| Carle West Physician Group Inc | |
|
1302 Franklin Ave Ste 3400 Normal IL 61761-6523 | |
| (309) 556-8295 | |
| Not Available |
| Full Name | Carle West Physician Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1302 Franklin Ave Ste 3400, Normal, Illinois |
| Authorized Official Name and Position | James C Leonard (PRESIDENT) |
| Authorized Official Contact | 2173833468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carle West Physician Group Inc 611 W Park St Urbana IL 61801-2529 Ph: (217) 383-6792 | Carle West Physician Group Inc 1302 Franklin Ave Ste 3400 Normal IL 61761-6523 Ph: (309) 556-8295 |
| NPI Number | 1467074138 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/15/2020 |
| Medicare PECOS PAC ID | 8921420308 |
|---|---|
| Medicare Enrollment ID | O20200613000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467074138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick L Mccarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821098906 PECOS PAC ID: 3577469337 Enrollment ID: I20031211000373 |
| Provider Name | Donatas A Siliunas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548261910 PECOS PAC ID: 4789589359 Enrollment ID: I20031211000621 |
| Provider Name | Nabih Ramadan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508826314 PECOS PAC ID: 0941105654 Enrollment ID: I20040102000189 |
| Provider Name | Larry J Pinter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861429177 PECOS PAC ID: 2961395892 Enrollment ID: I20040205000030 |
| Provider Name | Aamir Banday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467477810 PECOS PAC ID: 0648163337 Enrollment ID: I20040205001056 |
| Provider Name | Evan J Samett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306890728 PECOS PAC ID: 8921992991 Enrollment ID: I20040211000038 |
| Provider Name | Linda L. Dew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093799884 PECOS PAC ID: 7810882313 Enrollment ID: I20040216000181 |
| Provider Name | Scott L Carrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164513719 PECOS PAC ID: 2264327626 Enrollment ID: I20040216001176 |
| Provider Name | Mukesh Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518975796 PECOS PAC ID: 9638066442 Enrollment ID: I20040304000261 |
| Provider Name | Sandra C Roland |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659321545 PECOS PAC ID: 0446149868 Enrollment ID: I20040313000238 |
| Provider Name | Alan Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659390888 PECOS PAC ID: 3476442716 Enrollment ID: I20040313000480 |
| Provider Name | Jill I Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194820829 PECOS PAC ID: 3678462926 Enrollment ID: I20040313000546 |
| Provider Name | Dana C Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265434658 PECOS PAC ID: 3870484629 Enrollment ID: I20040322001834 |
| Provider Name | Katy Ka-lok Wong |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942286760 PECOS PAC ID: 4082607577 Enrollment ID: I20040408000737 |
| Provider Name | Gerardo A Grieco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245242403 PECOS PAC ID: 6305831728 Enrollment ID: I20040416000247 |
| Provider Name | Anish Chatterjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619913639 PECOS PAC ID: 1052306198 Enrollment ID: I20040417000342 |
| Provider Name | William G Pyle |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306827001 PECOS PAC ID: 1355337205 Enrollment ID: I20040424000098 |
| Provider Name | Ronald E Kurzejka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780623322 PECOS PAC ID: 5597754242 Enrollment ID: I20040508000335 |
| Provider Name | Tomislav T Lakic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629057872 PECOS PAC ID: 6901705532 Enrollment ID: I20040513000497 |
| Provider Name | Steve N Delis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720095920 PECOS PAC ID: 4981694411 Enrollment ID: I20040515000430 |
| Provider Name | Martin A Griffith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801826235 PECOS PAC ID: 7719880178 Enrollment ID: I20040519000221 |
| Provider Name | Shayla R Garrett Hauser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457368896 PECOS PAC ID: 9234120239 Enrollment ID: I20040519000905 |
| Provider Name | Jerome W Oakey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679580062 PECOS PAC ID: 7113902594 Enrollment ID: I20040621000787 |
| Provider Name | Napoleon B Knight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669438198 PECOS PAC ID: 3476538885 Enrollment ID: I20040621000970 |
| Provider Name | Sanjiv Jain |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821013939 PECOS PAC ID: 4486639648 Enrollment ID: I20040622000439 |
| Provider Name | William J Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689672859 PECOS PAC ID: 2567455041 Enrollment ID: I20040628000247 |
| Provider Name | Robert A Braastad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487619573 PECOS PAC ID: 5698751972 Enrollment ID: I20040628000331 |
| Provider Name | Nicholas A Collier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649268624 PECOS PAC ID: 4486631868 Enrollment ID: I20040702000644 |
| Provider Name | Brinda Krishnan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083639405 PECOS PAC ID: 9739167412 Enrollment ID: I20040709000413 |
| Provider Name | Ajeet D Gordhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306892369 PECOS PAC ID: 9436139409 Enrollment ID: I20040721000579 |
| Provider Name | Jay K Chauhan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639170731 PECOS PAC ID: 0345212502 Enrollment ID: I20040811000531 |
| Provider Name | Joel Nilles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376571844 PECOS PAC ID: 3870565674 Enrollment ID: I20040811001113 |
| Provider Name | Cynthia Go |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639259443 PECOS PAC ID: 3274507629 Enrollment ID: I20040823000679 |
| Provider Name | John S Burr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770535940 PECOS PAC ID: 0840265518 Enrollment ID: I20040827000244 |
| Provider Name | Marlito P Favila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114945912 PECOS PAC ID: 2163497231 Enrollment ID: I20040901000197 |
| Provider Name | Darryl S Fernandes |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336186113 PECOS PAC ID: 9032185293 Enrollment ID: I20040908001451 |
| Provider Name | Shilpa I Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174616411 PECOS PAC ID: 4385611284 Enrollment ID: I20040910001061 |
| Provider Name | Jeanette Marie Feucht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467451781 PECOS PAC ID: 8224002167 Enrollment ID: I20040920000516 |
| Provider Name | Susan Kiefer Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144316654 PECOS PAC ID: 7315907672 Enrollment ID: I20041012001128 |
| Provider Name | Stephen C Pilcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265454607 PECOS PAC ID: 9133012461 Enrollment ID: I20041022000098 |
| Provider Name | Nancy R Sagona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679574461 PECOS PAC ID: 9537148762 Enrollment ID: I20041122000918 |
| Provider Name | Brenda A Kube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386660355 PECOS PAC ID: 4082679626 Enrollment ID: I20041123000766 |
| Provider Name | Shane C Fogo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063446318 PECOS PAC ID: 2365408606 Enrollment ID: I20041208000245 |
| Provider Name | Paul A Dobransky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013098631 PECOS PAC ID: 6002872280 Enrollment ID: I20041209000122 |
| Provider Name | Galina Simkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487655833 PECOS PAC ID: 6002866209 Enrollment ID: I20050126000029 |
| Provider Name | Paul R Naour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144206178 PECOS PAC ID: 8426008350 Enrollment ID: I20050127000726 |
| Provider Name | Tarun Mullick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912906462 PECOS PAC ID: 9032161054 Enrollment ID: I20050217000390 |
| Provider Name | Adrian M Cordoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942249131 PECOS PAC ID: 0547169419 Enrollment ID: I20050218000070 |
| Provider Name | John C Kell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114987518 PECOS PAC ID: 9436101292 Enrollment ID: I20050221000300 |
| Provider Name | Dory C Jarzabkowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083651939 PECOS PAC ID: 8820041619 Enrollment ID: I20050221000624 |
| Provider Name | Steven R Klepac |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265416002 PECOS PAC ID: 9133172018 Enrollment ID: I20050303000090 |
| Provider Name | Krista J Sheppard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669471769 PECOS PAC ID: 8921053430 Enrollment ID: I20050317000608 |
| Provider Name | Kimberly K Rhoda |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609875798 PECOS PAC ID: 4082669593 Enrollment ID: I20050317000632 |
| Provider Name | Parker K Jain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902882764 PECOS PAC ID: 5294639100 Enrollment ID: I20050322000248 |
| Provider Name | Kalika Sarma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679672398 PECOS PAC ID: 4082660402 Enrollment ID: I20050329000183 |
| Provider Name | Ronald D Curran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407867286 PECOS PAC ID: 9638126436 Enrollment ID: I20050404001065 |
| Provider Name | Catherine Brignoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114982048 PECOS PAC ID: 6406894716 Enrollment ID: I20050418001281 |
| Provider Name | Hilton M Hudson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689614828 PECOS PAC ID: 7911984513 Enrollment ID: I20050509000334 |
| Provider Name | Marija Zakarija |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932136181 PECOS PAC ID: 6103868450 Enrollment ID: I20050526000123 |
| Provider Name | Kelley Helene Mcmanigle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487667325 PECOS PAC ID: 6608810858 Enrollment ID: I20050617000606 |
| Provider Name | Momin Muzaffar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588690812 PECOS PAC ID: 3173559655 Enrollment ID: I20050715000588 |
| Provider Name | Elaine M Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598739492 PECOS PAC ID: 8527094937 Enrollment ID: I20050715000915 |
| Provider Name | Loritz M Chavez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801816517 PECOS PAC ID: 6204862642 Enrollment ID: I20050715001033 |
| Provider Name | Nayna H Navik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760494801 PECOS PAC ID: 0345277588 Enrollment ID: I20050720000265 |
| Provider Name | Thomas W Deschler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760408868 PECOS PAC ID: 3375571417 Enrollment ID: I20050801000022 |
| Provider Name | Stephen L Kindred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720065584 PECOS PAC ID: 9537152012 Enrollment ID: I20050802000714 |
| Provider Name | Sharon R Woods |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508843475 PECOS PAC ID: 9931138245 Enrollment ID: I20050808000289 |
