| Mary Imogene Bassett Hospital | |
|
1 Atwell Rd Cooperstown NY 13326-1301 | |
| (607) 547-6858 | |
| (607) 547-4986 |
| Full Name | Mary Imogene Bassett Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Atwell Rd, Cooperstown, New York |
| Authorized Official Name and Position | Jeffrey H Morgan (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Contact | 6075473096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Imogene Bassett Hospital 1 Atwell Rd Cooperstown NY 13326-1301 Ph: (607) 547-3456 | Mary Imogene Bassett Hospital 1 Atwell Rd Cooperstown NY 13326-1301 Ph: (607) 547-6858 |
| NPI Number | 1083664221 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 3779488325 |
|---|---|
| Medicare Enrollment ID | O20031205000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083664221 | NPI | - | NPPES |
| 01270039 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael G Geci Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114057452 PECOS PAC ID: 7113822487 Enrollment ID: I20031201000593 |
| Provider Name | Edward F Bischof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366407462 PECOS PAC ID: 7911803416 Enrollment ID: I20031208000290 |
| Provider Name | Rafael R. Medina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265416598 PECOS PAC ID: 0143129023 Enrollment ID: I20040108000953 |
| Provider Name | Brian G Cromwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548231541 PECOS PAC ID: 2163329764 Enrollment ID: I20040122000454 |
| Provider Name | Irene C Yarusso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821095993 PECOS PAC ID: 8820990708 Enrollment ID: I20040123000277 |
| Provider Name | David F. Cann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093783789 PECOS PAC ID: 1456244466 Enrollment ID: I20040204000437 |
| Provider Name | Stephen G Hassett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831179787 PECOS PAC ID: 8729971726 Enrollment ID: I20040204000831 |
| Provider Name | Ann Kramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154327427 PECOS PAC ID: 0345133989 Enrollment ID: I20040206000025 |
| Provider Name | Nabeel G El-amir |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1841243698 PECOS PAC ID: 2567359748 Enrollment ID: I20040302000966 |
| Provider Name | Marilyn D Kumra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841201902 PECOS PAC ID: 6507753670 Enrollment ID: I20040303000150 |
| Provider Name | Christopher J Lesko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093766065 PECOS PAC ID: 6002703071 Enrollment ID: I20040304000189 |
| Provider Name | Gary Wehner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013968684 PECOS PAC ID: 9739076522 Enrollment ID: I20040304000731 |
| Provider Name | Richard A Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164488151 PECOS PAC ID: 5799675344 Enrollment ID: I20040317000888 |
| Provider Name | Steven Charles Gasiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457303521 PECOS PAC ID: 9234029562 Enrollment ID: I20040318001331 |
| Provider Name | Meekoo Dhar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154313401 PECOS PAC ID: 5799675096 Enrollment ID: I20040318001799 |
| Provider Name | Laura A O Shea |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295788446 PECOS PAC ID: 8022002518 Enrollment ID: I20040408000797 |
| Provider Name | Day F Hills |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477520401 PECOS PAC ID: 6507850898 Enrollment ID: I20040410000001 |
| Provider Name | Katherine M. Ramiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326091083 PECOS PAC ID: 8224022512 Enrollment ID: I20040410000012 |
| Provider Name | Kevin R Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790708477 PECOS PAC ID: 5294720843 Enrollment ID: I20040414001995 |
| Provider Name | James F Cesare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386637015 PECOS PAC ID: 5991600231 Enrollment ID: I20040416000313 |
| Provider Name | Jane Swingle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558312157 PECOS PAC ID: 1658366760 Enrollment ID: I20040419000227 |
| Provider Name | David S Dinhofer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770576589 PECOS PAC ID: 3971599226 Enrollment ID: I20040422000155 |
| Provider Name | Kai H Mebust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487619516 PECOS PAC ID: 3173510385 Enrollment ID: I20040429000291 |
| Provider Name | Sheila L Gahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972552313 PECOS PAC ID: 6002803137 Enrollment ID: I20040429000538 |
| Provider Name | Jay K Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396896627 PECOS PAC ID: 2466440516 Enrollment ID: I20040505001419 |
| Provider Name | Richard E Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336187657 PECOS PAC ID: 6204826969 Enrollment ID: I20040514000413 |
| Provider Name | David James Oxley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770531154 PECOS PAC ID: 0840280327 Enrollment ID: I20040517000221 |
| Provider Name | Carole S Hamburg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730143561 PECOS PAC ID: 1254312317 Enrollment ID: I20040526000182 |
| Provider Name | Gayle A Morley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093759029 PECOS PAC ID: 4587645387 Enrollment ID: I20040527000438 |
| Provider Name | Max S Laguerre |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780676296 PECOS PAC ID: 7214919307 Enrollment ID: I20040603000029 |
| Provider Name | Chinedu E Abara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023010212 PECOS PAC ID: 4082697594 Enrollment ID: I20040607001563 |
| Provider Name | David A Almeleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316018401 PECOS PAC ID: 6608859996 Enrollment ID: I20040608001384 |
| Provider Name | Thomas Neil Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457312233 PECOS PAC ID: 1052394913 Enrollment ID: I20040611000300 |
| Provider Name | Kimberly M Ginyard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770524050 PECOS PAC ID: 7214911940 Enrollment ID: I20040617001563 |
| Provider Name | Natalia Dolin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013972991 PECOS PAC ID: 5496730673 Enrollment ID: I20040622000592 |
| Provider Name | Elizabeth E Redd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760446116 PECOS PAC ID: 3678562972 Enrollment ID: I20040623001552 |
| Provider Name | Emmanuel Ekeke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467503235 PECOS PAC ID: 7012993983 Enrollment ID: I20040629001615 |
| Provider Name | Robert G Holloway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336171727 PECOS PAC ID: 8628055894 Enrollment ID: I20040706000817 |
| Provider Name | Aaron I Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326032269 PECOS PAC ID: 1951388974 Enrollment ID: I20040707000523 |
| Provider Name | Kwame A Adusei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942277256 PECOS PAC ID: 2668459637 Enrollment ID: I20040707000923 |
| Provider Name | Donald L Calzolaio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689641995 PECOS PAC ID: 3173501178 Enrollment ID: I20040707001229 |
| Provider Name | Sunjay Verma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285625244 PECOS PAC ID: 4981684792 Enrollment ID: I20040722000689 |
| Provider Name | Paul F Klawitter |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326104191 PECOS PAC ID: 5597745323 Enrollment ID: I20040729000197 |
| Provider Name | John S Janikas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811037708 PECOS PAC ID: 3870565211 Enrollment ID: I20040806001145 |
| Provider Name | George Varsos |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639193345 PECOS PAC ID: 1658343355 Enrollment ID: I20040812000421 |
| Provider Name | Richard J Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306802319 PECOS PAC ID: 6204808272 Enrollment ID: I20040812001136 |
| Provider Name | Loren G Van Riper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871558833 PECOS PAC ID: 8921071549 Enrollment ID: I20040812001379 |
| Provider Name | Aspan S Ohson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689678559 PECOS PAC ID: 8022082791 Enrollment ID: I20040819001572 |
| Provider Name | Guido M Scatorchia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639178288 PECOS PAC ID: 4082687967 Enrollment ID: I20040823001392 |
| Provider Name | Rosemary Mccabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417913039 PECOS PAC ID: 0749255453 Enrollment ID: I20040826001247 |
| Provider Name | Matthew Spencer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194780759 PECOS PAC ID: 4284609991 Enrollment ID: I20040826001251 |
| Provider Name | Tauseef F. Ahmed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093778458 PECOS PAC ID: 6103714266 Enrollment ID: I20040830000358 |
| Provider Name | Deborah A Basso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740238203 PECOS PAC ID: 9638144926 Enrollment ID: I20040831000309 |
| Provider Name | Niki E Kantrowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285695031 PECOS PAC ID: 0840266466 Enrollment ID: I20040906000006 |
| Provider Name | Eric C Knight |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881650455 PECOS PAC ID: 5294701793 Enrollment ID: I20040907000679 |
| Provider Name | Nicholas P Georges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831126325 PECOS PAC ID: 4284620998 Enrollment ID: I20040908001537 |
| Provider Name | Anouk R Lambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699732081 PECOS PAC ID: 8325015308 Enrollment ID: I20040910000816 |
| Provider Name | Hani G Chehata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891803094 PECOS PAC ID: 9436126497 Enrollment ID: I20040914000115 |
| Provider Name | Peter L Sosnow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790717346 PECOS PAC ID: 0345138681 Enrollment ID: I20040914000195 |
| Provider Name | Vivian L Clark |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427014737 PECOS PAC ID: 2860469087 Enrollment ID: I20040915001138 |
| Provider Name | James A Kruse |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679538292 PECOS PAC ID: 4880667286 Enrollment ID: I20040921000192 |
| Provider Name | Monica Brane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770549255 PECOS PAC ID: 9436128865 Enrollment ID: I20041001000107 |
| Provider Name | Carolyn Schulhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245241520 PECOS PAC ID: 8628976016 Enrollment ID: I20041025001000 |
| Provider Name | Matthew W Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952352460 PECOS PAC ID: 4981666559 Enrollment ID: I20041027000695 |
| Provider Name | Michelle C Jardine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497740781 PECOS PAC ID: 5294798328 Enrollment ID: I20041109000988 |
| Provider Name | Dhananjai J Menzies |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184680001 PECOS PAC ID: 9537123609 Enrollment ID: I20041117001264 |
| Provider Name | Todd T Churchill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245231471 PECOS PAC ID: 4688630056 Enrollment ID: I20041207000978 |
| Provider Name | Susan M Fiore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003869884 PECOS PAC ID: 8224096920 Enrollment ID: I20041228000727 |
| Provider Name | Matthew J Borowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487622270 PECOS PAC ID: 2860440799 Enrollment ID: I20050107000350 |
| Provider Name | Nisar Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124124565 PECOS PAC ID: 1658320429 Enrollment ID: I20050119000418 |
| Provider Name | Naron I Keo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225088248 PECOS PAC ID: 1759332786 Enrollment ID: I20050207000662 |
| Provider Name | Kelly B Farnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861485534 PECOS PAC ID: 9436101813 Enrollment ID: I20050214000651 |
| Provider Name | Jeffrey R Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255392437 PECOS PAC ID: 5395799001 Enrollment ID: I20050305000072 |
| Provider Name | Lester Schmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174576425 PECOS PAC ID: 1254386949 Enrollment ID: I20050315001019 |
| Provider Name | Steven W Schaeffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346460839 PECOS PAC ID: 6103871827 Enrollment ID: I20050316000372 |
| Provider Name | Karen A Fiscarelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558313361 PECOS PAC ID: 5193770543 Enrollment ID: I20050317000952 |
| Provider Name | Mark E Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285686014 PECOS PAC ID: 2668427014 Enrollment ID: I20050317001036 |
| Provider Name | Fred E Oestman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114978186 PECOS PAC ID: 4981650728 Enrollment ID: I20050324001036 |
| Provider Name | Leah A Usher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831115336 PECOS PAC ID: 4183670466 Enrollment ID: I20050330000193 |
| Provider Name | Joyce B Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306803895 PECOS PAC ID: 0648212316 Enrollment ID: I20050524000607 |
| Provider Name | Karen M Mcginnis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215991468 PECOS PAC ID: 1153363023 Enrollment ID: I20050602000321 |
| Provider Name | Albert James Fessler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790700920 PECOS PAC ID: 1557304003 Enrollment ID: I20050606000641 |
| Provider Name | Philip A Heavner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093773111 PECOS PAC ID: 5799745873 Enrollment ID: I20050608000962 |
| Provider Name | Samuel S Badalian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407848906 PECOS PAC ID: 6406895291 Enrollment ID: I20050610000196 |
| Provider Name | Dean M Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558322602 PECOS PAC ID: 2062456544 Enrollment ID: I20050617000009 |
| Provider Name | Carol-lynn Petronaci |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912938465 PECOS PAC ID: 1850337965 Enrollment ID: I20050629000462 |
| Provider Name | Marina Bravin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679538409 PECOS PAC ID: 1759317068 Enrollment ID: I20050708000590 |
| Provider Name | Ellen M Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629029442 PECOS PAC ID: 1153358965 Enrollment ID: I20050725000024 |
| Provider Name | David T Griger |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063478543 PECOS PAC ID: 9133157480 Enrollment ID: I20050728000944 |
| Provider Name | Elizabeth Blasco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255378535 PECOS PAC ID: 5395773188 Enrollment ID: I20050802001005 |
| Provider Name | John M Fisk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629075700 PECOS PAC ID: 5890723696 Enrollment ID: I20050802001167 |
| Provider Name | William J Richtsmeier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265496657 PECOS PAC ID: 5991733594 Enrollment ID: I20050803000485 |
| Provider Name | James C Anania |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831159425 PECOS PAC ID: 7618906132 Enrollment ID: I20050804001204 |
| Provider Name | Leway Chen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1851333611 PECOS PAC ID: 2163453135 Enrollment ID: I20050830000238 |
| Provider Name | Scott A Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417914029 PECOS PAC ID: 2264464718 Enrollment ID: I20050906000290 |
| Provider Name | Lee V Leak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396737763 PECOS PAC ID: 8123079100 Enrollment ID: I20050908001014 |
| Provider Name | Simha R Sastry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508822891 PECOS PAC ID: 8729011622 Enrollment ID: I20050912001038 |
| Provider Name | Indu Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952585838 PECOS PAC ID: 2365339645 Enrollment ID: I20050930000484 |
| Provider Name | Michael E Yurcheshen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861591547 PECOS PAC ID: 7911932249 Enrollment ID: I20051005000501 |
| Provider Name | Barbara C Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356380661 PECOS PAC ID: 1456376615 Enrollment ID: I20051007000156 |
| Provider Name | Daniel W Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699841288 PECOS PAC ID: 0840282554 Enrollment ID: I20051103000992 |
| Provider Name | Peter J Gencarelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295795805 PECOS PAC ID: 2163442211 Enrollment ID: I20051203000065 |
| Provider Name | Jonathan A Greenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609837749 PECOS PAC ID: 8628099009 Enrollment ID: I20051213000549 |
| Provider Name | Alfred Tinger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760470173 PECOS PAC ID: 1355363979 Enrollment ID: I20051227000023 |
| Provider Name | Mark R Davidson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790750560 PECOS PAC ID: 2668495433 Enrollment ID: I20060106000570 |
| Provider Name | David A Fanion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407806946 PECOS PAC ID: 7719938174 Enrollment ID: I20060110000286 |
| Provider Name | Merle L Myerson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801845359 PECOS PAC ID: 6103849575 Enrollment ID: I20060111000936 |
| Provider Name | Jacqueline Carrie Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396729851 PECOS PAC ID: 7911921929 Enrollment ID: I20060117001168 |
| Provider Name | Michael D Brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942252739 PECOS PAC ID: 3779507652 Enrollment ID: I20060119000275 |
| Provider Name | Chris L Kjolhede |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003873472 PECOS PAC ID: 5991729584 Enrollment ID: I20060123000428 |
| Provider Name | Pascale G Raymond |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093770034 PECOS PAC ID: 9335153170 Enrollment ID: I20060201000599 |
| Provider Name | Delf O King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013901255 PECOS PAC ID: 8527073980 Enrollment ID: I20060207000638 |
| Provider Name | Susan D Huffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982654075 PECOS PAC ID: 0840205969 Enrollment ID: I20060210000443 |
| Provider Name | Ross Horsley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255309647 PECOS PAC ID: 3274525068 Enrollment ID: I20060214000168 |
| Provider Name | Srinadh Yarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750369385 PECOS PAC ID: 3577578038 Enrollment ID: I20060221000017 |
| Provider Name | Komgrit Chukiert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528057502 PECOS PAC ID: 9032125943 Enrollment ID: I20060302000148 |
| Provider Name | Jerel M Zoltick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053361212 PECOS PAC ID: 5092721845 Enrollment ID: I20060302000456 |
| Provider Name | Mun K Hong |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124077870 PECOS PAC ID: 0042227381 Enrollment ID: I20060313000154 |
| Provider Name | David B Markowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245281740 PECOS PAC ID: 6002824588 Enrollment ID: I20060328000050 |
| Provider Name | R James White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366477044 PECOS PAC ID: 3072522572 Enrollment ID: I20060413000471 |
| Provider Name | Michael A Nead |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144288572 PECOS PAC ID: 0547220337 Enrollment ID: I20060428000554 |
| Provider Name | Jerome C Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538190822 PECOS PAC ID: 5294744249 Enrollment ID: I20060509000666 |
| Provider Name | Irene B Perillo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487685921 PECOS PAC ID: 6406867282 Enrollment ID: I20060509000702 |
| Provider Name | Venera Grasso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750338992 PECOS PAC ID: 1052323136 Enrollment ID: I20060609000024 |
| Provider Name | Tracy Ann Vasile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740216118 PECOS PAC ID: 8224034590 Enrollment ID: I20061010000118 |
