| Chattanooga Hamilton County Hospital Authority | |
|
975 E 3rd St Chattanooga TN 37403 | |
| (423) 778-5630 | |
| Not Available |
| Full Name | Chattanooga Hamilton County Hospital Authority |
|---|---|
| Speciality | Internal Medicine |
| Location | 975 E 3rd St, Chattanooga, Tennessee |
| Authorized Official Name and Position | James B Tabor (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4237785630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chattanooga Hamilton County Hospital Authority 975 E 3rd St Provider Enrollment Chattanooga TN 37403-2147 Ph: (423) 778-5630 | Chattanooga Hamilton County Hospital Authority 975 E 3rd St Chattanooga TN 37403 Ph: (423) 778-5630 |
| NPI Number | 1154751931 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 07/09/2018 |
| Medicare PECOS PAC ID | 0547179731 |
|---|---|
| Medicare Enrollment ID | O20040302001086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154751931 | NPI | - | NPPES |
| Provider Name | Nabil W Malek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104891514 PECOS PAC ID: 1557265725 Enrollment ID: I20031120000663 |
| Provider Name | Peter R Deversa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598773871 PECOS PAC ID: 2961306717 Enrollment ID: I20031122000056 |
| Provider Name | Steven K Austin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518073998 PECOS PAC ID: 9739083437 Enrollment ID: I20031124000698 |
| Provider Name | Steven B Stubblefield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255312799 PECOS PAC ID: 7517864911 Enrollment ID: I20031222000837 |
| Provider Name | Gregg S Shander |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497754733 PECOS PAC ID: 0143129353 Enrollment ID: I20040107000504 |
| Provider Name | Raymond C Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871536839 PECOS PAC ID: 6103718770 Enrollment ID: I20040327000385 |
| Provider Name | Naina Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568484871 PECOS PAC ID: 0446244768 Enrollment ID: I20040412000112 |
| Provider Name | John W Boldt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629067335 PECOS PAC ID: 3173519584 Enrollment ID: I20040421001734 |
| Provider Name | Chirag M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790741312 PECOS PAC ID: 7719978303 Enrollment ID: I20040521000738 |
| Provider Name | Larry R Sprouse |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730173634 PECOS PAC ID: 2567445828 Enrollment ID: I20040609000583 |
| Provider Name | Arif N/a Shafi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356339972 PECOS PAC ID: 6406830033 Enrollment ID: I20040614000405 |
| Provider Name | Lonard C Rigsby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942285523 PECOS PAC ID: 8820992944 Enrollment ID: I20040615001485 |
| Provider Name | James T Nunally |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598749566 PECOS PAC ID: 4981681970 Enrollment ID: I20040707001060 |
| Provider Name | James S Sherrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275694747 PECOS PAC ID: 5698759512 Enrollment ID: I20040710000233 |
| Provider Name | Margaret M Fulmer-brasel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710960042 PECOS PAC ID: 9739167032 Enrollment ID: I20040713000289 |
| Provider Name | John V Golding |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255307575 PECOS PAC ID: 6507845898 Enrollment ID: I20040719001592 |
| Provider Name | David M Lowry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528033552 PECOS PAC ID: 8123098837 Enrollment ID: I20040729000966 |
| Provider Name | Amy O Miller-anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265738967 PECOS PAC ID: 6002887064 Enrollment ID: I20040803001332 |
| Provider Name | Leo K Mills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588771117 PECOS PAC ID: 6901702240 Enrollment ID: I20040804000654 |
| Provider Name | John G Heise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962405787 PECOS PAC ID: 5496726267 Enrollment ID: I20040804001184 |
| Provider Name | Peter J Lund |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689654311 PECOS PAC ID: 6406828516 Enrollment ID: I20040810001491 |
| Provider Name | Cristina E Florea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497730949 PECOS PAC ID: 1052373248 Enrollment ID: I20041030000081 |
| Provider Name | Kinsman E Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598764706 PECOS PAC ID: 2163489337 Enrollment ID: I20041220000549 |
| Provider Name | Douglas L Laman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891728432 PECOS PAC ID: 3274591987 Enrollment ID: I20041228000846 |
| Provider Name | John Angelo Dorizas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144290834 PECOS PAC ID: 7810961919 Enrollment ID: I20050202001017 |
| Provider Name | Cari Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467423947 PECOS PAC ID: 4688659121 Enrollment ID: I20050217000128 |
| Provider Name | Peter E Boehm |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467542449 PECOS PAC ID: 8022063577 Enrollment ID: I20050317000164 |
| Provider Name | Joani L Jack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184698698 PECOS PAC ID: 1254371487 Enrollment ID: I20050506000706 |
| Provider Name | Elizabeth W Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306834064 PECOS PAC ID: 9436199270 Enrollment ID: I20050511000151 |
| Provider Name | Michael Brit |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689692998 PECOS PAC ID: 9739177916 Enrollment ID: I20050607001182 |
| Provider Name | Robert G Zylstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740212463 PECOS PAC ID: 7113961483 Enrollment ID: I20050616001151 |
| Provider Name | Joseph C Portera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821088410 PECOS PAC ID: 9638113731 Enrollment ID: I20050618000123 |
| Provider Name | Phyllis E Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528058906 PECOS PAC ID: 0547205551 Enrollment ID: I20050621000564 |
| Provider Name | Angela C Mejias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477573970 PECOS PAC ID: 2365478427 Enrollment ID: I20050711000724 |
| Provider Name | Mukta Panda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861486441 PECOS PAC ID: 9638108145 Enrollment ID: I20050804001100 |
| Provider Name | Michael A Love |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093789273 PECOS PAC ID: 6204865314 Enrollment ID: I20050809000866 |
| Provider Name | William E Blalock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740254820 PECOS PAC ID: 2365471471 Enrollment ID: I20050809000896 |
| Provider Name | Monica L Gefter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700879533 PECOS PAC ID: 9931139862 Enrollment ID: I20050819000378 |
| Provider Name | Jennifer Keates-baleeiro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861589996 PECOS PAC ID: 3072544659 Enrollment ID: I20050823000906 |
| Provider Name | Walter L Few |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699749010 PECOS PAC ID: 9537190467 Enrollment ID: I20050830000656 |
| Provider Name | Syed Farhan M Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346238961 PECOS PAC ID: 3476586751 Enrollment ID: I20050916000325 |
| Provider Name | Helen Furr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447369657 PECOS PAC ID: 7911930227 Enrollment ID: I20050916000591 |
| Provider Name | Jana S Watters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316970494 PECOS PAC ID: 3072547488 Enrollment ID: I20050926000104 |
| Provider Name | Clarissa Ann Mashchak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245202183 PECOS PAC ID: 1052336278 Enrollment ID: I20051006000941 |
| Provider Name | Kathleen S Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003830993 PECOS PAC ID: 5193742088 Enrollment ID: I20051031000237 |
| Provider Name | Daniel F Fisher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053305789 PECOS PAC ID: 5597786418 Enrollment ID: I20051208000024 |
| Provider Name | Michael Spencer Greer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215921945 PECOS PAC ID: 3971585951 Enrollment ID: I20051208000070 |
| Provider Name | Argil Wheelock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700811346 PECOS PAC ID: 6709800378 Enrollment ID: I20060123000221 |
| Provider Name | Tiffany P, Few |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659355923 PECOS PAC ID: 1557399250 Enrollment ID: I20060215000034 |
| Provider Name | Maria E Tudor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265480438 PECOS PAC ID: 9335155423 Enrollment ID: I20060227000635 |
| Provider Name | Stephen E Depasquale |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801848320 PECOS PAC ID: 3072529247 Enrollment ID: I20060308000410 |
| Provider Name | Kelley L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023148343 PECOS PAC ID: 8426066671 Enrollment ID: I20060329000410 |
| Provider Name | Martha Earlene Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811940992 PECOS PAC ID: 8325051683 Enrollment ID: I20060803000341 |
| Provider Name | Bessie Ingram-nunally |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720069578 PECOS PAC ID: 9537078720 Enrollment ID: I20060828000119 |
| Provider Name | Richard G Alvarez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417922618 PECOS PAC ID: 1052316452 Enrollment ID: I20060918000399 |
| Provider Name | Jason E Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720016710 PECOS PAC ID: 8022013929 Enrollment ID: I20060928000065 |
| Provider Name | Vivian Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982636817 PECOS PAC ID: 8820094055 Enrollment ID: I20061011000718 |
| Provider Name | Sherry L Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053331082 PECOS PAC ID: 7810993045 Enrollment ID: I20061011000728 |
| Provider Name | Mark G Freeman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780667865 PECOS PAC ID: 9234165887 Enrollment ID: I20061106000483 |
| Provider Name | Daniel B Kueter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184714180 PECOS PAC ID: 7517965312 Enrollment ID: I20061109000457 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20061201000242 |
| Provider Name | Kevin P Luce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487602652 PECOS PAC ID: 0840290045 Enrollment ID: I20070112000142 |
| Provider Name | Mary A Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801823158 PECOS PAC ID: 7416958319 Enrollment ID: I20070119000255 |
| Provider Name | Sally Horne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215040381 PECOS PAC ID: 5395723605 Enrollment ID: I20070430000534 |
| Provider Name | Patrick B Mcginty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114074267 PECOS PAC ID: 4082712161 Enrollment ID: I20070613000615 |
