| Beebe Medical Group | |
|
1515 Savannah Rd Lewes DE 19958-1675 | |
| (302) 313-2300 | |
| (302) 644-3560 |
| Full Name | Beebe Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1515 Savannah Rd, Lewes, Delaware |
| Authorized Official Name and Position | Stephen Kraig Keiser (VP AND CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 3023132300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beebe Medical Group 1515 Savannah Rd Lewes DE 19958-1675 Ph: (302) 313-2300 | Beebe Medical Group 1515 Savannah Rd Lewes DE 19958-1675 Ph: (302) 313-2300 |
| NPI Number | 1730133992 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 5496744864 |
|---|---|
| Medicare Enrollment ID | O20040511000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730133992 | NPI | - | NPPES |
| 0000916002 | Medicaid | DE |
| Provider Name | Vincenzo Scotto D Antuono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962855 PECOS PAC ID: 7618963513 Enrollment ID: I20040424000417 |
| Provider Name | Maria V Haldar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285689786 PECOS PAC ID: 8921097304 Enrollment ID: I20040511000154 |
| Provider Name | Julia Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841325610 PECOS PAC ID: 8022097989 Enrollment ID: I20040715000535 |
| Provider Name | Joseph Michael Knapp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154372084 PECOS PAC ID: 9739151259 Enrollment ID: I20040806000261 |
| Provider Name | Russell A White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164470092 PECOS PAC ID: 0345215018 Enrollment ID: I20040827000210 |
| Provider Name | Erik D Stancofski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104828094 PECOS PAC ID: 7214902329 Enrollment ID: I20041016000175 |
| Provider Name | Maneshkumar F Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083641484 PECOS PAC ID: 1951365949 Enrollment ID: I20041118000894 |
| Provider Name | Borislav Antonov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336249804 PECOS PAC ID: 2668436510 Enrollment ID: I20041119000119 |
| Provider Name | Nancy A Squires |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841299906 PECOS PAC ID: 6901862895 Enrollment ID: I20041202000404 |
| Provider Name | Preachess Vellah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629069182 PECOS PAC ID: 8123085123 Enrollment ID: I20041210000821 |
| Provider Name | Harvey Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245345107 PECOS PAC ID: 8224087481 Enrollment ID: I20050114000583 |
| Provider Name | Afshin A Khams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669440194 PECOS PAC ID: 1557300787 Enrollment ID: I20050427001071 |
| Provider Name | Beverly E Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922155795 PECOS PAC ID: 0345276895 Enrollment ID: I20050715000284 |
| Provider Name | Monique R Yost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770511685 PECOS PAC ID: 1456348903 Enrollment ID: I20060508000279 |
| Provider Name | Joseph J Inzerillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379291 PECOS PAC ID: 1557358017 Enrollment ID: I20060605000213 |
| Provider Name | Matthew J Tulloch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912972431 PECOS PAC ID: 0840246294 Enrollment ID: I20060808000231 |
| Provider Name | Linda A Choy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437104817 PECOS PAC ID: 3577566769 Enrollment ID: I20060808000268 |
| Provider Name | Jeffrey E Hawtof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548235799 PECOS PAC ID: 4486600830 Enrollment ID: I20060808000427 |
| Provider Name | Ralph J Defriece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760473789 PECOS PAC ID: 8527060037 Enrollment ID: I20070213000575 |
| Provider Name | Ray Blackwell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033200084 PECOS PAC ID: 0143322354 Enrollment ID: I20070219000397 |
| Provider Name | Helen A Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023057106 PECOS PAC ID: 4284737644 Enrollment ID: I20070306000227 |
| Provider Name | James E Spellman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609864982 PECOS PAC ID: 3476656513 Enrollment ID: I20070312000107 |
| Provider Name | Dean R Dobbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588643506 PECOS PAC ID: 6800800160 Enrollment ID: I20070503000322 |
| Provider Name | Stacey A Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457356875 PECOS PAC ID: 8628176195 Enrollment ID: I20070606000554 |
| Provider Name | George M Kluchnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023133618 PECOS PAC ID: 4486753266 Enrollment ID: I20070619000621 |