| Provider Name | Gabriel Ionescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750315628 PECOS PAC ID: 9133126485 Enrollment ID: I20061028000045 |
| Provider Name | Irais Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528059219 PECOS PAC ID: 3274546544 Enrollment ID: I20070129000126 |
| Provider Name | Carrie A Stemmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306889753 PECOS PAC ID: 0345342564 Enrollment ID: I20070219000488 |
| Provider Name | Jeffrey P Allerton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205886181 PECOS PAC ID: 2365425519 Enrollment ID: I20070220000025 |
| Provider Name | Malene T Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619071107 PECOS PAC ID: 8729180534 Enrollment ID: I20070226000479 |
| Provider Name | O S Raffo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134108244 PECOS PAC ID: 1951404037 Enrollment ID: I20070309000331 |
| Provider Name | Caridad E Fuertes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182078 PECOS PAC ID: 1153425327 Enrollment ID: I20070327000682 |
| Provider Name | Alberto Gaitan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841357613 PECOS PAC ID: 3678678273 Enrollment ID: I20070410000218 |
| Provider Name | Kamran I Chaudhri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184691065 PECOS PAC ID: 7810959590 Enrollment ID: I20070412000463 |
| Provider Name | John S Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609898964 PECOS PAC ID: 4486751955 Enrollment ID: I20070517000218 |
| Provider Name | Jamal J Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831112440 PECOS PAC ID: 4385742980 Enrollment ID: I20070605000541 |
| Provider Name | Muthu M Ramasamy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194796821 PECOS PAC ID: 4082633938 Enrollment ID: I20070613000135 |
| Provider Name | Dauphine R Giles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134179260 PECOS PAC ID: 7810881893 Enrollment ID: I20070619000266 |
| Provider Name | Lawrence I Laifer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528122116 PECOS PAC ID: 3173627064 Enrollment ID: I20070620000608 |
| Provider Name | David H Chu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801805726 PECOS PAC ID: 5799682522 Enrollment ID: I20070627000261 |
| Provider Name | Christy Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831202183 PECOS PAC ID: 2365534690 Enrollment ID: I20070816000451 |
| Provider Name | Corazon N Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730124322 PECOS PAC ID: 3870588015 Enrollment ID: I20070817000664 |
| Provider Name | Carlton J Rule |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619978020 PECOS PAC ID: 6305930561 Enrollment ID: I20070919000077 |
| Provider Name | Eric D Moses |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306980941 PECOS PAC ID: 4587758636 Enrollment ID: I20070919000871 |
| Provider Name | Lisa A Roberts |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831264464 PECOS PAC ID: 6800981291 Enrollment ID: I20071001000066 |
| Provider Name | Adam G Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104839190 PECOS PAC ID: 6800981960 Enrollment ID: I20071004000051 |
| Provider Name | Daniel K Pauze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588766752 PECOS PAC ID: 9739289091 Enrollment ID: I20071004000240 |
| Provider Name | Jonathan D Croft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922209642 PECOS PAC ID: 0648366864 Enrollment ID: I20071019000255 |
| Provider Name | Olga Selioutski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992813703 PECOS PAC ID: 0941397335 Enrollment ID: I20071101000256 |
| Provider Name | Elizabeth J Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821017435 PECOS PAC ID: 8325135478 Enrollment ID: I20071106000503 |
| Provider Name | Michael M Budin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982660304 PECOS PAC ID: 1052219276 Enrollment ID: I20071113000107 |
| Provider Name | Gennaro A Falco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164488581 PECOS PAC ID: 0143128363 Enrollment ID: I20071113000119 |
| Provider Name | Travis H Hodgdon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225096118 PECOS PAC ID: 5395777437 Enrollment ID: I20071113000647 |
| Provider Name | James A Eckel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255464988 PECOS PAC ID: 8527156744 Enrollment ID: I20071121000176 |
| Provider Name | Susan J Carmean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548456080 PECOS PAC ID: 2769572536 Enrollment ID: I20071217000498 |
| Provider Name | Kristin Wiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396933396 PECOS PAC ID: 8426138785 Enrollment ID: I20071228000217 |
| Provider Name | Anne Pawlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750560181 PECOS PAC ID: 2961582739 Enrollment ID: I20080107000187 |
| Provider Name | Gretchen A Hodgdon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508968579 PECOS PAC ID: 2567363070 Enrollment ID: I20080128000607 |
| Provider Name | Sandhya Khurana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588678874 PECOS PAC ID: 5193807923 Enrollment ID: I20080131000531 |
| Provider Name | David T Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629140728 PECOS PAC ID: 1254413818 Enrollment ID: I20080205000162 |
| Provider Name | Mark E Winther |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417132358 PECOS PAC ID: 2567545643 Enrollment ID: I20080213000043 |
| Provider Name | Leslie B Breiten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508862889 PECOS PAC ID: 2567494404 Enrollment ID: I20080214000559 |
| Provider Name | Sherrita Bhagan-bruno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295928687 PECOS PAC ID: 2062595960 Enrollment ID: I20080215000363 |
| Provider Name | Carol K Beechy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063462760 PECOS PAC ID: 5991880502 Enrollment ID: I20080306000513 |
| Provider Name | Carolyn Wolf Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666067 PECOS PAC ID: 0840376448 Enrollment ID: I20080324000360 |
| Provider Name | Amy Zoltick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295910818 PECOS PAC ID: 2668558792 Enrollment ID: I20080328000579 |
| Provider Name | Patrick Germain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710971726 PECOS PAC ID: 4284633918 Enrollment ID: I20080403000024 |
| Provider Name | Michael J Reilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528097169 PECOS PAC ID: 2769560648 Enrollment ID: I20080417000135 |
| Provider Name | Saul Arber |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407800949 PECOS PAC ID: 0143287110 Enrollment ID: I20080429000852 |
| Provider Name | Robin M Doyle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508948621 PECOS PAC ID: 1153407465 Enrollment ID: I20080501000497 |
| Provider Name | Atul Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184693228 PECOS PAC ID: 5991731762 Enrollment ID: I20080509000510 |
| Provider Name | Anthony F Lombardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740469444 PECOS PAC ID: 5799864195 Enrollment ID: I20080510000043 |
| Provider Name | Holly A Hobbie - Begeal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083884605 PECOS PAC ID: 0941389241 Enrollment ID: I20080512000048 |
| Provider Name | Alan J Kopp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851349112 PECOS PAC ID: 9739251034 Enrollment ID: I20080701000618 |
| Provider Name | Christopher R Taurani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114964004 PECOS PAC ID: 3779656897 Enrollment ID: I20080723000499 |
| Provider Name | Anthony Nappi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457541583 PECOS PAC ID: 0547346835 Enrollment ID: I20080806000573 |
| Provider Name | Komron A Ostovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215958145 PECOS PAC ID: 4789759432 Enrollment ID: I20080815000075 |
| Provider Name | Stephanie S Oceguera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063614758 PECOS PAC ID: 1052404431 Enrollment ID: I20080923000797 |
| Provider Name | Aaron Mortensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215023734 PECOS PAC ID: 0941369110 Enrollment ID: I20081103000154 |
| Provider Name | Ratna M Kunasani |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104073808 PECOS PAC ID: 6709946197 Enrollment ID: I20081114000349 |
| Provider Name | Anush Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790986081 PECOS PAC ID: 2860552700 Enrollment ID: I20081121000176 |
| Provider Name | Jeffery A Burdett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316957004 PECOS PAC ID: 4385704121 Enrollment ID: I20081124000326 |
| Provider Name | Christina A Chiang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619129772 PECOS PAC ID: 8628139276 Enrollment ID: I20081202000218 |
| Provider Name | Anne Carroll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740246727 PECOS PAC ID: 6002977329 Enrollment ID: I20081205000032 |
| Provider Name | Jon M Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053583401 PECOS PAC ID: 5799846044 Enrollment ID: I20081205000263 |
| Provider Name | Daniel M Schreiber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679531420 PECOS PAC ID: 8820196991 Enrollment ID: I20081211000529 |
| Provider Name | Amy L Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154322469 PECOS PAC ID: 4880757145 Enrollment ID: I20090113000215 |
| Provider Name | Jessica D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295986131 PECOS PAC ID: 2769545052 Enrollment ID: I20090113000446 |
| Provider Name | Charles L Hyman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629062104 PECOS PAC ID: 9032272091 Enrollment ID: I20090116000446 |
| Provider Name | Peter L Arquin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073579363 PECOS PAC ID: 0244395275 Enrollment ID: I20090209000018 |
| Provider Name | Robert C Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639136401 PECOS PAC ID: 2860558640 Enrollment ID: I20090303000263 |
| Provider Name | Donald M Doynow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902856362 PECOS PAC ID: 4082678446 Enrollment ID: I20090402000131 |
| Provider Name | Janine Lynne Sabella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689624702 PECOS PAC ID: 6204983349 Enrollment ID: I20090407000536 |
| Provider Name | Anne M Gadomski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871550343 PECOS PAC ID: 1456408244 Enrollment ID: I20090414000326 |
| Provider Name | Kevin J Mccaffrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073758637 PECOS PAC ID: 1658428461 Enrollment ID: I20090414000514 |
| Provider Name | Mohamed Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386721579 PECOS PAC ID: 6103974290 Enrollment ID: I20090429000262 |
| Provider Name | John W Russin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376663112 PECOS PAC ID: 0840348959 Enrollment ID: I20090429000450 |
| Provider Name | Monica Bauman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639170368 PECOS PAC ID: 6901882463 Enrollment ID: I20090507000432 |
| Provider Name | Evelyn M Flannery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881835676 PECOS PAC ID: 9739239252 Enrollment ID: I20090604000026 |
| Provider Name | Sharon L Feldman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518019421 PECOS PAC ID: 7618027699 Enrollment ID: I20090612000373 |
| Provider Name | Robin G Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295775823 PECOS PAC ID: 4880744796 Enrollment ID: I20090616000315 |
| Provider Name | Joseph E Modrak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801820162 PECOS PAC ID: 0749330488 Enrollment ID: I20090618000104 |
| Provider Name | Andrea J Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437179090 PECOS PAC ID: 6002966785 Enrollment ID: I20090618000521 |
| Provider Name | Carlos E Bermejo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396852463 PECOS PAC ID: 1850367905 Enrollment ID: I20090623000471 |
| Provider Name | Kenneth D Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750332805 PECOS PAC ID: 6204988603 Enrollment ID: I20090716000002 |
| Provider Name | Robert Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750322947 PECOS PAC ID: 0042290629 Enrollment ID: I20090722000003 |
| Provider Name | Traian M Anghel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194909622 PECOS PAC ID: 1456404862 Enrollment ID: I20090803000523 |
| Provider Name | Denise M Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205063120 PECOS PAC ID: 6305990953 Enrollment ID: I20090817000039 |
| Provider Name | Ruslan Feygin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891946703 PECOS PAC ID: 3779637343 Enrollment ID: I20090817000211 |
| Provider Name | Jennifer E Congdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063659779 PECOS PAC ID: 9335293844 Enrollment ID: I20090819000001 |
| Provider Name | Gary D. Steward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629028360 PECOS PAC ID: 4688728710 Enrollment ID: I20090824000582 |
| Provider Name | Maria J Camargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588719025 PECOS PAC ID: 3274688361 Enrollment ID: I20090825000498 |
| Provider Name | Nicholas J Hellenthal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225004716 PECOS PAC ID: 5294880324 Enrollment ID: I20090826000040 |
| Provider Name | Darah R Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447405683 PECOS PAC ID: 7810042546 Enrollment ID: I20090902000345 |
| Provider Name | Sali Razinia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568691517 PECOS PAC ID: 8921153396 Enrollment ID: I20090909000012 |
| Provider Name | David E Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437384484 PECOS PAC ID: 6002961208 Enrollment ID: I20090910000582 |
| Provider Name | Brian C White |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467609701 PECOS PAC ID: 2062575764 Enrollment ID: I20090915000352 |
| Provider Name | Jose R Monzon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376568816 PECOS PAC ID: 6305732041 Enrollment ID: I20090921000249 |
| Provider Name | Todd M Holmquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932111697 PECOS PAC ID: 9739225921 Enrollment ID: I20091001000068 |
| Provider Name | Lisa K Mooney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619933058 PECOS PAC ID: 5193764496 Enrollment ID: I20091013000042 |
| Provider Name | Reginald Q Knight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013953843 PECOS PAC ID: 6709870413 Enrollment ID: I20091015000696 |
| Provider Name | Noumana Hameed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770816365 PECOS PAC ID: 4284771304 Enrollment ID: I20091022000289 |
| Provider Name | Herbert Reich |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033110689 PECOS PAC ID: 9830236785 Enrollment ID: I20091026000201 |
| Provider Name | Timothy F Barcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891954681 PECOS PAC ID: 9133266745 Enrollment ID: I20091029000555 |
| Provider Name | Bridget A O'mara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437313954 PECOS PAC ID: 9234205949 Enrollment ID: I20091106000108 |
| Provider Name | Michael W Chilungu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205042769 PECOS PAC ID: 3274671383 Enrollment ID: I20091110000731 |
| Provider Name | Kimberly M Wade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184950925 PECOS PAC ID: 8527106434 Enrollment ID: I20091113000458 |
| Provider Name | John Kelley |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750338745 PECOS PAC ID: 4183762958 Enrollment ID: I20091116000406 |
| Provider Name | Yusuf Z Tatli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508962986 PECOS PAC ID: 9032110200 Enrollment ID: I20091117000203 |
| Provider Name | Kathleen Tanney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689767790 PECOS PAC ID: 5294874491 Enrollment ID: I20091201000475 |
| Provider Name | Laura A Kilty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073576773 PECOS PAC ID: 4789723677 Enrollment ID: I20091207000262 |
| Provider Name | Christopher D Ratliff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598729964 PECOS PAC ID: 9032258934 Enrollment ID: I20091207000387 |
| Provider Name | Paul D Russo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619946662 PECOS PAC ID: 8729127626 Enrollment ID: I20091207000427 |
| Provider Name | John A Leon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528022985 PECOS PAC ID: 3577602390 Enrollment ID: I20091208000013 |
| Provider Name | William W Lecates |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538125117 PECOS PAC ID: 6406996230 Enrollment ID: I20091229000468 |
| Provider Name | Emily A Desantis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760504179 PECOS PAC ID: 3375619851 Enrollment ID: I20091229000508 |
| Provider Name | Bryan C Yen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598764615 PECOS PAC ID: 1456351279 Enrollment ID: I20100104000529 |
| Provider Name | Peipei Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336134709 PECOS PAC ID: 8325180037 Enrollment ID: I20100119000378 |
| Provider Name | David P Haswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316998131 PECOS PAC ID: 3870635519 Enrollment ID: I20100119000591 |
| Provider Name | Alan J Kozak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144286196 PECOS PAC ID: 9638211220 Enrollment ID: I20100120000315 |
| Provider Name | Jackson K Labudde |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700847886 PECOS PAC ID: 4082756382 Enrollment ID: I20100126000008 |
| Provider Name | Caroline M Gomez-di Cesare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396702726 PECOS PAC ID: 6800938101 Enrollment ID: I20100126000010 |
| Provider Name | Lee C Edmonds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184680217 PECOS PAC ID: 2961544150 Enrollment ID: I20100127000034 |
| Provider Name | Mario A Villarini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245224328 PECOS PAC ID: 3375685563 Enrollment ID: I20100127000075 |
| Provider Name | James E Lacava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437110046 PECOS PAC ID: 0244372308 Enrollment ID: I20100127000840 |
| Provider Name | Nancy B Merrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710943246 PECOS PAC ID: 4385786300 Enrollment ID: I20100128000530 |
| Provider Name | Michael Levenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992762827 PECOS PAC ID: 5991847923 Enrollment ID: I20100128000568 |
| Provider Name | Michael A Bauer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205892320 PECOS PAC ID: 2668514696 Enrollment ID: I20100128000615 |
| Provider Name | Robert A Lancey |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699739060 PECOS PAC ID: 2769425669 Enrollment ID: I20100128000729 |
| Provider Name | Raquel M Rosen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699731273 PECOS PAC ID: 5193868958 Enrollment ID: I20100203000042 |
| Provider Name | Robert M Moglia |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316901564 PECOS PAC ID: 4981747649 Enrollment ID: I20100203000085 |
| Provider Name | Eric N Bravin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053375279 PECOS PAC ID: 0345383014 Enrollment ID: I20100203000197 |
| Provider Name | Michael R Diaz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780646216 PECOS PAC ID: 2466595145 Enrollment ID: I20100203000270 |
| Provider Name | Deborah E Sentochnik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891751483 PECOS PAC ID: 1759424476 Enrollment ID: I20100203000601 |
| Provider Name | Jeanne H.s. O'brien |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174562441 PECOS PAC ID: 8325181043 Enrollment ID: I20100203000670 |
| Provider Name | Grace D Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215994546 PECOS PAC ID: 0143363879 Enrollment ID: I20100203000686 |
| Provider Name | Joseph M Hughes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316903230 PECOS PAC ID: 8325181670 Enrollment ID: I20100209000086 |
