| Carolinaeast Physicians | |
|
1001 Newman Rd New Bern NC 28562-5253 | |
| (252) 635-6777 | |
| (252) 634-3183 |
| Full Name | Carolinaeast Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 Newman Rd, New Bern, North Carolina |
| Authorized Official Name and Position | Tammy M Sherron (VP FINANCE/CFO) |
| Authorized Official Contact | 2526338880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinaeast Physicians Po Box 896206 Charlotte NC 28289-6206 Ph: (252) 672-7738 | Carolinaeast Physicians 1001 Newman Rd New Bern NC 28562-5253 Ph: (252) 635-6777 |
| NPI Number | 1104066794 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 03/17/2017 |
| Medicare PECOS PAC ID | 0143378117 |
|---|---|
| Medicare Enrollment ID | O20090430000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104066794 | NPI | - | NPPES |
| 5911371 | Medicaid | NC |
| Provider Name | Alex Ray Kirby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356305676 PECOS PAC ID: 1658284351 Enrollment ID: I20031110000131 |
| Provider Name | Raymond L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891789962 PECOS PAC ID: 7911999065 Enrollment ID: I20040331000391 |
| Provider Name | Dusty L Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043306012 PECOS PAC ID: 5597758037 Enrollment ID: I20040408000366 |
| Provider Name | Raymond J Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912992744 PECOS PAC ID: 1153319272 Enrollment ID: I20040505001236 |
| Provider Name | Marcus C Whaley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124011523 PECOS PAC ID: 4385627991 Enrollment ID: I20040612000210 |
| Provider Name | Larry L Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538250303 PECOS PAC ID: 0042295032 Enrollment ID: I20040623000527 |
| Provider Name | David B Maybee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245286467 PECOS PAC ID: 4082699806 Enrollment ID: I20040623001590 |
| Provider Name | Jeanette Marie Billett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720095904 PECOS PAC ID: 5890771588 Enrollment ID: I20040624001206 |
| Provider Name | Brent R Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851361976 PECOS PAC ID: 6800872177 Enrollment ID: I20040628000248 |
| Provider Name | Terri Lee Koson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154377372 PECOS PAC ID: 6204814726 Enrollment ID: I20040712000406 |
| Provider Name | Gregory S Mcnabb |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871679753 PECOS PAC ID: 6103890132 Enrollment ID: I20040824001333 |
| Provider Name | Susan K Zawodniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992773089 PECOS PAC ID: 7517931959 Enrollment ID: I20040903001141 |
| Provider Name | Jagadeesh R Ganji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306942578 PECOS PAC ID: 7315914488 Enrollment ID: I20040916000961 |
| Provider Name | Laura H Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831291657 PECOS PAC ID: 9234108168 Enrollment ID: I20040928000776 |
| Provider Name | Paul J Healy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780678532 PECOS PAC ID: 3971566092 Enrollment ID: I20041110000135 |
| Provider Name | William H Bobbitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336194521 PECOS PAC ID: 9739145962 Enrollment ID: I20041208000958 |
| Provider Name | James G Zolzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104854173 PECOS PAC ID: 9537126370 Enrollment ID: I20041216000686 |
| Provider Name | Edwin L Bell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336195551 PECOS PAC ID: 4082672035 Enrollment ID: I20041222000557 |
| Provider Name | Millard Fillmore Banker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245223197 PECOS PAC ID: 5597723403 Enrollment ID: I20041223000211 |
| Provider Name | Kristi L English Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336165166 PECOS PAC ID: 4587617063 Enrollment ID: I20050224000353 |
| Provider Name | Janet E Childers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154365658 PECOS PAC ID: 3971558891 Enrollment ID: I20050314000848 |
| Provider Name | Rajasekhar Nekkanti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568456366 PECOS PAC ID: 6800798778 Enrollment ID: I20050321000682 |
| Provider Name | Wendy Chandler Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538251053 PECOS PAC ID: 5890741094 Enrollment ID: I20050330000406 |
| Provider Name | Ahmad Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770558553 PECOS PAC ID: 7719925833 Enrollment ID: I20050422000658 |
| Provider Name | Walter John Wardell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538111851 PECOS PAC ID: 7810938222 Enrollment ID: I20050516001018 |
| Provider Name | Mark B Moeller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053304097 PECOS PAC ID: 1254372576 Enrollment ID: I20050517000990 |
| Provider Name | Daniel Ryan Champey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700836681 PECOS PAC ID: 0446292155 Enrollment ID: I20050524000117 |
| Provider Name | Garland R Moeller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912990334 PECOS PAC ID: 2961444989 Enrollment ID: I20050531000589 |
| Provider Name | Michael R Towarnicky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740273242 PECOS PAC ID: 2769425487 Enrollment ID: I20050603000553 |
| Provider Name | Bonnie J Goodwin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922091875 PECOS PAC ID: 5092758441 Enrollment ID: I20050607000076 |
| Provider Name | Purna P Manne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513697 PECOS PAC ID: 6002851003 Enrollment ID: I20050621000467 |
| Provider Name | Michael Lawrence Holloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427054089 PECOS PAC ID: 6507849627 Enrollment ID: I20050831000952 |
| Provider Name | Elizabeth R Stott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932199577 PECOS PAC ID: 6507885332 Enrollment ID: I20051122000093 |
| Provider Name | Jody L King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194716340 PECOS PAC ID: 4981624491 Enrollment ID: I20051129000876 |
| Provider Name | Richard Forbes Gorman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033165246 PECOS PAC ID: 0749202240 Enrollment ID: I20051227000686 |
| Provider Name | John M Cho |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659310332 PECOS PAC ID: 2567484066 Enrollment ID: I20051227000690 |
| Provider Name | Rebecca B Mercer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568460053 PECOS PAC ID: 1052325206 Enrollment ID: I20060126000993 |
| Provider Name | John P Arrowood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184663981 PECOS PAC ID: 2264447325 Enrollment ID: I20060217000167 |
