| Carolinas Hospitalist Group - Columbus | |
|
500 Jefferson St Whiteville NC 28472-3634 | |
| (910) 642-1776 | |
| Not Available |
| Full Name | Carolinas Hospitalist Group - Columbus |
|---|---|
| Speciality | Hospitalist |
| Location | 500 Jefferson St, Whiteville, North Carolina |
| Authorized Official Name and Position | Marvin Armstrong (CFO) |
| Authorized Official Contact | 7043552000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Hospitalist Group - Columbus Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Carolinas Hospitalist Group - Columbus 500 Jefferson St Whiteville NC 28472-3634 Ph: (910) 642-1776 |
| NPI Number | 1508001009 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 03/09/2023 |
| Medicare PECOS PAC ID | 6608924931 |
|---|---|
| Medicare Enrollment ID | O20090424000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508001009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Sabena A Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013911965 PECOS PAC ID: 3173437241 Enrollment ID: I20031113000794 |
| Provider Name | Marie Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073502936 PECOS PAC ID: 1052219987 Enrollment ID: I20040120000481 |
| Provider Name | Eugene Sangmuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295703338 PECOS PAC ID: 4688568280 Enrollment ID: I20040213000091 |
| Provider Name | Nwannadiya Glory Ugah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760478119 PECOS PAC ID: 8426047424 Enrollment ID: I20040506000760 |
| Provider Name | Richard Garth Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508821992 PECOS PAC ID: 5092616193 Enrollment ID: I20040624000157 |
| Provider Name | Edward B Eadie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780672071 PECOS PAC ID: 4082692819 Enrollment ID: I20040709000024 |
| Provider Name | Rody Ben Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548255680 PECOS PAC ID: 0840279675 Enrollment ID: I20040715001030 |
| Provider Name | Hazel Vanessa Duncan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922149632 PECOS PAC ID: 0547233538 Enrollment ID: I20040817001410 |
| Provider Name | Deborah A Duchesneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790713501 PECOS PAC ID: 3577538008 Enrollment ID: I20040830000063 |
| Provider Name | Christy Turbeville Perdue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639229479 PECOS PAC ID: 2264492404 Enrollment ID: I20041013000222 |
| Provider Name | Tony R Hinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003887159 PECOS PAC ID: 7315903275 Enrollment ID: I20041202000976 |
| Provider Name | Rebecca B Chapin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821046053 PECOS PAC ID: 9931154440 Enrollment ID: I20050317000602 |
| Provider Name | Theresa G Sheehan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265504179 PECOS PAC ID: 0345297149 Enrollment ID: I20050412000357 |
| Provider Name | Thomas J Beckett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699781112 PECOS PAC ID: 4688626096 Enrollment ID: I20050511000146 |
| Provider Name | Robert C Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245227651 PECOS PAC ID: 5092746883 Enrollment ID: I20050822000778 |
| Provider Name | Oluyemisi M Abdulsalam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932199809 PECOS PAC ID: 4688565690 Enrollment ID: I20050919000575 |
| Provider Name | James E Boston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356335939 PECOS PAC ID: 1153369699 Enrollment ID: I20050926000969 |
| Provider Name | Brian Anderson Dalrymple |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003849845 PECOS PAC ID: 4385661362 Enrollment ID: I20051028000526 |
| Provider Name | Kenneth Irwin Fink |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205817558 PECOS PAC ID: 1759302847 Enrollment ID: I20051216000409 |
| Provider Name | Arnaud P Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750352514 PECOS PAC ID: 0840191367 Enrollment ID: I20060130000772 |
| Provider Name | Paul W Hofferbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336164078 PECOS PAC ID: 3476561606 Enrollment ID: I20060330000300 |
| Provider Name | Thomas I Dashiell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336184118 PECOS PAC ID: 2062479306 Enrollment ID: I20060620000259 |
| Provider Name | Ameesha P Kansupada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700895380 PECOS PAC ID: 4880690270 Enrollment ID: I20061006000439 |
| Provider Name | Feras Tanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538189360 PECOS PAC ID: 6709882137 Enrollment ID: I20061009000103 |
| Provider Name | Emmanuel O Nwamara-aka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023120185 PECOS PAC ID: 3971501255 Enrollment ID: I20061121000175 |