| Provider Name | Gregory H Cummings |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114982774 PECOS PAC ID: 6204979552 Enrollment ID: I20100209000126 |
| Provider Name | Paul M Deringer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144285743 PECOS PAC ID: 8921141284 Enrollment ID: I20100209000143 |
| Provider Name | Brenda J Davies-wait |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053372748 PECOS PAC ID: 1557404811 Enrollment ID: I20100209000157 |
| Provider Name | John J May |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912963059 PECOS PAC ID: 6406990183 Enrollment ID: I20100218000503 |
| Provider Name | Eric K Mooney |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821052382 PECOS PAC ID: 7012051741 Enrollment ID: I20100219000040 |
| Provider Name | James W Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912964867 PECOS PAC ID: 5991849622 Enrollment ID: I20100219000072 |
| Provider Name | Joyce V Bitran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821055666 PECOS PAC ID: 2668517541 Enrollment ID: I20100303000409 |
| Provider Name | Joseph P Dutkowsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245291319 PECOS PAC ID: 4789729609 Enrollment ID: I20100303000777 |
| Provider Name | Rajni Singh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972746816 PECOS PAC ID: 0244375871 Enrollment ID: I20100305000849 |
| Provider Name | Agdel J Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326195009 PECOS PAC ID: 3971638073 Enrollment ID: I20100315000590 |
| Provider Name | Barbara J Fleck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356381396 PECOS PAC ID: 7517092463 Enrollment ID: I20100317000121 |
| Provider Name | Douglas M Delong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679534390 PECOS PAC ID: 6406981380 Enrollment ID: I20100317000464 |
| Provider Name | Jonathan A Richman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982666459 PECOS PAC ID: 6103951090 Enrollment ID: I20100317000503 |
| Provider Name | Christopher Wolf-gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609877885 PECOS PAC ID: 9436284262 Enrollment ID: I20100318000802 |
| Provider Name | Douglas H Cannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912965039 PECOS PAC ID: 2466588736 Enrollment ID: I20100326000277 |
| Provider Name | Rizwan K Alimohammad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750546008 PECOS PAC ID: 2466588462 Enrollment ID: I20100330000033 |
| Provider Name | Shirley G Schue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003086745 PECOS PAC ID: 8325174196 Enrollment ID: I20100331000496 |
| Provider Name | James T Dalton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184685406 PECOS PAC ID: 8123154911 Enrollment ID: I20100331000639 |
| Provider Name | Michael Bradley Holmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114935905 PECOS PAC ID: 7618058082 Enrollment ID: I20100406000524 |
| Provider Name | Henry F Weil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841265980 PECOS PAC ID: 9830225416 Enrollment ID: I20100407000766 |
| Provider Name | Amanda J Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851528566 PECOS PAC ID: 6204964661 Enrollment ID: I20100506000222 |
| Provider Name | Blaine R Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841291085 PECOS PAC ID: 7113055351 Enrollment ID: I20100510000632 |
| Provider Name | Stephen P Strasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255398616 PECOS PAC ID: 5991833022 Enrollment ID: I20100512000106 |
| Provider Name | Ronald Sacks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265431993 PECOS PAC ID: 2466491956 Enrollment ID: I20100512000519 |
| Provider Name | Robert T Cochrane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669547907 PECOS PAC ID: 6800998352 Enrollment ID: I20100518000818 |
| Provider Name | Emma Fattakhov |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1871739276 PECOS PAC ID: 4486783800 Enrollment ID: I20100524000590 |
| Provider Name | Joseph M Luz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982661716 PECOS PAC ID: 3173652187 Enrollment ID: I20100602000009 |
| Provider Name | Lawrence Barnowsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043275381 PECOS PAC ID: 1153452875 Enrollment ID: I20100624000529 |
| Provider Name | Michael Bahlatzis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700847217 PECOS PAC ID: 1557492097 Enrollment ID: I20100628000932 |
| Provider Name | Beth Olearczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225221872 PECOS PAC ID: 6406987866 Enrollment ID: I20100629000142 |
| Provider Name | Bruce M Daly |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629030150 PECOS PAC ID: 6103957105 Enrollment ID: I20100707000470 |
| Provider Name | Paul C Levy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629002084 PECOS PAC ID: 1254462211 Enrollment ID: I20100708000605 |
| Provider Name | Samantha K Davenport |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932165495 PECOS PAC ID: 5092847434 Enrollment ID: I20100720000612 |
| Provider Name | Susan G Emerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891747499 PECOS PAC ID: 4385776657 Enrollment ID: I20100722000114 |
| Provider Name | Justin M Weis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245356468 PECOS PAC ID: 8022141324 Enrollment ID: I20100807000032 |
| Provider Name | Mona P Kinkhabwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457510034 PECOS PAC ID: 0446384655 Enrollment ID: I20100810000404 |
| Provider Name | Zainul-abideen M Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366528523 PECOS PAC ID: 4880759505 Enrollment ID: I20100907000755 |
| Provider Name | Peter F Purcell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134230873 PECOS PAC ID: 8729143441 Enrollment ID: I20100907000936 |
| Provider Name | Randy Scott Parkhurst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598920118 PECOS PAC ID: 6608990056 Enrollment ID: I20100908000116 |
| Provider Name | Lawrence M Samkoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407882541 PECOS PAC ID: 9830215300 Enrollment ID: I20100922000628 |
| Provider Name | David Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336198654 PECOS PAC ID: 1052303302 Enrollment ID: I20100927000885 |
| Provider Name | Edwin Y Ko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427044718 PECOS PAC ID: 5799743878 Enrollment ID: I20100928000713 |
| Provider Name | Erin L Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295931459 PECOS PAC ID: 4183816515 Enrollment ID: I20101004001316 |
| Provider Name | Deborah L Funk Valois |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265424394 PECOS PAC ID: 8729270665 Enrollment ID: I20101011000026 |
| Provider Name | Patricia A Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952348989 PECOS PAC ID: 9133312705 Enrollment ID: I20101015000512 |
| Provider Name | Richard L Barbano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114953924 PECOS PAC ID: 1951595545 Enrollment ID: I20101027001130 |
| Provider Name | James C Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629033675 PECOS PAC ID: 3971702952 Enrollment ID: I20101030000224 |
| Provider Name | Shelby S Cooper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952365199 PECOS PAC ID: 3779526892 Enrollment ID: I20101101000758 |
| Provider Name | Mary K Sliviak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578501359 PECOS PAC ID: 2567656473 Enrollment ID: I20101104000073 |
| Provider Name | Brian J Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245281567 PECOS PAC ID: 6002880127 Enrollment ID: I20101104000701 |
| Provider Name | Raymond J Mcgoldrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902867443 PECOS PAC ID: 6507050499 Enrollment ID: I20101104000945 |
| Provider Name | Christian J Mulik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083679120 PECOS PAC ID: 6709070691 Enrollment ID: I20101104001056 |
| Provider Name | Angela M Silvernail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154637619 PECOS PAC ID: 8820283450 Enrollment ID: I20101109001053 |
| Provider Name | Briana L Calore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528255999 PECOS PAC ID: 7214122852 Enrollment ID: I20101109001142 |
| Provider Name | Tobin E Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932146578 PECOS PAC ID: 3577758929 Enrollment ID: I20101110001180 |
| Provider Name | Michael T Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144285644 PECOS PAC ID: 8426243858 Enrollment ID: I20101111000554 |
| Provider Name | Gerald Albert Landry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336105691 PECOS PAC ID: 0941495048 Enrollment ID: I20101115001183 |
| Provider Name | Cameron S Page |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497067912 PECOS PAC ID: 0840486791 Enrollment ID: I20101118000365 |
| Provider Name | Joseph R Sellers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003873464 PECOS PAC ID: 0244278521 Enrollment ID: I20101119000496 |
| Provider Name | Donald A Raddatz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033175963 PECOS PAC ID: 5597951178 Enrollment ID: I20101122000580 |
| Provider Name | Deanna Palumbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700843687 PECOS PAC ID: 0840487773 Enrollment ID: I20101204000017 |
| Provider Name | Ann Marie Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124058722 PECOS PAC ID: 0345437273 Enrollment ID: I20101204000093 |
| Provider Name | Andrew C Reis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346204815 PECOS PAC ID: 8820285059 Enrollment ID: I20101214000204 |
| Provider Name | Joanne Palumbo Mozloom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912986159 PECOS PAC ID: 7618183286 Enrollment ID: I20101214001238 |
| Provider Name | Shi-jun J Hsieh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396942512 PECOS PAC ID: 6608063789 Enrollment ID: I20101215000687 |
| Provider Name | Denis R Pauze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811940299 PECOS PAC ID: 1456549377 Enrollment ID: I20101220000537 |
| Provider Name | Gregory P Rys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487607941 PECOS PAC ID: 7315135910 Enrollment ID: I20101227000187 |
| Provider Name | Denise M Herrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588619829 PECOS PAC ID: 7810185055 Enrollment ID: I20110103000634 |
| Provider Name | Daniel J Horth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952391781 PECOS PAC ID: 1456386200 Enrollment ID: I20110107000075 |
| Provider Name | Roy J Korn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629035456 PECOS PAC ID: 7719166081 Enrollment ID: I20110119001114 |
| Provider Name | Michael J Hodgman |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1811947641 PECOS PAC ID: 6204015225 Enrollment ID: I20110124000525 |
| Provider Name | Carol W Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285952838 PECOS PAC ID: 5890974794 Enrollment ID: I20110125000310 |
| Provider Name | Richard J Trimble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922059260 PECOS PAC ID: 0941489793 Enrollment ID: I20110125001023 |
| Provider Name | William J Fredette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568621811 PECOS PAC ID: 4082893870 Enrollment ID: I20110126000182 |
| Provider Name | Celeste A Johns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023075959 PECOS PAC ID: 1456530807 Enrollment ID: I20110201000216 |
| Provider Name | Curtis G Benesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124062211 PECOS PAC ID: 8325227796 Enrollment ID: I20110201000404 |
| Provider Name | Barbara Newman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003808908 PECOS PAC ID: 6305025784 Enrollment ID: I20110201000588 |
| Provider Name | Richard E Syke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336188986 PECOS PAC ID: 6608056742 Enrollment ID: I20110208000105 |
| Provider Name | Robert J Garfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528052362 PECOS PAC ID: 4789864596 Enrollment ID: I20110211000171 |
| Provider Name | Cynthia B Tenhoopen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386675056 PECOS PAC ID: 5193906600 Enrollment ID: I20110216000676 |
| Provider Name | Benjamin N Friedell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908203 PECOS PAC ID: 8921289190 Enrollment ID: I20110221000902 |
| Provider Name | Kristin M Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992018493 PECOS PAC ID: 9739360892 Enrollment ID: I20110222000975 |
| Provider Name | Crystal R Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528379534 PECOS PAC ID: 0840471942 Enrollment ID: I20110223000100 |
| Provider Name | Michel J Berg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639113723 PECOS PAC ID: 1557543170 Enrollment ID: I20110303000081 |
| Provider Name | Bruce A Kramer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861457475 PECOS PAC ID: 8628250255 Enrollment ID: I20110303000236 |
| Provider Name | Tomrul E Tuzel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609898246 PECOS PAC ID: 9032391420 Enrollment ID: I20110307000302 |
| Provider Name | Richard A Nocella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861539843 PECOS PAC ID: 3577745900 Enrollment ID: I20110307000682 |
| Provider Name | Mary Bleszcz-marmorato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811201411 PECOS PAC ID: 5294917456 Enrollment ID: I20110309000184 |
| Provider Name | Wendy L Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912993163 PECOS PAC ID: 7113109380 Enrollment ID: I20110309000286 |
| Provider Name | Jonathan L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194770891 PECOS PAC ID: 7810179025 Enrollment ID: I20110309000704 |
| Provider Name | Brian T Fogarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033182712 PECOS PAC ID: 2567644636 Enrollment ID: I20110310000416 |
| Provider Name | Kristen Morano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740581289 PECOS PAC ID: 6800078932 Enrollment ID: I20110311000017 |
| Provider Name | Sara A Remillard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902100142 PECOS PAC ID: 0042492084 Enrollment ID: I20110311000192 |
| Provider Name | Michael T Colon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023040326 PECOS PAC ID: 4981607884 Enrollment ID: I20110321000678 |
| Provider Name | Rebecca J Konen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386949337 PECOS PAC ID: 3870776289 Enrollment ID: I20110323000127 |
| Provider Name | Erik P Riesenfeld |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528120268 PECOS PAC ID: 7810962651 Enrollment ID: I20110325000647 |
| Provider Name | Robert Phillip Fleischer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689651507 PECOS PAC ID: 1254514367 Enrollment ID: I20110328000700 |
| Provider Name | David J Bernard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497721369 PECOS PAC ID: 4880626035 Enrollment ID: I20110408000163 |
| Provider Name | Sarah M Ricketts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295803781 PECOS PAC ID: 9234151317 Enrollment ID: I20110422000329 |
| Provider Name | Charles D Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083804421 PECOS PAC ID: 7810078037 Enrollment ID: I20110513000607 |
| Provider Name | Deepak D Buch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982623146 PECOS PAC ID: 4284607706 Enrollment ID: I20110614000146 |
| Provider Name | Daryl L Gildenblatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487797908 PECOS PAC ID: 4880872837 Enrollment ID: I20110622000625 |
| Provider Name | Kevin J Crowley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376780312 PECOS PAC ID: 9234317751 Enrollment ID: I20110701000003 |
| Provider Name | Leah K Wessinger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568594331 PECOS PAC ID: 1658392923 Enrollment ID: I20110718000386 |
| Provider Name | Rosemaria Alappat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972832087 PECOS PAC ID: 4082882055 Enrollment ID: I20110718000420 |
| Provider Name | James D Campagna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588709414 PECOS PAC ID: 0042365314 Enrollment ID: I20110719000100 |
| Provider Name | Lawrence Keating |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891818233 PECOS PAC ID: 6608044540 Enrollment ID: I20110721000015 |
| Provider Name | Ryan W. H. Richman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215196936 PECOS PAC ID: 1557539947 Enrollment ID: I20110801000219 |
| Provider Name | Paul F Hegener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477702322 PECOS PAC ID: 1355510736 Enrollment ID: I20110802000435 |
| Provider Name | Anca M Tanase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730387168 PECOS PAC ID: 2466621560 Enrollment ID: I20110805000631 |
| Provider Name | Brock J Amos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295807717 PECOS PAC ID: 9638136245 Enrollment ID: I20110811000044 |
| Provider Name | Jennifer Oreilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023278389 PECOS PAC ID: 6507035318 Enrollment ID: I20110812000220 |
| Provider Name | William M Mccue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639457336 PECOS PAC ID: 0840469664 Enrollment ID: I20110812000379 |
| Provider Name | Sumeet N Makhijani |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659536829 PECOS PAC ID: 3173792892 Enrollment ID: I20110812000444 |
| Provider Name | Shawn Mills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326012329 PECOS PAC ID: 5991743528 Enrollment ID: I20110816000639 |
| Provider Name | Victoria A Mcelligott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508924531 PECOS PAC ID: 7719156249 Enrollment ID: I20110817000705 |
| Provider Name | Rebecca R Topham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821383449 PECOS PAC ID: 0648440628 Enrollment ID: I20110830000606 |
| Provider Name | Sharon A Curley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255651618 PECOS PAC ID: 1355511213 Enrollment ID: I20110901000044 |
| Provider Name | Kathy A Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518988112 PECOS PAC ID: 0648231845 Enrollment ID: I20110916000011 |
| Provider Name | Daniel H Katz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346332269 PECOS PAC ID: 2860491941 Enrollment ID: I20110928000734 |
| Provider Name | Hugh A Ross |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760455810 PECOS PAC ID: 4284625450 Enrollment ID: I20111003000375 |
| Provider Name | Ali Masud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952588535 PECOS PAC ID: 0749452258 Enrollment ID: I20111005000484 |
| Provider Name | Nancy Codd Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548212210 PECOS PAC ID: 3577735786 Enrollment ID: I20111012000648 |
| Provider Name | Ahmed Asif |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427144476 PECOS PAC ID: 1355513102 Enrollment ID: I20111020000495 |
| Provider Name | Adnan Cemer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053577734 PECOS PAC ID: 5193998516 Enrollment ID: I20111101000073 |
| Provider Name | Lori C Baldanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144509845 PECOS PAC ID: 3971776212 Enrollment ID: I20111101000388 |
| Provider Name | Sariya A Sharp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932370350 PECOS PAC ID: 2466578836 Enrollment ID: I20111102000675 |
| Provider Name | Edward L Priem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598729485 PECOS PAC ID: 8325211485 Enrollment ID: I20111104000652 |
| Provider Name | Colette T Tangel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669438966 PECOS PAC ID: 3577736545 Enrollment ID: I20111108000314 |
| Provider Name | Brian E Howser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033160932 PECOS PAC ID: 4981878774 Enrollment ID: I20111111000623 |
| Provider Name | Susan Restaino |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1083791727 PECOS PAC ID: 8325212194 Enrollment ID: I20111114000713 |