| Provider Name | Julie A Holmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871580696 PECOS PAC ID: 4284734930 Enrollment ID: I20070710000607 |
| Provider Name | Philemon Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417090796 PECOS PAC ID: 0941393003 Enrollment ID: I20070905000495 |
| Provider Name | Nana Yaw A Darkwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770607376 PECOS PAC ID: 0648354886 Enrollment ID: I20080226000650 |
| Provider Name | Diana Dickson-witmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932189131 PECOS PAC ID: 2769556919 Enrollment ID: I20080806000083 |
| Provider Name | Victorino L Dejesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699713032 PECOS PAC ID: 1658449889 Enrollment ID: I20081001000335 |
| Provider Name | Armin Marefat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629291000 PECOS PAC ID: 2264500438 Enrollment ID: I20081001000767 |
| Provider Name | Ian M Lonergan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174795744 PECOS PAC ID: 3678632635 Enrollment ID: I20081105000358 |
| Provider Name | Elisa M Montross Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376536623 PECOS PAC ID: 4789740408 Enrollment ID: I20090304000782 |
| Provider Name | James K Beebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881691442 PECOS PAC ID: 4587721261 Enrollment ID: I20090325000057 |
| Provider Name | Nathan H Cofrancisco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730102112 PECOS PAC ID: 2769417906 Enrollment ID: I20090513000250 |
| Provider Name | Robert C Deckmann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114935004 PECOS PAC ID: 9739238080 Enrollment ID: I20090518000147 |
| Provider Name | Paolo Peghini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558379446 PECOS PAC ID: 1759430911 Enrollment ID: I20090518000330 |
| Provider Name | Bhaskar S Palekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750329322 PECOS PAC ID: 2769573153 Enrollment ID: I20090820000858 |
| Provider Name | Tiffany Hyett Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760623409 PECOS PAC ID: 6901951599 Enrollment ID: I20090903000254 |
| Provider Name | Kathryn A Grinnen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710102124 PECOS PAC ID: 9133274624 Enrollment ID: I20090904000452 |
| Provider Name | Sajini S Varghese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427196641 PECOS PAC ID: 9436231727 Enrollment ID: I20091002000071 |
| Provider Name | Adeline N Nukuna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952564734 PECOS PAC ID: 0042356883 Enrollment ID: I20091007000676 |
| Provider Name | Daryl G Sharman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235143561 PECOS PAC ID: 2365585940 Enrollment ID: I20100204000278 |
| Provider Name | Mary T Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619117496 PECOS PAC ID: 3678639200 Enrollment ID: I20100301000444 |
| Provider Name | Richard C Paul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720081391 PECOS PAC ID: 1658279641 Enrollment ID: I20100322000131 |
| Provider Name | Delbert Juk-leung Kwan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619970258 PECOS PAC ID: 2668370651 Enrollment ID: I20100407000031 |
| Provider Name | Srihari Peri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568527828 PECOS PAC ID: 2668501917 Enrollment ID: I20100525000159 |
| Provider Name | Mwazhuwa L Kuretu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881633220 PECOS PAC ID: 8921137738 Enrollment ID: I20100603000265 |
| Provider Name | Jon B Wiggins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629084975 PECOS PAC ID: 6002813813 Enrollment ID: I20100916000011 |
| Provider Name | Steven Berlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932104320 PECOS PAC ID: 2365417474 Enrollment ID: I20100920000029 |
| Provider Name | Ann Marie Stafford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780689000 PECOS PAC ID: 2860681855 Enrollment ID: I20110106000274 |
| Provider Name | Elizabeth H Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508177809 PECOS PAC ID: 1355530791 Enrollment ID: I20110114001000 |
| Provider Name | Scott David Olewiler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205881893 PECOS PAC ID: 8628257359 Enrollment ID: I20110126000689 |
| Provider Name | Madhu S Prattipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790936193 PECOS PAC ID: 2769661438 Enrollment ID: I20110127000023 |
| Provider Name | Leo H Eschbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194720581 PECOS PAC ID: 5799964474 Enrollment ID: I20110127000115 |
