| Caromont Medical Group Inc | |
|
2315 Court Dr Gastonia NC 28054-2151 | |
| (704) 834-2450 | |
| (704) 671-5331 |
| Full Name | Caromont Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2315 Court Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | David Michael Oconnor (CFO) |
| Authorized Official Contact | 7048342049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caromont Medical Group Inc Po Box 744786 Atlanta GA 30374-4786 Ph: (704) 834-2450 | Caromont Medical Group Inc 2315 Court Dr Gastonia NC 28054-2151 Ph: (704) 834-2450 |
| NPI Number | 1356314272 |
|---|---|
| Provider Enumeration Date | 02/10/2006 |
| Last Update Date | 08/09/2022 |
| Medicare PECOS PAC ID | 3577476258 |
|---|---|
| Medicare Enrollment ID | O20031201000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356314272 | NPI | - | NPPES |
| Provider Name | Beverly N Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801851506 PECOS PAC ID: 1052218229 Enrollment ID: I20031216000436 |
| Provider Name | Scott L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992778559 PECOS PAC ID: 2466345210 Enrollment ID: I20040205000253 |
| Provider Name | Julia K Saluke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154340537 PECOS PAC ID: 6608769112 Enrollment ID: I20040206000445 |
| Provider Name | Rodger W Lefler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447382379 PECOS PAC ID: 6103711320 Enrollment ID: I20040217000855 |
| Provider Name | Pamela B Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487641007 PECOS PAC ID: 2365334679 Enrollment ID: I20040329001693 |
| Provider Name | Steven Craig Miszkiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548257249 PECOS PAC ID: 1456343128 Enrollment ID: I20040401000933 |
| Provider Name | Marty A Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730103953 PECOS PAC ID: 2264426717 Enrollment ID: I20040408001258 |
| Provider Name | Rebecca Jean Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376594424 PECOS PAC ID: 9638165707 Enrollment ID: I20040423000145 |
| Provider Name | Joseph Henry Nowak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093715765 PECOS PAC ID: 6002893153 Enrollment ID: I20040709001011 |
| Provider Name | Michael R Tamberella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326035841 PECOS PAC ID: 2264410729 Enrollment ID: I20040710000405 |
| Provider Name | Patricia Shannon Hopson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508852252 PECOS PAC ID: 0446220834 Enrollment ID: I20040731000360 |
| Provider Name | Julia Kristen Roos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245299668 PECOS PAC ID: 7315911583 Enrollment ID: I20040824000043 |
| Provider Name | Alyssa A Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942384839 PECOS PAC ID: 2567438096 Enrollment ID: I20040907000929 |
| Provider Name | Sandi L Fields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326074840 PECOS PAC ID: 3779559075 Enrollment ID: I20040908000905 |
| Provider Name | George E Adcock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447246228 PECOS PAC ID: 7315913365 Enrollment ID: I20040909001261 |
| Provider Name | Demar A Neal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053373654 PECOS PAC ID: 7315914413 Enrollment ID: I20040916000455 |
| Provider Name | Ramada Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619964046 PECOS PAC ID: 3678541984 Enrollment ID: I20040923000424 |
| Provider Name | Jerry Clinton Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235139411 PECOS PAC ID: 7214906320 Enrollment ID: I20041004001119 |
| Provider Name | Hytham Manuel Imseis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588768188 PECOS PAC ID: 3779544036 Enrollment ID: I20041020001249 |
| Provider Name | Andrew J Dyksterhouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831151596 PECOS PAC ID: 2668433723 Enrollment ID: I20041021000828 |
| Provider Name | Adolphus S Bonar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578559373 PECOS PAC ID: 4688636327 Enrollment ID: I20041103001097 |
| Provider Name | Manu Hira Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396732707 PECOS PAC ID: 5597727255 Enrollment ID: I20041103001172 |
| Provider Name | Steven David Thies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104821669 PECOS PAC ID: 5991760738 Enrollment ID: I20041122000435 |
| Provider Name | Mark A Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386631760 PECOS PAC ID: 6305884719 Enrollment ID: I20050418000478 |
| Provider Name | Ajay S Bajwa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548256332 PECOS PAC ID: 2567400880 Enrollment ID: I20050418001316 |
| Provider Name | James G Mcgrath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487609319 PECOS PAC ID: 8325086945 Enrollment ID: I20050422000715 |
| Provider Name | Candace C Petree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326035049 PECOS PAC ID: 7113980624 Enrollment ID: I20050511000372 |
| Provider Name | Steven K Gudeman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548216849 PECOS PAC ID: 0648212597 Enrollment ID: I20050601000644 |
| Provider Name | Mark C Heckel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295722767 PECOS PAC ID: 5799729760 Enrollment ID: I20050610000806 |
| Provider Name | Singaravelu Jagadeesan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053418509 PECOS PAC ID: 4284603101 Enrollment ID: I20050620000038 |
| Provider Name | Purna P Manne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513697 PECOS PAC ID: 6002851003 Enrollment ID: I20050621000467 |
| Provider Name | James L Arter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922008960 PECOS PAC ID: 7113963398 Enrollment ID: I20050629000092 |
| Provider Name | Sam Wilcox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275535916 PECOS PAC ID: 7113955501 Enrollment ID: I20050727000800 |
| Provider Name | Christian E Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346286366 PECOS PAC ID: 2163451550 Enrollment ID: I20050805000518 |
| Provider Name | Robert C Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245227651 PECOS PAC ID: 5092746883 Enrollment ID: I20050822000778 |
| Provider Name | David G Ellertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588657258 PECOS PAC ID: 3870581515 Enrollment ID: I20050823001059 |
| Provider Name | Jacqueline D Folks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356337091 PECOS PAC ID: 4587698154 Enrollment ID: I20050922000915 |
| Provider Name | Shaheen Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013939446 PECOS PAC ID: 1153348909 Enrollment ID: I20051031000820 |
| Provider Name | Vetta Higgs |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851313993 PECOS PAC ID: 4880626647 Enrollment ID: I20051107000787 |
| Provider Name | Kenneth David Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538147376 PECOS PAC ID: 1951321165 Enrollment ID: I20051202000428 |
| Provider Name | Sailatha Bathula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144251398 PECOS PAC ID: 9830110584 Enrollment ID: I20051209000544 |
| Provider Name | Carrie Alene Copeland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518095033 PECOS PAC ID: 2163445222 Enrollment ID: I20060104000788 |
| Provider Name | Sherley I Brito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679556567 PECOS PAC ID: 3274556287 Enrollment ID: I20060105000150 |
| Provider Name | Steven W Dibert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760436893 PECOS PAC ID: 4587617113 Enrollment ID: I20060119000873 |
| Provider Name | David Carl Ruck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881635902 PECOS PAC ID: 3678597168 Enrollment ID: I20060124000224 |
| Provider Name | Arnaud P Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750352514 PECOS PAC ID: 0840191367 Enrollment ID: I20060130000772 |
| Provider Name | William S Watkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093785099 PECOS PAC ID: 0446223234 Enrollment ID: I20060131000905 |
| Provider Name | John Raymond Allbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518944420 PECOS PAC ID: 2062428949 Enrollment ID: I20060301000764 |
| Provider Name | Lyndi S Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801990593 PECOS PAC ID: 7113936923 Enrollment ID: I20060406000079 |
| Provider Name | Ndofunsu Mabeka Badika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114915758 PECOS PAC ID: 8426067687 Enrollment ID: I20060417000323 |
| Provider Name | David C Shaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245284058 PECOS PAC ID: 0446261630 Enrollment ID: I20060602000081 |
| Provider Name | Jason R Justice |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245209881 PECOS PAC ID: 1759393671 Enrollment ID: I20060614000270 |
| Provider Name | Daniel Roy Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992764591 PECOS PAC ID: 6002828233 Enrollment ID: I20060706000361 |
| Provider Name | Rebecca H Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760444632 PECOS PAC ID: 5092775676 Enrollment ID: I20060720000347 |
| Provider Name | Joseph B Mcshea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972503332 PECOS PAC ID: 2365455938 Enrollment ID: I20060726000406 |
| Provider Name | William F Averett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952358368 PECOS PAC ID: 5799789780 Enrollment ID: I20060906000090 |
| Provider Name | Obioma Ikechukwu Anukwuem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023093846 PECOS PAC ID: 8426027707 Enrollment ID: I20060913000362 |
| Provider Name | John R Carson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477580199 PECOS PAC ID: 1355346503 Enrollment ID: I20060922000251 |
| Provider Name | Donald R Klasing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508860230 PECOS PAC ID: 3072566249 Enrollment ID: I20061026000553 |
| Provider Name | Beril Cakir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366473035 PECOS PAC ID: 7416954888 Enrollment ID: I20061026000558 |
| Provider Name | Sulabha S Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942315486 PECOS PAC ID: 9739189333 Enrollment ID: I20070104000449 |
| Provider Name | Jeffrey H Lacourse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578565032 PECOS PAC ID: 9133174964 Enrollment ID: I20070330000155 |
| Provider Name | David A Rinehart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770545428 PECOS PAC ID: 3870553837 Enrollment ID: I20070425000200 |
| Provider Name | Jorge Martin Paulino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841397866 PECOS PAC ID: 9830295476 Enrollment ID: I20070427000561 |
| Provider Name | Walter H Caulfield |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982696522 PECOS PAC ID: 8729013529 Enrollment ID: I20070517000129 |