| Provider Name | Frances J Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457415952 PECOS PAC ID: 4082713581 Enrollment ID: I20070625000445 |
| Provider Name | Wendell Ms Moses |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760462261 PECOS PAC ID: 0446359749 Enrollment ID: I20070627000664 |
| Provider Name | Steven W Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770575607 PECOS PAC ID: 2264445345 Enrollment ID: I20070703000184 |
| Provider Name | Amar Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770650145 PECOS PAC ID: 0345241378 Enrollment ID: I20070730000913 |
| Provider Name | Dirk W Kiner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588698583 PECOS PAC ID: 7214936541 Enrollment ID: I20070731000668 |
| Provider Name | John Aaron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019922 PECOS PAC ID: 0941269021 Enrollment ID: I20070807000351 |
| Provider Name | Melissa A Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295745230 PECOS PAC ID: 3779674650 Enrollment ID: I20070807000375 |
| Provider Name | Jeremy Clark Screws |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376744151 PECOS PAC ID: 8224129838 Enrollment ID: I20070811000066 |
| Provider Name | Jennifer M Dooley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063532992 PECOS PAC ID: 3678666559 Enrollment ID: I20070908000112 |
| Provider Name | Bradley P Large |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396719753 PECOS PAC ID: 1850485640 Enrollment ID: I20070925000105 |
| Provider Name | Yune Gill Jeong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497744114 PECOS PAC ID: 7416043245 Enrollment ID: I20071010000065 |
| Provider Name | Jennifer S Alvarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992911465 PECOS PAC ID: 0547357220 Enrollment ID: I20071026000527 |
| Provider Name | Paul E Hoffmann |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851304307 PECOS PAC ID: 3274531066 Enrollment ID: I20080219000248 |
| Provider Name | Shanee D Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629248505 PECOS PAC ID: 9436228715 Enrollment ID: I20080513000722 |
| Provider Name | Donna Kay Hobgood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881684561 PECOS PAC ID: 4789753922 Enrollment ID: I20080514000607 |
| Provider Name | Radian I Florea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285627265 PECOS PAC ID: 8123005428 Enrollment ID: I20080521000182 |
| Provider Name | Jason Zurawick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861515611 PECOS PAC ID: 8729150636 Enrollment ID: I20080710000183 |
| Provider Name | Charles Joels |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497770283 PECOS PAC ID: 4688747025 Enrollment ID: I20080718000226 |
| Provider Name | Chadwick A Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326012519 PECOS PAC ID: 5395700439 Enrollment ID: I20080723000140 |
| Provider Name | Raul J Vila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144432808 PECOS PAC ID: 9830263169 Enrollment ID: I20080805000704 |
| Provider Name | Lewis Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144403171 PECOS PAC ID: 8527134394 Enrollment ID: I20080902000018 |
| Provider Name | Adbelazim A Sirelkhatim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609998418 PECOS PAC ID: 6800962986 Enrollment ID: I20080915000358 |
| Provider Name | Leslie A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497968259 PECOS PAC ID: 2264500818 Enrollment ID: I20081008000874 |
| Provider Name | Malissa G Talbert |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497957914 PECOS PAC ID: 5294896478 Enrollment ID: I20081205000505 |
| Provider Name | Jennifer L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593917 PECOS PAC ID: 3476614363 Enrollment ID: I20081210000746 |
| Provider Name | Anthony L Aird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457513517 PECOS PAC ID: 0446313944 Enrollment ID: I20090109000278 |
| Provider Name | Teabra A Swafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548485857 PECOS PAC ID: 2860575792 Enrollment ID: I20090110000128 |
| Provider Name | Mark E Rowin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932126505 PECOS PAC ID: 4486701265 Enrollment ID: I20090414000176 |
| Provider Name | James E Stanfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891997961 PECOS PAC ID: 6204983877 Enrollment ID: I20090416000641 |
| Provider Name | Harry W Severance |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770519191 PECOS PAC ID: 9335102656 Enrollment ID: I20090508000453 |
| Provider Name | Lisa L Hart-patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710163290 PECOS PAC ID: 3072663376 Enrollment ID: I20090608000550 |
| Provider Name | Mark Fugate |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124227459 PECOS PAC ID: 7113077132 Enrollment ID: I20090615000103 |
| Provider Name | Steven R Kessler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689611626 PECOS PAC ID: 7214959774 Enrollment ID: I20090629000215 |
| Provider Name | Gregory A Talbott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093730343 PECOS PAC ID: 7315099983 Enrollment ID: I20090711000062 |
| Provider Name | Warren E Gardner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831308139 PECOS PAC ID: 0547312670 Enrollment ID: I20090720000588 |
| Provider Name | Stephen Clark Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003865536 PECOS PAC ID: 8921046590 Enrollment ID: I20090725000143 |
| Provider Name | Julian M Worthington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184654956 PECOS PAC ID: 5092868836 Enrollment ID: I20090727000807 |
| Provider Name | Jasmine A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992912141 PECOS PAC ID: 8426101049 Enrollment ID: I20090729000912 |
| Provider Name | Gary A Brunvoll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053488353 PECOS PAC ID: 9537210406 Enrollment ID: I20090801000069 |
| Provider Name | Brent J Campbell |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1285841254 PECOS PAC ID: 2961556691 Enrollment ID: I20090814000499 |
| Provider Name | Sunanda N Sadanandan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992871339 PECOS PAC ID: 6507903564 Enrollment ID: I20091023000008 |
| Provider Name | Kelly Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215147483 PECOS PAC ID: 7214075688 Enrollment ID: I20091105000481 |
| Provider Name | Peter J Nowotarski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619953783 PECOS PAC ID: 0244379568 Enrollment ID: I20091130000333 |
| Provider Name | Kirk A Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831222835 PECOS PAC ID: 1951489046 Enrollment ID: I20100309000046 |
| Provider Name | Terri R Brunvoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326170473 PECOS PAC ID: 4587742671 Enrollment ID: I20100309000070 |
| Provider Name | Christopher S St Charles |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669416855 PECOS PAC ID: 7618911041 Enrollment ID: I20100318000439 |
| Provider Name | Marvin N Hall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427094507 PECOS PAC ID: 1355478934 Enrollment ID: I20100430000332 |
| Provider Name | Melissa J Smith-vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730419474 PECOS PAC ID: 0446388961 Enrollment ID: I20100504000525 |
| Provider Name | James Osborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366417396 PECOS PAC ID: 9335289818 Enrollment ID: I20100505000886 |
| Provider Name | Fredrick Scott Dibrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285654111 PECOS PAC ID: 0648228619 Enrollment ID: I20100511000681 |
| Provider Name | Elizabeth L Turner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437177441 PECOS PAC ID: 7113057829 Enrollment ID: I20100607000530 |
| Provider Name | Karla L Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407884497 PECOS PAC ID: 9133259856 Enrollment ID: I20100607000634 |
| Provider Name | Joel Ledbetter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639101785 PECOS PAC ID: 5597895946 Enrollment ID: I20100610000637 |
| Provider Name | Shawn P Stallings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184616369 PECOS PAC ID: 1850421223 Enrollment ID: I20100610000911 |
| Provider Name | Christine M Jeong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619924743 PECOS PAC ID: 2668502691 Enrollment ID: I20100617000371 |
| Provider Name | Amberly B Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134445968 PECOS PAC ID: 1254462906 Enrollment ID: I20100624000872 |
| Provider Name | Christopher K Sanborn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225186877 PECOS PAC ID: 0941331201 Enrollment ID: I20100630000370 |
| Provider Name | Elizabeth D Close |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760697734 PECOS PAC ID: 7214068204 Enrollment ID: I20100708000948 |
| Provider Name | Andrea W Goins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780888032 PECOS PAC ID: 4082748892 Enrollment ID: I20100816000885 |
| Provider Name | Terry M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275861791 PECOS PAC ID: 0840314688 Enrollment ID: I20100831000078 |
| Provider Name | Margaret A Wilkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487672226 PECOS PAC ID: 3173648532 Enrollment ID: I20100909000363 |
| Provider Name | Ellen H Tessman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316961626 PECOS PAC ID: 1153446539 Enrollment ID: I20100909000535 |
| Provider Name | Kathleen C Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528043841 PECOS PAC ID: 9830214196 Enrollment ID: I20100910000404 |
| Provider Name | Patrick N Rhyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063497162 PECOS PAC ID: 6305961061 Enrollment ID: I20100917000779 |
| Provider Name | Dale Clifford Ingram |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841276052 PECOS PAC ID: 4981737582 Enrollment ID: I20101005000473 |
| Provider Name | Paul A Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376630707 PECOS PAC ID: 0749235927 Enrollment ID: I20101013000715 |
| Provider Name | Adrienne N Harrington-merriweather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639391956 PECOS PAC ID: 6204029465 Enrollment ID: I20101020000349 |
| Provider Name | Jeanie D Dassow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740226562 PECOS PAC ID: 9739106378 Enrollment ID: I20101020001105 |
| Provider Name | Unnati M Kiran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508021718 PECOS PAC ID: 5294929584 Enrollment ID: I20101101000289 |
| Provider Name | Susan B Gain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477552347 PECOS PAC ID: 7214124999 Enrollment ID: I20101207000748 |
