| 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 | Ryan Kennedy (SVP AND CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3026453217 |
| 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 | 09/03/2026 |
| Certification Date | 09/03/2026 |
| Medicare PECOS PAC ID | 5496744864 |
|---|---|
| Medicare Enrollment ID | O20040511000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730133992 | NPI | - | NPPES |
| Provider Name | Paul C Peet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235151507 PECOS PAC ID: 5092616300 Enrollment ID: I20040120000166 |
| Provider Name | Michael Francis Dowd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255362166 PECOS PAC ID: 2365338795 Enrollment ID: I20040224000387 |
| Provider Name | Rajinder Prasad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417928565 PECOS PAC ID: 8820988207 Enrollment ID: I20040318000956 |
| Provider Name | Jose M Saez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316934417 PECOS PAC ID: 7012903313 Enrollment ID: I20040422000531 |
| 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 Haldar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285689786 PECOS PAC ID: 8921097304 Enrollment ID: I20040511000154 |
| Provider Name | Ramon a Rosa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194792903 PECOS PAC ID: 9436149879 Enrollment ID: I20040517000734 |
| 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 | 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 | Melinda Dawn Ricker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932239381 PECOS PAC ID: 1658329131 Enrollment ID: I20050111000854 |
| Provider Name | Harvey Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245345107 PECOS PAC ID: 8224087481 Enrollment ID: I20050114000583 |
| Provider Name | Thomas M Cathcart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588643415 PECOS PAC ID: 3072562784 Enrollment ID: I20050120000345 |
| 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 | Jeffrey Charles Myers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629156880 PECOS PAC ID: 2961432513 Enrollment ID: I20050815000314 |
| Provider Name | Andrew H Fitzkee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578536850 PECOS PAC ID: 6406806991 Enrollment ID: I20050823000846 |
| Provider Name | Jean Ann Yaccino |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376514349 PECOS PAC ID: 8123059771 Enrollment ID: I20050824000310 |
| Provider Name | Ajith G Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386611267 PECOS PAC ID: 7810939360 Enrollment ID: I20051108000927 |
| Provider Name | William a Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700825569 PECOS PAC ID: 3678587011 Enrollment ID: I20060206000540 |
| 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 | Lawrence W Kemp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619916855 PECOS PAC ID: 3274531165 Enrollment ID: I20061202000058 |
| 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 Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023057106 PECOS PAC ID: 4284737644 Enrollment ID: I20070306000227 |
| Provider Name | Aaron R Block |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700922390 PECOS PAC ID: 1759484066 Enrollment ID: I20070307000101 |
| 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 | Patrick S Duffy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780748368 PECOS PAC ID: 3072612472 Enrollment ID: I20070626000623 |
| Provider Name | Julie a Holmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871580696 PECOS PAC ID: 4284734930 Enrollment ID: I20070710000607 |
| Provider Name | Ehtasham a Qureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891727566 PECOS PAC ID: 2264534247 Enrollment ID: I20070807000404 |
| 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 | Carrie Wilson Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861660961 PECOS PAC ID: 2567538275 Enrollment ID: I20080903000644 |
| Provider Name | Marisa Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093717621 PECOS PAC ID: 5092882985 Enrollment ID: I20080918000138 |
| 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 | Georges a Dahr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720089287 PECOS PAC ID: 9335208925 Enrollment ID: I20081112000048 |
| 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 | Mouhanad Freih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407979537 PECOS PAC ID: 3779649322 Enrollment ID: I20090305000339 |
| 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 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 | Holly L Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316110174 PECOS PAC ID: 2961558952 Enrollment ID: I20090916000256 |
| 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 | Jude O Ediae |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619137569 PECOS PAC ID: 4587701107 Enrollment ID: I20091029000653 |
| 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 | Michele D Thomas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1700822848 PECOS PAC ID: 7517092307 Enrollment ID: I20100318000468 |
| 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 | Kenneth Sunnergren |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720055122 PECOS PAC ID: 7618005216 Enrollment ID: I20100430000625 |