| Provider Name | Sapna Jugnu Pithwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134285943 PECOS PAC ID: 2668449141 Enrollment ID: I20070525000221 |
| Provider Name | Eric B Feinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114000775 PECOS PAC ID: 2769403872 Enrollment ID: I20070607000438 |
| Provider Name | Kelvin Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114000791 PECOS PAC ID: 9537116504 Enrollment ID: I20070607000460 |
| Provider Name | Lynda M Lachance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811954258 PECOS PAC ID: 0749259745 Enrollment ID: I20070607000716 |
| Provider Name | Bogdan P Gheorghiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902892904 PECOS PAC ID: 8022920271 Enrollment ID: I20070731000380 |
| Provider Name | Carmelita J Lugue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285848143 PECOS PAC ID: 9739270836 Enrollment ID: I20070803000129 |
| Provider Name | Christopher Lynn Polen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225087760 PECOS PAC ID: 9830188218 Enrollment ID: I20070807000420 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20070810000591 |
| Provider Name | Brad Vance Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528054152 PECOS PAC ID: 2062503642 Enrollment ID: I20070810000677 |
| Provider Name | David A Major |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306056809 PECOS PAC ID: 7315039203 Enrollment ID: I20070823000322 |
| Provider Name | Chris B Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043371420 PECOS PAC ID: 5193818599 Enrollment ID: I20070830000278 |
| Provider Name | William J Caddick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427129154 PECOS PAC ID: 3072606169 Enrollment ID: I20070905000758 |
| Provider Name | Gary Lynn Dubisky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144220161 PECOS PAC ID: 1557454345 Enrollment ID: I20070910001052 |
| Provider Name | Lia M Spina |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629286190 PECOS PAC ID: 4284728601 Enrollment ID: I20070917000221 |
| Provider Name | Kwame Larbi Siaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396935771 PECOS PAC ID: 4183719271 Enrollment ID: I20071004000352 |
| Provider Name | Pamela Lowry Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639227978 PECOS PAC ID: 0648369173 Enrollment ID: I20071205000437 |
| Provider Name | Laddeus L Sutton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891793139 PECOS PAC ID: 8426148487 Enrollment ID: I20071214000438 |
| Provider Name | Anthony R Arn |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013917673 PECOS PAC ID: 9335046523 Enrollment ID: I20071214000543 |
| Provider Name | Patrick J Russo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861490195 PECOS PAC ID: 2961592365 Enrollment ID: I20071224000001 |
| Provider Name | Steven L Tracy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558353300 PECOS PAC ID: 4183705676 Enrollment ID: I20080123000222 |
| Provider Name | Sunil Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821117219 PECOS PAC ID: 6002998804 Enrollment ID: I20080201000324 |
| Provider Name | Dorota Gawlas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427131796 PECOS PAC ID: 8426131913 Enrollment ID: I20080206000546 |
| Provider Name | Kathryn A Caulfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538146550 PECOS PAC ID: 5698700128 Enrollment ID: I20080208000060 |
| Provider Name | Costa Andreou |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114925419 PECOS PAC ID: 2163505165 Enrollment ID: I20080214000241 |
| Provider Name | Dustin Patrick Letts |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982634994 PECOS PAC ID: 0547263733 Enrollment ID: I20080221000539 |
| Provider Name | Cameron T Khor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962464099 PECOS PAC ID: 1153318829 Enrollment ID: I20080222000237 |
| Provider Name | James Richard High |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528054277 PECOS PAC ID: 1557440302 Enrollment ID: I20080505000457 |
| Provider Name | Ellen S Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366439093 PECOS PAC ID: 1254400245 Enrollment ID: I20080516000247 |
| Provider Name | Richard K Osenbach |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396836789 PECOS PAC ID: 6002988334 Enrollment ID: I20080702000235 |
| Provider Name | Cassandra Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558546820 PECOS PAC ID: 0345313532 Enrollment ID: I20080722000113 |
| Provider Name | Kamari Demond Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184643454 PECOS PAC ID: 5991879496 Enrollment ID: I20080731000754 |
| Provider Name | Emad Fouad Massoud Malak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063693182 PECOS PAC ID: 8921173121 Enrollment ID: I20080822000531 |
| Provider Name | Henry L Danis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770560484 PECOS PAC ID: 8022063114 Enrollment ID: I20080826000811 |
| Provider Name | Steve E Vacalis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871580399 PECOS PAC ID: 1658447347 Enrollment ID: I20080903000475 |
| Provider Name | Sunny B Changappa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033318704 PECOS PAC ID: 7214005040 Enrollment ID: I20081007000588 |
| Provider Name | Barry Anthony Scanlan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497712277 PECOS PAC ID: 0042378168 Enrollment ID: I20081018000136 |
| Provider Name | James Mitchell Costner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841257540 PECOS PAC ID: 5294893871 Enrollment ID: I20081027000252 |
| Provider Name | Cristian E Pantea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104830165 PECOS PAC ID: 3870527021 Enrollment ID: I20081031000400 |
| Provider Name | Mark Allen Bechtel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962493361 PECOS PAC ID: 3476533928 Enrollment ID: I20081031000431 |
| Provider Name | Christopher M Denning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336114362 PECOS PAC ID: 0749298560 Enrollment ID: I20081031000444 |
| Provider Name | Mary Mckeel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275509051 PECOS PAC ID: 9931117751 Enrollment ID: I20081031000448 |
| Provider Name | William B Harley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467402719 PECOS PAC ID: 6901840297 Enrollment ID: I20081031000456 |
| Provider Name | Shaunese Derae Singleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477637080 PECOS PAC ID: 8123197126 Enrollment ID: I20081031000473 |
| Provider Name | Suresh Khandekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316917214 PECOS PAC ID: 3476527565 Enrollment ID: I20081104000057 |
| Provider Name | Sandhya Siripuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689820789 PECOS PAC ID: 2860551462 Enrollment ID: I20081112000180 |
| Provider Name | Karen L Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841435252 PECOS PAC ID: 7517020662 Enrollment ID: I20090115000266 |
| Provider Name | Monica J Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306839857 PECOS PAC ID: 1759439367 Enrollment ID: I20090507000555 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20090520000460 |
| Provider Name | Murthy Venkata Madduri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750498515 PECOS PAC ID: 2264414127 Enrollment ID: I20090521000607 |
| Provider Name | Margaret B Shires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629211727 PECOS PAC ID: 5496805905 Enrollment ID: I20090603000688 |
| Provider Name | Carlos A Sicilia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164445649 PECOS PAC ID: 7911979612 Enrollment ID: I20090615000314 |
| Provider Name | Sandra B Schultz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972569069 PECOS PAC ID: 3971540394 Enrollment ID: I20090615000361 |
| Provider Name | Inderjeet Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790766459 PECOS PAC ID: 0345390282 Enrollment ID: I20090615000373 |
| Provider Name | Larry M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770655896 PECOS PAC ID: 5890697130 Enrollment ID: I20090617000726 |
| Provider Name | Urvashi H Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639108723 PECOS PAC ID: 6305879198 Enrollment ID: I20090623000613 |
| Provider Name | Joseph R Holman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275537615 PECOS PAC ID: 1254483068 Enrollment ID: I20090708000632 |
| Provider Name | Charles A Peach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750385282 PECOS PAC ID: 3577615384 Enrollment ID: I20090708000672 |
| Provider Name | Jeffrey Molle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073577375 PECOS PAC ID: 7517930258 Enrollment ID: I20090721000531 |
| Provider Name | Uchechi N Iloka |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508883414 PECOS PAC ID: 1355443383 Enrollment ID: I20090723000439 |
| Provider Name | Sean M Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164426508 PECOS PAC ID: 1557415338 Enrollment ID: I20090812000956 |
| Provider Name | Ryan Blaine Caldwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730210089 PECOS PAC ID: 2264586593 Enrollment ID: I20090820000295 |
| Provider Name | Fatima A Brens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871678110 PECOS PAC ID: 7416001615 Enrollment ID: I20090824000121 |
| Provider Name | Kimberly D Clay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962531921 PECOS PAC ID: 9133274954 Enrollment ID: I20090831000568 |
| Provider Name | Shamsher Singh Ahluwalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497943286 PECOS PAC ID: 9537217385 Enrollment ID: I20090914000424 |
| Provider Name | Jason Matthew Perlman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164614459 PECOS PAC ID: 7810033727 Enrollment ID: I20091007000316 |
| Provider Name | Omodele Julie Masha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528164324 PECOS PAC ID: 7012951494 Enrollment ID: I20091007000446 |
| Provider Name | Mi L Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568425452 PECOS PAC ID: 1759304439 Enrollment ID: I20091019000649 |
| Provider Name | Nora D Paysour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023343621 PECOS PAC ID: 4385784537 Enrollment ID: I20091218000192 |
| Provider Name | Warwick Aiken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972599751 PECOS PAC ID: 2860535200 Enrollment ID: I20100206000190 |
| Provider Name | William A Calabria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275507030 PECOS PAC ID: 7113936873 Enrollment ID: I20100213000107 |
| Provider Name | Francisco A Valedon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689661100 PECOS PAC ID: 7517001530 Enrollment ID: I20100215000370 |
| Provider Name | Shawnya A Gore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043206782 PECOS PAC ID: 7416091103 Enrollment ID: I20100218000587 |
