| Carilion Medical Group | |
|
213 S Jefferson St Suite 416 Roanoke VA 24011-1705 | |
| (540) 224-5715 | |
| (540) 224-5606 |
| Full Name | Carilion Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 S Jefferson St, Roanoke, Virginia |
| Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
| Authorized Official Contact | 5402245352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carilion Medical Group 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5715 | Carilion Medical Group 213 S Jefferson St Suite 416 Roanoke VA 24011-1705 Ph: (540) 224-5715 |
| NPI Number | 1447206370 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 5890607253 |
|---|---|
| Medicare Enrollment ID | O20031106000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447206370 | NPI | - | NPPES |
| CA3863 | Other | MEDICARE RAILROAD GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902880370 PECOS PAC ID: 1951207836 Enrollment ID: I20031210001122 |
| Provider Name | Gregory A Stidham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487627378 PECOS PAC ID: 5193621001 Enrollment ID: I20031211000077 |
| Provider Name | Elizabeth L Polk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164494134 PECOS PAC ID: 2264338177 Enrollment ID: I20031211000093 |
| Provider Name | Kelli Lynn Linick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851364756 PECOS PAC ID: 6608772520 Enrollment ID: I20031211000105 |
| Provider Name | Henry R Ivey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518930403 PECOS PAC ID: 0042116964 Enrollment ID: I20031211000122 |
| Provider Name | Robert L Lazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659401 PECOS PAC ID: 6305742149 Enrollment ID: I20031211000314 |
| Provider Name | Leena S Grover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306934484 PECOS PAC ID: 2163329020 Enrollment ID: I20031217001083 |
| Provider Name | Robert M Dums |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102619 PECOS PAC ID: 5395643167 Enrollment ID: I20031230000785 |
| Provider Name | Reed R Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376525089 PECOS PAC ID: 0042119844 Enrollment ID: I20031231000137 |
| Provider Name | Thomas C Mogen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558343079 PECOS PAC ID: 8729987532 Enrollment ID: I20031231000166 |
| Provider Name | Jill Traegde-halstead |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811093701 PECOS PAC ID: 8022917772 Enrollment ID: I20040102000126 |
| Provider Name | Greg Leland Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326105669 PECOS PAC ID: 6103726773 Enrollment ID: I20040110000083 |
| Provider Name | Jon D Cargo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205804754 PECOS PAC ID: 1951203454 Enrollment ID: I20040124000077 |
| Provider Name | Earl M Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992777965 PECOS PAC ID: 1557264603 Enrollment ID: I20040128000335 |
| Provider Name | Douglas S Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528040060 PECOS PAC ID: 5597668566 Enrollment ID: I20040128000500 |
| Provider Name | Charles David Bissell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033190517 PECOS PAC ID: 8729981402 Enrollment ID: I20040129000987 |
| Provider Name | Charles J Paget |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376506360 PECOS PAC ID: 2062306335 Enrollment ID: I20040209001214 |
| Provider Name | Alexander G Vigh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760486641 PECOS PAC ID: 1658265400 Enrollment ID: I20040211001226 |
| Provider Name | William G Pearlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144292053 PECOS PAC ID: 0749174506 Enrollment ID: I20040211001232 |
| Provider Name | Daniel R Tershak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316900822 PECOS PAC ID: 7315834637 Enrollment ID: I20040302000522 |
| Provider Name | Amy E Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568445526 PECOS PAC ID: 0941198535 Enrollment ID: I20040305000768 |
| Provider Name | Robert E Pryor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568447886 PECOS PAC ID: 3274421888 Enrollment ID: I20040305000871 |
| Provider Name | Allen M Laws |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487637435 PECOS PAC ID: 0143118653 Enrollment ID: I20040308000190 |
| Provider Name | John A Hagy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275505331 PECOS PAC ID: 8022907773 Enrollment ID: I20040311001203 |
| Provider Name | Stephen A Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426116 PECOS PAC ID: 0143112524 Enrollment ID: I20040329001392 |
| Provider Name | Andrew A Slemp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629038443 PECOS PAC ID: 5799777827 Enrollment ID: I20040331000284 |
| Provider Name | Marcia A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003898826 PECOS PAC ID: 0749273217 Enrollment ID: I20040408000562 |
| Provider Name | Rathnakar Sherigar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649269879 PECOS PAC ID: 8820082332 Enrollment ID: I20040408000918 |
| Provider Name | Thomas K Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972580231 PECOS PAC ID: 6608763941 Enrollment ID: I20040420000765 |
| Provider Name | Joseph T Moskal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740267095 PECOS PAC ID: 0840187001 Enrollment ID: I20040420001287 |
| Provider Name | Cristina W Trout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669453734 PECOS PAC ID: 5193713675 Enrollment ID: I20040504000302 |
| Provider Name | Jay G Sailer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807043 PECOS PAC ID: 4789673310 Enrollment ID: I20040510000559 |
| Provider Name | Hugh J Hagan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1891772257 PECOS PAC ID: 7214821966 Enrollment ID: I20040511000613 |
| Provider Name | Richard D Grube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689652406 PECOS PAC ID: 7214927367 Enrollment ID: I20040512001301 |
| Provider Name | Christopher K John |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952388878 PECOS PAC ID: 9537150602 Enrollment ID: I20040519000629 |
| Provider Name | George A Godette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164487492 PECOS PAC ID: 0345221248 Enrollment ID: I20040526001417 |
| Provider Name | Claiborne Whitworth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073592796 PECOS PAC ID: 0749193753 Enrollment ID: I20040603000139 |
| Provider Name | Timothy M Beirne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255304168 PECOS PAC ID: 8729060298 Enrollment ID: I20040607001244 |
| Provider Name | Oscar F Figueroa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801889720 PECOS PAC ID: 4981682689 Enrollment ID: I20040709000604 |
| Provider Name | Stephen J Kellam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659930 PECOS PAC ID: 3072591510 Enrollment ID: I20040710000243 |
| Provider Name | Chand Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962459206 PECOS PAC ID: 7315926375 Enrollment ID: I20040714001368 |
| Provider Name | Paula J Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942283296 PECOS PAC ID: 3375522022 Enrollment ID: I20040715001297 |
| Provider Name | Jennifer Lynn Bennett Grube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427006444 PECOS PAC ID: 6103898028 Enrollment ID: I20040811000559 |
| Provider Name | Kimberly A Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952380859 PECOS PAC ID: 9436123528 Enrollment ID: I20040824000919 |
| Provider Name | Anand T Kishore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255310165 PECOS PAC ID: 4082689674 Enrollment ID: I20040827000431 |
| Provider Name | John A Jane Jr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801965413 PECOS PAC ID: 7810962040 Enrollment ID: I20040831000724 |
| Provider Name | Catherine G Rea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841262805 PECOS PAC ID: 8022086347 Enrollment ID: I20040923000527 |
| Provider Name | Gregory K Hardigree |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821099375 PECOS PAC ID: 4284697152 Enrollment ID: I20041111000102 |
| Provider Name | Jeremy H Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376527598 PECOS PAC ID: 9830154632 Enrollment ID: I20041122000210 |
| Provider Name | Paul Yeaton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891838249 PECOS PAC ID: 5890750459 Enrollment ID: I20041123000126 |
| Provider Name | Souha J Khawam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922070945 PECOS PAC ID: 4385609619 Enrollment ID: I20041129000054 |
| Provider Name | Todd Steven Palmerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013989847 PECOS PAC ID: 7012973902 Enrollment ID: I20041202000461 |
| Provider Name | Charles D Daniel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134124035 PECOS PAC ID: 3072579218 Enrollment ID: I20041208001046 |
| Provider Name | Farahaba R Lakhdir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922087279 PECOS PAC ID: 9739146952 Enrollment ID: I20041220000145 |
| Provider Name | Moises R Cossio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265405260 PECOS PAC ID: 2769440585 Enrollment ID: I20041228000060 |
| Provider Name | Richard Kindley Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952365918 PECOS PAC ID: 1456309566 Enrollment ID: I20050105000774 |
| Provider Name | Steve G Steffan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427161934 PECOS PAC ID: 1456303064 Enrollment ID: I20050216000669 |
| Provider Name | Judy L Chun |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912933979 PECOS PAC ID: 2365496742 Enrollment ID: I20050309000105 |
| Provider Name | Umar Farooq Sofi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023009271 PECOS PAC ID: 2769436815 Enrollment ID: I20050310000947 |
| Provider Name | John William Leslie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972584431 PECOS PAC ID: 4789630153 Enrollment ID: I20050329000726 |
| Provider Name | Rhonda Rowan Harrell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043267057 PECOS PAC ID: 5597712109 Enrollment ID: I20050406000265 |
| Provider Name | Mary B Horst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013091065 PECOS PAC ID: 4880633858 Enrollment ID: I20050428000947 |
| Provider Name | Chad J Demott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033100235 PECOS PAC ID: 1951338185 Enrollment ID: I20050720000135 |
| Provider Name | Melissa H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871574111 PECOS PAC ID: 0648208967 Enrollment ID: I20050728000714 |
| Provider Name | Kari L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770563496 PECOS PAC ID: 8224068168 Enrollment ID: I20050819000449 |
| Provider Name | Jackson W Kiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659315158 PECOS PAC ID: 0941231401 Enrollment ID: I20050824000524 |
| Provider Name | Christopher Paul Mertes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215928585 PECOS PAC ID: 6709773484 Enrollment ID: I20050831000828 |
| Provider Name | Philip E Grubbs |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629078241 PECOS PAC ID: 6800828609 Enrollment ID: I20050831000953 |
| Provider Name | Cesar Jose Bravo |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1790759645 PECOS PAC ID: 0143280669 Enrollment ID: I20050907001210 |
| Provider Name | Robert J Glenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841238086 PECOS PAC ID: 5799718011 Enrollment ID: I20050915001183 |
| Provider Name | Mikesh Chinubhai Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497736748 PECOS PAC ID: 0446202766 Enrollment ID: I20050919000996 |
| Provider Name | Kathy Amoroso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457323743 PECOS PAC ID: 9436183332 Enrollment ID: I20050920001298 |
| Provider Name | Cynthia L Barden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881799443 PECOS PAC ID: 9335164458 Enrollment ID: I20051007000665 |
| Provider Name | Mariana Abraham Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851322895 PECOS PAC ID: 9931124591 Enrollment ID: I20051012000752 |
| Provider Name | Aubrey Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255494332 PECOS PAC ID: 6608816541 Enrollment ID: I20051017000902 |
| Provider Name | Chunxiao B Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699720169 PECOS PAC ID: 4082679097 Enrollment ID: I20051027000118 |
| Provider Name | Terri Ann Wattsman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598737843 PECOS PAC ID: 5890712004 Enrollment ID: I20051027000463 |
| Provider Name | Mohd A Mirza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538146279 PECOS PAC ID: 4284699042 Enrollment ID: I20051104000699 |
| Provider Name | Mark A Patterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275536831 PECOS PAC ID: 1254359284 Enrollment ID: I20051108000338 |
| Provider Name | William J Sayre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760478275 PECOS PAC ID: 5294754701 Enrollment ID: I20051114001133 |
| Provider Name | Richard E Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079086 PECOS PAC ID: 6800816166 Enrollment ID: I20051201000111 |
| Provider Name | Steven G Harris |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366421943 PECOS PAC ID: 1355310210 Enrollment ID: I20051201000306 |
| Provider Name | Karol L Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407836000 PECOS PAC ID: 4789604794 Enrollment ID: I20051205000656 |
| Provider Name | Theresa P Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437123957 PECOS PAC ID: 4880615087 Enrollment ID: I20051215000526 |
| Provider Name | Jeffrey S Todd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396745402 PECOS PAC ID: 8123036357 Enrollment ID: I20060330000285 |
