| Banner Physician Specialists Arizona LLC | |
|
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | |
| (602) 747-4000 | |
| Not Available |
| Full Name | Banner Physician Specialists Arizona LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 N Central Ave Ste 160, Phoenix, Arizona |
| Authorized Official Name and Position | Shiva Birdi (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Physician Specialists Arizona LLC 1441 N 12th St Phoenix AZ 85006-2837 | Banner Physician Specialists Arizona LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 |
| NPI Number | 1821368218 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 06/24/2026 |
| Certification Date | 06/24/2026 |
| Medicare PECOS PAC ID | 6204002272 |
|---|---|
| Medicare Enrollment ID | O20111222000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821368218 | NPI | - | NPPES |
| 646505 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Michael V Koss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053365742 PECOS PAC ID: 8325942378 Enrollment ID: I20031124000501 |
| Provider Name | Mankanwal Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356307839 PECOS PAC ID: 4183527443 Enrollment ID: I20040202000763 |
| Provider Name | Antonio S Torloni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134102023 PECOS PAC ID: 7315835212 Enrollment ID: I20040310000675 |
| Provider Name | Douglas J Carlon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396704680 PECOS PAC ID: 6305736687 Enrollment ID: I20040318001662 |
| Provider Name | Bradley H White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376760926 PECOS PAC ID: 1153212675 Enrollment ID: I20040323001793 |
| Provider Name | Thomas T Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932149036 PECOS PAC ID: 0244223337 Enrollment ID: I20040405001634 |
| Provider Name | Abdul Nadir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780752907 PECOS PAC ID: 1557356425 Enrollment ID: I20040419001482 |
| Provider Name | Scott D Agran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053389957 PECOS PAC ID: 9032101738 Enrollment ID: I20040519000061 |
| Provider Name | Leslie a Welk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013938984 PECOS PAC ID: 6103817127 Enrollment ID: I20040519001009 |
| Provider Name | Michael P Simons |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881681534 PECOS PAC ID: 8729079223 Enrollment ID: I20040522000314 |
| Provider Name | Nadhiwan Sakarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528054913 PECOS PAC ID: 5193706414 Enrollment ID: I20040525000081 |
| Provider Name | Hamid H Rayani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033102991 PECOS PAC ID: 9931180023 Enrollment ID: I20040525001515 |
| Provider Name | Stephanie D Martinez Hawthorne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003872037 PECOS PAC ID: 8729069836 Enrollment ID: I20040525001630 |
| Provider Name | Edward H Charles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821097973 PECOS PAC ID: 4284615618 Enrollment ID: I20040601000205 |
| Provider Name | Miquel D Gomez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780611731 PECOS PAC ID: 5193707123 Enrollment ID: I20040604000063 |
| Provider Name | Hack J Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588647044 PECOS PAC ID: 5698751766 Enrollment ID: I20040629000118 |
| Provider Name | Juan E Morales |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700843463 PECOS PAC ID: 2668458746 Enrollment ID: I20040629000157 |
| Provider Name | Anupama Mathew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164620811 PECOS PAC ID: 6406834555 Enrollment ID: I20040713001480 |
| Provider Name | Lakshmi GB Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700963519 PECOS PAC ID: 3870572530 Enrollment ID: I20040715001332 |
| Provider Name | Deepa P Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750365094 PECOS PAC ID: 0648242735 Enrollment ID: I20040810000149 |
| Provider Name | Mark N Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821054081 PECOS PAC ID: 9436121316 Enrollment ID: I20040811000294 |
| Provider Name | Carlos Alvarado-valdes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396772356 PECOS PAC ID: 1850386988 Enrollment ID: I20040823001469 |
| Provider Name | Howard L Baxter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367938 PECOS PAC ID: 9032184981 Enrollment ID: I20040901001486 |
| Provider Name | James S Kort |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770523888 PECOS PAC ID: 2062488075 Enrollment ID: I20040909000909 |
| Provider Name | James P Jarvise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316940356 PECOS PAC ID: 0143297481 Enrollment ID: I20040915000559 |
| Provider Name | Rajeev S Kathuria |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871568048 PECOS PAC ID: 9436127149 Enrollment ID: I20040921000511 |
| Provider Name | Urszula H Kotlow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871692178 PECOS PAC ID: 2062481252 Enrollment ID: I20040924000645 |
| Provider Name | Gulabchand K Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114033875 PECOS PAC ID: 0143210542 Enrollment ID: I20040927001045 |
| Provider Name | Virender K Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932184918 PECOS PAC ID: 1355310178 Enrollment ID: I20040929000157 |
| Provider Name | Stephen W Ripple |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477528461 PECOS PAC ID: 1850350919 Enrollment ID: I20041005001187 |
| Provider Name | Kevin S Hirsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784849 PECOS PAC ID: 9133180474 Enrollment ID: I20041020001086 |
| Provider Name | Brian E Hertel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861491706 PECOS PAC ID: 4981666062 Enrollment ID: I20041101000607 |
| Provider Name | Mustari Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558322875 PECOS PAC ID: 5496710048 Enrollment ID: I20041123000816 |
| Provider Name | Sundeep S Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912931601 PECOS PAC ID: 0547226565 Enrollment ID: I20041201001046 |
| Provider Name | Ananya Das |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669457206 PECOS PAC ID: 9739145699 Enrollment ID: I20041202001021 |
| Provider Name | Amir R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841240728 PECOS PAC ID: 4880597160 Enrollment ID: I20050110001185 |
| Provider Name | Patricia a Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326015165 PECOS PAC ID: 5294784260 Enrollment ID: I20050117000408 |
| Provider Name | Joseph M Scoggin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144297250 PECOS PAC ID: 8426007253 Enrollment ID: I20050119000093 |
| Provider Name | Lawrence James Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124014758 PECOS PAC ID: 8729037403 Enrollment ID: I20050120000211 |
| Provider Name | Jed M Bayasi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538207238 PECOS PAC ID: 1951354075 Enrollment ID: I20050301000167 |
| Provider Name | Steven C Simon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982604708 PECOS PAC ID: 2961456140 Enrollment ID: I20050314000316 |
| Provider Name | Elizabeth O Westfall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558314799 PECOS PAC ID: 6608821608 Enrollment ID: I20050329000242 |
| Provider Name | Cynthia D Booth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215938022 PECOS PAC ID: 4284537804 Enrollment ID: I20050331001158 |
| Provider Name | Mohammed Alhassen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730140781 PECOS PAC ID: 5092752592 Enrollment ID: I20050415000635 |
| Provider Name | Brett a Roeder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134116700 PECOS PAC ID: 1850378407 Enrollment ID: I20050421000530 |
| Provider Name | Melanie D Deyoung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467406264 PECOS PAC ID: 4981644267 Enrollment ID: I20050505000724 |
| Provider Name | Feng Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871573246 PECOS PAC ID: 0547201501 Enrollment ID: I20050519000642 |
| Provider Name | Sharilyn M Dalton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902942758 PECOS PAC ID: 1052352960 Enrollment ID: I20050519001125 |
| Provider Name | Joseph L Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205822632 PECOS PAC ID: 2961447313 Enrollment ID: I20050627000067 |
| Provider Name | Nathan J Linstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689848590 PECOS PAC ID: 7416993555 Enrollment ID: I20050629000722 |
| Provider Name | Steven M Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215998901 PECOS PAC ID: 7719917657 Enrollment ID: I20050819000423 |
| Provider Name | Alina M Danciu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246285 PECOS PAC ID: 2365475274 Enrollment ID: I20050912001139 |
| Provider Name | Homan Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053371088 PECOS PAC ID: 5597798017 Enrollment ID: I20050915000297 |
| Provider Name | Ramanjit S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689669095 PECOS PAC ID: 4082630710 Enrollment ID: I20051021000097 |
| Provider Name | Vinita R Dodd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174624837 PECOS PAC ID: 1052338001 Enrollment ID: I20051028000398 |
| Provider Name | Paravasthu S Ramanujam |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1447286752 PECOS PAC ID: 2264450345 Enrollment ID: I20051107001106 |
| Provider Name | Sylvain Sidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700995586 PECOS PAC ID: 1658278890 Enrollment ID: I20051109001215 |
| Provider Name | Alexander Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336164656 PECOS PAC ID: 6800857954 Enrollment ID: I20051116000423 |
| Provider Name | Ashesh H Sanghvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336185685 PECOS PAC ID: 5193743102 Enrollment ID: I20051201000910 |
| Provider Name | Becky R Cooley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689627374 PECOS PAC ID: 4385665710 Enrollment ID: I20051214000041 |
| Provider Name | Jonathan J Goodman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902845134 PECOS PAC ID: 8325008758 Enrollment ID: I20051223000231 |
| Provider Name | Brynne a Livingston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487603106 PECOS PAC ID: 3678596772 Enrollment ID: I20060104000293 |
| Provider Name | Cecil C Vaughn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912904509 PECOS PAC ID: 8628061983 Enrollment ID: I20060110001071 |
| Provider Name | Jennifer M Maldonado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548226566 PECOS PAC ID: 4587688791 Enrollment ID: I20060113000876 |
| Provider Name | Dustin C Waite |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639119811 PECOS PAC ID: 2466467451 Enrollment ID: I20060213000343 |
| Provider Name | Sripathi Ramakrishna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598718892 PECOS PAC ID: 6103831953 Enrollment ID: I20060215000290 |
| Provider Name | Stanley J Goldberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346280443 PECOS PAC ID: 5799726915 Enrollment ID: I20060308000183 |
| Provider Name | Anthony D Santos |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144270059 PECOS PAC ID: 7911912993 Enrollment ID: I20060308000599 |
| Provider Name | Joseph B Dobrusin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457391559 PECOS PAC ID: 4082629050 Enrollment ID: I20060310000024 |
| Provider Name | Jagveer S Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548200728 PECOS PAC ID: 8426063405 Enrollment ID: I20060310000277 |
| Provider Name | Seema R Narayan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811937097 PECOS PAC ID: 2961417944 Enrollment ID: I20060310000486 |
| Provider Name | Misael Chaen Alonso |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1487603312 PECOS PAC ID: 2567479819 Enrollment ID: I20060313000274 |
| Provider Name | Mohammed T Alhammouri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649219270 PECOS PAC ID: 5496796526 Enrollment ID: I20060328000124 |
| Provider Name | Kumash R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548298425 PECOS PAC ID: 6901836741 Enrollment ID: I20060411000120 |
| Provider Name | Florin a Gaidici |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780686147 PECOS PAC ID: 1951311489 Enrollment ID: I20060428000141 |
| Provider Name | Gamal F Sidarous |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1699731802 PECOS PAC ID: 0042220063 Enrollment ID: I20060504000327 |
| Provider Name | Amy K Mccoy Sorensen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700828787 PECOS PAC ID: 3870596703 Enrollment ID: I20060815000407 |
| Provider Name | Jessie Miles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619983350 PECOS PAC ID: 3577566108 Enrollment ID: I20060821000130 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20060828000404 |
