| Cd Practice Associates Inc | |
|
30 Locust St Northampton MA 01060-2052 | |
| (413) 582-2898 | |
| (413) 582-2958 |
| Full Name | Cd Practice Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Locust St, Northampton, Massachusetts |
| Authorized Official Name and Position | Laurie Lamoureux (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4135822300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cd Practice Associates Inc 30 Locust St Northampton MA 01060-2052 Ph: (413) 582-2898 | Cd Practice Associates Inc 30 Locust St Northampton MA 01060-2052 Ph: (413) 582-2898 |
| NPI Number | 1295787919 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 05/16/2025 |
| Medicare PECOS PAC ID | 2567359839 |
|---|---|
| Medicare Enrollment ID | O20040302000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295787919 | NPI | - | NPPES |
| M15904 | Other | MA | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS |
| 617074 | Other | MA | TUFTS HEALTH PLAN |
| 614074 | Other | MA | TUFTS HEALTH PLAN |
| CJ0816 | Other | MA | MEDICARE RAILROAD |
| 9774653 | Medicaid | MA | |
| M15904 | Other | MA | BCBS OF MASS |
| Provider Name | William Swiggard |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457335622 PECOS PAC ID: 8628981669 Enrollment ID: I20031106000588 |
| Provider Name | Georgina K Nouaime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992755029 PECOS PAC ID: 2264338086 Enrollment ID: I20031211000161 |
| Provider Name | Mark H Sloan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245279231 PECOS PAC ID: 9234030230 Enrollment ID: I20040114000074 |
| Provider Name | Mark N Porway |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992765036 PECOS PAC ID: 5799676326 Enrollment ID: I20040323001159 |
| Provider Name | Brian Davison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891767018 PECOS PAC ID: 8022909506 Enrollment ID: I20040323001525 |
| Provider Name | Jeffrey Korff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811982606 PECOS PAC ID: 5991693814 Enrollment ID: I20040329000010 |
| Provider Name | Michael Lanuti |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992796817 PECOS PAC ID: 5698768810 Enrollment ID: I20040405001098 |
| Provider Name | Glenn Miskovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063412344 PECOS PAC ID: 6204821697 Enrollment ID: I20040415001156 |
| Provider Name | Gregory Blackman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811941032 PECOS PAC ID: 2466442835 Enrollment ID: I20040517000913 |
| Provider Name | Aaron Sodickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902888589 PECOS PAC ID: 3971586769 Enrollment ID: I20040611000773 |
| Provider Name | Joel H Schwartz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588655641 PECOS PAC ID: 0648255158 Enrollment ID: I20040621000132 |
| Provider Name | Joanne Levin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134110687 PECOS PAC ID: 7618953522 Enrollment ID: I20040629001215 |
| Provider Name | Margaret A Russo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558338533 PECOS PAC ID: 0143203521 Enrollment ID: I20040701000900 |
| Provider Name | Wayne Hioe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215907266 PECOS PAC ID: 1355329483 Enrollment ID: I20040713001322 |
| Provider Name | Richard Norris |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487617734 PECOS PAC ID: 2264411594 Enrollment ID: I20040719001167 |
| Provider Name | John Joseph Mcgrath |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215913157 PECOS PAC ID: 4486624574 Enrollment ID: I20040727001157 |
| Provider Name | Angela M Martagon Villamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063429611 PECOS PAC ID: 2365412905 Enrollment ID: I20040729001241 |
| Provider Name | Gretchen E Loebel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518967991 PECOS PAC ID: 1658342928 Enrollment ID: I20040802001356 |
| Provider Name | Holly Michaelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477513679 PECOS PAC ID: 2365414521 Enrollment ID: I20040809000609 |
| Provider Name | Geoffrey S Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663641 PECOS PAC ID: 7315924545 Enrollment ID: I20040810000997 |
| Provider Name | Michael P Mortelliti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548228224 PECOS PAC ID: 0648242263 Enrollment ID: I20040812000585 |
| Provider Name | Harvey M Lederman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033124458 PECOS PAC ID: 8426022831 Enrollment ID: I20040823000434 |
| Provider Name | Joseph Polino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669433439 PECOS PAC ID: 3577537679 Enrollment ID: I20040824000959 |
| Provider Name | Glenda B Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023030558 PECOS PAC ID: 2860469921 Enrollment ID: I20040916000875 |
| Provider Name | Rodrick A Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427096213 PECOS PAC ID: 4880653963 Enrollment ID: I20041005000613 |
| Provider Name | Norman S Perr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568443588 PECOS PAC ID: 8224099221 Enrollment ID: I20041022000758 |
| Provider Name | Julia M Dealmeida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295792349 PECOS PAC ID: 7113980343 Enrollment ID: I20041109000723 |
| Provider Name | Amir Zamani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780679480 PECOS PAC ID: 4981698719 Enrollment ID: I20041110000738 |
| Provider Name | Bharti Khurana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093797235 PECOS PAC ID: 4587628748 Enrollment ID: I20041117000357 |
| Provider Name | Bruce Bertrand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215918891 PECOS PAC ID: 1355307315 Enrollment ID: I20041202000188 |
| Provider Name | Jennifer Lesperance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982649729 PECOS PAC ID: 3779549043 Enrollment ID: I20041208000534 |
| Provider Name | Timothy V Parsons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215990569 PECOS PAC ID: 8921064197 Enrollment ID: I20041209000048 |
| Provider Name | Himanshu Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669466538 PECOS PAC ID: 9133186406 Enrollment ID: I20041217000736 |
| Provider Name | Hanno P Muellner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548220684 PECOS PAC ID: 3971553942 Enrollment ID: I20050127000271 |
| Provider Name | Lois C Albury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972580306 PECOS PAC ID: 5698729515 Enrollment ID: I20050303000556 |
| Provider Name | Steven L Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043298649 PECOS PAC ID: 7416848825 Enrollment ID: I20050324000695 |
| Provider Name | Wayne Schweitzer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215910708 PECOS PAC ID: 3870586647 Enrollment ID: I20050328000219 |
| Provider Name | Jane R Cross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427027937 PECOS PAC ID: 5799731147 Enrollment ID: I20050329000525 |
| Provider Name | Morris Earle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750370201 PECOS PAC ID: 5698722700 Enrollment ID: I20050331000993 |
| Provider Name | Patrick J Boyce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336194984 PECOS PAC ID: 9436106598 Enrollment ID: I20050401000029 |
| Provider Name | Allan P Baustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619941853 PECOS PAC ID: 1850348467 Enrollment ID: I20050406000273 |
| Provider Name | Domenick P Sciaruto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912994815 PECOS PAC ID: 9234176462 Enrollment ID: I20050411000055 |
| Provider Name | Victorine Vining Muse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598746786 PECOS PAC ID: 7113964867 Enrollment ID: I20050413001167 |
| Provider Name | Robert B Weitzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518958024 PECOS PAC ID: 5092752501 Enrollment ID: I20050414001301 |
| Provider Name | Liangge Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740265784 PECOS PAC ID: 3173560638 Enrollment ID: I20050415000340 |
| Provider Name | Basia A Mcanaw |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801864483 PECOS PAC ID: 5698713923 Enrollment ID: I20050419000038 |
| Provider Name | Robert R Ajello |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518930916 PECOS PAC ID: 7214975580 Enrollment ID: I20050419000380 |
| Provider Name | Julie M Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609840842 PECOS PAC ID: 9537109145 Enrollment ID: I20050503000947 |
| Provider Name | Andrew Gene Moskovitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487671962 PECOS PAC ID: 2769381805 Enrollment ID: I20050510001127 |
| Provider Name | James M Pribula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255331526 PECOS PAC ID: 7719928068 Enrollment ID: I20050517000344 |
| Provider Name | Roman A Klufas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598744427 PECOS PAC ID: 2860434586 Enrollment ID: I20050524000217 |
| Provider Name | Philip J Doherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144267345 PECOS PAC ID: 1052373362 Enrollment ID: I20050525000410 |
| Provider Name | Eric V Granowitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801855242 PECOS PAC ID: 8224070404 Enrollment ID: I20050527000149 |
| Provider Name | Ruth Pryor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548230766 PECOS PAC ID: 1254374762 Enrollment ID: I20050606001038 |
