| Lifespan Physician Group Of Massachusetts Inc | |
|
167 Point St Providence RI 02903-4771 | |
| (401) 444-4690 | |
| Not Available |
| Full Name | Lifespan Physician Group Of Massachusetts Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 167 Point St, Providence, Rhode Island |
| Authorized Official Name and Position | Peter Markell (EVP AND CHIEF FINANCIAL OFFICE) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Physician Group Of Massachusetts Inc 167 Point St Providence RI 02903-4771 Ph: () - | Lifespan Physician Group Of Massachusetts Inc 167 Point St Providence RI 02903-4771 Ph: (401) 444-4690 |
| NPI Number | 1235957713 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/04/2024 |
| Medicare PECOS PAC ID | 3870020399 |
|---|---|
| Medicare Enrollment ID | O20241223001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235957713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael A Hait |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326028085 PECOS PAC ID: 7517871924 Enrollment ID: I20031118000978 |
| Provider Name | Susan M Chabot |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942293261 PECOS PAC ID: 8820992084 Enrollment ID: I20031120000615 |
| Provider Name | Patricia L Andrade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417956426 PECOS PAC ID: 2264337377 Enrollment ID: I20031203000123 |
| Provider Name | John Stamoulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861441891 PECOS PAC ID: 9537060546 Enrollment ID: I20040114000113 |
| Provider Name | Derek A Hausladen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730195074 PECOS PAC ID: 8628970993 Enrollment ID: I20040126000815 |
| Provider Name | Inna E. Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780775403 PECOS PAC ID: 1658274915 Enrollment ID: I20040202000743 |
| Provider Name | Paul A Ruggieri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225065113 PECOS PAC ID: 4688563992 Enrollment ID: I20040315000114 |
| Provider Name | James D Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780632349 PECOS PAC ID: 2062407521 Enrollment ID: I20040415000816 |
| Provider Name | Deborah D Fraine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043224371 PECOS PAC ID: 2163404336 Enrollment ID: I20040602000598 |
| Provider Name | June A Rodrigues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821065913 PECOS PAC ID: 0446232532 Enrollment ID: I20040602001509 |
| Provider Name | Slawomir J Pajak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235105206 PECOS PAC ID: 7517941636 Enrollment ID: I20040616000642 |
| Provider Name | Thomas M Vallone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194793513 PECOS PAC ID: 6204806490 Enrollment ID: I20040727000369 |
| Provider Name | Alexander L Dogon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790718278 PECOS PAC ID: 5597736751 Enrollment ID: I20040803000412 |
| Provider Name | Mark K Durfee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104892595 PECOS PAC ID: 9638140437 Enrollment ID: I20040804001369 |
| Provider Name | Raymond B Khawand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952382558 PECOS PAC ID: 0749251429 Enrollment ID: I20040804001969 |
| Provider Name | Kevin Walecka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386620342 PECOS PAC ID: 4587636329 Enrollment ID: I20040811000787 |
| Provider Name | Jerald Katz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568479046 PECOS PAC ID: 5193798445 Enrollment ID: I20040816001004 |
| Provider Name | James A Howard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639144678 PECOS PAC ID: 4082687744 Enrollment ID: I20040819000710 |
| Provider Name | Hugo G Jauregui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084611 PECOS PAC ID: 4082688015 Enrollment ID: I20040824001281 |
| Provider Name | Andrew C Old |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184682718 PECOS PAC ID: 1557337953 Enrollment ID: I20040908000076 |
| Provider Name | Andrew Sucov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841206976 PECOS PAC ID: 3678540069 Enrollment ID: I20040915000092 |
| Provider Name | Erin L Mccann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356395172 PECOS PAC ID: 9830167550 Enrollment ID: I20040921000572 |
| Provider Name | Russell P Maling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528040607 PECOS PAC ID: 0446228845 Enrollment ID: I20040923000316 |
| Provider Name | Elaine Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064874 PECOS PAC ID: 3577531896 Enrollment ID: I20040923000522 |
| Provider Name | Mark D Pearlmutter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073699625 PECOS PAC ID: 0941269278 Enrollment ID: I20041004000552 |
| Provider Name | Kathy A Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518988112 PECOS PAC ID: 0648231845 Enrollment ID: I20041021000222 |
| Provider Name | Richard S Fox |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497799480 PECOS PAC ID: 5799749685 Enrollment ID: I20041119000391 |
| Provider Name | Carol A Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457395972 PECOS PAC ID: 5395709281 Enrollment ID: I20041119000422 |
| Provider Name | Imad Joseph Bahhady |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285602052 PECOS PAC ID: 4688639263 Enrollment ID: I20041123000341 |
| Provider Name | Diane C Horan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992787220 PECOS PAC ID: 9830155225 Enrollment ID: I20041207001083 |
| Provider Name | Gloriane Afonso Fede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376525063 PECOS PAC ID: 5597714329 Enrollment ID: I20050119000111 |
| Provider Name | Raymond L Dugal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700842853 PECOS PAC ID: 6709835473 Enrollment ID: I20050120000100 |
| Provider Name | Frank B Pomposelli |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356306336 PECOS PAC ID: 5597716100 Enrollment ID: I20050201000492 |