| Provider Name | Ruben Ramirez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346263316 PECOS PAC ID: 0143224048 Enrollment ID: I20060907000466 |
| Provider Name | Michael J Prebil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104875533 PECOS PAC ID: 6800809229 Enrollment ID: I20060911000094 |
| Provider Name | Mansur a Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770532020 PECOS PAC ID: 4587669908 Enrollment ID: I20060919000052 |
| Provider Name | Sanjay B Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003923491 PECOS PAC ID: 6103822952 Enrollment ID: I20061018000397 |
| Provider Name | Il-lyuck Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245254127 PECOS PAC ID: 3173520152 Enrollment ID: I20061106000119 |
| Provider Name | Ramon S Mourelo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528095262 PECOS PAC ID: 6901806603 Enrollment ID: I20070103000125 |
| Provider Name | Brijesh Bobba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326145210 PECOS PAC ID: 1254331978 Enrollment ID: I20070103000308 |
| Provider Name | Fnu Pranav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952327116 PECOS PAC ID: 5890795165 Enrollment ID: I20070110000510 |
| Provider Name | Rachel S Schwarz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013006451 PECOS PAC ID: 3577563691 Enrollment ID: I20070112000423 |
| Provider Name | David Podkameni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700967478 PECOS PAC ID: 7416958749 Enrollment ID: I20070129000600 |
| Provider Name | Dana M Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104851914 PECOS PAC ID: 1052313822 Enrollment ID: I20070207000290 |
| Provider Name | James M Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780662320 PECOS PAC ID: 8628170636 Enrollment ID: I20070222000144 |
| Provider Name | Debra S Wickman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407943939 PECOS PAC ID: 8426034992 Enrollment ID: I20070226000078 |
| Provider Name | Sandra M Kuniyoshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265590855 PECOS PAC ID: 7517869100 Enrollment ID: I20070305000493 |
| Provider Name | Aye Thandar Win |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245251941 PECOS PAC ID: 3173596772 Enrollment ID: I20070306000517 |
| Provider Name | Todd W Turley |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1437123775 PECOS PAC ID: 1658283700 Enrollment ID: I20070413000210 |
| Provider Name | Darcie M Groeper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407841166 PECOS PAC ID: 9830295856 Enrollment ID: I20070508000010 |
| Provider Name | Jeanine Lutgen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609936772 PECOS PAC ID: 9638159593 Enrollment ID: I20070521000272 |
| Provider Name | Emmanuel a Bayongan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003808668 PECOS PAC ID: 7911806567 Enrollment ID: I20070530000554 |
| Provider Name | Jodi a Sciandra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487871034 PECOS PAC ID: 3779681341 Enrollment ID: I20070605000346 |
| Provider Name | Albert Y Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922039601 PECOS PAC ID: 2567469190 Enrollment ID: I20070611000145 |
| Provider Name | Chad R Westphal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720128051 PECOS PAC ID: 5496846529 Enrollment ID: I20070803000400 |
| Provider Name | Alberto X Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487788998 PECOS PAC ID: 0446341408 Enrollment ID: I20070806000068 |
| Provider Name | Snehal G Thakkar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518160241 PECOS PAC ID: 1759472699 Enrollment ID: I20070808000027 |
| Provider Name | Christine E Edberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144438441 PECOS PAC ID: 8628169406 Enrollment ID: I20070808000460 |
| Provider Name | Shantipriya Siripurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740202860 PECOS PAC ID: 3274539176 Enrollment ID: I20070823000660 |
| Provider Name | Adedayo Onibokun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912941360 PECOS PAC ID: 8729171897 Enrollment ID: I20070905000541 |
| Provider Name | Rekha Kumari-agarwai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265443782 PECOS PAC ID: 5092819581 Enrollment ID: I20070907000165 |
| Provider Name | Stephanie C Byrum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083833602 PECOS PAC ID: 5799879102 Enrollment ID: I20070917000167 |
| Provider Name | Mason P Makdesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720281801 PECOS PAC ID: 3577657659 Enrollment ID: I20070920000042 |
| Provider Name | Andrew M Weinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053384834 PECOS PAC ID: 8123080546 Enrollment ID: I20071022000263 |
| Provider Name | Trent H Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336110576 PECOS PAC ID: 3971580002 Enrollment ID: I20071026000041 |
| Provider Name | Travis S Jensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659366342 PECOS PAC ID: 2668413865 Enrollment ID: I20071103000152 |
| Provider Name | Hal E Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831184563 PECOS PAC ID: 9234228339 Enrollment ID: I20071127000516 |
| Provider Name | April S Bass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164524211 PECOS PAC ID: 4385694694 Enrollment ID: I20071220000026 |
| Provider Name | Mark J Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083694061 PECOS PAC ID: 1850472564 Enrollment ID: I20080121000037 |
| Provider Name | Mohammad H Madantschi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710103023 PECOS PAC ID: 1456246990 Enrollment ID: I20080129000362 |
| Provider Name | John S Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386847598 PECOS PAC ID: 6901983220 Enrollment ID: I20080410000172 |
| Provider Name | Sandra M Roca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816918 PECOS PAC ID: 3678643723 Enrollment ID: I20080602000757 |
| Provider Name | Sohail M Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598758450 PECOS PAC ID: 1850462227 Enrollment ID: I20080612000810 |
| Provider Name | Charles M Garner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720186851 PECOS PAC ID: 3072426980 Enrollment ID: I20080624000139 |
| Provider Name | Shane M Daley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902883838 PECOS PAC ID: 7012089865 Enrollment ID: I20080710000516 |
| Provider Name | Lokesh Kumar Jha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245439223 PECOS PAC ID: 2668545245 Enrollment ID: I20080715000359 |
| Provider Name | Ipuole P Ogar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306039920 PECOS PAC ID: 6608948617 Enrollment ID: I20080721000686 |
| Provider Name | Susan C Horne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336343763 PECOS PAC ID: 3971678517 Enrollment ID: I20080818000167 |
| Provider Name | Sandra Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386685915 PECOS PAC ID: 6204901846 Enrollment ID: I20080818000208 |
| Provider Name | Satyavathi Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821082256 PECOS PAC ID: 6901979301 Enrollment ID: I20080822000083 |
| Provider Name | Grant D Padley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144372657 PECOS PAC ID: 4789759879 Enrollment ID: I20080825000535 |
| Provider Name | Abrar U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043205297 PECOS PAC ID: 8426009218 Enrollment ID: I20080827000093 |
| Provider Name | Allison M Peckumn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023230778 PECOS PAC ID: 0244306231 Enrollment ID: I20080827000175 |
| Provider Name | Adebowale O Oyelakin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528234374 PECOS PAC ID: 9830265271 Enrollment ID: I20080909000024 |
| Provider Name | Martin J Benoit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669429320 PECOS PAC ID: 3173604899 Enrollment ID: I20080909000506 |
| Provider Name | Anita Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699980318 PECOS PAC ID: 2961560859 Enrollment ID: I20081021000882 |
| Provider Name | Pedro R Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184617961 PECOS PAC ID: 2769540442 Enrollment ID: I20081024000084 |
| Provider Name | Mohamad W Al-baghdadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790773844 PECOS PAC ID: 6204861693 Enrollment ID: I20081024000239 |
| Provider Name | Suzanne R Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376794446 PECOS PAC ID: 9739249723 Enrollment ID: I20081120000552 |
| Provider Name | Abeer a Duggal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417052325 PECOS PAC ID: 4385533702 Enrollment ID: I20081219000254 |
| Provider Name | Kevin M Fordell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417107822 PECOS PAC ID: 0749342772 Enrollment ID: I20081229000283 |
| Provider Name | Faiza a Laleka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538248042 PECOS PAC ID: 0345249884 Enrollment ID: I20090303000206 |
| Provider Name | Anantharam V Kalya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831167238 PECOS PAC ID: 4183652563 Enrollment ID: I20090423000732 |
| Provider Name | Theresa L Glonning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124095302 PECOS PAC ID: 9638229818 Enrollment ID: I20090609000616 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Julie Rachelle Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942480066 PECOS PAC ID: 2062564651 Enrollment ID: I20090713000170 |
| Provider Name | Nelson H Lim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366463168 PECOS PAC ID: 4385688233 Enrollment ID: I20090817000649 |
| Provider Name | John D Toth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780736348 PECOS PAC ID: 1153496484 Enrollment ID: I20090825000689 |
| Provider Name | Mark I Gimbel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235324518 PECOS PAC ID: 0840348892 Enrollment ID: I20090826000573 |
| Provider Name | Charles J Dolce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669675500 PECOS PAC ID: 7719073139 Enrollment ID: I20090901000000 |
| Provider Name | Rael Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124078548 PECOS PAC ID: 6709932858 Enrollment ID: I20090915000656 |
| Provider Name | Stacy L Libricz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740330901 PECOS PAC ID: 2365589561 Enrollment ID: I20091020000701 |
| Provider Name | Rajeev Lochan Achari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508817842 PECOS PAC ID: 8921010893 Enrollment ID: I20091113000501 |
| Provider Name | Vinay G Bangalore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295827400 PECOS PAC ID: 7315943180 Enrollment ID: I20091130000254 |
| Provider Name | Zarin B Kolia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295744811 PECOS PAC ID: 5597789818 Enrollment ID: I20100129000503 |
| Provider Name | Kelli M Fabela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588990345 PECOS PAC ID: 6709929896 Enrollment ID: I20100211000765 |
| Provider Name | Christy Renee Kutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699927822 PECOS PAC ID: 3072657071 Enrollment ID: I20100215000111 |
| Provider Name | Eeleen Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457463614 PECOS PAC ID: 0749281665 Enrollment ID: I20100316000164 |
| Provider Name | Jonathan Cary Landsman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548235146 PECOS PAC ID: 0547286007 Enrollment ID: I20100510000516 |
| Provider Name | Marc Rosen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194790188 PECOS PAC ID: 4880650225 Enrollment ID: I20100511000103 |
| Provider Name | Leslie a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740255181 PECOS PAC ID: 7214066455 Enrollment ID: I20100526000200 |
| Provider Name | Neha a Lacorte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669458972 PECOS PAC ID: 3375673171 Enrollment ID: I20100604000485 |
| Provider Name | Julie Slivinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427377381 PECOS PAC ID: 6103958897 Enrollment ID: I20100715000477 |
| Provider Name | Michael F Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114047040 PECOS PAC ID: 4082769088 Enrollment ID: I20100715001054 |
| Provider Name | Bernadette R Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093035016 PECOS PAC ID: 8022141266 Enrollment ID: I20100809000489 |
| Provider Name | Catherine C Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215084553 PECOS PAC ID: 2860526019 Enrollment ID: I20100810000837 |
| Provider Name | Malvinderjit Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730143165 PECOS PAC ID: 5294878476 Enrollment ID: I20100811000161 |
| Provider Name | Ahmed R Abouzeid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871619601 PECOS PAC ID: 9830223296 Enrollment ID: I20100820000248 |
| Provider Name | Steven I Zell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265610638 PECOS PAC ID: 0244385821 Enrollment ID: I20100825000392 |