| Provider Name | Jason R Huber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295701613 PECOS PAC ID: 9335179357 Enrollment ID: I20050818000555 |
| Provider Name | David W Koh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154361038 PECOS PAC ID: 9032142930 Enrollment ID: I20050912001091 |
| Provider Name | Samir Harishkumar Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720028632 PECOS PAC ID: 7012940919 Enrollment ID: I20050912001110 |
| Provider Name | Anand S Veerabahu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346235264 PECOS PAC ID: 8224061528 Enrollment ID: I20050916000483 |
| Provider Name | Beth Lynn Tumilty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033159959 PECOS PAC ID: 8921032970 Enrollment ID: I20050920000812 |
| Provider Name | Dawn M Cotter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982672317 PECOS PAC ID: 0244264018 Enrollment ID: I20050921000459 |
| Provider Name | Rom Mohan Kopparthi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528151867 PECOS PAC ID: 2062447246 Enrollment ID: I20050927001357 |
| Provider Name | Thanh Cam Trieu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689791576 PECOS PAC ID: 0446202972 Enrollment ID: I20050928001325 |
| Provider Name | Denise Armenta Mcguffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245328574 PECOS PAC ID: 8729003348 Enrollment ID: I20051012000468 |
| Provider Name | Duane D Stich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023121662 PECOS PAC ID: 2466477054 Enrollment ID: I20051012001055 |
| Provider Name | Ahtesham Hyder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740207505 PECOS PAC ID: 3577543925 Enrollment ID: I20051025000657 |
| Provider Name | Mary Ann Meismer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174531370 PECOS PAC ID: 0446279855 Enrollment ID: I20051115000759 |
| Provider Name | Richard Karl Bauersfeld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912915208 PECOS PAC ID: 5698794006 Enrollment ID: I20051115000779 |
| Provider Name | Courtney A Yamada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174531362 PECOS PAC ID: 3870512908 Enrollment ID: I20051117000220 |
| Provider Name | Ann R Stroink |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548290158 PECOS PAC ID: 2860398914 Enrollment ID: I20051118000105 |
| Provider Name | Emilio M Nardone |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538195920 PECOS PAC ID: 9537188636 Enrollment ID: I20051118000127 |
| Provider Name | Douglas W Morton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134143555 PECOS PAC ID: 8729984414 Enrollment ID: I20051213000144 |
| Provider Name | Rashid F Kysia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225141005 PECOS PAC ID: 4183646698 Enrollment ID: I20051228000089 |
| Provider Name | Edward W Pegg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043392160 PECOS PAC ID: 8527076389 Enrollment ID: I20060405000344 |
| Provider Name | Asif Nadeem Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750329728 PECOS PAC ID: 5698787521 Enrollment ID: I20060615000078 |
| Provider Name | Kashif S Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285679704 PECOS PAC ID: 3476566001 Enrollment ID: I20060726000078 |
| Provider Name | Saima Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487671103 PECOS PAC ID: 5092718460 Enrollment ID: I20060825000043 |
| Provider Name | Caroline M Halperin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912928805 PECOS PAC ID: 0840295986 Enrollment ID: I20060925000413 |
| Provider Name | Vamsi Krishna Vasireddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801802996 PECOS PAC ID: 3971508789 Enrollment ID: I20060929000457 |
| Provider Name | Michael R Mustard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295826675 PECOS PAC ID: 7315943644 Enrollment ID: I20061010000602 |
| Provider Name | Crystal S Jesenick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396831616 PECOS PAC ID: 7416953369 Enrollment ID: I20061017000103 |
| Provider Name | Stephen Rudawski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053403055 PECOS PAC ID: 7315945243 Enrollment ID: I20061201000077 |
| Provider Name | Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902994320 PECOS PAC ID: 7618070871 Enrollment ID: I20070309000043 |
| Provider Name | Jane E Poppe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750311031 PECOS PAC ID: 1153426408 Enrollment ID: I20070416000587 |
| Provider Name | Ibrahim N Mansour |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619076619 PECOS PAC ID: 0547365397 Enrollment ID: I20070424000048 |
| Provider Name | Susan J Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144313388 PECOS PAC ID: 1557461589 Enrollment ID: I20070705000287 |
| Provider Name | David Michael Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912027038 PECOS PAC ID: 7315047966 Enrollment ID: I20070711000510 |
| Provider Name | Asmita R Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134240252 PECOS PAC ID: 5496846974 Enrollment ID: I20070813000612 |
| Provider Name | Elizabeth E Kuntz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982677159 PECOS PAC ID: 6002895109 Enrollment ID: I20070822001485 |
| Provider Name | Martin A Kuntz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346220522 PECOS PAC ID: 2961304134 Enrollment ID: I20070906000503 |
| Provider Name | Crystal L Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649466111 PECOS PAC ID: 5698861169 Enrollment ID: I20071013000021 |
| Provider Name | Scott Evan Grossberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801831078 PECOS PAC ID: 8224041116 Enrollment ID: I20071015000294 |
| Provider Name | John M Wieland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790717387 PECOS PAC ID: 6406943786 Enrollment ID: I20071102000446 |
| Provider Name | David H Naour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174552228 PECOS PAC ID: 8224125505 Enrollment ID: I20071102000481 |
| Provider Name | Dana K Flatley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770773426 PECOS PAC ID: 1951499474 Enrollment ID: I20071116000626 |
| Provider Name | David L Kieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841488855 PECOS PAC ID: 0840388278 Enrollment ID: I20071117000135 |
| Provider Name | Lori A Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215950969 PECOS PAC ID: 0941390116 Enrollment ID: I20071212000511 |
| Provider Name | Patrick S Fernandes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033172655 PECOS PAC ID: 5890701866 Enrollment ID: I20071227000485 |
| Provider Name | Eric Culp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508061136 PECOS PAC ID: 6406937986 Enrollment ID: I20080123000138 |
| Provider Name | Jean Marie Tyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003095167 PECOS PAC ID: 2860574076 Enrollment ID: I20080128000235 |
| Provider Name | Brenda J Fuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861689903 PECOS PAC ID: 3870675887 Enrollment ID: I20080130000231 |
| Provider Name | Meenalochani Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639213242 PECOS PAC ID: 9537243993 Enrollment ID: I20080222000487 |
| Provider Name | Sherfield Dawson Iii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447212733 PECOS PAC ID: 4183639941 Enrollment ID: I20080313000648 |
| Provider Name | Munib S Mafazy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588859169 PECOS PAC ID: 2860562261 Enrollment ID: I20080528000124 |
| Provider Name | Kristine L Herrman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710150719 PECOS PAC ID: 0446320717 Enrollment ID: I20080529000886 |
| Provider Name | Julie Patacsil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508032178 PECOS PAC ID: 8426129289 Enrollment ID: I20080623000087 |
| Provider Name | Jason M Seibly |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972789238 PECOS PAC ID: 0648342782 Enrollment ID: I20080707000090 |
| Provider Name | Scott Richard Santeler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346430667 PECOS PAC ID: 2163595794 Enrollment ID: I20080715000828 |
| Provider Name | Dean Hoffmeister |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346441805 PECOS PAC ID: 5092816470 Enrollment ID: I20080725000116 |
| Provider Name | Naveen Chapa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649479650 PECOS PAC ID: 2860566312 Enrollment ID: I20080801000317 |
| Provider Name | Lacie R Petro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619189859 PECOS PAC ID: 9133294333 Enrollment ID: I20080822000493 |
| Provider Name | Travis A Holt |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932320819 PECOS PAC ID: 8729155353 Enrollment ID: I20080924000443 |
| Provider Name | Henry Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932392099 PECOS PAC ID: 0840367017 Enrollment ID: I20080930000535 |
| Provider Name | Uretz J Oliphant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033154109 PECOS PAC ID: 0345308573 Enrollment ID: I20081016000518 |
| Provider Name | William S Scott |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780707851 PECOS PAC ID: 7113085754 Enrollment ID: I20081025000078 |
| Provider Name | Lavanya Boddu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851503833 PECOS PAC ID: 4486712866 Enrollment ID: I20081029000575 |
| Provider Name | Omer Yusaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669585956 PECOS PAC ID: 7618931627 Enrollment ID: I20081101000103 |
| Provider Name | Christopher M Kerwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942470760 PECOS PAC ID: 6800957879 Enrollment ID: I20081209000524 |
| Provider Name | Eda S Flores Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194933093 PECOS PAC ID: 9638231921 Enrollment ID: I20081220000029 |
| Provider Name | Brian A Elsesser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821244880 PECOS PAC ID: 1557425907 Enrollment ID: I20090129000270 |
| Provider Name | Nicholle L Eisfelder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144474321 PECOS PAC ID: 2062300825 Enrollment ID: I20090210000095 |
| Provider Name | David P Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427057595 PECOS PAC ID: 1153471701 Enrollment ID: I20090603000079 |
| Provider Name | Amit R Vyas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063627214 PECOS PAC ID: 8820148034 Enrollment ID: I20090610000160 |
| Provider Name | Liza Carolina Yambay Valiente |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881840080 PECOS PAC ID: 4284785932 Enrollment ID: I20090619000442 |
| Provider Name | Marvin Derrick |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497855886 PECOS PAC ID: 2062421399 Enrollment ID: I20090622000020 |
| Provider Name | Michael D Keedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932335668 PECOS PAC ID: 4284785353 Enrollment ID: I20090701000038 |
| Provider Name | Christine P Bishof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992923288 PECOS PAC ID: 0941351803 Enrollment ID: I20090706000551 |
| Provider Name | Jason T Kobler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669608394 PECOS PAC ID: 7911058755 Enrollment ID: I20090707000722 |
