| Brown Medicine | |
|
375 Wampanoag Trl Riverside RI 02915-2232 | |
| (401) 649-4010 | |
| Not Available |
| Full Name | Brown Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 375 Wampanoag Trl, Riverside, Rhode Island |
| Authorized Official Name and Position | Donna Gordon (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 4014435107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brown Medicine Dept 3010, Po Box 986524 Boston MA 02298-6524 Ph: (401) 443-4992 | Brown Medicine 375 Wampanoag Trl Riverside RI 02915-2232 Ph: (401) 649-4010 |
| NPI Number | 1689626764 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 0446159776 |
|---|---|
| Medicare Enrollment ID | O20040219000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689626764 | NPI | - | NPPES |
| CA3681 | Other | RI | RAILROAD |
| RM07533 | Medicaid | RI |
| Provider Name | Christine M Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326087677 PECOS PAC ID: 9739092016 Enrollment ID: I20031112000176 |
| Provider Name | Lynn Mcnicoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265486443 PECOS PAC ID: 1254226061 Enrollment ID: I20040219000936 |
| Provider Name | Howard P Safran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982616744 PECOS PAC ID: 4183511520 Enrollment ID: I20040302000060 |
| Provider Name | Nicholas A Califano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679668164 PECOS PAC ID: 5496649709 Enrollment ID: I20040401001327 |
| Provider Name | Ronald M Gilman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346237039 PECOS PAC ID: 0941282990 Enrollment ID: I20040603000307 |
| Provider Name | James R Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578550265 PECOS PAC ID: 3870575442 Enrollment ID: I20040607000745 |
| Provider Name | Kelly A Mcgarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578517751 PECOS PAC ID: 6305731134 Enrollment ID: I20040611000890 |
| Provider Name | Michelle A Lally |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780638015 PECOS PAC ID: 2860475571 Enrollment ID: I20040611000952 |
| Provider Name | Michelle S Anvar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992759260 PECOS PAC ID: 2365425089 Enrollment ID: I20040611001003 |
| Provider Name | Dominick Tammaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568419539 PECOS PAC ID: 2163405887 Enrollment ID: I20040611001017 |
| Provider Name | James C Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134169220 PECOS PAC ID: 6305829995 Enrollment ID: I20040614000007 |
| Provider Name | Warren E Licht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447298641 PECOS PAC ID: 6204819899 Enrollment ID: I20040614000017 |
| Provider Name | Jennifer L Maude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225082498 PECOS PAC ID: 2668455254 Enrollment ID: I20040614000021 |
| Provider Name | Aman Nanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215984257 PECOS PAC ID: 4284617879 Enrollment ID: I20040614000029 |
| Provider Name | Marianne V Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710960489 PECOS PAC ID: 1355324948 Enrollment ID: I20040614000054 |
| Provider Name | Douglas C Shemin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710934724 PECOS PAC ID: 5395630123 Enrollment ID: I20040614000092 |
| Provider Name | James R Klinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639123854 PECOS PAC ID: 2163406760 Enrollment ID: I20040614000145 |
| Provider Name | Susie L Hu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083651301 PECOS PAC ID: 2860476462 Enrollment ID: I20040614000162 |
| Provider Name | Mary Anne Fenton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881606622 PECOS PAC ID: 1951385566 Enrollment ID: I20040614000232 |
| Provider Name | Patricia A Cioe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669426821 PECOS PAC ID: 1052395670 Enrollment ID: I20040614000313 |
| Provider Name | Nicholas S Ward |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124069679 PECOS PAC ID: 0840274478 Enrollment ID: I20040614000340 |
| Provider Name | Paul Breiding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073567343 PECOS PAC ID: 0547244170 Enrollment ID: I20040614000369 |
| Provider Name | Michael D Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114964301 PECOS PAC ID: 7315832144 Enrollment ID: I20040614000451 |
| Provider Name | Josiah D Rich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972543049 PECOS PAC ID: 9638153273 Enrollment ID: I20040614000463 |
| Provider Name | Mark D Schleinitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588611081 PECOS PAC ID: 1254315898 Enrollment ID: I20040614000482 |
| Provider Name | Lynn A Bowlby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588611123 PECOS PAC ID: 4981688538 Enrollment ID: I20040614000559 |
| Provider Name | Dominic F Corrigan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942249263 PECOS PAC ID: 2264416825 Enrollment ID: I20040614000610 |
| Provider Name | John R Lonks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568409886 PECOS PAC ID: 9335123991 Enrollment ID: I20040614000632 |
| Provider Name | John M Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230968 PECOS PAC ID: 3173507746 Enrollment ID: I20040614000707 |
| Provider Name | Geetha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235183450 PECOS PAC ID: 1456335934 Enrollment ID: I20040614000876 |
| Provider Name | Tony C Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881633972 PECOS PAC ID: 0042105876 Enrollment ID: I20040614000971 |
| Provider Name | Edward J Stulik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700833761 PECOS PAC ID: 4284618794 Enrollment ID: I20040614001015 |
| Provider Name | Stuart T Schwartz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821038951 PECOS PAC ID: 0345224853 Enrollment ID: I20040614001058 |
| Provider Name | Leonard A Mermel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225078421 PECOS PAC ID: 8123913951 Enrollment ID: I20040614001198 |
| Provider Name | Kittichai Promrat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356398390 PECOS PAC ID: 3779567169 Enrollment ID: I20040615000008 |
| Provider Name | Susan Cu Uvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487609244 PECOS PAC ID: 1951385343 Enrollment ID: I20040615000018 |
| Provider Name | Reginald Y Gohh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063466282 PECOS PAC ID: 9739163130 Enrollment ID: I20040615000056 |