| Provider Name | John C Lystash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336132729 PECOS PAC ID: 2567470545 Enrollment ID: I20060403000317 |
| Provider Name | John L Tamminen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740250927 PECOS PAC ID: 3870502784 Enrollment ID: I20060420000123 |
| Provider Name | John Clements |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629012208 PECOS PAC ID: 0244240125 Enrollment ID: I20060424000231 |
| Provider Name | Deetta J Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265539068 PECOS PAC ID: 9133139215 Enrollment ID: I20060503000773 |
| Provider Name | Keith Richard Stephenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598746018 PECOS PAC ID: 5294747283 Enrollment ID: I20060609000199 |
| Provider Name | Carol A Ascher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154377471 PECOS PAC ID: 3971516568 Enrollment ID: I20060727000185 |
| Provider Name | Curtis E Bower |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366481400 PECOS PAC ID: 9436162963 Enrollment ID: I20060728000112 |
| Provider Name | Magdalena G Yoder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790723401 PECOS PAC ID: 8123021060 Enrollment ID: I20060816000104 |
| Provider Name | Daniel R Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922089556 PECOS PAC ID: 4082619051 Enrollment ID: I20060926000075 |
| Provider Name | Lamiere J Downing |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699750976 PECOS PAC ID: 8224033097 Enrollment ID: I20060929000179 |
| Provider Name | Stephen G Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962436444 PECOS PAC ID: 8022014257 Enrollment ID: I20061011000699 |
| Provider Name | Rene D Fredstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326064817 PECOS PAC ID: 2961408109 Enrollment ID: I20061011000781 |
| Provider Name | Lisa S Apfel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659481984 PECOS PAC ID: 6608873914 Enrollment ID: I20061030000564 |
| Provider Name | Mark A Ringold |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588621023 PECOS PAC ID: 2062410343 Enrollment ID: I20061121000188 |
| Provider Name | Suzanne D Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194708784 PECOS PAC ID: 7416955505 Enrollment ID: I20061128000401 |
| Provider Name | Arnold D Salzberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104927284 PECOS PAC ID: 7618976507 Enrollment ID: I20061202000091 |
| Provider Name | Thomas F Knisely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447286265 PECOS PAC ID: 7012916653 Enrollment ID: I20061209000011 |
| Provider Name | Thomas J Donohue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912077892 PECOS PAC ID: 9830198878 Enrollment ID: I20061220000297 |
| Provider Name | Frank H Biscardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548332208 PECOS PAC ID: 8426059692 Enrollment ID: I20070131000252 |
| Provider Name | Roxanne Davenport |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043282114 PECOS PAC ID: 1254433113 Enrollment ID: I20070222000730 |
| Provider Name | Kevin R Dye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295720191 PECOS PAC ID: 7517060791 Enrollment ID: I20070314000587 |
| Provider Name | Laura H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366532368 PECOS PAC ID: 3577666155 Enrollment ID: I20070320000420 |
| Provider Name | Mabel H Mccorrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639278690 PECOS PAC ID: 6800999335 Enrollment ID: I20070321000217 |
| Provider Name | Vivian H Mao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548264377 PECOS PAC ID: 0941197107 Enrollment ID: I20070601000491 |
| Provider Name | Kurt Y Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700880408 PECOS PAC ID: 1052208204 Enrollment ID: I20070613000227 |
| Provider Name | Scott D Woogen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215939251 PECOS PAC ID: 7416056726 Enrollment ID: I20070627000707 |
| Provider Name | Eric S Gwynn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467586628 PECOS PAC ID: 7113027012 Enrollment ID: I20070706000320 |
| Provider Name | Jeffrey E Goode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255547071 PECOS PAC ID: 8921108556 Enrollment ID: I20070712000156 |
| Provider Name | Thomas H Bishop |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750418315 PECOS PAC ID: 8123110574 Enrollment ID: I20070815000588 |
| Provider Name | Sarah M Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558589309 PECOS PAC ID: 3476645268 Enrollment ID: I20070824000281 |
| Provider Name | Matthew B Billups |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780896340 PECOS PAC ID: 1355433053 Enrollment ID: I20070827000382 |
| Provider Name | Edward Senu-oke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316990864 PECOS PAC ID: 1951317080 Enrollment ID: I20070911000421 |
| Provider Name | Stephen Ausband |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306855002 PECOS PAC ID: 1850484411 Enrollment ID: I20070912000642 |
| Provider Name | Jonathan J Carmouche |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275562589 PECOS PAC ID: 9032113717 Enrollment ID: I20070924000785 |
| Provider Name | Arthur Samuel Pemberton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578533873 PECOS PAC ID: 8820183551 Enrollment ID: I20070926000856 |
| Provider Name | Mohamed I Kadiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437204740 PECOS PAC ID: 9638261571 Enrollment ID: I20070927000960 |
| Provider Name | Amanda B Murchison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639164791 PECOS PAC ID: 6406835313 Enrollment ID: I20070929000135 |
| Provider Name | John A Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649481730 PECOS PAC ID: 7416044433 Enrollment ID: I20071107000332 |
| Provider Name | Osei A Bonsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972661312 PECOS PAC ID: 3779671573 Enrollment ID: I20071112000633 |
| Provider Name | Electra C Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588681118 PECOS PAC ID: 9234038134 Enrollment ID: I20080201000223 |
| Provider Name | Gary Joe Harpold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447210604 PECOS PAC ID: 3678656329 Enrollment ID: I20080219000118 |
| Provider Name | Lorrie A Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780879650 PECOS PAC ID: 2567547623 Enrollment ID: I20080313000188 |
| Provider Name | Wayne L Brackenrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447356530 PECOS PAC ID: 0446336572 Enrollment ID: I20080328000528 |
| Provider Name | Kenneth M Mcintyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033120308 PECOS PAC ID: 8820167976 Enrollment ID: I20080515000618 |
| Provider Name | Maria Soriano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548241086 PECOS PAC ID: 6608946801 Enrollment ID: I20080530000282 |
| Provider Name | Dhun H Sethna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265442842 PECOS PAC ID: 5890866099 Enrollment ID: I20080616000543 |
| Provider Name | Julia Tyra Hemphill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669452066 PECOS PAC ID: 6608947650 Enrollment ID: I20080618000401 |
| Provider Name | Richard D Happel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568422954 PECOS PAC ID: 8729150198 Enrollment ID: I20080630000210 |
| Provider Name | Valenica R Eggleston-clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316069933 PECOS PAC ID: 3375615131 Enrollment ID: I20080710000586 |
| Provider Name | Varsha J Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588636971 PECOS PAC ID: 4183798838 Enrollment ID: I20080730000194 |
| Provider Name | Michael Patrick Jeremiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508855727 PECOS PAC ID: 3678647336 Enrollment ID: I20080730000263 |
| Provider Name | Nancy E Misicko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851382121 PECOS PAC ID: 9739253311 Enrollment ID: I20080730000562 |
| Provider Name | Roger A Hofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730170069 PECOS PAC ID: 8325112931 Enrollment ID: I20080730000784 |
| Provider Name | Kelley K Whitmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891909669 PECOS PAC ID: 1951475433 Enrollment ID: I20080731000606 |
| Provider Name | William K Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457323594 PECOS PAC ID: 3779658554 Enrollment ID: I20080813000257 |
| Provider Name | Sonya N Bohon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952384984 PECOS PAC ID: 0547335333 Enrollment ID: I20080813000305 |
| Provider Name | Donald W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861473928 PECOS PAC ID: 4587739396 Enrollment ID: I20080813000517 |
| Provider Name | James Lagrua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952380388 PECOS PAC ID: 7719888643 Enrollment ID: I20080813000552 |
| Provider Name | Scott Frederick Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144211459 PECOS PAC ID: 2163597980 Enrollment ID: I20080813000588 |
| Provider Name | Joyce A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184606931 PECOS PAC ID: 7214002054 Enrollment ID: I20080813000752 |
| Provider Name | Scott A Kincaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760463301 PECOS PAC ID: 5092880831 Enrollment ID: I20080813000788 |
| Provider Name | Clifford Nottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942272083 PECOS PAC ID: 8224054697 Enrollment ID: I20080814000134 |
| Provider Name | Anthony R Stavola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497727531 PECOS PAC ID: 6709951478 Enrollment ID: I20080814000154 |
| Provider Name | Robert L Amick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902878051 PECOS PAC ID: 6305911074 Enrollment ID: I20080814000181 |
| Provider Name | David B Chernoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295705614 PECOS PAC ID: 9335214865 Enrollment ID: I20080819000297 |
| Provider Name | Robert P Pence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801862131 PECOS PAC ID: 6103991641 Enrollment ID: I20080819000448 |
| Provider Name | William B Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487623583 PECOS PAC ID: 8527969450 Enrollment ID: I20080819000694 |
| Provider Name | Don Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043282965 PECOS PAC ID: 3375618788 Enrollment ID: I20080820000194 |
| Provider Name | Camilla K Tsui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508857889 PECOS PAC ID: 4486729803 Enrollment ID: I20080820000295 |
| Provider Name | William P Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053396390 PECOS PAC ID: 9830264183 Enrollment ID: I20080820000699 |
| Provider Name | Paul R Eason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851369375 PECOS PAC ID: 7618042821 Enrollment ID: I20080822000596 |
| Provider Name | Deana A Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383752 PECOS PAC ID: 5092881946 Enrollment ID: I20080829000345 |
| Provider Name | Sandra K Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447213988 PECOS PAC ID: 3971679820 Enrollment ID: I20080829000377 |
| Provider Name | Merris A Stambaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295707586 PECOS PAC ID: 8426124371 Enrollment ID: I20080829000386 |
| Provider Name | Linda A Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609844711 PECOS PAC ID: 8123194081 Enrollment ID: I20080829000427 |
| Provider Name | William J Zimmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003885153 PECOS PAC ID: 2668548520 Enrollment ID: I20080829000439 |
| Provider Name | Christopher H Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962474924 PECOS PAC ID: 4385719871 Enrollment ID: I20080829000546 |
| Provider Name | Nancy Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104898246 PECOS PAC ID: 6901972454 Enrollment ID: I20080905000599 |
| Provider Name | John M Wessinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275742264 PECOS PAC ID: 2769559855 Enrollment ID: I20080918000710 |
| Provider Name | Khursheed Imam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508828195 PECOS PAC ID: 1951362490 Enrollment ID: I20080926000613 |
| Provider Name | Craig A Wilhelms |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144201740 PECOS PAC ID: 6800964628 Enrollment ID: I20081007000529 |
| Provider Name | Evelyn M Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225036239 PECOS PAC ID: 2264345420 Enrollment ID: I20081028000269 |
| Provider Name | William M Tomiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790765402 PECOS PAC ID: 4789743774 Enrollment ID: I20081105000652 |
| Provider Name | Chris L Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467469775 PECOS PAC ID: 5698719722 Enrollment ID: I20081106000407 |
| Provider Name | David E Johnsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215955976 PECOS PAC ID: 0749340776 Enrollment ID: I20081120000923 |
| Provider Name | Gary G Ohagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487629879 PECOS PAC ID: 4688735889 Enrollment ID: I20081205000735 |
| Provider Name | Randall Rochelle Rhea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073586970 PECOS PAC ID: 2769388685 Enrollment ID: I20081208000531 |
| Provider Name | Shravan Kumar Gaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427269547 PECOS PAC ID: 4688737364 Enrollment ID: I20090106000683 |
| Provider Name | Claire K Akin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972715829 PECOS PAC ID: 7012070121 Enrollment ID: I20090115000791 |
| Provider Name | Joni C Goldwasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891946711 PECOS PAC ID: 0840353702 Enrollment ID: I20090120000589 |