| Provider Name | Craig Nathan Lippe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578504106 PECOS PAC ID: 7618978776 Enrollment ID: I20070117000079 |
| Provider Name | Charles Ofosu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982637062 PECOS PAC ID: 6002817061 Enrollment ID: I20070118000445 |
| Provider Name | Arfana A Kishan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457369175 PECOS PAC ID: 7517967474 Enrollment ID: I20070220000407 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20070810000591 |
| Provider Name | Mark Vernon Jordan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881772309 PECOS PAC ID: 6507954146 Enrollment ID: I20071115000572 |
| Provider Name | Ro Lyan Reid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023218781 PECOS PAC ID: 6002904562 Enrollment ID: I20071116000057 |
| Provider Name | Joseph G Gibbons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134173933 PECOS PAC ID: 9133162688 Enrollment ID: I20080416000665 |
| Provider Name | Jeffrey Kip Viar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811998271 PECOS PAC ID: 9234110255 Enrollment ID: I20080422000105 |
| Provider Name | Thomas Albert Wertheimer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215976006 PECOS PAC ID: 0547359770 Enrollment ID: I20080516000568 |
| Provider Name | Kamari Demond Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184643454 PECOS PAC ID: 5991879496 Enrollment ID: I20080731000754 |
| Provider Name | Michael C Gilliam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760550602 PECOS PAC ID: 3779658752 Enrollment ID: I20080826000841 |
| Provider Name | Thomas M Duggan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104857937 PECOS PAC ID: 1254371982 Enrollment ID: I20080904000214 |
| Provider Name | Naveen Bandarupalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134386683 PECOS PAC ID: 3274600598 Enrollment ID: I20080927000194 |
| Provider Name | Arthur R Halliday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366554222 PECOS PAC ID: 1052311719 Enrollment ID: I20081008000195 |
| Provider Name | Jill Pearce Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932386968 PECOS PAC ID: 1153481296 Enrollment ID: I20081119000865 |
| Provider Name | Sara-maiz Afsani Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114191244 PECOS PAC ID: 7517021199 Enrollment ID: I20090126000697 |
| Provider Name | Alexander A Kotlarevsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295983898 PECOS PAC ID: 8820146673 Enrollment ID: I20090504000680 |
| Provider Name | Shawn M Morrow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891751715 PECOS PAC ID: 1153224449 Enrollment ID: I20090522000274 |
| Provider Name | Emmanuel Narh Bedeley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578761102 PECOS PAC ID: 5597857235 Enrollment ID: I20090623000519 |
| Provider Name | Mary T Le-bliss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861461634 PECOS PAC ID: 4789735846 Enrollment ID: I20090630000653 |
| Provider Name | Tochukwu N Agbata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588807127 PECOS PAC ID: 5799838868 Enrollment ID: I20090806000781 |
| Provider Name | Marianne R Taganas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669637864 PECOS PAC ID: 6507910106 Enrollment ID: I20090817000513 |
| Provider Name | Roc A Mccarthy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013031996 PECOS PAC ID: 8325192669 Enrollment ID: I20090820000408 |
| Provider Name | Donald D Asante |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104068220 PECOS PAC ID: 1557416427 Enrollment ID: I20090827000768 |
| Provider Name | Jason Matthew Perlman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164614459 PECOS PAC ID: 7810033727 Enrollment ID: I20091007000316 |
| Provider Name | Marc Stephen Yandle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164545984 PECOS PAC ID: 7214016245 Enrollment ID: I20100128000093 |
| Provider Name | David A Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639131022 PECOS PAC ID: 5294876264 Enrollment ID: I20100330001214 |
| Provider Name | John D Hodgson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568450682 PECOS PAC ID: 1759422728 Enrollment ID: I20100520000527 |
| Provider Name | Ronald P Glinski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487669966 PECOS PAC ID: 1052440815 Enrollment ID: I20100603000877 |
| Provider Name | Rollin Desauguste |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063688646 PECOS PAC ID: 4880719848 Enrollment ID: I20100914000657 |
| Provider Name | Jana Lander Hewitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356534358 PECOS PAC ID: 6800088378 Enrollment ID: I20101004000468 |