| Provider Name | Theophilus Vnm Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750479283 PECOS PAC ID: 1850343955 Enrollment ID: I20050217000146 |
| Provider Name | Amin S Chaoui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093787483 PECOS PAC ID: 9537112636 Enrollment ID: I20050301000756 |
| Provider Name | Robert W Conroy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528062858 PECOS PAC ID: 5597710012 Enrollment ID: I20050317000671 |
| Provider Name | Charles A Thayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306871454 PECOS PAC ID: 3971559980 Enrollment ID: I20050323000493 |
| Provider Name | Stephen C Mackler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669442745 PECOS PAC ID: 9032008362 Enrollment ID: I20050324000094 |
| Provider Name | Diane P Mccabe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982680484 PECOS PAC ID: 4486600103 Enrollment ID: I20050325000327 |
| Provider Name | Gary Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952390007 PECOS PAC ID: 1153389044 Enrollment ID: I20050329001103 |
| Provider Name | George J Chilazi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811917529 PECOS PAC ID: 4688647027 Enrollment ID: I20050331001056 |
| Provider Name | Thomas J Zanca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396726592 PECOS PAC ID: 0345238846 Enrollment ID: I20050401000423 |
| Provider Name | James D Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730179607 PECOS PAC ID: 5799722039 Enrollment ID: I20050408000563 |
| Provider Name | Paul G Vivino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295717387 PECOS PAC ID: 9537149901 Enrollment ID: I20050411000981 |
| Provider Name | Besher Jazmati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255430575 PECOS PAC ID: 1850338500 Enrollment ID: I20050413001162 |
| Provider Name | Roger S Pocze |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972579969 PECOS PAC ID: 6800834011 Enrollment ID: I20050419000820 |
| Provider Name | John W Bender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578550695 PECOS PAC ID: 4486692639 Enrollment ID: I20050419001155 |
| Provider Name | Stephen L Keith |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053367128 PECOS PAC ID: 5698713402 Enrollment ID: I20050421001207 |
| Provider Name | Kabir J Chuttani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043234321 PECOS PAC ID: 4688613953 Enrollment ID: I20050426001167 |
| Provider Name | James P Tracey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235106105 PECOS PAC ID: 2466423900 Enrollment ID: I20050429000870 |
| Provider Name | John Niedzwicki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306812367 PECOS PAC ID: 3274572037 Enrollment ID: I20050502000006 |
| Provider Name | Bryan J Bagdasian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912973223 PECOS PAC ID: 3375582166 Enrollment ID: I20050502000220 |
| Provider Name | Pamela L Coury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598703944 PECOS PAC ID: 3476593070 Enrollment ID: I20050503000906 |
| Provider Name | Daniel J Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720058803 PECOS PAC ID: 2062452691 Enrollment ID: I20050503001132 |
| Provider Name | Gregg S Angell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578660429 PECOS PAC ID: 7416997325 Enrollment ID: I20050510001094 |
| Provider Name | Mustafa M Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043317845 PECOS PAC ID: 5597706994 Enrollment ID: I20050516000966 |
| Provider Name | Jonathan D Bier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306883343 PECOS PAC ID: 4284625708 Enrollment ID: I20050517000854 |
| Provider Name | Jack H Belkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750338497 PECOS PAC ID: 5890737423 Enrollment ID: I20050524001187 |
| Provider Name | Gary B Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922077023 PECOS PAC ID: 2264475011 Enrollment ID: I20050602001224 |
| Provider Name | Robert E Nixon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447226329 PECOS PAC ID: 7416990155 Enrollment ID: I20050603000734 |
| Provider Name | Bruce E Bodner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720034911 PECOS PAC ID: 3971547225 Enrollment ID: I20050616001062 |
| Provider Name | Earl Potts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679560791 PECOS PAC ID: 1658312608 Enrollment ID: I20050617000560 |
| Provider Name | Mary R Dias-regus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326015496 PECOS PAC ID: 3577508282 Enrollment ID: I20050623000073 |
| Provider Name | Lori A Steel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548226939 PECOS PAC ID: 5395780928 Enrollment ID: I20050624000048 |
| Provider Name | Eric Dominguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265427702 PECOS PAC ID: 3375594468 Enrollment ID: I20050707000254 |
| Provider Name | Maria Molina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134295751 PECOS PAC ID: 6507892833 Enrollment ID: I20050708000745 |
| Provider Name | James S Hoffman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790752772 PECOS PAC ID: 7810925468 Enrollment ID: I20050803000973 |
| Provider Name | Maryann Heiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225003510 PECOS PAC ID: 4082643234 Enrollment ID: I20050808000689 |
| Provider Name | Katherine E Frias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316934441 PECOS PAC ID: 4688603384 Enrollment ID: I20050811000790 |
| Provider Name | Elliott J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750358164 PECOS PAC ID: 1951331644 Enrollment ID: I20050812000375 |
| Provider Name | Suzanne M Caron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548265473 PECOS PAC ID: 1658302716 Enrollment ID: I20050829000340 |
| Provider Name | Jung Mi L. Haisman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447251152 PECOS PAC ID: 6709853062 Enrollment ID: I20050908000935 |
| Provider Name | Robert J Caldas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124032883 PECOS PAC ID: 2163448747 Enrollment ID: I20051022000249 |