| Provider Name | Todd O Kettering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972619526 PECOS PAC ID: 3678626280 Enrollment ID: I20090729000743 |
| Provider Name | Siddharth J Gandhi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831226042 PECOS PAC ID: 8022161314 Enrollment ID: I20090804000548 |
| Provider Name | Nasirudden Mansury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184764706 PECOS PAC ID: 3779636949 Enrollment ID: I20090805000603 |
| Provider Name | Ioannis Karkatzounis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639335235 PECOS PAC ID: 9032263835 Enrollment ID: I20090813000167 |
| Provider Name | Julie A Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013068667 PECOS PAC ID: 2860546207 Enrollment ID: I20090819000319 |
| Provider Name | Brian W Gebhart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487695896 PECOS PAC ID: 7810901360 Enrollment ID: I20090819000511 |
| Provider Name | Xiaotian W Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174583744 PECOS PAC ID: 6800809732 Enrollment ID: I20090831000249 |
| Provider Name | Smita Amit Vyas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780705574 PECOS PAC ID: 0345395836 Enrollment ID: I20090904000499 |
| Provider Name | Amanda Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730131509 PECOS PAC ID: 4880606235 Enrollment ID: I20090910000304 |
| Provider Name | Kendall C Newsome |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083721435 PECOS PAC ID: 9133275688 Enrollment ID: I20090924000302 |
| Provider Name | Juan J Jimenez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174548911 PECOS PAC ID: 7012054927 Enrollment ID: I20091027000061 |
| Provider Name | Jeffrey Leman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134357056 PECOS PAC ID: 9032257712 Enrollment ID: I20091118000140 |
| Provider Name | Meera Yerrabolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154414423 PECOS PAC ID: 0042351314 Enrollment ID: I20100108000323 |
| Provider Name | Gulzar Fidai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851398218 PECOS PAC ID: 9133028749 Enrollment ID: I20100108000384 |
| Provider Name | Fang Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356447841 PECOS PAC ID: 7214085331 Enrollment ID: I20100120000765 |
| Provider Name | Herman Justus Dick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891891370 PECOS PAC ID: 4587564299 Enrollment ID: I20100120000805 |
| Provider Name | Sarah M Follmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477881134 PECOS PAC ID: 4789727751 Enrollment ID: I20100130000224 |
| Provider Name | Madhumita A Chatterjee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679510804 PECOS PAC ID: 4486681731 Enrollment ID: I20100304000905 |
| Provider Name | Curtis J Hayden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760588248 PECOS PAC ID: 3577611698 Enrollment ID: I20100308000907 |
| Provider Name | Harvinder P Bhardwaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992884019 PECOS PAC ID: 8022145291 Enrollment ID: I20100420000316 |
| Provider Name | Deborah Singleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639279839 PECOS PAC ID: 9133258130 Enrollment ID: I20100601000660 |
| Provider Name | Andrea M Kane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285804724 PECOS PAC ID: 5991836967 Enrollment ID: I20100708000745 |
| Provider Name | Danish Thameem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821035106 PECOS PAC ID: 1759413669 Enrollment ID: I20100713000065 |
| Provider Name | Jody L Poultney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407172554 PECOS PAC ID: 8224160825 Enrollment ID: I20100717000064 |
| Provider Name | Christopher R Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235158924 PECOS PAC ID: 4486778768 Enrollment ID: I20100824000991 |
| Provider Name | Ann K Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629391529 PECOS PAC ID: 6204950157 Enrollment ID: I20100828000157 |
| Provider Name | Steven C Ingalsbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962428128 PECOS PAC ID: 4880710185 Enrollment ID: I20100923001130 |
| Provider Name | Joseph Anthony Novotny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881601144 PECOS PAC ID: 9032107313 Enrollment ID: I20100923001394 |
| Provider Name | Mark John Hanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548276256 PECOS PAC ID: 0042336364 Enrollment ID: I20100923001422 |
| Provider Name | Steve C Hong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154536530 PECOS PAC ID: 0042336224 Enrollment ID: I20100924000644 |
| Provider Name | Lisa M Busenitz Jablonski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851328793 PECOS PAC ID: 0749472991 Enrollment ID: I20101007000185 |
| Provider Name | Steven K Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942228101 PECOS PAC ID: 8022200161 Enrollment ID: I20101007001351 |
| Provider Name | Kevin M Krippner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477576114 PECOS PAC ID: 1456543594 Enrollment ID: I20101007001396 |
| Provider Name | Cheri Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033132790 PECOS PAC ID: 7214129212 Enrollment ID: I20101008000710 |
| Provider Name | Judy Ronan Woodburn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013937382 PECOS PAC ID: 3577755578 Enrollment ID: I20101008000732 |
| Provider Name | Bhanu Vakkalanka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578766796 PECOS PAC ID: 3072705789 Enrollment ID: I20101012001232 |
| Provider Name | Aaron R Traeger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083890156 PECOS PAC ID: 3476745043 Enrollment ID: I20101014000707 |
| Provider Name | David L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437178415 PECOS PAC ID: 3476746801 Enrollment ID: I20101019000126 |
| Provider Name | Srinivas R Puli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326069824 PECOS PAC ID: 7416928593 Enrollment ID: I20101019001417 |
| Provider Name | Anita M Tillman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821016502 PECOS PAC ID: 3577758093 Enrollment ID: I20101110000663 |
| Provider Name | Dionna M Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063668994 PECOS PAC ID: 4183817752 Enrollment ID: I20101112000683 |
| Provider Name | Mary E Starnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346551702 PECOS PAC ID: 9638365026 Enrollment ID: I20101124000642 |
| Provider Name | Ramesh K Muthukumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518123116 PECOS PAC ID: 1355538158 Enrollment ID: I20101206000903 |
| Provider Name | Shahid Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811156391 PECOS PAC ID: 3375732977 Enrollment ID: I20110113000322 |
| Provider Name | Sasikala D Royyuru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982800876 PECOS PAC ID: 1557425527 Enrollment ID: I20110117000187 |
| Provider Name | Shermian A Woodhouse |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427000207 PECOS PAC ID: 4789863960 Enrollment ID: I20110119001296 |
| Provider Name | Munish Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063682086 PECOS PAC ID: 6305025404 Enrollment ID: I20110121000157 |
| Provider Name | Darrell G Looney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619065950 PECOS PAC ID: 9032012570 Enrollment ID: I20110212000037 |
| Provider Name | Valbona Behaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407011588 PECOS PAC ID: 1254529027 Enrollment ID: I20110303000746 |
| Provider Name | Lisa E Hosea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871560060 PECOS PAC ID: 6507800414 Enrollment ID: I20110322001030 |
| Provider Name | Elizabeth R Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831495845 PECOS PAC ID: 2769666833 Enrollment ID: I20110414000160 |
| Provider Name | Victoria L Steinkoenig |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982997904 PECOS PAC ID: 7214105915 Enrollment ID: I20110725000427 |
| Provider Name | Isha Tyagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487816161 PECOS PAC ID: 7214106491 Enrollment ID: I20110803000895 |
| Provider Name | Joseph K Newcomer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285633420 PECOS PAC ID: 5991772626 Enrollment ID: I20110804000408 |
| Provider Name | Sarah A Welsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538452602 PECOS PAC ID: 6406025352 Enrollment ID: I20110809000897 |
| Provider Name | Brian J Wheatley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114149770 PECOS PAC ID: 0143490243 Enrollment ID: I20110829000361 |
| Provider Name | Jason W Brian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104066554 PECOS PAC ID: 8729137591 Enrollment ID: I20110913000385 |
| Provider Name | Ronald A Zimmermann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346404985 PECOS PAC ID: 5991976300 Enrollment ID: I20110915000247 |
| Provider Name | James David Hall |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972693018 PECOS PAC ID: 8527961648 Enrollment ID: I20110919000754 |
| Provider Name | Daniel S Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720398480 PECOS PAC ID: 1456522143 Enrollment ID: I20110929000698 |
| Provider Name | Kelly Cunningham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124279450 PECOS PAC ID: 9830221167 Enrollment ID: I20111027000909 |
| Provider Name | Trudy Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912288895 PECOS PAC ID: 5799958856 Enrollment ID: I20111104000649 |
| Provider Name | Mai U Wilhour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912285024 PECOS PAC ID: 2567637218 Enrollment ID: I20111208000612 |
| Provider Name | John Pieniazek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740360163 PECOS PAC ID: 5395708721 Enrollment ID: I20111220000411 |
| Provider Name | Brent A Sylvester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639452139 PECOS PAC ID: 3173799665 Enrollment ID: I20120105000027 |
| Provider Name | Stephanie A Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659650455 PECOS PAC ID: 7911174370 Enrollment ID: I20120125000783 |
| Provider Name | Lee Anthony Dudley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215960026 PECOS PAC ID: 2365335288 Enrollment ID: I20120523000530 |
| Provider Name | Marsha Ann Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528333655 PECOS PAC ID: 2062676323 Enrollment ID: I20120618000295 |
| Provider Name | Elizabeth J Robert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013275007 PECOS PAC ID: 8325204118 Enrollment ID: I20120723000944 |
| Provider Name | Blair Rowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336186279 PECOS PAC ID: 9638209877 Enrollment ID: I20120725000173 |
| Provider Name | Gregory A Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093722738 PECOS PAC ID: 9234132838 Enrollment ID: I20120731000246 |
| Provider Name | David E Milligan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902131014 PECOS PAC ID: 2961658422 Enrollment ID: I20120816000179 |
| Provider Name | Jennifer Carroll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356606594 PECOS PAC ID: 1759539190 Enrollment ID: I20120910000752 |