| Provider Name | Paul Martin Busse |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073587291 PECOS PAC ID: 7315980422 Enrollment ID: I20050608001024 |
| Provider Name | Monty Ledbetter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689657009 PECOS PAC ID: 4183668106 Enrollment ID: I20050610000476 |
| Provider Name | Denise A Spence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447358106 PECOS PAC ID: 2860436664 Enrollment ID: I20050613001113 |
| Provider Name | Richard A Brown |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689657231 PECOS PAC ID: 1456395276 Enrollment ID: I20050613001261 |
| Provider Name | Laura Avery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356332944 PECOS PAC ID: 5597791822 Enrollment ID: I20050708000754 |
| Provider Name | Navneet Marwaha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275591836 PECOS PAC ID: 2062448962 Enrollment ID: I20050712000968 |
| Provider Name | David L Rifken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295796068 PECOS PAC ID: 5294715298 Enrollment ID: I20050713001075 |
| Provider Name | Negin Hajizadeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760479190 PECOS PAC ID: 1557398336 Enrollment ID: I20050722000860 |
| Provider Name | Laura L Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215970645 PECOS PAC ID: 3476581943 Enrollment ID: I20050727000554 |
| Provider Name | Linda J Preston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487636411 PECOS PAC ID: 3971532276 Enrollment ID: I20050808000253 |
| Provider Name | Randheer Shailam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558352278 PECOS PAC ID: 2961432612 Enrollment ID: I20050812000914 |
| Provider Name | James A Arcoleo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407885676 PECOS PAC ID: 5294779146 Enrollment ID: I20050825000475 |
| Provider Name | Richard N Levrault |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487606869 PECOS PAC ID: 0941232227 Enrollment ID: I20050907001022 |
| Provider Name | Neil D Bach |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1407819626 PECOS PAC ID: 6406889013 Enrollment ID: I20050914000853 |
| Provider Name | Deevia C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693895 PECOS PAC ID: 7113951245 Enrollment ID: I20050919000836 |
| Provider Name | Paulo J Oliveira |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467412122 PECOS PAC ID: 8820022148 Enrollment ID: I20050926000367 |
| Provider Name | Alvah V Hinckley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912994187 PECOS PAC ID: 9032144019 Enrollment ID: I20050928000829 |
| Provider Name | Jenna Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760587174 PECOS PAC ID: 9830119627 Enrollment ID: I20051122000660 |
| Provider Name | Tucker Kueny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265448013 PECOS PAC ID: 4688696354 Enrollment ID: I20051221000809 |
| Provider Name | Julie Feinland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235239955 PECOS PAC ID: 6103849286 Enrollment ID: I20060104000890 |
| Provider Name | Maria Duran-mendicuti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831171875 PECOS PAC ID: 3375566730 Enrollment ID: I20060111000844 |
| Provider Name | Thomas B Percy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699709352 PECOS PAC ID: 2062436959 Enrollment ID: I20060118000713 |
| Provider Name | Ellen Cady Putnam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306066477 PECOS PAC ID: 7113934761 Enrollment ID: I20060307000710 |
| Provider Name | Ray F Conway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235100579 PECOS PAC ID: 6608866777 Enrollment ID: I20060310000464 |
| Provider Name | Sudarshan Chatterjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750465712 PECOS PAC ID: 7618993007 Enrollment ID: I20060323000638 |
| Provider Name | Paul S Baecher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558360487 PECOS PAC ID: 5597776500 Enrollment ID: I20060505000174 |
| Provider Name | David M Serlin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205889953 PECOS PAC ID: 4688685035 Enrollment ID: I20060522000091 |
| Provider Name | Bruce Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487645669 PECOS PAC ID: 5890707228 Enrollment ID: I20060628000302 |
| Provider Name | Andrew Michael Ciccarelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893738 PECOS PAC ID: 9436162302 Enrollment ID: I20060718000181 |
| Provider Name | Subba Digumarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689623886 PECOS PAC ID: 4587667324 Enrollment ID: I20060816000185 |
| Provider Name | Bart T Soar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013939636 PECOS PAC ID: 1759384498 Enrollment ID: I20060817000522 |
| Provider Name | Khama D Ennis-holcombe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669453973 PECOS PAC ID: 5597768069 Enrollment ID: I20060823000238 |
| Provider Name | James P. Rougemont |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598776130 PECOS PAC ID: 2264436682 Enrollment ID: I20060826000052 |
| Provider Name | John Murray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043274590 PECOS PAC ID: 6800890880 Enrollment ID: I20060905000568 |
| Provider Name | Rajiv Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669446373 PECOS PAC ID: 8527062504 Enrollment ID: I20060905000578 |
| Provider Name | Zubin D Irani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154339612 PECOS PAC ID: 5294790184 Enrollment ID: I20060914000609 |
| Provider Name | Sonjay Shrinivas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326070855 PECOS PAC ID: 6002811080 Enrollment ID: I20060926000160 |
| Provider Name | Tara S Starling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396853479 PECOS PAC ID: 1254336050 Enrollment ID: I20060929000445 |
| Provider Name | Jennifer S Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437183266 PECOS PAC ID: 3678570249 Enrollment ID: I20061025000286 |
| Provider Name | Ann Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265451694 PECOS PAC ID: 7618904079 Enrollment ID: I20061027000261 |
| Provider Name | Ilona Telfus Goldfarb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013941772 PECOS PAC ID: 4688671019 Enrollment ID: I20061027000332 |
| Provider Name | Prakash R Darji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992876569 PECOS PAC ID: 7719986603 Enrollment ID: I20061202000080 |
| Provider Name | Francis Effiduase Ansa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255427944 PECOS PAC ID: 8527060755 Enrollment ID: I20070201000029 |
| Provider Name | Kinga K Pluta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679549505 PECOS PAC ID: 0042212086 Enrollment ID: I20070205000450 |
| Provider Name | Wendy B Landman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225144678 PECOS PAC ID: 9739181272 Enrollment ID: I20070212000633 |
| Provider Name | Amy R Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245384890 PECOS PAC ID: 3173626629 Enrollment ID: I20070321000425 |
| Provider Name | Simone Topal |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588772974 PECOS PAC ID: 0749242865 Enrollment ID: I20070405000134 |
| Provider Name | Tracy L Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659350742 PECOS PAC ID: 6901900687 Enrollment ID: I20070406000270 |
| Provider Name | Shelly Z Berkowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982674479 PECOS PAC ID: 1850498155 Enrollment ID: I20070522000180 |
| Provider Name | Jay S Fleitman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114904497 PECOS PAC ID: 8022117175 Enrollment ID: I20070630000064 |
| Provider Name | Katharine Freeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558352179 PECOS PAC ID: 3072613652 Enrollment ID: I20070711000770 |
| Provider Name | Scott White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20070723000508 |
| Provider Name | Ambrose J Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467486126 PECOS PAC ID: 3173624640 Enrollment ID: I20070727000401 |
| Provider Name | Andrew T Levinson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467593806 PECOS PAC ID: 0749371821 Enrollment ID: I20070803000024 |
| Provider Name | Muhand S El-twal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245229384 PECOS PAC ID: 1456338037 Enrollment ID: I20070821000159 |
| Provider Name | Peter A Elsea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699731182 PECOS PAC ID: 0244323996 Enrollment ID: I20070911000589 |
| Provider Name | Jennifer Alea Nesteby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952591182 PECOS PAC ID: 7113011685 Enrollment ID: I20070915000069 |
| Provider Name | Brian D Hoffman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346244167 PECOS PAC ID: 0648250381 Enrollment ID: I20070921000651 |
| Provider Name | David M Chernock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801863451 PECOS PAC ID: 7315032679 Enrollment ID: I20071001000812 |
| Provider Name | Brian D Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013984947 PECOS PAC ID: 2567558240 Enrollment ID: I20071010000587 |
| Provider Name | Boris Nikolic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407869241 PECOS PAC ID: 1456369065 Enrollment ID: I20071017000239 |