| Provider Name | Thomas D Denucci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033291570 PECOS PAC ID: 7113901547 Enrollment ID: I20040615000258 |
| Provider Name | James N Butera |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790797538 PECOS PAC ID: 9830173277 Enrollment ID: I20040615000351 |
| Provider Name | Francis X Basile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376580084 PECOS PAC ID: 4486638830 Enrollment ID: I20040615000420 |
| Provider Name | Thomas A Bledsoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245277953 PECOS PAC ID: 8224012687 Enrollment ID: I20040615000483 |
| Provider Name | Jennifer Jeremiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851345011 PECOS PAC ID: 7911981378 Enrollment ID: I20040615000523 |
| Provider Name | Joseph I Harwell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871531194 PECOS PAC ID: 4688658941 Enrollment ID: I20040615000562 |
| Provider Name | Steven F Moss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235186735 PECOS PAC ID: 2567446842 Enrollment ID: I20040615000763 |
| Provider Name | E Jane Carter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972540680 PECOS PAC ID: 9032193347 Enrollment ID: I20040615000857 |
| Provider Name | Harlan G Rich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912947045 PECOS PAC ID: 3971587288 Enrollment ID: I20040615000889 |
| Provider Name | Michele G Cyr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083668255 PECOS PAC ID: 7416931662 Enrollment ID: I20040615001252 |
| Provider Name | Jennifer Adelson Mitty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700830924 PECOS PAC ID: 6709860844 Enrollment ID: I20040616000079 |
| Provider Name | Richard P Millman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699715813 PECOS PAC ID: 0143204289 Enrollment ID: I20040616000097 |
| Provider Name | Alice E Bonitati |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245284447 PECOS PAC ID: 2668456708 Enrollment ID: I20040616000113 |
| Provider Name | Maria D Mileno |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982644100 PECOS PAC ID: 3274517313 Enrollment ID: I20040616000135 |
| Provider Name | Karen T Tashima |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396740551 PECOS PAC ID: 2264416320 Enrollment ID: I20040616000253 |
| Provider Name | Edward J Wing |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578503694 PECOS PAC ID: 7517852346 Enrollment ID: I20040621000035 |
| Provider Name | Timothy P Flanigan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679512354 PECOS PAC ID: 8820073331 Enrollment ID: I20040621000129 |
| Provider Name | Marina F Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417955071 PECOS PAC ID: 7810977279 Enrollment ID: I20040726000065 |
| Provider Name | Mitchell M Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396785325 PECOS PAC ID: 5890766471 Enrollment ID: I20040805000829 |
| Provider Name | John W Obell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982657805 PECOS PAC ID: 6103712922 Enrollment ID: I20040918000013 |
| Provider Name | Bharat Ramratnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871540823 PECOS PAC ID: 7315906773 Enrollment ID: I20041011000169 |
| Provider Name | Marguerite Ann Neill |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164406930 PECOS PAC ID: 6800840901 Enrollment ID: I20050311000164 |
| Provider Name | Franklin D Mccool |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063497576 PECOS PAC ID: 5496709495 Enrollment ID: I20050311000203 |
| Provider Name | Peter Karczmar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124015813 PECOS PAC ID: 5092762351 Enrollment ID: I20050407001204 |
| Provider Name | Jonathan A Leviss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013973627 PECOS PAC ID: 5597700476 Enrollment ID: I20050621001266 |
| Provider Name | Peter A Hollmann |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679687289 PECOS PAC ID: 2860438678 Enrollment ID: I20050701000474 |
| Provider Name | Gerardo P Carino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205814357 PECOS PAC ID: 3971533563 Enrollment ID: I20050813000228 |
| Provider Name | Stephen M Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730152505 PECOS PAC ID: 7911938121 Enrollment ID: I20050827000168 |
| Provider Name | Lauren A Cushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275587446 PECOS PAC ID: 8820982325 Enrollment ID: I20050910000287 |
| Provider Name | Jason Aliotta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558314757 PECOS PAC ID: 5799701199 Enrollment ID: I20051014000492 |
| Provider Name | Jerome M Larkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306884689 PECOS PAC ID: 0446270722 Enrollment ID: I20051201000291 |
| Provider Name | Donnah Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942288097 PECOS PAC ID: 3779503677 Enrollment ID: I20051206000603 |
| Provider Name | William M Sikov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811916661 PECOS PAC ID: 8527081793 Enrollment ID: I20060113000456 |
| Provider Name | Jeanne Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174588875 PECOS PAC ID: 2466463252 Enrollment ID: I20060508000749 |
| Provider Name | Curt G Beckwith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730126624 PECOS PAC ID: 2163434424 Enrollment ID: I20060705000093 |
| Provider Name | Douglas Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316981988 PECOS PAC ID: 1759386097 Enrollment ID: I20060920000388 |
| Provider Name | Maria Constantinou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407999444 PECOS PAC ID: 2860598885 Enrollment ID: I20070507000681 |
| Provider Name | Bethany Jane Gentilesco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689749822 PECOS PAC ID: 7810977097 Enrollment ID: I20070619000672 |
| Provider Name | Ariel E Birnbaum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942212790 PECOS PAC ID: 2264489509 Enrollment ID: I20070622000480 |
| Provider Name | Joshua D Gutman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902908023 PECOS PAC ID: 7214821206 Enrollment ID: I20070806000409 |
| Provider Name | Katherine Sharkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679607329 PECOS PAC ID: 0446341929 Enrollment ID: I20070813000668 |
| Provider Name | Stefan Gravenstein |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447224191 PECOS PAC ID: 6103893565 Enrollment ID: I20070814000397 |