| Provider Name | Ercilia E Arias |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720032675 PECOS PAC ID: 5395925697 Enrollment ID: I20110203000430 |
| Provider Name | John E Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417954009 PECOS PAC ID: 6305903089 Enrollment ID: I20110210000019 |
| Provider Name | Ramakrishna Tatineni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457353252 PECOS PAC ID: 9335320407 Enrollment ID: I20110222001014 |
| Provider Name | William Morris Chasanov |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104028919 PECOS PAC ID: 0547443988 Enrollment ID: I20110323000408 |
| Provider Name | Marcia V Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235103292 PECOS PAC ID: 0749295707 Enrollment ID: I20110617000225 |
| Provider Name | Clara M Higgins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487655866 PECOS PAC ID: 5991719007 Enrollment ID: I20110627000498 |
| Provider Name | Stephen O Rualo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568824 PECOS PAC ID: 2668405655 Enrollment ID: I20111212000135 |
| Provider Name | Mark Wilkinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326235623 PECOS PAC ID: 8426223538 Enrollment ID: I20111219000173 |
| Provider Name | Kristie Zangari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356385033 PECOS PAC ID: 5395897706 Enrollment ID: I20111230000170 |
| Provider Name | Amy J Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063407328 PECOS PAC ID: 3072797802 Enrollment ID: I20120213000243 |
| Provider Name | Victor Banzon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225073547 PECOS PAC ID: 8527000637 Enrollment ID: I20120322000506 |
| Provider Name | Tina R Vincent Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295879013 PECOS PAC ID: 8022270180 Enrollment ID: I20120507000474 |
| Provider Name | Tracie Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871637694 PECOS PAC ID: 5698938165 Enrollment ID: I20120521000033 |
| Provider Name | Odette D Evangelista |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285969790 PECOS PAC ID: 7012163470 Enrollment ID: I20120820000120 |
| Provider Name | Bobby A Gulab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770708182 PECOS PAC ID: 4789837618 Enrollment ID: I20121231000162 |
| Provider Name | Lisa M Bartels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548449754 PECOS PAC ID: 0840436648 Enrollment ID: I20130424000369 |
| Provider Name | Binzhi Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659692861 PECOS PAC ID: 7911132121 Enrollment ID: I20131024000336 |
| Provider Name | Melissa A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118156 PECOS PAC ID: 2668609967 Enrollment ID: I20131212000006 |
| Provider Name | Joan A Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134263882 PECOS PAC ID: 0840332011 Enrollment ID: I20140224001491 |
| Provider Name | Krista L Henshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568723419 PECOS PAC ID: 5395976195 Enrollment ID: I20140320000038 |
| Provider Name | Louis E Costa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679694723 PECOS PAC ID: 1153413877 Enrollment ID: I20140416000671 |
| Provider Name | Amanda L Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154746832 PECOS PAC ID: 3971736224 Enrollment ID: I20140512002017 |
| Provider Name | Kathryn A. Mangion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164405163 PECOS PAC ID: 1153546452 Enrollment ID: I20140630000915 |
| Provider Name | Michelle L Bretzius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770878092 PECOS PAC ID: 2264658293 Enrollment ID: I20140728000544 |
| Provider Name | Gina M Facciolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532017 PECOS PAC ID: 3870731193 Enrollment ID: I20140731000984 |
| Provider Name | Charlene H Madanat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912173469 PECOS PAC ID: 6002987229 Enrollment ID: I20140826000860 |
| Provider Name | Taurean Dwight Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821386632 PECOS PAC ID: 7416176813 Enrollment ID: I20140917001859 |
| Provider Name | Dawn Marie Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225373624 PECOS PAC ID: 2163650623 Enrollment ID: I20140923002001 |
| Provider Name | Sravanthy Pataparla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346404589 PECOS PAC ID: 1456512532 Enrollment ID: I20150204000842 |
| Provider Name | Tarek M Waked Hammoud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699941864 PECOS PAC ID: 4183870918 Enrollment ID: I20150416002107 |