| Provider Name | Adrienne M Kinsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871792515 PECOS PAC ID: 1355405234 Enrollment ID: I20090122000301 |
| Provider Name | Amy C Kryder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598892978 PECOS PAC ID: 5991869257 Enrollment ID: I20090130000539 |
| Provider Name | Susanti R Ie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215910781 PECOS PAC ID: 4486718459 Enrollment ID: I20090205000704 |
| Provider Name | Terrance P May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316948128 PECOS PAC ID: 9335206531 Enrollment ID: I20090313000503 |
| Provider Name | Benjamin M Philpott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053364455 PECOS PAC ID: 0749347698 Enrollment ID: I20090320000580 |
| Provider Name | Michael S Szilagyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518049709 PECOS PAC ID: 7315004181 Enrollment ID: I20090323000176 |
| Provider Name | Jacek S Slowikowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871597625 PECOS PAC ID: 4183773401 Enrollment ID: I20090515000480 |
| Provider Name | John Christopher Colby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760523310 PECOS PAC ID: 7517936420 Enrollment ID: I20090528000484 |
| Provider Name | Chad M Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154593036 PECOS PAC ID: 1759432016 Enrollment ID: I20090625000639 |
| Provider Name | David C Keyes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407008212 PECOS PAC ID: 4880745660 Enrollment ID: I20090708000292 |
| Provider Name | Alfred Tanner Shilling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003029620 PECOS PAC ID: 4284786211 Enrollment ID: I20090722000128 |
| Provider Name | Lisa A Alleyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659593549 PECOS PAC ID: 5092868653 Enrollment ID: I20090729000372 |
| Provider Name | Joseph B Coates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811108913 PECOS PAC ID: 9638222607 Enrollment ID: I20090810000140 |
| Provider Name | Manjusha Sahni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225248974 PECOS PAC ID: 5395899553 Enrollment ID: I20090821000590 |
| Provider Name | Christopher Pierce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376516146 PECOS PAC ID: 7214082031 Enrollment ID: I20090831000575 |
| Provider Name | Isaiah M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811065725 PECOS PAC ID: 2567554827 Enrollment ID: I20090923000341 |
| Provider Name | Julie R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164652004 PECOS PAC ID: 3577619923 Enrollment ID: I20090925000504 |
| Provider Name | Harry E Mccoy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295702512 PECOS PAC ID: 7719024579 Enrollment ID: I20091027000624 |
| Provider Name | William R Jones |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841288891 PECOS PAC ID: 9234224536 Enrollment ID: I20091124000729 |
| Provider Name | Andrea R Lough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659354900 PECOS PAC ID: 3577602549 Enrollment ID: I20091203000754 |
| Provider Name | Robert Knowles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013915602 PECOS PAC ID: 1557370517 Enrollment ID: I20100202000546 |
| Provider Name | Edwin J Polverino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194798983 PECOS PAC ID: 6002865581 Enrollment ID: I20100208000252 |
| Provider Name | Saima Sadiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861603789 PECOS PAC ID: 9032244173 Enrollment ID: I20100315000945 |
| Provider Name | James Schmidley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407946981 PECOS PAC ID: 6507906195 Enrollment ID: I20100318000096 |
| Provider Name | David C Sane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780669077 PECOS PAC ID: 3779679410 Enrollment ID: I20100510000350 |
| Provider Name | James R Crews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780689752 PECOS PAC ID: 9234156761 Enrollment ID: I20100517000582 |
| Provider Name | Jeri Lantz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306828876 PECOS PAC ID: 4880723162 Enrollment ID: I20100525000529 |
| Provider Name | Tara A Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548372311 PECOS PAC ID: 0840320362 Enrollment ID: I20100610000156 |
| Provider Name | Robert D Moylan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760460943 PECOS PAC ID: 9032249693 Enrollment ID: I20100611000467 |
| Provider Name | John H Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528080017 PECOS PAC ID: 9133157787 Enrollment ID: I20100628000827 |
| Provider Name | Kevin B Mercure |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598767402 PECOS PAC ID: 3678529153 Enrollment ID: I20100701000175 |
| Provider Name | Hui Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649434226 PECOS PAC ID: 0941333017 Enrollment ID: I20100727000677 |
| Provider Name | Carl W Musser |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285613786 PECOS PAC ID: 2769453281 Enrollment ID: I20100820000495 |
| Provider Name | Ali M Hama Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841467735 PECOS PAC ID: 3173647070 Enrollment ID: I20100830000581 |
| Provider Name | Mark Anderson Schmidt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023000684 PECOS PAC ID: 5193811123 Enrollment ID: I20100902001111 |
| Provider Name | Molly S Rutherford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861609091 PECOS PAC ID: 1153446554 Enrollment ID: I20100908000751 |
| Provider Name | Sarah Klemencic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275722514 PECOS PAC ID: 9931225323 Enrollment ID: I20100922001018 |
| Provider Name | Jo Anne A Llavore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033318506 PECOS PAC ID: 4183740277 Enrollment ID: I20100927000408 |
| Provider Name | Daniel R Karolyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871779801 PECOS PAC ID: 2466503313 Enrollment ID: I20101018001253 |
| Provider Name | Richard A Cordle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356313241 PECOS PAC ID: 5991999062 Enrollment ID: I20101102001311 |
| Provider Name | Richard Kauffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265451157 PECOS PAC ID: 6901902022 Enrollment ID: I20101104001225 |
| Provider Name | Laura C Biscotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649450875 PECOS PAC ID: 6709070535 Enrollment ID: I20101104001628 |
| Provider Name | Katherine Paige Conkling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497063747 PECOS PAC ID: 9032305214 Enrollment ID: I20101130000856 |
| Provider Name | Amy Wetzel Doolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265630248 PECOS PAC ID: 1456548221 Enrollment ID: I20101206000607 |
| Provider Name | Jennifer H Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740593730 PECOS PAC ID: 2466631718 Enrollment ID: I20110119000862 |
| Provider Name | Kelly D Henchel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285714667 PECOS PAC ID: 9234318361 Enrollment ID: I20110121000534 |
| Provider Name | Tananchai A Lucktong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578526067 PECOS PAC ID: 2062691744 Enrollment ID: I20110127000112 |
| Provider Name | Thomas E Shuler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588638332 PECOS PAC ID: 7315128147 Enrollment ID: I20110225000703 |
| Provider Name | Donald Kees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225017569 PECOS PAC ID: 7618159245 Enrollment ID: I20110303000249 |
| Provider Name | Ashley Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023323201 PECOS PAC ID: 0648455857 Enrollment ID: I20110504000318 |
| Provider Name | Erinn E Hokanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033303508 PECOS PAC ID: 2062698566 Enrollment ID: I20110518000330 |
| Provider Name | Dana M Abney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124014816 PECOS PAC ID: 5597941989 Enrollment ID: I20110519000483 |
| Provider Name | William J Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750361952 PECOS PAC ID: 9436335643 Enrollment ID: I20110523000536 |
| Provider Name | Vijay Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235361155 PECOS PAC ID: 4183801418 Enrollment ID: I20110614000031 |
| Provider Name | Jeremy A Llavore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992960272 PECOS PAC ID: 3678741154 Enrollment ID: I20110728000169 |
| Provider Name | Colleen J Mattocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387830 PECOS PAC ID: 9133398555 Enrollment ID: I20110801000707 |
| Provider Name | Franco M Coniglione |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801008842 PECOS PAC ID: 8527113729 Enrollment ID: I20110804000493 |
| Provider Name | Alecia W Sizemore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831302561 PECOS PAC ID: 3173792728 Enrollment ID: I20110816000495 |
| Provider Name | Qasim Ali Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295968600 PECOS PAC ID: 3274665047 Enrollment ID: I20110825000453 |
| Provider Name | James G Drougas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013912914 PECOS PAC ID: 1951571660 Enrollment ID: I20110906000621 |
| Provider Name | Ijeoma N Okogbue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689812760 PECOS PAC ID: 7315118916 Enrollment ID: I20110913000154 |
| Provider Name | Ricardo L Riegodedios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295708709 PECOS PAC ID: 8224209267 Enrollment ID: I20110922000376 |
| Provider Name | Soundarya Nagaraja Gowda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184821480 PECOS PAC ID: 4486825122 Enrollment ID: I20110929000025 |
| Provider Name | Wiiliam Paul Magdycz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437156577 PECOS PAC ID: 0840462677 Enrollment ID: I20111020000293 |
| Provider Name | Kristin A Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790943348 PECOS PAC ID: 4880867597 Enrollment ID: I20111025000407 |
| Provider Name | Kofi Amo-mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124289103 PECOS PAC ID: 4385817964 Enrollment ID: I20111026000534 |
| Provider Name | Stacy C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407136773 PECOS PAC ID: 5193998185 Enrollment ID: I20111108000629 |
| Provider Name | Susan B Dorsey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457308371 PECOS PAC ID: 5991979411 Enrollment ID: I20111119000029 |
| Provider Name | Paul C Timmermann |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821035072 PECOS PAC ID: 7911054820 Enrollment ID: I20111219000556 |
| Provider Name | Michael S Helvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518985076 PECOS PAC ID: 9537136528 Enrollment ID: I20120112000814 |
| Provider Name | Jose M Rivero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881694065 PECOS PAC ID: 6800867268 Enrollment ID: I20120131000266 |
| Provider Name | Edward Styles Hemphill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194711796 PECOS PAC ID: 0648342139 Enrollment ID: I20120203000123 |
| Provider Name | Anna P Littleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023426 PECOS PAC ID: 7719166222 Enrollment ID: I20120208000626 |
| Provider Name | Anthony L Loschner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124221809 PECOS PAC ID: 4789848391 Enrollment ID: I20120612000234 |
| Provider Name | Bradley M Mccrady |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417123118 PECOS PAC ID: 8527233220 Enrollment ID: I20120621000207 |
| Provider Name | Amy K Barnhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083686919 PECOS PAC ID: 7113932914 Enrollment ID: I20120625000357 |
| Provider Name | Mark Coggins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538157359 PECOS PAC ID: 1850378209 Enrollment ID: I20120626000782 |
| Provider Name | Mark E Feldman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295818201 PECOS PAC ID: 8224293451 Enrollment ID: I20120712000898 |
| Provider Name | Jason Vicente Naldo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518194059 PECOS PAC ID: 5890951685 Enrollment ID: I20120723000926 |
| Provider Name | Leilani A Pilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922240977 PECOS PAC ID: 4688830110 Enrollment ID: I20120726000724 |
| Provider Name | Kimberly D Goad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841289386 PECOS PAC ID: 8527224021 Enrollment ID: I20120727000698 |
| Provider Name | Sherry Penland Ismatov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336381383 PECOS PAC ID: 1658527809 Enrollment ID: I20120803000617 |
| Provider Name | Michelle T Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295097996 PECOS PAC ID: 3173779261 Enrollment ID: I20120806000214 |
| Provider Name | Sahil Jaiswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225261878 PECOS PAC ID: 8022264118 Enrollment ID: I20120806000266 |
| Provider Name | Gilbert C Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033347620 PECOS PAC ID: 9436306875 Enrollment ID: I20120821000004 |
| Provider Name | Mark Saab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962711341 PECOS PAC ID: 1850558487 Enrollment ID: I20120823000541 |
| Provider Name | David J Boone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225270234 PECOS PAC ID: 1557519063 Enrollment ID: I20120906000823 |
| Provider Name | Vishal M Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063623197 PECOS PAC ID: 0244488757 Enrollment ID: I20120906000874 |
| Provider Name | Chinekwu O Anyanwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619268554 PECOS PAC ID: 2860640026 Enrollment ID: I20120912000567 |
| Provider Name | Christian Klaus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275761850 PECOS PAC ID: 0648428847 Enrollment ID: I20120913000050 |