| Provider Name | Mahmood Hussain Sharfi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154311611 PECOS PAC ID: 6901823897 Enrollment ID: I20051031000248 |
| Provider Name | Peter E Levesque |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235163783 PECOS PAC ID: 4789633165 Enrollment ID: I20051115000529 |
| Provider Name | James Hermenegildo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184651176 PECOS PAC ID: 7214959105 Enrollment ID: I20051220000352 |
| Provider Name | James M Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780682245 PECOS PAC ID: 6507880028 Enrollment ID: I20060123000727 |
| Provider Name | Dawn M Williamson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912987074 PECOS PAC ID: 3173537834 Enrollment ID: I20060201000726 |
| Provider Name | Sandra M Sousa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770570897 PECOS PAC ID: 2264447481 Enrollment ID: I20060209000244 |
| Provider Name | Kristen Fennessey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497830863 PECOS PAC ID: 2466461710 Enrollment ID: I20060413000468 |
| Provider Name | Steven B Andelman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669455051 PECOS PAC ID: 1355352980 Enrollment ID: I20060511000120 |
| Provider Name | Lucyna Z Czarnota Dolliver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982632006 PECOS PAC ID: 3678585205 Enrollment ID: I20060626000126 |
| Provider Name | Melissa J Kirichian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518986306 PECOS PAC ID: 5193728145 Enrollment ID: I20060814000275 |
| Provider Name | Tina Rizack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932198082 PECOS PAC ID: 4385641950 Enrollment ID: I20061025000310 |
| Provider Name | Allison J Ramler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124053459 PECOS PAC ID: 3678570983 Enrollment ID: I20061030000505 |
| Provider Name | Dhanesh Dookhran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073680716 PECOS PAC ID: 7810998002 Enrollment ID: I20070131000419 |
| Provider Name | Mark J Leboeuf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073647400 PECOS PAC ID: 0941305619 Enrollment ID: I20070425000358 |
| Provider Name | Samuel Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093912131 PECOS PAC ID: 9436240637 Enrollment ID: I20070802000020 |
| Provider Name | Karen Sylvia Mcginnis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629006093 PECOS PAC ID: 4789614850 Enrollment ID: I20070829000818 |
| Provider Name | Geetanjali Kulkarni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356531495 PECOS PAC ID: 7911090642 Enrollment ID: I20070911000335 |
| Provider Name | Marya A Koza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477522571 PECOS PAC ID: 0143314468 Enrollment ID: I20070918000346 |
| Provider Name | Alexandra K Retana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487797874 PECOS PAC ID: 4486740909 Enrollment ID: I20071015000326 |
| Provider Name | Christopher C Stowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053307462 PECOS PAC ID: 9739276288 Enrollment ID: I20071030000531 |
| Provider Name | Maria P Petrillo Bolanos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700843919 PECOS PAC ID: 5193814705 Enrollment ID: I20071205000177 |
| Provider Name | Karmina P Bautista |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033131008 PECOS PAC ID: 2466541073 Enrollment ID: I20071205000184 |
| Provider Name | Michael J Rocha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205874500 PECOS PAC ID: 0244312130 Enrollment ID: I20080131000137 |
| Provider Name | Marina O Chernova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689851859 PECOS PAC ID: 3779669866 Enrollment ID: I20080331000096 |
| Provider Name | David J Shih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134197429 PECOS PAC ID: 7911084546 Enrollment ID: I20080408000091 |
| Provider Name | Matthew A Kippe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841491396 PECOS PAC ID: 1456439553 Enrollment ID: I20080415000199 |
| Provider Name | George P Sorescu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861675167 PECOS PAC ID: 9032298336 Enrollment ID: I20080512000046 |
| Provider Name | Kerry P Gowell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922003870 PECOS PAC ID: 8325127616 Enrollment ID: I20080512000688 |
| Provider Name | Kelly F Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558551317 PECOS PAC ID: 8527137520 Enrollment ID: I20080516000347 |
| Provider Name | Karine Maalouf-kaleshian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114903663 PECOS PAC ID: 8729158506 Enrollment ID: I20080605000345 |
| Provider Name | Jeffrey J Michaud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083619928 PECOS PAC ID: 6204907256 Enrollment ID: I20080618000438 |
| Provider Name | Deepthi P De Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184682759 PECOS PAC ID: 0840362281 Enrollment ID: I20080701000041 |
| Provider Name | Maria P Rumsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023295516 PECOS PAC ID: 5294809794 Enrollment ID: I20080731000723 |
| Provider Name | Tenny J Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568497592 PECOS PAC ID: 4688631989 Enrollment ID: I20080822000521 |
| Provider Name | David E Ignatius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174690820 PECOS PAC ID: 9830264035 Enrollment ID: I20080822000535 |
| Provider Name | Jonathan B Croopnick |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598871360 PECOS PAC ID: 3072681063 Enrollment ID: I20081003000372 |
| Provider Name | Deana M Theroux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134200033 PECOS PAC ID: 0042370421 Enrollment ID: I20081114000317 |
| Provider Name | Debby Almeida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134289127 PECOS PAC ID: 2365467222 Enrollment ID: I20081125000701 |
| Provider Name | Maher B El Khatib |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194716829 PECOS PAC ID: 2668534306 Enrollment ID: I20081215000420 |
