Enrollment ID: I20070601000513 |
| Provider Name | Warren Lewis Butterfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891819843 PECOS PAC ID: 0244338507 Enrollment ID: I20070611000092 |
| Provider Name | David Edward Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588795553 PECOS PAC ID: 4880792159 Enrollment ID: I20070611000173 |
| Provider Name | Eric Wayne Hooley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548230014 PECOS PAC ID: 2567414667 Enrollment ID: I20070611000197 |
| Provider Name | Curtis Charles Pedersen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366452757 PECOS PAC ID: 1254439532 Enrollment ID: I20070611000263 |
| Provider Name | Susan Marie Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518088087 PECOS PAC ID: 0547368631 Enrollment ID: I20070613000716 |
| Provider Name | Melanie Corbett Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417945023 PECOS PAC ID: 9537268552 Enrollment ID: I20070615000330 |
| Provider Name | Jay Todd Bishoff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477531705 PECOS PAC ID: 5092718510 Enrollment ID: I20070625000423 |
| Provider Name | Rustin Ronald Ross |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164631461 PECOS PAC ID: 6608976642 Enrollment ID: I20070705000400 |
| Provider Name | Mindy a Norris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114133154 PECOS PAC ID: 3173623055 Enrollment ID: I20070706000074 |
| Provider Name | John Elbert Robison |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629187638 PECOS PAC ID: 3375643257 Enrollment ID: I20070706000164 |
| Provider Name | Cory William Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235349192 PECOS PAC ID: 7517067473 Enrollment ID: I20070709000160 |
| Provider Name | Joshua David Bradley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366651671 PECOS PAC ID: 8527168384 Enrollment ID: I20070709000252 |
| Provider Name | David Elden Schow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033238209 PECOS PAC ID: 6103926951 Enrollment ID: I20070710000518 |
| Provider Name | Greg Eric Halliday |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366431918 PECOS PAC ID: 6204875602 Enrollment ID: I20070718000088 |
| Provider Name | Elizabeth a Joy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487768131 PECOS PAC ID: 5991712622 Enrollment ID: I20070723000419 |
| Provider Name | Thomas C Whittaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770600918 PECOS PAC ID: 2163523093 Enrollment ID: I20070723000543 |
| Provider Name | Karin Lindsey Hoeg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215940465 PECOS PAC ID: 9133104367 Enrollment ID: I20070724000840 |
| Provider Name | David M Dansie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043296403 PECOS PAC ID: 8820073596 Enrollment ID: I20070724000852 |
| Provider Name | Heather Michelle Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700860350 PECOS PAC ID: 1658472352 Enrollment ID: I20070725000324 |
| Provider Name | Jason Kenneth Spaulding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508987421 PECOS PAC ID: 4284735663 Enrollment ID: I20070730000424 |
| Provider Name | Robert John Bunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659494680 PECOS PAC ID: 2365543766 Enrollment ID: I20070730000634 |
| Provider Name | Derek R Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194731091 PECOS PAC ID: 3678664968 Enrollment ID: I20070731000582 |
| Provider Name | James Henry Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730168329 PECOS PAC ID: 6901997113 Enrollment ID: I20070802000109 |
| Provider Name | Abigail Rizk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487733986 PECOS PAC ID: 0143311373 Enrollment ID: I20070802000398 |
| Provider Name | Beverly Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780600973 PECOS PAC ID: 3274529862 Enrollment ID: I20070807000169 |
| Provider Name | Hitomi Nashiyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700077229 PECOS PAC ID: 0345331120 Enrollment ID: I20070808000468 |
| Provider Name | Clark Joseph Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134136906 PECOS PAC ID: 9335230119 Enrollment ID: I20070808000478 |
| Provider Name | John Wilcox Rampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578576773 PECOS PAC ID: 2163461765 Enrollment ID: I20070813000333 |
| Provider Name | David N Casey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093723835 PECOS PAC ID: 3971536632 Enrollment ID: I20070814000717 |
| Provider Name | Jeremy B Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255535480 PECOS PAC ID: 1557453636 Enrollment ID: I20070821000158 |
| Provider Name | David M Adams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669695920 PECOS PAC ID: 8921190463 Enrollment ID: I20070828000855 |
| Provider Name | Kevin Kyhl Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861507675 PECOS PAC ID: 1759474026 Enrollment ID: I20070831000173 |
| Provider Name | Andrew W Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821219379 PECOS PAC ID: 0648363663 Enrollment ID: I20070907000346 |
| Provider Name | Seth Browning Wallace |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1245441971 PECOS PAC ID: 5799878567 Enrollment ID: I20070910000938 |
| Provider Name | David W Brinton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093820706 PECOS PAC ID: 7113011354 Enrollment ID: I20070919000710 |
| Provider Name | Robert Jackson Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225023088 PECOS PAC ID: 6901990985 Enrollment ID: I20070921000103 |
| Provider Name | Amy Dawn Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659563682 PECOS PAC ID: 6901990605 Enrollment ID: I20070925000406 |
| Provider Name | Yuri Valerievich Khodakov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700099983 PECOS PAC ID: 2062506785 Enrollment ID: I20070925000541 |
| Provider Name | Rebecca C Phillips |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871696898 PECOS PAC ID: 4082700760 Enrollment ID: I20071010000523 |
| Provider Name | Deserae J Goble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366415770 PECOS PAC ID: 6002830239 Enrollment ID: I20071011000091 |
| Provider Name | Spencer C Debry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194797738 PECOS PAC ID: 9133215718 Enrollment ID: I20071011000625 |
| Provider Name | Gregg J Stephany |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487747515 PECOS PAC ID: 0345259057 Enrollment ID: I20071019000109 |
| Provider Name | Justin Shane White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205028784 PECOS PAC ID: 1557458361 Enrollment ID: I20071025000529 |
| Provider Name | Albert J Dal Canto |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922075274 PECOS PAC ID: 2163468778 Enrollment ID: I20071026000291 |
| Provider Name | David Sandweiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437151875 PECOS PAC ID: 0143276444 Enrollment ID: I20071029000600 |
| Provider Name | Jason Dean Eatough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205874179 PECOS PAC ID: 3173586302 Enrollment ID: I20071108000210 |
| Provider Name | Kent Guy Meredith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598966822 PECOS PAC ID: 2365530714 Enrollment ID: I20071119000098 |
| Provider Name | Lance F Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801089214 PECOS PAC ID: 9335238377 Enrollment ID: I20071129000021 |
| Provider Name | Lindsay Malecheck Klimes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023140639 PECOS PAC ID: 7911096334 Enrollment ID: I20071207000410 |
| Provider Name | Sheralee Dahle Petersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114110921 PECOS PAC ID: 1658460068 Enrollment ID: I20071208000126 |
| Provider Name | Robert W Chalmers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114973708 PECOS PAC ID: 0941287817 Enrollment ID: I20071210000621 |
| Provider Name | Todd James Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780877191 PECOS PAC ID: 0941390512 Enrollment ID: I20071219000636 |
| Provider Name | Kimberly Dawn Mcculloch |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154331585 PECOS PAC ID: 6608777909 Enrollment ID: I20080116000136 |
| Provider Name | Jennifer Lynn Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841413820 PECOS PAC ID: 6002998325 Enrollment ID: I20080125000293 |
| Provider Name | Jeremy William Broadhurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114115664 PECOS PAC ID: 0446332761 Enrollment ID: I20080125000315 |
| Provider Name | Michael Wynn Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073582862 PECOS PAC ID: 5991887192 Enrollment ID: I20080128000111 |
| Provider Name | Heather L Heileson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649244252 PECOS PAC ID: 0446332506 Enrollment ID: I20080128000676 |
| Provider Name | Lisa Lloyd Giles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841408309 PECOS PAC ID: 7719069699 Enrollment ID: I20080131000037 |
| Provider Name | Sujata Devi Kaushal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851437321 PECOS PAC ID: 0749384063 Enrollment ID: I20080207000097 |
| Provider Name | Brandi L Bolton Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811176761 PECOS PAC ID: 3375626583 Enrollment ID: I20080212000125 |
| Provider Name | Robin Adair Mountford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720264237 PECOS PAC ID: 0446334049 Enrollment ID: I20080220000619 |
| Provider Name | Bret R Boyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598844839 PECOS PAC ID: 6002990454 Enrollment ID: I20080225000567 |
| Provider Name | Bruce Bennett Reid |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1093757965 PECOS PAC ID: 4688758550 Enrollment ID: I20080303000017 |
| Provider Name | Steven Aaron O Klomp |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588611602 PECOS PAC ID: 3971533258 Enrollment ID: I20080304000010 |
| Provider Name | Mark John Ott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003889262 PECOS PAC ID: 4082799671 Enrollment ID: I20080306000339 |
| Provider Name | Rebecca J Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700818911 PECOS PAC ID: 9537244157 Enrollment ID: I20080306000595 |
| Provider Name | Don Howard Van Boerum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780798033 PECOS PAC ID: 0042225922 Enrollment ID: I20080312000406 |
| Provider Name | William Richard Duehlmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528124732 PECOS PAC ID: 9739264946 Enrollment ID: I20080312000501 |
| Provider Name | Prafulla D Martin Garg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437168721 PECOS PAC ID: 0042395261 Enrollment ID: I20080312000564 |
| Provider Name | Craig R French |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376731083 PECOS PAC ID: 5294810248 Enrollment ID: I20080314000259 |
| Provider Name | John Richard Doty |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1700816667 PECOS PAC ID: 3678658507 Enrollment ID: I20080317000347 |
| Provider Name | Brent D Pitcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881876860 PECOS PAC ID: 2860578721 Enrollment ID: I20080318000765 |
| Provider Name | Kirk Robert Dansie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821273772 PECOS PAC ID: 3779669452 Enrollment ID: I20080320000258 |
| Provider Name | Jeffrey Alan Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225221807 PECOS PAC ID: 8729164413 Enrollment ID: I20080320000320 |
| Provider Name | Natalie K Loewen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891763199 PECOS PAC ID: 6305922741 Enrollment ID: I20080325000493 |
| Provider Name | Linda Marie Venner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508804139 PECOS PAC ID: 8123104338 Enrollment ID: I20080328000605 |
| Provider Name | Matthew M Neddo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215091525 PECOS PAC ID: 1759468564 Enrollment ID: I20080403000275 |
| Provider Name | Dustin Andrew Armstrong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790841849 PECOS PAC ID: 4082791827 Enrollment ID: I20080404000079 |
| Provider Name | Adam Michael Kraft |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154376481 PECOS PAC ID: 2365529971 Enrollment ID: I20080407000670 |
| Provider Name | Jeffrey Edward Piacitelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972659530 PECOS PAC ID: 4082791520 Enrollment ID: I20080408000207 |
| Provider Name | Brent J Bowen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780644054 PECOS PAC ID: 9638257629 Enrollment ID: I20080416000123 |
| Provider Name | Sarah Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124204052 PECOS PAC ID: 9133207046 Enrollment ID: I20080417000386 |
| Provider Name | Brett T Muse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144254350 PECOS PAC ID: 6709977846 Enrollment ID: I20080424000136 |
| Provider Name | Eliotte Hirshberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255502217 PECOS PAC ID: 7810989779 Enrollment ID: I20080428000134 |
| Provider Name | Jody L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801982376 PECOS PAC ID: 8426136631 Enrollment ID: I20080428000618 |
| Provider Name | Erica S Chenoweth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679756373 PECOS PAC ID: 8921186131 Enrollment ID: I20080428000641 |
| Provider Name | Robert Earl Salazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912939828 PECOS PAC ID: 1658450887 Enrollment ID: I20080429000905 |
| Provider Name | Gregory Lowell Gochnour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326118506 PECOS PAC ID: 7618983776 Enrollment ID: I20080505000078 |
| Provider Name | Steven Richard Granger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174670582 PECOS PAC ID: 2062504616 Enrollment ID: I20080508000086 |
| Provider Name | Mark Kringlen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326256314 PECOS PAC ID: 9830278241 Enrollment ID: I20080509000128 |
| Provider Name | Jeff D Pierson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861490609 PECOS PAC ID: 3173692324 Enrollment ID: I20080514000666 |
| Provider Name | Daniel Paul Lupash |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619154135 PECOS PAC ID: 6901975739 Enrollment ID: I20080520000742 |
| Provider Name | Jason P Hansen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285734822 PECOS PAC ID: 9739280348 Enrollment ID: I20080529000090 |
| Provider Name | Kevin D Call |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437352135 PECOS PAC ID: 5193895456 Enrollment ID: I20080529000758 |
| Provider Name | Marc Andrew Steed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558542118 PECOS PAC ID: 3375613003 Enrollment ID: I20080606000055 |
| Provider Name | Laura L Sells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407844046 PECOS PAC ID: 5193895779 Enrollment ID: I20080609000637 |
| Provider Name | Richard Glade Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366462913 PECOS PAC ID: 3779654058 Enrollment ID: I20080613000085 |
| Provider Name | Henry Jackson Baskin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083739270 PECOS PAC ID: 9537266796 Enrollment ID: I20080613000432 |
| Provider Name | Matthew Michael Schellenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386855021 PECOS PAC ID: 0941371173 Enrollment ID: I20080616000770 |
| Provider Name | Michael R Grant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386748986 PECOS PAC ID: 9638160708 Enrollment ID: I20080618000112 |
| Provider Name | Gary Lee Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154330462 PECOS PAC ID: 7719058684 Enrollment ID: I20080619000751 |
| Provider Name | Nordell T Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144234659 PECOS PAC ID: 2163593039 Enrollment ID: I20080619000762 |
| Provider Name | Vikram Garg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760491054 PECOS PAC ID: 7416028386 Enrollment ID: I20080619000770 |
| Provider Name | Nathan Holt Call |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104830884 PECOS PAC ID: 1052482924 Enrollment ID: I20080619000775 |
| Provider Name | Mengjing Huan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447459151 PECOS PAC ID: 1052482817 Enrollment ID: I20080623000097 |
| Provider Name | Tandy Garth Olsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861476921 PECOS PAC ID: 1355413527 Enrollment ID: I20080702000645 |
| Provider Name | Jeffrey Steven Keyser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588674055 PECOS PAC ID: 0143392316 Enrollment ID: I20080702000667 |
| Provider Name | Milton Nathan Starr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750578852 PECOS PAC ID: 4688746852 Enrollment ID: I20080702000672 |
| Provider Name | Kory T Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922137140 PECOS PAC ID: 3375615560 Enrollment ID: I20080703000116 |
| Provider Name | Travis Sharman Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750315966 PECOS PAC ID: 4688746894 Enrollment ID: I20080703000265 |
| Provider Name | David Bruce Winmill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891715439 PECOS PAC ID: 3577635788 Enrollment ID: I20080703000282 |
| Provider Name | Steven Wesley Webster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306033774 PECOS PAC ID: 3173695384 Enrollment ID: I20080703000326 |
| Provider Name | John Dennis Odell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477563864 PECOS PAC ID: 9931271145 Enrollment ID: I20080703000429 |
| Provider Name | Timothy Michael Trask |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003832551 PECOS PAC ID: 7416029368 Enrollment ID: I20080709000429 |
| Provider Name | Kimberly Dawn Megwalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356508857 PECOS PAC ID: 9133292774 Enrollment ID: I20080715000863 |
| Provider Name | Gregory Sharp Daynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972559557 PECOS PAC ID: 0244121077 Enrollment ID: I20080717000253 |
| Provider Name | Mikio Obayashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912923541 PECOS PAC ID: 2466525878 Enrollment ID: I20080717000787 |
| Provider Name | Michael K Visick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225048648 PECOS PAC ID: 5991878134 Enrollment ID: I20080721000459 |
| Provider Name | David Shakespeare Faux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427268366 PECOS PAC ID: 6002989134 Enrollment ID: I20080722000560 |
| Provider Name | Lawrence a Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972521201 PECOS PAC ID: 3971676016 Enrollment ID: I20080722000595 |
| Provider Name | Bradley Scott Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487672713 PECOS PAC ID: 6406929546 Enrollment ID: I20080722000610 |
| Provider Name | Philip Evan Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134142698 PECOS PAC ID: 5496828543 Enrollment ID: I20080722000691 |
| Provider Name | Thomas Kelly Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861410276 PECOS PAC ID: 1557434610 Enrollment ID: I20080722000735 |
| Provider Name | Claude a Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376561688 PECOS PAC ID: 0345313409 Enrollment ID: I20080722000762 |
| Provider Name | Gordon L Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255354718 PECOS PAC ID: 8921171976 Enrollment ID: I20080723000822 |
| Provider Name | Benjamin Ray Stowers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861652539 PECOS PAC ID: 7618040668 Enrollment ID: I20080723000849 |
| Provider Name | William F Gowski |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1275714115 PECOS PAC ID: 3072686054 Enrollment ID: I20080724000209 |
| Provider Name | Jared W Henricksen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396762480 PECOS PAC ID: 4587669981 Enrollment ID: I20080725000300 |
| Provider Name | Jeffrey S Strong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023028438 PECOS PAC ID: 8527130624 Enrollment ID: I20080728000032 |
| Provider Name | Jodi Morstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942488002 PECOS PAC ID: 4284708082 Enrollment ID: I20080728000508 |
| Provider Name | Ulysse G Mccann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700912219 PECOS PAC ID: 2769415009 Enrollment ID: I20080729000145 |
| Provider Name | Jeffrey Mark Huffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760492219 PECOS PAC ID: 0648344143 Enrollment ID: I20080731000735 |
| Provider Name | Yvonne Hsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760495055 PECOS PAC ID: 7911902465 Enrollment ID: I20080801000028 |
| Provider Name | Marcellus Saka Assiago |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235348897 PECOS PAC ID: 2365516812 Enrollment ID: I20080801000371 |
| Provider Name | Daniel C Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669672366 PECOS PAC ID: 2668546821 Enrollment ID: I20080806000194 |
| Provider Name | Russell J Osguthorpe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285656322 PECOS PAC ID: 3274607494 Enrollment ID: I20080806000734 |
| Provider Name | Cara Christina Heuser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568674208 PECOS PAC ID: 0244304277 Enrollment ID: I20080808000270 |
| Provider Name | Shannon L Gullett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669559118 PECOS PAC ID: 9335213255 Enrollment ID: I20080811000211 |
| Provider Name | Kevin Loras Havlik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558315796 PECOS PAC ID: 2466527031 Enrollment ID: I20080815000386 |
| Provider Name | Cynthia Zumbrennen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255362323 PECOS PAC ID: 1254406853 Enrollment ID: I20080815000578 |
| Provider Name | Lam W Thanadabout |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649236316 PECOS PAC ID: 0648204693 Enrollment ID: I20080818000748 |
| Provider Name | Christopher Roach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851565006 PECOS PAC ID: 1254406754 Enrollment ID: I20080819000082 |
| Provider Name | Richard V Matern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851571590 PECOS PAC ID: 2365517786 Enrollment ID: I20080820000336 |
| Provider Name | Lara Lynelle Hardman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659325348 PECOS PAC ID: 4880769124 Enrollment ID: I20080820000563 |
| Provider Name | Mary D Burton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235186511 PECOS PAC ID: 0345315693 Enrollment ID: I20080820000647 |
| Provider Name | Reid B Hales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639117823 PECOS PAC ID: 2163597428 Enrollment ID: I20080820000741 |
| Provider Name | Gregory a Parkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154360691 PECOS PAC ID: 7416022777 Enrollment ID: I20080820000755 |
| Provider Name | Daniel Woods Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083652242 PECOS PAC ID: 7810991775 Enrollment ID: I20080821000043 |
| Provider Name | David C Wang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649491440 PECOS PAC ID: 7416022702 Enrollment ID: I20080821000200 |
| Provider Name | Stacie Ann Carbine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023278728 PECOS PAC ID: 3779658075 Enrollment ID: I20080821000221 |
| Provider Name | Brandon James Ferney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992786115 PECOS PAC ID: 2860583473 Enrollment ID: I20080822000052 |
| Provider Name | Matthew Stephen Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245496397 PECOS PAC ID: 5092880252 Enrollment ID: I20080822000162 |
| Provider Name | Shaun M Petersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497911556 PECOS PAC ID: 8729153804 Enrollment ID: I20080825000489 |
| Provider Name | Shauna Lynn Gagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437206398 PECOS PAC ID: 8224103320 Enrollment ID: I20080826000001 |
| Provider Name | Nedda B Hendler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104863935 PECOS PAC ID: 8123193224 Enrollment ID: I20080826000010 |
| Provider Name | David L Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215193396 PECOS PAC ID: 1355417007 Enrollment ID: I20080904000404 |
| Provider Name | Joel R Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053500736 PECOS PAC ID: 1355417841 Enrollment ID: I20080908000106 |
| Provider Name | Anne M Pendo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356397368 PECOS PAC ID: 1355417726 Enrollment ID: I20080909000249 |
| Provider Name | Shane M Kjar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013932342 PECOS PAC ID: 7517033806 Enrollment ID: I20080911000031 |
| Provider Name | Curtis G Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184761736 PECOS PAC ID: 0941376198 Enrollment ID: I20080911000653 |
| Provider Name | Broc Butler Parson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285857268 PECOS PAC ID: 4486721552 Enrollment ID: I20080916000457 |
| Provider Name | Jed R Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861452542 PECOS PAC ID: 8628145794 Enrollment ID: I20080916000492 |
| Provider Name | James Hellewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669669479 PECOS PAC ID: 3173690179 Enrollment ID: I20080917000128 |
| Provider Name | Allyson Marie Servoss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124282504 PECOS PAC ID: 8224105226 Enrollment ID: I20080917000163 |
| Provider Name | Randy Lee Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063428050 PECOS PAC ID: 0345317384 Enrollment ID: I20080917000545 |
| Provider Name | Corey B Chipman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134316037 PECOS PAC ID: 4880761774 Enrollment ID: I20080918000169 |
| Provider Name | Brady Paul Barker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588863880 PECOS PAC ID: 0749357655 Enrollment ID: I20080918000317 |
| Provider Name | Brad R Larsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063430890 PECOS PAC ID: 0446153381 Enrollment ID: I20080923000584 |
| Provider Name | Hyong T Kim |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427236082 PECOS PAC ID: 3577630086 Enrollment ID: I20080925000419 |
| Provider Name | Steven Courtney Lynch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578677803 PECOS PAC ID: 8921175357 Enrollment ID: I20080925000744 |
| Provider Name | Brian C Lofgran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558518845 PECOS PAC ID: 7618044066 Enrollment ID: I20080926000145 |
| Provider Name | Gladys Meidinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457517369 PECOS PAC ID: 2567530652 Enrollment ID: I20081002000210 |
| Provider Name | Karen Leone Walker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629102553 PECOS PAC ID: 8820166754 Enrollment ID: I20081006000433 |
| Provider Name | David G Horsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750320552 PECOS PAC ID: 8921176744 Enrollment ID: I20081007000497 |
| Provider Name | David R Myntti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518117167 PECOS PAC ID: 8224106802 Enrollment ID: I20081009000302 |
| Provider Name | Richard Wayne Ott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003816927 PECOS PAC ID: 4981772589 Enrollment ID: I20081009000470 |
| Provider Name | Kyle M Hoffmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609039825 PECOS PAC ID: 1052489663 Enrollment ID: I20081009000503 |
| Provider Name | Kathryn Elizabeth Eden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326135922 PECOS PAC ID: 8123120847 Enrollment ID: I20081013000055 |
| Provider Name | Katherine M Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790979268 PECOS PAC ID: 4587732847 Enrollment ID: I20081014000363 |
| Provider Name | Andrea Vicki Lambert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639326119 PECOS PAC ID: 8729146824 Enrollment ID: I20081017000599 |
| Provider Name | Rachel Dresher Gurr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205083763 PECOS PAC ID: 0941108906 Enrollment ID: I20081022000622 |
| Provider Name | Scott D Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982869210 PECOS PAC ID: 5890853550 Enrollment ID: I20081023000824 |
| Provider Name | Paula L Haberman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497765887 PECOS PAC ID: 9931267457 Enrollment ID: I20081027000750 |
| Provider Name | Matthew Butrum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710187133 PECOS PAC ID: 0143388629 Enrollment ID: I20081028000378 |
| Provider Name | Johanna Hendrickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447416516 PECOS PAC ID: 3173682242 Enrollment ID: I20081104000316 |
| Provider Name | Lucinda L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831340389 PECOS PAC ID: 5698834505 Enrollment ID: I20081106000862 |
| Provider Name | Daniel Justet Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902095631 PECOS PAC ID: 7113087503 Enrollment ID: I20081114000389 |
| Provider Name | Amy Stowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649429887 PECOS PAC ID: 4284794587 Enrollment ID: I20081117000366 |
| Provider Name | Kelly L Konopa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033272489 PECOS PAC ID: 3779643010 Enrollment ID: I20081117000689 |
| Provider Name | John Timothy Duffy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376654285 PECOS PAC ID: 5597825836 Enrollment ID: I20081117000690 |
| Provider Name | Jennifer Anne Reynolds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326118274 PECOS PAC ID: 2264431899 Enrollment ID: I20081124000358 |
| Provider Name | Jon B Woozley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801802780 PECOS PAC ID: 7012077894 Enrollment ID: I20081124000598 |
| Provider Name | Patrick V Hewitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750360053 PECOS PAC ID: 4880754670 Enrollment ID: I20081124000732 |
| Provider Name | Bryan Boyd Bushman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831346170 PECOS PAC ID: 0749340305 Enrollment ID: I20081201000035 |
| Provider Name | Paul Bomin Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316951890 PECOS PAC ID: 4587725510 Enrollment ID: I20081209000192 |
| Provider Name | Oliver L Mcpherson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053302786 PECOS PAC ID: 2264594860 Enrollment ID: I20081216000212 |
| Provider Name | Robert B Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720049133 PECOS PAC ID: 9739164674 Enrollment ID: I20081218000373 |
| Provider Name | Lu Ann Jacobs-peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396918462 PECOS PAC ID: 8729140819 Enrollment ID: I20081226000049 |
| Provider Name | Ellen Michelle Arch |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1154411890 PECOS PAC ID: 6002840246 Enrollment ID: I20081229000590 |
| Provider Name | Brooke Hammond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548344492 PECOS PAC ID: 6002983244 Enrollment ID: I20081231000503 |
| Provider Name | Hannele M Laine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083817449 PECOS PAC ID: 5698837474 Enrollment ID: I20090105000235 |
| Provider Name | Lisa D Palmieri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285742874 PECOS PAC ID: 7517020712 Enrollment ID: I20090114000652 |
| Provider Name | Jason Lee Blackham |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1821293242 PECOS PAC ID: 9638262538 Enrollment ID: I20090115000041 |
| Provider Name | Megan Lancaster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174779136 PECOS PAC ID: 0042373177 Enrollment ID: I20090115000114 |
| Provider Name | Casey Scott Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346252152 PECOS PAC ID: 1052474129 Enrollment ID: I20090115000492 |
| Provider Name | Wendy a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245422617 PECOS PAC ID: 9638232655 Enrollment ID: I20090116000103 |
| Provider Name | Heather Anne Mauro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114018934 PECOS PAC ID: 1153485065 Enrollment ID: I20090121000400 |
| Provider Name | Kathryn E Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780795591 PECOS PAC ID: 6507920253 Enrollment ID: I20090126000330 |
| Provider Name | Tavia W Mathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487802914 PECOS PAC ID: 0345304945 Enrollment ID: I20090127000146 |
| Provider Name | Kristen Rae Bolke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467617084 PECOS PAC ID: 2163586793 Enrollment ID: I20090127000436 |
| Provider Name | Michael G Mcmahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477693281 PECOS PAC ID: 1254495377 Enrollment ID: I20090204000196 |
| Provider Name | Joseph Robert Bledsoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760656391 PECOS PAC ID: 0648334748 Enrollment ID: I20090205000046 |
| Provider Name | Owen Bennett Ginocchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568669158 PECOS PAC ID: 9830253814 Enrollment ID: I20090206000100 |
| Provider Name | Jana Beth Murdock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255598652 PECOS PAC ID: 9638234453 Enrollment ID: I20090211000436 |
| Provider Name | Justin D Abbott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184814436 PECOS PAC ID: 5890850523 Enrollment ID: I20090212000712 |
| Provider Name | Julie G Grover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386746659 PECOS PAC ID: 6709941198 Enrollment ID: I20090219000025 |
| Provider Name | Frank Raymond Sharf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457445744 PECOS PAC ID: 0648335042 Enrollment ID: I20090219000099 |
| Provider Name | Christopher S Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306997630 PECOS PAC ID: 0143385476 Enrollment ID: I20090219000417 |
| Provider Name | Elizabeth Mabey Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427108240 PECOS PAC ID: 9436188166 Enrollment ID: I20090219000630 |
| Provider Name | James Langley Orford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902843931 PECOS PAC ID: 1951375880 Enrollment ID: I20090223000248 |
| Provider Name | Amy Janae Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144467010 PECOS PAC ID: 3072679646 Enrollment ID: I20090305000543 |
| Provider Name | William Caine |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1811075278 PECOS PAC ID: 4587645692 Enrollment ID: I20090309000589 |
| Provider Name | Lori Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710910252 PECOS PAC ID: 2466518691 Enrollment ID: I20090312000536 |
| Provider Name | Matthew C Evans |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1043486384 PECOS PAC ID: 0143387290 Enrollment ID: I20090317000622 |
| Provider Name | Neil O Spencer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225032949 PECOS PAC ID: 0547327447 Enrollment ID: I20090320000073 |
| Provider Name | Sara Sue Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720228091 PECOS PAC ID: 7618024845 Enrollment ID: I20090406000091 |
| Provider Name | Glen T Porter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205825973 PECOS PAC ID: 8224127147 Enrollment ID: I20090406000187 |
| Provider Name | Garrett G Chesley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699912394 PECOS PAC ID: 4183781388 Enrollment ID: I20090415000368 |
| Provider Name | Bradley J Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205938958 PECOS PAC ID: 2163570441 Enrollment ID: I20090423000794 |
| Provider Name | Charlene Blood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376675231 PECOS PAC ID: 9739237413 Enrollment ID: I20090507000240 |
| Provider Name | Aaron Pugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306097639 PECOS PAC ID: 2769531201 Enrollment ID: I20090512000653 |
| Provider Name | Joanne M Nam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861583692 PECOS PAC ID: 1850441445 Enrollment ID: I20090602000218 |
| Provider Name | Nathan Cyrus Foote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487720751 PECOS PAC ID: 6608845276 Enrollment ID: I20090608000009 |
| Provider Name | Nathan William Hanson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407048515 PECOS PAC ID: 8820158785 Enrollment ID: I20090608000066 |
| Provider Name | Kelly Ramsay Oneal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053401240 PECOS PAC ID: 8921190505 Enrollment ID: I20090612000271 |
| Provider Name | Troy M Gorman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306032719 PECOS PAC ID: 6103976873 Enrollment ID: I20090618000418 |
| Provider Name | Alison Giavanna Desano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902912611 PECOS PAC ID: 9638220239 Enrollment ID: I20090622000253 |
| Provider Name | Edward Christian Miner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447387386 PECOS PAC ID: 0244131001 Enrollment ID: I20090625000163 |
| Provider Name | Belinda Trieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265616304 PECOS PAC ID: 8325199755 Enrollment ID: I20090625000207 |
| Provider Name | Sarah Wei Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285773218 PECOS PAC ID: 0648321919 Enrollment ID: I20090625000671 |
| Provider Name | Alika M Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356580302 PECOS PAC ID: 6709937964 Enrollment ID: I20090629000235 |
| Provider Name | Matthew Jason Hancey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174737548 PECOS PAC ID: 7810048915 Enrollment ID: I20090701000325 |
| Provider Name | Travis L Dimond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942437918 PECOS PAC ID: 3375694243 Enrollment ID: I20090706000657 |
| Provider Name | Ryan Dennis Wight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609028943 PECOS PAC ID: 1153473897 Enrollment ID: I20090710000299 |
| Provider Name | Peter H Maughan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700066768 PECOS PAC ID: 9133271968 Enrollment ID: I20090713000553 |
| Provider Name | Michael Anthony Pirozzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215109731 PECOS PAC ID: 7911059928 Enrollment ID: I20090722000032 |
| Provider Name | Shayne T Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417135096 PECOS PAC ID: 8022160043 Enrollment ID: I20090722000115 |
| Provider Name | Cabot S Murdock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225024961 PECOS PAC ID: 9638222433 Enrollment ID: I20090727000387 |
| Provider Name | Boyd Neil Cole |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114065893 PECOS PAC ID: 6800949587 Enrollment ID: I20090728000398 |
| Provider Name | Patrice Ferron Hirning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770580078 PECOS PAC ID: 2264585942 Enrollment ID: I20090728000403 |
| Provider Name | Daniel T Robrecht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033258223 PECOS PAC ID: 6608961461 Enrollment ID: I20090803000020 |
| Provider Name | Derrick Haslem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730389701 PECOS PAC ID: 1658424049 Enrollment ID: I20090803000305 |
| Provider Name | Stephen Allen Cruze |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730318445 PECOS PAC ID: 1951454008 Enrollment ID: I20090806000582 |
| Provider Name | Michael Reed Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104093996 PECOS PAC ID: 7214081256 Enrollment ID: I20090811000134 |
| Provider Name | Sara Elizabeth Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033147137 PECOS PAC ID: 3375697212 Enrollment ID: I20090812000406 |
| Provider Name | Daanish Hoda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043308380 PECOS PAC ID: 9234137167 Enrollment ID: I20090812000943 |
| Provider Name | Deidra D Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700020369 PECOS PAC ID: 5799839098 Enrollment ID: I20090820000890 |
| Provider Name | Robert N Bertoldo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275509176 PECOS PAC ID: 3870522485 Enrollment ID: I20090821000578 |
| Provider Name | Peter Crossno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083761936 PECOS PAC ID: 2264586361 Enrollment ID: I20090824000220 |
| Provider Name | Matthew B Sperry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871773168 PECOS PAC ID: 7416001524 Enrollment ID: I20090824000353 |
| Provider Name | Charlotte Cragun Scott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851508972 PECOS PAC ID: 6103971247 Enrollment ID: I20090826000145 |
| Provider Name | Torri D Metz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326185604 PECOS PAC ID: 9436204575 Enrollment ID: I20090826000209 |
| Provider Name | Evan Corlee Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205053063 PECOS PAC ID: 8628123700 Enrollment ID: I20090826000651 |
| Provider Name | Martha S Nightingale |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588617229 PECOS PAC ID: 6305895277 Enrollment ID: I20090826000823 |
| Provider Name | William Beninati |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902880685 PECOS PAC ID: 3678558947 Enrollment ID: I20090902000117 |
| Provider Name | Jack Hojjat Morshedzadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447381447 PECOS PAC ID: 1850446220 Enrollment ID: I20090908000692 |
| Provider Name | Sierra Elizabeth Pardey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982885471 PECOS PAC ID: 6507911815 Enrollment ID: I20090909000494 |
| Provider Name | Jesse N Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629206149 PECOS PAC ID: 9638224975 Enrollment ID: I20090909000780 |
| Provider Name | Ben Peter Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477703338 PECOS PAC ID: 4082760202 Enrollment ID: I20090914000126 |
| Provider Name | Matthew G Whitten |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215058011 PECOS PAC ID: 3173679289 Enrollment ID: I20090915000247 |
| Provider Name | Amy K Wight |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356558407 PECOS PAC ID: 8921154774 Enrollment ID: I20090918000385 |
| Provider Name | Karen Louise Hill Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821050626 PECOS PAC ID: 6103899349 Enrollment ID: I20091013000332 |
| Provider Name | Julianne Stewart Steiner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760412944 PECOS PAC ID: 3476699935 Enrollment ID: I20091014000206 |
| Provider Name | Daniel Ibarra-taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740514892 PECOS PAC ID: 2264579325 Enrollment ID: I20091021000571 |
| Provider Name | Benjamin Grant Larose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568690188 PECOS PAC ID: 1850438730 Enrollment ID: I20091026000522 |
| Provider Name | Gregory R Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649275439 PECOS PAC ID: 6901897255 Enrollment ID: I20091026000624 |
| Provider Name | Don Neer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104972819 PECOS PAC ID: 3870695489 Enrollment ID: I20091029000288 |
| Provider Name | Jana Foley Parker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619187416 PECOS PAC ID: 9335286046 Enrollment ID: I20091029000402 |
| Provider Name | Rene C Hunter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255443883 PECOS PAC ID: 9335287853 Enrollment ID: I20091103000510 |
| Provider Name | Sarah Marie Nelson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881826287 PECOS PAC ID: 3870631278 Enrollment ID: I20091104000623 |
| Provider Name | Jodi L Parker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548594666 PECOS PAC ID: 0244378602 Enrollment ID: I20091105000387 |
| Provider Name | Gary David Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306022603 PECOS PAC ID: 0941348296 Enrollment ID: I20091106000527 |
| Provider Name | Robert Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285723114 PECOS PAC ID: 4486626033 Enrollment ID: I20091109000212 |
| Provider Name | Patrick Boyd Shepherd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164757100 PECOS PAC ID: 6204974405 Enrollment ID: I20091109000416 |
| Provider Name | Yvonne Fuellenbach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063645554 PECOS PAC ID: 1759429475 Enrollment ID: I20091117000307 |
| Provider Name | Paula a Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902883721 PECOS PAC ID: 2668511957 Enrollment ID: I20091130000067 |
| Provider Name | Myung Hoon Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518121771 PECOS PAC ID: 4183787559 Enrollment ID: I20091208000099 |
| Provider Name | Tamara Stein Jensen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669631826 PECOS PAC ID: 2961541719 Enrollment ID: I20091208000288 |
| Provider Name | Shari L Combe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700911906 PECOS PAC ID: 3072652791 Enrollment ID: I20091209000143 |
| Provider Name | Massimo Testa |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1699751008 PECOS PAC ID: 7719934264 Enrollment ID: I20091210000596 |
| Provider Name | Carlos a Guerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891772612 PECOS PAC ID: 6608916135 Enrollment ID: I20091215000121 |
| Provider Name | Seth a Spanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780629568 PECOS PAC ID: 7416953187 Enrollment ID: I20091215000700 |
| Provider Name | Celia a Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891979563 PECOS PAC ID: 1456491604 Enrollment ID: I20091218000130 |
| Provider Name | Nancy Elizabeth Gundersen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609080720 PECOS PAC ID: 8628162609 Enrollment ID: I20091231000481 |
| Provider Name | Richard W Potts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689695116 PECOS PAC ID: 8527109966 Enrollment ID: I20100107000719 |
| Provider Name | Liena M Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629210646 PECOS PAC ID: 3678614765 Enrollment ID: I20100112000316 |
| Provider Name | Bradford Kelly Matthews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063523959 PECOS PAC ID: 9931240033 Enrollment ID: I20100112000405 |
| Provider Name | Michael Devin Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003092842 PECOS PAC ID: 0749321842 Enrollment ID: I20100112000412 |
| Provider Name | William J Conover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316044381 PECOS PAC ID: 5092858621 Enrollment ID: I20100204000741 |
| Provider Name | Robert P Smilanich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730187600 PECOS PAC ID: 4486684222 Enrollment ID: I20100212000112 |
| Provider Name | Charles B Numbers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437207016 PECOS PAC ID: 4789728734 Enrollment ID: I20100215000588 |
| Provider Name | David George Dienhart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184601940 PECOS PAC ID: 4183768849 Enrollment ID: I20100218000213 |
| Provider Name | Tracy Anderson-dawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609104629 PECOS PAC ID: 5395889752 Enrollment ID: I20100223000439 |
| Provider Name | Dan J Daley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700806890 PECOS PAC ID: 2668517764 Enrollment ID: I20100301000398 |
| Provider Name | Sunny Pandita |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023095809 PECOS PAC ID: 4284779158 Enrollment ID: I20100303000301 |
| Provider Name | Patricia Landon Nelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629051206 PECOS PAC ID: 9234274150 Enrollment ID: I20100303000781 |
| Provider Name | Sara J Pieper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134159106 PECOS PAC ID: 8426193202 Enrollment ID: I20100304000285 |
| Provider Name | Judith a Harding |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538180062 PECOS PAC ID: 2567507387 Enrollment ID: I20100304000646 |
| Provider Name | Margaret Lee Clarke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851621098 PECOS PAC ID: 2466597810 Enrollment ID: I20100310000028 |
| Provider Name | Zaneta Bulaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598869026 PECOS PAC ID: 7416082789 Enrollment ID: I20100312000201 |
| Provider Name | Ekaete Sunday Udodong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083676647 PECOS PAC ID: 5799810479 Enrollment ID: I20100319000487 |
| Provider Name | Jane C Bowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073621611 PECOS PAC ID: 5092842427 Enrollment ID: I20100416000224 |
| Provider Name | Michael B Jolley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114197159 PECOS PAC ID: 5294862470 Enrollment ID: I20100420000449 |
| Provider Name | John Jacob Murdock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891786968 PECOS PAC ID: 2466521299 Enrollment ID: I20100427000563 |
| Provider Name | Amy Ruth Hawks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396958369 PECOS PAC ID: 4981732542 Enrollment ID: I20100503000623 |
| Provider Name | John C Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158128 PECOS PAC ID: 4284762543 Enrollment ID: I20100506000359 |
| Provider Name | Richard John Spence |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649234022 PECOS PAC ID: 0547171282 Enrollment ID: I20100510000221 |
| Provider Name | Kim M Corbin Lewis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750403523 PECOS PAC ID: 8224166285 Enrollment ID: I20100512000485 |
| Provider Name | Ashley L Iwasaki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356675797 PECOS PAC ID: 6204965791 Enrollment ID: I20100520001064 |
| Provider Name | D Scott Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134141351 PECOS PAC ID: 4587793997 Enrollment ID: I20100524000451 |
| Provider Name | Cathleen M Obray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225191539 PECOS PAC ID: 6103917331 Enrollment ID: I20100524000795 |
| Provider Name | Donna Lucille Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861721086 PECOS PAC ID: 0143359901 Enrollment ID: I20100603000876 |
| Provider Name | Robert Eugene Nakken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033244207 PECOS PAC ID: 2163552563 Enrollment ID: I20100610001211 |
| Provider Name | Steve Clifford Newman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033244215 PECOS PAC ID: 4981734381 Enrollment ID: I20100610001213 |
| Provider Name | Roy Neal Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760691166 PECOS PAC ID: 0446312151 Enrollment ID: I20100614000045 |
| Provider Name | Brad Melvin Goates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396942785 PECOS PAC ID: 9032286620 Enrollment ID: I20100628000228 |
| Provider Name | Aaron Newey Weaver |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750594222 PECOS PAC ID: 7911038021 Enrollment ID: I20100706000103 |
| Provider Name | Cheryl a Torghele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962416727 PECOS PAC ID: 2668504614 Enrollment ID: I20100709000741 |
| Provider Name | Deanna L Bojanower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780886945 PECOS PAC ID: 9638201569 Enrollment ID: I20100713000240 |
| Provider Name | Lisa Stout |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548263213 PECOS PAC ID: 5294776944 Enrollment ID: I20100715000991 |
| Provider Name | Andy Nguyen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033362694 PECOS PAC ID: 1355474347 Enrollment ID: I20100727001059 |
| Provider Name | Ernest F Baldwin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215978234 PECOS PAC ID: 3072660406 Enrollment ID: I20100729000923 |
| Provider Name | Chad Carman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427129535 PECOS PAC ID: 2567491533 Enrollment ID: I20100802000885 |
| Provider Name | Mark R Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417987587 PECOS PAC ID: 8820121148 Enrollment ID: I20100806000022 |
| Provider Name | Jason Franklin Hamula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043247588 PECOS PAC ID: 2466585781 Enrollment ID: I20100806000028 |
| Provider Name | Hal C Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538193933 PECOS PAC ID: 6002949336 Enrollment ID: I20100806000044 |
| Provider Name | Julie Ann Goudie Nice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346568318 PECOS PAC ID: 7517091424 Enrollment ID: I20100813000909 |
| Provider Name | Annette I Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871821496 PECOS PAC ID: 4486788197 Enrollment ID: I20100817001038 |
| Provider Name | David Francom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497953384 PECOS PAC ID: 7810021201 Enrollment ID: I20100820000691 |
| Provider Name | David W Guidry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912116674 PECOS PAC ID: 7618091653 Enrollment ID: I20100827000899 |
| Provider Name | Matthew Steinfeldt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730413295 PECOS PAC ID: 6901920958 Enrollment ID: I20100828000055 |
| Provider Name | Michael David Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962607911 PECOS PAC ID: 8628143005 Enrollment ID: I20100830000850 |
| Provider Name | Shani Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700104445 PECOS PAC ID: 0749304442 Enrollment ID: I20100902000103 |
| Provider Name | Richard Romero Patilano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417157876 PECOS PAC ID: 8022133438 Enrollment ID: I20100908000960 |
| Provider Name | Joseph Edward Hansler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093979601 PECOS PAC ID: 1052436326 Enrollment ID: I20100910000492 |
| Provider Name | Jeffrey S Twitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922031780 PECOS PAC ID: 5890810907 Enrollment ID: I20100913001179 |
| Provider Name | Scott E Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164402897 PECOS PAC ID: 8921919663 Enrollment ID: I20100914001105 |
| Provider Name | Andrew G Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033111810 PECOS PAC ID: 8820022924 Enrollment ID: I20100915000684 |
| Provider Name | Pegah Christine Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114239563 PECOS PAC ID: 9830214758 Enrollment ID: I20100916000078 |
| Provider Name | Paul Ballard Clayton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538318951 PECOS PAC ID: 0446375372 Enrollment ID: I20100916000243 |
| Provider Name | Steven Richard Towner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063446490 PECOS PAC ID: 3173648656 Enrollment ID: I20100921001011 |
| Provider Name | Nicole F Langston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669696241 PECOS PAC ID: 9739203175 Enrollment ID: I20100922000961 |
| Provider Name | Theophilus Ekpong Owan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982682647 PECOS PAC ID: 3375456312 Enrollment ID: I20100922001007 |
| Provider Name | Robert Lawrence Silge |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902080237 PECOS PAC ID: 6002932498 Enrollment ID: I20100922001061 |
| Provider Name | Jason Smythe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831361963 PECOS PAC ID: 5294889762 Enrollment ID: I20100922001259 |
| Provider Name | Denitza P Blagev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871728469 PECOS PAC ID: 0547312688 Enrollment ID: I20100924001052 |
| Provider Name | Michael Sebastian Galindo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861417057 PECOS PAC ID: 1355386749 Enrollment ID: I20100925000079 |
| Provider Name | Jessika Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922259449 PECOS PAC ID: 1052437951 Enrollment ID: I20100928001723 |
| Provider Name | Denise J Boudreaux Nippert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497862031 PECOS PAC ID: 8729084546 Enrollment ID: I20100929001665 |
| Provider Name | Benjamin Newell Voorhies |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417193228 PECOS PAC ID: 4082806211 Enrollment ID: I20101006001149 |
| Provider Name | Loandra Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023332335 PECOS PAC ID: 9335331297 Enrollment ID: I20101011000350 |
| Provider Name | Matthew Mainord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912194150 PECOS PAC ID: 8123164316 Enrollment ID: I20101011000733 |
| Provider Name | Marie Yeh Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437343316 PECOS PAC ID: 0749472538 Enrollment ID: I20101012000887 |
| Provider Name | Danielle Mercedes Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699957886 PECOS PAC ID: 7719179506 Enrollment ID: I20101012000932 |
| Provider Name | Howard Colman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437258498 PECOS PAC ID: 4183740418 Enrollment ID: I20101013000193 |
| Provider Name | Travis J Bilanzich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336331958 PECOS PAC ID: 7113119751 Enrollment ID: I20101014000243 |
| Provider Name | Kimberly Ann Pettit |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093789299 PECOS PAC ID: 9638362114 Enrollment ID: I20101015000860 |
| Provider Name | Robert Maxwell Stirling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295049971 PECOS PAC ID: 2668665837 Enrollment ID: I20101020000488 |
| Provider Name | Benjamin James Widmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871760439 PECOS PAC ID: 6002009297 Enrollment ID: I20101020000684 |
| Provider Name | Tiffany Quinn Rees |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336450691 PECOS PAC ID: 2567655467 Enrollment ID: I20101025000171 |
| Provider Name | Rusty a Moore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205813474 PECOS PAC ID: 6709866577 Enrollment ID: I20101025000186 |
| Provider Name | John Milton Nichols |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114906252 PECOS PAC ID: 9133312960 Enrollment ID: I20101025000656 |
| Provider Name | Marcia Lynn Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275510265 PECOS PAC ID: 2466645106 Enrollment ID: I20101026000643 |
| Provider Name | Aaron Craig Turgoose |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689719445 PECOS PAC ID: 2961696448 Enrollment ID: I20101028000734 |
| Provider Name | Brooke Elizabeth Drollinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538497524 PECOS PAC ID: 2264626464 Enrollment ID: I20101102000301 |
| Provider Name | Daniel G Eldredge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427211325 PECOS PAC ID: 0042404089 Enrollment ID: I20101103000660 |
| Provider Name | Jared Todd Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710115837 PECOS PAC ID: 4688868516 Enrollment ID: I20101104000311 |
| Provider Name | Alexander Lawrence Ramirez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215060413 PECOS PAC ID: 2163505595 Enrollment ID: I20101104001252 |
| Provider Name | Mathew Richard Tempest |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427020221 PECOS PAC ID: 4183818859 Enrollment ID: I20101105000387 |
| Provider Name | Anna M Maslach Hubbard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548385743 PECOS PAC ID: 1254526833 Enrollment ID: I20101109000401 |
| Provider Name | Scott Roy Barton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235108861 PECOS PAC ID: 0941335830 Enrollment ID: I20101110000188 |
| Provider Name | Brad D Tanner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831407147 PECOS PAC ID: 5496940355 Enrollment ID: I20101117000803 |
| Provider Name | Mark Hansen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689646507 PECOS PAC ID: 7911193990 Enrollment ID: I20101202000672 |
| Provider Name | Tawnya Lynn Bowles |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1679554141 PECOS PAC ID: 7810948189 Enrollment ID: I20101202001234 |
| Provider Name | Brian Andrew Bushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952610743 PECOS PAC ID: 9830386648 Enrollment ID: I20101206001008 |
| Provider Name | Robert Eugene Hoesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295889699 PECOS PAC ID: 4688741929 Enrollment ID: I20101207001241 |
| Provider Name | Mark W Corry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033347158 PECOS PAC ID: 5698962801 Enrollment ID: I20101213001199 |
| Provider Name | Lynsey Jean Drew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194953216 PECOS PAC ID: 2769679976 Enrollment ID: I20101213001217 |
| Provider Name | Haley M Summerhays |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275842783 PECOS PAC ID: 6709074693 Enrollment ID: I20101220000145 |
| Provider Name | Ryan Slater |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346478476 PECOS PAC ID: 7214125830 Enrollment ID: I20101227000456 |
| Provider Name | Stewart William West |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518968387 PECOS PAC ID: 8123011251 Enrollment ID: I20101227000474 |
| Provider Name | Elizabeth Louise Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831490598 PECOS PAC ID: 4789872227 Enrollment ID: I20101227000855 |
| Provider Name | Eric Randy Robinson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265639223 PECOS PAC ID: 3577751916 Enrollment ID: I20101229000309 |
| Provider Name | Jon Leroy Pertab |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215239348 PECOS PAC ID: 5698964260 Enrollment ID: I20110112001036 |
| Provider Name | Carol Ann Graff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174826697 PECOS PAC ID: 3173712544 Enrollment ID: I20110117000154 |
| Provider Name | Kyle J Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831290790 PECOS PAC ID: 4587660584 Enrollment ID: I20110118000806 |
| Provider Name | Mahmoud Al Dandashi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780832915 PECOS PAC ID: 3779772017 Enrollment ID: I20110118000878 |
| Provider Name | Phillip K Downing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255653101 PECOS PAC ID: 9032398375 Enrollment ID: I20110119000679 |
| Provider Name | Micheal S Dawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376853036 PECOS PAC ID: 2466631429 Enrollment ID: I20110121000991 |
| Provider Name | Benjamin D Nordby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972765402 PECOS PAC ID: 2769661412 Enrollment ID: I20110126001013 |
| Provider Name | Shad Outsen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487815536 PECOS PAC ID: 0749469401 Enrollment ID: I20110126001033 |
| Provider Name | Jeremy R Hadley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093943078 PECOS PAC ID: 2062691454 Enrollment ID: I20110201000682 |
| Provider Name | Jaron Thaddaeus Abbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053565978 PECOS PAC ID: 9931389202 Enrollment ID: I20110204000080 |
| Provider Name | Mick Joseph Hardman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912201898 PECOS PAC ID: 3173703329 Enrollment ID: I20110207000070 |
| Provider Name | Robin Jacqueline Dale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053537928 PECOS PAC ID: 8123208923 Enrollment ID: I20110211000061 |
| Provider Name | Lucinda J Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700894375 PECOS PAC ID: 1052591740 Enrollment ID: I20110214000076 |
| Provider Name | Cynthia Susan Cannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700894383 PECOS PAC ID: 3375723075 Enrollment ID: I20110214000247 |
| Provider Name | Charles Darrell Katz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922091230 PECOS PAC ID: 0345374948 Enrollment ID: I20110221000835 |
| Provider Name | Breawn Rizzuto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023313020 PECOS PAC ID: 0941481717 Enrollment ID: I20110228000087 |
| Provider Name | J Cameron Kesler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225189020 PECOS PAC ID: 9931254059 Enrollment ID: I20110228000852 |
| Provider Name | Jeremy Ronald Rinard |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861637225 PECOS PAC ID: 1759415490 Enrollment ID: I20110302000465 |
| Provider Name | Troy M Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336101633 PECOS PAC ID: 2860674041 Enrollment ID: I20110309000383 |
| Provider Name | James L Hoffman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760687974 PECOS PAC ID: 2769666320 Enrollment ID: I20110406000787 |
| Provider Name | Leslie Hardin Rassner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427022938 PECOS PAC ID: 4880878198 Enrollment ID: I20110412000293 |
| Provider Name | Kimberly W Barrus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790879625 PECOS PAC ID: 8022292283 Enrollment ID: I20110412001012 |
| Provider Name | David Shane Pendley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548217896 PECOS PAC ID: 5698788677 Enrollment ID: I20110413000957 |
| Provider Name | Monica Patricia Moreno Daza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669679379 PECOS PAC ID: 7012196421 Enrollment ID: I20110415000213 |
| Provider Name | Richard Mccurry Patten |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134307499 PECOS PAC ID: 8820272701 Enrollment ID: I20110419000081 |
| Provider Name | Lex K Grimley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164728960 PECOS PAC ID: 3375728835 Enrollment ID: I20110427000034 |
| Provider Name | Clint Larsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861656332 PECOS PAC ID: 8921283177 Enrollment ID: I20110503000409 |
| Provider Name | Shawn Michael Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720126154 PECOS PAC ID: 9335245877 Enrollment ID: I20110503000740 |
| Provider Name | Megan Emily Ohara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932264066 PECOS PAC ID: 9739239690 Enrollment ID: I20110505000825 |
| Provider Name | Kary E Woodruff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407166556 PECOS PAC ID: 6901082767 Enrollment ID: I20110512000774 |
| Provider Name | Paula Bradley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932366887 PECOS PAC ID: 0749466407 Enrollment ID: I20110512000872 |
| Provider Name | Michele Marie Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437455482 PECOS PAC ID: 5193626695 Enrollment ID: I20110516000614 |
| Provider Name | Jodi M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740583863 PECOS PAC ID: 8527244748 Enrollment ID: I20110523000655 |
| Provider Name | Larry Creed Ford |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144434788 PECOS PAC ID: 7012193287 Enrollment ID: I20110524000390 |
| Provider Name | Jeffrey L Mccann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528210085 PECOS PAC ID: 2466639463 Enrollment ID: I20110531000179 |
| Provider Name | Charlie Ed Brunson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780639500 PECOS PAC ID: 3779563655 Enrollment ID: I20110608000015 |
| Provider Name | Joseph Daniel Ferguson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588773204 PECOS PAC ID: 4486705233 Enrollment ID: I20110615000249 |
| Provider Name | Jared R Young |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346230745 PECOS PAC ID: 0547447203 Enrollment ID: I20110616000781 |
| Provider Name | Ryan R Horning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497752372 PECOS PAC ID: 7517145766 Enrollment ID: I20110617000297 |
| Provider Name | Nathan Alma Allred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386889236 PECOS PAC ID: 9436337185 Enrollment ID: I20110628000188 |
| Provider Name | Michael J Lanspa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275740078 PECOS PAC ID: 0840389169 Enrollment ID: I20110629000056 |
| Provider Name | Ethan Lowell Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386876761 PECOS PAC ID: 0648458240 Enrollment ID: I20110630000353 |
| Provider Name | Alicia Cosette Brunner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689814352 PECOS PAC ID: 2961680467 Enrollment ID: I20110706000040 |
| Provider Name | Jaime David Luna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790094357 PECOS PAC ID: 0244418655 Enrollment ID: I20110706000261 |
| Provider Name | Steven Eugene Nickman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669459301 PECOS PAC ID: 5698953008 Enrollment ID: I20110706000283 |
| Provider Name | Chesley Ellen Wells |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316191174 PECOS PAC ID: 3971771833 Enrollment ID: I20110719000829 |
| Provider Name | Russell Steven Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548407513 PECOS PAC ID: 6103094008 Enrollment ID: I20110720000404 |
| Provider Name | Lyle Matthew Berry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871730036 PECOS PAC ID: 7618145525 Enrollment ID: I20110720000567 |
| Provider Name | Michelle Regruto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811140882 PECOS PAC ID: 2860660784 Enrollment ID: I20110720000619 |
| Provider Name | Darcie Reasoner Gorman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063637353 PECOS PAC ID: 9739357666 Enrollment ID: I20110720000789 |
| Provider Name | Ryan Wells Arnold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730394131 PECOS PAC ID: 2567630098 Enrollment ID: I20110727000445 |
| Provider Name | Benjamin Hollis James Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689860850 PECOS PAC ID: 2264592484 Enrollment ID: I20110728000275 |
| Provider Name | Trisha Rafferty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720215478 PECOS PAC ID: 9638348600 Enrollment ID: I20110808000698 |
| Provider Name | Douglas S Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992726509 PECOS PAC ID: 9133252455 Enrollment ID: I20110809000887 |
| Provider Name | Casey C Bachison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235349820 PECOS PAC ID: 4587833496 Enrollment ID: I20110810000635 |