| Provider Name | Leah Carrasquillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427243039 PECOS PAC ID: 8426146929 Enrollment ID: I20071116000508 |
| Provider Name | Charles Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740260025 PECOS PAC ID: 8426956772 Enrollment ID: I20071129000099 |
| Provider Name | Casey L Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770709222 PECOS PAC ID: 1557441177 Enrollment ID: I20080108000541 |
| Provider Name | Ahmad D Siddiqui |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700873783 PECOS PAC ID: 7315029469 Enrollment ID: I20080128000618 |
| Provider Name | Victoria J Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760499420 PECOS PAC ID: 0042392102 Enrollment ID: I20080128000715 |
| Provider Name | Catherine M Hegarty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295714657 PECOS PAC ID: 4486731130 Enrollment ID: I20080407000099 |
| Provider Name | Eva Karacsonyi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013983691 PECOS PAC ID: 1153408778 Enrollment ID: I20080408000031 |
| Provider Name | Chalice M Santorelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972773117 PECOS PAC ID: 0941387039 Enrollment ID: I20080415000076 |
| Provider Name | Neel Madan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548207327 PECOS PAC ID: 6709957137 Enrollment ID: I20080612000491 |
| Provider Name | Michael S Gee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215911136 PECOS PAC ID: 7416028667 Enrollment ID: I20080617000140 |
| Provider Name | Zulmarie Roig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508856626 PECOS PAC ID: 2961573977 Enrollment ID: I20080619000092 |
| Provider Name | Deborah Smith |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1891778395 PECOS PAC ID: 9830290048 Enrollment ID: I20080626000288 |
| Provider Name | John Nicasio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982803003 PECOS PAC ID: 7719976869 Enrollment ID: I20080726000022 |
| Provider Name | Patricia Stamm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154386522 PECOS PAC ID: 6103990734 Enrollment ID: I20080731000044 |
| Provider Name | Sean Dacus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043377609 PECOS PAC ID: 7911071287 Enrollment ID: I20080805000076 |
| Provider Name | Jonathan M Fallon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396955738 PECOS PAC ID: 6709952054 Enrollment ID: I20080910000267 |
| Provider Name | Steven B Weinsier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336366897 PECOS PAC ID: 9133296130 Enrollment ID: I20080917000165 |
| Provider Name | John Tsongalis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740494343 PECOS PAC ID: 8527135565 Enrollment ID: I20080917000544 |
| Provider Name | Peter Fishman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992974414 PECOS PAC ID: 8527136621 Enrollment ID: I20081002000249 |
| Provider Name | Teresa I Klich-nowak |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366489072 PECOS PAC ID: 6204904311 Enrollment ID: I20081002000350 |
| Provider Name | James A Most |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518982933 PECOS PAC ID: 0244237493 Enrollment ID: I20081009000614 |
| Provider Name | Jennifer L Schott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598753600 PECOS PAC ID: 4385712819 Enrollment ID: I20081009000810 |
| Provider Name | Rebecca Starr |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982820726 PECOS PAC ID: 7214095900 Enrollment ID: I20081024000196 |
| Provider Name | Trudy Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629022124 PECOS PAC ID: 0143325449 Enrollment ID: I20081024000528 |
| Provider Name | Tatiana Rocha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972623361 PECOS PAC ID: 1052470325 Enrollment ID: I20081103000036 |
| Provider Name | Sherri A Kuchinskas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871794867 PECOS PAC ID: 7113081670 Enrollment ID: I20090128000548 |
| Provider Name | Matthew Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598918336 PECOS PAC ID: 7517023047 Enrollment ID: I20090306000345 |
| Provider Name | Thomas C Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356589980 PECOS PAC ID: 4183780331 Enrollment ID: I20090313000019 |
| Provider Name | Sarah A Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255575791 PECOS PAC ID: 1759431836 Enrollment ID: I20090611000120 |
| Provider Name | Elizabeth P Akoma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902049406 PECOS PAC ID: 9335299023 Enrollment ID: I20090618000592 |
| Provider Name | Anand M Prabhakar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497982987 PECOS PAC ID: 9537211313 Enrollment ID: I20090709000536 |
| Provider Name | Teresa Boyle |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164482287 PECOS PAC ID: 2567515919 Enrollment ID: I20090801000059 |
| Provider Name | Elise Connell-boudoya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497927313 PECOS PAC ID: 8921171802 Enrollment ID: I20091002000323 |
| Provider Name | Tonbira S Zaman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477522159 PECOS PAC ID: 4789781584 Enrollment ID: I20091027000431 |
| Provider Name | Jessica Dacus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144374562 PECOS PAC ID: 0345388872 Enrollment ID: I20091103000615 |
| Provider Name | John R Noviello |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952357170 PECOS PAC ID: 5193819860 Enrollment ID: I20091110000060 |
| Provider Name | Paul Jodka |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417061243 PECOS PAC ID: 3870634991 Enrollment ID: I20100111000534 |
| Provider Name | Tor Krogius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992786842 PECOS PAC ID: 6002958600 Enrollment ID: I20100120000417 |
| Provider Name | Joanne M Michonski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336213578 PECOS PAC ID: 3971645573 Enrollment ID: I20100120000459 |
| Provider Name | Linda Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518132356 PECOS PAC ID: 3274662366 Enrollment ID: I20100528000049 |
| Provider Name | Raymond Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740428085 PECOS PAC ID: 1850425992 Enrollment ID: I20100811000864 |
| Provider Name | Carlos Guzman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750556759 PECOS PAC ID: 4587788690 Enrollment ID: I20100826000366 |
| Provider Name | Juanita Carnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275575342 PECOS PAC ID: 3678698719 Enrollment ID: I20100914000289 |
| Provider Name | Timothy Abbott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316155294 PECOS PAC ID: 1254523343 Enrollment ID: I20101007000752 |
| Provider Name | Richard P Lawlor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194792952 PECOS PAC ID: 1850585787 Enrollment ID: I20101104000322 |
| Provider Name | Diana A Israeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245541929 PECOS PAC ID: 1052505856 Enrollment ID: I20101104001229 |
| Provider Name | Melissa Matos-auerbach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437341542 PECOS PAC ID: 2769677418 Enrollment ID: I20101108001398 |
| Provider Name | John A Wanner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972818110 PECOS PAC ID: 9830384247 Enrollment ID: I20101111000335 |
| Provider Name | Dominic Louis Demello |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245439033 PECOS PAC ID: 2567586175 Enrollment ID: I20101123000211 |
| Provider Name | Alan Berkenwald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033188636 PECOS PAC ID: 3870780604 Enrollment ID: I20101207000037 |
| Provider Name | Mark Novotny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427072479 PECOS PAC ID: 7012992894 Enrollment ID: I20101207000126 |
| Provider Name | Marjorie Mcnamara |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376851220 PECOS PAC ID: 3779762752 Enrollment ID: I20110124000069 |
| Provider Name | Ronald F Hayden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447267612 PECOS PAC ID: 4880875046 Enrollment ID: I20110221000723 |
| Provider Name | Jennifer Logan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538145008 PECOS PAC ID: 0143262592 Enrollment ID: I20110315000787 |
| Provider Name | Sidney L Kahn Iv |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750599700 PECOS PAC ID: 6002960473 Enrollment ID: I20110620000256 |
| Provider Name | Joanna J Conte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750589495 PECOS PAC ID: 6507044229 Enrollment ID: I20110707000318 |
| Provider Name | Kwesi A Ntiforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730345794 PECOS PAC ID: 0042356693 Enrollment ID: I20110718000100 |
| Provider Name | Connie Y Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629192125 PECOS PAC ID: 4385813732 Enrollment ID: I20110802000030 |
| Provider Name | Nancy Mckinney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992765713 PECOS PAC ID: 6507937752 Enrollment ID: I20110802000613 |
| Provider Name | Joahd M Toure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861606170 PECOS PAC ID: 4385743582 Enrollment ID: I20110804000189 |
| Provider Name | Agnieszka Nicora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003080151 PECOS PAC ID: 5799954467 Enrollment ID: I20110815000395 |
| Provider Name | Naim Y Aoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457323354 PECOS PAC ID: 7719983899 Enrollment ID: I20110824000653 |