| Provider Name | Greg A Robicheaux |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1801830047 PECOS PAC ID: 0446394068 Enrollment ID: I20100220000370 |
| Provider Name | Aaron D Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730175456 PECOS PAC ID: 7416092689 Enrollment ID: I20100227000065 |
| Provider Name | Jawaid Ahsan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578618815 PECOS PAC ID: 9739265497 Enrollment ID: I20100302000959 |
| Provider Name | Todd S Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992792642 PECOS PAC ID: 0648315507 Enrollment ID: I20100303000196 |
| Provider Name | Wesley L Marquand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861488942 PECOS PAC ID: 1153466941 Enrollment ID: I20100304000398 |
| Provider Name | Myron Jay Petruska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043207764 PECOS PAC ID: 3971648775 Enrollment ID: I20100304000467 |
| Provider Name | Matthew A Ryan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982673778 PECOS PAC ID: 9638214380 Enrollment ID: I20100304001022 |
| Provider Name | Randall D Gehle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942296355 PECOS PAC ID: 2769424761 Enrollment ID: I20100304001039 |
| Provider Name | Jay M Hendler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467412171 PECOS PAC ID: 8022143114 Enrollment ID: I20100315000518 |
| Provider Name | Louis J Dalessandro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407843808 PECOS PAC ID: 8123060126 Enrollment ID: I20100329001090 |
| Provider Name | Carmine Dalto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871553131 PECOS PAC ID: 3577699065 Enrollment ID: I20100414000359 |
| Provider Name | Omer L Shedd |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346252905 PECOS PAC ID: 3577518968 Enrollment ID: I20100519000797 |
| Provider Name | Kirsten G D Amore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528023298 PECOS PAC ID: 7618006024 Enrollment ID: I20100524000515 |
| Provider Name | William Craven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174535082 PECOS PAC ID: 1456480763 Enrollment ID: I20100525000878 |
| Provider Name | Susan Elise Ladd-snively |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437175791 PECOS PAC ID: 8426007006 Enrollment ID: I20100608000127 |
| Provider Name | William L Barrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295836575 PECOS PAC ID: 5496730004 Enrollment ID: I20100608000541 |
| Provider Name | Gregory Woo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104831858 PECOS PAC ID: 4587663463 Enrollment ID: I20100622000136 |
| Provider Name | Laurence Cane |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003954553 PECOS PAC ID: 5395840706 Enrollment ID: I20100622000489 |
| Provider Name | Ann Marie Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316934847 PECOS PAC ID: 4385776137 Enrollment ID: I20100714001058 |
| Provider Name | Gautam Ghanshyambhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679764054 PECOS PAC ID: 8022186279 Enrollment ID: I20100724000302 |
| Provider Name | Paul Youngbok Oh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689633794 PECOS PAC ID: 4183767130 Enrollment ID: I20100727000892 |
| Provider Name | Erik L Schuls |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578558912 PECOS PAC ID: 3072400340 Enrollment ID: I20100728000150 |
| Provider Name | Raju Thakor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649459942 PECOS PAC ID: 8921028499 Enrollment ID: I20100728000386 |
| Provider Name | Mark A Nesky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891782504 PECOS PAC ID: 4880727437 Enrollment ID: I20100803000281 |
| Provider Name | Harish Marisiddaiah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073500765 PECOS PAC ID: 0345373668 Enrollment ID: I20100805001124 |
| Provider Name | Mark Jeffrey Whalen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891795498 PECOS PAC ID: 5698808962 Enrollment ID: I20100806000608 |
| Provider Name | Stephan J.a. Hewitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174710735 PECOS PAC ID: 1759405657 Enrollment ID: I20100830000531 |
| Provider Name | Gary S Schenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417021254 PECOS PAC ID: 5890987051 Enrollment ID: I20101006000196 |
| Provider Name | James P Greelish |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306933411 PECOS PAC ID: 7719079565 Enrollment ID: I20101021000194 |
| Provider Name | Obinna Ogbonnaya Ikwechegh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952582967 PECOS PAC ID: 0749476372 Enrollment ID: I20101122001184 |
| Provider Name | Anthony Edward Raspanti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144232182 PECOS PAC ID: 2466433677 Enrollment ID: I20101129000327 |
| Provider Name | Kimberly Elizabeth Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457315947 PECOS PAC ID: 6204891971 Enrollment ID: I20101217000622 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20110119000379 |
| Provider Name | Kim Renae English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659476240 PECOS PAC ID: 7113106311 Enrollment ID: I20110120000156 |
| Provider Name | Monica A Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407150592 PECOS PAC ID: 4688854797 Enrollment ID: I20110207000862 |
| Provider Name | Leona A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114931607 PECOS PAC ID: 0244212470 Enrollment ID: I20110315000689 |
| Provider Name | Susan B Owensby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972590685 PECOS PAC ID: 6305021023 Enrollment ID: I20110422000360 |
| Provider Name | Mary M Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245395557 PECOS PAC ID: 8527243898 Enrollment ID: I20110502000193 |
| Provider Name | Srinivas S Cheruvu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356367957 PECOS PAC ID: 1951302702 Enrollment ID: I20110907001242 |
| Provider Name | Kikelomo Oshunkentan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588823629 PECOS PAC ID: 5496925182 Enrollment ID: I20110907001535 |
| Provider Name | Emmanuel O Edosomwan-eigbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336397306 PECOS PAC ID: 4385774033 Enrollment ID: I20110913000703 |
| Provider Name | Hany Lotfy Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235438524 PECOS PAC ID: 8325216393 Enrollment ID: I20111010000005 |
| Provider Name | Kimberly A Mckenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649583113 PECOS PAC ID: 7214102706 Enrollment ID: I20111212000658 |
| Provider Name | Charmaine Luvis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134385776 PECOS PAC ID: 4587843792 Enrollment ID: I20111215000555 |
| Provider Name | Ali Vahabzadeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114131984 PECOS PAC ID: 4284727579 Enrollment ID: I20120120000008 |
| Provider Name | Jacob P Debelak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396915104 PECOS PAC ID: 4082769930 Enrollment ID: I20120220000895 |
| Provider Name | William M Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457304693 PECOS PAC ID: 1456412287 Enrollment ID: I20120222000145 |
| Provider Name | Joanne F Akong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235171752 PECOS PAC ID: 4688670391 Enrollment ID: I20120315000004 |
| Provider Name | Paul Kochupura |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942441340 PECOS PAC ID: 6406909811 Enrollment ID: I20120321000739 |
| Provider Name | Vladimir Milstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851304455 PECOS PAC ID: 8325123326 Enrollment ID: I20120515000044 |
| Provider Name | Ajaykumar N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023205218 PECOS PAC ID: 1951583830 Enrollment ID: I20120710000033 |
| Provider Name | Ashvin K Amara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356658389 PECOS PAC ID: 3779748991 Enrollment ID: I20120712000772 |
| Provider Name | Waseem Ghannam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306080510 PECOS PAC ID: 5092971085 Enrollment ID: I20120718000878 |
| Provider Name | Laura Lee Ciaramitaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518242874 PECOS PAC ID: 2567639180 Enrollment ID: I20120731000555 |
| Provider Name | Jennifer M Bizuneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235428293 PECOS PAC ID: 9931355245 Enrollment ID: I20120801000803 |
| Provider Name | Dorothy M Kodzwa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992906333 PECOS PAC ID: 3072760487 Enrollment ID: I20120820000831 |
| Provider Name | Eyad Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923025 PECOS PAC ID: 1557518917 Enrollment ID: I20120821000222 |
| Provider Name | Adelle R Anthony Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073681201 PECOS PAC ID: 4789831959 Enrollment ID: I20120822000507 |
| Provider Name | Thurmond D Lanier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457583429 PECOS PAC ID: 2860649084 Enrollment ID: I20120823000292 |
| Provider Name | Allison T Bansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932463544 PECOS PAC ID: 1355598293 Enrollment ID: I20120828000215 |
| Provider Name | Crystal Cornelia Maddox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942520937 PECOS PAC ID: 0749438018 Enrollment ID: I20120911000313 |
| Provider Name | Stephanie Y Gilliam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811243967 PECOS PAC ID: 1153579404 Enrollment ID: I20120912000296 |
| Provider Name | Rinku Bhatia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215067699 PECOS PAC ID: 3375791221 Enrollment ID: I20120918000467 |
| Provider Name | Robert W Zickler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912914714 PECOS PAC ID: 3072571082 Enrollment ID: I20120925000322 |
| Provider Name | Ayodeji O Shedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770711962 PECOS PAC ID: 2163671769 Enrollment ID: I20120925000379 |
| Provider Name | Leslie L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962728352 PECOS PAC ID: 0244489151 Enrollment ID: I20121010000422 |
| Provider Name | Azeem Elahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780811091 PECOS PAC ID: 4284883034 Enrollment ID: I20121011000224 |
| Provider Name | Stephanie E Betters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598027617 PECOS PAC ID: 4486803111 Enrollment ID: I20121012000385 |
| Provider Name | Paula A Lundgren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407842727 PECOS PAC ID: 1759443351 Enrollment ID: I20121020000064 |
| Provider Name | Sunny B Severance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073878252 PECOS PAC ID: 3779733860 Enrollment ID: I20121025000833 |
| Provider Name | Donnielle Lynn Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073620530 PECOS PAC ID: 6800810375 Enrollment ID: I20121102000115 |
