| Banner-university Medical Group | |
|
2901 N Central Ave Phoenix AZ 85012-2700 | |
| (602) 747-4000 | |
| Not Available |
| Full Name | Banner-university Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 N Central Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Benjamin Schwartz (PRESIDENT) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner-university Medical Group 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | Banner-university Medical Group 2901 N Central Ave Phoenix AZ 85012-2700 Ph: (602) 747-4000 |
| NPI Number | 1508809427 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 04/20/2026 |
| Certification Date | 04/20/2026 |
| Medicare PECOS PAC ID | 7719899871 |
|---|---|
| Medicare Enrollment ID | O20031105000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508809427 | NPI | - | NPPES |
| CC6470 | Other | AZ | RAIL ROAD MEDICARE |
| 005638 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Craig Edward Hancock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982693693 PECOS PAC ID: 7517871940 Enrollment ID: I20031120000459 |
| Provider Name | John J Mcgill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649269424 PECOS PAC ID: 4587568613 Enrollment ID: I20031120000956 |
| Provider Name | Thuyngoc T Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669461521 PECOS PAC ID: 7911802103 Enrollment ID: I20031201000698 |
| Provider Name | Marvin K Tam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174512032 PECOS PAC ID: 6002711991 Enrollment ID: I20031204000128 |
| Provider Name | Stephanie Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629067244 PECOS PAC ID: 0840195574 Enrollment ID: I20031204001025 |
| Provider Name | Manoj Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972520708 PECOS PAC ID: 3274439013 Enrollment ID: I20031211000274 |
| Provider Name | Pamela J Chambers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922042936 PECOS PAC ID: 3577462290 Enrollment ID: I20031231000736 |
| Provider Name | Elizabeth B Juneman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982724308 PECOS PAC ID: 2668365925 Enrollment ID: I20040203000058 |
| Provider Name | Randy J Horwitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194790493 PECOS PAC ID: 1557252814 Enrollment ID: I20040324000752 |
| Provider Name | Todd W Altenbernd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841273356 PECOS PAC ID: 0345132288 Enrollment ID: I20040326000251 |
| Provider Name | Colleen K Cagno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245202720 PECOS PAC ID: 1658263017 Enrollment ID: I20040329001287 |
| Provider Name | Bradley S Lahet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851397582 PECOS PAC ID: 2466446562 Enrollment ID: I20040419000335 |
| Provider Name | Robin L Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184609182 PECOS PAC ID: 2163418484 Enrollment ID: I20040422000714 |
| Provider Name | Farshad M Shirazi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467452961 PECOS PAC ID: 5496742405 Enrollment ID: I20040429001136 |
| Provider Name | Setsuko K Chambers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801869300 PECOS PAC ID: 2961490891 Enrollment ID: I20040430001326 |
| Provider Name | David M Labiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235236795 PECOS PAC ID: 7719976133 Enrollment ID: I20040511000542 |
| Provider Name | Herbert J Tomaso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578552519 PECOS PAC ID: 5193715274 Enrollment ID: I20040512001530 |
| Provider Name | Denise J Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023007168 PECOS PAC ID: 8729078613 Enrollment ID: I20040513000675 |
| 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 D Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114005253 PECOS PAC ID: 4880599745 Enrollment ID: I20040521001165 |
| Provider Name | Peter Ott |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477578383 PECOS PAC ID: 1254322563 Enrollment ID: I20040524000865 |
| Provider Name | Stephanie D Martinez Hawthorne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003872037 PECOS PAC ID: 8729069836 Enrollment ID: I20040525001630 |
| Provider Name | Stephanie Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457492563 PECOS PAC ID: 4981687423 Enrollment ID: I20040608000191 |
| Provider Name | Akash S Taggarse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811063555 PECOS PAC ID: 9537055694 Enrollment ID: I20040614000474 |
| Provider Name | Jeffrey Thomas Maudlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811930423 PECOS PAC ID: 1052397130 Enrollment ID: I20040629000211 |
| Provider Name | Brent J Barber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487626222 PECOS PAC ID: 1557349586 Enrollment ID: I20040707001452 |
| Provider Name | Deborah a Fuchs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295747335 PECOS PAC ID: 4587644737 Enrollment ID: I20040720001291 |
| Provider Name | Craig a Hoover |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114905973 PECOS PAC ID: 3274513189 Enrollment ID: I20040721001639 |
| Provider Name | Daniel L Beskind |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699747337 PECOS PAC ID: 0648240788 Enrollment ID: I20040727001519 |
| Provider Name | Frederick R Stack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548256977 PECOS PAC ID: 9638149230 Enrollment ID: I20040730000095 |
| Provider Name | Kimberly M Rafacz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497710354 PECOS PAC ID: 8628049418 Enrollment ID: I20040804001313 |
| Provider Name | Clara N Curiel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033182381 PECOS PAC ID: 0244201986 Enrollment ID: I20040804001718 |
| Provider Name | Karyn B Kolman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427098516 PECOS PAC ID: 4587636766 Enrollment ID: I20040809000812 |
| Provider Name | Marc R Brandon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467431882 PECOS PAC ID: 3678546777 Enrollment ID: I20040817000717 |
| Provider Name | Scott Steven Berman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811004435 PECOS PAC ID: 3870568074 Enrollment ID: I20040831001157 |
| Provider Name | Howard L Baxter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053367938 PECOS PAC ID: 9032184981 Enrollment ID: I20040901001486 |
| Provider Name | Mihra Taljanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063584050 PECOS PAC ID: 4284601303 Enrollment ID: I20040916000573 |
| Provider Name | Stephen a Klotz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801995196 PECOS PAC ID: 3870561061 Enrollment ID: I20040924000575 |
| Provider Name | Yeong-hau H Lien |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356448815 PECOS PAC ID: 5890764005 Enrollment ID: I20040924000820 |
| Provider Name | John N Galgiani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154341055 PECOS PAC ID: 2062481286 Enrollment ID: I20040924000918 |
| Provider Name | Gulabchand K Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114033875 PECOS PAC ID: 0143210542 Enrollment ID: I20040927001045 |
| Provider Name | Karen L Weihs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376618991 PECOS PAC ID: 2860457298 Enrollment ID: I20041124000945 |
| Provider Name | Sydney a Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154403111 PECOS PAC ID: 6002874815 Enrollment ID: I20041227000723 |
| Provider Name | John J Nigro |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881707818 PECOS PAC ID: 0244290351 Enrollment ID: I20041229000188 |
| Provider Name | Robert N E French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093723637 PECOS PAC ID: 8820046956 Enrollment ID: I20050105000934 |
| Provider Name | Jerry Mccoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659397644 PECOS PAC ID: 6406804335 Enrollment ID: I20050107000344 |
| Provider Name | Kathy W Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629087143 PECOS PAC ID: 4688622194 Enrollment ID: I20050111000368 |
| Provider Name | Sally J Vetter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164457792 PECOS PAC ID: 2062301856 Enrollment ID: I20050120000123 |
| Provider Name | Ramesh Karra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891759452 PECOS PAC ID: 5698725851 Enrollment ID: I20050125000919 |
| Provider Name | Indu S Partha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194821165 PECOS PAC ID: 3678524972 Enrollment ID: I20050203000631 |
| Provider Name | Lois E Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932171386 PECOS PAC ID: 3274588397 Enrollment ID: I20050322000139 |
| Provider Name | Elizabeth O Westfall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558314799 PECOS PAC ID: 6608821608 Enrollment ID: I20050329000242 |
| Provider Name | Janet P Warner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992706774 PECOS PAC ID: 4486601358 Enrollment ID: I20050401001000 |
| Provider Name | Annette E Monterrosa Piercecchi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154347243 PECOS PAC ID: 1153370937 Enrollment ID: I20050421000460 |
| Provider Name | Richard V Chua |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356334528 PECOS PAC ID: 6507812146 Enrollment ID: I20050427001143 |
| Provider Name | Matthew B Gretzer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033184700 PECOS PAC ID: 8426023730 Enrollment ID: I20050428000285 |
| Provider Name | Penny Bowen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912996638 PECOS PAC ID: 7517938939 Enrollment ID: I20050428000901 |
| Provider Name | Chad D Viscusi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922172840 PECOS PAC ID: 7517902018 Enrollment ID: I20050624000763 |
| Provider Name | Steven Behr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538155072 PECOS PAC ID: 6507801859 Enrollment ID: I20050627001002 |
| Provider Name | Nathan J Linstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689848590 PECOS PAC ID: 7416993555 Enrollment ID: I20050629000722 |
| Provider Name | Martin E Weinand |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538234182 PECOS PAC ID: 8224074158 Enrollment ID: I20050630000957 |
| Provider Name | David S Sheinbein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316018674 PECOS PAC ID: 5890722839 Enrollment ID: I20050721000565 |
| Provider Name | Matthew R Offerdahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891750766 PECOS PAC ID: 2769383827 Enrollment ID: I20050825000349 |
| Provider Name | Rhetta B Yuill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215017496 PECOS PAC ID: 5395777809 Enrollment ID: I20050906000831 |
| Provider Name | Joshua Tucker Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841256476 PECOS PAC ID: 5698707750 Enrollment ID: I20050909000214 |
| Provider Name | Barbara E Pritchard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871674440 PECOS PAC ID: 3476588484 Enrollment ID: I20050928001044 |
| Provider Name | Myrka R Torres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144276205 PECOS PAC ID: 7214962737 Enrollment ID: I20051003000779 |
| Provider Name | Robert R Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821197112 PECOS PAC ID: 2466487996 Enrollment ID: I20051003000900 |
| Provider Name | Franz P Rischard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346272424 PECOS PAC ID: 6507881687 Enrollment ID: I20051007000392 |
| Provider Name | Miriam E Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861469389 PECOS PAC ID: 4587689351 Enrollment ID: I20051011000417 |
| Provider Name | Songsiri Chanvitayapongs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538125471 PECOS PAC ID: 4981621935 Enrollment ID: I20051028000382 |
| Provider Name | Kathryn R Sanderlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336219724 PECOS PAC ID: 5597782334 Enrollment ID: I20051031000743 |
| Provider Name | Raymond F Carmody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396757563 PECOS PAC ID: 7416976030 Enrollment ID: I20051114000348 |
| Provider Name | Duane C Whitaker |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1609847821 PECOS PAC ID: 5890715544 Enrollment ID: I20051128000343 |
| Provider Name | Edmund Krasinski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235166984 PECOS PAC ID: 6901849942 Enrollment ID: I20051205000254 |
| Provider Name | Ayad Agha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113903 PECOS PAC ID: 4789663998 Enrollment ID: I20060223000507 |
| Provider Name | Eric T Cable |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922068410 PECOS PAC ID: 4284640939 Enrollment ID: I20060303000622 |
| Provider Name | Jimmy Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720090764 PECOS PAC ID: 6204843683 Enrollment ID: I20060309000245 |
| Provider Name | Kevin L O'lena |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235157900 PECOS PAC ID: 1658388871 Enrollment ID: I20060314000184 |
| Provider Name | Robert Roy Mccarver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174595102 PECOS PAC ID: 9133026743 Enrollment ID: I20060425000503 |
| Provider Name | Jennifer H Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043259617 PECOS PAC ID: 8729098082 Enrollment ID: I20060501000675 |
| Provider Name | Gamal F Sidarous |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1699731802 PECOS PAC ID: 0042220063 Enrollment ID: I20060504000327 |
| Provider Name | Scott J Sherman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265486179 PECOS PAC ID: 8628089000 Enrollment ID: I20060523000146 |
| Provider Name | Tina M Hendrix |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962451039 PECOS PAC ID: 5092608406 Enrollment ID: I20060531000064 |
| Provider Name | Rachael L Adger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306806443 PECOS PAC ID: 1951312180 Enrollment ID: I20060531000237 |
| Provider Name | Celia P Valenzuela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568495281 PECOS PAC ID: 8628071156 Enrollment ID: I20060822000532 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20060828000404 |
| Provider Name | Quentin N Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366452799 PECOS PAC ID: 6002810173 Enrollment ID: I20060901000044 |
| Provider Name | Merlin C Lowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154383495 PECOS PAC ID: 6406851252 Enrollment ID: I20060928000626 |
| Provider Name | Amy Deborah Tempkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689692279 PECOS PAC ID: 8921003732 Enrollment ID: I20060929000517 |
| Provider Name | Kaoru R Goshima |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972554558 PECOS PAC ID: 3375548183 Enrollment ID: I20060929000523 |
| Provider Name | Kimberly D Gerhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427166826 PECOS PAC ID: 3577568112 Enrollment ID: I20061003000458 |
| Provider Name | Daniel Oscar Persky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285736033 PECOS PAC ID: 4880690478 Enrollment ID: I20061004000200 |
| Provider Name | Poornima Mukerji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952374845 PECOS PAC ID: 8224071097 Enrollment ID: I20061004000211 |
| Provider Name | Evelyn S Tiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083644173 PECOS PAC ID: 8921005604 Enrollment ID: I20061024000068 |
| Provider Name | Dorothy L Gilbertson Dahdal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861574832 PECOS PAC ID: 3870591159 Enrollment ID: I20061121000187 |
| Provider Name | Michael O Daines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891744348 PECOS PAC ID: 5092715706 Enrollment ID: I20070103000196 |
| Provider Name | Cori L Daines |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285715417 PECOS PAC ID: 9133129844 Enrollment ID: I20070103000242 |
| Provider Name | Erika R Bracamonte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235294182 PECOS PAC ID: 1557362928 Enrollment ID: I20070127000027 |
| Provider Name | Samata Reddy Paidy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194739474 PECOS PAC ID: 7719909837 Enrollment ID: I20070201000649 |
| Provider Name | Sara R Perotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053484337 PECOS PAC ID: 8426150996 Enrollment ID: I20070301000506 |
| Provider Name | Fayez K Ghishan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144293960 PECOS PAC ID: 8921910001 Enrollment ID: I20070329000466 |
| Provider Name | Ghada Isaac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194727917 PECOS PAC ID: 8820061526 Enrollment ID: I20070330000072 |
| Provider Name | Laura H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851407662 PECOS PAC ID: 9739284308 Enrollment ID: I20070411000059 |
| Provider Name | Andreas a Theodorou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649343500 PECOS PAC ID: 4688771413 Enrollment ID: I20070514000069 |
| Provider Name | Wayne J Morgan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649295569 PECOS PAC ID: 1052396678 Enrollment ID: I20070514000112 |
| Provider Name | Emmanuel Katsanis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720053291 PECOS PAC ID: 2264539121 Enrollment ID: I20070530000066 |
| Provider Name | Patrick K Boyle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093787277 PECOS PAC ID: 1557469426 Enrollment ID: I20070531000502 |
| Provider Name | Alice a Min Simpkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821201872 PECOS PAC ID: 2961500756 Enrollment ID: I20070601000100 |
| Provider Name | Donald E Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841325552 PECOS PAC ID: 6709984412 Enrollment ID: I20070604000597 |
| Provider Name | Asjad Sardar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568500924 PECOS PAC ID: 3072611680 Enrollment ID: I20070605000658 |
| Provider Name | Robert B Cravens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497703276 PECOS PAC ID: 8527952449 Enrollment ID: I20070625000633 |
| Provider Name | Derek J Mitzel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477508232 PECOS PAC ID: 1557341906 Enrollment ID: I20070628000220 |
| Provider Name | Anna L Waterbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245308907 PECOS PAC ID: 4880793975 Enrollment ID: I20070702000267 |
| Provider Name | Laura E Meinke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467547034 PECOS PAC ID: 2567563612 Enrollment ID: I20070719000666 |
| Provider Name | Hillary Franke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245352624 PECOS PAC ID: 8527169671 Enrollment ID: I20070719000700 |
| Provider Name | Holly Beach |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1689879751 PECOS PAC ID: 3173624285 Enrollment ID: I20070725000053 |
| Provider Name | Tejo K Vemulapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013115492 PECOS PAC ID: 2466543533 Enrollment ID: I20070802000713 |
| Provider Name | Matthew Berkman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992739643 PECOS PAC ID: 2466478987 Enrollment ID: I20070802000724 |
| Provider Name | Caroline M Cranford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407069586 PECOS PAC ID: 6800987652 Enrollment ID: I20070808000151 |
| Provider Name | Cristian O Bratu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457464877 PECOS PAC ID: 7618889718 Enrollment ID: I20070810000276 |
| Provider Name | Ralph T Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548363070 PECOS PAC ID: 3274512819 Enrollment ID: I20070823000047 |
| Provider Name | Francisco a Moreno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780771295 PECOS PAC ID: 5991897878 Enrollment ID: I20070823000180 |
| Provider Name | Bernard M Morenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184711608 PECOS PAC ID: 3072605955 Enrollment ID: I20070823000186 |
| Provider Name | Richard D Lane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407953961 PECOS PAC ID: 1557453073 Enrollment ID: I20070828000647 |
| Provider Name | Sarah E Sullivan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205039468 PECOS PAC ID: 8123111739 Enrollment ID: I20070912000228 |
| Provider Name | Gregory L Desilva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770523656 PECOS PAC ID: 6103809959 Enrollment ID: I20070920000437 |
| Provider Name | Scott E Klewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992804280 PECOS PAC ID: 7810081528 Enrollment ID: I20070925000412 |
| Provider Name | Sairam Parthasarathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598877474 PECOS PAC ID: 7113957937 Enrollment ID: I20071008000359 |
| Provider Name | Swati B Kolpuru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487789848 PECOS PAC ID: 0042255507 Enrollment ID: I20071126000609 |
| Provider Name | Eric J Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720086507 PECOS PAC ID: 0547167108 Enrollment ID: I20071128000023 |
| Provider Name | Jonathan S Lowry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225251093 PECOS PAC ID: 4486734233 Enrollment ID: I20080107000024 |
| Provider Name | Alan D Bedrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528027323 PECOS PAC ID: 3678654761 Enrollment ID: I20080115000325 |
| Provider Name | Victoria R Fewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972588960 PECOS PAC ID: 3971592536 Enrollment ID: I20080204000293 |
| Provider Name | Vivian Taglianetti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780860965 PECOS PAC ID: 4284716838 Enrollment ID: I20080205000023 |
| Provider Name | Radha Selvar Gopalan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043280787 PECOS PAC ID: 5799731576 Enrollment ID: I20080226000747 |
| Provider Name | Paul R Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588771893 PECOS PAC ID: 8628152857 Enrollment ID: I20080227000387 |
| Provider Name | James H Mcclenathan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053498907 PECOS PAC ID: 1557447539 Enrollment ID: I20080401000310 |
| Provider Name | Carolyn B Stonemark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326186388 PECOS PAC ID: 8527145028 Enrollment ID: I20080408000772 |
| Provider Name | Hans R Bradshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346426244 PECOS PAC ID: 8022188572 Enrollment ID: I20080610000369 |
| Provider Name | Conrad J Clemens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104899566 PECOS PAC ID: 4981775129 Enrollment ID: I20080617000104 |
| Provider Name | Rachel E Swart |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801097266 PECOS PAC ID: 4688745797 Enrollment ID: I20080617000744 |
| Provider Name | Lawrence a Deluca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053501767 PECOS PAC ID: 2062583008 Enrollment ID: I20080618000305 |
| Provider Name | Mingwu Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841497765 PECOS PAC ID: 0648341685 Enrollment ID: I20080618000350 |
| Provider Name | Beth I Andresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992865737 PECOS PAC ID: 1850462631 Enrollment ID: I20080623000204 |
| Provider Name | Lisa R Stoneking |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962527499 PECOS PAC ID: 1355412156 Enrollment ID: I20080623000416 |
| Provider Name | Christian O Twiss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770505836 PECOS PAC ID: 0840296083 Enrollment ID: I20080709000571 |
| Provider Name | Karen B Lesser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922105485 PECOS PAC ID: 8224101803 Enrollment ID: I20080715000339 |
| Provider Name | Janiel M Cragun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811169485 PECOS PAC ID: 9335212927 Enrollment ID: I20080715000433 |
| Provider Name | Randall S Friese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104886357 PECOS PAC ID: 4587737176 Enrollment ID: I20080715000452 |
| Provider Name | Lynn M Coppola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609849017 PECOS PAC ID: 0446324909 Enrollment ID: I20080731000362 |
| Provider Name | Georg a Hishaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275734493 PECOS PAC ID: 9133293384 Enrollment ID: I20080806000069 |
| Provider Name | Emmanuel L Apostol |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1619085776 PECOS PAC ID: 2567536717 Enrollment ID: I20080806000104 |
| Provider Name | Roscoe Chan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891792941 PECOS PAC ID: 4789696774 Enrollment ID: I20080807000372 |
| Provider Name | Isaac J Farrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053587881 PECOS PAC ID: 2264507557 Enrollment ID: I20080821000168 |
| Provider Name | John Borrego |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780745539 PECOS PAC ID: 5294800389 Enrollment ID: I20080829000556 |
| Provider Name | Vijay H Chandiramani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104090125 PECOS PAC ID: 7214004217 Enrollment ID: I20080917000168 |
| Provider Name | Ralph Drosten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386743128 PECOS PAC ID: 7214837038 Enrollment ID: I20080917000231 |
| Provider Name | Eric S Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821245432 PECOS PAC ID: 1052488814 Enrollment ID: I20080919000124 |
| Provider Name | Luz O Pelayo-katsanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306094008 PECOS PAC ID: 2466520440 Enrollment ID: I20081003000342 |
| Provider Name | Patricia a Hiebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003071325 PECOS PAC ID: 5597833178 Enrollment ID: I20081009000295 |
| Provider Name | Shireen Jindani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285810598 PECOS PAC ID: 5991863235 Enrollment ID: I20081015000395 |
| Provider Name | Joseph M Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699863282 PECOS PAC ID: 5092874446 Enrollment ID: I20081030000420 |
| Provider Name | Sudeshna C Bose |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962414839 PECOS PAC ID: 1153480454 Enrollment ID: I20081031000120 |
| Provider Name | Rita Bhakta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821137530 PECOS PAC ID: 1355400912 Enrollment ID: I20081111000701 |
| Provider Name | Julie Mccrackin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962655506 PECOS PAC ID: 0143389643 Enrollment ID: I20081112000278 |
| Provider Name | Margaret E Trouard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366522526 PECOS PAC ID: 5193756138 Enrollment ID: I20081114000715 |
| Provider Name | Mary G Gaspers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285882985 PECOS PAC ID: 3870653207 Enrollment ID: I20081114000749 |
| Provider Name | Hossai Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679724538 PECOS PAC ID: 9234299660 Enrollment ID: I20081114000754 |
| Provider Name | Edward R Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891744306 PECOS PAC ID: 5991708240 Enrollment ID: I20081126000560 |
| Provider Name | Ravitharan Krishnadasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174538995 PECOS PAC ID: 0648379222 Enrollment ID: I20090105000276 |
| Provider Name | Nathaniel R Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083886212 PECOS PAC ID: 1850455023 Enrollment ID: I20090203000259 |
| Provider Name | Kenneth S Knox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154386118 PECOS PAC ID: 4981761137 Enrollment ID: I20090316000414 |
| Provider Name | Kelli J Yee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669613287 PECOS PAC ID: 4183773583 Enrollment ID: I20090513000631 |
| Provider Name | Marlon a Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487822516 PECOS PAC ID: 9638240195 Enrollment ID: I20090605000297 |
| Provider Name | Joshua E Appel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891956470 PECOS PAC ID: 7214087329 Enrollment ID: I20090611000375 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Thomas P Malan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487752846 PECOS PAC ID: 8820149644 Enrollment ID: I20090707000485 |
| Provider Name | Joshua B Gaither |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174706824 PECOS PAC ID: 3375619315 Enrollment ID: I20090713000673 |
| Provider Name | Amy N Sussman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215047337 PECOS PAC ID: 7911068523 Enrollment ID: I20090727000280 |
| Provider Name | Gregory D Novak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275511156 PECOS PAC ID: 4183602097 Enrollment ID: I20090727000625 |
| Provider Name | Heather a Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780859082 PECOS PAC ID: 9931252525 Enrollment ID: I20090729000661 |