| Provider Name | Heather J Rolland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972701829 PECOS PAC ID: 6204000888 Enrollment ID: I20111116000556 |
| Provider Name | Ryan R Gayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538445853 PECOS PAC ID: 0345414975 Enrollment ID: I20111117000244 |
| Provider Name | William T Huntsman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023071917 PECOS PAC ID: 5294909420 Enrollment ID: I20111128000040 |
| Provider Name | Steven A Kamenir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255416012 PECOS PAC ID: 8426134735 Enrollment ID: I20111208000515 |
| Provider Name | Jeremy Lombardoni |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710254255 PECOS PAC ID: 9638345390 Enrollment ID: I20111229000502 |
| Provider Name | Danielle Knight |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578768016 PECOS PAC ID: 9032396668 Enrollment ID: I20120103000568 |
| Provider Name | Karen Z Voter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316950272 PECOS PAC ID: 1153598297 Enrollment ID: I20120113000001 |
| Provider Name | Leibing Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558383620 PECOS PAC ID: 0345417663 Enrollment ID: I20120126000666 |
| Provider Name | Marcy L Canary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053400739 PECOS PAC ID: 8123285061 Enrollment ID: I20120206000350 |
| Provider Name | Christine M Harju |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528338977 PECOS PAC ID: 2062679798 Enrollment ID: I20120207000579 |
| Provider Name | Mohamed Egal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043343726 PECOS PAC ID: 0547428591 Enrollment ID: I20120222000011 |
| Provider Name | Martha J Snyder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306898275 PECOS PAC ID: 4385681121 Enrollment ID: I20120301000531 |
| Provider Name | Katherine Bergamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578833844 PECOS PAC ID: 2466611827 Enrollment ID: I20120306000015 |
| Provider Name | Mubasir Mundia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619250925 PECOS PAC ID: 5890954002 Enrollment ID: I20120307000783 |
| Provider Name | Margaret B Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912961178 PECOS PAC ID: 4688717895 Enrollment ID: I20120312000148 |
| Provider Name | Subhash C Das |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518982883 PECOS PAC ID: 0547205718 Enrollment ID: I20120316000269 |
| Provider Name | Colleen A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104904192 PECOS PAC ID: 4789845132 Enrollment ID: I20120412000251 |
| Provider Name | Susanne S Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013298348 PECOS PAC ID: 1557522737 Enrollment ID: I20120416000236 |
| Provider Name | Julia Holtmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598046450 PECOS PAC ID: 0941461941 Enrollment ID: I20120419000099 |
| Provider Name | Marc Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891932596 PECOS PAC ID: 7618131202 Enrollment ID: I20120612000011 |
| Provider Name | Inna Hughes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255455648 PECOS PAC ID: 1456516491 Enrollment ID: I20120626000209 |
| Provider Name | Thomas Wychowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710191275 PECOS PAC ID: 8426213265 Enrollment ID: I20120629000265 |
| Provider Name | Andrea Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174880017 PECOS PAC ID: 0042476053 Enrollment ID: I20120719000162 |
| Provider Name | Brian M Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558523829 PECOS PAC ID: 7214193895 Enrollment ID: I20120726000004 |
| Provider Name | Tiffany A Rivenburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942562178 PECOS PAC ID: 9638325954 Enrollment ID: I20120801000834 |
| Provider Name | Frederick Caballes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225220262 PECOS PAC ID: 5991977977 Enrollment ID: I20120806000267 |
| Provider Name | Robert Thomas Swan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487816005 PECOS PAC ID: 3577719426 Enrollment ID: I20120808000346 |
| Provider Name | Luis M Oceguera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396946661 PECOS PAC ID: 4880840412 Enrollment ID: I20120814000078 |
| Provider Name | Sheeba Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023285848 PECOS PAC ID: 7214183680 Enrollment ID: I20120820000218 |
| Provider Name | Kate A Grant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427207133 PECOS PAC ID: 7012164585 Enrollment ID: I20120906000272 |
| Provider Name | Rakhee L Ippili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215192653 PECOS PAC ID: 4183895246 Enrollment ID: I20120912000039 |
| Provider Name | Lindsey M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841547361 PECOS PAC ID: 8123276946 Enrollment ID: I20120919000420 |
| Provider Name | Christopher M Brennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982749644 PECOS PAC ID: 5799963674 Enrollment ID: I20121002000437 |
| Provider Name | Shailaja Chikoti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134351935 PECOS PAC ID: 4486803632 Enrollment ID: I20121003000115 |
| Provider Name | Heather M Engelhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730167362 PECOS PAC ID: 9830348093 Enrollment ID: I20121003000224 |
| Provider Name | Denise M Sommers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851653273 PECOS PAC ID: 2062661978 Enrollment ID: I20121010000223 |
| Provider Name | Phoebe W Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386991180 PECOS PAC ID: 1052561479 Enrollment ID: I20121022000106 |
| Provider Name | Christopher Norris Krone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386815074 PECOS PAC ID: 1153474978 Enrollment ID: I20121022000120 |
| Provider Name | Meghan B Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154676641 PECOS PAC ID: 1951552702 Enrollment ID: I20121105000074 |
| Provider Name | Charu Chanana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821245416 PECOS PAC ID: 6204087968 Enrollment ID: I20121107000059 |
| Provider Name | Vitaliy Y Ignatovskyy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881858975 PECOS PAC ID: 7214188275 Enrollment ID: I20121121000482 |
| Provider Name | Beryle L Vananda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982862363 PECOS PAC ID: 3274785076 Enrollment ID: I20121130000005 |
| Provider Name | Siyamek Neragi-miandoab |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053676809 PECOS PAC ID: 4789836487 Enrollment ID: I20121203000561 |
| Provider Name | Nora Gashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871744474 PECOS PAC ID: 0547457806 Enrollment ID: I20121212000485 |
| Provider Name | Julie A Stein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033371984 PECOS PAC ID: 1052563087 Enrollment ID: I20121220000134 |
| Provider Name | Courtney A Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659616605 PECOS PAC ID: 5395980114 Enrollment ID: I20130327000621 |
| Provider Name | Rachael E Geyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770828568 PECOS PAC ID: 8123264298 Enrollment ID: I20130416000007 |
| Provider Name | Melissa K Worthington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528305216 PECOS PAC ID: 4981840675 Enrollment ID: I20130425000336 |
| Provider Name | Lindsay N Stokes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336469022 PECOS PAC ID: 9830336593 Enrollment ID: I20130516000540 |
| Provider Name | Luke Duncan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053637314 PECOS PAC ID: 5597903815 Enrollment ID: I20130528000735 |
| Provider Name | Susan Marie Converse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679702336 PECOS PAC ID: 1850539776 Enrollment ID: I20130604000446 |
| Provider Name | Brittany M Hulick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255685657 PECOS PAC ID: 5193967941 Enrollment ID: I20130808000008 |
| Provider Name | Karen J Odrzywolski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184898595 PECOS PAC ID: 4284877390 Enrollment ID: I20130821000160 |
| Provider Name | Bogachan Sahin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952569493 PECOS PAC ID: 0941459895 Enrollment ID: I20130823000012 |
| Provider Name | Daniel Y Shen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396912556 PECOS PAC ID: 8426291683 Enrollment ID: I20130909000160 |
| Provider Name | Aaron B Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972814481 PECOS PAC ID: 8224272380 Enrollment ID: I20130912000012 |
| Provider Name | John D Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760512586 PECOS PAC ID: 9133282650 Enrollment ID: I20130924000248 |
| Provider Name | Bobby M Oommen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750532958 PECOS PAC ID: 5294969572 Enrollment ID: I20130930000549 |
| Provider Name | Fairouz Hasselmark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265602833 PECOS PAC ID: 0749414746 Enrollment ID: I20131007000315 |
| Provider Name | Zachary S Huston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184839813 PECOS PAC ID: 7618029430 Enrollment ID: I20131011000965 |
| Provider Name | Iryna Chepurnaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154397925 PECOS PAC ID: 8628099827 Enrollment ID: I20131018000607 |
| Provider Name | Jenna L Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053750653 PECOS PAC ID: 5193950269 Enrollment ID: I20131025000592 |
| Provider Name | Jed K. Weinstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649465253 PECOS PAC ID: 9931334919 Enrollment ID: I20131029000551 |
| Provider Name | Jana Podzimek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356314058 PECOS PAC ID: 4587697016 Enrollment ID: I20131030001559 |
| Provider Name | Hannah M Pizza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043491525 PECOS PAC ID: 9739315920 Enrollment ID: I20131118000674 |
| Provider Name | Mary E Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811320625 PECOS PAC ID: 6901032937 Enrollment ID: I20131122000774 |
| Provider Name | Mustafain Meghani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053540351 PECOS PAC ID: 8325087778 Enrollment ID: I20131218000253 |
| Provider Name | Judy K Weinstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275707275 PECOS PAC ID: 7911181615 Enrollment ID: I20140120000060 |
| Provider Name | Sean P Geary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689964843 PECOS PAC ID: 3274762737 Enrollment ID: I20140203000176 |
| Provider Name | Valerie J Maddalone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265874879 PECOS PAC ID: 4284861311 Enrollment ID: I20140220000132 |
| Provider Name | Martha L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285069112 PECOS PAC ID: 8921238890 Enrollment ID: I20140221000346 |
| Provider Name | Maria A Syke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487083127 PECOS PAC ID: 1355571944 Enrollment ID: I20140227000098 |
| Provider Name | Christine Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497061980 PECOS PAC ID: 3678703006 Enrollment ID: I20140305000939 |
| Provider Name | Subashini R Daniel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831352608 PECOS PAC ID: 3779511621 Enrollment ID: I20140311000132 |
| Provider Name | Emanuell E Borowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235567470 PECOS PAC ID: 1850522780 Enrollment ID: I20140318001225 |
| Provider Name | Mohammed Shareef |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619112042 PECOS PAC ID: 6406007624 Enrollment ID: I20140328001632 |
| Provider Name | Tisa A Ayuso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851629448 PECOS PAC ID: 0244496388 Enrollment ID: I20140529000380 |
| Provider Name | Michael H Simons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063830792 PECOS PAC ID: 8224252853 Enrollment ID: I20140620001461 |
| Provider Name | Mark J Hornyak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124226394 PECOS PAC ID: 8527150390 Enrollment ID: I20140627000015 |
| Provider Name | Noah C White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972766780 PECOS PAC ID: 0143375766 Enrollment ID: I20140707001081 |
| Provider Name | Victor Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699839514 PECOS PAC ID: 6103836879 Enrollment ID: I20140714000197 |
| Provider Name | Tshaka T Muchiteni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740449628 PECOS PAC ID: 4587880067 Enrollment ID: I20140717002274 |
| Provider Name | Paula R Lawrence |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962826115 PECOS PAC ID: 2163648601 Enrollment ID: I20140718001710 |
| Provider Name | Dana Schuyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497055594 PECOS PAC ID: 6204052921 Enrollment ID: I20140801000025 |
| Provider Name | Timothy P Korytko |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205050739 PECOS PAC ID: 0143354753 Enrollment ID: I20140806000657 |
| Provider Name | Madiha Mubarik Alvi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568690584 PECOS PAC ID: 0244457208 Enrollment ID: I20140814001968 |
| Provider Name | Deana M Bonno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780826198 PECOS PAC ID: 7113144106 Enrollment ID: I20140815000048 |
| Provider Name | Ann M Kelchlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013902048 PECOS PAC ID: 3375761182 Enrollment ID: I20140820000055 |
| Provider Name | Tara T Bellamkonda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841435211 PECOS PAC ID: 2163640319 Enrollment ID: I20140829000506 |
| Provider Name | Leena M Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497033724 PECOS PAC ID: 5092933010 Enrollment ID: I20140904000019 |
| Provider Name | Peter S Francisco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851618680 PECOS PAC ID: 0446485841 Enrollment ID: I20140905000542 |
| Provider Name | Tara Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487965315 PECOS PAC ID: 8729207410 Enrollment ID: I20140911000045 |
| Provider Name | Caitlin M Niedzialkowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689911778 PECOS PAC ID: 9436394616 Enrollment ID: I20140920000280 |
| Provider Name | Marina R. Connolly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285932517 PECOS PAC ID: 1658591029 Enrollment ID: I20141007000800 |
| Provider Name | Shelley M Dorritie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528476413 PECOS PAC ID: 6608096029 Enrollment ID: I20141007002726 |
| Provider Name | Sofia J Syed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194987719 PECOS PAC ID: 7719115401 Enrollment ID: I20141008001146 |
| Provider Name | Karen M Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881008712 PECOS PAC ID: 4587884887 Enrollment ID: I20141009000570 |
| Provider Name | Casey L Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790199628 PECOS PAC ID: 7911128798 Enrollment ID: I20141020001517 |
| Provider Name | Avraham L Berko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831534056 PECOS PAC ID: 0143441352 Enrollment ID: I20141031000032 |
| Provider Name | Ismaila Bello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679803274 PECOS PAC ID: 8325360449 Enrollment ID: I20141201000655 |
| Provider Name | Timothy D Chapman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376557488 PECOS PAC ID: 4385651520 Enrollment ID: I20141202000842 |
| Provider Name | Daniel Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548391915 PECOS PAC ID: 7012239627 Enrollment ID: I20141210002122 |
| Provider Name | Hunter Marlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477716959 PECOS PAC ID: 4486832771 Enrollment ID: I20141229001216 |
| Provider Name | Bridget M Grant |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336375161 PECOS PAC ID: 8123341997 Enrollment ID: I20141231000923 |
| Provider Name | Colleen G Dillon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194937896 PECOS PAC ID: 0941523609 Enrollment ID: I20150105000669 |
| Provider Name | Darrell R Ni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396974861 PECOS PAC ID: 8921321449 Enrollment ID: I20150108000202 |
| Provider Name | Kerri K Leblanc |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942465893 PECOS PAC ID: 0042479941 Enrollment ID: I20150112001602 |
| Provider Name | Kerry M Wickert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083919369 PECOS PAC ID: 5597089813 Enrollment ID: I20150115000631 |
| Provider Name | William M Whetsell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265660542 PECOS PAC ID: 6800074816 Enrollment ID: I20150126000089 |
| Provider Name | Matthew C Kleinmaier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497949911 PECOS PAC ID: 4587844659 Enrollment ID: I20150126001727 |
| Provider Name | Irene Zasa Willett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851794507 PECOS PAC ID: 1850616434 Enrollment ID: I20150203001568 |
| Provider Name | Alexandra C Adams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922124270 PECOS PAC ID: 3476788696 Enrollment ID: I20150204001670 |
| Provider Name | Brian Reagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447202882 PECOS PAC ID: 4082518790 Enrollment ID: I20150218002202 |
| Provider Name | Christopher R Macaluso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063626695 PECOS PAC ID: 4587763800 Enrollment ID: I20150220001214 |
| Provider Name | Lewis Britton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720346067 PECOS PAC ID: 5294051199 Enrollment ID: I20150312001700 |
| Provider Name | Glen J Cappozzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821493602 PECOS PAC ID: 9335465160 Enrollment ID: I20150313000291 |
| Provider Name | Beth A Currado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841517661 PECOS PAC ID: 0042537664 Enrollment ID: I20150319001618 |
| Provider Name | Bethany M Denmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265834071 PECOS PAC ID: 3577880905 Enrollment ID: I20150324002363 |
| Provider Name | Sarine Beurki Beukian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912316795 PECOS PAC ID: 3678795804 Enrollment ID: I20150326000366 |
| Provider Name | Riyadh Ally |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750783817 PECOS PAC ID: 3173840493 Enrollment ID: I20150326000680 |
| Provider Name | Jacqueline F Kelchlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205239530 PECOS PAC ID: 5991023798 Enrollment ID: I20150407001140 |
| Provider Name | David J Goldberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609134212 PECOS PAC ID: 4981922333 Enrollment ID: I20150414002218 |
| Provider Name | Larry Roland Shannon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275762429 PECOS PAC ID: 0143489435 Enrollment ID: I20150428000495 |
| Provider Name | Meta Mangulis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235530361 PECOS PAC ID: 4486973922 Enrollment ID: I20150505000134 |
| Provider Name | Mengxi Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457753717 PECOS PAC ID: 7517278674 Enrollment ID: I20150617000135 |
| Provider Name | Ricky A Gabriel Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750610713 PECOS PAC ID: 3971815150 Enrollment ID: I20150630002254 |
| Provider Name | Russell M Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609169648 PECOS PAC ID: 2668787060 Enrollment ID: I20150813011570 |
| Provider Name | Todor R Zlatanski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457648099 PECOS PAC ID: 2062729965 Enrollment ID: I20150909001826 |
| Provider Name | George Z Han |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912296963 PECOS PAC ID: 3476860255 Enrollment ID: I20150910001702 |
| Provider Name | Sandra Tranvaag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881829505 PECOS PAC ID: 1658688072 Enrollment ID: I20150917001989 |