| Provider Name | Allison Lara Triplitt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588853600 PECOS PAC ID: 3173792835 Enrollment ID: I20110815000244 |
| Provider Name | Kevin a Walker |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427235001 PECOS PAC ID: 6800065475 Enrollment ID: I20110816000773 |
| Provider Name | William Burton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447410444 PECOS PAC ID: 6709056195 Enrollment ID: I20110822000302 |
| Provider Name | Holly Elaine Timmons Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932366820 PECOS PAC ID: 8729258157 Enrollment ID: I20110823000319 |
| Provider Name | Kimberly Dee Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114113677 PECOS PAC ID: 2264602580 Enrollment ID: I20110824000442 |
| Provider Name | Susan E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295044170 PECOS PAC ID: 9133399017 Enrollment ID: I20110901000328 |
| Provider Name | Todd Ryan Grunander |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336396340 PECOS PAC ID: 9234309964 Enrollment ID: I20110907000860 |
| Provider Name | Jill Suzanne Sweney |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316150329 PECOS PAC ID: 6305016080 Enrollment ID: I20110907001421 |
| Provider Name | Nicole Lorraine Erkelens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568756393 PECOS PAC ID: 9335319011 Enrollment ID: I20110907001482 |
| Provider Name | Travis Scott Mickelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831364249 PECOS PAC ID: 3870763568 Enrollment ID: I20110907001509 |
| Provider Name | David Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336102979 PECOS PAC ID: 5496711772 Enrollment ID: I20110912000567 |
| Provider Name | Shane Darrell Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588831861 PECOS PAC ID: 8426112343 Enrollment ID: I20110920000013 |
| Provider Name | Franz Medina Monroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134373582 PECOS PAC ID: 8921279977 Enrollment ID: I20110922000547 |
| Provider Name | Joseph Trent Merrill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881758985 PECOS PAC ID: 6608068655 Enrollment ID: I20110923000105 |
| Provider Name | Ritesh Dhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144310939 PECOS PAC ID: 4183623077 Enrollment ID: I20110923000123 |
| Provider Name | David Matthew Fedor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568571461 PECOS PAC ID: 9830281591 Enrollment ID: I20110927000265 |
| Provider Name | Katherine Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831236314 PECOS PAC ID: 5193909190 Enrollment ID: I20110928000379 |
| Provider Name | Sarah Dawn Majercik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609873595 PECOS PAC ID: 9234199035 Enrollment ID: I20110928000459 |
| Provider Name | Ben W Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154512937 PECOS PAC ID: 0941472559 Enrollment ID: I20111004000193 |
| Provider Name | Wyatt Jonathan West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730497108 PECOS PAC ID: 3577735984 Enrollment ID: I20111007000026 |
| Provider Name | Scott Rex Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982913679 PECOS PAC ID: 1052583465 Enrollment ID: I20111007000116 |
| Provider Name | Ashley W Kernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346558517 PECOS PAC ID: 1951573377 Enrollment ID: I20111007000138 |
| Provider Name | Frank J Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447412135 PECOS PAC ID: 5698947752 Enrollment ID: I20111013000554 |
| Provider Name | Laurel Adella Fedor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245442086 PECOS PAC ID: 8628262375 Enrollment ID: I20111018000235 |
| Provider Name | Jamie Lynn Rebman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033145339 PECOS PAC ID: 7719940345 Enrollment ID: I20111026000333 |
| Provider Name | Alyson Elaine Edmunds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306043682 PECOS PAC ID: 7517090186 Enrollment ID: I20111027000426 |
| Provider Name | Cynthia J Lawlor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396999868 PECOS PAC ID: 3870766090 Enrollment ID: I20111103000904 |
| Provider Name | Tiffany Riley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477834067 PECOS PAC ID: 2769655802 Enrollment ID: I20111104000401 |
| Provider Name | Mary Catherine Schindeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639406705 PECOS PAC ID: 8325181738 Enrollment ID: I20111110000457 |
| Provider Name | Amy B Arriola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447534169 PECOS PAC ID: 8224202130 Enrollment ID: I20111110000476 |
| Provider Name | Isaac R Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548586431 PECOS PAC ID: 7416122890 Enrollment ID: I20111213000959 |
| Provider Name | Sarah Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578889465 PECOS PAC ID: 9436324852 Enrollment ID: I20111214000367 |
| Provider Name | Stephen Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841516747 PECOS PAC ID: 8921273236 Enrollment ID: I20111215000524 |
| Provider Name | Jason R Savoldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528170750 PECOS PAC ID: 4284600107 Enrollment ID: I20111221000551 |
| Provider Name | Lori E Passey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982984555 PECOS PAC ID: 7719153774 Enrollment ID: I20111222000430 |
| Provider Name | Sarah Heaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013297142 PECOS PAC ID: 7911173521 Enrollment ID: I20120103000763 |
| Provider Name | Amanda Michael Donohue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750587143 PECOS PAC ID: 2062688542 Enrollment ID: I20120104000850 |
| Provider Name | Samuel Isaac Inouye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700102696 PECOS PAC ID: 5294901708 Enrollment ID: I20120105000270 |
| Provider Name | Nathan Nielson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659697555 PECOS PAC ID: 2769658988 Enrollment ID: I20120110000153 |
| Provider Name | Christin a Van Dine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558641597 PECOS PAC ID: 7719154764 Enrollment ID: I20120117000218 |
| Provider Name | Matthew Kirk Money |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326115403 PECOS PAC ID: 6406801265 Enrollment ID: I20120119000623 |
| Provider Name | Mary Gretchen Mooers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609823889 PECOS PAC ID: 1456518455 Enrollment ID: I20120202000471 |
| Provider Name | Ronna G Schrenk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538439864 PECOS PAC ID: 9133386881 Enrollment ID: I20120207000855 |
| Provider Name | Tyson John Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497039523 PECOS PAC ID: 7810154374 Enrollment ID: I20120210000521 |
| Provider Name | Colton Jeff Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831472679 PECOS PAC ID: 2961660386 Enrollment ID: I20120214000862 |
| Provider Name | Aaron Paxman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295003051 PECOS PAC ID: 3476711854 Enrollment ID: I20120215000539 |
| Provider Name | Spencer L Davenport |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649553835 PECOS PAC ID: 4385802081 Enrollment ID: I20120227000816 |
| Provider Name | Jason Lindsay Hansen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225294853 PECOS PAC ID: 5890953509 Enrollment ID: I20120228000011 |
| Provider Name | Todd a Hamblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093092678 PECOS PAC ID: 5890954283 Enrollment ID: I20120305000002 |
| Provider Name | Sarah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992082556 PECOS PAC ID: 0244499135 Enrollment ID: I20120313000484 |
| Provider Name | Jonathan Stewart Allan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619244977 PECOS PAC ID: 7911166798 Enrollment ID: I20120314000519 |
| Provider Name | Stephanie Iglesias Merrill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861699324 PECOS PAC ID: 0042368607 Enrollment ID: I20120315000745 |
| Provider Name | Stephen Jones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578617601 PECOS PAC ID: 6507924495 Enrollment ID: I20120319000791 |
| Provider Name | Joseph Lyman Keate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780817676 PECOS PAC ID: 4587824958 Enrollment ID: I20120321000614 |
| Provider Name | Traci Alice Lindenau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528193802 PECOS PAC ID: 6608946850 Enrollment ID: I20120323000588 |
| Provider Name | Vinodhini Kolandavelu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801163464 PECOS PAC ID: 0244490407 Enrollment ID: I20120326000253 |
| Provider Name | Jeffrey D Snedaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447524137 PECOS PAC ID: 5698936987 Enrollment ID: I20120412000782 |
| Provider Name | Mark K Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871859223 PECOS PAC ID: 1153582028 Enrollment ID: I20120420000092 |
| Provider Name | Virginia Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346513181 PECOS PAC ID: 6305007162 Enrollment ID: I20120423000330 |
| Provider Name | David Allen Bradshaw |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104897800 PECOS PAC ID: 2668635434 Enrollment ID: I20120516000018 |
| Provider Name | Douglas Kent Worthington |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467460246 PECOS PAC ID: 6103829585 Enrollment ID: I20120523000636 |
| Provider Name | Jacob Willis Corry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427211788 PECOS PAC ID: 3476716440 Enrollment ID: I20120531000673 |
| Provider Name | Chelsi Eliza Hollingshead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629289699 PECOS PAC ID: 2466615455 Enrollment ID: I20120601000254 |
| Provider Name | Ryan G Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235387218 PECOS PAC ID: 0143484071 Enrollment ID: I20120605000767 |
| Provider Name | Jennifer Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083925408 PECOS PAC ID: 6507020369 Enrollment ID: I20120607000620 |
| Provider Name | Ron Kenneth Lord |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790991107 PECOS PAC ID: 8426182189 Enrollment ID: I20120613000021 |
| Provider Name | Robert Edward Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801091939 PECOS PAC ID: 5193878023 Enrollment ID: I20120619000049 |
| Provider Name | Joseph Kent Erbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902003247 PECOS PAC ID: 9032373345 Enrollment ID: I20120619000087 |
| Provider Name | Matthew Stephen Mciff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437358280 PECOS PAC ID: 0244386654 Enrollment ID: I20120619000159 |
| Provider Name | Lori Neeleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992000145 PECOS PAC ID: 6709041452 Enrollment ID: I20120629000486 |
| Provider Name | Darin Kimball Allred |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538377585 PECOS PAC ID: 4385707116 Enrollment ID: I20120705000530 |
| Provider Name | Erik Paul Gulbrandsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477822955 PECOS PAC ID: 2163687559 Enrollment ID: I20120710000650 |
| Provider Name | Andrew L Cobabe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104119106 PECOS PAC ID: 3870759061 Enrollment ID: I20120716000059 |
| Provider Name | Howard Kael Christianson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982870283 PECOS PAC ID: 1355472267 Enrollment ID: I20120717000000 |
| Provider Name | Mark Ebert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609901610 PECOS PAC ID: 7214193127 Enrollment ID: I20120720000594 |
| Provider Name | Cori L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518132216 PECOS PAC ID: 5597921163 Enrollment ID: I20120725001125 |
| Provider Name | Heath Aaron Cobb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730322405 PECOS PAC ID: 8224294632 Enrollment ID: I20120730000041 |
| Provider Name | Sarah Janice Beesley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841420817 PECOS PAC ID: 3779739925 Enrollment ID: I20120803000587 |
| Provider Name | Jaron H Mcmullin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659525640 PECOS PAC ID: 7113173386 Enrollment ID: I20120804000043 |
| Provider Name | Tyson a Cluff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023253754 PECOS PAC ID: 6507012408 Enrollment ID: I20120808000876 |
| Provider Name | Cynthia C Lodding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346456688 PECOS PAC ID: 3577615343 Enrollment ID: I20120809000437 |
| Provider Name | Brandon B Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063675171 PECOS PAC ID: 8325294085 Enrollment ID: I20120813000062 |
| Provider Name | Cathie Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124166582 PECOS PAC ID: 1658527379 Enrollment ID: I20120813000746 |
| Provider Name | Adam Gary Bergeson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992970180 PECOS PAC ID: 0547447047 Enrollment ID: I20120814000095 |
| Provider Name | David Allan Joos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346465119 PECOS PAC ID: 7214108646 Enrollment ID: I20120814000181 |
| Provider Name | James D Osborn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235364902 PECOS PAC ID: 2961658406 Enrollment ID: I20120815000758 |
| Provider Name | Theodore Hyunsub Moon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568438455 PECOS PAC ID: 9335241587 Enrollment ID: I20120817000114 |
| Provider Name | Richard C. Tebbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053677245 PECOS PAC ID: 2163679317 Enrollment ID: I20120823000640 |
| Provider Name | Aaron Eckhauser |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083761951 PECOS PAC ID: 3476700535 Enrollment ID: I20120823000845 |
| Provider Name | Ryan Bruce Empey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154589505 PECOS PAC ID: 9032366901 Enrollment ID: I20120828000674 |
| Provider Name | Paul B Mendenhall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396011490 PECOS PAC ID: 1456517309 Enrollment ID: I20120829000900 |
| Provider Name | Elizabeth Ann Demille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245501501 PECOS PAC ID: 0345497004 Enrollment ID: I20120831000138 |
| Provider Name | Daniel Douglas Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184984320 PECOS PAC ID: 3476700949 Enrollment ID: I20120906000280 |
| Provider Name | Jeffrey Von Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033370291 PECOS PAC ID: 0840448387 Enrollment ID: I20120907000218 |
| Provider Name | David E Skarda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356398010 PECOS PAC ID: 9436115391 Enrollment ID: I20120907000462 |
| Provider Name | Stephen Hugh Mckellar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407821846 PECOS PAC ID: 0648232132 Enrollment ID: I20120910000750 |
| Provider Name | Rafe C Connors |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497954416 PECOS PAC ID: 2365568763 Enrollment ID: I20120912000073 |
| Provider Name | Traci L Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659643385 PECOS PAC ID: 8224286406 Enrollment ID: I20120912000808 |
| Provider Name | Nathan C Littlefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568747707 PECOS PAC ID: 5799933982 Enrollment ID: I20120912000895 |
| Provider Name | Kandice Rose Nielson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720252513 PECOS PAC ID: 0648428664 Enrollment ID: I20120918000124 |
| Provider Name | Kyle Michael Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902059157 PECOS PAC ID: 3375791106 Enrollment ID: I20120919000584 |
| Provider Name | Erica L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932355468 PECOS PAC ID: 2264680008 Enrollment ID: I20120919000614 |
| Provider Name | Matthew Collin Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588960405 PECOS PAC ID: 9436307287 Enrollment ID: I20120919000738 |
| Provider Name | Kirt Erik Cundick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629395181 PECOS PAC ID: 2062660764 Enrollment ID: I20120921000721 |
| Provider Name | Phillip E Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265686281 PECOS PAC ID: 7315195948 Enrollment ID: I20120924000427 |
| Provider Name | Imran Mohammad Raja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649424409 PECOS PAC ID: 1850549486 Enrollment ID: I20120924000447 |
| Provider Name | Matt N Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780811075 PECOS PAC ID: 4486802014 Enrollment ID: I20120924000464 |
| Provider Name | Landon Kimball Preece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063701654 PECOS PAC ID: 4587813951 Enrollment ID: I20120927000835 |
| Provider Name | Mary-marie Austin Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770872319 PECOS PAC ID: 2961651211 Enrollment ID: I20121002000770 |
| Provider Name | Jeffrey Lynn Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528026978 PECOS PAC ID: 3375557762 Enrollment ID: I20121003000563 |
| Provider Name | Dirk Lance Slade |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1164564860 PECOS PAC ID: 0345315834 Enrollment ID: I20121003000863 |
| Provider Name | Grant Kirton Hunter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972776342 PECOS PAC ID: 2062661150 Enrollment ID: I20121004000762 |
| Provider Name | George Mackey Cannon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376593020 PECOS PAC ID: 4284795048 Enrollment ID: I20121004000848 |
| Provider Name | Kevin C Gilbert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407055833 PECOS PAC ID: 2365691466 Enrollment ID: I20121004000859 |
| Provider Name | Daniel Kip Sperry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700165578 PECOS PAC ID: 1254580350 Enrollment ID: I20121004000873 |
| Provider Name | Jonathan Mark Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154600922 PECOS PAC ID: 3072762178 Enrollment ID: I20121004000876 |
| Provider Name | Daniel James Flanagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982983755 PECOS PAC ID: 6709035801 Enrollment ID: I20121004000879 |
| Provider Name | Brett Samuel Wallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457557613 PECOS PAC ID: 9032303409 Enrollment ID: I20121011000752 |
| Provider Name | Adam C Gardner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598013625 PECOS PAC ID: 6406005149 Enrollment ID: I20121012000499 |
| Provider Name | Kurtis D Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013150218 PECOS PAC ID: 7214103514 Enrollment ID: I20121015000569 |
| Provider Name | Adam Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740536374 PECOS PAC ID: 8325298078 Enrollment ID: I20121016000154 |
| Provider Name | Scott Alexander Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659357093 PECOS PAC ID: 6204091226 Enrollment ID: I20121016000174 |
| Provider Name | Jeffrey Kimball Bigelow |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1790962587 PECOS PAC ID: 8325218001 Enrollment ID: I20121016000256 |
| Provider Name | Elizabeth Ann Kelly |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851587653 PECOS PAC ID: 7517136146 Enrollment ID: I20121016000280 |
| Provider Name | Arleen Marie Barrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386667541 PECOS PAC ID: 3971753336 Enrollment ID: I20121019000183 |
| Provider Name | John Robert Hyngstrom |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780832469 PECOS PAC ID: 7517159114 Enrollment ID: I20121019000693 |
| Provider Name | James W Moyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730436890 PECOS PAC ID: 2062662471 Enrollment ID: I20121020000032 |
| Provider Name | Robin L Houpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285843607 PECOS PAC ID: 2567553050 Enrollment ID: I20121023000004 |
| Provider Name | Wendy Kay Cotting |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750585485 PECOS PAC ID: 0840440087 Enrollment ID: I20121024000004 |
| Provider Name | Scott Gilbert Newbold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033393806 PECOS PAC ID: 6709036908 Enrollment ID: I20121024000716 |
| Provider Name | Bryant Mark Whiting |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760687388 PECOS PAC ID: 8022268952 Enrollment ID: I20121030000299 |
| Provider Name | Ute Gawlick |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1356634976 PECOS PAC ID: 5698925568 Enrollment ID: I20121031000136 |
| Provider Name | Brent Cameron Dawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548566276 PECOS PAC ID: 3173706918 Enrollment ID: I20121031000153 |
| Provider Name | Carlie a Yearsley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215285614 PECOS PAC ID: 2961652797 Enrollment ID: I20121101000135 |
| Provider Name | Lance Dustin Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578852174 PECOS PAC ID: 8022268879 Enrollment ID: I20121101000282 |
| Provider Name | Deborah Miyung Chun-moon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760553663 PECOS PAC ID: 0648337618 Enrollment ID: I20121102000457 |
| Provider Name | Tanya Edwards Christensen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467561613 PECOS PAC ID: 7012068885 Enrollment ID: I20121107000048 |
| Provider Name | Thomas Louis Lombardi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063611986 PECOS PAC ID: 0547411126 Enrollment ID: I20121107000324 |
| Provider Name | Kurt a Hales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811952617 PECOS PAC ID: 8224008834 Enrollment ID: I20121109000347 |
| Provider Name | Melissa Bossard Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164770764 PECOS PAC ID: 6709037054 Enrollment ID: I20121113000708 |
| Provider Name | Bryce L Ferguson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700094380 PECOS PAC ID: 9234283326 Enrollment ID: I20121114000147 |
| Provider Name | Erin Kimball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790034916 PECOS PAC ID: 2264683143 Enrollment ID: I20121127000711 |
| Provider Name | Ryan B Rigby |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356505259 PECOS PAC ID: 3870751639 Enrollment ID: I20121128000099 |
| Provider Name | Gigi T Whaley-pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679820401 PECOS PAC ID: 1052563947 Enrollment ID: I20121128000141 |
| Provider Name | Lynn Marie Mulvihill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619179140 PECOS PAC ID: 2567545171 Enrollment ID: I20121218000395 |
| Provider Name | Lia Ana Chebeleu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174727739 PECOS PAC ID: 1254583313 Enrollment ID: I20121218000534 |
| Provider Name | Heather Rae Van Loon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992052336 PECOS PAC ID: 7012169055 Enrollment ID: I20121220000177 |
| Provider Name | Cody B Nielson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609127885 PECOS PAC ID: 3072766005 Enrollment ID: I20121226000363 |
| Provider Name | Daniel Knox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821259144 PECOS PAC ID: 4183877079 Enrollment ID: I20121228000163 |
| Provider Name | Alec Thomas Eror |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497720569 PECOS PAC ID: 3870619331 Enrollment ID: I20130109000693 |
| Provider Name | William Bentley Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043450760 PECOS PAC ID: 3274786538 Enrollment ID: I20130117000111 |
| Provider Name | Christopher R Gordon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922232867 PECOS PAC ID: 9830342088 Enrollment ID: I20130121000150 |
| Provider Name | Jared Thomas Thorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093065385 PECOS PAC ID: 6002069135 Enrollment ID: I20130123000266 |
| Provider Name | Nanette M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518218023 PECOS PAC ID: 0042464042 Enrollment ID: I20130128000501 |
| Provider Name | Lana Ngoc Pho |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013160548 PECOS PAC ID: 3779737101 Enrollment ID: I20130211000581 |
| Provider Name | Jeffrey Dwayne Riekhof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336484740 PECOS PAC ID: 4587818927 Enrollment ID: I20130212000112 |
| Provider Name | Kavon S Rahimzadegan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366793622 PECOS PAC ID: 9931353380 Enrollment ID: I20130212000186 |
| Provider Name | Wade Butaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679703094 PECOS PAC ID: 7012195258 Enrollment ID: I20130219000225 |
| Provider Name | Timothy Christian Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306070222 PECOS PAC ID: 6901051127 Enrollment ID: I20130219000250 |
| Provider Name | Amy Elizabeth Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013260694 PECOS PAC ID: 8325293046 Enrollment ID: I20130304000328 |
| Provider Name | Rebecca Sue Klotzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528303351 PECOS PAC ID: 1951556679 Enrollment ID: I20130304000337 |
| Provider Name | Samer a Saleh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205931037 PECOS PAC ID: 5496753287 Enrollment ID: I20130306000525 |
| Provider Name | Shane Leininger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285988865 PECOS PAC ID: 7810140852 Enrollment ID: I20130307000149 |
| Provider Name | Kelleen Gayle Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1205191483 PECOS PAC ID: 3274788781 Enrollment ID: I20130308000083 |
| Provider Name | Monica L Hatch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336493709 PECOS PAC ID: 6204081524 Enrollment ID: I20130312000324 |
| Provider Name | Rebecca Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245229483 PECOS PAC ID: 3274778378 Enrollment ID: I20130320000332 |
| Provider Name | Karen Y Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437361185 PECOS PAC ID: 6305974528 Enrollment ID: I20130321000355 |
| Provider Name | Emily Susann Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215254529 PECOS PAC ID: 5890982201 Enrollment ID: I20130327000429 |
| Provider Name | Travis Brent Brinkerhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235473307 PECOS PAC ID: 2860637675 Enrollment ID: I20130327000475 |
| Provider Name | Marilee Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235480799 PECOS PAC ID: 5496990137 Enrollment ID: I20130328000296 |
| Provider Name | Cindy M Duke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518151331 PECOS PAC ID: 7911046479 Enrollment ID: I20130402000414 |
| Provider Name | Virginia Homewood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003072216 PECOS PAC ID: 0648416842 Enrollment ID: I20130412000448 |
| Provider Name | Shade Atkinson Williams IV |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164665220 PECOS PAC ID: 7618113499 Enrollment ID: I20130424000191 |
| Provider Name | Tyler H Haberle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952620304 PECOS PAC ID: 6800040049 Enrollment ID: I20130424000250 |
| Provider Name | Jennifer Smyth Curti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134497282 PECOS PAC ID: 1254591944 Enrollment ID: I20130424000834 |
| Provider Name | Bryce Paul Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598002602 PECOS PAC ID: 9739325275 Enrollment ID: I20130429000331 |
| Provider Name | Casey Aaron Armstrong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972815421 PECOS PAC ID: 3173769668 Enrollment ID: I20130430000178 |
| Provider Name | Jennika L Mcpeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851627640 PECOS PAC ID: 0244477446 Enrollment ID: I20130507000539 |
| Provider Name | Blake Isaac Gardner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134301997 PECOS PAC ID: 0840322954 Enrollment ID: I20130514000448 |
| Provider Name | Kyle E Gubler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770880130 PECOS PAC ID: 5294972931 Enrollment ID: I20130516000321 |
| Provider Name | Jody L Wixom |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144455833 PECOS PAC ID: 2163669813 Enrollment ID: I20130516000464 |
| Provider Name | Kenneth L Seely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083730725 PECOS PAC ID: 3476791989 Enrollment ID: I20130522000494 |
| Provider Name | Brian L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033354717 PECOS PAC ID: 6901044247 Enrollment ID: I20130529000251 |
| Provider Name | Kelly Mabey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285924753 PECOS PAC ID: 3678711876 Enrollment ID: I20130529000916 |
| Provider Name | Garry R Holbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013165802 PECOS PAC ID: 7113165275 Enrollment ID: I20130530000746 |
| Provider Name | Gregory D. Rowan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376854067 PECOS PAC ID: 2365680105 Enrollment ID: I20130606000045 |
| Provider Name | Zachary R Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134372584 PECOS PAC ID: 4688860422 Enrollment ID: I20130613000078 |
| Provider Name | Spencer Norman Ashton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063678514 PECOS PAC ID: 1254501885 Enrollment ID: I20130617000255 |
| Provider Name | Sara L Cicmanec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891011375 PECOS PAC ID: 6002055456 Enrollment ID: I20130617000333 |
| Provider Name | John L Clayton |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326231937 PECOS PAC ID: 7012156045 Enrollment ID: I20130622000126 |
| Provider Name | Timothy Yazzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639218662 PECOS PAC ID: 1456448026 Enrollment ID: I20130625000339 |
| Provider Name | Lincoln D Nadauld |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548414097 PECOS PAC ID: 4486804614 Enrollment ID: I20130626000345 |
| Provider Name | Ben V Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083984512 PECOS PAC ID: 1850557463 Enrollment ID: I20130627000173 |
| Provider Name | Tyler Bickel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861717837 PECOS PAC ID: 0446499230 Enrollment ID: I20130627000465 |
| Provider Name | Aaron Spencer Brockbank |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568510626 PECOS PAC ID: 2769529064 Enrollment ID: I20130628000162 |
| Provider Name | Tiina Miaja Thorley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336481274 PECOS PAC ID: 5294975819 Enrollment ID: I20130702000626 |
| Provider Name | Leslie Kate Rasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962784504 PECOS PAC ID: 7810137437 Enrollment ID: I20130702000639 |
| Provider Name | Hayley Dawn Mollard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770929036 PECOS PAC ID: 9436399060 Enrollment ID: I20130702000776 |
| Provider Name | Dominic a Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265766026 PECOS PAC ID: 4183801335 Enrollment ID: I20130710000269 |
| Provider Name | John Christian Capener |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750355624 PECOS PAC ID: 3173763307 Enrollment ID: I20130710000828 |
| Provider Name | Faiz Ahmed Shakir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447391131 PECOS PAC ID: 7315091121 Enrollment ID: I20130711000021 |
| Provider Name | Scott Marc Robins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346495678 PECOS PAC ID: 4183878663 Enrollment ID: I20130712000004 |
| Provider Name | Marcus D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336377472 PECOS PAC ID: 5799925699 Enrollment ID: I20130716000780 |
| Provider Name | John B Sutherland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932387198 PECOS PAC ID: 1456591361 Enrollment ID: I20130716000880 |
| Provider Name | Samuel S Blake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518194687 PECOS PAC ID: 5991961997 Enrollment ID: I20130717000591 |
| Provider Name | Amelia K Parrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508008905 PECOS PAC ID: 6800036781 Enrollment ID: I20130717000893 |
| Provider Name | Rhett Foster Crapo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720309578 PECOS PAC ID: 0840445177 Enrollment ID: I20130718000246 |
| Provider Name | Mark Ryan Mawhinney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306090261 PECOS PAC ID: 3476794389 Enrollment ID: I20130718000435 |
| Provider Name | Christopher Magnin Shale |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962478636 PECOS PAC ID: 9436212834 Enrollment ID: I20130724000375 |
| Provider Name | Gary Patrick Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518271097 PECOS PAC ID: 6305087826 Enrollment ID: I20130725000946 |
| Provider Name | Jonathan B Swenson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740456680 PECOS PAC ID: 7012171390 Enrollment ID: I20130727000044 |
| Provider Name | Natalie M Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407294424 PECOS PAC ID: 8325289739 Enrollment ID: I20130729000042 |
| Provider Name | Chad a Spain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093039521 PECOS PAC ID: 0941441166 Enrollment ID: I20130730000558 |
| Provider Name | Stacia Lynn Moyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760616775 PECOS PAC ID: 1850538117 Enrollment ID: I20130731000201 |
| Provider Name | Bilal Aijaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205957198 PECOS PAC ID: 4688749062 Enrollment ID: I20130731000236 |
| Provider Name | Richard Brennan Blackham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043470990 PECOS PAC ID: 9739338039 Enrollment ID: I20130731000475 |
| Provider Name | Armond Maurice Lapine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457331365 PECOS PAC ID: 3173514668 Enrollment ID: I20130731000565 |
| Provider Name | Jeffery T Hirschi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639308745 PECOS PAC ID: 7315189230 Enrollment ID: I20130806000338 |
| Provider Name | William J Yavelak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659491181 PECOS PAC ID: 5496934598 Enrollment ID: I20130806000546 |
| Provider Name | Kortni L Unger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851617716 PECOS PAC ID: 0648412429 Enrollment ID: I20130807000211 |
| Provider Name | Jonathan Reed Burnett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790006237 PECOS PAC ID: 0648412437 Enrollment ID: I20130807000228 |
| Provider Name | Zachary Allen Allred |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538393319 PECOS PAC ID: 3173765963 Enrollment ID: I20130807000253 |
| Provider Name | Brandon Barney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194961789 PECOS PAC ID: 1355496621 Enrollment ID: I20130807000726 |
| Provider Name | Catherine J. Bakewell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336151786 PECOS PAC ID: 9638253826 Enrollment ID: I20130807000911 |
| Provider Name | Todd Andrew Bigatel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043388325 PECOS PAC ID: 5395927180 Enrollment ID: I20130808000623 |
| Provider Name | Trevor J Squire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992978753 PECOS PAC ID: 0244472835 Enrollment ID: I20130812000070 |
| Provider Name | James R Purin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659598993 PECOS PAC ID: 0941442537 Enrollment ID: I20130812000100 |
| Provider Name | Laurie Melissa Centeno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093088445 PECOS PAC ID: 3072777614 Enrollment ID: I20130812000208 |
| Provider Name | Diane M Vroenen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093899924 PECOS PAC ID: 7911149521 Enrollment ID: I20130812000264 |
| Provider Name | Mark T Nary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861704397 PECOS PAC ID: 9032351556 Enrollment ID: I20130813000795 |
| Provider Name | Daralee Kjar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154641959 PECOS PAC ID: 8820270804 Enrollment ID: I20130813000986 |
| Provider Name | Roger T Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295713444 PECOS PAC ID: 7618164278 Enrollment ID: I20130819000094 |
| Provider Name | David S Aamodt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619928140 PECOS PAC ID: 3274592019 Enrollment ID: I20130819000113 |
| Provider Name | Devan L Millard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891015210 PECOS PAC ID: 2961653753 Enrollment ID: I20130820000823 |
| Provider Name | Jessica a Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972830768 PECOS PAC ID: 5799928842 Enrollment ID: I20130821000731 |
| Provider Name | Takiko M May |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952338121 PECOS PAC ID: 4688664592 Enrollment ID: I20130823001075 |
| Provider Name | Carina H Lesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114364197 PECOS PAC ID: 6103069992 Enrollment ID: I20130826001096 |
| Provider Name | Brett R Dille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407296809 PECOS PAC ID: 4385887181 Enrollment ID: I20130827000107 |
| Provider Name | John Alexander Manos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285864413 PECOS PAC ID: 3274783196 Enrollment ID: I20130828000632 |
| Provider Name | Jennifer Anne Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083055347 PECOS PAC ID: 5890938476 Enrollment ID: I20130829000488 |
| Provider Name | Lindsey Kaye German |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427497296 PECOS PAC ID: 0840433447 Enrollment ID: I20130829000686 |
| Provider Name | James L Stayner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992021471 PECOS PAC ID: 4688817109 Enrollment ID: I20130903000520 |
| Provider Name | Pamela Austin Royer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114161262 PECOS PAC ID: 5698912228 Enrollment ID: I20130904000168 |
| Provider Name | Nathan George Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568663425 PECOS PAC ID: 6305093618 Enrollment ID: I20130906000354 |
| Provider Name | Deneen Marie Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871662957 PECOS PAC ID: 3577692797 Enrollment ID: I20130906000501 |
| Provider Name | Bradly James Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841508025 PECOS PAC ID: 9335383389 Enrollment ID: I20130913000284 |
| Provider Name | Julie Dunford Pond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972780476 PECOS PAC ID: 4880838432 Enrollment ID: I20130920000312 |
| Provider Name | Thomas M Denhalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871594002 PECOS PAC ID: 1052338522 Enrollment ID: I20130923000153 |
| Provider Name | Mark Wesley Dassel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538333794 PECOS PAC ID: 4183801772 Enrollment ID: I20130925000973 |
| Provider Name | Parley Albert Williams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871737403 PECOS PAC ID: 8325282676 Enrollment ID: I20130926000538 |
| Provider Name | Kristen D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376733196 PECOS PAC ID: 6103060488 Enrollment ID: I20130926000836 |
| Provider Name | Ashley C Byno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467588442 PECOS PAC ID: 1355474529 Enrollment ID: I20130927000376 |
| Provider Name | Mark Paul Hoth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083925606 PECOS PAC ID: 7214161553 Enrollment ID: I20130927000716 |
| Provider Name | Denise Nina Lash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922332113 PECOS PAC ID: 3476691312 Enrollment ID: I20131001000152 |
| Provider Name | Leigh Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427497502 PECOS PAC ID: 5991939001 Enrollment ID: I20131003000207 |
| Provider Name | Lindsay Helena Wilson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396068342 PECOS PAC ID: 8224262910 Enrollment ID: I20131011001352 |
| Provider Name | Sheila Ann Taysom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255674651 PECOS PAC ID: 5890929319 Enrollment ID: I20131015002238 |
| Provider Name | David K Bailly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851505069 PECOS PAC ID: 8820222375 Enrollment ID: I20131016000859 |
| Provider Name | Park Weed Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083907679 PECOS PAC ID: 7416193131 Enrollment ID: I20131021001987 |
| Provider Name | Adam Alexander Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902239478 PECOS PAC ID: 5597990648 Enrollment ID: I20131028001204 |
| Provider Name | Alan H Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699781666 PECOS PAC ID: 7416182415 Enrollment ID: I20131029001141 |
| Provider Name | Jamie Nielsen Treseder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043427495 PECOS PAC ID: 1254422462 Enrollment ID: I20131030001298 |
| Provider Name | Benjamin Thomas Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932469459 PECOS PAC ID: 1254566961 Enrollment ID: I20131106000304 |
| Provider Name | James Scott Scoville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265799308 PECOS PAC ID: 7113153503 Enrollment ID: I20131113000255 |
| Provider Name | Emily a Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952695991 PECOS PAC ID: 1557597986 Enrollment ID: I20131113001330 |
| Provider Name | Todd M Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255537429 PECOS PAC ID: 9830371327 Enrollment ID: I20131122000879 |
| Provider Name | Daniel S Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902161482 PECOS PAC ID: 0547496333 Enrollment ID: I20131127000745 |
| Provider Name | David Corwin Griffin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790998789 PECOS PAC ID: 6103052915 Enrollment ID: I20131127001449 |
| Provider Name | Scott Bayles Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811257462 PECOS PAC ID: 6103053707 Enrollment ID: I20131205000534 |
| Provider Name | Maria Lynn Kinmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619201951 PECOS PAC ID: 6709013337 Enrollment ID: I20131205001369 |
| Provider Name | David Russell Warnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699035113 PECOS PAC ID: 1254568801 Enrollment ID: I20131205001933 |
| Provider Name | Carl Richard Ahroon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417185372 PECOS PAC ID: 4284888793 Enrollment ID: I20131212001572 |
| Provider Name | Randall T Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831459361 PECOS PAC ID: 6709013956 Enrollment ID: I20131212001861 |
| Provider Name | Saphu Pradhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215170709 PECOS PAC ID: 3577716166 Enrollment ID: I20131216001875 |
| Provider Name | Joanna L Tierney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801996384 PECOS PAC ID: 8325034630 Enrollment ID: I20131231001516 |
| Provider Name | Michael Jon Vreeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295176410 PECOS PAC ID: 2769610484 Enrollment ID: I20140102000052 |
| Provider Name | Anna E Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467888636 PECOS PAC ID: 3173751328 Enrollment ID: I20140114001440 |
| Provider Name | Lindsay Mccauley Leither |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285878256 PECOS PAC ID: 2365670494 Enrollment ID: I20140116000929 |
| Provider Name | Richard W Hurst |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437389301 PECOS PAC ID: 3678606787 Enrollment ID: I20140116001658 |
| Provider Name | Brandon Jon Bonewell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114242591 PECOS PAC ID: 0749418762 Enrollment ID: I20140120000116 |
| Provider Name | Andrew Chilberg Judd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104186758 PECOS PAC ID: 2567690589 Enrollment ID: I20140120000119 |
| Provider Name | Nicholas Paul Wittwer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013341965 PECOS PAC ID: 7911136361 Enrollment ID: I20140204001725 |
| Provider Name | Sarah F Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093004954 PECOS PAC ID: 2860621265 Enrollment ID: I20140205001494 |
| Provider Name | Sheryl Lee Despiegelaere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080438 PECOS PAC ID: 1456580711 Enrollment ID: I20140206001777 |
| Provider Name | Jeff Wayne Muhlestein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760822563 PECOS PAC ID: 3577792746 Enrollment ID: I20140210001677 |
| Provider Name | Piper Elizabeth Richey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427357029 PECOS PAC ID: 5395974489 Enrollment ID: I20140213000564 |
| Provider Name | Matthew J Denhalter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154597193 PECOS PAC ID: 0244460756 Enrollment ID: I20140303000561 |
| Provider Name | Phillip Marshall Brough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508126111 PECOS PAC ID: 6406086933 Enrollment ID: I20140303001204 |
| Provider Name | Mary Lee Jorgensen Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538592142 PECOS PAC ID: 7810127164 Enrollment ID: I20140305001936 |
| Provider Name | Lindsay E Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750628004 PECOS PAC ID: 1254561574 Enrollment ID: I20140306002160 |
| Provider Name | Saima Husain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427237007 PECOS PAC ID: 0345403473 Enrollment ID: I20140310001825 |
| Provider Name | Bryan William Lundberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619398021 PECOS PAC ID: 3173753233 Enrollment ID: I20140311001533 |
| Provider Name | Elizabeth Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508010174 PECOS PAC ID: 1850521931 Enrollment ID: I20140312000112 |
| Provider Name | Jennifer Beyer Jenkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891125100 PECOS PAC ID: 6204066756 Enrollment ID: I20140312001244 |
| Provider Name | Katalin Krivian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285649954 PECOS PAC ID: 4688814643 Enrollment ID: I20140314001405 |
| Provider Name | Jan Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124449285 PECOS PAC ID: 7113158981 Enrollment ID: I20140319001143 |
| Provider Name | Sabine Koepf-shakib |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417248873 PECOS PAC ID: 7113158874 Enrollment ID: I20140321000035 |
| Provider Name | Spencer Tell Naser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760747240 PECOS PAC ID: 8123259553 Enrollment ID: I20140327000581 |
| Provider Name | Steven Paul Aird |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982831236 PECOS PAC ID: 7517198856 Enrollment ID: I20140328002079 |
| Provider Name | Roger a Paulman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760404974 PECOS PAC ID: 7618977679 Enrollment ID: I20140408001454 |
| Provider Name | Michael James Cutler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417025628 PECOS PAC ID: 0244239382 Enrollment ID: I20140411000043 |
| Provider Name | Brenda Lee Sheehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912949082 PECOS PAC ID: 3274431838 Enrollment ID: I20140414001711 |
| Provider Name | Bridget Erin Penick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922338698 PECOS PAC ID: 9436315363 Enrollment ID: I20140417001269 |
| Provider Name | Edgar Kemp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194876805 PECOS PAC ID: 9537256813 Enrollment ID: I20140417001872 |
| Provider Name | Teresa Ann Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982025961 PECOS PAC ID: 7618100520 Enrollment ID: I20140430000908 |
| Provider Name | Tyler K Sorensen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447550975 PECOS PAC ID: 7315170115 Enrollment ID: I20140501001548 |
| Provider Name | Haley J Pledger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942444633 PECOS PAC ID: 6204069941 Enrollment ID: I20140502000708 |
| Provider Name | Petronella Agnes Adomako |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225131287 PECOS PAC ID: 7315983467 Enrollment ID: I20140505001630 |
| Provider Name | Bret Barney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609886639 PECOS PAC ID: 4880877240 Enrollment ID: I20140506000478 |
| Provider Name | Nazaneen Pack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649691551 PECOS PAC ID: 4688897994 Enrollment ID: I20140513002213 |
| Provider Name | Tyler J Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598180838 PECOS PAC ID: 9335362672 Enrollment ID: I20140514000989 |
| Provider Name | Marcus K Blackburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598919409 PECOS PAC ID: 8628291812 Enrollment ID: I20140515000313 |
| Provider Name | Vidya M Raj Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528184538 PECOS PAC ID: 2961653647 Enrollment ID: I20140519001626 |
| Provider Name | Ricky Lane Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588892954 PECOS PAC ID: 4082882782 Enrollment ID: I20140520000502 |
| Provider Name | Haley Cody Rowland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063689800 PECOS PAC ID: 5890948731 Enrollment ID: I20140520000816 |
| Provider Name | Charles Jacob Von Bose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770712283 PECOS PAC ID: 5597910232 Enrollment ID: I20140523000239 |
| Provider Name | Nicholas Jon Larsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194997288 PECOS PAC ID: 2769618636 Enrollment ID: I20140523001475 |
| Provider Name | Barbora Dvorakova Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093014425 PECOS PAC ID: 0749403558 Enrollment ID: I20140523001682 |
| Provider Name | Steven Reed Forsey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053691246 PECOS PAC ID: 0547483273 Enrollment ID: I20140527000379 |
| Provider Name | Bradley Arthur Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376838326 PECOS PAC ID: 7315160033 Enrollment ID: I20140528001065 |
| Provider Name | Michael David Morgan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659507747 PECOS PAC ID: 4981836780 Enrollment ID: I20140528002301 |
| Provider Name | Eric Glissmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245490424 PECOS PAC ID: 7517180995 Enrollment ID: I20140604000170 |
| Provider Name | Ralph Jensen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750351029 PECOS PAC ID: 7810167012 Enrollment ID: I20140604001365 |
| Provider Name | Rebecca Stohel Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790915924 PECOS PAC ID: 9133343585 Enrollment ID: I20140605000519 |
| Provider Name | Chad Barrett Kawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962654681 PECOS PAC ID: 6305060773 Enrollment ID: I20140605001216 |
| Provider Name | Kendell Michelle Cannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194016600 PECOS PAC ID: 9234361163 Enrollment ID: I20140606001676 |
| Provider Name | Gabriela Motyckova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326174004 PECOS PAC ID: 0547438426 Enrollment ID: I20140609000473 |
| Provider Name | Tyler James D'hulst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386876530 PECOS PAC ID: 0042434227 Enrollment ID: I20140609001303 |
| Provider Name | Elisabeth Ferlic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114185634 PECOS PAC ID: 4587702881 Enrollment ID: I20140610001672 |
| Provider Name | David Glodowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669762068 PECOS PAC ID: 5799909867 Enrollment ID: I20140610002332 |
| Provider Name | Jesse Charles Washburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861789356 PECOS PAC ID: 7618191743 Enrollment ID: I20140611002304 |
| Provider Name | Cort Dale Mccaughey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598081325 PECOS PAC ID: 1456592195 Enrollment ID: I20140612002261 |
| Provider Name | William Daines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205072394 PECOS PAC ID: 3476721457 Enrollment ID: I20140617000830 |
| Provider Name | Dan Dan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326043472 PECOS PAC ID: 0143275438 Enrollment ID: I20140618001936 |
| Provider Name | Susana Auhangamea Kinikini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578763389 PECOS PAC ID: 2163646837 Enrollment ID: I20140619001503 |
| Provider Name | Joan Denise Miles |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1376764282 PECOS PAC ID: 4486819281 Enrollment ID: I20140620001141 |
| Provider Name | Melissa Lynne Devries |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306136353 PECOS PAC ID: 5890919443 Enrollment ID: I20140621000031 |
| Provider Name | Cassandra D Foss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851603195 PECOS PAC ID: 7517181183 Enrollment ID: I20140623000736 |
| Provider Name | Sarah Heatherington Zarek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245404391 PECOS PAC ID: 8325164148 Enrollment ID: I20140624000520 |
| Provider Name | Michael Austin Healey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659577674 PECOS PAC ID: 4587808506 Enrollment ID: I20140625002473 |
| Provider Name | Bryant Errol Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255626503 PECOS PAC ID: 7517112063 Enrollment ID: I20140626000698 |
| Provider Name | David Thomas Cowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720429491 PECOS PAC ID: 0143445577 Enrollment ID: I20140627000676 |
| Provider Name | Logan Gary Foltz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730490640 PECOS PAC ID: 5092967430 Enrollment ID: I20140627001182 |
| Provider Name | Neeta Hiren Vyas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629310222 PECOS PAC ID: 9436374808 Enrollment ID: I20140627001805 |
| Provider Name | Sheldon Bryan Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144516402 PECOS PAC ID: 9830314152 Enrollment ID: I20140630001440 |
| Provider Name | Alexandra Elisabeth Sundberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376833988 PECOS PAC ID: 2163647488 Enrollment ID: I20140630001600 |
| Provider Name | David Lloyd Orme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750516472 PECOS PAC ID: 9931365285 Enrollment ID: I20140707001047 |
| Provider Name | Mark Harold Stouffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316131790 PECOS PAC ID: 0840432605 Enrollment ID: I20140707001440 |
| Provider Name | Berkeley Graham Bate |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891969713 PECOS PAC ID: 7810136330 Enrollment ID: I20140708002542 |
| Provider Name | Eric Glen Eliason |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760692602 PECOS PAC ID: 7618092909 Enrollment ID: I20140709000604 |
| Provider Name | Kamal Tottempudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376834804 PECOS PAC ID: 6002054426 Enrollment ID: I20140711002246 |
| Provider Name | Danica Anne Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881020030 PECOS PAC ID: 3072738749 Enrollment ID: I20140714001600 |
| Provider Name | Bart Steven Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760788160 PECOS PAC ID: 5991920530 Enrollment ID: I20140715001767 |
| Provider Name | Jennifer Kate Workman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144474768 PECOS PAC ID: 5597995878 Enrollment ID: I20140715002655 |
| Provider Name | Chari D Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437458221 PECOS PAC ID: 3870726193 Enrollment ID: I20140716001252 |
| Provider Name | Jed B Vandenberghe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922011576 PECOS PAC ID: 2769608389 Enrollment ID: I20140716002728 |
| Provider Name | Sandra a Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205059458 PECOS PAC ID: 4284850611 Enrollment ID: I20140721002279 |
| Provider Name | Lex Shapp Allen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629242359 PECOS PAC ID: 3678799715 Enrollment ID: I20140724002435 |
| Provider Name | Glen Thomas Robinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992017800 PECOS PAC ID: 9234375379 Enrollment ID: I20140728000248 |
| Provider Name | Rhett Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871892257 PECOS PAC ID: 5698907863 Enrollment ID: I20140728000608 |
| Provider Name | Matthew John Swenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134355001 PECOS PAC ID: 7416189089 Enrollment ID: I20140728001725 |
| Provider Name | Roger Smith |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1407837974 PECOS PAC ID: 8123093150 Enrollment ID: I20140728002697 |
| Provider Name | Sean Christian Horsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366717159 PECOS PAC ID: 3375704497 Enrollment ID: I20140729000475 |
| Provider Name | Chad Jeremy Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346339496 PECOS PAC ID: 4284784588 Enrollment ID: I20140729002014 |
| Provider Name | Nicole Noel Paulman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265633937 PECOS PAC ID: 1153493788 Enrollment ID: I20140730002267 |
| Provider Name | Susan W Keeshin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871780676 PECOS PAC ID: 9537331384 Enrollment ID: I20140731001558 |
| Provider Name | Rhett R Frei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528352077 PECOS PAC ID: 3577706118 Enrollment ID: I20140807000604 |
| Provider Name | Sadie Marie West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417101296 PECOS PAC ID: 5092932400 Enrollment ID: I20140808000314 |
| Provider Name | Reagan Schaplow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427388032 PECOS PAC ID: 0840429155 Enrollment ID: I20140808000831 |
| Provider Name | Levi Bachler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134199227 PECOS PAC ID: 2961496641 Enrollment ID: I20140812001209 |
| Provider Name | Christopher David Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629294731 PECOS PAC ID: 1456521699 Enrollment ID: I20140812001899 |
| Provider Name | Joshua Jabez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245557966 PECOS PAC ID: 6709018468 Enrollment ID: I20140814001482 |
| Provider Name | Vanessa Eileen Beard-ely |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730140484 PECOS PAC ID: 5597732602 Enrollment ID: I20140818000973 |
| Provider Name | Robert E Glasgow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295825891 PECOS PAC ID: 3678599115 Enrollment ID: I20140820002519 |
| Provider Name | Carrie Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720379423 PECOS PAC ID: 5890913529 Enrollment ID: I20140821001970 |
| Provider Name | Carrie Anne Willis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811151020 PECOS PAC ID: 8729275870 Enrollment ID: I20140827002999 |
| Provider Name | Megan Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144633975 PECOS PAC ID: 2961621776 Enrollment ID: I20140909002688 |
| Provider Name | Felicia Rachel Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265744882 PECOS PAC ID: 0648499319 Enrollment ID: I20140910002325 |
| Provider Name | Neal Robert Mcgarry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962830638 PECOS PAC ID: 4981830551 Enrollment ID: I20140911000652 |
| Provider Name | Brooke Lane Hansen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467778548 PECOS PAC ID: 6507098472 Enrollment ID: I20140916000561 |
| Provider Name | Stephen J Fenton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649490228 PECOS PAC ID: 2264571652 Enrollment ID: I20140917000000 |
| Provider Name | Ryan Charles Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851998 PECOS PAC ID: 7214156678 Enrollment ID: I20140917000277 |
| Provider Name | Cynthia Lee Papadopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639234016 PECOS PAC ID: 4587643309 Enrollment ID: I20140917000315 |
| Provider Name | Krista Casey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952710923 PECOS PAC ID: 5496974651 Enrollment ID: I20140919002392 |
| Provider Name | Benjamin Smith Haymond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710388160 PECOS PAC ID: 1951520154 Enrollment ID: I20140922000711 |
| Provider Name | John J. Mangelson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1093949620 PECOS PAC ID: 8325279615 Enrollment ID: I20140923000006 |
| Provider Name | Patricia Jean Church |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710262860 PECOS PAC ID: 8426218702 Enrollment ID: I20140923000923 |
| Provider Name | Benjamin Pantone Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992936066 PECOS PAC ID: 0648318113 Enrollment ID: I20140925002302 |
| Provider Name | Jody Jeppson Dutremble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285975334 PECOS PAC ID: 3870713670 Enrollment ID: I20140929002839 |
| Provider Name | Robert Neubauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053446252 PECOS PAC ID: 2466640545 Enrollment ID: I20140930001144 |
| Provider Name | Sheldon Boyd Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215221817 PECOS PAC ID: 7810136538 Enrollment ID: I20141002001152 |
| Provider Name | Jerrica Elizabeth Stoddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144584228 PECOS PAC ID: 5092966812 Enrollment ID: I20141002001416 |
| Provider Name | Shane Harold Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740697218 PECOS PAC ID: 5193945566 Enrollment ID: I20141007000868 |
| Provider Name | Dustin Bryant Wise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811945769 PECOS PAC ID: 6406076629 Enrollment ID: I20141009001708 |
| Provider Name | Clinton Daniel Lauridsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750661724 PECOS PAC ID: 6103059449 Enrollment ID: I20141016000442 |
| Provider Name | Brandon John Webb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750540522 PECOS PAC ID: 5193855781 Enrollment ID: I20141016000481 |
| Provider Name | Alyssa Lettich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518194455 PECOS PAC ID: 2264616978 Enrollment ID: I20141016001935 |
| Provider Name | Brady Jeff Golding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205242773 PECOS PAC ID: 0547481418 Enrollment ID: I20141017000175 |
| Provider Name | Reagan D Fails |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811399116 PECOS PAC ID: 6901027705 Enrollment ID: I20141020002562 |
| Provider Name | Hailey Poppe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790188829 PECOS PAC ID: 0547481376 Enrollment ID: I20141021000915 |
| Provider Name | Kia Afshar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043356637 PECOS PAC ID: 0749311793 Enrollment ID: I20141022001031 |
| Provider Name | Yonathan F Melman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952569931 PECOS PAC ID: 8325200918 Enrollment ID: I20141023001270 |
| Provider Name | Debra Ann Ledingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700288727 PECOS PAC ID: 4981825312 Enrollment ID: I20141028000563 |
| Provider Name | Rebecca Cannon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932516903 PECOS PAC ID: 5395966550 Enrollment ID: I20141031002045 |
| Provider Name | Andrew Davis Moffat |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1942512751 PECOS PAC ID: 8729200985 Enrollment ID: I20141104001444 |
| Provider Name | Sarah J Kidde |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063677276 PECOS PAC ID: 1557420403 Enrollment ID: I20141106000028 |
| Provider Name | Scott Schauss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104254549 PECOS PAC ID: 8921220096 Enrollment ID: I20141106000045 |
| Provider Name | Matthew Robert Mackay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619160645 PECOS PAC ID: 0244480770 Enrollment ID: I20141107000074 |
| Provider Name | Heidee Lynn Lund |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740508340 PECOS PAC ID: 3870715758 Enrollment ID: I20141107002083 |
| Provider Name | Ashley Marie Penrod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396149282 PECOS PAC ID: 3870715790 Enrollment ID: I20141110001280 |
| Provider Name | Benjamin Blackburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649380049 PECOS PAC ID: 2062417926 Enrollment ID: I20141112000740 |
| Provider Name | Marc P Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578962700 PECOS PAC ID: 6608098371 Enrollment ID: I20141112002594 |
| Provider Name | Tyler Jason Fieldsted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033452271 PECOS PAC ID: 2163644725 Enrollment ID: I20141114000970 |
| Provider Name | Barbara Jean Rowley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245244557 PECOS PAC ID: 5890917454 Enrollment ID: I20141114000977 |
| Provider Name | Rachel Rose Morano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346483849 PECOS PAC ID: 0547419863 Enrollment ID: I20141117000054 |
| Provider Name | John Bradley Hoyt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114260361 PECOS PAC ID: 6406078989 Enrollment ID: I20141118001125 |
| Provider Name | Camille King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982947123 PECOS PAC ID: 3971725458 Enrollment ID: I20141118001439 |
| Provider Name | Steven Grover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144374174 PECOS PAC ID: 8022080605 Enrollment ID: I20141118002570 |
| Provider Name | Tiffany Kristen Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811212947 PECOS PAC ID: 9032331418 Enrollment ID: I20141119002502 |
| Provider Name | Paula Huff Bryant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730429374 PECOS PAC ID: 1355563735 Enrollment ID: I20141119002766 |
| Provider Name | Dustin Lee Burbank |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821307448 PECOS PAC ID: 3072797604 Enrollment ID: I20141120002271 |
| Provider Name | Michelle Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053724856 PECOS PAC ID: 1052633369 Enrollment ID: I20141121002351 |
| Provider Name | Duane R Banks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013092360 PECOS PAC ID: 1456459171 Enrollment ID: I20141122000021 |
| Provider Name | Travis Clay Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558634915 PECOS PAC ID: 2264676840 Enrollment ID: I20141203001743 |
| Provider Name | Yaw Boateng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477555696 PECOS PAC ID: 9335163872 Enrollment ID: I20141204000057 |
| Provider Name | Tiffany Statham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669808317 PECOS PAC ID: 4688996598 Enrollment ID: I20141204000176 |
| Provider Name | Vivian Yung Shung Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740201300 PECOS PAC ID: 5698672715 Enrollment ID: I20141211001942 |
| Provider Name | Robert Bannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366877029 PECOS PAC ID: 7719200047 Enrollment ID: I20141217002575 |
| Provider Name | David Q Hua |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043216542 PECOS PAC ID: 2163513904 Enrollment ID: I20141219000364 |
| Provider Name | Jason Peter Kidde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750634507 PECOS PAC ID: 9931344173 Enrollment ID: I20141220000478 |
| Provider Name | Victoria Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801299359 PECOS PAC ID: 7012230402 Enrollment ID: I20141226000279 |
| Provider Name | Victor Adin Baumgarten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306038963 PECOS PAC ID: 4385967132 Enrollment ID: I20141231000142 |
| Provider Name | Brooke Ann Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184901068 PECOS PAC ID: 6305169103 Enrollment ID: I20141231001935 |
| Provider Name | Tanner Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336570613 PECOS PAC ID: 8426371238 Enrollment ID: I20150101000005 |
| Provider Name | Danelle Holdaway Schmutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811391121 PECOS PAC ID: 3577886274 Enrollment ID: I20150105001892 |
| Provider Name | Min Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235481375 PECOS PAC ID: 2961725403 Enrollment ID: I20150108000871 |
| Provider Name | John Richard Mcvey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386042760 PECOS PAC ID: 7113240664 Enrollment ID: I20150108001014 |
| Provider Name | Gaylinn Breeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023412434 PECOS PAC ID: 6204865439 Enrollment ID: I20150115001129 |
| Provider Name | Robin Elizabeth Lines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912169434 PECOS PAC ID: 5698099885 Enrollment ID: I20150116001028 |
| Provider Name | Tyree Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538562657 PECOS PAC ID: 6608190830 Enrollment ID: I20150119000137 |
| Provider Name | Kimberly Colleen Higgins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962637538 PECOS PAC ID: 7416170261 Enrollment ID: I20150119000356 |
| Provider Name | Tiffany Ann Castagno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679840276 PECOS PAC ID: 0547584781 Enrollment ID: I20150119000505 |
| Provider Name | Dontai Warner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992109946 PECOS PAC ID: 3173847233 Enrollment ID: I20150120000693 |
| Provider Name | Kirsti Rinne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033410394 PECOS PAC ID: 5395929269 Enrollment ID: I20150121002347 |
| Provider Name | Eric Roy Griffiths |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811187958 PECOS PAC ID: 1951625870 Enrollment ID: I20150126001095 |
| Provider Name | Kristina Marie Rae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700289287 PECOS PAC ID: 2365766169 Enrollment ID: I20150127002295 |
| Provider Name | Mark Eugene Cattermole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720484934 PECOS PAC ID: 6103141775 Enrollment ID: I20150203001190 |
| Provider Name | Kelley Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659775955 PECOS PAC ID: 9032434584 Enrollment ID: I20150204002191 |
| Provider Name | Clark Nile Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699112326 PECOS PAC ID: 4284959529 Enrollment ID: I20150209002108 |