| Provider Name | Joshua Malo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265630594 PECOS PAC ID: 2264585868 Enrollment ID: I20090729000707 |
| Provider Name | Rachel E Cramton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932326758 PECOS PAC ID: 6709930639 Enrollment ID: I20090812000325 |
| Provider Name | Suzanne K Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700087400 PECOS PAC ID: 1456452960 Enrollment ID: I20090812000520 |
| Provider Name | James J Yanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730372251 PECOS PAC ID: 4082768940 Enrollment ID: I20090812000646 |
| Provider Name | Veronica Ann Arteaga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043347578 PECOS PAC ID: 1951400258 Enrollment ID: I20090819000497 |
| Provider Name | Anil K Potharaju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740442532 PECOS PAC ID: 8729132030 Enrollment ID: I20090821000121 |
| Provider Name | Heather Cassell |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093700684 PECOS PAC ID: 6507936820 Enrollment ID: I20090821000192 |
| Provider Name | Martin Worrall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477532497 PECOS PAC ID: 0446246938 Enrollment ID: I20090902000134 |
| Provider Name | Kimberly K Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295906790 PECOS PAC ID: 6800961665 Enrollment ID: I20090908000521 |
| Provider Name | Lawrence D Buadu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942314463 PECOS PAC ID: 3678628930 Enrollment ID: I20090910000134 |
| Provider Name | Jordan L Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306906144 PECOS PAC ID: 6103999347 Enrollment ID: I20091013000151 |
| Provider Name | Melvin G Hector |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952382640 PECOS PAC ID: 5092851683 Enrollment ID: I20091013000355 |
| Provider Name | Jarrod M Mosier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407026230 PECOS PAC ID: 7911045042 Enrollment ID: I20091111000148 |
| Provider Name | Wayne S Kubal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669453247 PECOS PAC ID: 4385681386 Enrollment ID: I20091117000242 |
| Provider Name | Leonard D Latt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174745640 PECOS PAC ID: 5496827305 Enrollment ID: I20091119000640 |
| Provider Name | Marc R Matthews |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871533000 PECOS PAC ID: 0244379972 Enrollment ID: I20091209000256 |
| Provider Name | Holli a Horak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578592036 PECOS PAC ID: 6204895261 Enrollment ID: I20100122000239 |
| Provider Name | John B Leslie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952384026 PECOS PAC ID: 1951445352 Enrollment ID: I20100223000882 |
| Provider Name | Mindy a Black |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295065639 PECOS PAC ID: 4587709662 Enrollment ID: I20100301000172 |
| Provider Name | John T Ruth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588734065 PECOS PAC ID: 2860527744 Enrollment ID: I20100317000548 |
| Provider Name | Robin a Samlan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528090008 PECOS PAC ID: 4082740006 Enrollment ID: I20100330000273 |
| Provider Name | Julia H Indik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235104951 PECOS PAC ID: 0345376257 Enrollment ID: I20100330001209 |
| Provider Name | Noah M Tolby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427058924 PECOS PAC ID: 7012043714 Enrollment ID: I20100406000322 |
| Provider Name | John D Hughes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821063140 PECOS PAC ID: 6507993094 Enrollment ID: I20100414000446 |
| Provider Name | James a Warneke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871668483 PECOS PAC ID: 7012044506 Enrollment ID: I20100414000474 |
| Provider Name | Wendy Mccurdy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558332809 PECOS PAC ID: 1052448032 Enrollment ID: I20100422000920 |
| Provider Name | Jong H Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104923663 PECOS PAC ID: 1456488451 Enrollment ID: I20100422001144 |
| Provider Name | Sandra Kurtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700985009 PECOS PAC ID: 2668509456 Enrollment ID: I20100428000018 |
| Provider Name | Janet M Campion |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710968565 PECOS PAC ID: 6507994191 Enrollment ID: I20100430000523 |
| Provider Name | Shona T Dougherty |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124091368 PECOS PAC ID: 5890823413 Enrollment ID: I20100503000103 |
| Provider Name | Steve R Knoper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427157718 PECOS PAC ID: 3870621493 Enrollment ID: I20100503000128 |
| Provider Name | Linda L Garland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366416976 PECOS PAC ID: 3476681982 Enrollment ID: I20100504000343 |
| Provider Name | Baldassarre Stea |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003988247 PECOS PAC ID: 5991833402 Enrollment ID: I20100504000392 |
| Provider Name | Bruce M Coull |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629041942 PECOS PAC ID: 4789712290 Enrollment ID: I20100504000430 |
| Provider Name | Joseph S Alpert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265404446 PECOS PAC ID: 4385556463 Enrollment ID: I20100511000594 |
| Provider Name | Kevin F Moynahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619064003 PECOS PAC ID: 0143358234 Enrollment ID: I20100511000679 |
| Provider Name | Marvin J Slepian |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518039908 PECOS PAC ID: 0749318509 Enrollment ID: I20100514000646 |
| Provider Name | Victoria H Maizes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477651818 PECOS PAC ID: 1850429622 Enrollment ID: I20100514000759 |
| Provider Name | Maria C Bishop |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841202785 PECOS PAC ID: 9335278597 Enrollment ID: I20100526000430 |
| Provider Name | Randa M Kutob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326145889 PECOS PAC ID: 2567591720 Enrollment ID: I20100526000498 |
| Provider Name | Tamsen L Bassford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265404933 PECOS PAC ID: 1759410954 Enrollment ID: I20100526000878 |
| Provider Name | Wallace M Nogami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548350648 PECOS PAC ID: 7719017813 Enrollment ID: I20100616000882 |
| Provider Name | Albert B Fiorello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962475897 PECOS PAC ID: 1658402425 Enrollment ID: I20100623000868 |
| Provider Name | John a Guisto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003881798 PECOS PAC ID: 9739210162 Enrollment ID: I20100629000896 |
| Provider Name | Samuel M Keim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134194616 PECOS PAC ID: 7719018142 Enrollment ID: I20100629000916 |
| Provider Name | Jessica Moreno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881780609 PECOS PAC ID: 6709917982 Enrollment ID: I20100702000221 |
| Provider Name | Amy L Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699861450 PECOS PAC ID: 0345371530 Enrollment ID: I20100702000323 |
| Provider Name | Catherine M Spier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164594446 PECOS PAC ID: 1759412968 Enrollment ID: I20100703000028 |
| Provider Name | Lisa M Rimsza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477623023 PECOS PAC ID: 8921139130 Enrollment ID: I20100703000038 |
| Provider Name | Achyut K Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558372573 PECOS PAC ID: 9830220045 Enrollment ID: I20100703000041 |
| Provider Name | Richard E Sobonya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528130861 PECOS PAC ID: 0749311959 Enrollment ID: I20100703000042 |
| Provider Name | Harvey W Meislin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043301674 PECOS PAC ID: 7113058215 Enrollment ID: I20100707000316 |
| Provider Name | Andrew L Tang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962561605 PECOS PAC ID: 3072645043 Enrollment ID: I20100712000185 |
| Provider Name | Srikar R Adhikari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942236617 PECOS PAC ID: 1052348281 Enrollment ID: I20100714000815 |
| Provider Name | Michael F Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114047040 PECOS PAC ID: 4082769088 Enrollment ID: I20100715001054 |
| Provider Name | Timothy Bohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831271840 PECOS PAC ID: 6204968886 Enrollment ID: I20100716000653 |
| Provider Name | John C Sakles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558431924 PECOS PAC ID: 3870625361 Enrollment ID: I20100720000043 |
| Provider Name | Christopher O'neill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063406759 PECOS PAC ID: 0941333421 Enrollment ID: I20100804000605 |
| Provider Name | Susan K Hadley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437148533 PECOS PAC ID: 0840227211 Enrollment ID: I20100810001190 |
| Provider Name | Raul Galvez-trevino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033281878 PECOS PAC ID: 2365576261 Enrollment ID: I20100813000756 |
| Provider Name | Dale P Woolridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508925827 PECOS PAC ID: 8729112172 Enrollment ID: I20100820000131 |
| Provider Name | Frank G Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780759449 PECOS PAC ID: 1759415003 Enrollment ID: I20100823000383 |
| Provider Name | Adrienne a Yarnish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164631420 PECOS PAC ID: 7719001023 Enrollment ID: I20100824000076 |
| Provider Name | David S Nathalang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174847255 PECOS PAC ID: 7315061637 Enrollment ID: I20100824000236 |
| Provider Name | Bujji B Ainapurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952624868 PECOS PAC ID: 1153445382 Enrollment ID: I20100825000454 |
| Provider Name | Tarang Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144372020 PECOS PAC ID: 4587703491 Enrollment ID: I20100825001017 |
| Provider Name | Keli a Lawton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073827382 PECOS PAC ID: 9537283221 Enrollment ID: I20100902000004 |
| Provider Name | Ryan W Matika |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003148198 PECOS PAC ID: 9032233416 Enrollment ID: I20100908000396 |
| Provider Name | Joleen Marie Emami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124335666 PECOS PAC ID: 7517083884 Enrollment ID: I20100923000739 |
| Provider Name | Carie L Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326217845 PECOS PAC ID: 4789700659 Enrollment ID: I20100928001450 |
| Provider Name | Robert Orenstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174500565 PECOS PAC ID: 3971680190 Enrollment ID: I20101012001051 |
| Provider Name | Guihong Xu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164416632 PECOS PAC ID: 7214129923 Enrollment ID: I20101012001267 |
| Provider Name | Maria S Theodorou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427154590 PECOS PAC ID: 5799978219 Enrollment ID: I20101018000020 |
| Provider Name | Lisa M Dimenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013158195 PECOS PAC ID: 6002009966 Enrollment ID: I20101022001377 |
| Provider Name | Amanpreet S Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104064211 PECOS PAC ID: 4082808282 Enrollment ID: I20101102000306 |
| Provider Name | Joanna Katsanis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669448189 PECOS PAC ID: 1658567540 Enrollment ID: I20101117001370 |
| Provider Name | Eric W Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891752457 PECOS PAC ID: 0446248017 Enrollment ID: I20101210000955 |
| Provider Name | Luis Esparza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629034194 PECOS PAC ID: 3173711975 Enrollment ID: I20101221000415 |
| Provider Name | Michael a Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790741338 PECOS PAC ID: 3375731037 Enrollment ID: I20101221001218 |
| Provider Name | Marisa Menchola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134439961 PECOS PAC ID: 4981892429 Enrollment ID: I20101227000833 |
| Provider Name | Christopher G Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902060429 PECOS PAC ID: 2466641832 Enrollment ID: I20110117000129 |
| Provider Name | Bethany Bruzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477716942 PECOS PAC ID: 5597954974 Enrollment ID: I20110117000224 |
| Provider Name | Leslie Judith Pearl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699075549 PECOS PAC ID: 7810176096 Enrollment ID: I20110119001340 |
| Provider Name | Lucille K Mcelrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801114269 PECOS PAC ID: 6305025578 Enrollment ID: I20110120000932 |
| Provider Name | Jeffrey Rein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760460323 PECOS PAC ID: 0941483580 Enrollment ID: I20110321000140 |
| Provider Name | Glenn Islat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295715902 PECOS PAC ID: 0244413649 Enrollment ID: I20110322001069 |
| Provider Name | Bethany a Rowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922330349 PECOS PAC ID: 1557547213 Enrollment ID: I20110512000886 |
| Provider Name | Mindy J Fain |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780785246 PECOS PAC ID: 2163609264 Enrollment ID: I20110526000405 |
| Provider Name | Angelina M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023307881 PECOS PAC ID: 6305023391 Enrollment ID: I20110531000147 |
| Provider Name | Elizabeth a Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588850549 PECOS PAC ID: 4284811449 Enrollment ID: I20110615000815 |
| Provider Name | Quinlan D Amos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619149580 PECOS PAC ID: 1355519281 Enrollment ID: I20110720000812 |
| Provider Name | Hong Lei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487780284 PECOS PAC ID: 4880862721 Enrollment ID: I20110721000008 |
| Provider Name | James L Knepler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336105311 PECOS PAC ID: 0042270985 Enrollment ID: I20110721000012 |
| Provider Name | Richard Amini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538322250 PECOS PAC ID: 2567631419 Enrollment ID: I20110810000002 |
| Provider Name | Tara F Carr |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669634853 PECOS PAC ID: 7911176870 Enrollment ID: I20110810000023 |
| Provider Name | Krista a Sunderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791830 PECOS PAC ID: 8325217284 Enrollment ID: I20110810000091 |
| Provider Name | Sharon a Gregoire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528173267 PECOS PAC ID: 4981873593 Enrollment ID: I20110816000001 |
| Provider Name | Gordon E Carr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407030729 PECOS PAC ID: 9234323577 Enrollment ID: I20110818000930 |
| Provider Name | Saumil Kadakia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578685673 PECOS PAC ID: 7416089008 Enrollment ID: I20110824000483 |
| Provider Name | Hannah M Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154594000 PECOS PAC ID: 6608046834 Enrollment ID: I20110826000175 |
| Provider Name | Jolene C Hardy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225228901 PECOS PAC ID: 5698806966 Enrollment ID: I20110921000293 |
| Provider Name | Lynn M Gries |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780730309 PECOS PAC ID: 1254503279 Enrollment ID: I20111017000093 |
| Provider Name | Matthew Joseph Radelet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386611192 PECOS PAC ID: 8628241049 Enrollment ID: I20111101000098 |
| Provider Name | Audrey Heather Baker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528185501 PECOS PAC ID: 8628241676 Enrollment ID: I20111108000105 |
| Provider Name | Bruce E Stewart |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811974835 PECOS PAC ID: 9032384300 Enrollment ID: I20111214001059 |
| Provider Name | Tolga Turker |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1417104977 PECOS PAC ID: 0547436586 Enrollment ID: I20111222000206 |
| Provider Name | Hina Arif Tiwari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427334523 PECOS PAC ID: 3274709688 Enrollment ID: I20120106000553 |
| Provider Name | Todd M Alter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972763027 PECOS PAC ID: 0941476253 Enrollment ID: I20120106000630 |
| Provider Name | Julia B Jernberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548221450 PECOS PAC ID: 8022149053 Enrollment ID: I20120117000422 |
| Provider Name | Debra J Jur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366719205 PECOS PAC ID: 3375710726 Enrollment ID: I20120125000656 |
| Provider Name | Maria a Proytcheva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386644433 PECOS PAC ID: 7618876988 Enrollment ID: I20120131000943 |
| Provider Name | Melissa E Zukowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366641904 PECOS PAC ID: 3577722032 Enrollment ID: I20120302000329 |
| Provider Name | Vance Nielsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518991009 PECOS PAC ID: 3274679477 Enrollment ID: I20120306000582 |
| Provider Name | Boceifus O Medlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922379023 PECOS PAC ID: 1254590268 Enrollment ID: I20120312000386 |
| Provider Name | Jil C Tardiff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295810067 PECOS PAC ID: 6002909272 Enrollment ID: I20120319000685 |
| Provider Name | Suzanne Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750600466 PECOS PAC ID: 4981864428 Enrollment ID: I20120321000249 |
| Provider Name | Deven Kothari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962600270 PECOS PAC ID: 2961557202 Enrollment ID: I20120321000436 |
| Provider Name | Sayea Mae Salmeron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215252895 PECOS PAC ID: 2062544059 Enrollment ID: I20120410000185 |
| Provider Name | Brian P Tenelshof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679584387 PECOS PAC ID: 8325020159 Enrollment ID: I20120426000240 |
| Provider Name | Charles Hennemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548209539 PECOS PAC ID: 7012927700 Enrollment ID: I20120521000102 |
| Provider Name | Domingo L. Maynes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770795791 PECOS PAC ID: 3779747910 Enrollment ID: I20120619000516 |
| Provider Name | Afshin Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588836084 PECOS PAC ID: 1456428259 Enrollment ID: I20120709000004 |
| Provider Name | Kareem W Shehab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144414442 PECOS PAC ID: 5799943478 Enrollment ID: I20120709000013 |
| Provider Name | Jennifer M Parod |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700034741 PECOS PAC ID: 1153586631 Enrollment ID: I20120709000087 |
| Provider Name | Katherine E Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043584857 PECOS PAC ID: 4284899592 Enrollment ID: I20120711000166 |
| Provider Name | Bradley Aaron Dreifuss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487852281 PECOS PAC ID: 1850415704 Enrollment ID: I20120725000253 |
| Provider Name | Stephen G Howell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013170091 PECOS PAC ID: 6305002866 Enrollment ID: I20120727000288 |
| Provider Name | Tanya P Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215184114 PECOS PAC ID: 5193971448 Enrollment ID: I20120802000204 |
| Provider Name | Mohammad a Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861679441 PECOS PAC ID: 3577741479 Enrollment ID: I20120820001199 |
| Provider Name | Jennifer L Pappalardo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003141029 PECOS PAC ID: 6305093519 Enrollment ID: I20120823000196 |
| Provider Name | Jane M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711178 PECOS PAC ID: 9739336967 Enrollment ID: I20120823000345 |
| Provider Name | Brian S Drummond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538130786 PECOS PAC ID: 1153518212 Enrollment ID: I20120824000293 |
| Provider Name | Rajesh Janardhanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174796239 PECOS PAC ID: 4183788201 Enrollment ID: I20120905000290 |
| Provider Name | Anita Koshy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326237801 PECOS PAC ID: 3971577735 Enrollment ID: I20121017000486 |
| Provider Name | Jordana M Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740484112 PECOS PAC ID: 4789834920 Enrollment ID: I20121023000818 |
| Provider Name | Venessa S Saldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710232483 PECOS PAC ID: 4082865639 Enrollment ID: I20121108000418 |
| Provider Name | Brent a Anton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730433871 PECOS PAC ID: 2365694254 Enrollment ID: I20121128000210 |
| Provider Name | Merri Pendergrass |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376594846 PECOS PAC ID: 2769384981 Enrollment ID: I20121203000122 |
| Provider Name | Jerome F Koleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871763979 PECOS PAC ID: 8527132257 Enrollment ID: I20121205000104 |
| Provider Name | Cindy N Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326257411 PECOS PAC ID: 8729230388 Enrollment ID: I20121205000119 |
| Provider Name | Sheryl L Mcgrath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750357745 PECOS PAC ID: 8224043336 Enrollment ID: I20121227000354 |
| Provider Name | Aaron N Leetch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972767648 PECOS PAC ID: 5193979334 Enrollment ID: I20130215000511 |
| Provider Name | Cristine Oropez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154475614 PECOS PAC ID: 3577747963 Enrollment ID: I20130308000291 |
| Provider Name | Muhammad J Sethi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275762130 PECOS PAC ID: 5294970380 Enrollment ID: I20130320000310 |
| Provider Name | John B Christoforidis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801833447 PECOS PAC ID: 2264462811 Enrollment ID: I20130410000333 |
| Provider Name | Jimmy Youssef Saade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407065667 PECOS PAC ID: 9335210517 Enrollment ID: I20130617000613 |
| Provider Name | Anna C Nelson-moseke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518196443 PECOS PAC ID: 2769621903 Enrollment ID: I20130618000809 |
| Provider Name | Michael D Seckeler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568506186 PECOS PAC ID: 0143307645 Enrollment ID: I20130801000056 |
| Provider Name | Christine Desilva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417984808 PECOS PAC ID: 6800876947 Enrollment ID: I20130801000220 |
| Provider Name | Cameron Hypes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376862425 PECOS PAC ID: 0042452658 Enrollment ID: I20130812000214 |
| Provider Name | Nicola J Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881906931 PECOS PAC ID: 2567604614 Enrollment ID: I20130820000430 |
| Provider Name | Tasneem Manish Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790098242 PECOS PAC ID: 3476796335 Enrollment ID: I20130826000704 |
| Provider Name | Bijin Thajudeen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821252453 PECOS PAC ID: 2860635620 Enrollment ID: I20130826000803 |
| Provider Name | Allison D Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417269648 PECOS PAC ID: 7911140702 Enrollment ID: I20130826001098 |
| Provider Name | Dalia M Mikhael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750693925 PECOS PAC ID: 9830332550 Enrollment ID: I20130828000729 |
| Provider Name | Vivienne P NG |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831327584 PECOS PAC ID: 7517121544 Enrollment ID: I20130829000934 |
| Provider Name | Rajesh Kotagiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356653976 PECOS PAC ID: 9234372665 Enrollment ID: I20130903000761 |
| Provider Name | Janalee Gordon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275860082 PECOS PAC ID: 6901049360 Enrollment ID: I20130904000282 |
| Provider Name | Richard W Burt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558687822 PECOS PAC ID: 1153564554 Enrollment ID: I20130904000732 |
| Provider Name | David Aria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477794253 PECOS PAC ID: 2062655327 Enrollment ID: I20130905000662 |
| Provider Name | Neesann Puangsuvan Marietta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972834364 PECOS PAC ID: 9931343175 Enrollment ID: I20130910000334 |
| Provider Name | Mridula Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193885 PECOS PAC ID: 5890972640 Enrollment ID: I20130917000392 |
| Provider Name | Talal Moukabary |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679788418 PECOS PAC ID: 6103084124 Enrollment ID: I20131017000327 |
| Provider Name | Leslie L Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326474982 PECOS PAC ID: 8325273592 Enrollment ID: I20131023001433 |
| Provider Name | Janelle Jambrosic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235391368 PECOS PAC ID: 7911133079 Enrollment ID: I20131119001233 |
| Provider Name | Joao P Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649339490 PECOS PAC ID: 6305072349 Enrollment ID: I20131120002037 |
| Provider Name | Lauren Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982955415 PECOS PAC ID: 9032346523 Enrollment ID: I20131206001470 |
| Provider Name | Chian Kent Kwoh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730153131 PECOS PAC ID: 6709060841 Enrollment ID: I20131206001491 |
| Provider Name | Ali Raoof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699013649 PECOS PAC ID: 7012144504 Enrollment ID: I20131206001528 |
| Provider Name | Cheryl a Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477998508 PECOS PAC ID: 7618104456 Enrollment ID: I20131226000415 |
| Provider Name | Marek Lukacik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225170780 PECOS PAC ID: 2961508965 Enrollment ID: I20140121000841 |
| Provider Name | Irene a Laventure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821361973 PECOS PAC ID: 4486883865 Enrollment ID: I20140205000858 |
| Provider Name | Mohab M Ibrahim |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649433111 PECOS PAC ID: 0042464190 Enrollment ID: I20140210000230 |
| Provider Name | Jason E Curry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396059457 PECOS PAC ID: 3375775950 Enrollment ID: I20140414001003 |
| Provider Name | John Edwin Langer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497177232 PECOS PAC ID: 1850524042 Enrollment ID: I20140423001069 |
| Provider Name | Daniel Allen Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235427345 PECOS PAC ID: 7214150267 Enrollment ID: I20140521000784 |
| Provider Name | Ma Jessica M Gonzaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740605526 PECOS PAC ID: 9739302498 Enrollment ID: I20140527001107 |
| Provider Name | Marissa L Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730503855 PECOS PAC ID: 3476776170 Enrollment ID: I20140528000439 |
| Provider Name | Christian Bime |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952507279 PECOS PAC ID: 6709951908 Enrollment ID: I20140603002197 |
| Provider Name | Donna Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194144360 PECOS PAC ID: 3678797065 Enrollment ID: I20140604001253 |
| Provider Name | Sasha Taleban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720197577 PECOS PAC ID: 1759505134 Enrollment ID: I20140605001556 |
| Provider Name | Christopher M Prescott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629408281 PECOS PAC ID: 8224253711 Enrollment ID: I20140625000326 |
| Provider Name | Sachin Chaudhary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639341266 PECOS PAC ID: 6406920263 Enrollment ID: I20140626002661 |
| Provider Name | Iman Ghaderi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790069847 PECOS PAC ID: 7911171871 Enrollment ID: I20140708001224 |
| Provider Name | Robert F Hanna |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356503478 PECOS PAC ID: 3173748100 Enrollment ID: I20140708001814 |
| Provider Name | Sommer Aldulaimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194013813 PECOS PAC ID: 3577788108 Enrollment ID: I20140715001622 |
| Provider Name | Venkata R Rokkam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205123015 PECOS PAC ID: 9638395957 Enrollment ID: I20140723000609 |