| Provider Name | Alexander Kondratiev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841445798 PECOS PAC ID: 8921161555 Enrollment ID: I20090108000357 |
| Provider Name | Dan Tang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992990394 PECOS PAC ID: 5698838654 Enrollment ID: I20090116000511 |
| Provider Name | Mary F Sippell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144216557 PECOS PAC ID: 4880758630 Enrollment ID: I20090123000157 |
| Provider Name | Nidhi Kapoor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912972324 PECOS PAC ID: 8325029473 Enrollment ID: I20090202000456 |
| Provider Name | Shaw R Natan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669688784 PECOS PAC ID: 6204929672 Enrollment ID: I20090203000416 |
| Provider Name | Kathleen Hoye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487742136 PECOS PAC ID: 5193790376 Enrollment ID: I20090402000142 |
| Provider Name | Charles K Heller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881828390 PECOS PAC ID: 4082769807 Enrollment ID: I20090831000614 |
| Provider Name | Shadi Kiriaki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700094992 PECOS PAC ID: 2567559818 Enrollment ID: I20090929000402 |
| Provider Name | Joely V Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558450049 PECOS PAC ID: 9335289859 Enrollment ID: I20091215000012 |
| Provider Name | Theresa M Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619149564 PECOS PAC ID: 5193853810 Enrollment ID: I20100517000339 |
| Provider Name | Scott H Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346574886 PECOS PAC ID: 7911032115 Enrollment ID: I20100608000642 |
| Provider Name | Dina P Mello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558698431 PECOS PAC ID: 5193858017 Enrollment ID: I20100729000283 |
| Provider Name | Marguerite J Mckeeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598730798 PECOS PAC ID: 1658405642 Enrollment ID: I20100812000543 |
| Provider Name | Jahn Aubrey Pothier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962478966 PECOS PAC ID: 2769581263 Enrollment ID: I20100813000197 |
| Provider Name | Alvin Marcovici |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376530337 PECOS PAC ID: 3577687789 Enrollment ID: I20100825000239 |
| Provider Name | Robert A Salk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548280555 PECOS PAC ID: 6103710876 Enrollment ID: I20100830000454 |
| Provider Name | Eric R Levine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528038734 PECOS PAC ID: 6800995390 Enrollment ID: I20100913000645 |
| Provider Name | Sirjana Dhungana Parajuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063606473 PECOS PAC ID: 9133244247 Enrollment ID: I20100914000013 |
| Provider Name | Bing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699745810 PECOS PAC ID: 8628177110 Enrollment ID: I20100924000576 |
| Provider Name | Christine A Will |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760458632 PECOS PAC ID: 2668571167 Enrollment ID: I20101116000697 |
| Provider Name | Christine Rieser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336470160 PECOS PAC ID: 1951432087 Enrollment ID: I20101122001060 |
| Provider Name | James L Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225018062 PECOS PAC ID: 6901905496 Enrollment ID: I20101202001260 |
| Provider Name | Jeannette M Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245546175 PECOS PAC ID: 9335337617 Enrollment ID: I20101230000996 |
| Provider Name | Deborah D Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538212576 PECOS PAC ID: 8527247428 Enrollment ID: I20110125000302 |
| Provider Name | Roland J Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912986100 PECOS PAC ID: 4183723679 Enrollment ID: I20110128000504 |
| Provider Name | Najam A Zaidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679558266 PECOS PAC ID: 9537072186 Enrollment ID: I20110131000022 |
| Provider Name | Elizabeth Branconnier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760652630 PECOS PAC ID: 8921187212 Enrollment ID: I20110216000838 |
| Provider Name | Sachin Maskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134386972 PECOS PAC ID: 4385825587 Enrollment ID: I20110727000598 |
| Provider Name | Cheryl Pimentel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205126000 PECOS PAC ID: 2365613387 Enrollment ID: I20110923000509 |
| Provider Name | Kimberly Green |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063793610 PECOS PAC ID: 3870766298 Enrollment ID: I20111101000016 |
| Provider Name | Celeste L Chace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700874096 PECOS PAC ID: 0143497354 Enrollment ID: I20120111000352 |
| Provider Name | Lynne J Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649561630 PECOS PAC ID: 5193982320 Enrollment ID: I20120131000340 |
| Provider Name | Lassalete G Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528055654 PECOS PAC ID: 6800055658 Enrollment ID: I20120314000203 |
| Provider Name | Kristen E Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699762716 PECOS PAC ID: 2961661715 Enrollment ID: I20120314000238 |
| Provider Name | Sheila R Fischer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386705994 PECOS PAC ID: 8628124724 Enrollment ID: I20120328000044 |
| Provider Name | Gary A Franco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710252838 PECOS PAC ID: 6507022696 Enrollment ID: I20120717000576 |
| Provider Name | Mark B Davis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720286370 PECOS PAC ID: 8921264250 Enrollment ID: I20120731000577 |
| Provider Name | Jordan C Gularek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346571098 PECOS PAC ID: 5294983755 Enrollment ID: I20120907000481 |
| Provider Name | Michael A Forzano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841433786 PECOS PAC ID: 3577711605 Enrollment ID: I20120914000674 |