| Provider Name | George H Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942344494 PECOS PAC ID: 5193731651 Enrollment ID: I20060222000019 |
| Provider Name | William P Lorio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194719591 PECOS PAC ID: 0749296374 Enrollment ID: I20060306000499 |
| Provider Name | Jennie C Mangun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457327272 PECOS PAC ID: 9436166733 Enrollment ID: I20060310000605 |
| Provider Name | Jeffrey Holden Greene |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598757122 PECOS PAC ID: 7719994979 Enrollment ID: I20060313000406 |
| Provider Name | Michael E Halligan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366413353 PECOS PAC ID: 5092727446 Enrollment ID: I20060629000090 |
| Provider Name | Angela M Park |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720042013 PECOS PAC ID: 7719968601 Enrollment ID: I20060804000127 |
| Provider Name | Joseph Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700815206 PECOS PAC ID: 8628027513 Enrollment ID: I20060913000442 |
| Provider Name | Piotr Dumicz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1669553400 PECOS PAC ID: 7618071168 Enrollment ID: I20070322000608 |
| Provider Name | John G Steel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659364156 PECOS PAC ID: 7012013386 Enrollment ID: I20070502000531 |
| Provider Name | Dean Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457434516 PECOS PAC ID: 1355448200 Enrollment ID: I20070529000613 |
| Provider Name | Susan Renee Garwood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053381921 PECOS PAC ID: 0840399309 Enrollment ID: I20070625000117 |
| Provider Name | Sheila J Honeycutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154455442 PECOS PAC ID: 1951401009 Enrollment ID: I20070703000231 |
| Provider Name | Robert B Whitmore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366405003 PECOS PAC ID: 2365542925 Enrollment ID: I20070711000554 |
| Provider Name | Sagir Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245235506 PECOS PAC ID: 3971606823 Enrollment ID: I20070814000746 |
| Provider Name | Daniel E Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841283462 PECOS PAC ID: 8820197379 Enrollment ID: I20070831000579 |
| Provider Name | William B Wheatley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740288224 PECOS PAC ID: 3971696832 Enrollment ID: I20070913000864 |
| Provider Name | Barton S Arthur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306831136 PECOS PAC ID: 1456444397 Enrollment ID: I20070913000909 |
| Provider Name | Suman a Lamsal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235179698 PECOS PAC ID: 4587627179 Enrollment ID: I20071018000156 |
| Provider Name | Nicholas Farina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013901164 PECOS PAC ID: 1557460003 Enrollment ID: I20071117000112 |
| Provider Name | Cyril Abrams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821098344 PECOS PAC ID: 4082795307 Enrollment ID: I20080112000130 |
| Provider Name | Daniel J Reichenbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396765715 PECOS PAC ID: 9133155088 Enrollment ID: I20080415000250 |
| Provider Name | Andre Dean Frederick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932308384 PECOS PAC ID: 2264505080 Enrollment ID: I20080725000657 |
| Provider Name | Sandra K Royle Tabak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477727337 PECOS PAC ID: 2163598608 Enrollment ID: I20080905000531 |
| Provider Name | Tamika J Lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386791879 PECOS PAC ID: 3678633591 Enrollment ID: I20081122000180 |
| Provider Name | Brian Averell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891742763 PECOS PAC ID: 6305858655 Enrollment ID: I20090209000620 |
| Provider Name | Allison a Linton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528206018 PECOS PAC ID: 4385709252 Enrollment ID: I20090210000703 |
| Provider Name | Roy Nathan Everett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316930787 PECOS PAC ID: 7911006465 Enrollment ID: I20090312000181 |
| Provider Name | Barbara Clayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518102573 PECOS PAC ID: 2163579335 Enrollment ID: I20090406000430 |
| Provider Name | Bhavani Balaravi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982681417 PECOS PAC ID: 2567428295 Enrollment ID: I20090407000105 |
| Provider Name | William Christopher Taylor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700094174 PECOS PAC ID: 2668529694 Enrollment ID: I20090409000143 |
| Provider Name | John J Gould |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568424612 PECOS PAC ID: 3971651969 Enrollment ID: I20090430000499 |
| Provider Name | John a Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447214762 PECOS PAC ID: 8527970193 Enrollment ID: I20090430000543 |
| Provider Name | Michelle Lynne Damery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164401931 PECOS PAC ID: 5799726584 Enrollment ID: I20090618000792 |
| Provider Name | Michele M Schwartz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407083314 PECOS PAC ID: 7315098514 Enrollment ID: I20090629000542 |
| Provider Name | Scott Ard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497967756 PECOS PAC ID: 4284786591 Enrollment ID: I20090717000273 |
| Provider Name | Christopher R Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821082975 PECOS PAC ID: 6901905462 Enrollment ID: I20090819000727 |
| Provider Name | Deborah a Milkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033112123 PECOS PAC ID: 5092747238 Enrollment ID: I20090827000260 |
| Provider Name | Robert J Fisher |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801836903 PECOS PAC ID: 0941356794 Enrollment ID: I20090918000364 |
| Provider Name | Barbara E Salamon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982669594 PECOS PAC ID: 6901977115 Enrollment ID: I20091006000564 |
| Provider Name | Umberto Gaetano Fontana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033111315 PECOS PAC ID: 0749326601 Enrollment ID: I20091006000645 |
| Provider Name | Michael L Reardon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447243712 PECOS PAC ID: 2466551916 Enrollment ID: I20091211000487 |
| Provider Name | Michael Edwin Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356336895 PECOS PAC ID: 9739288283 Enrollment ID: I20091214000774 |
| Provider Name | Kai Miao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265425391 PECOS PAC ID: 1658469168 Enrollment ID: I20091230000639 |