| Provider Name | Jeffry C Maxwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790939502 PECOS PAC ID: 2163663659 Enrollment ID: I20140728002580 |
| Provider Name | Garrett S Pacheco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417235599 PECOS PAC ID: 7719104314 Enrollment ID: I20140805001670 |
| Provider Name | Tamim a Sultani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346446317 PECOS PAC ID: 1355582651 Enrollment ID: I20140806002264 |
| Provider Name | Nicholas B Hurst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730477308 PECOS PAC ID: 8729205125 Enrollment ID: I20140808000002 |
| Provider Name | Jennifer Jean Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790063832 PECOS PAC ID: 9830315365 Enrollment ID: I20140812002137 |
| Provider Name | Colin Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467615252 PECOS PAC ID: 5597982694 Enrollment ID: I20140813002669 |
| Provider Name | Lillian M Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255768693 PECOS PAC ID: 0648497636 Enrollment ID: I20140815000153 |
| Provider Name | Mohamed Teleb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750432035 PECOS PAC ID: 2668699521 Enrollment ID: I20140818000000 |
| Provider Name | Meenakshi Dagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558641340 PECOS PAC ID: 8224256912 Enrollment ID: I20140821000551 |
| Provider Name | Vinay Bandla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710134762 PECOS PAC ID: 5294953550 Enrollment ID: I20140827003023 |
| Provider Name | Rajesh K Prasad |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467627810 PECOS PAC ID: 0143448209 Enrollment ID: I20140902002246 |
| Provider Name | Toshinobu Kazui |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205174794 PECOS PAC ID: 3375771306 Enrollment ID: I20140909002859 |
| Provider Name | Nicholas J Stea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306157805 PECOS PAC ID: 4880813450 Enrollment ID: I20140912001021 |
| Provider Name | Manish Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548557275 PECOS PAC ID: 2062662588 Enrollment ID: I20140915001002 |
| Provider Name | Ernest R Vina |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588820484 PECOS PAC ID: 5294905782 Enrollment ID: I20140917001178 |
| Provider Name | Steven M Lampert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154315745 PECOS PAC ID: 3779568910 Enrollment ID: I20140918002418 |
| Provider Name | Ahmad Al-khashman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093095739 PECOS PAC ID: 1355560319 Enrollment ID: I20140924001246 |
| Provider Name | Gurusaravanan Kutti Sridharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497037253 PECOS PAC ID: 7214158336 Enrollment ID: I20141014002209 |
| Provider Name | Elizabeth K Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144535519 PECOS PAC ID: 5294976858 Enrollment ID: I20141024000615 |
| Provider Name | Mari a Ricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477500049 PECOS PAC ID: 6608819313 Enrollment ID: I20141024000812 |
| Provider Name | Randall Fortuna |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285607986 PECOS PAC ID: 6406810076 Enrollment ID: I20141030000024 |
| Provider Name | Connie Marie Bruch-harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184626194 PECOS PAC ID: 5193799963 Enrollment ID: I20141104000542 |
| Provider Name | Noshene E Ranjbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831373901 PECOS PAC ID: 8921320151 Enrollment ID: I20141125001313 |
| Provider Name | Sierra C Wolter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669707709 PECOS PAC ID: 3476875600 Enrollment ID: I20141125001342 |
| Provider Name | Matthew B Barker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528477403 PECOS PAC ID: 6305168360 Enrollment ID: I20141201002375 |
| Provider Name | Paul M Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831380013 PECOS PAC ID: 4082888540 Enrollment ID: I20141205001997 |
| Provider Name | Arvie May Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447655527 PECOS PAC ID: 9133441819 Enrollment ID: I20141208002209 |
| Provider Name | Eugene H Chang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073714887 PECOS PAC ID: 0941330047 Enrollment ID: I20141213000346 |
| Provider Name | Sarah W Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841578986 PECOS PAC ID: 2365765153 Enrollment ID: I20141231001646 |
| Provider Name | Esther J Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942408588 PECOS PAC ID: 0042462210 Enrollment ID: I20150106001149 |
| Provider Name | Andrew L Tang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962561605 PECOS PAC ID: 3072645043 Enrollment ID: I20150112000001 |
| Provider Name | Justin Edward Lovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184026155 PECOS PAC ID: 9830413954 Enrollment ID: I20150121000529 |
| Provider Name | Anna C Haakenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699170100 PECOS PAC ID: 7810211794 Enrollment ID: I20150124000010 |
| Provider Name | John M Heusinkveld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922082973 PECOS PAC ID: 6002718095 Enrollment ID: I20150128001625 |
| Provider Name | Matthew T Malone |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1912952136 PECOS PAC ID: 8426036625 Enrollment ID: I20150129002307 |
| Provider Name | Sean L Gibbons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528119559 PECOS PAC ID: 4981782125 Enrollment ID: I20150213000922 |
| Provider Name | Travis M Hibbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932507324 PECOS PAC ID: 1052637261 Enrollment ID: I20150306000230 |
| Provider Name | Charles C Hsu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033357991 PECOS PAC ID: 0446491815 Enrollment ID: I20150408002458 |
| Provider Name | Ann M Selsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174921704 PECOS PAC ID: 6204154370 Enrollment ID: I20150422000003 |
| Provider Name | Geetha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629366141 PECOS PAC ID: 5597084442 Enrollment ID: I20150428000611 |
| Provider Name | Robert C Harland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609931435 PECOS PAC ID: 4880737378 Enrollment ID: I20150513002477 |
| Provider Name | Jason Bradley Stanhibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668013 PECOS PAC ID: 0143540088 Enrollment ID: I20150518000775 |
| Provider Name | Dianne Billger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528244407 PECOS PAC ID: 2668555459 Enrollment ID: I20150522001535 |
| Provider Name | Kelli J Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898940 PECOS PAC ID: 9032430020 Enrollment ID: I20150602002625 |
| Provider Name | Carolyn Donohue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144654484 PECOS PAC ID: 9537480314 Enrollment ID: I20150604002064 |
| Provider Name | Teresa Ann Orth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134395007 PECOS PAC ID: 5597916189 Enrollment ID: I20150617000318 |
| Provider Name | Ramachandra R Sista |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083740252 PECOS PAC ID: 8628095551 Enrollment ID: I20150701001476 |
| Provider Name | Jason P Dupont |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922118298 PECOS PAC ID: 8527169853 Enrollment ID: I20150707000040 |
| Provider Name | Unni Krishna Kaimal Udayasankar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568647253 PECOS PAC ID: 6800927617 Enrollment ID: I20150709003119 |
| Provider Name | Jenny S Mendelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891967808 PECOS PAC ID: 7618289141 Enrollment ID: I20150710002496 |
| Provider Name | Erin Sperry Schlueter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023306479 PECOS PAC ID: 4587977913 Enrollment ID: I20150714002567 |
| Provider Name | Victoria Mccurry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902161888 PECOS PAC ID: 3072826379 Enrollment ID: I20150715001904 |
| Provider Name | Tyson S Chadaz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235459215 PECOS PAC ID: 9436462520 Enrollment ID: I20150717002616 |
| Provider Name | Christopher Le |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679700801 PECOS PAC ID: 0143533083 Enrollment ID: I20150721001210 |
| Provider Name | Julie a Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952780249 PECOS PAC ID: 3476867029 Enrollment ID: I20150728003032 |
| Provider Name | Heidi a Tavel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962795377 PECOS PAC ID: 6507170545 Enrollment ID: I20150804004407 |
| Provider Name | Mohammad R Khreiss |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023241544 PECOS PAC ID: 2062630221 Enrollment ID: I20150804006319 |
| Provider Name | Nancy Y Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073836722 PECOS PAC ID: 5698903813 Enrollment ID: I20150805008125 |
| Provider Name | Michael Louis Honkonen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831481977 PECOS PAC ID: 3870807571 Enrollment ID: I20150807013993 |
| Provider Name | Juan Pablo Galvez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609050095 PECOS PAC ID: 4183757552 Enrollment ID: I20150810002924 |
| Provider Name | Amy J Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356724983 PECOS PAC ID: 1557676095 Enrollment ID: I20150813009686 |
| Provider Name | Ahmad Ghazi-askar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912281056 PECOS PAC ID: 2567778152 Enrollment ID: I20150827000777 |
| Provider Name | Trevor Thomas Green |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770796716 PECOS PAC ID: 2567778954 Enrollment ID: I20150831001950 |
| Provider Name | Michael Pleasants |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023363777 PECOS PAC ID: 4880900091 Enrollment ID: I20150902003102 |
| Provider Name | Taylor S Riall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245342625 PECOS PAC ID: 3870560980 Enrollment ID: I20150904002432 |
| Provider Name | Christina Kettelle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346545241 PECOS PAC ID: 1850607847 Enrollment ID: I20150908000485 |
| Provider Name | Rita Fisler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134192859 PECOS PAC ID: 3274546114 Enrollment ID: I20151002001161 |
| Provider Name | Jana M Montez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950438 PECOS PAC ID: 4688982960 Enrollment ID: I20151006002784 |
| Provider Name | Brandon Jude Abeyta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841291804 PECOS PAC ID: 1759342447 Enrollment ID: I20151208000636 |
| Provider Name | Peter L Klinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730384116 PECOS PAC ID: 4587850151 Enrollment ID: I20151222000217 |
| Provider Name | Tessa Baumgardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013150234 PECOS PAC ID: 9638312028 Enrollment ID: I20160115002580 |
| Provider Name | Kathryn E Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073834362 PECOS PAC ID: 6608093653 Enrollment ID: I20160118000362 |
| Provider Name | Allison N Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912320110 PECOS PAC ID: 2769788082 Enrollment ID: I20160314001061 |
| Provider Name | Catherine S Riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598772501 PECOS PAC ID: 2860496718 Enrollment ID: I20160412001303 |
| Provider Name | Layhong Soth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366602294 PECOS PAC ID: 6800054859 Enrollment ID: I20160509002235 |
| Provider Name | Guadalupe Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639539513 PECOS PAC ID: 7012206253 Enrollment ID: I20160511002174 |
| Provider Name | Christina L Boulton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366563785 PECOS PAC ID: 1759552243 Enrollment ID: I20160601001004 |
| Provider Name | Suzanne Keller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184099350 PECOS PAC ID: 9739484296 Enrollment ID: I20160608002098 |
| Provider Name | Jason Lowe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669588802 PECOS PAC ID: 0042365751 Enrollment ID: I20160610001815 |
| Provider Name | Bhupinder S Natt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073820726 PECOS PAC ID: 8325339138 Enrollment ID: I20160627001180 |
| Provider Name | Stephen Scholand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679500268 PECOS PAC ID: 5092782128 Enrollment ID: I20160629002459 |
| Provider Name | Robin John Hurlbert |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497102628 PECOS PAC ID: 3476845520 Enrollment ID: I20160711000336 |
| Provider Name | Bridget B Barron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275960973 PECOS PAC ID: 9335376151 Enrollment ID: I20160711001012 |
| Provider Name | Steven J Wang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144257734 PECOS PAC ID: 7214823871 Enrollment ID: I20160713002552 |
| Provider Name | Seth Studer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083902753 PECOS PAC ID: 4880987593 Enrollment ID: I20160718002119 |
| Provider Name | Patrick L Hollinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134569957 PECOS PAC ID: 7113210717 Enrollment ID: I20160719002773 |
| Provider Name | Serena J Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699065334 PECOS PAC ID: 6204060627 Enrollment ID: I20160726003285 |
| Provider Name | Mathew D Hutchinson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255329959 PECOS PAC ID: 2062473887 Enrollment ID: I20160728002458 |
| Provider Name | Lori E Fantry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821046277 PECOS PAC ID: 2668667643 Enrollment ID: I20160728002733 |
| Provider Name | Dexter G De Leon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598965907 PECOS PAC ID: 7719038744 Enrollment ID: I20160802000519 |
| Provider Name | Keith R Primeau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396184024 PECOS PAC ID: 6800180571 Enrollment ID: I20160804000003 |
| Provider Name | Neha Jaswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437408879 PECOS PAC ID: 3476865791 Enrollment ID: I20160804001595 |
| Provider Name | Aaron J Scott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497070221 PECOS PAC ID: 0143526863 Enrollment ID: I20160815002256 |
| Provider Name | Sofhia Y Ytuarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154771509 PECOS PAC ID: 8820382799 Enrollment ID: I20160816001289 |
| Provider Name | Stephanie L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528416070 PECOS PAC ID: 3072808948 Enrollment ID: I20160817002200 |
| Provider Name | Sri Preethi Gunnala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366608341 PECOS PAC ID: 1456571900 Enrollment ID: I20160817003126 |
| Provider Name | Christopher S Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699182394 PECOS PAC ID: 3375865504 Enrollment ID: I20160822002784 |
| Provider Name | Jeanne Ray Wiedemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861728495 PECOS PAC ID: 9739474230 Enrollment ID: I20160823001892 |
| Provider Name | Amber D Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659718260 PECOS PAC ID: 0345535886 Enrollment ID: I20160823003005 |
| Provider Name | Josephine G Acuna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710325287 PECOS PAC ID: 8820383284 Enrollment ID: I20160824000731 |
| Provider Name | Carrie E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528411170 PECOS PAC ID: 4486940392 Enrollment ID: I20160901000435 |
| Provider Name | Jaiva B Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275820888 PECOS PAC ID: 6204054828 Enrollment ID: I20160901002555 |
| Provider Name | Judy Krentzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316392954 PECOS PAC ID: 6507152295 Enrollment ID: I20160906002525 |
| Provider Name | Amit M Algotar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225460306 PECOS PAC ID: 4385930940 Enrollment ID: I20160907002314 |
| Provider Name | Carlos Tafich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508299553 PECOS PAC ID: 6709172265 Enrollment ID: I20160908002497 |
| Provider Name | Ronald Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295097665 PECOS PAC ID: 8729374178 Enrollment ID: I20160909002604 |
| Provider Name | Elaine H Situ-lacasse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952749624 PECOS PAC ID: 8628364015 Enrollment ID: I20160912000991 |
| Provider Name | Gregory J Woodhead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982925533 PECOS PAC ID: 6507152923 Enrollment ID: I20160912001833 |
| Provider Name | Jennifer L Plitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043658800 PECOS PAC ID: 3274829445 Enrollment ID: I20160914002111 |
| Provider Name | Michael a Grandner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982809422 PECOS PAC ID: 9830377613 Enrollment ID: I20160915001968 |
| Provider Name | Brittany L Anundson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780130914 PECOS PAC ID: 3375830268 Enrollment ID: I20160920002381 |
| Provider Name | Michelle C Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235562083 PECOS PAC ID: 2769779255 Enrollment ID: I20160927002363 |
| Provider Name | Paige a Marty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760834881 PECOS PAC ID: 1759678063 Enrollment ID: I20160929000884 |
| Provider Name | David S Margolis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255642344 PECOS PAC ID: 2365753456 Enrollment ID: I20161012000828 |
| Provider Name | Sima Ehsani Chimeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699947002 PECOS PAC ID: 3274760798 Enrollment ID: I20161018002707 |
| Provider Name | Brenda E Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750836219 PECOS PAC ID: 0648568972 Enrollment ID: I20161019001009 |
| Provider Name | Rachel Lynn Darche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619234671 PECOS PAC ID: 3476851148 Enrollment ID: I20161024000928 |
| Provider Name | Suzanna I Hutchinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861553687 PECOS PAC ID: 5991805111 Enrollment ID: I20161101002634 |
| Provider Name | Vidya Surapaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851521785 PECOS PAC ID: 9931488210 Enrollment ID: I20161108002644 |
| Provider Name | Santosh S Hanmod |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730337478 PECOS PAC ID: 9335462811 Enrollment ID: I20161128001905 |
| Provider Name | Andrew W Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851538995 PECOS PAC ID: 8921387416 Enrollment ID: I20161128002701 |
| Provider Name | Vivian Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821549106 PECOS PAC ID: 6103106653 Enrollment ID: I20161129002488 |
| Provider Name | Sasmita Parajuli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619428109 PECOS PAC ID: 8527348093 Enrollment ID: I20161130000441 |
| Provider Name | Brittany L Pace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417394594 PECOS PAC ID: 8921388364 Enrollment ID: I20161201000524 |
| Provider Name | Wei Zhou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790715167 PECOS PAC ID: 0143226282 Enrollment ID: I20161201001699 |
| Provider Name | Laura M Mcpheeters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033669387 PECOS PAC ID: 3678854098 Enrollment ID: I20161223000417 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20161227001612 |
| Provider Name | Carmen Panizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255875449 PECOS PAC ID: 2668753674 Enrollment ID: I20170106000465 |
| Provider Name | Salwa Abdel-aziz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295961043 PECOS PAC ID: 8729395959 Enrollment ID: I20170111001609 |
| Provider Name | Rebecca R Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205174851 PECOS PAC ID: 0547415952 Enrollment ID: I20170120001011 |
| Provider Name | Annette R Lopez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699086256 PECOS PAC ID: 6608158829 Enrollment ID: I20170124001762 |
| Provider Name | Frank C Brosius |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336221217 PECOS PAC ID: 2567591738 Enrollment ID: I20170208001337 |
| Provider Name | Rachel M Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720522774 PECOS PAC ID: 2668755992 Enrollment ID: I20170213001252 |
| Provider Name | Ann E Mathias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394185 PECOS PAC ID: 5294775235 Enrollment ID: I20170306000854 |
| Provider Name | Sangeetha Murugapandian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619283629 PECOS PAC ID: 1254616808 Enrollment ID: I20170321002290 |
| Provider Name | Ashley G Tian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114107844 PECOS PAC ID: 7719127505 Enrollment ID: I20170323000025 |
| Provider Name | Joan L Machamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497292668 PECOS PAC ID: 5294011086 Enrollment ID: I20170410001647 |
| Provider Name | Shantay Stallings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356892640 PECOS PAC ID: 9436435237 Enrollment ID: I20170410002207 |
| Provider Name | Akshay Amaraneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306285267 PECOS PAC ID: 2769613264 Enrollment ID: I20170419001501 |
| Provider Name | Fariba M Donovan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295998292 PECOS PAC ID: 9335283753 Enrollment ID: I20170505001796 |
| Provider Name | Jacqueline G May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699715706 PECOS PAC ID: 0941276547 Enrollment ID: I20170511001510 |
| Provider Name | Jeffrey P Martel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689867178 PECOS PAC ID: 7214105238 Enrollment ID: I20170522000315 |
| Provider Name | Kate E Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740629765 PECOS PAC ID: 8729385067 Enrollment ID: I20170601002044 |
| Provider Name | Nathan Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871855965 PECOS PAC ID: 5294047973 Enrollment ID: I20170605001771 |
| Provider Name | Satinder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669761268 PECOS PAC ID: 8022386432 Enrollment ID: I20170607002063 |
| Provider Name | Bhavi H Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114469574 PECOS PAC ID: 8325316797 Enrollment ID: I20170608001116 |
| Provider Name | Sujatha Doddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437418043 PECOS PAC ID: 1658535471 Enrollment ID: I20170609001609 |
| Provider Name | Kathleen R Cazzato |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629496898 PECOS PAC ID: 9931477114 Enrollment ID: I20170612001328 |
| Provider Name | Abhijeet Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134409923 PECOS PAC ID: 1153699137 Enrollment ID: I20170615001087 |
| Provider Name | Kenneth a Fox |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235153552 PECOS PAC ID: 0143253542 Enrollment ID: I20170620000628 |
| Provider Name | Mark Joseph Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881953578 PECOS PAC ID: 9234420126 Enrollment ID: I20170622002299 |
| Provider Name | Michael a Colon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508209891 PECOS PAC ID: 8224260294 Enrollment ID: I20170623002399 |
| Provider Name | Rowan Evans-lomayesva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609212737 PECOS PAC ID: 2860761921 Enrollment ID: I20170705000933 |
| Provider Name | Genevieve D Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750817813 PECOS PAC ID: 2365711389 Enrollment ID: I20170707001063 |
| Provider Name | Uma D Goyal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427317510 PECOS PAC ID: 3678842283 Enrollment ID: I20170712003322 |
| Provider Name | Naresh Reddivalla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073851150 PECOS PAC ID: 8628367711 Enrollment ID: I20170718001431 |
| Provider Name | Shethal Bearelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851688113 PECOS PAC ID: 3779714399 Enrollment ID: I20170719002162 |
| Provider Name | Maili a Drachman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922441302 PECOS PAC ID: 6002107232 Enrollment ID: I20170728001539 |
| Provider Name | Stephen Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396775227 PECOS PAC ID: 3072412949 Enrollment ID: I20170728002748 |
| Provider Name | Keyshanna L Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686260 PECOS PAC ID: 8527345412 Enrollment ID: I20170807001845 |
| Provider Name | Ealaf a Alrabia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952668915 PECOS PAC ID: 2264723980 Enrollment ID: I20170818001398 |
| Provider Name | Nora L Odisho Domit |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548606957 PECOS PAC ID: 9739451162 Enrollment ID: I20170821001302 |
| Provider Name | Michelina C De La Maza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255779385 PECOS PAC ID: 7012280852 Enrollment ID: I20170830001672 |
| Provider Name | Helena T Yip |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033193826 PECOS PAC ID: 5991801169 Enrollment ID: I20170831001157 |
| Provider Name | Claudia a Patino Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689086639 PECOS PAC ID: 1557668373 Enrollment ID: I20170920001457 |
| Provider Name | Abhinav Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912301623 PECOS PAC ID: 8022382639 Enrollment ID: I20170920003278 |
| Provider Name | Demaretta S Rush |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588607873 PECOS PAC ID: 2062489677 Enrollment ID: I20170920003748 |
| Provider Name | Randall S Blute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144759341 PECOS PAC ID: 7719251206 Enrollment ID: I20170921003192 |
| Provider Name | Gustavo Joaquin Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104071471 PECOS PAC ID: 2365716784 Enrollment ID: I20170925001590 |
| Provider Name | Thomas John M Yang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376066563 PECOS PAC ID: 0143595819 Enrollment ID: I20171005001115 |
| Provider Name | Dean K Douglas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053424333 PECOS PAC ID: 2062410137 Enrollment ID: I20171019001131 |
| Provider Name | Craig C Weinkauf |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568725539 PECOS PAC ID: 5991071623 Enrollment ID: I20171025002309 |
| Provider Name | Jessica Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205345923 PECOS PAC ID: 3476829987 Enrollment ID: I20171030000484 |
| Provider Name | Alexander Keith Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568980845 PECOS PAC ID: 4284900614 Enrollment ID: I20171030001498 |
| Provider Name | Alysia D Reina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225557093 PECOS PAC ID: 0446526800 Enrollment ID: I20171030003098 |
| Provider Name | Brian C Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487092516 PECOS PAC ID: 6901184563 Enrollment ID: I20171031002429 |
| Provider Name | Wendy a Robb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316324080 PECOS PAC ID: 2062788383 Enrollment ID: I20171031002665 |
| Provider Name | Christopher R Bentley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578082517 PECOS PAC ID: 6002172285 Enrollment ID: I20171103000182 |
| Provider Name | May Grace Kushner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669907713 PECOS PAC ID: 4385900224 Enrollment ID: I20171109002763 |
| Provider Name | George Schatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982091179 PECOS PAC ID: 7719243377 Enrollment ID: I20171114003520 |
| Provider Name | Christine N Legler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295808244 PECOS PAC ID: 3072782788 Enrollment ID: I20171121003012 |
| Provider Name | Clayton Harrison Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851819692 PECOS PAC ID: 9739446915 Enrollment ID: I20171122002691 |
| Provider Name | Asmaa Soliman Abu Maziad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922394139 PECOS PAC ID: 5991062598 Enrollment ID: I20171207001420 |
| Provider Name | Matthew L Gravett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750681516 PECOS PAC ID: 0345407987 Enrollment ID: I20171219003147 |
| Provider Name | Quyen Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205843323 PECOS PAC ID: 7911907696 Enrollment ID: I20171229000470 |
| Provider Name | Dev Ashish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396256251 PECOS PAC ID: 0547528168 Enrollment ID: I20180102002679 |
| Provider Name | Arin D Der Sarkissian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780905273 PECOS PAC ID: 2264664226 Enrollment ID: I20180205000996 |
| Provider Name | Gloria V Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831604206 PECOS PAC ID: 8921368283 Enrollment ID: I20180205002784 |
