| CHI Health Clinic | |
|
7500 Mercy Rd Omaha NE 68124-2319 | |
| (402) 717-2500 | |
| Not Available |
| Full Name | CHI Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 7500 Mercy Rd, Omaha, Nebraska |
| Authorized Official Name and Position | David Pritza (SYSTEM SVP) |
| Authorized Official Contact | 4023434477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| CHI Health Clinic 7261 Mercy Rd Attn: Credentialing Omaha NE 68124-2311 Ph: (402) 398-6255 | CHI Health Clinic 7500 Mercy Rd Omaha NE 68124-2319 Ph: (402) 717-2500 |
| NPI Number | 1548287907 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 1951210418 |
|---|---|
| Medicare Enrollment ID | O20040407001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548287907 | NPI | - | NPPES |
| 098675 | Other | NE | MEDICARE PTAN |
| 098691 | Other | NE | MEDICARE PTAN |
| 098676 | Other | NE | MEDICARE PTAN |
| 098688 | Other | NE | MEDICARE PTAN |
| 098680 | Other | NE | MEDICARE PTAN |
| 098682 | Other | NE | MEDICARE PTAN |
| 098684 | Other | MEDICARE PTAN | |
| 099398 | Other | NE | MEDICARE PTAN |
| 098672 | Other | NE | MEDICARE PTAN |
| 098678 | Other | NE | MEDICARE PTAN |
| 098694 | Other | NE | MEDICARE PTAN |
| 098695 | Other | NE | MEDICARE PTAN |
| 098673 | Other | NE | MEDICARE PTAN |
| 098684 | Other | NE | MEDICARE PTAN |
| 098685 | Other | NE | MEDICARE PTAN |
| 098686 | Other | NE | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | David Albert Sterns |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1154382141 PECOS PAC ID: 6406752823 Enrollment ID: I20031208000880 |
| Provider Name | Jayanthi Ganesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033128251 PECOS PAC ID: 1355255548 Enrollment ID: I20031210000742 |
| Provider Name | Adrian Dreessen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396795779 PECOS PAC ID: 2264331842 Enrollment ID: I20040102000344 |
| Provider Name | Sanjeev K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366556839 PECOS PAC ID: 7517869761 Enrollment ID: I20040127000321 |
| Provider Name | Ann T Glow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184637472 PECOS PAC ID: 8527954668 Enrollment ID: I20040225000499 |
| Provider Name | Diane K Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694089 PECOS PAC ID: 8729974613 Enrollment ID: I20040226000737 |
| Provider Name | Jolene Marie Lies |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336322866 PECOS PAC ID: 4981591633 Enrollment ID: I20040228000117 |
| Provider Name | Glenn C Gardner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982653929 PECOS PAC ID: 4789676206 Enrollment ID: I20040402000195 |
| Provider Name | Michael J Mcnamara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326097742 PECOS PAC ID: 1759374259 Enrollment ID: I20040408000064 |
| Provider Name | Patricia J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396842100 PECOS PAC ID: 4587650999 Enrollment ID: I20040421001705 |
| Provider Name | Charles E Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376589085 PECOS PAC ID: 9032108915 Enrollment ID: I20040506001425 |
| Provider Name | Guy M Schropp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801946801 PECOS PAC ID: 1254320047 Enrollment ID: I20040507000535 |
| Provider Name | Daniel Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003966003 PECOS PAC ID: 8123017548 Enrollment ID: I20040511000510 |
| Provider Name | Mary M Couture |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245276948 PECOS PAC ID: 0042105082 Enrollment ID: I20040511000604 |
| Provider Name | Carissa J Jessen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629063920 PECOS PAC ID: 9335120070 Enrollment ID: I20040527000837 |
| Provider Name | Heather E Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306804067 PECOS PAC ID: 9638151079 Enrollment ID: I20040601001106 |
| Provider Name | Heather M Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922013531 PECOS PAC ID: 6103809496 Enrollment ID: I20040609000044 |
| Provider Name | Laura a Lindauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043365109 PECOS PAC ID: 6800871740 Enrollment ID: I20040623000941 |
| Provider Name | Amy Hannan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831148188 PECOS PAC ID: 8224011960 Enrollment ID: I20040708000800 |
| Provider Name | Thomas J Langdon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558331777 PECOS PAC ID: 3678562386 Enrollment ID: I20040803000820 |
| Provider Name | Wason W Louie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881645273 PECOS PAC ID: 9739153206 Enrollment ID: I20040820000816 |
| Provider Name | Poonam Sharma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336253913 PECOS PAC ID: 5193799567 Enrollment ID: I20040823000140 |
| Provider Name | Thomas G Buglewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548374291 PECOS PAC ID: 9638144819 Enrollment ID: I20040901000506 |
| Provider Name | Temple Anzalone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265546642 PECOS PAC ID: 2769457779 Enrollment ID: I20040901000507 |
| Provider Name | David D Hult |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457322281 PECOS PAC ID: 2163497470 Enrollment ID: I20040902001013 |
| Provider Name | Joseph L Verzal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205873171 PECOS PAC ID: 8022084730 Enrollment ID: I20040903000519 |
| Provider Name | Paula E Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255481255 PECOS PAC ID: 0345216958 Enrollment ID: I20040904000106 |
| Provider Name | Christine M Inguanzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760532766 PECOS PAC ID: 1052387107 Enrollment ID: I20040909000469 |
| Provider Name | Sara S Legleiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811966302 PECOS PAC ID: 5991795767 Enrollment ID: I20040920000808 |
| Provider Name | Jeffrey Stearnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356491351 PECOS PAC ID: 0244208783 Enrollment ID: I20040922000336 |
| Provider Name | Brian P Conroy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528098613 PECOS PAC ID: 6709854276 Enrollment ID: I20040922000574 |
| Provider Name | David a Clough |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316971781 PECOS PAC ID: 3678541166 Enrollment ID: I20040922000668 |
| Provider Name | Karen Leigh Bremer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972618502 PECOS PAC ID: 2567431265 Enrollment ID: I20040929000775 |
| Provider Name | Rebecca Ann Mcgee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437350477 PECOS PAC ID: 9234198896 Enrollment ID: I20041008000228 |
| Provider Name | David J Hoeft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215087218 PECOS PAC ID: 5496714834 Enrollment ID: I20041011000109 |
| Provider Name | Craig H Rabb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538108931 PECOS PAC ID: 1951395292 Enrollment ID: I20041014000496 |
| Provider Name | Julie Lynn Rothlisberger Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376693374 PECOS PAC ID: 1557323441 Enrollment ID: I20041102001115 |
| Provider Name | Curtis L Boeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881659787 PECOS PAC ID: 6608863170 Enrollment ID: I20041105000662 |
| Provider Name | Tracy D Ray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447388608 PECOS PAC ID: 3779546114 Enrollment ID: I20041108000335 |
| Provider Name | Kellie S Westbrook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477873982 PECOS PAC ID: 3274596390 Enrollment ID: I20041110000193 |
| Provider Name | Stephanie Rae Mastny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376523258 PECOS PAC ID: 9436114295 Enrollment ID: I20041122000609 |