| Provider Name | Megan A Sticher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851537997 PECOS PAC ID: 7113115916 Enrollment ID: I20101221000356 |
| Provider Name | Natalie J Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417140443 PECOS PAC ID: 2163505462 Enrollment ID: I20110103000521 |
| Provider Name | Teresa Lorraine D'avanzo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235447251 PECOS PAC ID: 1355520438 Enrollment ID: I20110120001117 |
| Provider Name | Casey R Kepner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598073561 PECOS PAC ID: 6002096278 Enrollment ID: I20110204000265 |
| Provider Name | Pedro P Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871774042 PECOS PAC ID: 3779765151 Enrollment ID: I20110307000178 |
| Provider Name | Michael Gallagher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427147214 PECOS PAC ID: 8527270206 Enrollment ID: I20110323000094 |
| Provider Name | Sachin Phade |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477744035 PECOS PAC ID: 4981881372 Enrollment ID: I20110613000462 |
| Provider Name | Robert Miles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730270216 PECOS PAC ID: 5991983181 Enrollment ID: I20110616000354 |
| Provider Name | Benjamin Mixon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558558254 PECOS PAC ID: 1254519440 Enrollment ID: I20110616000362 |
| Provider Name | Elizabeth D Ferluga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114121605 PECOS PAC ID: 2668650219 Enrollment ID: I20110629000678 |
| Provider Name | Peter E Boehm |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427261429 PECOS PAC ID: 9830377191 Enrollment ID: I20110711000258 |
| Provider Name | Poonam Puri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659577492 PECOS PAC ID: 2860676558 Enrollment ID: I20110714000149 |
| Provider Name | Leslie C Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326215120 PECOS PAC ID: 7113195256 Enrollment ID: I20110715000651 |
| Provider Name | Sonya L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225019086 PECOS PAC ID: 5890963581 Enrollment ID: I20110725000376 |
| Provider Name | James W Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558359448 PECOS PAC ID: 4688859697 Enrollment ID: I20110727000257 |
| Provider Name | Shevonda T Sherrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790701936 PECOS PAC ID: 4688679418 Enrollment ID: I20110809000017 |
| Provider Name | Tracy M Dozier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831382373 PECOS PAC ID: 5496927493 Enrollment ID: I20111018000216 |
| Provider Name | Sarah Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952683666 PECOS PAC ID: 8527231539 Enrollment ID: I20111107000504 |
| Provider Name | Joseph H Kipikasa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578556858 PECOS PAC ID: 0648263590 Enrollment ID: I20111114000341 |
| Provider Name | Cathy A Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740208750 PECOS PAC ID: 5597939934 Enrollment ID: I20111121000192 |
| Provider Name | Farooq Akbar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396772117 PECOS PAC ID: 6507828787 Enrollment ID: I20111205000886 |
| Provider Name | Michael G Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760643027 PECOS PAC ID: 3870768690 Enrollment ID: I20111206000815 |
| Provider Name | Christi Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811274665 PECOS PAC ID: 8325214133 Enrollment ID: I20111228000756 |
| Provider Name | Michael A Liedke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720261365 PECOS PAC ID: 7719065325 Enrollment ID: I20120221000503 |
| Provider Name | Arsian A Kahloon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801025440 PECOS PAC ID: 5991960791 Enrollment ID: I20120628000606 |
| Provider Name | Laura B Youngblood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194968776 PECOS PAC ID: 4688830433 Enrollment ID: I20120723000525 |
| Provider Name | Brandon A Cincere |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679694434 PECOS PAC ID: 7517123391 Enrollment ID: I20120723000842 |
| Provider Name | Laurie-anne C Swaby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851591499 PECOS PAC ID: 4183870181 Enrollment ID: I20120807000594 |
| Provider Name | John C Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740541333 PECOS PAC ID: 8325294846 Enrollment ID: I20120815000500 |
| Provider Name | Upasana Bardhan Chakraborty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649459033 PECOS PAC ID: 3779739115 Enrollment ID: I20120817000283 |
| Provider Name | Alicia Cooper Andrews |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225295215 PECOS PAC ID: 4880841733 Enrollment ID: I20120828000361 |
| Provider Name | Tiundra L Love |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376787788 PECOS PAC ID: 1850540873 Enrollment ID: I20121009000041 |
| Provider Name | Todd P Boren |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730142340 PECOS PAC ID: 3375619083 Enrollment ID: I20121010000143 |
| Provider Name | Rebecca Young Gephart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548523418 PECOS PAC ID: 8224284872 Enrollment ID: I20121129000527 |
| Provider Name | Jammie A Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114235231 PECOS PAC ID: 2466603147 Enrollment ID: I20121203000039 |
| Provider Name | Karen Elizabeth Hulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982988325 PECOS PAC ID: 5395990337 Enrollment ID: I20130225000158 |
| Provider Name | Cara F Hennings |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639346448 PECOS PAC ID: 0244479947 Enrollment ID: I20130610000196 |
| Provider Name | James K Fleming |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316180672 PECOS PAC ID: 5395984843 Enrollment ID: I20130613000671 |
| Provider Name | Elizabeth M Bowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063450427 PECOS PAC ID: 5698914133 Enrollment ID: I20130614000179 |
| Provider Name | Linda M North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275978322 PECOS PAC ID: 7214178466 Enrollment ID: I20130730000921 |
| Provider Name | Steven N Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891012514 PECOS PAC ID: 8022254556 Enrollment ID: I20130903000702 |
| Provider Name | Tia Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265694913 PECOS PAC ID: 0143463513 Enrollment ID: I20130904000460 |
| Provider Name | Jeremy Reginald Bruce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073711677 PECOS PAC ID: 7416103718 Enrollment ID: I20130904000601 |
| Provider Name | Dharmendrakumar A Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427248756 PECOS PAC ID: 8628211802 Enrollment ID: I20130909000404 |
| Provider Name | Jason H Horinouchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528379435 PECOS PAC ID: 8729221916 Enrollment ID: I20130909000525 |
| Provider Name | Anand N Shridharani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992834923 PECOS PAC ID: 4183889728 Enrollment ID: I20130923000495 |
| Provider Name | Jesse F Doty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851513931 PECOS PAC ID: 8224284377 Enrollment ID: I20130925000423 |
| Provider Name | Lincoln Peixoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942574280 PECOS PAC ID: 6002040367 Enrollment ID: I20130930000276 |
| Provider Name | Haritha Revana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134430788 PECOS PAC ID: 5799921409 Enrollment ID: I20131106000860 |
| Provider Name | Rita R Shridharani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740448067 PECOS PAC ID: 7315091667 Enrollment ID: I20131106001008 |
| Provider Name | Emily C Decroos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114041902 PECOS PAC ID: 8022289636 Enrollment ID: I20131210001090 |
| Provider Name | Sandeep Rajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396852273 PECOS PAC ID: 0446254957 Enrollment ID: I20131217000321 |
| Provider Name | Donna R Duff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598191025 PECOS PAC ID: 3476781170 Enrollment ID: I20131231001463 |
| Provider Name | Eve R Wadzinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720275134 PECOS PAC ID: 6305074071 Enrollment ID: I20140102001580 |
| Provider Name | Kaci J Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568752798 PECOS PAC ID: 7719156082 Enrollment ID: I20140307001242 |
| Provider Name | Vivekananda Pattabiraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467649830 PECOS PAC ID: 1658402482 Enrollment ID: I20140313001713 |
| Provider Name | Robert David Sapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982705836 PECOS PAC ID: 9133174147 Enrollment ID: I20140317001686 |
| Provider Name | Melissa Ann Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053407809 PECOS PAC ID: 6002713450 Enrollment ID: I20140319000568 |
| Provider Name | Jennifer L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598182289 PECOS PAC ID: 1850515339 Enrollment ID: I20140624002308 |
| Provider Name | Jayne L Crowe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205063591 PECOS PAC ID: 6608092812 Enrollment ID: I20140724001229 |
| Provider Name | Nancy G Michaelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452425 PECOS PAC ID: 0840102489 Enrollment ID: I20140725001802 |
| Provider Name | Sarah E Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861818452 PECOS PAC ID: 6507082617 Enrollment ID: I20140725001913 |
| Provider Name | Joshua Peter Alpers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801926100 PECOS PAC ID: 6204063043 Enrollment ID: I20140804000763 |
| Provider Name | Gregory Nieckula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164716734 PECOS PAC ID: 2961648571 Enrollment ID: I20140820002557 |
| Provider Name | Adria F Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720407778 PECOS PAC ID: 6800014267 Enrollment ID: I20140826002174 |
| Provider Name | Karisten R Djernes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841581865 PECOS PAC ID: 5496991911 Enrollment ID: I20140916000607 |
| Provider Name | Dana W Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053727149 PECOS PAC ID: 0345469615 Enrollment ID: I20140918001138 |
| Provider Name | Amy E Walthour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255622197 PECOS PAC ID: 4789820218 Enrollment ID: I20141006001175 |
| Provider Name | Amy M Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164839494 PECOS PAC ID: 2567682081 Enrollment ID: I20141006001301 |
| Provider Name | Katherine Louise Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457771040 PECOS PAC ID: 2769601558 Enrollment ID: I20141007001495 |
| Provider Name | Kristopher B Meadows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700170602 PECOS PAC ID: 6305066531 Enrollment ID: I20141009002090 |