| Provider Name | Michael J Almeida |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639428949 PECOS PAC ID: 0648421982 Enrollment ID: I20121113000650 |
| Provider Name | Raju M Shanmugam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448111 PECOS PAC ID: 1850543968 Enrollment ID: I20121218000018 |
| Provider Name | Sami Sibai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740478494 PECOS PAC ID: 4880848910 Enrollment ID: I20130125000232 |
| Provider Name | Marshall B Hay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780683391 PECOS PAC ID: 7416959218 Enrollment ID: I20130125000269 |
| Provider Name | Jonathan D Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972887982 PECOS PAC ID: 1759535214 Enrollment ID: I20130208000357 |
| Provider Name | Ashish Moonat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063670362 PECOS PAC ID: 6901051168 Enrollment ID: I20130220000096 |
| Provider Name | Sinisa Stanic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316149479 PECOS PAC ID: 3779728605 Enrollment ID: I20130326000234 |
| Provider Name | Rajesh Kakarla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609026467 PECOS PAC ID: 9335319185 Enrollment ID: I20130517000077 |
| Provider Name | Ahmad Jibawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346551892 PECOS PAC ID: 6608014717 Enrollment ID: I20130531000477 |
| Provider Name | Jonathon C Crowley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801146444 PECOS PAC ID: 9931347911 Enrollment ID: I20130603000606 |
| Provider Name | Amit S Dande |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477735298 PECOS PAC ID: 1355580218 Enrollment ID: I20130625000742 |
| Provider Name | Stormie N Leathers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386993285 PECOS PAC ID: 2365683604 Enrollment ID: I20130729000515 |
| Provider Name | Brandon W. Ahlers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326487166 PECOS PAC ID: 1658512991 Enrollment ID: I20130729000609 |
| Provider Name | Edward Babigumira |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801915947 PECOS PAC ID: 3870694821 Enrollment ID: I20130731000616 |
| Provider Name | Behrang Khoie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275720955 PECOS PAC ID: 5092987107 Enrollment ID: I20130813000250 |
| Provider Name | Ashley M Caleel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578714044 PECOS PAC ID: 9032351424 Enrollment ID: I20130814000752 |
| Provider Name | Jeremy Hogg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386834299 PECOS PAC ID: 9830264530 Enrollment ID: I20130815000621 |
| Provider Name | Patricia Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629308663 PECOS PAC ID: 1850533126 Enrollment ID: I20130815000705 |
| Provider Name | Stephen Walter Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427360429 PECOS PAC ID: 3678707254 Enrollment ID: I20131015000586 |
| Provider Name | Adam Daniel Houghton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568783439 PECOS PAC ID: 1557523586 Enrollment ID: I20131015001016 |
| Provider Name | Nicholas R Reinhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942525878 PECOS PAC ID: 0840424289 Enrollment ID: I20131017001700 |
| Provider Name | Anna M Higham |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649594805 PECOS PAC ID: 2365677440 Enrollment ID: I20131025000641 |
| Provider Name | Graham Huesmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215105192 PECOS PAC ID: 6103085212 Enrollment ID: I20131101000312 |
| Provider Name | Bradley Kirkenir |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023444866 PECOS PAC ID: 1052546777 Enrollment ID: I20131104001372 |
| Provider Name | Sarah J Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700214749 PECOS PAC ID: 0446487920 Enrollment ID: I20131206000889 |
| Provider Name | Heather M Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497929798 PECOS PAC ID: 5193969525 Enrollment ID: I20131213000727 |
| Provider Name | Kerline Ductan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073826715 PECOS PAC ID: 0749416337 Enrollment ID: I20131230001651 |
| Provider Name | Kristina J Marshall |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962653022 PECOS PAC ID: 5092943738 Enrollment ID: I20140102000612 |
| Provider Name | Rubeena Anjum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114187531 PECOS PAC ID: 0941492581 Enrollment ID: I20140115000103 |
| Provider Name | Wendy Carlton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538582572 PECOS PAC ID: 4587894183 Enrollment ID: I20140227000552 |
| Provider Name | Jennifer L Lanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114343225 PECOS PAC ID: 8729201785 Enrollment ID: I20140520000309 |
| Provider Name | Anne E Groves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699948786 PECOS PAC ID: 8921222043 Enrollment ID: I20140611001780 |
| Provider Name | Derrick Rollo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881891471 PECOS PAC ID: 5395900336 Enrollment ID: I20140710001082 |
| Provider Name | Stephan V Walchuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295022945 PECOS PAC ID: 4284859091 Enrollment ID: I20140711001454 |
| Provider Name | Nicole C Schertz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396161063 PECOS PAC ID: 9436376985 Enrollment ID: I20140807001087 |
| Provider Name | Girishkumar V Dhorajia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003049966 PECOS PAC ID: 7719104512 Enrollment ID: I20140818001596 |
| Provider Name | Brian Beeman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033384722 PECOS PAC ID: 5799964839 Enrollment ID: I20141007002175 |
| Provider Name | Sai Rupa R Vangala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538454434 PECOS PAC ID: 5799905808 Enrollment ID: I20141013000037 |
| Provider Name | Lucas Casey Armstrong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174783880 PECOS PAC ID: 4981850336 Enrollment ID: I20141024001078 |
| Provider Name | John Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497799613 PECOS PAC ID: 8729234356 Enrollment ID: I20150211001873 |
| Provider Name | Slobodan Zec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124043385 PECOS PAC ID: 4284612417 Enrollment ID: I20150220000140 |
| Provider Name | James Desalvio |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063539674 PECOS PAC ID: 5193043982 Enrollment ID: I20150407001014 |
| Provider Name | Nicole L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770974800 PECOS PAC ID: 9335467513 Enrollment ID: I20150420001386 |
| Provider Name | Brett Yockey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346400850 PECOS PAC ID: 9032257860 Enrollment ID: I20150504002446 |
| Provider Name | Desha N Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578951075 PECOS PAC ID: 7214256619 Enrollment ID: I20150506002692 |
| Provider Name | Joseph L Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245620517 PECOS PAC ID: 6901125103 Enrollment ID: I20150511002000 |
| Provider Name | Rammohan Marla |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063583359 PECOS PAC ID: 6507930997 Enrollment ID: I20150526001881 |
| Provider Name | Ebony Lawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932463056 PECOS PAC ID: 2466763412 Enrollment ID: I20150618000361 |
| Provider Name | Nathan D Ontrop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760778468 PECOS PAC ID: 7911219829 Enrollment ID: I20150707001683 |
| Provider Name | Benjamin Gersh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942400072 PECOS PAC ID: 9931379328 Enrollment ID: I20150720002701 |
| Provider Name | Prerak Navinchandra Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992060230 PECOS PAC ID: 8123254422 Enrollment ID: I20150803001399 |
| Provider Name | George Issac Plamoottil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447510805 PECOS PAC ID: 3779897749 Enrollment ID: I20150804005468 |
| Provider Name | Samantha A Leverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891161030 PECOS PAC ID: 1355656448 Enrollment ID: I20150819006675 |
| Provider Name | Kevin P Brazill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003132788 PECOS PAC ID: 3072751536 Enrollment ID: I20150909002597 |
| Provider Name | Colleen A Elliott-mccandless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992171698 PECOS PAC ID: 8022326578 Enrollment ID: I20151001002693 |
| Provider Name | Nikesh Ravindrakumar Lath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194012260 PECOS PAC ID: 1951619170 Enrollment ID: I20151007001762 |
| Provider Name | Matheau A Julien |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20160106000390 |
| Provider Name | Courtney A Parmley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487070538 PECOS PAC ID: 7719280098 Enrollment ID: I20160120001025 |
| Provider Name | Nancy Carisa Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073978417 PECOS PAC ID: 1456656487 Enrollment ID: I20160229001487 |
| Provider Name | Jessica L Sinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093174690 PECOS PAC ID: 1759687627 Enrollment ID: I20160303000714 |
| Provider Name | Shamaila Gorsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427338409 PECOS PAC ID: 7214233618 Enrollment ID: I20160310002216 |
| Provider Name | Aaron Keith Frailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316349921 PECOS PAC ID: 1658694096 Enrollment ID: I20160408000711 |
| Provider Name | Kathryn Grahs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730549510 PECOS PAC ID: 0941508741 Enrollment ID: I20160412000805 |
| Provider Name | Dallas R. Holladay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871834382 PECOS PAC ID: 0648578484 Enrollment ID: I20160412002073 |
| Provider Name | Neil A Jepson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689687709 PECOS PAC ID: 1951362789 Enrollment ID: I20160418001117 |
| Provider Name | Jason Huston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124288915 PECOS PAC ID: 5890979512 Enrollment ID: I20160422000245 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20160513000521 |
| Provider Name | Walter Elrod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235199738 PECOS PAC ID: 6507779618 Enrollment ID: I20160629000718 |
| Provider Name | Addie B Spier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336373406 PECOS PAC ID: 4789836263 Enrollment ID: I20160705000746 |
| Provider Name | Arturo Jose Lara Llerena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538501721 PECOS PAC ID: 1052611373 Enrollment ID: I20160727001430 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982045209 PECOS PAC ID: 0749574705 Enrollment ID: I20160815000417 |
| Provider Name | Teri L Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541558 PECOS PAC ID: 0648565218 Enrollment ID: I20160822000685 |
| Provider Name | Asifa Choudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265753867 PECOS PAC ID: 4385865377 Enrollment ID: I20160902000315 |
| Provider Name | James Hlubocky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235441635 PECOS PAC ID: 1850522269 Enrollment ID: I20160906001687 |