| Provider Name | Tarang Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144372020 PECOS PAC ID: 4587703491 Enrollment ID: I20100825001017 |
| Provider Name | Le H Le |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326295593 PECOS PAC ID: 6204952187 Enrollment ID: I20100928001493 |
| Provider Name | Adeola Adelayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996907 PECOS PAC ID: 1557322641 Enrollment ID: I20101013000995 |
| Provider Name | Amir Etemad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295932408 PECOS PAC ID: 1850584467 Enrollment ID: I20101014001296 |
| Provider Name | Katherine E Mccuaig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467484659 PECOS PAC ID: 2567354939 Enrollment ID: I20101019000958 |
| Provider Name | Steve Chen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316924533 PECOS PAC ID: 6103802491 Enrollment ID: I20101021001327 |
| Provider Name | Andres Duque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487856696 PECOS PAC ID: 1951472976 Enrollment ID: I20101029000728 |
| Provider Name | Sarita Pal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831314087 PECOS PAC ID: 6204989064 Enrollment ID: I20101101000356 |
| Provider Name | Karen E Bjorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912920968 PECOS PAC ID: 6507052099 Enrollment ID: I20101123000619 |
| Provider Name | Mark a Knapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316256795 PECOS PAC ID: 1850587197 Enrollment ID: I20101129000223 |
| Provider Name | Sarrah M Mosher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912208869 PECOS PAC ID: 5890982094 Enrollment ID: I20101214001001 |
| Provider Name | Ahmed El Gengaihy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598960429 PECOS PAC ID: 1456549864 Enrollment ID: I20101229001167 |
| Provider Name | Alicia a Hollister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518261023 PECOS PAC ID: 0547459919 Enrollment ID: I20110117000139 |
| Provider Name | Philip T Ho |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760579718 PECOS PAC ID: 6901876291 Enrollment ID: I20110131000412 |
| Provider Name | Travis Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780879502 PECOS PAC ID: 0042374936 Enrollment ID: I20110216000610 |
| Provider Name | Darryl G Stein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1902828825 PECOS PAC ID: 5799828166 Enrollment ID: I20110216001223 |
| Provider Name | Robert S Kinkade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255360889 PECOS PAC ID: 9133032477 Enrollment ID: I20110311000658 |
| Provider Name | Melinda M Gutierrez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033427554 PECOS PAC ID: 3173705019 Enrollment ID: I20110314000467 |
| Provider Name | Nevra S King-logsdon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356496079 PECOS PAC ID: 9830372036 Enrollment ID: I20110325000270 |
| Provider Name | Theobald Jean Claude Minani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295947232 PECOS PAC ID: 9234312125 Enrollment ID: I20110330000962 |
| Provider Name | Neil Mody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033369665 PECOS PAC ID: 7214113620 Enrollment ID: I20110519000697 |
| Provider Name | Trevor R Thompson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568544088 PECOS PAC ID: 4385679620 Enrollment ID: I20110520000704 |
| Provider Name | Muhammad K Qadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528068269 PECOS PAC ID: 5496714461 Enrollment ID: I20110525000709 |
| Provider Name | Teodor C Pitea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710193016 PECOS PAC ID: 9638233406 Enrollment ID: I20110610000661 |
| Provider Name | Legesse L Mekonnen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023222619 PECOS PAC ID: 4688708803 Enrollment ID: I20110718000331 |
| Provider Name | Steven M Wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336330869 PECOS PAC ID: 3173654043 Enrollment ID: I20110722000603 |
| Provider Name | Krithiga Ganesh Babu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366771347 PECOS PAC ID: 2668642943 Enrollment ID: I20110823001070 |
| Provider Name | Shantanu Saraswat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700851094 PECOS PAC ID: 2365488574 Enrollment ID: I20110824000037 |
| Provider Name | Tomas Rivera-bonilla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881855294 PECOS PAC ID: 1850561820 Enrollment ID: I20110830000556 |
| Provider Name | Shayna C Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295976538 PECOS PAC ID: 9234282682 Enrollment ID: I20110915000622 |
| Provider Name | Jyotsna Rathee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861623019 PECOS PAC ID: 4880866326 Enrollment ID: I20111006000024 |
| Provider Name | Jessica S Byrdy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881970689 PECOS PAC ID: 3476726415 Enrollment ID: I20111107000800 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1215939566 PECOS PAC ID: 9537292693 Enrollment ID: I20111202000694 |
| Provider Name | Pritesh Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689876898 PECOS PAC ID: 1759412828 Enrollment ID: I20111206000249 |
| Provider Name | Richard V Rimkus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467427617 PECOS PAC ID: 0941477764 Enrollment ID: I20120119000474 |
| Provider Name | Robert G Shupe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811272297 PECOS PAC ID: 9032376314 Enrollment ID: I20120130000666 |
| Provider Name | Diane M Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285694299 PECOS PAC ID: 2062671068 Enrollment ID: I20120312000292 |
| Provider Name | Richard W Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710005426 PECOS PAC ID: 1951564186 Enrollment ID: I20120524000717 |
| Provider Name | Kristin M Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922829 PECOS PAC ID: 5890959118 Enrollment ID: I20120615000400 |
| Provider Name | Albert L Klaski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619132792 PECOS PAC ID: 1254596075 Enrollment ID: I20120629000151 |
| Provider Name | Abdulilah Arafeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821036583 PECOS PAC ID: 3072524198 Enrollment ID: I20120810000330 |
| Provider Name | Lisa N Reinertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346503117 PECOS PAC ID: 5294981825 Enrollment ID: I20120814000136 |
| Provider Name | Michael W Manning |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093919995 PECOS PAC ID: 2860548609 Enrollment ID: I20120823000153 |
| Provider Name | Rajesh Janardhanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174796239 PECOS PAC ID: 4183788201 Enrollment ID: I20120905000290 |
| Provider Name | Lachoa T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861727307 PECOS PAC ID: 9133376643 Enrollment ID: I20120905000467 |
| Provider Name | Nilda L Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215164389 PECOS PAC ID: 4981853322 Enrollment ID: I20121001000027 |
| Provider Name | Jayashree Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447450457 PECOS PAC ID: 5395837934 Enrollment ID: I20121016000184 |
| Provider Name | Basel Channis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982834594 PECOS PAC ID: 0345490736 Enrollment ID: I20121019000513 |
| Provider Name | Rose Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932463148 PECOS PAC ID: 0244480457 Enrollment ID: I20121024000850 |
| Provider Name | Mohd Jibreel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267156 PECOS PAC ID: 9436300209 Enrollment ID: I20121105000408 |
| Provider Name | Thomas D Shellenberger |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1730141391 PECOS PAC ID: 1052364734 Enrollment ID: I20121108000639 |
| Provider Name | Raniah Al Tamsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750328829 PECOS PAC ID: 3274539218 Enrollment ID: I20121120000267 |
| Provider Name | Brett Mayne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598017329 PECOS PAC ID: 5799937686 Enrollment ID: I20121128000132 |
| Provider Name | Prathab Devaraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073778064 PECOS PAC ID: 0446421929 Enrollment ID: I20130124000528 |
| Provider Name | Chukwuemeka E Oji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518114909 PECOS PAC ID: 1254500630 Enrollment ID: I20130128000551 |
| Provider Name | Yasmin Akhunji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790918738 PECOS PAC ID: 9335393180 Enrollment ID: I20130204000306 |
| Provider Name | Thomas O Wildes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154393791 PECOS PAC ID: 4486606738 Enrollment ID: I20130211000481 |
| Provider Name | Harmoni E Peebles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780951707 PECOS PAC ID: 6800053778 Enrollment ID: I20130214000143 |
| Provider Name | Mark W Moyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851373690 PECOS PAC ID: 0648374264 Enrollment ID: I20130225000366 |
| Provider Name | Karen T Pitman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972574663 PECOS PAC ID: 7416044425 Enrollment ID: I20130311000119 |
| Provider Name | Elizabeth Mcqueary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568702728 PECOS PAC ID: 0345487344 Enrollment ID: I20130510000602 |
| Provider Name | Akash Nabh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437325313 PECOS PAC ID: 9436217916 Enrollment ID: I20130604000420 |
| Provider Name | Jodi Deanne Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942543749 PECOS PAC ID: 5496993396 Enrollment ID: I20130605000377 |
| Provider Name | Madhuri Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649407206 PECOS PAC ID: 0547400038 Enrollment ID: I20130703000663 |
| Provider Name | David Whatcott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073859450 PECOS PAC ID: 3072753409 Enrollment ID: I20130709000332 |
| Provider Name | Justin Wayne Woodruff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851554216 PECOS PAC ID: 2860632973 Enrollment ID: I20130715000328 |
| Provider Name | Jonathan a Goit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083925721 PECOS PAC ID: 1850539834 Enrollment ID: I20130715000432 |
| Provider Name | Ravneet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306055173 PECOS PAC ID: 3375720030 Enrollment ID: I20130723000537 |
| Provider Name | Navaid a Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588739528 PECOS PAC ID: 4880595966 Enrollment ID: I20130807000802 |
| Provider Name | Tyler Collins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568631919 PECOS PAC ID: 2961644331 Enrollment ID: I20130814000583 |
| Provider Name | Shoma Bommena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952610966 PECOS PAC ID: 4183866270 Enrollment ID: I20130820001009 |
| Provider Name | Michael G Crincoli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497728372 PECOS PAC ID: 1557263878 Enrollment ID: I20130823000102 |
| Provider Name | Nina Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225349285 PECOS PAC ID: 1355584376 Enrollment ID: I20130823000416 |
| Provider Name | Abby --- Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841510120 PECOS PAC ID: 9234374299 Enrollment ID: I20130823000920 |
| Provider Name | Fadi M Khoury |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558708487 PECOS PAC ID: 1759524663 Enrollment ID: I20130826000004 |
| Provider Name | Emil T Graf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225231434 PECOS PAC ID: 0749461747 Enrollment ID: I20130826000487 |
| Provider Name | Ramon G Esteban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033418991 PECOS PAC ID: 5092984898 Enrollment ID: I20130906000187 |
| Provider Name | Kristen J Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619319753 PECOS PAC ID: 3274776471 Enrollment ID: I20130906000320 |
| Provider Name | Vanessa Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811157530 PECOS PAC ID: 3375787526 Enrollment ID: I20130910000517 |
| Provider Name | Sarath Bhimineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205157948 PECOS PAC ID: 8224272810 Enrollment ID: I20130920000754 |
| Provider Name | Patric J Sierzega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104166214 PECOS PAC ID: 6103060405 Enrollment ID: I20130925000958 |
| Provider Name | Janelle Jambrosic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235391368 PECOS PAC ID: 7911133079 Enrollment ID: I20131119001233 |
| Provider Name | Nimit K Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811155245 PECOS PAC ID: 8820140684 Enrollment ID: I20131231001856 |
| Provider Name | Neychelle Rocca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063645778 PECOS PAC ID: 6305095811 Enrollment ID: I20140116001702 |
| Provider Name | Ronaldo D Holgado |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801849468 PECOS PAC ID: 2567408735 Enrollment ID: I20140207001469 |