| Provider Name | Trevor M Owen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821288143 PECOS PAC ID: 7517137953 Enrollment ID: I20120914000451 |
| Provider Name | Srihari Penkulinti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851666515 PECOS PAC ID: 8022266980 Enrollment ID: I20120918000654 |
| Provider Name | Joshua D Farrar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336220268 PECOS PAC ID: 9638328149 Enrollment ID: I20120926000855 |
| Provider Name | Ashish Raju |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679855290 PECOS PAC ID: 8123277696 Enrollment ID: I20120927000711 |
| Provider Name | Joseph A Hughes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134320112 PECOS PAC ID: 5991955270 Enrollment ID: I20121022000816 |
| Provider Name | Matthew Michael Schumaecker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699811430 PECOS PAC ID: 5890893341 Enrollment ID: I20121114000228 |
| Provider Name | Jason Faulhaber |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265574446 PECOS PAC ID: 8123109931 Enrollment ID: I20121211000444 |
| Provider Name | James E Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023099157 PECOS PAC ID: 2668624891 Enrollment ID: I20121214000112 |
| Provider Name | Kenneth Lee Belcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306865290 PECOS PAC ID: 6204839178 Enrollment ID: I20130125000382 |
| Provider Name | Aneysa C Sane |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003896770 PECOS PAC ID: 4880769694 Enrollment ID: I20130328000520 |
| Provider Name | Amy Foutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083956999 PECOS PAC ID: 0648419523 Enrollment ID: I20130626000267 |
| Provider Name | Kevin C Lingle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558553552 PECOS PAC ID: 1658407960 Enrollment ID: I20130703000461 |
| Provider Name | Kimberly Simcox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770711855 PECOS PAC ID: 4385885151 Enrollment ID: I20130722000411 |
| Provider Name | Sandeep Ravi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902056781 PECOS PAC ID: 0446422521 Enrollment ID: I20130723000366 |
| Provider Name | Najib Sawaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326336900 PECOS PAC ID: 7618118324 Enrollment ID: I20130723000443 |
| Provider Name | Suresh Ponnada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689967911 PECOS PAC ID: 2365683620 Enrollment ID: I20130729000770 |
| Provider Name | Christofer Clair Catterson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164442422 PECOS PAC ID: 0547236804 Enrollment ID: I20130807000538 |
| Provider Name | William D Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386811073 PECOS PAC ID: 9335381904 Enrollment ID: I20130809000667 |
| Provider Name | Ira G Shaywitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932212214 PECOS PAC ID: 4486660727 Enrollment ID: I20130813000398 |
| Provider Name | Sarah L Stubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508185893 PECOS PAC ID: 3678715919 Enrollment ID: I20130815000489 |
| Provider Name | Om Samantray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477877439 PECOS PAC ID: 6901048156 Enrollment ID: I20130816000866 |
| Provider Name | Kunal T Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598078651 PECOS PAC ID: 7214170372 Enrollment ID: I20130821000772 |
| Provider Name | Angela Venuto-ashton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467775445 PECOS PAC ID: 3375786072 Enrollment ID: I20130828000474 |
| Provider Name | Mary Ellen C Mick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124339924 PECOS PAC ID: 0143477216 Enrollment ID: I20130903000641 |
| Provider Name | Thomas D Conlee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669638615 PECOS PAC ID: 0941443311 Enrollment ID: I20130904000363 |
| Provider Name | Kimberly R Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871811000 PECOS PAC ID: 1153569728 Enrollment ID: I20130916000651 |
| Provider Name | John V Kottarathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477735439 PECOS PAC ID: 4082750484 Enrollment ID: I20131004000278 |
| Provider Name | William J Greer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760690440 PECOS PAC ID: 0143312124 Enrollment ID: I20131009001193 |
| Provider Name | Christopher A Rippel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790945319 PECOS PAC ID: 1951535327 Enrollment ID: I20131018000519 |
| Provider Name | Horatiu Calin Dancea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841455193 PECOS PAC ID: 5092940379 Enrollment ID: I20131022000722 |
| Provider Name | Margaret A Grove |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528201506 PECOS PAC ID: 2961637251 Enrollment ID: I20131022000861 |
| Provider Name | Heather O Greer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093923765 PECOS PAC ID: 5597818997 Enrollment ID: I20131024001352 |
| Provider Name | Susan D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821425174 PECOS PAC ID: 2961639034 Enrollment ID: I20131217000364 |
| Provider Name | Manil Kukar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538461199 PECOS PAC ID: 6507093572 Enrollment ID: I20131219000127 |
| Provider Name | Ekta Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093948598 PECOS PAC ID: 6507093424 Enrollment ID: I20131220000021 |
| Provider Name | Samuel D Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326478264 PECOS PAC ID: 7517196736 Enrollment ID: I20140211001570 |
| Provider Name | Christopher M Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760500193 PECOS PAC ID: 1254402118 Enrollment ID: I20140304001705 |
| Provider Name | Ryan N Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477654473 PECOS PAC ID: 6800027020 Enrollment ID: I20140401000013 |
| Provider Name | Donna C Bond |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1336574409 PECOS PAC ID: 7810129012 Enrollment ID: I20140422000336 |
| Provider Name | Jessica R Whiting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576107 PECOS PAC ID: 5294982948 Enrollment ID: I20140422001379 |
| Provider Name | Danielle N Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623913 PECOS PAC ID: 9032342076 Enrollment ID: I20140429000462 |
| Provider Name | Mark E Kasmer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316189590 PECOS PAC ID: 6800011347 Enrollment ID: I20140625002321 |
| Provider Name | William Blaskis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043599186 PECOS PAC ID: 0749406023 Enrollment ID: I20140722001989 |
| Provider Name | Biraj M Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235175431 PECOS PAC ID: 7113165259 Enrollment ID: I20140804000924 |
| Provider Name | Peter M Dereus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568774875 PECOS PAC ID: 9931343357 Enrollment ID: I20140819001350 |
| Provider Name | Farrell C Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992904882 PECOS PAC ID: 2961620703 Enrollment ID: I20140820001445 |
| Provider Name | Gates E Hoover |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316973118 PECOS PAC ID: 1254326093 Enrollment ID: I20140826002329 |
| Provider Name | Isaac Spence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760772552 PECOS PAC ID: 3577781954 Enrollment ID: I20140826002955 |
| Provider Name | Sherry M Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477892651 PECOS PAC ID: 4486872868 Enrollment ID: I20140826002962 |
| Provider Name | Ayesha Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023252079 PECOS PAC ID: 9133353022 Enrollment ID: I20140903001302 |
| Provider Name | Dana R Garnand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649684267 PECOS PAC ID: 2567681331 Enrollment ID: I20140910001844 |
| Provider Name | Shyam Sundhar Odeti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154614816 PECOS PAC ID: 0143449785 Enrollment ID: I20140915000966 |
| Provider Name | James A Maxey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730355231 PECOS PAC ID: 7214156777 Enrollment ID: I20140915002053 |
| Provider Name | Betina Nakoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474376 PECOS PAC ID: 4183843667 Enrollment ID: I20140916000020 |
| Provider Name | Rebekah Mckelvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730594417 PECOS PAC ID: 2062631583 Enrollment ID: I20140916001629 |
| Provider Name | Melissa Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891101770 PECOS PAC ID: 7719106913 Enrollment ID: I20140922000917 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20140922002072 |
| Provider Name | Sorin Scarlatescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477652295 PECOS PAC ID: 8527119551 Enrollment ID: I20140929001537 |
| Provider Name | David T Luyimbazi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1467651877 PECOS PAC ID: 2163688979 Enrollment ID: I20141007000312 |
| Provider Name | Christine M Ullman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649566423 PECOS PAC ID: 2365699436 Enrollment ID: I20141023002421 |
| Provider Name | Brandi L Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861792400 PECOS PAC ID: 6901089044 Enrollment ID: I20141104000789 |
| Provider Name | Philip E Wakefield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679581318 PECOS PAC ID: 2860498722 Enrollment ID: I20141202001538 |
| Provider Name | Harriet Hodgkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097080 PECOS PAC ID: 1658443288 Enrollment ID: I20141213000250 |
| Provider Name | Emily P Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124422845 PECOS PAC ID: 4880918283 Enrollment ID: I20150113000454 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20150127000306 |
| Provider Name | Barryton Decruse Waanbah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790808 PECOS PAC ID: 9739302779 Enrollment ID: I20150309000249 |
| Provider Name | Ido Heletz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982812574 PECOS PAC ID: 1850423286 Enrollment ID: I20150323000129 |
| Provider Name | Carrie S Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962813246 PECOS PAC ID: 5890012793 Enrollment ID: I20150401002003 |
| Provider Name | Kimberly Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619399631 PECOS PAC ID: 3072833771 Enrollment ID: I20150521001322 |
| Provider Name | Sheila V Garnica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942465307 PECOS PAC ID: 4183818073 Enrollment ID: I20150616000106 |
| Provider Name | Kathleen P Bogacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417973470 PECOS PAC ID: 7810975182 Enrollment ID: I20150616000772 |
| Provider Name | Kimberly T Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467847046 PECOS PAC ID: 7810208931 Enrollment ID: I20150616002212 |
| Provider Name | Mary Carter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669796561 PECOS PAC ID: 2860703741 Enrollment ID: I20150618001654 |
| Provider Name | Puja R Ganjwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790188266 PECOS PAC ID: 7416269790 Enrollment ID: I20150629001842 |
| Provider Name | Sarah Thomas |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1376786517 PECOS PAC ID: 1951613819 Enrollment ID: I20150707000259 |
| Provider Name | Matthew S Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811262215 PECOS PAC ID: 7618110107 Enrollment ID: I20150714001339 |
| Provider Name | Michelle L Shaub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831458041 PECOS PAC ID: 4688996218 Enrollment ID: I20150722005160 |
| Provider Name | Keith P Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184884439 PECOS PAC ID: 8820302920 Enrollment ID: I20150803002430 |
| Provider Name | Jonathan R Maher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669549986 PECOS PAC ID: 6507081148 Enrollment ID: I20150810002650 |
| Provider Name | Christopher Ransom Reynolds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790005288 PECOS PAC ID: 6507171303 Enrollment ID: I20150821013579 |
| Provider Name | Dustin M Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528382587 PECOS PAC ID: 6204064082 Enrollment ID: I20150916000530 |
| Provider Name | Jesse B Seamon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306002431 PECOS PAC ID: 5294950770 Enrollment ID: I20150918002219 |
| Provider Name | Sarah C Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087359 PECOS PAC ID: 7416264650 Enrollment ID: I20150921000677 |
| Provider Name | Karen K Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942566898 PECOS PAC ID: 6002040136 Enrollment ID: I20151005001064 |
| Provider Name | Erin Howes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003832940 PECOS PAC ID: 6305863713 Enrollment ID: I20151005002751 |
| Provider Name | Benjamin Ray Coobs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225272396 PECOS PAC ID: 7517183429 Enrollment ID: I20151006000556 |
| Provider Name | Peter J Apel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013178052 PECOS PAC ID: 5496989386 Enrollment ID: I20151026000945 |
| Provider Name | Lisa A Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649528381 PECOS PAC ID: 9234372749 Enrollment ID: I20151027000603 |
| Provider Name | Amanda W Pallone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407119746 PECOS PAC ID: 3971739632 Enrollment ID: I20151027002269 |
| Provider Name | Erik D Womeldorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982627519 PECOS PAC ID: 1355446600 Enrollment ID: I20151105001035 |
| Provider Name | Crista Ann Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730582123 PECOS PAC ID: 3173846029 Enrollment ID: I20151109001925 |
| Provider Name | Robert Steven Childers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588600761 PECOS PAC ID: 3375579568 Enrollment ID: I20160107002793 |