| Provider Name | Daniel Barnett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972891257 PECOS PAC ID: 2860625514 Enrollment ID: I20160913002754 |
| Provider Name | Abhijit Ashok Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288497 PECOS PAC ID: 0345536447 Enrollment ID: I20160915000278 |
| Provider Name | Christian Perez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043449770 PECOS PAC ID: 5193037505 Enrollment ID: I20160927002146 |
| Provider Name | Youssef Elias |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972828291 PECOS PAC ID: 8123327558 Enrollment ID: I20161007000420 |
| Provider Name | Shabaz Mohammad Begum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508291790 PECOS PAC ID: 9739477662 Enrollment ID: I20161010001536 |
| Provider Name | Mohammad Sheraz Waris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427373638 PECOS PAC ID: 2860629243 Enrollment ID: I20161018002538 |
| Provider Name | Pooria Javadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114169893 PECOS PAC ID: 2961713623 Enrollment ID: I20161021001276 |
| Provider Name | Brooke L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235686759 PECOS PAC ID: 5092093526 Enrollment ID: I20161103000368 |
| Provider Name | Laura L Meints |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255568986 PECOS PAC ID: 3971748872 Enrollment ID: I20161122002419 |
| Provider Name | Alicia C Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053854323 PECOS PAC ID: 2062792062 Enrollment ID: I20161209000024 |
| Provider Name | Toluope T Efam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174962732 PECOS PAC ID: 5193943314 Enrollment ID: I20170113002412 |
| Provider Name | Alissa M Recker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053850495 PECOS PAC ID: 1153605746 Enrollment ID: I20170227001522 |
| Provider Name | Senthil Sivalingam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801084793 PECOS PAC ID: 8527225465 Enrollment ID: I20170309000859 |
| Provider Name | Margaret Soforenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912984402 PECOS PAC ID: 1759435894 Enrollment ID: I20170316002223 |
| Provider Name | Bruk Endale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538368204 PECOS PAC ID: 7517100340 Enrollment ID: I20170320001457 |
| Provider Name | Darren M Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558800656 PECOS PAC ID: 9133404668 Enrollment ID: I20170324001965 |
| Provider Name | Kartik B Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205123841 PECOS PAC ID: 3971800798 Enrollment ID: I20170601000603 |
| Provider Name | Laurie Krolikowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023551306 PECOS PAC ID: 9133496565 Enrollment ID: I20170606001582 |
| Provider Name | Rizwan Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609007582 PECOS PAC ID: 0941465587 Enrollment ID: I20170621002850 |
| Provider Name | David Kosturakis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952669277 PECOS PAC ID: 5496995953 Enrollment ID: I20170801002475 |
| Provider Name | Baqer A Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881009637 PECOS PAC ID: 5395016703 Enrollment ID: I20170803001280 |
| Provider Name | Saeed Abedin Ally |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609845460 PECOS PAC ID: 2466432968 Enrollment ID: I20170816000387 |
| Provider Name | Syed Javed H Zaidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255646675 PECOS PAC ID: 8426354648 Enrollment ID: I20170821003444 |
| Provider Name | Elizabeth Z Byrne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609118116 PECOS PAC ID: 9830494764 Enrollment ID: I20170824000702 |
| Provider Name | Debbie Wietfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619407863 PECOS PAC ID: 4880967637 Enrollment ID: I20170830002326 |
| Provider Name | Gotam T Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881952448 PECOS PAC ID: 1153623236 Enrollment ID: I20170913003232 |
| Provider Name | Evan K Kapanga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528401395 PECOS PAC ID: 4385940907 Enrollment ID: I20170916000314 |
| Provider Name | Arkady Rasin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578983680 PECOS PAC ID: 6608174149 Enrollment ID: I20170925000010 |
| Provider Name | Emily Schieler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245752237 PECOS PAC ID: 4981979879 Enrollment ID: I20171003004807 |
| Provider Name | Austin R Eichelberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538686852 PECOS PAC ID: 2264707579 Enrollment ID: I20171011003004 |
| Provider Name | Amrita Shreeniwas Pandit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780905463 PECOS PAC ID: 7012230121 Enrollment ID: I20171013002006 |
| Provider Name | Zachary J Osborne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548581408 PECOS PAC ID: 6406169762 Enrollment ID: I20171016003109 |
| Provider Name | Georgina Cheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104087014 PECOS PAC ID: 2365699626 Enrollment ID: I20171026000255 |
| Provider Name | Tal Pollak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770831158 PECOS PAC ID: 9234370982 Enrollment ID: I20171102003619 |
| Provider Name | Sandra A Fader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467961706 PECOS PAC ID: 5294091450 Enrollment ID: I20171106000280 |
| Provider Name | Narongsak Boonswang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821015652 PECOS PAC ID: 9739184169 Enrollment ID: I20171108001730 |
| Provider Name | Michele M Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588008122 PECOS PAC ID: 0749547115 Enrollment ID: I20171121000409 |
| Provider Name | Bilal Gondal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962799098 PECOS PAC ID: 0648402628 Enrollment ID: I20171127000207 |
| Provider Name | Anthony Cienfuegos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073027462 PECOS PAC ID: 2466710967 Enrollment ID: I20171211000331 |
| Provider Name | Anthony D Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063938082 PECOS PAC ID: 2769740885 Enrollment ID: I20171219002573 |
| Provider Name | Heather M Winquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972018398 PECOS PAC ID: 9537427455 Enrollment ID: I20171227000267 |
| Provider Name | Megan Elizabeth Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740647965 PECOS PAC ID: 0244533370 Enrollment ID: I20180108000696 |
| Provider Name | Jennifer Jane Toohill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780196311 PECOS PAC ID: 6305105388 Enrollment ID: I20180119001555 |
| Provider Name | Sarkis Marcel Nazarian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891806782 PECOS PAC ID: 4981835477 Enrollment ID: I20180215001020 |
| Provider Name | Amit S Parkhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676424 PECOS PAC ID: 9335400902 Enrollment ID: I20180221002533 |
| Provider Name | Kristin Marie Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124411673 PECOS PAC ID: 3870854789 Enrollment ID: I20180309000147 |
| Provider Name | Mini V. Hariharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356768295 PECOS PAC ID: 7416175195 Enrollment ID: I20180405002594 |
| Provider Name | Kimberly A Klepec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609272129 PECOS PAC ID: 0941563373 Enrollment ID: I20180417000588 |
| Provider Name | Nicole M Warmac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821591421 PECOS PAC ID: 6406110550 Enrollment ID: I20180426000752 |
| Provider Name | Brian J Mason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346248028 PECOS PAC ID: 8224187885 Enrollment ID: I20180509000883 |
| Provider Name | Sunil Kumar Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710204334 PECOS PAC ID: 8527313634 Enrollment ID: I20180613002190 |
| Provider Name | Ayham Alagha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851779151 PECOS PAC ID: 0749598209 Enrollment ID: I20180619002540 |
| Provider Name | George H Bechir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649685306 PECOS PAC ID: 8123399664 Enrollment ID: I20180711002066 |
| Provider Name | Thayne C Griener |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871624627 PECOS PAC ID: 5193612810 Enrollment ID: I20180720001345 |
| Provider Name | Noah Michael Einstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730561747 PECOS PAC ID: 8820393606 Enrollment ID: I20180724000668 |
| Provider Name | Wael A Hassaneen Mostafa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376830745 PECOS PAC ID: 1557662095 Enrollment ID: I20180806000218 |
| Provider Name | Bimal Vyas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366769945 PECOS PAC ID: 6305167172 Enrollment ID: I20180806001843 |
| Provider Name | Carrie M. Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760972715 PECOS PAC ID: 6507115201 Enrollment ID: I20180814000318 |
| Provider Name | Nicholas Christopher Brissey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801258629 PECOS PAC ID: 6901194091 Enrollment ID: I20180814000504 |
| Provider Name | Sunnan Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140727 PECOS PAC ID: 0143524199 Enrollment ID: I20180828003683 |
| Provider Name | Matilde E Francois |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124459219 PECOS PAC ID: 1557682440 Enrollment ID: I20180830001154 |
| Provider Name | Nicholas A Wilczynski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124405972 PECOS PAC ID: 6406144997 Enrollment ID: I20180910002750 |
| Provider Name | Hector Robles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922493386 PECOS PAC ID: 3577869809 Enrollment ID: I20180913003399 |
| Provider Name | Andrew Keto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831578293 PECOS PAC ID: 3173827417 Enrollment ID: I20180918001300 |
| Provider Name | Arianna Medema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932698297 PECOS PAC ID: 8426309089 Enrollment ID: I20180920000284 |
| Provider Name | Naeem Iqbal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902287956 PECOS PAC ID: 8921311465 Enrollment ID: I20180920000467 |
| Provider Name | Noelle E Morey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710249750 PECOS PAC ID: 0446489140 Enrollment ID: I20180920002644 |
| Provider Name | Thomas Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073927612 PECOS PAC ID: 2163726084 Enrollment ID: I20180924002439 |
| Provider Name | Janessa M Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891018891 PECOS PAC ID: 0749544278 Enrollment ID: I20181001000469 |
| Provider Name | Jennifer M Goldkamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225291636 PECOS PAC ID: 9234395377 Enrollment ID: I20181002000724 |
| Provider Name | Bradley S Litke |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992790612 PECOS PAC ID: 7315038999 Enrollment ID: I20181115000505 |
| Provider Name | Sara Katherine Maffit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578065504 PECOS PAC ID: 9032454251 Enrollment ID: I20181217001636 |
| Provider Name | Pramod Mallipaddi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083817886 PECOS PAC ID: 4486821295 Enrollment ID: I20181219000000 |