| Provider Name | Nathalie T Petein-alamshaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285928721 PECOS PAC ID: 9931339116 Enrollment ID: I20140310000405 |
| Provider Name | Jacqueline M Kienholz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649618356 PECOS PAC ID: 4688804735 Enrollment ID: I20140311001291 |
| Provider Name | Lorna a Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609298900 PECOS PAC ID: 4385875004 Enrollment ID: I20140322000245 |
| Provider Name | Aaron M Goldfaden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568685162 PECOS PAC ID: 6507951332 Enrollment ID: I20140404001241 |
| Provider Name | Vijayaratna Chockalingam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225299332 PECOS PAC ID: 3577786227 Enrollment ID: I20140527001018 |
| Provider Name | Chafeek Tomeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497970057 PECOS PAC ID: 1355505033 Enrollment ID: I20140625001499 |
| Provider Name | Harmeet S Narula |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487679668 PECOS PAC ID: 1557325362 Enrollment ID: I20140710000354 |
| Provider Name | Mohamed Teleb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750432035 PECOS PAC ID: 2668699521 Enrollment ID: I20140818000000 |
| Provider Name | David R Morales |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316248206 PECOS PAC ID: 2961620299 Enrollment ID: I20140828002068 |
| Provider Name | Mark a Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437382389 PECOS PAC ID: 6002035995 Enrollment ID: I20140908001419 |
| Provider Name | Yu-hsien Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922235530 PECOS PAC ID: 1658590476 Enrollment ID: I20140909002870 |
| Provider Name | Andri G Olafsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023092632 PECOS PAC ID: 3274569751 Enrollment ID: I20140925001445 |
| Provider Name | Sarah Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568864163 PECOS PAC ID: 3870713407 Enrollment ID: I20141002002436 |
| Provider Name | Joshua Tournas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407046329 PECOS PAC ID: 9436201837 Enrollment ID: I20141030001344 |
| Provider Name | Masood Hashmi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831100833 PECOS PAC ID: 7315929171 Enrollment ID: I20141118001342 |
| Provider Name | Arun Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336107994 PECOS PAC ID: 9133172042 Enrollment ID: I20141118002698 |
| Provider Name | Briana Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891197406 PECOS PAC ID: 9133441827 Enrollment ID: I20141208002250 |
| Provider Name | Briana L Silvestri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417351354 PECOS PAC ID: 2961725536 Enrollment ID: I20150107000582 |
| Provider Name | Brian David Elston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750784914 PECOS PAC ID: 9638493513 Enrollment ID: I20150124000013 |
| Provider Name | John H Udall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649477357 PECOS PAC ID: 5799839486 Enrollment ID: I20150131000177 |
| Provider Name | Tami Lynn Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751396 PECOS PAC ID: 1759608326 Enrollment ID: I20150318002161 |
| Provider Name | Alfonso G Ballesteros |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497957815 PECOS PAC ID: 4587717673 Enrollment ID: I20150319001512 |
| Provider Name | Courtney a Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336307495 PECOS PAC ID: 9830250307 Enrollment ID: I20150319002123 |
| Provider Name | Robert J Mcleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992193957 PECOS PAC ID: 0840519773 Enrollment ID: I20150427002465 |
| Provider Name | Hiep T Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962480616 PECOS PAC ID: 4688638828 Enrollment ID: I20150601002311 |
| Provider Name | Anne Donos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750771861 PECOS PAC ID: 6103147202 Enrollment ID: I20150601002747 |
| Provider Name | Roberto B Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003878125 PECOS PAC ID: 9537143672 Enrollment ID: I20150619001202 |
| Provider Name | Phillip E Richardson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629363072 PECOS PAC ID: 3577789338 Enrollment ID: I20150812006171 |
| Provider Name | Varun Monga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639457096 PECOS PAC ID: 0648402958 Enrollment ID: I20150812008689 |
| Provider Name | Helen C Hall |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1679908768 PECOS PAC ID: 3476868761 Enrollment ID: I20150814014757 |
| Provider Name | Jeffrey L Biehn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669637062 PECOS PAC ID: 8527204114 Enrollment ID: I20150922000516 |
| Provider Name | Loyd B Olson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306165733 PECOS PAC ID: 9133437932 Enrollment ID: I20150928002498 |
| Provider Name | Brandon Swezey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770969313 PECOS PAC ID: 3779891114 Enrollment ID: I20151005000259 |
| Provider Name | Layth Al-jashaami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255691895 PECOS PAC ID: 8022326297 Enrollment ID: I20151008000106 |
| Provider Name | Saurabh Jauhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558507707 PECOS PAC ID: 1355599820 Enrollment ID: I20151015000433 |
| Provider Name | Vanessa a Karie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396116992 PECOS PAC ID: 7810206257 Enrollment ID: I20151026000543 |
| Provider Name | Shaye E Harrel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487025086 PECOS PAC ID: 4688983026 Enrollment ID: I20151026000740 |
| Provider Name | Alexandria Nicole Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053782664 PECOS PAC ID: 2264741503 Enrollment ID: I20151027002244 |
| Provider Name | Kristi a Parkhurst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265803936 PECOS PAC ID: 6507176492 Enrollment ID: I20151104003038 |
| Provider Name | Jamie E Pardini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568479962 PECOS PAC ID: 8820005606 Enrollment ID: I20151104003236 |
| Provider Name | Shipra Maheshwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750642484 PECOS PAC ID: 1153562731 Enrollment ID: I20151105001964 |
| Provider Name | Amanda P Bertschman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023480688 PECOS PAC ID: 7214237411 Enrollment ID: I20151119001319 |
| Provider Name | Kresimira M Milas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1669572772 PECOS PAC ID: 2062411135 Enrollment ID: I20151201002569 |
| Provider Name | Farhoud Khosravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285874362 PECOS PAC ID: 3870761612 Enrollment ID: I20151230001065 |
| Provider Name | Jennifer Caramutti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306203674 PECOS PAC ID: 2769787043 Enrollment ID: I20160224001831 |
| Provider Name | Timothy J Meier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720015118 PECOS PAC ID: 3971516014 Enrollment ID: I20160317000032 |
| Provider Name | Mona Youssef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861468217 PECOS PAC ID: 7315161932 Enrollment ID: I20160512002451 |
| Provider Name | Brian S Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639142847 PECOS PAC ID: 2567606528 Enrollment ID: I20160602002068 |
| Provider Name | Olena L Grigutis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659739704 PECOS PAC ID: 5991096885 Enrollment ID: I20160623002131 |
| Provider Name | Hannah a Lawther |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467741025 PECOS PAC ID: 4486895885 Enrollment ID: I20160624000564 |
| Provider Name | Christina Chrisman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578832309 PECOS PAC ID: 9234421603 Enrollment ID: I20160705000774 |
| Provider Name | Jennifer Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851753404 PECOS PAC ID: 8527350776 Enrollment ID: I20160707001876 |
| Provider Name | William Stickney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588962211 PECOS PAC ID: 9537453642 Enrollment ID: I20160812001208 |
| Provider Name | Gina Marie Mathew |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366731358 PECOS PAC ID: 5698085660 Enrollment ID: I20160812001431 |
| Provider Name | Daniel Frederick Miller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972747376 PECOS PAC ID: 4880994482 Enrollment ID: I20160812002225 |
| Provider Name | Brett Christopher Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285087759 PECOS PAC ID: 7911292909 Enrollment ID: I20160830002144 |
| Provider Name | Rawad Mounzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154554236 PECOS PAC ID: 0840416038 Enrollment ID: I20160907002644 |
| Provider Name | Dipti R Jethani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936811 PECOS PAC ID: 8123315298 Enrollment ID: I20160919000717 |
| Provider Name | Jeff John Waknitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598115388 PECOS PAC ID: 2365739034 Enrollment ID: I20160922002796 |
| Provider Name | Dustin J Sepich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801109152 PECOS PAC ID: 1355653544 Enrollment ID: I20160928000347 |
| Provider Name | Janina J Carter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164977955 PECOS PAC ID: 3971890161 Enrollment ID: I20161003002216 |
| Provider Name | Ayla R Diamond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396196465 PECOS PAC ID: 8921396631 Enrollment ID: I20161012002981 |
| Provider Name | Brett Emery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275980435 PECOS PAC ID: 9739467937 Enrollment ID: I20161021001776 |
| Provider Name | Michael B Fallon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629163613 PECOS PAC ID: 0446313662 Enrollment ID: I20161025002568 |
| Provider Name | Haley E Kinzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083161087 PECOS PAC ID: 9537448568 Enrollment ID: I20161116000517 |
| Provider Name | Meliza Hio Salandanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851841605 PECOS PAC ID: 9830479344 Enrollment ID: I20161129001024 |
| Provider Name | Gopal K Kaza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306083936 PECOS PAC ID: 1052584885 Enrollment ID: I20161209001798 |
| Provider Name | Amadou Basiru Jallow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497299648 PECOS PAC ID: 8224319561 Enrollment ID: I20161229000381 |
| Provider Name | Paige Holyoak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023554805 PECOS PAC ID: 3375824550 Enrollment ID: I20161230000026 |
| Provider Name | Maheen Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144540477 PECOS PAC ID: 3577844687 Enrollment ID: I20170104001115 |
| Provider Name | Ian Crain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447518006 PECOS PAC ID: 2163705567 Enrollment ID: I20170209000767 |
| Provider Name | Michelle M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073961066 PECOS PAC ID: 2466735600 Enrollment ID: I20170213002129 |
| Provider Name | Andrew D Novak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124564000 PECOS PAC ID: 9830473628 Enrollment ID: I20170222001637 |
| Provider Name | Paul J Riesenman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831318195 PECOS PAC ID: 9739345372 Enrollment ID: I20170301001544 |
| Provider Name | Mahmoud Alsayed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215288568 PECOS PAC ID: 2466693783 Enrollment ID: I20170605001820 |
| Provider Name | Satinder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669761268 PECOS PAC ID: 8022386432 Enrollment ID: I20170607002063 |
| Provider Name | Madhuri Pulluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326480922 PECOS PAC ID: 0042441636 Enrollment ID: I20170620001272 |
| Provider Name | Carmen Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568901221 PECOS PAC ID: 6406124155 Enrollment ID: I20170621001361 |
| Provider Name | Jarrett Michael Leathem |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1205193109 PECOS PAC ID: 9739458332 Enrollment ID: I20170712003016 |
| Provider Name | Mohammad Islam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306286158 PECOS PAC ID: 3274803838 Enrollment ID: I20170714001792 |
| Provider Name | Broderick C Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396183158 PECOS PAC ID: 2264673862 Enrollment ID: I20170717003032 |
| Provider Name | Ian Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982863429 PECOS PAC ID: 0244491983 Enrollment ID: I20170724001028 |
| Provider Name | Mustafa Alani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689084774 PECOS PAC ID: 2567734072 Enrollment ID: I20170817003738 |
| Provider Name | Joseph Heller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467710293 PECOS PAC ID: 5395038137 Enrollment ID: I20170829001626 |
| Provider Name | Marybeth Barcome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144743071 PECOS PAC ID: 6507139680 Enrollment ID: I20170912002101 |