| Provider Name | Mystie K Swingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275942401 PECOS PAC ID: 3577784776 Enrollment ID: I20141030002522 |
| Provider Name | Oliver M Bujak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063525228 PECOS PAC ID: 9739181231 Enrollment ID: I20141111001900 |
| Provider Name | Merritt E Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760703490 PECOS PAC ID: 4789821802 Enrollment ID: I20141119002621 |
| Provider Name | Linda S Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548674419 PECOS PAC ID: 7113149485 Enrollment ID: I20141121000607 |
| Provider Name | Ravi Gurusamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710118393 PECOS PAC ID: 4183872658 Enrollment ID: I20150114001563 |
| Provider Name | Hannah M Bujak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710090972 PECOS PAC ID: 0941202444 Enrollment ID: I20150115001866 |
| Provider Name | Matthew Jon Carbone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154369494 PECOS PAC ID: 4981921608 Enrollment ID: I20150317002832 |
| Provider Name | Jason L Kile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699178574 PECOS PAC ID: 8628395373 Enrollment ID: I20150318000990 |
| Provider Name | James G Atherton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679746119 PECOS PAC ID: 4385961630 Enrollment ID: I20150325000911 |
| Provider Name | Samuel S Jacobson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326020843 PECOS PAC ID: 2062500788 Enrollment ID: I20150327000770 |
| Provider Name | David Suhrbier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629070651 PECOS PAC ID: 8325021140 Enrollment ID: I20150330001296 |
| Provider Name | Ramses L Vega-casasnovas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073741369 PECOS PAC ID: 5092964833 Enrollment ID: I20150427002035 |
| Provider Name | Megan D England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770988727 PECOS PAC ID: 9739407834 Enrollment ID: I20150501001262 |
| Provider Name | Fernando J Windemuller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174750517 PECOS PAC ID: 6507177011 Enrollment ID: I20150624000874 |
| Provider Name | Joseph Dillard Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295077881 PECOS PAC ID: 1052554441 Enrollment ID: I20150630001642 |
| Provider Name | Lydia B Speer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073833364 PECOS PAC ID: 6204079114 Enrollment ID: I20150707002890 |
| Provider Name | Heather N Gilliam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760740716 PECOS PAC ID: 9133367766 Enrollment ID: I20150713003138 |
| Provider Name | Stephanie Lynn Conrad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487813135 PECOS PAC ID: 6709055163 Enrollment ID: I20150715000448 |
| Provider Name | George Philips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013120344 PECOS PAC ID: 2062678790 Enrollment ID: I20150721001057 |
| Provider Name | Paige A Klingborg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457594665 PECOS PAC ID: 5496068348 Enrollment ID: I20150721001590 |
| Provider Name | Matthew D Higgins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629205752 PECOS PAC ID: 9133365745 Enrollment ID: I20150729010094 |
| Provider Name | Mehul M Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689931404 PECOS PAC ID: 3274775796 Enrollment ID: I20150729010181 |
| Provider Name | Dominic F Tutera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104053180 PECOS PAC ID: 0345470233 Enrollment ID: I20150729010226 |
| Provider Name | Berneet Kaur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477729002 PECOS PAC ID: 7315000197 Enrollment ID: I20150806012399 |
| Provider Name | Eric N Mccartt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083975734 PECOS PAC ID: 5193968121 Enrollment ID: I20150807014650 |
| Provider Name | Matthew K Chatfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720379829 PECOS PAC ID: 6002121795 Enrollment ID: I20150810001672 |
| Provider Name | Jay A Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063804532 PECOS PAC ID: 0749258192 Enrollment ID: I20150825005000 |
| Provider Name | Neil Melnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164488524 PECOS PAC ID: 4385690759 Enrollment ID: I20150928001094 |
| Provider Name | S. Marie Bell Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606722 PECOS PAC ID: 0042529984 Enrollment ID: I20151015002599 |
| Provider Name | Li Hua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780812198 PECOS PAC ID: 9032434758 Enrollment ID: I20151016002207 |
| Provider Name | Ernest B Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235523234 PECOS PAC ID: 4385954890 Enrollment ID: I20151113000605 |
| Provider Name | Amy W Rains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801206859 PECOS PAC ID: 6002126331 Enrollment ID: I20151117000447 |
| Provider Name | Rachel Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023206075 PECOS PAC ID: 1658426416 Enrollment ID: I20151119001395 |
| Provider Name | Andrew W Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073875464 PECOS PAC ID: 6305087099 Enrollment ID: I20151210002646 |
| Provider Name | Vanessa V Pigg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265790232 PECOS PAC ID: 3274771803 Enrollment ID: I20151229000994 |
| Provider Name | Catherine K Ginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396118113 PECOS PAC ID: 0749582062 Enrollment ID: I20160104001916 |
| Provider Name | Harish Manyam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780845032 PECOS PAC ID: 0244308518 Enrollment ID: I20160106001600 |
| Provider Name | Caleb Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013388404 PECOS PAC ID: 7517260474 Enrollment ID: I20160127000449 |
| Provider Name | Rebecca A Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184962169 PECOS PAC ID: 0042457855 Enrollment ID: I20160205000594 |
| Provider Name | Kristin Rose Logsdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538526348 PECOS PAC ID: 5092010595 Enrollment ID: I20160222000987 |
| Provider Name | Sheena E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437518982 PECOS PAC ID: 0345547543 Enrollment ID: I20160404000936 |
| Provider Name | Joseph H Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023244506 PECOS PAC ID: 4880983170 Enrollment ID: I20160509002453 |
| Provider Name | Jigme M Sethi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1891760708 PECOS PAC ID: 1254376114 Enrollment ID: I20160510002071 |
| Provider Name | Amanda M Tedstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275796575 PECOS PAC ID: 8921149030 Enrollment ID: I20160511000378 |
| Provider Name | Deondra Holston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669807335 PECOS PAC ID: 6901195155 Enrollment ID: I20160511002637 |
| Provider Name | Carol A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093726317 PECOS PAC ID: 0345539862 Enrollment ID: I20160523000687 |
| Provider Name | Seth T Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659506277 PECOS PAC ID: 4385880095 Enrollment ID: I20160606000537 |
| Provider Name | Linda Joy Bakker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336520709 PECOS PAC ID: 4587963095 Enrollment ID: I20160606002122 |
| Provider Name | Pamela Clark |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851364277 PECOS PAC ID: 6709820863 Enrollment ID: I20160607002298 |
| Provider Name | Dorinda Kay Harriss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801159363 PECOS PAC ID: 2163662784 Enrollment ID: I20160616000531 |
| Provider Name | Mark L Cloutier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124476007 PECOS PAC ID: 2860784964 Enrollment ID: I20160711001620 |
| Provider Name | Jacob B Cantrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417284498 PECOS PAC ID: 6709029895 Enrollment ID: I20160726001805 |
| Provider Name | Kristopher C Sanders |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730405531 PECOS PAC ID: 9537305164 Enrollment ID: I20160727002580 |
| Provider Name | Patrick Koo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982801866 PECOS PAC ID: 7113059650 Enrollment ID: I20160728001589 |
| Provider Name | Matthew A Kreth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750609939 PECOS PAC ID: 6608012398 Enrollment ID: I20160803001932 |
| Provider Name | Robert Scott Quigley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366769994 PECOS PAC ID: 6901127992 Enrollment ID: I20160809003077 |
| Provider Name | Jeffrey S Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922046168 PECOS PAC ID: 2668443698 Enrollment ID: I20160809003203 |
| Provider Name | Sathish Chandra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770841066 PECOS PAC ID: 5092951608 Enrollment ID: I20160809003319 |
| Provider Name | Thomas A Ireland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366607327 PECOS PAC ID: 2567627482 Enrollment ID: I20160810000043 |
| Provider Name | Stephanie D Holt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780936641 PECOS PAC ID: 0042504060 Enrollment ID: I20160812001663 |
| Provider Name | Daniel H Doty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528385887 PECOS PAC ID: 7618113226 Enrollment ID: I20160824001019 |
| Provider Name | Ruchir Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396033437 PECOS PAC ID: 1557656501 Enrollment ID: I20160830000695 |
| Provider Name | Sachin Hirenbhai Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154766764 PECOS PAC ID: 6103060777 Enrollment ID: I20160901001835 |
| Provider Name | Anteneh Birru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063851236 PECOS PAC ID: 3274829593 Enrollment ID: I20160912002426 |
| Provider Name | K. Frances Frigon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316909161 PECOS PAC ID: 0648321679 Enrollment ID: I20160913001696 |
| Provider Name | Justin A Ossman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982946091 PECOS PAC ID: 2769625177 Enrollment ID: I20160919001425 |
| Provider Name | Katlin E Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225584212 PECOS PAC ID: 8628365897 Enrollment ID: I20161003001693 |
| Provider Name | Larry Lynn Shears |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922035864 PECOS PAC ID: 9931178027 Enrollment ID: I20161006000924 |
| Provider Name | Betty E Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093923633 PECOS PAC ID: 1254589054 Enrollment ID: I20161010001890 |
| Provider Name | Ellen B Valadez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821313107 PECOS PAC ID: 0941588073 Enrollment ID: I20161025001179 |
| Provider Name | Emily D Forsyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861942419 PECOS PAC ID: 6901184522 Enrollment ID: I20161101002165 |