| Provider Name | Steven Z Rapcsak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659474039 PECOS PAC ID: 8022378231 Enrollment ID: I20180208001556 |
| Provider Name | Salma I Patel |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1083058572 PECOS PAC ID: 3971723875 Enrollment ID: I20180208001850 |
| Provider Name | Alexandra P Turner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821276916 PECOS PAC ID: 5395914287 Enrollment ID: I20180213002952 |
| Provider Name | Sara C Mckeever |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275876518 PECOS PAC ID: 1557688702 Enrollment ID: I20180327002949 |
| Provider Name | Courtney E Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255748380 PECOS PAC ID: 5799090726 Enrollment ID: I20180328001400 |
| Provider Name | Vivek Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831117290 PECOS PAC ID: 0345271953 Enrollment ID: I20180403002326 |
| Provider Name | Rachna T Shroff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942425350 PECOS PAC ID: 6103908934 Enrollment ID: I20180405001260 |
| Provider Name | Chad Mcwhinnie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447773742 PECOS PAC ID: 2860755501 Enrollment ID: I20180411002185 |
| Provider Name | Katie Lynn Kearl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316452162 PECOS PAC ID: 5698038107 Enrollment ID: I20180416002057 |
| Provider Name | Nathan Brandt Price |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275709586 PECOS PAC ID: 0749314797 Enrollment ID: I20180430001222 |
| Provider Name | Amanda S Shorette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831532720 PECOS PAC ID: 4688801244 Enrollment ID: I20180510001432 |
| Provider Name | Amy S Klein |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023370822 PECOS PAC ID: 6709028921 Enrollment ID: I20180514000113 |
| Provider Name | Nicole Elizabeth Adegbija |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245738590 PECOS PAC ID: 9032473301 Enrollment ID: I20180514002600 |
| Provider Name | Rebecca Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548765811 PECOS PAC ID: 9638434681 Enrollment ID: I20180523000919 |
| Provider Name | Juan Chipollini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326345935 PECOS PAC ID: 2567727431 Enrollment ID: I20180523002433 |
| Provider Name | Hiroko Tanaka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780913335 PECOS PAC ID: 1052676616 Enrollment ID: I20180531001870 |
| Provider Name | Armando Sanchez Abucejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785288 PECOS PAC ID: 6507121167 Enrollment ID: I20180531001908 |
| Provider Name | Christopher R Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407292527 PECOS PAC ID: 6709141948 Enrollment ID: I20180601000666 |
| Provider Name | Cara Lynne Whittingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730603598 PECOS PAC ID: 0547536104 Enrollment ID: I20180614002232 |
| Provider Name | Justin F Hayes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710321641 PECOS PAC ID: 6507162583 Enrollment ID: I20180614002531 |
| Provider Name | Allison Thoeny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073952982 PECOS PAC ID: 2860787256 Enrollment ID: I20180615002521 |
| Provider Name | Mohanad Mohammed Al-obaidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578821203 PECOS PAC ID: 4082969498 Enrollment ID: I20180626000368 |
| Provider Name | Maria M Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063899177 PECOS PAC ID: 6608181094 Enrollment ID: I20180626000942 |
| Provider Name | Puneet Shroff |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1265645782 PECOS PAC ID: 8325202773 Enrollment ID: I20180627003204 |
| Provider Name | Derek B Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811301849 PECOS PAC ID: 2163777327 Enrollment ID: I20180703003200 |
| Provider Name | Wyatt D Unger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356782221 PECOS PAC ID: 7719232610 Enrollment ID: I20180705000512 |
| Provider Name | Dori Marie Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982197398 PECOS PAC ID: 9335495852 Enrollment ID: I20180712002909 |
| Provider Name | Anthony Mobley Witten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487032389 PECOS PAC ID: 3577819051 Enrollment ID: I20180713001538 |
| Provider Name | Andrea G Aguirre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518227206 PECOS PAC ID: 2466726716 Enrollment ID: I20180717002683 |
| Provider Name | Elizabeth Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167397 PECOS PAC ID: 6002163722 Enrollment ID: I20180725003600 |
| Provider Name | Belinda Liu Sun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356683155 PECOS PAC ID: 7113274861 Enrollment ID: I20180726000294 |
| Provider Name | Abby J Fuoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659435410 PECOS PAC ID: 0042319980 Enrollment ID: I20180727000921 |
| Provider Name | Nicole Helen Person-rennell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480892 PECOS PAC ID: 7315228871 Enrollment ID: I20180802001857 |
| Provider Name | Anindita Das |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598183477 PECOS PAC ID: 9133340730 Enrollment ID: I20180807002234 |
| Provider Name | Deven Dell Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255591608 PECOS PAC ID: 8022248103 Enrollment ID: I20180808003764 |
| Provider Name | Jarrod S Reino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679067391 PECOS PAC ID: 4284982174 Enrollment ID: I20180809000932 |
| Provider Name | Helen Marchelle Forte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922489152 PECOS PAC ID: 3173888013 Enrollment ID: I20180813000899 |
| Provider Name | Allison Rottman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568895043 PECOS PAC ID: 3678863206 Enrollment ID: I20180814003340 |
| Provider Name | Andrew Marc Belus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750873204 PECOS PAC ID: 2668721010 Enrollment ID: I20180820000823 |
| Provider Name | Tushar Acharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922313774 PECOS PAC ID: 3577866995 Enrollment ID: I20180906002801 |
| Provider Name | Erin Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669959235 PECOS PAC ID: 1759631864 Enrollment ID: I20180912000015 |
| Provider Name | Jessica Bates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689088494 PECOS PAC ID: 8628347838 Enrollment ID: I20180912002671 |
| 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 | Sorabh Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952793374 PECOS PAC ID: 3476854910 Enrollment ID: I20180914002797 |
| Provider Name | Kyle Adam Suhr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063991826 PECOS PAC ID: 6901157460 Enrollment ID: I20180921000969 |
| Provider Name | Holly Elizabeth Pariury |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508129156 PECOS PAC ID: 4587915863 Enrollment ID: I20180926000143 |
| Provider Name | Alexis Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083917066 PECOS PAC ID: 9133470255 Enrollment ID: I20180927003150 |
| Provider Name | Katherine Anne Giordano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700364510 PECOS PAC ID: 5991057879 Enrollment ID: I20181003001790 |
| Provider Name | Alvaro J Altamirano Ufion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144614363 PECOS PAC ID: 6608170642 Enrollment ID: I20181004002939 |
| Provider Name | Nilesh H Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467400580 PECOS PAC ID: 2062304603 Enrollment ID: I20181009001169 |
| Provider Name | Nanda Kishore Pullela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952785628 PECOS PAC ID: 2567710387 Enrollment ID: I20181023001905 |
| Provider Name | Juanita L Merchant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164505095 PECOS PAC ID: 9638260623 Enrollment ID: I20181023002873 |
| Provider Name | Jack R Hannallah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497018915 PECOS PAC ID: 3274898481 Enrollment ID: I20181025001409 |
| Provider Name | Soham Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255741989 PECOS PAC ID: 5799038451 Enrollment ID: I20181025001942 |
| Provider Name | Kavitha Yaddanapudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326341801 PECOS PAC ID: 9335461698 Enrollment ID: I20181025002927 |
| Provider Name | Cornel Mihalache |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902035785 PECOS PAC ID: 5092949412 Enrollment ID: I20181029003118 |
| Provider Name | Natalie D Monahan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487093159 PECOS PAC ID: 1951654474 Enrollment ID: I20181031001613 |
| Provider Name | Jenny Farah Saint Aubyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386029031 PECOS PAC ID: 0547570202 Enrollment ID: I20181101001553 |
| Provider Name | Zachary James Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831577550 PECOS PAC ID: 3870806672 Enrollment ID: I20181102001870 |
| Provider Name | Fatma Hanif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063805158 PECOS PAC ID: 8628321924 Enrollment ID: I20181105000507 |
| Provider Name | Jennifer Ann Erdrich |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1528292802 PECOS PAC ID: 7012261803 Enrollment ID: I20181114001083 |
| Provider Name | Logan Paolo Felix |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194038505 PECOS PAC ID: 2668773771 Enrollment ID: I20181119003326 |
| Provider Name | Ahmed Tammer Yehia El-aini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942407101 PECOS PAC ID: 0143585091 Enrollment ID: I20181119003339 |
| Provider Name | Randal Owen Dull |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316037906 PECOS PAC ID: 5294630984 Enrollment ID: I20181121002022 |
| Provider Name | John Karl Zaugg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770698946 PECOS PAC ID: 1355349762 Enrollment ID: I20181206003495 |
| Provider Name | Kamaldeep Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114318037 PECOS PAC ID: 1052664646 Enrollment ID: I20181214003045 |
| Provider Name | Galen P Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982040036 PECOS PAC ID: 5991004244 Enrollment ID: I20181220003003 |
| Provider Name | J.r.exequiel T Pineda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093093429 PECOS PAC ID: 3274889506 Enrollment ID: I20190123002615 |
| Provider Name | Catherine Anne Hallmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790269496 PECOS PAC ID: 5092052217 Enrollment ID: I20190125002837 |
| Provider Name | Tina M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215312087 PECOS PAC ID: 3678889466 Enrollment ID: I20190129003196 |
| Provider Name | Oleh Haluszka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972573582 PECOS PAC ID: 3173656329 Enrollment ID: I20190131001296 |
| Provider Name | Nova Michele Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902829567 PECOS PAC ID: 5294881652 Enrollment ID: I20190206002113 |
| Provider Name | Rachel Marie Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902117484 PECOS PAC ID: 4688891104 Enrollment ID: I20190312000973 |
| Provider Name | Sonja O'sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518324037 PECOS PAC ID: 9537468095 Enrollment ID: I20190313002057 |
| Provider Name | Nathan Mark Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467924225 PECOS PAC ID: 4587904008 Enrollment ID: I20190320001739 |
| Provider Name | Michael D Feldman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790724466 PECOS PAC ID: 9032196019 Enrollment ID: I20190326000664 |
| Provider Name | Crystal L Pacanowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275946717 PECOS PAC ID: 1153685516 Enrollment ID: I20190326002464 |
| Provider Name | Sulaiman Aziz Rathore |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154580504 PECOS PAC ID: 0749475176 Enrollment ID: I20190404002170 |
| Provider Name | Edward Gelmann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285632067 PECOS PAC ID: 1951402130 Enrollment ID: I20190409003386 |
| Provider Name | Rolando Leal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841272556 PECOS PAC ID: 0547260994 Enrollment ID: I20190423002916 |
| Provider Name | Kyleigh Staples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235603697 PECOS PAC ID: 4880936731 Enrollment ID: I20190425001483 |
| Provider Name | Juan Cristobal Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356719751 PECOS PAC ID: 4981946746 Enrollment ID: I20190425002539 |
| Provider Name | Jennifer D Garate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598153405 PECOS PAC ID: 0941543151 Enrollment ID: I20190509002183 |
| Provider Name | Sigrid Gardner Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033485511 PECOS PAC ID: 6406136605 Enrollment ID: I20190513000974 |
| Provider Name | Bhupesh Pokhrel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649432790 PECOS PAC ID: 5496806028 Enrollment ID: I20190604000873 |
| Provider Name | Philipp Lorenz Hannan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013365675 PECOS PAC ID: 6305130543 Enrollment ID: I20190606000931 |
| Provider Name | Jocelyn Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619176898 PECOS PAC ID: 1850558727 Enrollment ID: I20190607002309 |
| Provider Name | Megan S Matz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184071524 PECOS PAC ID: 6103159587 Enrollment ID: I20190618001618 |
| Provider Name | Amitoj Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053699447 PECOS PAC ID: 0840561221 Enrollment ID: I20190618001775 |
| Provider Name | Lourdes Castanon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790913267 PECOS PAC ID: 0345365300 Enrollment ID: I20190618002869 |
| Provider Name | Saif Arsan Mashaqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043424633 PECOS PAC ID: 3577758887 Enrollment ID: I20190619003266 |
| Provider Name | Lee Catherine Chesnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891095501 PECOS PAC ID: 2769679208 Enrollment ID: I20190620000140 |
| Provider Name | Drew C Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376998294 PECOS PAC ID: 8426313008 Enrollment ID: I20190627003039 |
| Provider Name | Tanya Anand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992046015 PECOS PAC ID: 4789989757 Enrollment ID: I20190701000850 |
| Provider Name | Michael F Ditillo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063672194 PECOS PAC ID: 3870648637 Enrollment ID: I20190701001342 |
| Provider Name | Deepak Acharya |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508043605 PECOS PAC ID: 5092971192 Enrollment ID: I20190711003068 |
| Provider Name | Hong Seok Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750767273 PECOS PAC ID: 5890074322 Enrollment ID: I20190711003628 |
| Provider Name | Shane Rainey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588041164 PECOS PAC ID: 4688989304 Enrollment ID: I20190712002499 |
| Provider Name | Khaled Hassan Malkawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689809246 PECOS PAC ID: 3072788058 Enrollment ID: I20190715000844 |
| Provider Name | Rohit Madan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265711337 PECOS PAC ID: 1850522418 Enrollment ID: I20190719000380 |
| Provider Name | Brad Michael Askam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316209745 PECOS PAC ID: 9739400011 Enrollment ID: I20190722001031 |
| Provider Name | Valerie a Swingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710343124 PECOS PAC ID: 6103152574 Enrollment ID: I20190723001410 |
| Provider Name | Ricklie Ann Julian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861735052 PECOS PAC ID: 3173859436 Enrollment ID: I20190724000896 |
| Provider Name | Stephanie Jarvie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619343696 PECOS PAC ID: 7810223989 Enrollment ID: I20190726001282 |
| Provider Name | Khurram Islam Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609229160 PECOS PAC ID: 4587928510 Enrollment ID: I20190801001970 |
| Provider Name | William H Denq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558780700 PECOS PAC ID: 8820352701 Enrollment ID: I20190802002067 |
| Provider Name | Shagun Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730634346 PECOS PAC ID: 7315282753 Enrollment ID: I20190812002011 |
| Provider Name | Monica Margaret Davini |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952643348 PECOS PAC ID: 8123355237 Enrollment ID: I20190813001269 |
| Provider Name | Sunil Kumar Sinha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043482276 PECOS PAC ID: 9436327467 Enrollment ID: I20190814000893 |
| Provider Name | Heidi May Stapley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487035176 PECOS PAC ID: 4981916459 Enrollment ID: I20190816002784 |
| Provider Name | Babitha Bijin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174974323 PECOS PAC ID: 9537423769 Enrollment ID: I20190819001929 |
| Provider Name | Mark Truxillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588980825 PECOS PAC ID: 1658697636 Enrollment ID: I20190820002695 |
| Provider Name | Eamon Collison Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629036934 PECOS PAC ID: 0749585511 Enrollment ID: I20190822000686 |
| Provider Name | Ashley L Ealey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497282370 PECOS PAC ID: 9537423041 Enrollment ID: I20190823003024 |
| Provider Name | Grant G Swartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386021434 PECOS PAC ID: 2062777485 Enrollment ID: I20190830001075 |
| Provider Name | Alejandro Recio Boiles |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104266964 PECOS PAC ID: 0547525677 Enrollment ID: I20190903002817 |
| Provider Name | Misty Villar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831742618 PECOS PAC ID: 2961731526 Enrollment ID: I20190906000756 |
| Provider Name | Andrew John Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740635721 PECOS PAC ID: 0345519286 Enrollment ID: I20190909001679 |
| Provider Name | Rachael Charles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063860518 PECOS PAC ID: 3870844939 Enrollment ID: I20190909004240 |
| Provider Name | Geoffrey Douglas Block |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942208608 PECOS PAC ID: 1456527530 Enrollment ID: I20190916000407 |
| Provider Name | Michelle Marie Faddoul-ptacek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548541253 PECOS PAC ID: 5294065231 Enrollment ID: I20190918000993 |
| Provider Name | Joseph Torkildson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710944095 PECOS PAC ID: 7911959499 Enrollment ID: I20190919000152 |
| Provider Name | Christopher Brian Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437506904 PECOS PAC ID: 5991098022 Enrollment ID: I20190920000548 |
| Provider Name | Delaney Baker Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649837618 PECOS PAC ID: 2466782040 Enrollment ID: I20190924003251 |
| Provider Name | Fangzhou Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275915019 PECOS PAC ID: 0042501413 Enrollment ID: I20190925000633 |
| Provider Name | Melody J Glenn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770826976 PECOS PAC ID: 6103118633 Enrollment ID: I20190925001076 |
| Provider Name | Molly J Douglas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609212695 PECOS PAC ID: 5294977757 Enrollment ID: I20190927002160 |
| Provider Name | Jonathan Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164075545 PECOS PAC ID: 3476883638 Enrollment ID: I20191001002505 |
| Provider Name | Deepa Gurusamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629446208 PECOS PAC ID: 2668775933 Enrollment ID: I20191007003363 |
| Provider Name | Heather Fydrych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255890737 PECOS PAC ID: 3870824717 Enrollment ID: I20191008001917 |
| Provider Name | Michael B Insel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164798161 PECOS PAC ID: 3274849153 Enrollment ID: I20191016001876 |
| Provider Name | Joy Elizabeth Bulger Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801039177 PECOS PAC ID: 9234392283 Enrollment ID: I20191016002291 |
| Provider Name | Iyad Sami Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215360508 PECOS PAC ID: 3274898911 Enrollment ID: I20191017001371 |
| Provider Name | Kathryn a Emerick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154701290 PECOS PAC ID: 3476818758 Enrollment ID: I20191017001925 |
| Provider Name | Billie Ann Bixby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770801938 PECOS PAC ID: 0840436515 Enrollment ID: I20191022001275 |
| Provider Name | Walter E Mcnally |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104940311 PECOS PAC ID: 6608952999 Enrollment ID: I20191022003322 |
| Provider Name | Jawad Bilal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174939623 PECOS PAC ID: 2163773706 Enrollment ID: I20191028001554 |
| Provider Name | Christopher Ardary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659785327 PECOS PAC ID: 0941426506 Enrollment ID: I20191107002880 |
| Provider Name | Jacqueline Claire Spera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144875451 PECOS PAC ID: 4880026939 Enrollment ID: I20191112001468 |
| Provider Name | Nikhil Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275761595 PECOS PAC ID: 8123243979 Enrollment ID: I20191113003084 |
| Provider Name | Jeffrey Michael Krase |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598143570 PECOS PAC ID: 6608180070 Enrollment ID: I20191122001619 |
| Provider Name | Kayven Max Farshad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841678307 PECOS PAC ID: 9032423918 Enrollment ID: I20191129000026 |
| Provider Name | Sridhar Shankar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659325587 PECOS PAC ID: 0840262622 Enrollment ID: I20191201000018 |
| Provider Name | Mihai Iancu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437263175 PECOS PAC ID: 5092712117 Enrollment ID: I20191202000836 |
| Provider Name | Meena S Karnosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851812762 PECOS PAC ID: 5395001184 Enrollment ID: I20191202001365 |
| Provider Name | Truc-anh Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215279971 PECOS PAC ID: 4688800345 Enrollment ID: I20191211000789 |
| Provider Name | Michael Abecassis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134117377 PECOS PAC ID: 9830385343 Enrollment ID: I20191226002302 |
| Provider Name | Emmanuel Katsanis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720053291 PECOS PAC ID: 2264539121 Enrollment ID: I20191231000481 |
| Provider Name | Eileen C Wong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710278544 PECOS PAC ID: 6103131537 Enrollment ID: I20200103000983 |
| Provider Name | Susan Messenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720632599 PECOS PAC ID: 5890120901 Enrollment ID: I20200120000393 |
| Provider Name | Sarah Voll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093140881 PECOS PAC ID: 6103059423 Enrollment ID: I20200123003077 |
| Provider Name | Claudia Elizabeth Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386289148 PECOS PAC ID: 4082049705 Enrollment ID: I20200127000590 |
| Provider Name | Lorraine Y Yentzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013568542 PECOS PAC ID: 2163858515 Enrollment ID: I20200204001283 |
| Provider Name | Loanne Tran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881893089 PECOS PAC ID: 4284714239 Enrollment ID: I20200206000932 |
| Provider Name | Allan a Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083670517 PECOS PAC ID: 5890776991 Enrollment ID: I20200207002266 |
| Provider Name | Adriana Jazmin Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467099143 PECOS PAC ID: 5597191445 Enrollment ID: I20200212002210 |
| Provider Name | Madhan Shanmugasundaram |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306032859 PECOS PAC ID: 4183740046 Enrollment ID: I20200214000723 |
| Provider Name | Lucille H Cooke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831629021 PECOS PAC ID: 1355778887 Enrollment ID: I20200224001126 |
| Provider Name | Natallia Borisovna Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730521121 PECOS PAC ID: 1951738822 Enrollment ID: I20200305002205 |
| Provider Name | Jessie-anne P Penkoff |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043863350 PECOS PAC ID: 1355773128 Enrollment ID: I20200318000668 |
| Provider Name | Laurel Christine Truscott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730421579 PECOS PAC ID: 7911271267 Enrollment ID: I20200323001179 |
| Provider Name | Rebecca Diane Meunier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841631066 PECOS PAC ID: 4789818634 Enrollment ID: I20200323002791 |
| Provider Name | Venkatesh Kumar Ariyamuthu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376708396 PECOS PAC ID: 6204059843 Enrollment ID: I20200407001821 |
| Provider Name | Bekir Tanriover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861440364 PECOS PAC ID: 5395721112 Enrollment ID: I20200415001302 |
| Provider Name | Johnna Marie Stoker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548897366 PECOS PAC ID: 8527498435 Enrollment ID: I20200416002646 |
| Provider Name | Katie Sandusky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891324992 PECOS PAC ID: 6406286814 Enrollment ID: I20200428000016 |
| Provider Name | Victoria Lindsay Cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174815419 PECOS PAC ID: 0941630248 Enrollment ID: I20200429002304 |
| Provider Name | Jason A. Wertheim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821289943 PECOS PAC ID: 9931251295 Enrollment ID: I20200502000129 |
| Provider Name | Matthew S Erisman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891178257 PECOS PAC ID: 8123383403 Enrollment ID: I20200511003378 |
| Provider Name | Terry Platto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447607361 PECOS PAC ID: 5698066587 Enrollment ID: I20200513001645 |
| Provider Name | Lauren Elizabeth Estep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518209071 PECOS PAC ID: 9133422496 Enrollment ID: I20200513002965 |
| Provider Name | Barbara Alva Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447879267 PECOS PAC ID: 4789015314 Enrollment ID: I20200514000225 |
| Provider Name | John Makoni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144607656 PECOS PAC ID: 3779834866 Enrollment ID: I20200514000706 |
| Provider Name | Kai Rou Tey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104232651 PECOS PAC ID: 6800166562 Enrollment ID: I20200514002564 |
| Provider Name | Brian E Bayze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669829396 PECOS PAC ID: 8628360112 Enrollment ID: I20200514002654 |
| Provider Name | Philip P Lam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588011985 PECOS PAC ID: 4284926346 Enrollment ID: I20200519001597 |
| Provider Name | Kristin Kelly Swenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205215324 PECOS PAC ID: 7012229727 Enrollment ID: I20200526002762 |
| Provider Name | Muhammad Husnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477960227 PECOS PAC ID: 8426479668 Enrollment ID: I20200526003217 |
| Provider Name | Jonathan M Holmes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003895897 PECOS PAC ID: 6507901865 Enrollment ID: I20200527000498 |
| Provider Name | Shawn S Shrawny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376583013 PECOS PAC ID: 6800868571 Enrollment ID: I20200601002795 |
| Provider Name | Hasan Tuna Ozgur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447230255 PECOS PAC ID: 7618864281 Enrollment ID: I20200602000134 |
| Provider Name | David C Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881007920 PECOS PAC ID: 9234484825 Enrollment ID: I20200623001488 |
| Provider Name | Amber Renee Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144484841 PECOS PAC ID: 9234290354 Enrollment ID: I20200626002045 |
| Provider Name | Sharad Khurana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659788529 PECOS PAC ID: 1052617784 Enrollment ID: I20200629001279 |
| Provider Name | Nina Raeleen Herrera Bajaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689295305 PECOS PAC ID: 9032531504 Enrollment ID: I20200630000792 |
| Provider Name | Donald Alexander Perry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982022448 PECOS PAC ID: 6709004377 Enrollment ID: I20200701000573 |