| Provider Name | Joseph M Payne |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205854452 PECOS PAC ID: 1951442920 Enrollment ID: I20100113000213 |
| Provider Name | Richard Sommerville Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376503458 PECOS PAC ID: 7315080264 Enrollment ID: I20100201000683 |
| Provider Name | Rolvix Patterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073507687 PECOS PAC ID: 2769573344 Enrollment ID: I20100211000720 |
| Provider Name | Thomas S Stewart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700871704 PECOS PAC ID: 0749315885 Enrollment ID: I20100315000969 |
| Provider Name | Lynn a Damitz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952495129 PECOS PAC ID: 9830229061 Enrollment ID: I20100614000662 |
| Provider Name | Joseph F Parrish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811214141 PECOS PAC ID: 2860522083 Enrollment ID: I20100615000710 |
| Provider Name | Robert Mitchell Rothbart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265499479 PECOS PAC ID: 0547201212 Enrollment ID: I20100623000777 |
| Provider Name | Julian Manuel Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417926221 PECOS PAC ID: 1658395397 Enrollment ID: I20100624000636 |
| Provider Name | Laurance D Farmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790991628 PECOS PAC ID: 4385777424 Enrollment ID: I20100727000274 |
| Provider Name | Andrea L Terry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174773923 PECOS PAC ID: 4789708728 Enrollment ID: I20100827000824 |
| Provider Name | Manesh Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962460550 PECOS PAC ID: 8325007552 Enrollment ID: I20100916000199 |
| Provider Name | Kristin W Hedge |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366537847 PECOS PAC ID: 0941325740 Enrollment ID: I20100916001165 |
| Provider Name | Benjamin Lowry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144453986 PECOS PAC ID: 7416094883 Enrollment ID: I20100917001024 |
| Provider Name | Patrick J Walsh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417993130 PECOS PAC ID: 3173623873 Enrollment ID: I20101110000692 |
| Provider Name | Caroline a Paul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750495131 PECOS PAC ID: 6204997661 Enrollment ID: I20101208000567 |
| Provider Name | Henry C Mostellar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578677928 PECOS PAC ID: 5092874628 Enrollment ID: I20101208000636 |
| Provider Name | Richard E Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114031630 PECOS PAC ID: 1557420189 Enrollment ID: I20101214000274 |
| Provider Name | Kimberly Sue Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831496181 PECOS PAC ID: 8325220155 Enrollment ID: I20110315000555 |
| Provider Name | Christopher J Hudson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265507370 PECOS PAC ID: 1557416559 Enrollment ID: I20110330000293 |
| Provider Name | Ashley R Rawls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033408208 PECOS PAC ID: 2567647530 Enrollment ID: I20110506000590 |
| Provider Name | Steven R Hale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225323736 PECOS PAC ID: 9032388483 Enrollment ID: I20110802000010 |
| Provider Name | Rebecca E Marson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104856988 PECOS PAC ID: 4880868561 Enrollment ID: I20111115000048 |
| Provider Name | Matthew J Sheaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871879387 PECOS PAC ID: 1355518432 Enrollment ID: I20120112000178 |
| Provider Name | Charles D Godwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164496592 PECOS PAC ID: 2264418433 Enrollment ID: I20120220000722 |
| Provider Name | Brian L Yaeck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366632598 PECOS PAC ID: 5597925354 Enrollment ID: I20120402000417 |
| Provider Name | Jessica a Woodcock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275730178 PECOS PAC ID: 1355416876 Enrollment ID: I20120525000139 |
| Provider Name | Matthew a Levine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245327170 PECOS PAC ID: 4385800861 Enrollment ID: I20120727000440 |
| Provider Name | Immacula Saint Louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356449144 PECOS PAC ID: 9234104506 Enrollment ID: I20120730000643 |
| Provider Name | Terry Lee Bartlett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154699718 PECOS PAC ID: 8325295751 Enrollment ID: I20120820001121 |
| Provider Name | Svetlana S Kats |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306024005 PECOS PAC ID: 1658529169 Enrollment ID: I20120906000924 |
| Provider Name | Marsha a Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922354869 PECOS PAC ID: 8022266477 Enrollment ID: I20120910000878 |
| Provider Name | Matthew Michael Grove |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841322260 PECOS PAC ID: 4981853587 Enrollment ID: I20120925000382 |
| Provider Name | Patty Sue Ohrum-bergmueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639164957 PECOS PAC ID: 2961482062 Enrollment ID: I20130131000174 |
| Provider Name | Jeffrey S Grande |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912092842 PECOS PAC ID: 1658437793 Enrollment ID: I20130405000304 |
| Provider Name | Shannon Sparks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730426024 PECOS PAC ID: 7315183746 Enrollment ID: I20130409000518 |
| Provider Name | James G Underhill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275859498 PECOS PAC ID: 5193964997 Enrollment ID: I20130626000445 |
| Provider Name | Bonnie C Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912249640 PECOS PAC ID: 2163662818 Enrollment ID: I20130701000681 |
| Provider Name | Stanley R Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114288768 PECOS PAC ID: 3476707530 Enrollment ID: I20130701000754 |
| Provider Name | Douglas H Desantis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275509705 PECOS PAC ID: 0547318875 Enrollment ID: I20130816000589 |
| Provider Name | Paige D Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164664090 PECOS PAC ID: 0648413369 Enrollment ID: I20130828000746 |
| Provider Name | Robert O Holmes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053496349 PECOS PAC ID: 5890939920 Enrollment ID: I20130911000631 |
| Provider Name | Regina M Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154751881 PECOS PAC ID: 2062640121 Enrollment ID: I20140116001801 |
| Provider Name | Michael J Phillips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497727671 PECOS PAC ID: 4880608629 Enrollment ID: I20140613002233 |