| 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 - General Practice |
| Provider Identifiers | NPI Number: 1881633220 PECOS PAC ID: 8921137738 Enrollment ID: I20100603000265 |
| Provider Name | Tina M Dombroski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578555207 PECOS PAC ID: 0547399396 Enrollment ID: I20100603000697 |
| 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 | Leah Higgins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376538330 PECOS PAC ID: 1052371812 Enrollment ID: I20101011000453 |
| 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 | Muhammad Arif |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154393510 PECOS PAC ID: 8628054947 Enrollment ID: I20110325000134 |
| 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 | Gene Robert Myers |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831224526 PECOS PAC ID: 0446428692 Enrollment ID: I20110714000477 |
| Provider Name | Kelly a Felix |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750451886 PECOS PAC ID: 2163400482 Enrollment ID: I20111013000238 |
| 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 | Carla J Kotsifakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255577581 PECOS PAC ID: 7214086495 Enrollment ID: I20120409000440 |
| 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 | Brian Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174609168 PECOS PAC ID: 4688636970 Enrollment ID: I20121228000043 |
| Provider Name | Bobby a Gulab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770708182 PECOS PAC ID: 4789837618 Enrollment ID: I20121231000162 |
| Provider Name | Eugene E Isaac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265755425 PECOS PAC ID: 5193852895 Enrollment ID: I20130205000370 |
| Provider Name | Alexandra Casat Cox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598018723 PECOS PAC ID: 1153576384 Enrollment ID: I20130219000381 |
| 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 | Robert C Reinert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922427384 PECOS PAC ID: 0941426902 Enrollment ID: I20140728001759 |
| Provider Name | Gina M Facciolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532017 PECOS PAC ID: 3870731193 Enrollment ID: I20140731000984 |
| Provider Name | Kristin Ann Cordrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164850566 PECOS PAC ID: 4789811522 Enrollment ID: I20140805002409 |
| Provider Name | Angela Diane Caswell-monack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568781193 PECOS PAC ID: 0840439063 Enrollment ID: I20140807001092 |
| Provider Name | Charlene H Madanat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912173469 PECOS PAC ID: 6002987229 Enrollment ID: I20140826000860 |
| Provider Name | Dawn Marie Dillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225373624 PECOS PAC ID: 2163650623 Enrollment ID: I20140923002001 |
| Provider Name | Alexander Chase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740684653 PECOS PAC ID: 2163746769 Enrollment ID: I20150129001876 |
| Provider Name | Sravanthy Pataparla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346404589 PECOS PAC ID: 1456512532 Enrollment ID: I20150204000842 |
| Provider Name | Natalie Tyre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073776837 PECOS PAC ID: 5991873028 Enrollment ID: I20150220000647 |
| 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 | Kelly Marie Goodenough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376889238 PECOS PAC ID: 1557515863 Enrollment ID: I20150427000097 |
| 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 | 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 | Sarah E Stamm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851765333 PECOS PAC ID: 1052613338 Enrollment ID: I20160104000717 |
| Provider Name | Javed Akhtar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578712592 PECOS PAC ID: 1153540737 Enrollment ID: I20160128000962 |
| 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 | Heather a Hausman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154307692 PECOS PAC ID: 2365407475 Enrollment ID: I20160226000127 |
| 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 | Mary K Horner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366803645 PECOS PAC ID: 0840598959 Enrollment ID: I20160406000078 |
| 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 | Susan a Newswanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285753830 PECOS PAC ID: 1355632365 Enrollment ID: I20160623002199 |
| Provider Name | Kimberly W Vignola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356718001 PECOS PAC ID: 2062704810 Enrollment ID: I20160714001552 |
| 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 | Darra O Hallowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275082877 PECOS PAC ID: 4789965377 Enrollment ID: I20161219001403 |
| 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 M Caselli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245609171 PECOS PAC ID: 0446560437 Enrollment ID: I20170316000022 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20170504000284 |
| Provider Name | Christine M Martindale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114933793 PECOS PAC ID: 6901890391 Enrollment ID: I20170613000253 |