| Provider Name | Tania Jafary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902210131 PECOS PAC ID: 8426272451 Enrollment ID: I20170915001759 |
| Provider Name | Arash Koochek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477720472 PECOS PAC ID: 9830350891 Enrollment ID: I20171018001186 |
| Provider Name | Matthew Shannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851800049 PECOS PAC ID: 2769748094 Enrollment ID: I20171102001010 |
| Provider Name | Kristi Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458508 PECOS PAC ID: 9133485238 Enrollment ID: I20171106002159 |
| Provider Name | Dominic D Freeburg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407211808 PECOS PAC ID: 5395002810 Enrollment ID: I20171207002679 |
| Provider Name | Matthew J Steele |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407218860 PECOS PAC ID: 8224395793 Enrollment ID: I20171208001232 |
| Provider Name | Melissa Lynn Kingston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326557141 PECOS PAC ID: 5991063398 Enrollment ID: I20171212002063 |
| Provider Name | Staci E Broadwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467696419 PECOS PAC ID: 1254637747 Enrollment ID: I20171220003298 |
| Provider Name | Logan X Linarte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578087474 PECOS PAC ID: 3971861899 Enrollment ID: I20171226002025 |
| Provider Name | Tajdip Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144663949 PECOS PAC ID: 5698061869 Enrollment ID: I20180104000600 |
| Provider Name | Travis Kelner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578019261 PECOS PAC ID: 1254615172 Enrollment ID: I20180201002237 |
| Provider Name | Riva Israel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043735384 PECOS PAC ID: 6901167717 Enrollment ID: I20180219000389 |
| Provider Name | Emily Lash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578755450 PECOS PAC ID: 3476680182 Enrollment ID: I20180227002271 |
| Provider Name | Samuel James Varosky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215448519 PECOS PAC ID: 1658630017 Enrollment ID: I20180406002129 |
| Provider Name | Salim Ghorayeb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750632410 PECOS PAC ID: 2062664303 Enrollment ID: I20180507000618 |
| Provider Name | Vicki Sein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760775050 PECOS PAC ID: 1153600911 Enrollment ID: I20180702003337 |
| Provider Name | Brian H Hoang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437458239 PECOS PAC ID: 1658627500 Enrollment ID: I20180706001085 |
| Provider Name | David Gordon Currie |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811316490 PECOS PAC ID: 5496002578 Enrollment ID: I20180719004036 |
| Provider Name | Samuel L Ashby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598150492 PECOS PAC ID: 5496002495 Enrollment ID: I20180723001233 |
| Provider Name | Joshua David Hesson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427575422 PECOS PAC ID: 7214285352 Enrollment ID: I20180806001182 |
| Provider Name | Craig M Tambatamba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639667405 PECOS PAC ID: 3274882212 Enrollment ID: I20180823002436 |
| Provider Name | Daniel Anders Arrhenius |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205065893 PECOS PAC ID: 0648427971 Enrollment ID: I20180828002257 |
| Provider Name | Rashi K Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336394956 PECOS PAC ID: 2163578147 Enrollment ID: I20180829001760 |
| Provider Name | Tushar Acharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922313774 PECOS PAC ID: 3577866995 Enrollment ID: I20180906002801 |
| Provider Name | Olivia Y Hung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679862999 PECOS PAC ID: 3870844798 Enrollment ID: I20180914002755 |
| Provider Name | Siamac Yazdchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457746018 PECOS PAC ID: 1759632946 Enrollment ID: I20180927001319 |
| Provider Name | Alan Chih-chung Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417395799 PECOS PAC ID: 9638486798 Enrollment ID: I20181004000372 |
| Provider Name | Anil Minocha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356385561 PECOS PAC ID: 1052403888 Enrollment ID: I20181008001079 |
| Provider Name | Erik S Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912265869 PECOS PAC ID: 8426300658 Enrollment ID: I20181016002154 |
| Provider Name | Mustafa Nawaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245597475 PECOS PAC ID: 0446546014 Enrollment ID: I20181026001193 |
| Provider Name | Janette E Carrillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427547934 PECOS PAC ID: 2264776368 Enrollment ID: I20181130000083 |
| Provider Name | Christa L O'mara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003975012 PECOS PAC ID: 5092050450 Enrollment ID: I20181213001458 |
| Provider Name | Kelsey Nicole Wruble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851876577 PECOS PAC ID: 2062757123 Enrollment ID: I20181218000439 |
| Provider Name | Ethan Everlith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003391434 PECOS PAC ID: 1557607082 Enrollment ID: I20190103003273 |
| Provider Name | Rishi Kirit Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972794659 PECOS PAC ID: 8729148358 Enrollment ID: I20190104001864 |
| Provider Name | Aravind Sugumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124222716 PECOS PAC ID: 1153408075 Enrollment ID: I20190109000915 |
| Provider Name | Rong Rong Guo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104211705 PECOS PAC ID: 7315249273 Enrollment ID: I20190112000267 |
| Provider Name | Jordan M Vandenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609359215 PECOS PAC ID: 1153668793 Enrollment ID: I20190121001421 |
| Provider Name | Brooke E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293043 PECOS PAC ID: 9830437458 Enrollment ID: I20190206001870 |
| Provider Name | Lloyd Perino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215966296 PECOS PAC ID: 2062308703 Enrollment ID: I20190308001927 |
| Provider Name | Georgina Amaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215400478 PECOS PAC ID: 1850630724 Enrollment ID: I20190312000710 |
| Provider Name | Mya Tuesday Perkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942772728 PECOS PAC ID: 3971843327 Enrollment ID: I20190320003377 |
| Provider Name | Ashley Michelle Javech |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487118493 PECOS PAC ID: 0042552085 Enrollment ID: I20190423002502 |
| Provider Name | Stephanie L Terrill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861971590 PECOS PAC ID: 2961745161 Enrollment ID: I20190509001678 |
| Provider Name | Megan Milleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801245154 PECOS PAC ID: 7618200650 Enrollment ID: I20190606002493 |
| Provider Name | Amitoj Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053699447 PECOS PAC ID: 0840561221 Enrollment ID: I20190618001775 |
| Provider Name | Tien-ching Tammy Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041347 PECOS PAC ID: 4183958580 Enrollment ID: I20190618002661 |
| Provider Name | Krishna Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366913618 PECOS PAC ID: 0840524252 Enrollment ID: I20190618003333 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Luis S Nasiff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508840430 PECOS PAC ID: 2961307871 Enrollment ID: I20190716003197 |
| Provider Name | John Edward Tidwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184885519 PECOS PAC ID: 3971640897 Enrollment ID: I20190807000357 |
| Provider Name | Emily B Cova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952868309 PECOS PAC ID: 1850628934 Enrollment ID: I20190812004119 |
| Provider Name | Kambiz Kamrani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063755973 PECOS PAC ID: 0143557058 Enrollment ID: I20190814002600 |
| Provider Name | Meghan Elizabeth Maccleary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972921724 PECOS PAC ID: 3678823416 Enrollment ID: I20190816002591 |
| Provider Name | Christeen Marie Mcdannell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548631096 PECOS PAC ID: 5799095147 Enrollment ID: I20190903002501 |
| Provider Name | Peter T Mccunniff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760802565 PECOS PAC ID: 6002110129 Enrollment ID: I20190916000286 |
| Provider Name | Spencer Andersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295130961 PECOS PAC ID: 9739418740 Enrollment ID: I20190916003461 |
| Provider Name | Kirstyn Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720641657 PECOS PAC ID: 4183954175 Enrollment ID: I20190917003581 |
| Provider Name | Michael S Elson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891214300 PECOS PAC ID: 4981960903 Enrollment ID: I20191002001972 |
| Provider Name | Joseph Ross Beach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265997225 PECOS PAC ID: 1456682533 Enrollment ID: I20191004001227 |
| Provider Name | Kelsey Novak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427554732 PECOS PAC ID: 1456682434 Enrollment ID: I20191004001713 |
| Provider Name | Wade M Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992295000 PECOS PAC ID: 1052643285 Enrollment ID: I20191021003075 |
| Provider Name | Shawn Bush Yassine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609338755 PECOS PAC ID: 0446582092 Enrollment ID: I20191030003536 |
| Provider Name | Shawn Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851778708 PECOS PAC ID: 7214269810 Enrollment ID: I20191031001920 |
| Provider Name | Laura Vogel Abernathie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013274950 PECOS PAC ID: 2860766599 Enrollment ID: I20191106001722 |
| Provider Name | Jean Kuo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508158262 PECOS PAC ID: 6204077605 Enrollment ID: I20191114000682 |
| Provider Name | Nayla Jasmine Mansoor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225590375 PECOS PAC ID: 9931532785 Enrollment ID: I20191209001644 |
| Provider Name | Dara L Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114482486 PECOS PAC ID: 8820323801 Enrollment ID: I20191211003357 |
| Provider Name | Kelly Lynae Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760618730 PECOS PAC ID: 7214299627 Enrollment ID: I20191216000964 |
| Provider Name | Vanessa Lissette Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861033912 PECOS PAC ID: 4385078658 Enrollment ID: I20191218003106 |
| Provider Name | Mackenzie Ann Kelbel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124673272 PECOS PAC ID: 2062846033 Enrollment ID: I20191227001577 |
| Provider Name | Brenda Lea Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376997130 PECOS PAC ID: 5799078408 Enrollment ID: I20200127000500 |
| Provider Name | Viet Tran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235465311 PECOS PAC ID: 4587887666 Enrollment ID: I20200213003090 |
| Provider Name | Charlotte Petin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962059865 PECOS PAC ID: 3375970932 Enrollment ID: I20200221000582 |
| Provider Name | Brian Mccardel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942206768 PECOS PAC ID: 9739151051 Enrollment ID: I20200330003197 |
| Provider Name | Tyler Ray Vestal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851747687 PECOS PAC ID: 8921420332 Enrollment ID: I20200611002912 |
| Provider Name | Morgan R Zingsheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699129742 PECOS PAC ID: 5496048506 Enrollment ID: I20200616001405 |
| Provider Name | Joel Stary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780945113 PECOS PAC ID: 8022256916 Enrollment ID: I20200616003502 |
| Provider Name | Lakshmi Koripella |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538517628 PECOS PAC ID: 6507106309 Enrollment ID: I20200624003163 |
| Provider Name | Ryan Neeley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053738229 PECOS PAC ID: 6002182375 Enrollment ID: I20200730000395 |
| Provider Name | Jacob Duncan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740691641 PECOS PAC ID: 8325464241 Enrollment ID: I20200821001426 |
| Provider Name | Andrew J Rivara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760878219 PECOS PAC ID: 6800128414 Enrollment ID: I20200826002974 |
| Provider Name | Jon Alexander Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952714719 PECOS PAC ID: 9032488010 Enrollment ID: I20200827001878 |
| Provider Name | Sean Sitton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922410166 PECOS PAC ID: 3375769631 Enrollment ID: I20200901003009 |
| Provider Name | Blaine Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164045225 PECOS PAC ID: 6103243373 Enrollment ID: I20200902001584 |