| Provider Name | Thanigaiarsu Thiyagarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043475049 PECOS PAC ID: 8123211034 Enrollment ID: I20101025000253 |
| Provider Name | Samuel N Wheatley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255345633 PECOS PAC ID: 5698716918 Enrollment ID: I20101104000756 |
| Provider Name | Sesha S Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346405974 PECOS PAC ID: 9234325994 Enrollment ID: I20101122000197 |
| Provider Name | Peter M Kindschuh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922106814 PECOS PAC ID: 5799726006 Enrollment ID: I20101209000367 |
| Provider Name | Godofredo I Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306896865 PECOS PAC ID: 4981653854 Enrollment ID: I20101215000081 |
| Provider Name | Prem Chand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124291380 PECOS PAC ID: 7012080013 Enrollment ID: I20110802000032 |
| Provider Name | Gajarah Bb Peterson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467626788 PECOS PAC ID: 2264601780 Enrollment ID: I20110817000568 |
| Provider Name | Hany Lotfy Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235438524 PECOS PAC ID: 8325216393 Enrollment ID: I20111010000005 |
| Provider Name | Christy Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346533304 PECOS PAC ID: 6002089513 Enrollment ID: I20111028000227 |
| Provider Name | Yvonne Wn Ngale |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598929747 PECOS PAC ID: 5496929564 Enrollment ID: I20111130000030 |
| Provider Name | Jugta Kahai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104805670 PECOS PAC ID: 6800055542 Enrollment ID: I20120315000485 |
| Provider Name | Linda Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023004637 PECOS PAC ID: 6709049802 Enrollment ID: I20120530000505 |
| Provider Name | Waseem Ghannam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306080510 PECOS PAC ID: 5092971085 Enrollment ID: I20120718000878 |
| Provider Name | Sarah M Gore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124286810 PECOS PAC ID: 3173789039 Enrollment ID: I20120720000077 |
| Provider Name | Eyad Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923025 PECOS PAC ID: 1557518917 Enrollment ID: I20120821000222 |
| Provider Name | Mahvesh Z Lateef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114167913 PECOS PAC ID: 6901054352 Enrollment ID: I20120911000015 |
| Provider Name | Isha Mishra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417261793 PECOS PAC ID: 1850543000 Enrollment ID: I20121214000318 |
| Provider Name | Naveena Mainampati Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770751869 PECOS PAC ID: 6305989740 Enrollment ID: I20130227000623 |
| Provider Name | Zelalem Atakilt Gebreananya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023386901 PECOS PAC ID: 0345492864 Enrollment ID: I20130312000316 |
| Provider Name | Frank William Savage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164734166 PECOS PAC ID: 4981844511 Enrollment ID: I20130702000788 |
| Provider Name | Aklilu M Metaferia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679822613 PECOS PAC ID: 3870735988 Enrollment ID: I20130819000821 |
| Provider Name | Monique M Moona |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568781771 PECOS PAC ID: 7113160631 Enrollment ID: I20130903000546 |
| Provider Name | Sohail K Lateef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528387719 PECOS PAC ID: 4183868839 Enrollment ID: I20130918000644 |
| Provider Name | Joshua Ab Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194046235 PECOS PAC ID: 1052545258 Enrollment ID: I20131001000256 |
| Provider Name | Ana Hubert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20131001000407 |
| Provider Name | Steven J Newton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336469667 PECOS PAC ID: 0840424602 Enrollment ID: I20131009002044 |
| Provider Name | Lydia Toon Laboccetta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477716280 PECOS PAC ID: 7113151895 Enrollment ID: I20131011001102 |
| Provider Name | Parrish F Moree |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518123447 PECOS PAC ID: 1658505284 Enrollment ID: I20131014001229 |
| Provider Name | Karen M Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659358067 PECOS PAC ID: 5890702187 Enrollment ID: I20131220000044 |
| Provider Name | Satcha Borgella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669609772 PECOS PAC ID: 7911135249 Enrollment ID: I20140114000620 |
| Provider Name | Wendy G Roca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619290731 PECOS PAC ID: 1557590650 Enrollment ID: I20140213000985 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20140310001950 |