| Provider Name | Clifford G Schumacker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588608046 PECOS PAC ID: 3577462852 Enrollment ID: I20170615000611 |
| Provider Name | Ashley L Heisey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720496227 PECOS PAC ID: 7012226582 Enrollment ID: I20170802002770 |
| 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 | Joseph Adam Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912416009 PECOS PAC ID: 0648537001 Enrollment ID: I20171121000050 |
| Provider Name | Kathryn E Skibinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114391224 PECOS PAC ID: 2365741642 Enrollment ID: I20171205001553 |
| Provider Name | Mark E. Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640526 PECOS PAC ID: 9638398712 Enrollment ID: I20171218001592 |
| Provider Name | Julie Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386195964 PECOS PAC ID: 1658653779 Enrollment ID: I20180125000175 |
| Provider Name | Heather N Gibbs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275895625 PECOS PAC ID: 1052533858 Enrollment ID: I20180503000322 |
| Provider Name | Ty Huskey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437146685 PECOS PAC ID: 4688626781 Enrollment ID: I20180625001306 |
| 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 | Justin Stanford Duffy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174918809 PECOS PAC ID: 7618287319 Enrollment ID: I20180910000824 |
| Provider Name | Arpine Avagyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598189789 PECOS PAC ID: 7214217728 Enrollment ID: I20180913000843 |
| Provider Name | Shera M 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 | 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 | Christy M Tuske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710176052 PECOS PAC ID: 1759442981 Enrollment ID: I20190227001756 |
| Provider Name | Robert Barwick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063878064 PECOS PAC ID: 7911201223 Enrollment ID: I20190306002220 |
| 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 | Robin Weems |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669472031 PECOS PAC ID: 8123070737 Enrollment ID: I20190408000033 |
| 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 | Carla C Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992137731 PECOS PAC ID: 9436486065 Enrollment ID: I20190806000488 |
| Provider Name | Dakota M Urban |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689094534 PECOS PAC ID: 3274750401 Enrollment ID: I20190814002277 |
| Provider Name | Patricia Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598113698 PECOS PAC ID: 5890023212 Enrollment ID: I20190823000199 |
| 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 | Janice Hilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232430 PECOS PAC ID: 6204069651 Enrollment ID: I20200127001525 |
| 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 Charles Gaskill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336534700 PECOS PAC ID: 9133412596 Enrollment ID: I20200505000525 |
| Provider Name | Gena Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992045363 PECOS PAC ID: 2668698846 Enrollment ID: I20200514002420 |
| Provider Name | Mieshia Staples Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578941738 PECOS PAC ID: 8224341748 Enrollment ID: I20200609001131 |
| Provider Name | Mindy Greenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386625945 PECOS PAC ID: 7416926167 Enrollment ID: I20200625000117 |
| Provider Name | Lorren Michael Donmoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811093172 PECOS PAC ID: 1355343542 Enrollment ID: I20200714003557 |
| Provider Name | Samih Hussein Raad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497160600 PECOS PAC ID: 6305061318 Enrollment ID: I20200721001327 |
| 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 E. Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306227400 PECOS PAC ID: 7113343989 Enrollment ID: I20200811004153 |
| Provider Name | Brianna D Brancato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093326571 PECOS PAC ID: 1658798285 Enrollment ID: I20200827003155 |
| 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 | Justin M Pipoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306453766 PECOS PAC ID: 3375953508 Enrollment ID: I20201029001196 |
| Provider Name | Sherron Bowie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841836822 PECOS PAC ID: 4284044157 Enrollment ID: I20201104000369 |
| Provider Name | Jill Petrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275921355 PECOS PAC ID: 4082029012 Enrollment ID: I20210224001608 |
| Provider Name | Mary Zimny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366777500 PECOS PAC ID: 6002106010 Enrollment ID: I20210303003472 |
| Provider Name | Luis J 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 - Obstetrics/gynecology |
| 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 | Victoria Ruch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386237303 PECOS PAC ID: 7416364963 Enrollment ID: I20210329001640 |
| 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 | Clare F Holmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558966614 PECOS PAC ID: 6204245368 Enrollment ID: I20210503001263 |