| Provider Name | Megan H Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326390311 PECOS PAC ID: 9234381153 Enrollment ID: I20121128000509 |
| Provider Name | Anna G Faidas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780779116 PECOS PAC ID: 2466604541 Enrollment ID: I20121219000201 |
| Provider Name | Deborah Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114946001 PECOS PAC ID: 7618986803 Enrollment ID: I20130125000150 |
| Provider Name | Elizabeth Asare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922385749 PECOS PAC ID: 3971758889 Enrollment ID: I20130226000504 |
| Provider Name | Sheila M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518295880 PECOS PAC ID: 2365579398 Enrollment ID: I20130226000668 |
| Provider Name | Samer A Zeayter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578543047 PECOS PAC ID: 5395777627 Enrollment ID: I20130409000034 |
| Provider Name | Georgina Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952648677 PECOS PAC ID: 1557506359 Enrollment ID: I20130528000496 |
| Provider Name | Lindsey M Castagna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639512767 PECOS PAC ID: 3173761897 Enrollment ID: I20130607000170 |
| Provider Name | Amara S Amarasighe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558326835 PECOS PAC ID: 4688815434 Enrollment ID: I20130722000118 |
| Provider Name | Andrew E Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417935024 PECOS PAC ID: 2961644976 Enrollment ID: I20130803000150 |
| Provider Name | Alec N Akbarov |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427099787 PECOS PAC ID: 7315844420 Enrollment ID: I20130815000694 |
| Provider Name | Behrouz Nmn Zamanifekri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629227889 PECOS PAC ID: 1052555836 Enrollment ID: I20130917000598 |
| Provider Name | Sharmarke Magan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376635839 PECOS PAC ID: 6002989456 Enrollment ID: I20130925000700 |
| Provider Name | Trace I Fender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396979993 PECOS PAC ID: 9830323690 Enrollment ID: I20131009002068 |
| Provider Name | Alexandra A Esposito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679905160 PECOS PAC ID: 8426282849 Enrollment ID: I20131017001247 |
| Provider Name | Christina Zanakis Reid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619057452 PECOS PAC ID: 9436238599 Enrollment ID: I20131018000954 |
| Provider Name | Maureen E Ben-davies |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306093646 PECOS PAC ID: 8123253549 Enrollment ID: I20131021000390 |
| Provider Name | Sunil K Narla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588866636 PECOS PAC ID: 6002961877 Enrollment ID: I20131022002135 |
| Provider Name | Victoria Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457605800 PECOS PAC ID: 7214162551 Enrollment ID: I20131023000082 |
| Provider Name | Worku Mengesha Wondafrash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215233002 PECOS PAC ID: 8325229248 Enrollment ID: I20131111000866 |
| Provider Name | Shadi Hijjawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811201882 PECOS PAC ID: 6002042512 Enrollment ID: I20131111000952 |
| Provider Name | Joyce S Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992017867 PECOS PAC ID: 0345476651 Enrollment ID: I20131114001906 |
| Provider Name | Min Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922356385 PECOS PAC ID: 8224264312 Enrollment ID: I20131120000169 |
| Provider Name | Phani Mohan Vupadhyayula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659523991 PECOS PAC ID: 5193994341 Enrollment ID: I20131120000656 |
| Provider Name | Kelly D Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346675501 PECOS PAC ID: 8527294230 Enrollment ID: I20131127001606 |
| Provider Name | Amber S Sipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487088696 PECOS PAC ID: 0749417210 Enrollment ID: I20131209001770 |
| Provider Name | Maria L Peter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144533225 PECOS PAC ID: 7719114180 Enrollment ID: I20131210000123 |
| Provider Name | Sean D Finney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356320535 PECOS PAC ID: 0547302044 Enrollment ID: I20131217000008 |
| Provider Name | Sunil A Kumta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710202460 PECOS PAC ID: 6800023631 Enrollment ID: I20131226000031 |
| Provider Name | Rachel S Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558598730 PECOS PAC ID: 8224266820 Enrollment ID: I20140103001270 |
| Provider Name | Rahma A Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528142130 PECOS PAC ID: 9739231192 Enrollment ID: I20140107000119 |
| Provider Name | David M Obriant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124292214 PECOS PAC ID: 2264682269 Enrollment ID: I20140115000588 |
| Provider Name | Wansi B Zedom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427369701 PECOS PAC ID: 2961630751 Enrollment ID: I20140125000195 |
| Provider Name | Leanne R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437570504 PECOS PAC ID: 9436389293 Enrollment ID: I20140224001498 |
| Provider Name | Laura M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316370471 PECOS PAC ID: 6103056460 Enrollment ID: I20140306000100 |
| Provider Name | Ashley M Walker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528221272 PECOS PAC ID: 7517199847 Enrollment ID: I20140421000005 |
| Provider Name | Gilbert S Tausch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619933322 PECOS PAC ID: 8022143817 Enrollment ID: I20140509001131 |
| Provider Name | Rajesh Rohilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003074154 PECOS PAC ID: 8325210800 Enrollment ID: I20140602001825 |
| Provider Name | Solace E Ninyeh Assimeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891137311 PECOS PAC ID: 2466676499 Enrollment ID: I20140613001597 |
| Provider Name | Lisa B Wilbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558780874 PECOS PAC ID: 2860616588 Enrollment ID: I20140618001880 |
| Provider Name | Cynthia W Lauer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578644969 PECOS PAC ID: 3375768526 Enrollment ID: I20140702001994 |
| Provider Name | Abhijeet S Nadkarni |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356469555 PECOS PAC ID: 1850487026 Enrollment ID: I20140728002683 |
| Provider Name | Andrew Dennis Timothy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245525633 PECOS PAC ID: 5092934984 Enrollment ID: I20140908001448 |
| Provider Name | Graydon F Stallard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649432840 PECOS PAC ID: 7012136922 Enrollment ID: I20140908001963 |
| Provider Name | Heath C High |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851535058 PECOS PAC ID: 6406075365 Enrollment ID: I20140909000512 |
| Provider Name | Danielle R Karbowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720390271 PECOS PAC ID: 7012143472 Enrollment ID: I20140910000799 |
| Provider Name | Nandita Nmn Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801187331 PECOS PAC ID: 0749409191 Enrollment ID: I20140917000045 |
| Provider Name | Courtney L Weimert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285980870 PECOS PAC ID: 0840419081 Enrollment ID: I20140919001550 |
| Provider Name | Catherine M Fletchall Belle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891099925 PECOS PAC ID: 5991942997 Enrollment ID: I20141006001009 |
| Provider Name | Sonia Singla |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053710285 PECOS PAC ID: 8123248481 Enrollment ID: I20141008002036 |
| Provider Name | Kera R Selzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811324049 PECOS PAC ID: 5799913182 Enrollment ID: I20141010002297 |
| Provider Name | Misty W Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619384500 PECOS PAC ID: 4587842729 Enrollment ID: I20141030002661 |
| Provider Name | Mina Saher Mekhael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639460884 PECOS PAC ID: 2961625926 Enrollment ID: I20141103001994 |
| Provider Name | Gin W Lou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548577232 PECOS PAC ID: 2567607567 Enrollment ID: I20141114000650 |
| Provider Name | Michael J Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447500061 PECOS PAC ID: 6800118688 Enrollment ID: I20141205000538 |
| Provider Name | Shiddhi Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275936502 PECOS PAC ID: 9638492952 Enrollment ID: I20141217002168 |
| Provider Name | April P Hargett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710305305 PECOS PAC ID: 7810113859 Enrollment ID: I20150114000864 |
| Provider Name | Patrice D Rodgers Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588687982 PECOS PAC ID: 7315915253 Enrollment ID: I20150128001992 |
| Provider Name | Parag Bhattarai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922239383 PECOS PAC ID: 1951568146 Enrollment ID: I20150309002283 |
| Provider Name | Larry Jw Skeete |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508854407 PECOS PAC ID: 4981684313 Enrollment ID: I20150311000476 |
| Provider Name | Jason Drew Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689914962 PECOS PAC ID: 4789901281 Enrollment ID: I20150321000256 |
| Provider Name | Martha M Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003841750 PECOS PAC ID: 1557689403 Enrollment ID: I20150406001436 |
| Provider Name | James Harley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972790640 PECOS PAC ID: 4385733534 Enrollment ID: I20150428000796 |
| Provider Name | Kao A Lor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285027136 PECOS PAC ID: 1658691936 Enrollment ID: I20150528000924 |
| Provider Name | James D Reid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295826881 PECOS PAC ID: 4284618166 Enrollment ID: I20150603003024 |
| Provider Name | Sharmeen A Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417242017 PECOS PAC ID: 1557673092 Enrollment ID: I20150711000008 |
| Provider Name | Jessica L Grass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780944314 PECOS PAC ID: 9436464252 Enrollment ID: I20150821014111 |
| Provider Name | Omer Zulfiqar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043577059 PECOS PAC ID: 1759697550 Enrollment ID: I20150824002133 |
| Provider Name | Eun-mi Yu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093941114 PECOS PAC ID: 0042526444 Enrollment ID: I20150831002457 |
| Provider Name | Sheronda R Ogirri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992067300 PECOS PAC ID: 0941458715 Enrollment ID: I20150917001695 |
| Provider Name | Randall D Marosok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780671479 PECOS PAC ID: 4082505276 Enrollment ID: I20150921001564 |