| Provider Name | Bryce Collin Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194163782 PECOS PAC ID: 1456676600 Enrollment ID: I20150210000559 |
| Provider Name | Thomas L Bauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801033360 PECOS PAC ID: 1759422413 Enrollment ID: I20150213001557 |
| Provider Name | Quinn D Ranson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508296476 PECOS PAC ID: 3971510009 Enrollment ID: I20150227001768 |
| Provider Name | Stephen Brent Smith |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720199615 PECOS PAC ID: 0345468278 Enrollment ID: I20150305000956 |
| Provider Name | Jeffrey James Montgomery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447450556 PECOS PAC ID: 6305936584 Enrollment ID: I20150312001332 |
| Provider Name | Blaire Pickering |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760629893 PECOS PAC ID: 4284950056 Enrollment ID: I20150313001812 |
| Provider Name | Ashley D Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235348699 PECOS PAC ID: 9931377595 Enrollment ID: I20150321000365 |
| Provider Name | Angela Marie Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447566245 PECOS PAC ID: 0840517389 Enrollment ID: I20150323001152 |
| Provider Name | Carra Marie Brandley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174539209 PECOS PAC ID: 8729305131 Enrollment ID: I20150324001506 |
| Provider Name | Diana Lee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093112914 PECOS PAC ID: 0941527204 Enrollment ID: I20150325001238 |
| Provider Name | Kathryn Marie Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164825618 PECOS PAC ID: 9032436910 Enrollment ID: I20150403000001 |
| Provider Name | Erik Lavar Merkley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437417144 PECOS PAC ID: 5991023715 Enrollment ID: I20150407001872 |
| Provider Name | Kenneth George Weigand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417038530 PECOS PAC ID: 9537487376 Enrollment ID: I20150408000116 |
| Provider Name | Julie Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730571126 PECOS PAC ID: 0042538605 Enrollment ID: I20150409002682 |
| Provider Name | Clint Reid Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629221981 PECOS PAC ID: 8224356761 Enrollment ID: I20150414001469 |
| Provider Name | Benjamin Barraclough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619175189 PECOS PAC ID: 5092831537 Enrollment ID: I20150415000950 |
| Provider Name | Scott Gregory Schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508128323 PECOS PAC ID: 0143548164 Enrollment ID: I20150422002296 |
| Provider Name | Nolan a Sandygren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578820445 PECOS PAC ID: 9234361403 Enrollment ID: I20150428000531 |
| Provider Name | Cassey Marie Curry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215323159 PECOS PAC ID: 4183943921 Enrollment ID: I20150429001887 |
| Provider Name | Emily Bloomquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194119149 PECOS PAC ID: 5698094399 Enrollment ID: I20150430002012 |
| Provider Name | Christoph T Woerlein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255370771 PECOS PAC ID: 0042276420 Enrollment ID: I20150501000144 |
| Provider Name | Mark Evan Stevens |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629399001 PECOS PAC ID: 7618296260 Enrollment ID: I20150501001104 |
| Provider Name | Beau Mark Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417247677 PECOS PAC ID: 0749509313 Enrollment ID: I20150501002084 |
| Provider Name | Mary C Murdock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023026192 PECOS PAC ID: 9436154093 Enrollment ID: I20150502000060 |
| Provider Name | Tracey Kathleen Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922490317 PECOS PAC ID: 8325367881 Enrollment ID: I20150505000727 |
| Provider Name | Zachary Reese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871735340 PECOS PAC ID: 4082846084 Enrollment ID: I20150505001211 |
| Provider Name | Michelle Moody Matson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760875264 PECOS PAC ID: 6103145578 Enrollment ID: I20150506001559 |
| Provider Name | Virginia Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689071060 PECOS PAC ID: 7315266640 Enrollment ID: I20150507001148 |
| Provider Name | Nathan C Mckellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508844853 PECOS PAC ID: 2567376668 Enrollment ID: I20150513002385 |
| Provider Name | Samuel Robert Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346530524 PECOS PAC ID: 3173750346 Enrollment ID: I20150513002500 |
| Provider Name | David a Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780602375 PECOS PAC ID: 5193803229 Enrollment ID: I20150515000914 |
| Provider Name | Morgan Black Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063805075 PECOS PAC ID: 8527388321 Enrollment ID: I20150519001121 |
| Provider Name | Sarah Anne Cordingley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619383494 PECOS PAC ID: 9638499478 Enrollment ID: I20150519002463 |
| Provider Name | Scott David Dickson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467576322 PECOS PAC ID: 7911141478 Enrollment ID: I20150521001419 |
| Provider Name | Linda Sue Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679974059 PECOS PAC ID: 1153641782 Enrollment ID: I20150522000571 |
| Provider Name | Chelsea Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922363795 PECOS PAC ID: 4880918697 Enrollment ID: I20150522001258 |
| Provider Name | Mark T Yoder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659505584 PECOS PAC ID: 2860712106 Enrollment ID: I20150527002773 |
| Provider Name | Micah Eldridge Croft |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639469398 PECOS PAC ID: 1759601008 Enrollment ID: I20150527002933 |
| Provider Name | Lindsey Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457764714 PECOS PAC ID: 3072833342 Enrollment ID: I20150528000748 |
| Provider Name | Jeffery M Sabey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891061594 PECOS PAC ID: 0648590927 Enrollment ID: I20150528000960 |
| Provider Name | Kyle David Clarke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811254253 PECOS PAC ID: 1658598214 Enrollment ID: I20150528001331 |
| Provider Name | Morgan Jake Carlson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073833976 PECOS PAC ID: 7214250224 Enrollment ID: I20150528001792 |
| Provider Name | Benjamin Henry Greenfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871859983 PECOS PAC ID: 4183944390 Enrollment ID: I20150528002145 |
| Provider Name | Christopher Stanley Evensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558696757 PECOS PAC ID: 3476772013 Enrollment ID: I20150528002828 |
| Provider Name | Chad William Dallon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902164338 PECOS PAC ID: 7810137916 Enrollment ID: I20150529000797 |
| Provider Name | Kamile M Weischedel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225327927 PECOS PAC ID: 8426275710 Enrollment ID: I20150529000924 |
| Provider Name | Kevin Hall Gardner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639490386 PECOS PAC ID: 1153592241 Enrollment ID: I20150529001377 |
| Provider Name | Matthew Thomas Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720349814 PECOS PAC ID: 3779804869 Enrollment ID: I20150601002251 |
| Provider Name | Kaye Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922491430 PECOS PAC ID: 1153642285 Enrollment ID: I20150602000676 |
| Provider Name | Brendon John Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780946905 PECOS PAC ID: 2567783616 Enrollment ID: I20150602001181 |
| Provider Name | James R Harkness |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912057894 PECOS PAC ID: 7012062052 Enrollment ID: I20150603001638 |
| Provider Name | Lana Joelle Mcgill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356609317 PECOS PAC ID: 5193957355 Enrollment ID: I20150604000467 |
| Provider Name | Chase a Grames |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063675098 PECOS PAC ID: 5395984116 Enrollment ID: I20150604002818 |
| Provider Name | Andrew Perry Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104163575 PECOS PAC ID: 8628399383 Enrollment ID: I20150605001639 |
| Provider Name | Albert Rivero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053668806 PECOS PAC ID: 1759602469 Enrollment ID: I20150606000119 |
| Provider Name | Jotham Charles Manwaring |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679728133 PECOS PAC ID: 8527389162 Enrollment ID: I20150608001016 |
| Provider Name | Russell David Bradford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316093446 PECOS PAC ID: 8628151172 Enrollment ID: I20150608002737 |
| Provider Name | Taylor Richard Merkley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255690442 PECOS PAC ID: 2163743683 Enrollment ID: I20150609000371 |
| Provider Name | Natalie Ann Lanham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073587309 PECOS PAC ID: 8729309174 Enrollment ID: I20150610001512 |
| Provider Name | Ryan Wilcox |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033344767 PECOS PAC ID: 8820254139 Enrollment ID: I20150611000068 |
| Provider Name | Joshua Arjaan Dekker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518226091 PECOS PAC ID: 1951544741 Enrollment ID: I20150615000975 |
| Provider Name | Alan Blake Sanderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053572115 PECOS PAC ID: 2567602469 Enrollment ID: I20150616001787 |
| Provider Name | Heather Fremgen Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346494846 PECOS PAC ID: 3678708856 Enrollment ID: I20150617001599 |
| Provider Name | Dan Aaron Collins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972745024 PECOS PAC ID: 0547571564 Enrollment ID: I20150617002472 |
| Provider Name | Scott Sumner Bowers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609253962 PECOS PAC ID: 8325369358 Enrollment ID: I20150618000705 |
| Provider Name | Leslie N Madore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649244120 PECOS PAC ID: 0648216812 Enrollment ID: I20150623002549 |
| Provider Name | Trenton Overall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841575032 PECOS PAC ID: 2062658826 Enrollment ID: I20150625002334 |
| Provider Name | Ryan James Bender |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841581857 PECOS PAC ID: 9931331402 Enrollment ID: I20150626001646 |
| Provider Name | Brian Thomas Bucher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972620888 PECOS PAC ID: 3375855570 Enrollment ID: I20150630002795 |
| Provider Name | Joshua John Mcbride |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053679027 PECOS PAC ID: 4385956515 Enrollment ID: I20150701000573 |
| Provider Name | Howard William Sepp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215050166 PECOS PAC ID: 8325350580 Enrollment ID: I20150701001438 |
| Provider Name | Amanda Melanie Jocelyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376739102 PECOS PAC ID: 4789996943 Enrollment ID: I20150701001460 |
| Provider Name | Hang T Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841451903 PECOS PAC ID: 8426201914 Enrollment ID: I20150701002559 |
| Provider Name | Ryan Kay Garritson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639505779 PECOS PAC ID: 0941435168 Enrollment ID: I20150702002216 |
| Provider Name | Hillary Ann Crandall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619119203 PECOS PAC ID: 2567694334 Enrollment ID: I20150702002614 |
| Provider Name | Chase Petersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407144702 PECOS PAC ID: 6507099637 Enrollment ID: I20150706002259 |
| Provider Name | Jonathan Terry Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760745475 PECOS PAC ID: 4183855190 Enrollment ID: I20150706002595 |
| Provider Name | Nathan Allen Rainwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356617518 PECOS PAC ID: 7416275714 Enrollment ID: I20150707000808 |
| Provider Name | Andrew Sam Carpenter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922374719 PECOS PAC ID: 8022240563 Enrollment ID: I20150707002983 |
| Provider Name | Saloni a Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356668677 PECOS PAC ID: 4587899620 Enrollment ID: I20150708000781 |
| Provider Name | Jason Melvin Staheli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215327952 PECOS PAC ID: 9537471198 Enrollment ID: I20150710000116 |
| Provider Name | Maria Tsangaridou Petroulakis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316004831 PECOS PAC ID: 1254502842 Enrollment ID: I20150710001413 |
| Provider Name | John Skaggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437449279 PECOS PAC ID: 1052530961 Enrollment ID: I20150710001484 |
| Provider Name | Shaun Vernon Odell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366686545 PECOS PAC ID: 6507081676 Enrollment ID: I20150710002641 |
| Provider Name | Eric Melvin Lindley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629221841 PECOS PAC ID: 8921230673 Enrollment ID: I20150716002395 |
| Provider Name | Britton Rand Ercanbrack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033349733 PECOS PAC ID: 7012102007 Enrollment ID: I20150717002436 |
| Provider Name | Charlie Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659314763 PECOS PAC ID: 3476456682 Enrollment ID: I20150724011888 |
| Provider Name | Lane Bart Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336413939 PECOS PAC ID: 4981867132 Enrollment ID: I20150724012388 |
| Provider Name | Brett David Einerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861788655 PECOS PAC ID: 6800116955 Enrollment ID: I20150728005382 |
| Provider Name | Daniel F Tensmeyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750517215 PECOS PAC ID: 4688804180 Enrollment ID: I20150728006013 |
| Provider Name | Lauren H Theilen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174802250 PECOS PAC ID: 6507095270 Enrollment ID: I20150729008580 |
| Provider Name | Steven Paul Faux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972986057 PECOS PAC ID: 0345554457 Enrollment ID: I20150803003022 |
| Provider Name | Manuel S Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891023545 PECOS PAC ID: 4486809365 Enrollment ID: I20150805007084 |
| Provider Name | Brian Adams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144492943 PECOS PAC ID: 7315251253 Enrollment ID: I20150805007817 |
| Provider Name | Cristina Lucilia Mogos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598799967 PECOS PAC ID: 9032175625 Enrollment ID: I20150806010693 |
| Provider Name | Jarin Kent Leavitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427341726 PECOS PAC ID: 3870807506 Enrollment ID: I20150807015147 |
| Provider Name | Emily Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508124264 PECOS PAC ID: 4183867088 Enrollment ID: I20150812008797 |
| Provider Name | Blake Paul Gillette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356579213 PECOS PAC ID: 6800080714 Enrollment ID: I20150812009130 |
| Provider Name | Antony Eugin Martin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174805162 PECOS PAC ID: 9133434673 Enrollment ID: I20150813009578 |
| Provider Name | Sean Frederick Edmunds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508155193 PECOS PAC ID: 5698907319 Enrollment ID: I20150819009347 |
| Provider Name | Brent William Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174546691 PECOS PAC ID: 9133365984 Enrollment ID: I20150820012155 |
| Provider Name | Mallory L Mcfarlane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689916181 PECOS PAC ID: 3971743204 Enrollment ID: I20150821013279 |
| Provider Name | Jace Paul Fullmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306145776 PECOS PAC ID: 6608007612 Enrollment ID: I20150824002501 |
| Provider Name | Justin Mellott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639490576 PECOS PAC ID: 2163650805 Enrollment ID: I20150825003295 |
| Provider Name | Benjamin Henry Seale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073994810 PECOS PAC ID: 8022324532 Enrollment ID: I20150828001614 |
| Provider Name | Cara Clark Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124166053 PECOS PAC ID: 1456667963 Enrollment ID: I20150828001705 |
| Provider Name | Girish Singhania |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558660217 PECOS PAC ID: 8527297100 Enrollment ID: I20150902003110 |
| Provider Name | Shannon N Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487076006 PECOS PAC ID: 3173839297 Enrollment ID: I20150903000346 |
| Provider Name | Ben Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619181302 PECOS PAC ID: 4789877218 Enrollment ID: I20150903001905 |
| Provider Name | Spencer Kevin Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083954275 PECOS PAC ID: 7113162728 Enrollment ID: I20150903002403 |
| Provider Name | Jonathan Wheatley Schmidt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780950147 PECOS PAC ID: 7315168952 Enrollment ID: I20150915001766 |
| Provider Name | Brian F Flaherty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730404922 PECOS PAC ID: 6709026230 Enrollment ID: I20150917000483 |
| Provider Name | Denise Evans Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316192321 PECOS PAC ID: 8820305212 Enrollment ID: I20150917000761 |
| Provider Name | Marc M Wangsgard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710298708 PECOS PAC ID: 5890949093 Enrollment ID: I20150918002260 |
| Provider Name | Michael Joseph Cascio |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275541799 PECOS PAC ID: 6002835501 Enrollment ID: I20150921000473 |
| Provider Name | Graham Geoffrey Mooy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063703668 PECOS PAC ID: 6305064007 Enrollment ID: I20150921002089 |
| Provider Name | Caroline S Garrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265640882 PECOS PAC ID: 0345396933 Enrollment ID: I20150922002878 |
| Provider Name | Kristin Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336584861 PECOS PAC ID: 7113234196 Enrollment ID: I20150923003388 |
| Provider Name | Kevin Gregory Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942679196 PECOS PAC ID: 8224346010 Enrollment ID: I20150928002101 |
| Provider Name | Chelsea Jennifer Slade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730591876 PECOS PAC ID: 8123336872 Enrollment ID: I20150930001760 |
| Provider Name | Blaine K Montague |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366811606 PECOS PAC ID: 6305154980 Enrollment ID: I20150930003342 |
| Provider Name | Chuen-fu Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20151005001707 |
| Provider Name | Emma Jayne Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609162296 PECOS PAC ID: 3971811365 Enrollment ID: I20151005002348 |
| Provider Name | Nathan a Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891163010 PECOS PAC ID: 4880902287 Enrollment ID: I20151005002898 |
| Provider Name | Quinn Taylor Goeringer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184008369 PECOS PAC ID: 1355659608 Enrollment ID: I20151006001695 |
| Provider Name | Emily Hayes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134504608 PECOS PAC ID: 9032427398 Enrollment ID: I20151006002340 |
| Provider Name | Ann Rogerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770953317 PECOS PAC ID: 4981912268 Enrollment ID: I20151006003094 |
| Provider Name | Laura M Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518232628 PECOS PAC ID: 2961634134 Enrollment ID: I20151007000654 |
| Provider Name | Danica Loveridge |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205211570 PECOS PAC ID: 8628386836 Enrollment ID: I20151007001205 |
| Provider Name | Garrett Lowe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558658237 PECOS PAC ID: 9032388905 Enrollment ID: I20151009000150 |
| Provider Name | Casey S Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780096891 PECOS PAC ID: 7113235292 Enrollment ID: I20151009001734 |
| Provider Name | Miriam C Padilla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104833979 PECOS PAC ID: 8426052515 Enrollment ID: I20151012000235 |
| Provider Name | Kurt a Olaveson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508278615 PECOS PAC ID: 8921317041 Enrollment ID: I20151012001028 |
| Provider Name | Amelia a Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093181885 PECOS PAC ID: 3476862459 Enrollment ID: I20151013001682 |
| Provider Name | Jeffrey Horne Tingey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255751913 PECOS PAC ID: 5193033900 Enrollment ID: I20151014002702 |
| Provider Name | Jared Allen West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821418500 PECOS PAC ID: 2163730979 Enrollment ID: I20151015000468 |
| Provider Name | Matthew Scott Dustin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861720047 PECOS PAC ID: 5597074302 Enrollment ID: I20151019000966 |
| Provider Name | Carol Ann Leatherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700834686 PECOS PAC ID: 6002833159 Enrollment ID: I20151019001044 |
| Provider Name | Bradley Michael Prestwich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215357942 PECOS PAC ID: 8921315938 Enrollment ID: I20151022000400 |
| Provider Name | Travis Wilson Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265817688 PECOS PAC ID: 0345559951 Enrollment ID: I20151022000726 |
| Provider Name | Natalie Brooke Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881014470 PECOS PAC ID: 5890004253 Enrollment ID: I20151026001526 |
| Provider Name | Chelsea B Chaney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366827503 PECOS PAC ID: 7810206281 Enrollment ID: I20151026001816 |
| Provider Name | Ithan Daniel Peltan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558598003 PECOS PAC ID: 3476716044 Enrollment ID: I20151027000967 |
| Provider Name | Fabiana Ostronoff |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811154172 PECOS PAC ID: 1658537998 Enrollment ID: I20151029001542 |
| Provider Name | Austin R Okelberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902273311 PECOS PAC ID: 3870803034 Enrollment ID: I20151030001652 |
| Provider Name | Jamie Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346612983 PECOS PAC ID: 9739499906 Enrollment ID: I20151030002118 |
| Provider Name | Joshua Darrel Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528488327 PECOS PAC ID: 2668780461 Enrollment ID: I20151102001783 |
| Provider Name | Emil Sueyee Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609854132 PECOS PAC ID: 0941193221 Enrollment ID: I20151103001079 |
| Provider Name | Nicholas James Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821355827 PECOS PAC ID: 6406088129 Enrollment ID: I20151103002773 |
| Provider Name | Aaron Jay Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972883 PECOS PAC ID: 9436469459 Enrollment ID: I20151103002971 |
| Provider Name | Jodi Lynn Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023391083 PECOS PAC ID: 1951611987 Enrollment ID: I20151103003101 |
| Provider Name | Jared Michael Madeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053789917 PECOS PAC ID: 4880904838 Enrollment ID: I20151104000654 |
| Provider Name | Jennifer Elizabeth Travarelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295026979 PECOS PAC ID: 2062645500 Enrollment ID: I20151104001832 |
| Provider Name | Gon Thi Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891179339 PECOS PAC ID: 6002126844 Enrollment ID: I20151109000117 |
| Provider Name | Nirmal Teja Sunkara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396908141 PECOS PAC ID: 4486823911 Enrollment ID: I20151112000638 |
| Provider Name | Chelyn C Fullmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740656453 PECOS PAC ID: 1759681851 Enrollment ID: I20151120002683 |
| Provider Name | John Issac Hooley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922481696 PECOS PAC ID: 8729393004 Enrollment ID: I20151123002334 |
| Provider Name | Ryan Samuel Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962873281 PECOS PAC ID: 8224338967 Enrollment ID: I20151201003024 |
| Provider Name | Cynthia Stanger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447552955 PECOS PAC ID: 1355641051 Enrollment ID: I20151202001990 |
| Provider Name | Laura Anne Antinarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760882948 PECOS PAC ID: 7911207584 Enrollment ID: I20151203002274 |
| Provider Name | Raymond Kent Turley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407223548 PECOS PAC ID: 9739489220 Enrollment ID: I20151207001085 |
| Provider Name | Benjamin Vernon Pipes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265804207 PECOS PAC ID: 6800196205 Enrollment ID: I20151207001637 |
| Provider Name | Matthew Johns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942487533 PECOS PAC ID: 5496055865 Enrollment ID: I20151208001434 |
| Provider Name | Dale Mark Valentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013028901 PECOS PAC ID: 4486955887 Enrollment ID: I20151208002939 |
| Provider Name | Max Epperson Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174995500 PECOS PAC ID: 5395046452 Enrollment ID: I20151214001885 |
| Provider Name | Shelsea B Oman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972987949 PECOS PAC ID: 6204137110 Enrollment ID: I20151218001064 |
| Provider Name | Barbara Ann Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144598764 PECOS PAC ID: 1557663911 Enrollment ID: I20151231001884 |
| Provider Name | Mary K Jefferson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467817270 PECOS PAC ID: 7012219009 Enrollment ID: I20160107002275 |
| Provider Name | Michael L Pulley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174988489 PECOS PAC ID: 0446553044 Enrollment ID: I20160114000796 |
| Provider Name | Jordan Reichman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235392747 PECOS PAC ID: 9537285408 Enrollment ID: I20160114002749 |
| Provider Name | Matthew Kirk Eastman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952344962 PECOS PAC ID: 8527084417 Enrollment ID: I20160119001245 |
| Provider Name | John J Reagan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275896359 PECOS PAC ID: 0345543526 Enrollment ID: I20160121001548 |
| Provider Name | Catherine Anne Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851757892 PECOS PAC ID: 3971806894 Enrollment ID: I20160126001845 |
| Provider Name | Susan Roddom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750754677 PECOS PAC ID: 9133422918 Enrollment ID: I20160128001522 |
| Provider Name | Leslie Frances Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558735472 PECOS PAC ID: 3375846017 Enrollment ID: I20160129000920 |
| Provider Name | Brandon J Hart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235341793 PECOS PAC ID: 4587968292 Enrollment ID: I20160201000780 |
| Provider Name | Michael Andrew Gomez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598775074 PECOS PAC ID: 6608170105 Enrollment ID: I20160203001592 |
| Provider Name | Mckel a Roskelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114321361 PECOS PAC ID: 9032413489 Enrollment ID: I20160205001094 |
| Provider Name | Charmaine Kawehilani Au |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659547404 PECOS PAC ID: 6103120472 Enrollment ID: I20160205002147 |
| Provider Name | Samuel Forsyth Andelin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619132834 PECOS PAC ID: 7315003381 Enrollment ID: I20160208001096 |
| Provider Name | Richard J Lassere |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376639948 PECOS PAC ID: 4587560511 Enrollment ID: I20160210001545 |
| Provider Name | Michael Andrew Rogowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225001282 PECOS PAC ID: 5991764193 Enrollment ID: I20160210001817 |
| Provider Name | Nisha Denae Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679938831 PECOS PAC ID: 3577867563 Enrollment ID: I20160211002261 |
| Provider Name | Shannon Michelle Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417312604 PECOS PAC ID: 2466757257 Enrollment ID: I20160216001009 |
| Provider Name | Elisa Ann Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831558204 PECOS PAC ID: 0749585123 Enrollment ID: I20160223000901 |
| Provider Name | Sean Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538419692 PECOS PAC ID: 2769618735 Enrollment ID: I20160225002471 |
| Provider Name | Summer Rae Kottsick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720473390 PECOS PAC ID: 1355661265 Enrollment ID: I20160308001102 |
| Provider Name | Cindy W Tom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811104433 PECOS PAC ID: 6608780440 Enrollment ID: I20160309001780 |
| Provider Name | Molly Ann Nowill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760849657 PECOS PAC ID: 9931405263 Enrollment ID: I20160311000926 |
| Provider Name | James E Hawkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184858029 PECOS PAC ID: 0244486645 Enrollment ID: I20160311001677 |
| Provider Name | Tyson Carter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578902896 PECOS PAC ID: 8820394141 Enrollment ID: I20160314001121 |
| Provider Name | Darrell Allan Roberge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952677874 PECOS PAC ID: 9537390463 Enrollment ID: I20160314001375 |
| Provider Name | Cort Berne Leavitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326394693 PECOS PAC ID: 3274788625 Enrollment ID: I20160316001106 |
| Provider Name | Donald Carter Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902845712 PECOS PAC ID: 1456394287 Enrollment ID: I20160321001094 |
| Provider Name | Anne K Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710323860 PECOS PAC ID: 8426270992 Enrollment ID: I20160321001624 |
| Provider Name | Leslie Divall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639539521 PECOS PAC ID: 1355648056 Enrollment ID: I20160323002140 |
| Provider Name | Alexandra Thuet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700244811 PECOS PAC ID: 2365749926 Enrollment ID: I20160324001603 |
| Provider Name | Jordan M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104053958 PECOS PAC ID: 3375776057 Enrollment ID: I20160329001648 |
| Provider Name | Richard Y Farnsworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780693929 PECOS PAC ID: 4284931635 Enrollment ID: I20160329002884 |
| Provider Name | Sean R Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467713842 PECOS PAC ID: 6901103381 Enrollment ID: I20160330001016 |
| Provider Name | John Bradley Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295171247 PECOS PAC ID: 7214253442 Enrollment ID: I20160330002623 |
| Provider Name | Joshua Napier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013981539 PECOS PAC ID: 2062509953 Enrollment ID: I20160404002030 |
| Provider Name | Jeffrey Leonard Halleck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760825822 PECOS PAC ID: 5698996213 Enrollment ID: I20160405001346 |
| Provider Name | Victor Ryan Worth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356374987 PECOS PAC ID: 6901848720 Enrollment ID: I20160407001705 |
| Provider Name | Shawn Errol Bagci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639338288 PECOS PAC ID: 8325084601 Enrollment ID: I20160411000023 |
| Provider Name | Maile P Yuzon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841650967 PECOS PAC ID: 5991003758 Enrollment ID: I20160411001574 |
| Provider Name | Heidi Bedont |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861852527 PECOS PAC ID: 9638477383 Enrollment ID: I20160412002782 |
| Provider Name | Bryndon B Hatch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063771095 PECOS PAC ID: 5395987804 Enrollment ID: I20160414001136 |
| Provider Name | Jennifer Holt Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144465402 PECOS PAC ID: 7416125646 Enrollment ID: I20160414002080 |
| Provider Name | Sally M Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083051478 PECOS PAC ID: 7416258843 Enrollment ID: I20160422001675 |
| Provider Name | Shawn Gregory Mecham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174961361 PECOS PAC ID: 6406173566 Enrollment ID: I20160426000832 |
| Provider Name | Isaac Samuel Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205276086 PECOS PAC ID: 2264650035 Enrollment ID: I20160426000844 |
| Provider Name | Nickolas R Byrge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619292745 PECOS PAC ID: 9537399944 Enrollment ID: I20160426002074 |
| Provider Name | Eric Richard Dockter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861713679 PECOS PAC ID: 0042457053 Enrollment ID: I20160427000715 |
| Provider Name | Lorin Jerome Leithead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164852745 PECOS PAC ID: 5395969653 Enrollment ID: I20160427001330 |
| Provider Name | Shellie Jean Ring |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316920770 PECOS PAC ID: 3971802877 Enrollment ID: I20160427001710 |
| Provider Name | Terence Rhodes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124236310 PECOS PAC ID: 5890951107 Enrollment ID: I20160429001807 |
| Provider Name | Christopher Hamilton Strawter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457678427 PECOS PAC ID: 9133341027 Enrollment ID: I20160502000008 |
| Provider Name | Jude Damien Sells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265775415 PECOS PAC ID: 3274832969 Enrollment ID: I20160502001213 |
| Provider Name | Megan P Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285862003 PECOS PAC ID: 3375788342 Enrollment ID: I20160505002179 |
| Provider Name | Cory J Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811358211 PECOS PAC ID: 7012216351 Enrollment ID: I20160509000579 |
| Provider Name | Lyndon David Tyler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225394984 PECOS PAC ID: 2466751714 Enrollment ID: I20160509000969 |
| Provider Name | Alex Benjamin Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740522275 PECOS PAC ID: 5496073363 Enrollment ID: I20160511001794 |
| Provider Name | Douglas Rockwell Clawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689905531 PECOS PAC ID: 0648429332 Enrollment ID: I20160513001264 |
| Provider Name | Melinda Sue Liddle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467607135 PECOS PAC ID: 0244529147 Enrollment ID: I20160517000517 |
| Provider Name | Jared Hiatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093155988 PECOS PAC ID: 5890011639 Enrollment ID: I20160518000303 |
| Provider Name | Suleman Iqbal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1497840805 PECOS PAC ID: 9931107000 Enrollment ID: I20160518001864 |
| Provider Name | Philip Maharaj-prasad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295046621 PECOS PAC ID: 1759510712 Enrollment ID: I20160520001202 |
| Provider Name | Luke Linscott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326297946 PECOS PAC ID: 0749407062 Enrollment ID: I20160520001442 |
| Provider Name | Gregg Arthur Marshall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013134550 PECOS PAC ID: 3779731443 Enrollment ID: I20160520001956 |
| Provider Name | Adam Mickael Hutchinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568806941 PECOS PAC ID: 9931498466 Enrollment ID: I20160523001177 |
| Provider Name | Robert G Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578545109 PECOS PAC ID: 5799972311 Enrollment ID: I20160523001547 |
| Provider Name | James William Bishop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659613883 PECOS PAC ID: 9830488303 Enrollment ID: I20160523002281 |
| Provider Name | Justin James Banks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356726749 PECOS PAC ID: 6305135773 Enrollment ID: I20160525001765 |
| Provider Name | Kristen Haas Black |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982965034 PECOS PAC ID: 3476842840 Enrollment ID: I20160525001814 |
| Provider Name | Nathan Karl Maeser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659626430 PECOS PAC ID: 4688805302 Enrollment ID: I20160531000759 |
| Provider Name | Patrik Luzny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245537208 PECOS PAC ID: 2163655937 Enrollment ID: I20160531000974 |
| Provider Name | Daniel M Sandgren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669714341 PECOS PAC ID: 2062648439 Enrollment ID: I20160531001719 |
| Provider Name | John David Malouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992097612 PECOS PAC ID: 3779700042 Enrollment ID: I20160601000164 |
| Provider Name | Davis Wendell Ogitani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427314764 PECOS PAC ID: 9830489947 Enrollment ID: I20160601002953 |
| Provider Name | Ky G Dorsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104054451 PECOS PAC ID: 4688964240 Enrollment ID: I20160609002323 |
| Provider Name | Martha Anice Andrea Monson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295001105 PECOS PAC ID: 5890927628 Enrollment ID: I20160614001142 |
| Provider Name | Ann Louise Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992047286 PECOS PAC ID: 4486875515 Enrollment ID: I20160615001076 |
| Provider Name | Eric Keith Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508096843 PECOS PAC ID: 6800044918 Enrollment ID: I20160617001551 |
| Provider Name | Steven Ronald Wheelwright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124386701 PECOS PAC ID: 5890910285 Enrollment ID: I20160620000782 |
| Provider Name | Scott Stern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770525826 PECOS PAC ID: 3072556802 Enrollment ID: I20160620001684 |
| Provider Name | Kevin William Dahle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821336496 PECOS PAC ID: 3173747276 Enrollment ID: I20160621002529 |
| Provider Name | Ayumi Ludwig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194086827 PECOS PAC ID: 4284925272 Enrollment ID: I20160622001457 |
| Provider Name | Tyler D Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619231214 PECOS PAC ID: 3274856406 Enrollment ID: I20160628002390 |
| Provider Name | Adam Zane Zandman-zeman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427492784 PECOS PAC ID: 5991022303 Enrollment ID: I20160701001766 |
| Provider Name | Alice F Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487970737 PECOS PAC ID: 2860623667 Enrollment ID: I20160705002066 |
| Provider Name | Joseph Guenzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083913552 PECOS PAC ID: 2769774025 Enrollment ID: I20160706001642 |
| Provider Name | Aileen May Arguelles Del Castillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205068749 PECOS PAC ID: 7719133800 Enrollment ID: I20160706001685 |
| Provider Name | Kelly H Woodward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548243645 PECOS PAC ID: 0749356517 Enrollment ID: I20160707000401 |
| Provider Name | Margret Allison Mencer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841558780 PECOS PAC ID: 8527383215 Enrollment ID: I20160709000049 |
| Provider Name | Deanne Staheli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851578777 PECOS PAC ID: 5193017200 Enrollment ID: I20160711001972 |
| Provider Name | Zachary D Van Wagoner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346549912 PECOS PAC ID: 1456570787 Enrollment ID: I20160714001640 |
| Provider Name | John Bassam Hijjawi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114979812 PECOS PAC ID: 4688647829 Enrollment ID: I20160714002309 |
| Provider Name | Oliver Li-wei Yeh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396035648 PECOS PAC ID: 8921313669 Enrollment ID: I20160718001781 |
| Provider Name | Antony R Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962841494 PECOS PAC ID: 1153614797 Enrollment ID: I20160720001099 |
| Provider Name | Jennifer Lynn Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053687012 PECOS PAC ID: 8022327220 Enrollment ID: I20160720002001 |
| Provider Name | Anna Leigh Hronek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538500731 PECOS PAC ID: 3678866167 Enrollment ID: I20160720002909 |
| Provider Name | Travis Jay Swift |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053691238 PECOS PAC ID: 9638338627 Enrollment ID: I20160721000744 |
| Provider Name | Allen D Adams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700862794 PECOS PAC ID: 7517919053 Enrollment ID: I20160721001190 |
| Provider Name | Chelsea Stephenson Mutscheller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184990889 PECOS PAC ID: 7315199783 Enrollment ID: I20160721002394 |
| Provider Name | Elijah a Fielding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255788303 PECOS PAC ID: 2365735735 Enrollment ID: I20160721002593 |
| Provider Name | Nathan E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437598091 PECOS PAC ID: 7113141466 Enrollment ID: I20160726001494 |
| Provider Name | Elizabeth Mae Chabot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346530375 PECOS PAC ID: 2264672930 Enrollment ID: I20160726002697 |
| Provider Name | Maurine Cobabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265877096 PECOS PAC ID: 7416274931 Enrollment ID: I20160728002186 |
| Provider Name | Sean Kuehn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750607891 PECOS PAC ID: 6305152570 Enrollment ID: I20160801002385 |
| Provider Name | Jesse Lucinda Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376981274 PECOS PAC ID: 6204078157 Enrollment ID: I20160801002631 |
| Provider Name | Ramya Thota |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154551273 PECOS PAC ID: 4880850130 Enrollment ID: I20160802000218 |
| Provider Name | Jefferson R Langford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265446751 PECOS PAC ID: 7618973934 Enrollment ID: I20160802002160 |
| Provider Name | Ian D Mecham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568751519 PECOS PAC ID: 9537384219 Enrollment ID: I20160802002551 |
| Provider Name | Christopher James Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407296247 PECOS PAC ID: 0547400467 Enrollment ID: I20160805000400 |
| Provider Name | Jennifer Lynne Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306270855 PECOS PAC ID: 2567682099 Enrollment ID: I20160809000887 |
| Provider Name | Bruce Carr Mcgee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538364195 PECOS PAC ID: 5496049769 Enrollment ID: I20160809002145 |
| Provider Name | A Clark Gunnerson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407081524 PECOS PAC ID: 8527223312 Enrollment ID: I20160815002559 |
| Provider Name | Benjamin Robert White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811239247 PECOS PAC ID: 8426372293 Enrollment ID: I20160816000876 |
| Provider Name | William Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912358839 PECOS PAC ID: 1557655412 Enrollment ID: I20160816000946 |
| Provider Name | Tye B Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053631069 PECOS PAC ID: 9335433291 Enrollment ID: I20160816001091 |
| Provider Name | Jean Mcguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235574583 PECOS PAC ID: 3072802735 Enrollment ID: I20160816002653 |
| Provider Name | Kassie Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336590595 PECOS PAC ID: 7911292875 Enrollment ID: I20160817001667 |
| Provider Name | Ervin Allan Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144531575 PECOS PAC ID: 3072759331 Enrollment ID: I20160817002646 |
| Provider Name | Robert Reynolds Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790239671 PECOS PAC ID: 0345535936 Enrollment ID: I20160822001186 |
| Provider Name | Ji Hwan Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194169441 PECOS PAC ID: 2365737715 Enrollment ID: I20160824000372 |
| Provider Name | Colton Duane Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700220209 PECOS PAC ID: 4183918675 Enrollment ID: I20160824002303 |
| Provider Name | Joey Alan Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457730962 PECOS PAC ID: 9537454673 Enrollment ID: I20160829000506 |
| Provider Name | Marcela Smid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588994727 PECOS PAC ID: 9537301080 Enrollment ID: I20160831000334 |
| Provider Name | Ibrahim Hammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263866 PECOS PAC ID: 8729388731 Enrollment ID: I20160902000628 |
| Provider Name | Jason Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083094197 PECOS PAC ID: 5698061455 Enrollment ID: I20160906000936 |
| Provider Name | Erin Bathurst Helms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053653436 PECOS PAC ID: 1355562455 Enrollment ID: I20160906001423 |
| Provider Name | Bradley W Digney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245527167 PECOS PAC ID: 9830485333 Enrollment ID: I20160909000817 |
| Provider Name | Lindsay L Janke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568893279 PECOS PAC ID: 7618297334 Enrollment ID: I20160909001427 |
| Provider Name | David Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760406474 PECOS PAC ID: 0244234383 Enrollment ID: I20160912002425 |
| Provider Name | Michael T Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427482611 PECOS PAC ID: 1951697234 Enrollment ID: I20160913001339 |
| Provider Name | Colten Dirk Bracken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073993283 PECOS PAC ID: 6709172968 Enrollment ID: I20160914001810 |
| Provider Name | Jonathan S Bassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245541952 PECOS PAC ID: 8123257243 Enrollment ID: I20160914001937 |
| Provider Name | Jason Neilsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164802062 PECOS PAC ID: 9032405204 Enrollment ID: I20160914001958 |
| Provider Name | Kelley Ann Fulghum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770926933 PECOS PAC ID: 5698996395 Enrollment ID: I20160915001252 |
| Provider Name | Darren C White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063755106 PECOS PAC ID: 3870715253 Enrollment ID: I20160916002396 |
| Provider Name | Jarem Barry Lloyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285953166 PECOS PAC ID: 7113168980 Enrollment ID: I20160922001310 |
| Provider Name | Laura Lynn Steinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932263811 PECOS PAC ID: 4789971375 Enrollment ID: I20160926001449 |
| Provider Name | Katy Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730543620 PECOS PAC ID: 4880981323 Enrollment ID: I20160927000682 |
| Provider Name | Marilyn Jean Mckasson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053600858 PECOS PAC ID: 6507089620 Enrollment ID: I20160927002560 |
| Provider Name | Jameel Youssef |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831477256 PECOS PAC ID: 2365661121 Enrollment ID: I20160929001562 |
| Provider Name | Jenna Kristine Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346793940 PECOS PAC ID: 5890082192 Enrollment ID: I20160930000765 |
| Provider Name | Katherine Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316491327 PECOS PAC ID: 6709174816 Enrollment ID: I20161005001235 |
| Provider Name | Mariesa Nichole Norton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023467800 PECOS PAC ID: 3274821319 Enrollment ID: I20161005002264 |
| Provider Name | Anne Nicole Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790232569 PECOS PAC ID: 1850689837 Enrollment ID: I20161006000801 |
| Provider Name | Amanda Catharine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548613219 PECOS PAC ID: 7810285806 Enrollment ID: I20161006000929 |
| Provider Name | Norman Don Bowers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205267432 PECOS PAC ID: 2961633649 Enrollment ID: I20161006001283 |
| Provider Name | Sarah Scoville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124352893 PECOS PAC ID: 8921146333 Enrollment ID: I20161006002323 |
| Provider Name | Nickolas Grant Harker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598028698 PECOS PAC ID: 3870716871 Enrollment ID: I20161011001022 |
| Provider Name | Daniel John Villella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194061192 PECOS PAC ID: 3678861440 Enrollment ID: I20161011001062 |
| Provider Name | Nicole Lamoreaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962957407 PECOS PAC ID: 5991093528 Enrollment ID: I20161013000883 |
| Provider Name | Julia Christensen Justis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992194732 PECOS PAC ID: 0345554432 Enrollment ID: I20161017000514 |
| Provider Name | Melony Atwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316983588 PECOS PAC ID: 5294706461 Enrollment ID: I20161017002140 |
| Provider Name | John T Paas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245322908 PECOS PAC ID: 7416031075 Enrollment ID: I20161018000807 |
| Provider Name | Daniel J Rawlings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457806275 PECOS PAC ID: 2264710599 Enrollment ID: I20161020001787 |
| Provider Name | Stephen James Ferney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043270358 PECOS PAC ID: 9133129992 Enrollment ID: I20161025001743 |
| Provider Name | Haydee L Blanca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871760371 PECOS PAC ID: 9335427475 Enrollment ID: I20161025001885 |
| Provider Name | Charlee Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689078008 PECOS PAC ID: 3870871924 Enrollment ID: I20161025001961 |
| Provider Name | Daniel Marlin Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932656808 PECOS PAC ID: 4183902141 Enrollment ID: I20161025002999 |
| Provider Name | Nikolette G Pazell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944934 PECOS PAC ID: 6103104153 Enrollment ID: I20161026002941 |
| Provider Name | Camille Michael Minder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518100924 PECOS PAC ID: 3577728492 Enrollment ID: I20161026002954 |
| Provider Name | Rachel Mitchell Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952857963 PECOS PAC ID: 3173801941 Enrollment ID: I20161028001601 |
| Provider Name | Brandy D'anne Brooks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952706848 PECOS PAC ID: 8325332547 Enrollment ID: I20161031000895 |
| Provider Name | Brynn J Duerden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528232154 PECOS PAC ID: 7618115072 Enrollment ID: I20161031001517 |
| Provider Name | Laura Brooke Lockwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861947632 PECOS PAC ID: 8820376585 Enrollment ID: I20161031002140 |
| Provider Name | Sumaira Afzal Arain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639376411 PECOS PAC ID: 3577889427 Enrollment ID: I20161102000283 |
| Provider Name | Paul Michael Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598992570 PECOS PAC ID: 9830340082 Enrollment ID: I20161103000553 |
| Provider Name | Theadora Wu Sakata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922439 PECOS PAC ID: 5698907681 Enrollment ID: I20161103002357 |
| Provider Name | Amanda Marie Cleveland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487815650 PECOS PAC ID: 6406091487 Enrollment ID: I20161104000557 |
| Provider Name | Justine Y Powell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821542127 PECOS PAC ID: 3476831884 Enrollment ID: I20161104001165 |
| Provider Name | Jeffrey Lynn Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790061919 PECOS PAC ID: 3577718246 Enrollment ID: I20161104001749 |
| Provider Name | Devin Faye Petersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154878692 PECOS PAC ID: 5597043976 Enrollment ID: I20161107000848 |
| Provider Name | Grant Bennett Belnap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356481790 PECOS PAC ID: 5890789127 Enrollment ID: I20161108001517 |
| Provider Name | Justin James Archibald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841740958 PECOS PAC ID: 2466731716 Enrollment ID: I20161109002372 |
| Provider Name | Michael K Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023569241 PECOS PAC ID: 5092094342 Enrollment ID: I20161109002446 |
| Provider Name | Eric Snelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457783680 PECOS PAC ID: 8820377021 Enrollment ID: I20161110001513 |
| Provider Name | Maria Fugate |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982915864 PECOS PAC ID: 7618111360 Enrollment ID: I20161114002436 |
| Provider Name | Brett Lavar Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417405044 PECOS PAC ID: 4789963760 Enrollment ID: I20161115001053 |
| Provider Name | Todd Vento |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487630802 PECOS PAC ID: 1557599248 Enrollment ID: I20161123000000 |
| Provider Name | Mark Andrew Lewis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801051578 PECOS PAC ID: 2769550441 Enrollment ID: I20161123001934 |
| Provider Name | Ethan Rhead Everett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235123134 PECOS PAC ID: 3375632235 Enrollment ID: I20161123001938 |
| Provider Name | Tomohiro Kemmochi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942533328 PECOS PAC ID: 9032498696 Enrollment ID: I20161128000891 |
| Provider Name | Gayla M Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891121810 PECOS PAC ID: 7012297583 Enrollment ID: I20161130000289 |
| Provider Name | Lindsay Dawn Wilson-barlow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275985624 PECOS PAC ID: 2163702549 Enrollment ID: I20161130000967 |
| Provider Name | Clint John Wooten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730317652 PECOS PAC ID: 5092901108 Enrollment ID: I20161130001109 |
| Provider Name | Timothy Yeu-shiuan Lan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972745404 PECOS PAC ID: 4688825599 Enrollment ID: I20161130002595 |
| Provider Name | Jennifer Lynne Merkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245683127 PECOS PAC ID: 0446530893 Enrollment ID: I20161201001034 |
| Provider Name | Jonathan Grant |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861738189 PECOS PAC ID: 1951616374 Enrollment ID: I20161202001526 |
| Provider Name | Dustin Siler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881062370 PECOS PAC ID: 0941519169 Enrollment ID: I20161205000705 |
| Provider Name | Brittaney L Cahoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609226091 PECOS PAC ID: 4082994280 Enrollment ID: I20161205002111 |
| Provider Name | Curtis Daniel Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871946871 PECOS PAC ID: 7517247570 Enrollment ID: I20161208000848 |
| Provider Name | Bryan David Whetton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972932986 PECOS PAC ID: 7517197825 Enrollment ID: I20161208001161 |
| Provider Name | Jeffrey James Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891083374 PECOS PAC ID: 9537487863 Enrollment ID: I20161208001978 |
| Provider Name | Jennifer Jean Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730631490 PECOS PAC ID: 6305126335 Enrollment ID: I20161209000870 |
| Provider Name | Nicole Cummins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477005783 PECOS PAC ID: 3375823966 Enrollment ID: I20161219001171 |
| Provider Name | Kashae Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588119622 PECOS PAC ID: 7113208604 Enrollment ID: I20161220002582 |
| Provider Name | Stasha S Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164633715 PECOS PAC ID: 5092808691 Enrollment ID: I20161229000935 |
| Provider Name | Aaron Bennion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659709848 PECOS PAC ID: 9133357171 Enrollment ID: I20170106001009 |
| Provider Name | Stephen Nathaniel Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245774397 PECOS PAC ID: 3375824212 Enrollment ID: I20170106001767 |
| Provider Name | Kelly Hooton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891248233 PECOS PAC ID: 9537440342 Enrollment ID: I20170109002776 |
| Provider Name | Sarah Christine Everett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407398746 PECOS PAC ID: 7113208984 Enrollment ID: I20170110002079 |
| Provider Name | Janet Parker Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740567767 PECOS PAC ID: 8729369491 Enrollment ID: I20170111003603 |
| Provider Name | Jason Loveless |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932507100 PECOS PAC ID: 9931425055 Enrollment ID: I20170112002221 |
| Provider Name | Jared Samuel Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275986952 PECOS PAC ID: 8921380437 Enrollment ID: I20170118000797 |
| Provider Name | Anne Mary Torkelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992059927 PECOS PAC ID: 2769634864 Enrollment ID: I20170120001021 |
| Provider Name | Mori Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952564627 PECOS PAC ID: 2365662046 Enrollment ID: I20170120002070 |
| Provider Name | Angela Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073062659 PECOS PAC ID: 6305128166 Enrollment ID: I20170131001921 |
| Provider Name | Olive Sein Konana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811179088 PECOS PAC ID: 8729221544 Enrollment ID: I20170202000843 |
| Provider Name | Kylee Nikole Dalene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457804601 PECOS PAC ID: 0446533806 Enrollment ID: I20170208002068 |
| Provider Name | Mark Clifton Templeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922120468 PECOS PAC ID: 9133402530 Enrollment ID: I20170209000921 |
| Provider Name | Jennifer Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336513704 PECOS PAC ID: 3678872561 Enrollment ID: I20170209002267 |
| Provider Name | Emily Dubois Hollander |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194198077 PECOS PAC ID: 7012219058 Enrollment ID: I20170215002831 |
| Provider Name | Sarah Danielle Mendenhall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891230041 PECOS PAC ID: 7416231329 Enrollment ID: I20170221000842 |
| Provider Name | Erica Nichole Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518418623 PECOS PAC ID: 5890079719 Enrollment ID: I20170221001238 |
| Provider Name | Zachary David Golden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053856542 PECOS PAC ID: 4981988755 Enrollment ID: I20170223001258 |
| Provider Name | Jennifer a Uyematsu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871686311 PECOS PAC ID: 7315221066 Enrollment ID: I20170224002207 |
| Provider Name | Jennifer Zalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497078075 PECOS PAC ID: 2860610888 Enrollment ID: I20170313001762 |
| Provider Name | Garet Rocky Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083151500 PECOS PAC ID: 5698050607 Enrollment ID: I20170314000145 |
| Provider Name | Nicholas Paul Knighton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588983449 PECOS PAC ID: 9830349182 Enrollment ID: I20170317000841 |
| Provider Name | Nichole Cunha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588104558 PECOS PAC ID: 5698050433 Enrollment ID: I20170317001952 |
| Provider Name | Dylan B Alston |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457790180 PECOS PAC ID: 6305121864 Enrollment ID: I20170323001865 |
| Provider Name | Linda Maria Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376083147 PECOS PAC ID: 1254616501 Enrollment ID: I20170328002774 |
| Provider Name | Matthew S Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275889545 PECOS PAC ID: 0941454060 Enrollment ID: I20170329001382 |
| Provider Name | Brett Allen Nance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144515610 PECOS PAC ID: 0042595340 Enrollment ID: I20170329001596 |
| Provider Name | Trevor Scott Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629516166 PECOS PAC ID: 2769767904 Enrollment ID: I20170330000822 |
| Provider Name | Jessica a Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780980532 PECOS PAC ID: 0446411391 Enrollment ID: I20170403001525 |
| Provider Name | Eric M Barker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427357870 PECOS PAC ID: 6507163748 Enrollment ID: I20170405001095 |
| Provider Name | Katie Margaret Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729839 PECOS PAC ID: 4082990080 Enrollment ID: I20170405001364 |
| Provider Name | Charles G Hunter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033452263 PECOS PAC ID: 6507142395 Enrollment ID: I20170410001866 |
| Provider Name | Angela Judd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497016125 PECOS PAC ID: 6608152376 Enrollment ID: I20170411002755 |
| Provider Name | Nancy Meiyun-chiu Bivens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760503072 PECOS PAC ID: 5092895656 Enrollment ID: I20170421000638 |
| Provider Name | Matthew Roger Olson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730403494 PECOS PAC ID: 0345489829 Enrollment ID: I20170421001285 |
| Provider Name | Jason Milton Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891976783 PECOS PAC ID: 5991821019 Enrollment ID: I20170421001589 |
| Provider Name | Stephanie Aileen Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740608686 PECOS PAC ID: 5991002040 Enrollment ID: I20170425001047 |
| Provider Name | Tricia B Hauschild |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437477692 PECOS PAC ID: 7315164480 Enrollment ID: I20170502002299 |
| Provider Name | Steven John Rockwell Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619395423 PECOS PAC ID: 0840590352 Enrollment ID: I20170503000704 |
| Provider Name | Jesse Yarrington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013466978 PECOS PAC ID: 8628355484 Enrollment ID: I20170503001481 |
| Provider Name | Rachel Parbhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992122899 PECOS PAC ID: 0244533693 Enrollment ID: I20170504001883 |
| Provider Name | Brian Lee Grimwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477565539 PECOS PAC ID: 6002825510 Enrollment ID: I20170508001862 |
| Provider Name | Peter William Anderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982850863 PECOS PAC ID: 2961549621 Enrollment ID: I20170508001888 |
| Provider Name | Thomas J Eskelsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861781742 PECOS PAC ID: 8426281676 Enrollment ID: I20170510002905 |
| Provider Name | Nicole Rae Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467753798 PECOS PAC ID: 1557529500 Enrollment ID: I20170511000776 |
| Provider Name | Kimberly Catherine Warburton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477818151 PECOS PAC ID: 6507001260 Enrollment ID: I20170522000898 |
| Provider Name | Rachel Lowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609308774 PECOS PAC ID: 5991072928 Enrollment ID: I20170523002631 |
| Provider Name | Nicholas Henry Laffely |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801981410 PECOS PAC ID: 8022161397 Enrollment ID: I20170525002087 |
| Provider Name | Megan Grace Muir |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477098416 PECOS PAC ID: 6608143490 Enrollment ID: I20170526001431 |
| Provider Name | Stevie Michelle Rowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346531597 PECOS PAC ID: 7416224100 Enrollment ID: I20170531001600 |
| Provider Name | Craig Freeman Spiel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669647616 PECOS PAC ID: 3274800818 Enrollment ID: I20170601001770 |
| Provider Name | Elliott Adam Karren |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871850156 PECOS PAC ID: 8123250834 Enrollment ID: I20170601002272 |
| Provider Name | Nickolas Frank Gangwer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942610993 PECOS PAC ID: 5698995355 Enrollment ID: I20170601002815 |
| Provider Name | Cory James Kogelschatz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285991208 PECOS PAC ID: 8628210580 Enrollment ID: I20170601002925 |
| Provider Name | Sneha Nutan Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386063386 PECOS PAC ID: 6103120290 Enrollment ID: I20170602001981 |
| Provider Name | David Nathan Burrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699060079 PECOS PAC ID: 2163650938 Enrollment ID: I20170602002054 |
| Provider Name | Kyle Christian Jackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659782969 PECOS PAC ID: 7810292919 Enrollment ID: I20170602002110 |
| Provider Name | Stephen Michael Carr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679991913 PECOS PAC ID: 8921375478 Enrollment ID: I20170605000709 |
| Provider Name | Bennett Jay Mohlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851703524 PECOS PAC ID: 6305162025 Enrollment ID: I20170605002112 |
| Provider Name | Joshua Knowlton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811940166 PECOS PAC ID: 1951678382 Enrollment ID: I20170606001595 |
| Provider Name | Brett Tyson Alldredge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538435979 PECOS PAC ID: 5294962478 Enrollment ID: I20170606001621 |
| Provider Name | Brandon Seth Longenecker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407196801 PECOS PAC ID: 8921375361 Enrollment ID: I20170606001799 |
| Provider Name | Robert J Willer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417374323 PECOS PAC ID: 1153698519 Enrollment ID: I20170606002892 |
| Provider Name | Cuper Martinez Santibanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891238481 PECOS PAC ID: 0749557130 Enrollment ID: I20170607000686 |
| Provider Name | Timothy Saint Clair Forshay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902184690 PECOS PAC ID: 4981849163 Enrollment ID: I20170607001275 |
| Provider Name | Matthew Marinre Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336568666 PECOS PAC ID: 0749558161 Enrollment ID: I20170607002183 |
| Provider Name | David Scott Foisy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942733126 PECOS PAC ID: 4486922762 Enrollment ID: I20170608002194 |
| Provider Name | John Hamburg Murray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548680119 PECOS PAC ID: 2961704978 Enrollment ID: I20170608002350 |
| Provider Name | Sydney Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811230378 PECOS PAC ID: 3678890019 Enrollment ID: I20170612000455 |
| Provider Name | Matthew Joseph Farley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841618550 PECOS PAC ID: 9234431917 Enrollment ID: I20170613000980 |
| Provider Name | Scott Simonson Short |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326209735 PECOS PAC ID: 8820314743 Enrollment ID: I20170613002853 |
| Provider Name | Austin Brown Froerer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043626112 PECOS PAC ID: 4981820974 Enrollment ID: I20170614002270 |
| Provider Name | Logan Richard Dance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740592823 PECOS PAC ID: 5698043651 Enrollment ID: I20170615000230 |
| Provider Name | David Larson Demill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366783631 PECOS PAC ID: 6204131618 Enrollment ID: I20170616000993 |
| Provider Name | John Ross Stringham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982878021 PECOS PAC ID: 2365683349 Enrollment ID: I20170616001321 |
| Provider Name | Kyle Joseph Eliason |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336374511 PECOS PAC ID: 5496928574 Enrollment ID: I20170619002424 |
| Provider Name | Irma Clarita Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740731330 PECOS PAC ID: 4981972510 Enrollment ID: I20170622001131 |
| Provider Name | Stephanie Erin Frisch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275848038 PECOS PAC ID: 0345464475 Enrollment ID: I20170622002796 |
| Provider Name | Stephen Judd Orgill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841636826 PECOS PAC ID: 4880911148 Enrollment ID: I20170623002031 |
| Provider Name | Bryce L Desmond |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063851871 PECOS PAC ID: 3173826336 Enrollment ID: I20170626001674 |
| Provider Name | Mark Asher Merkley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144529595 PECOS PAC ID: 8628346111 Enrollment ID: I20170626002190 |
| Provider Name | Michael Lindberg Lane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447664859 PECOS PAC ID: 5799074829 Enrollment ID: I20170626002499 |
| Provider Name | Colby Bybee White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871951202 PECOS PAC ID: 1153690623 Enrollment ID: I20170627002437 |
| Provider Name | Andrew Darrel Barclay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033556204 PECOS PAC ID: 6901175322 Enrollment ID: I20170628001618 |
| Provider Name | Archana M Parmenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336687763 PECOS PAC ID: 0941579221 Enrollment ID: I20170629001144 |
| Provider Name | Todd Jay May |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295716918 PECOS PAC ID: 4587803689 Enrollment ID: I20170629002878 |
| Provider Name | Kathryn Ann Maurer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275859654 PECOS PAC ID: 3274759295 Enrollment ID: I20170629002919 |
| Provider Name | Svetlana Abrams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841557469 PECOS PAC ID: 3779852009 Enrollment ID: I20170629002944 |