| Provider Name | Pamela D Blondin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467820415 PECOS PAC ID: 4981004470 Enrollment ID: I20210621003286 |
| 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 | Hazem Ahmed Elariny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649203118 PECOS PAC ID: 8729045042 Enrollment ID: I20210929002005 |
| Provider Name | Maria Pia Del Corral |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932745916 PECOS PAC ID: 3072902196 Enrollment ID: I20211111001024 |
| Provider Name | Amulya Amirneni |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043697204 PECOS PAC ID: 5294040101 Enrollment ID: I20211124000091 |
| Provider Name | Amanda Irene Caputo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851955678 PECOS PAC ID: 6709278898 Enrollment ID: I20220124000461 |
| Provider Name | Stephen Paul Wolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417280165 PECOS PAC ID: 2769526136 Enrollment ID: I20220202000451 |
| 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 | Christopher Scott Burky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043330970 PECOS PAC ID: 8729054929 Enrollment ID: I20220420000205 |
| Provider Name | Dillon Euler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946554 PECOS PAC ID: 4587980446 Enrollment ID: I20220420001159 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20220420002024 |
| Provider Name | Riyadh Al-jammaly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770998775 PECOS PAC ID: 0749553683 Enrollment ID: I20220421000081 |
| Provider Name | Svetoslav Hristov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336333590 PECOS PAC ID: 5890819841 Enrollment ID: I20220421000932 |
| Provider Name | Matthew Carpinello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790059194 PECOS PAC ID: 2466888904 Enrollment ID: I20220428000181 |
| Provider Name | Curt Paul Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20220428000346 |
| Provider Name | Rhonda Lampen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760412621 PECOS PAC ID: 2163477308 Enrollment ID: I20220428000406 |
| Provider Name | Mark David Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20220428000980 |
| Provider Name | Kristin Lynn Borreggine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700293834 PECOS PAC ID: 7719105006 Enrollment ID: I20220428001179 |
| Provider Name | Taha Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538512629 PECOS PAC ID: 0749515948 Enrollment ID: I20220428001779 |
| Provider Name | Nicole D Dirienzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316151632 PECOS PAC ID: 2163556887 Enrollment ID: I20220429000625 |
| Provider Name | Marissa L Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20220429000735 |
| Provider Name | James C Barclay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164468393 PECOS PAC ID: 6103809017 Enrollment ID: I20220503002087 |
| Provider Name | Kristina Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457025793 PECOS PAC ID: 7012394257 Enrollment ID: I20220510000573 |
| Provider Name | Bridget R Beebe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184617185 PECOS PAC ID: 3173650777 Enrollment ID: I20220630001737 |
| Provider Name | Lisa Marie Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700373289 PECOS PAC ID: 6608122700 Enrollment ID: I20220704000205 |
| Provider Name | Praveen George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285052605 PECOS PAC ID: 7113225350 Enrollment ID: I20220708003727 |
| Provider Name | Karen West |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780816231 PECOS PAC ID: 6901287879 Enrollment ID: I20220723000400 |
| 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 | Norma Cadet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497414072 PECOS PAC ID: 4880079805 Enrollment ID: I20220912002620 |
| Provider Name | Mwangi Kamau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215480835 PECOS PAC ID: 3173859345 Enrollment ID: I20220914003439 |
| Provider Name | Anthony Alfred Gaspari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881635522 PECOS PAC ID: 5395776504 Enrollment ID: I20220919000299 |
| Provider Name | Brook a 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 | Taylor Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114652104 PECOS PAC ID: 7113394230 Enrollment ID: I20221102002596 |
| 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 | Ming Lien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588010177 PECOS PAC ID: 7719257617 Enrollment ID: I20221129002539 |
| Provider Name | Anne Layton Villalobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114315082 PECOS PAC ID: 5395113955 Enrollment ID: I20221201002846 |
| Provider Name | Jillian Coleen Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654472 PECOS PAC ID: 8224408711 Enrollment ID: I20221227001350 |
| 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 Dell'arciprete |
|---|---|
| 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 | Cassidy M Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144981077 PECOS PAC ID: 7214308527 Enrollment ID: I20230125000349 |