| Provider Name | Susan P Oliverio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356315576 PECOS PAC ID: 5395781744 Enrollment ID: I20071010000217 |
| Provider Name | Kimberly S Babb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134342298 PECOS PAC ID: 4587747084 Enrollment ID: I20080206000648 |
| Provider Name | Rebekah L Gardner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275597536 PECOS PAC ID: 8729021852 Enrollment ID: I20080320000680 |
| Provider Name | Cathleen A Whelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992706600 PECOS PAC ID: 4789762923 Enrollment ID: I20080429000187 |
| Provider Name | Zsolt T Orban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275534281 PECOS PAC ID: 0941388185 Enrollment ID: I20080429000211 |
| Provider Name | Sarita Warrier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992921720 PECOS PAC ID: 4082784699 Enrollment ID: I20080609000008 |
| Provider Name | Donna Rondeau Marzullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043409790 PECOS PAC ID: 3072685643 Enrollment ID: I20080627000004 |
| Provider Name | George P Bayliss |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982892824 PECOS PAC ID: 9436221439 Enrollment ID: I20080709000083 |
| Provider Name | Julian Gary Abuelo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396797551 PECOS PAC ID: 8921082322 Enrollment ID: I20081105000534 |
| Provider Name | Nelson Chu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710969027 PECOS PAC ID: 1850478645 Enrollment ID: I20090204000127 |
| Provider Name | Rami A Kantor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386883205 PECOS PAC ID: 1153488085 Enrollment ID: I20090320000431 |
| Provider Name | Paul D Levinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649254566 PECOS PAC ID: 6901963347 Enrollment ID: I20090330000270 |
| Provider Name | Betsy L Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811036239 PECOS PAC ID: 0648259150 Enrollment ID: I20090508000205 |
| Provider Name | John V Ladetto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447217641 PECOS PAC ID: 9335293992 Enrollment ID: I20090817000098 |
| Provider Name | David A Marcoux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730140864 PECOS PAC ID: 2668367491 Enrollment ID: I20090826000075 |
| Provider Name | Carla M Quadros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417144908 PECOS PAC ID: 2668518283 Enrollment ID: I20091012000312 |
| Provider Name | Anthony M Reginato |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134195043 PECOS PAC ID: 0143308585 Enrollment ID: I20091216000256 |
| Provider Name | Peter A Ameck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679622989 PECOS PAC ID: 6204979362 Enrollment ID: I20100211000475 |
| Provider Name | Valerie A Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912005901 PECOS PAC ID: 3678574910 Enrollment ID: I20100219000334 |
| Provider Name | Erica J Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558390914 PECOS PAC ID: 1052480662 Enrollment ID: I20100805000217 |
| Provider Name | Basma Merhi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356539274 PECOS PAC ID: 6204917883 Enrollment ID: I20100817001108 |
| Provider Name | Kate Cahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114143997 PECOS PAC ID: 3870617111 Enrollment ID: I20100824000529 |
| Provider Name | Laura Flynn Edmonds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255534616 PECOS PAC ID: 9739203944 Enrollment ID: I20100825000130 |
| Provider Name | Michael F Blundin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982821484 PECOS PAC ID: 6103940804 Enrollment ID: I20100902000114 |
| Provider Name | Jasper I Ngomba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760620975 PECOS PAC ID: 2163548066 Enrollment ID: I20100929000052 |
| Provider Name | Maroun Azar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790975191 PECOS PAC ID: 1456432608 Enrollment ID: I20101011000542 |
| Provider Name | Leah Marano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245456011 PECOS PAC ID: 2466649264 Enrollment ID: I20101206000880 |
| Provider Name | Rochelle Strenger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538187422 PECOS PAC ID: 3173703519 Enrollment ID: I20110202000438 |
| Provider Name | Louis B Rice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790878858 PECOS PAC ID: 8628258787 Enrollment ID: I20110207000194 |
| Provider Name | Kristin F Cadieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770884462 PECOS PAC ID: 6103005806 Enrollment ID: I20110413000439 |
| Provider Name | Corey E Ventetuolo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538318241 PECOS PAC ID: 1456484955 Enrollment ID: I20110711000411 |
| Provider Name | Nadia Mujahid |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982803359 PECOS PAC ID: 2062680234 Enrollment ID: I20110714000649 |
| Provider Name | Andrew T Levinson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467593806 PECOS PAC ID: 0749371821 Enrollment ID: I20110718000004 |
| Provider Name | Samuel K. Evans |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508029356 PECOS PAC ID: 9638348592 Enrollment ID: I20110810000039 |
| Provider Name | Harikrashna B Bhatt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285765792 PECOS PAC ID: 9638349822 Enrollment ID: I20110825000414 |
| Provider Name | Vicky O Cheng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295987543 PECOS PAC ID: 3678743671 Enrollment ID: I20110831000046 |
| Provider Name | Anton R Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215184049 PECOS PAC ID: 8224205000 Enrollment ID: I20120119000131 |
| Provider Name | Laura Rachel Goldberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295913242 PECOS PAC ID: 7719148048 Enrollment ID: I20120413000415 |
| Provider Name | Philip A Chan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265658116 PECOS PAC ID: 8628232287 Enrollment ID: I20120611000388 |
| Provider Name | Matthew I Quesenberry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194941419 PECOS PAC ID: 8224207840 Enrollment ID: I20120710000286 |
| Provider Name | Eleftherios E Mylonakis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629041074 PECOS PAC ID: 2668534272 Enrollment ID: I20120724000698 |
| Provider Name | Joanne Cunha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336377597 PECOS PAC ID: 1557510195 Enrollment ID: I20120926000004 |