| Provider Name | Christina Marie Vega Zarraga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609230796 PECOS PAC ID: 4587958293 Enrollment ID: I20200701001347 |
| Provider Name | Marci D Macaraeg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184153884 PECOS PAC ID: 5294087201 Enrollment ID: I20200701001656 |
| Provider Name | Phillip Allen Stensrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811523210 PECOS PAC ID: 8022431485 Enrollment ID: I20200702001057 |
| Provider Name | Collin Howard Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861835209 PECOS PAC ID: 0244540870 Enrollment ID: I20200707002115 |
| Provider Name | Ian a Coe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033644828 PECOS PAC ID: 1951676493 Enrollment ID: I20200710002204 |
| Provider Name | Elizabeth Sigler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376991679 PECOS PAC ID: 9133542046 Enrollment ID: I20200710002294 |
| Provider Name | Codyjo K Kraemer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942647425 PECOS PAC ID: 2668723586 Enrollment ID: I20200715001639 |
| Provider Name | Jasmine Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457738726 PECOS PAC ID: 2466768049 Enrollment ID: I20200716000131 |
| Provider Name | Rachel Delan Munn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578954202 PECOS PAC ID: 7618233909 Enrollment ID: I20200716001071 |
| Provider Name | Dani Farhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609230937 PECOS PAC ID: 6800210022 Enrollment ID: I20200721003605 |
| Provider Name | Sunchin Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700299757 PECOS PAC ID: 1658635024 Enrollment ID: I20200721004206 |
| Provider Name | Qurat Ul Ain Riaz Sipra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578090890 PECOS PAC ID: 6608290572 Enrollment ID: I20200724000700 |
| Provider Name | Ahmad Aouthmany |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427214337 PECOS PAC ID: 8921422718 Enrollment ID: I20200727002652 |
| Provider Name | Matthew Ball |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407299407 PECOS PAC ID: 2062640618 Enrollment ID: I20200803000861 |
| Provider Name | Jonathan R Skirko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306032347 PECOS PAC ID: 2769794650 Enrollment ID: I20200803003481 |
| Provider Name | Michelle Ann O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144601618 PECOS PAC ID: 1759682495 Enrollment ID: I20200806001853 |
| Provider Name | Tiffany Ynosencio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851735856 PECOS PAC ID: 9830445527 Enrollment ID: I20200810003031 |
| Provider Name | Nabin Khatiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649705625 PECOS PAC ID: 0345587010 Enrollment ID: I20200813002695 |
| Provider Name | Andrew Hoyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720002082 PECOS PAC ID: 6901801042 Enrollment ID: I20200813003354 |
| Provider Name | Patrick Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982966578 PECOS PAC ID: 9638335136 Enrollment ID: I20200817001093 |
| Provider Name | Richard B Stein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477949857 PECOS PAC ID: 1557674975 Enrollment ID: I20200819004183 |
| Provider Name | Michael J Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821039025 PECOS PAC ID: 2567492838 Enrollment ID: I20200821002384 |
| Provider Name | Candace Y Reveles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356720569 PECOS PAC ID: 6608121850 Enrollment ID: I20200901001411 |
| Provider Name | John Hemlick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174553366 PECOS PAC ID: 8921152562 Enrollment ID: I20200902003012 |
| Provider Name | Chelsea E Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366970527 PECOS PAC ID: 3274897467 Enrollment ID: I20200903001233 |
| Provider Name | Rawley C Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164049938 PECOS PAC ID: 4082032834 Enrollment ID: I20200911000283 |
| Provider Name | Danielle Avila |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154715365 PECOS PAC ID: 5294048773 Enrollment ID: I20200916000547 |
| Provider Name | Amanda Waddell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215461785 PECOS PAC ID: 2860811817 Enrollment ID: I20200924002966 |
| Provider Name | Michael C Trawicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730321886 PECOS PAC ID: 0547400228 Enrollment ID: I20200930002382 |
| Provider Name | Lana M Volz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801051727 PECOS PAC ID: 1456592625 Enrollment ID: I20200930003100 |
| Provider Name | Nichole Carrigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497367502 PECOS PAC ID: 4688093131 Enrollment ID: I20201001002488 |
| Provider Name | Steven Wesley Alika Gonsalves |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851779482 PECOS PAC ID: 7810251006 Enrollment ID: I20201009000728 |
| Provider Name | Nana F Atuahene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629325774 PECOS PAC ID: 2466670609 Enrollment ID: I20201015003216 |
| Provider Name | Raza Mushtaq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700271285 PECOS PAC ID: 4082964044 Enrollment ID: I20201016000970 |
| Provider Name | Helene Felman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497912299 PECOS PAC ID: 3476837196 Enrollment ID: I20201019001446 |
| Provider Name | Meghan Good |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437445236 PECOS PAC ID: 2264679158 Enrollment ID: I20201021003239 |
| Provider Name | Jing-tzyh Alan Chiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780883835 PECOS PAC ID: 5698912061 Enrollment ID: I20201026002736 |
| Provider Name | Jordan Karp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144365156 PECOS PAC ID: 7618889858 Enrollment ID: I20201104002861 |
| Provider Name | Ali Imran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861929580 PECOS PAC ID: 9537430046 Enrollment ID: I20201117000195 |
| Provider Name | Felicia S Goraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922624451 PECOS PAC ID: 3375954399 Enrollment ID: I20201124001033 |
| Provider Name | Kara Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548876675 PECOS PAC ID: 3577975978 Enrollment ID: I20201208003147 |
| Provider Name | Karen Elaine Parker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962615005 PECOS PAC ID: 5193863637 Enrollment ID: I20201222002930 |
| Provider Name | Jessica Lerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396279600 PECOS PAC ID: 5294092839 Enrollment ID: I20201223002370 |
| Provider Name | Florin I Tanase |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093012916 PECOS PAC ID: 1557681491 Enrollment ID: I20201224000590 |
| Provider Name | Jason L Feldman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609215177 PECOS PAC ID: 7618230137 Enrollment ID: I20201229002042 |
| Provider Name | Peter S Nicolazzo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275509101 PECOS PAC ID: 8325036411 Enrollment ID: I20210105003360 |
| Provider Name | Keri a Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386813 PECOS PAC ID: 9931512100 Enrollment ID: I20210107000501 |
| Provider Name | Avin Aggarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467716555 PECOS PAC ID: 5193019248 Enrollment ID: I20210107002099 |
| Provider Name | Kayla Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952900565 PECOS PAC ID: 6608289780 Enrollment ID: I20210111000070 |
| Provider Name | Tatyana N Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932743119 PECOS PAC ID: 4385058866 Enrollment ID: I20210125000350 |
| Provider Name | John Twelker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255405940 PECOS PAC ID: 3072642321 Enrollment ID: I20210203002871 |
| Provider Name | Dane Hassani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003901430 PECOS PAC ID: 9133127244 Enrollment ID: I20210211001957 |
| Provider Name | John T Bryant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538383344 PECOS PAC ID: 3274629290 Enrollment ID: I20210211003327 |
| Provider Name | David Merin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053742213 PECOS PAC ID: 9436381456 Enrollment ID: I20210223002662 |
| Provider Name | Susan Pamela Goode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255354593 PECOS PAC ID: 6305816612 Enrollment ID: I20210226000533 |
| Provider Name | Winnie Stuempfle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407448046 PECOS PAC ID: 1456767623 Enrollment ID: I20210312001504 |
| Provider Name | Andrew Nejad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811375512 PECOS PAC ID: 4284926239 Enrollment ID: I20210316001514 |
| Provider Name | April Lee Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194300426 PECOS PAC ID: 0143637843 Enrollment ID: I20210325000032 |
| Provider Name | Jaime N Weisheit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457946436 PECOS PAC ID: 5395152623 Enrollment ID: I20210401001486 |
| Provider Name | Anne Paetra Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343853 PECOS PAC ID: 7315354461 Enrollment ID: I20210407003007 |
| Provider Name | Tina Melinda Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831784073 PECOS PAC ID: 6002223872 Enrollment ID: I20210415001323 |
| Provider Name | Michel Corban |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699112268 PECOS PAC ID: 6204138803 Enrollment ID: I20210429001167 |
| Provider Name | Francisco E Mora Rodas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609019074 PECOS PAC ID: 7618232653 Enrollment ID: I20210429002783 |
| Provider Name | Micah Etter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295182160 PECOS PAC ID: 8224393053 Enrollment ID: I20210430000486 |
| Provider Name | Geoffrey D Rubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285783472 PECOS PAC ID: 1951328053 Enrollment ID: I20210507000403 |
| Provider Name | Jad Abdul Ellah Dandashi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720584477 PECOS PAC ID: 9234548942 Enrollment ID: I20210510002858 |
| Provider Name | Albert Shin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427583640 PECOS PAC ID: 8325393416 Enrollment ID: I20210511002340 |
| Provider Name | Michael Bradley Avery |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003475120 PECOS PAC ID: 3870821465 Enrollment ID: I20210511002579 |
| Provider Name | Rebecca Thiede |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477007136 PECOS PAC ID: 1951654565 Enrollment ID: I20210512000588 |
| Provider Name | Marina Novack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649742990 PECOS PAC ID: 3577803907 Enrollment ID: I20210514002398 |
| Provider Name | Christopher M Morrison |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295183499 PECOS PAC ID: 7618231135 Enrollment ID: I20210520002862 |
| Provider Name | Ryan Christopher Wong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174910053 PECOS PAC ID: 4385965011 Enrollment ID: I20210520003149 |
| Provider Name | Saman Nematollahi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265828925 PECOS PAC ID: 1850649153 Enrollment ID: I20210521000475 |
| Provider Name | Brittany Arcaris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871084889 PECOS PAC ID: 4688924657 Enrollment ID: I20210521002168 |
| Provider Name | Sarah Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821440876 PECOS PAC ID: 8527488261 Enrollment ID: I20210526001899 |
| Provider Name | Paul Fritts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063901999 PECOS PAC ID: 1557611597 Enrollment ID: I20210601002117 |
| Provider Name | Dave J Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215427430 PECOS PAC ID: 4082965819 Enrollment ID: I20210601002213 |
| Provider Name | Paola Devis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093809618 PECOS PAC ID: 8022148253 Enrollment ID: I20210614001355 |
| Provider Name | Drake Mcarthur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679935340 PECOS PAC ID: 1658664172 Enrollment ID: I20210615002086 |
| Provider Name | Paul S Larson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013005321 PECOS PAC ID: 8628153640 Enrollment ID: I20210618001387 |
| Provider Name | Sanjay Bharat Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336536994 PECOS PAC ID: 9234439761 Enrollment ID: I20210618001578 |
| Provider Name | Devdutta Warhadpande |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871971119 PECOS PAC ID: 6800296492 Enrollment ID: I20210618001875 |
| Provider Name | Dushyant Mann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477932432 PECOS PAC ID: 2860786969 Enrollment ID: I20210621000676 |
| Provider Name | David Sining Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952672289 PECOS PAC ID: 5799062592 Enrollment ID: I20210621001878 |
| Provider Name | Anas Bitar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184806358 PECOS PAC ID: 0042453763 Enrollment ID: I20210625002391 |
| Provider Name | Kathryn Marie Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689859431 PECOS PAC ID: 0345312815 Enrollment ID: I20210629000336 |
| Provider Name | Xuemin Zhang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750745543 PECOS PAC ID: 9436496569 Enrollment ID: I20210707000504 |
| Provider Name | Shihshiang Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154511756 PECOS PAC ID: 6608928502 Enrollment ID: I20210707003394 |
| Provider Name | Junaid Arshad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831506898 PECOS PAC ID: 6406151851 Enrollment ID: I20210707003994 |
| Provider Name | Saad Sabah Kubba |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1720490600 PECOS PAC ID: 4981993060 Enrollment ID: I20210708003224 |
| Provider Name | Travis M Hughes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780070110 PECOS PAC ID: 2961717061 Enrollment ID: I20210708003619 |
| Provider Name | Talha Riaz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871925636 PECOS PAC ID: 4183853500 Enrollment ID: I20210712002507 |
| Provider Name | Faye Del Carmen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043895063 PECOS PAC ID: 2961805692 Enrollment ID: I20210719003142 |
| Provider Name | Artur Mirzabekian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968295 PECOS PAC ID: 9335497130 Enrollment ID: I20210720001469 |
| Provider Name | David a Nolte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104212133 PECOS PAC ID: 9234445982 Enrollment ID: I20210720003616 |
| Provider Name | Micah Rogers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225492234 PECOS PAC ID: 5597022558 Enrollment ID: I20210727003174 |
| Provider Name | Stuart F Quan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609957281 PECOS PAC ID: 9133214463 Enrollment ID: I20210728003390 |
| Provider Name | Ahmad Iftikhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992299184 PECOS PAC ID: 6204186240 Enrollment ID: I20210728004094 |
| Provider Name | Zachary H Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295224533 PECOS PAC ID: 6406107309 Enrollment ID: I20210729003049 |
| Provider Name | Nicholas Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063097814 PECOS PAC ID: 4082017876 Enrollment ID: I20210731000239 |
| Provider Name | Saher Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578059226 PECOS PAC ID: 0840541462 Enrollment ID: I20210802001724 |
| Provider Name | Timothy Stephen Mccomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538135199 PECOS PAC ID: 9830177112 Enrollment ID: I20210802003534 |
| Provider Name | James Markham Scanlan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326627159 PECOS PAC ID: 3870997505 Enrollment ID: I20210803002118 |
| Provider Name | Aye Mar Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598259913 PECOS PAC ID: 7911301676 Enrollment ID: I20210803003141 |
| Provider Name | Robert Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922597061 PECOS PAC ID: 5092066902 Enrollment ID: I20210805002384 |
| Provider Name | Mona Yasrebi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235396722 PECOS PAC ID: 7416261698 Enrollment ID: I20210810001493 |
| Provider Name | Rajan Manmohan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821526112 PECOS PAC ID: 0446528053 Enrollment ID: I20210810002174 |
| Provider Name | Victoria L Tsang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073047932 PECOS PAC ID: 9032464813 Enrollment ID: I20210810003031 |
| Provider Name | Chirag Parikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679007264 PECOS PAC ID: 8224432398 Enrollment ID: I20210811002844 |
| Provider Name | Paola Michelle Casillas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178691 PECOS PAC ID: 6608123195 Enrollment ID: I20210816003487 |
| Provider Name | Aurangzaib M Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134618184 PECOS PAC ID: 0840541389 Enrollment ID: I20210817003381 |
| Provider Name | Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396278669 PECOS PAC ID: 5991100604 Enrollment ID: I20210818002748 |
| Provider Name | Stanley E Okosun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316107444 PECOS PAC ID: 4688726441 Enrollment ID: I20210818004266 |
| Provider Name | Bital Savir-baruch |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1558687905 PECOS PAC ID: 9830310010 Enrollment ID: I20210820001909 |
| Provider Name | Piroska Eszter Schlesinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154785681 PECOS PAC ID: 6507159043 Enrollment ID: I20210825003335 |
| Provider Name | Golnaz Vahdani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497118889 PECOS PAC ID: 4587069620 Enrollment ID: I20210827000027 |
| Provider Name | Nicole Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053617720 PECOS PAC ID: 4486050341 Enrollment ID: I20210901002553 |
| Provider Name | Mireille Jabroun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942780267 PECOS PAC ID: 5193121838 Enrollment ID: I20210907000468 |
| Provider Name | Daniel Aizigov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932650181 PECOS PAC ID: 5193007631 Enrollment ID: I20210907003070 |
| Provider Name | Umbreen Arshad Rozell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629324546 PECOS PAC ID: 5496001737 Enrollment ID: I20210907003114 |
| Provider Name | Che Carrie Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760973937 PECOS PAC ID: 6800139007 Enrollment ID: I20210909000633 |
| Provider Name | Justin M Shear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336815455 PECOS PAC ID: 7214333582 Enrollment ID: I20210913000287 |
| Provider Name | Patrick Healey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215962402 PECOS PAC ID: 0345224622 Enrollment ID: I20210913001234 |
| Provider Name | Jacquelin Esque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275997785 PECOS PAC ID: 8628474855 Enrollment ID: I20210913003135 |
| Provider Name | Rees L Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659345510 PECOS PAC ID: 7911146485 Enrollment ID: I20210915001582 |
| Provider Name | Sarah Elizabeth Vermeulen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023546322 PECOS PAC ID: 7618374729 Enrollment ID: I20210916000045 |
| Provider Name | Rabail Chaudhry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447889175 PECOS PAC ID: 8921405952 Enrollment ID: I20210917001953 |
| Provider Name | Kendall M Wyllie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922486984 PECOS PAC ID: 6709201361 Enrollment ID: I20210917002801 |
| Provider Name | Ashley Kay Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912593443 PECOS PAC ID: 5193122059 Enrollment ID: I20210921001275 |
| Provider Name | Jeffrey P Beckenbaugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407850340 PECOS PAC ID: 9032023460 Enrollment ID: I20211006002072 |
| Provider Name | Gebran Abboud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518160373 PECOS PAC ID: 0244417186 Enrollment ID: I20211011001417 |
| Provider Name | Jaclyn M Robinson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609302249 PECOS PAC ID: 6406279223 Enrollment ID: I20211015002406 |
| Provider Name | Christopher Bernard Komanapalli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194894519 PECOS PAC ID: 8022201789 Enrollment ID: I20211019003253 |
| Provider Name | Bart Tiberius Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437383932 PECOS PAC ID: 1557582384 Enrollment ID: I20211028000209 |
| Provider Name | Stephanie Worrell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851685523 PECOS PAC ID: 3678720067 Enrollment ID: I20211030000023 |
| Provider Name | Rami H a Sulaiman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417305210 PECOS PAC ID: 0648514737 Enrollment ID: I20211101002860 |
| Provider Name | Sarah Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356012116 PECOS PAC ID: 9032507637 Enrollment ID: I20211102000011 |
| Provider Name | Robert Tidwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073042297 PECOS PAC ID: 1052709474 Enrollment ID: I20211103002399 |
| Provider Name | Abd Assalam Qannus |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184133746 PECOS PAC ID: 5294065512 Enrollment ID: I20211105000465 |
| Provider Name | Jared a Head |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366939621 PECOS PAC ID: 0446649800 Enrollment ID: I20211105001856 |
| Provider Name | Aaron C Mason |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497775852 PECOS PAC ID: 7810995057 Enrollment ID: I20211109002899 |
| Provider Name | Lusine Mesropyan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225396351 PECOS PAC ID: 3678790847 Enrollment ID: I20211118001609 |
| Provider Name | Chelsea E Carr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477134666 PECOS PAC ID: 6901296532 Enrollment ID: I20211216001501 |
| Provider Name | Melissa L Rosado-de-christenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295785996 PECOS PAC ID: 7719979764 Enrollment ID: I20211228000192 |
| Provider Name | Emily Edmonds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780120287 PECOS PAC ID: 7911284351 Enrollment ID: I20220103000813 |
| Provider Name | Jamie Aquino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043803216 PECOS PAC ID: 0941692644 Enrollment ID: I20220107002166 |
| Provider Name | Meagane Bryhann Boston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285119644 PECOS PAC ID: 5698010452 Enrollment ID: I20220111002185 |
| Provider Name | Fernando Blumenkron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588198899 PECOS PAC ID: 7810389343 Enrollment ID: I20220113001142 |
| Provider Name | Khalid Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063855260 PECOS PAC ID: 3375935778 Enrollment ID: I20220114001617 |
| Provider Name | Darima I Nemanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720579956 PECOS PAC ID: 9739430216 Enrollment ID: I20220117000627 |
| Provider Name | Amanda K Schilling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255745022 PECOS PAC ID: 1557619442 Enrollment ID: I20220118000363 |
| Provider Name | Shamar Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528389574 PECOS PAC ID: 1355585878 Enrollment ID: I20220131001523 |
| Provider Name | Kyle John Fecteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811652480 PECOS PAC ID: 6305239666 Enrollment ID: I20220209000513 |
| Provider Name | Andrew William Talbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740784974 PECOS PAC ID: 3577819713 Enrollment ID: I20220210002036 |
| Provider Name | Geoffrey Cash Gurtner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891830881 PECOS PAC ID: 3476568304 Enrollment ID: I20220211000910 |
| Provider Name | Meera Raghavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508064916 PECOS PAC ID: 8426144692 Enrollment ID: I20220211001675 |
| Provider Name | William a Doctorman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033870480 PECOS PAC ID: 5193119006 Enrollment ID: I20220218000114 |
| Provider Name | Amanda Zeagler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811652811 PECOS PAC ID: 9739573544 Enrollment ID: I20220221001620 |
| Provider Name | Mairead H Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205453180 PECOS PAC ID: 6002200441 Enrollment ID: I20220228002221 |
| Provider Name | John Scot Aita |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518956556 PECOS PAC ID: 9739311184 Enrollment ID: I20220307001428 |
| Provider Name | Diana Kisiel Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114685666 PECOS PAC ID: 5294120051 Enrollment ID: I20220315001676 |
| Provider Name | Rebecca R Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093399958 PECOS PAC ID: 3577952712 Enrollment ID: I20220328000517 |
| Provider Name | Janice Romito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871517532 PECOS PAC ID: 0143494500 Enrollment ID: I20220330001043 |
| Provider Name | Daniel J Arteago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235563909 PECOS PAC ID: 3274929260 Enrollment ID: I20220330002087 |
| Provider Name | Kristen B Rundell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912930850 PECOS PAC ID: 0446253934 Enrollment ID: I20220406000572 |
| Provider Name | Daniel J Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164869293 PECOS PAC ID: 2466679964 Enrollment ID: I20220414001883 |
| Provider Name | Husam Srour Srour Mallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912048703 PECOS PAC ID: 8325232432 Enrollment ID: I20220419002967 |
| Provider Name | Louis J Magnotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326004128 PECOS PAC ID: 8527024843 Enrollment ID: I20220425002369 |
| Provider Name | Melinda Marie Okosun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457429003 PECOS PAC ID: 4587766282 Enrollment ID: I20220503000585 |
| Provider Name | Alexandra Jodelle Mcglamery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174911390 PECOS PAC ID: 2567788268 Enrollment ID: I20220504001655 |
| Provider Name | Jocelyn Kaye Camacho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275000267 PECOS PAC ID: 0547657884 Enrollment ID: I20220504002872 |
| Provider Name | Jacob Albert Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366742074 PECOS PAC ID: 9739451584 Enrollment ID: I20220505001875 |
| Provider Name | Esteban Astiazaran Symonds |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1346625357 PECOS PAC ID: 9830576164 Enrollment ID: I20220506000745 |
| Provider Name | Mary Cecilia Knotts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780247270 PECOS PAC ID: 5890020259 Enrollment ID: I20220516001340 |
| Provider Name | Martin T Demant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003264581 PECOS PAC ID: 9234421744 Enrollment ID: I20220516002641 |
| Provider Name | Samantha Jane Russell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952864332 PECOS PAC ID: 0446585889 Enrollment ID: I20220517002519 |
| Provider Name | Sara Penquite |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528591682 PECOS PAC ID: 9739432048 Enrollment ID: I20220518001866 |
| Provider Name | Lauren D Benton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336597277 PECOS PAC ID: 4183919244 Enrollment ID: I20220523000455 |
| Provider Name | Lacey Ann Haugen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003266677 PECOS PAC ID: 0749551240 Enrollment ID: I20220525002923 |
| Provider Name | Leandra Marie Mccutcheon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619586203 PECOS PAC ID: 5698153070 Enrollment ID: I20220526001729 |
| Provider Name | David Wasiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588227466 PECOS PAC ID: 7012246051 Enrollment ID: I20220527001201 |
| Provider Name | Arista Chand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235593344 PECOS PAC ID: 7012201973 Enrollment ID: I20220601000703 |
| Provider Name | Joshua E Melson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407012149 PECOS PAC ID: 3870643638 Enrollment ID: I20220601002297 |
| Provider Name | Mohammad Fazel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437447745 PECOS PAC ID: 5496005423 Enrollment ID: I20220602001266 |
| Provider Name | Scott Chambers Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083814685 PECOS PAC ID: 8224267810 Enrollment ID: I20220603002235 |
| Provider Name | Casey Benjamin Rendon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578004792 PECOS PAC ID: 7719250968 Enrollment ID: I20220609001645 |