| Provider Name | Anatoliy Vaysberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275973711 PECOS PAC ID: 0749530475 Enrollment ID: I20190124002359 |
| Provider Name | Vevek Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063738243 PECOS PAC ID: 2264725332 Enrollment ID: I20190218001196 |
| Provider Name | Muhammad S Akhtar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336384460 PECOS PAC ID: 2466775176 Enrollment ID: I20190218001795 |
| Provider Name | Divakara Kedlaya |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134104037 PECOS PAC ID: 7911905690 Enrollment ID: I20190226003120 |
| Provider Name | Cheryl B Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003370982 PECOS PAC ID: 2769722164 Enrollment ID: I20190321001913 |
| Provider Name | Emmanuel A Omoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346342342 PECOS PAC ID: 7517868938 Enrollment ID: I20190328000255 |
| Provider Name | Saad Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043754310 PECOS PAC ID: 8426339656 Enrollment ID: I20190402001842 |
| Provider Name | Kelly J Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717525 PECOS PAC ID: 9537401419 Enrollment ID: I20190424001425 |
| Provider Name | Brittany B Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710364492 PECOS PAC ID: 5991019671 Enrollment ID: I20190501002001 |
| Provider Name | Michelle C Kronmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871052522 PECOS PAC ID: 4981946423 Enrollment ID: I20190502000012 |
| Provider Name | Babatunde Eben Adeosun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164892469 PECOS PAC ID: 1658689898 Enrollment ID: I20190507002610 |
| Provider Name | Adam J Buffington |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396197604 PECOS PAC ID: 7214224252 Enrollment ID: I20190514002708 |
| Provider Name | Muhammad F Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114176708 PECOS PAC ID: 0547385262 Enrollment ID: I20190516000772 |
| Provider Name | Yannick A Kadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962857185 PECOS PAC ID: 0749577617 Enrollment ID: I20190529001197 |
| Provider Name | Nileshkumar J Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730425893 PECOS PAC ID: 1850653809 Enrollment ID: I20190603001232 |
| Provider Name | Anthonia Ngozi Ijeli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437502390 PECOS PAC ID: 9739472796 Enrollment ID: I20190603002549 |
| Provider Name | Ashraf Abdeljaber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023472636 PECOS PAC ID: 2860784709 Enrollment ID: I20190618000807 |
| Provider Name | Jason R Michaels |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679988521 PECOS PAC ID: 4688891625 Enrollment ID: I20190625002563 |
| Provider Name | Zaw W Phyo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316491533 PECOS PAC ID: 4587918370 Enrollment ID: I20190703000694 |
| Provider Name | Ahmad Zafar Chaudhry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144304635 PECOS PAC ID: 0547386849 Enrollment ID: I20190703002396 |
| Provider Name | Bijoy Kar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407207699 PECOS PAC ID: 5193050599 Enrollment ID: I20190708001215 |
| Provider Name | Kevin P Quirke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417306911 PECOS PAC ID: 3870888738 Enrollment ID: I20190727000005 |
| Provider Name | Daniel J Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972983377 PECOS PAC ID: 6800100587 Enrollment ID: I20190730003814 |
| Provider Name | Austin Joseph Causey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659735041 PECOS PAC ID: 0648567578 Enrollment ID: I20190806000482 |
| Provider Name | Kerrie M Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487093092 PECOS PAC ID: 8123315876 Enrollment ID: I20190808000757 |
| Provider Name | Maria F Saavedra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972950103 PECOS PAC ID: 4789911785 Enrollment ID: I20190814001589 |
| Provider Name | Usama Bukhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568818128 PECOS PAC ID: 8527352459 Enrollment ID: I20190820002240 |
| Provider Name | Andrew W Logeman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982018271 PECOS PAC ID: 3274752852 Enrollment ID: I20190828000835 |
| Provider Name | Numan Jahangir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174985634 PECOS PAC ID: 8022303999 Enrollment ID: I20190905000022 |
| Provider Name | Ahadi Hakki |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1194816389 PECOS PAC ID: 5496800997 Enrollment ID: I20190910000032 |
| Provider Name | Ryan S Easley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649441668 PECOS PAC ID: 3971674995 Enrollment ID: I20191001000337 |
| Provider Name | Blake A Weis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801236617 PECOS PAC ID: 7214255447 Enrollment ID: I20191007002767 |
| Provider Name | Hussam Eskandafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013362334 PECOS PAC ID: 6507159639 Enrollment ID: I20191014001171 |
| Provider Name | Christopher Robert-james Schilf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740608447 PECOS PAC ID: 2668755802 Enrollment ID: I20191018000896 |
| Provider Name | Peter Wrigley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144660572 PECOS PAC ID: 9931342425 Enrollment ID: I20191030000982 |
| Provider Name | Christopher Ring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639526320 PECOS PAC ID: 2163754680 Enrollment ID: I20191031003146 |
| Provider Name | Megan Leigh Gleason Hutchcraft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366748162 PECOS PAC ID: 5698084887 Enrollment ID: I20191031003177 |
| Provider Name | Vijeta Shukla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245595453 PECOS PAC ID: 2466799861 Enrollment ID: I20191120002544 |
| Provider Name | Marwan M Dib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225346414 PECOS PAC ID: 7810147899 Enrollment ID: I20191203001243 |
| Provider Name | Joseph O'connell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801145891 PECOS PAC ID: 0749580678 Enrollment ID: I20191210000720 |
| Provider Name | Ahmad El Kouzi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861834152 PECOS PAC ID: 3678866225 Enrollment ID: I20191223000014 |
| Provider Name | Mariam Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831479005 PECOS PAC ID: 2668763095 Enrollment ID: I20200103001861 |
| Provider Name | Farid F Shafaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306891841 PECOS PAC ID: 4688636905 Enrollment ID: I20200107001199 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20200113001847 |
| Provider Name | Lawrence G Splitter |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1508881491 PECOS PAC ID: 7214094861 Enrollment ID: I20200114000816 |
| Provider Name | Chad Michael Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558918409 PECOS PAC ID: 4880029701 Enrollment ID: I20200122001960 |
| Provider Name | Virginia Hemelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710984638 PECOS PAC ID: 1456346717 Enrollment ID: I20200204000876 |
| Provider Name | Fadi Mikhail |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215290671 PECOS PAC ID: 2860796182 Enrollment ID: I20200317002214 |
| Provider Name | Nicholas Ray Florence |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093100554 PECOS PAC ID: 5890087852 Enrollment ID: I20200324000181 |
| Provider Name | Tara J Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861035685 PECOS PAC ID: 2961830989 Enrollment ID: I20200325000412 |
| Provider Name | Emaad Basith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025108 PECOS PAC ID: 7618269341 Enrollment ID: I20200427001630 |
| Provider Name | Bao L Dang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740502509 PECOS PAC ID: 2567628779 Enrollment ID: I20200428000363 |
| Provider Name | Rachel Emily Immen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225476377 PECOS PAC ID: 3375871437 Enrollment ID: I20200429002464 |
| Provider Name | Alexa Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831610898 PECOS PAC ID: 2062833304 Enrollment ID: I20200522000809 |
| Provider Name | Christa Jaglinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588292239 PECOS PAC ID: 1951722230 Enrollment ID: I20200522002493 |
| Provider Name | Jerome Jameel Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437681970 PECOS PAC ID: 8527338748 Enrollment ID: I20200709003047 |
| Provider Name | Kory David Tieman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376168005 PECOS PAC ID: 4789008996 Enrollment ID: I20200721003362 |
| Provider Name | Jordan Forney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285154799 PECOS PAC ID: 5294005849 Enrollment ID: I20200724000124 |
| Provider Name | Stephen Ferraresi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131843 PECOS PAC ID: 5193031813 Enrollment ID: I20200803002502 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20200807000711 |
| Provider Name | Harry C Yuan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245458595 PECOS PAC ID: 9234224346 Enrollment ID: I20200827001572 |
| Provider Name | Hilary Dirks Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861913899 PECOS PAC ID: 3072883313 Enrollment ID: I20200901001900 |
| Provider Name | Kirubel Herano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902333743 PECOS PAC ID: 8628340320 Enrollment ID: I20200918000164 |
| Provider Name | Mohammed Abdul-rahman Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154841807 PECOS PAC ID: 3971863275 Enrollment ID: I20200918000291 |
| Provider Name | Ambreen Khalil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063564268 PECOS PAC ID: 2163618406 Enrollment ID: I20200928000073 |
| Provider Name | Kendall Ray Held |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477903615 PECOS PAC ID: 7618263104 Enrollment ID: I20200929000170 |
| Provider Name | Shilpa Viswanath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689109456 PECOS PAC ID: 1153690664 Enrollment ID: I20200929000268 |
| Provider Name | Sharon Sneed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841350246 PECOS PAC ID: 9638237738 Enrollment ID: I20200929000492 |
| Provider Name | Allison Nazinitsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922324011 PECOS PAC ID: 5092020313 Enrollment ID: I20201001000286 |
| Provider Name | Danny Jandali |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063827590 PECOS PAC ID: 0749600815 Enrollment ID: I20201013000053 |
| Provider Name | Kurtis Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306004676 PECOS PAC ID: 9739305699 Enrollment ID: I20201019000372 |
| Provider Name | Chibuzo Enemchukwu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144529900 PECOS PAC ID: 8325399215 Enrollment ID: I20201110000740 |
| Provider Name | Tanmay Sahai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104265347 PECOS PAC ID: 2365796687 Enrollment ID: I20201116001465 |
| Provider Name | Patrick Kohlitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962720482 PECOS PAC ID: 5395988620 Enrollment ID: I20201123000816 |
| Provider Name | Hussam Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861903494 PECOS PAC ID: 7719246610 Enrollment ID: I20201204000472 |