| Provider Name | Kellen Tage Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396007316 PECOS PAC ID: 6204071657 Enrollment ID: I20170630001472 |
| Provider Name | Eric Randall Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770823361 PECOS PAC ID: 5193094399 Enrollment ID: I20170630002603 |
| Provider Name | Damon H Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265963300 PECOS PAC ID: 6002185204 Enrollment ID: I20170630002608 |
| Provider Name | Adam James Lecroy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497916712 PECOS PAC ID: 8628259413 Enrollment ID: I20170703000632 |
| Provider Name | Vanessa Marie Galli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649699828 PECOS PAC ID: 3274836598 Enrollment ID: I20170703001418 |
| Provider Name | Michael Edward Warden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851633218 PECOS PAC ID: 5395965503 Enrollment ID: I20170705000847 |
| Provider Name | Michael Eric Fenster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275951451 PECOS PAC ID: 0840594032 Enrollment ID: I20170706000112 |
| Provider Name | Daniel Francis Dawis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518305150 PECOS PAC ID: 0143599282 Enrollment ID: I20170706000772 |
| Provider Name | Aaron Silver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164716502 PECOS PAC ID: 5890918676 Enrollment ID: I20170706001111 |
| Provider Name | Stephanie D Henderson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1982997284 PECOS PAC ID: 5991074940 Enrollment ID: I20170706001586 |
| Provider Name | James Freeman Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417214958 PECOS PAC ID: 4688976657 Enrollment ID: I20170706001857 |
| Provider Name | Nicole Albrecht Dawis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740627330 PECOS PAC ID: 7911276944 Enrollment ID: I20170707001436 |
| Provider Name | Matthew Edward Feurer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508157942 PECOS PAC ID: 1052543220 Enrollment ID: I20170707001504 |
| Provider Name | Benjamin Clark Hermansen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356878516 PECOS PAC ID: 7214206143 Enrollment ID: I20170707001782 |
| Provider Name | Jessica Page |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053658708 PECOS PAC ID: 0244452274 Enrollment ID: I20170707002152 |
| Provider Name | Brenton Glen Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619402732 PECOS PAC ID: 5496024333 Enrollment ID: I20170707002223 |
| Provider Name | Thomas Mark Laskowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316480726 PECOS PAC ID: 1254600141 Enrollment ID: I20170710000693 |
| Provider Name | Susan N Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396270021 PECOS PAC ID: 2466721105 Enrollment ID: I20170711003791 |
| Provider Name | Margaret Elizabeth Mccormick Van Meter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528231511 PECOS PAC ID: 9931252202 Enrollment ID: I20170712002140 |
| Provider Name | Jeremiah Nathan West |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538428370 PECOS PAC ID: 6002108263 Enrollment ID: I20170712002455 |
| Provider Name | Nishant Krishna Sekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902988546 PECOS PAC ID: 2466586441 Enrollment ID: I20170712003592 |
| Provider Name | Timothy Fuller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770994550 PECOS PAC ID: 0244538106 Enrollment ID: I20170713003329 |
| Provider Name | Angel Kae Lybbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295171874 PECOS PAC ID: 1456573831 Enrollment ID: I20170713003640 |
| Provider Name | Robert Mendenhall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487996955 PECOS PAC ID: 4789803859 Enrollment ID: I20170713003690 |
| Provider Name | Heather Ling Alden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427476126 PECOS PAC ID: 9032489539 Enrollment ID: I20170717000827 |
| Provider Name | Judy Lynn Locati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932465358 PECOS PAC ID: 7618272782 Enrollment ID: I20170718003602 |
| Provider Name | Lauren Lynee Coyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780027821 PECOS PAC ID: 8325318785 Enrollment ID: I20170718003907 |
| Provider Name | Mark W Dodson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710275599 PECOS PAC ID: 6709009442 Enrollment ID: I20170719002924 |
| Provider Name | Eric Charles Sorenson |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1205089455 PECOS PAC ID: 6507158169 Enrollment ID: I20170720002189 |
| Provider Name | Jordan Reed Judkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508158700 PECOS PAC ID: 8022388222 Enrollment ID: I20170720002221 |
| Provider Name | Annjanette Rapier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023556206 PECOS PAC ID: 7214207422 Enrollment ID: I20170720002576 |
| Provider Name | Paul Hepworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740608967 PECOS PAC ID: 3173742228 Enrollment ID: I20170724002611 |
| Provider Name | Kathryn W Russell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750518049 PECOS PAC ID: 4385876135 Enrollment ID: I20170726003669 |
| Provider Name | Zachary Kastenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518191915 PECOS PAC ID: 3072883727 Enrollment ID: I20170727004153 |
| Provider Name | Brian Bennett Koldyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609203363 PECOS PAC ID: 5496981987 Enrollment ID: I20170728003042 |
| Provider Name | Jeffrey Sparenborg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104182476 PECOS PAC ID: 2769753482 Enrollment ID: I20170728003250 |
| Provider Name | Kirsten Leah Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336175967 PECOS PAC ID: 0042523573 Enrollment ID: I20170728003289 |
| Provider Name | Jeremy Shaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770859654 PECOS PAC ID: 7517258312 Enrollment ID: I20170731003782 |
| Provider Name | Kindra Backman Celani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639609357 PECOS PAC ID: 1759652316 Enrollment ID: I20170801001782 |
| Provider Name | Brian David Parmenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700324985 PECOS PAC ID: 7113298696 Enrollment ID: I20170801003385 |
| Provider Name | Daniel Wightman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780003061 PECOS PAC ID: 9739458373 Enrollment ID: I20170802003755 |
| Provider Name | Susan Howey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639242035 PECOS PAC ID: 6901890748 Enrollment ID: I20170803003318 |
| Provider Name | Joseph Darren Wheeler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750565644 PECOS PAC ID: 6305986787 Enrollment ID: I20170808002677 |
| Provider Name | David Earl Perry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295029528 PECOS PAC ID: 6305069501 Enrollment ID: I20170811002287 |
| Provider Name | Kathryn Suzanne Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558881565 PECOS PAC ID: 2062783806 Enrollment ID: I20170811002792 |
| Provider Name | Mandy Lynn Pattillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336662519 PECOS PAC ID: 2860763646 Enrollment ID: I20170814000687 |
| Provider Name | Patricia Olivia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992165054 PECOS PAC ID: 5799056586 Enrollment ID: I20170814001100 |
| Provider Name | Jeffery a David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346585346 PECOS PAC ID: 0840562641 Enrollment ID: I20170814002106 |
| Provider Name | Jonas L Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114376431 PECOS PAC ID: 9638441462 Enrollment ID: I20170814003143 |
| Provider Name | Suzanne Milne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184147175 PECOS PAC ID: 4284906033 Enrollment ID: I20170815000714 |
| Provider Name | Huyen-tran Nguyen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841586278 PECOS PAC ID: 4284906959 Enrollment ID: I20170816001932 |
| Provider Name | Michelle Debbink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386088706 PECOS PAC ID: 7012210032 Enrollment ID: I20170816003842 |
| Provider Name | Scott Ruel Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891157210 PECOS PAC ID: 1850663469 Enrollment ID: I20170816004117 |
| Provider Name | Barbara Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053773598 PECOS PAC ID: 7911279484 Enrollment ID: I20170817002412 |
| Provider Name | Faheem Akhtar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144498163 PECOS PAC ID: 3971678020 Enrollment ID: I20170818001605 |
| Provider Name | Holly Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609239946 PECOS PAC ID: 8527331412 Enrollment ID: I20170828003603 |
| Provider Name | Geoffrey L Braden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275597809 PECOS PAC ID: 6800825654 Enrollment ID: I20170830001768 |
| Provider Name | Valeria F Dias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578980629 PECOS PAC ID: 6002189842 Enrollment ID: I20170830001777 |
| Provider Name | Joshua Morrison Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043552110 PECOS PAC ID: 2062736200 Enrollment ID: I20170906003391 |
| Provider Name | Craig Bernell Batty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992167324 PECOS PAC ID: 4082987003 Enrollment ID: I20170913000920 |
| Provider Name | Melissa Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093151987 PECOS PAC ID: 8729381454 Enrollment ID: I20170914003954 |
| Provider Name | Jennifer Lazzara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720503881 PECOS PAC ID: 9234403098 Enrollment ID: I20170919000382 |
| Provider Name | Nancy Parkhurst Lawless |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982652046 PECOS PAC ID: 3577635515 Enrollment ID: I20170919001974 |
| Provider Name | Blair Honeyman Monell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255617544 PECOS PAC ID: 7810118205 Enrollment ID: I20170921000214 |
| Provider Name | Derek Douglas Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720502859 PECOS PAC ID: 4688949787 Enrollment ID: I20170928003077 |
| Provider Name | Matthew D Pitcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346520434 PECOS PAC ID: 7719127448 Enrollment ID: I20170929003089 |
| Provider Name | Morgan Hill Pratt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295256733 PECOS PAC ID: 0446525406 Enrollment ID: I20171002002971 |
| Provider Name | Randy Gilliland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629431788 PECOS PAC ID: 7719251446 Enrollment ID: I20171003007252 |
| Provider Name | Annliza Lachica Piacitelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205034113 PECOS PAC ID: 6507054046 Enrollment ID: I20171006000672 |
| Provider Name | Whitney Bates Hope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710496575 PECOS PAC ID: 0042585580 Enrollment ID: I20171009002416 |
| Provider Name | Chaz Derrick Colton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518484005 PECOS PAC ID: 9436424991 Enrollment ID: I20171009003248 |
| Provider Name | Melanie Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447709902 PECOS PAC ID: 2961777388 Enrollment ID: I20171010002569 |
| Provider Name | Anna M Siciliano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104947233 PECOS PAC ID: 7416222716 Enrollment ID: I20171012003033 |
| Provider Name | Jordan a Lythgoe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245762806 PECOS PAC ID: 8325313620 Enrollment ID: I20171012003086 |
| Provider Name | Brian C Mattsson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538564653 PECOS PAC ID: 8022383322 Enrollment ID: I20171012003183 |
| Provider Name | Monique Keehan Mahlum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255564373 PECOS PAC ID: 3375709009 Enrollment ID: I20171016001064 |
| Provider Name | Jesse Christine Stokes Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912429887 PECOS PAC ID: 3779859913 Enrollment ID: I20171016003343 |
| Provider Name | Brian Grier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477072015 PECOS PAC ID: 2860768959 Enrollment ID: I20171017002229 |
| Provider Name | Gina M Pasin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467692467 PECOS PAC ID: 9335206648 Enrollment ID: I20171024003003 |
| Provider Name | Candace V Bielik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235658923 PECOS PAC ID: 3577839174 Enrollment ID: I20171026001744 |
| Provider Name | Linh Ai Moran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447593520 PECOS PAC ID: 9032339429 Enrollment ID: I20171026003456 |
| Provider Name | Spencer Forest Schuenman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467484857 PECOS PAC ID: 5698748994 Enrollment ID: I20171027002454 |
| Provider Name | Stanley Eugene Brewer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346508637 PECOS PAC ID: 2860638509 Enrollment ID: I20171031001907 |
| Provider Name | Daniel William Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802888 PECOS PAC ID: 3476829797 Enrollment ID: I20171031002966 |
| Provider Name | Travis Kyle Layne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902894389 PECOS PAC ID: 3476511486 Enrollment ID: I20171102003550 |
| Provider Name | Snigdha Ancha |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1851679351 PECOS PAC ID: 9931465747 Enrollment ID: I20171110002581 |
| Provider Name | Emily G Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609394758 PECOS PAC ID: 2163788720 Enrollment ID: I20171114003575 |
| Provider Name | Jorge Arturo Delgadillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023530854 PECOS PAC ID: 1557627932 Enrollment ID: I20171117003063 |
| Provider Name | David Buhler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063921997 PECOS PAC ID: 1456618735 Enrollment ID: I20171121001718 |
| Provider Name | Heidi Ann Nielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598288490 PECOS PAC ID: 9133486434 Enrollment ID: I20171121002495 |
| Provider Name | Kelly M Daly-wolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003334525 PECOS PAC ID: 0648537837 Enrollment ID: I20171122002751 |
| Provider Name | Kristen Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205288628 PECOS PAC ID: 8820355753 Enrollment ID: I20171201001730 |
| Provider Name | Chelise Nicole Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952811515 PECOS PAC ID: 0244597813 Enrollment ID: I20171207000114 |
| Provider Name | Brian James Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205278355 PECOS PAC ID: 1557661493 Enrollment ID: I20171214003043 |
| Provider Name | Rebecca Vaillancourt Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245754878 PECOS PAC ID: 6800154766 Enrollment ID: I20171222000520 |
| Provider Name | Zheila Reyhani Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530050 PECOS PAC ID: 5597023200 Enrollment ID: I20171228002335 |
| Provider Name | Cristina Dawn Berkholder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386155273 PECOS PAC ID: 3678831302 Enrollment ID: I20171229000541 |
| Provider Name | Thomas Brinton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558593046 PECOS PAC ID: 0547455834 Enrollment ID: I20180108003186 |
| Provider Name | Brett Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265876171 PECOS PAC ID: 8820317571 Enrollment ID: I20180110002597 |
| Provider Name | Ashley Salin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063937449 PECOS PAC ID: 4688933005 Enrollment ID: I20180110002861 |
| Provider Name | Teran M Mccormick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750891552 PECOS PAC ID: 2567721871 Enrollment ID: I20180112000646 |
| Provider Name | Holly Cushing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487173928 PECOS PAC ID: 2668731886 Enrollment ID: I20180116002511 |
| Provider Name | James Kevin Visker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650664 PECOS PAC ID: 2961319835 Enrollment ID: I20180118001693 |
| Provider Name | Syed Adil Husain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790845873 PECOS PAC ID: 5597766402 Enrollment ID: I20180119002727 |
| Provider Name | Jason W Jorgensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366953754 PECOS PAC ID: 7416216379 Enrollment ID: I20180122003266 |
| Provider Name | Diantha Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720467780 PECOS PAC ID: 8325345036 Enrollment ID: I20180123000366 |
| Provider Name | Toni Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366951337 PECOS PAC ID: 7517226368 Enrollment ID: I20180124001046 |
| Provider Name | Eric Scott Overton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225448327 PECOS PAC ID: 5092074773 Enrollment ID: I20180126000510 |
| Provider Name | Kaitlin Carpenter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003233040 PECOS PAC ID: 3971806050 Enrollment ID: I20180126001051 |
| Provider Name | Christine Hulet Ray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831567874 PECOS PAC ID: 9638470008 Enrollment ID: I20180201000774 |
| Provider Name | Christian Paul Hyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164672549 PECOS PAC ID: 8820228554 Enrollment ID: I20180202000916 |
| Provider Name | Jennyfer Quitian Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720417959 PECOS PAC ID: 4183857683 Enrollment ID: I20180202002312 |
| Provider Name | Julie Anne Lanphere |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962640441 PECOS PAC ID: 2769648500 Enrollment ID: I20180207001098 |
| Provider Name | Jesse Wren Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487165932 PECOS PAC ID: 1658631999 Enrollment ID: I20180207001171 |
| Provider Name | Jessica Nicole Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144620691 PECOS PAC ID: 9032436456 Enrollment ID: I20180207002484 |
| Provider Name | Samuel Stephen Richards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609382050 PECOS PAC ID: 9133489396 Enrollment ID: I20180207002499 |
| Provider Name | Jayme Alison Eatough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407363633 PECOS PAC ID: 2264792472 Enrollment ID: I20180208001772 |
| Provider Name | Barrett H Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992224372 PECOS PAC ID: 0749540870 Enrollment ID: I20180208002957 |
| Provider Name | Jonathan Daniel Ricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568996502 PECOS PAC ID: 1052671146 Enrollment ID: I20180209002494 |
| Provider Name | Brittni Sioux Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770009656 PECOS PAC ID: 2567722473 Enrollment ID: I20180213002793 |
| Provider Name | Susanna Benavidez Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215238530 PECOS PAC ID: 3577824226 Enrollment ID: I20180221001236 |
| Provider Name | Jeffrey a Penman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437178076 PECOS PAC ID: 7618238064 Enrollment ID: I20180227000443 |
| Provider Name | Richard Johnson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124253166 PECOS PAC ID: 9830407659 Enrollment ID: I20180302000402 |
| Provider Name | Kate Martis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972804243 PECOS PAC ID: 3173700200 Enrollment ID: I20180302000666 |
| Provider Name | Eliza Michele Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467969162 PECOS PAC ID: 2961763107 Enrollment ID: I20180302000912 |
| Provider Name | Joshua Noren Carlson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093943086 PECOS PAC ID: 8820238470 Enrollment ID: I20180308000212 |
| Provider Name | Jason Carlton Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902317837 PECOS PAC ID: 0042571929 Enrollment ID: I20180312000723 |
| Provider Name | Peter S Leavitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386698678 PECOS PAC ID: 8325010242 Enrollment ID: I20180313000575 |
| Provider Name | Devin P. Beckstrand |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1497744478 PECOS PAC ID: 1850653650 Enrollment ID: I20180314001463 |
| Provider Name | Tammy R Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598167488 PECOS PAC ID: 4880956697 Enrollment ID: I20180314001858 |
| Provider Name | Katherine L. Harris |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447588728 PECOS PAC ID: 8325348394 Enrollment ID: I20180320001118 |
| Provider Name | Melissa M Sorenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720506942 PECOS PAC ID: 8022370501 Enrollment ID: I20180321000915 |
| Provider Name | Linda Marie Richards Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033627351 PECOS PAC ID: 5193087633 Enrollment ID: I20180322000703 |
| Provider Name | Nikhil Karanth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144332586 PECOS PAC ID: 1456422716 Enrollment ID: I20180322000974 |
| Provider Name | Brian J Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740780964 PECOS PAC ID: 8426310707 Enrollment ID: I20180326002966 |
| Provider Name | Heather Lynn Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831615145 PECOS PAC ID: 0244592269 Enrollment ID: I20180402001440 |
| Provider Name | Barry L Acor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154633642 PECOS PAC ID: 5395933352 Enrollment ID: I20180404001289 |
| Provider Name | Melanie J Heairld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912339078 PECOS PAC ID: 4880957802 Enrollment ID: I20180404001402 |
| Provider Name | Kristina M Lozano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932369311 PECOS PAC ID: 0749450526 Enrollment ID: I20180404001820 |
| Provider Name | Colleen Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568756237 PECOS PAC ID: 9638302599 Enrollment ID: I20180406001929 |
| Provider Name | Benjamin Erik Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356853188 PECOS PAC ID: 3577826445 Enrollment ID: I20180406002266 |
| Provider Name | Richard D Mcwhorter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003873050 PECOS PAC ID: 4688626682 Enrollment ID: I20180409001532 |
| Provider Name | Tye Frank Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467955526 PECOS PAC ID: 9133482953 Enrollment ID: I20180409002633 |
| Provider Name | Joanie Marie Limb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164951737 PECOS PAC ID: 0840553541 Enrollment ID: I20180411000437 |
| Provider Name | Brian Andrew Breviu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790129831 PECOS PAC ID: 7719200252 Enrollment ID: I20180412001163 |
| Provider Name | Megan B. Rowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538318506 PECOS PAC ID: 3678619970 Enrollment ID: I20180419001056 |
| Provider Name | Erick Bryan Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750807095 PECOS PAC ID: 2961766084 Enrollment ID: I20180425002509 |
| Provider Name | Athanasios Bramos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144541426 PECOS PAC ID: 5092018770 Enrollment ID: I20180426001998 |
| Provider Name | Becky Jean Rasmuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801303003 PECOS PAC ID: 6901160936 Enrollment ID: I20180427001936 |
| Provider Name | Kathleen L Dooley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467964601 PECOS PAC ID: 4183988066 Enrollment ID: I20180430001825 |
| Provider Name | Shae Francom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013412063 PECOS PAC ID: 6507120987 Enrollment ID: I20180511000725 |
| Provider Name | Brittney Kimiko Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871094177 PECOS PAC ID: 1759645971 Enrollment ID: I20180515002820 |
| Provider Name | Jared Glen Jackman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366994311 PECOS PAC ID: 6204119209 Enrollment ID: I20180518000119 |
| Provider Name | Tarek Ammar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649478314 PECOS PAC ID: 3971653189 Enrollment ID: I20180522002150 |
| Provider Name | Giovanni Rafael Crosland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619351657 PECOS PAC ID: 2264705474 Enrollment ID: I20180523002931 |
| Provider Name | Eric Cameron Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609296623 PECOS PAC ID: 5991000556 Enrollment ID: I20180524000962 |
| Provider Name | Michelle R B Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841427978 PECOS PAC ID: 3173746815 Enrollment ID: I20180525001975 |
| Provider Name | Alexander Max Luer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336550946 PECOS PAC ID: 3577828367 Enrollment ID: I20180528000006 |
| Provider Name | Ryan Alan Morton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720472632 PECOS PAC ID: 5294017182 Enrollment ID: I20180528000011 |
| Provider Name | David Matthew Graff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144635038 PECOS PAC ID: 9537424361 Enrollment ID: I20180529002189 |
| Provider Name | Ye Tao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255692216 PECOS PAC ID: 1850523028 Enrollment ID: I20180531000306 |
| Provider Name | Nathan J Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073909776 PECOS PAC ID: 6103105382 Enrollment ID: I20180604001447 |
| Provider Name | Clinton Sherrill Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821592890 PECOS PAC ID: 7113282609 Enrollment ID: I20180604003063 |
| Provider Name | Adam K Bagley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265941892 PECOS PAC ID: 5395000723 Enrollment ID: I20180605002705 |
| Provider Name | Edward Ofori |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285792879 PECOS PAC ID: 2668421934 Enrollment ID: I20180605002814 |
| Provider Name | Sean R Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821484304 PECOS PAC ID: 8224317417 Enrollment ID: I20180606002608 |
| Provider Name | Amanda Michelle Legg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245721737 PECOS PAC ID: 6608121975 Enrollment ID: I20180611001400 |
| Provider Name | Elizabeth J Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518934793 PECOS PAC ID: 6800839309 Enrollment ID: I20180611001897 |
| Provider Name | Parker R Hill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508286444 PECOS PAC ID: 6305191537 Enrollment ID: I20180612001577 |
| Provider Name | J Michael Coombs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336529163 PECOS PAC ID: 9931414455 Enrollment ID: I20180614000724 |
| Provider Name | Harris Lee Carmichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336568302 PECOS PAC ID: 6709189749 Enrollment ID: I20180614003046 |
| Provider Name | Sadie Christine Dahlsrud |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497040356 PECOS PAC ID: 2769737790 Enrollment ID: I20180615001072 |
| Provider Name | Shawn B Tate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467879668 PECOS PAC ID: 9638464407 Enrollment ID: I20180618003262 |
| Provider Name | Julie M Himstedt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558512996 PECOS PAC ID: 2769446707 Enrollment ID: I20180619003252 |
| Provider Name | Spencer K Hansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174898647 PECOS PAC ID: 1456606193 Enrollment ID: I20180620001346 |
| Provider Name | Kyle Milton Fusselman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571363 PECOS PAC ID: 1456655976 Enrollment ID: I20180622001726 |
| Provider Name | Teresa Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407246135 PECOS PAC ID: 1850619297 Enrollment ID: I20180626002044 |
| Provider Name | Zackery Ross Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891291316 PECOS PAC ID: 4082969464 Enrollment ID: I20180626003591 |
| Provider Name | Daniel Francis Ruthven |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336465962 PECOS PAC ID: 8123277969 Enrollment ID: I20180627002364 |
| Provider Name | Salman Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336536150 PECOS PAC ID: 3779839089 Enrollment ID: I20180628002255 |
| Provider Name | Milda Shapiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801138953 PECOS PAC ID: 6507007093 Enrollment ID: I20180705002624 |
| Provider Name | Tolbin Matthew Collett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801233994 PECOS PAC ID: 7618223538 Enrollment ID: I20180709001059 |
| Provider Name | Russell Scott Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699176255 PECOS PAC ID: 5890011951 Enrollment ID: I20180710000339 |
| Provider Name | Jessica Ann Ellis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831497353 PECOS PAC ID: 1456626845 Enrollment ID: I20180710002645 |
| Provider Name | Jason K Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134549017 PECOS PAC ID: 5890090419 Enrollment ID: I20180712000225 |
| Provider Name | Shulun Zang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306230842 PECOS PAC ID: 2668787722 Enrollment ID: I20180716001399 |
| Provider Name | Christopher Alan English |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891113304 PECOS PAC ID: 7214223965 Enrollment ID: I20180719002159 |
| Provider Name | Keith Wesley Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326425935 PECOS PAC ID: 7416239728 Enrollment ID: I20180719003425 |
| Provider Name | Alyssa Ann Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912411307 PECOS PAC ID: 1557618311 Enrollment ID: I20180725000521 |
| Provider Name | Samantha Lyn Clarkson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891280343 PECOS PAC ID: 4284981903 Enrollment ID: I20180725003596 |
| Provider Name | Ryan Coil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851786081 PECOS PAC ID: 7315227311 Enrollment ID: I20180727002591 |
| Provider Name | Lauren Lahdan Saeed Heidarian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235559535 PECOS PAC ID: 3678870011 Enrollment ID: I20180806002824 |
| Provider Name | Nathan Blue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427300938 PECOS PAC ID: 0244547438 Enrollment ID: I20180806002917 |
| Provider Name | Judd Charles Allen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639463714 PECOS PAC ID: 8921308735 Enrollment ID: I20180808002078 |
| Provider Name | Pankhuri Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598107187 PECOS PAC ID: 1355632514 Enrollment ID: I20180808003379 |
| Provider Name | Jose Mathews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760400295 PECOS PAC ID: 1951336403 Enrollment ID: I20180820003566 |
| Provider Name | Jeffery Mccleve |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043705866 PECOS PAC ID: 9537418520 Enrollment ID: I20180824000800 |
| Provider Name | Renny Theodore Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013283449 PECOS PAC ID: 0143536490 Enrollment ID: I20180829004568 |
| Provider Name | Meghann R Hilgert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649502931 PECOS PAC ID: 6507003852 Enrollment ID: I20180831002037 |
| Provider Name | Andrew Robert Badke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063708725 PECOS PAC ID: 4688895576 Enrollment ID: I20180907002427 |
| Provider Name | Deven Willardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376033456 PECOS PAC ID: 0446500615 Enrollment ID: I20180910000954 |
| Provider Name | Daniel Arnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972846004 PECOS PAC ID: 0941525513 Enrollment ID: I20180910001375 |
| Provider Name | Timothy Ross Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477031870 PECOS PAC ID: 0547512311 Enrollment ID: I20181004002741 |
| Provider Name | Joe Sammy Mendez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578819827 PECOS PAC ID: 7911136106 Enrollment ID: I20181004002890 |
| Provider Name | Leah Thalia Moses |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043706625 PECOS PAC ID: 6709138423 Enrollment ID: I20181008003500 |
| Provider Name | Kelsie Jo Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548752827 PECOS PAC ID: 9234481953 Enrollment ID: I20181008003542 |
| Provider Name | Sarah Jean Clasby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689150989 PECOS PAC ID: 1557613163 Enrollment ID: I20181010000296 |
| Provider Name | Brandon Winslett Kirkland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033437215 PECOS PAC ID: 2860639606 Enrollment ID: I20181015003162 |
| Provider Name | Paul Thomas Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851617898 PECOS PAC ID: 2769623461 Enrollment ID: I20181023000939 |
| Provider Name | Justin Norman Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639564495 PECOS PAC ID: 4284948027 Enrollment ID: I20181024002489 |
| Provider Name | Michael L English |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770720823 PECOS PAC ID: 6002071131 Enrollment ID: I20181025001801 |
| Provider Name | Alisha Wursten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457847675 PECOS PAC ID: 2567715261 Enrollment ID: I20181026000334 |
| Provider Name | Paul Wayne Whitecar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639144934 PECOS PAC ID: 4688819345 Enrollment ID: I20181026000549 |
| Provider Name | Lauren Elizabeth Willis Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407275787 PECOS PAC ID: 3072816818 Enrollment ID: I20181026000727 |
| Provider Name | Laura Kyser Romer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912326059 PECOS PAC ID: 3072866797 Enrollment ID: I20181026001539 |
| Provider Name | Adam Tullis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972912657 PECOS PAC ID: 3678847019 Enrollment ID: I20181026001575 |
| Provider Name | Paul Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245596410 PECOS PAC ID: 0345511127 Enrollment ID: I20181027000183 |
| Provider Name | Kevin Meier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104143825 PECOS PAC ID: 7517199193 Enrollment ID: I20181029001940 |
| Provider Name | Dallin R Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770964751 PECOS PAC ID: 8123331170 Enrollment ID: I20181030001388 |
| Provider Name | Craig Evan Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253955 PECOS PAC ID: 1658624150 Enrollment ID: I20181031000771 |
| Provider Name | Christopher Kenneth Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699156802 PECOS PAC ID: 4486907805 Enrollment ID: I20181031002212 |
| Provider Name | Faryal M Turtle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174918163 PECOS PAC ID: 5799080842 Enrollment ID: I20181031002641 |
| Provider Name | Ashley C Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124400692 PECOS PAC ID: 7618282419 Enrollment ID: I20181031002682 |
| Provider Name | Brandon a Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386702397 PECOS PAC ID: 3870895550 Enrollment ID: I20181031002874 |
| Provider Name | Michael Mccomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568778918 PECOS PAC ID: 4789879057 Enrollment ID: I20181101003141 |
| Provider Name | Travis Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386900595 PECOS PAC ID: 2062646268 Enrollment ID: I20181102001964 |
| Provider Name | Claire a Gross |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144664681 PECOS PAC ID: 0345545190 Enrollment ID: I20181102002040 |
| Provider Name | Ryan James Bair |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841587094 PECOS PAC ID: 9032353966 Enrollment ID: I20181103000196 |
| Provider Name | Amy Ann Porter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649475633 PECOS PAC ID: 0840544912 Enrollment ID: I20181109000066 |
| Provider Name | Justin J Peck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659855575 PECOS PAC ID: 4789938150 Enrollment ID: I20181121002184 |
| Provider Name | Robert Dean Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821596701 PECOS PAC ID: 9830433853 Enrollment ID: I20181203001313 |
| Provider Name | Lindsey Nye Troy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528324019 PECOS PAC ID: 0941544423 Enrollment ID: I20181211000770 |
| Provider Name | Pace Romney |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023453768 PECOS PAC ID: 9537458781 Enrollment ID: I20181213000777 |
| Provider Name | Joshua Joseph Minori |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942560479 PECOS PAC ID: 3870838105 Enrollment ID: I20181214001355 |
| Provider Name | Kristin Elle Mitrovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386088532 PECOS PAC ID: 2860719085 Enrollment ID: I20181214002484 |
| Provider Name | John Marcus Rector |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629442835 PECOS PAC ID: 4880939008 Enrollment ID: I20181217001880 |
| Provider Name | Adam M Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063711463 PECOS PAC ID: 9133365349 Enrollment ID: I20181220000968 |
| Provider Name | Adrianne R Walker-jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699820738 PECOS PAC ID: 4981949831 Enrollment ID: I20181220001485 |
| Provider Name | Joan Elizabeth Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497184303 PECOS PAC ID: 0244459881 Enrollment ID: I20181220001518 |
| Provider Name | John N Galian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952414880 PECOS PAC ID: 1456696327 Enrollment ID: I20181220002120 |
| Provider Name | Joshua Duane Knapp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205255908 PECOS PAC ID: 0345547105 Enrollment ID: I20181220002367 |
| Provider Name | Emily Rae Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386902120 PECOS PAC ID: 1254577463 Enrollment ID: I20181221001979 |
| Provider Name | John C Greenert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043625551 PECOS PAC ID: 9436451531 Enrollment ID: I20181231001927 |
| Provider Name | John Robert Frampton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942620174 PECOS PAC ID: 4880939479 Enrollment ID: I20181231001972 |
| Provider Name | Britney Bunot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821423609 PECOS PAC ID: 6002151693 Enrollment ID: I20190102000244 |
| Provider Name | Karl Theodore Martineau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144602822 PECOS PAC ID: 7214241355 Enrollment ID: I20190102002911 |
| Provider Name | Jana Louise Burningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366996910 PECOS PAC ID: 3779828231 Enrollment ID: I20190102003107 |
| Provider Name | Hayley Ann Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124411426 PECOS PAC ID: 9739408188 Enrollment ID: I20190102003122 |
| Provider Name | Jack Edward Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073991915 PECOS PAC ID: 2163782855 Enrollment ID: I20190103001338 |
| Provider Name | Amy Jean Bleak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194239053 PECOS PAC ID: 8325394521 Enrollment ID: I20190103002203 |
| Provider Name | Melissa Christine Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366848608 PECOS PAC ID: 0244555951 Enrollment ID: I20190103002345 |
| Provider Name | Laura Giove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831625995 PECOS PAC ID: 3072859586 Enrollment ID: I20190103002515 |
| Provider Name | Bethany Rose Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932640265 PECOS PAC ID: 4789920299 Enrollment ID: I20190103002623 |
| Provider Name | Lesli Anne Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255776118 PECOS PAC ID: 0840536355 Enrollment ID: I20190103002727 |
| Provider Name | Karen a Bradley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992755425 PECOS PAC ID: 3971516527 Enrollment ID: I20190103003003 |
| Provider Name | Lindsay Jill Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134604002 PECOS PAC ID: 6305182825 Enrollment ID: I20190103003134 |
| Provider Name | Jonathan Terry Kemp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164804811 PECOS PAC ID: 9931411360 Enrollment ID: I20190107001079 |
| Provider Name | Tania Patricia Nisimblat Bodnar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750520201 PECOS PAC ID: 0749478717 Enrollment ID: I20190110000469 |
| Provider Name | Leigh Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720584147 PECOS PAC ID: 8325384282 Enrollment ID: I20190114002168 |
| Provider Name | Jennifer Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982180154 PECOS PAC ID: 4587900444 Enrollment ID: I20190114002273 |
| Provider Name | Ryan Scott Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669968723 PECOS PAC ID: 6709122617 Enrollment ID: I20190115001031 |
| Provider Name | Arne Merriman Olsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821108564 PECOS PAC ID: 6709042336 Enrollment ID: I20190118001730 |
| Provider Name | Justin a Peterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811336241 PECOS PAC ID: 8729397708 Enrollment ID: I20190122002805 |
| Provider Name | Susan H Morelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588677660 PECOS PAC ID: 7416294707 Enrollment ID: I20190124001274 |
| Provider Name | Ryan Marc Uhrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326520529 PECOS PAC ID: 1850638164 Enrollment ID: I20190124001847 |
| Provider Name | Brittany Marie Cross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891277950 PECOS PAC ID: 7012254121 Enrollment ID: I20190128003187 |
| Provider Name | Katherine Brown Puttgen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275747529 PECOS PAC ID: 3779674643 Enrollment ID: I20190131000886 |
| Provider Name | Hollie Wharton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649754508 PECOS PAC ID: 6002154572 Enrollment ID: I20190207000912 |
| Provider Name | Alexander Karmazin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679521470 PECOS PAC ID: 8527158278 Enrollment ID: I20190212001464 |
| Provider Name | Hans Puttgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851447569 PECOS PAC ID: 4789739228 Enrollment ID: I20190214002525 |
| Provider Name | Lyssa T Haase |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053709634 PECOS PAC ID: 5092053181 Enrollment ID: I20190215000284 |
| Provider Name | James Derek Wylie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760771794 PECOS PAC ID: 0143452847 Enrollment ID: I20190215001960 |
| Provider Name | Mark W Sears |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235614959 PECOS PAC ID: 5294073284 Enrollment ID: I20190218001461 |
| Provider Name | Elizabeth Batcher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316045495 PECOS PAC ID: 4789601063 Enrollment ID: I20190220002310 |
| Provider Name | Devin Timothy Rhodes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730655994 PECOS PAC ID: 5991044703 Enrollment ID: I20190221002485 |
| Provider Name | Brigid a O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245743640 PECOS PAC ID: 4284993916 Enrollment ID: I20190225002295 |
| Provider Name | Brandy Millward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467838086 PECOS PAC ID: 1052650710 Enrollment ID: I20190225002716 |
| Provider Name | Afton Leuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902308455 PECOS PAC ID: 5698014215 Enrollment ID: I20190226002725 |
| Provider Name | Troy L Sargent |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245449214 PECOS PAC ID: 4789982349 Enrollment ID: I20190227002232 |
| Provider Name | Matthew Ryan Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801377767 PECOS PAC ID: 1951640440 Enrollment ID: I20190227002610 |
| Provider Name | Monette Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063988129 PECOS PAC ID: 3274872700 Enrollment ID: I20190228000973 |
| Provider Name | Lee Trotter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013986157 PECOS PAC ID: 4789674540 Enrollment ID: I20190228001072 |
| Provider Name | Holly Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417443490 PECOS PAC ID: 2163761453 Enrollment ID: I20190304002772 |
| Provider Name | Valerie Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720599723 PECOS PAC ID: 6406116052 Enrollment ID: I20190306001455 |
| Provider Name | Mary E Mcmillan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407322779 PECOS PAC ID: 3678812609 Enrollment ID: I20190308000750 |
| Provider Name | Kimber Kathleen Watson Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689902603 PECOS PAC ID: 9335303700 Enrollment ID: I20190308001948 |
| Provider Name | Jennifer Aileen Wight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679901169 PECOS PAC ID: 9436499324 Enrollment ID: I20190312001807 |
| Provider Name | Adam J Partridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689142234 PECOS PAC ID: 8224378112 Enrollment ID: I20190312001917 |
| Provider Name | Hannah Belnap-gunn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790933216 PECOS PAC ID: 6608924782 Enrollment ID: I20190313002410 |
| Provider Name | Ericka J Olschewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417369059 PECOS PAC ID: 8820338676 Enrollment ID: I20190314001351 |
| Provider Name | Anna Karyn Lacy Whisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184140345 PECOS PAC ID: 1052651817 Enrollment ID: I20190314001579 |
| Provider Name | Colten J Stokes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336619402 PECOS PAC ID: 5395085005 Enrollment ID: I20190315001420 |
| Provider Name | Jennifer Faucher-wegelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891264404 PECOS PAC ID: 8022358746 Enrollment ID: I20190315001901 |
| Provider Name | Rebecca Anne Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528228632 PECOS PAC ID: 7113154204 Enrollment ID: I20190321001973 |
| Provider Name | Nathan Morgan Bliss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851864433 PECOS PAC ID: 4789924192 Enrollment ID: I20190321002274 |
| Provider Name | Kristen Elena Gooch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750858643 PECOS PAC ID: 6204176639 Enrollment ID: I20190322000244 |
| Provider Name | Michael J Doermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548645195 PECOS PAC ID: 0143560409 Enrollment ID: I20190322001742 |
| Provider Name | Maren Topham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927808 PECOS PAC ID: 1759621980 Enrollment ID: I20190325002435 |
| Provider Name | Camra Janell Bearnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336654334 PECOS PAC ID: 8426398603 Enrollment ID: I20190326001700 |
| Provider Name | Rachel G Wilkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235436494 PECOS PAC ID: 4789944984 Enrollment ID: I20190326003028 |
| Provider Name | Stein Haynes Ingebretsen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821452269 PECOS PAC ID: 5294091781 Enrollment ID: I20190327000675 |
| Provider Name | Megan Willes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639526098 PECOS PAC ID: 0244570257 Enrollment ID: I20190328001341 |
| Provider Name | Marina Noemi Capella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265711709 PECOS PAC ID: 1153549290 Enrollment ID: I20190329000783 |
| Provider Name | Heather Kim Spohrer Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265676704 PECOS PAC ID: 3779823745 Enrollment ID: I20190329000816 |
| Provider Name | Brian L Gashler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144705583 PECOS PAC ID: 5294075271 Enrollment ID: I20190329001326 |
| Provider Name | Brian Todd Spencer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689142440 PECOS PAC ID: 2860732856 Enrollment ID: I20190329001652 |
| Provider Name | Loren Kyle Gulbranson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124598198 PECOS PAC ID: 6901146992 Enrollment ID: I20190329001873 |
| Provider Name | Janice M Trump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205308780 PECOS PAC ID: 4981945979 Enrollment ID: I20190329001990 |
| Provider Name | Amber Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053897116 PECOS PAC ID: 7315288339 Enrollment ID: I20190401000861 |
| Provider Name | Rebecca Ruth Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942788807 PECOS PAC ID: 3375884307 Enrollment ID: I20190401001072 |
| Provider Name | Krystal a Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295211803 PECOS PAC ID: 0244571222 Enrollment ID: I20190402000509 |
| Provider Name | Sara Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821024480 PECOS PAC ID: 2769452069 Enrollment ID: I20190402002838 |
| Provider Name | Eva Maria Comollo Angerhofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801326137 PECOS PAC ID: 0446591374 Enrollment ID: I20190403000173 |
| Provider Name | Derek Omori |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699143263 PECOS PAC ID: 0941581847 Enrollment ID: I20190403002550 |
| Provider Name | James Michael Wilks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164914149 PECOS PAC ID: 8729329552 Enrollment ID: I20190404001609 |
| Provider Name | Brenda Yan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902377732 PECOS PAC ID: 9830430206 Enrollment ID: I20190411002172 |
| Provider Name | Mary Ellen Shivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427466168 PECOS PAC ID: 5698058113 Enrollment ID: I20190411002354 |
| Provider Name | Matthew B. Lundin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093289522 PECOS PAC ID: 7214278688 Enrollment ID: I20190411002542 |
| Provider Name | Marc Adam Collman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568406940 PECOS PAC ID: 7810238920 Enrollment ID: I20190417001667 |
| Provider Name | Dillon Todd Jolley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194289421 PECOS PAC ID: 6305187410 Enrollment ID: I20190417001946 |
| Provider Name | Mary Veghte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669867040 PECOS PAC ID: 0345553327 Enrollment ID: I20190417002415 |
| Provider Name | Justin Michael Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528311826 PECOS PAC ID: 2961636972 Enrollment ID: I20190422000342 |
| Provider Name | Zachary John Pugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215323399 PECOS PAC ID: 7416260211 Enrollment ID: I20190423000898 |
| Provider Name | Lisa Ladle Archibald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770053167 PECOS PAC ID: 5092057018 Enrollment ID: I20190423001747 |
| Provider Name | Colby Jay Andersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124330865 PECOS PAC ID: 7416101225 Enrollment ID: I20190423001773 |
| Provider Name | Kenneth Dawayne Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538585823 PECOS PAC ID: 4082832431 Enrollment ID: I20190425000190 |
| Provider Name | Mac Joshua Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235640616 PECOS PAC ID: 6800138751 Enrollment ID: I20190425002057 |
| Provider Name | Jan B Goossens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881678399 PECOS PAC ID: 5890760805 Enrollment ID: I20190426000174 |
| Provider Name | Fernando Rivero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063992022 PECOS PAC ID: 4587906805 Enrollment ID: I20190506002730 |
| Provider Name | Bruce Calvin Ferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942796644 PECOS PAC ID: 9537402763 Enrollment ID: I20190509002880 |
| Provider Name | Katherine Elizabeth Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396210167 PECOS PAC ID: 6103169222 Enrollment ID: I20190513001731 |
| Provider Name | Cory W Taylor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033538525 PECOS PAC ID: 8820394596 Enrollment ID: I20190513002765 |
| Provider Name | Valerie Fay Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609363019 PECOS PAC ID: 9931442001 Enrollment ID: I20190514001282 |
| Provider Name | Jordan Lee Garritson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376015065 PECOS PAC ID: 5799022810 Enrollment ID: I20190516002970 |
| Provider Name | Ryan P Wojciechowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295805364 PECOS PAC ID: 9436158698 Enrollment ID: I20190520001054 |
| Provider Name | Matthew S Nedwicki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134520042 PECOS PAC ID: 3577879758 Enrollment ID: I20190520001062 |
| Provider Name | Katie M Nicholls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851866735 PECOS PAC ID: 9537402201 Enrollment ID: I20190521000520 |
| Provider Name | Jenna R Whitham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528452612 PECOS PAC ID: 4183973845 Enrollment ID: I20190521001361 |
| Provider Name | Erin L Dame |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326390964 PECOS PAC ID: 4789900325 Enrollment ID: I20190522000528 |
| Provider Name | Cory J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477027498 PECOS PAC ID: 6002159449 Enrollment ID: I20190528001373 |
| Provider Name | Bradley David Hunter |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235556382 PECOS PAC ID: 3971893702 Enrollment ID: I20190529002721 |
| Provider Name | John Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912224957 PECOS PAC ID: 1456595461 Enrollment ID: I20190529003037 |
| Provider Name | James S Arregui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023407848 PECOS PAC ID: 1557688918 Enrollment ID: I20190529003063 |
| Provider Name | Bryan Huber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982049227 PECOS PAC ID: 8729228879 Enrollment ID: I20190531001042 |
| Provider Name | Leenhapong Navaravong |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396937363 PECOS PAC ID: 3779715859 Enrollment ID: I20190603001417 |
| Provider Name | Karl Kuan-hao Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598183030 PECOS PAC ID: 0749583649 Enrollment ID: I20190603002154 |
| Provider Name | Julia Margarita Kammel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407210446 PECOS PAC ID: 9032485651 Enrollment ID: I20190603002332 |
| Provider Name | Ann M Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881075034 PECOS PAC ID: 3375856958 Enrollment ID: I20190604000175 |
| Provider Name | Anthony Wayne Bacon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154611986 PECOS PAC ID: 4385957166 Enrollment ID: I20190605000578 |
| Provider Name | Clarke Alan Low |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063787315 PECOS PAC ID: 5496067332 Enrollment ID: I20190606000669 |
| Provider Name | Venice Lucia Wilkes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821596073 PECOS PAC ID: 0345573200 Enrollment ID: I20190607000361 |
| Provider Name | Jeffrey Grant Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487041273 PECOS PAC ID: 0446561518 Enrollment ID: I20190611001011 |
| Provider Name | Amanda Rena Matsuura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730654526 PECOS PAC ID: 0547593360 Enrollment ID: I20190611001803 |
| Provider Name | Michelle Suzu Ploutz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013144450 PECOS PAC ID: 5799056024 Enrollment ID: I20190611002755 |
| Provider Name | Sarah Maria Tisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518384544 PECOS PAC ID: 8820217722 Enrollment ID: I20190612001560 |
| Provider Name | Poneh Rahimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255406401 PECOS PAC ID: 1850496217 Enrollment ID: I20190612001844 |
| Provider Name | David Michael Gill |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649698697 PECOS PAC ID: 6608170295 Enrollment ID: I20190612001933 |
| Provider Name | Jonathan Alexander Benfield |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972957926 PECOS PAC ID: 5092005546 Enrollment ID: I20190613001763 |
| Provider Name | Mark Andrew Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518233352 PECOS PAC ID: 8820220593 Enrollment ID: I20190617001565 |
| Provider Name | Aaron Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124462296 PECOS PAC ID: 4981901717 Enrollment ID: I20190617001756 |
| Provider Name | Jaden D Evans |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881075018 PECOS PAC ID: 2466765482 Enrollment ID: I20190618001387 |
| Provider Name | Matthew Neil Lamont |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437503091 PECOS PAC ID: 8426314055 Enrollment ID: I20190619002313 |
| Provider Name | Jasmine L Reid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407155955 PECOS PAC ID: 7113205956 Enrollment ID: I20190624001153 |
| Provider Name | Adam T Meier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093128142 PECOS PAC ID: 1254643661 Enrollment ID: I20190624002881 |
| Provider Name | Joshua Allen Lovell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942681051 PECOS PAC ID: 1254665383 Enrollment ID: I20190624003475 |
| Provider Name | Robert Calvin Westbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801155312 PECOS PAC ID: 3577717313 Enrollment ID: I20190625001751 |
| Provider Name | Steven James Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275925919 PECOS PAC ID: 3274831979 Enrollment ID: I20190625001780 |
| Provider Name | Michaela Karrin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275094369 PECOS PAC ID: 3971837915 Enrollment ID: I20190626000385 |
| Provider Name | Timothy William West |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861650731 PECOS PAC ID: 4688704042 Enrollment ID: I20190626001902 |
| Provider Name | Chad Ryan Mciver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336444694 PECOS PAC ID: 9032381843 Enrollment ID: I20190626002155 |
| Provider Name | Cody Roger Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386986057 PECOS PAC ID: 2961757778 Enrollment ID: I20190701001838 |
| Provider Name | Karleena Dawn Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679939755 PECOS PAC ID: 4486940657 Enrollment ID: I20190703002540 |
| Provider Name | Travis Greg Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922304476 PECOS PAC ID: 0446433478 Enrollment ID: I20190703002822 |
| Provider Name | Rebecca Faye Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265907497 PECOS PAC ID: 7416282819 Enrollment ID: I20190708001333 |
| Provider Name | Nathaniel William Seck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073924312 PECOS PAC ID: 5890912729 Enrollment ID: I20190708002229 |
| Provider Name | Mark Wilkinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083020622 PECOS PAC ID: 7911124987 Enrollment ID: I20190708002590 |
| Provider Name | Mitchell Rulon Bassett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497098370 PECOS PAC ID: 0749401800 Enrollment ID: I20190711001914 |
| Provider Name | Evan Brownie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346507456 PECOS PAC ID: 4587999628 Enrollment ID: I20190711003492 |
| Provider Name | Max R Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679559975 PECOS PAC ID: 9638193568 Enrollment ID: I20190716002538 |
| Provider Name | Michelle Marie Matheu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134563307 PECOS PAC ID: 4284931171 Enrollment ID: I20190716002712 |
| Provider Name | Marie Blacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521543 PECOS PAC ID: 5496081903 Enrollment ID: I20190722002091 |
| Provider Name | Tyson Charles Schwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023511961 PECOS PAC ID: 1254667595 Enrollment ID: I20190724004177 |
| Provider Name | Timothy Ronald Leclair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598054124 PECOS PAC ID: 8426359597 Enrollment ID: I20190726001217 |
| Provider Name | Allyson Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326608647 PECOS PAC ID: 0547596215 Enrollment ID: I20190801003677 |
| Provider Name | Kelsey Patricia Gaid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578096897 PECOS PAC ID: 9234406323 Enrollment ID: I20190812001285 |
| Provider Name | Matthew D Mckee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891149621 PECOS PAC ID: 1850628983 Enrollment ID: I20190812002109 |
| Provider Name | Shivani S Shinde |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689835191 PECOS PAC ID: 8426215336 Enrollment ID: I20190813000974 |
| Provider Name | Kyle Stanley Hobbs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750516241 PECOS PAC ID: 4981917085 Enrollment ID: I20190813001731 |
| Provider Name | Steven Baum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205339090 PECOS PAC ID: 3173850294 Enrollment ID: I20190813002008 |
| Provider Name | Peter John Smit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619294345 PECOS PAC ID: 9638464852 Enrollment ID: I20190813002356 |
| Provider Name | Kerry C Palakanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841466810 PECOS PAC ID: 3173698669 Enrollment ID: I20190813002568 |
| Provider Name | Margaret Kelsey Baron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710349527 PECOS PAC ID: 0244596781 Enrollment ID: I20190814000575 |
| Provider Name | Stephen Tyler Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922426782 PECOS PAC ID: 3375847064 Enrollment ID: I20190814004008 |
| Provider Name | Alec Kitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104289487 PECOS PAC ID: 0446544621 Enrollment ID: I20190815001997 |
| Provider Name | Christopher Bickmore Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588150304 PECOS PAC ID: 9537497383 Enrollment ID: I20190819001214 |
| Provider Name | Corey Steven Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598116964 PECOS PAC ID: 7618260894 Enrollment ID: I20190820002009 |
| Provider Name | Gaurav Dagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508027541 PECOS PAC ID: 7416180088 Enrollment ID: I20190820003512 |
| Provider Name | Anthony Ivan Beutler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609957778 PECOS PAC ID: 0749413920 Enrollment ID: I20190822003674 |
| Provider Name | Carla M Suarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720433006 PECOS PAC ID: 2365770617 Enrollment ID: I20190823001385 |
| Provider Name | Miles Patten Hawley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881810299 PECOS PAC ID: 0042365165 Enrollment ID: I20190827001739 |
| Provider Name | Anna Ladd Ciullo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851710974 PECOS PAC ID: 1456622091 Enrollment ID: I20190829000799 |
| Provider Name | Ashleigh Lynn Ingebrigtsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376105866 PECOS PAC ID: 5597093435 Enrollment ID: I20190829003876 |
| Provider Name | Prashant Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548430663 PECOS PAC ID: 4082802764 Enrollment ID: I20190830001234 |
| Provider Name | Spencer Gordon Nielson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962992768 PECOS PAC ID: 5193054039 Enrollment ID: I20190903000644 |
| Provider Name | Elizabeth Quigley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942642541 PECOS PAC ID: 5799076618 Enrollment ID: I20190903001970 |
| Provider Name | Michelle L Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215597786 PECOS PAC ID: 6800125642 Enrollment ID: I20190904002227 |
| Provider Name | Daniel Noall Bennett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013200997 PECOS PAC ID: 7719264431 Enrollment ID: I20190904003073 |
| Provider Name | Raschelle Davis Shoultes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578115044 PECOS PAC ID: 8628307212 Enrollment ID: I20190906001853 |
| Provider Name | Robbi Kim Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194383588 PECOS PAC ID: 1052640570 Enrollment ID: I20190909003707 |
| Provider Name | Iva Fu Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285860668 PECOS PAC ID: 5698815900 Enrollment ID: I20190912003040 |
| Provider Name | Kristen Hansord Lilja |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639564016 PECOS PAC ID: 5395056501 Enrollment ID: I20190917002809 |
| Provider Name | Brittany Lynn Gallegos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396219564 PECOS PAC ID: 1153651104 Enrollment ID: I20190918001541 |
| Provider Name | Patricia Maffei Grissom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033676218 PECOS PAC ID: 8224368063 Enrollment ID: I20190923000272 |
| Provider Name | Brady Kurt Mock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841630183 PECOS PAC ID: 4486917614 Enrollment ID: I20190925004005 |
| Provider Name | Sarah Roseman Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386106698 PECOS PAC ID: 2163752643 Enrollment ID: I20190925004052 |
| Provider Name | Elliot Amponsah Asare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972828333 PECOS PAC ID: 6103116025 Enrollment ID: I20190930001994 |
| Provider Name | Benjamin Z Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124519657 PECOS PAC ID: 8921338211 Enrollment ID: I20190930002520 |
| Provider Name | Ashleigh Dayle Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518515188 PECOS PAC ID: 2567793250 Enrollment ID: I20191010001421 |
| Provider Name | Jordan Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215339957 PECOS PAC ID: 9032440631 Enrollment ID: I20191014000260 |
| Provider Name | Jillian Lee Silvestrini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992070254 PECOS PAC ID: 2264757509 Enrollment ID: I20191014003375 |
| Provider Name | Starlene Jannette Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083276232 PECOS PAC ID: 4587995949 Enrollment ID: I20191016001317 |
| Provider Name | Micah T Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649565417 PECOS PAC ID: 8426297417 Enrollment ID: I20191018002333 |
| Provider Name | Frank Seisaku Bishop |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891982765 PECOS PAC ID: 4486778123 Enrollment ID: I20191025002595 |
| Provider Name | Colton Brad Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801457627 PECOS PAC ID: 0143552778 Enrollment ID: I20191030002761 |
| Provider Name | Kyle Weaver |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427145549 PECOS PAC ID: 2365438066 Enrollment ID: I20191030003028 |
| Provider Name | James Patrick Craven |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700294428 PECOS PAC ID: 2769762129 Enrollment ID: I20191031000493 |
| Provider Name | David Gordon Liddle |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922251982 PECOS PAC ID: 1850579087 Enrollment ID: I20191031000845 |
| Provider Name | Amy K. Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407292451 PECOS PAC ID: 0446582902 Enrollment ID: I20191101001697 |
| Provider Name | Carl Jacob Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609366491 PECOS PAC ID: 9335471895 Enrollment ID: I20191101001798 |
| Provider Name | Amanda Eckersley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447802418 PECOS PAC ID: 8921330333 Enrollment ID: I20191104001444 |
| Provider Name | Lauren Jaye Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477034759 PECOS PAC ID: 6800128224 Enrollment ID: I20191104001651 |
| Provider Name | Melissa Mays Kadish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073907119 PECOS PAC ID: 4981936317 Enrollment ID: I20191104002136 |
| Provider Name | Matthew Allen Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659525665 PECOS PAC ID: 5991955544 Enrollment ID: I20191104003261 |
| Provider Name | Gary Conard Bosshardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942696562 PECOS PAC ID: 5597045153 Enrollment ID: I20191105000872 |
| Provider Name | Sandra Lee Stoker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831691393 PECOS PAC ID: 8123350428 Enrollment ID: I20191105001898 |
| Provider Name | Kristy Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003462482 PECOS PAC ID: 8729310040 Enrollment ID: I20191105002481 |
| Provider Name | Thomas Adam Burkart |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578570800 PECOS PAC ID: 8426182270 Enrollment ID: I20191105003157 |
| Provider Name | Joseph Andrew Reistetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407280415 PECOS PAC ID: 3476806977 Enrollment ID: I20191106000575 |
| Provider Name | Kyle Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194161588 PECOS PAC ID: 9931464591 Enrollment ID: I20191106000973 |
| Provider Name | Brian J Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174987374 PECOS PAC ID: 1456617984 Enrollment ID: I20191106001117 |
| Provider Name | Ashley Christine Seawright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316505571 PECOS PAC ID: 6406188788 Enrollment ID: I20191106001764 |
| Provider Name | Mayra Ibeth Vences |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841844057 PECOS PAC ID: 9436581741 Enrollment ID: I20191107000026 |
| Provider Name | Candace Pam Adamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831650167 PECOS PAC ID: 1759713019 Enrollment ID: I20191107002130 |
| Provider Name | Danielle M. Kepics |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215325790 PECOS PAC ID: 6800114646 Enrollment ID: I20191108001694 |
| Provider Name | Logan M Kupitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891343950 PECOS PAC ID: 4587096714 Enrollment ID: I20191108002225 |
| Provider Name | Deanna C Bown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144703075 PECOS PAC ID: 1254763493 Enrollment ID: I20191108002866 |
| Provider Name | Daniel Cummings Gutteridge |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801108782 PECOS PAC ID: 2264675370 Enrollment ID: I20191111000026 |
| Provider Name | Alexander Sebastian Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750850137 PECOS PAC ID: 5991137143 Enrollment ID: I20191111000067 |
| Provider Name | Heather Nicole Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720508336 PECOS PAC ID: 0345672598 Enrollment ID: I20191111000093 |