| Provider Name | Greg a Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285655795 PECOS PAC ID: 9739145327 Enrollment ID: I20041206000559 |
| Provider Name | Sarah Michelle Hurd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932140134 PECOS PAC ID: 5597721720 Enrollment ID: I20041208000993 |
| Provider Name | Carolyn Meekyung Manhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073619458 PECOS PAC ID: 9335198316 Enrollment ID: I20050117000449 |
| Provider Name | Elizabeth E Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922077445 PECOS PAC ID: 1052363264 Enrollment ID: I20050216000358 |
| Provider Name | Ronald a Sarno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295785400 PECOS PAC ID: 1254238322 Enrollment ID: I20050222001017 |
| Provider Name | Tyrus S Soares |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154348191 PECOS PAC ID: 1254384191 Enrollment ID: I20050302000975 |
| Provider Name | Khalid Bashir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013021815 PECOS PAC ID: 5991759789 Enrollment ID: I20050303001078 |
| Provider Name | Douglas a Deboise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851408637 PECOS PAC ID: 8820036866 Enrollment ID: I20050420001128 |
| Provider Name | Deanna M Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700803327 PECOS PAC ID: 0648248427 Enrollment ID: I20050518000398 |
| Provider Name | Sean P Kenney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235217118 PECOS PAC ID: 4082656533 Enrollment ID: I20050525000715 |
| Provider Name | Steven G Lapke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710928817 PECOS PAC ID: 5799727889 Enrollment ID: I20050531000352 |
| Provider Name | Sara Lynn Rygol |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184657603 PECOS PAC ID: 8022050970 Enrollment ID: I20050601000622 |
| Provider Name | Jodanne W Hedrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730263948 PECOS PAC ID: 1456395979 Enrollment ID: I20050615000950 |
| Provider Name | Peter M Daher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528053006 PECOS PAC ID: 1658350939 Enrollment ID: I20050701000579 |
| Provider Name | James Christopher Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811962574 PECOS PAC ID: 9931001377 Enrollment ID: I20050714000296 |
| Provider Name | Melissa Leann Muhs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457430357 PECOS PAC ID: 5092741546 Enrollment ID: I20050715000247 |
| Provider Name | Brett H Ritchhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457562761 PECOS PAC ID: 2567499908 Enrollment ID: I20050718000838 |
| Provider Name | Michelle L Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790792372 PECOS PAC ID: 6406883503 Enrollment ID: I20050720000682 |
| Provider Name | Kristi E Newmyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366553950 PECOS PAC ID: 3971530098 Enrollment ID: I20050720000870 |
| Provider Name | Corrine Giggee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467486480 PECOS PAC ID: 0244260537 Enrollment ID: I20050816001101 |
| Provider Name | Keri A. Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649569518 PECOS PAC ID: 3476585605 Enrollment ID: I20050908000336 |
| Provider Name | Carmella N Imig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194823302 PECOS PAC ID: 7416943766 Enrollment ID: I20050920001011 |
| Provider Name | Dawn Marie Bodnar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164475729 PECOS PAC ID: 8123052768 Enrollment ID: I20050922000632 |
| Provider Name | Michael S Pettis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144334665 PECOS PAC ID: 5799679981 Enrollment ID: I20051017000325 |
| Provider Name | Paul Watson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740200146 PECOS PAC ID: 9032013255 Enrollment ID: I20051206000366 |
| Provider Name | Krissa L Downey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891843140 PECOS PAC ID: 8325069040 Enrollment ID: I20051209000315 |
| Provider Name | Marcus W Balters |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205940186 PECOS PAC ID: 0143249003 Enrollment ID: I20051219000763 |
| Provider Name | Theresa a Townley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699881177 PECOS PAC ID: 5294757753 Enrollment ID: I20051227000399 |
| Provider Name | David Lojero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881700136 PECOS PAC ID: 1850365503 Enrollment ID: I20060109000781 |
| Provider Name | Peter Silberstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952415317 PECOS PAC ID: 8527072800 Enrollment ID: I20060126000420 |
| Provider Name | Deborah Hoffnung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588619605 PECOS PAC ID: 2466449814 Enrollment ID: I20060307000598 |
| Provider Name | Robert T Kizer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770500514 PECOS PAC ID: 1951319805 Enrollment ID: I20060404000249 |
| Provider Name | Kristin N Krobot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245299304 PECOS PAC ID: 0840209177 Enrollment ID: I20060414000107 |
| Provider Name | James D Dunning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326198318 PECOS PAC ID: 6507877560 Enrollment ID: I20060505000554 |
| Provider Name | David S Quimby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235183369 PECOS PAC ID: 3072524438 Enrollment ID: I20060522000162 |
| Provider Name | Sona K Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083667695 PECOS PAC ID: 6507878477 Enrollment ID: I20060613000254 |
| Provider Name | Jon R Goldsmith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548225816 PECOS PAC ID: 5193738722 Enrollment ID: I20060726000111 |
| Provider Name | Michael a Hovey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366429458 PECOS PAC ID: 8123021433 Enrollment ID: I20060804000359 |
| Provider Name | Leanne Marie Vitito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992774426 PECOS PAC ID: 9931102100 Enrollment ID: I20060809000316 |
| Provider Name | Eric M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528089174 PECOS PAC ID: 7719997311 Enrollment ID: I20060810000269 |
| Provider Name | Thomas J Connolly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023031036 PECOS PAC ID: 0648273656 Enrollment ID: I20060811000411 |
| Provider Name | Lynette K Verzal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639191067 PECOS PAC ID: 9739182411 Enrollment ID: I20060818000210 |
| Provider Name | John Galligan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194773689 PECOS PAC ID: 0244233609 Enrollment ID: I20060824000563 |
| Provider Name | Gene T Omoto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932149390 PECOS PAC ID: 7113921537 Enrollment ID: I20060826000097 |
| Provider Name | Tony V Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124056569 PECOS PAC ID: 4688678931 Enrollment ID: I20060829000468 |
| Provider Name | Amy B Houlihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306861265 PECOS PAC ID: 9931103710 Enrollment ID: I20060909000031 |
| Provider Name | Darcy Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649290875 PECOS PAC ID: 6204830821 Enrollment ID: I20060912000598 |
| Provider Name | Michael Patrick Feloney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073620712 PECOS PAC ID: 7911968557 Enrollment ID: I20060915000577 |
| Provider Name | Ellen T Hutteger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841235413 PECOS PAC ID: 6002863891 Enrollment ID: I20060919000573 |
| Provider Name | Yetunde a Ogunleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811004443 PECOS PAC ID: 5991700213 Enrollment ID: I20060920000261 |