| Provider Name | Mriganka Singh |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1033415682 PECOS PAC ID: 5496906679 Enrollment ID: I20121116000096 |
| Provider Name | Angela M Caliendo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063470995 PECOS PAC ID: 4284826017 Enrollment ID: I20130207000427 |
| Provider Name | Sarah Rose M Lamport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205145240 PECOS PAC ID: 3678769619 Enrollment ID: I20130423000073 |
| Provider Name | Patricia A Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255398392 PECOS PAC ID: 4183673262 Enrollment ID: I20130807000645 |
| Provider Name | Robert Y Velasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811217649 PECOS PAC ID: 2365685583 Enrollment ID: I20130906000475 |
| Provider Name | Hussain Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770734436 PECOS PAC ID: 7214100346 Enrollment ID: I20130919000433 |
| Provider Name | Eric Scott Kerns |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013189174 PECOS PAC ID: 9032364898 Enrollment ID: I20130919000538 |
| Provider Name | Seema Amin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477890754 PECOS PAC ID: 3577707298 Enrollment ID: I20130919000620 |
| Provider Name | Allan R Tunkel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225077852 PECOS PAC ID: 6709895493 Enrollment ID: I20131120001683 |
| Provider Name | Carolyn Joy Nassar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871812552 PECOS PAC ID: 3779719653 Enrollment ID: I20131125000526 |
| Provider Name | Drew E Nagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467772285 PECOS PAC ID: 0648409573 Enrollment ID: I20140218001424 |
| Provider Name | Dino A Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881771574 PECOS PAC ID: 4981645306 Enrollment ID: I20140228000204 |
| Provider Name | Stephanie A Catanese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629396999 PECOS PAC ID: 1355574492 Enrollment ID: I20140425001231 |
| Provider Name | Gerard J Nau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104890813 PECOS PAC ID: 3971636101 Enrollment ID: I20140501001302 |
| Provider Name | Ross W Hilliard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033402276 PECOS PAC ID: 6305079120 Enrollment ID: I20140501001985 |
| Provider Name | Cheston B. Cunha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023246287 PECOS PAC ID: 5698908390 Enrollment ID: I20140505000854 |
| Provider Name | Mark I Schwager |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1710939426 PECOS PAC ID: 6901844943 Enrollment ID: I20140521000662 |
| Provider Name | Latha Sivaprasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417054248 PECOS PAC ID: 7911933379 Enrollment ID: I20140604001621 |
| Provider Name | Charlene A Ellsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877963 PECOS PAC ID: 1557530359 Enrollment ID: I20140626000476 |
| Provider Name | Mindy Sobota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303320 PECOS PAC ID: 5193828507 Enrollment ID: I20140715002108 |
| Provider Name | Sevdenur Cizginer Konuk |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881906725 PECOS PAC ID: 3678799327 Enrollment ID: I20140801000653 |
| Provider Name | Erika M Dagata |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669404190 PECOS PAC ID: 9032152103 Enrollment ID: I20140808001466 |
| Provider Name | Keith A Corl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124243134 PECOS PAC ID: 7214129154 Enrollment ID: I20140815000179 |
| Provider Name | Sarah Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069682 PECOS PAC ID: 4880811629 Enrollment ID: I20140819000493 |
| Provider Name | Barry S Shea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962440271 PECOS PAC ID: 2163523606 Enrollment ID: I20140825000719 |
| Provider Name | Hina Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346437878 PECOS PAC ID: 2163681149 Enrollment ID: I20141112001297 |
| Provider Name | Mary E Whittenhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205231081 PECOS PAC ID: 4880917152 Enrollment ID: I20141218001083 |
| Provider Name | Ernestine G Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154731743 PECOS PAC ID: 9830412790 Enrollment ID: I20141229001306 |
| Provider Name | Francine Touzard Romo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104072214 PECOS PAC ID: 9234453937 Enrollment ID: I20150129001584 |
| Provider Name | Jeffrey Chiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568862738 PECOS PAC ID: 9133447600 Enrollment ID: I20150413001605 |
| Provider Name | Dania Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164856035 PECOS PAC ID: 6709001860 Enrollment ID: I20150417000056 |
| Provider Name | Emily Beth Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649662511 PECOS PAC ID: 3971823626 Enrollment ID: I20150520000188 |
| Provider Name | Rimini A Breakstone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710103536 PECOS PAC ID: 0446327381 Enrollment ID: I20150625001122 |
| Provider Name | Jael D Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992065874 PECOS PAC ID: 4385862515 Enrollment ID: I20150805008574 |
| Provider Name | James M Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811257850 PECOS PAC ID: 1153548425 Enrollment ID: I20150805009291 |
| Provider Name | Deepan Shailesh Dalal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962720441 PECOS PAC ID: 8426280934 Enrollment ID: I20150806010154 |
| Provider Name | Joseph Garland |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144357583 PECOS PAC ID: 1355467150 Enrollment ID: I20150806010456 |
| Provider Name | Dimitrios Farmakiotis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255625919 PECOS PAC ID: 9931328028 Enrollment ID: I20150925001210 |
| Provider Name | Peter Musso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720463375 PECOS PAC ID: 9638488596 Enrollment ID: I20151016001141 |
| Provider Name | Jie Tang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871583997 PECOS PAC ID: 0749246098 Enrollment ID: I20151019000199 |
| Provider Name | Abdullah Chahin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972736890 PECOS PAC ID: 1557515400 Enrollment ID: I20160210002042 |
| Provider Name | Jaime E Fahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518322270 PECOS PAC ID: 8325344781 Enrollment ID: I20160310001050 |
| Provider Name | Tonya M Fontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447620588 PECOS PAC ID: 5193022077 Enrollment ID: I20160321000102 |