| Provider Name | Brian L Beacham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053511436 PECOS PAC ID: 2668641788 Enrollment ID: I20160316001957 |
| Provider Name | Kristina S Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063708204 PECOS PAC ID: 7012214828 Enrollment ID: I20160322001821 |
| Provider Name | Kara K Norcross |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457542086 PECOS PAC ID: 0840597142 Enrollment ID: I20160331002490 |
| Provider Name | James T Thompson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730292236 PECOS PAC ID: 0143329458 Enrollment ID: I20160405000702 |
| Provider Name | Kelly S Holderfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538527817 PECOS PAC ID: 1456659861 Enrollment ID: I20160419001848 |
| Provider Name | Allison Lippert Boatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891010278 PECOS PAC ID: 1254560964 Enrollment ID: I20160419002078 |
| Provider Name | Julie A Zielinski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427207638 PECOS PAC ID: 8628261484 Enrollment ID: I20160520000423 |
| Provider Name | Sarah S Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619330495 PECOS PAC ID: 6103117155 Enrollment ID: I20160622000425 |
| Provider Name | Jordan White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912368275 PECOS PAC ID: 6305137274 Enrollment ID: I20160623001552 |
| Provider Name | Ritesh Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508109422 PECOS PAC ID: 8224263850 Enrollment ID: I20160705000558 |
| Provider Name | Denny R Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573478 PECOS PAC ID: 0648591487 Enrollment ID: I20160713000062 |
| Provider Name | Ryan Fulton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346582228 PECOS PAC ID: 8022242023 Enrollment ID: I20160713001533 |
| Provider Name | Lorne M Dindial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876245 PECOS PAC ID: 4880829423 Enrollment ID: I20160728001652 |
| Provider Name | Betegelu Y Taye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306257118 PECOS PAC ID: 8426371626 Enrollment ID: I20160808001932 |
| Provider Name | Renee Y Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023463122 PECOS PAC ID: 9931493244 Enrollment ID: I20160810000026 |
| Provider Name | Kristin A Liebrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881031839 PECOS PAC ID: 7214162791 Enrollment ID: I20160822001510 |
| Provider Name | Krishna Sukayogula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720428766 PECOS PAC ID: 8325333891 Enrollment ID: I20160823001016 |
| Provider Name | Corey Michael Fidler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942566252 PECOS PAC ID: 5799098398 Enrollment ID: I20160823001883 |
| Provider Name | Kyle A Prickett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942591375 PECOS PAC ID: 5395053052 Enrollment ID: I20160826000526 |
| Provider Name | Joshua G Gazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013259449 PECOS PAC ID: 7012142706 Enrollment ID: I20160829003066 |
| Provider Name | Colin T Brandt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811128366 PECOS PAC ID: 5294035754 Enrollment ID: I20160830001365 |
| Provider Name | Fielding C Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376822080 PECOS PAC ID: 4183944093 Enrollment ID: I20160901000219 |
| Provider Name | Derek R Holmes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851519813 PECOS PAC ID: 4183655764 Enrollment ID: I20161114001502 |
| Provider Name | Joel M Hullett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528251030 PECOS PAC ID: 6103957717 Enrollment ID: I20170110000013 |
| Provider Name | Kate Humphrey Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942743265 PECOS PAC ID: 2961783725 Enrollment ID: I20170110002000 |
| Provider Name | Emily J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881081677 PECOS PAC ID: 3476834102 Enrollment ID: I20170111001397 |
| Provider Name | Lindsay P Call |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235490608 PECOS PAC ID: 9931483740 Enrollment ID: I20170222002497 |
| Provider Name | Whitney Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093262164 PECOS PAC ID: 1355626219 Enrollment ID: I20170316001600 |
| Provider Name | Elizabeth Russo Stringer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922131754 PECOS PAC ID: 3375643745 Enrollment ID: I20170405000355 |
| Provider Name | Michael S Nussbaum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972571669 PECOS PAC ID: 2668470238 Enrollment ID: I20170420000044 |
| Provider Name | Michelle N Dowdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679017651 PECOS PAC ID: 9638446107 Enrollment ID: I20170605001712 |
| Provider Name | Justin A Lodenkemper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619382215 PECOS PAC ID: 7416179205 Enrollment ID: I20170710000910 |
| Provider Name | Caroline M Chisholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134546070 PECOS PAC ID: 8426342593 Enrollment ID: I20170712002210 |
| Provider Name | Caroline Thomsen Egloff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043749153 PECOS PAC ID: 6608146972 Enrollment ID: I20170719001033 |
| Provider Name | Amanda M Tiffany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154731198 PECOS PAC ID: 6002036654 Enrollment ID: I20170725003235 |
| Provider Name | Katherine E Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740690759 PECOS PAC ID: 9638399348 Enrollment ID: I20170807003449 |
| Provider Name | Mariana Gomez De La Espriella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003175142 PECOS PAC ID: 5991076010 Enrollment ID: I20170809000242 |
| Provider Name | Jonathan C Saks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640590 PECOS PAC ID: 9234357278 Enrollment ID: I20170814000983 |
| Provider Name | Brian T Tully |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649314311 PECOS PAC ID: 8628261641 Enrollment ID: I20170814001505 |
| Provider Name | Natalie E Karp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972820322 PECOS PAC ID: 3678701455 Enrollment ID: I20170815004007 |
| Provider Name | Stephen F Cromer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730318486 PECOS PAC ID: 8527294149 Enrollment ID: I20170817002429 |
| Provider Name | Jaclyn Nunziato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073956314 PECOS PAC ID: 7810269305 Enrollment ID: I20170817002951 |
| Provider Name | Erin J Saks |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1326359688 PECOS PAC ID: 3173895570 Enrollment ID: I20170821000089 |
| Provider Name | John R Tuttle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528388360 PECOS PAC ID: 5294952628 Enrollment ID: I20170829001407 |
| Provider Name | Ashley A Tuttle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588981286 PECOS PAC ID: 6204053069 Enrollment ID: I20170831002480 |
| Provider Name | James N Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366734154 PECOS PAC ID: 2062725625 Enrollment ID: I20170906000142 |
| Provider Name | Sheryl M Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417901125 PECOS PAC ID: 4082611165 Enrollment ID: I20170908002308 |
| Provider Name | Melissa C Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720372 PECOS PAC ID: 8921372863 Enrollment ID: I20170915002755 |
| Provider Name | Richard C Massaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154558658 PECOS PAC ID: 7214174127 Enrollment ID: I20170919000502 |
| Provider Name | Martha Willis Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265858161 PECOS PAC ID: 5193090140 Enrollment ID: I20171002002292 |
| Provider Name | Brittany B Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629498886 PECOS PAC ID: 5395965008 Enrollment ID: I20171013000331 |
| Provider Name | Jen G Holofchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235656927 PECOS PAC ID: 9931465804 Enrollment ID: I20171108003564 |
| Provider Name | Vydia Permashwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336245471 PECOS PAC ID: 0244597888 Enrollment ID: I20171206002252 |
| Provider Name | John Michael Martino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457647505 PECOS PAC ID: 3971747254 Enrollment ID: I20171207001720 |
| Provider Name | Jennifer Tarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087500 PECOS PAC ID: 6901163427 Enrollment ID: I20171207002406 |
| Provider Name | April L Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326559550 PECOS PAC ID: 7517225030 Enrollment ID: I20171211000976 |
| Provider Name | Judith A Collins-cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437147055 PECOS PAC ID: 4587922729 Enrollment ID: I20171218001706 |
| Provider Name | Sharon L Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366635880 PECOS PAC ID: 1456497478 Enrollment ID: I20171227002935 |
| Provider Name | Jonathan Drew Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700814464 PECOS PAC ID: 0042318701 Enrollment ID: I20180102002674 |
| Provider Name | Pamela R Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074563 PECOS PAC ID: 8325307978 Enrollment ID: I20180106000029 |
| Provider Name | Diane V Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134639123 PECOS PAC ID: 3678832516 Enrollment ID: I20180122002294 |
| Provider Name | India S Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972021020 PECOS PAC ID: 2365701109 Enrollment ID: I20180124000385 |
| Provider Name | Taaliba Al-alim Sahib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174979587 PECOS PAC ID: 4082973706 Enrollment ID: I20180125000890 |
| Provider Name | Holly Borkert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679086656 PECOS PAC ID: 6507126760 Enrollment ID: I20180207002480 |
| Provider Name | Shan R Fairbanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003202847 PECOS PAC ID: 8921388521 Enrollment ID: I20180227000607 |
| Provider Name | David M Woodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073925749 PECOS PAC ID: 3375762313 Enrollment ID: I20180307002622 |
| Provider Name | Amber Janielle Hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992257166 PECOS PAC ID: 4385926385 Enrollment ID: I20180326000796 |
| Provider Name | Violet R Wender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861994022 PECOS PAC ID: 0143584268 Enrollment ID: I20180425002493 |
| Provider Name | Aashit Kanubhai Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326085028 PECOS PAC ID: 3779595947 Enrollment ID: I20180511001396 |
| Provider Name | Ashley E Supanich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861903932 PECOS PAC ID: 6608121702 Enrollment ID: I20180613001838 |
| Provider Name | Badri Giri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144484007 PECOS PAC ID: 0042344806 Enrollment ID: I20180615001619 |
| Provider Name | Obafaemi A Ifelowo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659767994 PECOS PAC ID: 3173830742 Enrollment ID: I20180618002532 |
| Provider Name | Prashant Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841674652 PECOS PAC ID: 1153624713 Enrollment ID: I20180619000020 |
| Provider Name | Shannon Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891284295 PECOS PAC ID: 0244586212 Enrollment ID: I20180705000484 |
| Provider Name | Cory Lee Cummings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366821928 PECOS PAC ID: 0749561223 Enrollment ID: I20180711002087 |
| Provider Name | Brijesh Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528367349 PECOS PAC ID: 9335383074 Enrollment ID: I20180713000249 |
| Provider Name | John Rudderow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043576267 PECOS PAC ID: 9830332089 Enrollment ID: I20180717000148 |
| Provider Name | Edward Michael Cordasco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164428090 PECOS PAC ID: 5799718201 Enrollment ID: I20180718003812 |
| Provider Name | Phyllis Dianne Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518035286 PECOS PAC ID: 1850520115 Enrollment ID: I20180723002560 |
| Provider Name | Matthew Daniel Roby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265708457 PECOS PAC ID: 6901049402 Enrollment ID: I20180725000462 |
| Provider Name | Lawrence L Carpio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841677598 PECOS PAC ID: 3476860339 Enrollment ID: I20180730000908 |
| Provider Name | Lindsay Mary Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215485966 PECOS PAC ID: 7517241730 Enrollment ID: I20180730001228 |
| Provider Name | Blayne K Patton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508253683 PECOS PAC ID: 7911213863 Enrollment ID: I20180803002936 |
| Provider Name | Kathleen Sabina Dunbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144463480 PECOS PAC ID: 0840442869 Enrollment ID: I20180806000030 |
| Provider Name | Robyn N Beail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477044808 PECOS PAC ID: 8123379682 Enrollment ID: I20180921001200 |
| Provider Name | Calandra M Quarles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194104968 PECOS PAC ID: 4183938798 Enrollment ID: I20181015001177 |
| Provider Name | Amanda Belanger Luby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083138150 PECOS PAC ID: 3173889763 Enrollment ID: I20181016003012 |
| Provider Name | Thomas G Kraemer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093707432 PECOS PAC ID: 1951294867 Enrollment ID: I20181023002837 |
| Provider Name | Amy Lynn Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445733 PECOS PAC ID: 6406109149 Enrollment ID: I20181027000063 |
| Provider Name | Daniel C Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124511738 PECOS PAC ID: 6901150838 Enrollment ID: I20181113001780 |