| Provider Name | Scott C Nelson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366448649 PECOS PAC ID: 4789687807 Enrollment ID: I20060921000377 |
| Provider Name | Cindy a Gubbels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497793343 PECOS PAC ID: 2769489103 Enrollment ID: I20061027000417 |
| Provider Name | Mindy K Rathe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730270117 PECOS PAC ID: 9739187964 Enrollment ID: I20061121000720 |
| Provider Name | Kristin L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982792107 PECOS PAC ID: 4385643014 Enrollment ID: I20061207000049 |
| Provider Name | Karen M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316908387 PECOS PAC ID: 1759335680 Enrollment ID: I20070102000101 |
| Provider Name | Mccann Houng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447240346 PECOS PAC ID: 7012948342 Enrollment ID: I20070110000324 |
| Provider Name | Keri a Lazure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902864622 PECOS PAC ID: 4789786070 Enrollment ID: I20070216000041 |
| Provider Name | Cheryl a Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245311570 PECOS PAC ID: 1759485923 Enrollment ID: I20070327000731 |
| Provider Name | Arman K Pajnigar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902841885 PECOS PAC ID: 8820192560 Enrollment ID: I20070405000084 |
| Provider Name | Dana K Zeiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174664676 PECOS PAC ID: 5496850778 Enrollment ID: I20070416000071 |
| Provider Name | Wendy M Schwery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215151014 PECOS PAC ID: 3072611946 Enrollment ID: I20070531000527 |
| Provider Name | Jason Kruger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376597500 PECOS PAC ID: 8224071535 Enrollment ID: I20070625000634 |
| Provider Name | Michael Schooff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306878921 PECOS PAC ID: 8123128709 Enrollment ID: I20070711000814 |
| Provider Name | Thomas M Atteberry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629063508 PECOS PAC ID: 0547238255 Enrollment ID: I20070713000082 |
| Provider Name | Shannon L Staton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114998069 PECOS PAC ID: 0244243913 Enrollment ID: I20070802000070 |
| Provider Name | Yongge Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215153465 PECOS PAC ID: 8022100346 Enrollment ID: I20070816000342 |
| Provider Name | Marc J Biggerstaff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922200724 PECOS PAC ID: 8527150606 Enrollment ID: I20070821000177 |
| Provider Name | Tin H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770786972 PECOS PAC ID: 1759474604 Enrollment ID: I20070907000717 |
| Provider Name | Sean T Mullendore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821081365 PECOS PAC ID: 5991898850 Enrollment ID: I20070907000756 |
| Provider Name | Christopher J Darst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275731531 PECOS PAC ID: 0749374262 Enrollment ID: I20070914000251 |
| Provider Name | Jeffrey R Rapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568410355 PECOS PAC ID: 8820182744 Enrollment ID: I20070921000546 |
| Provider Name | Jillianne M Danahay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811180151 PECOS PAC ID: 7012001993 Enrollment ID: I20070922000228 |
| Provider Name | Rachel E Cushing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578573937 PECOS PAC ID: 0547354425 Enrollment ID: I20070922000245 |
| Provider Name | Angelika L Stevens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568420891 PECOS PAC ID: 3274628813 Enrollment ID: I20070927000669 |
| Provider Name | Aj Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740481670 PECOS PAC ID: 8628163870 Enrollment ID: I20071002000811 |
| Provider Name | Susanne L Sasse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609928522 PECOS PAC ID: 8325046543 Enrollment ID: I20071019000050 |
| Provider Name | Anita B Venkataramana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528003191 PECOS PAC ID: 6608807847 Enrollment ID: I20071023000529 |
| Provider Name | Erika C Sachau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265434906 PECOS PAC ID: 2466402870 Enrollment ID: I20071102000463 |
| Provider Name | Andrew T Herd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972653715 PECOS PAC ID: 0941397012 Enrollment ID: I20071106000623 |
| Provider Name | Julie a Brauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437349511 PECOS PAC ID: 6305934282 Enrollment ID: I20071109000269 |
| Provider Name | Kirtibala Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568671360 PECOS PAC ID: 6800984717 Enrollment ID: I20071109000521 |
| Provider Name | Caron J Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922119452 PECOS PAC ID: 7911095484 Enrollment ID: I20071116000145 |
| Provider Name | Joseph a Wenzl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588775035 PECOS PAC ID: 5193814127 Enrollment ID: I20071128000784 |
| Provider Name | Carlos a Prendes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649381286 PECOS PAC ID: 2264521293 Enrollment ID: I20071128000812 |
| Provider Name | Mary Cecilia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336320043 PECOS PAC ID: 1254421431 Enrollment ID: I20071212000562 |
| Provider Name | Angela Lynn Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407869498 PECOS PAC ID: 0941380075 Enrollment ID: I20080102000370 |
| Provider Name | Himanshu MD Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942280672 PECOS PAC ID: 2365449337 Enrollment ID: I20080506000282 |
| Provider Name | Atul a Ramachandran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811075773 PECOS PAC ID: 3678548773 Enrollment ID: I20080507000485 |
| Provider Name | Kristina a Dada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487830097 PECOS PAC ID: 5991884330 Enrollment ID: I20080509000300 |
| Provider Name | Susan E Lacy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306023544 PECOS PAC ID: 1759460157 Enrollment ID: I20080510000085 |
| Provider Name | Janeen M Gass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255504064 PECOS PAC ID: 6507935848 Enrollment ID: I20080513000467 |
| Provider Name | Adam J Bierbaum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114190162 PECOS PAC ID: 6002985793 Enrollment ID: I20080521000350 |
| Provider Name | Michel Randolph Peter Wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447200647 PECOS PAC ID: 4486725561 Enrollment ID: I20080617000539 |
| Provider Name | Salam S Salman Maki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255303251 PECOS PAC ID: 8628030525 Enrollment ID: I20080711000541 |
| Provider Name | Rita Coleen Stice |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871548511 PECOS PAC ID: 1759454291 Enrollment ID: I20080717000096 |
| Provider Name | Lisa S Gentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548270945 PECOS PAC ID: 1557434941 Enrollment ID: I20080717000617 |
| Provider Name | Robbie L Lane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003923475 PECOS PAC ID: 6002989902 Enrollment ID: I20080725000522 |
| Provider Name | Brady J Ohare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922169663 PECOS PAC ID: 4587600291 Enrollment ID: I20080804000422 |
| Provider Name | Boshra M Rida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093930133 PECOS PAC ID: 9436225067 Enrollment ID: I20080905000420 |
| Provider Name | Marium Ilahi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003020645 PECOS PAC ID: 6305912858 Enrollment ID: I20080905000658 |