| Provider Name | Stephen Owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962960989 PECOS PAC ID: 6901277177 Enrollment ID: I20230126000316 |
| Provider Name | Jamie Wen-wam Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043318736 PECOS PAC ID: 4486603347 Enrollment ID: I20230130001355 |
| Provider Name | Ruby Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083620124 PECOS PAC ID: 9931167376 Enrollment ID: I20230206001737 |
| 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 | Bushra Waseem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366850265 PECOS PAC ID: 9436446929 Enrollment ID: I20230329000021 |
| 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 Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124763602 PECOS PAC ID: 7719352228 Enrollment ID: I20230417000286 |
| Provider Name | Teofilo J Arazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922266634 PECOS PAC ID: 2466510359 Enrollment ID: I20230417001733 |
| Provider Name | Lexie Madison Zimmerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275254740 PECOS PAC ID: 9032584412 Enrollment ID: I20230418000026 |
| Provider Name | Jordana Weber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174897441 PECOS PAC ID: 2567609449 Enrollment ID: I20230419000158 |
| Provider Name | Darion Showell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740629096 PECOS PAC ID: 4486888039 Enrollment ID: I20230426002351 |
| 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 | Eleazar O'garro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164650610 PECOS PAC ID: 3274777073 Enrollment ID: I20230801002552 |
| Provider Name | Martha E Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528007135 PECOS PAC ID: 9133184351 Enrollment ID: I20230802002132 |
| Provider Name | Melissa Noah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871950790 PECOS PAC ID: 4981902814 Enrollment ID: I20230822001822 |
| 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 | Patricia Ann Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841439494 PECOS PAC ID: 3173858594 Enrollment ID: I20230828004171 |
| Provider Name | Adam Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457738825 PECOS PAC ID: 7315275641 Enrollment ID: I20230906001430 |
| Provider Name | Rachel Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417654393 PECOS PAC ID: 1456715218 Enrollment ID: I20230912002183 |
| Provider Name | Michael T Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992770556 PECOS PAC ID: 2860387016 Enrollment ID: I20230913001452 |
| 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 | Abdul Adjei |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639351760 PECOS PAC ID: 0648324723 Enrollment ID: I20231026001338 |
| Provider Name | Anthony Paul Buonanno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609873413 PECOS PAC ID: 6002097409 Enrollment ID: I20231026002278 |
| Provider Name | Victoria Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679279749 PECOS PAC ID: 7315393378 Enrollment ID: I20231026003075 |
| Provider Name | Mimi Joye Hilderley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043905011 PECOS PAC ID: 2860849312 Enrollment ID: I20231106002244 |
| Provider Name | Stacy Lee Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366124372 PECOS PAC ID: 9133576515 Enrollment ID: I20231107000278 |
| Provider Name | Marc E Marchioli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639450778 PECOS PAC ID: 6608049093 Enrollment ID: I20231107002878 |
| Provider Name | Jimmy D 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 | Sylvia Oppong Antwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942631957 PECOS PAC ID: 8426272949 Enrollment ID: I20231127000393 |
| Provider Name | Cory Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558028555 PECOS PAC ID: 0648661470 Enrollment ID: I20231128002182 |
| Provider Name | Peter Zingone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144762519 PECOS PAC ID: 1254778707 Enrollment ID: I20240320002364 |
| Provider Name | Megan Marie Bowlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407379456 PECOS PAC ID: 4688012339 Enrollment ID: I20240401002568 |
| Provider Name | Melissa Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245018878 PECOS PAC ID: 6305285958 Enrollment ID: I20240416002974 |
| Provider Name | Katalin Vanegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780097139 PECOS PAC ID: 6002100484 Enrollment ID: I20240511000433 |
| Provider Name | Alonso Alvarado Alvarado Orlandini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720646946 PECOS PAC ID: 2163961319 Enrollment ID: I20240831000166 |
| Provider Name | Carolyn Oconor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437185972 PECOS PAC ID: 4385614635 Enrollment ID: I20240904003036 |
| Provider Name | Vijay Phalgoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538323951 PECOS PAC ID: 9931326097 Enrollment ID: I20240923000522 |
| Provider Name | Mary E Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952646861 PECOS PAC ID: 0345494571 Enrollment ID: I20240923004169 |
| Provider Name | Judy U. Pham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891771085 PECOS PAC ID: 9638123243 Enrollment ID: I20240924001568 |