| Provider Name | Karen E Mcgibbon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689780579 PECOS PAC ID: 9436297702 Enrollment ID: I20150605001107 |
| Provider Name | Amber L Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043608441 PECOS PAC ID: 8628389681 Enrollment ID: I20150617000383 |
| Provider Name | Sean P Ryan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891991402 PECOS PAC ID: 4789998212 Enrollment ID: I20150728006214 |
| Provider Name | Carlos A Neves |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558521567 PECOS PAC ID: 1658686860 Enrollment ID: I20150818003854 |
| Provider Name | Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013294198 PECOS PAC ID: 0446566988 Enrollment ID: I20150831000257 |
| Provider Name | Carol Willey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942698105 PECOS PAC ID: 9638485980 Enrollment ID: I20150901000843 |
| Provider Name | James Ellison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144226630 PECOS PAC ID: 4789649161 Enrollment ID: I20150922001183 |
| Provider Name | Ellen A Purple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457749798 PECOS PAC ID: 1355658329 Enrollment ID: I20150923003129 |
| Provider Name | Shekayla Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801262712 PECOS PAC ID: 6608184510 Enrollment ID: I20150925001900 |
| Provider Name | Kathleen G Cannatelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699151647 PECOS PAC ID: 4183933500 Enrollment ID: I20151026000170 |
| Provider Name | Karine Karapetyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558598243 PECOS PAC ID: 2961659008 Enrollment ID: I20151110000162 |
| Provider Name | Jessica Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447648522 PECOS PAC ID: 5496065740 Enrollment ID: I20151117001198 |
| Provider Name | Nicole Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972668234 PECOS PAC ID: 9234282526 Enrollment ID: I20160209000956 |
| Provider Name | Christina Marie Sykes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477950319 PECOS PAC ID: 2567767890 Enrollment ID: I20160225000316 |
| Provider Name | Cathleen O Doane Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497724389 PECOS PAC ID: 7416947577 Enrollment ID: I20160316000791 |
| Provider Name | Mehran Hamzeh Langroudi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033317631 PECOS PAC ID: 6305947912 Enrollment ID: I20160510001104 |
| Provider Name | Natalie M Kunsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639161409 PECOS PAC ID: 5193761807 Enrollment ID: I20160519001759 |
| Provider Name | Kimberly S Hyatt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740562503 PECOS PAC ID: 5496045064 Enrollment ID: I20160609002383 |
| Provider Name | Srujitha Murukutla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578792966 PECOS PAC ID: 5890943146 Enrollment ID: I20160830001469 |
| Provider Name | Nisarg Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174768956 PECOS PAC ID: 4587890611 Enrollment ID: I20160831000116 |
| Provider Name | Cynthia Jean Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750361135 PECOS PAC ID: 6204818644 Enrollment ID: I20161025002595 |
| Provider Name | Lisa Ann Shotyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306263199 PECOS PAC ID: 0941589667 Enrollment ID: I20161119000031 |
| Provider Name | Priyal R Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144513235 PECOS PAC ID: 6204056377 Enrollment ID: I20170207001560 |
| Provider Name | Nicole Caselli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245609171 PECOS PAC ID: 0446560437 Enrollment ID: I20170316000022 |
| Provider Name | Michael A Kalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336586163 PECOS PAC ID: 3072754670 Enrollment ID: I20170814001277 |
| Provider Name | Kimberly C Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134517576 PECOS PAC ID: 4981976073 Enrollment ID: I20170824001677 |
| Provider Name | Mark A Facciolo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558629360 PECOS PAC ID: 6305087164 Enrollment ID: I20170901002256 |
| Provider Name | Michael A Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154731610 PECOS PAC ID: 0042511719 Enrollment ID: I20170905001489 |
| Provider Name | Emily A Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558794057 PECOS PAC ID: 2466428453 Enrollment ID: I20170908001656 |
| Provider Name | Kiernan E Quay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073035184 PECOS PAC ID: 7618240789 Enrollment ID: I20170912001913 |