| Provider Name | Holly T Sennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699923243 PECOS PAC ID: 3274600077 Enrollment ID: I20080919000537 |
| Provider Name | Jason Paul Oberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386768927 PECOS PAC ID: 0244339190 Enrollment ID: I20080922000027 |
| Provider Name | Peggy H Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316169196 PECOS PAC ID: 3173690831 Enrollment ID: I20080922000359 |
| Provider Name | Sami Khalil Zeineddine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225242597 PECOS PAC ID: 8921176090 Enrollment ID: I20081003000150 |
| Provider Name | Alisha Nicole Lautenschlager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790933711 PECOS PAC ID: 1951469154 Enrollment ID: I20081016000259 |
| Provider Name | Joseph a Stangl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013012491 PECOS PAC ID: 4183782592 Enrollment ID: I20081028000726 |
| Provider Name | Kimberley a Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811945488 PECOS PAC ID: 0547329443 Enrollment ID: I20081106000827 |
| Provider Name | Lynn Allen Ferdig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447364146 PECOS PAC ID: 9638266307 Enrollment ID: I20081113000772 |
| Provider Name | Ray E Skelton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013034040 PECOS PAC ID: 1759488000 Enrollment ID: I20081202000544 |
| Provider Name | John Michael Bertoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346354172 PECOS PAC ID: 1951462340 Enrollment ID: I20081203000725 |
| Provider Name | Charles F Youngblood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346202447 PECOS PAC ID: 9234293549 Enrollment ID: I20090202000275 |
| Provider Name | Katherine West |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215949920 PECOS PAC ID: 2567490121 Enrollment ID: I20090212000462 |
| Provider Name | David Randall Pritza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942277272 PECOS PAC ID: 5991860512 Enrollment ID: I20090216000280 |
| Provider Name | Ronald J Pritza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164490140 PECOS PAC ID: 1951466580 Enrollment ID: I20090216000341 |
| Provider Name | Scott Carollo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760459093 PECOS PAC ID: 7113082744 Enrollment ID: I20090216000356 |
| Provider Name | Stephen O'connor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548238512 PECOS PAC ID: 9638234818 Enrollment ID: I20090223000553 |
| Provider Name | Shelly a Hajny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396984415 PECOS PAC ID: 6305901448 Enrollment ID: I20090224000529 |
| Provider Name | Kevin G Loontjer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710125919 PECOS PAC ID: 3375609399 Enrollment ID: I20090226000642 |
| Provider Name | Robert D Plambeck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619056256 PECOS PAC ID: 4183780570 Enrollment ID: I20090310000561 |
| Provider Name | Jodi L Stowater-goodrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225278609 PECOS PAC ID: 6002973104 Enrollment ID: I20090317000132 |
| Provider Name | Lynnette Ann Moseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386662278 PECOS PAC ID: 5395826960 Enrollment ID: I20090407000224 |
| Provider Name | Lewis W Eirinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851319743 PECOS PAC ID: 3577644145 Enrollment ID: I20090407000237 |
| Provider Name | Christopher John Connolly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881616167 PECOS PAC ID: 6204917875 Enrollment ID: I20090407000249 |
| Provider Name | Mark Dewey Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972525251 PECOS PAC ID: 8022165133 Enrollment ID: I20090407000279 |
| Provider Name | Inaganti M Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295829042 PECOS PAC ID: 3476619792 Enrollment ID: I20090409000124 |
| Provider Name | Samer I Renno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588758312 PECOS PAC ID: 9335181767 Enrollment ID: I20090409000131 |
| Provider Name | Abraham P Mathews |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568556314 PECOS PAC ID: 7012073331 Enrollment ID: I20090409000150 |
| Provider Name | Rebecca Jo Bertucci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396763280 PECOS PAC ID: 5799832663 Enrollment ID: I20090409000619 |
| Provider Name | Jon F Garrigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609824291 PECOS PAC ID: 1951309467 Enrollment ID: I20090422000482 |
| Provider Name | Jeffery S Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740229384 PECOS PAC ID: 2961477849 Enrollment ID: I20090423000139 |
| Provider Name | Don B Rhoden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023124435 PECOS PAC ID: 7214006873 Enrollment ID: I20090430000095 |
| Provider Name | Jenna Elizabeth Fiala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982683918 PECOS PAC ID: 8426032988 Enrollment ID: I20090526000350 |
| Provider Name | Jin Cai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487861597 PECOS PAC ID: 2365592896 Enrollment ID: I20090604000141 |
| Provider Name | Edward P Drobny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114035649 PECOS PAC ID: 5294820247 Enrollment ID: I20090608000401 |
| Provider Name | Thuc H Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780792200 PECOS PAC ID: 4880786862 Enrollment ID: I20090608000498 |
| Provider Name | Scott D Wilt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245348754 PECOS PAC ID: 3375635337 Enrollment ID: I20090608000526 |
| Provider Name | Allison M Mcleay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710114749 PECOS PAC ID: 9335290683 Enrollment ID: I20090625000495 |
| Provider Name | Laurence M Raynor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891898946 PECOS PAC ID: 9830284884 Enrollment ID: I20090715000095 |
| Provider Name | David E Odegaard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023236213 PECOS PAC ID: 8527110600 Enrollment ID: I20090721000487 |
| Provider Name | Eric M Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417183914 PECOS PAC ID: 0042363830 Enrollment ID: I20090805000124 |
| Provider Name | Alan M Parks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467667345 PECOS PAC ID: 3476606625 Enrollment ID: I20090805000344 |
| Provider Name | Christina M Vanhorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548441520 PECOS PAC ID: 9537212691 Enrollment ID: I20090806000643 |
| Provider Name | Lucinda Jean Heavican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770711582 PECOS PAC ID: 4385798354 Enrollment ID: I20090811000406 |
| Provider Name | Eric D Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245442748 PECOS PAC ID: 7618021510 Enrollment ID: I20090812000015 |
| Provider Name | Joan Silverstrand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225278567 PECOS PAC ID: 2961553425 Enrollment ID: I20090812000477 |
| Provider Name | Michael Paul Fullenkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053408864 PECOS PAC ID: 1456403948 Enrollment ID: I20090827000126 |
| Provider Name | Brenda Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053541276 PECOS PAC ID: 2567518087 Enrollment ID: I20090924000021 |
| Provider Name | Pauline Felker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710118732 PECOS PAC ID: 6406992130 Enrollment ID: I20091009000009 |
| Provider Name | Hussam S Abuissa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679500862 PECOS PAC ID: 6204901721 Enrollment ID: I20091009000094 |
| Provider Name | Karen S Staack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831161587 PECOS PAC ID: 4789762600 Enrollment ID: I20091023000367 |