| Provider Name | Sakeena Raza |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609027697 PECOS PAC ID: 4183867716 Enrollment ID: I20160527001014 |
| Provider Name | Iva Neupane |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376821793 PECOS PAC ID: 0446542708 Enrollment ID: I20160706001504 |
| Provider Name | Debasree Banerjee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164742490 PECOS PAC ID: 7810115888 Enrollment ID: I20160720001606 |
| Provider Name | Natasha R Rybak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932301330 PECOS PAC ID: 9133349855 Enrollment ID: I20160810001979 |
| Provider Name | Tovah Tripp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366889420 PECOS PAC ID: 3072730472 Enrollment ID: I20160913000418 |
| Provider Name | Martha C Sanchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144481201 PECOS PAC ID: 3375738180 Enrollment ID: I20160914000283 |
| Provider Name | Tonslyn A Toure |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003081944 PECOS PAC ID: 5799954830 Enrollment ID: I20170407000088 |
| Provider Name | Jaime W Deseda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629495098 PECOS PAC ID: 1456638923 Enrollment ID: I20170510001886 |
| Provider Name | Adeel Abbasi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265630040 PECOS PAC ID: 7719159136 Enrollment ID: I20170623000320 |
| Provider Name | Seth A Clark |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1801208798 PECOS PAC ID: 3870710213 Enrollment ID: I20170626001451 |
| Provider Name | Abbas H Rupawala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649583782 PECOS PAC ID: 4587896667 Enrollment ID: I20170707000451 |
| Provider Name | Andrew E Foderaro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700179942 PECOS PAC ID: 4486872793 Enrollment ID: I20170717000246 |
| Provider Name | Sean D Fine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114210267 PECOS PAC ID: 4082832399 Enrollment ID: I20170717002047 |
| Provider Name | Milind Bhagat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245646108 PECOS PAC ID: 8022309137 Enrollment ID: I20170726000273 |
| Provider Name | Rahul Vanjani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134487135 PECOS PAC ID: 1456622836 Enrollment ID: I20170802003847 |
| Provider Name | Meghan C Geary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073925988 PECOS PAC ID: 1254558521 Enrollment ID: I20170809001005 |
| Provider Name | Christopher J Mullin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336383157 PECOS PAC ID: 6901053404 Enrollment ID: I20170816003419 |
| Provider Name | Jessica Elizabeth Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184984478 PECOS PAC ID: 3375858152 Enrollment ID: I20170828000616 |
| Provider Name | Mae Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538572896 PECOS PAC ID: 8123245545 Enrollment ID: I20170831000297 |
| Provider Name | Donald Rice |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104189653 PECOS PAC ID: 8022327790 Enrollment ID: I20171025002205 |
| Provider Name | Raquel M. Carneiro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508812942 PECOS PAC ID: 6002828464 Enrollment ID: I20171109001848 |
| Provider Name | Martha C Trimbur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003179060 PECOS PAC ID: 6103183561 Enrollment ID: I20171121000033 |
| Provider Name | Tao Zheng |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1790712545 PECOS PAC ID: 2668422361 Enrollment ID: I20180209001791 |
| Provider Name | Akwi W Asombang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679778765 PECOS PAC ID: 8022186014 Enrollment ID: I20180215001182 |
| Provider Name | Aletheia Shen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386159069 PECOS PAC ID: 6406117001 Enrollment ID: I20180222001128 |
| Provider Name | Regina B Monteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003312281 PECOS PAC ID: 4284998162 Enrollment ID: I20180430002124 |
| Provider Name | Matthew R Lynch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790078947 PECOS PAC ID: 5092070227 Enrollment ID: I20180517001559 |
| Provider Name | John E Oghene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528421609 PECOS PAC ID: 8325303498 Enrollment ID: I20180521002875 |
| Provider Name | Jennie Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578820502 PECOS PAC ID: 4789820150 Enrollment ID: I20180605001611 |
| Provider Name | Nathan J Calabro-kailukaitis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932544608 PECOS PAC ID: 9234432634 Enrollment ID: I20180702001219 |
| Provider Name | Erica D Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437537917 PECOS PAC ID: 2961717376 Enrollment ID: I20180706001911 |
| Provider Name | Sheridan Fitzgerald Reiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518349174 PECOS PAC ID: 2567778434 Enrollment ID: I20180712002556 |
| Provider Name | Heather M Dufour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063838811 PECOS PAC ID: 9739312703 Enrollment ID: I20180725001656 |
| Provider Name | Ankur D Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043653116 PECOS PAC ID: 5991091548 Enrollment ID: I20180803000285 |
| Provider Name | Sandeep Arepally |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366738387 PECOS PAC ID: 2567760648 Enrollment ID: I20180803000798 |
| Provider Name | Sumera Bukhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467813279 PECOS PAC ID: 1850663006 Enrollment ID: I20180806000922 |
| Provider Name | Nishi Dedania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952728966 PECOS PAC ID: 4385954015 Enrollment ID: I20180807003240 |
| Provider Name | Suzanne S Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710272620 PECOS PAC ID: 8224387675 Enrollment ID: I20180820000734 |
| Provider Name | Vidya Gopinath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093193401 PECOS PAC ID: 7911213707 Enrollment ID: I20180820002339 |
| Provider Name | Jihae Bahng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770964389 PECOS PAC ID: 3870801848 Enrollment ID: I20180828002805 |
| Provider Name | Rebecca Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558836189 PECOS PAC ID: 3678827920 Enrollment ID: I20181126002986 |
| Provider Name | Marcella Rita Aquino |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1356563670 PECOS PAC ID: 4183785108 Enrollment ID: I20181203003112 |