| Provider Name | Anna Alkozei |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396486023 PECOS PAC ID: 2163800715 Enrollment ID: I20220609002450 |
| Provider Name | Michelle Lynn Abbate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184111940 PECOS PAC ID: 8921487240 Enrollment ID: I20220616001770 |
| Provider Name | Sean Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366000424 PECOS PAC ID: 7214266816 Enrollment ID: I20220621000884 |
| Provider Name | Evan a Horn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538654801 PECOS PAC ID: 8729339544 Enrollment ID: I20220622003438 |
| Provider Name | Carrie Luu |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1083846208 PECOS PAC ID: 4587814496 Enrollment ID: I20220623002083 |
| Provider Name | Silvia Estefania Plascencia Oliveros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063072502 PECOS PAC ID: 7719383876 Enrollment ID: I20220627002567 |
| Provider Name | Omar Ziad Meziab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154715241 PECOS PAC ID: 0749660199 Enrollment ID: I20220701002438 |
| Provider Name | Leslie Chana Neems |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396000758 PECOS PAC ID: 1951606342 Enrollment ID: I20220701002736 |
| Provider Name | Anna Littlepage Kafka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710416995 PECOS PAC ID: 9830586114 Enrollment ID: I20220703000004 |
| Provider Name | Chelsea Wozniak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770983611 PECOS PAC ID: 3173742137 Enrollment ID: I20220705002379 |
| Provider Name | Marisa R Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922598648 PECOS PAC ID: 1658622162 Enrollment ID: I20220706000540 |
| Provider Name | Nicole Marie King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295296465 PECOS PAC ID: 5799165973 Enrollment ID: I20220706000786 |
| Provider Name | Karissa Wasiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548823602 PECOS PAC ID: 0749515161 Enrollment ID: I20220706001752 |
| Provider Name | Kendra a Bowles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326781808 PECOS PAC ID: 4486034527 Enrollment ID: I20220706003452 |
| Provider Name | Kelly L Mcmahon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417517152 PECOS PAC ID: 1951781087 Enrollment ID: I20220707002072 |
| Provider Name | Genevieve Dowling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972920882 PECOS PAC ID: 3678828381 Enrollment ID: I20220712002380 |
| Provider Name | Govinda Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770135469 PECOS PAC ID: 0749516938 Enrollment ID: I20220715001044 |
| Provider Name | Susan Willer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730565870 PECOS PAC ID: 4082922489 Enrollment ID: I20220719001656 |
| Provider Name | Daniel Wonil Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164451753 PECOS PAC ID: 8820173545 Enrollment ID: I20220721002762 |
| Provider Name | Anne Mills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053059154 PECOS PAC ID: 1557743283 Enrollment ID: I20220727004131 |
| Provider Name | Madhav Chopra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760877914 PECOS PAC ID: 8729354261 Enrollment ID: I20220804003502 |
| Provider Name | Derek Allan Hatfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831652189 PECOS PAC ID: 5890020671 Enrollment ID: I20220808002871 |
| Provider Name | Kanwal Naveen Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134609498 PECOS PAC ID: 4880939040 Enrollment ID: I20220812002027 |
| Provider Name | Kristyn N Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730534249 PECOS PAC ID: 3870855133 Enrollment ID: I20220812002860 |
| Provider Name | Vaheh Petrossian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174986434 PECOS PAC ID: 8224323613 Enrollment ID: I20220816001351 |
| Provider Name | Kathy Vo Drinkwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184287328 PECOS PAC ID: 3173850666 Enrollment ID: I20220816001994 |
| Provider Name | Haripriya Maddur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821207978 PECOS PAC ID: 4981841590 Enrollment ID: I20220816002604 |
| Provider Name | Padmavati Eksambe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063828788 PECOS PAC ID: 6800135062 Enrollment ID: I20220817001862 |
| Provider Name | Kristopher Joseph Sergeant Abbate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184112401 PECOS PAC ID: 0345598389 Enrollment ID: I20220817002628 |
| Provider Name | Joyce Prosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780346874 PECOS PAC ID: 8729461116 Enrollment ID: I20220817003337 |
| Provider Name | Kenneth W Liechty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588752836 PECOS PAC ID: 4284635061 Enrollment ID: I20220822003173 |
| Provider Name | Paul Claw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043478431 PECOS PAC ID: 5092998765 Enrollment ID: I20220825002664 |
| Provider Name | Sujata Saha |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1063803948 PECOS PAC ID: 1557626793 Enrollment ID: I20220829003809 |
| Provider Name | Mei Lai So |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669935441 PECOS PAC ID: 0345575957 Enrollment ID: I20220830003924 |
| Provider Name | Helena Wichova |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124412200 PECOS PAC ID: 2860798519 Enrollment ID: I20220831001428 |
| Provider Name | Dylan Harris Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184156713 PECOS PAC ID: 4880018324 Enrollment ID: I20220831002380 |
| Provider Name | Lilyne Michele Mekoudjou Tchakonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528736360 PECOS PAC ID: 6305220690 Enrollment ID: I20220906002115 |
| Provider Name | Leah Cipri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922528686 PECOS PAC ID: 3173893617 Enrollment ID: I20220912000515 |
| Provider Name | Avanka Warnakulasuriya Lowe |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1790131159 PECOS PAC ID: 2466837364 Enrollment ID: I20220913002432 |
| Provider Name | Philip Lee Rosen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437595642 PECOS PAC ID: 7810230679 Enrollment ID: I20220915003185 |
| Provider Name | Marina Delazari Miller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1528334596 PECOS PAC ID: 5294963740 Enrollment ID: I20220920002188 |
| Provider Name | Walaa Mohsen Elfar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467776252 PECOS PAC ID: 3173812419 Enrollment ID: I20221005003213 |
| Provider Name | Lora Shuo Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760773576 PECOS PAC ID: 0749572022 Enrollment ID: I20221006001488 |
| Provider Name | Rebecca Michelle Humpal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518317015 PECOS PAC ID: 6901199280 Enrollment ID: I20221006003163 |
| Provider Name | Asif Mohammed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295026276 PECOS PAC ID: 5496060089 Enrollment ID: I20221007002631 |
| Provider Name | Halil Kutlu Erol |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467985929 PECOS PAC ID: 5991105140 Enrollment ID: I20221017001553 |
| Provider Name | Krista Niezwaag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730589300 PECOS PAC ID: 8921320821 Enrollment ID: I20221019000549 |
| Provider Name | Ali Turfah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891359071 PECOS PAC ID: 4789080789 Enrollment ID: I20221019002211 |
| Provider Name | Elvira N/a Gonzalez Negrete |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245852060 PECOS PAC ID: 1658794680 Enrollment ID: I20221026000699 |
| Provider Name | Jeremey W Gneck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952965212 PECOS PAC ID: 8224363528 Enrollment ID: I20221104000786 |
| Provider Name | John C Elfar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831108570 PECOS PAC ID: 0749380160 Enrollment ID: I20221107003199 |
| Provider Name | Asad Sattar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578925863 PECOS PAC ID: 2466784582 Enrollment ID: I20221111000582 |
| Provider Name | Tyler Keith Yocum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265055388 PECOS PAC ID: 5193192615 Enrollment ID: I20221111001895 |
| Provider Name | Jessica Sara Sennet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790493682 PECOS PAC ID: 2163890245 Enrollment ID: I20221121002154 |
| Provider Name | Stephen P Fernau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851343123 PECOS PAC ID: 5496725186 Enrollment ID: I20221205003011 |
| Provider Name | Zara Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124793948 PECOS PAC ID: 6103223987 Enrollment ID: I20221214000906 |
| Provider Name | Ilya Noginskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831658699 PECOS PAC ID: 2062882640 Enrollment ID: I20221222000763 |
| Provider Name | Lena Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023725553 PECOS PAC ID: 8820468028 Enrollment ID: I20230104002578 |
| Provider Name | Jonica Dawn Kleving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467194258 PECOS PAC ID: 2769852797 Enrollment ID: I20230106002623 |
| Provider Name | Trisha Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770200784 PECOS PAC ID: 8628449121 Enrollment ID: I20230119003289 |
| Provider Name | Daniel Butler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013320738 PECOS PAC ID: 8628386281 Enrollment ID: I20230216001478 |
| Provider Name | Michelle Worden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457064040 PECOS PAC ID: 6204209265 Enrollment ID: I20230222002743 |
| Provider Name | Aaron Golden Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972215846 PECOS PAC ID: 2163895525 Enrollment ID: I20230306001042 |
| Provider Name | Firas Kaddouh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225317589 PECOS PAC ID: 5092931865 Enrollment ID: I20230316001332 |
| Provider Name | Pamela Schreurs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336866748 PECOS PAC ID: 7911371398 Enrollment ID: I20230327001067 |
| Provider Name | Sarah Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407121809 PECOS PAC ID: 3971758681 Enrollment ID: I20230328001842 |
| Provider Name | Demetrice Lorraine Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407823735 PECOS PAC ID: 7416125398 Enrollment ID: I20230331001624 |
| Provider Name | Aimee Christine Shock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942705900 PECOS PAC ID: 0840694568 Enrollment ID: I20230412002678 |
| Provider Name | Khubaib Mapara |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912101403 PECOS PAC ID: 5092970806 Enrollment ID: I20230413001536 |
| Provider Name | Elizabeth Partida |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306414693 PECOS PAC ID: 9234504754 Enrollment ID: I20230413002040 |
| Provider Name | Artyom Abramyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861846685 PECOS PAC ID: 3870889439 Enrollment ID: I20230420000136 |
| Provider Name | Mark D. Winton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316943673 PECOS PAC ID: 2163418765 Enrollment ID: I20230428002091 |
| Provider Name | Harish Gudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447812458 PECOS PAC ID: 9830554583 Enrollment ID: I20230502001381 |
| Provider Name | Tyler M Hoelscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922636976 PECOS PAC ID: 2163848607 Enrollment ID: I20230510002123 |
| Provider Name | Amanda a Codling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386207546 PECOS PAC ID: 9032444518 Enrollment ID: I20230511001430 |
| Provider Name | Bryan J Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689995722 PECOS PAC ID: 1254579097 Enrollment ID: I20230511002616 |
| Provider Name | Stephen Crabbe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699303560 PECOS PAC ID: 5496111734 Enrollment ID: I20230511002730 |
| Provider Name | Erika Ines Scholtes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780247726 PECOS PAC ID: 6709111313 Enrollment ID: I20230515002903 |
| Provider Name | Jennifer Melissa Kramer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154825107 PECOS PAC ID: 0840526133 Enrollment ID: I20230516000841 |
| Provider Name | Lucas C Struycken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982130464 PECOS PAC ID: 5193076891 Enrollment ID: I20230517000688 |
| Provider Name | Joseph Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194353144 PECOS PAC ID: 1456717461 Enrollment ID: I20230517002668 |
| Provider Name | Hannah S Rountree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457048506 PECOS PAC ID: 0749646586 Enrollment ID: I20230519002114 |
| Provider Name | Josia M Schlogl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174050645 PECOS PAC ID: 8224458146 Enrollment ID: I20230522002858 |
| Provider Name | Amit Rajaram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003341876 PECOS PAC ID: 4981969821 Enrollment ID: I20230523001193 |
| Provider Name | Neil D Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972123768 PECOS PAC ID: 7315360229 Enrollment ID: I20230524002952 |
| Provider Name | Ibrahim Khalid Al-saidi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538512355 PECOS PAC ID: 0749573889 Enrollment ID: I20230525001137 |
| Provider Name | Audrey Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407353824 PECOS PAC ID: 3072970466 Enrollment ID: I20230530002024 |
| Provider Name | Kendal Flo Flegenheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194287169 PECOS PAC ID: 3971982232 Enrollment ID: I20230531000471 |
| Provider Name | Nicholas Adam Bonazza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215370119 PECOS PAC ID: 9537449152 Enrollment ID: I20230531001419 |
| Provider Name | Tyrel Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457813578 PECOS PAC ID: 4688909591 Enrollment ID: I20230602002533 |
| Provider Name | James K Liao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689687873 PECOS PAC ID: 8123035052 Enrollment ID: I20230605002145 |
| Provider Name | Marcus Joseph Hutchinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154942381 PECOS PAC ID: 2668895624 Enrollment ID: I20230605002611 |
| Provider Name | Rilwan a Balogun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205281474 PECOS PAC ID: 6305136078 Enrollment ID: I20230607001786 |
| Provider Name | Praveen Sridhar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528487071 PECOS PAC ID: 7719103563 Enrollment ID: I20230612001589 |
| Provider Name | Kevin Joseph Moynahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801419452 PECOS PAC ID: 1557784626 Enrollment ID: I20230612002356 |
| Provider Name | Julia Katherine Cremer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558758300 PECOS PAC ID: 1557698545 Enrollment ID: I20230613000140 |
| Provider Name | Andre Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841751211 PECOS PAC ID: 0941668586 Enrollment ID: I20230614001374 |
| Provider Name | Jelena S Eremija |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972095297 PECOS PAC ID: 1052663069 Enrollment ID: I20230616003005 |
| Provider Name | Abduljabbar Alhammoud |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063028454 PECOS PAC ID: 6305221557 Enrollment ID: I20230707001241 |
| Provider Name | Heather Jo Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760629109 PECOS PAC ID: 1052621638 Enrollment ID: I20230713001984 |
| Provider Name | Audriana Nicole Hurbon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740743384 PECOS PAC ID: 1850626144 Enrollment ID: I20230714002005 |
| Provider Name | Priyanka Bearelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700271244 PECOS PAC ID: 1153636089 Enrollment ID: I20230714002767 |
| Provider Name | Erol Bozdogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326605957 PECOS PAC ID: 2769718410 Enrollment ID: I20230717001834 |
| Provider Name | Darius Alexander Filsoof |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801250584 PECOS PAC ID: 2567849581 Enrollment ID: I20230718001065 |
| Provider Name | Garrod Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649689159 PECOS PAC ID: 1557581279 Enrollment ID: I20230724000791 |
| Provider Name | Matthew G Hatfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134640410 PECOS PAC ID: 9739446980 Enrollment ID: I20230726003404 |
| Provider Name | Jessica R Filon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659991503 PECOS PAC ID: 3971925850 Enrollment ID: I20230801003101 |
| Provider Name | Sarah Elizabeth Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336724 PECOS PAC ID: 6901180884 Enrollment ID: I20230802002795 |
| Provider Name | Monica Schlitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821591868 PECOS PAC ID: 2264857556 Enrollment ID: I20230802002856 |
| Provider Name | Brian Donald Lightwine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154856508 PECOS PAC ID: 9335498047 Enrollment ID: I20230804002569 |
| Provider Name | Monica Yulieth Hinestroza Jordan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902391428 PECOS PAC ID: 9739423344 Enrollment ID: I20230811001285 |
| Provider Name | Elizabeth Ann Mora |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700376589 PECOS PAC ID: 8022357904 Enrollment ID: I20230811001477 |
| Provider Name | Bardia Azar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972065803 PECOS PAC ID: 5890029458 Enrollment ID: I20230815000998 |
| Provider Name | Gustave Rossi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760942304 PECOS PAC ID: 8628305133 Enrollment ID: I20230817004043 |
| Provider Name | Alex Mulmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710373154 PECOS PAC ID: 2567736226 Enrollment ID: I20230823001761 |
| Provider Name | Steven Belcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831651751 PECOS PAC ID: 2668702721 Enrollment ID: I20230828001302 |
| Provider Name | Viktoria Tesia Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932632585 PECOS PAC ID: 0840653457 Enrollment ID: I20230830001637 |
| Provider Name | William Edward Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588728182 PECOS PAC ID: 1153420054 Enrollment ID: I20230912002800 |
| Provider Name | Constance Verle Deines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063104446 PECOS PAC ID: 9133583651 Enrollment ID: I20230915001712 |
| Provider Name | Ravi Kiran Vuthoori |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376944348 PECOS PAC ID: 0547521437 Enrollment ID: I20230920003566 |
| Provider Name | Renee Gebremariam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750167698 PECOS PAC ID: 3870947591 Enrollment ID: I20230929000806 |
| Provider Name | Jawad Hussain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780112102 PECOS PAC ID: 3173891942 Enrollment ID: I20231006000647 |
| Provider Name | Trezah Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518358027 PECOS PAC ID: 6002134178 Enrollment ID: I20231011003616 |
| Provider Name | Nathaniel L Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982193421 PECOS PAC ID: 0244581791 Enrollment ID: I20231013001059 |
| Provider Name | Susan Ormsby Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144603283 PECOS PAC ID: 2264719277 Enrollment ID: I20231019000987 |
| Provider Name | Ivan Augusto Sierra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194347518 PECOS PAC ID: 7618323783 Enrollment ID: I20231025002441 |
| Provider Name | Swati Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437779634 PECOS PAC ID: 9032528302 Enrollment ID: I20231102003820 |
| Provider Name | Stephanie Biondo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366092934 PECOS PAC ID: 5193144525 Enrollment ID: I20231108001095 |
| Provider Name | William Wagnon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699789008 PECOS PAC ID: 1850378324 Enrollment ID: I20231110000370 |
| Provider Name | Anthony Jeanmenne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326276437 PECOS PAC ID: 0345467783 Enrollment ID: I20231120001664 |
| Provider Name | Anjali Taneja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568983690 PECOS PAC ID: 7416209986 Enrollment ID: I20231120003635 |
| Provider Name | Darlene Diane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437550555 PECOS PAC ID: 1850685033 Enrollment ID: I20231121001455 |
| Provider Name | Sunit Sebastian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205075041 PECOS PAC ID: 9931246899 Enrollment ID: I20231201000546 |
| Provider Name | Emily Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043772940 PECOS PAC ID: 5294065736 Enrollment ID: I20231211001602 |
| Provider Name | Gabriella Skuta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346486297 PECOS PAC ID: 1153484191 Enrollment ID: I20231218003372 |
| Provider Name | Erin Krening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679256473 PECOS PAC ID: 0143670497 Enrollment ID: I20231228001734 |
| Provider Name | Sharon Marie Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508571886 PECOS PAC ID: 5799136719 Enrollment ID: I20240103004518 |
| Provider Name | Alexis Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093974974 PECOS PAC ID: 3375818099 Enrollment ID: I20240104004856 |
| Provider Name | Yaw Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699234567 PECOS PAC ID: 6204162167 Enrollment ID: I20240105003019 |
| Provider Name | Ian Fitzgerald Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326721812 PECOS PAC ID: 1456702299 Enrollment ID: I20240105003177 |
| Provider Name | Teresa Rene Worstell Safer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003234220 PECOS PAC ID: 9830316124 Enrollment ID: I20240118004758 |
| Provider Name | Jeanne J Min |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174827984 PECOS PAC ID: 6507224516 Enrollment ID: I20240124002074 |
| Provider Name | Jacquelyn L Ramirez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083643415 PECOS PAC ID: 5496714883 Enrollment ID: I20240125000692 |
| Provider Name | Rachel Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124892849 PECOS PAC ID: 2062865116 Enrollment ID: I20240125001776 |
| Provider Name | Aws Al Jandeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629566526 PECOS PAC ID: 4587904669 Enrollment ID: I20240125003566 |
| Provider Name | Pooja Pundhir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184027815 PECOS PAC ID: 0446546907 Enrollment ID: I20240204000003 |
| Provider Name | Igor Kozak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982982302 PECOS PAC ID: 2062682008 Enrollment ID: I20240206003981 |
| Provider Name | Evan Cope |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609427434 PECOS PAC ID: 2769888122 Enrollment ID: I20240219001715 |
| Provider Name | Christin Crues |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649781667 PECOS PAC ID: 4486910312 Enrollment ID: I20240223000656 |
| Provider Name | Saeda Gharaibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235759689 PECOS PAC ID: 3476998352 Enrollment ID: I20240301000815 |
| Provider Name | Spencer J Menapace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063948396 PECOS PAC ID: 8325382708 Enrollment ID: I20240304001859 |
| Provider Name | Ashley Azizi Assadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003437575 PECOS PAC ID: 6406279462 Enrollment ID: I20240307003180 |
| Provider Name | Kyle Bohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457730855 PECOS PAC ID: 0648528208 Enrollment ID: I20240308002659 |
| Provider Name | Elise N Erickson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003945916 PECOS PAC ID: 4880887389 Enrollment ID: I20240314004151 |
| Provider Name | Armen Eskandari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043653413 PECOS PAC ID: 7416282470 Enrollment ID: I20240315000889 |
| Provider Name | Jocelyn a Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154190874 PECOS PAC ID: 2365888047 Enrollment ID: I20240316000404 |
| Provider Name | Emma Tracy Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043822299 PECOS PAC ID: 8325485733 Enrollment ID: I20240321000651 |
| Provider Name | Ashley Lynn Burhans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629543327 PECOS PAC ID: 2668717067 Enrollment ID: I20240322000511 |
| Provider Name | Ethan Done |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528756251 PECOS PAC ID: 4789021940 Enrollment ID: I20240322003152 |
| Provider Name | Lorraine K Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144832874 PECOS PAC ID: 1658718614 Enrollment ID: I20240326002214 |
| Provider Name | Palak Pankaj Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154715639 PECOS PAC ID: 7214231307 Enrollment ID: I20240327002589 |
| Provider Name | Julie Georgia Pilitsis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861559163 PECOS PAC ID: 7416040845 Enrollment ID: I20240328002807 |
| Provider Name | Scott R Montgomery |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104110998 PECOS PAC ID: 6305006016 Enrollment ID: I20240401002527 |
| Provider Name | Jerome P. Yatskowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689768079 PECOS PAC ID: 9436212255 Enrollment ID: I20240403003922 |
| Provider Name | Scott C Silvestry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922028547 PECOS PAC ID: 0941197222 Enrollment ID: I20240403003966 |
| Provider Name | Desiree Anguiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205605581 PECOS PAC ID: 5395183644 Enrollment ID: I20240404003550 |
| Provider Name | Michelle Lynn Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659768323 PECOS PAC ID: 2961840012 Enrollment ID: I20240409001352 |
| Provider Name | Amanda Mcwhirter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508397951 PECOS PAC ID: 5597090944 Enrollment ID: I20240410001696 |
| Provider Name | Sharon Shang Stanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659637023 PECOS PAC ID: 0941601611 Enrollment ID: I20240412000952 |
| Provider Name | Soni Tiounoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932657947 PECOS PAC ID: 6901245778 Enrollment ID: I20240413000416 |
| Provider Name | Anna Kleppe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225892987 PECOS PAC ID: 0840639548 Enrollment ID: I20240415001227 |
| Provider Name | Judith Hanks Lyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972365757 PECOS PAC ID: 5991144636 Enrollment ID: I20240415002633 |
| Provider Name | L R Scherer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154391142 PECOS PAC ID: 8729092176 Enrollment ID: I20240422001658 |
| Provider Name | Holly K Marciniak Thompson |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1295962934 PECOS PAC ID: 9032427943 Enrollment ID: I20240423004371 |
| Provider Name | Tochukwu Nzeako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982107595 PECOS PAC ID: 6305249798 Enrollment ID: I20240430003000 |
| Provider Name | David Supeck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861954372 PECOS PAC ID: 3971921875 Enrollment ID: I20240508002037 |
| Provider Name | Megan Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164799375 PECOS PAC ID: 4880851690 Enrollment ID: I20240509000573 |
| Provider Name | Amber D Gin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457108441 PECOS PAC ID: 7618319690 Enrollment ID: I20240522000926 |
| Provider Name | Mihai Bogdan Murarescu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205871969 PECOS PAC ID: 7810073509 Enrollment ID: I20240522002708 |
| Provider Name | Colleen M Aouane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457002339 PECOS PAC ID: 2062880495 Enrollment ID: I20240523001715 |
| Provider Name | Fatima Al-khafaji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689363780 PECOS PAC ID: 0446692883 Enrollment ID: I20240530001646 |
| Provider Name | Hitesh Gurjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467938068 PECOS PAC ID: 9335581727 Enrollment ID: I20240530003363 |
| Provider Name | Ricardo Ayala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962030577 PECOS PAC ID: 0648612929 Enrollment ID: I20240531003125 |
| Provider Name | Victor Coloso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225090038 PECOS PAC ID: 3274636261 Enrollment ID: I20240603003720 |
| Provider Name | Dallin Val Christensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932661154 PECOS PAC ID: 8729401831 Enrollment ID: I20240606001507 |
| Provider Name | Natalie Marie Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376125997 PECOS PAC ID: 2769883941 Enrollment ID: I20240606002339 |