| Provider Name | Paul S Sepe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528194958 PECOS PAC ID: 4486804150 Enrollment ID: I20121016000318 |
| Provider Name | Chad S Beattie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790946176 PECOS PAC ID: 5294985677 Enrollment ID: I20121019000474 |
| Provider Name | Betty P Medeiros Beattie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740437870 PECOS PAC ID: 2062662950 Enrollment ID: I20121031000250 |
| Provider Name | Kyle Tokarz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649242637 PECOS PAC ID: 3971783861 Enrollment ID: I20121113000469 |
| Provider Name | Marta S Morrissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598016388 PECOS PAC ID: 3971755828 Enrollment ID: I20121129000119 |
| Provider Name | Hagop Kojanian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982837738 PECOS PAC ID: 4880838523 Enrollment ID: I20130918000553 |
| Provider Name | Joshua Camara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841449568 PECOS PAC ID: 0345484036 Enrollment ID: I20130919000286 |
| Provider Name | Sarah Maria Lawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629394101 PECOS PAC ID: 4486888583 Enrollment ID: I20131003000160 |
| Provider Name | Margaret R Pochay |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215025135 PECOS PAC ID: 3375587132 Enrollment ID: I20131017001916 |
| Provider Name | Rakshith Gadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417116724 PECOS PAC ID: 2860565710 Enrollment ID: I20131112000735 |
| Provider Name | Nnamdi O Amaechina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144531518 PECOS PAC ID: 7810123106 Enrollment ID: I20131114001122 |
| Provider Name | Meagan L Fuertes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784225 PECOS PAC ID: 6800022963 Enrollment ID: I20131119000977 |
| Provider Name | Saba Khokhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518133602 PECOS PAC ID: 3971656547 Enrollment ID: I20131206000345 |
| Provider Name | Achilles R Alcaraz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245548643 PECOS PAC ID: 3274713292 Enrollment ID: I20140117001068 |
| Provider Name | Ross A Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093145385 PECOS PAC ID: 3870723299 Enrollment ID: I20140305000472 |
| Provider Name | Walter Dittel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497915813 PECOS PAC ID: 9537207295 Enrollment ID: I20140408000486 |
| Provider Name | Jennifer Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922424571 PECOS PAC ID: 1456583673 Enrollment ID: I20140422000783 |
| Provider Name | Heather M Dufour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063838811 PECOS PAC ID: 9739312703 Enrollment ID: I20140428000504 |
| Provider Name | Meaghan Camillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346581741 PECOS PAC ID: 9739303918 Enrollment ID: I20140609001509 |
| Provider Name | Zachary Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891015152 PECOS PAC ID: 7517100944 Enrollment ID: I20140714000772 |
| Provider Name | Lauren E Conca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962795104 PECOS PAC ID: 2365669017 Enrollment ID: I20140804002206 |
| Provider Name | Jessica Maitland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790194629 PECOS PAC ID: 0042430555 Enrollment ID: I20141006000881 |
| Provider Name | Mary Fitzhugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710155114 PECOS PAC ID: 9436330065 Enrollment ID: I20141031000598 |
| Provider Name | Samad Siraz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278270 PECOS PAC ID: 2961634522 Enrollment ID: I20141112001004 |
| Provider Name | Erica L Szyndlar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164839098 PECOS PAC ID: 8729200050 Enrollment ID: I20141120001830 |
| Provider Name | Kimberly D Witkowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598098857 PECOS PAC ID: 9830411693 Enrollment ID: I20141205000069 |
| Provider Name | Nancy S Harya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588893747 PECOS PAC ID: 6103054978 Enrollment ID: I20141210001050 |
| Provider Name | Philippe Vuylsteke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679587356 PECOS PAC ID: 6507933249 Enrollment ID: I20150109001497 |
| Provider Name | David Caldarella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891799482 PECOS PAC ID: 2466599790 Enrollment ID: I20150129001556 |
| Provider Name | Brenda J Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972901569 PECOS PAC ID: 1557682366 Enrollment ID: I20150605000051 |
| Provider Name | Catherine C Pettit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760617880 PECOS PAC ID: 4385894658 Enrollment ID: I20150608001595 |
| Provider Name | Jose F Deleon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477874113 PECOS PAC ID: 4284959024 Enrollment ID: I20150722003479 |
| Provider Name | Timothy M Nace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669436408 PECOS PAC ID: 3577744119 Enrollment ID: I20150729008333 |
| Provider Name | Davinderpal Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265712236 PECOS PAC ID: 3779714555 Enrollment ID: I20150831001945 |
| Provider Name | Nathaniel M Cook |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487903472 PECOS PAC ID: 9830405083 Enrollment ID: I20150902001369 |
| Provider Name | Jill M. Trelease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371747 PECOS PAC ID: 3577872530 Enrollment ID: I20151014002493 |
| Provider Name | Sandra Toffay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881065605 PECOS PAC ID: 9436459534 Enrollment ID: I20151120002448 |
| Provider Name | Melissa K Botelho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003215633 PECOS PAC ID: 3476853003 Enrollment ID: I20151203000557 |
| Provider Name | Jennifer A Sadeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595210 PECOS PAC ID: 8123328614 Enrollment ID: I20151207000960 |
| Provider Name | Dayna Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336516079 PECOS PAC ID: 6709187164 Enrollment ID: I20151209002016 |