| Provider Name | Kathleen Garrett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760782890 PECOS PAC ID: 0648579821 Enrollment ID: I20161116000925 |
| Provider Name | Kacie Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740685684 PECOS PAC ID: 1658651369 Enrollment ID: I20161214001569 |
| Provider Name | Ozioma Akaranta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295132595 PECOS PAC ID: 5799065413 Enrollment ID: I20161214001799 |
| Provider Name | Kelly M Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235529256 PECOS PAC ID: 6507184033 Enrollment ID: I20161214002198 |
| Provider Name | Jennifer L Ehlers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619428406 PECOS PAC ID: 4082996582 Enrollment ID: I20170118000485 |
| Provider Name | Katherine A Browne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548710940 PECOS PAC ID: 3577846385 Enrollment ID: I20170201001603 |
| Provider Name | Larry C Cary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154591246 PECOS PAC ID: 6709954258 Enrollment ID: I20170317000197 |
| Provider Name | Mohammed Salik A Jahania |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285796573 PECOS PAC ID: 1254438278 Enrollment ID: I20170323000384 |
| Provider Name | Todd Elliott Thurston |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790911972 PECOS PAC ID: 2365758430 Enrollment ID: I20170509000485 |
| Provider Name | Daniel R Cronk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760454706 PECOS PAC ID: 7315103488 Enrollment ID: I20170510001678 |
| Provider Name | Meghan D Whitley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902082183 PECOS PAC ID: 0244517688 Enrollment ID: I20170511002408 |
| Provider Name | Chad Douglas Mcdaniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831624766 PECOS PAC ID: 3072882299 Enrollment ID: I20170703000934 |
| Provider Name | Frederick R Bossert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801139498 PECOS PAC ID: 3971744830 Enrollment ID: I20170713003493 |
| Provider Name | Prayash G Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437440757 PECOS PAC ID: 4284871195 Enrollment ID: I20170717002831 |
| Provider Name | Megan E Skorupa Stevens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417247453 PECOS PAC ID: 6305148206 Enrollment ID: I20170718000583 |
| Provider Name | Augustus Everett Mealor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891954616 PECOS PAC ID: 6901075191 Enrollment ID: I20170721001200 |
| Provider Name | Patrick Stevens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699065631 PECOS PAC ID: 2567732688 Enrollment ID: I20170724001212 |
| Provider Name | Jensen Hart Hyde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891113957 PECOS PAC ID: 3072896125 Enrollment ID: I20170725003272 |
| Provider Name | Benjamin Waldorf |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285945253 PECOS PAC ID: 5597058255 Enrollment ID: I20170726002707 |
| Provider Name | Henry Okafor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225263254 PECOS PAC ID: 9436451416 Enrollment ID: I20170728002434 |
| Provider Name | Alexia Flangini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023457181 PECOS PAC ID: 7911205042 Enrollment ID: I20170802002833 |
| Provider Name | Kenneth Edward Kokko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174533178 PECOS PAC ID: 7810042181 Enrollment ID: I20170809004019 |
| Provider Name | Bryce A Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497049373 PECOS PAC ID: 1153567896 Enrollment ID: I20170829000876 |
| Provider Name | Rachel A Vedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710416227 PECOS PAC ID: 1557634730 Enrollment ID: I20170911000990 |
| Provider Name | Mark Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609294164 PECOS PAC ID: 0840564779 Enrollment ID: I20170915002273 |
| Provider Name | Bryce Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558883678 PECOS PAC ID: 4284909201 Enrollment ID: I20171002000771 |
| Provider Name | Radhika M Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699065722 PECOS PAC ID: 0244531143 Enrollment ID: I20171011002174 |
| Provider Name | Lisa Kahana-naipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003349556 PECOS PAC ID: 8224304902 Enrollment ID: I20171025000028 |
| Provider Name | Christine A Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974097 PECOS PAC ID: 9537435177 Enrollment ID: I20171025002820 |
| Provider Name | Stephanie L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659793958 PECOS PAC ID: 6204068752 Enrollment ID: I20171102003025 |
| Provider Name | Amanda Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760649800 PECOS PAC ID: 6800929480 Enrollment ID: I20171108001645 |
| Provider Name | Marshall L Spears |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386904514 PECOS PAC ID: 1759527575 Enrollment ID: I20171108002125 |
| Provider Name | Lizeth J Romero |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396983524 PECOS PAC ID: 9032386016 Enrollment ID: I20171117001360 |
| Provider Name | Robert Vincent Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295078251 PECOS PAC ID: 8325260375 Enrollment ID: I20171117001862 |
| Provider Name | Robert Hines Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952721086 PECOS PAC ID: 8426350661 Enrollment ID: I20171120000795 |
| Provider Name | Lea K Parsley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851378426 PECOS PAC ID: 8325213994 Enrollment ID: I20171122001668 |
| Provider Name | Sarah A. Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659744365 PECOS PAC ID: 0345541876 Enrollment ID: I20171122002233 |
| Provider Name | Yuvraj Kalra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932364304 PECOS PAC ID: 6305085960 Enrollment ID: I20171128003815 |
| Provider Name | Rachel Denham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982149985 PECOS PAC ID: 7315204252 Enrollment ID: I20171130001021 |
| Provider Name | Kayla R Exum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194148007 PECOS PAC ID: 8022375963 Enrollment ID: I20171130001109 |
| Provider Name | Wesley L Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982817904 PECOS PAC ID: 1052580172 Enrollment ID: I20171130002739 |
| Provider Name | Brynna Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811410954 PECOS PAC ID: 1456619733 Enrollment ID: I20171213003166 |
| Provider Name | Katie Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447709845 PECOS PAC ID: 4082902879 Enrollment ID: I20171215000770 |
| Provider Name | Michael Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750759007 PECOS PAC ID: 9537460324 Enrollment ID: I20171226001290 |
| Provider Name | Stefanie A Swingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467769414 PECOS PAC ID: 0143588806 Enrollment ID: I20171229001934 |
| Provider Name | Alexander M Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710417696 PECOS PAC ID: 8820356421 Enrollment ID: I20180102001922 |
| Provider Name | Ashley Leshay Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033630447 PECOS PAC ID: 7618242769 Enrollment ID: I20180124001933 |
| Provider Name | Caleigh E Teasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811448905 PECOS PAC ID: 5092075713 Enrollment ID: I20180127000137 |
| Provider Name | Kimberly K Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518937572 PECOS PAC ID: 8325237332 Enrollment ID: I20180207001279 |
| Provider Name | Donita R Blanken Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245617299 PECOS PAC ID: 8729373774 Enrollment ID: I20180207001425 |
| Provider Name | Benjamin W Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629584461 PECOS PAC ID: 1355601261 Enrollment ID: I20180213002471 |
| Provider Name | Alexandra Martin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730340787 PECOS PAC ID: 9931342219 Enrollment ID: I20180518000485 |
| Provider Name | Antonio Maria Lazcano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235642380 PECOS PAC ID: 1456616564 Enrollment ID: I20180521000057 |
| Provider Name | Kathryn Hines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033477401 PECOS PAC ID: 1254581333 Enrollment ID: I20180529000040 |
| Provider Name | Matthew J Robbins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750733283 PECOS PAC ID: 4183918063 Enrollment ID: I20180605000133 |
| Provider Name | Karl Schuberthan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710493994 PECOS PAC ID: 7214282300 Enrollment ID: I20180613001503 |
| Provider Name | Brenda Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689029837 PECOS PAC ID: 3476808874 Enrollment ID: I20180626000149 |
| Provider Name | Flora Z Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790159317 PECOS PAC ID: 7012205594 Enrollment ID: I20180709003520 |
| Provider Name | Laxmi B Parsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790984300 PECOS PAC ID: 4880768621 Enrollment ID: I20180710001701 |
| Provider Name | Deanna G Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972029783 PECOS PAC ID: 7911265178 Enrollment ID: I20180711003814 |
| Provider Name | Noah J Jentzen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508109034 PECOS PAC ID: 8820345804 Enrollment ID: I20180723000395 |
| Provider Name | Jessica N Lange |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649537093 PECOS PAC ID: 3870813470 Enrollment ID: I20180724004160 |
| Provider Name | Laura Crawford Cleary |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669891883 PECOS PAC ID: 5092004366 Enrollment ID: I20180726002014 |
| Provider Name | Case Tedder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194111732 PECOS PAC ID: 6901117027 Enrollment ID: I20180731003706 |
| Provider Name | Brandon D Morrical |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265796908 PECOS PAC ID: 2668618596 Enrollment ID: I20180801004013 |
| Provider Name | Jeremy Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609142041 PECOS PAC ID: 0941521082 Enrollment ID: I20180807001036 |
| Provider Name | Sharlotte J Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457843781 PECOS PAC ID: 3274881990 Enrollment ID: I20180811000112 |
| Provider Name | Randi S Connor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073801965 PECOS PAC ID: 9032349212 Enrollment ID: I20180814002438 |
| Provider Name | Jenifer Shiphrah Herra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568858819 PECOS PAC ID: 0042531303 Enrollment ID: I20180815004089 |
| Provider Name | Stephen Pearce Scorey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851778427 PECOS PAC ID: 5698096212 Enrollment ID: I20180817003263 |