| Provider Name | Beverly Kay Billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891276465 PECOS PAC ID: 0547514143 Enrollment ID: I20181119000811 |
| Provider Name | Corinne O'shaughnessy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992281877 PECOS PAC ID: 7012269533 Enrollment ID: I20181121002368 |
| Provider Name | Kristy R Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489097 PECOS PAC ID: 6608110309 Enrollment ID: I20181206003257 |
| Provider Name | Heather Linkous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235661596 PECOS PAC ID: 5698037166 Enrollment ID: I20181207002096 |
| Provider Name | Jon Thomas Royall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811274988 PECOS PAC ID: 6507083672 Enrollment ID: I20181220000956 |
| Provider Name | Jaimie Nichole Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281461 PECOS PAC ID: 6608112735 Enrollment ID: I20190110002918 |
| Provider Name | Olga Lucia Marin-hoefner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326105412 PECOS PAC ID: 5496996019 Enrollment ID: I20190207002841 |
| Provider Name | Andrew J. Behnke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447256326 PECOS PAC ID: 1850288226 Enrollment ID: I20190213002517 |
| Provider Name | Laura Roberts Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467931311 PECOS PAC ID: 8022357201 Enrollment ID: I20190306000324 |
| Provider Name | Gurlal Singh Baidwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730568411 PECOS PAC ID: 3577876655 Enrollment ID: I20190313001207 |
| Provider Name | Victoria N Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639646631 PECOS PAC ID: 6608116272 Enrollment ID: I20190318001363 |
| Provider Name | Paul Michael Barkovic Balbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851860936 PECOS PAC ID: 8325388515 Enrollment ID: I20190326001794 |
| Provider Name | Briana M Beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891181228 PECOS PAC ID: 0941517874 Enrollment ID: I20190403002962 |
| Provider Name | Sarah Abey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306318084 PECOS PAC ID: 0042551319 Enrollment ID: I20190415001671 |
| Provider Name | Eric Richard Oliver |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700955127 PECOS PAC ID: 7012194715 Enrollment ID: I20190416000869 |
| Provider Name | Brian Arthur Hoffmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548244718 PECOS PAC ID: 8729153754 Enrollment ID: I20190417001760 |
| Provider Name | Taylor Griffith Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275962979 PECOS PAC ID: 3173866167 Enrollment ID: I20190514002501 |
| Provider Name | Cody Shay Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700356573 PECOS PAC ID: 2961745989 Enrollment ID: I20190515000686 |
| Provider Name | Saira Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780815738 PECOS PAC ID: 0244475465 Enrollment ID: I20190603002240 |
| Provider Name | Brian A Yeary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053774083 PECOS PAC ID: 0749575991 Enrollment ID: I20190617001247 |
| Provider Name | Marek Gruca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679026561 PECOS PAC ID: 3173861978 Enrollment ID: I20190625003076 |
| Provider Name | Christopher Paul Waasdorp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699189720 PECOS PAC ID: 6204123730 Enrollment ID: I20190626001002 |
| Provider Name | Justin Haven Price |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174789465 PECOS PAC ID: 4486822491 Enrollment ID: I20190722000199 |
| Provider Name | Shelley T Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922566132 PECOS PAC ID: 8729315346 Enrollment ID: I20190806000040 |
| Provider Name | Keri Sawyers Mcgrady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710449467 PECOS PAC ID: 0042547309 Enrollment ID: I20190808002339 |
| Provider Name | Katherine Elizabeth Chafin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063975282 PECOS PAC ID: 0547597783 Enrollment ID: I20190809001663 |
| Provider Name | Nalliene M Chavez Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952755233 PECOS PAC ID: 7416242870 Enrollment ID: I20190812000881 |
| Provider Name | Elaine Pelletier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942864269 PECOS PAC ID: 8224365119 Enrollment ID: I20190815001598 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20190815003051 |
| Provider Name | Robert B Swanson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285893495 PECOS PAC ID: 4385954049 Enrollment ID: I20190821001357 |
| Provider Name | Margaret Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710540612 PECOS PAC ID: 7517920937 Enrollment ID: I20190828003520 |
| Provider Name | Vivek Natarajan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871819722 PECOS PAC ID: 2769636018 Enrollment ID: I20190906001093 |
| Provider Name | Ashley Rose Dudden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790072254 PECOS PAC ID: 8729257100 Enrollment ID: I20190911001169 |
| Provider Name | Sue Liedtke Hoffmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134168784 PECOS PAC ID: 5890731509 Enrollment ID: I20190916001972 |
| Provider Name | Michelle Firebaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053872697 PECOS PAC ID: 4183953284 Enrollment ID: I20190916002579 |
| Provider Name | Jared Branin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225490287 PECOS PAC ID: 7416240098 Enrollment ID: I20190916003451 |
| Provider Name | Terry Paul Nickerson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1063733350 PECOS PAC ID: 2466626999 Enrollment ID: I20190923000951 |
| Provider Name | Michael Bergen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407116718 PECOS PAC ID: 0941568604 Enrollment ID: I20190924000108 |
| Provider Name | Michael C Knight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659710093 PECOS PAC ID: 3870844269 Enrollment ID: I20190924000316 |
| Provider Name | Jennifer Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033626361 PECOS PAC ID: 2062742711 Enrollment ID: I20190924001478 |
| Provider Name | Richard Wilson Mellon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770570301 PECOS PAC ID: 3779751383 Enrollment ID: I20190927000438 |
| Provider Name | Anita I Register |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053798504 PECOS PAC ID: 8628361243 Enrollment ID: I20191008000312 |
| Provider Name | Johanthan C Hillyard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750736518 PECOS PAC ID: 3173816923 Enrollment ID: I20191009003461 |
| Provider Name | Gretchen Elizabeth Ann Waninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134782691 PECOS PAC ID: 5092047167 Enrollment ID: I20191023002272 |
| Provider Name | Jarrod Uhrig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891187365 PECOS PAC ID: 0446567135 Enrollment ID: I20191023003423 |
| Provider Name | Mandee Stull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023676798 PECOS PAC ID: 1850623786 Enrollment ID: I20191026000083 |
| Provider Name | Steven Joshua Holley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902885221 PECOS PAC ID: 4789995754 Enrollment ID: I20191029000335 |
| Provider Name | Maria Josephina Circosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578116042 PECOS PAC ID: 4486986148 Enrollment ID: I20191029003397 |
| Provider Name | Jacquelyn Leigh Wentworth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447644489 PECOS PAC ID: 5092022988 Enrollment ID: I20191112000741 |
| Provider Name | Stephanie Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982966206 PECOS PAC ID: 8628220100 Enrollment ID: I20191120001055 |
| Provider Name | Tasaduq N Fazili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548215171 PECOS PAC ID: 9931091071 Enrollment ID: I20191209000290 |
| Provider Name | Alexis Marie Inaman Misra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154971216 PECOS PAC ID: 3375978752 Enrollment ID: I20200113001032 |
| Provider Name | Linda T Kirilenko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992775217 PECOS PAC ID: 6709009194 Enrollment ID: I20200115003137 |
| Provider Name | Jenna Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467094177 PECOS PAC ID: 9830524040 Enrollment ID: I20200116001370 |
| Provider Name | Rachel Marie Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264782 PECOS PAC ID: 9234564238 Enrollment ID: I20200122000814 |
| Provider Name | Kelsey Campbell Fortin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485539 PECOS PAC ID: 8921433715 Enrollment ID: I20200124002268 |
| Provider Name | Bradley Allen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396132940 PECOS PAC ID: 5799092607 Enrollment ID: I20200129002406 |
| Provider Name | Lindsey Marie Clemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418938 PECOS PAC ID: 1052747243 Enrollment ID: I20200206002197 |
| Provider Name | Adam Ryan Donithan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053721175 PECOS PAC ID: 4587888565 Enrollment ID: I20200311001092 |
| Provider Name | Tessa Lynn Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922643428 PECOS PAC ID: 5991133084 Enrollment ID: I20200402002759 |
| Provider Name | John Randall Finch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740249028 PECOS PAC ID: 6507832367 Enrollment ID: I20200408002982 |
| Provider Name | Lauren Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407281520 PECOS PAC ID: 4789811613 Enrollment ID: I20200410000201 |
| Provider Name | Titus Dutcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999796 PECOS PAC ID: 3971581349 Enrollment ID: I20200422002857 |
| Provider Name | Jinoh Sandberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043585904 PECOS PAC ID: 7113358201 Enrollment ID: I20200505000797 |
| Provider Name | Michael Cavender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831453604 PECOS PAC ID: 8921395229 Enrollment ID: I20200527000794 |
| Provider Name | Kimberly D Clay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962531921 PECOS PAC ID: 9133274954 Enrollment ID: I20200602001696 |
| Provider Name | Mohammad T Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518370030 PECOS PAC ID: 2466762729 Enrollment ID: I20200615002805 |
| Provider Name | Alina Polonsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104347657 PECOS PAC ID: 5193051928 Enrollment ID: I20200619001532 |
| Provider Name | Thomas Vacek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154681989 PECOS PAC ID: 6709000409 Enrollment ID: I20200622001132 |
| Provider Name | Elizabeth K Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356872600 PECOS PAC ID: 7012331424 Enrollment ID: I20200717002353 |
| Provider Name | Claire Dickens Craft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770946980 PECOS PAC ID: 8729379433 Enrollment ID: I20200720003311 |
| Provider Name | Ariel Stearnes Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508387051 PECOS PAC ID: 7012243868 Enrollment ID: I20200805000775 |
| Provider Name | Lisa R Zettler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083247555 PECOS PAC ID: 2668897794 Enrollment ID: I20200805003303 |
| Provider Name | Vaibhav Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699034371 PECOS PAC ID: 2466786058 Enrollment ID: I20200811001113 |
| Provider Name | David Feigal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013337351 PECOS PAC ID: 0446470199 Enrollment ID: I20200811003949 |
| Provider Name | Kristina Dukes Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992225312 PECOS PAC ID: 6406121979 Enrollment ID: I20200812002054 |
| Provider Name | Ryan Putnam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043369853 PECOS PAC ID: 7911071816 Enrollment ID: I20200812002506 |
| Provider Name | Michael Omalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740508399 PECOS PAC ID: 8921310020 Enrollment ID: I20200812002524 |
| Provider Name | Oluyemisi Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568994911 PECOS PAC ID: 3870866015 Enrollment ID: I20200812003559 |
| Provider Name | Michael Timothy Quinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225370893 PECOS PAC ID: 5799910329 Enrollment ID: I20200814001615 |
| Provider Name | Mohammed Bermo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972902732 PECOS PAC ID: 1850612508 Enrollment ID: I20200817000603 |
| Provider Name | Jessica Sosa-stanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235558982 PECOS PAC ID: 3476773219 Enrollment ID: I20200821000537 |
| Provider Name | Lisa Marie Belderes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629058532 PECOS PAC ID: 0941627855 Enrollment ID: I20200824002020 |
| Provider Name | Lauren Maxwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053947705 PECOS PAC ID: 1557788486 Enrollment ID: I20200824002512 |
| Provider Name | Cody Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609119213 PECOS PAC ID: 8820221161 Enrollment ID: I20200825001169 |
| Provider Name | Sarah Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871836270 PECOS PAC ID: 6305075086 Enrollment ID: I20200825001896 |
| Provider Name | Ryan Kent Martiniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639608367 PECOS PAC ID: 1052738705 Enrollment ID: I20200826003804 |
| Provider Name | Molly Omalley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497075329 PECOS PAC ID: 4284877010 Enrollment ID: I20200827000412 |
| Provider Name | Caleb Cutherell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760877377 PECOS PAC ID: 3971810797 Enrollment ID: I20200827002203 |
| Provider Name | Emily Guill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528694262 PECOS PAC ID: 0446677058 Enrollment ID: I20200827002597 |