| Provider Name | James B Gleason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255398129 PECOS PAC ID: 8325178908 Enrollment ID: I20160304001505 |
| Provider Name | Lyudmil L Todorov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477661734 PECOS PAC ID: 3072540434 Enrollment ID: I20160329001836 |
| Provider Name | Jennifer Poillucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467836254 PECOS PAC ID: 5991004780 Enrollment ID: I20160428002120 |
| Provider Name | Courtney J Bendiksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477919850 PECOS PAC ID: 1658661624 Enrollment ID: I20160602002404 |
| Provider Name | Eshan A Patvardhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497076046 PECOS PAC ID: 6709176357 Enrollment ID: I20160609001848 |
| Provider Name | Matthew Kratochvil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013274208 PECOS PAC ID: 9234355199 Enrollment ID: I20160616000390 |
| Provider Name | Justin D Etter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699113472 PECOS PAC ID: 8022309194 Enrollment ID: I20160630000984 |
| Provider Name | Mario C Corpuz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649529033 PECOS PAC ID: 2163714379 Enrollment ID: I20160708001155 |
| Provider Name | John T Duell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598994261 PECOS PAC ID: 0345475109 Enrollment ID: I20160829001015 |
| Provider Name | Paula J Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376992610 PECOS PAC ID: 9830484997 Enrollment ID: I20160829001047 |
| Provider Name | Edward C Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922200377 PECOS PAC ID: 8921107228 Enrollment ID: I20161109000140 |
| Provider Name | Steven Kilcoyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306292719 PECOS PAC ID: 3971882150 Enrollment ID: I20161110000965 |
| Provider Name | Katie Cardoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902354228 PECOS PAC ID: 9436430188 Enrollment ID: I20170111002700 |
| Provider Name | Catherine N Keyo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114464161 PECOS PAC ID: 2769750116 Enrollment ID: I20170608000229 |
| Provider Name | Andrew C Boylan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669734786 PECOS PAC ID: 6406125343 Enrollment ID: I20170707002177 |
| Provider Name | Matthew M Werger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447425038 PECOS PAC ID: 7113211533 Enrollment ID: I20170726000136 |
| Provider Name | Helena H Meyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619265238 PECOS PAC ID: 7517253271 Enrollment ID: I20170821003324 |
| Provider Name | Ryan T Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164686622 PECOS PAC ID: 7315171048 Enrollment ID: I20170918000253 |
| Provider Name | Nicholas J. Defusco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593195 PECOS PAC ID: 4284926031 Enrollment ID: I20171012000406 |
| Provider Name | Adriana Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346760394 PECOS PAC ID: 2466728704 Enrollment ID: I20171101000038 |
| Provider Name | Diane M Paggioli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487871927 PECOS PAC ID: 3678667730 Enrollment ID: I20171106000220 |
| Provider Name | Zhenhong Li |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1811275506 PECOS PAC ID: 4688930571 Enrollment ID: I20171109000494 |
| Provider Name | Cherie Wildrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083151260 PECOS PAC ID: 3476810300 Enrollment ID: I20171201001724 |
| Provider Name | Gabriella Maria Cardoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942718184 PECOS PAC ID: 7315209400 Enrollment ID: I20180330000413 |
| Provider Name | Annalise J Boisvert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689962623 PECOS PAC ID: 4082845391 Enrollment ID: I20180508001218 |
| Provider Name | Hoi Chung Chan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295145837 PECOS PAC ID: 4284941451 Enrollment ID: I20180514001258 |
| Provider Name | Haralampos Kamenidis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184069056 PECOS PAC ID: 6800151291 Enrollment ID: I20180606002086 |
| Provider Name | Thomas Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780096495 PECOS PAC ID: 8426275843 Enrollment ID: I20180621001852 |
| Provider Name | Emily Lilly Stolper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174889455 PECOS PAC ID: 2567762008 Enrollment ID: I20180626001008 |
| Provider Name | Cristina Cellurale |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154681146 PECOS PAC ID: 3375760895 Enrollment ID: I20180815002756 |
| Provider Name | Shan Qin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891138822 PECOS PAC ID: 7113212234 Enrollment ID: I20180821003581 |
| Provider Name | Bryan C Saleeba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083035885 PECOS PAC ID: 0446478309 Enrollment ID: I20180918001101 |
| Provider Name | Livinus Adibe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588046494 PECOS PAC ID: 3870845787 Enrollment ID: I20181003003566 |
| Provider Name | Laurie Reeder |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740222744 PECOS PAC ID: 9739130782 Enrollment ID: I20181031000753 |
| Provider Name | Daniela Mccooey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003293861 PECOS PAC ID: 8123397486 Enrollment ID: I20190124000673 |
| Provider Name | Maura S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184843088 PECOS PAC ID: 9335486141 Enrollment ID: I20190131001318 |
| Provider Name | Qaiser Shamshir Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861806192 PECOS PAC ID: 7012215189 Enrollment ID: I20190402001971 |
| Provider Name | Anthony B Karabanow |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336183623 PECOS PAC ID: 3779556121 Enrollment ID: I20190703001142 |
| Provider Name | Leonardo Batista |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184919078 PECOS PAC ID: 8325361702 Enrollment ID: I20190718001700 |