| Provider Name | David Joseph Gearding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255509261 PECOS PAC ID: 1951574425 Enrollment ID: I20140328002195 |
| Provider Name | Kimberly H Fife |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013238138 PECOS PAC ID: 4183856321 Enrollment ID: I20140422001432 |
| Provider Name | Stephanie A Grotzke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477874972 PECOS PAC ID: 3577793512 Enrollment ID: I20140519001630 |
| Provider Name | Haley M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573219 PECOS PAC ID: 4385867183 Enrollment ID: I20140523001373 |
| Provider Name | Andrew Dennis Timothy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245525633 PECOS PAC ID: 5092934984 Enrollment ID: I20140908001448 |
| Provider Name | Yagna R Bhattrai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912285339 PECOS PAC ID: 9830318062 Enrollment ID: I20140919001281 |
| Provider Name | Jitendra K Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265728281 PECOS PAC ID: 6002035045 Enrollment ID: I20140924000418 |
| Provider Name | Jason Alexis Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821301862 PECOS PAC ID: 9537312251 Enrollment ID: I20141008002411 |
| Provider Name | Gregory C Borstad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528057056 PECOS PAC ID: 6002802006 Enrollment ID: I20141010001122 |
| Provider Name | Ashley L Bryant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386881613 PECOS PAC ID: 6103088547 Enrollment ID: I20141103001434 |
| Provider Name | Evangeline Graido Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699873091 PECOS PAC ID: 3072707199 Enrollment ID: I20141118002557 |
| Provider Name | Juan Et M Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750390506 PECOS PAC ID: 0547237562 Enrollment ID: I20141119002414 |
| Provider Name | Ajith Kumar Puram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356621916 PECOS PAC ID: 2163687161 Enrollment ID: I20141219002151 |
| Provider Name | Gina B Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831464270 PECOS PAC ID: 4880917996 Enrollment ID: I20141222001623 |
| Provider Name | Deval Bhadrashil Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407257546 PECOS PAC ID: 1153644208 Enrollment ID: I20141223000169 |
| Provider Name | Karen A Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043617079 PECOS PAC ID: 2163746181 Enrollment ID: I20150122002569 |
| Provider Name | Neil Hapangama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538359492 PECOS PAC ID: 7911021498 Enrollment ID: I20150123001765 |
| Provider Name | Jesslyn A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677030 PECOS PAC ID: 3779807425 Enrollment ID: I20150128002068 |
| Provider Name | Kuldeep K Maradia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619139052 PECOS PAC ID: 4981871654 Enrollment ID: I20150216001365 |
| Provider Name | Kia Kayasith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942603139 PECOS PAC ID: 6305161092 Enrollment ID: I20150223000750 |
| Provider Name | Bikash Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750541132 PECOS PAC ID: 6103096672 Enrollment ID: I20150303000046 |
| Provider Name | Dana C Karp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326445040 PECOS PAC ID: 2062738339 Enrollment ID: I20150303002417 |
| Provider Name | Tolulola Omololu Adeola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578582797 PECOS PAC ID: 6608959465 Enrollment ID: I20150425000244 |
| Provider Name | Ram S Lingamgunta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841526639 PECOS PAC ID: 9032361068 Enrollment ID: I20150609001362 |
| Provider Name | Tess C James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942699863 PECOS PAC ID: 9234450727 Enrollment ID: I20150609002407 |
| Provider Name | Robin I Tejeda Soto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043538200 PECOS PAC ID: 0840484119 Enrollment ID: I20150617000008 |
| Provider Name | Nnenna I Uchendu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467472209 PECOS PAC ID: 6709883986 Enrollment ID: I20150706000790 |
| Provider Name | Mary Catherine Williams Ewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306230347 PECOS PAC ID: 7012220254 Enrollment ID: I20150717000633 |
| Provider Name | Raghid Atef Zeitouni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053673483 PECOS PAC ID: 8022324680 Enrollment ID: I20150827003304 |
| Provider Name | Lauren Casat Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720470008 PECOS PAC ID: 8729394697 Enrollment ID: I20150909000544 |
| Provider Name | Manish Goyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710220389 PECOS PAC ID: 3274840806 Enrollment ID: I20150915002168 |