| Provider Name | Day B Breen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508121765 PECOS PAC ID: 8325270937 Enrollment ID: I20180827000336 |
| Provider Name | Jeffrey A Poynter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053578518 PECOS PAC ID: 1951549187 Enrollment ID: I20180905001173 |
| Provider Name | Lindsey G Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154871549 PECOS PAC ID: 8325398480 Enrollment ID: I20180911002135 |
| Provider Name | Aaron H Cohen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073855540 PECOS PAC ID: 8022380161 Enrollment ID: I20180914000099 |
| Provider Name | Maaz Sohail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407242381 PECOS PAC ID: 8729379656 Enrollment ID: I20180925000461 |
| Provider Name | Amber N Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629564661 PECOS PAC ID: 3779835889 Enrollment ID: I20181017001977 |
| Provider Name | Yuri Mcclendon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124405154 PECOS PAC ID: 7416278080 Enrollment ID: I20181022000851 |
| Provider Name | Howard Andrew Kraft |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326097262 PECOS PAC ID: 2062456361 Enrollment ID: I20181023003212 |
| Provider Name | Emily Monnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457713075 PECOS PAC ID: 1153674759 Enrollment ID: I20181029002936 |
| Provider Name | Marcelo E Rains |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023378494 PECOS PAC ID: 4284987876 Enrollment ID: I20181105000072 |
| Provider Name | James A Layman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609255629 PECOS PAC ID: 7012208218 Enrollment ID: I20181105000640 |
| Provider Name | Mckenzie Brooke Smartt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790275162 PECOS PAC ID: 5597019984 Enrollment ID: I20181121002850 |
| Provider Name | John Charles Gilpin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336631605 PECOS PAC ID: 2062766462 Enrollment ID: I20181124000096 |
| Provider Name | Michael Scott Teuton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861875312 PECOS PAC ID: 5597056788 Enrollment ID: I20181126001617 |
| Provider Name | Walter Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225290497 PECOS PAC ID: 8729221247 Enrollment ID: I20181126002022 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20181126003753 |
| Provider Name | Louis J Riccardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174837397 PECOS PAC ID: 2769636596 Enrollment ID: I20181206001375 |
| Provider Name | Jessica P Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20181208000125 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20181217002404 |
| Provider Name | Sarah K Ware |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225520026 PECOS PAC ID: 1850636580 Enrollment ID: I20181227000460 |
| Provider Name | Linda Yu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164624052 PECOS PAC ID: 4587834098 Enrollment ID: I20190102000586 |
| Provider Name | Aaron Brude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194241034 PECOS PAC ID: 9537405295 Enrollment ID: I20190117000006 |
| Provider Name | Elizabeth Erin Scarbrough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417376674 PECOS PAC ID: 1355688565 Enrollment ID: I20190125002423 |
| Provider Name | Brandon Daniel Brown |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1730405754 PECOS PAC ID: 7012151871 Enrollment ID: I20190129001703 |
| Provider Name | Kathryn K Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740751189 PECOS PAC ID: 5092052795 Enrollment ID: I20190201002122 |
| Provider Name | Kathleen E Jacobs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780157636 PECOS PAC ID: 6204174303 Enrollment ID: I20190215000640 |
| Provider Name | James Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114979150 PECOS PAC ID: 9436438611 Enrollment ID: I20190220000931 |
| Provider Name | Joseph C. Mcgough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528530789 PECOS PAC ID: 6002155264 Enrollment ID: I20190305002859 |
| Provider Name | Anuj Sinha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992754428 PECOS PAC ID: 7012193196 Enrollment ID: I20190521000843 |
| Provider Name | Kelly N Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073702742 PECOS PAC ID: 8022341445 Enrollment ID: I20190617002661 |
| Provider Name | Talundria Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174082382 PECOS PAC ID: 4880927219 Enrollment ID: I20190617002978 |
| Provider Name | Kristen R Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760815450 PECOS PAC ID: 7517291933 Enrollment ID: I20190618003629 |
| Provider Name | Lynn E Zeits |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649404419 PECOS PAC ID: 7315271129 Enrollment ID: I20190627003529 |
| Provider Name | Amber M Ridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578026837 PECOS PAC ID: 9032444153 Enrollment ID: I20190711002644 |
| Provider Name | Gregory M Reyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659662187 PECOS PAC ID: 7719125954 Enrollment ID: I20190718001776 |
| Provider Name | Jonathan P Walker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104185396 PECOS PAC ID: 8022321942 Enrollment ID: I20190726001115 |
| Provider Name | Cory J Rice |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629496989 PECOS PAC ID: 4880921832 Enrollment ID: I20190813003615 |
| Provider Name | Nicholas James Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184791220 PECOS PAC ID: 4082831649 Enrollment ID: I20190816000563 |
| Provider Name | Jake H Mckay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497166425 PECOS PAC ID: 5991923062 Enrollment ID: I20190826002553 |
| Provider Name | Rehan A Kahloon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497015150 PECOS PAC ID: 8426294133 Enrollment ID: I20190829001277 |
| Provider Name | David R Ambrosetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154785327 PECOS PAC ID: 6103125489 Enrollment ID: I20190831000281 |
| Provider Name | Emily C Ager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235593880 PECOS PAC ID: 7113210667 Enrollment ID: I20190903001358 |
| Provider Name | Amy Marie Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477614246 PECOS PAC ID: 3072745157 Enrollment ID: I20190913002215 |
| Provider Name | Jonathan Mills |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558775130 PECOS PAC ID: 5395967152 Enrollment ID: I20190914000122 |
| Provider Name | Ryan Lam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366896870 PECOS PAC ID: 9335479955 Enrollment ID: I20190925001191 |
| Provider Name | Ryan G Bode |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588028963 PECOS PAC ID: 4183955016 Enrollment ID: I20191008001675 |
| Provider Name | Michelle Yvonne Spencer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912345604 PECOS PAC ID: 7416185327 Enrollment ID: I20191010001098 |
| Provider Name | Elizabeth P Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912428566 PECOS PAC ID: 8224301601 Enrollment ID: I20191010001205 |
| Provider Name | Lauren C Brakebill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356995831 PECOS PAC ID: 9133450554 Enrollment ID: I20191015002999 |
| Provider Name | Mary M. Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881241354 PECOS PAC ID: 4688906803 Enrollment ID: I20191021002669 |
| Provider Name | Anne S Mainardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093151367 PECOS PAC ID: 1850602061 Enrollment ID: I20191028000987 |
| Provider Name | Jonathan Nicholas Pumilia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598146607 PECOS PAC ID: 6002121878 Enrollment ID: I20191031002795 |
| Provider Name | Brittnea Jean Adcock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396188546 PECOS PAC ID: 5395047765 Enrollment ID: I20191101001854 |
| Provider Name | David Shved |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003262593 PECOS PAC ID: 2668740515 Enrollment ID: I20191102000110 |
| Provider Name | Carson T Kaeser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992064539 PECOS PAC ID: 9234376278 Enrollment ID: I20191109000084 |
| Provider Name | April O Gunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245595404 PECOS PAC ID: 5991019903 Enrollment ID: I20191130000075 |
| Provider Name | Angela D. Yates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174880512 PECOS PAC ID: 6800026386 Enrollment ID: I20191203002717 |
| Provider Name | Jaime Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942841697 PECOS PAC ID: 0749613230 Enrollment ID: I20191216000708 |
| Provider Name | Erin J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881236578 PECOS PAC ID: 9931533429 Enrollment ID: I20191216001062 |
| Provider Name | Rachael L Tindell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972861342 PECOS PAC ID: 2567612641 Enrollment ID: I20191219002874 |
| Provider Name | Roseann M Lobach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972154953 PECOS PAC ID: 0042644254 Enrollment ID: I20191221000466 |
| Provider Name | Benjamin D Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689964801 PECOS PAC ID: 7214254440 Enrollment ID: I20191224000127 |
| Provider Name | Nancy A West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801439575 PECOS PAC ID: 8921432022 Enrollment ID: I20191226000392 |
| Provider Name | Dudley W Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780229229 PECOS PAC ID: 5395179188 Enrollment ID: I20200103000686 |
| Provider Name | Arthur Michael Dizon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609195304 PECOS PAC ID: 5294965760 Enrollment ID: I20200114002885 |
| Provider Name | Heather Ludwig Beakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548753304 PECOS PAC ID: 3870848625 Enrollment ID: I20200217000704 |
| Provider Name | Jacob Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780048785 PECOS PAC ID: 6406146893 Enrollment ID: I20200220002824 |
| Provider Name | Kristen L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689204968 PECOS PAC ID: 0143658427 Enrollment ID: I20200319002977 |
| Provider Name | Melissa L Greywitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821629494 PECOS PAC ID: 5092144964 Enrollment ID: I20200330001291 |
| Provider Name | Melissa Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518920107 PECOS PAC ID: 1254760945 Enrollment ID: I20200331003749 |
| Provider Name | Alexandria S Cooke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487017273 PECOS PAC ID: 4789982190 Enrollment ID: I20200417001476 |
| Provider Name | Amy Distretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891135489 PECOS PAC ID: 7719318666 Enrollment ID: I20200511001404 |