| Provider Name | Darlene Noret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295117141 PECOS PAC ID: 6800137068 Enrollment ID: I20190416002597 |
| Provider Name | Ralph Rogers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063824779 PECOS PAC ID: 9234356734 Enrollment ID: I20190513000665 |
| Provider Name | Shane M Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526619 PECOS PAC ID: 4183919368 Enrollment ID: I20190515002680 |
| Provider Name | Claudia Sorin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376996108 PECOS PAC ID: 3375886286 Enrollment ID: I20190516001602 |
| Provider Name | Yetunde Asiedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053769414 PECOS PAC ID: 8729373923 Enrollment ID: I20190516001746 |
| Provider Name | Dhruv A Vasant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194179333 PECOS PAC ID: 8325381239 Enrollment ID: I20190516001767 |
| Provider Name | Wei Sum Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425046 PECOS PAC ID: 3476848631 Enrollment ID: I20190516002130 |
| Provider Name | Kate M Guthrie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447713680 PECOS PAC ID: 5597008433 Enrollment ID: I20190516002793 |
| Provider Name | Su N Aung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649513805 PECOS PAC ID: 8921331547 Enrollment ID: I20190612003135 |
| Provider Name | James Edwards Simmons |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538402557 PECOS PAC ID: 5193957009 Enrollment ID: I20190624001896 |
| Provider Name | Breton N Roussel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215385661 PECOS PAC ID: 0547555880 Enrollment ID: I20190625001018 |
| Provider Name | Shauna Lyn Finley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790180198 PECOS PAC ID: 0143554147 Enrollment ID: I20190625003097 |
| Provider Name | Alisha Crowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780033811 PECOS PAC ID: 4385939891 Enrollment ID: I20190628000266 |
| Provider Name | Kate E Mayans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477901254 PECOS PAC ID: 8921393117 Enrollment ID: I20190708000114 |
| Provider Name | Amanda J. Fernandes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649602863 PECOS PAC ID: 1759517980 Enrollment ID: I20190719000507 |
| Provider Name | Caroline A Wunsch |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1629427265 PECOS PAC ID: 6204120314 Enrollment ID: I20190719001855 |
| Provider Name | Jasmin Lebastchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740628874 PECOS PAC ID: 1759675101 Enrollment ID: I20190719001859 |
| Provider Name | Tharani Rajeswaran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861806440 PECOS PAC ID: 5092085704 Enrollment ID: I20190731001051 |
| Provider Name | Benjamin C. Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932594355 PECOS PAC ID: 8325355530 Enrollment ID: I20190917003110 |
| Provider Name | Sara Washburn Fuller Geffert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083971097 PECOS PAC ID: 3971822065 Enrollment ID: I20190930000666 |
| Provider Name | Stephen Matsko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790346435 PECOS PAC ID: 8224368428 Enrollment ID: I20191002000757 |
| Provider Name | Kiley Elizabeth Fair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841832235 PECOS PAC ID: 2668807850 Enrollment ID: I20200116000518 |
| Provider Name | Samia Ayub |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801160668 PECOS PAC ID: 6305163577 Enrollment ID: I20200206000765 |
| Provider Name | Alma Melina Guerrero Bready |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982082657 PECOS PAC ID: 4688982614 Enrollment ID: I20200225002790 |
| Provider Name | Burton H Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407203490 PECOS PAC ID: 1153616487 Enrollment ID: I20200511000988 |
| Provider Name | Rachel Katherine Darling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487183133 PECOS PAC ID: 4688943160 Enrollment ID: I20200511001169 |
| Provider Name | Kyla Dewar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912260746 PECOS PAC ID: 6901109016 Enrollment ID: I20200511002478 |
| Provider Name | Robert M Matera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366971640 PECOS PAC ID: 1355610718 Enrollment ID: I20200511002723 |
| Provider Name | Angie E Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720517329 PECOS PAC ID: 4880963297 Enrollment ID: I20200513001173 |
| Provider Name | Aditya Eturi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568991297 PECOS PAC ID: 9638448145 Enrollment ID: I20200601001515 |
| Provider Name | Olson Orenson Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548781602 PECOS PAC ID: 4981974607 Enrollment ID: I20200624002005 |
| Provider Name | Jisoo Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962820969 PECOS PAC ID: 5395961056 Enrollment ID: I20200707001887 |
| Provider Name | Russell Bratman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205216389 PECOS PAC ID: 7517273105 Enrollment ID: I20200715000832 |
| Provider Name | Ameen A. Al-aghil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346693579 PECOS PAC ID: 4284901018 Enrollment ID: I20200722001513 |
| Provider Name | Rebecca W Cangemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922537711 PECOS PAC ID: 0446529622 Enrollment ID: I20200807000860 |
| Provider Name | Xiaolei Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306259635 PECOS PAC ID: 2365712205 Enrollment ID: I20200810002077 |
| Provider Name | Samantha Hassett Turmenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881216893 PECOS PAC ID: 5193141992 Enrollment ID: I20200811002163 |
| Provider Name | Gabrielle S Mock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093244543 PECOS PAC ID: 1759650153 Enrollment ID: I20200813002077 |
| Provider Name | Abhinav Kumar Misra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912347980 PECOS PAC ID: 5991121964 Enrollment ID: I20200820003153 |
| Provider Name | Amanjot Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689104200 PECOS PAC ID: 8325318744 Enrollment ID: I20200821002514 |
| Provider Name | Maxwell Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235789231 PECOS PAC ID: 4981033073 Enrollment ID: I20201030002500 |
| Provider Name | Basarat Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780068585 PECOS PAC ID: 3870840416 Enrollment ID: I20201109002747 |