| Provider Name | Katie L Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952538746 PECOS PAC ID: 4789832403 Enrollment ID: I20171005000093 |
| Provider Name | Mark E. Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640526 PECOS PAC ID: 9638398712 Enrollment ID: I20171218001592 |
| Provider Name | Heather N Barton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275895625 PECOS PAC ID: 1052533858 Enrollment ID: I20180503000322 |
| Provider Name | Sevak Keshishyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841586013 PECOS PAC ID: 4587910930 Enrollment ID: I20180627002930 |
| Provider Name | Joanna R Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619483427 PECOS PAC ID: 2365799566 Enrollment ID: I20180719000136 |
| Provider Name | Ahmad Elayyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366884785 PECOS PAC ID: 4688985419 Enrollment ID: I20180730000372 |
| Provider Name | Edward R Stephenson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306803127 PECOS PAC ID: 3678769023 Enrollment ID: I20180827002926 |
| Provider Name | Tyler Matthew Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538573571 PECOS PAC ID: 3678896651 Enrollment ID: I20180828000519 |
| Provider Name | Arpine Avagyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598189789 PECOS PAC ID: 7214217728 Enrollment ID: I20180913000843 |
| Provider Name | Shera Maria Ramesar-doherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386039642 PECOS PAC ID: 2860743267 Enrollment ID: I20180925000611 |
| Provider Name | Kevin Joseph Caldwell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881986909 PECOS PAC ID: 0648412460 Enrollment ID: I20180925003702 |
| Provider Name | Eman Mazloum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265848980 PECOS PAC ID: 9739490293 Enrollment ID: I20181005001162 |
| Provider Name | Christine Anne Scheper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992194336 PECOS PAC ID: 4789937160 Enrollment ID: I20181101001370 |
| Provider Name | Sandeep Kaur Khehra-mirzaei |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215342076 PECOS PAC ID: 6800130485 Enrollment ID: I20181210000001 |
| Provider Name | Laura Tolson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609353705 PECOS PAC ID: 7517203433 Enrollment ID: I20190115001076 |
| Provider Name | Deborah Ann Waurishuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821097791 PECOS PAC ID: 1254361827 Enrollment ID: I20190130000111 |
| Provider Name | Rhonda Kay Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194290346 PECOS PAC ID: 6305184599 Enrollment ID: I20190213002397 |
| Provider Name | Venkateswar R Veerapalli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164643300 PECOS PAC ID: 3678467305 Enrollment ID: I20190319000020 |
| Provider Name | Rudolph Schilli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417925991 PECOS PAC ID: 6103940705 Enrollment ID: I20190321000249 |
| Provider Name | Jessica Nicole Riffle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700347507 PECOS PAC ID: 4183967037 Enrollment ID: I20190517000240 |
| Provider Name | David E Yunis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417167677 PECOS PAC ID: 5991038119 Enrollment ID: I20190603002488 |
| Provider Name | Diamond M Micielli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013757 PECOS PAC ID: 3870827850 Enrollment ID: I20190625002190 |
| Provider Name | Juanquetta D Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336512201 PECOS PAC ID: 7618202474 Enrollment ID: I20190716002167 |
| Provider Name | Patricia A Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598113698 PECOS PAC ID: 5890023212 Enrollment ID: I20190823000199 |
| Provider Name | Stephanie Mengyun Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952729436 PECOS PAC ID: 6800166521 Enrollment ID: I20190823001394 |
| Provider Name | Christie J Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477902575 PECOS PAC ID: 9830428887 Enrollment ID: I20190917001261 |
| Provider Name | Britney Lynn Palekar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144061 PECOS PAC ID: 0840522041 Enrollment ID: I20191021001871 |
| Provider Name | Zulekha Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861812844 PECOS PAC ID: 0345674347 Enrollment ID: I20191230000208 |
| Provider Name | Matthew W Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942856299 PECOS PAC ID: 6103254669 Enrollment ID: I20200316001232 |
| Provider Name | William F Ryan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497715189 PECOS PAC ID: 1951585207 Enrollment ID: I20200417003334 |