| Provider Name | Jennings Elliott Nestor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972778652 PECOS PAC ID: 5294999587 Enrollment ID: I20140729002329 |
| Provider Name | Colin Mark Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043448582 PECOS PAC ID: 1658597471 Enrollment ID: I20140730002274 |
| Provider Name | Michael Anthony Rave |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326011339 PECOS PAC ID: 7911137922 Enrollment ID: I20140731001707 |
| Provider Name | Ryan T Holland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851534168 PECOS PAC ID: 4385861715 Enrollment ID: I20140808000884 |
| Provider Name | Micheal Creta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003976564 PECOS PAC ID: 4284769001 Enrollment ID: I20140811000148 |
| Provider Name | Sarah B Carroll |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457642605 PECOS PAC ID: 6800013921 Enrollment ID: I20140814000524 |
| Provider Name | Russell Raymond Wilford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114213162 PECOS PAC ID: 5294953873 Enrollment ID: I20140822001421 |
| Provider Name | Hoyt B Doak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558598151 PECOS PAC ID: 5698993244 Enrollment ID: I20140825000418 |
| Provider Name | Jessica Marie Ipock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013323161 PECOS PAC ID: 9931321288 Enrollment ID: I20141120002512 |
| Provider Name | Kimberly Hedgepeth Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932501764 PECOS PAC ID: 7719209741 Enrollment ID: I20141202002624 |
| Provider Name | Mallory G Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568870905 PECOS PAC ID: 9436471307 Enrollment ID: I20141203001600 |
| Provider Name | Eugene Kennon Wilson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922301589 PECOS PAC ID: 8729302500 Enrollment ID: I20150127001420 |
| Provider Name | Howard W Loveless |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467427757 PECOS PAC ID: 0143244061 Enrollment ID: I20150408001881 |
| Provider Name | Evan Ryan Restelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003923814 PECOS PAC ID: 1153394374 Enrollment ID: I20150720003036 |
| Provider Name | Nicole Renae Check |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619238169 PECOS PAC ID: 6800031196 Enrollment ID: I20150731016177 |
| Provider Name | Thomas R Grant |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013997485 PECOS PAC ID: 0345464202 Enrollment ID: I20150804004572 |
| Provider Name | Frank Amico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497091904 PECOS PAC ID: 0941435812 Enrollment ID: I20150817001379 |
| Provider Name | Seth M Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417276668 PECOS PAC ID: 8820213325 Enrollment ID: I20150831001867 |
| Provider Name | Weldon F Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982794665 PECOS PAC ID: 1759350663 Enrollment ID: I20150925000170 |
| Provider Name | Samantha Anne Olewnik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184936833 PECOS PAC ID: 4385836758 Enrollment ID: I20151005002786 |
| Provider Name | Christina Michelle Mcowen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881061307 PECOS PAC ID: 4587973904 Enrollment ID: I20151026000005 |
| Provider Name | Megan E Lazur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043546740 PECOS PAC ID: 6901932045 Enrollment ID: I20151111001668 |
| Provider Name | Rebecca H Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952774143 PECOS PAC ID: 1456654805 Enrollment ID: I20160120000099 |
| Provider Name | Victor B Kim |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356305833 PECOS PAC ID: 1153359989 Enrollment ID: I20160209002148 |
| Provider Name | Scott Itzkowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548240229 PECOS PAC ID: 4880777424 Enrollment ID: I20160224000022 |
| Provider Name | Antionio E Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780657379 PECOS PAC ID: 1456656537 Enrollment ID: I20160226002307 |
| Provider Name | Kelsey Jeanine Barr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023309325 PECOS PAC ID: 1557654902 Enrollment ID: I20160722002437 |
| Provider Name | Jeremy M Belch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750657284 PECOS PAC ID: 0345533659 Enrollment ID: I20160725001870 |
| Provider Name | Ana R Abaroa-salvatierra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598101750 PECOS PAC ID: 6901191840 Enrollment ID: I20160817000951 |
| Provider Name | Natalie V Mccarter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366890436 PECOS PAC ID: 8628365871 Enrollment ID: I20161003000901 |
| Provider Name | Whitney L Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932659802 PECOS PAC ID: 8022399286 Enrollment ID: I20161229001614 |
| Provider Name | Mandy King Marshburn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215258793 PECOS PAC ID: 2860773058 Enrollment ID: I20161230000669 |
| Provider Name | Ashley J Imgrund-flora |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063877967 PECOS PAC ID: 4385929306 Enrollment ID: I20170314000315 |
| Provider Name | Hollie R Seward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358641 PECOS PAC ID: 0941585582 Enrollment ID: I20170323000343 |
| Provider Name | Andrew E Wetzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467993329 PECOS PAC ID: 1850669862 Enrollment ID: I20170615002251 |
| Provider Name | Scott Allen Hardison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699036020 PECOS PAC ID: 0244464758 Enrollment ID: I20170717001677 |
| Provider Name | Patrick Scott Reames |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346544152 PECOS PAC ID: 6103060983 Enrollment ID: I20170808000439 |
| Provider Name | Carolyn M Tencza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962462945 PECOS PAC ID: 1052376332 Enrollment ID: I20171010000599 |
| Provider Name | Marie N Walser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558717140 PECOS PAC ID: 7113292533 Enrollment ID: I20171010002679 |
| Provider Name | Simon P O Regan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538177100 PECOS PAC ID: 4981751286 Enrollment ID: I20171023001504 |
| Provider Name | Kenneth J Mullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134659527 PECOS PAC ID: 4880950575 Enrollment ID: I20171114000358 |
| Provider Name | Kaitlyn Carnwath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033629993 PECOS PAC ID: 2264790567 Enrollment ID: I20171214000761 |
| Provider Name | Margo E Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639680366 PECOS PAC ID: 6406114297 Enrollment ID: I20171228000694 |