| Provider Name | Amr A Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841688082 PECOS PAC ID: 0345535266 Enrollment ID: I20201110002823 |
| Provider Name | Yasin Abul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235517889 PECOS PAC ID: 5395092456 Enrollment ID: I20210326001209 |
| Provider Name | Sydney Alicia Amado-tuthill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538718390 PECOS PAC ID: 4688082365 Enrollment ID: I20210419000579 |
| Provider Name | Christopher A Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891275566 PECOS PAC ID: 4284067539 Enrollment ID: I20210505000666 |
| Provider Name | Ronan Farrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821470675 PECOS PAC ID: 0840609715 Enrollment ID: I20210505000779 |
| Provider Name | Alexis Estelle Sherman-roe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336630037 PECOS PAC ID: 3476808361 Enrollment ID: I20210510001237 |
| Provider Name | Jaclyn Mckenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871084509 PECOS PAC ID: 8325475601 Enrollment ID: I20210601000685 |
| Provider Name | Gerry Ovide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235621749 PECOS PAC ID: 8022364835 Enrollment ID: I20210614003099 |
| Provider Name | Mitchell Benjamin Wice |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235524976 PECOS PAC ID: 7012224504 Enrollment ID: I20210621002577 |
| Provider Name | Avishek Chatterjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699272070 PECOS PAC ID: 8820499395 Enrollment ID: I20210622003229 |
| Provider Name | Thomas Bayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710276316 PECOS PAC ID: 2961629977 Enrollment ID: I20210628003169 |
| Provider Name | Lauren Conner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306338082 PECOS PAC ID: 5698021798 Enrollment ID: I20210811000567 |
| Provider Name | Martin Jude Cotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912496209 PECOS PAC ID: 0648527895 Enrollment ID: I20210813003219 |
| Provider Name | Daniel Choi Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518459304 PECOS PAC ID: 9739434283 Enrollment ID: I20210826001447 |
| Provider Name | Katherine E Cox-flaherty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427476290 PECOS PAC ID: 7113298571 Enrollment ID: I20210831002629 |
| Provider Name | Melissa Ann Mcneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841264603 PECOS PAC ID: 9931233210 Enrollment ID: I20210908002545 |
| Provider Name | Jennifer Marie Oswald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578230330 PECOS PAC ID: 7810393006 Enrollment ID: I20210914002096 |
| Provider Name | Katherine L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871887083 PECOS PAC ID: 5698171759 Enrollment ID: I20210915001526 |
| Provider Name | Saul N Weingart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316935919 PECOS PAC ID: 3577520303 Enrollment ID: I20211019002375 |
| Provider Name | Edelva Rozan Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881013183 PECOS PAC ID: 6204106461 Enrollment ID: I20211105000385 |
| Provider Name | Rohit Tyagi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225397342 PECOS PAC ID: 5597914556 Enrollment ID: I20211116001641 |
| Provider Name | Susan Enck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003170580 PECOS PAC ID: 9032367115 Enrollment ID: I20211123001845 |
| Provider Name | Prema Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457786436 PECOS PAC ID: 0749411130 Enrollment ID: I20220110001755 |
| Provider Name | Olimpia A Radu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447247788 PECOS PAC ID: 3577586569 Enrollment ID: I20220120002424 |
| Provider Name | Mayra Ivette Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427714096 PECOS PAC ID: 6901298058 Enrollment ID: I20220121001192 |
| Provider Name | Kristen Foskett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902736 PECOS PAC ID: 1355647819 Enrollment ID: I20220131000838 |
| Provider Name | Joann Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477083061 PECOS PAC ID: 1456620285 Enrollment ID: I20220209000219 |
| Provider Name | Mandy Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316609027 PECOS PAC ID: 9234523028 Enrollment ID: I20220221000930 |
| Provider Name | Emmanuel Asiedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972160315 PECOS PAC ID: 8729313051 Enrollment ID: I20220421002342 |
| Provider Name | Ann Ding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376034363 PECOS PAC ID: 9032464367 Enrollment ID: I20220512000022 |
| Provider Name | Julio Blasco Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659933778 PECOS PAC ID: 6002147857 Enrollment ID: I20220517001960 |
| Provider Name | Ibrahim Yusuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164064655 PECOS PAC ID: 4284057415 Enrollment ID: I20220518001245 |
| Provider Name | Belal Noureddine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699336339 PECOS PAC ID: 8820324320 Enrollment ID: I20220523001382 |
| Provider Name | Quratul-ain Qaiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083174858 PECOS PAC ID: 8022496447 Enrollment ID: I20220525002555 |
| Provider Name | Omar Abu-jaradeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740846120 PECOS PAC ID: 0446586341 Enrollment ID: I20220526002301 |
| Provider Name | Vincent Mariano |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962931295 PECOS PAC ID: 7911276696 Enrollment ID: I20220531000083 |
| Provider Name | Curtis Anthony Hendrix |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821522327 PECOS PAC ID: 0446670566 Enrollment ID: I20220607001845 |
| Provider Name | Fnu Ashna Rajan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891210829 PECOS PAC ID: 4284908922 Enrollment ID: I20220607002348 |
| Provider Name | Anuoluwapo A Shobayo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659895795 PECOS PAC ID: 7810232055 Enrollment ID: I20220609001767 |
| Provider Name | Edward Colin Daingerfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336706621 PECOS PAC ID: 2163750274 Enrollment ID: I20220610001741 |
| Provider Name | Anita Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093096091 PECOS PAC ID: 4981822392 Enrollment ID: I20220615002156 |
| Provider Name | Lewena Maher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083136428 PECOS PAC ID: 9032598925 Enrollment ID: I20220623001625 |