| Provider Name | Jason Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417410804 PECOS PAC ID: 3971830092 Enrollment ID: I20240607003524 |
| Provider Name | Ilaria Vittoria De Martini |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1730707373 PECOS PAC ID: 2062835614 Enrollment ID: I20240610001061 |
| Provider Name | Bhargav Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306335161 PECOS PAC ID: 7719238310 Enrollment ID: I20240611003440 |
| Provider Name | Jodi Lynn Magnotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275193328 PECOS PAC ID: 1052640802 Enrollment ID: I20240611004165 |
| Provider Name | Carl Sabottke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750840088 PECOS PAC ID: 2365876786 Enrollment ID: I20240612001504 |
| Provider Name | Mahdieh Fazel Jedlowski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679902449 PECOS PAC ID: 6204226558 Enrollment ID: I20240612001537 |
| Provider Name | Sana Rukh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013532860 PECOS PAC ID: 2961944301 Enrollment ID: I20240612004209 |
| Provider Name | Gabriella Rollo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659992543 PECOS PAC ID: 7315369303 Enrollment ID: I20240613004281 |
| Provider Name | Delali Sessinou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467660357 PECOS PAC ID: 4587087937 Enrollment ID: I20240614001213 |
| Provider Name | Adrian G Santini |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215498845 PECOS PAC ID: 3274862800 Enrollment ID: I20240614003357 |
| Provider Name | Kelsi Jean Van Heise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144841511 PECOS PAC ID: 5092137802 Enrollment ID: I20240617002172 |
| Provider Name | Magnolia Rose Howes Swanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619598422 PECOS PAC ID: 3173946142 Enrollment ID: I20240617003172 |
| Provider Name | Thomas Alexander Erwes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427519743 PECOS PAC ID: 1658601067 Enrollment ID: I20240618003395 |
| Provider Name | Eva Frances Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942883111 PECOS PAC ID: 8527469121 Enrollment ID: I20240618003586 |
| Provider Name | Jonathan Warren Meadows |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619488228 PECOS PAC ID: 0840542205 Enrollment ID: I20240621003200 |
| Provider Name | Eneysis Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770752701 PECOS PAC ID: 1759456205 Enrollment ID: I20240626002992 |
| Provider Name | Steven Eric Bennett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740800887 PECOS PAC ID: 3274956545 Enrollment ID: I20240627001731 |
| Provider Name | Ahmed Khalil Attia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447844899 PECOS PAC ID: 0648678466 Enrollment ID: I20240627003776 |
| Provider Name | Stephen Dahmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508956798 PECOS PAC ID: 3971651159 Enrollment ID: I20240701000862 |
| Provider Name | Kristen M Barrett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538455704 PECOS PAC ID: 1153692090 Enrollment ID: I20240702002095 |
| Provider Name | Brittney L Dimaggio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558851808 PECOS PAC ID: 7113279134 Enrollment ID: I20240702003832 |
| Provider Name | Willis H. Navarro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871538421 PECOS PAC ID: 6103978325 Enrollment ID: I20240703003342 |
| Provider Name | Sooraj Kumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255824363 PECOS PAC ID: 9830440320 Enrollment ID: I20240708003471 |
| Provider Name | Sue G Curl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124593033 PECOS PAC ID: 6103255054 Enrollment ID: I20240711003830 |
| Provider Name | Alexandria Taysom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003656174 PECOS PAC ID: 1759826985 Enrollment ID: I20240712000412 |
| Provider Name | April Lynn Ehrlich |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063903474 PECOS PAC ID: 1355691098 Enrollment ID: I20240712003106 |
| Provider Name | Carli Shea Ogle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053994525 PECOS PAC ID: 9335543537 Enrollment ID: I20240715001248 |
| Provider Name | Troy Benjamin Tenney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376030940 PECOS PAC ID: 0648639112 Enrollment ID: I20240715003633 |
| Provider Name | Nehaw Sarmey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083076194 PECOS PAC ID: 7315239985 Enrollment ID: I20240715003648 |
| Provider Name | Yazeed Saleh a Alolayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649651894 PECOS PAC ID: 8123494440 Enrollment ID: I20240716004977 |
| Provider Name | Grant Schindler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326645706 PECOS PAC ID: 5193122786 Enrollment ID: I20240717001584 |
| Provider Name | Loai Fawzi Tawfiq Azar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104493402 PECOS PAC ID: 8325584808 Enrollment ID: I20240719002773 |
| Provider Name | Ayeman Basith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518632371 PECOS PAC ID: 7810433232 Enrollment ID: I20240722003453 |
| Provider Name | Lamees Alzyoud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114583424 PECOS PAC ID: 3173957453 Enrollment ID: I20240723004469 |
| Provider Name | Brady John Bowen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427478056 PECOS PAC ID: 8325373962 Enrollment ID: I20240724003638 |
| Provider Name | Sagi Hassan Elhassan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881214500 PECOS PAC ID: 3870916836 Enrollment ID: I20240724004680 |
| Provider Name | Shaymaa Shebli Mohammed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942786918 PECOS PAC ID: 6800332925 Enrollment ID: I20240725002171 |
| Provider Name | Monisha Das Ireland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972693919 PECOS PAC ID: 7719141902 Enrollment ID: I20240725003297 |
| Provider Name | Elizabeth Rogers Keesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801640495 PECOS PAC ID: 8527504497 Enrollment ID: I20240726003765 |
| Provider Name | Eduardo Sanchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518451327 PECOS PAC ID: 1759790173 Enrollment ID: I20240730003387 |
| Provider Name | Shafquat Saif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295313674 PECOS PAC ID: 2567851785 Enrollment ID: I20240730003619 |
| Provider Name | Macklin Loveland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780213959 PECOS PAC ID: 7416357900 Enrollment ID: I20240730003818 |
| Provider Name | David Schweer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1588019681 PECOS PAC ID: 6507153384 Enrollment ID: I20240731002998 |
| Provider Name | Christina Marshel Dinnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632843 PECOS PAC ID: 2264824259 Enrollment ID: I20240731003081 |
| Provider Name | Jordan Morrison-nozik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104403294 PECOS PAC ID: 7113320318 Enrollment ID: I20240731003966 |
| Provider Name | Trishan Prakash Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619544467 PECOS PAC ID: 7113464736 Enrollment ID: I20240731004460 |
| Provider Name | Krishna Rekha Moturi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679068514 PECOS PAC ID: 1254684111 Enrollment ID: I20240801002931 |
| Provider Name | Danh Cong Truong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538692843 PECOS PAC ID: 6709140007 Enrollment ID: I20240801003550 |
| Provider Name | Feng Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972178317 PECOS PAC ID: 3476958232 Enrollment ID: I20240801003736 |
| Provider Name | Whitney Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659951192 PECOS PAC ID: 6901215151 Enrollment ID: I20240808004253 |
| Provider Name | Austin Stuart Pomerantz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881277481 PECOS PAC ID: 0749683571 Enrollment ID: I20240809003627 |
| Provider Name | Lawrence Walters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760405856 PECOS PAC ID: 7113826645 Enrollment ID: I20240812003018 |
| Provider Name | Jessica Cecilia Serrano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326330572 PECOS PAC ID: 7911146410 Enrollment ID: I20240813001443 |
| Provider Name | Rebecca Wig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154990141 PECOS PAC ID: 3072914639 Enrollment ID: I20240815001814 |
| Provider Name | Andres Jesus Colondres-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104526136 PECOS PAC ID: 2668910084 Enrollment ID: I20240816001649 |
| Provider Name | Courtney Alexandra Karol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497383681 PECOS PAC ID: 5193148518 Enrollment ID: I20240819003639 |
| Provider Name | Amy L Simonds Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376744706 PECOS PAC ID: 6901344019 Enrollment ID: I20240820001296 |
| Provider Name | Richard R. Orlandi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790865699 PECOS PAC ID: 3476678442 Enrollment ID: I20240820001333 |
| Provider Name | Krishna Chaitanya Amerneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700459419 PECOS PAC ID: 9436697570 Enrollment ID: I20240820002306 |
| Provider Name | Nitisha Lotun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740802065 PECOS PAC ID: 4880019355 Enrollment ID: I20240820003059 |
| Provider Name | Jaclyn Ghusson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104497577 PECOS PAC ID: 8820537483 Enrollment ID: I20240827002302 |
| Provider Name | Joselyn Bobadilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750134789 PECOS PAC ID: 1355880998 Enrollment ID: I20240828000756 |
| Provider Name | Reya Mahesh Sharman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578052213 PECOS PAC ID: 9638420474 Enrollment ID: I20240829001610 |
| Provider Name | Amanda Napper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295571420 PECOS PAC ID: 2961941299 Enrollment ID: I20240829003391 |
| Provider Name | Peter Du |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891286159 PECOS PAC ID: 0840541587 Enrollment ID: I20240904001627 |
| Provider Name | Alexander John Lubinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093200966 PECOS PAC ID: 4486903846 Enrollment ID: I20240904003747 |
| Provider Name | Megan N Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114509882 PECOS PAC ID: 6103229083 Enrollment ID: I20240905001343 |
| Provider Name | Anna M Morenz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477116630 PECOS PAC ID: 3870826407 Enrollment ID: I20240905002131 |
| Provider Name | Ashton Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073141909 PECOS PAC ID: 7214339308 Enrollment ID: I20240905002517 |
| Provider Name | Peggy Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497259329 PECOS PAC ID: 2769736347 Enrollment ID: I20240905004534 |
| Provider Name | Cecillia S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043898695 PECOS PAC ID: 2466825419 Enrollment ID: I20240905004797 |
| Provider Name | Achol Cyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700467032 PECOS PAC ID: 9335540947 Enrollment ID: I20240906000000 |
| Provider Name | Marie Bernadette Sabanal Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184918039 PECOS PAC ID: 6901208313 Enrollment ID: I20240906001710 |
| Provider Name | Jonathan David Rice |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518256783 PECOS PAC ID: 5698170504 Enrollment ID: I20240906002250 |
| Provider Name | Rolando Ramon Camacho Salazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487916342 PECOS PAC ID: 0547555328 Enrollment ID: I20240909002686 |
| Provider Name | Elizabeth Anne Dobbin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801478938 PECOS PAC ID: 8224439880 Enrollment ID: I20240909002865 |
| Provider Name | Ramiro Esteban Cardenas Lara |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750733481 PECOS PAC ID: 4183951619 Enrollment ID: I20240910001763 |
| Provider Name | January Hayes Coventry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518661875 PECOS PAC ID: 6305386905 Enrollment ID: I20240910002924 |
| Provider Name | Kalkidan Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508435504 PECOS PAC ID: 3173924768 Enrollment ID: I20240910004758 |
| Provider Name | Ahmed Mohamed Elabd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437743978 PECOS PAC ID: 7719428945 Enrollment ID: I20240916001468 |
| Provider Name | Freddie Joseph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538513031 PECOS PAC ID: 5698173052 Enrollment ID: I20240916002189 |
| Provider Name | Franchesca Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437989696 PECOS PAC ID: 1254872435 Enrollment ID: I20240916003336 |
| Provider Name | Jessica Maurhoff Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720819063 PECOS PAC ID: 0345781191 Enrollment ID: I20240919001831 |
| Provider Name | Kavian Ghanavati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972131167 PECOS PAC ID: 0547682486 Enrollment ID: I20240919002094 |
| Provider Name | Jeffrey Daniel Hodges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629503875 PECOS PAC ID: 9638548191 Enrollment ID: I20240919002947 |
| Provider Name | Christina Suzanne Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295589679 PECOS PAC ID: 7315488996 Enrollment ID: I20240923003341 |
| Provider Name | Hartmuth Bittner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104182245 PECOS PAC ID: 8820245053 Enrollment ID: I20240923003423 |
| Provider Name | Abuzar Baloach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073135760 PECOS PAC ID: 3779905278 Enrollment ID: I20240924002943 |
| Provider Name | Momen Alsayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407435191 PECOS PAC ID: 7719387794 Enrollment ID: I20240924004366 |
| Provider Name | Ramya Ramachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063070415 PECOS PAC ID: 6204165897 Enrollment ID: I20240926000313 |
| Provider Name | Paul Alexander Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023690138 PECOS PAC ID: 3779985510 Enrollment ID: I20240926002039 |
| Provider Name | Kristen Marie Bryant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730856535 PECOS PAC ID: 4082145271 Enrollment ID: I20240927003066 |
| Provider Name | Devin Thomas O'connor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821593229 PECOS PAC ID: 0143751057 Enrollment ID: I20241002003989 |
| Provider Name | Hemanth K Gavini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073522504 PECOS PAC ID: 5698779965 Enrollment ID: I20241003003872 |
| Provider Name | Vanessa L Shanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629239330 PECOS PAC ID: 3577786763 Enrollment ID: I20241007001748 |
| Provider Name | Jonathan R Wispe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851466338 PECOS PAC ID: 4082606199 Enrollment ID: I20241007002952 |
| Provider Name | Jennifer Buffum Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710117254 PECOS PAC ID: 7315086147 Enrollment ID: I20241009004495 |
| Provider Name | George Khludenev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316526866 PECOS PAC ID: 4385045012 Enrollment ID: I20241014004510 |
| Provider Name | Timothy Chen-an Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841457306 PECOS PAC ID: 9436042843 Enrollment ID: I20241016002618 |
| Provider Name | Signe Reese Fremel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861225781 PECOS PAC ID: 8527590371 Enrollment ID: I20241017001626 |
| Provider Name | Kate Elizabeth Quinn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508698879 PECOS PAC ID: 4486186061 Enrollment ID: I20241021003257 |
| Provider Name | Joseph Dedrick Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033261557 PECOS PAC ID: 6608915194 Enrollment ID: I20241022000246 |
| Provider Name | Daniel Enter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366705329 PECOS PAC ID: 0042516221 Enrollment ID: I20241025002609 |
| Provider Name | Aaron Thomas Jagelski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20241025002925 |
| Provider Name | Ashley Marino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215635453 PECOS PAC ID: 8628501772 Enrollment ID: I20241028001465 |
| Provider Name | Robbie L Riker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902643240 PECOS PAC ID: 9234662180 Enrollment ID: I20241030002237 |
| Provider Name | Kimberly D Terry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497704605 PECOS PAC ID: 0345145017 Enrollment ID: I20241101001440 |
| Provider Name | Atef Adel Elami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326711284 PECOS PAC ID: 9830622406 Enrollment ID: I20241104003895 |
| Provider Name | Anita Phancao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396932299 PECOS PAC ID: 4981743846 Enrollment ID: I20241105003294 |
| Provider Name | Asad Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578925863 PECOS PAC ID: 2466784582 Enrollment ID: I20241106001775 |
| Provider Name | Kerri J George |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750380754 PECOS PAC ID: 8224093810 Enrollment ID: I20241113001762 |
| Provider Name | Mark V Mazziotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306809918 PECOS PAC ID: 6901805571 Enrollment ID: I20241113003948 |
| Provider Name | Hesham Sadek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942318639 PECOS PAC ID: 1850497975 Enrollment ID: I20241118002718 |
| Provider Name | Ehab Yaser Khaled Harahsheh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851952733 PECOS PAC ID: 0749517134 Enrollment ID: I20241119000858 |
| Provider Name | Anna Marie Diola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093553422 PECOS PAC ID: 3971038365 Enrollment ID: I20241121003392 |
| Provider Name | Kadly K Ruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389037 PECOS PAC ID: 1052744695 Enrollment ID: I20241125000786 |
| Provider Name | Emma Stranglen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841984754 PECOS PAC ID: 4082149281 Enrollment ID: I20241125003457 |
| Provider Name | Raphael Chunping Sun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831410349 PECOS PAC ID: 0042524225 Enrollment ID: I20241126002633 |
| Provider Name | Jada Kaitlin Yokeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982480877 PECOS PAC ID: 7012365463 Enrollment ID: I20241126002753 |
| Provider Name | Joel Clair Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588634349 PECOS PAC ID: 8022020072 Enrollment ID: I20241204003867 |
| Provider Name | Samer Abu Alula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447782578 PECOS PAC ID: 5597188292 Enrollment ID: I20241205002059 |
| Provider Name | John Calvin Ireland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467575241 PECOS PAC ID: 0941365639 Enrollment ID: I20241210002241 |
| Provider Name | Marcus Andrew Fife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457179004 PECOS PAC ID: 9335675347 Enrollment ID: I20241212003890 |
| Provider Name | Tina Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962238345 PECOS PAC ID: 5799211751 Enrollment ID: I20241213001608 |
| Provider Name | Jill Sulak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508092719 PECOS PAC ID: 3173676202 Enrollment ID: I20241213001912 |
| Provider Name | Eric James Rigg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932697893 PECOS PAC ID: 6103170154 Enrollment ID: I20241216000424 |
| Provider Name | Tamara a Brownell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346201555 PECOS PAC ID: 9133100266 Enrollment ID: I20241216001572 |
| Provider Name | Josiah Scott Schisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639746084 PECOS PAC ID: 9537538202 Enrollment ID: I20241216002775 |
| Provider Name | Christy Mccrea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053338251 PECOS PAC ID: 4385668615 Enrollment ID: I20241218002948 |
| Provider Name | Danial Gebreili |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124648522 PECOS PAC ID: 7911307475 Enrollment ID: I20241218003498 |
| Provider Name | Jacob Russell Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457181968 PECOS PAC ID: 0042747479 Enrollment ID: I20241226001294 |
| Provider Name | Thomas P Hanzlik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235586702 PECOS PAC ID: 6305137332 Enrollment ID: I20241227001099 |
| Provider Name | Kristin Roth Brennan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982009296 PECOS PAC ID: 1850836693 Enrollment ID: I20241230003287 |
| Provider Name | Jacob Gerald Burns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447784616 PECOS PAC ID: 2163801218 Enrollment ID: I20241231001869 |
| Provider Name | Kyle Willaim Deacy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235958992 PECOS PAC ID: 3577090661 Enrollment ID: I20241231003768 |
| Provider Name | Michael Jeffrey Leinwand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447230032 PECOS PAC ID: 9537192711 Enrollment ID: I20250109002415 |
| Provider Name | Dereck Charles Vonallman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497337463 PECOS PAC ID: 0042614786 Enrollment ID: I20250121002162 |
| Provider Name | Ray Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891038717 PECOS PAC ID: 1658661301 Enrollment ID: I20250128003966 |
| Provider Name | Raquel Anne Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083421077 PECOS PAC ID: 2860921095 Enrollment ID: I20250131003452 |
| Provider Name | Aimee Perryn Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124846001 PECOS PAC ID: 7618407784 Enrollment ID: I20250205002268 |
| Provider Name | Christina M Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801617832 PECOS PAC ID: 3274063037 Enrollment ID: I20250207002735 |
| Provider Name | Peter Craig Kowalski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639107444 PECOS PAC ID: 4880839208 Enrollment ID: I20250212003197 |
| Provider Name | Cynthia M Rekemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568272375 PECOS PAC ID: 2961932314 Enrollment ID: I20250213003804 |
| Provider Name | Alma Delia Donohue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154040996 PECOS PAC ID: 5193245892 Enrollment ID: I20250225002750 |
| Provider Name | Giovanni Sisti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568812659 PECOS PAC ID: 0042609737 Enrollment ID: I20250225003395 |
| Provider Name | Anantha Krishnan Harijith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194810010 PECOS PAC ID: 5294928040 Enrollment ID: I20250226003619 |
| Provider Name | Sarah Elizabeth Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629646591 PECOS PAC ID: 5698177459 Enrollment ID: I20250227001318 |
| Provider Name | Courtney Lynn Stine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992460620 PECOS PAC ID: 5991226920 Enrollment ID: I20250306003273 |
| Provider Name | Lucas Aaron Mcduffie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710269261 PECOS PAC ID: 6709024920 Enrollment ID: I20250310002035 |
| Provider Name | Sandra Roca-garavito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922823897 PECOS PAC ID: 2365963972 Enrollment ID: I20250311002184 |
| Provider Name | Debra Lorita Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750647970 PECOS PAC ID: 1951614122 Enrollment ID: I20250313000780 |
| Provider Name | Sarah Patricia Praner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811432099 PECOS PAC ID: 1850672544 Enrollment ID: I20250313002862 |
| Provider Name | Daniel J Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972179604 PECOS PAC ID: 9931502556 Enrollment ID: I20250324000918 |
| Provider Name | Nessa Marie Manalang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427298249 PECOS PAC ID: 6406901552 Enrollment ID: I20250325000000 |
| Provider Name | Sarah Elizabeth Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093435331 PECOS PAC ID: 0446773147 Enrollment ID: I20250402002468 |
| Provider Name | Michael Roy Stukas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861299687 PECOS PAC ID: 5698299238 Enrollment ID: I20250404002099 |
| Provider Name | Samuel M Freedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750902110 PECOS PAC ID: 5698197739 Enrollment ID: I20250407001402 |
| Provider Name | Benjamin H Massey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124192943 PECOS PAC ID: 7810944675 Enrollment ID: I20250408002392 |
| Provider Name | Yan Shi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194001503 PECOS PAC ID: 8224382726 Enrollment ID: I20250409003019 |
| Provider Name | Daniella Kinyua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730953704 PECOS PAC ID: 4789026139 Enrollment ID: I20250410000958 |
| Provider Name | James Alejandro Noboa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518635283 PECOS PAC ID: 0042734071 Enrollment ID: I20250410002956 |
| Provider Name | Michael Morowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972715654 PECOS PAC ID: 9830284397 Enrollment ID: I20250415002300 |
| Provider Name | Hossein Ardehali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184750945 PECOS PAC ID: 2668419789 Enrollment ID: I20250416000435 |
| Provider Name | Julian Arjun Pradeep |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730989161 PECOS PAC ID: 6305362815 Enrollment ID: I20250428003659 |
| Provider Name | Doan Lam Thi Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134539794 PECOS PAC ID: 2567713894 Enrollment ID: I20250501002401 |
| Provider Name | Anthony N Botros |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568091916 PECOS PAC ID: 2264855261 Enrollment ID: I20250502000830 |
| Provider Name | Elizabeth Theresa Dovi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043024508 PECOS PAC ID: 0941727762 Enrollment ID: I20250506000905 |
| Provider Name | Jaimie Lynn Perkunas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497879803 PECOS PAC ID: 6709303498 Enrollment ID: I20250506002797 |
| Provider Name | Zainab Saeed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023670726 PECOS PAC ID: 8022535509 Enrollment ID: I20250508000387 |
| Provider Name | Charlota Jurcik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609365360 PECOS PAC ID: 7810234861 Enrollment ID: I20250508001432 |
| Provider Name | Pranamya Mahankali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740772060 PECOS PAC ID: 5799202149 Enrollment ID: I20250508001597 |
| Provider Name | Peter Jonathan Manchen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942829379 PECOS PAC ID: 6305268301 Enrollment ID: I20250508001782 |
| Provider Name | Samuel George Cook |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144782079 PECOS PAC ID: 3072847961 Enrollment ID: I20250508001960 |
| Provider Name | Hannah Shin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457817066 PECOS PAC ID: 0648507558 Enrollment ID: I20250509000286 |
| Provider Name | Sarah Ashley Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558895284 PECOS PAC ID: 3173859121 Enrollment ID: I20250509000692 |
| Provider Name | Asongu Josephine Ncho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689612897 PECOS PAC ID: 3779523808 Enrollment ID: I20250509000930 |
| Provider Name | Luke Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275092074 PECOS PAC ID: 7113253592 Enrollment ID: I20250509002131 |
| Provider Name | Reese Clinton Byerrum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073193728 PECOS PAC ID: 0244758308 Enrollment ID: I20250513003035 |
| Provider Name | Sharanyah Srinivasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336702133 PECOS PAC ID: 8527394881 Enrollment ID: I20250513003504 |
| Provider Name | Andrea Lynne Mcferren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366995102 PECOS PAC ID: 2466709837 Enrollment ID: I20250513003808 |
| Provider Name | Christian Eduardo Daahir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891375812 PECOS PAC ID: 1951829969 Enrollment ID: I20250514000711 |
| Provider Name | Marissa Katherine Lovett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588309702 PECOS PAC ID: 1759760366 Enrollment ID: I20250514001176 |
| Provider Name | Ariza Martinez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730756701 PECOS PAC ID: 7416358544 Enrollment ID: I20250514001315 |
| Provider Name | Tyler Gloe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174261697 PECOS PAC ID: 0941680342 Enrollment ID: I20250514003147 |
| Provider Name | Ibrahim Yaghnam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780175679 PECOS PAC ID: 7416286216 Enrollment ID: I20250514003661 |