| Provider Name | Jennifer Lynn Holmes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780769232 PECOS PAC ID: 4486879459 Enrollment ID: I20180117001359 |
| Provider Name | James M Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821062951 PECOS PAC ID: 9335304237 Enrollment ID: I20180122000730 |
| Provider Name | Tracy H Vanzura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629052113 PECOS PAC ID: 5092773887 Enrollment ID: I20180228000035 |
| Provider Name | Christopher Michael Nickelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477062743 PECOS PAC ID: 7113280025 Enrollment ID: I20180405002707 |
| Provider Name | Adam L Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770092041 PECOS PAC ID: 0446514046 Enrollment ID: I20180508000534 |
| Provider Name | William L Crawford |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730117110 PECOS PAC ID: 9234114307 Enrollment ID: I20180608002305 |
| Provider Name | Laura Loveless |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922516830 PECOS PAC ID: 3779838156 Enrollment ID: I20180626003363 |
| Provider Name | Robert L Card |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396166062 PECOS PAC ID: 4284865106 Enrollment ID: I20180801001888 |
| Provider Name | Adam B Mckenzie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639433428 PECOS PAC ID: 5597048041 Enrollment ID: I20180822001276 |
| Provider Name | Jennifer Lynn Aron |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114280096 PECOS PAC ID: 9830311646 Enrollment ID: I20180925002571 |
| Provider Name | Danielle S Saikali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750873709 PECOS PAC ID: 4082965363 Enrollment ID: I20180926000307 |
| Provider Name | Fredy V Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780177220 PECOS PAC ID: 8729330568 Enrollment ID: I20181005002734 |
| Provider Name | Armando E Perez Ginnariu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730434762 PECOS PAC ID: 3870899412 Enrollment ID: I20181008003429 |
| Provider Name | Eric L Pinero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568947810 PECOS PAC ID: 8022352012 Enrollment ID: I20181203000442 |
| Provider Name | Barry Justin Belcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619167228 PECOS PAC ID: 6204991458 Enrollment ID: I20181203001921 |
| Provider Name | Garth Jason Garramone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821070376 PECOS PAC ID: 9032261110 Enrollment ID: I20181205003547 |
| Provider Name | Kyle Vanmiddlesworth |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689920878 PECOS PAC ID: 6709185192 Enrollment ID: I20181211001100 |
| Provider Name | Deebah Ashraf Uddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063891901 PECOS PAC ID: 9436440864 Enrollment ID: I20190104002274 |
| Provider Name | Jessica Friedlander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780929737 PECOS PAC ID: 1557608346 Enrollment ID: I20190201001241 |
| Provider Name | Laurie Cartwright-young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881158079 PECOS PAC ID: 6103164298 Enrollment ID: I20190215000228 |
| Provider Name | Morgan Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992279269 PECOS PAC ID: 6305187386 Enrollment ID: I20190402000665 |
| Provider Name | Stephanie Ruth Cline |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265997274 PECOS PAC ID: 1153662622 Enrollment ID: I20190410000880 |
| Provider Name | Churchill Oconnell Bunce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801359120 PECOS PAC ID: 1052654696 Enrollment ID: I20190522000811 |
| Provider Name | James a Wainright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790914067 PECOS PAC ID: 3678798667 Enrollment ID: I20190601000064 |
| Provider Name | Kristen Moore Jordan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730583220 PECOS PAC ID: 9739412248 Enrollment ID: I20190614000226 |
| Provider Name | Jessica Thibault |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144888231 PECOS PAC ID: 2860728235 Enrollment ID: I20190723001296 |
| Provider Name | Jennie M Gillespie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578942561 PECOS PAC ID: 6901197391 Enrollment ID: I20190819004103 |
| Provider Name | Stephanie D Pinero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366909178 PECOS PAC ID: 7214265636 Enrollment ID: I20190822004467 |
| Provider Name | Seth J Trifiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265758544 PECOS PAC ID: 7517180110 Enrollment ID: I20190826001570 |
| Provider Name | Colleen Stack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245659226 PECOS PAC ID: 8426387390 Enrollment ID: I20190903001764 |
| Provider Name | Ellen M Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689234429 PECOS PAC ID: 5597095836 Enrollment ID: I20190930000491 |
| Provider Name | Leah Rosser Raettig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417305780 PECOS PAC ID: 2769778356 Enrollment ID: I20191008000723 |
| Provider Name | Matthew a Pierce |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508209305 PECOS PAC ID: 4284966367 Enrollment ID: I20191022001963 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316301955 PECOS PAC ID: 0446682926 Enrollment ID: I20191121002545 |
| Provider Name | Enrique Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093058620 PECOS PAC ID: 3678706025 Enrollment ID: I20191204000891 |
| Provider Name | Matthew Wayne Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831518208 PECOS PAC ID: 4082906672 Enrollment ID: I20200126000043 |
| Provider Name | Rebecca Lauren Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083252282 PECOS PAC ID: 8729414016 Enrollment ID: I20200205000433 |
| Provider Name | Marc J Kajut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710289236 PECOS PAC ID: 5092041228 Enrollment ID: I20200205003101 |
| Provider Name | Ashton Spruill Kennedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841839479 PECOS PAC ID: 5991132201 Enrollment ID: I20200226002781 |
| Provider Name | Brandon a Derby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326685504 PECOS PAC ID: 9537597646 Enrollment ID: I20200323002364 |
| Provider Name | Stephanie M Canipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871133850 PECOS PAC ID: 6406285253 Enrollment ID: I20200331001140 |
| Provider Name | Abby L Yagoda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881134831 PECOS PAC ID: 5799055463 Enrollment ID: I20200408002951 |
| Provider Name | Scott A. Sample |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558444216 PECOS PAC ID: 8022005149 Enrollment ID: I20200416003151 |
| Provider Name | Jeffrey N Beltz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689210593 PECOS PAC ID: 3476983164 Enrollment ID: I20200421000458 |