| Provider Name | Anna Jones Hardesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356908958 PECOS PAC ID: 9638403280 Enrollment ID: I20220701000836 |
| Provider Name | Daryl Selen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699122010 PECOS PAC ID: 5698060929 Enrollment ID: I20220802003303 |
| Provider Name | Navneet Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881089670 PECOS PAC ID: 5991102089 Enrollment ID: I20220803003270 |
| Provider Name | Caitlin Butler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578926176 PECOS PAC ID: 7416235858 Enrollment ID: I20220804001766 |
| Provider Name | Katie Kozacka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821559733 PECOS PAC ID: 9931433596 Enrollment ID: I20220809002455 |
| Provider Name | Rachel P. Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255467635 PECOS PAC ID: 2961576236 Enrollment ID: I20220816000970 |
| Provider Name | Maya Cohen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780035972 PECOS PAC ID: 4486038239 Enrollment ID: I20220829002424 |
| Provider Name | Laneir Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447980776 PECOS PAC ID: 1759765472 Enrollment ID: I20220830002196 |
| Provider Name | Jessica A Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013354430 PECOS PAC ID: 6103200357 Enrollment ID: I20220907001738 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477915478 PECOS PAC ID: 8921391848 Enrollment ID: I20220907002218 |
| Provider Name | Iva Esparza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235801549 PECOS PAC ID: 1254724016 Enrollment ID: I20220921001223 |
| Provider Name | Jillian Marjorie Frasca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306572276 PECOS PAC ID: 4688050776 Enrollment ID: I20220927001498 |
| Provider Name | Kenneth E Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225099138 PECOS PAC ID: 2769520519 Enrollment ID: I20220930002921 |
| Provider Name | Krystal India Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306577275 PECOS PAC ID: 9032595780 Enrollment ID: I20221003002709 |
| Provider Name | Gifty Maasang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972213411 PECOS PAC ID: 8921477613 Enrollment ID: I20221220002392 |
| Provider Name | Justin Berk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245625300 PECOS PAC ID: 3678891827 Enrollment ID: I20221228002468 |
| Provider Name | Alicia Ringel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548588809 PECOS PAC ID: 5193969996 Enrollment ID: I20230126000921 |
| Provider Name | Noor Tell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245853696 PECOS PAC ID: 1456772714 Enrollment ID: I20230510000672 |
| Provider Name | Mohammed Sahir Haji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477176998 PECOS PAC ID: 2860813912 Enrollment ID: I20230511001915 |
| Provider Name | Rei Mitsuyama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811519408 PECOS PAC ID: 3274954755 Enrollment ID: I20230511002601 |
| Provider Name | Alexis Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144849308 PECOS PAC ID: 9931520699 Enrollment ID: I20230526001859 |
| Provider Name | Giulio Ciprian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588273577 PECOS PAC ID: 5597182154 Enrollment ID: I20230531001304 |
| Provider Name | Calli Dogon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821511445 PECOS PAC ID: 3476910373 Enrollment ID: I20230608001284 |
| Provider Name | Mary Anne Gaffney |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508166851 PECOS PAC ID: 5698132306 Enrollment ID: I20230611000084 |
| Provider Name | Leah Harvey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700248424 PECOS PAC ID: 9234424623 Enrollment ID: I20230611000103 |
| Provider Name | Fardeen Mehdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467081539 PECOS PAC ID: 3577921469 Enrollment ID: I20230626001196 |
| Provider Name | Aditi Basnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366902140 PECOS PAC ID: 3375901283 Enrollment ID: I20230626002089 |
| Provider Name | Kevin Gibas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679009658 PECOS PAC ID: 1355613399 Enrollment ID: I20230714001760 |
| Provider Name | Jackson Steinkamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437778388 PECOS PAC ID: 3274949490 Enrollment ID: I20230725001683 |
| Provider Name | Margaret Salinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871099788 PECOS PAC ID: 0840680773 Enrollment ID: I20230726001759 |
| Provider Name | Bryce Perler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538698253 PECOS PAC ID: 1052680519 Enrollment ID: I20230726002883 |
| Provider Name | Samantha Westcoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386352359 PECOS PAC ID: 0042682262 Enrollment ID: I20230810001160 |
| Provider Name | Sarah E Moniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912479767 PECOS PAC ID: 4284963372 Enrollment ID: I20230831000752 |
| Provider Name | Tiffaney A Cayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487341160 PECOS PAC ID: 4688037005 Enrollment ID: I20230831002697 |
| Provider Name | Mary Angeli Aguinaldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174046916 PECOS PAC ID: 3678845609 Enrollment ID: I20230911000273 |
| Provider Name | Daniel A Dustin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093246399 PECOS PAC ID: 8729352547 Enrollment ID: I20230926001012 |
| Provider Name | Johan Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245867019 PECOS PAC ID: 7911353446 Enrollment ID: I20231019002137 |
| Provider Name | Abhimanyu Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952863821 PECOS PAC ID: 3678801370 Enrollment ID: I20240116002044 |
| Provider Name | Nancy Saraiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457028367 PECOS PAC ID: 6305234923 Enrollment ID: I20240131004829 |
| Provider Name | Parijat Joy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922261387 PECOS PAC ID: 1759436843 Enrollment ID: I20240205002400 |
Family Doctors Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915 Phone: 401-474-3847 Fax: 401-633-6094 | |
Brown Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4050 Fax: 401-649-4051 | |
East Bay Community Action Program Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Bullocks Point Ave, Riverside, RI 02915 Phone: 401-437-1008 Fax: 401-433-3042 | |
Brown Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Wampanoag Trl, Riverside, RI 02915 Phone: 401-649-4030 Fax: 401-649-4031 |