| Provider Name | Yvonne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518507920 PECOS PAC ID: 7315378536 Enrollment ID: I20200504000157 |
| Provider Name | Neil C Gaskill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336534700 PECOS PAC ID: 9133412596 Enrollment ID: I20200505000525 |
| Provider Name | Gena D Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992045363 PECOS PAC ID: 2668698846 Enrollment ID: I20200514002420 |
| Provider Name | James Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810309 PECOS PAC ID: 0648559070 Enrollment ID: I20200602002099 |
| Provider Name | Kimberly Beddow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063050912 PECOS PAC ID: 1658792262 Enrollment ID: I20200608002374 |
| Provider Name | Mieshia Staples Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578941738 PECOS PAC ID: 8224341748 Enrollment ID: I20200609001131 |
| Provider Name | Lorren Michael Donmoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811093172 PECOS PAC ID: 1355343542 Enrollment ID: I20200714003557 |
| Provider Name | John Laval Pare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952395451 PECOS PAC ID: 6204018351 Enrollment ID: I20200716002384 |
| Provider Name | Samih Hussein Raad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497160600 PECOS PAC ID: 6305061318 Enrollment ID: I20200721001327 |
| Provider Name | Alaka Pathak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780118208 PECOS PAC ID: 2860763000 Enrollment ID: I20200722001814 |
| Provider Name | Ala Lutfi Mohammad Alkhatib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912313388 PECOS PAC ID: 2365734894 Enrollment ID: I20200723000235 |
| Provider Name | Judith Johnson Shupe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780210740 PECOS PAC ID: 7214352053 Enrollment ID: I20200811000019 |
| Provider Name | Joanna Esam Talib Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306227400 PECOS PAC ID: 7113343989 Enrollment ID: I20200811004153 |
| Provider Name | Sarah Matthews |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306291281 PECOS PAC ID: 0547509788 Enrollment ID: I20200902000454 |
| Provider Name | Avinash Ravipati |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528444379 PECOS PAC ID: 0941628036 Enrollment ID: I20200922003112 |
| Provider Name | Tracy Dysard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053385344 PECOS PAC ID: 8820199326 Enrollment ID: I20201007000821 |
| Provider Name | Mary Ellen Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952520876 PECOS PAC ID: 1658469838 Enrollment ID: I20201020000143 |
| Provider Name | Sherron S Bowie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841836822 PECOS PAC ID: 4284044157 Enrollment ID: I20201104000369 |
| Provider Name | Kim Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033184163 PECOS PAC ID: 0941263610 Enrollment ID: I20201215000336 |
| Provider Name | Roseanne W Gichuru |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760776355 PECOS PAC ID: 4486947686 Enrollment ID: I20210122002265 |
| Provider Name | Jill Petrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275921355 PECOS PAC ID: 4082029012 Enrollment ID: I20210224001608 |
| Provider Name | Lynn E Bayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386973642 PECOS PAC ID: 1254577844 Enrollment ID: I20210301000738 |
| Provider Name | Luis Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336104900 PECOS PAC ID: 3870642911 Enrollment ID: I20210318000367 |
| Provider Name | Jacoby D Spittler |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1275899403 PECOS PAC ID: 3375782493 Enrollment ID: I20210318001506 |
| Provider Name | Maria Ionita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225035611 PECOS PAC ID: 8325227929 Enrollment ID: I20210318001715 |
| Provider Name | Rachel Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336535715 PECOS PAC ID: 0446667497 Enrollment ID: I20210318002309 |
| Provider Name | Welisane Bebe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235542549 PECOS PAC ID: 1456604362 Enrollment ID: I20210318002607 |
| Provider Name | Deborah Pribulick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639248768 PECOS PAC ID: 7810997236 Enrollment ID: I20210324000864 |
| Provider Name | Elizabeth D Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366938995 PECOS PAC ID: 1254684004 Enrollment ID: I20210325001999 |
| Provider Name | Videhi Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316353600 PECOS PAC ID: 8921226762 Enrollment ID: I20210401000382 |