| Provider Name | Gabrielle T Beltz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376812479 PECOS PAC ID: 5294902573 Enrollment ID: I20200421001973 |
| Provider Name | Tonialatoya Wallace-eley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093988933 PECOS PAC ID: 9931261955 Enrollment ID: I20200521003066 |
| Provider Name | Alix H Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184246449 PECOS PAC ID: 2264855360 Enrollment ID: I20200708001644 |
| Provider Name | Ghanshyam Palamaner Subash Shantha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942563176 PECOS PAC ID: 5395059745 Enrollment ID: I20200715001178 |
| Provider Name | Kevin Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962939280 PECOS PAC ID: 9739453754 Enrollment ID: I20200717000298 |
| Provider Name | Dustin R Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336766369 PECOS PAC ID: 2860816246 Enrollment ID: I20200717001327 |
| Provider Name | Dawnelle P Holadia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821613381 PECOS PAC ID: 6406271808 Enrollment ID: I20200803000212 |
| Provider Name | Katherine Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598301194 PECOS PAC ID: 3870919574 Enrollment ID: I20200812001101 |
| Provider Name | Joshua B Kramer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942646377 PECOS PAC ID: 3476796442 Enrollment ID: I20201005001437 |
| Provider Name | David Mccraney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124111919 PECOS PAC ID: 5799754198 Enrollment ID: I20201015003189 |
| Provider Name | Thomas Spencer Skelton |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083866677 PECOS PAC ID: 3274837869 Enrollment ID: I20201020003555 |
| Provider Name | Amanda R Lamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235744467 PECOS PAC ID: 4880004043 Enrollment ID: I20201029002331 |
| Provider Name | Molly Todd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194210500 PECOS PAC ID: 4284983156 Enrollment ID: I20201109001707 |
| Provider Name | Katherine Pandelidis Kaufman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982963245 PECOS PAC ID: 1456645597 Enrollment ID: I20201119002391 |
| Provider Name | Elizabeth L Mayi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043582943 PECOS PAC ID: 9739349846 Enrollment ID: I20201209002714 |
| Provider Name | Jeffrey L Fraser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790792380 PECOS PAC ID: 6507864386 Enrollment ID: I20201215000495 |
| Provider Name | Nicole Marie Parker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629665252 PECOS PAC ID: 7416360797 Enrollment ID: I20210105001998 |
| Provider Name | William Frederick Shaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467517631 PECOS PAC ID: 5294790945 Enrollment ID: I20210305001838 |
| Provider Name | Megan Cowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073139366 PECOS PAC ID: 4082020276 Enrollment ID: I20210315000045 |
| Provider Name | Matthew Calcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154906170 PECOS PAC ID: 6507274453 Enrollment ID: I20210414002163 |
| Provider Name | Susannah E Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750606075 PECOS PAC ID: 2062640782 Enrollment ID: I20210415001892 |
| Provider Name | Graylyn Lewis Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912594979 PECOS PAC ID: 8921417437 Enrollment ID: I20210513002493 |
| Provider Name | Olan B Kemp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538265749 PECOS PAC ID: 5496746786 Enrollment ID: I20210622000778 |
| Provider Name | Mary K Harrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851976112 PECOS PAC ID: 6709287972 Enrollment ID: I20210624003023 |
| Provider Name | Marissa Lombardo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487031597 PECOS PAC ID: 3476818790 Enrollment ID: I20210714001282 |
| Provider Name | Brianna Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952808842 PECOS PAC ID: 0547518979 Enrollment ID: I20210721000178 |
| Provider Name | Brian Livingston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902394224 PECOS PAC ID: 4183971039 Enrollment ID: I20210722001070 |
| Provider Name | Jeffrey D Goodwin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639531999 PECOS PAC ID: 4789955873 Enrollment ID: I20210729001607 |
| Provider Name | Nicki R Downes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598147217 PECOS PAC ID: 3971800772 Enrollment ID: I20210909001694 |
| Provider Name | Danielle N Tupes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598439002 PECOS PAC ID: 4587062880 Enrollment ID: I20211015002426 |
| Provider Name | Derek Lloyd Mitchell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649400938 PECOS PAC ID: 9537384151 Enrollment ID: I20211018000534 |
| Provider Name | Diego N Maurente |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518462092 PECOS PAC ID: 4587052691 Enrollment ID: I20211022000277 |
| Provider Name | Hannah Joy Hoenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636180 PECOS PAC ID: 6204224769 Enrollment ID: I20211102002663 |
| Provider Name | Lyndsey a Hale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417241670 PECOS PAC ID: 3971810649 Enrollment ID: I20211113000197 |
| Provider Name | Mallory Byrum Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152197 PECOS PAC ID: 6204225725 Enrollment ID: I20211122002236 |
| Provider Name | Sean Elliot Mcgarr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912924945 PECOS PAC ID: 3577567205 Enrollment ID: I20220104001056 |
| Provider Name | Satyrda S Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417612581 PECOS PAC ID: 2163813965 Enrollment ID: I20220105002707 |
| Provider Name | Jeanne Marie Damore Vacca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760937452 PECOS PAC ID: 0749548550 Enrollment ID: I20220203001827 |
| Provider Name | Milton F Nathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114909744 PECOS PAC ID: 1557261740 Enrollment ID: I20220510001103 |
| Provider Name | Amanda Kayla Kahler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548929912 PECOS PAC ID: 7214314780 Enrollment ID: I20220523001360 |
| Provider Name | Taylor H Gordon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952716250 PECOS PAC ID: 1557688272 Enrollment ID: I20220622002735 |
| Provider Name | Brian E Mcgillick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366976680 PECOS PAC ID: 9133498215 Enrollment ID: I20220805001576 |
| Provider Name | John Brian Jasper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134548258 PECOS PAC ID: 1658644729 Enrollment ID: I20220829002084 |