| Provider Name | Adnan Ekram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023400249 PECOS PAC ID: 1850608050 Enrollment ID: I20150921002781 |
| Provider Name | Cecily Robin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013206911 PECOS PAC ID: 8022296854 Enrollment ID: I20150930003339 |
| Provider Name | Amir Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205824810 PECOS PAC ID: 0244210151 Enrollment ID: I20151021002390 |
| Provider Name | Vladislav Valtsis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023302593 PECOS PAC ID: 2668697459 Enrollment ID: I20151201002953 |
| Provider Name | Colleen Lyn Thibaut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669766721 PECOS PAC ID: 5991025546 Enrollment ID: I20151218002070 |
| Provider Name | Tina N Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871965988 PECOS PAC ID: 3971805219 Enrollment ID: I20160105000161 |
| Provider Name | Ashley T Navey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104294230 PECOS PAC ID: 3274835012 Enrollment ID: I20160111001148 |
| Provider Name | Rhodenna Sue Arn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700259199 PECOS PAC ID: 8123321569 Enrollment ID: I20160119002506 |
| Provider Name | Betty J Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083053011 PECOS PAC ID: 8022248285 Enrollment ID: I20160202001298 |
| Provider Name | Kelly Bergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093183642 PECOS PAC ID: 1658675517 Enrollment ID: I20160212001693 |
| Provider Name | Abimbola O Akanji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598778946 PECOS PAC ID: 3274558572 Enrollment ID: I20160412001972 |
| Provider Name | Valerie K Ashburn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659741528 PECOS PAC ID: 6608175872 Enrollment ID: I20160422001209 |
| Provider Name | Stacie M Underwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235383753 PECOS PAC ID: 5294034476 Enrollment ID: I20160422001671 |
| Provider Name | Kealin J Coffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023474764 PECOS PAC ID: 0345549416 Enrollment ID: I20160425001908 |
| Provider Name | Amanda Chamelle Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770970873 PECOS PAC ID: 9234434143 Enrollment ID: I20160607001916 |
| Provider Name | Shailaja Amirishetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669760534 PECOS PAC ID: 7810167301 Enrollment ID: I20160706002056 |
| Provider Name | Louise Zhou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003075490 PECOS PAC ID: 4385812155 Enrollment ID: I20160707000458 |
| Provider Name | Treneice Charlette London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114375300 PECOS PAC ID: 0648564633 Enrollment ID: I20160815001476 |
| Provider Name | Andrew Mossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053761890 PECOS PAC ID: 8729373576 Enrollment ID: I20160818001743 |
| Provider Name | Donald C Townsend |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164447660 PECOS PAC ID: 9234299223 Enrollment ID: I20160819002159 |
| Provider Name | Kristina B Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245417682 PECOS PAC ID: 3678868296 Enrollment ID: I20160822001978 |
| Provider Name | Angelica V Glover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447517271 PECOS PAC ID: 5991955379 Enrollment ID: I20160906000293 |
| Provider Name | Ashvin T Ragoowansi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053319129 PECOS PAC ID: 2769423201 Enrollment ID: I20160906001351 |
| Provider Name | Benjamin J Ditty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215163795 PECOS PAC ID: 0840445268 Enrollment ID: I20160912000289 |
| Provider Name | Ammar Ahmed Alamarie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588923817 PECOS PAC ID: 2961798343 Enrollment ID: I20160912000751 |
| Provider Name | Daphney M Tench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194173997 PECOS PAC ID: 8426345976 Enrollment ID: I20160927000974 |
| Provider Name | Niravkumar A Naik |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1447319512 PECOS PAC ID: 9537316765 Enrollment ID: I20161011000007 |
| Provider Name | Brent Coyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275507642 PECOS PAC ID: 3072581669 Enrollment ID: I20161011001972 |
| Provider Name | Vikrant S Khamare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760820898 PECOS PAC ID: 1153611306 Enrollment ID: I20161013000508 |
| Provider Name | Edward F Kellenberger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487817904 PECOS PAC ID: 9739234691 Enrollment ID: I20161024000800 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20161027001891 |
| Provider Name | Leslie C Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336564202 PECOS PAC ID: 7113206137 Enrollment ID: I20161115002662 |
| Provider Name | Farshad Farnejad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710172978 PECOS PAC ID: 0840449633 Enrollment ID: I20161201001721 |
| Provider Name | Victoria M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972051753 PECOS PAC ID: 6305126293 Enrollment ID: I20161212001075 |
| Provider Name | Rajitha Ambati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366601262 PECOS PAC ID: 3476624198 Enrollment ID: I20161227001126 |
| Provider Name | Bamidele A Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417995978 PECOS PAC ID: 0547270365 Enrollment ID: I20170104001608 |
| Provider Name | Satheesh R Karakula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366642720 PECOS PAC ID: 4486846375 Enrollment ID: I20170110000471 |
| Provider Name | Sarita M Oneal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336435577 PECOS PAC ID: 4587954904 Enrollment ID: I20170112001286 |
| Provider Name | Devon E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730534348 PECOS PAC ID: 3971896077 Enrollment ID: I20170124000850 |
| Provider Name | Leslie F Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033521133 PECOS PAC ID: 7315251006 Enrollment ID: I20170201000471 |
| Provider Name | Keyeriashon Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801271713 PECOS PAC ID: 9032492343 Enrollment ID: I20170213000422 |
| Provider Name | Jessica B Calder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578005948 PECOS PAC ID: 0143503474 Enrollment ID: I20170213001134 |
| Provider Name | Katherine Elizabeth Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902356256 PECOS PAC ID: 8123301272 Enrollment ID: I20170215001374 |
| Provider Name | Madison Fox Threlkeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770029035 PECOS PAC ID: 0345525028 Enrollment ID: I20170320001700 |
| Provider Name | Janice R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285027938 PECOS PAC ID: 0840570727 Enrollment ID: I20170322001964 |
| Provider Name | Tamara A Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144295593 PECOS PAC ID: 5698709400 Enrollment ID: I20170322002892 |
| Provider Name | Chang K Oh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316989288 PECOS PAC ID: 8224031489 Enrollment ID: I20170410000918 |
| Provider Name | Lum N Nyindem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851682405 PECOS PAC ID: 9133340722 Enrollment ID: I20170418000714 |
| Provider Name | Tynisha Keila Hailes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295273936 PECOS PAC ID: 3971889171 Enrollment ID: I20170424000034 |
| Provider Name | Julie C Cornwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629514534 PECOS PAC ID: 0345526570 Enrollment ID: I20170424001317 |
| Provider Name | Jenna Louise Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306109210 PECOS PAC ID: 4486819968 Enrollment ID: I20170425002595 |
| Provider Name | Farzad Nowrouzzadeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730249848 PECOS PAC ID: 6204113327 Enrollment ID: I20170427001013 |
| Provider Name | Noreen Mian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073849337 PECOS PAC ID: 9638356165 Enrollment ID: I20170502001322 |
| Provider Name | Noel A Treglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659814150 PECOS PAC ID: 1557638525 Enrollment ID: I20170523000082 |
| Provider Name | Billiejo Lee Dagenhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043756794 PECOS PAC ID: 8022385764 Enrollment ID: I20170530002042 |
| Provider Name | Miriam Williams Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366973372 PECOS PAC ID: 2264700244 Enrollment ID: I20170615001022 |
| Provider Name | Cheryl D Gunther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639499411 PECOS PAC ID: 6204010341 Enrollment ID: I20170615002489 |
| Provider Name | Bradley Richard Zagol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861424509 PECOS PAC ID: 3779640859 Enrollment ID: I20170621001983 |
| Provider Name | Nonna K Weinstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619219169 PECOS PAC ID: 7416187919 Enrollment ID: I20170627001097 |
| Provider Name | Taylor M Gulley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316327752 PECOS PAC ID: 9739458282 Enrollment ID: I20170627001804 |
| Provider Name | Kofi Asiedu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912374166 PECOS PAC ID: 6002108933 Enrollment ID: I20170712000816 |
| Provider Name | Sharien Mahtani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447793567 PECOS PAC ID: 2466722863 Enrollment ID: I20170718001211 |
| Provider Name | Alvin P Perry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427316942 PECOS PAC ID: 1254577711 Enrollment ID: I20170815002620 |
| Provider Name | Andrew T Trifan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235471392 PECOS PAC ID: 0941428130 Enrollment ID: I20170829002964 |
| Provider Name | Jiping Xiao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609118876 PECOS PAC ID: 1658680483 Enrollment ID: I20170830003242 |
| Provider Name | Kerry G Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215464961 PECOS PAC ID: 9830463629 Enrollment ID: I20170918001474 |
| Provider Name | Kendra R Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932511078 PECOS PAC ID: 5092094383 Enrollment ID: I20170929002634 |
| Provider Name | Rahul Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609281187 PECOS PAC ID: 2062706567 Enrollment ID: I20171010001491 |
| Provider Name | Michael R Goeller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225455934 PECOS PAC ID: 0941525216 Enrollment ID: I20171013001487 |
| Provider Name | John S. Berry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144546110 PECOS PAC ID: 8123394384 Enrollment ID: I20171017000363 |
| Provider Name | Yenny Astrid-angel Vanderwaerden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932445954 PECOS PAC ID: 9234365800 Enrollment ID: I20171023000495 |
| Provider Name | Linh N Oconnor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609940287 PECOS PAC ID: 0648206185 Enrollment ID: I20171103000266 |