| Provider Name | Sara Lewis Piercy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629451505 PECOS PAC ID: 8022326669 Enrollment ID: I20151001001867 |
| Provider Name | Shafali Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194062497 PECOS PAC ID: 7315180528 Enrollment ID: I20151007002233 |
| Provider Name | Michael Kenneth Harrington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750649364 PECOS PAC ID: 6002059060 Enrollment ID: I20151012001732 |
| Provider Name | Suma Chinta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144575085 PECOS PAC ID: 4385953363 Enrollment ID: I20151013001688 |
| Provider Name | Stephen Cj Chow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053673442 PECOS PAC ID: 4789993775 Enrollment ID: I20151013001995 |
| Provider Name | Emelia A Annoh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063513190 PECOS PAC ID: 9335109008 Enrollment ID: I20151015001872 |
| Provider Name | Danesh Ghiassi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861755886 PECOS PAC ID: 8628387495 Enrollment ID: I20151016001619 |
| Provider Name | Jackie Ogechi Nneji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467710228 PECOS PAC ID: 0446569255 Enrollment ID: I20151019000806 |
| Provider Name | Raksha Swamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619235017 PECOS PAC ID: 7012153620 Enrollment ID: I20151020000039 |
| Provider Name | Vignesh Rajan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184988990 PECOS PAC ID: 4880833482 Enrollment ID: I20151021001405 |
| Provider Name | Ajay Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598052318 PECOS PAC ID: 2769638477 Enrollment ID: I20151103003128 |
| Provider Name | Tala Parsons Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710249990 PECOS PAC ID: 8022241850 Enrollment ID: I20151111002385 |
| Provider Name | Rajesh K Veeravally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750694386 PECOS PAC ID: 3173763182 Enrollment ID: I20151112000379 |
| Provider Name | Randel Albert Bruney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982095659 PECOS PAC ID: 2365752821 Enrollment ID: I20151112002009 |
| Provider Name | Vladislav Valtsis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023302593 PECOS PAC ID: 2668697459 Enrollment ID: I20151201002953 |
| Provider Name | Scott Lionel Girard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932229739 PECOS PAC ID: 6709982275 Enrollment ID: I20151209000253 |
| Provider Name | Jose P Coste |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386995256 PECOS PAC ID: 4385945641 Enrollment ID: I20151211000206 |
| Provider Name | Surinder Singh Bahia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467716530 PECOS PAC ID: 8426286808 Enrollment ID: I20151214000593 |
| Provider Name | Owen F Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679996599 PECOS PAC ID: 2769783737 Enrollment ID: I20151216000893 |
| Provider Name | Peter R Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508856634 PECOS PAC ID: 9234108143 Enrollment ID: I20151216002953 |
| Provider Name | Kimberly Beth Payne Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730550286 PECOS PAC ID: 2860793635 Enrollment ID: I20151221001372 |
| Provider Name | Veronica Efros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093042178 PECOS PAC ID: 6901077221 Enrollment ID: I20160111002677 |
| Provider Name | Ndi J Maduako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396985644 PECOS PAC ID: 4688824584 Enrollment ID: I20160112001273 |
| Provider Name | Yih Cherng F Tsai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356337752 PECOS PAC ID: 9436130374 Enrollment ID: I20160122001377 |
| Provider Name | Leticia D Lopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538530340 PECOS PAC ID: 8527362094 Enrollment ID: I20160203000477 |
| Provider Name | Shwetha Mallesara Sudhakar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245461243 PECOS PAC ID: 6406006972 Enrollment ID: I20160212000574 |
| Provider Name | Saurav B Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447483169 PECOS PAC ID: 0941332936 Enrollment ID: I20160219001642 |
| Provider Name | Kelechi K Aruogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366790834 PECOS PAC ID: 1355651720 Enrollment ID: I20160304001329 |
| Provider Name | Jacqueline Marie Okane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841354560 PECOS PAC ID: 7517928948 Enrollment ID: I20160317001248 |
| Provider Name | Susan Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457718868 PECOS PAC ID: 9638476526 Enrollment ID: I20160321000159 |