| Provider Name | Todd B Dykstra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154373983 PECOS PAC ID: 7719950278 Enrollment ID: I20220908002817 |
| Provider Name | Amanda Rae Ingram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073044038 PECOS PAC ID: 5698046746 Enrollment ID: I20220922002626 |
| Provider Name | Jack E Pulwers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831128560 PECOS PAC ID: 9436103298 Enrollment ID: I20221031002145 |
| Provider Name | Michael S Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265495659 PECOS PAC ID: 1951778968 Enrollment ID: I20221103003321 |
| Provider Name | Vinetta M Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134193113 PECOS PAC ID: 7416993563 Enrollment ID: I20221110000411 |
| Provider Name | Brandy R Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144504101 PECOS PAC ID: 7214199280 Enrollment ID: I20221216000081 |
| Provider Name | Marcia L Brumbaugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154654390 PECOS PAC ID: 2567831720 Enrollment ID: I20230124002182 |
| Provider Name | Michelle Merola Lally |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457723488 PECOS PAC ID: 2860781549 Enrollment ID: I20230216003109 |
| Provider Name | Dana M Bender |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194458356 PECOS PAC ID: 8022473909 Enrollment ID: I20230427002674 |
| Provider Name | Michele Ann Barts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477248409 PECOS PAC ID: 9537526819 Enrollment ID: I20230531002855 |
| Provider Name | Andrea L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225737505 PECOS PAC ID: 7517324114 Enrollment ID: I20230612003193 |
| Provider Name | Kathleen Ruzzo Montanez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750763637 PECOS PAC ID: 3779915806 Enrollment ID: I20230713004234 |
| Provider Name | Taylor B Kirkman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740635366 PECOS PAC ID: 4486947728 Enrollment ID: I20230804001622 |
| Provider Name | Steven Paul Kerner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750368122 PECOS PAC ID: 1052399425 Enrollment ID: I20230818003416 |
| Provider Name | Abigail Earliwine |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154015154 PECOS PAC ID: 4486017274 Enrollment ID: I20230828000110 |
| Provider Name | Aaron M Roberts |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1801215363 PECOS PAC ID: 0345590238 Enrollment ID: I20230831000877 |
| Provider Name | Matthew Michalowicz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811281942 PECOS PAC ID: 2365748647 Enrollment ID: I20230831001258 |
| Provider Name | Laura Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073503256 PECOS PAC ID: 0042214801 Enrollment ID: I20230921002191 |
| Provider Name | Lauren Bailey Busalacchi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972285005 PECOS PAC ID: 0446604656 Enrollment ID: I20230921002444 |
| Provider Name | Ryan Peter Busalacchi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508548900 PECOS PAC ID: 9931553930 Enrollment ID: I20230925002794 |
| Provider Name | Christina Rizk |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306309497 PECOS PAC ID: 2860727047 Enrollment ID: I20230926003067 |
| Provider Name | Ryan C Garbalosa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952539173 PECOS PAC ID: 5890947162 Enrollment ID: I20231006000614 |
| Provider Name | Gregory G Smaroff |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073581898 PECOS PAC ID: 4587605266 Enrollment ID: I20231031002305 |
| Provider Name | Desiree Y Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215493572 PECOS PAC ID: 5799019105 Enrollment ID: I20231031002845 |
| Provider Name | Sara E Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851063994 PECOS PAC ID: 7113316613 Enrollment ID: I20231114001259 |
| Provider Name | Michael Bissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154106268 PECOS PAC ID: 7416305040 Enrollment ID: I20231121000889 |
| Provider Name | Cierrea Rashonda Roach-gerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235572801 PECOS PAC ID: 0547685307 Enrollment ID: I20231212004195 |
| Provider Name | Jennie M Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730649484 PECOS PAC ID: 0446592471 Enrollment ID: I20231214001715 |
| Provider Name | Tonya B Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972384899 PECOS PAC ID: 8224488135 Enrollment ID: I20231219000551 |
| Provider Name | Jennifer Paige Gerst |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629845813 PECOS PAC ID: 9638529043 Enrollment ID: I20231227003377 |
| Provider Name | Jacob Kolosky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639859275 PECOS PAC ID: 3971955428 Enrollment ID: I20240119002254 |
| Provider Name | Taylor N Woolard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196499 PECOS PAC ID: 2264875251 Enrollment ID: I20240206004962 |
| Provider Name | Shawn Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629337001 PECOS PAC ID: 7214183854 Enrollment ID: I20240226002346 |
| Provider Name | Sierra Besecker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326819327 PECOS PAC ID: 3072952472 Enrollment ID: I20240418001191 |
| Provider Name | Erin S Thoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568758605 PECOS PAC ID: 0345546198 Enrollment ID: I20240424001508 |
| Provider Name | Rachel Michelle Concepcion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871988543 PECOS PAC ID: 6002203973 Enrollment ID: I20240529002534 |
| Provider Name | Samantha Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982453676 PECOS PAC ID: 5890137228 Enrollment ID: I20240530001921 |
| Provider Name | Leonard Koyiet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003693037 PECOS PAC ID: 0840632105 Enrollment ID: I20240531002124 |
| Provider Name | Courtney Lehn Olmsted |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235421314 PECOS PAC ID: 3870727860 Enrollment ID: I20240626003137 |
| Provider Name | Kristyn Sarah Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720831993 PECOS PAC ID: 4385188713 Enrollment ID: I20240626003910 |
| Provider Name | Kathleen Elizabeth Parnell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366283178 PECOS PAC ID: 5991249286 Enrollment ID: I20240627001718 |
| Provider Name | Ruhin Yuridullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114370749 PECOS PAC ID: 2860723517 Enrollment ID: I20240717000004 |
| Provider Name | Madeleine O Barbe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255969457 PECOS PAC ID: 7113464512 Enrollment ID: I20240802002134 |