| Provider Name | Kristen M Peace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013250349 PECOS PAC ID: 3072821859 Enrollment ID: I20150928001583 |
| Provider Name | Brian K Barlow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144588021 PECOS PAC ID: 6709194533 Enrollment ID: I20150929000672 |
| Provider Name | Arpan A Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962761353 PECOS PAC ID: 2769790518 Enrollment ID: I20150929001181 |
| Provider Name | Srinivas Ketharaju |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346416559 PECOS PAC ID: 2961696422 Enrollment ID: I20150929001726 |
| Provider Name | Sheikh A Saleem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306100805 PECOS PAC ID: 1557586765 Enrollment ID: I20150929001868 |
| Provider Name | Leesia Nee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548661408 PECOS PAC ID: 7214245893 Enrollment ID: I20150930003288 |
| Provider Name | Elletta E Horth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764429 PECOS PAC ID: 5799093142 Enrollment ID: I20151005000550 |
| Provider Name | Michelle Igbani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972863538 PECOS PAC ID: 0840508230 Enrollment ID: I20151005002054 |
| Provider Name | Daniel D Souza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841559622 PECOS PAC ID: 1850609199 Enrollment ID: I20151006001500 |
| Provider Name | David E Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942264825 PECOS PAC ID: 0547578817 Enrollment ID: I20151006002561 |
| Provider Name | Richard G Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932125895 PECOS PAC ID: 6800851924 Enrollment ID: I20151007000155 |
| Provider Name | Robert Christopher Mccarthy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982922290 PECOS PAC ID: 8325356439 Enrollment ID: I20151008002138 |
| Provider Name | Theresa L Outman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619384328 PECOS PAC ID: 7012226137 Enrollment ID: I20151012001025 |
| Provider Name | Woodley Desir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447405576 PECOS PAC ID: 3971812538 Enrollment ID: I20151021001959 |
| Provider Name | Hannah N Doscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659784189 PECOS PAC ID: 5092024604 Enrollment ID: I20151022000674 |
| Provider Name | Grace A Digman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497139067 PECOS PAC ID: 5597074054 Enrollment ID: I20151023000118 |
| Provider Name | Brian P Leyh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568773141 PECOS PAC ID: 2961711304 Enrollment ID: I20151026000724 |
| Provider Name | Elena Cahoone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134500150 PECOS PAC ID: 3577872944 Enrollment ID: I20151026001725 |
| Provider Name | Katie Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043691637 PECOS PAC ID: 9436469624 Enrollment ID: I20151029002004 |
| Provider Name | Charles V Casale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811074636 PECOS PAC ID: 7416056502 Enrollment ID: I20151111000019 |
| Provider Name | Sushma Venugopal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306008750 PECOS PAC ID: 4385959394 Enrollment ID: I20151119000103 |
| Provider Name | Norie L Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669802500 PECOS PAC ID: 1153621362 Enrollment ID: I20151119001633 |
| Provider Name | Eyad Aldaas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609131515 PECOS PAC ID: 1557661709 Enrollment ID: I20151120000104 |
| Provider Name | Andrew D Griffiths |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881820629 PECOS PAC ID: 1951532027 Enrollment ID: I20151120001987 |
| Provider Name | Margaret Scandura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336111921 PECOS PAC ID: 0648570788 Enrollment ID: I20151123000659 |
| Provider Name | Ambreen J Mohamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437443637 PECOS PAC ID: 4183944788 Enrollment ID: I20151123001558 |
| Provider Name | Michelle Xiao Ping Lin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497122204 PECOS PAC ID: 2769782655 Enrollment ID: I20151125001123 |
| Provider Name | Patricia V Otis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952789000 PECOS PAC ID: 1759681265 Enrollment ID: I20151204000741 |
| Provider Name | Kelley A Birmingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912382268 PECOS PAC ID: 5193026151 Enrollment ID: I20151216000633 |
| Provider Name | Devarajan J Manu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275734717 PECOS PAC ID: 8224214630 Enrollment ID: I20160105001846 |
| Provider Name | Debra E Roberts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861621948 PECOS PAC ID: 8123261559 Enrollment ID: I20160114000042 |
| Provider Name | Syed F Sher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184095952 PECOS PAC ID: 1557664190 Enrollment ID: I20160114002139 |
| Provider Name | Kelsey E Olmstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164893673 PECOS PAC ID: 6305149717 Enrollment ID: I20160119001834 |
| Provider Name | Krzysztof R Drzymalski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831452259 PECOS PAC ID: 8527361955 Enrollment ID: I20160119002359 |
| Provider Name | Ania C Busza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043521610 PECOS PAC ID: 4082846605 Enrollment ID: I20160128000238 |
| Provider Name | Mary F Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265806160 PECOS PAC ID: 7315241049 Enrollment ID: I20160201001616 |
| Provider Name | Mursaleen N Dar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902138159 PECOS PAC ID: 9436453966 Enrollment ID: I20160203002615 |
| Provider Name | Elizabeth Lorde-rollins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992726582 PECOS PAC ID: 6305031758 Enrollment ID: I20160211001300 |
| Provider Name | Dennis Dylan Demeria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356717599 PECOS PAC ID: 7113234329 Enrollment ID: I20160222002663 |
| Provider Name | Nalin E Ranasinghe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841459732 PECOS PAC ID: 1153549340 Enrollment ID: I20160406000318 |
| Provider Name | Prajwal Ashok Deshmukh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942414578 PECOS PAC ID: 0244402683 Enrollment ID: I20160427000984 |
| Provider Name | Junaid Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912163809 PECOS PAC ID: 2668691122 Enrollment ID: I20160520001344 |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20160531002318 |
| Provider Name | Victoria Stabinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881099109 PECOS PAC ID: 2961792528 Enrollment ID: I20160609002279 |
| Provider Name | Ramesh B Cherukuri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952668543 PECOS PAC ID: 8325339310 Enrollment ID: I20160622001575 |
| Provider Name | James B Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437401783 PECOS PAC ID: 5193977403 Enrollment ID: I20160623002115 |
| Provider Name | Aaron Himchak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548571144 PECOS PAC ID: 7618268491 Enrollment ID: I20160627000375 |
| Provider Name | Peter E Morrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679849632 PECOS PAC ID: 4880986264 Enrollment ID: I20160705001126 |
| Provider Name | Stephen G Verdini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538588090 PECOS PAC ID: 2860784295 Enrollment ID: I20160706000279 |
| Provider Name | Ahmad Abdullah Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538423124 PECOS PAC ID: 7517190184 Enrollment ID: I20160722000194 |
| Provider Name | Nataliya Yuklyaeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736955 PECOS PAC ID: 3678798881 Enrollment ID: I20160722000488 |
| Provider Name | Berhane Adhanom Gebreselasie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164775433 PECOS PAC ID: 1759696974 Enrollment ID: I20160727001357 |
| Provider Name | Betty Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922415991 PECOS PAC ID: 6709179658 Enrollment ID: I20160729000863 |
| Provider Name | Zubair M Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770732869 PECOS PAC ID: 6901199876 Enrollment ID: I20160729001576 |
| Provider Name | Ryan P Oneill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104080175 PECOS PAC ID: 9638315872 Enrollment ID: I20160817001946 |
| Provider Name | Tarun Bhalla |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346412731 PECOS PAC ID: 6507000767 Enrollment ID: I20160819000262 |
| Provider Name | Afix Famosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407237647 PECOS PAC ID: 8426343039 Enrollment ID: I20160822001848 |
| Provider Name | Aimen El Manafi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518279314 PECOS PAC ID: 2365737483 Enrollment ID: I20160827000354 |
| Provider Name | Najam Ud Din |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396059812 PECOS PAC ID: 0042506032 Enrollment ID: I20160830002476 |
| Provider Name | Rebecca Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952753550 PECOS PAC ID: 5496041295 Enrollment ID: I20160902001320 |
| Provider Name | Oleksandr Seleverstov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770841421 PECOS PAC ID: 6608162193 Enrollment ID: I20160909000654 |
| Provider Name | Christopher G Zammit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740442276 PECOS PAC ID: 1052556834 Enrollment ID: I20160912000529 |
| Provider Name | Jesse J Hollis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669755112 PECOS PAC ID: 7719274497 Enrollment ID: I20160923000429 |
| Provider Name | Shyam G Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891015921 PECOS PAC ID: 6709107659 Enrollment ID: I20160923002065 |
| Provider Name | Rosana Gnanajothy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225342082 PECOS PAC ID: 9537381181 Enrollment ID: I20160929000358 |
| Provider Name | Susan D Weil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265766851 PECOS PAC ID: 8325336373 Enrollment ID: I20161007000424 |
| Provider Name | Wil E Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720348592 PECOS PAC ID: 2668791963 Enrollment ID: I20161007000870 |
| Provider Name | Sarah M |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225488034 PECOS PAC ID: 2860780723 Enrollment ID: I20161007001210 |
| Provider Name | Crischelle Vilbar Magaspi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265723027 PECOS PAC ID: 9335437201 Enrollment ID: I20161007001496 |
| Provider Name | Joseph D Ayers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750570412 PECOS PAC ID: 3173811874 Enrollment ID: I20161012002714 |
| Provider Name | Kuiran Jiao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962625483 PECOS PAC ID: 0042365447 Enrollment ID: I20161021000949 |
| Provider Name | Korinne M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754699 PECOS PAC ID: 2668750845 Enrollment ID: I20161021001282 |
| Provider Name | Ariel Leroy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295154920 PECOS PAC ID: 4880972728 Enrollment ID: I20161028000351 |
| Provider Name | Linda J Demma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437440997 PECOS PAC ID: 4486932233 Enrollment ID: I20161028001128 |
| Provider Name | Erika J Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558817916 PECOS PAC ID: 3476831926 Enrollment ID: I20161103001047 |
| Provider Name | Jamie L Wooldridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902989783 PECOS PAC ID: 1456424019 Enrollment ID: I20161104001385 |
| Provider Name | Meghan T Kamlet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720532658 PECOS PAC ID: 6002195468 Enrollment ID: I20161108001598 |
| Provider Name | Sally P Sharkey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356578777 PECOS PAC ID: 5597811711 Enrollment ID: I20161115001108 |
| Provider Name | Erica R Zulueta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396973525 PECOS PAC ID: 4981824299 Enrollment ID: I20161122000732 |
| Provider Name | Elizabeth Guiney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013368471 PECOS PAC ID: 9638459019 Enrollment ID: I20161130001334 |
| Provider Name | Caroline A Fasanelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194278341 PECOS PAC ID: 4284916735 Enrollment ID: I20170118002754 |
| Provider Name | Elizabeth A Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538614730 PECOS PAC ID: 5092097881 Enrollment ID: I20170201000469 |
| Provider Name | Carmine Catalano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467895979 PECOS PAC ID: 8527341247 Enrollment ID: I20170203000304 |
| Provider Name | James A Storey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083665442 PECOS PAC ID: 9335150549 Enrollment ID: I20170323001602 |
| Provider Name | Jeremy R Semeiks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093109480 PECOS PAC ID: 2769769512 Enrollment ID: I20170503001200 |
| Provider Name | Nadia V Pelaez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750608402 PECOS PAC ID: 8628211646 Enrollment ID: I20170509002002 |
| Provider Name | Jack E. Manns |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366603433 PECOS PAC ID: 6709056997 Enrollment ID: I20170510000581 |
| Provider Name | Mohamed Khalid Munshi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174841035 PECOS PAC ID: 7214214667 Enrollment ID: I20170512000167 |
| Provider Name | Trenton J Tollefson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770872707 PECOS PAC ID: 1557656980 Enrollment ID: I20170517001635 |
| Provider Name | Christopher R Stark |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467741116 PECOS PAC ID: 4385945682 Enrollment ID: I20170605001828 |
| Provider Name | Daniel Lachant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558650713 PECOS PAC ID: 5799084349 Enrollment ID: I20170623000994 |
| Provider Name | Lynn Marie Bergren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669446134 PECOS PAC ID: 9335032408 Enrollment ID: I20170712003701 |
| Provider Name | Augusto A Litonjua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558318253 PECOS PAC ID: 2264431295 Enrollment ID: I20170720002819 |
| Provider Name | Julia Manzerova |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336409663 PECOS PAC ID: 9335419118 Enrollment ID: I20170727001042 |
| Provider Name | Yogesh Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790929362 PECOS PAC ID: 4981910775 Enrollment ID: I20170727001144 |
| Provider Name | Surendra Kumar Chutani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477753275 PECOS PAC ID: 2163505579 Enrollment ID: I20170801002246 |
| Provider Name | Imad Rashid Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801188669 PECOS PAC ID: 6901105006 Enrollment ID: I20170803001636 |
| Provider Name | Alsia Marie Kabari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578902060 PECOS PAC ID: 3678844685 Enrollment ID: I20170810000050 |
| Provider Name | Neil M Yager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811215296 PECOS PAC ID: 4284906777 Enrollment ID: I20170817002948 |
| Provider Name | Salil Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437415056 PECOS PAC ID: 4082986419 Enrollment ID: I20170821001404 |
| Provider Name | Keith A Schenker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316367394 PECOS PAC ID: 2163794447 Enrollment ID: I20170822000301 |
| Provider Name | Jeffrey C Neitzel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487952628 PECOS PAC ID: 9739451022 Enrollment ID: I20170822000754 |
| Provider Name | Reena Baharani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659631950 PECOS PAC ID: 5395018865 Enrollment ID: I20170905001774 |
| Provider Name | Lisa Sigtermans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104177112 PECOS PAC ID: 9335412774 Enrollment ID: I20170906001518 |
| Provider Name | Erin C Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750805701 PECOS PAC ID: 2860766524 Enrollment ID: I20170919000844 |
| Provider Name | Jagdesh Kandala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265515662 PECOS PAC ID: 2062411929 Enrollment ID: I20170926002349 |
| Provider Name | David H Kassel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679967855 PECOS PAC ID: 2567737323 Enrollment ID: I20171004000588 |
| Provider Name | Laura A Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154842201 PECOS PAC ID: 6901171644 Enrollment ID: I20171006000507 |
| Provider Name | Nguyen Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497152078 PECOS PAC ID: 7719252360 Enrollment ID: I20171006000992 |
| Provider Name | Michele N Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811411077 PECOS PAC ID: 9931474590 Enrollment ID: I20171006001713 |
| Provider Name | Alicia L Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093237539 PECOS PAC ID: 0345515821 Enrollment ID: I20171010000442 |
| Provider Name | Lisa Palkert-dawes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609399120 PECOS PAC ID: 3375818743 Enrollment ID: I20171011001121 |
| Provider Name | Taylen C Peaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669505111 PECOS PAC ID: 9931124765 Enrollment ID: I20171018000226 |
| Provider Name | Jason Schwaber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558687863 PECOS PAC ID: 6709014095 Enrollment ID: I20171024003040 |
| Provider Name | Tea Avdic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851743546 PECOS PAC ID: 5597045682 Enrollment ID: I20171027001776 |
| Provider Name | Jessica J Gaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497270490 PECOS PAC ID: 8628344975 Enrollment ID: I20171101000662 |
| Provider Name | Rachel B Zehr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316207723 PECOS PAC ID: 6901039205 Enrollment ID: I20171101001827 |
| Provider Name | Louisette L Soussan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811263569 PECOS PAC ID: 0749546687 Enrollment ID: I20171109002751 |
| Provider Name | Shirley A Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033634241 PECOS PAC ID: 2365708005 Enrollment ID: I20171113001187 |
| Provider Name | Frances R Sailer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366968430 PECOS PAC ID: 1759648041 Enrollment ID: I20171121002087 |
| Provider Name | Eric F Greif |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528341203 PECOS PAC ID: 1153688346 Enrollment ID: I20171124000052 |
| Provider Name | Suhayb M Kadura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163895 PECOS PAC ID: 3870850951 Enrollment ID: I20171128000437 |
| Provider Name | Linda A Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043740434 PECOS PAC ID: 7618234451 Enrollment ID: I20171201002302 |
| Provider Name | Charles L Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639473754 PECOS PAC ID: 8729345574 Enrollment ID: I20171201002722 |
| Provider Name | Phyllis Klein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932166519 PECOS PAC ID: 5799821450 Enrollment ID: I20171207000326 |
| Provider Name | Leslie M Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679091763 PECOS PAC ID: 2961760467 Enrollment ID: I20171211000147 |
| Provider Name | Franklin T Wetzel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255329116 PECOS PAC ID: 9638078587 Enrollment ID: I20171226000179 |
| Provider Name | Leah Danyelle Ratchford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972012532 PECOS PAC ID: 6103184999 Enrollment ID: I20171228000821 |
| Provider Name | Thomas K Mattingly |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528038528 PECOS PAC ID: 6002897733 Enrollment ID: I20180112001845 |
| Provider Name | Philip Schulman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184604514 PECOS PAC ID: 8820017031 Enrollment ID: I20180126001517 |
| Provider Name | Kristen A Herbst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790930014 PECOS PAC ID: 7719115468 Enrollment ID: I20180131000229 |
| Provider Name | Amanda N Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346757127 PECOS PAC ID: 2567722952 Enrollment ID: I20180202001096 |