| Provider Name | Chelsea Ambroz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144751603 PECOS PAC ID: 0042583270 Enrollment ID: I20200901000915 |
| Provider Name | Ashley W Gerrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063830305 PECOS PAC ID: 1456571116 Enrollment ID: I20200909003335 |
| Provider Name | Elaina Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871905752 PECOS PAC ID: 3971728122 Enrollment ID: I20200918000080 |
| Provider Name | Biwar Z Marof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639601065 PECOS PAC ID: 3274952320 Enrollment ID: I20200923002169 |
| Provider Name | Erika S Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881126647 PECOS PAC ID: 8224301544 Enrollment ID: I20201009002376 |
| Provider Name | Blair Caroline Rives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003439324 PECOS PAC ID: 8022438183 Enrollment ID: I20201012002439 |
| Provider Name | Patricia Dell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063943934 PECOS PAC ID: 6901179142 Enrollment ID: I20201013000374 |
| Provider Name | Kristin Mccoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003202425 PECOS PAC ID: 1456761758 Enrollment ID: I20201027001879 |
| Provider Name | Nicholas Bruce Yelverton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386082956 PECOS PAC ID: 7214150580 Enrollment ID: I20201112001114 |
| Provider Name | Caroline Coulter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104237361 PECOS PAC ID: 0244504165 Enrollment ID: I20201118000182 |
| Provider Name | Bethany Ellen Elza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619409166 PECOS PAC ID: 0446523666 Enrollment ID: I20201118001002 |
| Provider Name | Vivek Kesar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558629857 PECOS PAC ID: 2668727496 Enrollment ID: I20201118002038 |
| Provider Name | Mohamed S Nagiub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134431760 PECOS PAC ID: 8426290479 Enrollment ID: I20201124003072 |
| Provider Name | Katherine H Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811925 PECOS PAC ID: 1355635590 Enrollment ID: I20201201002813 |
| Provider Name | Jessica Danielle Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366059941 PECOS PAC ID: 3476966896 Enrollment ID: I20210104001035 |
| Provider Name | Ashley P Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265034060 PECOS PAC ID: 8426462979 Enrollment ID: I20210125002872 |
| Provider Name | Elizabeth Bartley Poor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902400799 PECOS PAC ID: 3476968983 Enrollment ID: I20210216000549 |
| Provider Name | Misty Spring Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245838267 PECOS PAC ID: 4284040569 Enrollment ID: I20210311000561 |
| Provider Name | Natalie Huntington Vaughn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093133845 PECOS PAC ID: 2769605914 Enrollment ID: I20210323001343 |
| Provider Name | Quianna Shanea Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043808231 PECOS PAC ID: 4688081151 Enrollment ID: I20210330000004 |
| Provider Name | Prasanti Pinnamaraju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225638026 PECOS PAC ID: 9537577390 Enrollment ID: I20210415000120 |
| Provider Name | Melissa S Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952986804 PECOS PAC ID: 9537568365 Enrollment ID: I20210528000335 |
| Provider Name | Clarence E Pearson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083618987 PECOS PAC ID: 7719970789 Enrollment ID: I20210609002088 |
| Provider Name | Michael P Kelley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639251929 PECOS PAC ID: 1153220017 Enrollment ID: I20210610000050 |
| Provider Name | David Bai Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316443989 PECOS PAC ID: 9638579527 Enrollment ID: I20210615000968 |
| Provider Name | Danielle Michelle Sturgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275116279 PECOS PAC ID: 0749680510 Enrollment ID: I20210616000151 |
| Provider Name | Anthony A Baldoni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134508112 PECOS PAC ID: 3779897491 Enrollment ID: I20210621001773 |
| Provider Name | Kari Mccoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750778304 PECOS PAC ID: 1355658212 Enrollment ID: I20210629000596 |
| Provider Name | Patricia Lettau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932105475 PECOS PAC ID: 0749254308 Enrollment ID: I20210701002546 |
| Provider Name | Matthew Benjamin Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104495894 PECOS PAC ID: 3274936562 Enrollment ID: I20210723002210 |
| Provider Name | Nicholas Karo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245727502 PECOS PAC ID: 4486906419 Enrollment ID: I20210730003138 |
| Provider Name | Alyssa Brooke Watkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821529454 PECOS PAC ID: 8628340361 Enrollment ID: I20210908000198 |
| Provider Name | Linsey Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215433842 PECOS PAC ID: 7719236413 Enrollment ID: I20210909002618 |
| Provider Name | Murillo Adrados |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124409453 PECOS PAC ID: 1951617836 Enrollment ID: I20210910001627 |
| Provider Name | Elaine Renick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497245351 PECOS PAC ID: 2466888201 Enrollment ID: I20210916000566 |
| Provider Name | Scott Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578855011 PECOS PAC ID: 5395984330 Enrollment ID: I20210922000960 |
| Provider Name | Jonathan Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851825509 PECOS PAC ID: 9335416502 Enrollment ID: I20210922001221 |
| Provider Name | Billy Lee Turner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497251839 PECOS PAC ID: 3779832746 Enrollment ID: I20210924002299 |
| Provider Name | Matthew Tucker Joy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356760284 PECOS PAC ID: 3971723644 Enrollment ID: I20210924002535 |
| Provider Name | Grigorii Gennadiyouych Bouldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912260787 PECOS PAC ID: 7113324682 Enrollment ID: I20210927000266 |
| Provider Name | Thomas Kodankandath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326313529 PECOS PAC ID: 8820367451 Enrollment ID: I20210927001799 |
| Provider Name | Emily J Staples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477914893 PECOS PAC ID: 9436406006 Enrollment ID: I20210928002652 |
| Provider Name | Carver Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639674526 PECOS PAC ID: 3375807720 Enrollment ID: I20210930002480 |
| Provider Name | Nikesh S Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932594389 PECOS PAC ID: 0749601797 Enrollment ID: I20210930002732 |
| Provider Name | Sarah Samples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235755786 PECOS PAC ID: 7113325465 Enrollment ID: I20211018001305 |
| Provider Name | Steven Solik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700807468 PECOS PAC ID: 8921102021 Enrollment ID: I20211025003057 |
| Provider Name | Anna L Battiata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154991677 PECOS PAC ID: 3072901974 Enrollment ID: I20211026002420 |
| Provider Name | Aria M Behrouzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114419025 PECOS PAC ID: 9335487073 Enrollment ID: I20211026002679 |
| Provider Name | Kirsten Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467980177 PECOS PAC ID: 9436428562 Enrollment ID: I20211029000254 |
| Provider Name | Shannen Elaine Plaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477226975 PECOS PAC ID: 1658760590 Enrollment ID: I20211115000699 |
| Provider Name | Arthur Ollendorff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205862737 PECOS PAC ID: 6406836519 Enrollment ID: I20211116000098 |
| Provider Name | Brooke Ware Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184397416 PECOS PAC ID: 1254720162 Enrollment ID: I20211116000379 |
| Provider Name | Aja Hamden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700383957 PECOS PAC ID: 6204185937 Enrollment ID: I20211118000239 |
| Provider Name | Taylor Rae Brogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720753783 PECOS PAC ID: 5890185375 Enrollment ID: I20211124002114 |
| Provider Name | Toribiong A Uchel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902251150 PECOS PAC ID: 2163772492 Enrollment ID: I20211203001465 |
| Provider Name | Ian Jude Dempsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699018416 PECOS PAC ID: 2264796788 Enrollment ID: I20220110002257 |
| Provider Name | Virginia Katz Mcnichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942979208 PECOS PAC ID: 9830581479 Enrollment ID: I20220112000011 |
| Provider Name | Melissa Wray Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306418330 PECOS PAC ID: 8022400332 Enrollment ID: I20220119000442 |
| Provider Name | Eric Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679238851 PECOS PAC ID: 0547653180 Enrollment ID: I20220203001460 |
| Provider Name | Heather Bright Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820684 PECOS PAC ID: 6103111612 Enrollment ID: I20220311000111 |
| Provider Name | Victor J Mandanas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356413785 PECOS PAC ID: 8628077948 Enrollment ID: I20220312000145 |
| Provider Name | Stephanie May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215440516 PECOS PAC ID: 2769740166 Enrollment ID: I20220316003465 |
| Provider Name | Jody Goard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235325051 PECOS PAC ID: 4183876576 Enrollment ID: I20220322002888 |
| Provider Name | Dustie Lynn Wiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225799521 PECOS PAC ID: 3779979174 Enrollment ID: I20220412002283 |
| Provider Name | Katelyn Ann Seay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619620309 PECOS PAC ID: 9133516263 Enrollment ID: I20220420001076 |
| Provider Name | Iman Dabiri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841721628 PECOS PAC ID: 5799058194 Enrollment ID: I20220420001464 |
| Provider Name | Sally Normandin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950847 PECOS PAC ID: 4385031178 Enrollment ID: I20220426000832 |
| Provider Name | John P Sessoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841849643 PECOS PAC ID: 7315371697 Enrollment ID: I20220510000280 |
| Provider Name | Bethany Cavan Treibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437890001 PECOS PAC ID: 5799162384 Enrollment ID: I20220520001026 |
| Provider Name | Rebecca Schapira |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1801155346 PECOS PAC ID: 7517181274 Enrollment ID: I20220602001523 |
| Provider Name | Cheyanne Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649925926 PECOS PAC ID: 0941688774 Enrollment ID: I20220607000124 |
| Provider Name | Stacie Adkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881048833 PECOS PAC ID: 9739474206 Enrollment ID: I20220614003258 |
| Provider Name | Lacinda Ann Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508511924 PECOS PAC ID: 8022497411 Enrollment ID: I20220615000383 |
| Provider Name | Lydia Kuhn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033437314 PECOS PAC ID: 0244452035 Enrollment ID: I20220628003312 |
| Provider Name | Bavana Ketha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164818969 PECOS PAC ID: 2466708037 Enrollment ID: I20220718000197 |
| Provider Name | Megan Whitham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194110213 PECOS PAC ID: 2163803412 Enrollment ID: I20220718001266 |
| Provider Name | Zachary Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316485618 PECOS PAC ID: 5698156883 Enrollment ID: I20220719003346 |
| Provider Name | Feryal Nauman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518453463 PECOS PAC ID: 4183976178 Enrollment ID: I20220721000971 |
| Provider Name | Shefali Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962961060 PECOS PAC ID: 4789917923 Enrollment ID: I20220721001445 |
| Provider Name | Lauren Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063702264 PECOS PAC ID: 8123261914 Enrollment ID: I20220725001776 |
| Provider Name | William Angelos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174084586 PECOS PAC ID: 5799010997 Enrollment ID: I20220728002468 |
| Provider Name | Taylor Dayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316407489 PECOS PAC ID: 4486987393 Enrollment ID: I20220729000787 |
| Provider Name | Desiree Inman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518520618 PECOS PAC ID: 0446585491 Enrollment ID: I20220729001121 |
| Provider Name | Zachary Holcomb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326578790 PECOS PAC ID: 2860763182 Enrollment ID: I20220801000232 |
| Provider Name | Nam Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154883965 PECOS PAC ID: 2860721883 Enrollment ID: I20220801000695 |
| Provider Name | Ryan Bradley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306341268 PECOS PAC ID: 3072861962 Enrollment ID: I20220801002403 |
| Provider Name | Carl Wayne Dowden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235525957 PECOS PAC ID: 7315253747 Enrollment ID: I20220808002616 |
| Provider Name | Varun Kesar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922493857 PECOS PAC ID: 7719235720 Enrollment ID: I20220809000588 |
| Provider Name | Adam Maerz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588195044 PECOS PAC ID: 7012280449 Enrollment ID: I20220809001114 |
| Provider Name | Shehriyar Mehershahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720463524 PECOS PAC ID: 9234511197 Enrollment ID: I20220809002626 |