| Provider Name | Joseph Tarran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679093454 PECOS PAC ID: 2062781636 Enrollment ID: I20201205000258 |
| Provider Name | Ramakrishna Nalluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396279725 PECOS PAC ID: 0143593442 Enrollment ID: I20201218000883 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255738597 PECOS PAC ID: 3678869831 Enrollment ID: I20201222000038 |
| Provider Name | Rizwan Ahamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205210341 PECOS PAC ID: 9931486875 Enrollment ID: I20210104002245 |
| Provider Name | Shannon Marie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215533245 PECOS PAC ID: 6709299787 Enrollment ID: I20210112002263 |
| Provider Name | Jonathan Mcjunkin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336218643 PECOS PAC ID: 8022287911 Enrollment ID: I20210122001384 |
| Provider Name | Rabaiya Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437508041 PECOS PAC ID: 2668710112 Enrollment ID: I20210202000452 |
| Provider Name | Ahmed A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780017749 PECOS PAC ID: 9133424096 Enrollment ID: I20210302003145 |
| Provider Name | Hafez Haerian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861653958 PECOS PAC ID: 8325366289 Enrollment ID: I20210322001788 |
| Provider Name | Cora Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524703 PECOS PAC ID: 5496162281 Enrollment ID: I20210323001023 |
| Provider Name | Clair L Casagrande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578162210 PECOS PAC ID: 6608283858 Enrollment ID: I20210406000533 |
| Provider Name | Neil Mashruwala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881986503 PECOS PAC ID: 5991012189 Enrollment ID: I20210409001360 |
| Provider Name | Lisa Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851563571 PECOS PAC ID: 0143538355 Enrollment ID: I20210415002372 |
| Provider Name | Nischala Rajegowda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497043236 PECOS PAC ID: 2961780671 Enrollment ID: I20210428002674 |
| Provider Name | Nabeel Noor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073048625 PECOS PAC ID: 3971873480 Enrollment ID: I20210504001341 |
| Provider Name | Benjamin G Keating |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417310384 PECOS PAC ID: 8224321930 Enrollment ID: I20210514000568 |
| Provider Name | Asad Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417440710 PECOS PAC ID: 3476801804 Enrollment ID: I20210518001794 |
| Provider Name | Nicholas Christopher Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508367590 PECOS PAC ID: 9234487927 Enrollment ID: I20210518002028 |
| Provider Name | Usha Sree Janapala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932559697 PECOS PAC ID: 5890087985 Enrollment ID: I20210526000599 |
| Provider Name | Fikru G Heramo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962864751 PECOS PAC ID: 1759619927 Enrollment ID: I20210602001052 |
| Provider Name | Lakshmi Mohan Viji Das |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275975682 PECOS PAC ID: 9739430463 Enrollment ID: I20210616003221 |
| Provider Name | Gregory E Punch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386802312 PECOS PAC ID: 0840438107 Enrollment ID: I20210706001931 |
| Provider Name | Nicholas Michael Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336634237 PECOS PAC ID: 7719235860 Enrollment ID: I20210719000704 |
| Provider Name | Kevin Regis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861884520 PECOS PAC ID: 1254734767 Enrollment ID: I20210721002622 |
| Provider Name | Annette Alyse Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644430 PECOS PAC ID: 7810390234 Enrollment ID: I20210722003212 |
| Provider Name | Mindy Ruan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588225320 PECOS PAC ID: 7618207259 Enrollment ID: I20210730000023 |
| Provider Name | Hao Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346637485 PECOS PAC ID: 0042614653 Enrollment ID: I20210804001574 |
| Provider Name | Ashley Ceniceros |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598154163 PECOS PAC ID: 8224375019 Enrollment ID: I20210812000137 |
| Provider Name | Ibrahim Mustafa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134650658 PECOS PAC ID: 2668746256 Enrollment ID: I20210812001641 |
| Provider Name | Tomasz Przednowek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184158586 PECOS PAC ID: 0547531998 Enrollment ID: I20210812003046 |
| Provider Name | Rachel Trumpy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598254229 PECOS PAC ID: 4385909753 Enrollment ID: I20210814000320 |
| Provider Name | Kelli Dohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568791234 PECOS PAC ID: 5597160259 Enrollment ID: I20210819000480 |
| Provider Name | Jonathan Aubry |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255866448 PECOS PAC ID: 6103195573 Enrollment ID: I20210826002827 |
| Provider Name | Stephanie Finn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649631854 PECOS PAC ID: 7214236074 Enrollment ID: I20210903000473 |
| Provider Name | Nathaniel John Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509437 PECOS PAC ID: 8123424579 Enrollment ID: I20210909002506 |
| Provider Name | Ari D Plosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639141682 PECOS PAC ID: 4587693320 Enrollment ID: I20210913000064 |
| Provider Name | Paige Carey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184394710 PECOS PAC ID: 5294133286 Enrollment ID: I20211005002952 |
| Provider Name | Adil S Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568967958 PECOS PAC ID: 9638577588 Enrollment ID: I20211007002518 |
| Provider Name | Benjamin D Riegle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679889026 PECOS PAC ID: 4284822636 Enrollment ID: I20211007003541 |
| Provider Name | Joanna Oyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700459096 PECOS PAC ID: 8729486212 Enrollment ID: I20211014000395 |
| Provider Name | Unnati Upadhyay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114411410 PECOS PAC ID: 2961759436 Enrollment ID: I20211026002323 |
| Provider Name | Christy Kimly Mahrt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245471150 PECOS PAC ID: 1355739186 Enrollment ID: I20211028001367 |
| Provider Name | Leah R. Dean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053980524 PECOS PAC ID: 7618367160 Enrollment ID: I20211124001208 |
| Provider Name | Jill Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821602301 PECOS PAC ID: 7618367046 Enrollment ID: I20211129002126 |
| Provider Name | Emily Lampe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881868412 PECOS PAC ID: 3678738127 Enrollment ID: I20220118002208 |
| Provider Name | Jeffrey Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033321914 PECOS PAC ID: 2769580075 Enrollment ID: I20220119001163 |
| Provider Name | Kourosh Kahkeshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992048615 PECOS PAC ID: 1759714504 Enrollment ID: I20220120000095 |
| Provider Name | Saad A Mir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356603161 PECOS PAC ID: 2466606926 Enrollment ID: I20220126002086 |
| Provider Name | James H Wudel |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942395215 PECOS PAC ID: 6103734819 Enrollment ID: I20220208001808 |
| Provider Name | Jennifer S Pemble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811248651 PECOS PAC ID: 3274783386 Enrollment ID: I20220218002338 |
| Provider Name | Kimberly Shani Forte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568782738 PECOS PAC ID: 4183852023 Enrollment ID: I20220309000322 |
| Provider Name | Lloyd Panjikaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609372341 PECOS PAC ID: 6709134414 Enrollment ID: I20220405003039 |
| Provider Name | Marwan Ghazoul |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558362491 PECOS PAC ID: 6507815776 Enrollment ID: I20220425001589 |
| Provider Name | Tavia N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568813061 PECOS PAC ID: 7517251754 Enrollment ID: I20220429001918 |
| Provider Name | Ryan Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609231877 PECOS PAC ID: 6305140260 Enrollment ID: I20220503000343 |
| Provider Name | Burgundy Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548608847 PECOS PAC ID: 1254687858 Enrollment ID: I20220504002654 |
| Provider Name | Robert Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902561624 PECOS PAC ID: 5092192351 Enrollment ID: I20220507000147 |
| Provider Name | Nicole Bing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932856713 PECOS PAC ID: 6406233345 Enrollment ID: I20220516002191 |
| Provider Name | Tana Van Meter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851900781 PECOS PAC ID: 1355721531 Enrollment ID: I20220706000685 |
| Provider Name | Sourabh Lahoti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265776165 PECOS PAC ID: 1456665892 Enrollment ID: I20220708000440 |
| Provider Name | Ross D Percell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417512336 PECOS PAC ID: 0547592040 Enrollment ID: I20220711003694 |
| Provider Name | Alyssa J Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023497765 PECOS PAC ID: 9234441015 Enrollment ID: I20220712003327 |
| Provider Name | Frank P Amling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215210158 PECOS PAC ID: 8729251004 Enrollment ID: I20220720000685 |
| Provider Name | Ali Marie Joos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922741032 PECOS PAC ID: 7618358516 Enrollment ID: I20220725000972 |
| Provider Name | Chandrasekhar Nandipaty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700316262 PECOS PAC ID: 6204107782 Enrollment ID: I20220816003291 |
| Provider Name | Ryan K Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679936256 PECOS PAC ID: 9830426311 Enrollment ID: I20220823000108 |
| Provider Name | Farooq S Ghouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20220902002219 |
| Provider Name | Brittany Yvonne Loggie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730828062 PECOS PAC ID: 1153707286 Enrollment ID: I20220927003286 |
| Provider Name | Brandi Hicks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942497797 PECOS PAC ID: 0547421208 Enrollment ID: I20221003002872 |
| Provider Name | Brian Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023244522 PECOS PAC ID: 6305003476 Enrollment ID: I20221021001808 |
| Provider Name | Vinessa Marie Rocero Sarol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629796636 PECOS PAC ID: 8123494788 Enrollment ID: I20221022000172 |
| Provider Name | Aman Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013399286 PECOS PAC ID: 9234437237 Enrollment ID: I20221027000518 |
| Provider Name | Edward Chi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639617665 PECOS PAC ID: 9335419340 Enrollment ID: I20221027001559 |
| Provider Name | Elisabeth Leann Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609504109 PECOS PAC ID: 0345617767 Enrollment ID: I20221027001871 |