| Provider Name | Robin Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437541844 PECOS PAC ID: 3779803044 Enrollment ID: I20160414000667 |
| Provider Name | Celeste Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347000 PECOS PAC ID: 4486944998 Enrollment ID: I20160610001610 |
| Provider Name | Padmaja Veeramreddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174787428 PECOS PAC ID: 1850539677 Enrollment ID: I20160629002668 |
| Provider Name | Venkata N Sheri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578832663 PECOS PAC ID: 1052552866 Enrollment ID: I20160721000007 |
| Provider Name | Tammie Rozario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922461318 PECOS PAC ID: 7810280237 Enrollment ID: I20160722001356 |
| Provider Name | Stephen G Carey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053751412 PECOS PAC ID: 1355575903 Enrollment ID: I20160808000671 |
| Provider Name | Alexander Mensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982043261 PECOS PAC ID: 2567757222 Enrollment ID: I20160822000003 |
| Provider Name | Bryan Wayne Howington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184062416 PECOS PAC ID: 8426370008 Enrollment ID: I20160914000592 |
| Provider Name | Mallory Mariya Royall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336692607 PECOS PAC ID: 4486941481 Enrollment ID: I20160919002229 |
| Provider Name | Anil Kumar Savarapu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164734935 PECOS PAC ID: 1658514773 Enrollment ID: I20160923000369 |
| Provider Name | Stefani Megan Connel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073951802 PECOS PAC ID: 8820214489 Enrollment ID: I20161007001649 |
| Provider Name | Ankur Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366880197 PECOS PAC ID: 2567680069 Enrollment ID: I20161219000124 |
| Provider Name | David Lehr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811960198 PECOS PAC ID: 7012901242 Enrollment ID: I20161228000396 |
| Provider Name | Elizabeth Sotile Delouise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699074872 PECOS PAC ID: 0446531347 Enrollment ID: I20170109002223 |
| Provider Name | Moneika Owens Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952715583 PECOS PAC ID: 3678790532 Enrollment ID: I20170828003360 |
| Provider Name | Praveen Venigalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528352598 PECOS PAC ID: 6103125232 Enrollment ID: I20171110002536 |
| Provider Name | Thomas Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962483032 PECOS PAC ID: 7012273519 Enrollment ID: I20171116002178 |
| Provider Name | Joshua B Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900286 PECOS PAC ID: 5294092482 Enrollment ID: I20171125000040 |
| Provider Name | Benson C Okeiyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770840761 PECOS PAC ID: 2961704937 Enrollment ID: I20171207003298 |
| Provider Name | Hector Ivan Sanchez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124446513 PECOS PAC ID: 7810113081 Enrollment ID: I20180411000817 |
| Provider Name | Amanda R.m. Labenne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528486990 PECOS PAC ID: 5496971871 Enrollment ID: I20180523000498 |
| Provider Name | Jenna Lynn Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629522339 PECOS PAC ID: 6507144037 Enrollment ID: I20180621002216 |
| Provider Name | Fadi Asfahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649653700 PECOS PAC ID: 1355635277 Enrollment ID: I20180911002014 |
| Provider Name | Achint Dindayal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134508633 PECOS PAC ID: 8820302664 Enrollment ID: I20180924002868 |
| Provider Name | Aness Al-khateeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972983765 PECOS PAC ID: 5799090445 Enrollment ID: I20181016003961 |
| Provider Name | Parshotam Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538325642 PECOS PAC ID: 9739256777 Enrollment ID: I20181030001625 |
| Provider Name | Emmauel T Osinuga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194112987 PECOS PAC ID: 4981906385 Enrollment ID: I20181128002659 |
| Provider Name | Charlene Padgett Shearon Mccraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588856611 PECOS PAC ID: 1850448390 Enrollment ID: I20190123002994 |
| Provider Name | Prasanna Sridharan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619237971 PECOS PAC ID: 1355647397 Enrollment ID: I20190314000747 |
| Provider Name | Mwiza Gausi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750688651 PECOS PAC ID: 9133390420 Enrollment ID: I20190401002312 |
| Provider Name | Melanie R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485046 PECOS PAC ID: 1759623135 Enrollment ID: I20190506000542 |