| Provider Name | Gwen Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508207135 PECOS PAC ID: 5294962676 Enrollment ID: I20240927001214 |
| Provider Name | Naomi Owusu Acheampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114564911 PECOS PAC ID: 1658799341 Enrollment ID: I20240927001601 |
| Provider Name | Mia F Focht |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114773181 PECOS PAC ID: 9234660515 Enrollment ID: I20240927002252 |
| Provider Name | Brian Buxton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922098987 PECOS PAC ID: 4880888759 Enrollment ID: I20241003003881 |
| Provider Name | Tejaswitha Suryadevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447872908 PECOS PAC ID: 7012449077 Enrollment ID: I20241015002724 |
| Provider Name | Jeffrey Charles Leggit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396734976 PECOS PAC ID: 8325264435 Enrollment ID: I20241017001953 |
| Provider Name | David R Nehring |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700346855 PECOS PAC ID: 7911430277 Enrollment ID: I20241025001633 |
| Provider Name | Oluwaseun a Adeniyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154906097 PECOS PAC ID: 7315470523 Enrollment ID: I20241026000393 |
| Provider Name | Darlene Haupt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912976705 PECOS PAC ID: 4385683903 Enrollment ID: I20241028003551 |
| Provider Name | Caitlin Susan Crotty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306627955 PECOS PAC ID: 5294268868 Enrollment ID: I20241104003927 |
| Provider Name | Harikrishna R Halaharvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649852534 PECOS PAC ID: 9234663535 Enrollment ID: I20241108002600 |
| Provider Name | Shaina M Lynch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235575036 PECOS PAC ID: 8820318231 Enrollment ID: I20241111000234 |
| Provider Name | Keri Mcdonough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295207629 PECOS PAC ID: 0244629376 Enrollment ID: I20241112000372 |
| Provider Name | Elana G Davidson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427058098 PECOS PAC ID: 6103918495 Enrollment ID: I20241112002966 |
| Provider Name | Vittoria Boni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669049912 PECOS PAC ID: 8224439088 Enrollment ID: I20241114000712 |
| Provider Name | Snehalkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487819744 PECOS PAC ID: 4789834615 Enrollment ID: I20241120000445 |
| Provider Name | Angela Marie Gleysteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487149480 PECOS PAC ID: 4587199856 Enrollment ID: I20241122002581 |
| Provider Name | Joshua Leek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508245911 PECOS PAC ID: 0840509345 Enrollment ID: I20241203001480 |
| Provider Name | Michael Collins Hadley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417209610 PECOS PAC ID: 8325290703 Enrollment ID: I20241214000127 |
| Provider Name | Emma G Klier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639991920 PECOS PAC ID: 1759818982 Enrollment ID: I20241230000202 |
| Provider Name | Rebecca MD Montana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053930172 PECOS PAC ID: 2466882683 Enrollment ID: I20241230002915 |
| Provider Name | Scott M Milstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922113034 PECOS PAC ID: 1759321102 Enrollment ID: I20241231000217 |
| Provider Name | Jawad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871172676 PECOS PAC ID: 9638606767 Enrollment ID: I20241231000909 |
| Provider Name | Kallie T Fehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174101778 PECOS PAC ID: 1658772801 Enrollment ID: I20241231002305 |
| Provider Name | Noor Fayez Al-rashid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891269858 PECOS PAC ID: 3375952203 Enrollment ID: I20250106002052 |
| Provider Name | Vidya Balkishun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750432142 PECOS PAC ID: 0143222000 Enrollment ID: I20250115000110 |
| Provider Name | Sharat Sonati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730769118 PECOS PAC ID: 0547798605 Enrollment ID: I20250116003395 |
| Provider Name | Michael Ryan Lockerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760037162 PECOS PAC ID: 5193254134 Enrollment ID: I20250121002320 |
| Provider Name | Jerome Maxfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528129376 PECOS PAC ID: 7416958574 Enrollment ID: I20250128000168 |
| Provider Name | Ernest Gelb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740215714 PECOS PAC ID: 7911079223 Enrollment ID: I20250128001407 |
| Provider Name | Christopher F Caputo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740668318 PECOS PAC ID: 9739479460 Enrollment ID: I20250130000157 |
| Provider Name | Carol Yacula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336691815 PECOS PAC ID: 4688957087 Enrollment ID: I20250204000195 |
| Provider Name | Lauren Trapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326437583 PECOS PAC ID: 1951831247 Enrollment ID: I20250217001556 |
| Provider Name | Johannah Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780014993 PECOS PAC ID: 0840421848 Enrollment ID: I20250218000298 |
| Provider Name | Srinivas Ramireddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508113515 PECOS PAC ID: 1456663079 Enrollment ID: I20250226000199 |