| Provider Name | Rachel Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891399929 PECOS PAC ID: 0143632240 Enrollment ID: I20220809004103 |
| Provider Name | Richard Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376518142 PECOS PAC ID: 5496828402 Enrollment ID: I20220810001436 |
| Provider Name | Yamini Rao Sterrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407386279 PECOS PAC ID: 0749663680 Enrollment ID: I20220810001891 |
| Provider Name | Katie Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124533872 PECOS PAC ID: 6800156365 Enrollment ID: I20220822003326 |
| Provider Name | Hallie K Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105090 PECOS PAC ID: 0648653675 Enrollment ID: I20220823004024 |
| Provider Name | Rahul Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447505953 PECOS PAC ID: 3072834704 Enrollment ID: I20220823004299 |
| Provider Name | Jose Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639631187 PECOS PAC ID: 5799012860 Enrollment ID: I20220824000420 |
| Provider Name | Stephanie Nicole May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952928764 PECOS PAC ID: 2769888098 Enrollment ID: I20220827000155 |
| Provider Name | Karla Guerra |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508356734 PECOS PAC ID: 2365791951 Enrollment ID: I20220829001256 |
| Provider Name | Everett F Magann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861473969 PECOS PAC ID: 1658343124 Enrollment ID: I20220831000610 |
| Provider Name | Christopher R Partovi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548571763 PECOS PAC ID: 2062896608 Enrollment ID: I20220831002859 |
| Provider Name | Katelin Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831824275 PECOS PAC ID: 3173907573 Enrollment ID: I20220902002369 |
| Provider Name | David J Vajanyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659935310 PECOS PAC ID: 0547595753 Enrollment ID: I20220907000743 |
| Provider Name | Jerry John |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1659440543 PECOS PAC ID: 8426003476 Enrollment ID: I20220912000748 |
| Provider Name | Olivia Asamoah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447710405 PECOS PAC ID: 9739414970 Enrollment ID: I20220914003766 |
| Provider Name | Allyson Papa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912639444 PECOS PAC ID: 9931584190 Enrollment ID: I20220923002311 |
| Provider Name | Daniel B Rukstalis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245296375 PECOS PAC ID: 3779552823 Enrollment ID: I20221003000818 |
| Provider Name | Gary L Aragon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013978139 PECOS PAC ID: 6305749854 Enrollment ID: I20221020000333 |
| Provider Name | Neha Sanan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275940991 PECOS PAC ID: 9537441969 Enrollment ID: I20221029000288 |
| Provider Name | Karen Nicole Marable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356061451 PECOS PAC ID: 4183091796 Enrollment ID: I20221110000372 |
| Provider Name | Tiffany Gonzalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700167822 PECOS PAC ID: 1456523315 Enrollment ID: I20221110002795 |
| Provider Name | Robert Strominger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447353529 PECOS PAC ID: 5597852426 Enrollment ID: I20221118000433 |
| Provider Name | Jordan Rachel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841913407 PECOS PAC ID: 7416325683 Enrollment ID: I20221118000859 |
| Provider Name | Johanna Steege French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033831805 PECOS PAC ID: 1557739133 Enrollment ID: I20221202000357 |
| Provider Name | Klaus Monkemuller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710247986 PECOS PAC ID: 5698921419 Enrollment ID: I20221202001609 |
| Provider Name | Mary Ann Cladis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518386283 PECOS PAC ID: 1254556012 Enrollment ID: I20221228001567 |
| Provider Name | Neil Carstens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891789327 PECOS PAC ID: 9436231438 Enrollment ID: I20221230002204 |
| Provider Name | Marium Hussein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902523566 PECOS PAC ID: 6406226323 Enrollment ID: I20230110000966 |
| Provider Name | David S Donaldson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508867474 PECOS PAC ID: 2466460746 Enrollment ID: I20230119001990 |
| Provider Name | Jenice Palachick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922336452 PECOS PAC ID: 1557404076 Enrollment ID: I20230120000370 |
| Provider Name | Andrea Faith Goodrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720799935 PECOS PAC ID: 0446622369 Enrollment ID: I20230202000533 |
| Provider Name | Elizabeth Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033821418 PECOS PAC ID: 7416329867 Enrollment ID: I20230210001395 |
| Provider Name | Lauren C Tressler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750819421 PECOS PAC ID: 7517330103 Enrollment ID: I20230301002292 |
| Provider Name | Stephanie Jo Sexton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881004158 PECOS PAC ID: 1759783897 Enrollment ID: I20230313000999 |
| Provider Name | Kristopher Burton Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548441009 PECOS PAC ID: 0648428078 Enrollment ID: I20230324001158 |
| Provider Name | Hollie M Cappo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417655721 PECOS PAC ID: 1557736352 Enrollment ID: I20230410001040 |
| Provider Name | Meredith Saunders |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972198281 PECOS PAC ID: 7113392838 Enrollment ID: I20230412000332 |
| Provider Name | Lindsey Berndt |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578192266 PECOS PAC ID: 8820411788 Enrollment ID: I20230425002904 |
| Provider Name | Amber Jones Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669086 PECOS PAC ID: 6002272218 Enrollment ID: I20230512002535 |
| Provider Name | Christopher Bayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144512641 PECOS PAC ID: 5294083853 Enrollment ID: I20230524001742 |
| Provider Name | Christy Lynn Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669177176 PECOS PAC ID: 1052778396 Enrollment ID: I20230601001406 |
| Provider Name | Seemeen Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619264033 PECOS PAC ID: 4880846344 Enrollment ID: I20230620002585 |
| Provider Name | Jacqueline Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629606728 PECOS PAC ID: 0345663357 Enrollment ID: I20230622000474 |
| Provider Name | Christine Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508483058 PECOS PAC ID: 5597188268 Enrollment ID: I20230622001183 |
| Provider Name | Danielle Combs Liddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609570340 PECOS PAC ID: 8527426550 Enrollment ID: I20230622002101 |
| Provider Name | Timothy Howland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740819820 PECOS PAC ID: 3274950985 Enrollment ID: I20230623000249 |
| Provider Name | Kelly Kugach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003445594 PECOS PAC ID: 9133542228 Enrollment ID: I20230623002787 |
| Provider Name | Lauren Sydney Miley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245935618 PECOS PAC ID: 1254790728 Enrollment ID: I20230630000362 |
| Provider Name | Aaron Markwith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646437 PECOS PAC ID: 0244277697 Enrollment ID: I20230706003051 |
| Provider Name | Lincoln Pratson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033607643 PECOS PAC ID: 7517212327 Enrollment ID: I20230710003774 |
| Provider Name | Peter Hartung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851920607 PECOS PAC ID: 4284057290 Enrollment ID: I20230711000735 |
| Provider Name | Elizabeth Vass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417586256 PECOS PAC ID: 0345663928 Enrollment ID: I20230711000815 |
| Provider Name | Jessica Grace Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043709298 PECOS PAC ID: 5991166779 Enrollment ID: I20230726000761 |
| Provider Name | Jake Daniel Norris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053947960 PECOS PAC ID: 5395106124 Enrollment ID: I20230726002922 |
| Provider Name | Esmaeel Reza Dadashzadeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487072260 PECOS PAC ID: 5597126268 Enrollment ID: I20230727001070 |
| Provider Name | Allyson Montalvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699303297 PECOS PAC ID: 3173946969 Enrollment ID: I20230727001972 |
| Provider Name | Kerry Whitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932376506 PECOS PAC ID: 4688579683 Enrollment ID: I20230727004088 |
| Provider Name | Grace Blaylock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497288567 PECOS PAC ID: 5991166548 Enrollment ID: I20230731001745 |
| Provider Name | Haley Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699304162 PECOS PAC ID: 8325461072 Enrollment ID: I20230804003699 |
| Provider Name | Travis H Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770732406 PECOS PAC ID: 9931329026 Enrollment ID: I20230811000636 |
| Provider Name | Paige R Charboneau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033748652 PECOS PAC ID: 7719302835 Enrollment ID: I20230814002989 |
| Provider Name | Lindsay Elsner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558824664 PECOS PAC ID: 0547595225 Enrollment ID: I20230818002832 |
| Provider Name | Jessica Kinyen Li Eason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235699661 PECOS PAC ID: 3274863972 Enrollment ID: I20230821001471 |
| Provider Name | Ryan Patrice Morelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891473443 PECOS PAC ID: 7517320393 Enrollment ID: I20230825003108 |
| Provider Name | Emily Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214900 PECOS PAC ID: 9830552660 Enrollment ID: I20230828001588 |
| Provider Name | Ellean Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962039677 PECOS PAC ID: 0042637639 Enrollment ID: I20230906003968 |
| Provider Name | Alden Newcomb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043703465 PECOS PAC ID: 2163779901 Enrollment ID: I20230911001412 |
| Provider Name | Alan Auckland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578068227 PECOS PAC ID: 6305192923 Enrollment ID: I20230926002877 |
| Provider Name | Micheala Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144727314 PECOS PAC ID: 4385993542 Enrollment ID: I20230929003532 |
| Provider Name | Lerena Lee Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396420303 PECOS PAC ID: 2062866643 Enrollment ID: I20231001000083 |
| Provider Name | Elexander Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831718204 PECOS PAC ID: 5698198695 Enrollment ID: I20231005000961 |
| Provider Name | Sarah Christine Kinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376329540 PECOS PAC ID: 1850746942 Enrollment ID: I20231010001251 |
| Provider Name | Scott Muffly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023515467 PECOS PAC ID: 0749536597 Enrollment ID: I20231016001951 |
| Provider Name | Kelsey Lynn Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497433049 PECOS PAC ID: 3274989199 Enrollment ID: I20231030002313 |
| Provider Name | Shannon Fulp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487649414 PECOS PAC ID: 7719994433 Enrollment ID: I20231101000511 |
| Provider Name | Tolmie Margaret Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124806930 PECOS PAC ID: 1759739493 Enrollment ID: I20231120000042 |
| Provider Name | Robert Mcfarlane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710980826 PECOS PAC ID: 2163319401 Enrollment ID: I20231213001772 |
| Provider Name | Erika Cassell Cormany |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548455785 PECOS PAC ID: 2163872540 Enrollment ID: I20231227002203 |
| Provider Name | Elizabeth Sugg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205328929 PECOS PAC ID: 2668721093 Enrollment ID: I20231228000844 |
| Provider Name | Lindsay Lambeth |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912771700 PECOS PAC ID: 0840641429 Enrollment ID: I20240108005326 |
| Provider Name | Lauren Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831879469 PECOS PAC ID: 3274985247 Enrollment ID: I20240116002666 |
| Provider Name | Hema Sivasubramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093078248 PECOS PAC ID: 0547579443 Enrollment ID: I20240123003517 |
| Provider Name | Nicholas Andrew Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154987683 PECOS PAC ID: 7012249642 Enrollment ID: I20240123003898 |
| Provider Name | Lana Wahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750701918 PECOS PAC ID: 7911064852 Enrollment ID: I20240222001296 |
Valley Gericare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018 Phone: 540-989-3613 | |
The Center For Ultra Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Colonial Ave, First Floor, Roanoke, VA 24018 Phone: 540-312-5595 | |
Jefferson Internal Medicine Associates, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 S Jefferson St, Suite B, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 | |
Roanoke Partners In Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Electric Rd, Suite A, Roanoke, VA 24018 Phone: 540-904-7912 Fax: 540-904-7926 | |
Carilion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Jefferson St, Suite 625, Roanoke, VA 24011 Phone: 540-224-5681 | |
Hiren B Parikh, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3338 Circle Brook Dr, Roanoke, VA 24018 Phone: 609-781-8818 | |
Premier Telehealth Solutions Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6701 Peters Creek Rd Ste 110, Roanoke, VA 24019 Phone: 800-765-7130 Fax: 888-500-1891 |