| Provider Name | Abdul-qader Alarhayem |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053676049 PECOS PAC ID: 5799102737 Enrollment ID: I20200904001052 |
| Provider Name | Priya Rajdev |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265775944 PECOS PAC ID: 2668709684 Enrollment ID: I20200917002807 |
| Provider Name | Justin Horwitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528201670 PECOS PAC ID: 3274707476 Enrollment ID: I20200918001906 |
| Provider Name | Kevin Gerard Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669828232 PECOS PAC ID: 4688967326 Enrollment ID: I20201002000960 |
| Provider Name | Rafael Antonio Buerba Siller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245658707 PECOS PAC ID: 3173875549 Enrollment ID: I20201012001024 |
| Provider Name | Kenneth Perry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063031938 PECOS PAC ID: 8729408661 Enrollment ID: I20201015001080 |
| Provider Name | Katie M Ho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700405677 PECOS PAC ID: 4183044605 Enrollment ID: I20201021001795 |
| Provider Name | Stephanie M Alonso Bercel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457966640 PECOS PAC ID: 6103237136 Enrollment ID: I20201124001484 |
| Provider Name | Dushant Uppal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477757961 PECOS PAC ID: 6204009285 Enrollment ID: I20201130000626 |
| Provider Name | Lisa Jarnagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902288327 PECOS PAC ID: 2567709371 Enrollment ID: I20201210000250 |
| Provider Name | Stephanie Nicolai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790065282 PECOS PAC ID: 6608288949 Enrollment ID: I20201210002134 |
| Provider Name | Jason a Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669970778 PECOS PAC ID: 8022365816 Enrollment ID: I20201214000716 |
| Provider Name | Kayla Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900565 PECOS PAC ID: 6608289780 Enrollment ID: I20210111000070 |
| Provider Name | Brittany Callahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790258614 PECOS PAC ID: 6608117668 Enrollment ID: I20210119000382 |
| Provider Name | Joshua L Pringle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902162258 PECOS PAC ID: 9436387669 Enrollment ID: I20210126002845 |
| Provider Name | Matthew M Gannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285163246 PECOS PAC ID: 2365711488 Enrollment ID: I20210203000003 |
| Provider Name | Enrique Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285271445 PECOS PAC ID: 8729493986 Enrollment ID: I20210219002562 |
| Provider Name | Donna Rivera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881020402 PECOS PAC ID: 7214150283 Enrollment ID: I20210303000245 |
| Provider Name | Francia Izmir Day |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952876377 PECOS PAC ID: 0840606406 Enrollment ID: I20210304002548 |
| Provider Name | Neha Jain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386232502 PECOS PAC ID: 2163838624 Enrollment ID: I20210308001277 |
| Provider Name | Anne E Allbee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053762658 PECOS PAC ID: 1456769918 Enrollment ID: I20210421002216 |
| Provider Name | Margaret Kenan Comford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750335394 PECOS PAC ID: 3274941786 Enrollment ID: I20210422001570 |
| Provider Name | Dan Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710340070 PECOS PAC ID: 4486941499 Enrollment ID: I20210426000643 |
| Provider Name | Amanda Renee Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154901007 PECOS PAC ID: 3577972447 Enrollment ID: I20210505000789 |
| Provider Name | Julia Deen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578953097 PECOS PAC ID: 0941600985 Enrollment ID: I20210614002222 |
| Provider Name | Pawarid Techathaveewat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184088809 PECOS PAC ID: 7315348265 Enrollment ID: I20210629002363 |
| Provider Name | Wes Jonathan Arlein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770529240 PECOS PAC ID: 6901798214 Enrollment ID: I20210803002720 |
| Provider Name | John William Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417060328 PECOS PAC ID: 9537230792 Enrollment ID: I20210820002435 |
| Provider Name | Cassandra Prosise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518561117 PECOS PAC ID: 9931504388 Enrollment ID: I20210823002296 |
| Provider Name | Omar Nadhem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598022725 PECOS PAC ID: 0648584417 Enrollment ID: I20210824002488 |
| Provider Name | Anchit P Mehrotra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922494525 PECOS PAC ID: 5294005617 Enrollment ID: I20210825001203 |
| Provider Name | Simon Rozowsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902329295 PECOS PAC ID: 6305187345 Enrollment ID: I20210923002972 |
| Provider Name | Erin Jean Mcmanus-tomanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104425123 PECOS PAC ID: 5092126573 Enrollment ID: I20210927000176 |
| Provider Name | Joyce George |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669768842 PECOS PAC ID: 2668744798 Enrollment ID: I20211006002971 |
| Provider Name | Joseph Choppi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942775275 PECOS PAC ID: 8729326889 Enrollment ID: I20211019000683 |
| Provider Name | Lindsay a Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770168809 PECOS PAC ID: 8426446428 Enrollment ID: I20211025001420 |
| Provider Name | Elizabeth Ann Georlett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023781382 PECOS PAC ID: 9133517063 Enrollment ID: I20211026003574 |
| Provider Name | Stephanie Vermillion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629464144 PECOS PAC ID: 3779971601 Enrollment ID: I20211026003581 |
| Provider Name | Robert Tidwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073042297 PECOS PAC ID: 1052709474 Enrollment ID: I20211103002399 |
| Provider Name | Kelsi Kocmoud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770031403 PECOS PAC ID: 1759779135 Enrollment ID: I20211104001418 |
| Provider Name | Nathan Tirrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780358440 PECOS PAC ID: 9436548849 Enrollment ID: I20211104002965 |
| Provider Name | Karissa M Valles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639717325 PECOS PAC ID: 2466841770 Enrollment ID: I20211108000914 |
| Provider Name | Oscar Orlando Campuzano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629663133 PECOS PAC ID: 8921497256 Enrollment ID: I20211108001816 |
| Provider Name | Christiana Kachala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255977260 PECOS PAC ID: 9436587789 Enrollment ID: I20211129001043 |
| Provider Name | Nicole Otero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104204320 PECOS PAC ID: 0042600330 Enrollment ID: I20211130002182 |
| Provider Name | Matthew Michael Brewster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699909960 PECOS PAC ID: 1658591557 Enrollment ID: I20211130003146 |
| Provider Name | Emily Renda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003360231 PECOS PAC ID: 7113317371 Enrollment ID: I20211201002262 |
| Provider Name | Kristina Lyn Castor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740852078 PECOS PAC ID: 2961892849 Enrollment ID: I20211208002056 |
| Provider Name | Lashandra a Wilson-cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679236095 PECOS PAC ID: 6507257979 Enrollment ID: I20211217001696 |
| Provider Name | Jordan Leigh Trupo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720742703 PECOS PAC ID: 6709277114 Enrollment ID: I20211220000420 |
| Provider Name | Madison Page Boston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750938627 PECOS PAC ID: 8628469079 Enrollment ID: I20211220002102 |
| Provider Name | Lidia Ouk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598428518 PECOS PAC ID: 5294126454 Enrollment ID: I20211222001770 |
| Provider Name | Amanda J Edmond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770767683 PECOS PAC ID: 9133205354 Enrollment ID: I20220120001811 |
| Provider Name | Alexandra Briana Chimahusky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912667981 PECOS PAC ID: 1658763586 Enrollment ID: I20220126001400 |
| Provider Name | Jake Martinez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699295188 PECOS PAC ID: 4284058884 Enrollment ID: I20220210000623 |
| Provider Name | Christopher Toth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659479541 PECOS PAC ID: 1052385945 Enrollment ID: I20220211001454 |
| Provider Name | Mikaela Ariel Deans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109746 PECOS PAC ID: 1153715586 Enrollment ID: I20220301002589 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629688775 PECOS PAC ID: 7517366255 Enrollment ID: I20220304002051 |
| Provider Name | Rebecca M Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528730249 PECOS PAC ID: 0941694970 Enrollment ID: I20220308001390 |
| Provider Name | Ankur Janak Shukla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144457961 PECOS PAC ID: 3274927264 Enrollment ID: I20220309000790 |
| Provider Name | Kaylee a Paciora |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982139804 PECOS PAC ID: 2163791815 Enrollment ID: I20220315002853 |
| Provider Name | Jennifer Dee Tschetter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730526526 PECOS PAC ID: 0244625986 Enrollment ID: I20220316002702 |
| Provider Name | Justin Esterberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558494427 PECOS PAC ID: 7810982436 Enrollment ID: I20220317001676 |
| Provider Name | Ambar Matta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730474115 PECOS PAC ID: 6305168782 Enrollment ID: I20220426002778 |
| Provider Name | Youssef Soliman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700237476 PECOS PAC ID: 8224373675 Enrollment ID: I20220622001130 |
| Provider Name | Nayanna Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992175046 PECOS PAC ID: 1153630017 Enrollment ID: I20220627003518 |
| Provider Name | Andrew S Chung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750709036 PECOS PAC ID: 6507135332 Enrollment ID: I20220629001540 |
| Provider Name | Jalpa B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902257462 PECOS PAC ID: 7517259047 Enrollment ID: I20220629001616 |
| Provider Name | Molly B Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639604739 PECOS PAC ID: 6305116260 Enrollment ID: I20220701002383 |
| Provider Name | Brian P Strollo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417248121 PECOS PAC ID: 0446527931 Enrollment ID: I20220706003797 |
| Provider Name | Kristin N Oehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326609173 PECOS PAC ID: 3476885138 Enrollment ID: I20220707002937 |
| Provider Name | Jena Haviland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518317213 PECOS PAC ID: 6800276858 Enrollment ID: I20220707003048 |
| Provider Name | Brian Baird |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174012397 PECOS PAC ID: 0143628578 Enrollment ID: I20220708002923 |
| Provider Name | David J. Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942341912 PECOS PAC ID: 0244307601 Enrollment ID: I20220712002789 |
| Provider Name | Ruel Jaramillo Reyes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235662016 PECOS PAC ID: 4284985060 Enrollment ID: I20220720001571 |
| Provider Name | Brenton Albracht |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366896607 PECOS PAC ID: 5597052845 Enrollment ID: I20220721002123 |
| Provider Name | Danielle Elizabeth Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104237825 PECOS PAC ID: 5193059137 Enrollment ID: I20220727001369 |
| Provider Name | Ryan L Bieberle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295228724 PECOS PAC ID: 4284982117 Enrollment ID: I20220801001644 |
| Provider Name | Jordan K Sisto |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376031849 PECOS PAC ID: 9133472103 Enrollment ID: I20220816002507 |
| Provider Name | Shannon M Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396493789 PECOS PAC ID: 1254714629 Enrollment ID: I20220817002420 |
| Provider Name | Jeremy Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457732760 PECOS PAC ID: 0547677171 Enrollment ID: I20220817002738 |
| Provider Name | Nicholas Andrew Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679200158 PECOS PAC ID: 8921482738 Enrollment ID: I20220829000507 |
| Provider Name | Elena Marie Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831716059 PECOS PAC ID: 2163806811 Enrollment ID: I20220830003518 |
| Provider Name | Stephanie Myer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154985992 PECOS PAC ID: 5496139982 Enrollment ID: I20220901001019 |