| Provider Name | Monica E Pressley Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215280201 PECOS PAC ID: 0143521518 Enrollment ID: I20171108003069 |
| Provider Name | Andrew Justin Kritzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811061021 PECOS PAC ID: 3274505474 Enrollment ID: I20171121000178 |
| Provider Name | Benson C Okeiyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770840761 PECOS PAC ID: 2961704937 Enrollment ID: I20171207003298 |
| Provider Name | Heidi D Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587167 PECOS PAC ID: 6002174570 Enrollment ID: I20171212000461 |
| Provider Name | Amanda Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750643169 PECOS PAC ID: 2062770126 Enrollment ID: I20171218003215 |
| Provider Name | Marcus Paul Schmitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821071895 PECOS PAC ID: 7810899713 Enrollment ID: I20171227002144 |
| Provider Name | Laith W Khoury |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720393077 PECOS PAC ID: 0345551974 Enrollment ID: I20180103000176 |
| Provider Name | Joshua Q Crocker Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427575638 PECOS PAC ID: 1456612548 Enrollment ID: I20180306002982 |
| Provider Name | Funmilola Olukemi Akingbala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679085872 PECOS PAC ID: 6709148240 Enrollment ID: I20180322000429 |
| Provider Name | Rosolena Visco Conroy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912034612 PECOS PAC ID: 0042578304 Enrollment ID: I20180324000029 |
| Provider Name | Tavia D Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851667380 PECOS PAC ID: 5496034340 Enrollment ID: I20180416001367 |
| Provider Name | Gretchen T Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790293223 PECOS PAC ID: 5799048997 Enrollment ID: I20180423001769 |
| Provider Name | Christy P Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306348701 PECOS PAC ID: 0547524738 Enrollment ID: I20180516002620 |
| Provider Name | Glenna Hedrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881855302 PECOS PAC ID: 7911214457 Enrollment ID: I20180518001401 |
| Provider Name | Kani Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073047379 PECOS PAC ID: 7911262431 Enrollment ID: I20180602000031 |
| Provider Name | Rohit Kalia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417277112 PECOS PAC ID: 1850654690 Enrollment ID: I20180625002028 |
| Provider Name | Mariela P Busheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407353253 PECOS PAC ID: 9931456043 Enrollment ID: I20180720000770 |
| Provider Name | Anita L Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447605266 PECOS PAC ID: 4880941905 Enrollment ID: I20180720001399 |
| Provider Name | Amelia Louise Maple Sutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962605360 PECOS PAC ID: 1254489248 Enrollment ID: I20180808001063 |
| Provider Name | Loverica F Irby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588044002 PECOS PAC ID: 8426344409 Enrollment ID: I20180815002656 |
| Provider Name | Jessica W Stamey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437651767 PECOS PAC ID: 4587913900 Enrollment ID: I20180817002926 |
| Provider Name | Lee A Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740779941 PECOS PAC ID: 2365791258 Enrollment ID: I20180827002034 |
| Provider Name | Alexa R Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407233034 PECOS PAC ID: 8527376219 Enrollment ID: I20180912000330 |
| Provider Name | Laura A Peno-green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295767028 PECOS PAC ID: 0042398802 Enrollment ID: I20180917000097 |
| Provider Name | Meera Gangam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114160652 PECOS PAC ID: 0345468138 Enrollment ID: I20180918003738 |
| Provider Name | George A Korede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205163144 PECOS PAC ID: 2769733708 Enrollment ID: I20181001002923 |
| Provider Name | Emily B Rayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528550415 PECOS PAC ID: 9335491364 Enrollment ID: I20181002003279 |
| Provider Name | Saroj Gyawali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114313574 PECOS PAC ID: 9537412655 Enrollment ID: I20181018002953 |
| Provider Name | Rachael E Mccabe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366852683 PECOS PAC ID: 9931477734 Enrollment ID: I20181023001139 |
| Provider Name | Amish Sura |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245285402 PECOS PAC ID: 8224035746 Enrollment ID: I20181026000844 |
| Provider Name | Sejal Dave |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124234901 PECOS PAC ID: 8325191927 Enrollment ID: I20181026000868 |
| Provider Name | Alvina Elaine Scaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477036556 PECOS PAC ID: 6507110855 Enrollment ID: I20181126003400 |
| Provider Name | Aseem Kaul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639557200 PECOS PAC ID: 5496063349 Enrollment ID: I20181203001165 |
| Provider Name | Ashtin K Dicochea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598130692 PECOS PAC ID: 3678817442 Enrollment ID: I20181205001072 |
| Provider Name | Kelly A Hoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316428618 PECOS PAC ID: 1153665633 Enrollment ID: I20181211001120 |
| Provider Name | Devon Michelle Atwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821572215 PECOS PAC ID: 7517202856 Enrollment ID: I20181214001694 |
| Provider Name | Cheryl R Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508187931 PECOS PAC ID: 7517204340 Enrollment ID: I20190131002240 |
| Provider Name | Naved Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063888386 PECOS PAC ID: 1557600160 Enrollment ID: I20190226001958 |
| Provider Name | Jordan A Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134699267 PECOS PAC ID: 6507105780 Enrollment ID: I20190306000612 |
| Provider Name | Suvarna Murti Lodhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679836423 PECOS PAC ID: 5991927709 Enrollment ID: I20190318001656 |
| Provider Name | Caroline Ew Mastrosante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558820936 PECOS PAC ID: 0042552002 Enrollment ID: I20190424000283 |
| Provider Name | Ellen M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217278 PECOS PAC ID: 9537402342 Enrollment ID: I20190520000416 |
| Provider Name | Narayan Neupane |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255578878 PECOS PAC ID: 9032397419 Enrollment ID: I20190615000172 |
| Provider Name | Errington Casdale Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134194111 PECOS PAC ID: 6406899913 Enrollment ID: I20190619003288 |
| Provider Name | Bolanle M Gbadamosi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760829873 PECOS PAC ID: 3870815871 Enrollment ID: I20190814002599 |
| Provider Name | Yan Zhao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124462379 PECOS PAC ID: 4981844461 Enrollment ID: I20190816001501 |
| Provider Name | Mary K Arbuthnot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366737843 PECOS PAC ID: 7416195003 Enrollment ID: I20190819001708 |
| Provider Name | Anuradha Challa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518195825 PECOS PAC ID: 2567696644 Enrollment ID: I20190831000254 |
| Provider Name | Robert R Gerard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477816007 PECOS PAC ID: 0648412106 Enrollment ID: I20190920002793 |
| Provider Name | Frederick William Barker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801868815 PECOS PAC ID: 2567356264 Enrollment ID: I20191004002807 |
| Provider Name | Bryan P Payne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427463280 PECOS PAC ID: 5698088987 Enrollment ID: I20191008003759 |
| Provider Name | Chidi Eugene Anugom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134583180 PECOS PAC ID: 8123359932 Enrollment ID: I20191009001344 |
| Provider Name | Timothy Scott Brisbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659721975 PECOS PAC ID: 4789953480 Enrollment ID: I20191017002426 |
| Provider Name | Misbba Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205127826 PECOS PAC ID: 3375975683 Enrollment ID: I20191106003452 |
| Provider Name | Gail Michelle Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316250301 PECOS PAC ID: 9739351305 Enrollment ID: I20191202002251 |
| Provider Name | Amanda L Mosteller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972163269 PECOS PAC ID: 2264865161 Enrollment ID: I20191206002268 |
| Provider Name | Krystin Brooke Hepburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437708310 PECOS PAC ID: 0547693129 Enrollment ID: I20191212002005 |
| Provider Name | Jonathan Jay Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639103039 PECOS PAC ID: 0143239301 Enrollment ID: I20191230000880 |
| Provider Name | Robert Brizzolara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265677199 PECOS PAC ID: 6608931217 Enrollment ID: I20191230001347 |
| Provider Name | Mckenzie Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477113090 PECOS PAC ID: 5496189078 Enrollment ID: I20200107003581 |
| Provider Name | Jason Edward Phillippi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922492842 PECOS PAC ID: 8022321769 Enrollment ID: I20200113000334 |
| Provider Name | Jacquelyn Dwelle Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922779 PECOS PAC ID: 2365878824 Enrollment ID: I20200203000583 |
| Provider Name | Caitlin M Marlow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366083677 PECOS PAC ID: 9032545025 Enrollment ID: I20200211002134 |
| Provider Name | Coltedra Sh'nee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336498732 PECOS PAC ID: 3274785324 Enrollment ID: I20200224002680 |
| Provider Name | James Nichols Powers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962602516 PECOS PAC ID: 4789736240 Enrollment ID: I20200324002891 |
| Provider Name | Joyce K Ross-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003271305 PECOS PAC ID: 9638472137 Enrollment ID: I20200326000978 |
| Provider Name | Elliot Epner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083622559 PECOS PAC ID: 9739077348 Enrollment ID: I20200408001293 |
| Provider Name | Kevin Andrew West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669012761 PECOS PAC ID: 0941639017 Enrollment ID: I20200413000062 |
| Provider Name | Javaid H Wani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912191818 PECOS PAC ID: 5395834527 Enrollment ID: I20200414003984 |
| Provider Name | Saumya Mariam Easaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225418734 PECOS PAC ID: 0345599122 Enrollment ID: I20200415001242 |
| Provider Name | Bankim Udayan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801275706 PECOS PAC ID: 3870882483 Enrollment ID: I20200416002603 |