| Provider Name | Debra L Matt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093252629 PECOS PAC ID: 6709147408 Enrollment ID: I20180220002239 |
| Provider Name | Andrea A Zumpano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700392164 PECOS PAC ID: 9133480593 Enrollment ID: I20180227001029 |
| Provider Name | Matthew A Rodgers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871001115 PECOS PAC ID: 4880955798 Enrollment ID: I20180309000103 |
| Provider Name | Lloyd A Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114320942 PECOS PAC ID: 2668747502 Enrollment ID: I20180321002199 |
| Provider Name | Patrick M Navolanic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093028110 PECOS PAC ID: 6406116029 Enrollment ID: I20180327000441 |
| Provider Name | Nguyen Vo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861905895 PECOS PAC ID: 3274895479 Enrollment ID: I20180328002340 |
| Provider Name | Paul A Arandia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326257874 PECOS PAC ID: 5698038248 Enrollment ID: I20180411003150 |
| Provider Name | Lisa P Edmunds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275787863 PECOS PAC ID: 9032472196 Enrollment ID: I20180424002130 |
| Provider Name | Johanna M Dimento |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649249376 PECOS PAC ID: 9032144753 Enrollment ID: I20180510001147 |
| Provider Name | Michael Waldrop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164816575 PECOS PAC ID: 0345504668 Enrollment ID: I20180514000203 |
| Provider Name | Matthew D Mcgraw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477809176 PECOS PAC ID: 4486883147 Enrollment ID: I20180522000631 |
| Provider Name | Erin Eichenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134616410 PECOS PAC ID: 3971868753 Enrollment ID: I20180525002073 |
| Provider Name | Sherif Khedr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417312679 PECOS PAC ID: 6507153665 Enrollment ID: I20180605003028 |
| Provider Name | Jorge R Risco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487997672 PECOS PAC ID: 4385999341 Enrollment ID: I20180614001573 |
| Provider Name | Megan Langevin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285000232 PECOS PAC ID: 7810243284 Enrollment ID: I20180628000071 |
| Provider Name | Nisarg Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144662636 PECOS PAC ID: 7719234038 Enrollment ID: I20180718001307 |
| Provider Name | Dylan Peter Elman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154715050 PECOS PAC ID: 0345597506 Enrollment ID: I20180718002937 |
| Provider Name | Allan Lloyd Guiney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285045278 PECOS PAC ID: 5193072791 Enrollment ID: I20180726002946 |
| Provider Name | Tarak Shivu Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821481987 PECOS PAC ID: 8224310347 Enrollment ID: I20180808000683 |
| Provider Name | Rahul Gosain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932455391 PECOS PAC ID: 8022246313 Enrollment ID: I20180815001871 |
| Provider Name | Geoffry M Gillespie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306279260 PECOS PAC ID: 3274882170 Enrollment ID: I20180827002498 |
| Provider Name | Lawrence S Liebman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033377478 PECOS PAC ID: 4183974827 Enrollment ID: I20180830001361 |
| Provider Name | Sarah Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003302928 PECOS PAC ID: 4789934399 Enrollment ID: I20180831001405 |
| Provider Name | Michele Irene Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801381777 PECOS PAC ID: 8921358250 Enrollment ID: I20180907002086 |
| Provider Name | Nishant Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598010910 PECOS PAC ID: 8729224498 Enrollment ID: I20180912002273 |
| Provider Name | Melanie Howell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083980015 PECOS PAC ID: 7012281413 Enrollment ID: I20180918002565 |
| Provider Name | Jennifer Mouriz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649646068 PECOS PAC ID: 0042561755 Enrollment ID: I20180919002448 |
| Provider Name | Itisha Bansal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598185175 PECOS PAC ID: 3577814235 Enrollment ID: I20180920000070 |
| Provider Name | Khurram Farooq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447630785 PECOS PAC ID: 3274823596 Enrollment ID: I20180920002495 |
| Provider Name | Hilari R Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009585 PECOS PAC ID: 4789935305 Enrollment ID: I20180920002958 |
| Provider Name | Fiona Shehaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861757932 PECOS PAC ID: 0648521294 Enrollment ID: I20180921000482 |
| Provider Name | Nicole Danielle Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720566425 PECOS PAC ID: 3375894926 Enrollment ID: I20180921000489 |
| Provider Name | Ayana Allard-picou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235428384 PECOS PAC ID: 6507160868 Enrollment ID: I20180925000575 |
| Provider Name | Ahmad Hossen Morshed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972866309 PECOS PAC ID: 0547511826 Enrollment ID: I20180926000248 |
| Provider Name | Salman Mandhai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639445166 PECOS PAC ID: 4981914538 Enrollment ID: I20181010003217 |
| Provider Name | Yasar Shad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851651442 PECOS PAC ID: 7618125048 Enrollment ID: I20181019000935 |
| Provider Name | Melissa Ann Peruzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285119917 PECOS PAC ID: 1052664794 Enrollment ID: I20181027000014 |
| Provider Name | Somia Mian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770787053 PECOS PAC ID: 9830267996 Enrollment ID: I20181121000711 |
| Provider Name | Mark Wayne Jankowske |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225247018 PECOS PAC ID: 1153592316 Enrollment ID: I20181128001281 |
| Provider Name | Daline Derival |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093235319 PECOS PAC ID: 5395089676 Enrollment ID: I20181128001647 |
| Provider Name | Nomi-kaie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316412026 PECOS PAC ID: 0749524924 Enrollment ID: I20181128002116 |
| Provider Name | Prakash R Darji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992876569 PECOS PAC ID: 7719986603 Enrollment ID: I20181205002710 |
| Provider Name | Bhawana Dave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851316020 PECOS PAC ID: 9234159906 Enrollment ID: I20181211003386 |
| Provider Name | Alfonso Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982070306 PECOS PAC ID: 8123363314 Enrollment ID: I20181217000831 |
| Provider Name | Lawrence Greenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669884896 PECOS PAC ID: 3476897711 Enrollment ID: I20181227001533 |
| Provider Name | Kaitlin S Sanborn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992273221 PECOS PAC ID: 5092050625 Enrollment ID: I20181228002192 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20190115000233 |
| Provider Name | David A Baum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750648317 PECOS PAC ID: 7719149962 Enrollment ID: I20190122002780 |
| Provider Name | Justin Seth Holtzman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669769501 PECOS PAC ID: 2062643596 Enrollment ID: I20190202000035 |
| Provider Name | Matthew Reder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083163794 PECOS PAC ID: 6800152174 Enrollment ID: I20190205002264 |
| Provider Name | James August Leinhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922374834 PECOS PAC ID: 6507091527 Enrollment ID: I20190221001397 |
| Provider Name | Robert L Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726249 PECOS PAC ID: 7012256704 Enrollment ID: I20190225000365 |
| Provider Name | Philip M Harmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306036231 PECOS PAC ID: 2062680812 Enrollment ID: I20190401001891 |
| Provider Name | Shannon Gail Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003129438 PECOS PAC ID: 3375885163 Enrollment ID: I20190426000539 |
| Provider Name | Laura Ann Cunnington |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316071459 PECOS PAC ID: 2668564063 Enrollment ID: I20190509002129 |
| Provider Name | Jaclyn E Burch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275951659 PECOS PAC ID: 7618210691 Enrollment ID: I20190514001994 |
| Provider Name | Benjamin P George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932527421 PECOS PAC ID: 8820333891 Enrollment ID: I20190529000650 |
| Provider Name | Matthew T Bender |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700183878 PECOS PAC ID: 8527217058 Enrollment ID: I20190531001005 |
| Provider Name | Brandon W Sur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518227180 PECOS PAC ID: 3870888514 Enrollment ID: I20190603002305 |
| Provider Name | Jacqueline M Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854030 PECOS PAC ID: 6103159371 Enrollment ID: I20190604001535 |
| Provider Name | Nancy Seiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427448414 PECOS PAC ID: 5890094494 Enrollment ID: I20190606000812 |
| Provider Name | Matthew E Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548241490 PECOS PAC ID: 6305842972 Enrollment ID: I20190611002274 |
| Provider Name | Peter D Leroux |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306882279 PECOS PAC ID: 3577698802 Enrollment ID: I20190613001883 |
| Provider Name | Ashley L Hendershot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003473067 PECOS PAC ID: 9133453178 Enrollment ID: I20190626000471 |
| Provider Name | Alan Garber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689683260 PECOS PAC ID: 5193756112 Enrollment ID: I20190703002229 |
| Provider Name | Ronald F Hayden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447267612 PECOS PAC ID: 4880875046 Enrollment ID: I20190715001327 |
| Provider Name | Kusum Hooda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134553555 PECOS PAC ID: 0143575183 Enrollment ID: I20190718000427 |
| Provider Name | Lauren E Colegrove |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801454723 PECOS PAC ID: 2466788195 Enrollment ID: I20190801001898 |
| Provider Name | Michelle M Marks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699060723 PECOS PAC ID: 3375782832 Enrollment ID: I20190807001954 |
| Provider Name | Paulina D Kitcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710962089 PECOS PAC ID: 6709778335 Enrollment ID: I20190823002044 |
| Provider Name | Sherrie J Hunter Kelly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598327876 PECOS PAC ID: 5890023055 Enrollment ID: I20190826002603 |
| Provider Name | Igor B Titoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447660220 PECOS PAC ID: 1759669724 Enrollment ID: I20190827002002 |
| Provider Name | Jack P Keith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750393203 PECOS PAC ID: 0042200610 Enrollment ID: I20190828001722 |
| Provider Name | Cassandra Pronti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336791896 PECOS PAC ID: 8123357662 Enrollment ID: I20190910000600 |
| Provider Name | Skylar N Travis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528452414 PECOS PAC ID: 5597094938 Enrollment ID: I20190910001129 |
| Provider Name | Shelby Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326609348 PECOS PAC ID: 5991034100 Enrollment ID: I20190913001720 |
| Provider Name | Olayemi Jafojo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760834337 PECOS PAC ID: 0648500587 Enrollment ID: I20190919001667 |
| Provider Name | Marissa Famularo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871887117 PECOS PAC ID: 2567792328 Enrollment ID: I20190923001048 |
| Provider Name | Sneha Anil Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477968352 PECOS PAC ID: 7719254747 Enrollment ID: I20190925000825 |
| Provider Name | Andrea J Karweck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831522465 PECOS PAC ID: 3274769534 Enrollment ID: I20191002000847 |
| Provider Name | Mats O Sanden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093730954 PECOS PAC ID: 8325330210 Enrollment ID: I20191002003328 |
| Provider Name | Grecia Sofia Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891030417 PECOS PAC ID: 7618112285 Enrollment ID: I20191008000923 |
| Provider Name | Kaleigh Ann Hadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569227 PECOS PAC ID: 8426389388 Enrollment ID: I20191008002796 |
| Provider Name | Otar Datiashvili |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083096572 PECOS PAC ID: 3678882214 Enrollment ID: I20191010001727 |
| Provider Name | Jill Marie Catena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982320 PECOS PAC ID: 6002147246 Enrollment ID: I20191018001993 |
| Provider Name | Linet Martirossian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346681038 PECOS PAC ID: 6709117955 Enrollment ID: I20191018002551 |
| Provider Name | Jennifer Lynne Panzarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569557 PECOS PAC ID: 2264764232 Enrollment ID: I20191023002362 |
| Provider Name | Natalie A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113189 PECOS PAC ID: 4587996285 Enrollment ID: I20191030000953 |
| Provider Name | Zalak Thakker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356894778 PECOS PAC ID: 6608108022 Enrollment ID: I20191104001701 |
| Provider Name | George A Wootan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720252927 PECOS PAC ID: 4880943299 Enrollment ID: I20191105002858 |
| Provider Name | Kathryn S. Doughty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952581589 PECOS PAC ID: 5890923221 Enrollment ID: I20191119000154 |
| Provider Name | Kanica Yashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053763995 PECOS PAC ID: 1052657954 Enrollment ID: I20191119000297 |
| Provider Name | Stephanie Shellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720630643 PECOS PAC ID: 6002248432 Enrollment ID: I20191122001573 |
| Provider Name | Alison Theresa O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427042571 PECOS PAC ID: 0749240687 Enrollment ID: I20191126002021 |
| Provider Name | Sobia Nizami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386050615 PECOS PAC ID: 4981957743 Enrollment ID: I20191204001181 |
| Provider Name | Barbara J Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053953471 PECOS PAC ID: 4284068636 Enrollment ID: I20191218001777 |
| Provider Name | Qing He |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730493412 PECOS PAC ID: 4688894355 Enrollment ID: I20200102001726 |
| Provider Name | Ahmad Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275087728 PECOS PAC ID: 7315371978 Enrollment ID: I20200107002462 |
| Provider Name | Gabrielle Takina Rocha De Assis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114579737 PECOS PAC ID: 1557796182 Enrollment ID: I20200108002339 |
| Provider Name | Emily Hodack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255987277 PECOS PAC ID: 9436584596 Enrollment ID: I20200117000671 |
| Provider Name | Elizabeth Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033143367 PECOS PAC ID: 5597771089 Enrollment ID: I20200214001400 |
| Provider Name | Sarwat Askari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851847933 PECOS PAC ID: 2961748819 Enrollment ID: I20200217003420 |
| Provider Name | Jenna Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497394746 PECOS PAC ID: 0143657981 Enrollment ID: I20200217004540 |
| Provider Name | Shariq F Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609288315 PECOS PAC ID: 3577807627 Enrollment ID: I20200219002456 |
| Provider Name | Amgad M Moussa |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972165900 PECOS PAC ID: 0547697807 Enrollment ID: I20200226000423 |
| Provider Name | William J Egan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306377650 PECOS PAC ID: 4981941481 Enrollment ID: I20200228000880 |
| Provider Name | Thomas Miguel Castaneda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417489808 PECOS PAC ID: 3870838816 Enrollment ID: I20200229000031 |
| Provider Name | Daniel Freilich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184787186 PECOS PAC ID: 7517136500 Enrollment ID: I20200304001399 |
| Provider Name | Carlos Cowley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952387706 PECOS PAC ID: 1355244872 Enrollment ID: I20200310001221 |
| Provider Name | Danielle Cappozzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104456250 PECOS PAC ID: 3173951910 Enrollment ID: I20200310001594 |
| Provider Name | Solange Marcel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679602536 PECOS PAC ID: 9335200153 Enrollment ID: I20200317002695 |
| Provider Name | Mary De Leon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184692006 PECOS PAC ID: 0345224663 Enrollment ID: I20200319002331 |
| Provider Name | Alexis Corine Nejati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780210427 PECOS PAC ID: 1557790094 Enrollment ID: I20200403000476 |
| Provider Name | Amulya V Penmetsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104270115 PECOS PAC ID: 2264779883 Enrollment ID: I20200403001993 |
| Provider Name | Jeanne Dantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234674 PECOS PAC ID: 0042649238 Enrollment ID: I20200409002221 |
| Provider Name | Tricia Kuhnau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831379742 PECOS PAC ID: 8022448919 Enrollment ID: I20200416001617 |
| Provider Name | Steven Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437689015 PECOS PAC ID: 5092081612 Enrollment ID: I20200504002101 |
| Provider Name | Cecil Olaya Robertson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780640631 PECOS PAC ID: 9133028715 Enrollment ID: I20200518002302 |
| Provider Name | Daryl C Mchugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033569710 PECOS PAC ID: 3779823471 Enrollment ID: I20200615002053 |
| Provider Name | Gokul Samudrala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659712230 PECOS PAC ID: 9032405691 Enrollment ID: I20200713002925 |
| Provider Name | Gretchen Gunn-konduru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154852580 PECOS PAC ID: 7315279916 Enrollment ID: I20200715003160 |
| Provider Name | Anna Lynn Rumi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770104945 PECOS PAC ID: 0042634958 Enrollment ID: I20200724002172 |
| Provider Name | Amrat Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447770029 PECOS PAC ID: 8527482397 Enrollment ID: I20200727002033 |
| Provider Name | Mohamed Ashkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093249963 PECOS PAC ID: 4880962828 Enrollment ID: I20200806003002 |
| Provider Name | Kristen Maria Zach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326270463 PECOS PAC ID: 9739234956 Enrollment ID: I20200821001346 |
| Provider Name | Kevin Rasuli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790342194 PECOS PAC ID: 2567897226 Enrollment ID: I20200821002510 |
| Provider Name | Daniel Grant Pecan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356959316 PECOS PAC ID: 8426475906 Enrollment ID: I20200828001424 |
| Provider Name | Summia Matin Afridi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932622255 PECOS PAC ID: 5294096111 Enrollment ID: I20200831002186 |
| Provider Name | Meredith Szyikowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033733902 PECOS PAC ID: 4587081765 Enrollment ID: I20200902001900 |
| Provider Name | Stephen Edward Dunham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508387655 PECOS PAC ID: 8628496478 Enrollment ID: I20200911000261 |
| Provider Name | Jennifer L Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043839285 PECOS PAC ID: 8022436757 Enrollment ID: I20200914000190 |
| Provider Name | Joshua A Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765843 PECOS PAC ID: 6103244744 Enrollment ID: I20200915001244 |