| Provider Name | Chase W King |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194175729 PECOS PAC ID: 5092007377 Enrollment ID: I20240807003091 |
| Provider Name | Kayla Lynn Gee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053018259 PECOS PAC ID: 5698149185 Enrollment ID: I20240815004078 |
| Provider Name | James D Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043770522 PECOS PAC ID: 2860722972 Enrollment ID: I20240826003144 |
| Provider Name | Krista A. Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902389638 PECOS PAC ID: 7012260409 Enrollment ID: I20240828004062 |
| Provider Name | Catherine J Harris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932425998 PECOS PAC ID: 9931473600 Enrollment ID: I20241008003500 |
| Provider Name | Joshua a Troxell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578396297 PECOS PAC ID: 9931631918 Enrollment ID: I20241015003708 |
| Provider Name | Chrysten Mullen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508480385 PECOS PAC ID: 8527487446 Enrollment ID: I20241025000178 |
| Provider Name | Louis D Rosenfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225058357 PECOS PAC ID: 7113050394 Enrollment ID: I20241226002298 |
| Provider Name | Johnna Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407251440 PECOS PAC ID: 6901157221 Enrollment ID: I20250109002036 |
| Provider Name | Madison Schopp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871208561 PECOS PAC ID: 5092243188 Enrollment ID: I20250117001023 |
| Provider Name | Christina Ann Duffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376377382 PECOS PAC ID: 8022547348 Enrollment ID: I20250130002855 |
| Provider Name | Ala a Elyaman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346789740 PECOS PAC ID: 1254731763 Enrollment ID: I20250407000889 |
| Provider Name | Christina M Holzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407661382 PECOS PAC ID: 6002332939 Enrollment ID: I20250424000009 |
| Provider Name | Susan E Oneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861743544 PECOS PAC ID: 6608021381 Enrollment ID: I20250428001582 |
| Provider Name | Amy L Burdulis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609912989 PECOS PAC ID: 0244757870 Enrollment ID: I20250507002528 |
| Provider Name | Cameron William Brassfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619460011 PECOS PAC ID: 7214330026 Enrollment ID: I20250619001368 |
| Provider Name | Craig Alan Thompson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689601627 PECOS PAC ID: 9234033085 Enrollment ID: I20250818000188 |
| Provider Name | Jonathan Rivera Diaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023632668 PECOS PAC ID: 1850757535 Enrollment ID: I20250818004635 |
| Provider Name | Shelley D Stallings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710365507 PECOS PAC ID: 0648772277 Enrollment ID: I20250904000828 |
| Provider Name | Rebecca Ann Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235021700 PECOS PAC ID: 6103322540 Enrollment ID: I20251003001248 |
| Provider Name | Todd L Looney |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124481858 PECOS PAC ID: 6103151279 Enrollment ID: I20251022002716 |
| Provider Name | Megan N Trask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194609800 PECOS PAC ID: 5395235709 Enrollment ID: I20251105000600 |
| Provider Name | Savanah a Perrini |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578443586 PECOS PAC ID: 4385134535 Enrollment ID: I20251106000340 |
| Provider Name | Kendra Regner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134010408 PECOS PAC ID: 6103317763 Enrollment ID: I20251112001621 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20251113000007 |
| Provider Name | Stephanie Patricia Wilcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598407330 PECOS PAC ID: 8325415326 Enrollment ID: I20251122000417 |
| Provider Name | Carla B Guarini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417489782 PECOS PAC ID: 7719470996 Enrollment ID: I20251205001230 |
| Provider Name | Maxine L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912879370 PECOS PAC ID: 0143715680 Enrollment ID: I20251222001679 |
| Provider Name | Leslie M Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952274706 PECOS PAC ID: 7810483047 Enrollment ID: I20251226000926 |
| Provider Name | Cecile King |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114361748 PECOS PAC ID: 7517180359 Enrollment ID: I20260112001004 |
| Provider Name | Rebecca L Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548128408 PECOS PAC ID: 2860970399 Enrollment ID: I20260127003765 |
| Provider Name | Nicole R Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770378127 PECOS PAC ID: 9931687779 Enrollment ID: I20260202002863 |
| Provider Name | Kaitlyn Brooks Mosteller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083117881 PECOS PAC ID: 8527468602 Enrollment ID: I20260210004089 |
| Provider Name | Alexis M Toler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598627044 PECOS PAC ID: 1153802244 Enrollment ID: I20260226002042 |
| Provider Name | John W Cory |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760474845 PECOS PAC ID: 7810985892 Enrollment ID: I20260320000865 |
| Provider Name | William Sanders |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669533790 PECOS PAC ID: 0840103586 Enrollment ID: I20260324002397 |
| Provider Name | Jacqueline a Lamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841828639 PECOS PAC ID: 4385066927 Enrollment ID: I20260513002524 |
| Provider Name | Mckenzie M Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235060096 PECOS PAC ID: 4183196520 Enrollment ID: I20260616003785 |
Goshen Medical Center - New Bern Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4301 M L King Jr Blvd, New Bern, NC 28562 Phone: 252-479-7969 Fax: 252-256-7772 |
Cchc Creekside Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Lathan Ln, New Bern, NC 28562 Phone: 252-672-0224 |
Cchc Orthopedics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Medical Park Ave, New Bern, NC 28562 Phone: 252-514-6685 |
Med First Immediate Care & Family Practice, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Waterscape Way, New Bern, NC 28562 Phone: 252-631-5301 Fax: 252-631-5305 |
Eastern Carolina Internal Medicine PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 South Glenburnie Road, Ste 9 & 10, New Bern, NC 28562 Phone: 252-636-1001 Fax: 252-636-1188 |
Ideal Health Care PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Castle Ridge Rd, New Bern, NC 28562 Phone: 252-670-2048 Fax: 252-633-1809 |