| Provider Name | Robert J Campbell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962583963 PECOS PAC ID: 8921032772 Enrollment ID: I20110922000120 |
| Provider Name | Sofia Buford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275821480 PECOS PAC ID: 3779757893 Enrollment ID: I20111129000309 |
| Provider Name | Katharine E Ewall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922217751 PECOS PAC ID: 0547434581 Enrollment ID: I20111201000046 |
| Provider Name | Edward J Patton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750350138 PECOS PAC ID: 7911914569 Enrollment ID: I20120112000422 |
| Provider Name | Joel Nevejans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255600227 PECOS PAC ID: 1759549256 Enrollment ID: I20120229000460 |
| Provider Name | Heidi F Moskovitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417949322 PECOS PAC ID: 9234187964 Enrollment ID: I20120330000218 |
| Provider Name | Amir F Mohani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033391800 PECOS PAC ID: 4082782255 Enrollment ID: I20120402000039 |
| Provider Name | Rachel Perkins Marino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396015970 PECOS PAC ID: 2769643311 Enrollment ID: I20120409000454 |
| Provider Name | Orion M Howard |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649205436 PECOS PAC ID: 7214011626 Enrollment ID: I20120416000140 |
| Provider Name | Yarima S Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316145196 PECOS PAC ID: 7719148923 Enrollment ID: I20120416000590 |
| Provider Name | Frank J Simeone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922294438 PECOS PAC ID: 2365600954 Enrollment ID: I20120706000215 |
| Provider Name | Florian J Fintelmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508047572 PECOS PAC ID: 0840459954 Enrollment ID: I20120711000311 |
| Provider Name | Patrycia W Dube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083974844 PECOS PAC ID: 0547418030 Enrollment ID: I20120906000700 |
| Provider Name | Benjamin H Evenchik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821225558 PECOS PAC ID: 6406004852 Enrollment ID: I20120910000864 |
| Provider Name | Shasta A Kielbasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245486901 PECOS PAC ID: 2567610710 Enrollment ID: I20120913000587 |
| Provider Name | Ali Haider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962665265 PECOS PAC ID: 2961654827 Enrollment ID: I20121129000135 |
| Provider Name | David N Mayer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861465486 PECOS PAC ID: 3375512023 Enrollment ID: I20121129000393 |
| Provider Name | Alexis T Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396024246 PECOS PAC ID: 2668624354 Enrollment ID: I20121203000462 |
| Provider Name | Mary T Paterno |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093094963 PECOS PAC ID: 7113199233 Enrollment ID: I20121204000305 |
| Provider Name | Helena C Mccracken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952575201 PECOS PAC ID: 6002069432 Enrollment ID: I20130114000368 |
| Provider Name | Shannon E Hard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124366620 PECOS PAC ID: 3274770425 Enrollment ID: I20130508000304 |
| Provider Name | Ursula Denise Mcmillian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497812911 PECOS PAC ID: 0042474504 Enrollment ID: I20130709000410 |
| Provider Name | Jonathan Ct Carlson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1063567451 PECOS PAC ID: 9032377122 Enrollment ID: I20130731000298 |
| Provider Name | Ellana Stinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912135385 PECOS PAC ID: 1759537673 Enrollment ID: I20130801000582 |
| Provider Name | Jennifer Uyeda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205096518 PECOS PAC ID: 9234370339 Enrollment ID: I20130801000634 |
| Provider Name | Peter S Morse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053635888 PECOS PAC ID: 6103069588 Enrollment ID: I20130904000525 |
| Provider Name | Aiham C Korbage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326286097 PECOS PAC ID: 9436393469 Enrollment ID: I20130913000132 |
| Provider Name | Milliam L Kataoka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295976504 PECOS PAC ID: 2961646476 Enrollment ID: I20130924000576 |
| Provider Name | Eli Mckenna-weiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770809824 PECOS PAC ID: 4183859853 Enrollment ID: I20131105001201 |
| Provider Name | Charles A Dumont |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376606731 PECOS PAC ID: 5294806493 Enrollment ID: I20131115001484 |
| Provider Name | Paul F Sahd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093036766 PECOS PAC ID: 0840426003 Enrollment ID: I20131115001662 |
| Provider Name | Emily S Marsters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871817619 PECOS PAC ID: 6002042199 Enrollment ID: I20131119002075 |
| Provider Name | Emily F Lash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518114768 PECOS PAC ID: 9739350463 Enrollment ID: I20131127001100 |
| Provider Name | Sherron T Colgram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922239193 PECOS PAC ID: 3173750361 Enrollment ID: I20131213001316 |
| Provider Name | Barrett W Newsome |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932293479 PECOS PAC ID: 0547354276 Enrollment ID: I20140123001546 |
| Provider Name | Joanna A Pheasant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427470996 PECOS PAC ID: 4486886371 Enrollment ID: I20140408000695 |
| Provider Name | Kathleen E Mclean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699101907 PECOS PAC ID: 3476785122 Enrollment ID: I20140410001600 |
| Provider Name | Sundeep M Shukla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134361165 PECOS PAC ID: 9638303738 Enrollment ID: I20140421000592 |
| Provider Name | Catherine L Boshe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518205442 PECOS PAC ID: 5395968812 Enrollment ID: I20140602000022 |
| Provider Name | Mel J Currie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891087052 PECOS PAC ID: 9436391455 Enrollment ID: I20140603000504 |
| Provider Name | Melanie S Greenman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942461710 PECOS PAC ID: 4587811914 Enrollment ID: I20140606000705 |
| Provider Name | Caroline Murray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558598854 PECOS PAC ID: 2163646266 Enrollment ID: I20140611001102 |
| Provider Name | Catherine D Cleland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447574900 PECOS PAC ID: 9234353772 Enrollment ID: I20140624000891 |
| Provider Name | Pragya A Dang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326281676 PECOS PAC ID: 7214194901 Enrollment ID: I20140701001639 |
| Provider Name | Jacob Schauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700107398 PECOS PAC ID: 3870718679 Enrollment ID: I20140711000921 |
| Provider Name | Nicole Horst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649406117 PECOS PAC ID: 4082842653 Enrollment ID: I20140716000462 |
| Provider Name | Christopher Potter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639306129 PECOS PAC ID: 7315163243 Enrollment ID: I20140729001704 |
| Provider Name | Jessica A Darnobid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124339551 PECOS PAC ID: 1658598222 Enrollment ID: I20140806001007 |
| Provider Name | Zayed Yasin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942527403 PECOS PAC ID: 6002042017 Enrollment ID: I20140808000622 |
| Provider Name | Linda H Lavallee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649415845 PECOS PAC ID: 8022236850 Enrollment ID: I20140820000782 |
| Provider Name | Brian S Hampson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750537791 PECOS PAC ID: 4880867506 Enrollment ID: I20140820001728 |
| Provider Name | Chryssanthi S Kournioti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912181116 PECOS PAC ID: 5799970406 Enrollment ID: I20140905001587 |
| Provider Name | Kristen M Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366761363 PECOS PAC ID: 2062644008 Enrollment ID: I20141010001975 |
| Provider Name | Amy E Richane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063811719 PECOS PAC ID: 0143441964 Enrollment ID: I20141021000644 |
| Provider Name | Whitney E Scholz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326331778 PECOS PAC ID: 4385884170 Enrollment ID: I20141120000932 |
| Provider Name | Carol J Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609809508 PECOS PAC ID: 6406883941 Enrollment ID: I20150113001639 |
| Provider Name | Teresa J Pianta |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1891976536 PECOS PAC ID: 7911175955 Enrollment ID: I20150114002295 |
| Provider Name | Kalyan Pundla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306137435 PECOS PAC ID: 8325218415 Enrollment ID: I20150117000140 |
| Provider Name | Elaine H Skawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073669255 PECOS PAC ID: 3870817745 Enrollment ID: I20150123002146 |
| Provider Name | Gaurav Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386896256 PECOS PAC ID: 0941471064 Enrollment ID: I20150310001120 |
| Provider Name | Sari Miettinen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790896355 PECOS PAC ID: 2365544319 Enrollment ID: I20150515001478 |