| Provider Name | Mubasshar Rehman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386190676 PECOS PAC ID: 4284970575 Enrollment ID: I20200922002634 |
| Provider Name | Faisal Rehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437685237 PECOS PAC ID: 7719254705 Enrollment ID: I20200929001264 |
| Provider Name | Naomi Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720609043 PECOS PAC ID: 5193144947 Enrollment ID: I20200929001914 |
| Provider Name | Abigail Marie Quintos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033550041 PECOS PAC ID: 5092045807 Enrollment ID: I20200930000919 |
| Provider Name | Aaron E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578198784 PECOS PAC ID: 2365861747 Enrollment ID: I20201005001100 |
| Provider Name | Elizabeth Anne Lax |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184917676 PECOS PAC ID: 3870863681 Enrollment ID: I20201007001042 |
| Provider Name | Jessica Rohrbach Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340269 PECOS PAC ID: 2365879491 Enrollment ID: I20201007002788 |
| Provider Name | Nicole Kristine Wannamaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205453826 PECOS PAC ID: 6103246046 Enrollment ID: I20201015001047 |
| Provider Name | Vanessa Goyes Ruiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164809885 PECOS PAC ID: 6800192907 Enrollment ID: I20201019002384 |
| Provider Name | Suthanya Sornprom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255746178 PECOS PAC ID: 9638395007 Enrollment ID: I20201021001700 |
| Provider Name | My Hai Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205446416 PECOS PAC ID: 1850711334 Enrollment ID: I20201022000605 |
| Provider Name | Juan Jose Delgado Hurtado |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922413996 PECOS PAC ID: 4880951805 Enrollment ID: I20201026000294 |
| Provider Name | Molly Jules Shaughnessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932719739 PECOS PAC ID: 4880004019 Enrollment ID: I20201029001350 |
| Provider Name | Joseph Wilkens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447871355 PECOS PAC ID: 5799195772 Enrollment ID: I20201103000210 |
| Provider Name | Kimberly Suzanne Szlucha Wennberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710503628 PECOS PAC ID: 2264842996 Enrollment ID: I20201106002027 |
| Provider Name | Evelyn O Berman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689093445 PECOS PAC ID: 3375881618 Enrollment ID: I20201112001007 |
| Provider Name | Kari A Rutherford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780292953 PECOS PAC ID: 2365853769 Enrollment ID: I20201116000541 |
| Provider Name | Adam C Hockensmith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891226668 PECOS PAC ID: 2961749528 Enrollment ID: I20201117001820 |
| Provider Name | Marguerite Rice Shifrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083239941 PECOS PAC ID: 0345651253 Enrollment ID: I20201125002128 |
| Provider Name | Charissa Beaver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770820359 PECOS PAC ID: 9436496775 Enrollment ID: I20201130002937 |
| Provider Name | Benjamin Garbus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851896658 PECOS PAC ID: 1951646983 Enrollment ID: I20201203001237 |
| Provider Name | Kevin Cheung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881207207 PECOS PAC ID: 0244642296 Enrollment ID: I20201215002560 |
| Provider Name | Maria Bolastig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295756203 PECOS PAC ID: 6608052675 Enrollment ID: I20201221000482 |
| Provider Name | Nita W Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568447837 PECOS PAC ID: 5698969905 Enrollment ID: I20210122002773 |
| Provider Name | Aysen Gurrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336380526 PECOS PAC ID: 7416094743 Enrollment ID: I20210126003079 |
| Provider Name | Joon Shim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891840708 PECOS PAC ID: 3072824275 Enrollment ID: I20210201001507 |
| Provider Name | Doha A Ghanim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023530805 PECOS PAC ID: 0244645877 Enrollment ID: I20210212001111 |
| Provider Name | David Winslow Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497765119 PECOS PAC ID: 6204939895 Enrollment ID: I20210219001579 |
| Provider Name | Argyro Papafilippaki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144635673 PECOS PAC ID: 5294140216 Enrollment ID: I20210224001449 |
| Provider Name | George Angheloiu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497940662 PECOS PAC ID: 7012085251 Enrollment ID: I20210324001691 |
| Provider Name | Trevor G Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730741737 PECOS PAC ID: 2264760321 Enrollment ID: I20210326002067 |
| Provider Name | Diane Serenson-ungar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245266360 PECOS PAC ID: 6507924875 Enrollment ID: I20210405001451 |
| Provider Name | Keita Onoue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790197663 PECOS PAC ID: 6002103637 Enrollment ID: I20210506002176 |
| Provider Name | Dimitrios G Manou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184078461 PECOS PAC ID: 9335492495 Enrollment ID: I20210518001111 |
| Provider Name | Asad Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629528179 PECOS PAC ID: 9537411624 Enrollment ID: I20210528001344 |
| Provider Name | Victoria Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821674136 PECOS PAC ID: 7214336734 Enrollment ID: I20210602002915 |
| Provider Name | Anthony Ferrara |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780079160 PECOS PAC ID: 8527395003 Enrollment ID: I20210617001493 |
| Provider Name | Amanda Jo-ann Brimlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164006227 PECOS PAC ID: 1052713997 Enrollment ID: I20210714001999 |
| Provider Name | Molly Fillion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699279877 PECOS PAC ID: 1759626781 Enrollment ID: I20210715001174 |
| Provider Name | Alexis Macdonald |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497117642 PECOS PAC ID: 1557657285 Enrollment ID: I20210721003943 |
| Provider Name | Benjamin H Biddix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962889287 PECOS PAC ID: 6103133798 Enrollment ID: I20210802003607 |
| Provider Name | Adam Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609472158 PECOS PAC ID: 3577967207 Enrollment ID: I20210803001889 |
| Provider Name | Syed Hassan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366511891 PECOS PAC ID: 9830269398 Enrollment ID: I20210805001203 |
| Provider Name | Payton Maryjean Hannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285244277 PECOS PAC ID: 1557765989 Enrollment ID: I20210809000047 |
| Provider Name | Kristy Michelle Semenza |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1063867109 PECOS PAC ID: 0143624395 Enrollment ID: I20210810001717 |
| Provider Name | Sara Marie Parylo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215315148 PECOS PAC ID: 5890042527 Enrollment ID: I20210811000016 |
| Provider Name | Peter Alexander Canino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457882334 PECOS PAC ID: 9739583865 Enrollment ID: I20210811001237 |
| Provider Name | Lillian Chisholm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861085615 PECOS PAC ID: 8325443260 Enrollment ID: I20210816003200 |
| Provider Name | Kiersten Pikarsky Gaunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467946764 PECOS PAC ID: 2466702675 Enrollment ID: I20210816003791 |
| Provider Name | Margaret Lynn Dowd |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528420536 PECOS PAC ID: 4789089426 Enrollment ID: I20210818003968 |
| Provider Name | Ethan Talbot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740642552 PECOS PAC ID: 0042561862 Enrollment ID: I20210818004077 |
| Provider Name | Alison D Wilczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366070674 PECOS PAC ID: 7416352042 Enrollment ID: I20210819003804 |
| Provider Name | Caitlyn E Mulcahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952075848 PECOS PAC ID: 6608271150 Enrollment ID: I20210820001172 |
| Provider Name | Emily Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033531694 PECOS PAC ID: 5294029880 Enrollment ID: I20210823001816 |
| Provider Name | Morgan Samuel Tapper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225534340 PECOS PAC ID: 0547665895 Enrollment ID: I20210824003138 |
| Provider Name | Richard Anton Loftus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144370974 PECOS PAC ID: 9133191976 Enrollment ID: I20210825000232 |
| Provider Name | Anthony Joeth Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568951812 PECOS PAC ID: 3870843311 Enrollment ID: I20210825001613 |
| Provider Name | Neda Rastegar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184003949 PECOS PAC ID: 5698171809 Enrollment ID: I20210913002376 |
| Provider Name | Jeffrey Scott Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821683558 PECOS PAC ID: 2961808134 Enrollment ID: I20210914001330 |
| Provider Name | Tristan Connor Sharratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811661283 PECOS PAC ID: 1951708759 Enrollment ID: I20210921003181 |
| Provider Name | Joshua Mathew Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306425087 PECOS PAC ID: 8921405697 Enrollment ID: I20210922002527 |
| Provider Name | Melanye Lynn Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336779479 PECOS PAC ID: 0547667032 Enrollment ID: I20210927001213 |
| Provider Name | Christine M Roback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427620913 PECOS PAC ID: 9830596220 Enrollment ID: I20210928001949 |
| Provider Name | Colleen Marie Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144993478 PECOS PAC ID: 7517364912 Enrollment ID: I20210928002260 |
| Provider Name | Ashley N Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202434 PECOS PAC ID: 7911305537 Enrollment ID: I20211013000817 |
| Provider Name | Kelly Elizabeth Dewey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881058055 PECOS PAC ID: 7113206632 Enrollment ID: I20211020002614 |
| Provider Name | Alexandra Grace Durantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972279933 PECOS PAC ID: 8628466141 Enrollment ID: I20211102001021 |
| Provider Name | Jessica Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340259 PECOS PAC ID: 7911396270 Enrollment ID: I20211109000253 |
| Provider Name | Sarah Fellows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609475755 PECOS PAC ID: 4688063787 Enrollment ID: I20211111000383 |
| Provider Name | Michael Meinhold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245612068 PECOS PAC ID: 0941501282 Enrollment ID: I20211111000495 |
| Provider Name | Colleen Conway-edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023731 PECOS PAC ID: 8224313960 Enrollment ID: I20211204000091 |
| Provider Name | Jaswinder Pal Singh Virk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184090995 PECOS PAC ID: 6608113295 Enrollment ID: I20211206001845 |
| Provider Name | Raphael Bochent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275808008 PECOS PAC ID: 7113183070 Enrollment ID: I20211213002248 |
| Provider Name | Ronald Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396819553 PECOS PAC ID: 3779588041 Enrollment ID: I20220104001095 |
| Provider Name | Gabrielle T O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043727373 PECOS PAC ID: 5799176517 Enrollment ID: I20220104002916 |
| Provider Name | Robert Daly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578503181 PECOS PAC ID: 7315950896 Enrollment ID: I20220107000321 |
| Provider Name | Christina Ann Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790315927 PECOS PAC ID: 2668864216 Enrollment ID: I20220112000381 |
| Provider Name | Brendan Patrick Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457017485 PECOS PAC ID: 3173915667 Enrollment ID: I20220112002372 |
| Provider Name | Brandon Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912260969 PECOS PAC ID: 1254625601 Enrollment ID: I20220203002088 |
| Provider Name | Janine Foster-boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083937189 PECOS PAC ID: 6204004278 Enrollment ID: I20220222002641 |
| Provider Name | Salmi Simmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679520498 PECOS PAC ID: 7618006859 Enrollment ID: I20220228000177 |
| Provider Name | Rajesh K Kakarla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609026467 PECOS PAC ID: 9335319185 Enrollment ID: I20220302000498 |
| Provider Name | Megan E Matott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760972418 PECOS PAC ID: 4284039686 Enrollment ID: I20220309000061 |
| Provider Name | Vanessa Parisi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639437825 PECOS PAC ID: 8224325030 Enrollment ID: I20220310002393 |
| Provider Name | Rosa Pauliina Vuojolainen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194477448 PECOS PAC ID: 2769878230 Enrollment ID: I20220409000082 |
| Provider Name | Stefanie Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225784887 PECOS PAC ID: 2860889391 Enrollment ID: I20220430000102 |
| Provider Name | Shaun Samuels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265414320 PECOS PAC ID: 5698735843 Enrollment ID: I20220517001125 |
| Provider Name | Emily Glenn Walsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679929509 PECOS PAC ID: 4587041033 Enrollment ID: I20220523000932 |
| Provider Name | Aakash Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669872495 PECOS PAC ID: 3274932413 Enrollment ID: I20220607002972 |
| Provider Name | Tonya Marie Brownell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205577178 PECOS PAC ID: 6305225798 Enrollment ID: I20220615000379 |
| Provider Name | Dara A Yastrzemski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962153809 PECOS PAC ID: 4880074509 Enrollment ID: I20220712000334 |
| Provider Name | Brian J Gill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700206539 PECOS PAC ID: 2961884481 Enrollment ID: I20220801000997 |
| Provider Name | Anjeela Kadel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700447513 PECOS PAC ID: 5294117289 Enrollment ID: I20220808002806 |
| Provider Name | Louis Defazio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790105385 PECOS PAC ID: 4789987934 Enrollment ID: I20220809003345 |
| Provider Name | Hank Ng |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790179745 PECOS PAC ID: 4183927411 Enrollment ID: I20220816000247 |
| Provider Name | Muhammad Daniyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356902431 PECOS PAC ID: 9335522317 Enrollment ID: I20220824001910 |
| Provider Name | Beth M Felter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730815663 PECOS PAC ID: 3870977804 Enrollment ID: I20220825000697 |
| Provider Name | Bridget Abieyuwa Igbinosun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528610383 PECOS PAC ID: 2860876778 Enrollment ID: I20220826000206 |
| Provider Name | Thomas Langan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316384530 PECOS PAC ID: 5092052050 Enrollment ID: I20220830003402 |
| Provider Name | Martha Luitje |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598297426 PECOS PAC ID: 9335498443 Enrollment ID: I20220901001213 |
| Provider Name | Azkia Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568024438 PECOS PAC ID: 6608251178 Enrollment ID: I20220920000761 |
| Provider Name | Alyson Elaine Felt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801134820 PECOS PAC ID: 4981089232 Enrollment ID: I20220922001443 |
| Provider Name | Sondra Halpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875707 PECOS PAC ID: 1153706304 Enrollment ID: I20220923002119 |
| Provider Name | Maria Begum |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215498233 PECOS PAC ID: 3375929524 Enrollment ID: I20220926002953 |
| Provider Name | Joel Phillip Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514163 PECOS PAC ID: 3375929953 Enrollment ID: I20221005001415 |
| Provider Name | Caleb L Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639706435 PECOS PAC ID: 6507242039 Enrollment ID: I20221006000216 |
| Provider Name | Hailey Suzanne Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750019378 PECOS PAC ID: 6800272378 Enrollment ID: I20221006001769 |
| Provider Name | Drenell Andrea Yarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972221562 PECOS PAC ID: 9739565227 Enrollment ID: I20221006002645 |
| Provider Name | Amy Marie Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773276 PECOS PAC ID: 2062898570 Enrollment ID: I20221006003420 |
| Provider Name | Cassandra Lynn Moffatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811620289 PECOS PAC ID: 8729454897 Enrollment ID: I20221013002957 |
| Provider Name | Haley Patricia Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992424816 PECOS PAC ID: 8527434547 Enrollment ID: I20221017001905 |
| Provider Name | Hannah Elizabeth Cashman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508586413 PECOS PAC ID: 5496121436 Enrollment ID: I20221017002593 |
| Provider Name | Khurram Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730446931 PECOS PAC ID: 8022327923 Enrollment ID: I20221103002671 |
| Provider Name | Leanna Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699402313 PECOS PAC ID: 3072981166 Enrollment ID: I20221121002663 |
| Provider Name | Margaret Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073774576 PECOS PAC ID: 7315112349 Enrollment ID: I20221122001793 |
| Provider Name | Catherine Margaret Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063132488 PECOS PAC ID: 1658749270 Enrollment ID: I20221201001558 |
| Provider Name | Christopher Ryan Pula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447978002 PECOS PAC ID: 0648649053 Enrollment ID: I20221207000513 |
| Provider Name | Michelle Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326768904 PECOS PAC ID: 5395114565 Enrollment ID: I20221209001328 |
| Provider Name | Elizabeth Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407503477 PECOS PAC ID: 6103295324 Enrollment ID: I20221212000091 |
| Provider Name | Lauren Icken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255968970 PECOS PAC ID: 4981073020 Enrollment ID: I20221212000970 |
| Provider Name | Naureen Iqbal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710286174 PECOS PAC ID: 4688978687 Enrollment ID: I20221215003150 |
| Provider Name | Katarina Louise Campoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972263887 PECOS PAC ID: 8729458211 Enrollment ID: I20221227001115 |
| Provider Name | Tarek Radwan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750484200 PECOS PAC ID: 7113175928 Enrollment ID: I20230110001671 |
| Provider Name | Julie Ann Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881318988 PECOS PAC ID: 8527438340 Enrollment ID: I20230111002615 |
| Provider Name | Nicholas Knibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043857311 PECOS PAC ID: 3476924283 Enrollment ID: I20230113000919 |
| Provider Name | Tamaika N Floy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518353937 PECOS PAC ID: 9133465925 Enrollment ID: I20230206000359 |
| Provider Name | Calvin Hardy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417669086 PECOS PAC ID: 0547632804 Enrollment ID: I20230214002421 |
| Provider Name | Rodney James Deaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003934274 PECOS PAC ID: 8921240425 Enrollment ID: I20230221001664 |
| Provider Name | Margarette Damas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215134168 PECOS PAC ID: 3476440686 Enrollment ID: I20230303001977 |
| Provider Name | Alexander Sebastian Giuliano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881221521 PECOS PAC ID: 3870966260 Enrollment ID: I20230306002311 |