| Provider Name | Nathan Earl James Ferreira |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629543517 PECOS PAC ID: 4587096656 Enrollment ID: I20191111001289 |
| Provider Name | Lauren D. Knox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528460326 PECOS PAC ID: 7012239353 Enrollment ID: I20191113000705 |
| Provider Name | Mckenzie Momberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225681620 PECOS PAC ID: 6305278318 Enrollment ID: I20191113001100 |
| Provider Name | Taylor Jay Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447604038 PECOS PAC ID: 7618309634 Enrollment ID: I20191113001931 |
| Provider Name | Jeanette Lynn Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427602507 PECOS PAC ID: 6507298536 Enrollment ID: I20191113002051 |
| Provider Name | Antonio Gabriel Cabrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851328603 PECOS PAC ID: 5092730044 Enrollment ID: I20191114000172 |
| Provider Name | Jaime a Montes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265668636 PECOS PAC ID: 6204023013 Enrollment ID: I20191114003570 |
| Provider Name | Tayler Michael Wayment |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083273817 PECOS PAC ID: 9537591466 Enrollment ID: I20191115000079 |
| Provider Name | Brent Lee Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063863876 PECOS PAC ID: 9931531712 Enrollment ID: I20191115002159 |
| Provider Name | Gopal Krishna Prasad Chemiti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740207745 PECOS PAC ID: 5092609388 Enrollment ID: I20191118001799 |
| Provider Name | Suji Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245296094 PECOS PAC ID: 2365416542 Enrollment ID: I20191119001320 |
| Provider Name | Holly Lee Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063973832 PECOS PAC ID: 6800228461 Enrollment ID: I20191120000492 |
| Provider Name | Jamar Romanceles Grayson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841686631 PECOS PAC ID: 3375843329 Enrollment ID: I20191121002787 |
| Provider Name | Justin Layne Knowles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659456861 PECOS PAC ID: 6204853948 Enrollment ID: I20191121003043 |
| Provider Name | Jennifer Christine Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003478801 PECOS PAC ID: 7810329224 Enrollment ID: I20191122000649 |
| Provider Name | Zachary Ahola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003307539 PECOS PAC ID: 3971935396 Enrollment ID: I20191122001267 |
| Provider Name | Ryan Ross Lamoreaux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477101574 PECOS PAC ID: 6901239326 Enrollment ID: I20191125002548 |
| Provider Name | Aurelia Renee Wann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891341574 PECOS PAC ID: 0446683882 Enrollment ID: I20191126000240 |
| Provider Name | John Stephen Vitkus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164458972 PECOS PAC ID: 2365441680 Enrollment ID: I20191126000989 |
| Provider Name | Erin Ellsworth Falor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588217723 PECOS PAC ID: 6204269475 Enrollment ID: I20191202000235 |
| Provider Name | Benjamin H Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801242391 PECOS PAC ID: 2961768403 Enrollment ID: I20191203001170 |
| Provider Name | Kathleen E Mckee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821435058 PECOS PAC ID: 0941438337 Enrollment ID: I20191203001224 |
| Provider Name | Sandra Jo Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386051407 PECOS PAC ID: 3072734961 Enrollment ID: I20191204002137 |
| Provider Name | Sarah Terry Drenning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396037396 PECOS PAC ID: 4880027663 Enrollment ID: I20191209002773 |
| Provider Name | Dixi Lee Haramoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750940219 PECOS PAC ID: 2163855891 Enrollment ID: I20191210002018 |
| Provider Name | Elise Brinson Fazio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710366299 PECOS PAC ID: 0042523102 Enrollment ID: I20191212001097 |
| Provider Name | Kira Salmond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891294989 PECOS PAC ID: 7719233907 Enrollment ID: I20191212001787 |
| Provider Name | Jonathan David Harrison |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053739821 PECOS PAC ID: 3476826140 Enrollment ID: I20191213002106 |
| Provider Name | Adam Michael Cottle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023397700 PECOS PAC ID: 1153592944 Enrollment ID: I20191216000954 |
| Provider Name | Derek Ron Wynn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043689441 PECOS PAC ID: 8022326503 Enrollment ID: I20191218002588 |
| Provider Name | Samuel Greg Heywood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780606731 PECOS PAC ID: 4082604012 Enrollment ID: I20191226000174 |
| Provider Name | Matthew Robert Cable Fabiszak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174974059 PECOS PAC ID: 3274826110 Enrollment ID: I20191230000629 |
| Provider Name | Aaron Bress |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770712879 PECOS PAC ID: 8022339548 Enrollment ID: I20191231000680 |
| Provider Name | Carlie Kay Naval |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437702172 PECOS PAC ID: 5597190900 Enrollment ID: I20200113002177 |
| Provider Name | Kelsey M. Desalvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023437696 PECOS PAC ID: 7618198003 Enrollment ID: I20200120000650 |
| Provider Name | Kayla Loren Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447807540 PECOS PAC ID: 4880029719 Enrollment ID: I20200122002301 |
| Provider Name | Amanda E Stott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083265029 PECOS PAC ID: 7416383187 Enrollment ID: I20200129001223 |
| Provider Name | Lewis D Taub |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730102963 PECOS PAC ID: 0840232161 Enrollment ID: I20200129003234 |
| Provider Name | Jay Howard Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710084363 PECOS PAC ID: 5395742241 Enrollment ID: I20200204000121 |
| Provider Name | Mekael Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932446952 PECOS PAC ID: 1052633245 Enrollment ID: I20200204001416 |
| Provider Name | Tyson Jensen Tidwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215347463 PECOS PAC ID: 9032487814 Enrollment ID: I20200205000936 |
| Provider Name | Kimberly Ann Folkman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073794228 PECOS PAC ID: 2860828191 Enrollment ID: I20200205002102 |
| Provider Name | Jason Reid Lesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013576966 PECOS PAC ID: 6608202817 Enrollment ID: I20200207000005 |
| Provider Name | Kevin Michael Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770124687 PECOS PAC ID: 7517393739 Enrollment ID: I20200207000006 |
| Provider Name | Andrea Garcia Alfandre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164069050 PECOS PAC ID: 1658707872 Enrollment ID: I20200207000258 |
| Provider Name | Jared David Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013293620 PECOS PAC ID: 1658628300 Enrollment ID: I20200207001122 |
| Provider Name | Vasanth Jayaraman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639714082 PECOS PAC ID: 9335575356 Enrollment ID: I20200210002374 |
| Provider Name | Steven Kyle Throneberry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073932851 PECOS PAC ID: 4082912845 Enrollment ID: I20200211000279 |
| Provider Name | Michael Atkerson Worthington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891259164 PECOS PAC ID: 1759717655 Enrollment ID: I20200213001297 |
| Provider Name | Mathew Leonard Romankowski |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1538505409 PECOS PAC ID: 6204170947 Enrollment ID: I20200213001785 |
| Provider Name | Christian Lee Barney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689229650 PECOS PAC ID: 6507292315 Enrollment ID: I20200213002265 |
| Provider Name | Kathryn Margaret Lee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194208454 PECOS PAC ID: 8325380926 Enrollment ID: I20200217000381 |
| Provider Name | Natalie Angelica Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053953778 PECOS PAC ID: 8527495233 Enrollment ID: I20200218003171 |
| Provider Name | Benz Gulati Pimsakul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144724857 PECOS PAC ID: 6305273889 Enrollment ID: I20200221001844 |
| Provider Name | Sandeep Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073555116 PECOS PAC ID: 4688617384 Enrollment ID: I20200221002082 |
| Provider Name | Katherine M Leugers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487216735 PECOS PAC ID: 7911333232 Enrollment ID: I20200221002339 |
| Provider Name | Breanna Kamiko Horito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689221855 PECOS PAC ID: 2961839329 Enrollment ID: I20200224002409 |
| Provider Name | Jamie Erin Brass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023253911 PECOS PAC ID: 6103253414 Enrollment ID: I20200226002595 |
| Provider Name | Kaytie Phyllis Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730654534 PECOS PAC ID: 0244667483 Enrollment ID: I20200227001107 |
| Provider Name | Regina Renee Dickinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821477951 PECOS PAC ID: 0446687628 Enrollment ID: I20200227002692 |
| Provider Name | Jenna K Crockett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306312202 PECOS PAC ID: 3072940261 Enrollment ID: I20200228000437 |
| Provider Name | Loriann Stromness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609426659 PECOS PAC ID: 6406283621 Enrollment ID: I20200228001614 |
| Provider Name | Jennifer L Mijer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255793824 PECOS PAC ID: 6901191485 Enrollment ID: I20200302000459 |
| Provider Name | Skyler Vance Buck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033671193 PECOS PAC ID: 1850728908 Enrollment ID: I20200302000946 |
| Provider Name | Alexis Jenson Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962051938 PECOS PAC ID: 8527495514 Enrollment ID: I20200304001818 |
| Provider Name | Chelbi Danielle Wilde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710494562 PECOS PAC ID: 3577991306 Enrollment ID: I20200310000940 |
| Provider Name | Trevor Beck Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215435136 PECOS PAC ID: 8426310236 Enrollment ID: I20200316002681 |
| Provider Name | Clinton C Demas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861829665 PECOS PAC ID: 6204064975 Enrollment ID: I20200319000071 |
| Provider Name | Joseph Brent Hagloch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568894707 PECOS PAC ID: 0345678769 Enrollment ID: I20200319000104 |
| Provider Name | Kimberly Renee Bluth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457906364 PECOS PAC ID: 5496183741 Enrollment ID: I20200319001612 |
| Provider Name | Brandy Carissa Wester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932577749 PECOS PAC ID: 1951739259 Enrollment ID: I20200320000384 |
| Provider Name | Richard Ellis Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992280788 PECOS PAC ID: 5092143248 Enrollment ID: I20200321000354 |
| Provider Name | Dyllan J Almond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023656592 PECOS PAC ID: 4082042247 Enrollment ID: I20200322000143 |
| Provider Name | Haley J Harward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639659345 PECOS PAC ID: 0840534194 Enrollment ID: I20200323003185 |
| Provider Name | Jaclyn Michelle Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210884 PECOS PAC ID: 0244668325 Enrollment ID: I20200324002115 |
| Provider Name | Lindsey Marie Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376182295 PECOS PAC ID: 1052749157 Enrollment ID: I20200324002713 |
| Provider Name | Gregory Seth Orton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356988604 PECOS PAC ID: 2961830963 Enrollment ID: I20200324003321 |
| Provider Name | Michael Jake Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184979783 PECOS PAC ID: 3678719010 Enrollment ID: I20200325002544 |
| Provider Name | James T Burdett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083684179 PECOS PAC ID: 3476576869 Enrollment ID: I20200325002991 |
| Provider Name | Dustin Boothe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700128154 PECOS PAC ID: 9335462498 Enrollment ID: I20200326000252 |
| Provider Name | Rachel Elizabeth Beveridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275171985 PECOS PAC ID: 2264861277 Enrollment ID: I20200326000990 |
| Provider Name | Jacob Carl Kap |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952941734 PECOS PAC ID: 6507295409 Enrollment ID: I20200327001990 |
| Provider Name | Nicholas Reid Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235535931 PECOS PAC ID: 2163744756 Enrollment ID: I20200327002320 |
| Provider Name | Preston Mangum Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154703841 PECOS PAC ID: 2668770074 Enrollment ID: I20200328000156 |
| Provider Name | Tia Marie Talbot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538700430 PECOS PAC ID: 0749619609 Enrollment ID: I20200330000467 |
| Provider Name | Emily Tenney Buttars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538626213 PECOS PAC ID: 5193066694 Enrollment ID: I20200330002059 |
| Provider Name | Chad H Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881240919 PECOS PAC ID: 9133558927 Enrollment ID: I20200330002612 |
| Provider Name | Laura Deliene Gleed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821640665 PECOS PAC ID: 6103255914 Enrollment ID: I20200330003363 |
| Provider Name | Paul Jacob Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972159952 PECOS PAC ID: 2365871175 Enrollment ID: I20200330003462 |
| Provider Name | Alyssa Susan Marcinak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124311600 PECOS PAC ID: 7315263761 Enrollment ID: I20200330003832 |
| Provider Name | Sonda Bluemel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710138854 PECOS PAC ID: 5799834222 Enrollment ID: I20200331002608 |
| Provider Name | Cristy Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760753081 PECOS PAC ID: 0042472227 Enrollment ID: I20200401000535 |
| Provider Name | Jesse Lewis Mecham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952612467 PECOS PAC ID: 7012146392 Enrollment ID: I20200403002201 |
| Provider Name | Taylor Hap Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447893805 PECOS PAC ID: 9739518903 Enrollment ID: I20200409001300 |
| Provider Name | Kellie Lynn Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699137851 PECOS PAC ID: 4789941071 Enrollment ID: I20200409002672 |
| Provider Name | Christian Barney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538504436 PECOS PAC ID: 0446489769 Enrollment ID: I20200413000142 |
| Provider Name | Tyler J Morwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881184687 PECOS PAC ID: 0244669323 Enrollment ID: I20200413000404 |
| Provider Name | Rhonda Gayle Taubin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144252610 PECOS PAC ID: 0749259281 Enrollment ID: I20200413002116 |
| Provider Name | Carl Dain Allred |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962467324 PECOS PAC ID: 9234132101 Enrollment ID: I20200414000482 |
| Provider Name | Stacy Ann Hepner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790315281 PECOS PAC ID: 2961832027 Enrollment ID: I20200414001394 |
| Provider Name | Travis Jay Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801432265 PECOS PAC ID: 1850721911 Enrollment ID: I20200414001467 |
| Provider Name | Rebecca Emily Ennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427235811 PECOS PAC ID: 9537244595 Enrollment ID: I20200415002152 |
| Provider Name | Rebecca Ann Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235762295 PECOS PAC ID: 6406286277 Enrollment ID: I20200417002301 |
| Provider Name | Matthew Lewis Farr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194170985 PECOS PAC ID: 4981970415 Enrollment ID: I20200420003111 |
| Provider Name | Erika Lozano Franz-o'neal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851826119 PECOS PAC ID: 1153675988 Enrollment ID: I20200422000195 |
| Provider Name | Swati Laroia Coon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306284765 PECOS PAC ID: 8224255492 Enrollment ID: I20200428002117 |
| Provider Name | Keyana R Khedmati |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679134878 PECOS PAC ID: 5698105989 Enrollment ID: I20200429001670 |
| Provider Name | Cody Jessop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952852907 PECOS PAC ID: 0648555292 Enrollment ID: I20200506002026 |
| Provider Name | Dana Erickson Jolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710539226 PECOS PAC ID: 7618308594 Enrollment ID: I20200508001008 |
| Provider Name | Tycen Scott Sigler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134648819 PECOS PAC ID: 5698106441 Enrollment ID: I20200511001613 |
| Provider Name | Kurt Rogers Umbrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417267956 PECOS PAC ID: 6002114758 Enrollment ID: I20200512001572 |
| Provider Name | Jeffrey Leon Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578118253 PECOS PAC ID: 6002247848 Enrollment ID: I20200512002593 |
| Provider Name | Hannah E Stark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932674413 PECOS PAC ID: 1254762909 Enrollment ID: I20200512003234 |
| Provider Name | Jennica Marie Van Blerkom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437702875 PECOS PAC ID: 8426489121 Enrollment ID: I20200513001990 |
| Provider Name | Andrew Brian Noyce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578083887 PECOS PAC ID: 7517390701 Enrollment ID: I20200515000643 |
| Provider Name | Florin Butuc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275188468 PECOS PAC ID: 1850611021 Enrollment ID: I20200518001641 |
| Provider Name | Clint Dwight Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107215 PECOS PAC ID: 1052732336 Enrollment ID: I20200522002447 |
| Provider Name | Hannah Mae Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649727421 PECOS PAC ID: 1557610854 Enrollment ID: I20200526000900 |
| Provider Name | Kristen Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194357749 PECOS PAC ID: 3274954474 Enrollment ID: I20200526000966 |
| Provider Name | Kendra Ann Staheli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044604 PECOS PAC ID: 5496176695 Enrollment ID: I20200526001182 |
| Provider Name | Jacqueline Stuart Lloyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255727731 PECOS PAC ID: 9032425780 Enrollment ID: I20200526003058 |
| Provider Name | Daniel Wayne Jeffrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467996553 PECOS PAC ID: 1052695418 Enrollment ID: I20200527000346 |
| Provider Name | Jacob Daniel Christiansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295199628 PECOS PAC ID: 6709142235 Enrollment ID: I20200529000568 |
| Provider Name | David Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649383027 PECOS PAC ID: 8820992472 Enrollment ID: I20200529001359 |
| Provider Name | Mikala Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962053017 PECOS PAC ID: 0143641084 Enrollment ID: I20200602001659 |
| Provider Name | Adam T Creer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164980181 PECOS PAC ID: 0648691428 Enrollment ID: I20200603000749 |
| Provider Name | Danette Ko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700185162 PECOS PAC ID: 4789814781 Enrollment ID: I20200603003165 |
| Provider Name | Rebekah Leigh Bracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154800761 PECOS PAC ID: 0143641837 Enrollment ID: I20200604002777 |
| Provider Name | Kenneth Scott Griffin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669859054 PECOS PAC ID: 5597186122 Enrollment ID: I20200605001497 |
| Provider Name | Kimberly Anne Moyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942651682 PECOS PAC ID: 3274954888 Enrollment ID: I20200608002486 |
| Provider Name | Robert Lee Dood |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417216516 PECOS PAC ID: 2961765276 Enrollment ID: I20200609001183 |
| Provider Name | Matthew Eugene Bradbury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407234792 PECOS PAC ID: 9739469206 Enrollment ID: I20200611001162 |
| Provider Name | Jacie Anna Mundahl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134751902 PECOS PAC ID: 1355763764 Enrollment ID: I20200611002575 |
| Provider Name | Sun Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992094759 PECOS PAC ID: 3779853346 Enrollment ID: I20200611002689 |
| Provider Name | Heather Wark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457705279 PECOS PAC ID: 7911263439 Enrollment ID: I20200615002278 |
| Provider Name | Drew C Willmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588299838 PECOS PAC ID: 4587086848 Enrollment ID: I20200616000624 |
| Provider Name | Michael Craig Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356749253 PECOS PAC ID: 7911224993 Enrollment ID: I20200617001123 |
| Provider Name | Nam Keun Yoon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194083915 PECOS PAC ID: 4183922966 Enrollment ID: I20200617001985 |
| Provider Name | Cameron Bishop Leavitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285085480 PECOS PAC ID: 0840612917 Enrollment ID: I20200617003512 |
| Provider Name | Nathan Mark Money |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730567819 PECOS PAC ID: 8628490679 Enrollment ID: I20200619000463 |
| Provider Name | Aaron Stinett Englebright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336428283 PECOS PAC ID: 7517139785 Enrollment ID: I20200623001221 |
| Provider Name | Michael K Neilson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306378823 PECOS PAC ID: 1355612946 Enrollment ID: I20200624000248 |
| Provider Name | Christopher Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235342957 PECOS PAC ID: 8729237805 Enrollment ID: I20200624002781 |
| Provider Name | Jordan P Barker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861835274 PECOS PAC ID: 5092017251 Enrollment ID: I20200625000647 |
| Provider Name | Nephi Alan Walton |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1265797617 PECOS PAC ID: 3870868052 Enrollment ID: I20200626000368 |
| Provider Name | Alberto O Fernandez Bravo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619991148 PECOS PAC ID: 3577461482 Enrollment ID: I20200629000771 |
| Provider Name | Paul Siddoway Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588287320 PECOS PAC ID: 5395167985 Enrollment ID: I20200629001352 |
| Provider Name | Stefanie Gayle Ames |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912273269 PECOS PAC ID: 1456584994 Enrollment ID: I20200630001561 |
| Provider Name | Jennwood Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649615980 PECOS PAC ID: 8820311129 Enrollment ID: I20200702001135 |
| Provider Name | Zachary Ware Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437774643 PECOS PAC ID: 6002239027 Enrollment ID: I20200709002550 |
| Provider Name | Eric Fletcher Moss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467806455 PECOS PAC ID: 7416294855 Enrollment ID: I20200710001218 |
| Provider Name | Noemi Pallos Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790309110 PECOS PAC ID: 2163845041 Enrollment ID: I20200710001268 |
| Provider Name | Jacob Aaron Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669002150 PECOS PAC ID: 9032532924 Enrollment ID: I20200710001468 |
| Provider Name | Alpana Senapati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306103213 PECOS PAC ID: 0648693531 Enrollment ID: I20200710001625 |
| Provider Name | Catherine Vanier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396270344 PECOS PAC ID: 5890049977 Enrollment ID: I20200713002954 |
| Provider Name | Ryan Clark Van Woerkom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477871192 PECOS PAC ID: 4183879687 Enrollment ID: I20200713003191 |
| Provider Name | Marissa Kay Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538782081 PECOS PAC ID: 3678996337 Enrollment ID: I20200714000983 |
| Provider Name | Luke Joshua Heitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043508575 PECOS PAC ID: 3173741089 Enrollment ID: I20200714001829 |
| Provider Name | Chelsea M Dearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801417365 PECOS PAC ID: 1355765405 Enrollment ID: I20200722000336 |
| Provider Name | Ethan B Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114403698 PECOS PAC ID: 4284059619 Enrollment ID: I20200803001139 |
| Provider Name | Brian Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962936385 PECOS PAC ID: 5496008997 Enrollment ID: I20200803001709 |
| Provider Name | Jonathan Kyle Callaway |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568882959 PECOS PAC ID: 5799904504 Enrollment ID: I20200803002608 |
| Provider Name | Jeffrey Charles Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076233 PECOS PAC ID: 0749468890 Enrollment ID: I20200806001335 |
| Provider Name | Ryan Michael Eggers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740695402 PECOS PAC ID: 2062746373 Enrollment ID: I20200807000342 |
| Provider Name | Jacob Donald Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396275434 PECOS PAC ID: 9436401684 Enrollment ID: I20200810002912 |
| Provider Name | Travis David Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013322809 PECOS PAC ID: 1951611490 Enrollment ID: I20200810003083 |
| Provider Name | Brent Lambson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548729734 PECOS PAC ID: 4789000589 Enrollment ID: I20200811002014 |
| Provider Name | Donald Jason Willows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699320770 PECOS PAC ID: 2163848649 Enrollment ID: I20200813003498 |
| Provider Name | Bryan R Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821353889 PECOS PAC ID: 3678871886 Enrollment ID: I20200818000870 |
| Provider Name | James Michael Feeney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386624377 PECOS PAC ID: 1951360874 Enrollment ID: I20200818002314 |
| Provider Name | Joseph Alexander Palatinus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063850956 PECOS PAC ID: 1951661198 Enrollment ID: I20200819000888 |
| Provider Name | Daniel Mark Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952861288 PECOS PAC ID: 5496171613 Enrollment ID: I20200819001158 |
| Provider Name | Zachary S Flinders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760941090 PECOS PAC ID: 7012333131 Enrollment ID: I20200819001675 |
| Provider Name | Chase Lynn Sessions |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1366702813 PECOS PAC ID: 7012238843 Enrollment ID: I20200819002231 |
| Provider Name | Jennifer Boy Merriman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215073127 PECOS PAC ID: 4688747751 Enrollment ID: I20200820001608 |
| Provider Name | Peter T Hu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952729758 PECOS PAC ID: 1850660937 Enrollment ID: I20200821000745 |
| Provider Name | Chad William Seiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215170311 PECOS PAC ID: 2466629597 Enrollment ID: I20200821002814 |
| Provider Name | Kelly a Cadogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871012153 PECOS PAC ID: 3779843735 Enrollment ID: I20200821002855 |
| Provider Name | Ashley Lauren Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134563729 PECOS PAC ID: 0446470512 Enrollment ID: I20200821002901 |
| Provider Name | Chaoyu Irvin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427603216 PECOS PAC ID: 2769809623 Enrollment ID: I20200824003648 |
| Provider Name | Nicholas R Lowe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801247630 PECOS PAC ID: 8224326038 Enrollment ID: I20200825002741 |
| Provider Name | Souha Haydoura |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740419274 PECOS PAC ID: 6204060403 Enrollment ID: I20200825002967 |
| Provider Name | Erin Blackstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790123339 PECOS PAC ID: 7012144173 Enrollment ID: I20200825003305 |
| Provider Name | Jenna Kanoelani Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417416785 PECOS PAC ID: 5991122616 Enrollment ID: I20200826002684 |
| Provider Name | Rebecca Marie Bjorkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124678164 PECOS PAC ID: 7618394230 Enrollment ID: I20200827003022 |
| Provider Name | Zachary Scott Jager |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013150374 PECOS PAC ID: 6305159740 Enrollment ID: I20200828002106 |
| Provider Name | Brittany R Mccolgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174978811 PECOS PAC ID: 2365709789 Enrollment ID: I20200828002172 |
| Provider Name | Sabrina Sessions Cowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538713920 PECOS PAC ID: 4385061753 Enrollment ID: I20200831001355 |
| Provider Name | Preston Wynn Erickson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225482276 PECOS PAC ID: 5395001846 Enrollment ID: I20200831003317 |
| Provider Name | Dany Ramez Saad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457514721 PECOS PAC ID: 9931343423 Enrollment ID: I20200901001058 |
| Provider Name | Taylor Jean Stoddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780247817 PECOS PAC ID: 8527485762 Enrollment ID: I20200902000743 |
| Provider Name | Lindsey Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790218576 PECOS PAC ID: 5698028975 Enrollment ID: I20200903002305 |
| Provider Name | James Vance Dodds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285244764 PECOS PAC ID: 6103243142 Enrollment ID: I20200904000739 |
| Provider Name | Nathan Allen Merriman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174686042 PECOS PAC ID: 3779650254 Enrollment ID: I20200904001030 |
| Provider Name | Paul a Katigbak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417390410 PECOS PAC ID: 1850634452 Enrollment ID: I20200908001636 |
| Provider Name | Zachary Fredman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275066086 PECOS PAC ID: 3375896764 Enrollment ID: I20200909002360 |
| Provider Name | Katie Marie Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114288891 PECOS PAC ID: 5395994677 Enrollment ID: I20200909003371 |
| Provider Name | Mark Wayne Jankowske |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225247018 PECOS PAC ID: 1153592316 Enrollment ID: I20200911001162 |
| Provider Name | Karli Alyn Sibley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922476118 PECOS PAC ID: 1951664432 Enrollment ID: I20200911001583 |
| Provider Name | Michelle Adelaide Parker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134610090 PECOS PAC ID: 4587082292 Enrollment ID: I20200911002470 |
| Provider Name | Ryan L Cooley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255308813 PECOS PAC ID: 8820032527 Enrollment ID: I20200914002304 |
| Provider Name | Andrea Archambault Brock |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912341009 PECOS PAC ID: 1951624501 Enrollment ID: I20200915002343 |
| Provider Name | Mark Antony Kraus |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154342764 PECOS PAC ID: 9133121841 Enrollment ID: I20200916002731 |
| Provider Name | Victoria Chase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659614667 PECOS PAC ID: 5294037099 Enrollment ID: I20200917000687 |
| Provider Name | Patrick Annunziato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831560119 PECOS PAC ID: 9234557323 Enrollment ID: I20200922003020 |
| Provider Name | Jonathan Porter Hintze |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1184067928 PECOS PAC ID: 8426351214 Enrollment ID: I20200924002394 |
| Provider Name | Gerrit Ian Van Schalkwyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811242381 PECOS PAC ID: 2466720875 Enrollment ID: I20200925002027 |
| Provider Name | Michael Conrad Hunter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376939827 PECOS PAC ID: 9537449988 Enrollment ID: I20200930003504 |
| Provider Name | Erin Emmanuel Hanover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073716064 PECOS PAC ID: 4981882966 Enrollment ID: I20201001002141 |
| Provider Name | Chelsea Jane Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245767607 PECOS PAC ID: 8820344716 Enrollment ID: I20201002002451 |
| Provider Name | Krystal Jennifer Bischoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386258119 PECOS PAC ID: 1557780871 Enrollment ID: I20201006000409 |
| Provider Name | Paula Kay Shultz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407047103 PECOS PAC ID: 7618301078 Enrollment ID: I20201006001329 |
| Provider Name | Luke Wendt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841618972 PECOS PAC ID: 9032413141 Enrollment ID: I20201006002374 |
| Provider Name | Daniel Albert Cieslak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255744652 PECOS PAC ID: 7214254952 Enrollment ID: I20201007003063 |
| Provider Name | Geoffrey Joseph Orme |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386906881 PECOS PAC ID: 3173889870 Enrollment ID: I20201013002391 |
| Provider Name | Stephanie Katherine Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821520966 PECOS PAC ID: 6406129105 Enrollment ID: I20201019000616 |
| Provider Name | Jenessa Wilson Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831515246 PECOS PAC ID: 0648596650 Enrollment ID: I20201019001472 |
| Provider Name | Jeffrey Andrew Lofgran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306290614 PECOS PAC ID: 2860812286 Enrollment ID: I20201022003975 |
| Provider Name | Jordan Lee Blackham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790337046 PECOS PAC ID: 7719307008 Enrollment ID: I20201027001351 |
| Provider Name | Nina Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265090922 PECOS PAC ID: 5991125288 Enrollment ID: I20201027001381 |
| Provider Name | Justin Richard Degooyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578172904 PECOS PAC ID: 8729498084 Enrollment ID: I20201028001046 |
| Provider Name | Jessica M Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609263458 PECOS PAC ID: 1052690237 Enrollment ID: I20201028001424 |
| Provider Name | Jacob Chad Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245766393 PECOS PAC ID: 0547514168 Enrollment ID: I20201028001438 |
| Provider Name | Whitney Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568014199 PECOS PAC ID: 5496165193 Enrollment ID: I20201109002294 |
| Provider Name | Daniel G Cannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114213691 PECOS PAC ID: 7517185473 Enrollment ID: I20201111001660 |
| Provider Name | Jason Snarr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164959136 PECOS PAC ID: 0840610648 Enrollment ID: I20201113002493 |
| Provider Name | Erminia Martinez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588216923 PECOS PAC ID: 0648681940 Enrollment ID: I20201117001956 |
| Provider Name | Alyson Elizabeth Shinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841652500 PECOS PAC ID: 4486910932 Enrollment ID: I20201118002032 |
| Provider Name | Cody Jay Tapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861899213 PECOS PAC ID: 7517281785 Enrollment ID: I20201120001577 |
| Provider Name | Joshua Michael Stern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174727960 PECOS PAC ID: 5496824963 Enrollment ID: I20201123001687 |
| Provider Name | Michelle Lee Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754756 PECOS PAC ID: 9133555907 Enrollment ID: I20201123001878 |
| Provider Name | Michael Adam Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437578085 PECOS PAC ID: 1759613748 Enrollment ID: I20201125000899 |
| Provider Name | Adam Patrick Wahlstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881010023 PECOS PAC ID: 6305257205 Enrollment ID: I20201125001392 |
| Provider Name | Freya Kristen Landesman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962019596 PECOS PAC ID: 8820409725 Enrollment ID: I20201125001503 |
| Provider Name | Jesse Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629675699 PECOS PAC ID: 3870904600 Enrollment ID: I20201130000280 |
| Provider Name | Gregory J Danowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366094617 PECOS PAC ID: 8820409527 Enrollment ID: I20201202000913 |
| Provider Name | Jacqueline Brom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366869497 PECOS PAC ID: 3476858978 Enrollment ID: I20201203001342 |
| Provider Name | Raga Swaroopa Guthula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730600651 PECOS PAC ID: 2769736586 Enrollment ID: I20201203002614 |
| Provider Name | Cassandra J. Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871138313 PECOS PAC ID: 3577975036 Enrollment ID: I20201208000595 |
| Provider Name | Hayden Michelle James |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255845160 PECOS PAC ID: 6709298078 Enrollment ID: I20201209003033 |
| Provider Name | Phillip Michael Lintzenich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790301380 PECOS PAC ID: 5395157515 Enrollment ID: I20201211002697 |
| Provider Name | Josiah Moulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942640875 PECOS PAC ID: 7315240710 Enrollment ID: I20201216002710 |
| Provider Name | Brittany Mary Scarpato |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841651742 PECOS PAC ID: 7214222744 Enrollment ID: I20201217001880 |
| Provider Name | Sarah Stern |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194171942 PECOS PAC ID: 4688965262 Enrollment ID: I20201217002020 |
| Provider Name | Jason Roy Carr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104244714 PECOS PAC ID: 8123336757 Enrollment ID: I20201217002353 |
| Provider Name | Meghan Cirulis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649690744 PECOS PAC ID: 8022310804 Enrollment ID: I20201217002421 |
| Provider Name | Spencer Kevin Poulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942513916 PECOS PAC ID: 3779995485 Enrollment ID: I20201221002081 |
| Provider Name | Yoon Ju Kim-butterfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760649560 PECOS PAC ID: 5890964027 Enrollment ID: I20201222001121 |
| Provider Name | Lisa Jennifer George |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134771496 PECOS PAC ID: 9931511631 Enrollment ID: I20201222003107 |
| Provider Name | David Martin Cassel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972922938 PECOS PAC ID: 9335419704 Enrollment ID: I20201228001824 |
| Provider Name | Luz Elena Reni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235742016 PECOS PAC ID: 0446663926 Enrollment ID: I20201229002335 |
| Provider Name | Conni Laura Elms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396352001 PECOS PAC ID: 6406269943 Enrollment ID: I20201230001719 |
| Provider Name | Whitnee Joe Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578853842 PECOS PAC ID: 7618122433 Enrollment ID: I20210104000491 |
| Provider Name | Kate Lynn Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023671211 PECOS PAC ID: 5395158711 Enrollment ID: I20210104001012 |
| Provider Name | Spencer Todd Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982064184 PECOS PAC ID: 7517259948 Enrollment ID: I20210106001938 |
| Provider Name | Bryce Alden Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629631825 PECOS PAC ID: 6709299928 Enrollment ID: I20210107002616 |
| Provider Name | Ryan Paul Hunsaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558809905 PECOS PAC ID: 6406130681 Enrollment ID: I20210108000300 |
| Provider Name | Justin Scott Coles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003479213 PECOS PAC ID: 6507279601 Enrollment ID: I20210111001082 |
| Provider Name | Jasmine Furnish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841892601 PECOS PAC ID: 2961815733 Enrollment ID: I20210115002025 |
| Provider Name | Matthew Melvin Tiemann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578992012 PECOS PAC ID: 2264661990 Enrollment ID: I20210118000604 |
| Provider Name | Rachel Elizabeth Hu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043638844 PECOS PAC ID: 1759651425 Enrollment ID: I20210120000869 |
| Provider Name | Cherysh H Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093312183 PECOS PAC ID: 8325452063 Enrollment ID: I20210120003421 |
| Provider Name | Danielle Dory Brady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124550645 PECOS PAC ID: 6305199910 Enrollment ID: I20210125002970 |
| Provider Name | Timothy Rollans Tappana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164962346 PECOS PAC ID: 9931478138 Enrollment ID: I20210127001856 |
| Provider Name | Skyler Lee Gallegos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811554694 PECOS PAC ID: 1850623992 Enrollment ID: I20210127002744 |
| Provider Name | Natalie Ruth Morris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427609403 PECOS PAC ID: 2264846559 Enrollment ID: I20210127003258 |
| Provider Name | Alyssa Marie Scordo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730697137 PECOS PAC ID: 5496019424 Enrollment ID: I20210128001387 |
| Provider Name | Lauren Alexandra Brunhoeber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497126403 PECOS PAC ID: 5496055188 Enrollment ID: I20210203001267 |
| Provider Name | Ashlynn Marie Martinez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588255681 PECOS PAC ID: 1759795529 Enrollment ID: I20210208000662 |
| Provider Name | Manika Thakur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255458956 PECOS PAC ID: 8123209111 Enrollment ID: I20210209002621 |
| Provider Name | Julie Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518519867 PECOS PAC ID: 9234544982 Enrollment ID: I20210210003167 |
| Provider Name | Ashley Charles Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467548735 PECOS PAC ID: 3971656240 Enrollment ID: I20210215001564 |
| Provider Name | Gayle Marie Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821698077 PECOS PAC ID: 2567877921 Enrollment ID: I20210216003214 |
| Provider Name | Shawn Jense Spencer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083093892 PECOS PAC ID: 1355621988 Enrollment ID: I20210218001600 |
| Provider Name | Randi Holmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720421779 PECOS PAC ID: 0345489738 Enrollment ID: I20210224000710 |
| Provider Name | Blake Stephen Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114458262 PECOS PAC ID: 6103179106 Enrollment ID: I20210225003338 |
| Provider Name | Maria Myers Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932740651 PECOS PAC ID: 9830505742 Enrollment ID: I20210301001617 |
| Provider Name | Megan Marie Western |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568077584 PECOS PAC ID: 4688080245 Enrollment ID: I20210304002474 |
| Provider Name | Austin Guy Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144816661 PECOS PAC ID: 4385050848 Enrollment ID: I20210308001478 |
| Provider Name | Laura Elizabeth Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417503996 PECOS PAC ID: 5597171942 Enrollment ID: I20210309002215 |
| Provider Name | Alexandra Maya Mcspadden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922301522 PECOS PAC ID: 2860678844 Enrollment ID: I20210311000748 |
| Provider Name | Morgan Grace Roskelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376914838 PECOS PAC ID: 8628388311 Enrollment ID: I20210311001153 |
| Provider Name | Jessica C Newberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013503366 PECOS PAC ID: 4789098880 Enrollment ID: I20210312000363 |
| Provider Name | Bryan J Still |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689178907 PECOS PAC ID: 8224461876 Enrollment ID: I20210316002205 |
| Provider Name | Analiesa Marie Leonhardt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477939361 PECOS PAC ID: 9830494103 Enrollment ID: I20210319001617 |
| Provider Name | Jessica Louise Hogan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679868913 PECOS PAC ID: 8123325453 Enrollment ID: I20210322000599 |
| Provider Name | Tiffani Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255968681 PECOS PAC ID: 9234546177 Enrollment ID: I20210322001120 |
| Provider Name | Stuart Bergman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992859805 PECOS PAC ID: 4587608112 Enrollment ID: I20210330002051 |
| Provider Name | Peggy Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497259329 PECOS PAC ID: 2769736347 Enrollment ID: I20210409001238 |
| Provider Name | Leslie Diane Koberstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629555727 PECOS PAC ID: 0941550420 Enrollment ID: I20210420000131 |
| Provider Name | Karen Bowcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447850755 PECOS PAC ID: 4688082225 Enrollment ID: I20210420000429 |
| Provider Name | James C Willey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134579774 PECOS PAC ID: 2567754252 Enrollment ID: I20210420001752 |
| Provider Name | Sitney Daniel Chogas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851868640 PECOS PAC ID: 2961748173 Enrollment ID: I20210420002168 |
| Provider Name | Massiell L. German |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508215757 PECOS PAC ID: 1456685312 Enrollment ID: I20210420002463 |
| Provider Name | Lisa Joy Hrushka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174054936 PECOS PAC ID: 2567870967 Enrollment ID: I20210423002393 |
| Provider Name | Nicholas Holdaway Bishop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568969772 PECOS PAC ID: 5890049738 Enrollment ID: I20210426002419 |
| Provider Name | Anne Elizabeth Oesterling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831630284 PECOS PAC ID: 8820362569 Enrollment ID: I20210427001129 |
| Provider Name | Rachel Faith Goldman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548884851 PECOS PAC ID: 7911315189 Enrollment ID: I20210428001399 |
| Provider Name | Gabriel Michael Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174188742 PECOS PAC ID: 6103235361 Enrollment ID: I20210429002310 |
| Provider Name | Quinn Bigelow Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043873243 PECOS PAC ID: 2365851474 Enrollment ID: I20210430001746 |
| Provider Name | Charlotte Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992347561 PECOS PAC ID: 3870902836 Enrollment ID: I20210504002933 |
| Provider Name | Charles Scott Needham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063435899 PECOS PAC ID: 5597796383 Enrollment ID: I20210505000371 |
| Provider Name | Ned Lawlor Williams |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689735805 PECOS PAC ID: 3072745538 Enrollment ID: I20210505000775 |
| Provider Name | William Tyler Jenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487142196 PECOS PAC ID: 1850724725 Enrollment ID: I20210510002049 |
| Provider Name | Jordan Talmage Huber |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598291361 PECOS PAC ID: 9032488028 Enrollment ID: I20210511002606 |
| Provider Name | Russell Douglas Sorenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215298559 PECOS PAC ID: 1759790348 Enrollment ID: I20210512000304 |
| Provider Name | Christian Carlson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669462958 PECOS PAC ID: 5799835450 Enrollment ID: I20210513001808 |
| Provider Name | Robert Jonathan Mccully |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043500721 PECOS PAC ID: 5496164907 Enrollment ID: I20210513002441 |
| Provider Name | Sandra Lee Porter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457969834 PECOS PAC ID: 9133538549 Enrollment ID: I20210513002800 |
| Provider Name | Matthew Bennet Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306387667 PECOS PAC ID: 9436427960 Enrollment ID: I20210514001639 |
| Provider Name | Eric David Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649665399 PECOS PAC ID: 5890075899 Enrollment ID: I20210517002690 |
| Provider Name | Reed Parkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831693027 PECOS PAC ID: 3072912120 Enrollment ID: I20210524000853 |
| Provider Name | Katelynn Brooke Dickerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972058048 PECOS PAC ID: 3577842004 Enrollment ID: I20210526002302 |
| Provider Name | Joshua Lewis Crockett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619559960 PECOS PAC ID: 9537568373 Enrollment ID: I20210526003106 |
| Provider Name | Nicole Justine Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942627484 PECOS PAC ID: 2860625290 Enrollment ID: I20210526003226 |
| Provider Name | Chetan Shawn Irwin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629303177 PECOS PAC ID: 2668603945 Enrollment ID: I20210527000660 |
| Provider Name | Garrett Ka Keung Lam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033172713 PECOS PAC ID: 5597959684 Enrollment ID: I20210528002438 |
| Provider Name | Timothy Marvin Bahr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558740316 PECOS PAC ID: 0547512386 Enrollment ID: I20210601001217 |
| Provider Name | Allan M Seibert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780979799 PECOS PAC ID: 7517291479 Enrollment ID: I20210603001098 |
| Provider Name | Timothy Jeffirs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063019289 PECOS PAC ID: 5698174076 Enrollment ID: I20210604002486 |
| Provider Name | Brett Howard Lile |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528453503 PECOS PAC ID: 2365758703 Enrollment ID: I20210609000202 |
| Provider Name | Reilly Daniel Hobbs |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245591148 PECOS PAC ID: 3779857198 Enrollment ID: I20210610000007 |
| Provider Name | Timothy Corbett Michaelis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366975658 PECOS PAC ID: 7810267903 Enrollment ID: I20210610003031 |
| Provider Name | Ian a Schlieder |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073956793 PECOS PAC ID: 6709218076 Enrollment ID: I20210610003138 |
| Provider Name | Jared Francis Crisafi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265852917 PECOS PAC ID: 8628295375 Enrollment ID: I20210610003256 |
| Provider Name | Nikil V Moodabagil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477971232 PECOS PAC ID: 7911293931 Enrollment ID: I20210611001522 |
| Provider Name | Shellie Rae Crossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215246731 PECOS PAC ID: 8325448277 Enrollment ID: I20210614002991 |
| Provider Name | Nicholas Michael Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417343211 PECOS PAC ID: 2860892601 Enrollment ID: I20210615003007 |
| Provider Name | Kristen Barlow Schnurman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396181202 PECOS PAC ID: 2466688866 Enrollment ID: I20210616003040 |
| Provider Name | Jonathan Gray Holbrook |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710307384 PECOS PAC ID: 3274896964 Enrollment ID: I20210617000807 |
| Provider Name | Aubrie Nicole Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619594371 PECOS PAC ID: 1557761244 Enrollment ID: I20210617001223 |
| Provider Name | Monique Kiyoko Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881283984 PECOS PAC ID: 6507266152 Enrollment ID: I20210618000278 |
| Provider Name | Colby L Beal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598119190 PECOS PAC ID: 7618266719 Enrollment ID: I20210621000448 |
| Provider Name | Owen Tyler Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083078869 PECOS PAC ID: 8123442563 Enrollment ID: I20210623003249 |
| Provider Name | Robert Swendiman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457765919 PECOS PAC ID: 1456643006 Enrollment ID: I20210623003945 |
| Provider Name | Emily Meagan Crossfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962935882 PECOS PAC ID: 7214338300 Enrollment ID: I20210628000492 |
| Provider Name | Jason Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043608458 PECOS PAC ID: 9436460342 Enrollment ID: I20210629003958 |
| Provider Name | Kelcie Ann Rodriguez Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275976243 PECOS PAC ID: 6901177625 Enrollment ID: I20210701003549 |
| Provider Name | Derek Garn Rodeback |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053751032 PECOS PAC ID: 2062788185 Enrollment ID: I20210706000973 |
| Provider Name | Katherine Anderson Hadlock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770863862 PECOS PAC ID: 8527283449 Enrollment ID: I20210706001925 |
| Provider Name | Rylee Ann Mccracken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619471307 PECOS PAC ID: 4183973381 Enrollment ID: I20210706003347 |
| Provider Name | Brandon Ellis Tullis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184050601 PECOS PAC ID: 0143515437 Enrollment ID: I20210708001105 |
| Provider Name | Kristen Lile |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780038638 PECOS PAC ID: 6709129133 Enrollment ID: I20210709002762 |
| Provider Name | Morgan Nicole Bolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134796394 PECOS PAC ID: 5890197826 Enrollment ID: I20210713001483 |
| Provider Name | Stephen Grant |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477901650 PECOS PAC ID: 5294137113 Enrollment ID: I20210714001513 |
| Provider Name | Tanner Ross Mortenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487188363 PECOS PAC ID: 1850793639 Enrollment ID: I20210715003926 |
| Provider Name | Kyle H Jasper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649703075 PECOS PAC ID: 5799057410 Enrollment ID: I20210719000335 |
| Provider Name | Samuel Crandall Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679928378 PECOS PAC ID: 1951667492 Enrollment ID: I20210721003906 |
| Provider Name | Cara K Jugant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598136517 PECOS PAC ID: 4789962143 Enrollment ID: I20210728001832 |
| Provider Name | Thomas H Fjeldsted |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699121277 PECOS PAC ID: 1456684638 Enrollment ID: I20210728003547 |
| Provider Name | Steven Wade King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720084536 PECOS PAC ID: 0941263362 Enrollment ID: I20210729002026 |
| Provider Name | Beau J Kunzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003495565 PECOS PAC ID: 2961805866 Enrollment ID: I20210729003421 |
| Provider Name | Carol Anne Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265683593 PECOS PAC ID: 7315340197 Enrollment ID: I20210730002886 |
| Provider Name | Erin Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427622794 PECOS PAC ID: 9032513643 Enrollment ID: I20210804001621 |
| Provider Name | Mandi Spens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073192357 PECOS PAC ID: 7618371246 Enrollment ID: I20210804002366 |
| Provider Name | Adam Kimball Bevan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992110787 PECOS PAC ID: 6709006117 Enrollment ID: I20210804003260 |
| Provider Name | Michael R Hessenauer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215315635 PECOS PAC ID: 5092027458 Enrollment ID: I20210806001746 |
| Provider Name | Kimberly Sheree Casten |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184073785 PECOS PAC ID: 5799189197 Enrollment ID: I20210806002246 |
| Provider Name | Jennifer Anne Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366472961 PECOS PAC ID: 3779554886 Enrollment ID: I20210809001708 |
| Provider Name | Jakob Mrozewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306230966 PECOS PAC ID: 1951618974 Enrollment ID: I20210809002816 |
| Provider Name | Margaret Ilse Hammond |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770015018 PECOS PAC ID: 7113321381 Enrollment ID: I20210810002280 |
| Provider Name | Ruthvik Kumar Padival |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548521941 PECOS PAC ID: 9739435710 Enrollment ID: I20210810004225 |
| Provider Name | Taylor Stevenson Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922622398 PECOS PAC ID: 7416351630 Enrollment ID: I20210811000179 |
| Provider Name | Matthew W Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225510589 PECOS PAC ID: 2062757289 Enrollment ID: I20210812003293 |
| Provider Name | Donya Mohebali |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669886164 PECOS PAC ID: 5890003586 Enrollment ID: I20210813002178 |
| Provider Name | Brent B Pickett |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497281406 PECOS PAC ID: 8527337898 Enrollment ID: I20210816000383 |
| Provider Name | Mercedes Longshaw Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811660764 PECOS PAC ID: 0547665440 Enrollment ID: I20210816001289 |
| Provider Name | Jameson R Petersen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104289123 PECOS PAC ID: 9739473042 Enrollment ID: I20210816004119 |
| Provider Name | Brook Danyel Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447821749 PECOS PAC ID: 9830594647 Enrollment ID: I20210817002172 |
| Provider Name | Jonathan Hatch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205148541 PECOS PAC ID: 8022324193 Enrollment ID: I20210817003799 |
| Provider Name | Carolyn Weaver Swenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023261237 PECOS PAC ID: 8820301344 Enrollment ID: I20210818003272 |
| Provider Name | Carly Ranee Franc |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871086967 PECOS PAC ID: 7618372202 Enrollment ID: I20210819002110 |
| Provider Name | Brynn Schumacher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740713551 PECOS PAC ID: 8325443880 Enrollment ID: I20210820001653 |
| Provider Name | Katie Rousseau Jeans |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093151862 PECOS PAC ID: 4981933447 Enrollment ID: I20210823000666 |
| Provider Name | Emaad Khansur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477041945 PECOS PAC ID: 5294169561 Enrollment ID: I20210825004031 |
| Provider Name | Dylan Zane Werst |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104321843 PECOS PAC ID: 6901239706 Enrollment ID: I20210826003459 |
| Provider Name | Jonathan Andrew Hartshorn |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1932553773 PECOS PAC ID: 0941593636 Enrollment ID: I20210827000630 |
| Provider Name | Ammon Douglas Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902489032 PECOS PAC ID: 3173928256 Enrollment ID: I20210827001544 |
| Provider Name | Grant Sun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245618966 PECOS PAC ID: 0840507984 Enrollment ID: I20210831001239 |
| Provider Name | Elizabeth Lane Ryals |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750701033 PECOS PAC ID: 3072815695 Enrollment ID: I20210907000754 |
| Provider Name | Shikha Bhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356667273 PECOS PAC ID: 7810123312 Enrollment ID: I20210908003880 |
| Provider Name | Scott Austin Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366118424 PECOS PAC ID: 5395141741 Enrollment ID: I20210909002565 |
| Provider Name | Beth Anne Pickett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073098125 PECOS PAC ID: 6103222567 Enrollment ID: I20210909002635 |
| Provider Name | Naresh Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538134960 PECOS PAC ID: 7012082613 Enrollment ID: I20210915001843 |
| Provider Name | Tiffany Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023686086 PECOS PAC ID: 9739586744 Enrollment ID: I20210917001086 |
| Provider Name | Jane Ann Alston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083842710 PECOS PAC ID: 5496986002 Enrollment ID: I20210917002538 |
| Provider Name | Jessica V Fullmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578199592 PECOS PAC ID: 4385041268 Enrollment ID: I20210920001677 |
| Provider Name | Erin a Hager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437731304 PECOS PAC ID: 5991102808 Enrollment ID: I20210920002822 |
| Provider Name | Tara Carpenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770108979 PECOS PAC ID: 0749687671 Enrollment ID: I20210920003679 |
| Provider Name | David Michael Hallowell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376040790 PECOS PAC ID: 0345673323 Enrollment ID: I20210921000434 |
| Provider Name | Emily C Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699344937 PECOS PAC ID: 8426455270 Enrollment ID: I20210922000851 |
| Provider Name | Jodi Pitt Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902405228 PECOS PAC ID: 1355748948 Enrollment ID: I20210924000035 |
| Provider Name | Christopher Reid West |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124400569 PECOS PAC ID: 8527371376 Enrollment ID: I20210924001113 |
| Provider Name | Corey James Barger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053844258 PECOS PAC ID: 4587934351 Enrollment ID: I20210924001701 |
| Provider Name | Ashton Bree Plott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568044881 PECOS PAC ID: 3476950908 Enrollment ID: I20210924002420 |
| Provider Name | Emily Olsen Payne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932874104 PECOS PAC ID: 5193122620 Enrollment ID: I20210924002489 |
| Provider Name | Erick Reece Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508212044 PECOS PAC ID: 9739472242 Enrollment ID: I20210924002716 |
| Provider Name | Brian William Locke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295199313 PECOS PAC ID: 5890051411 Enrollment ID: I20210924002997 |
| Provider Name | Jeffrey Paul Rice |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164586939 PECOS PAC ID: 9335313329 Enrollment ID: I20210924003063 |
| Provider Name | Jenifer Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790322667 PECOS PAC ID: 3779980156 Enrollment ID: I20210928001429 |
| Provider Name | Spencer Pili Laulusa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447831961 PECOS PAC ID: 6103223441 Enrollment ID: I20210929000510 |
| Provider Name | Leslie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233381 PECOS PAC ID: 4183977424 Enrollment ID: I20211004000328 |
| Provider Name | Kathleen Anne Sarette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558972729 PECOS PAC ID: 9032517131 Enrollment ID: I20211004002110 |
| Provider Name | Maranda Ann Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124626551 PECOS PAC ID: 6709284664 Enrollment ID: I20211006002089 |
| Provider Name | Bryce Haac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629310081 PECOS PAC ID: 4486953569 Enrollment ID: I20211006003435 |
| Provider Name | Nicole J Devilbiss |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750956124 PECOS PAC ID: 6507264132 Enrollment ID: I20211012000611 |
| Provider Name | Veronica Kitchens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760034029 PECOS PAC ID: 4880092345 Enrollment ID: I20211013002926 |
| Provider Name | D'anne Moon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083659395 PECOS PAC ID: 0749591139 Enrollment ID: I20211018002802 |
| Provider Name | Stephen Travis Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760872071 PECOS PAC ID: 0244628428 Enrollment ID: I20211020000847 |
| Provider Name | Zachary David Erekson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942529912 PECOS PAC ID: 3971730060 Enrollment ID: I20211021002993 |
| Provider Name | Marla Morillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184249385 PECOS PAC ID: 4284022393 Enrollment ID: I20211021003263 |
| Provider Name | Danielle Marie Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295405439 PECOS PAC ID: 6204224363 Enrollment ID: I20211022002050 |
| Provider Name | Nathan Robert Peterson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194135350 PECOS PAC ID: 8224321518 Enrollment ID: I20211022002472 |
| Provider Name | Conner D Sugrue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508481706 PECOS PAC ID: 7113315094 Enrollment ID: I20211026001754 |
| Provider Name | Timbrely Fong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275972226 PECOS PAC ID: 7113219809 Enrollment ID: I20211027001731 |
| Provider Name | Patricia Diane Axtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295346591 PECOS PAC ID: 0941698666 Enrollment ID: I20211029002280 |
| Provider Name | Benjamin Jaojoco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861166829 PECOS PAC ID: 8729476270 Enrollment ID: I20211102002300 |
| Provider Name | Spencer Taylor Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942962998 PECOS PAC ID: 3870981327 Enrollment ID: I20211102002492 |
| Provider Name | Talon Joshua Kohler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528732062 PECOS PAC ID: 1658760939 Enrollment ID: I20211108000058 |
| Provider Name | Meredith Dalton Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669097861 PECOS PAC ID: 3971992140 Enrollment ID: I20211109000865 |
| Provider Name | Michael Travis Ivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528695533 PECOS PAC ID: 3476942632 Enrollment ID: I20211110001574 |
| Provider Name | Thomas J Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477087138 PECOS PAC ID: 0648548313 Enrollment ID: I20211113000233 |
| Provider Name | Alexis Diane Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043981160 PECOS PAC ID: 4284023185 Enrollment ID: I20211115002903 |
| Provider Name | Robert Scott Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386216539 PECOS PAC ID: 2668861329 Enrollment ID: I20211118000381 |
| Provider Name | Nicholas Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073837506 PECOS PAC ID: 8820317399 Enrollment ID: I20211119001245 |
| Provider Name | Sarah E Espinoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396366605 PECOS PAC ID: 1052700606 Enrollment ID: I20211119001507 |
| Provider Name | Chelsie Jo Nixon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780297564 PECOS PAC ID: 0840680104 Enrollment ID: I20211201001811 |
| Provider Name | Angela Rhoades Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699357244 PECOS PAC ID: 8628468980 Enrollment ID: I20211201001971 |
| Provider Name | Kelsey Marie Bench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568045763 PECOS PAC ID: 5991195257 Enrollment ID: I20211201002123 |
| Provider Name | Chris Long Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124478516 PECOS PAC ID: 9133498785 Enrollment ID: I20211203001815 |
| Provider Name | Susan Denise Gunnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319822 PECOS PAC ID: 3072903178 Enrollment ID: I20211203001924 |
| Provider Name | Wesley Godfrey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750812244 PECOS PAC ID: 7315216926 Enrollment ID: I20211208001103 |
| Provider Name | Matias a Calquin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093343980 PECOS PAC ID: 3971993841 Enrollment ID: I20211208001518 |
| Provider Name | Xavier a Pierce Rocha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972128973 PECOS PAC ID: 8224428990 Enrollment ID: I20211213000599 |
| Provider Name | Heidi Lee Lindfors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598097206 PECOS PAC ID: 4486782703 Enrollment ID: I20211222000360 |
| Provider Name | Ryan W Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689089666 PECOS PAC ID: 3476771023 Enrollment ID: I20211227000799 |
| Provider Name | Jaron Santelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760742654 PECOS PAC ID: 2163725664 Enrollment ID: I20211228001744 |
| Provider Name | Sheri Lee Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952926925 PECOS PAC ID: 3375934334 Enrollment ID: I20211229002011 |
| Provider Name | Talisha Hern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275100703 PECOS PAC ID: 2062803976 Enrollment ID: I20220104001949 |
| Provider Name | Alexa Rachel Moorman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689105017 PECOS PAC ID: 5193091403 Enrollment ID: I20220107000267 |
| Provider Name | Jayson Malufau |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1538554746 PECOS PAC ID: 9032461744 Enrollment ID: I20220110001500 |
| Provider Name | Emily Rose Lowry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588161475 PECOS PAC ID: 9537592480 Enrollment ID: I20220110001517 |
| Provider Name | Jenny Lou Eldredge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164804647 PECOS PAC ID: 6406165547 Enrollment ID: I20220110001636 |
| Provider Name | Susan Beryl Harp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508912643 PECOS PAC ID: 8729160775 Enrollment ID: I20220110002099 |
| Provider Name | Barbara Kelly Gleason Han |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346280351 PECOS PAC ID: 8820985518 Enrollment ID: I20220110002173 |
| Provider Name | Christine Mooney King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164884441 PECOS PAC ID: 2769874445 Enrollment ID: I20220111000054 |
| Provider Name | Kyle Steven Hollenback |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932574381 PECOS PAC ID: 9032491295 Enrollment ID: I20220111002530 |
| Provider Name | Brian Tyler Melville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085718 PECOS PAC ID: 6204145733 Enrollment ID: I20220113002527 |