| Provider Name | Robin Laurie Mcfarlane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003312273 PECOS PAC ID: 9234514035 Enrollment ID: I20220914003638 |
| Provider Name | Tyler J Pretzlaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841855871 PECOS PAC ID: 2466838305 Enrollment ID: I20220930000528 |
| Provider Name | Joseph F. Georges |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831516251 PECOS PAC ID: 6002225448 Enrollment ID: I20221008000327 |
| Provider Name | David H Savage |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063449080 PECOS PAC ID: 9931172525 Enrollment ID: I20221011001868 |
| Provider Name | Kevin J Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043204704 PECOS PAC ID: 4284607250 Enrollment ID: I20221020000118 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861927386 PECOS PAC ID: 5193076420 Enrollment ID: I20221021001945 |
| Provider Name | Kelly Leigh Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417303348 PECOS PAC ID: 9234421306 Enrollment ID: I20221028001165 |
| Provider Name | Adarsh Sai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467742940 PECOS PAC ID: 4789801176 Enrollment ID: I20221101000101 |
| Provider Name | Jaimie R Aguirre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891415253 PECOS PAC ID: 6305213968 Enrollment ID: I20221110001975 |
| Provider Name | Gautamy Chitiki Dhadham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649423708 PECOS PAC ID: 7618288044 Enrollment ID: I20221123002242 |
| Provider Name | Mohammad Zaidan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891930855 PECOS PAC ID: 2769610377 Enrollment ID: I20221209001950 |
| Provider Name | Allison B Suraci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285344713 PECOS PAC ID: 6507235645 Enrollment ID: I20221212001040 |
| Provider Name | Sameer Chopra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831630037 PECOS PAC ID: 4981024296 Enrollment ID: I20221214002675 |
| Provider Name | Ashley a Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710617261 PECOS PAC ID: 8325418098 Enrollment ID: I20221221003150 |
| Provider Name | Adam Thomas Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598474850 PECOS PAC ID: 3779955240 Enrollment ID: I20230209000951 |
| Provider Name | Amber Dawn Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154962439 PECOS PAC ID: 3173996212 Enrollment ID: I20230310000812 |
| Provider Name | Zachary Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427687953 PECOS PAC ID: 3678947215 Enrollment ID: I20230321002397 |
| Provider Name | Renee Teresa Oroc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386347508 PECOS PAC ID: 4981079803 Enrollment ID: I20230406002440 |
| Provider Name | Shannon Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164123725 PECOS PAC ID: 1355706565 Enrollment ID: I20230421002214 |
| Provider Name | Kaleigh Suhs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073951067 PECOS PAC ID: 5890088579 Enrollment ID: I20230427002192 |
| Provider Name | Abdullah K Al-arfaj |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780384875 PECOS PAC ID: 9335504943 Enrollment ID: I20230504001453 |
| Provider Name | John Michael Lowery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215945928 PECOS PAC ID: 7315217809 Enrollment ID: I20230515002864 |
| Provider Name | Natalia Nicole-baum Desrosiers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275248171 PECOS PAC ID: 6608232590 Enrollment ID: I20230518003136 |
| Provider Name | Kevin Zhao |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538545975 PECOS PAC ID: 3870950132 Enrollment ID: I20230601002256 |
| Provider Name | Kitae Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033188289 PECOS PAC ID: 0446217467 Enrollment ID: I20230602001753 |
| Provider Name | Audrey Percival |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558070896 PECOS PAC ID: 5597122135 Enrollment ID: I20230613001533 |
| Provider Name | Mario Lant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811651193 PECOS PAC ID: 4082072947 Enrollment ID: I20230626000104 |
| Provider Name | Jawad Arshad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548896483 PECOS PAC ID: 1658779939 Enrollment ID: I20230630001428 |
| Provider Name | Marwa Saleem |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871968198 PECOS PAC ID: 6709276850 Enrollment ID: I20230711001931 |
| Provider Name | Andrew Joe Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750962171 PECOS PAC ID: 7618336462 Enrollment ID: I20230711003108 |
| Provider Name | Darian E. Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699392761 PECOS PAC ID: 3577923523 Enrollment ID: I20230721001893 |
| Provider Name | Joel Robin Lane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578539482 PECOS PAC ID: 6002944162 Enrollment ID: I20230721002452 |
| Provider Name | Timothy Merrill Lund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306572318 PECOS PAC ID: 8022479781 Enrollment ID: I20230728000853 |
| Provider Name | Monica Therese Camou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235831405 PECOS PAC ID: 6901268762 Enrollment ID: I20230811000601 |
| Provider Name | Bruce M Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326110743 PECOS PAC ID: 4981937570 Enrollment ID: I20230815003957 |
| Provider Name | Justine Morgan Danielson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811600075 PECOS PAC ID: 4587027669 Enrollment ID: I20230823002232 |
| Provider Name | Aniket Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952938524 PECOS PAC ID: 4183087786 Enrollment ID: I20230830001254 |
| Provider Name | Derek Grady Lafarga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629697529 PECOS PAC ID: 4688096662 Enrollment ID: I20230901003243 |
| Provider Name | Sameh G Abuerreish |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447246202 PECOS PAC ID: 8527145671 Enrollment ID: I20230918000971 |
| Provider Name | Cole Michael Luby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740978352 PECOS PAC ID: 1557725066 Enrollment ID: I20230918002064 |
| Provider Name | Gerald Blake Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952476996 PECOS PAC ID: 3072694504 Enrollment ID: I20230928002443 |
| Provider Name | Alicia Moana Taase |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083104368 PECOS PAC ID: 8022462423 Enrollment ID: I20231003001898 |
| Provider Name | Aleja Armenta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306557137 PECOS PAC ID: 6608221809 Enrollment ID: I20231009000249 |
| Provider Name | Danielle Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659153070 PECOS PAC ID: 5395192538 Enrollment ID: I20231109003364 |
| Provider Name | Wan Pui Agnes Cheung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710769880 PECOS PAC ID: 2264880947 Enrollment ID: I20231120001874 |
| Provider Name | Sahil Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174956890 PECOS PAC ID: 1658604400 Enrollment ID: I20231130002168 |
| Provider Name | Tisha Kaur Chadha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161253 PECOS PAC ID: 7315395142 Enrollment ID: I20231204003360 |
| Provider Name | Ojas Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467766410 PECOS PAC ID: 2769702406 Enrollment ID: I20240110000029 |
| Provider Name | Lauren Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376921023 PECOS PAC ID: 3678851557 Enrollment ID: I20240118000822 |
| Provider Name | Sarah S Devitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942075387 PECOS PAC ID: 2567805039 Enrollment ID: I20240212003242 |
| Provider Name | Hannah Owen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588229728 PECOS PAC ID: 7113310228 Enrollment ID: I20240215002914 |
| Provider Name | Logan Dale Hatton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508516584 PECOS PAC ID: 6305280801 Enrollment ID: I20240222002720 |
| Provider Name | Brenda Tylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790381820 PECOS PAC ID: 7315382512 Enrollment ID: I20240227004404 |
| Provider Name | Michael Scott Hewitt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164489597 PECOS PAC ID: 0143126284 Enrollment ID: I20240301000117 |
| Provider Name | Raluca Szentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215719026 PECOS PAC ID: 5092151910 Enrollment ID: I20240313002484 |
| Provider Name | Christine Lorraine Ercoline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912769589 PECOS PAC ID: 3375989064 Enrollment ID: I20240318000093 |
| Provider Name | Paige Isabella Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386406650 PECOS PAC ID: 8123468022 Enrollment ID: I20240425001620 |
| Provider Name | Mazen N Zaher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447790761 PECOS PAC ID: 9931540168 Enrollment ID: I20240517003497 |
| Provider Name | Keely Rochelle Catanach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063261485 PECOS PAC ID: 3870035884 Enrollment ID: I20240605003874 |
| Provider Name | Fabiola Rodriguez Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952964728 PECOS PAC ID: 9931527702 Enrollment ID: I20240610002747 |
| Provider Name | Chad Mears |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477015584 PECOS PAC ID: 3971831579 Enrollment ID: I20240620000373 |
| Provider Name | Sarah Glinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588907190 PECOS PAC ID: 2163965682 Enrollment ID: I20240625000708 |
| Provider Name | Molly K. Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114767175 PECOS PAC ID: 8022551555 Enrollment ID: I20240625001273 |
| Provider Name | Kristine Lynn Vollmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407383896 PECOS PAC ID: 5597209544 Enrollment ID: I20240701002828 |
| Provider Name | Kristen M Barrett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538455704 PECOS PAC ID: 1153692090 Enrollment ID: I20240702002095 |
| Provider Name | Alison C. Aveson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497326193 PECOS PAC ID: 9335683226 Enrollment ID: I20240702003981 |
| Provider Name | Melinda Liptak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427482868 PECOS PAC ID: 7719112184 Enrollment ID: I20240711004470 |
| Provider Name | Sananthan Sivakanthan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235591207 PECOS PAC ID: 8022306653 Enrollment ID: I20240717001917 |
| Provider Name | Byungsoo Ko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285945295 PECOS PAC ID: 5799917431 Enrollment ID: I20240717004563 |
| Provider Name | Ryan a Richards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427149178 PECOS PAC ID: 9931131547 Enrollment ID: I20240723001146 |
| Provider Name | Kade Soren Mcquivey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730685009 PECOS PAC ID: 3375891856 Enrollment ID: I20240726003893 |
| Provider Name | Calla Elizabeth Valiquette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801597513 PECOS PAC ID: 2860930104 Enrollment ID: I20240816003053 |
| Provider Name | Maverick Charles Zietlow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912735879 PECOS PAC ID: 2668911553 Enrollment ID: I20240822004194 |
| Provider Name | Matthew Lorenc Soderlund |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003310970 PECOS PAC ID: 0244589075 Enrollment ID: I20240826003288 |
| Provider Name | David a Stidd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538368428 PECOS PAC ID: 3274755764 Enrollment ID: I20240903003958 |
| Provider Name | Danielle Feldhaus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972037067 PECOS PAC ID: 0941740799 Enrollment ID: I20240909001071 |
| Provider Name | Amanda TM Mesa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427548916 PECOS PAC ID: 7113316589 Enrollment ID: I20240911003181 |
| Provider Name | Halie Claiborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366285702 PECOS PAC ID: 9830630292 Enrollment ID: I20240925002287 |
| Provider Name | Deepti Bahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003098070 PECOS PAC ID: 8224283015 Enrollment ID: I20241007003016 |
| Provider Name | James Huddleston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457343196 PECOS PAC ID: 2961596853 Enrollment ID: I20241008003640 |
| Provider Name | Stuart Bergman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992859805 PECOS PAC ID: 4587608112 Enrollment ID: I20241011001638 |
| Provider Name | Kylie Marie Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992522452 PECOS PAC ID: 5496288664 Enrollment ID: I20241025002438 |
| Provider Name | Nicholas Paul Farina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447088851 PECOS PAC ID: 8224561089 Enrollment ID: I20241031002908 |
| Provider Name | Garin Brett Bergeson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245878172 PECOS PAC ID: 3779973490 Enrollment ID: I20241211004201 |
| Provider Name | Eric Charles Biedenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023861481 PECOS PAC ID: 0345776308 Enrollment ID: I20241213001560 |