| Provider Name | Joon Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720087257 PECOS PAC ID: 2264496330 Enrollment ID: I20191016002028 |
| Provider Name | Charles E Beale |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407146962 PECOS PAC ID: 1658598065 Enrollment ID: I20191021001077 |
| Provider Name | Jennifer L Jackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194385658 PECOS PAC ID: 9638502289 Enrollment ID: I20191212000573 |
| Provider Name | Lindsay Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972145043 PECOS PAC ID: 2163858200 Enrollment ID: I20200207001305 |
| Provider Name | Luke Barre |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689938037 PECOS PAC ID: 9032408539 Enrollment ID: I20200227000693 |
| Provider Name | Skye Nicholas Brazille |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518209105 PECOS PAC ID: 1951648898 Enrollment ID: I20200327000437 |
| Provider Name | Autumn S Makowski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598305856 PECOS PAC ID: 2769812874 Enrollment ID: I20200413002993 |
| Provider Name | Federico O Rivera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427247956 PECOS PAC ID: 9739344896 Enrollment ID: I20200429001848 |
| Provider Name | Erin Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922632462 PECOS PAC ID: 8628409430 Enrollment ID: I20200512000847 |
| Provider Name | Natasha Catherine Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437671757 PECOS PAC ID: 2860813862 Enrollment ID: I20200529001512 |
| Provider Name | Curtis Furtado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942720313 PECOS PAC ID: 0648691071 Enrollment ID: I20200610001985 |
| Provider Name | Cassie Mcenery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851931760 PECOS PAC ID: 2961825757 Enrollment ID: I20200713001907 |
| Provider Name | Colm Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982269205 PECOS PAC ID: 6204251655 Enrollment ID: I20200803001846 |
| Provider Name | Krishna V Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003837634 PECOS PAC ID: 5395741326 Enrollment ID: I20200804000537 |
| Provider Name | Joseph Hamel Marcotte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184014094 PECOS PAC ID: 0749609782 Enrollment ID: I20200924002534 |
| Provider Name | Abdallah Ajani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083057483 PECOS PAC ID: 3274827563 Enrollment ID: I20201014002713 |
| Provider Name | Nancy M Moniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215542964 PECOS PAC ID: 6204247463 Enrollment ID: I20201119003387 |
| Provider Name | Sarah G Ivanova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891399739 PECOS PAC ID: 5799197992 Enrollment ID: I20201211001854 |
| Provider Name | Doriana Filia Morar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508074188 PECOS PAC ID: 2264523455 Enrollment ID: I20201229001435 |
| Provider Name | Shean L Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568780922 PECOS PAC ID: 2264669001 Enrollment ID: I20210114002550 |
| Provider Name | Nicole Saikali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609470236 PECOS PAC ID: 9436566726 Enrollment ID: I20210405000499 |
| Provider Name | Melissa Sylvia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932752516 PECOS PAC ID: 2062820020 Enrollment ID: I20210413000945 |
| Provider Name | Karlene Menzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104437334 PECOS PAC ID: 5991114332 Enrollment ID: I20210514000801 |
| Provider Name | Amanda Rose Howland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083064208 PECOS PAC ID: 4981991577 Enrollment ID: I20210804003489 |
| Provider Name | Aileen Souza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598261745 PECOS PAC ID: 9739437021 Enrollment ID: I20210818002467 |
| Provider Name | Audrey Harrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013304625 PECOS PAC ID: 0840507158 Enrollment ID: I20210907002690 |
| Provider Name | Warren Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942251467 PECOS PAC ID: 0840219267 Enrollment ID: I20210916002498 |
| Provider Name | Courtney Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104498674 PECOS PAC ID: 6204234057 Enrollment ID: I20211007002877 |
| Provider Name | William W Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841710035 PECOS PAC ID: 7911271861 Enrollment ID: I20211011002286 |
| Provider Name | Maddison Gwynn Shumway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205408762 PECOS PAC ID: 2668861063 Enrollment ID: I20211104002713 |
| Provider Name | Aamir Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215124391 PECOS PAC ID: 3870765985 Enrollment ID: I20220111000210 |
| Provider Name | Sonia M Clavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568129567 PECOS PAC ID: 0840682464 Enrollment ID: I20220111002064 |
| Provider Name | Danielle L Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396261863 PECOS PAC ID: 3870985492 Enrollment ID: I20220111002369 |
| Provider Name | Christopher M Conti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598424657 PECOS PAC ID: 4789076134 Enrollment ID: I20220118000337 |
| Provider Name | Chelsea M Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326701301 PECOS PAC ID: 3577958099 Enrollment ID: I20220321001240 |
| Provider Name | Richard D. Patten |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992813042 PECOS PAC ID: 8224193859 Enrollment ID: I20220413002345 |
| Provider Name | Justin G Matrisciano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922093210 PECOS PAC ID: 8426948092 Enrollment ID: I20220421000012 |
| Provider Name | Phoebe R L Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801391826 PECOS PAC ID: 3870841455 Enrollment ID: I20220421001642 |
| Provider Name | Woo Jin Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255862777 PECOS PAC ID: 3274879846 Enrollment ID: I20220430000011 |