| Provider Name | Danelle C Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679807796 PECOS PAC ID: 7214074962 Enrollment ID: I20091028000724 |
| Provider Name | Anthony F Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083873756 PECOS PAC ID: 3476691726 Enrollment ID: I20091106000543 |
| Provider Name | Michael H Mcguire |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366553331 PECOS PAC ID: 4082752886 Enrollment ID: I20091117000044 |
| Provider Name | Mark D Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326157124 PECOS PAC ID: 8325186026 Enrollment ID: I20091118000309 |
| Provider Name | Steven L Gabriel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013967330 PECOS PAC ID: 6901946581 Enrollment ID: I20091211000314 |
| Provider Name | Mark J Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396847984 PECOS PAC ID: 9335289826 Enrollment ID: I20091214000531 |
| Provider Name | Jay G Kenik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063522266 PECOS PAC ID: 3476693748 Enrollment ID: I20091217000129 |
| Provider Name | Edward T Mcgonigal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750492724 PECOS PAC ID: 3577603786 Enrollment ID: I20091221000036 |
| Provider Name | Michael Barsoom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497869291 PECOS PAC ID: 9032250154 Enrollment ID: I20100111000560 |
| Provider Name | Lindsay Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467787119 PECOS PAC ID: 8527107499 Enrollment ID: I20100116000240 |
| Provider Name | Eric C Rice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366545212 PECOS PAC ID: 1153463989 Enrollment ID: I20100116000316 |
| Provider Name | Sandeep Mukherjee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760432066 PECOS PAC ID: 6901948413 Enrollment ID: I20100121000704 |
| Provider Name | Larry E Siref |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043219546 PECOS PAC ID: 3072594191 Enrollment ID: I20100127000580 |
| Provider Name | Paulajo Malin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861502981 PECOS PAC ID: 1557404506 Enrollment ID: I20100130000055 |
| Provider Name | Jimmy P Khandalavala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558471755 PECOS PAC ID: 1658414636 Enrollment ID: I20100201000016 |
| Provider Name | Bruce L Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649380239 PECOS PAC ID: 6507900297 Enrollment ID: I20100218000580 |
| Provider Name | Henry a Sakowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700994647 PECOS PAC ID: 9234273921 Enrollment ID: I20100218000592 |
| Provider Name | Gregory J Schafer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265546832 PECOS PAC ID: 1557405271 Enrollment ID: I20100218000858 |
| Provider Name | John C Gallagher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184733966 PECOS PAC ID: 7113061771 Enrollment ID: I20100219000526 |
| Provider Name | Khalil J Burhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437373081 PECOS PAC ID: 7911041462 Enrollment ID: I20100222000242 |
| Provider Name | Robert W Dunlay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083729974 PECOS PAC ID: 7012802424 Enrollment ID: I20100223000699 |
| Provider Name | Lee E Morrow |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194836049 PECOS PAC ID: 9537194675 Enrollment ID: I20100223000725 |
| Provider Name | Naresh a Dewan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730294711 PECOS PAC ID: 3971647355 Enrollment ID: I20100223000729 |
| Provider Name | Nicholas Steier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174673172 PECOS PAC ID: 3476698598 Enrollment ID: I20100301000533 |
| Provider Name | Erin Mckown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932133246 PECOS PAC ID: 3779628409 Enrollment ID: I20100305000740 |
| Provider Name | Robert C Drvol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508916594 PECOS PAC ID: 0042355653 Enrollment ID: I20100308000405 |
| Provider Name | Romaine S Sangha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528284262 PECOS PAC ID: 0749345676 Enrollment ID: I20100311000482 |
| Provider Name | Tommora a Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154558765 PECOS PAC ID: 6800942830 Enrollment ID: I20100312000515 |
| Provider Name | Lisa Schalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275683278 PECOS PAC ID: 7618002064 Enrollment ID: I20100324000328 |
| Provider Name | Bodo W Treu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346390341 PECOS PAC ID: 4688709033 Enrollment ID: I20100324000359 |
| Provider Name | John J Cote |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336299320 PECOS PAC ID: 3971639295 Enrollment ID: I20100325000918 |
| Provider Name | M O Dada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881744878 PECOS PAC ID: 1254467582 Enrollment ID: I20100325001036 |
| Provider Name | Christopher M Criscuolo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518925114 PECOS PAC ID: 4789710997 Enrollment ID: I20100326000767 |
| Provider Name | John Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043360043 PECOS PAC ID: 7517093750 Enrollment ID: I20100327000096 |
| Provider Name | Christopher J. Huerter |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1801906326 PECOS PAC ID: 6709912736 Enrollment ID: I20100330000399 |
| Provider Name | Galen M Meyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881692903 PECOS PAC ID: 6800818709 Enrollment ID: I20100423000158 |
| Provider Name | Durgalakshmi Duraikannan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518184332 PECOS PAC ID: 2769519495 Enrollment ID: I20100428000641 |
| Provider Name | Gary L Gorby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437260965 PECOS PAC ID: 6103953872 Enrollment ID: I20100429000067 |
| Provider Name | Marvin J Bittner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215041959 PECOS PAC ID: 2264569938 Enrollment ID: I20100429000093 |
| Provider Name | Melissa Anne Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265543870 PECOS PAC ID: 0840328241 Enrollment ID: I20100505000713 |
| Provider Name | Tamra Ann Boettcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366556011 PECOS PAC ID: 2860520004 Enrollment ID: I20100510000614 |
| Provider Name | Kristee Zoloty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982754982 PECOS PAC ID: 2264560366 Enrollment ID: I20100511000776 |
| Provider Name | Heather Taggart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528118528 PECOS PAC ID: 7113055245 Enrollment ID: I20100512000041 |
| Provider Name | William a Lowndes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669522660 PECOS PAC ID: 5991801409 Enrollment ID: I20100512000699 |
| Provider Name | Terry Anthony Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447334214 PECOS PAC ID: 5991807406 Enrollment ID: I20100513000283 |
| Provider Name | Euclid Desouza |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609879733 PECOS PAC ID: 7719879527 Enrollment ID: I20100517000573 |
| Provider Name | Michael G Delcore |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467555920 PECOS PAC ID: 4789686932 Enrollment ID: I20100520000873 |
| Provider Name | Garret S Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194875195 PECOS PAC ID: 0648309062 Enrollment ID: I20100524000607 |
| Provider Name | Cara a Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306178827 PECOS PAC ID: 5597895300 Enrollment ID: I20100604000564 |
| Provider Name | Andrea C Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528221520 PECOS PAC ID: 4183754906 Enrollment ID: I20100604000630 |