| Provider Name | Margaret Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821399957 PECOS PAC ID: 9638349368 Enrollment ID: I20250226000481 |
| Provider Name | Joanna Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558535682 PECOS PAC ID: 5294801049 Enrollment ID: I20250226001168 |
| Provider Name | Erica Pretel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801362413 PECOS PAC ID: 4789037920 Enrollment ID: I20250228003065 |
| Provider Name | Sarah Anne Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710401831 PECOS PAC ID: 4284155532 Enrollment ID: I20250304001027 |
| Provider Name | Omar Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609362748 PECOS PAC ID: 5496091712 Enrollment ID: I20250304001378 |
| Provider Name | Kristin Baynard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083253322 PECOS PAC ID: 6800329574 Enrollment ID: I20250306000451 |
| Provider Name | Susan Claire Dunlap |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821354853 PECOS PAC ID: 8022539089 Enrollment ID: I20250306000622 |
| Provider Name | Thelma Stiegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427728880 PECOS PAC ID: 6608269758 Enrollment ID: I20250313003822 |
| Provider Name | Lauro Amezcua-patino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659364396 PECOS PAC ID: 1153385273 Enrollment ID: I20250321001877 |
| Provider Name | Niraj D Jani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386673671 PECOS PAC ID: 7618988924 Enrollment ID: I20250324001040 |
| Provider Name | Samuel Feldshon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861464547 PECOS PAC ID: 3375531619 Enrollment ID: I20250411002870 |
| Provider Name | Bader Al Omour |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548812548 PECOS PAC ID: 3173048667 Enrollment ID: I20250417000089 |
| Provider Name | Jordan Michelle Prouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811756349 PECOS PAC ID: 2264958123 Enrollment ID: I20250424000752 |
| Provider Name | Akanksha Kushwah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750933925 PECOS PAC ID: 1254858004 Enrollment ID: I20250506001853 |
| Provider Name | Christopher L. Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437679057 PECOS PAC ID: 1759809817 Enrollment ID: I20250513002810 |
| Provider Name | Anastasiia Israel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104569201 PECOS PAC ID: 6709260102 Enrollment ID: I20250514000559 |
| Provider Name | Stephen Israel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669190377 PECOS PAC ID: 7719363175 Enrollment ID: I20250520000868 |
| Provider Name | Pardeep Bansal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750526141 PECOS PAC ID: 0941356778 Enrollment ID: I20250528002438 |
| Provider Name | Asil Omar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033918388 PECOS PAC ID: 8628588944 Enrollment ID: I20250606001079 |
| Provider Name | Jenine N Vecchio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891844569 PECOS PAC ID: 2668573593 Enrollment ID: I20250609000477 |
| Provider Name | John L Zapas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487613022 PECOS PAC ID: 9335331644 Enrollment ID: I20250610003257 |
| Provider Name | Annette Regina Manson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427868447 PECOS PAC ID: 4385637016 Enrollment ID: I20250613002564 |
| Provider Name | Ajay Koirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730532656 PECOS PAC ID: 3173816022 Enrollment ID: I20250627000031 |
| Provider Name | Andrew Foy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770744765 PECOS PAC ID: 5991940454 Enrollment ID: I20250627001641 |
| Provider Name | Ala Muhanna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578117545 PECOS PAC ID: 2466968607 Enrollment ID: I20250723002368 |
| Provider Name | Breanna Parks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346055720 PECOS PAC ID: 5698295939 Enrollment ID: I20250723004752 |
| Provider Name | Heather M Eremita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225554488 PECOS PAC ID: 0941575575 Enrollment ID: I20250728000515 |
| Provider Name | Gracie L Chaires |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427844919 PECOS PAC ID: 0143737981 Enrollment ID: I20250728001660 |
| Provider Name | Kaitlyn M Ruffing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982280624 PECOS PAC ID: 6406363811 Enrollment ID: I20250730001249 |
| Provider Name | Dean L Mittman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043359292 PECOS PAC ID: 1850424318 Enrollment ID: I20250801004089 |
| Provider Name | Christopher Barnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922721786 PECOS PAC ID: 8527415231 Enrollment ID: I20250804003009 |
| Provider Name | Geoffrey L Braden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275597809 PECOS PAC ID: 6800825654 Enrollment ID: I20250812001393 |
| Provider Name | Sujay Alvencar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508429473 PECOS PAC ID: 4981939311 Enrollment ID: I20250819002367 |
| Provider Name | Madeline Ashley Kuchta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477346872 PECOS PAC ID: 1355840976 Enrollment ID: I20250819004087 |