| Provider Name | Danielle Marie Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538584123 PECOS PAC ID: 5698999761 Enrollment ID: I20150603000303 |
| Provider Name | Laura M Spring |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811282957 PECOS PAC ID: 0648418806 Enrollment ID: I20150818004460 |
| Provider Name | Jeffrey You-ling Shyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023336690 PECOS PAC ID: 9032357983 Enrollment ID: I20150825004747 |
| Provider Name | Sarah N Bernstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205138401 PECOS PAC ID: 7719140086 Enrollment ID: I20150902001926 |
| Provider Name | Julio A Miranda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063552008 PECOS PAC ID: 1759697857 Enrollment ID: I20150903003012 |
| Provider Name | Danielle Obanion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346501905 PECOS PAC ID: 0244548717 Enrollment ID: I20151002000095 |
| Provider Name | Beth A Markens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437525409 PECOS PAC ID: 1456660257 Enrollment ID: I20151019000333 |
| Provider Name | Cyrus H Yau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518113000 PECOS PAC ID: 2264619691 Enrollment ID: I20151026001299 |
| Provider Name | Sing W Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699038976 PECOS PAC ID: 7911120514 Enrollment ID: I20151106002370 |
| Provider Name | Brian Pryor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962730820 PECOS PAC ID: 1850692005 Enrollment ID: I20151214001165 |
| Provider Name | Amy J Zurba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467822106 PECOS PAC ID: 5193026029 Enrollment ID: I20151218001972 |
| Provider Name | Sishir Rao |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144586371 PECOS PAC ID: 8426285693 Enrollment ID: I20160120001238 |
| Provider Name | Jose A Flores |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780819524 PECOS PAC ID: 9234356148 Enrollment ID: I20160203001350 |
| Provider Name | Tania V Menz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972864635 PECOS PAC ID: 6406084326 Enrollment ID: I20160330000782 |
| Provider Name | Paul Louis Pilegi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073979498 PECOS PAC ID: 9335448406 Enrollment ID: I20160425001931 |
| Provider Name | Michelle W Helms |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346553468 PECOS PAC ID: 7416175971 Enrollment ID: I20160608001438 |
| Provider Name | Lacey Mcintosh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568773992 PECOS PAC ID: 1355631060 Enrollment ID: I20160609000414 |
| Provider Name | Diego Nunez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457343790 PECOS PAC ID: 6305943929 Enrollment ID: I20160613000489 |
| Provider Name | Hei Shun Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043509151 PECOS PAC ID: 1951526326 Enrollment ID: I20160622002763 |
| Provider Name | Sara B Eggemeier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841306586 PECOS PAC ID: 0941357644 Enrollment ID: I20160708000354 |
| Provider Name | Karina Illescas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215329693 PECOS PAC ID: 3173844941 Enrollment ID: I20160817001676 |
| Provider Name | Joseph S Strebel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487896551 PECOS PAC ID: 9436379278 Enrollment ID: I20160822002345 |
| Provider Name | Katherine Sloane Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669730099 PECOS PAC ID: 4587961537 Enrollment ID: I20160907002726 |
| Provider Name | Catharine Mary Armentrout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275834061 PECOS PAC ID: 7113238916 Enrollment ID: I20161020001869 |
| Provider Name | Anita Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568912814 PECOS PAC ID: 6002194438 Enrollment ID: I20161104001660 |
| Provider Name | Omar Parvez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568751675 PECOS PAC ID: 7810129749 Enrollment ID: I20161115002062 |
| Provider Name | Benjamin G Steinberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346480472 PECOS PAC ID: 0345392965 Enrollment ID: I20161117002459 |
| Provider Name | Miranda S Balkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467763581 PECOS PAC ID: 7618104191 Enrollment ID: I20161121001551 |
| Provider Name | Laura K Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649625492 PECOS PAC ID: 4082995410 Enrollment ID: I20161227000516 |
| Provider Name | Kathleen Leflar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700246212 PECOS PAC ID: 9133400062 Enrollment ID: I20170106001598 |
| Provider Name | Matthew N Desalvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790124824 PECOS PAC ID: 7810114683 Enrollment ID: I20170113001147 |
| Provider Name | Everett Lamm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881785137 PECOS PAC ID: 6002974276 Enrollment ID: I20170124000614 |
| Provider Name | Gaurav Rana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811128739 PECOS PAC ID: 9436464021 Enrollment ID: I20170323000334 |
| Provider Name | Jad S Husseini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750656864 PECOS PAC ID: 5092942383 Enrollment ID: I20170508002077 |
| Provider Name | Jonathan D Sonis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871836106 PECOS PAC ID: 0941578520 Enrollment ID: I20170623000053 |
| Provider Name | Atif Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548796618 PECOS PAC ID: 5294004727 Enrollment ID: I20170627000785 |
| Provider Name | Christa M Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598100828 PECOS PAC ID: 5193951879 Enrollment ID: I20170711001625 |
| Provider Name | Jay Levin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912267972 PECOS PAC ID: 0840417853 Enrollment ID: I20170725003617 |
| Provider Name | Jeffrey Dileo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831464551 PECOS PAC ID: 3274830120 Enrollment ID: I20170803000004 |
| Provider Name | Abhishek Keraliya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184033649 PECOS PAC ID: 7214158021 Enrollment ID: I20170803000452 |
| Provider Name | Lisa M Ledoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922520972 PECOS PAC ID: 2961776349 Enrollment ID: I20170923000451 |
| Provider Name | Joanne Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700103421 PECOS PAC ID: 7012143563 Enrollment ID: I20171114002152 |
| Provider Name | Robin M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587928 PECOS PAC ID: 3577823269 Enrollment ID: I20180126001376 |
| Provider Name | Eric Abston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912347667 PECOS PAC ID: 3577707371 Enrollment ID: I20180207001716 |
| Provider Name | Lynn M Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124534466 PECOS PAC ID: 9032471842 Enrollment ID: I20180314001975 |
| Provider Name | Estevan Adan Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255415709 PECOS PAC ID: 9931006871 Enrollment ID: I20180329001294 |
| Provider Name | Mohammad Kashef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306134911 PECOS PAC ID: 9436393071 Enrollment ID: I20180402001823 |
| Provider Name | Tasneem Kassam Lalani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417910811 PECOS PAC ID: 9537138169 Enrollment ID: I20180419001799 |
| Provider Name | Salaheldin Elhamamsy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912136086 PECOS PAC ID: 6608024682 Enrollment ID: I20180430001024 |
| Provider Name | Kerry Chenausky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184058596 PECOS PAC ID: 1557582830 Enrollment ID: I20180503001999 |
| Provider Name | Thomas F Flood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093155541 PECOS PAC ID: 1456615699 Enrollment ID: I20180516000133 |
| Provider Name | Pedram Heidari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396184586 PECOS PAC ID: 2769798305 Enrollment ID: I20180516000716 |
| Provider Name | Sophia C Kamran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669714812 PECOS PAC ID: 0648490250 Enrollment ID: I20180516001238 |
| Provider Name | John M Conklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861917114 PECOS PAC ID: 3072871227 Enrollment ID: I20180516001990 |
| Provider Name | Catherine Wei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811335524 PECOS PAC ID: 3072878263 Enrollment ID: I20180516002745 |
| Provider Name | Fareed Riyaz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023454279 PECOS PAC ID: 7719128347 Enrollment ID: I20180523000111 |
| Provider Name | Katherine Alexandra Jarrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194163634 PECOS PAC ID: 8921236969 Enrollment ID: I20180524000232 |
| Provider Name | Tanya M Luttinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831112200 PECOS PAC ID: 5597733030 Enrollment ID: I20180529002610 |
| Provider Name | David L Boardman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447366356 PECOS PAC ID: 5193815769 Enrollment ID: I20180730001618 |
| Provider Name | Genevieve Maquilan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003179243 PECOS PAC ID: 3971892290 Enrollment ID: I20180807002310 |
| Provider Name | Michael Caruso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114176906 PECOS PAC ID: 3779737812 Enrollment ID: I20180815001936 |