| Provider Name | Erin C Najarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659869212 PECOS PAC ID: 0749536902 Enrollment ID: I20191008001317 |
| Provider Name | Asif Mastan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985020 PECOS PAC ID: 2163658303 Enrollment ID: I20200206000416 |
| Provider Name | Cassandra Baumgartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013567304 PECOS PAC ID: 2466888557 Enrollment ID: I20200210000727 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200221002630 |
| Provider Name | Thomas Francis Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073040218 PECOS PAC ID: 6305116799 Enrollment ID: I20200309000899 |
| Provider Name | Ashlee M Pinion-raby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982234399 PECOS PAC ID: 3678902889 Enrollment ID: I20200408003455 |
| Provider Name | Christopher Diaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053852277 PECOS PAC ID: 5799060224 Enrollment ID: I20200806000806 |
| Provider Name | Binita Dahal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003340019 PECOS PAC ID: 8224309075 Enrollment ID: I20200824000736 |
| Provider Name | Tracy L Muhammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033161435 PECOS PAC ID: 1951305523 Enrollment ID: I20200910003079 |
| Provider Name | Joseph B Norris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285847939 PECOS PAC ID: 8022162957 Enrollment ID: I20210910001171 |
| Provider Name | Brice A Morey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811494180 PECOS PAC ID: 5799035184 Enrollment ID: I20211012001286 |
| Provider Name | Brandy W Matheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003407966 PECOS PAC ID: 9335534015 Enrollment ID: I20220315002768 |
| Provider Name | Vellayat J Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235620022 PECOS PAC ID: 1456600741 Enrollment ID: I20220614000254 |
| Provider Name | Gita V Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942564760 PECOS PAC ID: 0244479459 Enrollment ID: I20220728000111 |
| Provider Name | Jose Wilfrido Navarrete |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679989263 PECOS PAC ID: 9335430628 Enrollment ID: I20220803000751 |
| Provider Name | Arrian Baker Snowten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346971298 PECOS PAC ID: 8123403490 Enrollment ID: I20220922002148 |
| Provider Name | Samuel L Scoma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518450402 PECOS PAC ID: 6204172588 Enrollment ID: I20221020002472 |
| Provider Name | Michael A Cerasaro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407232259 PECOS PAC ID: 9335473586 Enrollment ID: I20221103001511 |
| Provider Name | Angelo M Manuele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164959656 PECOS PAC ID: 3870856099 Enrollment ID: I20221221001781 |
| Provider Name | Kayla N Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265024475 PECOS PAC ID: 5799155727 Enrollment ID: I20230106002479 |
| Provider Name | Anisha Nandyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548656838 PECOS PAC ID: 6406107713 Enrollment ID: I20230216002663 |
| Provider Name | Sierra Shabree George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144929597 PECOS PAC ID: 6901279231 Enrollment ID: I20230307000709 |
| Provider Name | Tiffany Ann Fowler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366001752 PECOS PAC ID: 9638409469 Enrollment ID: I20230518003531 |
| Provider Name | Chris S Mccauley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356315212 PECOS PAC ID: 0941471411 Enrollment ID: I20230531001065 |
| Provider Name | Vidyasagargoud Marupakula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003123530 PECOS PAC ID: 4082855507 Enrollment ID: I20230908003648 |
Whiteville Family Practice & Urgent Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 N Jk Powell Blvd, Whiteville, NC 28472 Phone: 910-640-2009 Fax: 910-251-7777 | |
Health Partners Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Jefferson St, Whiteville, NC 28472 Phone: 910-642-2002 | |
Goshen Medical Center, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 S Madison St, Whiteville, NC 28472 Phone: 910-642-7463 Fax: 910-642-2668 | |
Better Primary Care And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1424 S Jk Powell Blvd, Whiteville, NC 28472 Phone: 910-642-9800 | |
Columbus Regional Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Jefferson St, Whiteville, NC 28472 Phone: 910-641-8600 | |
Columbus Rural Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Jefferson St, Suite 113, Whiteville, NC 28472 Phone: 910-642-3356 Fax: 910-642-5433 | |
John D Hodgson Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 Jefferson St, Whiteville, NC 28472 Phone: 910-642-0331 Fax: 910-642-0597 |