| Provider Name | Shena Ayobello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750919338 PECOS PAC ID: 9739619289 Enrollment ID: I20250822000020 |
| Provider Name | Vincent E Lotano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932281664 PECOS PAC ID: 0648208439 Enrollment ID: I20250822001966 |
| Provider Name | Zaid Suhail Kathim Ahmad Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881166890 PECOS PAC ID: 2961902721 Enrollment ID: I20250826000633 |
| Provider Name | Abhigna Uday Kumar Kulkarni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336757996 PECOS PAC ID: 9931601739 Enrollment ID: I20250909001625 |
| Provider Name | Charles Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750279691 PECOS PAC ID: 4981100773 Enrollment ID: I20251001000919 |
| Provider Name | Melissa Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750273645 PECOS PAC ID: 9830695683 Enrollment ID: I20251001001949 |
| Provider Name | Barbara a Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588053649 PECOS PAC ID: 9931606845 Enrollment ID: I20251007004400 |
| Provider Name | Punit a Pandya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497286561 PECOS PAC ID: 0648541110 Enrollment ID: I20251008000464 |
| Provider Name | Lauren Kelly Freebery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225915515 PECOS PAC ID: 9931606332 Enrollment ID: I20251010001363 |
| Provider Name | Laura Jane Rones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649150715 PECOS PAC ID: 5193212827 Enrollment ID: I20251015003491 |
| Provider Name | Charlene Faye Larrimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982588596 PECOS PAC ID: 0547758872 Enrollment ID: I20251020001627 |
| Provider Name | Homayoon Mahjoob |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740494178 PECOS PAC ID: 6103919741 Enrollment ID: I20251023004596 |
| Provider Name | Rachana Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992310049 PECOS PAC ID: 6800384488 Enrollment ID: I20251024001409 |
| Provider Name | Jenna R Dafgek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740869635 PECOS PAC ID: 6103225313 Enrollment ID: I20251103001722 |
| Provider Name | Kunwal Nasrullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386384014 PECOS PAC ID: 2668962994 Enrollment ID: I20251105003720 |
| Provider Name | Erica Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639042435 PECOS PAC ID: 4082104278 Enrollment ID: I20251106001740 |
| Provider Name | Tabitha Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134630528 PECOS PAC ID: 8426314907 Enrollment ID: I20251121001494 |
| Provider Name | Marcos Villarreal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265095160 PECOS PAC ID: 3779012869 Enrollment ID: I20251212002607 |
| Provider Name | Nicholas Carroll Destefano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154776755 PECOS PAC ID: 0446542229 Enrollment ID: I20251219002133 |
| Provider Name | Andrew Richard Meininger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386512002 PECOS PAC ID: 3678054418 Enrollment ID: I20260219004076 |
| Provider Name | Scott Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538119979 PECOS PAC ID: 2163478157 Enrollment ID: I20260227000678 |
| Provider Name | Ogechukwu Ndum |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1205198512 PECOS PAC ID: 3476853136 Enrollment ID: I20260301000014 |
| Provider Name | Brittny Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932058302 PECOS PAC ID: 3375028228 Enrollment ID: I20260330001884 |
| Provider Name | Andre T Bobo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437299724 PECOS PAC ID: 6507818333 Enrollment ID: I20260331004173 |
| Provider Name | Jekeijra Everson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902750094 PECOS PAC ID: 7810465440 Enrollment ID: I20260501001993 |
| Provider Name | Colleen M Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174220867 PECOS PAC ID: 6002281110 Enrollment ID: I20260520002294 |
| Provider Name | Carolyn Dawn Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647728 PECOS PAC ID: 5395000384 Enrollment ID: I20260522003562 |
| Provider Name | Kenneth Doyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962899062 PECOS PAC ID: 9335415082 Enrollment ID: I20260525000000 |
| Provider Name | Muhammad Zubair Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962998039 PECOS PAC ID: 6608115977 Enrollment ID: I20260528000908 |
| Provider Name | Matthew Jacob |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689373169 PECOS PAC ID: 6709358310 Enrollment ID: I20260615004042 |
| Provider Name | Yahia Homsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225393028 PECOS PAC ID: 4385894518 Enrollment ID: I20260616002705 |
| Provider Name | Richard H Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962933531 PECOS PAC ID: 9436427739 Enrollment ID: I20260616003342 |
| Provider Name | Sherry N Vanhoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659921559 PECOS PAC ID: 9335612183 Enrollment ID: I20260624001159 |
| Provider Name | Thomas Madigan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952876310 PECOS PAC ID: 2668725854 Enrollment ID: I20260624005146 |
Richard F Caruso MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare 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 |