| Provider Name | Chirayu G Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700128295 PECOS PAC ID: 2668774688 Enrollment ID: I20180817001094 |
| Provider Name | Justin Savage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194111682 PECOS PAC ID: 1153671581 Enrollment ID: I20180906000611 |
| Provider Name | Susan G Sala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972015261 PECOS PAC ID: 3375893621 Enrollment ID: I20180906002367 |
| Provider Name | Adrian D Daul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942339882 PECOS PAC ID: 6608922612 Enrollment ID: I20180907000907 |
| Provider Name | Taufiq Nafis Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114303393 PECOS PAC ID: 7113270596 Enrollment ID: I20181101001019 |
| Provider Name | Aron S Rosenstock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619105830 PECOS PAC ID: 3779747423 Enrollment ID: I20181116001419 |
| Provider Name | Daniela M Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275899965 PECOS PAC ID: 4587804273 Enrollment ID: I20181214000063 |
| Provider Name | Ryan Patrick Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770054819 PECOS PAC ID: 8729325360 Enrollment ID: I20190121001311 |
| Provider Name | Laura J Quattrucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568932861 PECOS PAC ID: 5698012102 Enrollment ID: I20190122002649 |
| Provider Name | Qiang Nai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194105312 PECOS PAC ID: 6608164629 Enrollment ID: I20190214002863 |
| Provider Name | Ivan Denker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104284835 PECOS PAC ID: 2264739598 Enrollment ID: I20190225001671 |
| Provider Name | Sandeep Arepally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366738387 PECOS PAC ID: 2567760648 Enrollment ID: I20190326001179 |
| Provider Name | Sean M. Caffyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144684523 PECOS PAC ID: 8729372131 Enrollment ID: I20190510002126 |
| Provider Name | Alison Hart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275973521 PECOS PAC ID: 8527286202 Enrollment ID: I20190514000170 |
| Provider Name | Shahein Tajmir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316351323 PECOS PAC ID: 1557677309 Enrollment ID: I20190516002337 |
| Provider Name | Mark Allen Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912324062 PECOS PAC ID: 9032425202 Enrollment ID: I20190520000166 |
| Provider Name | Jared J Conley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144615717 PECOS PAC ID: 4284949215 Enrollment ID: I20190520000979 |
| Provider Name | Ravi V Gottumukkala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467866129 PECOS PAC ID: 4789990557 Enrollment ID: I20190606001258 |
| Provider Name | Paul Jansson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003205956 PECOS PAC ID: 2163737958 Enrollment ID: I20190606002508 |
| Provider Name | Gregory N Emmanuel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164764791 PECOS PAC ID: 5496090003 Enrollment ID: I20190613002455 |
| Provider Name | Jeffrey P Guenette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093154056 PECOS PAC ID: 5698992337 Enrollment ID: I20190624001665 |
| Provider Name | Maggie S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598119802 PECOS PAC ID: 0345575833 Enrollment ID: I20190703001989 |
| Provider Name | Michael Chill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689013906 PECOS PAC ID: 5991045296 Enrollment ID: I20190712002621 |
| Provider Name | Shadi Abdar Esfahani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497137590 PECOS PAC ID: 8123316866 Enrollment ID: I20190717001273 |
| Provider Name | Kathleen Faith Murtland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922669134 PECOS PAC ID: 5092041640 Enrollment ID: I20190719002294 |
| Provider Name | Lara Eisa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003226226 PECOS PAC ID: 6103152905 Enrollment ID: I20190801000572 |
| Provider Name | John M Sheldon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467415646 PECOS PAC ID: 8527017904 Enrollment ID: I20190920002373 |
| Provider Name | Christina Maria Duzyj-buniak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982888111 PECOS PAC ID: 3779615315 Enrollment ID: I20191002002913 |
| Provider Name | Aron M Slear |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053769711 PECOS PAC ID: 6204172497 Enrollment ID: I20191009002143 |
| Provider Name | John K Byun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528487089 PECOS PAC ID: 4486985173 Enrollment ID: I20191018000161 |
| Provider Name | Danielle N Dowen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770872152 PECOS PAC ID: 2365875788 Enrollment ID: I20191125002529 |
| Provider Name | Lela M Nelson-parola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942852868 PECOS PAC ID: 7315371812 Enrollment ID: I20191216001404 |
| Provider Name | Michelle Elizabeth Mills |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225682495 PECOS PAC ID: 7810321007 Enrollment ID: I20191220001745 |
| Provider Name | Alina Leclaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396386512 PECOS PAC ID: 2961837240 Enrollment ID: I20200114002666 |
| Provider Name | Kristen M Derosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003469230 PECOS PAC ID: 6204261480 Enrollment ID: I20200116000480 |
| Provider Name | Kera A Monts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629503230 PECOS PAC ID: 7517393101 Enrollment ID: I20200129002566 |
| Provider Name | Rene Balza Romero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265884472 PECOS PAC ID: 0345529558 Enrollment ID: I20200324003148 |
| Provider Name | Jana Jarolimova |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275946253 PECOS PAC ID: 4385861681 Enrollment ID: I20200419000303 |
| Provider Name | Marti D Soffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659758563 PECOS PAC ID: 6406192814 Enrollment ID: I20200419000397 |
| Provider Name | Laura Platt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295120665 PECOS PAC ID: 1557680766 Enrollment ID: I20200421001855 |
| Provider Name | William Einhorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295149565 PECOS PAC ID: 4486960986 Enrollment ID: I20200506002200 |
| Provider Name | Martin Krupa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245657436 PECOS PAC ID: 8224469077 Enrollment ID: I20200511001627 |
| Provider Name | Ronald W Mercer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437543766 PECOS PAC ID: 4587095336 Enrollment ID: I20200511001730 |
| Provider Name | Reece J Goiffon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871974543 PECOS PAC ID: 1658685847 Enrollment ID: I20200512001182 |
| Provider Name | Moulin Y Chokshi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790074508 PECOS PAC ID: 4789800889 Enrollment ID: I20200611000331 |
| Provider Name | Brian Allen Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679839559 PECOS PAC ID: 2466753801 Enrollment ID: I20200721002493 |
| Provider Name | Andrew F Vasconcellos |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649518317 PECOS PAC ID: 0042502692 Enrollment ID: I20200721003351 |
| Provider Name | Junsung Rho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992124515 PECOS PAC ID: 9032335138 Enrollment ID: I20200723000643 |
| Provider Name | Vivek Pargaonkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417305632 PECOS PAC ID: 0042501694 Enrollment ID: I20200730002833 |
| Provider Name | Zachary Lipkin-moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417374760 PECOS PAC ID: 7810116696 Enrollment ID: I20200901002585 |
| Provider Name | Vikram Grewal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528485620 PECOS PAC ID: 0345468823 Enrollment ID: I20200902002902 |
| Provider Name | Hyesun Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215450820 PECOS PAC ID: 1557788502 Enrollment ID: I20200904001340 |
| Provider Name | Ellen Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619362613 PECOS PAC ID: 3173819109 Enrollment ID: I20200908000203 |
| Provider Name | Evan K Altman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760750855 PECOS PAC ID: 4688918352 Enrollment ID: I20200909001377 |
| Provider Name | Alys P Malcolm |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023111531 PECOS PAC ID: 2860700754 Enrollment ID: I20201013002496 |
| Provider Name | Edinrin Obasare |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093027278 PECOS PAC ID: 6507091493 Enrollment ID: I20201016001064 |
| Provider Name | Polina Kanj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487035440 PECOS PAC ID: 0143640813 Enrollment ID: I20201019001469 |
| Provider Name | Jamie Helen Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153635 PECOS PAC ID: 5193145035 Enrollment ID: I20201019003015 |
| Provider Name | Jessica Dawicki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265045421 PECOS PAC ID: 2062822547 Enrollment ID: I20201112001396 |
| Provider Name | Anacelis Flecha |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962019117 PECOS PAC ID: 8527479757 Enrollment ID: I20201119001830 |
| Provider Name | Rahul Gujrathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790270239 PECOS PAC ID: 2163767799 Enrollment ID: I20201207000370 |