| Provider Name | Kendee Diane Koster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285718072 PECOS PAC ID: 7911002274 Enrollment ID: I20100605000141 |
| Provider Name | Wayne E Penka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417093279 PECOS PAC ID: 3577694777 Enrollment ID: I20100702000397 |
| Provider Name | Batsirai Mutize |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750528733 PECOS PAC ID: 8123184454 Enrollment ID: I20100702000487 |
| Provider Name | William Thomas Sorrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417031295 PECOS PAC ID: 8426150939 Enrollment ID: I20100721000253 |
| Provider Name | Jeffery Todd Merz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750465548 PECOS PAC ID: 7618079120 Enrollment ID: I20100721000290 |
| Provider Name | Renee Michelle Johnson Sayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275690265 PECOS PAC ID: 2668505744 Enrollment ID: I20100727000844 |
| Provider Name | Beth Mason Ernst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225112014 PECOS PAC ID: 7719089226 Enrollment ID: I20100810000864 |
| Provider Name | Aishwarya a Patil |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366595449 PECOS PAC ID: 3375677024 Enrollment ID: I20100817000359 |
| Provider Name | Karl a Bergmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447497649 PECOS PAC ID: 0042367468 Enrollment ID: I20100825000467 |
| Provider Name | Joshua Endelicato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295929032 PECOS PAC ID: 4880789015 Enrollment ID: I20100827000090 |
| Provider Name | Naureen O Rafiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114126463 PECOS PAC ID: 3375667389 Enrollment ID: I20100827000428 |
| Provider Name | Timothy J Widhalm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437167038 PECOS PAC ID: 4183748098 Enrollment ID: I20100830000725 |
| Provider Name | Casey D Beran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144479957 PECOS PAC ID: 4880718600 Enrollment ID: I20100831000999 |
| Provider Name | Patrick Joseph Bogard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386693455 PECOS PAC ID: 5991829434 Enrollment ID: I20100903000882 |
| Provider Name | Elizabeth J Sidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265607436 PECOS PAC ID: 8022133776 Enrollment ID: I20100917000635 |
| Provider Name | Brian H Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619009537 PECOS PAC ID: 9638262033 Enrollment ID: I20100920001189 |
| Provider Name | Margaret M Beran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083807952 PECOS PAC ID: 9537214440 Enrollment ID: I20100922001262 |
| Provider Name | Venkata Andukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790902344 PECOS PAC ID: 2466578786 Enrollment ID: I20100923001353 |
| Provider Name | Ivelisse B Zima |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306938816 PECOS PAC ID: 6406754266 Enrollment ID: I20100927000898 |
| Provider Name | Gloria G Kisicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790941763 PECOS PAC ID: 7618169830 Enrollment ID: I20101006000988 |
| Provider Name | Sarah M Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699957951 PECOS PAC ID: 2860684099 Enrollment ID: I20101006001056 |
| Provider Name | Richard G Runge |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104888775 PECOS PAC ID: 7416149216 Enrollment ID: I20101012000984 |
| Provider Name | Kavish Rohatgi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710177944 PECOS PAC ID: 5294869509 Enrollment ID: I20101019000470 |
| Provider Name | Brenda Kay Wallingford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235340258 PECOS PAC ID: 2365636842 Enrollment ID: I20101028000683 |
| Provider Name | Jennifer M Consbruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083924088 PECOS PAC ID: 5193910941 Enrollment ID: I20101108000022 |
| Provider Name | Anthony J Halat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104811538 PECOS PAC ID: 1456367556 Enrollment ID: I20101112001242 |
| Provider Name | Douglas R Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265696876 PECOS PAC ID: 2860680378 Enrollment ID: I20101228000828 |
| Provider Name | Latrice D Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932439205 PECOS PAC ID: 8426230848 Enrollment ID: I20110307000634 |
| Provider Name | Hadi Zahra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023242583 PECOS PAC ID: 2769665827 Enrollment ID: I20110328000135 |
| Provider Name | Laeth S Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063462208 PECOS PAC ID: 2163605049 Enrollment ID: I20110330000927 |
| Provider Name | Thomas W Frederickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295728368 PECOS PAC ID: 8527026491 Enrollment ID: I20110414000676 |
| Provider Name | Adrienne Perfilio Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609908078 PECOS PAC ID: 2163607086 Enrollment ID: I20110419000609 |
| Provider Name | Holly Victoria Lashmet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609839463 PECOS PAC ID: 9234189184 Enrollment ID: I20110503000392 |
| Provider Name | Elizabeth Rose Fowlkes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871811729 PECOS PAC ID: 4880728799 Enrollment ID: I20110511000691 |
| Provider Name | Imad Alsakaf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295944783 PECOS PAC ID: 4789860297 Enrollment ID: I20110518000362 |
| Provider Name | Andrew J Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659663185 PECOS PAC ID: 2860678000 Enrollment ID: I20110524000047 |
| Provider Name | Amy K Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245537067 PECOS PAC ID: 7113104027 Enrollment ID: I20110601000722 |
| Provider Name | Mandy R Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396974820 PECOS PAC ID: 4880731991 Enrollment ID: I20110601000752 |
| Provider Name | Rebecca a Stratton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831319813 PECOS PAC ID: 7214114750 Enrollment ID: I20110609000074 |
| Provider Name | Nicholas Dietz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396833737 PECOS PAC ID: 5294912739 Enrollment ID: I20110609000105 |
| Provider Name | Eyad Skaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477568137 PECOS PAC ID: 6608958756 Enrollment ID: I20110721000401 |
| Provider Name | Joseph G Manasek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881990380 PECOS PAC ID: 9537338108 Enrollment ID: I20110816000764 |
| Provider Name | Andrea N Rabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457639296 PECOS PAC ID: 2860662244 Enrollment ID: I20110822000191 |
| Provider Name | Pooja a Deshmukh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700022704 PECOS PAC ID: 8426227984 Enrollment ID: I20110823001056 |
| Provider Name | Jennifer L Soria |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477783272 PECOS PAC ID: 9133265465 Enrollment ID: I20110830000174 |
| Provider Name | Mitchell S Norfleet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225040900 PECOS PAC ID: 3678530938 Enrollment ID: I20110901000661 |
| Provider Name | Christopher M Glowacki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225232119 PECOS PAC ID: 2567633126 Enrollment ID: I20110913000073 |
| Provider Name | Siva Madineedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699921635 PECOS PAC ID: 1456522960 Enrollment ID: I20110913000766 |
| Provider Name | Daniel E Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902061260 PECOS PAC ID: 3072784586 Enrollment ID: I20110913000793 |
| Provider Name | Richard B Thompson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699989772 PECOS PAC ID: 4981778594 Enrollment ID: I20110922000658 |