| Provider Name | Haley Eryn Maires |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326523473 PECOS PAC ID: 1658763057 Enrollment ID: I20220114001593 |
| Provider Name | Tyson Wilcox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194379040 PECOS PAC ID: 1759773179 Enrollment ID: I20220117000023 |
| Provider Name | Nicholas Biggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225791114 PECOS PAC ID: 4486046802 Enrollment ID: I20220117000031 |
| Provider Name | Garrett Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386274553 PECOS PAC ID: 8921490343 Enrollment ID: I20220117000045 |
| Provider Name | Sean Thomas Kendall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447660337 PECOS PAC ID: 3476945890 Enrollment ID: I20220117000054 |
| Provider Name | Robert Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528731809 PECOS PAC ID: 7911399332 Enrollment ID: I20220117000063 |
| Provider Name | Andrew Barbano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568133676 PECOS PAC ID: 2466844881 Enrollment ID: I20220117000078 |
| Provider Name | Christine Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659581676 PECOS PAC ID: 2264824689 Enrollment ID: I20220117000091 |
| Provider Name | Krista Crump |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689239030 PECOS PAC ID: 4082006408 Enrollment ID: I20220117000100 |
| Provider Name | Jeremy Eatough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689245300 PECOS PAC ID: 8527450949 Enrollment ID: I20220117000112 |
| Provider Name | Shelby K Morrow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710650916 PECOS PAC ID: 6709278120 Enrollment ID: I20220117000135 |
| Provider Name | Spencer Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740805860 PECOS PAC ID: 7416349832 Enrollment ID: I20220117000147 |
| Provider Name | David Michael Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891375416 PECOS PAC ID: 9234521659 Enrollment ID: I20220117000158 |
| Provider Name | Zachary Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851063176 PECOS PAC ID: 7416349840 Enrollment ID: I20220117000173 |
| Provider Name | Joshua Clifford Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154959062 PECOS PAC ID: 5597157867 Enrollment ID: I20220118001832 |
| Provider Name | Jason Scott Erickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265999056 PECOS PAC ID: 6709119530 Enrollment ID: I20220119000588 |
| Provider Name | Kenneth Lightheart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740290360 PECOS PAC ID: 2365543600 Enrollment ID: I20220125001268 |
| Provider Name | Michael Katz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861463390 PECOS PAC ID: 6709802671 Enrollment ID: I20220125001305 |
| Provider Name | Joseph Hobson Gitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497259675 PECOS PAC ID: 1951649474 Enrollment ID: I20220125001898 |
| Provider Name | Maegan Evensen Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487224341 PECOS PAC ID: 7618369554 Enrollment ID: I20220126001578 |
| Provider Name | Richard Franklin Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174171664 PECOS PAC ID: 2365834223 Enrollment ID: I20220126002525 |
| Provider Name | Scarleth Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134744014 PECOS PAC ID: 6800289364 Enrollment ID: I20220203002591 |
| Provider Name | Jennifer Bell Weight |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245996388 PECOS PAC ID: 3870986250 Enrollment ID: I20220207002310 |
| Provider Name | Maricel Reusch Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205446937 PECOS PAC ID: 4385037720 Enrollment ID: I20220208002319 |
| Provider Name | Kenna Renee Peters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003578345 PECOS PAC ID: 4385037688 Enrollment ID: I20220209001832 |
| Provider Name | Richard Stewart Shelton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770741886 PECOS PAC ID: 7416081203 Enrollment ID: I20220209002010 |
| Provider Name | Clayton Edward Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497127898 PECOS PAC ID: 2860794328 Enrollment ID: I20220209002113 |
| Provider Name | Emilie Rose Gunnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497237135 PECOS PAC ID: 9436585775 Enrollment ID: I20220210002669 |
| Provider Name | Jillian Barker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134744287 PECOS PAC ID: 5698168714 Enrollment ID: I20220211001321 |
| Provider Name | Astrid Yuliet Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134891294 PECOS PAC ID: 1658764725 Enrollment ID: I20220214000642 |
| Provider Name | Lauren a Chambers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689088635 PECOS PAC ID: 7416225099 Enrollment ID: I20220215000963 |
| Provider Name | Francesca Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225652548 PECOS PAC ID: 8325431265 Enrollment ID: I20220217000247 |
| Provider Name | Jamie Anne Prevedel Bowen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326432253 PECOS PAC ID: 4486967395 Enrollment ID: I20220217002159 |
| Provider Name | Amir Varedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871053199 PECOS PAC ID: 1557785755 Enrollment ID: I20220217002694 |
| Provider Name | Theresa Margaret Furbish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679174908 PECOS PAC ID: 7517351422 Enrollment ID: I20220218000233 |
| Provider Name | Josephine Hopwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497307979 PECOS PAC ID: 2769876515 Enrollment ID: I20220222000795 |
| Provider Name | Ethan Michael Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124590229 PECOS PAC ID: 3779821681 Enrollment ID: I20220223001763 |
| Provider Name | Joseph Thomas Plugge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083101208 PECOS PAC ID: 0941633747 Enrollment ID: I20220223002144 |
| Provider Name | Lindsey Jane Clasby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093483935 PECOS PAC ID: 7416341045 Enrollment ID: I20220224002958 |
| Provider Name | Breanna Lee Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508427048 PECOS PAC ID: 9335571090 Enrollment ID: I20220225001243 |
| Provider Name | Kimberly Kyla Labbe Pohlman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003898149 PECOS PAC ID: 1456377811 Enrollment ID: I20220228000462 |
| Provider Name | Laura Mae Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790442564 PECOS PAC ID: 0042604183 Enrollment ID: I20220307000452 |
| Provider Name | Jessica Rose Lucchesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144985169 PECOS PAC ID: 4880088939 Enrollment ID: I20220307000750 |
| Provider Name | Andrea Nef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528735826 PECOS PAC ID: 1759775786 Enrollment ID: I20220308001417 |
| Provider Name | Natalie Brooke Reinhold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578215521 PECOS PAC ID: 8729473764 Enrollment ID: I20220309003115 |
| Provider Name | Marie Elizabeth Vegliante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750049706 PECOS PAC ID: 4587059563 Enrollment ID: I20220310001389 |
| Provider Name | Katy Lorraine Dilland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689967598 PECOS PAC ID: 6406178912 Enrollment ID: I20220311000302 |
| Provider Name | Chris George Pasvantis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316471071 PECOS PAC ID: 2264700459 Enrollment ID: I20220314001259 |
| Provider Name | Kyle Kevin Sleight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720734973 PECOS PAC ID: 4284029018 Enrollment ID: I20220315000416 |
| Provider Name | Haley Mckell Jangard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891364121 PECOS PAC ID: 8224423074 Enrollment ID: I20220315001151 |
| Provider Name | Sean Alton Kiesel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740817535 PECOS PAC ID: 2860887528 Enrollment ID: I20220315001995 |
| Provider Name | Francesca R Nichols |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649714577 PECOS PAC ID: 5092077685 Enrollment ID: I20220315002610 |
| Provider Name | Ronald Shane Day |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1174599476 PECOS PAC ID: 9133514649 Enrollment ID: I20220321000692 |
| Provider Name | Cole Robert Taylor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700959525 PECOS PAC ID: 7517195902 Enrollment ID: I20220322003357 |
| Provider Name | Shawn M Pendleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588171060 PECOS PAC ID: 7911267489 Enrollment ID: I20220324002221 |
| Provider Name | Justin Douglas Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265106728 PECOS PAC ID: 5092100248 Enrollment ID: I20220324002408 |
| Provider Name | Monica Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912671298 PECOS PAC ID: 2264827427 Enrollment ID: I20220324003025 |
| Provider Name | Michael Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609842053 PECOS PAC ID: 9638173446 Enrollment ID: I20220325000970 |
| Provider Name | Kathryn Anne Sarnoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275876864 PECOS PAC ID: 0345546594 Enrollment ID: I20220325001802 |
| Provider Name | Carmen Gota |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568427052 PECOS PAC ID: 9537147434 Enrollment ID: I20220330000564 |
| Provider Name | Jessica Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942536081 PECOS PAC ID: 0941696819 Enrollment ID: I20220331002191 |
| Provider Name | April Dawn Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821746256 PECOS PAC ID: 9931595600 Enrollment ID: I20220405002438 |
| Provider Name | Park Peng Zheng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558885343 PECOS PAC ID: 3476802133 Enrollment ID: I20220408001504 |
| Provider Name | Jamee Ann Gibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023788122 PECOS PAC ID: 3173919560 Enrollment ID: I20220412002017 |
| Provider Name | Zachary Robert Drennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841728011 PECOS PAC ID: 8325317076 Enrollment ID: I20220414002366 |
| Provider Name | Summer Rhea Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589696 PECOS PAC ID: 4284020421 Enrollment ID: I20220415000133 |
| Provider Name | Delilah Lee Jaeger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215345806 PECOS PAC ID: 3476982695 Enrollment ID: I20220419000504 |
| Provider Name | Jesica Faye Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265852743 PECOS PAC ID: 2567859655 Enrollment ID: I20220419002589 |
| Provider Name | Whitney Ann Stryker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518541184 PECOS PAC ID: 9537556659 Enrollment ID: I20220420000540 |
| Provider Name | Christopher C Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568864841 PECOS PAC ID: 8022328871 Enrollment ID: I20220420001182 |
| Provider Name | Heather Louise Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215691076 PECOS PAC ID: 6103213269 Enrollment ID: I20220420002224 |
| Provider Name | Brady Phil Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962072736 PECOS PAC ID: 0749677748 Enrollment ID: I20220421000740 |
| Provider Name | Kelby Hafen Stout |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295089027 PECOS PAC ID: 9537307814 Enrollment ID: I20220421000980 |
| Provider Name | Kerry Hamill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417603994 PECOS PAC ID: 8820485865 Enrollment ID: I20220421002551 |
| Provider Name | Valerie Denise Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974801 PECOS PAC ID: 5698162576 Enrollment ID: I20220422001700 |
| Provider Name | Sarah T Pietruszka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205169497 PECOS PAC ID: 8820128150 Enrollment ID: I20220422002498 |
| Provider Name | Joseph Hugh Kamerath |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588813711 PECOS PAC ID: 0749677664 Enrollment ID: I20220425000452 |
| Provider Name | Ashly Lynne Demille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871249375 PECOS PAC ID: 3375930134 Enrollment ID: I20220425002751 |
| Provider Name | Sarah Renee Eldredge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396211355 PECOS PAC ID: 5496094849 Enrollment ID: I20220426000645 |
| Provider Name | Sandra Benson Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437779410 PECOS PAC ID: 7911394606 Enrollment ID: I20220427002417 |
| Provider Name | Rohit Ram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235493693 PECOS PAC ID: 4981961182 Enrollment ID: I20220428000517 |
| Provider Name | Joshua Anthony Hoskin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689141442 PECOS PAC ID: 7618209719 Enrollment ID: I20220428001103 |
| Provider Name | Josie Sarah Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497262380 PECOS PAC ID: 0345573069 Enrollment ID: I20220429001502 |
| Provider Name | Chace Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609538057 PECOS PAC ID: 8426445982 Enrollment ID: I20220502000919 |
| Provider Name | Johna Simkins Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669044624 PECOS PAC ID: 2860889250 Enrollment ID: I20220504001137 |
| Provider Name | Sulakshna Dhamija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20220505000139 |
| Provider Name | Adam Archer Henrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942838784 PECOS PAC ID: 1658758891 Enrollment ID: I20220510000583 |
| Provider Name | Ejay Lynn Jack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306500590 PECOS PAC ID: 2860879038 Enrollment ID: I20220510001706 |
| Provider Name | Kathleen Jean Mealey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497118343 PECOS PAC ID: 4082908975 Enrollment ID: I20220513000433 |
| Provider Name | Kristopher Mulraj Katira |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326337064 PECOS PAC ID: 3678841608 Enrollment ID: I20220513001832 |
| Provider Name | Brady Monte Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922634971 PECOS PAC ID: 2365829256 Enrollment ID: I20220516000235 |
| Provider Name | Ashley Johns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205481801 PECOS PAC ID: 8123451101 Enrollment ID: I20220516001703 |
| Provider Name | Chad Allen Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598424608 PECOS PAC ID: 3375920218 Enrollment ID: I20220516002331 |
| Provider Name | Scott Terry Maughan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235670514 PECOS PAC ID: 5799053682 Enrollment ID: I20220516002495 |
| Provider Name | Matthew Jensen Hubbard |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528401015 PECOS PAC ID: 5395973960 Enrollment ID: I20220517001228 |
| Provider Name | Jacqueline Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336734862 PECOS PAC ID: 5193102994 Enrollment ID: I20220517001939 |
| Provider Name | Charles Thomas Livsey |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1518108117 PECOS PAC ID: 8527116169 Enrollment ID: I20220518002785 |
| Provider Name | Nelson Jaco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457948374 PECOS PAC ID: 5597142158 Enrollment ID: I20220519002765 |
| Provider Name | Kelsey Rose Janusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124798749 PECOS PAC ID: 9133526833 Enrollment ID: I20220519002819 |
| Provider Name | Kellie Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609447333 PECOS PAC ID: 9032596606 Enrollment ID: I20220519002841 |
| Provider Name | Melisa Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157473 PECOS PAC ID: 0941687511 Enrollment ID: I20220519002850 |
| Provider Name | Shay Christian Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134887821 PECOS PAC ID: 0648657221 Enrollment ID: I20220520000437 |
| Provider Name | Isaac James Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639811417 PECOS PAC ID: 3375920960 Enrollment ID: I20220520000847 |
| Provider Name | Jonathon Philip Gartzman Judkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922472604 PECOS PAC ID: 2769710714 Enrollment ID: I20220520001617 |
| Provider Name | Mikal Robert Kidder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376028845 PECOS PAC ID: 2466706221 Enrollment ID: I20220523001471 |
| Provider Name | Kaitlyn C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871050492 PECOS PAC ID: 1254673213 Enrollment ID: I20220526000056 |
| Provider Name | Travis Petersen Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114489382 PECOS PAC ID: 0547648859 Enrollment ID: I20220527000263 |
| Provider Name | Jane Jingyuan He |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902288384 PECOS PAC ID: 4880908383 Enrollment ID: I20220528000168 |
| Provider Name | Roger Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962778340 PECOS PAC ID: 8224416409 Enrollment ID: I20220531000721 |
| Provider Name | Linda Lee Neiswender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639158306 PECOS PAC ID: 0042487936 Enrollment ID: I20220531002339 |
| Provider Name | Jennifer Marie Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043560337 PECOS PAC ID: 2567680028 Enrollment ID: I20220601003036 |
| Provider Name | Benjamin Kelvin Buchanan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700299310 PECOS PAC ID: 8527287465 Enrollment ID: I20220602000644 |
| Provider Name | Kristin L Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629155809 PECOS PAC ID: 5092888610 Enrollment ID: I20220606001491 |
| Provider Name | Cameron Gregory Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760019699 PECOS PAC ID: 4981082898 Enrollment ID: I20220606002118 |
| Provider Name | Mason Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598837338 PECOS PAC ID: 0749460129 Enrollment ID: I20220607001270 |
| Provider Name | Jeremy Scott Llewellyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750998860 PECOS PAC ID: 2961880778 Enrollment ID: I20220607003035 |
| Provider Name | Anshu Nepal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356737001 PECOS PAC ID: 5799163465 Enrollment ID: I20220608002280 |
| Provider Name | Mark Ogilvie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043579873 PECOS PAC ID: 3971866559 Enrollment ID: I20220609001468 |
| Provider Name | Kelli Christine Jordan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457883134 PECOS PAC ID: 5991183592 Enrollment ID: I20220610001471 |
| Provider Name | Leslie P Wong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487641957 PECOS PAC ID: 1951382225 Enrollment ID: I20220611000005 |
| Provider Name | Nicole Ann Fellows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134509797 PECOS PAC ID: 4486967445 Enrollment ID: I20220611000272 |
| Provider Name | Jamie Peatrowsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821564360 PECOS PAC ID: 5294079034 Enrollment ID: I20220613001681 |
| Provider Name | Caroline Amalia Nebhan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053766329 PECOS PAC ID: 8022448737 Enrollment ID: I20220615001548 |
| Provider Name | Elizabeth Maria Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104580356 PECOS PAC ID: 2466831896 Enrollment ID: I20220615001656 |
| Provider Name | Ameena N Husain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245680669 PECOS PAC ID: 5597056234 Enrollment ID: I20220616002391 |
| Provider Name | Michael Sterling Orton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033887195 PECOS PAC ID: 7719366947 Enrollment ID: I20220620000051 |
| Provider Name | Jennifer Jo Kucifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184381303 PECOS PAC ID: 4385023324 Enrollment ID: I20220621003096 |
| Provider Name | Bassel S Saksouk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528301660 PECOS PAC ID: 9436371317 Enrollment ID: I20220622001848 |
| Provider Name | Thalia N Tucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760929152 PECOS PAC ID: 2860776382 Enrollment ID: I20220624001593 |
| Provider Name | Theresa R. Kurtz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376048207 PECOS PAC ID: 4486087251 Enrollment ID: I20220624001982 |
| Provider Name | Matthew Scott Hodgkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982355525 PECOS PAC ID: 1759761216 Enrollment ID: I20220630002144 |
| Provider Name | Andrew Mackay Breivik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255893426 PECOS PAC ID: 1456731637 Enrollment ID: I20220706000646 |
| Provider Name | Spencer Dyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245785492 PECOS PAC ID: 5193097251 Enrollment ID: I20220706003113 |
| Provider Name | Sierra Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962573964 PECOS PAC ID: 7315937273 Enrollment ID: I20220707003099 |
| Provider Name | Robert a Yapundich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417996695 PECOS PAC ID: 4981643814 Enrollment ID: I20220707004021 |
| Provider Name | Katharine Anne Lasley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619461225 PECOS PAC ID: 1951652858 Enrollment ID: I20220708002367 |
| Provider Name | Stessie Dort Zimmerman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326432345 PECOS PAC ID: 2769714096 Enrollment ID: I20220708002660 |
| Provider Name | Spencer Evan Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053842914 PECOS PAC ID: 0840549267 Enrollment ID: I20220708002696 |
| Provider Name | Mark D. Sims |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376806745 PECOS PAC ID: 2668754342 Enrollment ID: I20220708002992 |
| Provider Name | Rachel R Gunderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760871263 PECOS PAC ID: 2365760352 Enrollment ID: I20220708003627 |
| Provider Name | Shawn Cory Reese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548468994 PECOS PAC ID: 7113307026 Enrollment ID: I20220709000833 |
| Provider Name | Shayley Rae Dockstader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609514496 PECOS PAC ID: 2769862598 Enrollment ID: I20220711000802 |
| Provider Name | Joshua James Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851706691 PECOS PAC ID: 1153644794 Enrollment ID: I20220712000517 |
| Provider Name | Kimberly Shirley Herrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912308727 PECOS PAC ID: 9537483839 Enrollment ID: I20220712002106 |
| Provider Name | Jennifer Armstrong Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982286241 PECOS PAC ID: 8729469457 Enrollment ID: I20220713000503 |
| Provider Name | Megan Harris Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700555943 PECOS PAC ID: 2769863182 Enrollment ID: I20220718000505 |
| Provider Name | Andrew Lee Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174918874 PECOS PAC ID: 7517247885 Enrollment ID: I20220718000583 |
| Provider Name | Nicole Coleeen Granados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558004739 PECOS PAC ID: 2668853979 Enrollment ID: I20220718003507 |
| Provider Name | Blessing Titilayo Oyeniyi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417449646 PECOS PAC ID: 0547665788 Enrollment ID: I20220719001583 |
| Provider Name | Matthew Laurence Reiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750710455 PECOS PAC ID: 5193106359 Enrollment ID: I20220719001819 |
| Provider Name | Jeffrey Dallin Wilcox |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528445848 PECOS PAC ID: 6507107448 Enrollment ID: I20220719003887 |
| Provider Name | Elizabeth Emerald Ann Eshleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609449016 PECOS PAC ID: 9032590187 Enrollment ID: I20220720002033 |
| Provider Name | Andrew Keith Purcell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760739031 PECOS PAC ID: 8820479991 Enrollment ID: I20220720002673 |
| Provider Name | Matthew Steven King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831680552 PECOS PAC ID: 4082962501 Enrollment ID: I20220725001194 |
| Provider Name | Cydney Gunnell Mccleary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477202612 PECOS PAC ID: 0648651414 Enrollment ID: I20220726000692 |
| Provider Name | Joseph Wiedermann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952334542 PECOS PAC ID: 5092878280 Enrollment ID: I20220726000923 |
| Provider Name | Chad G Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891387858 PECOS PAC ID: 8224410022 Enrollment ID: I20220726002267 |
| Provider Name | Daniel M Garner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861046328 PECOS PAC ID: 2163840455 Enrollment ID: I20220726003899 |
| Provider Name | Stephen Eugene Wilkinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902149909 PECOS PAC ID: 0840519021 Enrollment ID: I20220727000715 |
| Provider Name | Ruth Earlene Kingston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477105716 PECOS PAC ID: 5193107977 Enrollment ID: I20220727001778 |
| Provider Name | Marius Pompei Gota |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235142886 PECOS PAC ID: 5092710475 Enrollment ID: I20220727003523 |
| Provider Name | Brian Hardison Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528712973 PECOS PAC ID: 0840672572 Enrollment ID: I20220727003994 |
| Provider Name | Kayla Dawn Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720327844 PECOS PAC ID: 1052793692 Enrollment ID: I20220729000602 |
| Provider Name | Anita Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649293226 PECOS PAC ID: 0941375588 Enrollment ID: I20220729002532 |
| Provider Name | Casey Mckay Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710446810 PECOS PAC ID: 1658701446 Enrollment ID: I20220803002970 |
| Provider Name | Nathan Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346979986 PECOS PAC ID: 9931581980 Enrollment ID: I20220808000998 |
| Provider Name | Siotame Alama Uluave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144971656 PECOS PAC ID: 5092197046 Enrollment ID: I20220808001120 |
| Provider Name | Maddison Jolene Heyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215448071 PECOS PAC ID: 5698157667 Enrollment ID: I20220808002104 |
| Provider Name | Zachary Lee Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821768896 PECOS PAC ID: 8820470735 Enrollment ID: I20220809000491 |
| Provider Name | Jun Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053065847 PECOS PAC ID: 0042692964 Enrollment ID: I20220809000871 |
| Provider Name | Brett Larsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750744421 PECOS PAC ID: 5991112336 Enrollment ID: I20220809003915 |
| Provider Name | Kristen Cheney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558699975 PECOS PAC ID: 2769658277 Enrollment ID: I20220810001193 |
| Provider Name | Lisa Marie Arnold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043674666 PECOS PAC ID: 2567733454 Enrollment ID: I20220811003367 |
| Provider Name | Katherine Elizabeth Smiley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396188819 PECOS PAC ID: 6204158843 Enrollment ID: I20220812001853 |
| Provider Name | Takako Ohashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396402038 PECOS PAC ID: 7113300849 Enrollment ID: I20220812002889 |
| Provider Name | David Vere Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336601913 PECOS PAC ID: 7416377726 Enrollment ID: I20220816001425 |
| Provider Name | Brett D Wheatfill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396493086 PECOS PAC ID: 8224411715 Enrollment ID: I20220816002633 |
| Provider Name | Jessica Caitlin Coffendaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770255184 PECOS PAC ID: 8820471279 Enrollment ID: I20220817001821 |
| Provider Name | Erika Munns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396411096 PECOS PAC ID: 3072996438 Enrollment ID: I20220817001986 |
| Provider Name | Amber Fawn Kostial |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760772693 PECOS PAC ID: 2163733957 Enrollment ID: I20220817003560 |
| Provider Name | Anna Amelia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689283269 PECOS PAC ID: 0042693442 Enrollment ID: I20220817003630 |
| Provider Name | Vishnu Parvathareddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073530549 PECOS PAC ID: 8628026945 Enrollment ID: I20220820000153 |
| Provider Name | Camille Diana Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235879891 PECOS PAC ID: 4880077064 Enrollment ID: I20220822000921 |
| Provider Name | Shane Michael Ruckel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215391875 PECOS PAC ID: 5092071613 Enrollment ID: I20220822000931 |
| Provider Name | Zachary Claude Warner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881157287 PECOS PAC ID: 9638404072 Enrollment ID: I20220822002166 |
| Provider Name | Andrew Schmutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962964742 PECOS PAC ID: 9830572916 Enrollment ID: I20220823001681 |
| Provider Name | Danielle Bergman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437340437 PECOS PAC ID: 6002984697 Enrollment ID: I20220824000594 |
| Provider Name | Samantha Jane Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366174377 PECOS PAC ID: 3577947563 Enrollment ID: I20220824002938 |
| Provider Name | Christopher Gerald Wilkerson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629481015 PECOS PAC ID: 4981983459 Enrollment ID: I20220825001457 |
| Provider Name | Megan Nicole Speirs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184371460 PECOS PAC ID: 2062896038 Enrollment ID: I20220825002034 |
| Provider Name | Clarissa Lynne Riches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356993661 PECOS PAC ID: 4587092655 Enrollment ID: I20220902002520 |
| Provider Name | Craig Porter Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902347198 PECOS PAC ID: 1759651623 Enrollment ID: I20220905000402 |
| Provider Name | Monica Blejeru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881812345 PECOS PAC ID: 9537245329 Enrollment ID: I20220906001579 |
| Provider Name | Alexander Freeman Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891354080 PECOS PAC ID: 3072997352 Enrollment ID: I20220906001898 |
| Provider Name | Jessica Lynn Gorgoglione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679071617 PECOS PAC ID: 0042648016 Enrollment ID: I20220907001509 |
| Provider Name | Braden Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851853477 PECOS PAC ID: 0042694200 Enrollment ID: I20220907002540 |
| Provider Name | Zackary Keith Cowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912583519 PECOS PAC ID: 0244614436 Enrollment ID: I20220907003366 |
| Provider Name | Victoria Dawn Olvera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053390344 PECOS PAC ID: 0840447827 Enrollment ID: I20220908000012 |
| Provider Name | Rebecca Claire Chador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639759103 PECOS PAC ID: 3274917331 Enrollment ID: I20220908002853 |
| Provider Name | Sarah Denise Varner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720725062 PECOS PAC ID: 2264816321 Enrollment ID: I20220908002919 |
| Provider Name | Jacob P Kartes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144717802 PECOS PAC ID: 6103259064 Enrollment ID: I20220908002944 |
| Provider Name | Daniel Steven Ziebell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679927966 PECOS PAC ID: 7113302274 Enrollment ID: I20220910000500 |
| Provider Name | Ty Fullmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679136758 PECOS PAC ID: 3476888637 Enrollment ID: I20220913004135 |
| Provider Name | Michelle Kathryn Bischoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790179786 PECOS PAC ID: 9638459076 Enrollment ID: I20220914002390 |
| Provider Name | David Boyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114404233 PECOS PAC ID: 0547512949 Enrollment ID: I20220914002671 |
| Provider Name | Kyle Clark Kimbal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104205442 PECOS PAC ID: 6406137504 Enrollment ID: I20220915001701 |
| Provider Name | Ashley Diane Busdicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528648979 PECOS PAC ID: 8921483579 Enrollment ID: I20220916002897 |
| Provider Name | Kaytelin Gill Suslavich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114582392 PECOS PAC ID: 3173941044 Enrollment ID: I20220919002118 |
| Provider Name | Jeannette Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699177550 PECOS PAC ID: 9032431457 Enrollment ID: I20220920000630 |
| Provider Name | Jared Cory Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316408370 PECOS PAC ID: 2264765213 Enrollment ID: I20220920000833 |
| Provider Name | Kevin Donner Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649732322 PECOS PAC ID: 3476973983 Enrollment ID: I20220922003279 |
| Provider Name | Ian Primavera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831441237 PECOS PAC ID: 9830408228 Enrollment ID: I20220928000407 |
| Provider Name | Sammantha Raelene Francis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275902959 PECOS PAC ID: 0840590782 Enrollment ID: I20221003003183 |
| Provider Name | Katharine Barford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184884470 PECOS PAC ID: 2668519869 Enrollment ID: I20221003003196 |
| Provider Name | Debra Mei Lam Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720710478 PECOS PAC ID: 8527444223 Enrollment ID: I20221004001676 |
| Provider Name | Mykala Mikesell Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548922248 PECOS PAC ID: 5092191726 Enrollment ID: I20221004003009 |
| Provider Name | Carrie Ann Jaworski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982757993 PECOS PAC ID: 3577510569 Enrollment ID: I20221005001126 |
| Provider Name | Trevor Shelton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134549066 PECOS PAC ID: 0042632325 Enrollment ID: I20221005003122 |
| Provider Name | Madison Jean Schmoeller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144858796 PECOS PAC ID: 5799185039 Enrollment ID: I20221006003344 |
| Provider Name | Taryn A. Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003378423 PECOS PAC ID: 8224456777 Enrollment ID: I20221006003471 |
| Provider Name | Megan Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255067757 PECOS PAC ID: 4486030889 Enrollment ID: I20221010000744 |
| Provider Name | Benjamin Harlan Hammond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184043325 PECOS PAC ID: 1951521384 Enrollment ID: I20221011002779 |
| Provider Name | Amber Dawn Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700505062 PECOS PAC ID: 8527434638 Enrollment ID: I20221014000653 |
| Provider Name | Julia Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578191789 PECOS PAC ID: 5597188169 Enrollment ID: I20221014000709 |
| Provider Name | Patrick S Van Noy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154796498 PECOS PAC ID: 9436455482 Enrollment ID: I20221014002965 |
| Provider Name | Emily Joy Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346968187 PECOS PAC ID: 6103292115 Enrollment ID: I20221017001291 |
| Provider Name | Spencer Raymond Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780260463 PECOS PAC ID: 6103292024 Enrollment ID: I20221018002625 |
| Provider Name | Austin Paul Dinkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669059028 PECOS PAC ID: 0547636003 Enrollment ID: I20221025001396 |
| Provider Name | Jonathan Clayton Jackson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376527556 PECOS PAC ID: 4789872169 Enrollment ID: I20221026000217 |
| Provider Name | Elaine Mary Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700454220 PECOS PAC ID: 9335515766 Enrollment ID: I20221026000926 |
| Provider Name | Jessica Michelle Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568788495 PECOS PAC ID: 0042433179 Enrollment ID: I20221026002105 |
| Provider Name | Anusha Yelisetty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568849321 PECOS PAC ID: 8426301326 Enrollment ID: I20221028001087 |
| Provider Name | Adam Christopher Garrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023662400 PECOS PAC ID: 7517398860 Enrollment ID: I20221101000577 |
| Provider Name | Kathryn Melissa Nelson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225567803 PECOS PAC ID: 3678940897 Enrollment ID: I20221101001242 |
| Provider Name | Steven Chase Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083063267 PECOS PAC ID: 4284929084 Enrollment ID: I20221102001805 |
| Provider Name | Allison Trudy Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982272480 PECOS PAC ID: 9739556887 Enrollment ID: I20221103000399 |
| Provider Name | Brett Allen Higbee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619550456 PECOS PAC ID: 7810364759 Enrollment ID: I20221104001746 |
| Provider Name | Hans R Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508111337 PECOS PAC ID: 6709014137 Enrollment ID: I20221108000785 |
| Provider Name | Michael David Johnson |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1831552439 PECOS PAC ID: 7315273653 Enrollment ID: I20221108001621 |
| Provider Name | Scott Curtis Moberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801472808 PECOS PAC ID: 0840667663 Enrollment ID: I20221108003210 |
| Provider Name | Michael Dalan Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851977862 PECOS PAC ID: 1052788775 Enrollment ID: I20221108003633 |
| Provider Name | Susan Jellum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891422689 PECOS PAC ID: 0345482683 Enrollment ID: I20221109001238 |
| Provider Name | Kelsey Sonntag Crapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124695879 PECOS PAC ID: 2860869575 Enrollment ID: I20221109003356 |
| Provider Name | Shaleen Morgan Doctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417444845 PECOS PAC ID: 7113274655 Enrollment ID: I20221110001540 |
| Provider Name | Albert Pope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164158127 PECOS PAC ID: 7315314986 Enrollment ID: I20221110002431 |
| Provider Name | Jonathan R Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457705386 PECOS PAC ID: 2769775444 Enrollment ID: I20221111000332 |
| Provider Name | Bhagawat Acharya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609444603 PECOS PAC ID: 5991172405 Enrollment ID: I20221111001393 |
| Provider Name | Eric Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497945091 PECOS PAC ID: 1355490269 Enrollment ID: I20221114001252 |
| Provider Name | Judith a Lacy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487764601 PECOS PAC ID: 3870598485 Enrollment ID: I20221114002089 |
| Provider Name | Hanna Dorothee Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144751611 PECOS PAC ID: 9436421302 Enrollment ID: I20221114002316 |
| Provider Name | Karlee Ann Kaufman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750858080 PECOS PAC ID: 3476985482 Enrollment ID: I20221114002632 |
| Provider Name | Sheba John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558781674 PECOS PAC ID: 2163830266 Enrollment ID: I20221114003129 |
| Provider Name | Craig Ryan Goodall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255893897 PECOS PAC ID: 7911325378 Enrollment ID: I20221115000887 |
| Provider Name | Trent K Price |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720271109 PECOS PAC ID: 3072733971 Enrollment ID: I20221115002379 |
| Provider Name | Hayley Michelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275286262 PECOS PAC ID: 3072981554 Enrollment ID: I20221115002393 |
| Provider Name | Nicole Joan Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720413180 PECOS PAC ID: 7719114560 Enrollment ID: I20221115002500 |
| Provider Name | Marjory Bravard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023338498 PECOS PAC ID: 4880855097 Enrollment ID: I20221116003123 |
| Provider Name | Mindy Elizabeth Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508462151 PECOS PAC ID: 5092183376 Enrollment ID: I20221117000051 |
| Provider Name | Oliver Dimitrijevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003055252 PECOS PAC ID: 0547418766 Enrollment ID: I20221117002523 |
| Provider Name | Gregory Anthony Grandio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427444942 PECOS PAC ID: 0648582262 Enrollment ID: I20221122000400 |
| Provider Name | Bryson Mark Roundy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639752405 PECOS PAC ID: 2769850882 Enrollment ID: I20221122000403 |
| Provider Name | Austin James Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427514454 PECOS PAC ID: 0143631366 Enrollment ID: I20221122001899 |
| Provider Name | Bradley Jordan Bentley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902556582 PECOS PAC ID: 9739557786 Enrollment ID: I20221122002199 |
| Provider Name | Natalie Ruth Miner-goeckeritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578058764 PECOS PAC ID: 2062826860 Enrollment ID: I20221123002384 |
| Provider Name | Natalia Priscilla Arizmendez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740642446 PECOS PAC ID: 0840628913 Enrollment ID: I20221123002605 |
| Provider Name | Alyssa May Austria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588059950 PECOS PAC ID: 6608188347 Enrollment ID: I20221125000259 |
| Provider Name | Bronwynne Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801464292 PECOS PAC ID: 6901274885 Enrollment ID: I20221128000500 |
| Provider Name | Timothy Lyle Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326523358 PECOS PAC ID: 0446681621 Enrollment ID: I20221130003128 |
| Provider Name | Jeffrey James Bentley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033655535 PECOS PAC ID: 3173991783 Enrollment ID: I20221201000731 |
| Provider Name | Joshua Clark Graham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700325529 PECOS PAC ID: 5890071302 Enrollment ID: I20221201002069 |
| Provider Name | Brett Andrew Steinicke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689250276 PECOS PAC ID: 8628447216 Enrollment ID: I20221202000791 |
| Provider Name | Sarah Tweddell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609220565 PECOS PAC ID: 2264841063 Enrollment ID: I20221203000020 |
| Provider Name | Marc Todd Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982907903 PECOS PAC ID: 5294980751 Enrollment ID: I20221206002443 |
| Provider Name | Megan Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437881406 PECOS PAC ID: 8527437938 Enrollment ID: I20221207000626 |
| Provider Name | Heather Leigh Bissell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770118457 PECOS PAC ID: 3476922832 Enrollment ID: I20221207002607 |
| Provider Name | Katrien Jack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366024390 PECOS PAC ID: 7012386212 Enrollment ID: I20221209002387 |
| Provider Name | Karla Molinero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609238252 PECOS PAC ID: 5597015560 Enrollment ID: I20221212001589 |
| Provider Name | Garrett Ray Galt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578207999 PECOS PAC ID: 2567831514 Enrollment ID: I20221213003169 |
| Provider Name | Payal Kantibhai Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548580103 PECOS PAC ID: 9931419603 Enrollment ID: I20221215000968 |
| Provider Name | Spenser Ryan Squire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854897 PECOS PAC ID: 9335477710 Enrollment ID: I20221216002672 |
| Provider Name | Elizabeth Anne Craun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639524895 PECOS PAC ID: 6002285871 Enrollment ID: I20221219000155 |
| Provider Name | Jennifer Suzanne Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922732338 PECOS PAC ID: 1951770650 Enrollment ID: I20221219001667 |
| Provider Name | Matthew Lawrence Benish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104360650 PECOS PAC ID: 7911277538 Enrollment ID: I20221219001931 |
| Provider Name | Becky Banh Trinh King |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952720815 PECOS PAC ID: 2264654573 Enrollment ID: I20221221001669 |
| Provider Name | James Everret Tollefson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366806986 PECOS PAC ID: 2567755598 Enrollment ID: I20221221001795 |
| Provider Name | Candice Macari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649621228 PECOS PAC ID: 7214201946 Enrollment ID: I20221221002735 |
| Provider Name | Mark Nevada Mechelle White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619455359 PECOS PAC ID: 1951634906 Enrollment ID: I20221222002704 |
| Provider Name | Jeremy Seastrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124588488 PECOS PAC ID: 8729458377 Enrollment ID: I20221223000921 |
| Provider Name | Jami Lynne Oviatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407571011 PECOS PAC ID: 4284004615 Enrollment ID: I20221229002691 |
| Provider Name | Laura Nicole Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124744891 PECOS PAC ID: 0042680381 Enrollment ID: I20230103002307 |
| Provider Name | Nikolai Anton Sopko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013283472 PECOS PAC ID: 1355599747 Enrollment ID: I20230105002928 |
| Provider Name | Colton Dale Marshall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346811429 PECOS PAC ID: 4385036714 Enrollment ID: I20230112001456 |
| Provider Name | Kortnee Sandra Brightshue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364570 PECOS PAC ID: 7517338304 Enrollment ID: I20230112002705 |
| Provider Name | Stephen Richard Boden |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700878691 PECOS PAC ID: 0648513127 Enrollment ID: I20230113002265 |
| Provider Name | Matthew Michael Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386248292 PECOS PAC ID: 4486044666 Enrollment ID: I20230117000959 |
| Provider Name | George Disesa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255835393 PECOS PAC ID: 6103213848 Enrollment ID: I20230119001500 |
| Provider Name | Ida Katrina Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841949401 PECOS PAC ID: 8628449105 Enrollment ID: I20230119002145 |
| Provider Name | Kenneth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083275630 PECOS PAC ID: 4486980497 Enrollment ID: I20230119003342 |
| Provider Name | Taylor Nicole Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225756364 PECOS PAC ID: 6800267329 Enrollment ID: I20230120000787 |
| Provider Name | Maria Yi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871229625 PECOS PAC ID: 9739550278 Enrollment ID: I20230120001691 |
| Provider Name | Amelia Jane Pinegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336760537 PECOS PAC ID: 2860863313 Enrollment ID: I20230120001961 |
| Provider Name | Haili Breann Byington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558955211 PECOS PAC ID: 3274940721 Enrollment ID: I20230120002334 |
| Provider Name | Megan Amberlee Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598492704 PECOS PAC ID: 7618348061 Enrollment ID: I20230120002351 |
| Provider Name | Devin Zachary Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699407486 PECOS PAC ID: 8820469281 Enrollment ID: I20230123000076 |
| Provider Name | Julie Ann Lassig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811230352 PECOS PAC ID: 1658513775 Enrollment ID: I20230123001778 |
| Provider Name | Cerissa Nicole Johnson Heth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952040974 PECOS PAC ID: 3678944998 Enrollment ID: I20230125000992 |
| Provider Name | Pejman Rohani |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619134475 PECOS PAC ID: 3274799291 Enrollment ID: I20230127002682 |
| Provider Name | Austin Joe Bowles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699161554 PECOS PAC ID: 4981983889 Enrollment ID: I20230130001201 |
| Provider Name | Deborah Marie Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386227460 PECOS PAC ID: 1951772805 Enrollment ID: I20230201000555 |
| Provider Name | Jameson Steven Vining |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588393458 PECOS PAC ID: 3779955679 Enrollment ID: I20230201003296 |
| Provider Name | Jeanne Marie Borget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689307647 PECOS PAC ID: 6507238425 Enrollment ID: I20230202000684 |
| Provider Name | Jeffrey Jacob Schenk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710285929 PECOS PAC ID: 0547480055 Enrollment ID: I20230202001685 |
| Provider Name | Annalie Sarah Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720722366 PECOS PAC ID: 8527430305 Enrollment ID: I20230203000300 |
| Provider Name | Sarah Serene Ruhiyyih Christianson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669821559 PECOS PAC ID: 5496156457 Enrollment ID: I20230203001987 |
| Provider Name | Brooke Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487221511 PECOS PAC ID: 8022480896 Enrollment ID: I20230206000942 |
| Provider Name | Krista Huffaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790300754 PECOS PAC ID: 2668866823 Enrollment ID: I20230206001581 |
| Provider Name | David Burton Tate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710546528 PECOS PAC ID: 2769715184 Enrollment ID: I20230207000955 |
| Provider Name | Aaron Richard Donze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760944870 PECOS PAC ID: 7315271921 Enrollment ID: I20230209001270 |
| Provider Name | Austin R Cannon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790179653 PECOS PAC ID: 8426338864 Enrollment ID: I20230209001380 |
| Provider Name | Julie Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124006457 PECOS PAC ID: 9739551243 Enrollment ID: I20230209002490 |
| Provider Name | Nicole M Iovino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437655396 PECOS PAC ID: 4183952617 Enrollment ID: I20230209002594 |
| Provider Name | Kelley Ann Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912641390 PECOS PAC ID: 8224400742 Enrollment ID: I20230209002821 |
| Provider Name | Jenifer Alice Cosentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407601 PECOS PAC ID: 9335511872 Enrollment ID: I20230210000325 |
| Provider Name | Mark James Dewey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144984220 PECOS PAC ID: 1355713744 Enrollment ID: I20230213001108 |
| Provider Name | Ashley Noelle Tew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982315461 PECOS PAC ID: 9537538541 Enrollment ID: I20230214000714 |
| Provider Name | Krishna Pakanati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770870867 PECOS PAC ID: 1759502503 Enrollment ID: I20230214000813 |
| Provider Name | Tyler Primavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972965127 PECOS PAC ID: 7810282977 Enrollment ID: I20230214001590 |
| Provider Name | David Braak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104402205 PECOS PAC ID: 8921470261 Enrollment ID: I20230214001667 |
| Provider Name | Daniel Weiss |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437148590 PECOS PAC ID: 0648234294 Enrollment ID: I20230215000499 |
| Provider Name | Candice Kai Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801539929 PECOS PAC ID: 3274905575 Enrollment ID: I20230215000982 |
| Provider Name | Laura Kate Van Hook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588286025 PECOS PAC ID: 1557733870 Enrollment ID: I20230215001906 |
| Provider Name | Jade G Jaques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205563210 PECOS PAC ID: 1052783289 Enrollment ID: I20230215002700 |
| Provider Name | Kevin Mark Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831826759 PECOS PAC ID: 5294107439 Enrollment ID: I20230216000086 |
| Provider Name | Peter Hannon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811943335 PECOS PAC ID: 1557359783 Enrollment ID: I20230216001078 |
| Provider Name | Alyssa Claire Puttkammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477016574 PECOS PAC ID: 2264774058 Enrollment ID: I20230216001278 |
| Provider Name | Meagan Ruth Demers Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083322150 PECOS PAC ID: 0749652840 Enrollment ID: I20230220001238 |
| Provider Name | Cheyenne Sky Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235848797 PECOS PAC ID: 6103298179 Enrollment ID: I20230221001920 |
| Provider Name | David Wendell Ririe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952307605 PECOS PAC ID: 9931160157 Enrollment ID: I20230224000464 |
| Provider Name | Erica Maria Malagon-blackwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053703793 PECOS PAC ID: 9638542509 Enrollment ID: I20230224001521 |
| Provider Name | Celeste Nicole Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568116853 PECOS PAC ID: 7517330392 Enrollment ID: I20230224002141 |
| Provider Name | Katie O'flaherty Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679033153 PECOS PAC ID: 7618340431 Enrollment ID: I20230227000834 |
| Provider Name | Coby Lynn Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821699018 PECOS PAC ID: 0345651626 Enrollment ID: I20230227001109 |
| Provider Name | Brittany Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750003778 PECOS PAC ID: 3072986801 Enrollment ID: I20230227001367 |
| Provider Name | Trevor Tonks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639816168 PECOS PAC ID: 9537532379 Enrollment ID: I20230227001722 |
| Provider Name | Elizabeth Anne Vogel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336737733 PECOS PAC ID: 3173996931 Enrollment ID: I20230227002669 |
| Provider Name | Chenelle Lau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538878087 PECOS PAC ID: 8527431212 Enrollment ID: I20230228000917 |
| Provider Name | Heather Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750088803 PECOS PAC ID: 6002289568 Enrollment ID: I20230302002309 |
| Provider Name | Lucas Andrew Haws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841905304 PECOS PAC ID: 7911370416 Enrollment ID: I20230303000932 |
| Provider Name | Brad Thomas Hyatt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831497684 PECOS PAC ID: 1557504511 Enrollment ID: I20230306000325 |
| Provider Name | Richelle Wilkinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821672163 PECOS PAC ID: 3870966245 Enrollment ID: I20230306001570 |
| Provider Name | Jamie Camille Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063081305 PECOS PAC ID: 4284007600 Enrollment ID: I20230307000221 |
| Provider Name | Kyle Thomas Judd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093923468 PECOS PAC ID: 6901077585 Enrollment ID: I20230307000550 |
| Provider Name | Robert Babbel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134575384 PECOS PAC ID: 8426302498 Enrollment ID: I20230307001648 |
| Provider Name | Emily Marie Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134568850 PECOS PAC ID: 7911141122 Enrollment ID: I20230308000818 |
| Provider Name | Kristi M Pikyavit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598129058 PECOS PAC ID: 0143519058 Enrollment ID: I20230313000677 |
| Provider Name | Claire Ann Drake Mcdonough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811506710 PECOS PAC ID: 8628442753 Enrollment ID: I20230313001559 |
| Provider Name | Melissa N Kirk |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235525072 PECOS PAC ID: 9830479955 Enrollment ID: I20230315000534 |
| Provider Name | Preston B Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376120253 PECOS PAC ID: 8820462682 Enrollment ID: I20230316002763 |
| Provider Name | Jesus Alonso Fierro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649997487 PECOS PAC ID: 1759755408 Enrollment ID: I20230320000950 |
| Provider Name | Abigayle Rae Cieslak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073237228 PECOS PAC ID: 1456725100 Enrollment ID: I20230320001067 |
| Provider Name | Misty Lunt Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265909238 PECOS PAC ID: 0547504680 Enrollment ID: I20230320002116 |
| Provider Name | Patrick Andrew Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760068761 PECOS PAC ID: 8426422049 Enrollment ID: I20230322002534 |
| Provider Name | Karina Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952002396 PECOS PAC ID: 0547634008 Enrollment ID: I20230323001724 |
| Provider Name | Krisha Decoursey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427715069 PECOS PAC ID: 9830153675 Enrollment ID: I20230328001868 |
| Provider Name | Trisha Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023733441 PECOS PAC ID: 9234503418 Enrollment ID: I20230330001122 |
| Provider Name | Tyson Randall Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174250997 PECOS PAC ID: 7517332711 Enrollment ID: I20230330002599 |
| Provider Name | Tyler Michael Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598428187 PECOS PAC ID: 9335514488 Enrollment ID: I20230404000851 |
| Provider Name | Samantha Kristina Garcia Esperanza Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881270361 PECOS PAC ID: 1456726496 Enrollment ID: I20230405001719 |
| Provider Name | Jalen Mon Tiev |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497485049 PECOS PAC ID: 0345615308 Enrollment ID: I20230405002347 |
| Provider Name | Taffie Evans Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093966145 PECOS PAC ID: 3577938323 Enrollment ID: I20230407001383 |
| Provider Name | Tessa Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285260232 PECOS PAC ID: 4587039227 Enrollment ID: I20230411000450 |
| Provider Name | Leynibel N Lopez Aponte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811425481 PECOS PAC ID: 5193190833 Enrollment ID: I20230411000545 |
| Provider Name | Ryan C Knoper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376836031 PECOS PAC ID: 7618274218 Enrollment ID: I20230411001281 |
| Provider Name | Lucus Craig Christoffersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629685177 PECOS PAC ID: 1557778222 Enrollment ID: I20230411002414 |
| Provider Name | Ingrid Pinzon Quiroga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881986610 PECOS PAC ID: 5698994093 Enrollment ID: I20230412002109 |
| Provider Name | Janelle Denise Stevens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740627520 PECOS PAC ID: 6608001516 Enrollment ID: I20230413000907 |
| Provider Name | William Kyle Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346828241 PECOS PAC ID: 4688049299 Enrollment ID: I20230413001193 |
| Provider Name | Joseph Jay Stuart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205047404 PECOS PAC ID: 4486708344 Enrollment ID: I20230414001369 |
| Provider Name | Jennifer Marie Hewlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275185845 PECOS PAC ID: 1557736048 Enrollment ID: I20230414001932 |
| Provider Name | Donald J Brust |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255332656 PECOS PAC ID: 8224060157 Enrollment ID: I20230419001564 |
| Provider Name | Denise Lanette Allgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750017174 PECOS PAC ID: 2860857059 Enrollment ID: I20230421001389 |
| Provider Name | Luke Palmer Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730827346 PECOS PAC ID: 5496110694 Enrollment ID: I20230421001992 |
| Provider Name | Kellie Rae Garrett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275102782 PECOS PAC ID: 8820453996 Enrollment ID: I20230424002609 |
| Provider Name | Paul Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932112042 PECOS PAC ID: 3971493537 Enrollment ID: I20230425001250 |
| Provider Name | Jon Medler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306332465 PECOS PAC ID: 5991040255 Enrollment ID: I20230425001556 |
| Provider Name | Skylar Jon Rackham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568100501 PECOS PAC ID: 0244695377 Enrollment ID: I20230425001983 |
| Provider Name | Iras Mae Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962857979 PECOS PAC ID: 4789049834 Enrollment ID: I20230425002574 |
| Provider Name | Elizabeth Maria Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861102725 PECOS PAC ID: 5991160871 Enrollment ID: I20230427002481 |
| Provider Name | Evan Khristine Mangubat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447898846 PECOS PAC ID: 0840621884 Enrollment ID: I20230428000849 |
| Provider Name | Kara Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821593013 PECOS PAC ID: 5799118824 Enrollment ID: I20230428001020 |
| Provider Name | Nathan David Joos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417096090 PECOS PAC ID: 5991858425 Enrollment ID: I20230428001887 |
| Provider Name | Dee Taylor Gardner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194184747 PECOS PAC ID: 6709179328 Enrollment ID: I20230503003272 |
| Provider Name | Caitlin Mariko Garlinghouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437746369 PECOS PAC ID: 3678938057 Enrollment ID: I20230509000563 |
| Provider Name | Amber Elexis Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023575172 PECOS PAC ID: 0244573582 Enrollment ID: I20230512000786 |
| Provider Name | Abhishek Krishna Kashyap |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952749111 PECOS PAC ID: 5496998072 Enrollment ID: I20230515002385 |
| Provider Name | Aaron Chamberlain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770665333 PECOS PAC ID: 4880864081 Enrollment ID: I20230516000662 |
| Provider Name | Erik Rupard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437211299 PECOS PAC ID: 5496937484 Enrollment ID: I20230516003357 |
| Provider Name | Cady Michelle Mcanally |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073967717 PECOS PAC ID: 7315303369 Enrollment ID: I20230516003644 |
| Provider Name | Rhiannon Jorgensen Wanlass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346946134 PECOS PAC ID: 2163888058 Enrollment ID: I20230518003078 |
| Provider Name | Jocelyn Melissa Cortez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689299653 PECOS PAC ID: 9335505221 Enrollment ID: I20230518003105 |
| Provider Name | Jason Mark Cottrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851895551 PECOS PAC ID: 1759636814 Enrollment ID: I20230519001053 |
| Provider Name | Patricia Adrianne Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144792474 PECOS PAC ID: 9335576321 Enrollment ID: I20230519001187 |
| Provider Name | Holly Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063972412 PECOS PAC ID: 4284052747 Enrollment ID: I20230519002294 |
| Provider Name | Mandi Elizabeth Lew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568829109 PECOS PAC ID: 6709172943 Enrollment ID: I20230522000933 |
| Provider Name | Morgan Taylor Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881948784 PECOS PAC ID: 6709022056 Enrollment ID: I20230522002152 |
| Provider Name | Claire Morgan Brailer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821632514 PECOS PAC ID: 2860858420 Enrollment ID: I20230524001281 |
| Provider Name | Jacob Richard Basilius |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043741911 PECOS PAC ID: 4284988940 Enrollment ID: I20230525000845 |
| Provider Name | Jessica Harland Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851017446 PECOS PAC ID: 4284091703 Enrollment ID: I20230526001741 |
| Provider Name | Shane L Barney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659759819 PECOS PAC ID: 9436577624 Enrollment ID: I20230526002053 |
| Provider Name | Aaron Lindsay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861782195 PECOS PAC ID: 5193016202 Enrollment ID: I20230526002281 |
| Provider Name | Jeremiah Terry Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942879481 PECOS PAC ID: 7911364476 Enrollment ID: I20230530000376 |
| Provider Name | Dallas Glen Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437508900 PECOS PAC ID: 3678801016 Enrollment ID: I20230530001322 |
| Provider Name | Robert B Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417418138 PECOS PAC ID: 4385062264 Enrollment ID: I20230531001131 |
| Provider Name | Melanie Barber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114500055 PECOS PAC ID: 1658738026 Enrollment ID: I20230531002243 |
| Provider Name | Blake Henry Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003526468 PECOS PAC ID: 1355708678 Enrollment ID: I20230601000874 |
| Provider Name | Christina Elizabeth Knight |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528595949 PECOS PAC ID: 2860769221 Enrollment ID: I20230602002572 |
| Provider Name | Scott Mitchell Heiner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841788031 PECOS PAC ID: 8729411707 Enrollment ID: I20230605001949 |
| Provider Name | Jeffrey Christian Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609167063 PECOS PAC ID: 3870743347 Enrollment ID: I20230606001281 |
| Provider Name | Brittany Steinfels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962110742 PECOS PAC ID: 3678930609 Enrollment ID: I20230607001731 |
| Provider Name | Matthew David Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518456771 PECOS PAC ID: 5395092860 Enrollment ID: I20230608000111 |
| Provider Name | Aaron William Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043779036 PECOS PAC ID: 9537493663 Enrollment ID: I20230609001604 |
| Provider Name | Matthew Ryan Mcnaughton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831755669 PECOS PAC ID: 0749606606 Enrollment ID: I20230609001697 |
| Provider Name | Jonathan Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255567947 PECOS PAC ID: 6406193770 Enrollment ID: I20230609001863 |
| Provider Name | Carrie Lyn Hanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033865431 PECOS PAC ID: 6608233358 Enrollment ID: I20230612001239 |
| Provider Name | Laura E. Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497382519 PECOS PAC ID: 0547665648 Enrollment ID: I20230612002162 |
| Provider Name | Laura Elizabeth Spall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891394227 PECOS PAC ID: 1052778743 Enrollment ID: I20230612002403 |
| Provider Name | Jamee Annette Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912229899 PECOS PAC ID: 2163559717 Enrollment ID: I20230613000945 |
| Provider Name | Allison Noel Betts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639837321 PECOS PAC ID: 0042677601 Enrollment ID: I20230613001939 |
| Provider Name | Emily W Miro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053949099 PECOS PAC ID: 1153727177 Enrollment ID: I20230614002675 |
| Provider Name | Maggie Lynn Eviston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104387950 PECOS PAC ID: 2860850351 Enrollment ID: I20230614004180 |
| Provider Name | Kelsey Christine Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417654286 PECOS PAC ID: 9335507896 Enrollment ID: I20230615002344 |
| Provider Name | Kimberly Chesney Redford |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487042065 PECOS PAC ID: 5092173476 Enrollment ID: I20230615003610 |
| Provider Name | Brittany N Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962102129 PECOS PAC ID: 9234597626 Enrollment ID: I20230616000197 |
| Provider Name | Chad Logan Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689137143 PECOS PAC ID: 8820323991 Enrollment ID: I20230619001501 |
| Provider Name | James Garrett Rushing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669937033 PECOS PAC ID: 5698133924 Enrollment ID: I20230620000585 |
| Provider Name | Jared Daniel Stucki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932698966 PECOS PAC ID: 0648638759 Enrollment ID: I20230622000982 |
| Provider Name | Seth Jacob Minton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912562265 PECOS PAC ID: 7113260340 Enrollment ID: I20230622002149 |
| Provider Name | Richard Dane Meredith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518303569 PECOS PAC ID: 8820310725 Enrollment ID: I20230623000632 |
| Provider Name | Kara Michelle Sephel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093436131 PECOS PAC ID: 5193183010 Enrollment ID: I20230623002673 |
| Provider Name | Vanessa Wormser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023514700 PECOS PAC ID: 8325455637 Enrollment ID: I20230626002121 |
| Provider Name | Daniel Kotok |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427579515 PECOS PAC ID: 4587926373 Enrollment ID: I20230626002664 |
| Provider Name | Kerry Sackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326352840 PECOS PAC ID: 0244356129 Enrollment ID: I20230628001963 |
| Provider Name | Eli Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480201 PECOS PAC ID: 1951536150 Enrollment ID: I20230628003415 |
| Provider Name | Jacquelyn Stucki Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477253144 PECOS PAC ID: 7012376726 Enrollment ID: I20230628003565 |
| Provider Name | Daniel Vincent Cox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164059101 PECOS PAC ID: 4981009982 Enrollment ID: I20230705000873 |
| Provider Name | Matthew Joseph Siegel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982232088 PECOS PAC ID: 2466811625 Enrollment ID: I20230706000713 |
| Provider Name | Emily N Prendergast |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1780995803 PECOS PAC ID: 9133342694 Enrollment ID: I20230706001587 |
| Provider Name | Somer Daich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316614134 PECOS PAC ID: 8325407455 Enrollment ID: I20230706003650 |