| Provider Name | Terri St. Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295265098 PECOS PAC ID: 1850661943 Enrollment ID: I20200420003280 |
| Provider Name | Christine W Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629526231 PECOS PAC ID: 7012296080 Enrollment ID: I20200423002723 |
| Provider Name | Sandra M Denison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679103956 PECOS PAC ID: 6406286897 Enrollment ID: I20200427001703 |
| Provider Name | Natalie Lynn Bott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255794574 PECOS PAC ID: 1850687427 Enrollment ID: I20200707002225 |
| Provider Name | Melissa Catherine Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750512521 PECOS PAC ID: 4587894373 Enrollment ID: I20200710001396 |
| Provider Name | Chelsey Harrill Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340892 PECOS PAC ID: 9931522505 Enrollment ID: I20200715000933 |
| Provider Name | Dong Vien Dang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275875551 PECOS PAC ID: 3375864192 Enrollment ID: I20200731002806 |
| Provider Name | Fatoumata Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336763176 PECOS PAC ID: 3971929696 Enrollment ID: I20200812001809 |
| Provider Name | Binita Dahal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003340019 PECOS PAC ID: 8224309075 Enrollment ID: I20200824000736 |
| Provider Name | Jeffrey S Ahlstedt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801277355 PECOS PAC ID: 4880935758 Enrollment ID: I20200825000291 |
| Provider Name | Phillip Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427404193 PECOS PAC ID: 7416243126 Enrollment ID: I20200825001039 |
| Provider Name | Courtney E Frady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254068 PECOS PAC ID: 4385061076 Enrollment ID: I20200826001698 |
| Provider Name | Lindsay M Snook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932562923 PECOS PAC ID: 5698043867 Enrollment ID: I20200901001614 |
| Provider Name | Jisha John |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457680183 PECOS PAC ID: 9335456821 Enrollment ID: I20200909001770 |
| Provider Name | John A Burger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437531845 PECOS PAC ID: 0547529638 Enrollment ID: I20200909002430 |
| Provider Name | Elizabeth Bates Ausbeck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548478019 PECOS PAC ID: 8426241027 Enrollment ID: I20200914001901 |
| Provider Name | David Mccraney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124111919 PECOS PAC ID: 5799754198 Enrollment ID: I20201015003189 |
| Provider Name | Birat Dhungel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316142656 PECOS PAC ID: 0840439295 Enrollment ID: I20201021001562 |
| Provider Name | Stephanie D Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952933848 PECOS PAC ID: 1153741483 Enrollment ID: I20201026001728 |
| Provider Name | Kassidy Shea Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457950818 PECOS PAC ID: 4587075239 Enrollment ID: I20201201002258 |
| Provider Name | Laquinta Peeler Kee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093324717 PECOS PAC ID: 4486066800 Enrollment ID: I20201209000326 |
| Provider Name | Logan Ballard Harley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265047476 PECOS PAC ID: 9133531239 Enrollment ID: I20201215000426 |
| Provider Name | Julio Mocellin Bernardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265789341 PECOS PAC ID: 0345673737 Enrollment ID: I20210104002263 |
| Provider Name | Dustin Lee Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902416258 PECOS PAC ID: 5294148649 Enrollment ID: I20210105000181 |
| Provider Name | Holly M Ritger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407488380 PECOS PAC ID: 0941613152 Enrollment ID: I20210107001787 |
| Provider Name | Gabriela E Rowinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861826513 PECOS PAC ID: 0941613673 Enrollment ID: I20210119001605 |
| Provider Name | Dorothy N Kebaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730501214 PECOS PAC ID: 2769897594 Enrollment ID: I20210209001052 |
| Provider Name | John T Schindler |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508831546 PECOS PAC ID: 5395723852 Enrollment ID: I20210210001146 |
| Provider Name | Gwendolyn Roberson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558504191 PECOS PAC ID: 4880901198 Enrollment ID: I20210304001352 |
| Provider Name | Rachel A Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275198814 PECOS PAC ID: 2264766542 Enrollment ID: I20210309002232 |
| Provider Name | Devon V Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053910547 PECOS PAC ID: 2365858693 Enrollment ID: I20210310002063 |
| Provider Name | Elliott Bradley Courter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558744359 PECOS PAC ID: 9931417755 Enrollment ID: I20210317000500 |
| Provider Name | Jacqueline B Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134754591 PECOS PAC ID: 8628485638 Enrollment ID: I20210318000351 |
| Provider Name | Brittany L Eaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696782 PECOS PAC ID: 9931516655 Enrollment ID: I20210325000567 |
| Provider Name | Ashley H Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902499825 PECOS PAC ID: 7911315098 Enrollment ID: I20210412000442 |
| Provider Name | Jeffrey Davidson Briggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548655517 PECOS PAC ID: 6406137181 Enrollment ID: I20210420001682 |
| Provider Name | Brett Ziegler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184078420 PECOS PAC ID: 2567755465 Enrollment ID: I20210421000315 |
| Provider Name | Robin Fernandes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255747713 PECOS PAC ID: 4183992035 Enrollment ID: I20210423000386 |
| Provider Name | Katie Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770921751 PECOS PAC ID: 9739421025 Enrollment ID: I20210428001961 |
| Provider Name | Chasiti J Falls |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083208664 PECOS PAC ID: 3971902297 Enrollment ID: I20210518002999 |
| Provider Name | Luiz Otavio Pita De Oliveira |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699986190 PECOS PAC ID: 2961699301 Enrollment ID: I20210520001501 |
| Provider Name | Brittany W Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699366773 PECOS PAC ID: 0446659486 Enrollment ID: I20210525002064 |
| Provider Name | Tracie J Salyer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508269150 PECOS PAC ID: 3779879093 Enrollment ID: I20210526003056 |
| Provider Name | Guadalupe Y Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669081907 PECOS PAC ID: 7214338763 Enrollment ID: I20210622002297 |
| Provider Name | Stephanie Lauren Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548606791 PECOS PAC ID: 8123317500 Enrollment ID: I20210706000412 |
| Provider Name | Thu Thuy Thi Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104490630 PECOS PAC ID: 1557763968 Enrollment ID: I20210707003900 |
| Provider Name | Madison W Mcmackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922696491 PECOS PAC ID: 8527462316 Enrollment ID: I20210731000300 |
| Provider Name | Mara E Banks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508249392 PECOS PAC ID: 5991138331 Enrollment ID: I20210802002963 |
| Provider Name | Gil Shay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295183614 PECOS PAC ID: 5991062630 Enrollment ID: I20210804003734 |
| Provider Name | Brett Haschig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649762212 PECOS PAC ID: 7315281748 Enrollment ID: I20210812002620 |
| Provider Name | Ranadeep Mandhadi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093944001 PECOS PAC ID: 8729207816 Enrollment ID: I20210816003429 |
| Provider Name | Emily M Otter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063997146 PECOS PAC ID: 4284971516 Enrollment ID: I20210819003039 |
| Provider Name | Amanda L Mattox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831768159 PECOS PAC ID: 1658776208 Enrollment ID: I20210820000893 |
| Provider Name | Tiffany James Ormand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891366241 PECOS PAC ID: 3779988910 Enrollment ID: I20210825003492 |
| Provider Name | Jennifer Leigh Mchan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265088058 PECOS PAC ID: 6103222492 Enrollment ID: I20210913001265 |
| Provider Name | Heather Whitworth Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157911 PECOS PAC ID: 5193122505 Enrollment ID: I20210928003060 |
| Provider Name | Tamara Means |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154312734 PECOS PAC ID: 9830124510 Enrollment ID: I20211006000628 |
| Provider Name | Tonya C Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009049 PECOS PAC ID: 0941699565 Enrollment ID: I20211119000288 |
| Provider Name | Moiz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215166780 PECOS PAC ID: 3173669090 Enrollment ID: I20211119002118 |
| Provider Name | Ram Hari Belbase |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750539169 PECOS PAC ID: 3577731173 Enrollment ID: I20211210000700 |
| Provider Name | Cynthia J Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447925714 PECOS PAC ID: 8426448234 Enrollment ID: I20211210000744 |
| Provider Name | Ieachia T Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003485699 PECOS PAC ID: 0042600710 Enrollment ID: I20211213000605 |
| Provider Name | Sree Teja Yelamanchili |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356737803 PECOS PAC ID: 2567706179 Enrollment ID: I20220110001119 |
| Provider Name | Rebecca M Mccrossan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205399144 PECOS PAC ID: 4688066087 Enrollment ID: I20220114001885 |
| Provider Name | Bianca Yogesh Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265960520 PECOS PAC ID: 2860761269 Enrollment ID: I20220115000142 |
| Provider Name | Wesley D Golding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301976 PECOS PAC ID: 1456743574 Enrollment ID: I20220124001693 |
| Provider Name | Kaley H Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982275632 PECOS PAC ID: 5698167518 Enrollment ID: I20220126000743 |
| Provider Name | Golda Hemle Ngwem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619635158 PECOS PAC ID: 8426441809 Enrollment ID: I20220207002262 |
| Provider Name | Hannah S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700537131 PECOS PAC ID: 9234523598 Enrollment ID: I20220302001576 |
| Provider Name | Lori Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508517590 PECOS PAC ID: 0648665299 Enrollment ID: I20220316004080 |
| Provider Name | Eusther Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689329492 PECOS PAC ID: 3476949934 Enrollment ID: I20220408001673 |