| Provider Name | David Alexander Afienko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689201493 PECOS PAC ID: 2567835895 Enrollment ID: I20230307001031 |
| Provider Name | Cierra P Mcnair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871972786 PECOS PAC ID: 5294026555 Enrollment ID: I20230313001325 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20230314001215 |
| Provider Name | Maura R Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20230316001340 |
| Provider Name | Chen-wen C Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20230316002142 |
| Provider Name | Kassandra Claudy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639876691 PECOS PAC ID: 4688048333 Enrollment ID: I20230320000884 |
| Provider Name | David Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326342262 PECOS PAC ID: 4587835962 Enrollment ID: I20230418001898 |
| Provider Name | Albert O Saez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801178330 PECOS PAC ID: 4183926967 Enrollment ID: I20230419002852 |
| Provider Name | Sophie Claire Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20230505002019 |
| Provider Name | Patrick J Rooney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063946762 PECOS PAC ID: 0840535134 Enrollment ID: I20230524003196 |
| Provider Name | Sheryel Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730291097 PECOS PAC ID: 1355237124 Enrollment ID: I20230623000799 |
| Provider Name | Janie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144411026 PECOS PAC ID: 5890738116 Enrollment ID: I20230628003078 |
| Provider Name | Isaac Murray Huntsman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174210694 PECOS PAC ID: 6204296544 Enrollment ID: I20230718001673 |
| Provider Name | Christina Ashley Dicorato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659833580 PECOS PAC ID: 1850751074 Enrollment ID: I20230720000468 |
| Provider Name | Amulya Pingali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962190660 PECOS PAC ID: 2961862974 Enrollment ID: I20230721000538 |
| Provider Name | Monica Lynn Vielkind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821331216 PECOS PAC ID: 7113210956 Enrollment ID: I20230725002758 |
| Provider Name | Alexys Renee Viscomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609560671 PECOS PAC ID: 6901267590 Enrollment ID: I20230728002645 |
| Provider Name | Madison Jane Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841983848 PECOS PAC ID: 9537520150 Enrollment ID: I20230731000422 |
| Provider Name | Samantha Lynn Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356016349 PECOS PAC ID: 8426410473 Enrollment ID: I20230808003823 |
| Provider Name | Akbar Hashim Hamid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952821068 PECOS PAC ID: 4486998457 Enrollment ID: I20230811000905 |
| Provider Name | Matthew C Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336490911 PECOS PAC ID: 6709037609 Enrollment ID: I20230811002255 |
| Provider Name | Emma Mackenzie Cronk |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023673605 PECOS PAC ID: 2163757774 Enrollment ID: I20230819000048 |
| Provider Name | Caleb C Herrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205413184 PECOS PAC ID: 9234592270 Enrollment ID: I20230824000758 |
| Provider Name | Adrianne Amanda Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558979229 PECOS PAC ID: 3577926997 Enrollment ID: I20230831002798 |
| Provider Name | Victoria Susanne Overrocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053098939 PECOS PAC ID: 5890158117 Enrollment ID: I20230901002642 |
| Provider Name | Candace Beth Donley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356627517 PECOS PAC ID: 9638344971 Enrollment ID: I20230908000344 |
| Provider Name | Lindsey Marie Coutlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518643246 PECOS PAC ID: 5890159883 Enrollment ID: I20230908002432 |
| Provider Name | Barbara Mary Sepp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003520933 PECOS PAC ID: 9931563657 Enrollment ID: I20230914000752 |
| Provider Name | Anamm Salim Polani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932718921 PECOS PAC ID: 1850755166 Enrollment ID: I20230919002954 |
| Provider Name | Caroline Marie Andrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164559118 PECOS PAC ID: 6507934072 Enrollment ID: I20230920000134 |
| Provider Name | Matusamunina Josee Zayobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164106167 PECOS PAC ID: 4688028863 Enrollment ID: I20230921001188 |
| Provider Name | Bridgit Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518648112 PECOS PAC ID: 8022462233 Enrollment ID: I20230921002640 |
| Provider Name | Oral E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891498952 PECOS PAC ID: 3274987417 Enrollment ID: I20230921003711 |
| Provider Name | Ashley M Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457039521 PECOS PAC ID: 9335593193 Enrollment ID: I20230927002164 |
| Provider Name | Timothy C Hou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750365524 PECOS PAC ID: 8022903459 Enrollment ID: I20230928003930 |
| Provider Name | Angelina M Nitto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881215614 PECOS PAC ID: 9638524911 Enrollment ID: I20231005002394 |
| Provider Name | Derek Bauer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508156324 PECOS PAC ID: 7113163056 Enrollment ID: I20231005002603 |
| Provider Name | Fatima Hussain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063906873 PECOS PAC ID: 1557600343 Enrollment ID: I20231011001504 |
| Provider Name | Peter Ahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760011225 PECOS PAC ID: 1759736614 Enrollment ID: I20231012001148 |
| Provider Name | Caroline L Donlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508641572 PECOS PAC ID: 1850746751 Enrollment ID: I20231012002544 |
| Provider Name | Noah James Quinlan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073046967 PECOS PAC ID: 0749533255 Enrollment ID: I20231016002641 |
| Provider Name | Colton Meier St Amand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154755239 PECOS PAC ID: 0143537167 Enrollment ID: I20231018000899 |
| Provider Name | Chirag Rajendra Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477130763 PECOS PAC ID: 2961858972 Enrollment ID: I20231027000706 |
| Provider Name | Melissa Jean Minter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831973098 PECOS PAC ID: 9537515549 Enrollment ID: I20231027001002 |
| Provider Name | Brendon Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568082626 PECOS PAC ID: 4486001831 Enrollment ID: I20231107003177 |
| Provider Name | Amjad Salah Qabbani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396470167 PECOS PAC ID: 2062869134 Enrollment ID: I20231110001225 |
| Provider Name | Stephanie Marie Dionne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003569005 PECOS PAC ID: 1355798307 Enrollment ID: I20231113001649 |
| Provider Name | Caroline Shaw Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881477826 PECOS PAC ID: 6709235757 Enrollment ID: I20231215001258 |
| Provider Name | Allison B Taranto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699171009 PECOS PAC ID: 7618277336 Enrollment ID: I20231218001441 |
| Provider Name | Betsy Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851648398 PECOS PAC ID: 7911239199 Enrollment ID: I20231219001834 |
| Provider Name | Elizabeth Nyawira Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255913489 PECOS PAC ID: 8527458355 Enrollment ID: I20231221000161 |
| Provider Name | Lance Jay Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093709552 PECOS PAC ID: 6608804356 Enrollment ID: I20231221000180 |
| Provider Name | Cynthia Diana Schumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750713657 PECOS PAC ID: 4284868894 Enrollment ID: I20231221000556 |
| Provider Name | Emily Drew Rose |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093155889 PECOS PAC ID: 5395034219 Enrollment ID: I20231222002424 |
| Provider Name | Valencia Madonna Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760168256 PECOS PAC ID: 8123478138 Enrollment ID: I20240103000164 |
| Provider Name | Samantha Jane Stagnitti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558148346 PECOS PAC ID: 9335599364 Enrollment ID: I20240103000852 |
| Provider Name | Christine Marrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497520548 PECOS PAC ID: 3971955741 Enrollment ID: I20240117001744 |
| Provider Name | Tara Ann Rezey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972384634 PECOS PAC ID: 3072965888 Enrollment ID: I20240117003024 |
| Provider Name | Elizabeth B Pelkofski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184885576 PECOS PAC ID: 7214165091 Enrollment ID: I20240117003081 |
| Provider Name | Nkechinye Pamela Omesiete |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720465495 PECOS PAC ID: 5496000648 Enrollment ID: I20240117003768 |
| Provider Name | Kora Andrew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275319386 PECOS PAC ID: 0244682870 Enrollment ID: I20240119001233 |
| Provider Name | Saira Sabic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992583926 PECOS PAC ID: 6406209667 Enrollment ID: I20240124003138 |
| Provider Name | Tiffanie Crisi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679199822 PECOS PAC ID: 2668892829 Enrollment ID: I20240202003531 |
| Provider Name | David Bittner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003493289 PECOS PAC ID: 1153764394 Enrollment ID: I20240205003650 |
| Provider Name | Ryan Hargraves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306983556 PECOS PAC ID: 9234500745 Enrollment ID: I20240226004151 |
| Provider Name | Kristen Jastremski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134427685 PECOS PAC ID: 8527404136 Enrollment ID: I20240306000278 |
| Provider Name | Bogdan Lashchuk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750159042 PECOS PAC ID: 9638515208 Enrollment ID: I20240306002457 |
| Provider Name | Mark E Alden |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508827247 PECOS PAC ID: 3577570076 Enrollment ID: I20240315003612 |
| Provider Name | Charmaine Clarke-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083497986 PECOS PAC ID: 4789037730 Enrollment ID: I20240318001335 |
| Provider Name | Tamara M Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467058925 PECOS PAC ID: 6507254216 Enrollment ID: I20240409002166 |
| Provider Name | Kaley Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336910710 PECOS PAC ID: 3779921762 Enrollment ID: I20240410001199 |
| Provider Name | Yaimy Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548808744 PECOS PAC ID: 5799111431 Enrollment ID: I20240422000490 |
| Provider Name | Joyce Liporace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710956156 PECOS PAC ID: 0345219812 Enrollment ID: I20240426002967 |
| Provider Name | Bradford Uricchio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619974201 PECOS PAC ID: 1254493257 Enrollment ID: I20240514001072 |
| Provider Name | Abieyuwa Eweka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144647272 PECOS PAC ID: 2365864865 Enrollment ID: I20240606001588 |
| Provider Name | Robert Philip Fitzgerald Brooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891229001 PECOS PAC ID: 5294003893 Enrollment ID: I20240620000838 |
| Provider Name | Kristine Marie Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366297228 PECOS PAC ID: 6305389107 Enrollment ID: I20240621000801 |
| Provider Name | Waleed Ibrahim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154673713 PECOS PAC ID: 4082687462 Enrollment ID: I20240626003997 |
| Provider Name | Terri Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104964618 PECOS PAC ID: 2365986551 Enrollment ID: I20240628001082 |
| Provider Name | Annemarie Gilsenan Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679313043 PECOS PAC ID: 5991241036 Enrollment ID: I20240724003633 |
| Provider Name | Spenser Walter Vines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962152660 PECOS PAC ID: 2961949383 Enrollment ID: I20240802002860 |
| Provider Name | Lan Bratek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467788794 PECOS PAC ID: 5890232128 Enrollment ID: I20240805003028 |
| Provider Name | Mark D Travor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548897234 PECOS PAC ID: 5698178689 Enrollment ID: I20240815003880 |
| Provider Name | Mohammed Hoque |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336482702 PECOS PAC ID: 5092064204 Enrollment ID: I20240816002871 |
| Provider Name | Michael Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821748567 PECOS PAC ID: 0042758369 Enrollment ID: I20240819001308 |
| Provider Name | Heng Yeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871161158 PECOS PAC ID: 7911308796 Enrollment ID: I20240820003778 |
| Provider Name | Halina Yahorava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558115204 PECOS PAC ID: 7719427582 Enrollment ID: I20240906002828 |
| Provider Name | Parikshya Giri Rijal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265106702 PECOS PAC ID: 9335689181 Enrollment ID: I20240909000940 |
| Provider Name | Sharon Mei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639911092 PECOS PAC ID: 2062952815 Enrollment ID: I20240909000951 |
| Provider Name | Cyrus Eric De Souza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043881147 PECOS PAC ID: 2062952740 Enrollment ID: I20240909002657 |
| Provider Name | Katlin E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168662 PECOS PAC ID: 2466713474 Enrollment ID: I20240912001758 |
| Provider Name | Mahmoud Adel Mohamed Abdelrahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467072868 PECOS PAC ID: 1254793284 Enrollment ID: I20240913001563 |
| Provider Name | Rebecca Irene Louch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538502919 PECOS PAC ID: 2668913831 Enrollment ID: I20240916003067 |
| Provider Name | Vincent N Nguyen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912394438 PECOS PAC ID: 0749501757 Enrollment ID: I20240917002746 |
| Provider Name | Casey R Lamb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801328000 PECOS PAC ID: 1153692975 Enrollment ID: I20240918002799 |
| Provider Name | Melanie Dawn Montano-brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942881628 PECOS PAC ID: 5991100166 Enrollment ID: I20240918003074 |
| Provider Name | Anojan Pathmanathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649791492 PECOS PAC ID: 6305183914 Enrollment ID: I20240919002085 |
| Provider Name | Tianna Rae Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568206340 PECOS PAC ID: 2163963547 Enrollment ID: I20240925003261 |
| Provider Name | Nicholas D Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20241003001884 |
| Provider Name | Erin Cathryn Caffrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184374837 PECOS PAC ID: 1759812373 Enrollment ID: I20241007000725 |
| Provider Name | Jacob Paul Vanhouten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821595083 PECOS PAC ID: 3173900727 Enrollment ID: I20241021001618 |
| Provider Name | Kaitlyn Peper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881344596 PECOS PAC ID: 7911430269 Enrollment ID: I20241025001114 |
| Provider Name | Jacob Arthur Korzun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235622846 PECOS PAC ID: 7214282813 Enrollment ID: I20241028000797 |
| Provider Name | Madeleine Slifka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144066333 PECOS PAC ID: 1052844107 Enrollment ID: I20241028001610 |
| Provider Name | Kodjovi D Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20241101000722 |
| Provider Name | Abraham Halstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053061713 PECOS PAC ID: 9234663469 Enrollment ID: I20241112000091 |
| Provider Name | Stephen Patrick Adkisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093551178 PECOS PAC ID: 2062947732 Enrollment ID: I20241119001937 |
| Provider Name | Michael Rosenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518985639 PECOS PAC ID: 7315996576 Enrollment ID: I20241121003104 |
| Provider Name | Brian J Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20241125002815 |
| Provider Name | Matthew Mark Lukovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033948443 PECOS PAC ID: 0941736417 Enrollment ID: I20241206001776 |
| Provider Name | Andrenita Haddad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417650201 PECOS PAC ID: 3476911371 Enrollment ID: I20241210001620 |
| Provider Name | Lauren Elizabeth Smithson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356570386 PECOS PAC ID: 3274069554 Enrollment ID: I20241210002624 |
| Provider Name | Brian Patrick Frodey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467911255 PECOS PAC ID: 9032444112 Enrollment ID: I20241213000983 |
| Provider Name | Virginia Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164528816 PECOS PAC ID: 0840350062 Enrollment ID: I20241217002857 |
| Provider Name | Danielle Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366275695 PECOS PAC ID: 6103354931 Enrollment ID: I20250108000072 |
| Provider Name | Danielle Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336119551 PECOS PAC ID: 0547585523 Enrollment ID: I20250113001683 |
| Provider Name | Sydney Leanne Deach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053132373 PECOS PAC ID: 0941738389 Enrollment ID: I20250113001719 |
| Provider Name | Sarah Vaithilingam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215385752 PECOS PAC ID: 5496171829 Enrollment ID: I20250203000574 |
| Provider Name | Sarah Ann Maylin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710283924 PECOS PAC ID: 5193254357 Enrollment ID: I20250203000647 |
| Provider Name | Vanessa Kit Yee Ting |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942934146 PECOS PAC ID: 9133658321 Enrollment ID: I20250203001760 |
| Provider Name | Claire N Abramoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316380009 PECOS PAC ID: 2365745676 Enrollment ID: I20250205002728 |
| Provider Name | Tara Lynn Mccoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952143208 PECOS PAC ID: 9931639994 Enrollment ID: I20250206001956 |
| Provider Name | Charles Drucker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922341056 PECOS PAC ID: 4981903192 Enrollment ID: I20250214002878 |
| Provider Name | Andria Jolly-morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427890847 PECOS PAC ID: 9032634472 Enrollment ID: I20250418000555 |
| Provider Name | Patrick Mota |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275037590 PECOS PAC ID: 7911256813 Enrollment ID: I20250418001247 |
| Provider Name | Gerald J Sabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619713567 PECOS PAC ID: 4082139357 Enrollment ID: I20250418001407 |
| Provider Name | Jessica L Bohndorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043881030 PECOS PAC ID: 3375075682 Enrollment ID: I20250423002049 |
| Provider Name | Jillian Kelcie Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790322279 PECOS PAC ID: 6507230687 Enrollment ID: I20250508001485 |
| Provider Name | Sunanda Sairam Mattancheril |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720614654 PECOS PAC ID: 5698293652 Enrollment ID: I20250514001714 |
| Provider Name | Claudy Zulme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154169159 PECOS PAC ID: 4789102666 Enrollment ID: I20250514002715 |
| Provider Name | Darlene Osipuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255456927 PECOS PAC ID: 5799952974 Enrollment ID: I20250602000962 |
| Provider Name | Peter Shawki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659590479 PECOS PAC ID: 3678668399 Enrollment ID: I20250602001488 |
| Provider Name | Ali Etemad-rezaie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679316277 PECOS PAC ID: 7416496799 Enrollment ID: I20250611001046 |