| Provider Name | Charles W Sumpter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891312682 PECOS PAC ID: 9436561131 Enrollment ID: I20230710000323 |
| Provider Name | Heather Anne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773235 PECOS PAC ID: 8527427434 Enrollment ID: I20230710001546 |
| Provider Name | John Rathbun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407380470 PECOS PAC ID: 4880965490 Enrollment ID: I20230712001205 |
| Provider Name | Eric Alexander Ghelfi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003551953 PECOS PAC ID: 9537529375 Enrollment ID: I20230712002183 |
| Provider Name | Whitney P Martinez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891456141 PECOS PAC ID: 4284094988 Enrollment ID: I20230712004662 |
| Provider Name | Brian Gary Drage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932278785 PECOS PAC ID: 0840235354 Enrollment ID: I20230713001243 |
| Provider Name | Jared Blake Allan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659080927 PECOS PAC ID: 0941660518 Enrollment ID: I20230713002926 |
| Provider Name | Austin Golding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821532037 PECOS PAC ID: 4183022130 Enrollment ID: I20230713003939 |
| Provider Name | Courtney Elizabeth Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023461068 PECOS PAC ID: 4587024138 Enrollment ID: I20230714001685 |
| Provider Name | Trevor Kent Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659909240 PECOS PAC ID: 9234560137 Enrollment ID: I20230714001983 |
| Provider Name | Sean G Migotsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902293749 PECOS PAC ID: 8527349133 Enrollment ID: I20230714002916 |
| Provider Name | Amanda Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598138737 PECOS PAC ID: 1951602739 Enrollment ID: I20230714003340 |
| Provider Name | Jennifer Leigh Townsend |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225270895 PECOS PAC ID: 2466672415 Enrollment ID: I20230717001407 |
| Provider Name | Kristen Strong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801146279 PECOS PAC ID: 6406216860 Enrollment ID: I20230717002021 |
| Provider Name | Michelle Chau Tiem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972009561 PECOS PAC ID: 7618337098 Enrollment ID: I20230717002622 |
| Provider Name | Phoebe King |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760630321 PECOS PAC ID: 5496932618 Enrollment ID: I20230717003225 |
| Provider Name | Mitch T Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245581487 PECOS PAC ID: 9638322613 Enrollment ID: I20230718001551 |
| Provider Name | Clark Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215448246 PECOS PAC ID: 9234491820 Enrollment ID: I20230718002359 |
| Provider Name | Dallin Tonks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972002574 PECOS PAC ID: 5890041537 Enrollment ID: I20230719000046 |
| Provider Name | Ying Ning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366970618 PECOS PAC ID: 5294009890 Enrollment ID: I20230719001036 |
| Provider Name | Alyssa Shannon Buckley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972105898 PECOS PAC ID: 1951713726 Enrollment ID: I20230719003131 |
| Provider Name | Allison Mcleod |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902334493 PECOS PAC ID: 3072855634 Enrollment ID: I20230719003652 |
| Provider Name | Taylor Nelson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740784735 PECOS PAC ID: 1153754007 Enrollment ID: I20230720001566 |
| Provider Name | Brian K. Penrose |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437508116 PECOS PAC ID: 9638463193 Enrollment ID: I20230720001944 |
| Provider Name | Liron Gokovski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730709130 PECOS PAC ID: 7911311428 Enrollment ID: I20230720001969 |
| Provider Name | Bogdan Ciprian Anea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003308859 PECOS PAC ID: 3274886379 Enrollment ID: I20230721000821 |
| Provider Name | Elissa Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952971590 PECOS PAC ID: 0042614976 Enrollment ID: I20230721001318 |
| Provider Name | Brette Alexa Brey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871213017 PECOS PAC ID: 5991165938 Enrollment ID: I20230721001639 |
| Provider Name | Kristina Rae Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366153637 PECOS PAC ID: 3779943741 Enrollment ID: I20230721002711 |
| Provider Name | Brittany Rawlins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386374304 PECOS PAC ID: 6204209273 Enrollment ID: I20230726000341 |
| Provider Name | Nigeen H Janisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396199246 PECOS PAC ID: 5890080824 Enrollment ID: I20230727000264 |
| Provider Name | Vickie Renee Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954818 PECOS PAC ID: 2365782356 Enrollment ID: I20230801004671 |
| Provider Name | Steven Michael Corry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528688231 PECOS PAC ID: 6103249404 Enrollment ID: I20230802001887 |
| Provider Name | Juan Jose Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689358186 PECOS PAC ID: 7719348028 Enrollment ID: I20230803000592 |
| Provider Name | Jennifer Robinson Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811671449 PECOS PAC ID: 1557722741 Enrollment ID: I20230803004195 |
| Provider Name | Nathaniel Nye |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982925889 PECOS PAC ID: 0547458804 Enrollment ID: I20230804000664 |
| Provider Name | Daniel Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427018522 PECOS PAC ID: 5395809164 Enrollment ID: I20230804002765 |
| Provider Name | Jared Ray Manning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326209701 PECOS PAC ID: 2365611928 Enrollment ID: I20230807000750 |
| Provider Name | Alexander Brauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447888672 PECOS PAC ID: 3870998073 Enrollment ID: I20230807001209 |
| Provider Name | Haden S Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134818701 PECOS PAC ID: 2264894278 Enrollment ID: I20230808001885 |
| Provider Name | Amber Lynn Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154014769 PECOS PAC ID: 2567824592 Enrollment ID: I20230808002677 |
| Provider Name | Jared Cole Bumgardner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598056798 PECOS PAC ID: 3072975002 Enrollment ID: I20230808002842 |
| Provider Name | Victor Carlson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578095014 PECOS PAC ID: 8224381918 Enrollment ID: I20230808002960 |
| Provider Name | Joshua Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902573553 PECOS PAC ID: 5294130340 Enrollment ID: I20230809003533 |
| Provider Name | Jairon Wayne Fessler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679186480 PECOS PAC ID: 4789076001 Enrollment ID: I20230809003988 |
| Provider Name | Rachel Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730400714 PECOS PAC ID: 6204060080 Enrollment ID: I20230810001057 |
| Provider Name | Steven Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437519634 PECOS PAC ID: 2365804150 Enrollment ID: I20230810001609 |
| Provider Name | Sean Gregory Penberthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023492394 PECOS PAC ID: 4385006121 Enrollment ID: I20230810004171 |
| Provider Name | Melissa Rochelle Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699476820 PECOS PAC ID: 9830551530 Enrollment ID: I20230811002270 |
| Provider Name | Nigel Harrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417478520 PECOS PAC ID: 8426329228 Enrollment ID: I20230811002423 |
| Provider Name | Bryce Perkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851824676 PECOS PAC ID: 1355606096 Enrollment ID: I20230811003067 |
| Provider Name | Clayton Halford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346603693 PECOS PAC ID: 5092090928 Enrollment ID: I20230814000827 |
| Provider Name | Luke Townsend |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134659824 PECOS PAC ID: 6305118142 Enrollment ID: I20230814001308 |
| Provider Name | Aubrey Passey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316639891 PECOS PAC ID: 4183086762 Enrollment ID: I20230814002641 |
| Provider Name | Donalee Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255731014 PECOS PAC ID: 6204298821 Enrollment ID: I20230815000465 |
| Provider Name | Michael Joshua Nilsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679982508 PECOS PAC ID: 3779945308 Enrollment ID: I20230815000869 |
| Provider Name | Christopher Dean Lords |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356060875 PECOS PAC ID: 6204298839 Enrollment ID: I20230815000936 |
| Provider Name | Ryan Carl Stehr |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972828812 PECOS PAC ID: 2062731458 Enrollment ID: I20230815001808 |
| Provider Name | Katie Elizabeth Guyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770665705 PECOS PAC ID: 0042672511 Enrollment ID: I20230815003343 |
| Provider Name | Janelle Hayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881007508 PECOS PAC ID: 9436511938 Enrollment ID: I20230816000132 |
| Provider Name | Emily Jane Matis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780101287 PECOS PAC ID: 8729440243 Enrollment ID: I20230816000971 |
| Provider Name | Rebecca Dawn Charlton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699492660 PECOS PAC ID: 7911369442 Enrollment ID: I20230816001529 |
| Provider Name | Shawn Allman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003261108 PECOS PAC ID: 2264764380 Enrollment ID: I20230816001836 |
| Provider Name | Stephanie Marie Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043907710 PECOS PAC ID: 0345602785 Enrollment ID: I20230816002277 |
| Provider Name | Cordon Joseph Rabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225775240 PECOS PAC ID: 8729440003 Enrollment ID: I20230817004270 |
| Provider Name | Leah Enright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720234776 PECOS PAC ID: 6901026814 Enrollment ID: I20230818000298 |
| Provider Name | Nicole Garbe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922670884 PECOS PAC ID: 3072904879 Enrollment ID: I20230818000752 |
| Provider Name | Jason W Cash |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063593382 PECOS PAC ID: 6204810369 Enrollment ID: I20230818001149 |
| Provider Name | Megan Collins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750842910 PECOS PAC ID: 1759709108 Enrollment ID: I20230818001562 |
| Provider Name | Jill Austad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770040263 PECOS PAC ID: 3678935806 Enrollment ID: I20230818002690 |
| Provider Name | Heather Kay Otoole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992797880 PECOS PAC ID: 1456359058 Enrollment ID: I20230821000614 |
| Provider Name | Emilee Jo Harris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073204939 PECOS PAC ID: 8729440912 Enrollment ID: I20230821001847 |
| Provider Name | Katharine Parker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982357158 PECOS PAC ID: 9133581226 Enrollment ID: I20230822002277 |
| Provider Name | Stephen Christensen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891323069 PECOS PAC ID: 5799103305 Enrollment ID: I20230823000792 |
| Provider Name | Brecken Tristin Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235837683 PECOS PAC ID: 7012370166 Enrollment ID: I20230823000833 |
| Provider Name | Blake Sellers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548797772 PECOS PAC ID: 8325399199 Enrollment ID: I20230823002049 |
| Provider Name | Alexa G. David |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508485764 PECOS PAC ID: 3971909854 Enrollment ID: I20230823002101 |
| Provider Name | Elizabeth Nagoda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366977225 PECOS PAC ID: 7618356999 Enrollment ID: I20230823003500 |
| Provider Name | Mikaela Ann Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699479907 PECOS PAC ID: 6608239603 Enrollment ID: I20230823003583 |
| Provider Name | Austin Fridrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538783972 PECOS PAC ID: 0345665014 Enrollment ID: I20230823004269 |
| Provider Name | Tyler Robertson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1104289883 PECOS PAC ID: 7618206079 Enrollment ID: I20230824001859 |
| Provider Name | Jamie Lynn York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023723772 PECOS PAC ID: 0648633503 Enrollment ID: I20230825001835 |
| Provider Name | Kaitlynn Naoko Urano |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386202950 PECOS PAC ID: 5294198057 Enrollment ID: I20230825002275 |
| Provider Name | Brett Ipson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508495573 PECOS PAC ID: 3173986957 Enrollment ID: I20230825003033 |
| Provider Name | Jacqueline Bierwirth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477949683 PECOS PAC ID: 7214326263 Enrollment ID: I20230825003180 |
| Provider Name | Janesa Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114636776 PECOS PAC ID: 2567825342 Enrollment ID: I20230825003428 |
| Provider Name | Nolan Derr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447782933 PECOS PAC ID: 6608153754 Enrollment ID: I20230828001024 |
| Provider Name | Lauren Baumann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891113254 PECOS PAC ID: 9335366798 Enrollment ID: I20230828002099 |
| Provider Name | Beau James Condie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265069462 PECOS PAC ID: 6002235033 Enrollment ID: I20230828002179 |
| Provider Name | Rodger Lyle Hurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154950715 PECOS PAC ID: 3577987387 Enrollment ID: I20230828003708 |
| Provider Name | Michael Pope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396205001 PECOS PAC ID: 4789002668 Enrollment ID: I20230829002495 |
| Provider Name | Jaremy Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740669118 PECOS PAC ID: 8123481728 Enrollment ID: I20230830001044 |
| Provider Name | Wylee Kyle Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407542418 PECOS PAC ID: 1052774650 Enrollment ID: I20230830001424 |
| Provider Name | Christopher Lew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043771082 PECOS PAC ID: 9032592431 Enrollment ID: I20230830001948 |
| Provider Name | Kisti Dawn Fuller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912165713 PECOS PAC ID: 7719152685 Enrollment ID: I20230830002256 |
| Provider Name | Cecilia Davies |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1437711215 PECOS PAC ID: 1254737869 Enrollment ID: I20230830003366 |
| Provider Name | Alli Straubhar |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700263902 PECOS PAC ID: 2769763846 Enrollment ID: I20230830003830 |
| Provider Name | Kelsey Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013619857 PECOS PAC ID: 3779946165 Enrollment ID: I20230901000812 |
| Provider Name | Mary Elizabeth Mcculloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275672396 PECOS PAC ID: 2466837745 Enrollment ID: I20230905003615 |
| Provider Name | George Wennerberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659666717 PECOS PAC ID: 2567722804 Enrollment ID: I20230908002860 |
| Provider Name | Daniel Patrick Simon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942720586 PECOS PAC ID: 6709156359 Enrollment ID: I20230911002485 |
| Provider Name | Sumiko Rueger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154958221 PECOS PAC ID: 9537582002 Enrollment ID: I20230911004101 |
| Provider Name | John Erikson Yap |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184912529 PECOS PAC ID: 3678896412 Enrollment ID: I20230912000826 |
| Provider Name | Claire Louise Arnett Gibson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962066373 PECOS PAC ID: 0345576625 Enrollment ID: I20230912002325 |
| Provider Name | Jennifer Jett |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770046617 PECOS PAC ID: 0648507822 Enrollment ID: I20230912003262 |
| Provider Name | Kyle Raymond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750864955 PECOS PAC ID: 9436495314 Enrollment ID: I20230913000441 |
| Provider Name | Trisha Harish Patel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184129397 PECOS PAC ID: 3173851391 Enrollment ID: I20230913003414 |
| Provider Name | Joseph Kleinmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932671211 PECOS PAC ID: 3072851138 Enrollment ID: I20230913003486 |
| Provider Name | Andrew Rabley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770930703 PECOS PAC ID: 7012203185 Enrollment ID: I20230913003976 |
| Provider Name | Andrea Teresa Aguirre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760844914 PECOS PAC ID: 6406198043 Enrollment ID: I20230914000716 |
| Provider Name | Kellen a Hilton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871080879 PECOS PAC ID: 6800151747 Enrollment ID: I20230914001644 |
| Provider Name | Daniel Sims |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669836532 PECOS PAC ID: 3476886409 Enrollment ID: I20230914004056 |
| Provider Name | Nathan Kmetzsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902366446 PECOS PAC ID: 5799149282 Enrollment ID: I20230918001095 |
| Provider Name | Rebecca Baum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174020168 PECOS PAC ID: 2264789452 Enrollment ID: I20230918001561 |
| Provider Name | Aaron S Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861040230 PECOS PAC ID: 8022441500 Enrollment ID: I20230922001516 |
| Provider Name | Melanie Anne Connell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902592652 PECOS PAC ID: 6507210523 Enrollment ID: I20230926000220 |
| Provider Name | Sabrina Bedell |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376997122 PECOS PAC ID: 2466743430 Enrollment ID: I20230926001995 |
| Provider Name | Bradley Bowles |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922458892 PECOS PAC ID: 4486941945 Enrollment ID: I20230927002649 |
| Provider Name | Jessica L Lucas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629607189 PECOS PAC ID: 0446604177 Enrollment ID: I20230928000971 |
| Provider Name | Brooke Mastroianni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003347923 PECOS PAC ID: 6709122096 Enrollment ID: I20230929001088 |
| Provider Name | Michael Mallory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003870288 PECOS PAC ID: 7517912231 Enrollment ID: I20230929001792 |
| Provider Name | Jordan Gaudio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063946325 PECOS PAC ID: 5395199939 Enrollment ID: I20230929002484 |
| Provider Name | Paula Jean Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912782012 PECOS PAC ID: 1052765500 Enrollment ID: I20231002003214 |
| Provider Name | Valerie R Birdsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033687983 PECOS PAC ID: 4880048388 Enrollment ID: I20231003001307 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324170 PECOS PAC ID: 9436138567 Enrollment ID: I20231003003547 |
| Provider Name | Huitzilin M Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20231004001062 |
| Provider Name | Paula Whitney Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700572880 PECOS PAC ID: 1850746264 Enrollment ID: I20231004002883 |
| Provider Name | Mckenzi Rose Yocus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306595947 PECOS PAC ID: 9133574445 Enrollment ID: I20231005003799 |
| Provider Name | Holly Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720747355 PECOS PAC ID: 3779975016 Enrollment ID: I20231006001141 |
| Provider Name | Emilia Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093445280 PECOS PAC ID: 5799130969 Enrollment ID: I20231006002941 |
| Provider Name | Kelsie Marietti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902509482 PECOS PAC ID: 9133574205 Enrollment ID: I20231010000333 |
| Provider Name | Broc Astill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689293300 PECOS PAC ID: 6103241948 Enrollment ID: I20231010000586 |
| Provider Name | Whitney Petterborg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003580002 PECOS PAC ID: 6103283833 Enrollment ID: I20231010002489 |
| Provider Name | Karen Stones Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598475303 PECOS PAC ID: 6608221734 Enrollment ID: I20231010003165 |
| Provider Name | Tyler Brett Forbush |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922753896 PECOS PAC ID: 1759736804 Enrollment ID: I20231010003958 |
| Provider Name | Stacie Glass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033803481 PECOS PAC ID: 6709231707 Enrollment ID: I20231011002346 |
| Provider Name | Julie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770291486 PECOS PAC ID: 4284089202 Enrollment ID: I20231011003260 |
| Provider Name | Taylor Gillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588313092 PECOS PAC ID: 0547615569 Enrollment ID: I20231011003281 |
| Provider Name | Nicole Harlan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679866560 PECOS PAC ID: 0547552549 Enrollment ID: I20231012001226 |
| Provider Name | Anitha Vijayan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194741405 PECOS PAC ID: 2961315981 Enrollment ID: I20231012001641 |
| Provider Name | Schon Thomas Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023797081 PECOS PAC ID: 3870948615 Enrollment ID: I20231013000706 |
| Provider Name | Brian Sheehan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063808707 PECOS PAC ID: 3779862156 Enrollment ID: I20231017000177 |
| Provider Name | Elizabeth F Nelson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194171298 PECOS PAC ID: 7618370420 Enrollment ID: I20231017003491 |
| Provider Name | Chase Thomas Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831848175 PECOS PAC ID: 6103271606 Enrollment ID: I20231018000470 |
| Provider Name | Alexander R Olaveson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972252294 PECOS PAC ID: 7416302922 Enrollment ID: I20231018000690 |
| Provider Name | Jaysen Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982309274 PECOS PAC ID: 8224483748 Enrollment ID: I20231018001219 |
| Provider Name | Asad Pathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518125962 PECOS PAC ID: 1456706985 Enrollment ID: I20231018001497 |
| Provider Name | Sonia Sarfraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104455567 PECOS PAC ID: 5890140354 Enrollment ID: I20231018003137 |
| Provider Name | Sean Manning Udell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275093254 PECOS PAC ID: 0648626168 Enrollment ID: I20231019001595 |
| Provider Name | Sahar Yasin Soomro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154985760 PECOS PAC ID: 3577895986 Enrollment ID: I20231019003654 |
| Provider Name | Dallon Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316696966 PECOS PAC ID: 6406202886 Enrollment ID: I20231020000992 |
| Provider Name | Todd L Huffman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962425876 PECOS PAC ID: 1951757145 Enrollment ID: I20231024003107 |
| Provider Name | Kade Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851952097 PECOS PAC ID: 4789910746 Enrollment ID: I20231024003343 |
| Provider Name | Nathan Brewster |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114453925 PECOS PAC ID: 9436426632 Enrollment ID: I20231025003314 |
| Provider Name | Rachel Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487330569 PECOS PAC ID: 3678929767 Enrollment ID: I20231025003650 |
| Provider Name | Amanda Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700321965 PECOS PAC ID: 6002197993 Enrollment ID: I20231026001079 |
| Provider Name | Molly Telian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194249201 PECOS PAC ID: 3577919406 Enrollment ID: I20231027002435 |
| Provider Name | David Bitner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801452131 PECOS PAC ID: 1850626748 Enrollment ID: I20231031002224 |
| Provider Name | Jessie M Wrobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588147789 PECOS PAC ID: 0244576122 Enrollment ID: I20231101002246 |
| Provider Name | Vincent Giron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801356555 PECOS PAC ID: 2163878851 Enrollment ID: I20231101002372 |
| Provider Name | Tanner Levi Christenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720595903 PECOS PAC ID: 0143676726 Enrollment ID: I20231102002250 |
| Provider Name | Rachael Anne Pia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366214587 PECOS PAC ID: 3072960616 Enrollment ID: I20231103001728 |
| Provider Name | Gary L Gottfredson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356357339 PECOS PAC ID: 3577910066 Enrollment ID: I20231106000197 |
| Provider Name | Courtney J Ivory |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306234828 PECOS PAC ID: 2466809975 Enrollment ID: I20231106000636 |
| Provider Name | Matthew Glenn Edwards |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023104619 PECOS PAC ID: 7214384742 Enrollment ID: I20231106001358 |
| Provider Name | Samuel Scott May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689369159 PECOS PAC ID: 7315394780 Enrollment ID: I20231106003614 |
| Provider Name | Kylee a Beckstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780395418 PECOS PAC ID: 8123475563 Enrollment ID: I20231107002641 |
| Provider Name | Kim Phung Luu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255913364 PECOS PAC ID: 3072960376 Enrollment ID: I20231108001051 |
| Provider Name | Rhonda Marsh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558486290 PECOS PAC ID: 1557448180 Enrollment ID: I20231108002040 |
| Provider Name | Anita M. Albanese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114505559 PECOS PAC ID: 5395120422 Enrollment ID: I20231108002057 |
| Provider Name | Jennifer Wilke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700188653 PECOS PAC ID: 3274719745 Enrollment ID: I20231108002481 |
| Provider Name | Mikhail Shipotko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003217977 PECOS PAC ID: 9436426657 Enrollment ID: I20231110000056 |
| Provider Name | Brad K Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982759908 PECOS PAC ID: 8527415603 Enrollment ID: I20231110001724 |
| Provider Name | Sapna Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417675828 PECOS PAC ID: 2860877396 Enrollment ID: I20231113000263 |
| Provider Name | Al-wala Awad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609261759 PECOS PAC ID: 1951681535 Enrollment ID: I20231114002789 |
| Provider Name | Sean Christopher Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912348731 PECOS PAC ID: 7214384122 Enrollment ID: I20231115001249 |
| Provider Name | Alexandra Margaret Wassmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982039194 PECOS PAC ID: 5890142608 Enrollment ID: I20231115001607 |
| Provider Name | Jacob Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487009957 PECOS PAC ID: 6406203264 Enrollment ID: I20231115003976 |
| Provider Name | Baylee Bankhead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720772353 PECOS PAC ID: 6204283096 Enrollment ID: I20231116001006 |
| Provider Name | Jane Dahle Bowen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881299048 PECOS PAC ID: 4284081951 Enrollment ID: I20231117000988 |
| Provider Name | Mary Macdonald Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831776392 PECOS PAC ID: 6901253673 Enrollment ID: I20231117001078 |
| Provider Name | Kelsey Horton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407435332 PECOS PAC ID: 1850749516 Enrollment ID: I20231120000775 |
| Provider Name | Keriann Marie Schulkers Escalante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871023226 PECOS PAC ID: 4789032467 Enrollment ID: I20231120001609 |
| Provider Name | Linsey Ann Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831687557 PECOS PAC ID: 1456709138 Enrollment ID: I20231120001829 |
| Provider Name | Katherine Nicole Biggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710449533 PECOS PAC ID: 3476901059 Enrollment ID: I20231120002239 |
| Provider Name | Meredith A. Gaufin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487116109 PECOS PAC ID: 1052716057 Enrollment ID: I20231121002226 |
| Provider Name | Raelyn Heslop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376242396 PECOS PAC ID: 3375991813 Enrollment ID: I20231122001372 |
| Provider Name | Amanda J Boyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144950767 PECOS PAC ID: 6406232628 Enrollment ID: I20231122001973 |
| Provider Name | Kelsey Thorne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093206922 PECOS PAC ID: 3476901810 Enrollment ID: I20231127001087 |
| Provider Name | Christopher Dean Galliosborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235768219 PECOS PAC ID: 1052769320 Enrollment ID: I20231127002485 |
| Provider Name | Siamak Karimian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225091812 PECOS PAC ID: 7719933258 Enrollment ID: I20231127002722 |
| Provider Name | Stephen Jake Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326821851 PECOS PAC ID: 9931557063 Enrollment ID: I20231129002275 |
| Provider Name | Cariann Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386382612 PECOS PAC ID: 1355799495 Enrollment ID: I20231129002542 |
| Provider Name | Mark N. F. Massoud |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881009157 PECOS PAC ID: 2769752872 Enrollment ID: I20231130003070 |
| Provider Name | Carly Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891478129 PECOS PAC ID: 4486002458 Enrollment ID: I20231201000001 |
| Provider Name | Steven Vail Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437831047 PECOS PAC ID: 3971951856 Enrollment ID: I20231204001118 |
| Provider Name | Kimball Hafen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427735794 PECOS PAC ID: 5698124469 Enrollment ID: I20231206001071 |
| Provider Name | Emanuel Petroulakis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801953310 PECOS PAC ID: 4789633025 Enrollment ID: I20231207001539 |
| Provider Name | Jerry Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891475257 PECOS PAC ID: 2062869753 Enrollment ID: I20231207001945 |
| Provider Name | Nathaniel Thomas Mccook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811695901 PECOS PAC ID: 0042669624 Enrollment ID: I20231207002187 |
| Provider Name | Kenzie Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851916803 PECOS PAC ID: 2769848936 Enrollment ID: I20231211000191 |
| Provider Name | Paul Cannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790212629 PECOS PAC ID: 4587939046 Enrollment ID: I20231212000656 |
| Provider Name | Adriane Haragan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679868558 PECOS PAC ID: 0749501377 Enrollment ID: I20231212003419 |
| Provider Name | Chelsea Williamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629759238 PECOS PAC ID: 2668821984 Enrollment ID: I20231212003579 |
| Provider Name | Beau Gordon Palmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497217517 PECOS PAC ID: 3779965702 Enrollment ID: I20231212004218 |
| Provider Name | Megan Ringle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508271990 PECOS PAC ID: 3577912724 Enrollment ID: I20231213000994 |
| Provider Name | Rabia N Kiani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780111716 PECOS PAC ID: 6709159718 Enrollment ID: I20231213001779 |
| Provider Name | James Rielly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386638005 PECOS PAC ID: 3577564228 Enrollment ID: I20231215001904 |
| Provider Name | Kendal Lena Bjella |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811773054 PECOS PAC ID: 6507215571 Enrollment ID: I20231215002345 |
| Provider Name | Catherine Elizabeth Fairgrieve Appel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013256569 PECOS PAC ID: 1355755562 Enrollment ID: I20231218001840 |
| Provider Name | Leslie Fabian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982720967 PECOS PAC ID: 4385741354 Enrollment ID: I20231218001984 |
| Provider Name | Christa Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922756949 PECOS PAC ID: 7911356878 Enrollment ID: I20231218002427 |
| Provider Name | Anilawan Smitthimedhin Fleury |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073157376 PECOS PAC ID: 6507215480 Enrollment ID: I20231218003147 |
| Provider Name | Isis Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598346645 PECOS PAC ID: 4688024268 Enrollment ID: I20231221003803 |
| Provider Name | Robert J. Baird |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891819942 PECOS PAC ID: 4486004983 Enrollment ID: I20231226000686 |
| Provider Name | Brittany Mcquain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720602089 PECOS PAC ID: 8527418904 Enrollment ID: I20231227002189 |
| Provider Name | Bryan J Layton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508802901 PECOS PAC ID: 7214387695 Enrollment ID: I20231227002356 |
| Provider Name | Rebecca Muir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679153977 PECOS PAC ID: 7315397700 Enrollment ID: I20231227002743 |
| Provider Name | Riley Mckay Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740980713 PECOS PAC ID: 3577913532 Enrollment ID: I20240103001992 |
| Provider Name | Alyssa Klingbeil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164888707 PECOS PAC ID: 8921399866 Enrollment ID: I20240103002219 |
| Provider Name | Taylor Widdison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689451478 PECOS PAC ID: 7315397395 Enrollment ID: I20240103002611 |
| Provider Name | David Rathofer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417407479 PECOS PAC ID: 0446601371 Enrollment ID: I20240104003784 |
| Provider Name | Sunil Rathore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427435635 PECOS PAC ID: 0840500393 Enrollment ID: I20240105002632 |
| Provider Name | Jonathan Rhee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689838542 PECOS PAC ID: 0042481590 Enrollment ID: I20240105003721 |
| Provider Name | Courtney Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811608847 PECOS PAC ID: 5395196158 Enrollment ID: I20240105003806 |
| Provider Name | Natalie King |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659638542 PECOS PAC ID: 5597997346 Enrollment ID: I20240108003154 |
| Provider Name | Mackenzie Mattern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932662517 PECOS PAC ID: 4880075860 Enrollment ID: I20240108003447 |
| Provider Name | Tiffany Scovill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275312415 PECOS PAC ID: 2769833102 Enrollment ID: I20240110000644 |
| Provider Name | Eric Butters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407157159 PECOS PAC ID: 5890086151 Enrollment ID: I20240110005115 |
| Provider Name | Scott Downs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386937936 PECOS PAC ID: 9436500790 Enrollment ID: I20240110005329 |
| Provider Name | Laura Hoopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366086365 PECOS PAC ID: 8628424140 Enrollment ID: I20240112002037 |
| Provider Name | Daelyn Tasha Clawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043925522 PECOS PAC ID: 6800247941 Enrollment ID: I20240112002138 |
| Provider Name | Nicholas Von Der Ahe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588191902 PECOS PAC ID: 1355694878 Enrollment ID: I20240112002904 |
| Provider Name | Emily F. Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467039537 PECOS PAC ID: 0042694960 Enrollment ID: I20240116001895 |
| Provider Name | Heather Nicole Mcconney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295318251 PECOS PAC ID: 2860844735 Enrollment ID: I20240116002842 |
| Provider Name | Whitney Floisand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659064582 PECOS PAC ID: 8729430525 Enrollment ID: I20240117002617 |
| Provider Name | Peter Kluge |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861613523 PECOS PAC ID: 2961552062 Enrollment ID: I20240118003186 |
| Provider Name | Christian Wesley Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720600067 PECOS PAC ID: 4789036336 Enrollment ID: I20240118003440 |
| Provider Name | Gina Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043643380 PECOS PAC ID: 6103278734 Enrollment ID: I20240119001382 |
| Provider Name | Aidan Schmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801200985 PECOS PAC ID: 6709113228 Enrollment ID: I20240119002210 |
| Provider Name | Christopher Groberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104556125 PECOS PAC ID: 2769839281 Enrollment ID: I20240119003812 |
| Provider Name | Anje'le Alston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356970842 PECOS PAC ID: 2365894870 Enrollment ID: I20240121000008 |
| Provider Name | Holly Zierenberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407638588 PECOS PAC ID: 2860844065 Enrollment ID: I20240123002442 |
| Provider Name | Andrea Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679256960 PECOS PAC ID: 8224481486 Enrollment ID: I20240124003072 |
| Provider Name | Annmarie D Westwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356020457 PECOS PAC ID: 1254784341 Enrollment ID: I20240124004451 |
| Provider Name | Melisa Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548033194 PECOS PAC ID: 3173976214 Enrollment ID: I20240125001331 |
| Provider Name | Samantha Bengtzen Derzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053060939 PECOS PAC ID: 8022461078 Enrollment ID: I20240126000602 |
| Provider Name | Brittany Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962151183 PECOS PAC ID: 2365895000 Enrollment ID: I20240129003608 |
| Provider Name | Mekenna Andree Bermingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073243531 PECOS PAC ID: 8921451675 Enrollment ID: I20240129003971 |
| Provider Name | Mark Krupp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821657917 PECOS PAC ID: 3971838673 Enrollment ID: I20240129004068 |
| Provider Name | Jeremy Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194250936 PECOS PAC ID: 4587017280 Enrollment ID: I20240130000744 |
| Provider Name | Ethan Breck Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538818448 PECOS PAC ID: 5597118034 Enrollment ID: I20240131002535 |
| Provider Name | Kendall Katherine Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992489769 PECOS PAC ID: 2567815889 Enrollment ID: I20240201004414 |
| Provider Name | Kathleen Christenson Heslop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811529233 PECOS PAC ID: 8628411873 Enrollment ID: I20240205003938 |
| Provider Name | Amanda June Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467132886 PECOS PAC ID: 6507209764 Enrollment ID: I20240205004091 |
| Provider Name | Karli Maren Schwanke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003567785 PECOS PAC ID: 7315380201 Enrollment ID: I20240207003543 |
| Provider Name | Hamid Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679693931 PECOS PAC ID: 2668503798 Enrollment ID: I20240207004208 |
| Provider Name | Sarah Schaefer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285958082 PECOS PAC ID: 1557595527 Enrollment ID: I20240208002979 |
| Provider Name | Jordan Daniel Rawlings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992454912 PECOS PAC ID: 2668815309 Enrollment ID: I20240208004549 |
| Provider Name | Teresa Lynne Demille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972385177 PECOS PAC ID: 7911340682 Enrollment ID: I20240209000661 |
| Provider Name | Jordan Dean Hunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528840378 PECOS PAC ID: 9830532456 Enrollment ID: I20240209002848 |
| Provider Name | David Chang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053603670 PECOS PAC ID: 1254562465 Enrollment ID: I20240212001947 |
| Provider Name | Andrew Darrell Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669106191 PECOS PAC ID: 3678916145 Enrollment ID: I20240212003198 |
| Provider Name | Julie Opp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427076025 PECOS PAC ID: 6901810894 Enrollment ID: I20240213004537 |
| Provider Name | Hannah Gredell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447970520 PECOS PAC ID: 9335583665 Enrollment ID: I20240214004103 |
| Provider Name | Kevin Glenn Baird |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023134434 PECOS PAC ID: 7012351224 Enrollment ID: I20240215002451 |
| Provider Name | Mackenzie B Bean |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639883895 PECOS PAC ID: 9133563380 Enrollment ID: I20240215003873 |
| Provider Name | Sheila Patterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265950638 PECOS PAC ID: 8224472352 Enrollment ID: I20240216002452 |
| Provider Name | Mckenzie Kay Azevedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730765504 PECOS PAC ID: 9133563273 Enrollment ID: I20240216002813 |
| Provider Name | Teresa Bryner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720339484 PECOS PAC ID: 0941449599 Enrollment ID: I20240216003209 |
| Provider Name | Omar a Juarez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568783330 PECOS PAC ID: 6901240969 Enrollment ID: I20240216004159 |
| Provider Name | Andrea Crystal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316726987 PECOS PAC ID: 1951745785 Enrollment ID: I20240220001618 |
| Provider Name | Rachel Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154775435 PECOS PAC ID: 2860784717 Enrollment ID: I20240222001102 |
| Provider Name | Laura Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962274209 PECOS PAC ID: 1850735309 Enrollment ID: I20240222004254 |
| Provider Name | Michael Bai-kung Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023056355 PECOS PAC ID: 5092745992 Enrollment ID: I20240223000723 |
| Provider Name | Priyanka Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083059992 PECOS PAC ID: 0345521209 Enrollment ID: I20240224000278 |
| Provider Name | Elizabeth Huser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023464922 PECOS PAC ID: 9537456314 Enrollment ID: I20240224000596 |
| Provider Name | Reagan Critchfield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386326189 PECOS PAC ID: 1153766522 Enrollment ID: I20240226002939 |
| Provider Name | Savannah Olsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841982683 PECOS PAC ID: 8325483613 Enrollment ID: I20240226004216 |
| Provider Name | Michelle Albuquerque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730656679 PECOS PAC ID: 9436520517 Enrollment ID: I20240227003417 |
| Provider Name | William Wes Bird |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396199584 PECOS PAC ID: 8325483506 Enrollment ID: I20240227003554 |
| Provider Name | Zoe Muller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497052393 PECOS PAC ID: 0648491795 Enrollment ID: I20240227004510 |
| Provider Name | Amber Peg Bottari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184322844 PECOS PAC ID: 0345685558 Enrollment ID: I20240228000061 |
| Provider Name | Anisa Nandy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386248136 PECOS PAC ID: 1951714401 Enrollment ID: I20240228001390 |
| Provider Name | Megan Jensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245855113 PECOS PAC ID: 0143665828 Enrollment ID: I20240304003546 |
| Provider Name | Courtney Jean Kleinmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992344154 PECOS PAC ID: 0840627014 Enrollment ID: I20240304004001 |
| Provider Name | Walaa Hamadi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1801389127 PECOS PAC ID: 6800229881 Enrollment ID: I20240306004423 |
| Provider Name | Gayle Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396120127 PECOS PAC ID: 9032412788 Enrollment ID: I20240307001059 |
| Provider Name | Angela Maria Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255352969 PECOS PAC ID: 5193161495 Enrollment ID: I20240308002230 |
| Provider Name | Jordan Foulger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417432063 PECOS PAC ID: 1355681867 Enrollment ID: I20240310000109 |
| Provider Name | Rebekah Catherine Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265181580 PECOS PAC ID: 4284070483 Enrollment ID: I20240311001552 |
| Provider Name | Kelly Distefano |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851021018 PECOS PAC ID: 9032555164 Enrollment ID: I20240312002540 |
| Provider Name | Abigail Kathryn Gunther |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720868938 PECOS PAC ID: 6305282336 Enrollment ID: I20240312003014 |
| Provider Name | Benjamin Oviatt Weinheimer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851566897 PECOS PAC ID: 7719323674 Enrollment ID: I20240313003633 |
| Provider Name | Deborah Ireland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457927576 PECOS PAC ID: 4587059621 Enrollment ID: I20240313004018 |
| Provider Name | Madeline Thayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003483207 PECOS PAC ID: 2961847256 Enrollment ID: I20240319003026 |
| Provider Name | Erin Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508573684 PECOS PAC ID: 6901243294 Enrollment ID: I20240321003992 |
| Provider Name | Tiffany Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467987503 PECOS PAC ID: 3375820079 Enrollment ID: I20240322001443 |
| Provider Name | Brian S Simons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740425990 PECOS PAC ID: 9234576570 Enrollment ID: I20240322001475 |
| Provider Name | William Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598738155 PECOS PAC ID: 5496716896 Enrollment ID: I20240325003657 |
| Provider Name | Patricia Ruggeri-weigel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366404527 PECOS PAC ID: 1658532304 Enrollment ID: I20240326003746 |
| Provider Name | Brenda Ritson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134383086 PECOS PAC ID: 5890925945 Enrollment ID: I20240327001967 |
| Provider Name | Timothy Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255996492 PECOS PAC ID: 6204214943 Enrollment ID: I20240328002960 |
| Provider Name | Karen Ady |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912344342 PECOS PAC ID: 7214159243 Enrollment ID: I20240328003796 |
| Provider Name | Kathleen Storino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538644422 PECOS PAC ID: 5395089197 Enrollment ID: I20240329001396 |
| Provider Name | Mari Dean-smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730828567 PECOS PAC ID: 3072951854 Enrollment ID: I20240329002658 |
| Provider Name | Heather Grote |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477920817 PECOS PAC ID: 2769791938 Enrollment ID: I20240401000535 |
| Provider Name | Brian Wirkus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811574262 PECOS PAC ID: 5395152524 Enrollment ID: I20240401002616 |
| Provider Name | Mindy Devaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376324319 PECOS PAC ID: 1951749225 Enrollment ID: I20240404004344 |
| Provider Name | Hyrum Snell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568239077 PECOS PAC ID: 9931547056 Enrollment ID: I20240409000472 |
| Provider Name | Brett Taylor Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336898295 PECOS PAC ID: 6800234972 Enrollment ID: I20240409002021 |
| Provider Name | Sean Mccandless |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356874176 PECOS PAC ID: 1355694738 Enrollment ID: I20240410001278 |
| Provider Name | Courtney Rindlisbacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346012754 PECOS PAC ID: 8820436769 Enrollment ID: I20240410003364 |
| Provider Name | Grant E Child |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144422007 PECOS PAC ID: 8022457928 Enrollment ID: I20240411001850 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023436037 PECOS PAC ID: 4587962055 Enrollment ID: I20240411001861 |
| Provider Name | Megan Mcclenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457068025 PECOS PAC ID: 5597104414 Enrollment ID: I20240411002786 |
| Provider Name | Katherine Cecelia Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275307852 PECOS PAC ID: 2062851918 Enrollment ID: I20240411004382 |
| Provider Name | Russell L Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063296903 PECOS PAC ID: 2062851546 Enrollment ID: I20240416004506 |
| Provider Name | Robert Hauger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982681250 PECOS PAC ID: 1355482910 Enrollment ID: I20240417002169 |
| Provider Name | Arindam Sharma |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1700237385 PECOS PAC ID: 7113257908 Enrollment ID: I20240417004003 |
| Provider Name | Robert Jamieson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528220522 PECOS PAC ID: 2365694007 Enrollment ID: I20240419002876 |
| Provider Name | Mitul Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457572448 PECOS PAC ID: 1951452283 Enrollment ID: I20240419003198 |
| Provider Name | Spencer C. Jasper |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1730617341 PECOS PAC ID: 7719242809 Enrollment ID: I20240419003327 |
| Provider Name | Jonathan Taylor Whitaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558772533 PECOS PAC ID: 6507183290 Enrollment ID: I20240424001579 |
| Provider Name | Nicolette Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114688819 PECOS PAC ID: 4385084292 Enrollment ID: I20240425001817 |
| Provider Name | Ishaah Talker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881343036 PECOS PAC ID: 0042650814 Enrollment ID: I20240426000385 |
| Provider Name | Chia-hsuan Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033884192 PECOS PAC ID: 2668812207 Enrollment ID: I20240430003593 |
| Provider Name | Melanie Mccauley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568717650 PECOS PAC ID: 5395031975 Enrollment ID: I20240502004199 |
| Provider Name | Aubree Blackner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881474229 PECOS PAC ID: 4385084508 Enrollment ID: I20240503002747 |
| Provider Name | Angel Miquel Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558005827 PECOS PAC ID: 7810337045 Enrollment ID: I20240503002826 |
| Provider Name | Lauren Gorton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235581265 PECOS PAC ID: 0840582029 Enrollment ID: I20240506000381 |
| Provider Name | Cedric Buckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437545043 PECOS PAC ID: 5890076665 Enrollment ID: I20240506001067 |
| Provider Name | Kate Noelle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346027414 PECOS PAC ID: 6002257086 Enrollment ID: I20240508000895 |
| Provider Name | Cameron Debuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073375119 PECOS PAC ID: 8729425293 Enrollment ID: I20240509001483 |
| Provider Name | William Bireley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699929521 PECOS PAC ID: 3971746108 Enrollment ID: I20240513001145 |
| Provider Name | Colson Healy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295311348 PECOS PAC ID: 9830593631 Enrollment ID: I20240514001330 |
| Provider Name | Jeffrey D Graham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760879498 PECOS PAC ID: 2163734690 Enrollment ID: I20240514003894 |
| Provider Name | Tejas Sanjay Ranade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043702459 PECOS PAC ID: 9830563873 Enrollment ID: I20240515003065 |
| Provider Name | Brandi Lee Harmston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881202323 PECOS PAC ID: 6002257482 Enrollment ID: I20240516001224 |
| Provider Name | Rachel Dern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437439262 PECOS PAC ID: 2365741535 Enrollment ID: I20240520003054 |
| Provider Name | Eric Mhc Bylund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043884034 PECOS PAC ID: 0648612887 Enrollment ID: I20240520003391 |
| Provider Name | James Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790367373 PECOS PAC ID: 2567864184 Enrollment ID: I20240521002965 |
| Provider Name | Joshua L Morrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245793496 PECOS PAC ID: 5092157123 Enrollment ID: I20240521003258 |
| Provider Name | Jansen Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427782713 PECOS PAC ID: 3678949500 Enrollment ID: I20240521004083 |
| Provider Name | Jasmine a Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295484152 PECOS PAC ID: 5294177168 Enrollment ID: I20240523000741 |
| Provider Name | Danell Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609019777 PECOS PAC ID: 9537477880 Enrollment ID: I20240523001142 |
| Provider Name | Tyson Broadbent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699353532 PECOS PAC ID: 6901215870 Enrollment ID: I20240523003524 |
| Provider Name | Kirill Sinitsin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205445202 PECOS PAC ID: 4688016462 Enrollment ID: I20240524000749 |
| Provider Name | George Jarad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942409529 PECOS PAC ID: 5395836043 Enrollment ID: I20240524001097 |
| Provider Name | Candice Baldeo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518300557 PECOS PAC ID: 9234356833 Enrollment ID: I20240524001157 |
| Provider Name | Jessica Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437857125 PECOS PAC ID: 6901248715 Enrollment ID: I20240524001736 |
| Provider Name | Michael Clarke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669838736 PECOS PAC ID: 0941591879 Enrollment ID: I20240529002452 |
| Provider Name | Whitney Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417416249 PECOS PAC ID: 9436577004 Enrollment ID: I20240530003400 |
| Provider Name | Akosua Hatch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184373656 PECOS PAC ID: 6901348135 Enrollment ID: I20240604000605 |
| Provider Name | Devan Stucki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184206559 PECOS PAC ID: 3072055227 Enrollment ID: I20240604001505 |
| Provider Name | Sohaip Kabashneh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629566054 PECOS PAC ID: 4981951019 Enrollment ID: I20240607003157 |
| Provider Name | George Lake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194777136 PECOS PAC ID: 8628071826 Enrollment ID: I20240610001122 |
| Provider Name | Amanda Ellgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992333868 PECOS PAC ID: 0042615106 Enrollment ID: I20240610002832 |
| Provider Name | Brennan Dwight Rigby |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740644574 PECOS PAC ID: 2668767286 Enrollment ID: I20240611001851 |
| Provider Name | William Oslund |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437680055 PECOS PAC ID: 5092257535 Enrollment ID: I20240611004765 |
| Provider Name | Stephen Anderson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508386913 PECOS PAC ID: 0345511747 Enrollment ID: I20240611004805 |
| Provider Name | Ashley Trane |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912430059 PECOS PAC ID: 1254602212 Enrollment ID: I20240614003194 |
| Provider Name | Kurtis Webster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427410059 PECOS PAC ID: 0840683629 Enrollment ID: I20240617001137 |
| Provider Name | Heather Poland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932778 PECOS PAC ID: 9234566738 Enrollment ID: I20240617002798 |
| Provider Name | Benjiman Ramon Mccombs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093326639 PECOS PAC ID: 6507285277 Enrollment ID: I20240617003546 |
| Provider Name | Bryan W Grover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871112268 PECOS PAC ID: 4385067560 Enrollment ID: I20240618001101 |
| Provider Name | Will Benjamin Novey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568082550 PECOS PAC ID: 2062833361 Enrollment ID: I20240618002429 |
| Provider Name | Spencer K Michalke |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801155064 PECOS PAC ID: 0143645218 Enrollment ID: I20240618004132 |
| Provider Name | David Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295318673 PECOS PAC ID: 4880137736 Enrollment ID: I20240619001858 |
| Provider Name | Sarah Linson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700464740 PECOS PAC ID: 8325422645 Enrollment ID: I20240619002142 |
| Provider Name | Ronald Young |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235131103 PECOS PAC ID: 6608788575 Enrollment ID: I20240619002386 |
| Provider Name | Sonia Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942862156 PECOS PAC ID: 7618207671 Enrollment ID: I20240620000180 |
| Provider Name | Rebecca Engels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104367432 PECOS PAC ID: 2365712106 Enrollment ID: I20240620000833 |
| Provider Name | Tyler Okelberry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538622188 PECOS PAC ID: 9335474030 Enrollment ID: I20240620001356 |
| Provider Name | Andrew Finneran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669093860 PECOS PAC ID: 7810318342 Enrollment ID: I20240621000234 |
| Provider Name | Jake Lloyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275298952 PECOS PAC ID: 6800287236 Enrollment ID: I20240621002566 |
| Provider Name | Andrea P Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114217205 PECOS PAC ID: 4789127499 Enrollment ID: I20240624000310 |
| Provider Name | Tanner Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295393957 PECOS PAC ID: 4486980141 Enrollment ID: I20240624000865 |
| Provider Name | Austin Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518209451 PECOS PAC ID: 0244460962 Enrollment ID: I20240624001151 |
| Provider Name | Taylor A. Bundy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659839975 PECOS PAC ID: 1759786619 Enrollment ID: I20240625000288 |
| Provider Name | Tyler Hanny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700452901 PECOS PAC ID: 6204237787 Enrollment ID: I20240626001127 |
| Provider Name | Alex Rytting |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295266567 PECOS PAC ID: 8224381744 Enrollment ID: I20240626002214 |
| Provider Name | Danica Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962874446 PECOS PAC ID: 6507166865 Enrollment ID: I20240626003566 |
| Provider Name | Michael J Crawford |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629422159 PECOS PAC ID: 3577858919 Enrollment ID: I20240626003848 |
| Provider Name | Joshua Michael Penman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053175893 PECOS PAC ID: 2961946306 Enrollment ID: I20240626004645 |
| Provider Name | Laura M Tranchini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487310967 PECOS PAC ID: 4486045648 Enrollment ID: I20240627000933 |
| Provider Name | Kirstin C Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386412443 PECOS PAC ID: 4183168123 Enrollment ID: I20240701002622 |
| Provider Name | Nicholas Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003436122 PECOS PAC ID: 0547704595 Enrollment ID: I20240701002642 |
| Provider Name | Amanda Wyrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588858435 PECOS PAC ID: 4981148830 Enrollment ID: I20240702002239 |
| Provider Name | Beck B Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942876925 PECOS PAC ID: 1052711520 Enrollment ID: I20240703003019 |
| Provider Name | Wyatt H Horsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346685674 PECOS PAC ID: 9931340957 Enrollment ID: I20240703003708 |
| Provider Name | Justyna O'conor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285124784 PECOS PAC ID: 0547508012 Enrollment ID: I20240705003167 |
| Provider Name | Mark Clinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699769471 PECOS PAC ID: 8527132521 Enrollment ID: I20240708001265 |
| Provider Name | Aaron Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558948307 PECOS PAC ID: 3779987334 Enrollment ID: I20240708002810 |
| Provider Name | Spencer Mazorra Hansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174143200 PECOS PAC ID: 7315482965 Enrollment ID: I20240708004040 |
| Provider Name | Daniel Varela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508220054 PECOS PAC ID: 3779876917 Enrollment ID: I20240709002171 |
| Provider Name | Erik J. Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649767963 PECOS PAC ID: 4587109871 Enrollment ID: I20240710005263 |
| Provider Name | Jefferson Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336776715 PECOS PAC ID: 8325443450 Enrollment ID: I20240711001167 |
| Provider Name | David R Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255969739 PECOS PAC ID: 3678977782 Enrollment ID: I20240711001437 |
| Provider Name | Megan S. Pierce |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811359086 PECOS PAC ID: 7719275270 Enrollment ID: I20240711003098 |
| Provider Name | Sara Diaz Valentin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760680938 PECOS PAC ID: 1254477011 Enrollment ID: I20240711003714 |
| Provider Name | Quinta C Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407588320 PECOS PAC ID: 6305381500 Enrollment ID: I20240711003906 |
| Provider Name | Scott Salmon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063687051 PECOS PAC ID: 9436392115 Enrollment ID: I20240711003928 |
| Provider Name | Weston Harkness |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396190617 PECOS PAC ID: 0143556514 Enrollment ID: I20240712001184 |
| Provider Name | Bryan Lunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760069819 PECOS PAC ID: 5193260263 Enrollment ID: I20240712002000 |
| Provider Name | Katherine Arn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992360721 PECOS PAC ID: 8729474887 Enrollment ID: I20240712003470 |
| Provider Name | Vanessa Halvorsen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235620303 PECOS PAC ID: 6103288113 Enrollment ID: I20240712003890 |
| Provider Name | Rachel Shenker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518429133 PECOS PAC ID: 4183169121 Enrollment ID: I20240714000024 |
| Provider Name | Jillian Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245588987 PECOS PAC ID: 1153676150 Enrollment ID: I20240714000099 |
| Provider Name | Daniel Plant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710746797 PECOS PAC ID: 6002351061 Enrollment ID: I20240715000519 |
| Provider Name | Michael Lawrence Andres Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164050340 PECOS PAC ID: 1456896448 Enrollment ID: I20240715001745 |
| Provider Name | Kathryn Alfonso |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043744931 PECOS PAC ID: 7416205679 Enrollment ID: I20240716001731 |
| Provider Name | Angela K Kleiber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285790899 PECOS PAC ID: 4981996998 Enrollment ID: I20240717001509 |
| Provider Name | Kaleb Kulow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457715625 PECOS PAC ID: 8729523493 Enrollment ID: I20240717003857 |
| Provider Name | David Morrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346602307 PECOS PAC ID: 5890088231 Enrollment ID: I20240717004464 |
| Provider Name | Dallas M Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407624190 PECOS PAC ID: 1355886045 Enrollment ID: I20240717004905 |
| Provider Name | Christine Hachem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073710208 PECOS PAC ID: 5395818678 Enrollment ID: I20240722000897 |
| Provider Name | Richard Albrechtsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558949453 PECOS PAC ID: 5890197024 Enrollment ID: I20240722000967 |
| Provider Name | James Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730767823 PECOS PAC ID: 3274984505 Enrollment ID: I20240722001075 |
| Provider Name | Rene Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720605892 PECOS PAC ID: 0840651212 Enrollment ID: I20240722001678 |
| Provider Name | Eric Sink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649731001 PECOS PAC ID: 7214261981 Enrollment ID: I20240723001623 |
| Provider Name | Erin Leigh Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083481121 PECOS PAC ID: 0143766428 Enrollment ID: I20240723001892 |
| Provider Name | Jason Kovacevic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275952061 PECOS PAC ID: 0840416921 Enrollment ID: I20240723002469 |
| Provider Name | Stuart Goates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811577745 PECOS PAC ID: 8426452947 Enrollment ID: I20240723003692 |
| Provider Name | Andrew R Crandall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194385617 PECOS PAC ID: 7012335920 Enrollment ID: I20240723003915 |
| Provider Name | Jared Hans Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235719774 PECOS PAC ID: 2668918889 Enrollment ID: I20240724002664 |
| Provider Name | Jaclyn Nguyen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1003442013 PECOS PAC ID: 2062834336 Enrollment ID: I20240725002141 |
| Provider Name | Elizabeth Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124758453 PECOS PAC ID: 2062958085 Enrollment ID: I20240725002272 |
| Provider Name | Max Epstein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801328901 PECOS PAC ID: 2264840362 Enrollment ID: I20240725003321 |
| Provider Name | Alexandrea G Montoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669052585 PECOS PAC ID: 7810371077 Enrollment ID: I20240725003910 |
| Provider Name | Tomas Ferguson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174513170 PECOS PAC ID: 8820272057 Enrollment ID: I20240725004097 |
| Provider Name | Whitney Liehr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487283347 PECOS PAC ID: 7113390675 Enrollment ID: I20240725004794 |
| Provider Name | Ebere Eke-ukoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922861541 PECOS PAC ID: 9234675224 Enrollment ID: I20240726000032 |
| Provider Name | Benjamin Bukey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598294696 PECOS PAC ID: 3173892684 Enrollment ID: I20240726000273 |
| Provider Name | Mari Freedberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235665001 PECOS PAC ID: 7416226022 Enrollment ID: I20240726000873 |
| Provider Name | Sunny Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801401344 PECOS PAC ID: 4486064433 Enrollment ID: I20240726002148 |
| Provider Name | Bryan John May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811646748 PECOS PAC ID: 8022554955 Enrollment ID: I20240726002201 |
| Provider Name | Sydney Kayla Higbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104683234 PECOS PAC ID: 6901342856 Enrollment ID: I20240726002783 |
| Provider Name | Jonathan Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578668927 PECOS PAC ID: 3375540404 Enrollment ID: I20240726003151 |
| Provider Name | Brittney Paige Jessick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265289367 PECOS PAC ID: 6103362074 Enrollment ID: I20240726003638 |
| Provider Name | Richard Vanlangendonck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649203654 PECOS PAC ID: 6002839875 Enrollment ID: I20240729002629 |
| Provider Name | Brian Bingham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952831984 PECOS PAC ID: 1557611365 Enrollment ID: I20240730004291 |
| Provider Name | Nathan Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780977561 PECOS PAC ID: 7113151564 Enrollment ID: I20240731001779 |
| Provider Name | Mark Nolan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265926570 PECOS PAC ID: 3375887110 Enrollment ID: I20240731004061 |
| Provider Name | Ashley Erin Westphal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801116322 PECOS PAC ID: 8628260544 Enrollment ID: I20240731004774 |
| Provider Name | Jared Kuntz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073002994 PECOS PAC ID: 8729486683 Enrollment ID: I20240801000804 |
| Provider Name | Kevin Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942799002 PECOS PAC ID: 7911256029 Enrollment ID: I20240801002082 |
| Provider Name | Nkem Aziken |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740625540 PECOS PAC ID: 0547565368 Enrollment ID: I20240801002773 |
| Provider Name | Tegan D Mcconnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114484490 PECOS PAC ID: 4486052057 Enrollment ID: I20240801003218 |
| Provider Name | Daniel Wilkinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215317128 PECOS PAC ID: 5395052260 Enrollment ID: I20240801003751 |
| Provider Name | Ebifade Imarayi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730649336 PECOS PAC ID: 4082941406 Enrollment ID: I20240801004288 |
| Provider Name | Alexis Gunderson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1275160285 PECOS PAC ID: 9638531569 Enrollment ID: I20240802001203 |
| Provider Name | Veronica Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780189803 PECOS PAC ID: 4587071691 Enrollment ID: I20240802001756 |
| Provider Name | Francisco Martinez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649769225 PECOS PAC ID: 1254681216 Enrollment ID: I20240802002555 |
| Provider Name | Andrew Pellatt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376031252 PECOS PAC ID: 0446501167 Enrollment ID: I20240802002621 |