| Provider Name | Ravali Nallu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477908341 PECOS PAC ID: 7315231230 Enrollment ID: I20220414000820 |
| Provider Name | Pamala A Fernandez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841945813 PECOS PAC ID: 0941687735 Enrollment ID: I20220517001269 |
| Provider Name | Tiffany Musick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952465130 PECOS PAC ID: 7214926260 Enrollment ID: I20220517003217 |
| Provider Name | Britney S Brinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417699133 PECOS PAC ID: 6103205281 Enrollment ID: I20220621000062 |
| Provider Name | Nitu Gajurel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699917823 PECOS PAC ID: 4385895697 Enrollment ID: I20220621002616 |
| Provider Name | Beverly L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063169738 PECOS PAC ID: 8426437476 Enrollment ID: I20220621003255 |
| Provider Name | Jessica Schneebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851049167 PECOS PAC ID: 5698154532 Enrollment ID: I20220622003521 |
| Provider Name | Chanel B Roper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225486806 PECOS PAC ID: 0143638890 Enrollment ID: I20220720002970 |
| Provider Name | Nitesh Upadhyay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841499217 PECOS PAC ID: 6709041676 Enrollment ID: I20220728001534 |
| Provider Name | Alexi R Ellington Webb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932606555 PECOS PAC ID: 7315297603 Enrollment ID: I20220809002736 |
| Provider Name | Maranda D Gurkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477292209 PECOS PAC ID: 1850774779 Enrollment ID: I20220810001271 |
| Provider Name | Melissa B Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306584016 PECOS PAC ID: 0042693483 Enrollment ID: I20220817001271 |
| Provider Name | Megan H Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568192656 PECOS PAC ID: 4688057052 Enrollment ID: I20220817002570 |
| Provider Name | Elicia Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285370247 PECOS PAC ID: 3274916671 Enrollment ID: I20220817003884 |
| Provider Name | Rudra Paudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891104527 PECOS PAC ID: 6103109301 Enrollment ID: I20220818000620 |
| Provider Name | Jacqueline D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639721269 PECOS PAC ID: 5294119707 Enrollment ID: I20220901001941 |
| Provider Name | Alaine K Sharpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679077515 PECOS PAC ID: 7911382031 Enrollment ID: I20220909001892 |
| Provider Name | Phillip Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629539671 PECOS PAC ID: 3870925985 Enrollment ID: I20220909002016 |
| Provider Name | Hayden J Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699278036 PECOS PAC ID: 4587049499 Enrollment ID: I20220913003265 |
| Provider Name | Somer V Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164157848 PECOS PAC ID: 0749665560 Enrollment ID: I20220915000376 |
| Provider Name | Kimberly Halla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427406719 PECOS PAC ID: 9436444908 Enrollment ID: I20220922000193 |
| Provider Name | Hallie K Gunst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982348868 PECOS PAC ID: 4789060542 Enrollment ID: I20220930001778 |
| Provider Name | Emily Elizabeth Nutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366170953 PECOS PAC ID: 5496131765 Enrollment ID: I20221011000409 |
| Provider Name | Racheal L Blakney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108007 PECOS PAC ID: 0244606374 Enrollment ID: I20221014001475 |
| Provider Name | Jennifer B Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184350688 PECOS PAC ID: 7618343765 Enrollment ID: I20221014002212 |
| Provider Name | Raed T Suleiman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730657115 PECOS PAC ID: 5294715553 Enrollment ID: I20221028000688 |
| Provider Name | Lauren W Isenhour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477275782 PECOS PAC ID: 1254709579 Enrollment ID: I20221117001922 |
| Provider Name | Mark A Kuzich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033347265 PECOS PAC ID: 4284954405 Enrollment ID: I20221123001978 |
| Provider Name | Pratik A Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447698485 PECOS PAC ID: 3870733777 Enrollment ID: I20221130000973 |
| Provider Name | Jacqueline Cooper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265080071 PECOS PAC ID: 7517335219 Enrollment ID: I20221201000079 |
| Provider Name | Rebecca E Clopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316514151 PECOS PAC ID: 6800264508 Enrollment ID: I20221201000342 |
| Provider Name | Heather Frohman Sinner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548676620 PECOS PAC ID: 6002121456 Enrollment ID: I20230113000663 |
| Provider Name | Amy Carter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053838193 PECOS PAC ID: 6406122282 Enrollment ID: I20230201002366 |
| Provider Name | Katisha M Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821700329 PECOS PAC ID: 2264804954 Enrollment ID: I20230206002052 |
| Provider Name | Ilio M Dimascio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669184362 PECOS PAC ID: 7911379995 Enrollment ID: I20230221002469 |
| Provider Name | Amy C Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447960778 PECOS PAC ID: 0547633224 Enrollment ID: I20230228000415 |
| Provider Name | Ciera C Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427760727 PECOS PAC ID: 4688047269 Enrollment ID: I20230301001879 |
| Provider Name | Melissa Warsinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982331435 PECOS PAC ID: 3072986462 Enrollment ID: I20230306002246 |
| Provider Name | Brandy Greenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255043626 PECOS PAC ID: 4486028081 Enrollment ID: I20230322001625 |
| Provider Name | Chinenyenwa A Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20230330000821 |
| Provider Name | Stacey Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396441747 PECOS PAC ID: 7416312467 Enrollment ID: I20230427000725 |
| Provider Name | Destiny H Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083332670 PECOS PAC ID: 6709242563 Enrollment ID: I20230519002936 |
| Provider Name | Natalie L Walz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831807262 PECOS PAC ID: 3173989985 Enrollment ID: I20230522001797 |
| Provider Name | Natalie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356040455 PECOS PAC ID: 2365808185 Enrollment ID: I20230522002181 |
| Provider Name | Shanaira N Tigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205545159 PECOS PAC ID: 8123484847 Enrollment ID: I20230522002367 |
| Provider Name | Lesley Cogburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861118168 PECOS PAC ID: 5294192860 Enrollment ID: I20230613002485 |
| Provider Name | Yasmine Artis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144935875 PECOS PAC ID: 3971961210 Enrollment ID: I20230620000942 |
| Provider Name | Stephanie Brauch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508579640 PECOS PAC ID: 3173981412 Enrollment ID: I20230620001297 |
| Provider Name | Michael Wilson Chambers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881251726 PECOS PAC ID: 9234465907 Enrollment ID: I20230623002061 |
| Provider Name | Marian M Schrader |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154034346 PECOS PAC ID: 3072972074 Enrollment ID: I20230710001149 |
| Provider Name | Danielle Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053655928 PECOS PAC ID: 8123313103 Enrollment ID: I20230711002034 |
| Provider Name | Jeffrey Todd Bunning |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568501575 PECOS PAC ID: 1456482025 Enrollment ID: I20230713004148 |
| Provider Name | Sarah A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841999554 PECOS PAC ID: 1153781471 Enrollment ID: I20230718004382 |
| Provider Name | Cassie Cato |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093428922 PECOS PAC ID: 0446612345 Enrollment ID: I20230809001520 |
| Provider Name | Benet Ray Press |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023194289 PECOS PAC ID: 4284885500 Enrollment ID: I20230811002187 |
| Provider Name | Vikas N Chitnavis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891773560 PECOS PAC ID: 5799736328 Enrollment ID: I20230830000901 |
| Provider Name | Angel Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245983154 PECOS PAC ID: 6507248630 Enrollment ID: I20230908003351 |
| Provider Name | Pavan R Isanaka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932562881 PECOS PAC ID: 6800181256 Enrollment ID: I20230919002075 |
| Provider Name | Rebecca S Lane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386207009 PECOS PAC ID: 8921452236 Enrollment ID: I20230920002354 |
| Provider Name | Mariah N Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720515356 PECOS PAC ID: 0244658763 Enrollment ID: I20230926000568 |
| Provider Name | Jenette G Gerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619677754 PECOS PAC ID: 2062866916 Enrollment ID: I20230926001738 |
| Provider Name | Heidi Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972283661 PECOS PAC ID: 7810349024 Enrollment ID: I20240123002644 |
| Provider Name | Maya M Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205215894 PECOS PAC ID: 0648586933 Enrollment ID: I20240208002290 |
| Provider Name | Logan D Proffitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063041358 PECOS PAC ID: 0446695811 Enrollment ID: I20240226003271 |
| Provider Name | Tanzza M Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528840840 PECOS PAC ID: 3779928676 Enrollment ID: I20240301001510 |
Vance Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3624 Easthampton Dr, Gastonia, NC 28056 Phone: 704-564-1312 Fax: 310-348-0201 | |
Gastonia Medical Specialty Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 X Ray Dr, Gastonia, NC 28054 Phone: 704-867-2341 Fax: 704-867-9019 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Stowe Rd, Gastonia, NC 28056 Phone: 704-836-9112 Fax: 704-824-4715 | |
Southern Pulmonary Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Cox Rd, Ste B, Gastonia, NC 28054 Phone: 704-868-3411 Fax: 704-865-9722 | |
Centerwell Senior Primary Care-gastonia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2910 E Franklin Blvd, 1, Gastonia, NC 28056 Phone: 704-648-0460 Fax: 855-446-7146 | |
Cramerton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1343 E Garrison Blvd, Ste A, Gastonia, NC 28054 Phone: 704-861-9117 Fax: 704-861-0142 | |
Whitestone Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 S New Hope Rd, Gastonia, NC 28054 Phone: 704-316-4979 Fax: 704-316-4978 |