| Provider Name | Michael Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447207584 PECOS PAC ID: 4981616786 Enrollment ID: I20111020000229 |
| Provider Name | Cynthia a Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154570554 PECOS PAC ID: 1850568692 Enrollment ID: I20120119000703 |
| Provider Name | Analisa D Krahmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831498112 PECOS PAC ID: 8921266388 Enrollment ID: I20120215000340 |
| Provider Name | So Yun Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699922476 PECOS PAC ID: 1355496589 Enrollment ID: I20120222000969 |
| Provider Name | Winnie Chawira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528338191 PECOS PAC ID: 7416116041 Enrollment ID: I20120316000538 |
| Provider Name | Lorraine Irene Nabity |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821381138 PECOS PAC ID: 4587824115 Enrollment ID: I20120320000092 |
| Provider Name | Mignon M Makos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043203748 PECOS PAC ID: 5890681936 Enrollment ID: I20120423000307 |
| Provider Name | Rebecca M Wehrbein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518170430 PECOS PAC ID: 4587826870 Enrollment ID: I20120502000658 |
| Provider Name | Jill F Puetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386872372 PECOS PAC ID: 0648434829 Enrollment ID: I20120620000195 |
| Provider Name | Venkata MB Alla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598984965 PECOS PAC ID: 9830355973 Enrollment ID: I20120718000387 |
| Provider Name | Terrence T Slattery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396826871 PECOS PAC ID: 9537068432 Enrollment ID: I20120719000057 |
| Provider Name | Mohsen Zena |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548436033 PECOS PAC ID: 2860658390 Enrollment ID: I20120726000721 |
| Provider Name | William Abrahams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124251442 PECOS PAC ID: 7618124850 Enrollment ID: I20120823000516 |
| Provider Name | Mvikeli Ndebele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275808164 PECOS PAC ID: 0345498101 Enrollment ID: I20120919000843 |
| Provider Name | Michael a Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992867683 PECOS PAC ID: 5395994669 Enrollment ID: I20121001000442 |
| Provider Name | Miranda L Reichling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326307174 PECOS PAC ID: 4082863378 Enrollment ID: I20121002000131 |
| Provider Name | Luris De Calero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750613618 PECOS PAC ID: 3971593112 Enrollment ID: I20121103000101 |
| Provider Name | Sarah R Mayhue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043442288 PECOS PAC ID: 6406008242 Enrollment ID: I20121130000398 |
| Provider Name | Adam M Pleas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639374572 PECOS PAC ID: 5991957417 Enrollment ID: I20121210000141 |
| Provider Name | James Jacob Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105331 PECOS PAC ID: 2567517568 Enrollment ID: I20121218000598 |
| Provider Name | Jacqueline D Liess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093961898 PECOS PAC ID: 2365695962 Enrollment ID: I20130110000094 |
| Provider Name | Nathan M Sudbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598032401 PECOS PAC ID: 5496922429 Enrollment ID: I20130117000315 |
| Provider Name | Mark a Otto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386794386 PECOS PAC ID: 6709894751 Enrollment ID: I20130216000017 |
| Provider Name | Kylee Lindstedt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326387937 PECOS PAC ID: 5193970150 Enrollment ID: I20130225000400 |
| Provider Name | Annika L Carl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497093751 PECOS PAC ID: 6406001239 Enrollment ID: I20130228000494 |
| Provider Name | Steven K Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639417124 PECOS PAC ID: 3173778818 Enrollment ID: I20130301000096 |
| Provider Name | Rohini Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598997835 PECOS PAC ID: 7416102140 Enrollment ID: I20130304000446 |
| Provider Name | Jason E Lambrecht |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134431018 PECOS PAC ID: 1850546482 Enrollment ID: I20130304000580 |
| Provider Name | Samantha J Korth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952649162 PECOS PAC ID: 6002061314 Enrollment ID: I20130312000236 |
| Provider Name | Dawn R Stapleton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770835175 PECOS PAC ID: 0648415075 Enrollment ID: I20130405000338 |
| Provider Name | Sarah P Hennings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811238728 PECOS PAC ID: 8123264256 Enrollment ID: I20130416000572 |
| Provider Name | Jason T Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851644512 PECOS PAC ID: 1153567938 Enrollment ID: I20130424000210 |
| Provider Name | David T Mortensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518024520 PECOS PAC ID: 2961459961 Enrollment ID: I20130518000110 |
| Provider Name | Becky L Corum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679917975 PECOS PAC ID: 9133367253 Enrollment ID: I20130531000505 |
| Provider Name | Mohamad Ali Alhajhusain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770713257 PECOS PAC ID: 8729227145 Enrollment ID: I20130615000173 |
| Provider Name | Lindsey M Brezenski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083058846 PECOS PAC ID: 7113168949 Enrollment ID: I20130720000221 |
| Provider Name | Bonnie J Casey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730317405 PECOS PAC ID: 7416003447 Enrollment ID: I20130802000856 |
| Provider Name | Denise a Schmitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932444155 PECOS PAC ID: 7911149901 Enrollment ID: I20130802000864 |
| Provider Name | Adam Macdissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720399116 PECOS PAC ID: 9739321365 Enrollment ID: I20130812000541 |
| Provider Name | Anthony Macdissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194036723 PECOS PAC ID: 7113169665 Enrollment ID: I20130813000019 |
| Provider Name | Vanessa Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972817328 PECOS PAC ID: 6709028350 Enrollment ID: I20130814000345 |
| Provider Name | Carla S Church |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295054054 PECOS PAC ID: 4880836188 Enrollment ID: I20130816000119 |
| Provider Name | Erin T Jenkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174760839 PECOS PAC ID: 4587714456 Enrollment ID: I20130826000152 |
| Provider Name | Manish M Tiwari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891006417 PECOS PAC ID: 5991948150 Enrollment ID: I20130909000144 |
| Provider Name | Bradley William Devrieze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255564365 PECOS PAC ID: 0648414771 Enrollment ID: I20130911000584 |
| Provider Name | Andrew J Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104147800 PECOS PAC ID: 5294979001 Enrollment ID: I20130918000095 |
| Provider Name | Joseph a Nahas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497903520 PECOS PAC ID: 7517101348 Enrollment ID: I20130918000291 |
| Provider Name | Samuel Dubrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639349590 PECOS PAC ID: 2769626480 Enrollment ID: I20130919000610 |
| Provider Name | Joseph R Wolpert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578791604 PECOS PAC ID: 7810131380 Enrollment ID: I20130924000152 |
| Provider Name | Hamza Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962693903 PECOS PAC ID: 9234209859 Enrollment ID: I20130924000705 |