| Provider Name | Heather L Reimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851928758 PECOS PAC ID: 4688095037 Enrollment ID: I20200610003447 |
| Provider Name | Erica Christine Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457714040 PECOS PAC ID: 9537468608 Enrollment ID: I20200707002291 |
| Provider Name | Connie D Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609415850 PECOS PAC ID: 2769806959 Enrollment ID: I20200721002684 |
| Provider Name | Adam J Vanmason |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841532900 PECOS PAC ID: 9537463070 Enrollment ID: I20200721003191 |
| Provider Name | Jonathan M Powell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043620719 PECOS PAC ID: 2567753783 Enrollment ID: I20200723003635 |
| Provider Name | Christine V. B. Denton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194130930 PECOS PAC ID: 4183901705 Enrollment ID: I20200730003175 |
| Provider Name | Jessica Gambill Putman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366891202 PECOS PAC ID: 1850712837 Enrollment ID: I20200806000256 |
| Provider Name | Selene G Wheless |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316479116 PECOS PAC ID: 4789928912 Enrollment ID: I20200806003293 |
| Provider Name | David Joseph Wallace |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487918322 PECOS PAC ID: 9436440625 Enrollment ID: I20200806003626 |
| Provider Name | Sean C Rice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447679584 PECOS PAC ID: 1658673330 Enrollment ID: I20200811001439 |
| Provider Name | Andrew E Keyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255864229 PECOS PAC ID: 5597033316 Enrollment ID: I20200812003540 |
| Provider Name | Audrey E Haywood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356696041 PECOS PAC ID: 9335460310 Enrollment ID: I20200812003773 |
| Provider Name | Kelsey C Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803756 PECOS PAC ID: 3274959390 Enrollment ID: I20200819001748 |
| Provider Name | Abhinaya Jawahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972987758 PECOS PAC ID: 7214229731 Enrollment ID: I20200819002445 |
| Provider Name | Elwyn C Clark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083875900 PECOS PAC ID: 3577636018 Enrollment ID: I20200820001184 |
| Provider Name | Valerie Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235568361 PECOS PAC ID: 4587941950 Enrollment ID: I20200821002957 |
| Provider Name | William Hunter Garrett |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1285081463 PECOS PAC ID: 6204127913 Enrollment ID: I20200826000303 |
| Provider Name | Thanh-truc T Doan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467839670 PECOS PAC ID: 3870898851 Enrollment ID: I20200827002648 |
| Provider Name | Grayson E Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871026070 PECOS PAC ID: 2769750090 Enrollment ID: I20200828000349 |
| Provider Name | James Raulston |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780004846 PECOS PAC ID: 7416170402 Enrollment ID: I20200829000040 |
| Provider Name | Ryan T Voskuil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164842803 PECOS PAC ID: 8022435023 Enrollment ID: I20200903003267 |
| Provider Name | Sharif I Murphy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588096556 PECOS PAC ID: 5092948471 Enrollment ID: I20200904001487 |
| Provider Name | Julia Clare Cervantes Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999553 PECOS PAC ID: 6800214586 Enrollment ID: I20200911001537 |
| Provider Name | Nicholas B Cobb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831696822 PECOS PAC ID: 0345599130 Enrollment ID: I20200918001365 |
| Provider Name | Jenae C Hennessey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417565912 PECOS PAC ID: 4587083316 Enrollment ID: I20200929000980 |
| Provider Name | Danny Boyd Mccaughan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730236605 PECOS PAC ID: 9638598329 Enrollment ID: I20200929003786 |
| Provider Name | Amy L Tillett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326447780 PECOS PAC ID: 4082834486 Enrollment ID: I20200930003635 |
| Provider Name | Christy Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982667382 PECOS PAC ID: 8224457825 Enrollment ID: I20201001000311 |
| Provider Name | Alan Joseph Koffron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124056726 PECOS PAC ID: 6800964222 Enrollment ID: I20201021001892 |
| Provider Name | Stephanie Hittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760099923 PECOS PAC ID: 6800206202 Enrollment ID: I20201112002299 |
| Provider Name | Sara Elaine Conway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922531862 PECOS PAC ID: 7517235120 Enrollment ID: I20201113002058 |
| Provider Name | Katelyn Deanne Hassencahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912512625 PECOS PAC ID: 7719398114 Enrollment ID: I20201116000553 |
| Provider Name | Choon-kee Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194782169 PECOS PAC ID: 0648227363 Enrollment ID: I20201125001386 |
| Provider Name | Neelima Katragunta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912188236 PECOS PAC ID: 1153568688 Enrollment ID: I20210104002027 |
| Provider Name | Laura D Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184010456 PECOS PAC ID: 1658644893 Enrollment ID: I20210113002154 |
| Provider Name | Erin O Pierce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417488180 PECOS PAC ID: 3072886373 Enrollment ID: I20210211001371 |
| Provider Name | Emily Markwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497221113 PECOS PAC ID: 1951716208 Enrollment ID: I20210218000702 |
| Provider Name | Megan Coylewright |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003961772 PECOS PAC ID: 8628114931 Enrollment ID: I20210225001237 |
| Provider Name | David Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962049460 PECOS PAC ID: 4486061371 Enrollment ID: I20210319001355 |
| Provider Name | Lane D Beaumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215138326 PECOS PAC ID: 6103234869 Enrollment ID: I20210416002087 |
| Provider Name | Shannon L Rigler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356527865 PECOS PAC ID: 1951682996 Enrollment ID: I20210427000153 |
| Provider Name | Luke A Ebersole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144758277 PECOS PAC ID: 5193134377 Enrollment ID: I20210430000241 |
| Provider Name | Sarah E Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467045153 PECOS PAC ID: 9335558246 Enrollment ID: I20210505002520 |
| Provider Name | Miller A Earhart Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619587581 PECOS PAC ID: 7012326945 Enrollment ID: I20210506000078 |
| Provider Name | Juan E Cuebas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679578256 PECOS PAC ID: 2163326661 Enrollment ID: I20210610001156 |
| Provider Name | Cody D Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528557295 PECOS PAC ID: 5092065680 Enrollment ID: I20210621000313 |
| Provider Name | Chelsea A Shugars |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003261231 PECOS PAC ID: 6305131228 Enrollment ID: I20210623000374 |
| Provider Name | Jared D Coston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225698061 PECOS PAC ID: 4789085044 Enrollment ID: I20210624002319 |
| Provider Name | Kimberly D Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336262534 PECOS PAC ID: 6800297961 Enrollment ID: I20210625002374 |
| Provider Name | Ehsan Benrashid |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063788248 PECOS PAC ID: 2365772696 Enrollment ID: I20210702000423 |
| Provider Name | Elanagan Nagarajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467832600 PECOS PAC ID: 3072887801 Enrollment ID: I20210708001618 |
| Provider Name | Katelin M Pannell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255838165 PECOS PAC ID: 0840549200 Enrollment ID: I20210728002698 |
| Provider Name | Jetna C Okereke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316434558 PECOS PAC ID: 0143570952 Enrollment ID: I20210728003067 |
| Provider Name | William A Shelton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174013825 PECOS PAC ID: 0749539567 Enrollment ID: I20210803001109 |
| Provider Name | Parker D Plant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063945269 PECOS PAC ID: 9830466754 Enrollment ID: I20210812001359 |
| Provider Name | Christopher Rajan Merchant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598361644 PECOS PAC ID: 1355757212 Enrollment ID: I20210819002091 |
| Provider Name | Hannah M Rempe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164093340 PECOS PAC ID: 0345643342 Enrollment ID: I20210823001802 |
| Provider Name | Ashley Lauren Fedusenko |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861846800 PECOS PAC ID: 0648557017 Enrollment ID: I20210901004240 |
| Provider Name | Stephanie M Kibble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235721408 PECOS PAC ID: 0749686434 Enrollment ID: I20210903000994 |
| Provider Name | Kathryn T Oelsner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265939193 PECOS PAC ID: 6507115516 Enrollment ID: I20210909001424 |
| Provider Name | Mary K Houston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194309385 PECOS PAC ID: 6103222534 Enrollment ID: I20210909001765 |
| Provider Name | Natashau Mines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437822608 PECOS PAC ID: 4284030677 Enrollment ID: I20210910000104 |
| Provider Name | Kristin Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457934093 PECOS PAC ID: 8527464916 Enrollment ID: I20210910000181 |
| Provider Name | Mounzer Yassin Kassab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073557310 PECOS PAC ID: 7012967326 Enrollment ID: I20210922000342 |
| Provider Name | Emily G Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215500020 PECOS PAC ID: 6305243593 Enrollment ID: I20211001000080 |
| Provider Name | Imtiaz Akram Malik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346278546 PECOS PAC ID: 2668489725 Enrollment ID: I20211006000715 |
| Provider Name | Madeline Knott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164927380 PECOS PAC ID: 1052668357 Enrollment ID: I20211013003485 |
| Provider Name | Ryan C. Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306244298 PECOS PAC ID: 0749501716 Enrollment ID: I20211022001189 |
| Provider Name | Michael Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346918786 PECOS PAC ID: 7810385390 Enrollment ID: I20211103000329 |
| Provider Name | Emily Mcduffee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669793261 PECOS PAC ID: 7810128600 Enrollment ID: I20211108001596 |
| Provider Name | Amanda C Threlkeld |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679927057 PECOS PAC ID: 2567851322 Enrollment ID: I20211116002537 |