| Provider Name | Umar Tariq |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578903134 PECOS PAC ID: 1850695271 Enrollment ID: I20221103002039 |
| Provider Name | Donna Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871219469 PECOS PAC ID: 0648647511 Enrollment ID: I20221104002750 |
| Provider Name | Saba Akram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043872708 PECOS PAC ID: 7517295595 Enrollment ID: I20221114002505 |
| Provider Name | Saurabh Verma |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659785665 PECOS PAC ID: 8426396821 Enrollment ID: I20221121001164 |
| Provider Name | Debasis Dasgupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811017957 PECOS PAC ID: 1456315373 Enrollment ID: I20221128000518 |
| Provider Name | Roger Dwayne Shockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992240808 PECOS PAC ID: 7012292048 Enrollment ID: I20221216002224 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20221221000688 |
| Provider Name | David Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295452464 PECOS PAC ID: 5698145209 Enrollment ID: I20221222002104 |
| Provider Name | Elizabeth Butler |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1255403416 PECOS PAC ID: 8426126731 Enrollment ID: I20221227000093 |
| Provider Name | Adam Andrews |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295048759 PECOS PAC ID: 0547431058 Enrollment ID: I20221229001074 |
| Provider Name | Stanislav Belchuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164816674 PECOS PAC ID: 9931419074 Enrollment ID: I20230111000556 |
| Provider Name | Kristin Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215435276 PECOS PAC ID: 4284996190 Enrollment ID: I20230124002166 |
| Provider Name | Sarah Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528621497 PECOS PAC ID: 5395142780 Enrollment ID: I20230208000379 |
| Provider Name | Jennifer Erlandson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801514971 PECOS PAC ID: 1658743976 Enrollment ID: I20230215001835 |
| Provider Name | Julie Mcdaniel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407219272 PECOS PAC ID: 3779875851 Enrollment ID: I20230216001623 |
| Provider Name | Robert Worthen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942920129 PECOS PAC ID: 3476926676 Enrollment ID: I20230309001890 |
| Provider Name | Brian J Robertson-dick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033452453 PECOS PAC ID: 9133419021 Enrollment ID: I20230309001963 |
| Provider Name | Kyle Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235455783 PECOS PAC ID: 8729221940 Enrollment ID: I20230310000636 |
| Provider Name | Anand Oroskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587340 PECOS PAC ID: 0547544041 Enrollment ID: I20230410001536 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20230413001718 |
| Provider Name | Adam Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801117585 PECOS PAC ID: 4486883014 Enrollment ID: I20230424001287 |
| Provider Name | Jonathan Thomas Kleinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912262080 PECOS PAC ID: 9739479528 Enrollment ID: I20230425001600 |
| Provider Name | Jamie Kaye Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699381707 PECOS PAC ID: 5799140513 Enrollment ID: I20230501002417 |
| Provider Name | Michael Bernard Neinast |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770105769 PECOS PAC ID: 5597189050 Enrollment ID: I20230512001722 |
| Provider Name | Lauren Horve |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457062218 PECOS PAC ID: 5597122945 Enrollment ID: I20230531001062 |
| Provider Name | Amanda Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700287042 PECOS PAC ID: 7810319563 Enrollment ID: I20230706003367 |
| Provider Name | John Sanico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518126697 PECOS PAC ID: 5092882472 Enrollment ID: I20230717002141 |
| Provider Name | Sri Mahathi Priyanka Kalipatnapu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558898817 PECOS PAC ID: 4284908914 Enrollment ID: I20230720000583 |
| Provider Name | Ali Ghani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013392018 PECOS PAC ID: 8628382546 Enrollment ID: I20230725002789 |
| Provider Name | Maksim Khayznikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659704963 PECOS PAC ID: 0648565754 Enrollment ID: I20230801000176 |
| Provider Name | David Kimball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053798082 PECOS PAC ID: 1254646250 Enrollment ID: I20230808000689 |
| Provider Name | Yuliya Belopolsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467980011 PECOS PAC ID: 3870862675 Enrollment ID: I20230811001242 |
| Provider Name | Nassim Mokraoui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932606274 PECOS PAC ID: 9234532755 Enrollment ID: I20230814002340 |
| Provider Name | Arielle Esther Vansyckel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790218907 PECOS PAC ID: 1951657667 Enrollment ID: I20230816003242 |
| Provider Name | Noah Mckittrick |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902197312 PECOS PAC ID: 1951533074 Enrollment ID: I20230822001759 |
| Provider Name | Piotr Pawel Krolikowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033735022 PECOS PAC ID: 0345602439 Enrollment ID: I20230822002128 |
| Provider Name | Jillianne Nanadiego |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619598133 PECOS PAC ID: 6406270891 Enrollment ID: I20230822002498 |
| Provider Name | Karl Magsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033202536 PECOS PAC ID: 8921084187 Enrollment ID: I20230830000412 |
| Provider Name | Ryan Michael Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932559119 PECOS PAC ID: 1456643600 Enrollment ID: I20230831002385 |
| Provider Name | Aanchal Chaudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336753326 PECOS PAC ID: 5799164661 Enrollment ID: I20230913003546 |
| Provider Name | Brian Robert Compton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679035752 PECOS PAC ID: 7012341704 Enrollment ID: I20230915000568 |
| Provider Name | Mohammed Elshamy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982066056 PECOS PAC ID: 9335426485 Enrollment ID: I20230918003687 |
| Provider Name | Ahmed Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770915670 PECOS PAC ID: 0840424610 Enrollment ID: I20230919000222 |
| Provider Name | Colby Lee Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669092938 PECOS PAC ID: 9739505926 Enrollment ID: I20230920001754 |
| Provider Name | Teresa Beth Eubanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124727011 PECOS PAC ID: 1850745522 Enrollment ID: I20230928003015 |
| Provider Name | Tresa Nesbitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609154483 PECOS PAC ID: 9638499817 Enrollment ID: I20231002003499 |
| Provider Name | John Mark Pool |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134338114 PECOS PAC ID: 5496818395 Enrollment ID: I20231011001823 |
| Provider Name | Kedar Sharbidre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114333671 PECOS PAC ID: 8729372248 Enrollment ID: I20231019002484 |
| Provider Name | Heather Ann Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780366419 PECOS PAC ID: 5799131991 Enrollment ID: I20231024003502 |
| Provider Name | Kathryn Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871211946 PECOS PAC ID: 9133575087 Enrollment ID: I20231027003302 |
| Provider Name | Julie Rae Wetmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295955193 PECOS PAC ID: 2163688524 Enrollment ID: I20231114001876 |
| Provider Name | Marco Del Castillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396972147 PECOS PAC ID: 1456592518 Enrollment ID: I20231116000488 |
| Provider Name | Clarissa Latulip |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053022632 PECOS PAC ID: 9739537234 Enrollment ID: I20231121003903 |
| Provider Name | Austin Momii |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801380613 PECOS PAC ID: 4486033354 Enrollment ID: I20231211001623 |
| Provider Name | Jean Pe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548228661 PECOS PAC ID: 7012927361 Enrollment ID: I20231215000380 |
| Provider Name | Bethany Briggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407202450 PECOS PAC ID: 3971986613 Enrollment ID: I20231218000234 |
| Provider Name | Teresa Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467228049 PECOS PAC ID: 5698125557 Enrollment ID: I20231219002143 |
| Provider Name | Ryan Mallory |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548674096 PECOS PAC ID: 4183849912 Enrollment ID: I20231220003283 |
| Provider Name | Karyn W Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518523133 PECOS PAC ID: 9739539099 Enrollment ID: I20231228001926 |
| Provider Name | Paula Allee-smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235857129 PECOS PAC ID: 0840641445 Enrollment ID: I20240108005740 |
| Provider Name | Barbara K Duffie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295867380 PECOS PAC ID: 0749631224 Enrollment ID: I20240109002665 |
| Provider Name | Sherry M Brendalen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518162676 PECOS PAC ID: 0840641221 Enrollment ID: I20240110001957 |
| Provider Name | Sharon J Klingman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760405401 PECOS PAC ID: 8628429008 Enrollment ID: I20240110002107 |
| Provider Name | Homam Ibrahim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114150257 PECOS PAC ID: 3971897489 Enrollment ID: I20240123002680 |
| Provider Name | Braxton Mcclung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497934202 PECOS PAC ID: 1850553934 Enrollment ID: I20240125002994 |
| Provider Name | Steven J Karidas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396940342 PECOS PAC ID: 0941391478 Enrollment ID: I20240222001263 |
| Provider Name | Edward Steven Ericksen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043610199 PECOS PAC ID: 1153543269 Enrollment ID: I20240222002216 |
| Provider Name | Kyle Lenihan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699422980 PECOS PAC ID: 1254776099 Enrollment ID: I20240301003430 |
| Provider Name | Alexia Flangini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023457181 PECOS PAC ID: 7911205042 Enrollment ID: I20240311002911 |
Central Illinois Center For Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Jacobssen Dr Ste A, Normal, IL 61761 Phone: 309-807-5356 Fax: 309-807-5291 | |
Bromenn Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Franklin Ave Ste 100, Normal, IL 61761 Phone: 309-454-1400 | |
Johnson Chiropractic, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Susan Dr, Suite 2, Normal, IL 61761 Phone: 309-808-1123 Fax: 309-808-1516 | |
Ambulatory Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Jacobssen Dr, Normal, IL 61761 Phone: 309-452-0995 Fax: 309-862-0961 | |
Digestive Disease Consultants Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 | |
Bromenn Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Franklin Ave, Suite 100, Normal, IL 61761 Phone: 309-268-3761 Fax: 309-268-5620 |