| Provider Name | Niharika Vennelaganti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801413620 PECOS PAC ID: 8527458967 Enrollment ID: I20250515000996 |
| Provider Name | Robert Salinas Camarillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689310989 PECOS PAC ID: 6608256276 Enrollment ID: I20250515001275 |
| Provider Name | Wuyang Yang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467984757 PECOS PAC ID: 7416226774 Enrollment ID: I20250515001764 |
| Provider Name | Catalina Uribe Rini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528437449 PECOS PAC ID: 7911425715 Enrollment ID: I20250515001914 |
| Provider Name | Kevin White |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1942288071 PECOS PAC ID: 7517109689 Enrollment ID: I20250519001433 |
| Provider Name | Richard Joseph Wruble |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164059531 PECOS PAC ID: 5294253613 Enrollment ID: I20250519002707 |
| Provider Name | Jason D Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902331721 PECOS PAC ID: 6305365503 Enrollment ID: I20250521001033 |
| Provider Name | Farva Razia Gondal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457977977 PECOS PAC ID: 9133510357 Enrollment ID: I20250521001269 |
| Provider Name | Rosa Isadora Malloy Post |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588314975 PECOS PAC ID: 9436527074 Enrollment ID: I20250521002280 |
| Provider Name | Mansour H. Mathkour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952757031 PECOS PAC ID: 9739446741 Enrollment ID: I20250522000079 |
| Provider Name | Michael Robert Kendall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265851869 PECOS PAC ID: 2365961497 Enrollment ID: I20250522000206 |
| Provider Name | Piyathida Obert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386227296 PECOS PAC ID: 3577964089 Enrollment ID: I20250522000407 |
| Provider Name | Ahmad Mostafa Shaban |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154413102 PECOS PAC ID: 6800832288 Enrollment ID: I20250522002265 |
| Provider Name | Vikram Jeet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598409211 PECOS PAC ID: 1456731942 Enrollment ID: I20250523002251 |
| Provider Name | Caleb Boehler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508495367 PECOS PAC ID: 7911321450 Enrollment ID: I20250527003032 |
| Provider Name | Maria Alejandra Massey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518544188 PECOS PAC ID: 4284016718 Enrollment ID: I20250529003241 |
| Provider Name | Madison Nicole Hoffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275278566 PECOS PAC ID: 8729597596 Enrollment ID: I20250603001802 |
| Provider Name | J'rick Quodie Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366079121 PECOS PAC ID: 7911417324 Enrollment ID: I20250605002828 |
| Provider Name | Kenward Borg Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790875391 PECOS PAC ID: 4789878125 Enrollment ID: I20250605002839 |
| Provider Name | Blake A. Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245950401 PECOS PAC ID: 0244740660 Enrollment ID: I20250605003110 |
| Provider Name | Christina Marie Bourne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033565395 PECOS PAC ID: 5890052807 Enrollment ID: I20250606003312 |
| Provider Name | Rochelle Dawn Tagle Almario |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801470877 PECOS PAC ID: 4284035270 Enrollment ID: I20250606003384 |
| Provider Name | Wenli Mui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770050072 PECOS PAC ID: 7810231545 Enrollment ID: I20250609003132 |
| Provider Name | Cesar Arturo Arturo Munguia Galaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386213882 PECOS PAC ID: 6103336102 Enrollment ID: I20250609003299 |
| Provider Name | Aimee Poleski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265935118 PECOS PAC ID: 2365952397 Enrollment ID: I20250610000656 |
| Provider Name | Shianna Lorraine Colato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750124186 PECOS PAC ID: 3971013855 Enrollment ID: I20250610001783 |
| Provider Name | Yigit Baykara |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417567751 PECOS PAC ID: 5092133967 Enrollment ID: I20250610002005 |
| Provider Name | Faisal Jehan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1316434673 PECOS PAC ID: 2860902798 Enrollment ID: I20250610002440 |
| Provider Name | Marni Rae Sarazen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902469331 PECOS PAC ID: 1355676768 Enrollment ID: I20250610003008 |
| Provider Name | Cassandra Jo Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003296930 PECOS PAC ID: 1759745706 Enrollment ID: I20250611004052 |
| Provider Name | Mary Harmych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295136315 PECOS PAC ID: 9234351727 Enrollment ID: I20250612001590 |
| Provider Name | Hanson Colter Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740869510 PECOS PAC ID: 4789194267 Enrollment ID: I20250612001738 |
| Provider Name | David-quyen Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104321306 PECOS PAC ID: 9830573195 Enrollment ID: I20250612003150 |
| Provider Name | Bright Vandervoet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790574606 PECOS PAC ID: 8729599154 Enrollment ID: I20250613000774 |
| Provider Name | Taesoo Kim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740742055 PECOS PAC ID: 2769711621 Enrollment ID: I20250613001425 |
| Provider Name | Nicholas P Lyon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083233704 PECOS PAC ID: 7911449434 Enrollment ID: I20250616002591 |
| Provider Name | Eric Robert Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720709967 PECOS PAC ID: 0749791655 Enrollment ID: I20250617003952 |
| Provider Name | Jennifer Christine Amaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790507754 PECOS PAC ID: 3476064239 Enrollment ID: I20250618000835 |
| Provider Name | Juan Pablo Solano Romero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104433200 PECOS PAC ID: 9234640012 Enrollment ID: I20250618001502 |
| Provider Name | Laura M Mroue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871090811 PECOS PAC ID: 4587910716 Enrollment ID: I20250618002816 |
| Provider Name | Phillip Jared Summers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154666824 PECOS PAC ID: 8022326602 Enrollment ID: I20250619002019 |
| Provider Name | Diane Rodden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962963595 PECOS PAC ID: 1052823556 Enrollment ID: I20250620002713 |
| Provider Name | Bohan Xing |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891319042 PECOS PAC ID: 1658761929 Enrollment ID: I20250623000069 |
| Provider Name | Rebekah Faith Huckeby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043772833 PECOS PAC ID: 2062924467 Enrollment ID: I20250623001359 |
| Provider Name | Eileen Ibeth Montalvan Fernandez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437775400 PECOS PAC ID: 5496267841 Enrollment ID: I20250623002076 |
| Provider Name | Lin Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629887633 PECOS PAC ID: 4486166600 Enrollment ID: I20250624001987 |
| Provider Name | Christian Allen Bergman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952980369 PECOS PAC ID: 7517344716 Enrollment ID: I20250624002696 |
| Provider Name | Nagy Elsayyad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851592687 PECOS PAC ID: 9931095072 Enrollment ID: I20250625000293 |
| Provider Name | Samuel Hoyong Cheong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366187395 PECOS PAC ID: 0345620902 Enrollment ID: I20250627002228 |
| Provider Name | Mark Stice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962062406 PECOS PAC ID: 6709116080 Enrollment ID: I20250630001387 |
| Provider Name | Natalie a Larez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861298879 PECOS PAC ID: 6204349616 Enrollment ID: I20250630001808 |
| Provider Name | Lorelle Renee Dunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356962690 PECOS PAC ID: 7315311008 Enrollment ID: I20250701004053 |
| Provider Name | Brianna Marie Dolana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912641895 PECOS PAC ID: 9931589413 Enrollment ID: I20250701004624 |
| Provider Name | Colin Gold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457874745 PECOS PAC ID: 1153692165 Enrollment ID: I20250701004900 |
| Provider Name | Maxwell a Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225770530 PECOS PAC ID: 8628458767 Enrollment ID: I20250701004916 |
| Provider Name | Lizaveta Yerashevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710606710 PECOS PAC ID: 5294248282 Enrollment ID: I20250702001447 |
| Provider Name | Suzanne Marie Dellaria |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376505438 PECOS PAC ID: 8527195270 Enrollment ID: I20250702002251 |
| Provider Name | Cathryn Anne Ponza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073313573 PECOS PAC ID: 6709399546 Enrollment ID: I20250703000887 |
| Provider Name | Tam Minh Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912589342 PECOS PAC ID: 0244626075 Enrollment ID: I20250710003235 |
| Provider Name | Mackenzie Ann Diekmann Stice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629632799 PECOS PAC ID: 7810221496 Enrollment ID: I20250714000653 |
| Provider Name | Anna Roshal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124081799 PECOS PAC ID: 6901824523 Enrollment ID: I20250714002146 |
| Provider Name | Cynthia S Berardinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063733418 PECOS PAC ID: 5294051470 Enrollment ID: I20250715001288 |
| Provider Name | James Paul Lioi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124763388 PECOS PAC ID: 4880074863 Enrollment ID: I20250715002822 |
| Provider Name | Aung Myint Myat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922732015 PECOS PAC ID: 5092220392 Enrollment ID: I20250715004251 |
| Provider Name | Joshua Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770228165 PECOS PAC ID: 6800301060 Enrollment ID: I20250716000858 |
| Provider Name | Asma Mohammadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417699448 PECOS PAC ID: 3678960960 Enrollment ID: I20250717001330 |
| Provider Name | Sai Giridhar Gundepalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477048593 PECOS PAC ID: 6507118833 Enrollment ID: I20250718003560 |
| Provider Name | Nadine-stella E Achenjang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386107530 PECOS PAC ID: 6204163827 Enrollment ID: I20250718003793 |
| Provider Name | Arunima Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144952243 PECOS PAC ID: 6800302597 Enrollment ID: I20250721000775 |
| Provider Name | Mohammad Naif Saied Bakeer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134862949 PECOS PAC ID: 8628584323 Enrollment ID: I20250721001080 |
| Provider Name | Brittany Ann Wimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023802774 PECOS PAC ID: 5395251045 Enrollment ID: I20250721002115 |
| Provider Name | Hillary Gutierrez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174105803 PECOS PAC ID: 1658761499 Enrollment ID: I20250721002945 |
| Provider Name | Ian Zhi Hao Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699390633 PECOS PAC ID: 1254791346 Enrollment ID: I20250721003105 |
| Provider Name | Amy Sayre Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386300879 PECOS PAC ID: 0840706438 Enrollment ID: I20250721003342 |
| Provider Name | Sunnie Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841010824 PECOS PAC ID: 9335655968 Enrollment ID: I20250721004069 |
| Provider Name | Chloe E Kidd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982349841 PECOS PAC ID: 6103205323 Enrollment ID: I20250722000669 |
| Provider Name | Raquel Montagner Rossi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790307585 PECOS PAC ID: 9931615481 Enrollment ID: I20250722000718 |
| Provider Name | Steven D Scoville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659877629 PECOS PAC ID: 0840548400 Enrollment ID: I20250722001457 |
| Provider Name | Nicholas Alan Andring |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093277139 PECOS PAC ID: 6103153804 Enrollment ID: I20250722004344 |
| Provider Name | Jalen Joaquin Sanford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881587848 PECOS PAC ID: 3173039286 Enrollment ID: I20250723003903 |
| Provider Name | Kelly M Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063037000 PECOS PAC ID: 7618338096 Enrollment ID: I20250723004475 |
| Provider Name | Courtney Andersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659019131 PECOS PAC ID: 8224544390 Enrollment ID: I20250724000922 |
| Provider Name | Carlos Alejandro Rivera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215429543 PECOS PAC ID: 1254848054 Enrollment ID: I20250728000882 |
| Provider Name | Sarah Mostafa Elhomosany |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487389664 PECOS PAC ID: 8123535929 Enrollment ID: I20250728000982 |
| Provider Name | Amer Mohammad Hasan Hammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154050789 PECOS PAC ID: 5991212706 Enrollment ID: I20250728001093 |
| Provider Name | Letisha M Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871080903 PECOS PAC ID: 3375925035 Enrollment ID: I20250731001149 |
| Provider Name | Garima Gandotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073245676 PECOS PAC ID: 1759899909 Enrollment ID: I20250731001576 |
| Provider Name | Rashid Sayyid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801316625 PECOS PAC ID: 7618319369 Enrollment ID: I20250804001763 |
| Provider Name | Samantha Nicole Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659196392 PECOS PAC ID: 2264940907 Enrollment ID: I20250804001982 |
| Provider Name | Lydia a Raney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114374006 PECOS PAC ID: 4688955701 Enrollment ID: I20250804002420 |
| Provider Name | Osama Khaled Mohammed Alkhlaifat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164154894 PECOS PAC ID: 4981112661 Enrollment ID: I20250804002837 |
| Provider Name | Jennifer Erin Goldston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497498869 PECOS PAC ID: 1557879087 Enrollment ID: I20250805002136 |
| Provider Name | Amanda Lynne Miklus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336931526 PECOS PAC ID: 7315455854 Enrollment ID: I20250805002250 |
| Provider Name | Leighton Mireya Mendez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932862950 PECOS PAC ID: 6002272044 Enrollment ID: I20250805004160 |
| Provider Name | Jessica Ashley Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285215053 PECOS PAC ID: 7911387360 Enrollment ID: I20250806002708 |
| Provider Name | Yuri Lisset Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942800768 PECOS PAC ID: 0446630909 Enrollment ID: I20250812002090 |
| Provider Name | Ciara Shae Pajazetovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750177457 PECOS PAC ID: 1951809656 Enrollment ID: I20250812002202 |
| Provider Name | Megan C Cadigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649929514 PECOS PAC ID: 7113375981 Enrollment ID: I20250812002348 |
| Provider Name | Christiana Mo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255893665 PECOS PAC ID: 5991104952 Enrollment ID: I20250812002380 |
| Provider Name | Kyndra Figueroa Urenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013808484 PECOS PAC ID: 5395243018 Enrollment ID: I20250812002607 |
| Provider Name | Karina Ashley Morling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902633951 PECOS PAC ID: 1658806799 Enrollment ID: I20250812003789 |
| Provider Name | Valeria Yliana Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871113555 PECOS PAC ID: 9931521887 Enrollment ID: I20250813000462 |
| Provider Name | Stephen M Niemiec |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699128504 PECOS PAC ID: 3476914680 Enrollment ID: I20250813000890 |
| Provider Name | Justin T Dunn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760945687 PECOS PAC ID: 9537549118 Enrollment ID: I20250814004566 |
| Provider Name | Anabel Aguayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023526290 PECOS PAC ID: 6002315157 Enrollment ID: I20250815004519 |
| Provider Name | Rachel H Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801458674 PECOS PAC ID: 3375879281 Enrollment ID: I20250822003042 |
| Provider Name | Caitlin Elizabeth-jones Sayyid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083107676 PECOS PAC ID: 7214474303 Enrollment ID: I20250826000659 |
| Provider Name | Shivanand Bomman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063641348 PECOS PAC ID: 0446402846 Enrollment ID: I20250826001644 |
| Provider Name | Jonathan James Sackett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427686401 PECOS PAC ID: 7911338751 Enrollment ID: I20250826001893 |
| Provider Name | Cynthia M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154395754 PECOS PAC ID: 6103326871 Enrollment ID: I20250826003128 |
| Provider Name | Barbra Sue Miller |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1356353205 PECOS PAC ID: 1951332527 Enrollment ID: I20250827002213 |
| Provider Name | Ali Alhousseini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124225248 PECOS PAC ID: 9931253663 Enrollment ID: I20250828002286 |
| Provider Name | Bianca Jean-an Kao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851032114 PECOS PAC ID: 2062913080 Enrollment ID: I20250831000318 |
| Provider Name | Kritika Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023470556 PECOS PAC ID: 2062896566 Enrollment ID: I20250902000859 |
| Provider Name | Stacey Janet Jaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174190995 PECOS PAC ID: 5092217612 Enrollment ID: I20250904000675 |
| Provider Name | Eric John Hodgson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689891673 PECOS PAC ID: 0547353666 Enrollment ID: I20250904001850 |
| Provider Name | Beverly Barton Rogers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225097363 PECOS PAC ID: 8224031125 Enrollment ID: I20250908001594 |
| Provider Name | Wendy Noel Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649855081 PECOS PAC ID: 5890194849 Enrollment ID: I20250915002761 |
| Provider Name | Ramesh Batra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407298821 PECOS PAC ID: 0840505772 Enrollment ID: I20250916002742 |
| Provider Name | James Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790210797 PECOS PAC ID: 6002211349 Enrollment ID: I20250930000460 |
| Provider Name | Amber L Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952602856 PECOS PAC ID: 4486942059 Enrollment ID: I20251001000998 |
| Provider Name | Kristin Michelle Huntoon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043650229 PECOS PAC ID: 5597064832 Enrollment ID: I20251013003351 |
| Provider Name | Allen Paul Miraflor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144587098 PECOS PAC ID: 8426355496 Enrollment ID: I20251014002754 |
| Provider Name | Jamie L Beuckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053293308 PECOS PAC ID: 0143717694 Enrollment ID: I20251016004684 |
| Provider Name | Mason Arbabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144896432 PECOS PAC ID: 7012456148 Enrollment ID: I20251022000484 |
| Provider Name | Rommel Alberto Izaguirre Pereira |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356692818 PECOS PAC ID: 5991166381 Enrollment ID: I20251022001832 |
| Provider Name | Joseph Nicholas Carey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487898391 PECOS PAC ID: 0941481733 Enrollment ID: I20251024002186 |
| Provider Name | Karen E Carr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962905786 PECOS PAC ID: 1052799582 Enrollment ID: I20251025000398 |
| Provider Name | Garrett Christopher Helvey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750080099 PECOS PAC ID: 1456840271 Enrollment ID: I20251030003451 |
| Provider Name | Rania Aziz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922335298 PECOS PAC ID: 0840465670 Enrollment ID: I20251103001219 |
| Provider Name | Laurie Lynn Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790879880 PECOS PAC ID: 9830282706 Enrollment ID: I20251103002086 |
| Provider Name | Elizabeth M Zadzielski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922101039 PECOS PAC ID: 9032179197 Enrollment ID: I20251105002916 |
| Provider Name | Elizabeth C Tyler-kabara |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093781676 PECOS PAC ID: 5597707729 Enrollment ID: I20251106002433 |
| Provider Name | Alexis Moises Loyola Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942181714 PECOS PAC ID: 9133619851 Enrollment ID: I20251110002748 |
| Provider Name | Masoud Mark Taslimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689739054 PECOS PAC ID: 7315977816 Enrollment ID: I20251114002863 |
| Provider Name | Elizabeth Sandra Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356455265 PECOS PAC ID: 1254354046 Enrollment ID: I20251118000815 |
| Provider Name | Jacob a Klewer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215424759 PECOS PAC ID: 1951734813 Enrollment ID: I20251120001972 |
| Provider Name | Kalliopi Siziopikou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053395582 PECOS PAC ID: 0244223022 Enrollment ID: I20251121002799 |
| Provider Name | Aamir Nafees Ahmad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801392311 PECOS PAC ID: 3173871548 Enrollment ID: I20251126003134 |
| Provider Name | Carl W Tong |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1992760276 PECOS PAC ID: 9335324417 Enrollment ID: I20251204002040 |
| Provider Name | Hasan Al Harakeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548823321 PECOS PAC ID: 2860726726 Enrollment ID: I20251208002407 |
| Provider Name | Maginta Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700750155 PECOS PAC ID: 9335633510 Enrollment ID: I20251215002833 |
| Provider Name | Darien Stratton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649891011 PECOS PAC ID: 2466874508 Enrollment ID: I20251217001396 |
| Provider Name | Sharese Ameka Dixon-banks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730487554 PECOS PAC ID: 6709062375 Enrollment ID: I20251218001889 |
| Provider Name | Erika Michelle Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568008134 PECOS PAC ID: 6406341668 Enrollment ID: I20251224001696 |
| Provider Name | John S Chorba |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538364138 PECOS PAC ID: 6204065881 Enrollment ID: I20251224001845 |
| Provider Name | Alexander Orlando Richard Urzua |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982281960 PECOS PAC ID: 0648673087 Enrollment ID: I20251226001097 |
| Provider Name | Michael D Temple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942248810 PECOS PAC ID: 9436042595 Enrollment ID: I20251229002736 |
| Provider Name | John Scott Scherschel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013505569 PECOS PAC ID: 5698181980 Enrollment ID: I20260108002215 |
| Provider Name | Karen Abigail Robertson-sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265476287 PECOS PAC ID: 2365416963 Enrollment ID: I20260114000745 |
| Provider Name | Reece Wild |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114899168 PECOS PAC ID: 0446737852 Enrollment ID: I20260115003889 |
| Provider Name | Auguste Shimwa Niyibizi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194342360 PECOS PAC ID: 0143640961 Enrollment ID: I20260123001268 |
| Provider Name | Ronadip Ralph Banerjee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386831279 PECOS PAC ID: 0648455451 Enrollment ID: I20260127001106 |
| Provider Name | Erin Kristin Spengler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568698579 PECOS PAC ID: 3173764669 Enrollment ID: I20260128001910 |
| Provider Name | Abdul M Oseini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063617611 PECOS PAC ID: 7012090160 Enrollment ID: I20260202002587 |
| Provider Name | Rajat Madan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164678777 PECOS PAC ID: 4981833753 Enrollment ID: I20260203003533 |
| Provider Name | Sean Patrick Rodgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366313470 PECOS PAC ID: 8426538778 Enrollment ID: I20260216002474 |
| Provider Name | Zoe Deem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629843511 PECOS PAC ID: 5799266458 Enrollment ID: I20260220003450 |
| Provider Name | Qianwen Williamson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275182537 PECOS PAC ID: 1658703822 Enrollment ID: I20260225001254 |
| Provider Name | Karthik Rayasam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720766025 PECOS PAC ID: 2163903352 Enrollment ID: I20260225003296 |
| Provider Name | Rebecca Raquel Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114885050 PECOS PAC ID: 8921580820 Enrollment ID: I20260228000070 |
| Provider Name | Florencia Isabel Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467237677 PECOS PAC ID: 8426530098 Enrollment ID: I20260303003402 |
| Provider Name | Sarah Marina Singer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487517173 PECOS PAC ID: 0345723268 Enrollment ID: I20260310001381 |
| Provider Name | Kenan Mohd Rashad Said Alrejjal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972234391 PECOS PAC ID: 5698258838 Enrollment ID: I20260316001643 |
| Provider Name | Laura M Dellos |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609871649 PECOS PAC ID: 5799704763 Enrollment ID: I20260319000277 |
| Provider Name | Aman Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548721046 PECOS PAC ID: 6800127754 Enrollment ID: I20260319003875 |
| Provider Name | Marta Ann Crispens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578650685 PECOS PAC ID: 1557408473 Enrollment ID: I20260325001244 |
| Provider Name | Ryan James Cunningham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083574644 PECOS PAC ID: 7719462324 Enrollment ID: I20260401001536 |
| Provider Name | Jama M Darling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700953908 PECOS PAC ID: 2567496391 Enrollment ID: I20260402002224 |
| Provider Name | Tammy M Tedsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114687829 PECOS PAC ID: 1557752359 Enrollment ID: I20260403000000 |
| Provider Name | Waail Mohammed Rozi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356020077 PECOS PAC ID: 1456887975 Enrollment ID: I20260424002810 |
| Provider Name | Crystal M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942183579 PECOS PAC ID: 8325549314 Enrollment ID: I20260504007650 |
| Provider Name | Anthony Scott Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285250787 PECOS PAC ID: 9830596436 Enrollment ID: I20260507002092 |
| Provider Name | Trevor Huff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033736947 PECOS PAC ID: 7517369523 Enrollment ID: I20260511000511 |
| Provider Name | Clark Delona Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588308258 PECOS PAC ID: 6103203385 Enrollment ID: I20260511000667 |
| Provider Name | Jacqueline Odhiambo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912530288 PECOS PAC ID: 1456716836 Enrollment ID: I20260511001243 |
| Provider Name | Mohammad Hamidi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952864829 PECOS PAC ID: 5597092619 Enrollment ID: I20260511003473 |
| Provider Name | Risha Fayyaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053986919 PECOS PAC ID: 5799210605 Enrollment ID: I20260526003121 |
| Provider Name | Alireza Pourjavid |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649977737 PECOS PAC ID: 5092285502 Enrollment ID: I20260526003142 |
| Provider Name | Sherif Dabash |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750820734 PECOS PAC ID: 2668724550 Enrollment ID: I20260528001512 |
| Provider Name | Nika Vinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811197015 PECOS PAC ID: 8729388863 Enrollment ID: I20260528004715 |
| Provider Name | Lisa Jo Chamberlain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528145513 PECOS PAC ID: 9537264254 Enrollment ID: I20260605001902 |
| Provider Name | Karuna P Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366421406 PECOS PAC ID: 0446241467 Enrollment ID: I20260610001268 |
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 |