| Provider Name | Selina Avelino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831839059 PECOS PAC ID: 8921495326 Enrollment ID: I20220504001538 |
| Provider Name | Katie Doonan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053775858 PECOS PAC ID: 9931433315 Enrollment ID: I20220610000578 |
| Provider Name | Meredith A Hurley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144782756 PECOS PAC ID: 8729315965 Enrollment ID: I20220615002694 |
| Provider Name | Payton M Thode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932605961 PECOS PAC ID: 1850647801 Enrollment ID: I20220616000318 |
| Provider Name | Javelle A Wynter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659799906 PECOS PAC ID: 2769604263 Enrollment ID: I20220628001080 |
| Provider Name | Victoria E Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033600127 PECOS PAC ID: 7315292471 Enrollment ID: I20220705001507 |
| Provider Name | Herine O Omer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417623083 PECOS PAC ID: 8123408929 Enrollment ID: I20220711003278 |
| Provider Name | Katrina A Ressler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801392477 PECOS PAC ID: 0648516468 Enrollment ID: I20220812001434 |
| Provider Name | Veronica H Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760114730 PECOS PAC ID: 2668856469 Enrollment ID: I20220829000440 |
| Provider Name | David L Craig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861473571 PECOS PAC ID: 5597707398 Enrollment ID: I20221101002025 |
| Provider Name | Howard Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902225121 PECOS PAC ID: 4981940509 Enrollment ID: I20221221001293 |
| Provider Name | Rashad S Alikhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992367445 PECOS PAC ID: 5092148742 Enrollment ID: I20230125001064 |
| Provider Name | Irene Mcandrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972275139 PECOS PAC ID: 1254702269 Enrollment ID: I20230130000175 |
| Provider Name | Brett Custodia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609041714 PECOS PAC ID: 7315009149 Enrollment ID: I20230310002365 |
| Provider Name | Michael Courchesne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154773380 PECOS PAC ID: 8921494279 Enrollment ID: I20230316001667 |
| Provider Name | Rebecca Nunes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588216444 PECOS PAC ID: 6204291743 Enrollment ID: I20230505000313 |
| Provider Name | Nathan Howell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518427426 PECOS PAC ID: 0244699932 Enrollment ID: I20230628002555 |
| Provider Name | Mary Brogno-constantine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114642519 PECOS PAC ID: 2466811930 Enrollment ID: I20230630000608 |
| Provider Name | Ashley L Vertente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275162760 PECOS PAC ID: 6204257173 Enrollment ID: I20230706001632 |
| Provider Name | Caitlin M Arruda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346996238 PECOS PAC ID: 9830558048 Enrollment ID: I20230706002597 |
| Provider Name | Evelyn Salvador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285318238 PECOS PAC ID: 9739543778 Enrollment ID: I20230911000804 |
| Provider Name | Courtney Elizabeth Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285332866 PECOS PAC ID: 4789040213 Enrollment ID: I20231031002523 |
| Provider Name | David Alexander Leenen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407386931 PECOS PAC ID: 1052680964 Enrollment ID: I20231204003281 |
| Provider Name | Cintia Condez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992584551 PECOS PAC ID: 5395194781 Enrollment ID: I20231211001834 |
| Provider Name | Jaelyn E Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346025186 PECOS PAC ID: 3375996507 Enrollment ID: I20240124002073 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306363940 PECOS PAC ID: 3577989094 Enrollment ID: I20240329000103 |
| Provider Name | Ronan Farrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821470675 PECOS PAC ID: 0840609715 Enrollment ID: I20240523002875 |
| Provider Name | Lauren A Santos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699353243 PECOS PAC ID: 4587107990 Enrollment ID: I20240613002410 |
| Provider Name | Emily Bak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598497562 PECOS PAC ID: 2860936150 Enrollment ID: I20240627001843 |
| Provider Name | Trina Barman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508921149 PECOS PAC ID: 8325129372 Enrollment ID: I20240708001712 |
| Provider Name | George L Stalcup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184241937 PECOS PAC ID: 8729490529 Enrollment ID: I20240718001182 |
| Provider Name | Madalyn Pollack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477294767 PECOS PAC ID: 9830635341 Enrollment ID: I20240720000165 |
| Provider Name | Jessica Leavitt Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831804004 PECOS PAC ID: 0446791180 Enrollment ID: I20240920001413 |
| Provider Name | Jill Volk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003009804 PECOS PAC ID: 1153455159 Enrollment ID: I20241115002664 |
| Provider Name | Sabrina L Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104502285 PECOS PAC ID: 8022545995 Enrollment ID: I20241217003221 |
Kevin E. Baill Md & Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 | |
Ocean State Urgent Care At St Joseph Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Peace St, Providence, RI 02907 Phone: 301-314-3999 Fax: 401-808-6294 | |
Theodore C. Palumbo, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 | |
The Providence Community Health Centers, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 Beaufort St, Providence, RI 02908 Phone: 888-612-7242 Fax: 401-444-0421 | |
Concentra Primary Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320 | |
Barrington Urgent Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905 | |
Episcopal Housing Foundation Of Rhode Island Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505 |