| Provider Name | Amber Whitehill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306464375 PECOS PAC ID: 0143632927 Enrollment ID: I20201221000525 |
| Provider Name | Molly Pulchtopek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942819685 PECOS PAC ID: 1153734082 Enrollment ID: I20210113001527 |
| Provider Name | Andrew T Griffith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952714826 PECOS PAC ID: 1557637741 Enrollment ID: I20210209002549 |
| Provider Name | Maya Don Chay Rogler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699399824 PECOS PAC ID: 3678988300 Enrollment ID: I20210210002267 |
| Provider Name | Courtney L Cowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134718158 PECOS PAC ID: 5193133577 Enrollment ID: I20210423001573 |
| Provider Name | Carolyn R Kanter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699156828 PECOS PAC ID: 5092008532 Enrollment ID: I20210505000814 |
| Provider Name | Maksim V Merenkov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407408032 PECOS PAC ID: 1153730908 Enrollment ID: I20210506001353 |
| Provider Name | Megan M Mcadams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235642927 PECOS PAC ID: 7113280348 Enrollment ID: I20210510001583 |
| Provider Name | Joseph King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780047118 PECOS PAC ID: 2860764834 Enrollment ID: I20210518001186 |
| Provider Name | Lauren N Cerulle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537085 PECOS PAC ID: 6608120399 Enrollment ID: I20210526002899 |
| Provider Name | Laura J Perry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598799256 PECOS PAC ID: 8527022557 Enrollment ID: I20210607001200 |
| Provider Name | Vincent Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235523440 PECOS PAC ID: 3678869864 Enrollment ID: I20210608001173 |
| Provider Name | Adam Graeber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730547787 PECOS PAC ID: 2668872474 Enrollment ID: I20210616001687 |
| Provider Name | Benjamin M Kozak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487015384 PECOS PAC ID: 5395017354 Enrollment ID: I20210720002134 |
| Provider Name | Ranjodh S Dhami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457714131 PECOS PAC ID: 1951674894 Enrollment ID: I20210720002791 |
| Provider Name | Maksim Grachev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922595776 PECOS PAC ID: 2961749023 Enrollment ID: I20210729003017 |
| Provider Name | Mary Patricia Marvel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386071439 PECOS PAC ID: 3779712070 Enrollment ID: I20210818001321 |
| Provider Name | Elmira Hassanzadeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154779809 PECOS PAC ID: 8921395088 Enrollment ID: I20210903002257 |
| Provider Name | Melissa M Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578127270 PECOS PAC ID: 4587994769 Enrollment ID: I20211004002848 |
| Provider Name | Sowmya Varada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043660970 PECOS PAC ID: 5092003947 Enrollment ID: I20211004003038 |
| Provider Name | Brooks Applewhite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235553751 PECOS PAC ID: 9234402876 Enrollment ID: I20211004003281 |
| Provider Name | Brianna Barbosa-angles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285139931 PECOS PAC ID: 5597015115 Enrollment ID: I20211006000258 |
| Provider Name | Ali Ardestani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043553969 PECOS PAC ID: 0446482566 Enrollment ID: I20211026001977 |
| Provider Name | Michelle Lemme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457013690 PECOS PAC ID: 9335539774 Enrollment ID: I20211129002638 |
| Provider Name | Marcela Marsiglia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699157891 PECOS PAC ID: 1456603216 Enrollment ID: I20211222002378 |
| Provider Name | Ethan A Chapin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386906055 PECOS PAC ID: 0244201325 Enrollment ID: I20220110000322 |
| Provider Name | Ryan E Pryor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245655489 PECOS PAC ID: 8628200045 Enrollment ID: I20220211001098 |
| Provider Name | Jared A Bradshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871987164 PECOS PAC ID: 8527368026 Enrollment ID: I20220216002574 |
| Provider Name | Rosevan R Vickery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285386235 PECOS PAC ID: 8426443532 Enrollment ID: I20220328000004 |
| Provider Name | Melinda S Darling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043215726 PECOS PAC ID: 8527347590 Enrollment ID: I20220411001156 |
| Provider Name | Jason R Lauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841726445 PECOS PAC ID: 5092065748 Enrollment ID: I20220512000179 |
| Provider Name | Ahmed Bakhit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780920777 PECOS PAC ID: 0244532448 Enrollment ID: I20220518001858 |
| Provider Name | Anne-sophie Loonis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225569304 PECOS PAC ID: 8729345392 Enrollment ID: I20220525002199 |
| Provider Name | Khushboo Jhala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710410675 PECOS PAC ID: 2769732544 Enrollment ID: I20220530000099 |
| Provider Name | Bashar Kako |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164954178 PECOS PAC ID: 1052680089 Enrollment ID: I20220606001316 |
| Provider Name | Anders Knutzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912985037 PECOS PAC ID: 0648184333 Enrollment ID: I20220607002127 |
| Provider Name | Samantha Harrington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255795407 PECOS PAC ID: 2961792551 Enrollment ID: I20220614001059 |
| Provider Name | Rebecca Rand |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477034874 PECOS PAC ID: 7719366863 Enrollment ID: I20220620000983 |
| Provider Name | Hannah J Roberts |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437682986 PECOS PAC ID: 4486904562 Enrollment ID: I20220628000650 |
| Provider Name | Bobby Joseph |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558721803 PECOS PAC ID: 8022308980 Enrollment ID: I20220706000884 |
| Provider Name | Davies Agyekum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134651425 PECOS PAC ID: 1557766433 Enrollment ID: I20220706003272 |
| Provider Name | Borna E Dabiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508228198 PECOS PAC ID: 7618248089 Enrollment ID: I20220708001603 |
| Provider Name | Jisoo Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770939399 PECOS PAC ID: 9133410798 Enrollment ID: I20220711000115 |
| Provider Name | Tina Shiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548792492 PECOS PAC ID: 6507115565 Enrollment ID: I20220718001562 |
| Provider Name | Hesham Elhalawani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508328402 PECOS PAC ID: 1658604426 Enrollment ID: I20220721002655 |
| Provider Name | Erik K Loken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568817187 PECOS PAC ID: 2466746920 Enrollment ID: I20220726000883 |
| Provider Name | Chelsea M Daniele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871108001 PECOS PAC ID: 6103208251 Enrollment ID: I20220805000694 |
| Provider Name | Christopher F Allison |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700248846 PECOS PAC ID: 3476848136 Enrollment ID: I20220808000195 |
| Provider Name | Renata Rocha De Almeida Bizzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346704699 PECOS PAC ID: 2668855081 Enrollment ID: I20220818000472 |
| Provider Name | Bennett S Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447356894 PECOS PAC ID: 9537262332 Enrollment ID: I20220825002668 |
| Provider Name | Alina Barmanwalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336636695 PECOS PAC ID: 7618351503 Enrollment ID: I20220825003516 |
| Provider Name | Erwin Xia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447787270 PECOS PAC ID: 5597010355 Enrollment ID: I20220826000864 |
| Provider Name | Ryan Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073969481 PECOS PAC ID: 1254716293 Enrollment ID: I20220912003548 |
| Provider Name | Michael T Legeyt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932133436 PECOS PAC ID: 5698716512 Enrollment ID: I20220913000349 |
| Provider Name | Michael Weintraub |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902219801 PECOS PAC ID: 5890910871 Enrollment ID: I20221017001206 |
| Provider Name | Cristina Olivas Chacon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477903672 PECOS PAC ID: 8820385412 Enrollment ID: I20221121000794 |
| Provider Name | Jaime Deseda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629495098 PECOS PAC ID: 1456638923 Enrollment ID: I20221208002072 |
| Provider Name | Alberto Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700971330 PECOS PAC ID: 2466436878 Enrollment ID: I20221219001249 |
| Provider Name | Joseph Monteiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194990978 PECOS PAC ID: 2769639814 Enrollment ID: I20221227000675 |
| Provider Name | Nagesh Gollahalli Shivaramaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962715425 PECOS PAC ID: 3971731670 Enrollment ID: I20230105002576 |
| Provider Name | Sarah E Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345860 PECOS PAC ID: 4385042373 Enrollment ID: I20230105002790 |