| Provider Name | Amber L Honea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851067557 PECOS PAC ID: 8325437122 Enrollment ID: I20211117000841 |
| Provider Name | Meredith Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275965592 PECOS PAC ID: 5991194615 Enrollment ID: I20211117002246 |
| Provider Name | Alexander P Berwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083092449 PECOS PAC ID: 5991097628 Enrollment ID: I20211208001131 |
| Provider Name | Rachel A Hopkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235809021 PECOS PAC ID: 7719377514 Enrollment ID: I20211210000604 |
| Provider Name | Douglas A Brewer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194727651 PECOS PAC ID: 6204825094 Enrollment ID: I20220126000341 |
| Provider Name | Mary Digiulio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184835290 PECOS PAC ID: 7416275680 Enrollment ID: I20220204001268 |
| Provider Name | Priya Vijayvargiya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295141679 PECOS PAC ID: 9234355447 Enrollment ID: I20220208002160 |
| Provider Name | Ghussai A Abd El Gadir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124400320 PECOS PAC ID: 4385037407 Enrollment ID: I20220211001463 |
| Provider Name | Jessica Foutch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992454474 PECOS PAC ID: 5991191033 Enrollment ID: I20220330000048 |
| Provider Name | Diaa Hamouda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003268889 PECOS PAC ID: 5294112082 Enrollment ID: I20220517001408 |
| Provider Name | Tabitha S Rajasaari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467124321 PECOS PAC ID: 0648657445 Enrollment ID: I20220517001907 |
| Provider Name | Natasha Amjed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992268965 PECOS PAC ID: 9830576370 Enrollment ID: I20220523000083 |
| Provider Name | Ashley J Cofield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407304272 PECOS PAC ID: 6507244951 Enrollment ID: I20220526000768 |
| Provider Name | Kristen M.s Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245434976 PECOS PAC ID: 9436395134 Enrollment ID: I20220526001180 |
| Provider Name | Robin S Hynek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568969285 PECOS PAC ID: 4486900784 Enrollment ID: I20220526002014 |
| Provider Name | Jeffrey D Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154775963 PECOS PAC ID: 2961799655 Enrollment ID: I20220617000526 |
| Provider Name | Cleopatra Thurman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144758236 PECOS PAC ID: 7012396187 Enrollment ID: I20220621000023 |
| Provider Name | Sheila Renee Holland Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531496 PECOS PAC ID: 0143636811 Enrollment ID: I20220621000589 |
| Provider Name | Syed Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467807354 PECOS PAC ID: 8820385677 Enrollment ID: I20220621002869 |
| Provider Name | Leigh H Hawks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134876998 PECOS PAC ID: 4587043260 Enrollment ID: I20220627002316 |
| Provider Name | John Lytle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356092571 PECOS PAC ID: 1951781970 Enrollment ID: I20220708001296 |
| Provider Name | Abigail T Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538808795 PECOS PAC ID: 0446632012 Enrollment ID: I20220728001555 |
| Provider Name | Samantha M Dmochowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912645573 PECOS PAC ID: 2961884333 Enrollment ID: I20220802000028 |
| Provider Name | Roderick Starkie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104032986 PECOS PAC ID: 4688814668 Enrollment ID: I20220802000077 |
| Provider Name | Richard T Loynd |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023495173 PECOS PAC ID: 8426349390 Enrollment ID: I20220802000125 |
| Provider Name | Krista M Cowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255994489 PECOS PAC ID: 9133457005 Enrollment ID: I20220802003314 |
| Provider Name | Christine J Carter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144683848 PECOS PAC ID: 6406194745 Enrollment ID: I20220803000758 |
| Provider Name | Claire R Jones |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174971162 PECOS PAC ID: 7618359902 Enrollment ID: I20220803001394 |
| Provider Name | Katye L Herring |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164884557 PECOS PAC ID: 2567757966 Enrollment ID: I20220804000442 |
| Provider Name | Hadlea L Eubanks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134850027 PECOS PAC ID: 3476937913 Enrollment ID: I20220831003384 |
| Provider Name | Diana M Alvarez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285096099 PECOS PAC ID: 5496049967 Enrollment ID: I20220901001287 |
| Provider Name | Michelle D Henderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295033256 PECOS PAC ID: 9335323922 Enrollment ID: I20220913001919 |
| Provider Name | Linda M Baki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689103756 PECOS PAC ID: 9537435516 Enrollment ID: I20220920001265 |
| Provider Name | Kayley G Marvel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265991517 PECOS PAC ID: 9335479492 Enrollment ID: I20220922002598 |
| Provider Name | Cory Messingschlager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245723527 PECOS PAC ID: 1951658087 Enrollment ID: I20220926000117 |
| Provider Name | Sara D Torbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710613765 PECOS PAC ID: 8729464524 Enrollment ID: I20221003000187 |
| Provider Name | Joseph R Pendley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902250137 PECOS PAC ID: 5890081178 Enrollment ID: I20221003001738 |
| Provider Name | Kaitlyn E Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356874028 PECOS PAC ID: 1153658323 Enrollment ID: I20221005000696 |
| Provider Name | Andrew C Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023745965 PECOS PAC ID: 0143606715 Enrollment ID: I20221005001108 |
| Provider Name | Anuj Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497090419 PECOS PAC ID: 3173750254 Enrollment ID: I20221007000338 |
| Provider Name | Paige L Retkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932836749 PECOS PAC ID: 1456727254 Enrollment ID: I20221019002301 |
| Provider Name | Joshua Warner Hornsby |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013371681 PECOS PAC ID: 5890073696 Enrollment ID: I20221020000707 |
| Provider Name | Julia R Groce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841752086 PECOS PAC ID: 9739415738 Enrollment ID: I20221114002686 |
| Provider Name | Sarah I Rodriguez-sawao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255822300 PECOS PAC ID: 4789919556 Enrollment ID: I20221130001513 |
| Provider Name | Yvonne Elizabeth Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285211334 PECOS PAC ID: 2264840966 Enrollment ID: I20230104002264 |
| Provider Name | Brian Hustad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790401073 PECOS PAC ID: 3678944741 Enrollment ID: I20230127001528 |
| Provider Name | Aduke L Simpson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972711877 PECOS PAC ID: 9436301736 Enrollment ID: I20230202000317 |
| Provider Name | Annmarie H Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417298845 PECOS PAC ID: 3375789688 Enrollment ID: I20230202000484 |
| Provider Name | Christine Shoaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912456344 PECOS PAC ID: 9931482692 Enrollment ID: I20230202000632 |
| Provider Name | Jordan B Dematteo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386375954 PECOS PAC ID: 2668846643 Enrollment ID: I20230314001248 |
| Provider Name | Cassandra S. Clendenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508598194 PECOS PAC ID: 6800260589 Enrollment ID: I20230320002255 |
| Provider Name | Shanna Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417664731 PECOS PAC ID: 8426422973 Enrollment ID: I20230323001227 |
| Provider Name | Amanda W Works |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215641915 PECOS PAC ID: 1658745856 Enrollment ID: I20230329001008 |
| Provider Name | Jeremiah R Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831651769 PECOS PAC ID: 4981939972 Enrollment ID: I20230405002328 |
| Provider Name | Katherine A Hamblin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972083129 PECOS PAC ID: 7810384575 Enrollment ID: I20230418000299 |
| Provider Name | Tara C Stitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568161107 PECOS PAC ID: 4880050392 Enrollment ID: I20230525000058 |
| Provider Name | Michael Alexander Yee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528471737 PECOS PAC ID: 8426276924 Enrollment ID: I20230605000405 |
| Provider Name | Meredith L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528763588 PECOS PAC ID: 2163889023 Enrollment ID: I20230607003415 |
| Provider Name | Preston L Fournier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073031886 PECOS PAC ID: 7012260870 Enrollment ID: I20230711000902 |
| Provider Name | Morghan E White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346933983 PECOS PAC ID: 2264892884 Enrollment ID: I20230714000649 |
| Provider Name | Pankaj Bhikhalal Kalaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366595738 PECOS PAC ID: 5991785669 Enrollment ID: I20240409000258 |
| Provider Name | Devon A. Greene |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235348350 PECOS PAC ID: 9234375833 Enrollment ID: I20240628001841 |
| Provider Name | Lauren Ashley Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053167700 PECOS PAC ID: 9537607957 Enrollment ID: I20240816001876 |
| Provider Name | Susanne S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609648021 PECOS PAC ID: 7416495478 Enrollment ID: I20240821003254 |
| Provider Name | Paige N Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669206827 PECOS PAC ID: 1254865587 Enrollment ID: I20241109000143 |
Terry W. Smith M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 | |
Liberty Healthcare Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421 Phone: 423-498-5839 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 Phone: 423-933-1672 Fax: 423-933-1675 | |
Dc Ventures Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-541-9455 | |
Beacon Health Alliance Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 37415 Phone: 423-877-4556 Fax: 423-877-9218 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6413 Lee Hwy Ste 107, Chattanooga, TN 37421 Phone: 000-000-0000 Fax: 000-000-0000 | |
The Weight Loss Center Of Chattanooga Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7405 Shallowford Rd Ste 320, Chattanooga, TN 37421 Phone: 706-537-7499 |