| Provider Name | Sameh Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659807014 PECOS PAC ID: 1153695416 Enrollment ID: I20210407002309 |
| Provider Name | Jesus Esquivel |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1003877515 PECOS PAC ID: 0345207593 Enrollment ID: I20210427000308 |
| Provider Name | Leonard Lev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033287982 PECOS PAC ID: 5597718106 Enrollment ID: I20210726002146 |
| Provider Name | Georgia Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225533375 PECOS PAC ID: 7214287580 Enrollment ID: I20210914000764 |
| Provider Name | Cynthia Lamour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003296807 PECOS PAC ID: 1759630882 Enrollment ID: I20210916001244 |
| Provider Name | Joyce Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104088350 PECOS PAC ID: 7315112851 Enrollment ID: I20210916003531 |
| Provider Name | Christopher Manieri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083033401 PECOS PAC ID: 5294952479 Enrollment ID: I20210921001041 |
| Provider Name | Matthew Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003255332 PECOS PAC ID: 9830441435 Enrollment ID: I20210922001899 |
| Provider Name | Karen Barbosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568472355 PECOS PAC ID: 7113923962 Enrollment ID: I20210923000511 |
| Provider Name | Amulya D Amirneni |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043697204 PECOS PAC ID: 5294040101 Enrollment ID: I20211124000091 |
| Provider Name | Imtiaz A Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629075387 PECOS PAC ID: 6305948829 Enrollment ID: I20220208002734 |
| Provider Name | Meghan Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497387484 PECOS PAC ID: 2466846894 Enrollment ID: I20220301002861 |
| Provider Name | Lisa Marie Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700373289 PECOS PAC ID: 6608122700 Enrollment ID: I20220704000205 |
| Provider Name | Marisa Amaral |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760690796 PECOS PAC ID: 5698919173 Enrollment ID: I20220817002304 |
| Provider Name | Michael Diclemente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639160088 PECOS PAC ID: 7719063932 Enrollment ID: I20220826000902 |
| Provider Name | Anthony Alfred Gaspari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881635522 PECOS PAC ID: 5395776504 Enrollment ID: I20220919000299 |
| Provider Name | Brook Anderson Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568842037 PECOS PAC ID: 4486020450 Enrollment ID: I20221017000106 |
| Provider Name | Zachary J Magner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417414848 PECOS PAC ID: 3375910565 Enrollment ID: I20221101000022 |
| Provider Name | Amanda S Biro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386032704 PECOS PAC ID: 7517334758 Enrollment ID: I20221101002477 |
| Provider Name | Daniel Puga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659800571 PECOS PAC ID: 8527482546 Enrollment ID: I20221111000038 |
| Provider Name | Rudolph Ansah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215451901 PECOS PAC ID: 1557635620 Enrollment ID: I20221128000212 |
| Provider Name | Anne Layton Villalobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114315082 PECOS PAC ID: 5395113955 Enrollment ID: I20221201002846 |
| Provider Name | Ryan E Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114489242 PECOS PAC ID: 1951772383 Enrollment ID: I20230124000019 |
| Provider Name | Aimee Lynn Lucente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225783020 PECOS PAC ID: 7214308642 Enrollment ID: I20230124000037 |
| Provider Name | Sarah Katelyn Dibuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679228472 PECOS PAC ID: 0840661195 Enrollment ID: I20230124001336 |
| Provider Name | Stephen Owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962960989 PECOS PAC ID: 6901277177 Enrollment ID: I20230126000316 |
| Provider Name | Sarah Brissey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366023798 PECOS PAC ID: 3870965585 Enrollment ID: I20230206003168 |
| Provider Name | Steven W. Marra |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306928056 PECOS PAC ID: 2961483839 Enrollment ID: I20230209000255 |
| Provider Name | Jennifer N Yoon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629430970 PECOS PAC ID: 4981999273 Enrollment ID: I20230301000264 |
| Provider Name | Colleen Cimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073901112 PECOS PAC ID: 9931572377 Enrollment ID: I20230306000440 |