| Provider Name | Tulasi S.K. Goriparthi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316355506 PECOS PAC ID: 0941549091 Enrollment ID: I20241218001213 |
| Provider Name | Amelia a Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347273 PECOS PAC ID: 9931341328 Enrollment ID: I20241218003565 |
| Provider Name | Samantha Jolene Mcroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073335378 PECOS PAC ID: 7517494057 Enrollment ID: I20241223002582 |
| Provider Name | Natachia Dingle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659187698 PECOS PAC ID: 7810424868 Enrollment ID: I20250102002553 |
| Provider Name | Curtis Schwartz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780646315 PECOS PAC ID: 4385822931 Enrollment ID: I20250103002845 |
| Provider Name | Abigail Clemons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538840798 PECOS PAC ID: 2567990880 Enrollment ID: I20250114001097 |
| Provider Name | Ruchit Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104358555 PECOS PAC ID: 7618214131 Enrollment ID: I20250115002815 |
| Provider Name | Hajra Motiwala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306212543 PECOS PAC ID: 2466761721 Enrollment ID: I20250119000055 |
| Provider Name | Claire Mcdaniel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700467958 PECOS PAC ID: 0749719540 Enrollment ID: I20250123001755 |
| Provider Name | Xiomara Leonor Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356166607 PECOS PAC ID: 7810427895 Enrollment ID: I20250205002980 |
| Provider Name | Rani Marie Noble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972370955 PECOS PAC ID: 8325578263 Enrollment ID: I20250207001386 |
| Provider Name | Austin Hansel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497578058 PECOS PAC ID: 5799215158 Enrollment ID: I20250214000111 |
| Provider Name | Emily Graham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316763584 PECOS PAC ID: 8628598737 Enrollment ID: I20250219003200 |
| Provider Name | Karlee J Krebs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063289049 PECOS PAC ID: 5799205837 Enrollment ID: I20250220000563 |
| Provider Name | Mi Jeong Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346073939 PECOS PAC ID: 9739609249 Enrollment ID: I20250226003444 |
| Provider Name | Mercy Kinyanjui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750198024 PECOS PAC ID: 5698296085 Enrollment ID: I20250228002758 |
| Provider Name | Akshit Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205256518 PECOS PAC ID: 7113220591 Enrollment ID: I20250310002644 |
| Provider Name | Edward J Sutliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972602563 PECOS PAC ID: 6507182136 Enrollment ID: I20250319002056 |
| Provider Name | Kevin Lee Mayor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801978986 PECOS PAC ID: 3870496664 Enrollment ID: I20250327002475 |
| Provider Name | Jordan Gabbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992500060 PECOS PAC ID: 3375066475 Enrollment ID: I20250331000324 |
| Provider Name | Brienna K Chamberlain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558137190 PECOS PAC ID: 6800319831 Enrollment ID: I20250331001249 |
| Provider Name | Daniel Richard Mayberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609455237 PECOS PAC ID: 0547660086 Enrollment ID: I20250404002200 |
| Provider Name | Tess Kisling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073337036 PECOS PAC ID: 9234653742 Enrollment ID: I20250407001117 |
| Provider Name | Ossiea Shytae Pink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881402576 PECOS PAC ID: 4587188990 Enrollment ID: I20250407003568 |
| Provider Name | Kelly Ann Ming |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023246915 PECOS PAC ID: 7214168251 Enrollment ID: I20250429001536 |
| Provider Name | Neil Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801081807 PECOS PAC ID: 6507993458 Enrollment ID: I20250430002725 |
| Provider Name | Johnathan Kirupakaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164089090 PECOS PAC ID: 5890214829 Enrollment ID: I20250522002192 |
| Provider Name | Levi Jon Lawry-shefchik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265165682 PECOS PAC ID: 4981135449 Enrollment ID: I20250523001658 |
| Provider Name | Steven Goldstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083722219 PECOS PAC ID: 0749272003 Enrollment ID: I20250528003598 |
| Provider Name | Robert Fakler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346541448 PECOS PAC ID: 0941562862 Enrollment ID: I20250603002063 |
| Provider Name | Jill Chokshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831829092 PECOS PAC ID: 6204347164 Enrollment ID: I20250617002938 |
| Provider Name | Ankur N Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003260274 PECOS PAC ID: 2567700503 Enrollment ID: I20250618002252 |
| Provider Name | Samantha Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730769993 PECOS PAC ID: 2860891207 Enrollment ID: I20250625001651 |
| Provider Name | Arpit Sothwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518309681 PECOS PAC ID: 9133420888 Enrollment ID: I20250625002192 |
| Provider Name | Ishan Rakeshkumar Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881257566 PECOS PAC ID: 7214265628 Enrollment ID: I20250625003211 |
| Provider Name | Danny Gabriel Robles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972124964 PECOS PAC ID: 2365865763 Enrollment ID: I20250709003945 |
| Provider Name | Corinne Maryssa Spires |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417695206 PECOS PAC ID: 4688052665 Enrollment ID: I20250717003643 |
| Provider Name | Zachary M White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831964394 PECOS PAC ID: 5193160539 Enrollment ID: I20250728001185 |
| Provider Name | Zachary Edward Sitton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528645249 PECOS PAC ID: 2961801345 Enrollment ID: I20250805002679 |
| Provider Name | Andrew Hiep Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194288688 PECOS PAC ID: 0547658312 Enrollment ID: I20250806004113 |
| Provider Name | Sandra Lynne Van Dyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194617696 PECOS PAC ID: 5698273555 Enrollment ID: I20250811000254 |
| Provider Name | Vibhatsu J Amin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821551128 PECOS PAC ID: 4284961194 Enrollment ID: I20250812001156 |
| Provider Name | Bernadette N White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013430289 PECOS PAC ID: 1759704224 Enrollment ID: I20250813001832 |
| Provider Name | Emily Diane Rapstine |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972920338 PECOS PAC ID: 7810202199 Enrollment ID: I20250818002904 |
| Provider Name | William Schlicklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083947006 PECOS PAC ID: 3476687062 Enrollment ID: I20250821000419 |
| Provider Name | Carlos Guillermo Soriano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619401114 PECOS PAC ID: 0143682922 Enrollment ID: I20250831000024 |
| Provider Name | Ammer Dbeis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326602947 PECOS PAC ID: 5698211076 Enrollment ID: I20250906000280 |
| Provider Name | Alizaman Nizarali Hirani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194510032 PECOS PAC ID: 3870095870 Enrollment ID: I20250908004243 |
| Provider Name | Karlee Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093602732 PECOS PAC ID: 8224533203 Enrollment ID: I20250923001599 |
| Provider Name | Jami Ann Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881400588 PECOS PAC ID: 8628574746 Enrollment ID: I20250929002123 |
| Provider Name | Shasta Elizabeth Henderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316383953 PECOS PAC ID: 2567762776 Enrollment ID: I20250930002320 |
| Provider Name | Morgan Starr Warren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821880139 PECOS PAC ID: 8527557065 Enrollment ID: I20251027001486 |
| Provider Name | An Lam Lawrence |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578958096 PECOS PAC ID: 3173949039 Enrollment ID: I20251028001448 |
| Provider Name | Meghan Maureen Fenske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386439354 PECOS PAC ID: 6103316765 Enrollment ID: I20251103004094 |
| Provider Name | Breanne Elizabeth Haddock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992478754 PECOS PAC ID: 9436547643 Enrollment ID: I20251106003621 |
| Provider Name | Zana Alattar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275190894 PECOS PAC ID: 2769805902 Enrollment ID: I20251112000302 |
| Provider Name | Bindhu Oommen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831345081 PECOS PAC ID: 7214170703 Enrollment ID: I20251114003102 |
| Provider Name | Mohit Girotra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952558983 PECOS PAC ID: 4981924883 Enrollment ID: I20251117003642 |
| Provider Name | Kristina Nicole Iott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528874229 PECOS PAC ID: 6608368253 Enrollment ID: I20251121002386 |
| Provider Name | Sara Marie Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154687580 PECOS PAC ID: 1153621735 Enrollment ID: I20251212003529 |
| Provider Name | Grant Charles Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255221073 PECOS PAC ID: 4082108329 Enrollment ID: I20251212003811 |
| Provider Name | Camelia Vilceanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225825060 PECOS PAC ID: 7315431400 Enrollment ID: I20251216002560 |
| Provider Name | Chloe R. Torres |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225744485 PECOS PAC ID: 9133593262 Enrollment ID: I20251218003297 |
| Provider Name | Dylan James Kertzie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265318224 PECOS PAC ID: 5294220083 Enrollment ID: I20251218003839 |
| Provider Name | Iluchukwu Godlyne Ulinwa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932940228 PECOS PAC ID: 7214423367 Enrollment ID: I20251229001630 |
| Provider Name | Keith Michael Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689467003 PECOS PAC ID: 3072009802 Enrollment ID: I20251231002659 |
| Provider Name | Abby Lynn Downs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871488825 PECOS PAC ID: 3870089451 Enrollment ID: I20260102003305 |
| Provider Name | Brian R Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386444990 PECOS PAC ID: 9234615121 Enrollment ID: I20260109003556 |
| Provider Name | Karly Alexis Koster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467313759 PECOS PAC ID: 9638656945 Enrollment ID: I20260116002126 |
| Provider Name | Itzel Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053977892 PECOS PAC ID: 7113253451 Enrollment ID: I20260128001752 |
| Provider Name | Zaid Alkaissy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285290445 PECOS PAC ID: 6103153770 Enrollment ID: I20260128003540 |
| Provider Name | Jennifer Rose Nucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447138714 PECOS PAC ID: 7517446586 Enrollment ID: I20260210001405 |
| Provider Name | Kelli Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902785785 PECOS PAC ID: 8921588773 Enrollment ID: I20260219001258 |
| Provider Name | Melissa Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215624002 PECOS PAC ID: 6406337625 Enrollment ID: I20260225004099 |
| Provider Name | Nicole Adrianne Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104702257 PECOS PAC ID: 9638650716 Enrollment ID: I20260226001566 |
| Provider Name | Nayla Fadi Gebara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801764576 PECOS PAC ID: 1355822446 Enrollment ID: I20260226001951 |
| Provider Name | Heidi Gabrielle Grodman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265299507 PECOS PAC ID: 4587145461 Enrollment ID: I20260227003272 |
| Provider Name | Rtika R Abraham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689803173 PECOS PAC ID: 1850534256 Enrollment ID: I20260331003824 |
| Provider Name | Zachery T Camacho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154160612 PECOS PAC ID: 5698291227 Enrollment ID: I20260401003731 |
| Provider Name | Amanda Widmar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124964424 PECOS PAC ID: 6305316233 Enrollment ID: I20260601002566 |
Richard A. Snider, MD, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 |
Kelly H. Roy, MD, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 |
My Family Doctor in the Valley PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 |
Deborah L Dykema DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 |
Scottsdale Housecall Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 |
Wings of Hope Medical Services, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 270, Phoenix, AZ 85029 Phone: 623-404-8505 Fax: 602-429-8475 |