| Provider Name | James Hjorth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578840658 PECOS PAC ID: 4880014125 Enrollment ID: I20240802003823 |
| Provider Name | Madison Bangert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235666918 PECOS PAC ID: 8123409745 Enrollment ID: I20240805002674 |
| Provider Name | Lauren a Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851534374 PECOS PAC ID: 2466686381 Enrollment ID: I20240807001150 |
| Provider Name | James Robert Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811747397 PECOS PAC ID: 9537607429 Enrollment ID: I20240809001232 |
| Provider Name | Steven Boyd Schiess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326889544 PECOS PAC ID: 8224576145 Enrollment ID: I20240809002803 |
| Provider Name | Xavier Jimenez Samayoa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467870931 PECOS PAC ID: 7214201581 Enrollment ID: I20240812001273 |
| Provider Name | Michael Kuncewitch |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1245468321 PECOS PAC ID: 7315233194 Enrollment ID: I20240815002308 |
| Provider Name | Ian Mcgraw |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770013690 PECOS PAC ID: 5890065304 Enrollment ID: I20240816000773 |
| Provider Name | Alicia H. Bowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053872366 PECOS PAC ID: 0840618294 Enrollment ID: I20240816001060 |
| Provider Name | Maria Borrero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235635772 PECOS PAC ID: 5890048292 Enrollment ID: I20240816001377 |
| Provider Name | Tricia Pil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154630077 PECOS PAC ID: 9830143080 Enrollment ID: I20240816001672 |
| Provider Name | Nicole Droz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285077966 PECOS PAC ID: 3375771678 Enrollment ID: I20240816002092 |
| Provider Name | Cindy Jo Brough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417463217 PECOS PAC ID: 2163761578 Enrollment ID: I20240816002114 |
| Provider Name | Eric Adam Alta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578305439 PECOS PAC ID: 5991243222 Enrollment ID: I20240816002430 |
| Provider Name | Darrick Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750643193 PECOS PAC ID: 7810289527 Enrollment ID: I20240816003898 |
| Provider Name | Lacey Kay Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033951595 PECOS PAC ID: 2062950371 Enrollment ID: I20240819000806 |
| Provider Name | Whitney Jo Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689433658 PECOS PAC ID: 3173061314 Enrollment ID: I20240819002444 |
| Provider Name | Jacob Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932764297 PECOS PAC ID: 4587096169 Enrollment ID: I20240819002823 |
| Provider Name | Michael Gallo |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1861856510 PECOS PAC ID: 3274889498 Enrollment ID: I20240819003186 |
| Provider Name | Jennifer S Cecil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437450822 PECOS PAC ID: 5991985772 Enrollment ID: I20240820000424 |
| Provider Name | Matthew R Glick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053803619 PECOS PAC ID: 1850656166 Enrollment ID: I20240821002485 |
| Provider Name | Anya M Kalsbeek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609456532 PECOS PAC ID: 5092199927 Enrollment ID: I20240821002591 |
| Provider Name | Justine B. Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073190922 PECOS PAC ID: 6204210529 Enrollment ID: I20240821002935 |
| Provider Name | Allison Knewitz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710448774 PECOS PAC ID: 9739414103 Enrollment ID: I20240821003552 |
| Provider Name | Peter J. Edmonds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417301334 PECOS PAC ID: 8426341850 Enrollment ID: I20240823001538 |
| Provider Name | Dana Lyn Waugh |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386289338 PECOS PAC ID: 5294274072 Enrollment ID: I20240823003307 |
| Provider Name | Kimberly E Souza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134623358 PECOS PAC ID: 0446683247 Enrollment ID: I20240826002959 |
| Provider Name | Claudia Castelnovi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417279324 PECOS PAC ID: 1254626468 Enrollment ID: I20240827003387 |
| Provider Name | Hana Marie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841939782 PECOS PAC ID: 1153860606 Enrollment ID: I20240828001322 |
| Provider Name | Morgan Jean Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598347221 PECOS PAC ID: 7810391380 Enrollment ID: I20240828003067 |
| Provider Name | Trevor Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962965012 PECOS PAC ID: 1153655766 Enrollment ID: I20240828004234 |
| Provider Name | Ann Lewis Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730580085 PECOS PAC ID: 3274072632 Enrollment ID: I20240829000492 |
| Provider Name | Wasawat Vutthikraivit |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588186456 PECOS PAC ID: 6002187523 Enrollment ID: I20240830001621 |
| Provider Name | Stephanie Jo Pirsig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427567817 PECOS PAC ID: 9335688571 Enrollment ID: I20240830003560 |
| Provider Name | Bethanie White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659515211 PECOS PAC ID: 9931339231 Enrollment ID: I20240903003442 |
| Provider Name | Brian Sprang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821595059 PECOS PAC ID: 6103178140 Enrollment ID: I20240905001187 |
| Provider Name | Christie Hewlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202640 PECOS PAC ID: 2466992417 Enrollment ID: I20240905002488 |
| Provider Name | Dallin Blake Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437903648 PECOS PAC ID: 1951841832 Enrollment ID: I20240905004015 |
| Provider Name | Dustin M Anderson-bell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659834182 PECOS PAC ID: 6406183102 Enrollment ID: I20240906000236 |
| Provider Name | Alexander Au |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063040319 PECOS PAC ID: 4183062425 Enrollment ID: I20240909001848 |
| Provider Name | Sydney a Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740982628 PECOS PAC ID: 5698215390 Enrollment ID: I20240909003668 |
| Provider Name | Diana P Melo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295269322 PECOS PAC ID: 2163897430 Enrollment ID: I20240909004265 |
| Provider Name | Kenyatta L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144910027 PECOS PAC ID: 3870033434 Enrollment ID: I20240910001475 |
| Provider Name | Claire Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083101091 PECOS PAC ID: 5193089811 Enrollment ID: I20240910003546 |
| Provider Name | Talmage Fulton Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215611744 PECOS PAC ID: 8527508001 Enrollment ID: I20240911001212 |
| Provider Name | Alexa Fritsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508569179 PECOS PAC ID: 6507307725 Enrollment ID: I20240916001171 |
| Provider Name | Madison Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245931393 PECOS PAC ID: 5890236822 Enrollment ID: I20240918001685 |
| Provider Name | John Dallin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821878174 PECOS PAC ID: 5799226676 Enrollment ID: I20240918003850 |
| Provider Name | Emily Sierakowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104454008 PECOS PAC ID: 1254736259 Enrollment ID: I20240918003889 |
| Provider Name | Jesse P. Wackerbarth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902303613 PECOS PAC ID: 5395154702 Enrollment ID: I20240920000375 |
| Provider Name | Jonathan Subaitani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821529918 PECOS PAC ID: 1355618091 Enrollment ID: I20240920000517 |
| Provider Name | Morgan Gilmer Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619679503 PECOS PAC ID: 9638610371 Enrollment ID: I20240920001734 |
| Provider Name | Marissa Ulibarri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518655802 PECOS PAC ID: 9931640687 Enrollment ID: I20240920002168 |
| Provider Name | Grace Isaacson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699354639 PECOS PAC ID: 0042689697 Enrollment ID: I20240920003142 |
| Provider Name | Shukairo Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659666444 PECOS PAC ID: 8921241522 Enrollment ID: I20240923000571 |
| Provider Name | Savannah Hancock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710684667 PECOS PAC ID: 3274996913 Enrollment ID: I20240923001616 |
| Provider Name | John Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497339741 PECOS PAC ID: 7810397304 Enrollment ID: I20240923003021 |
| Provider Name | Jared Hilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396308961 PECOS PAC ID: 8921426404 Enrollment ID: I20240923003443 |
| Provider Name | Mariah Richins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649847922 PECOS PAC ID: 9133660509 Enrollment ID: I20240925002580 |
| Provider Name | Severn Barloco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164515847 PECOS PAC ID: 1951403732 Enrollment ID: I20240926001729 |
| Provider Name | Claire Elizabeth Baumgartner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871295717 PECOS PAC ID: 5294266532 Enrollment ID: I20240927000487 |
| Provider Name | Janie Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932897600 PECOS PAC ID: 0446781587 Enrollment ID: I20241001001243 |
| Provider Name | Jeffrey Sundblad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992000582 PECOS PAC ID: 9335454495 Enrollment ID: I20241001001592 |
| Provider Name | Kaitlyn Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891215984 PECOS PAC ID: 1557767159 Enrollment ID: I20241002001081 |
| Provider Name | Nguyen DO |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861687873 PECOS PAC ID: 6608926613 Enrollment ID: I20241003003573 |
| Provider Name | Teressa R Ju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649834649 PECOS PAC ID: 9931585049 Enrollment ID: I20241007001905 |
| Provider Name | Katelyn Tondo-steele |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1285166181 PECOS PAC ID: 6002347671 Enrollment ID: I20241007002586 |
| Provider Name | Alexis Rhodes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508449976 PECOS PAC ID: 3779958400 Enrollment ID: I20241008001597 |
| Provider Name | Shawnel Stacy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730650409 PECOS PAC ID: 4789115270 Enrollment ID: I20241008003704 |
| Provider Name | Sumit J. Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740743210 PECOS PAC ID: 9032444047 Enrollment ID: I20241010003257 |
| Provider Name | Katrina Elizabeth Kunzler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063102705 PECOS PAC ID: 3476085630 Enrollment ID: I20241014002630 |
| Provider Name | Morgan Christine Bowlen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265271746 PECOS PAC ID: 8224560297 Enrollment ID: I20241015003064 |
| Provider Name | Neysi Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124681374 PECOS PAC ID: 7113302886 Enrollment ID: I20241016001635 |
| Provider Name | Jennifer Jones-medina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417444555 PECOS PAC ID: 5799217634 Enrollment ID: I20241016001699 |
| Provider Name | Madison Michelle Powelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326738055 PECOS PAC ID: 0446782395 Enrollment ID: I20241016002020 |
| Provider Name | Jamison Anne Harvey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225526460 PECOS PAC ID: 7517215817 Enrollment ID: I20241018000222 |
| Provider Name | Sabrina Crose Higley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821739756 PECOS PAC ID: 2365974961 Enrollment ID: I20241021004397 |
| Provider Name | Emily Van Komen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841045713 PECOS PAC ID: 2466985775 Enrollment ID: I20241024004014 |
| Provider Name | Brynnley Sue Mair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114669298 PECOS PAC ID: 6103359468 Enrollment ID: I20241025001622 |
| Provider Name | Robert L. Rice |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699720136 PECOS PAC ID: 7810900305 Enrollment ID: I20241028001328 |
| Provider Name | Jessica Wissenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114676004 PECOS PAC ID: 7719410711 Enrollment ID: I20241029004644 |
| Provider Name | John Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265097216 PECOS PAC ID: 0749713519 Enrollment ID: I20241031003079 |
| Provider Name | Genoveva Hurtado |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295461176 PECOS PAC ID: 8325414212 Enrollment ID: I20241104000704 |
| Provider Name | Miriam Dawn Hughes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063827442 PECOS PAC ID: 7113246653 Enrollment ID: I20241106003908 |
| Provider Name | Hana Paladichuk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407350903 PECOS PAC ID: 9638421654 Enrollment ID: I20241107003227 |
| Provider Name | Rebecca Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306088919 PECOS PAC ID: 0143754424 Enrollment ID: I20241108001601 |
| Provider Name | Michael Acord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457677007 PECOS PAC ID: 4880963636 Enrollment ID: I20241109000272 |
| Provider Name | Usman Akhtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619387735 PECOS PAC ID: 0042597999 Enrollment ID: I20241112000325 |
| Provider Name | Nina Mckernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962176354 PECOS PAC ID: 0840696621 Enrollment ID: I20241112002270 |
| Provider Name | Jenelle Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225726466 PECOS PAC ID: 3678007606 Enrollment ID: I20241113000757 |
| Provider Name | Nicholas Blaine Edman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588498943 PECOS PAC ID: 0345774196 Enrollment ID: I20241115001309 |
| Provider Name | Hannah Mika |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952031437 PECOS PAC ID: 2961870100 Enrollment ID: I20241115002739 |
| Provider Name | Sumaiya Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700272192 PECOS PAC ID: 7517205552 Enrollment ID: I20241115003220 |
| Provider Name | Levi Franz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427635127 PECOS PAC ID: 5193121093 Enrollment ID: I20241118000091 |
| Provider Name | Samantha Cnm Bolton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558059683 PECOS PAC ID: 5991239626 Enrollment ID: I20241118000239 |
| Provider Name | Cameron Crane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275161895 PECOS PAC ID: 8628409455 Enrollment ID: I20241119001683 |
| Provider Name | Sri Rama Kattula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952665192 PECOS PAC ID: 4284857517 Enrollment ID: I20241121000004 |
| Provider Name | Anna-marie Ayotte |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588217038 PECOS PAC ID: 0446785885 Enrollment ID: I20241122000844 |
| Provider Name | Laszlo Marco Hoesel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447452057 PECOS PAC ID: 4385816735 Enrollment ID: I20241122002409 |
| Provider Name | Khurram Tariq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144586181 PECOS PAC ID: 7810298056 Enrollment ID: I20241125001859 |
| Provider Name | Lynn M. Sipsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871120089 PECOS PAC ID: 3678997137 Enrollment ID: I20241125002193 |
| Provider Name | Brooke Walters |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821837782 PECOS PAC ID: 0547795726 Enrollment ID: I20241125002423 |
| Provider Name | Brian Krachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306805577 PECOS PAC ID: 0547455644 Enrollment ID: I20241126001119 |
| Provider Name | Eliza NP Bremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568160281 PECOS PAC ID: 8820523814 Enrollment ID: I20241127003323 |
| Provider Name | Jared Nicholson Shober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124877345 PECOS PAC ID: 9335674217 Enrollment ID: I20241202002337 |
| Provider Name | Morgan Pellegrini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972013381 PECOS PAC ID: 8224364351 Enrollment ID: I20241204001168 |
| Provider Name | Dallin David Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801564448 PECOS PAC ID: 5597291278 Enrollment ID: I20241204002937 |
| Provider Name | Cameron Warren Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376376111 PECOS PAC ID: 1759817430 Enrollment ID: I20241204003012 |
| Provider Name | Courtney Woolsey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164906095 PECOS PAC ID: 2062948649 Enrollment ID: I20241205002662 |
| Provider Name | Katherine Shepard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659720514 PECOS PAC ID: 4284927047 Enrollment ID: I20241206002873 |
| Provider Name | Kayla Jayne Ream |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568104800 PECOS PAC ID: 7810423233 Enrollment ID: I20241209003911 |
| Provider Name | Jennifer Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396166492 PECOS PAC ID: 4284160565 Enrollment ID: I20241210002562 |
| Provider Name | Jake Herman Allinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245818616 PECOS PAC ID: 9234539834 Enrollment ID: I20241210003404 |
| Provider Name | Meagan Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205590791 PECOS PAC ID: 1052702750 Enrollment ID: I20241212001478 |
| Provider Name | Martin Asplund |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043660608 PECOS PAC ID: 4082966569 Enrollment ID: I20241213002868 |
| Provider Name | Bonnie Jane Hoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427895713 PECOS PAC ID: 2668908591 Enrollment ID: I20241216000959 |
| Provider Name | Michelle Marie Griffen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700523404 PECOS PAC ID: 1254868078 Enrollment ID: I20241218001088 |
| Provider Name | Amanda Meier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730838343 PECOS PAC ID: 2769919240 Enrollment ID: I20241223000389 |
| Provider Name | Garyn K. Gulbranson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588962047 PECOS PAC ID: 1557898046 Enrollment ID: I20241223000514 |
| Provider Name | Patricia Lee Gurney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649980160 PECOS PAC ID: 3779010277 Enrollment ID: I20241223001236 |
| Provider Name | Brittany Ann Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912773664 PECOS PAC ID: 6608303938 Enrollment ID: I20241226001713 |
| Provider Name | Elizabeth Hill |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659903797 PECOS PAC ID: 0547641474 Enrollment ID: I20241226001870 |
| Provider Name | Tracy Cash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225238066 PECOS PAC ID: 5294262531 Enrollment ID: I20241226002362 |
| Provider Name | Janelle M Hanna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437149820 PECOS PAC ID: 1658443262 Enrollment ID: I20241226002968 |
| Provider Name | Andrew Christensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386064285 PECOS PAC ID: 2961629555 Enrollment ID: I20241227002505 |
| Provider Name | Rachael Ann Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962105858 PECOS PAC ID: 4981131992 Enrollment ID: I20250102001089 |
| Provider Name | Anne Gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740281799 PECOS PAC ID: 9335231844 Enrollment ID: I20250102003458 |
| Provider Name | Victoria Lynn Brownlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407671738 PECOS PAC ID: 5698203628 Enrollment ID: I20250103002625 |
| Provider Name | Brock S Howick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407105661 PECOS PAC ID: 0840728648 Enrollment ID: I20250107003328 |
| Provider Name | Daniel Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538998042 PECOS PAC ID: 2062940893 Enrollment ID: I20250108000270 |
| Provider Name | Christina S. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376858746 PECOS PAC ID: 6507050309 Enrollment ID: I20250109001955 |
| Provider Name | Brock Freidenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942022827 PECOS PAC ID: 6002344694 Enrollment ID: I20250109003440 |
| Provider Name | Allison Shippen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124761572 PECOS PAC ID: 9234667775 Enrollment ID: I20250110001929 |
| Provider Name | Sarah Roney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689251654 PECOS PAC ID: 3870900913 Enrollment ID: I20250115002988 |
| Provider Name | Robert Woolley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104995109 PECOS PAC ID: 3678756442 Enrollment ID: I20250116001832 |
| Provider Name | Stacy Dorado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013419464 PECOS PAC ID: 4688939994 Enrollment ID: I20250117003777 |
| Provider Name | Staci Ann Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417783325 PECOS PAC ID: 2668908674 Enrollment ID: I20250120000510 |
| Provider Name | Jared Bratvold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609076058 PECOS PAC ID: 2860642295 Enrollment ID: I20250122002568 |
| Provider Name | Kylie Peterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699134809 PECOS PAC ID: 1254673817 Enrollment ID: I20250129001878 |
| Provider Name | Emily Eva Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598503716 PECOS PAC ID: 5193254381 Enrollment ID: I20250203001960 |
| Provider Name | Ahmed Shafter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528401247 PECOS PAC ID: 4688941594 Enrollment ID: I20250205001639 |
| Provider Name | Savanna R Cox Behymer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124720057 PECOS PAC ID: 3779013792 Enrollment ID: I20250206000796 |
| Provider Name | Jackie Bell Amaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134949084 PECOS PAC ID: 6901336718 Enrollment ID: I20250210001081 |
| Provider Name | Andrew Chon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447519541 PECOS PAC ID: 8325269004 Enrollment ID: I20250213000294 |
| Provider Name | Ryan Richard Blad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902657570 PECOS PAC ID: 5294278412 Enrollment ID: I20250214002476 |
| Provider Name | Jessica W Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598451130 PECOS PAC ID: 1355861279 Enrollment ID: I20250224000184 |
| Provider Name | Rachel Mikolajczyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255950010 PECOS PAC ID: 1850791658 Enrollment ID: I20250313000850 |
| Provider Name | Mohammed Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598854671 PECOS PAC ID: 2567413164 Enrollment ID: I20250313001549 |
| Provider Name | Tina Burton |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1356631642 PECOS PAC ID: 8426280595 Enrollment ID: I20250326002837 |
| Provider Name | Natalie Mcbride |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548319031 PECOS PAC ID: 8426390089 Enrollment ID: I20250331000002 |
| Provider Name | Lauren S Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639989601 PECOS PAC ID: 4385167345 Enrollment ID: I20250331001865 |
| Provider Name | Andrew James Goates |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033614458 PECOS PAC ID: 2365799228 Enrollment ID: I20250401002023 |
| Provider Name | Josie Worthington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497436398 PECOS PAC ID: 6507380649 Enrollment ID: I20250409003958 |
| Provider Name | Alyssa Fifield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639991995 PECOS PAC ID: 2567986573 Enrollment ID: I20250411001875 |
| Provider Name | Seth Plancher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891721866 PECOS PAC ID: 8224097472 Enrollment ID: I20250414001255 |
| Provider Name | Rachel Lani Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346075686 PECOS PAC ID: 5193249928 Enrollment ID: I20250414001367 |
| Provider Name | Gabriela Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508440959 PECOS PAC ID: 8123543592 Enrollment ID: I20250417002364 |
| Provider Name | Lawrence K Gates |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770561425 PECOS PAC ID: 5496778193 Enrollment ID: I20250418001737 |
| Provider Name | Jennifer Hamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043900400 PECOS PAC ID: 5496270431 Enrollment ID: I20250422003197 |
| Provider Name | Morgan Carbajal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760877443 PECOS PAC ID: 7517234099 Enrollment ID: I20250423000672 |
| Provider Name | Sara Landgrave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346535366 PECOS PAC ID: 2769789825 Enrollment ID: I20250423002387 |
| Provider Name | Claudia Fish |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043293665 PECOS PAC ID: 2668508169 Enrollment ID: I20250424001614 |
| Provider Name | Meagan Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164237137 PECOS PAC ID: 8820514623 Enrollment ID: I20250424001802 |
| Provider Name | Kathy Watkins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659322261 PECOS PAC ID: 6002183738 Enrollment ID: I20250424003422 |
| Provider Name | David Reich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841536414 PECOS PAC ID: 5395983407 Enrollment ID: I20250424003469 |
| Provider Name | Coleman Lane Barnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396557310 PECOS PAC ID: 5092231548 Enrollment ID: I20250428002295 |
| Provider Name | Ryan Ericksen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891958104 PECOS PAC ID: 9133343809 Enrollment ID: I20250428003242 |
| Provider Name | Ariel Mae Sparkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619775863 PECOS PAC ID: 4587180922 Enrollment ID: I20250429000556 |
| Provider Name | Brandon Harvey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629636881 PECOS PAC ID: 0446585756 Enrollment ID: I20250429004119 |
| Provider Name | Megan a Steinbach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154809630 PECOS PAC ID: 6709130610 Enrollment ID: I20250501003248 |
| Provider Name | Tasha Renee Hortin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639982812 PECOS PAC ID: 6709302789 Enrollment ID: I20250502001302 |
| Provider Name | Samantha Fugal Healey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124889563 PECOS PAC ID: 4486170479 Enrollment ID: I20250502001486 |
| Provider Name | Kurtis Russell Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326475476 PECOS PAC ID: 8426575440 Enrollment ID: I20250502002687 |
| Provider Name | Kyle Wilkes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932674355 PECOS PAC ID: 3779985171 Enrollment ID: I20250506002810 |
| Provider Name | Alexis Markay Stoker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104634278 PECOS PAC ID: 2961921176 Enrollment ID: I20250521001263 |
| Provider Name | Tara Lyn Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871364760 PECOS PAC ID: 7012436926 Enrollment ID: I20250523000816 |
| Provider Name | Melissa Jasperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255045480 PECOS PAC ID: 2860911658 Enrollment ID: I20250523002545 |
| Provider Name | Natalie Michelle Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124835830 PECOS PAC ID: 4880113323 Enrollment ID: I20250528001259 |
| Provider Name | Kyle Blake Fordham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972244929 PECOS PAC ID: 0749709244 Enrollment ID: I20250528002254 |
| Provider Name | Christopher Kowalski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770945990 PECOS PAC ID: 5193016707 Enrollment ID: I20250528003910 |
| Provider Name | Herschel W. Wilde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073194114 PECOS PAC ID: 3870977358 Enrollment ID: I20250602002703 |
| Provider Name | Ke'ala Mary Cabulagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437579869 PECOS PAC ID: 9638688682 Enrollment ID: I20250602003013 |
| Provider Name | Jason Winward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992362487 PECOS PAC ID: 6709111461 Enrollment ID: I20250603002286 |
| Provider Name | Lauren Spaciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184016081 PECOS PAC ID: 9537472238 Enrollment ID: I20250605000256 |
| Provider Name | Donald No |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053730242 PECOS PAC ID: 6103145511 Enrollment ID: I20250605002477 |
| Provider Name | Savan Kabaria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518428945 PECOS PAC ID: 5496265662 Enrollment ID: I20250606001916 |
| Provider Name | Bret Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528578515 PECOS PAC ID: 0042579401 Enrollment ID: I20250606002691 |
| Provider Name | Chaseton Clare Womack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194427815 PECOS PAC ID: 8325558315 Enrollment ID: I20250609003181 |
| Provider Name | Lisa Dunn Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346011152 PECOS PAC ID: 7113437146 Enrollment ID: I20250610000523 |
| Provider Name | Sharon Louise Ernst |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558627620 PECOS PAC ID: 0143730002 Enrollment ID: I20250610001354 |
| Provider Name | Seth Bohman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588313894 PECOS PAC ID: 4587003710 Enrollment ID: I20250610002642 |
| Provider Name | Emily H. O'neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164044657 PECOS PAC ID: 8325401946 Enrollment ID: I20250610002910 |
| Provider Name | Matthew Jeremiah Matson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467102418 PECOS PAC ID: 1951764737 Enrollment ID: I20250611002020 |
| Provider Name | Christopher Flannery |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538396411 PECOS PAC ID: 4082847231 Enrollment ID: I20250612002889 |
| Provider Name | Karla M Nordstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528893443 PECOS PAC ID: 3678084019 Enrollment ID: I20250613001019 |
| Provider Name | Matthew a Christensen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508399841 PECOS PAC ID: 7113270752 Enrollment ID: I20250613003401 |
| Provider Name | Lacie K Swapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417758723 PECOS PAC ID: 5193236370 Enrollment ID: I20250616000499 |
| Provider Name | Yousef Mohammed Awad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063156461 PECOS PAC ID: 3678084852 Enrollment ID: I20250616000670 |
| Provider Name | Michael Dickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194252460 PECOS PAC ID: 5496167660 Enrollment ID: I20250616000758 |
| Provider Name | Dirk Taylor Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184365413 PECOS PAC ID: 3577941905 Enrollment ID: I20250616002525 |
| Provider Name | Olivia M. Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952182354 PECOS PAC ID: 8426569419 Enrollment ID: I20250617001112 |
| Provider Name | Sara Lugonjic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457918021 PECOS PAC ID: 1153832027 Enrollment ID: I20250617003214 |
| Provider Name | Brittan Hosner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548029598 PECOS PAC ID: 5991146433 Enrollment ID: I20250617003329 |
| Provider Name | Matthew Holbrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962962878 PECOS PAC ID: 1355760026 Enrollment ID: I20250617003448 |
| Provider Name | Thuy Vuong Nguyen Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013716703 PECOS PAC ID: 5890206536 Enrollment ID: I20250618002826 |
| Provider Name | Maxwell Donovan Raithel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689231821 PECOS PAC ID: 1658748710 Enrollment ID: I20250618003850 |
| Provider Name | Nathaniel Oswald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629696794 PECOS PAC ID: 2668895426 Enrollment ID: I20250619000434 |
| Provider Name | Cooper Henderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821678392 PECOS PAC ID: 9032513635 Enrollment ID: I20250619000452 |
| Provider Name | Cheryl Bixby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619685526 PECOS PAC ID: 6002328523 Enrollment ID: I20250620002997 |
| Provider Name | John Soter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023645611 PECOS PAC ID: 4688042393 Enrollment ID: I20250623001685 |
| Provider Name | Amelia Sobek Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356091920 PECOS PAC ID: 5597128108 Enrollment ID: I20250623003536 |
| Provider Name | Swaroop Pawar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073778627 PECOS PAC ID: 0749439495 Enrollment ID: I20250624002212 |
| Provider Name | Patrick Lorimer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609211507 PECOS PAC ID: 4688092125 Enrollment ID: I20250625001719 |
| Provider Name | Jordan Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316649056 PECOS PAC ID: 9638681588 Enrollment ID: I20250625002669 |
| Provider Name | Ryan Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629709860 PECOS PAC ID: 1052794989 Enrollment ID: I20250625002692 |
| Provider Name | Michael Reid Bowes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912392408 PECOS PAC ID: 4789196635 Enrollment ID: I20250625002703 |
| Provider Name | Summer Macey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275906984 PECOS PAC ID: 5496059438 Enrollment ID: I20250626003551 |
| Provider Name | Richard Swenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588920474 PECOS PAC ID: 1759661366 Enrollment ID: I20250626004076 |
| Provider Name | Chloe Schott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447981188 PECOS PAC ID: 5698145852 Enrollment ID: I20250630001237 |
| Provider Name | Ashley Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225853401 PECOS PAC ID: 0345753612 Enrollment ID: I20250630003473 |
| Provider Name | Madisen Jo Affleck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083376701 PECOS PAC ID: 5496140485 Enrollment ID: I20250630003690 |
| Provider Name | David Allen Waterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710689484 PECOS PAC ID: 0648783878 Enrollment ID: I20250701002847 |
| Provider Name | Ryan J Morris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679101992 PECOS PAC ID: 4688005242 Enrollment ID: I20250702001820 |
| Provider Name | Sterling M. Rosqvist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568106417 PECOS PAC ID: 0345603577 Enrollment ID: I20250708002103 |
| Provider Name | Allie Marie Cannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871398891 PECOS PAC ID: 6103330345 Enrollment ID: I20250709002318 |
| Provider Name | Kajsa Deigh Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770354599 PECOS PAC ID: 3870007891 Enrollment ID: I20250710001036 |
| Provider Name | Katherine Swanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942542022 PECOS PAC ID: 8022315597 Enrollment ID: I20250711002407 |
| Provider Name | Tyson Brown |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689765372 PECOS PAC ID: 1759618879 Enrollment ID: I20250711003376 |
| Provider Name | Scott Burton Tingey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801598198 PECOS PAC ID: 9234644493 Enrollment ID: I20250716000933 |
| Provider Name | Cristian Trigueros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780110742 PECOS PAC ID: 4789947169 Enrollment ID: I20250716003580 |
| Provider Name | Natalie Munoz-sievert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609004050 PECOS PAC ID: 3678719317 Enrollment ID: I20250716003644 |
| Provider Name | Casey Rosser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447781414 PECOS PAC ID: 2062781123 Enrollment ID: I20250717000105 |
| Provider Name | Christopher Sauceda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235871401 PECOS PAC ID: 3173993813 Enrollment ID: I20250717001544 |
| Provider Name | David Joshua Salcido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790549749 PECOS PAC ID: 1052826039 Enrollment ID: I20250717001946 |
| Provider Name | Adam Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609219229 PECOS PAC ID: 1254660194 Enrollment ID: I20250717002680 |
| Provider Name | Megan Hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538671383 PECOS PAC ID: 6103226444 Enrollment ID: I20250718002964 |
| Provider Name | Connie Chung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427611789 PECOS PAC ID: 9133584394 Enrollment ID: I20250718003156 |
| Provider Name | Nima Hani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801157219 PECOS PAC ID: 1759651334 Enrollment ID: I20250718003745 |
| Provider Name | Alex Finlinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265926612 PECOS PAC ID: 7113273749 Enrollment ID: I20250718003846 |
| Provider Name | Tyler Pew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063152080 PECOS PAC ID: 1951817782 Enrollment ID: I20250718003919 |
| Provider Name | Cassandra Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558110395 PECOS PAC ID: 4688180276 Enrollment ID: I20250721003388 |
| Provider Name | Sarah Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861386013 PECOS PAC ID: 3476069071 Enrollment ID: I20250721003482 |
| Provider Name | James Nathaniel Mason |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114362001 PECOS PAC ID: 7810276375 Enrollment ID: I20250721003723 |
| Provider Name | Shilpa Kala Sannapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902303522 PECOS PAC ID: 4385045350 Enrollment ID: I20250722000775 |
| Provider Name | Lillian H. Goodman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245816073 PECOS PAC ID: 9436553112 Enrollment ID: I20250722001775 |
| Provider Name | Monica Sosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548898877 PECOS PAC ID: 1557770336 Enrollment ID: I20250722002438 |
| Provider Name | Evangeline Kobayashi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457919441 PECOS PAC ID: 7315270964 Enrollment ID: I20250722003024 |
| Provider Name | Deborah Furman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104576420 PECOS PAC ID: 0042673055 Enrollment ID: I20250722003985 |
| Provider Name | Samuel Taylor Frost |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477057651 PECOS PAC ID: 5193158186 Enrollment ID: I20250722004208 |
| Provider Name | Christel Coronado Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174273700 PECOS PAC ID: 1658752100 Enrollment ID: I20250724000301 |
| Provider Name | Benjamin Evans Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922341015 PECOS PAC ID: 9335497924 Enrollment ID: I20250724001632 |
| Provider Name | Nicholas R May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669975892 PECOS PAC ID: 8426565599 Enrollment ID: I20250724003551 |
| Provider Name | John Elgin Utley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669844221 PECOS PAC ID: 2062893639 Enrollment ID: I20250724003785 |
| Provider Name | Landon Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346824406 PECOS PAC ID: 7911309562 Enrollment ID: I20250725000142 |
| Provider Name | Bradley Pansing |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427553973 PECOS PAC ID: 7416383948 Enrollment ID: I20250725002355 |
| Provider Name | Viktoryia Petrusevich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821584012 PECOS PAC ID: 3779834205 Enrollment ID: I20250725002424 |
| Provider Name | Jessica Lynn Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205105731 PECOS PAC ID: 1557504594 Enrollment ID: I20250725003224 |
| Provider Name | Alissa Kauffman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508392242 PECOS PAC ID: 6608145388 Enrollment ID: I20250725003287 |
| Provider Name | Alison Brandeis Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265963425 PECOS PAC ID: 3577834589 Enrollment ID: I20250725003845 |
| Provider Name | Daniel Brandley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912647074 PECOS PAC ID: 8224490461 Enrollment ID: I20250725003936 |
| Provider Name | Morgan E. Baudoin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952041618 PECOS PAC ID: 2466814694 Enrollment ID: I20250730003379 |
| Provider Name | Madison Jeannette Fletcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982206900 PECOS PAC ID: 6103334396 Enrollment ID: I20250731000562 |
| Provider Name | Megan Hadley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649787656 PECOS PAC ID: 8123428307 Enrollment ID: I20250731001357 |
| Provider Name | John Lung |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922636448 PECOS PAC ID: 9638589245 Enrollment ID: I20250731002859 |
| Provider Name | Hannah Dustin Warner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447076088 PECOS PAC ID: 9234647355 Enrollment ID: I20250731003536 |
| Provider Name | Fnu Sakul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831617901 PECOS PAC ID: 0941718985 Enrollment ID: I20250801001464 |
| Provider Name | Markus A. Boesl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922502160 PECOS PAC ID: 9537587878 Enrollment ID: I20250804000643 |
| Provider Name | Heston Arnold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801425186 PECOS PAC ID: 5991245995 Enrollment ID: I20250804002564 |
| Provider Name | Jennifer Lorraine Navarro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568356624 PECOS PAC ID: 7810405511 Enrollment ID: I20250804003103 |
| Provider Name | Carolyn A. Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336899004 PECOS PAC ID: 3779945993 Enrollment ID: I20250804003974 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144834599 PECOS PAC ID: 7719305028 Enrollment ID: I20250806000714 |
| Provider Name | Suryanarayana Reddy Challa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356830533 PECOS PAC ID: 3476086984 Enrollment ID: I20250806001874 |
| Provider Name | Travis Moss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225337785 PECOS PAC ID: 3072748789 Enrollment ID: I20250807001434 |
| Provider Name | Daniel J. Holten |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811638984 PECOS PAC ID: 2668835190 Enrollment ID: I20250807001489 |
| Provider Name | Ian Dorward |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841417896 PECOS PAC ID: 3971739764 Enrollment ID: I20250807003057 |
| Provider Name | Joseph Adachi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245817766 PECOS PAC ID: 4183028350 Enrollment ID: I20250807003170 |
| Provider Name | Robbie Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417349515 PECOS PAC ID: 5193045201 Enrollment ID: I20250808001463 |
| Provider Name | Easton Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861206229 PECOS PAC ID: 2668970633 Enrollment ID: I20250808002447 |
| Provider Name | Ashley Magistrelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174329015 PECOS PAC ID: 9537667522 Enrollment ID: I20250808002928 |
| Provider Name | Taylor Drake |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588241335 PECOS PAC ID: 3971986043 Enrollment ID: I20250811003433 |
| Provider Name | Olusola Laja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679077283 PECOS PAC ID: 3274880901 Enrollment ID: I20250811003858 |
| Provider Name | Kaan E. Raif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114677051 PECOS PAC ID: 9234592049 Enrollment ID: I20250812003761 |
| Provider Name | Kelly Gibbons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053107938 PECOS PAC ID: 1052819612 Enrollment ID: I20250812003774 |
| Provider Name | Jake Anthony Lindberg Maranto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144010380 PECOS PAC ID: 8426556093 Enrollment ID: I20250812004156 |
| Provider Name | Eric Carlson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992384671 PECOS PAC ID: 9931582350 Enrollment ID: I20250812004323 |
| Provider Name | Sean Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952863797 PECOS PAC ID: 3678800497 Enrollment ID: I20250815001595 |
| Provider Name | Taylor J Norton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215464391 PECOS PAC ID: 0941690085 Enrollment ID: I20250815002845 |
| Provider Name | Phanindra Antharam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811483381 PECOS PAC ID: 5395114870 Enrollment ID: I20250815003243 |
| Provider Name | Zachary Jordan Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225827843 PECOS PAC ID: 8224537352 Enrollment ID: I20250815003600 |
| Provider Name | Kaylee Sutherland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437922911 PECOS PAC ID: 7719486844 Enrollment ID: I20250815003804 |
| Provider Name | Vinesh Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669114641 PECOS PAC ID: 3476052515 Enrollment ID: I20250815004107 |
| Provider Name | Natalie Pixton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942098686 PECOS PAC ID: 9537668488 Enrollment ID: I20250818001905 |
| Provider Name | Hussein Daoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194246736 PECOS PAC ID: 3072884014 Enrollment ID: I20250819001744 |
| Provider Name | Caitlin Gluck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760002604 PECOS PAC ID: 3971926858 Enrollment ID: I20250819001808 |
| Provider Name | Madison Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851805998 PECOS PAC ID: 4880194323 Enrollment ID: I20250820003534 |
| Provider Name | Jane West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457030371 PECOS PAC ID: 3072965581 Enrollment ID: I20250826000746 |
| Provider Name | Andrea Shioleno |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477991982 PECOS PAC ID: 8628317658 Enrollment ID: I20250826004716 |
| Provider Name | Noah Quinlan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073046967 PECOS PAC ID: 0749533255 Enrollment ID: I20250826005212 |
| Provider Name | Brad Landrum |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1356870620 PECOS PAC ID: 2567886997 Enrollment ID: I20250827003226 |
| Provider Name | Jared Richard Worthington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558174318 PECOS PAC ID: 9638670821 Enrollment ID: I20250828004956 |
| Provider Name | Taylor Moody |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629606637 PECOS PAC ID: 3375953839 Enrollment ID: I20250829001686 |
| Provider Name | Elizabeth Walker |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952988560 PECOS PAC ID: 3779983473 Enrollment ID: I20250829001898 |
| Provider Name | Mark H Enker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477600260 PECOS PAC ID: 2163562471 Enrollment ID: I20250830000320 |
| Provider Name | Ryan Kelley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922685239 PECOS PAC ID: 4385028877 Enrollment ID: I20250830000439 |
| Provider Name | Devin Rigg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891216602 PECOS PAC ID: 2062889223 Enrollment ID: I20250830000599 |
| Provider Name | Caleb John Parry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447980230 PECOS PAC ID: 4183000771 Enrollment ID: I20250902004355 |
| Provider Name | Andrea Tillotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396532065 PECOS PAC ID: 9032611678 Enrollment ID: I20250904000989 |
| Provider Name | Cade Benjamin Woolsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669822391 PECOS PAC ID: 1355885195 Enrollment ID: I20250904001342 |
| Provider Name | Miguel Chavez Cavazos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760987267 PECOS PAC ID: 5395144398 Enrollment ID: I20250904001600 |
| Provider Name | Victoria Vardell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912460239 PECOS PAC ID: 1254759830 Enrollment ID: I20250904002559 |
| Provider Name | Micaela Joy Besser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275223067 PECOS PAC ID: 5294237616 Enrollment ID: I20250905000921 |
| Provider Name | Carolyn Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669654885 PECOS PAC ID: 7911231543 Enrollment ID: I20250907000124 |
| Provider Name | Cora Broadbear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073311536 PECOS PAC ID: 5890297022 Enrollment ID: I20250908000318 |
| Provider Name | Monet Lane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497333785 PECOS PAC ID: 4981001054 Enrollment ID: I20250909002633 |
| Provider Name | Cayla Elizabeth Van Alstine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104529080 PECOS PAC ID: 9436652278 Enrollment ID: I20250909004407 |
| Provider Name | Heather Suzanne Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366242307 PECOS PAC ID: 2062915846 Enrollment ID: I20250910000447 |
| Provider Name | Megan Rich Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477113256 PECOS PAC ID: 6002319266 Enrollment ID: I20250912001655 |
| Provider Name | Elizabeth Sandifer Munroe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104274059 PECOS PAC ID: 2062703671 Enrollment ID: I20250916001648 |
| Provider Name | Kaylor Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750918827 PECOS PAC ID: 3870953078 Enrollment ID: I20250918001110 |
| Provider Name | Rachel Joy Saban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861021511 PECOS PAC ID: 6406254077 Enrollment ID: I20250922002643 |
| Provider Name | Christopher Brooks Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841987914 PECOS PAC ID: 7214432228 Enrollment ID: I20250922003560 |
| Provider Name | Matthew Borkovich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518492420 PECOS PAC ID: 4082958046 Enrollment ID: I20250923003988 |
| Provider Name | Josh Worley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629828660 PECOS PAC ID: 0648776583 Enrollment ID: I20250930004194 |
| Provider Name | Joshua Jaramillo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952763047 PECOS PAC ID: 8022302868 Enrollment ID: I20251001001320 |
| Provider Name | Whitney Nicole Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073365482 PECOS PAC ID: 4385140821 Enrollment ID: I20251002003525 |
| Provider Name | Sorena Keihani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306478466 PECOS PAC ID: 6709281900 Enrollment ID: I20251002004030 |
| Provider Name | Meagan Kline |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710480595 PECOS PAC ID: 5991054827 Enrollment ID: I20251006003150 |
| Provider Name | Arnold Merrow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952431074 PECOS PAC ID: 2062519234 Enrollment ID: I20251006003379 |
| Provider Name | Matthew Lewis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457722563 PECOS PAC ID: 7113253733 Enrollment ID: I20251007002417 |
| Provider Name | Cammy Kingsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982423364 PECOS PAC ID: 1759888753 Enrollment ID: I20251007002441 |
| Provider Name | Richa Sheth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013593458 PECOS PAC ID: 5496195232 Enrollment ID: I20251007003820 |
| Provider Name | Joshua Lowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104576404 PECOS PAC ID: 7719368125 Enrollment ID: I20251009002724 |
| Provider Name | Clayton Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710746219 PECOS PAC ID: 4183111701 Enrollment ID: I20251016001258 |
| Provider Name | Alexander G. Ryden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295363133 PECOS PAC ID: 1759786874 Enrollment ID: I20251017002032 |
| Provider Name | Emily Murnin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588243802 PECOS PAC ID: 6901208446 Enrollment ID: I20251017002760 |
| Provider Name | Alison Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255073821 PECOS PAC ID: 7012405996 Enrollment ID: I20251022003493 |
| Provider Name | Jacob Ivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134979347 PECOS PAC ID: 0648768549 Enrollment ID: I20251022004037 |
| Provider Name | Seddrick Weekes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073372553 PECOS PAC ID: 5890284293 Enrollment ID: I20251027003571 |
| Provider Name | Bret Sanford Andrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881453264 PECOS PAC ID: 5193214500 Enrollment ID: I20251027003821 |
| Provider Name | Jonathan Keith Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477312957 PECOS PAC ID: 6901395896 Enrollment ID: I20251030002779 |
| Provider Name | Eric Jemison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881128353 PECOS PAC ID: 0648517359 Enrollment ID: I20251030004106 |
| Provider Name | Abigail Jewett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326929654 PECOS PAC ID: 9436648284 Enrollment ID: I20251030004483 |
| Provider Name | Megan Zimmerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578280111 PECOS PAC ID: 1456720358 Enrollment ID: I20251030005140 |
| Provider Name | Samuel T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376272666 PECOS PAC ID: 4981193752 Enrollment ID: I20251030005233 |
| Provider Name | Gregory Sego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174328579 PECOS PAC ID: 6608365275 Enrollment ID: I20251103001399 |
| Provider Name | Blair E. Lenhan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730673807 PECOS PAC ID: 8921354937 Enrollment ID: I20251103001943 |
| Provider Name | Kevin Kain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811571771 PECOS PAC ID: 1951705599 Enrollment ID: I20251103002680 |
| Provider Name | Jamie Maughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275224016 PECOS PAC ID: 1052801578 Enrollment ID: I20251104002097 |
| Provider Name | Cortney Steinmann Parkinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336839125 PECOS PAC ID: 6204326762 Enrollment ID: I20251104003304 |
| Provider Name | Chansong Choi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346700671 PECOS PAC ID: 3678807211 Enrollment ID: I20251106001944 |
| Provider Name | Kelsey N. Tuttle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447839873 PECOS PAC ID: 1850775008 Enrollment ID: I20251106002484 |
| Provider Name | Joshua Romanek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942058425 PECOS PAC ID: 1759871999 Enrollment ID: I20251106003284 |
| Provider Name | William Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013545433 PECOS PAC ID: 1759743958 Enrollment ID: I20251106003506 |
| Provider Name | Norma Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164248688 PECOS PAC ID: 4880184530 Enrollment ID: I20251110003665 |
| Provider Name | Cannon Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457000838 PECOS PAC ID: 1153717848 Enrollment ID: I20251111001353 |
| Provider Name | Melina Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972477370 PECOS PAC ID: 5597256081 Enrollment ID: I20251112002986 |
| Provider Name | Katiana Rochelle Kelty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881444925 PECOS PAC ID: 4183116874 Enrollment ID: I20251120001440 |
| Provider Name | Haley Jean Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134708712 PECOS PAC ID: 1355833005 Enrollment ID: I20251120003456 |
| Provider Name | Kimberly Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770462707 PECOS PAC ID: 1254823768 Enrollment ID: I20251121004434 |
| Provider Name | Makeba Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821832064 PECOS PAC ID: 9830626878 Enrollment ID: I20251126000569 |
| Provider Name | Zakary Ryan Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952288714 PECOS PAC ID: 5294228029 Enrollment ID: I20251201003151 |
| Provider Name | Lindsay Taylor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699123612 PECOS PAC ID: 8628361292 Enrollment ID: I20251205003525 |
| Provider Name | Maeci Hicken Armstrong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649149147 PECOS PAC ID: 5496249419 Enrollment ID: I20251208003401 |
| Provider Name | Samuel Mcclellan Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720701766 PECOS PAC ID: 0446744478 Enrollment ID: I20251208003536 |
| Provider Name | Dominique Billingslea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659958742 PECOS PAC ID: 9537563143 Enrollment ID: I20251209002815 |
| Provider Name | Benjamin Tasevac |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669052361 PECOS PAC ID: 1153739123 Enrollment ID: I20251209003317 |
| Provider Name | Mark Packer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760470686 PECOS PAC ID: 4284931916 Enrollment ID: I20251209003892 |
| Provider Name | Ethan Mark Nielsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154179844 PECOS PAC ID: 6608360276 Enrollment ID: I20251210004254 |
| Provider Name | Jamis Gouge |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750777355 PECOS PAC ID: 8426378837 Enrollment ID: I20251210004384 |
| Provider Name | Caroline Rebecca Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013880731 PECOS PAC ID: 1951895333 Enrollment ID: I20251212001564 |
| Provider Name | Jocelyn Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457164428 PECOS PAC ID: 7517452527 Enrollment ID: I20251217002777 |
| Provider Name | Neeta Chaudhary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235309543 PECOS PAC ID: 9638334121 Enrollment ID: I20251217002868 |
| Provider Name | Nadia Holladay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568164176 PECOS PAC ID: 1153816087 Enrollment ID: I20251218002096 |
| Provider Name | Shayla Nesbitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952600744 PECOS PAC ID: 0749580520 Enrollment ID: I20251222001693 |
| Provider Name | Heidi Hafen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124901095 PECOS PAC ID: 4082100110 Enrollment ID: I20251229001282 |
| Provider Name | Clinton Thurber |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467862573 PECOS PAC ID: 4789903329 Enrollment ID: I20251229001719 |
| Provider Name | Amanda Darlene Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750035978 PECOS PAC ID: 2163918061 Enrollment ID: I20251230003187 |
| Provider Name | Vivian Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417392671 PECOS PAC ID: 8527395573 Enrollment ID: I20251231000325 |
| Provider Name | James Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134897135 PECOS PAC ID: 7113390808 Enrollment ID: I20251231001708 |
| Provider Name | Ramie Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265223523 PECOS PAC ID: 2365938040 Enrollment ID: I20251231003589 |
| Provider Name | Michael Foster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528379831 PECOS PAC ID: 6901051739 Enrollment ID: I20260102002348 |
| Provider Name | Danielle Chapdelaine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326863838 PECOS PAC ID: 8426534553 Enrollment ID: I20260108002648 |
| Provider Name | Robert Hiensch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083856991 PECOS PAC ID: 9335430909 Enrollment ID: I20260113002601 |
| Provider Name | Dillon Jay Youngman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598503153 PECOS PAC ID: 6800372384 Enrollment ID: I20260114003777 |
| Provider Name | Kaylan Diane Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184431116 PECOS PAC ID: 2961988456 Enrollment ID: I20260114003822 |
| Provider Name | Abbey Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922976059 PECOS PAC ID: 1052898491 Enrollment ID: I20260116000701 |
| Provider Name | Christine Eldredge-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982457362 PECOS PAC ID: 4082191366 Enrollment ID: I20260116001258 |
| Provider Name | Cody Dunn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801598321 PECOS PAC ID: 9537646591 Enrollment ID: I20260121001634 |
| Provider Name | Ryan Webb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811223423 PECOS PAC ID: 5799826657 Enrollment ID: I20260122001165 |
| Provider Name | Steven Paul Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548082555 PECOS PAC ID: 8022595958 Enrollment ID: I20260122002304 |
| Provider Name | Austin Dennis Wride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699643742 PECOS PAC ID: 5698252443 Enrollment ID: I20260122002997 |
| Provider Name | Colbie Robin Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033900725 PECOS PAC ID: 6305323080 Enrollment ID: I20260123001956 |
| Provider Name | Robert Keel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710433958 PECOS PAC ID: 5890083307 Enrollment ID: I20260123002011 |
| Provider Name | Ethan Rosenfeld |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609223064 PECOS PAC ID: 7416344452 Enrollment ID: I20260126000558 |
| Provider Name | Eugene Galperin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548318330 PECOS PAC ID: 9436127776 Enrollment ID: I20260128002652 |
| Provider Name | Lorenzo H Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235949280 PECOS PAC ID: 6800374679 Enrollment ID: I20260202003522 |
| Provider Name | Leah Therese O'neal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376407155 PECOS PAC ID: 6204314818 Enrollment ID: I20260203003662 |
| Provider Name | Jessica Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033361373 PECOS PAC ID: 7315081973 Enrollment ID: I20260210001040 |
| Provider Name | Alexis Bennett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255294419 PECOS PAC ID: 5193204980 Enrollment ID: I20260211002963 |
| Provider Name | Madison Marie Ohlensehlen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669351144 PECOS PAC ID: 0941780134 Enrollment ID: I20260217001727 |
| Provider Name | Vlad Radulescu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538402987 PECOS PAC ID: 0244580728 Enrollment ID: I20260220002352 |
| Provider Name | Caitlin Christine Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932095221 PECOS PAC ID: 1254813173 Enrollment ID: I20260228000785 |
| Provider Name | Lucia Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679438147 PECOS PAC ID: 1658853387 Enrollment ID: I20260303002644 |
| Provider Name | Ry Hayler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952069809 PECOS PAC ID: 7517358534 Enrollment ID: I20260303002764 |
| Provider Name | Kathryn Kimberly Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952105975 PECOS PAC ID: 8426530007 Enrollment ID: I20260303003583 |
| Provider Name | Kyalee Jade Vandam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851271811 PECOS PAC ID: 5092297689 Enrollment ID: I20260303003690 |
| Provider Name | Christina Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346577327 PECOS PAC ID: 7618018540 Enrollment ID: I20260304001676 |
| Provider Name | Sarah Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295696193 PECOS PAC ID: 1850873258 Enrollment ID: I20260304003563 |
| Provider Name | Kevin a Sterling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881757409 PECOS PAC ID: 7618040726 Enrollment ID: I20260304003972 |
| Provider Name | Thomas Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134284524 PECOS PAC ID: 2466535059 Enrollment ID: I20260306001946 |
| Provider Name | Emily Harper Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659001907 PECOS PAC ID: 0446734594 Enrollment ID: I20260317004219 |
| Provider Name | Shaleena M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396610812 PECOS PAC ID: 7517441413 Enrollment ID: I20260318003957 |
| Provider Name | Susan R Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184573222 PECOS PAC ID: 5698259547 Enrollment ID: I20260319000723 |
| Provider Name | Juliana Palacio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962102293 PECOS PAC ID: 4688158538 Enrollment ID: I20260319000766 |
| Provider Name | Brooke Ann Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194692780 PECOS PAC ID: 4880178623 Enrollment ID: I20260319003297 |
| Provider Name | Jordan Marie Knighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336009521 PECOS PAC ID: 9739663253 Enrollment ID: I20260324000679 |
| Provider Name | Paige Lyn Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073491627 PECOS PAC ID: 7214411511 Enrollment ID: I20260325000390 |
| Provider Name | Brooke James |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184579989 PECOS PAC ID: 5991280349 Enrollment ID: I20260402002608 |
| Provider Name | Kristi Redd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093664419 PECOS PAC ID: 2860967023 Enrollment ID: I20260406003453 |
| Provider Name | Kristin Middione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386539344 PECOS PAC ID: 6901371046 Enrollment ID: I20260407001537 |
| Provider Name | Madeline Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376095687 PECOS PAC ID: 1254613706 Enrollment ID: I20260407003437 |
| Provider Name | Kristienna M Doro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356619357 PECOS PAC ID: 9032378583 Enrollment ID: I20260408000050 |
| Provider Name | Allison Luellen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821343450 PECOS PAC ID: 6709032238 Enrollment ID: I20260410000630 |
| Provider Name | Katherine Marie Ernste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881453363 PECOS PAC ID: 5395210793 Enrollment ID: I20260413002482 |
| Provider Name | Boston Edward Gubler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134988827 PECOS PAC ID: 8820563232 Enrollment ID: I20260413002766 |
| Provider Name | Bryce Patrick Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770342263 PECOS PAC ID: 5799251922 Enrollment ID: I20260415003375 |
| Provider Name | Camilla Sosa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174497614 PECOS PAC ID: 2769958925 Enrollment ID: I20260415004002 |
| Provider Name | Connor Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982443065 PECOS PAC ID: 5092291005 Enrollment ID: I20260417001497 |
| Provider Name | Nicole Lynn Stalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265449128 PECOS PAC ID: 4587691431 Enrollment ID: I20260417002058 |
| Provider Name | Emily Beutler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861263451 PECOS PAC ID: 0547736324 Enrollment ID: I20260420000535 |
| Provider Name | Taylor L Petersen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487507174 PECOS PAC ID: 2769958404 Enrollment ID: I20260420002034 |
| Provider Name | Sean Hamlett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255379970 PECOS PAC ID: 5698785905 Enrollment ID: I20260421001901 |
| Provider Name | Brittany Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952251829 PECOS PAC ID: 2567938020 Enrollment ID: I20260421003392 |
| Provider Name | Lindsey Elder Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578437489 PECOS PAC ID: 2567939572 Enrollment ID: I20260428001051 |
| Provider Name | David Niumatalolo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1598298267 PECOS PAC ID: 7416203732 Enrollment ID: I20260429000421 |
| Provider Name | Eleaine Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750037073 PECOS PAC ID: 1850786609 Enrollment ID: I20260429002981 |
| Provider Name | Andrew R Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033852249 PECOS PAC ID: 1850831595 Enrollment ID: I20260504007405 |
| Provider Name | Robert Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498684 PECOS PAC ID: 1254619208 Enrollment ID: I20260505002563 |
| Provider Name | Huri Guadarrama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871266874 PECOS PAC ID: 7315321452 Enrollment ID: I20260514000082 |
| Provider Name | Karen Checketts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114336617 PECOS PAC ID: 2668808866 Enrollment ID: I20260514001401 |
| Provider Name | Cassidy Bogard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831930700 PECOS PAC ID: 2264901222 Enrollment ID: I20260519003341 |
| Provider Name | Alexis Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598616658 PECOS PAC ID: 6608345665 Enrollment ID: I20260519003464 |
| Provider Name | Marie Bird |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487385712 PECOS PAC ID: 6406372648 Enrollment ID: I20260520000230 |
| Provider Name | Camille Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225586746 PECOS PAC ID: 1456821875 Enrollment ID: I20260527002828 |
| Provider Name | Viki Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184124703 PECOS PAC ID: 5597029520 Enrollment ID: I20260602004598 |
| Provider Name | Jason Allen Burge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699650424 PECOS PAC ID: 2567933104 Enrollment ID: I20260604003428 |
| Provider Name | Katherine Erickson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003482068 PECOS PAC ID: 7012317506 Enrollment ID: I20260604003703 |
| Provider Name | Preston James Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205795424 PECOS PAC ID: 1052882552 Enrollment ID: I20260605001038 |
| Provider Name | Lin Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063640217 PECOS PAC ID: 9335436013 Enrollment ID: I20260619000609 |
| Provider Name | Blair Rhodehouse |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265892426 PECOS PAC ID: 5890124556 Enrollment ID: I20260623004303 |
Vernon K. Liu MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 E 9400 S, Suite 102, Sandy, UT 84094 Phone: 801-576-1118 Fax: 801-576-1221 |
Direct Care Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 E 9400 S Ste 100, Sandy, UT 84093 Phone: 385-463-2757 Fax: 385-488-0693 |
Michael Cobble MD Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9355 S 1300 E, Sandy, UT 84094 Phone: 801-572-1616 Fax: 801-572-3106 |
Scope Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 S Centennial Pkwy, Suite 235, Sandy, UT 84070 Phone: 801-568-4664 |
Utah Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way Ste B, Sandy, UT 84092 Phone: 801-619-9000 |
Gorang Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 S 1300 E, #e230, Sandy, UT 84094 Phone: 801-501-5610 |