| Provider Name | Sarah Katherine Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942797030 PECOS PAC ID: 6305210816 Enrollment ID: I20230324000689 |
| Provider Name | Allison Renee Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932362043 PECOS PAC ID: 7012382112 Enrollment ID: I20230403001475 |
| Provider Name | Nicole Pettyjohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950594 PECOS PAC ID: 6709253545 Enrollment ID: I20230407001049 |
| Provider Name | Afua O Nyanin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619292463 PECOS PAC ID: 9133415268 Enrollment ID: I20230411001931 |
| Provider Name | Kathryn Elizabeth Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124763602 PECOS PAC ID: 7719352228 Enrollment ID: I20230417000286 |
| Provider Name | Benay Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901367 PECOS PAC ID: 3072744655 Enrollment ID: I20230417000320 |
| Provider Name | Teofilo J Arazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922266634 PECOS PAC ID: 2466510359 Enrollment ID: I20230417001733 |
| Provider Name | Jordana Weber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174897441 PECOS PAC ID: 2567609449 Enrollment ID: I20230419000158 |
| Provider Name | John William Tyson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649265117 PECOS PAC ID: 1254525611 Enrollment ID: I20230522002549 |
| Provider Name | Trevor Gregory Aldred |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639705650 PECOS PAC ID: 7618337379 Enrollment ID: I20230713002308 |
| Provider Name | Kari Shearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316633928 PECOS PAC ID: 0042670382 Enrollment ID: I20230718001575 |
| Provider Name | Shauntey Nicole Singletary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356739544 PECOS PAC ID: 5496116014 Enrollment ID: I20230731000245 |
| Provider Name | Candace E Conaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790476331 PECOS PAC ID: 6103287610 Enrollment ID: I20230801000470 |
| Provider Name | Martha E Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528007135 PECOS PAC ID: 9133184351 Enrollment ID: I20230802002132 |
| Provider Name | Erin Royal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760010326 PECOS PAC ID: 3870987928 Enrollment ID: I20230822002915 |
| Provider Name | Dawn Renee Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255712543 PECOS PAC ID: 7416310537 Enrollment ID: I20230822004097 |
| Provider Name | Marie-france M Mcintee |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962408385 PECOS PAC ID: 5698676955 Enrollment ID: I20230913002597 |
| Provider Name | Miri Shlomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770080764 PECOS PAC ID: 2961809058 Enrollment ID: I20231010001163 |
| Provider Name | Anthony Paul Buonanno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609873413 PECOS PAC ID: 6002097409 Enrollment ID: I20231026002278 |
| Provider Name | Stacy Lee Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366124372 PECOS PAC ID: 9133576515 Enrollment ID: I20231107000278 |
| Provider Name | Jimmy Dy Chua |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205939840 PECOS PAC ID: 7214090372 Enrollment ID: I20231108000907 |
| Provider Name | Wendi M Schirvar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841738176 PECOS PAC ID: 3072960954 Enrollment ID: I20231115000219 |
| Provider Name | Katrina Hatcher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659088318 PECOS PAC ID: 7214306877 Enrollment ID: I20231115000399 |
| Provider Name | Sylvia Oppong Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942631957 PECOS PAC ID: 8426272949 Enrollment ID: I20231127000393 |
Richard F Caruso Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1309 Savannah Rd, Ste B, Lewes, DE 19958 Phone: 302-645-6698 Fax: 305-645-4505 | |
Shore Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Savannah Rd, Lewes, DE 19958 Phone: 302-645-6644 Fax: 302-645-6790 | |
Mid-atlantic Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20251 John J Williams Hwy, Lewes, DE 19958 Phone: 302-644-6860 Fax: 302-644-6872 | |
Seaside Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 Kings Hwy Ste 103, Lewes, DE 19958 Phone: 302-550-8100 Fax: 302-550-8105 | |
Family Practice Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34445 King Street Row, Lewes, DE 19958 Phone: 302-645-2833 Fax: 978-327-7891 | |
Irene C. Viola, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1606 Savannah Rd, Suite 8, Lewes, DE 19958 Phone: 302-644-1450 Fax: 302-644-0650 | |
The Swier Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Savannah Rd, Lewes, DE 19958 Phone: 302-645-7737 |