| Provider Name | Zuhab Qamar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851755938 PECOS PAC ID: 3274811898 Enrollment ID: I20230110001629 |
| Provider Name | Xavier Fernando Vela Parada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598269896 PECOS PAC ID: 4587900865 Enrollment ID: I20230110001863 |
| Provider Name | Jonathan S Mcdougal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255866224 PECOS PAC ID: 3375812050 Enrollment ID: I20230117000238 |
| Provider Name | Nana Yaa N Chihombori-quao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295269744 PECOS PAC ID: 3779853528 Enrollment ID: I20230117001037 |
| Provider Name | Kaileen Canon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843859 PECOS PAC ID: 8224409941 Enrollment ID: I20230117001686 |
| Provider Name | Caitlin F Szymanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487386793 PECOS PAC ID: 5193196467 Enrollment ID: I20230124002093 |
| Provider Name | Brian Szymanski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710976972 PECOS PAC ID: 6507833878 Enrollment ID: I20230125003556 |
| Provider Name | Bridget Shea-gander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295285278 PECOS PAC ID: 0345612081 Enrollment ID: I20230207001492 |
| Provider Name | Sara Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548977135 PECOS PAC ID: 2860864477 Enrollment ID: I20230208001349 |
| Provider Name | Elizabeth Welch Marsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619974680 PECOS PAC ID: 3173542461 Enrollment ID: I20230215002301 |
| Provider Name | Saskia G Cooper |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679716187 PECOS PAC ID: 1153540042 Enrollment ID: I20230220001266 |
| Provider Name | Antoine Naim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801905583 PECOS PAC ID: 2668489212 Enrollment ID: I20230221002461 |
| Provider Name | Mohammed Shareef |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619112042 PECOS PAC ID: 6406007624 Enrollment ID: I20230302001053 |
| Provider Name | Jacob Aaron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407202518 PECOS PAC ID: 6800165325 Enrollment ID: I20230308001413 |
| Provider Name | Ankit Mahajan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922449339 PECOS PAC ID: 8527392083 Enrollment ID: I20230316001360 |
| Provider Name | David Greatorex |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164409264 PECOS PAC ID: 0042289985 Enrollment ID: I20230419000277 |
| Provider Name | Kathryn M Oskar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245791292 PECOS PAC ID: 9931438926 Enrollment ID: I20230511000560 |
| Provider Name | Jeffrey Clegg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154853133 PECOS PAC ID: 6507117454 Enrollment ID: I20230512001659 |
| Provider Name | Fantine Giap |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770072308 PECOS PAC ID: 8426300195 Enrollment ID: I20230530000055 |
| Provider Name | Stephen Skinner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790128155 PECOS PAC ID: 7214237684 Enrollment ID: I20230607003019 |
| Provider Name | Alejandro Fierro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013545672 PECOS PAC ID: 9739549387 Enrollment ID: I20230714001825 |
| Provider Name | Stephen G Devries |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295296721 PECOS PAC ID: 7315276367 Enrollment ID: I20230807000739 |
| Provider Name | Maham Anser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437711231 PECOS PAC ID: 3476885070 Enrollment ID: I20230905002961 |
| Provider Name | Julia Flum-stockwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316560477 PECOS PAC ID: 4486017605 Enrollment ID: I20230905003530 |
| Provider Name | Dhruv P Jani |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891355293 PECOS PAC ID: 3173956398 Enrollment ID: I20230926001907 |
| Provider Name | Kyle Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366068660 PECOS PAC ID: 3678996097 Enrollment ID: I20231006002245 |
| Provider Name | Madhavi Boga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346622289 PECOS PAC ID: 9739474057 Enrollment ID: I20231010002825 |
| Provider Name | Ranbir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023644085 PECOS PAC ID: 0042670861 Enrollment ID: I20231011000759 |
| Provider Name | Meaghan Killeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114601754 PECOS PAC ID: 6103271820 Enrollment ID: I20231016000949 |
| Provider Name | Eli Reece Dibner-dunlap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144857582 PECOS PAC ID: 0941624035 Enrollment ID: I20231103001289 |
| Provider Name | John D Stallard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184643090 PECOS PAC ID: 8527009042 Enrollment ID: I20231220002308 |
| Provider Name | Samuel Kiniaru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093243271 PECOS PAC ID: 1153693452 Enrollment ID: I20240209001043 |
| Provider Name | Tiffanny Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972285674 PECOS PAC ID: 1456797554 Enrollment ID: I20240312001391 |
| Provider Name | Jesse Eisenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982044202 PECOS PAC ID: 4082986807 Enrollment ID: I20240318001098 |
| Provider Name | Theodore Benedict Lefer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578822748 PECOS PAC ID: 8325355142 Enrollment ID: I20240318001441 |
| Provider Name | Benhanan Ways |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073188967 PECOS PAC ID: 6002212917 Enrollment ID: I20240318002297 |
| Provider Name | Beth Leopold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205299153 PECOS PAC ID: 9931491750 Enrollment ID: I20240320002135 |
| Provider Name | Daniel Steele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356576516 PECOS PAC ID: 2163672403 Enrollment ID: I20240401001622 |
| Provider Name | Ottavia Kimberly Green |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336701861 PECOS PAC ID: 6507196193 Enrollment ID: I20240402002112 |
| Provider Name | Lindsey Swank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104491166 PECOS PAC ID: 9436598109 Enrollment ID: I20240414000041 |
| Provider Name | Valerie L Zavalunov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003686890 PECOS PAC ID: 6305285743 Enrollment ID: I20240417002800 |
| Provider Name | Martand Chhibber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184121717 PECOS PAC ID: 4981930617 Enrollment ID: I20240418001913 |
| Provider Name | Abhishek K Bhagat |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568918811 PECOS PAC ID: 0648568337 Enrollment ID: I20240423004253 |
| Provider Name | Barret Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033735584 PECOS PAC ID: 8022432442 Enrollment ID: I20240424002929 |
| Provider Name | Paul M Madaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679994396 PECOS PAC ID: 9830494756 Enrollment ID: I20240430000386 |
| Provider Name | Hafiz M Imran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962705590 PECOS PAC ID: 1153558218 Enrollment ID: I20240626000399 |
| Provider Name | Brooke Gerlach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215551528 PECOS PAC ID: 4082010475 Enrollment ID: I20240808002712 |
| Provider Name | Michael Nottidge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700922630 PECOS PAC ID: 7012059090 Enrollment ID: I20240809001933 |
| Provider Name | Caleb J Noone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760050777 PECOS PAC ID: 8426451899 Enrollment ID: I20240812002371 |
| Provider Name | Olyn Amanda Andrade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265008544 PECOS PAC ID: 3274071956 Enrollment ID: I20240813000898 |
| Provider Name | Lois Kamugisha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134396948 PECOS PAC ID: 6901098540 Enrollment ID: I20240827001198 |
| Provider Name | Joseph Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457048795 PECOS PAC ID: 0648710707 Enrollment ID: I20240904003594 |
| Provider Name | Sara P Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346079407 PECOS PAC ID: 3870034523 Enrollment ID: I20240920002058 |
| Provider Name | James Francescangeli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427475433 PECOS PAC ID: 1658504766 Enrollment ID: I20240926000362 |
| Provider Name | Abigail Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497511802 PECOS PAC ID: 4284166695 Enrollment ID: I20241010000199 |
| Provider Name | Hannah Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316719883 PECOS PAC ID: 5597101717 Enrollment ID: I20250115002808 |
Northampton Integrative Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 395 Pleasant St, Northampton, MA 01060 Phone: 413-584-7787 Fax: 413-584-2571 | |
Family Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Locust St Ste 3, Northampton, MA 01060 Phone: 413-324-6589 | |
Jay S. Fleitman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Conz St, Northampton, MA 01060 Phone: 413-586-9100 Fax: 413-586-3379 | |
Elm Street Adult Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 Elm St, Suites 10 & 12, Northampton, MA 01060 Phone: 413-586-1100 Fax: 413-584-7062 | |
Starr Geriatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 Elm St Ste 12, Northampton, MA 01060 Phone: 413-614-1016 Fax: 413-614-1006 | |
Starr Geriatrics, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 Elm St Ste 12, Northampton, MA 01060 Phone: 413-614-1016 |