| Provider Name | Yohanes Tot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386082782 PECOS PAC ID: 1759525173 Enrollment ID: I20130924000842 |
| Provider Name | Tina J Stringham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154762433 PECOS PAC ID: 5890939110 Enrollment ID: I20130926000137 |
| Provider Name | Renuga Vivekanandan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508003914 PECOS PAC ID: 1658505268 Enrollment ID: I20131015001717 |
| Provider Name | Christopher J Holewinski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043643687 PECOS PAC ID: 2264667518 Enrollment ID: I20131023000626 |
| Provider Name | Kristin L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942640073 PECOS PAC ID: 5698900603 Enrollment ID: I20131029001468 |
| Provider Name | Jon G Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437209434 PECOS PAC ID: 6002824059 Enrollment ID: I20131109000560 |
| Provider Name | William C Dorwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144541335 PECOS PAC ID: 0042334492 Enrollment ID: I20131204001324 |
| Provider Name | Kathryn Mccary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326489139 PECOS PAC ID: 8123257284 Enrollment ID: I20140212001635 |
| Provider Name | Deepak Kumar Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861703555 PECOS PAC ID: 5193966265 Enrollment ID: I20140226000130 |
| Provider Name | Erin N Lavin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982985867 PECOS PAC ID: 4284805912 Enrollment ID: I20140227000835 |
| Provider Name | Cortney Boeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801137880 PECOS PAC ID: 6800028945 Enrollment ID: I20140403002290 |
| Provider Name | Lauren E Nitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801219175 PECOS PAC ID: 1850523697 Enrollment ID: I20140410000707 |
| Provider Name | Leah R Rowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255761433 PECOS PAC ID: 9436381605 Enrollment ID: I20140423000210 |
| Provider Name | Jessica Mack Demarco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376803213 PECOS PAC ID: 6709031792 Enrollment ID: I20140509000176 |
| Provider Name | Noel Christine Carosella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891998753 PECOS PAC ID: 8527294941 Enrollment ID: I20140514001870 |
| Provider Name | Bradley W Steffens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720231103 PECOS PAC ID: 3173772381 Enrollment ID: I20140515000908 |
| Provider Name | Rebecca Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336469550 PECOS PAC ID: 2264655729 Enrollment ID: I20140602001317 |
| Provider Name | Gangadasu Ecvs Reddy |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366739625 PECOS PAC ID: 3779739446 Enrollment ID: I20140612001015 |
| Provider Name | Regina Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447673363 PECOS PAC ID: 1355565326 Enrollment ID: I20140612001659 |
| Provider Name | Ruth Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952745903 PECOS PAC ID: 1850531633 Enrollment ID: I20140612002123 |
| Provider Name | Racheal C Mcmahon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093053142 PECOS PAC ID: 2062667876 Enrollment ID: I20140618000610 |
| Provider Name | Edward Chartrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710291257 PECOS PAC ID: 3678798865 Enrollment ID: I20140701002438 |
| Provider Name | Zachary S Depew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063618106 PECOS PAC ID: 7416071238 Enrollment ID: I20140701002593 |
| Provider Name | Nishavini Ranpatabendi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790110898 PECOS PAC ID: 3173749694 Enrollment ID: I20140718000900 |
| Provider Name | Pranith Surabhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891074803 PECOS PAC ID: 3173748951 Enrollment ID: I20140723000113 |
| Provider Name | Carrie L Wiegert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700298395 PECOS PAC ID: 9931326568 Enrollment ID: I20140805002612 |
| Provider Name | Lauren Cradit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809156 PECOS PAC ID: 2264659119 Enrollment ID: I20140816000151 |
| Provider Name | Christopher J Acker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811283989 PECOS PAC ID: 2567680978 Enrollment ID: I20140827000736 |
| Provider Name | Kelly M Osborn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982016754 PECOS PAC ID: 8224258447 Enrollment ID: I20141009002053 |
| Provider Name | Rachael E Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386043453 PECOS PAC ID: 0840411666 Enrollment ID: I20141021000420 |
| Provider Name | Ronald Matthew Kmiecik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609145564 PECOS PAC ID: 5092973875 Enrollment ID: I20141029001536 |
| Provider Name | Oscar S Lucar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699010702 PECOS PAC ID: 5991927873 Enrollment ID: I20141107002006 |
| Provider Name | Jill M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757728 PECOS PAC ID: 0941422687 Enrollment ID: I20141112001327 |
| Provider Name | Kelli Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853424 PECOS PAC ID: 4880816438 Enrollment ID: I20141114000667 |
| Provider Name | Laura Jane Dart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811910912 PECOS PAC ID: 7416102793 Enrollment ID: I20141219000958 |
| Provider Name | Ahmed Aboeata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376709808 PECOS PAC ID: 7315262904 Enrollment ID: I20150202000434 |
| Provider Name | Mary Catherine Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831357599 PECOS PAC ID: 5496802696 Enrollment ID: I20150205001353 |
| Provider Name | Marian K Meduna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861444093 PECOS PAC ID: 0941253025 Enrollment ID: I20150206001099 |
| Provider Name | Mendy M Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205834173 PECOS PAC ID: 1456493675 Enrollment ID: I20150226000742 |
| Provider Name | Katie L Beckmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225436157 PECOS PAC ID: 8426376039 Enrollment ID: I20150410001899 |
| Provider Name | Angela Karsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851652028 PECOS PAC ID: 3375863376 Enrollment ID: I20150514001225 |
| Provider Name | Amanda J Nastase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578959904 PECOS PAC ID: 9931429875 Enrollment ID: I20150518000869 |
| Provider Name | Ramesh K.R. Gadiraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699087007 PECOS PAC ID: 0042453052 Enrollment ID: I20150522000608 |
| Provider Name | Kayla Marie Davison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447638895 PECOS PAC ID: 4486975257 Enrollment ID: I20150604001992 |
| Provider Name | Elicia M Devall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821497892 PECOS PAC ID: 7012228547 Enrollment ID: I20150624001612 |
| Provider Name | Peter Anaradian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518221035 PECOS PAC ID: 5799917092 Enrollment ID: I20150707001921 |
| Provider Name | John Michael Horne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306166244 PECOS PAC ID: 6002129269 Enrollment ID: I20150716001620 |
| Provider Name | Usha Kiran Kanthety |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033464003 PECOS PAC ID: 0547573586 Enrollment ID: I20150720001665 |
| Provider Name | Jamie Lynne Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205216421 PECOS PAC ID: 4183937121 Enrollment ID: I20150720001685 |
| Provider Name | Anup V Sura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114282464 PECOS PAC ID: 1658684279 Enrollment ID: I20150724011274 |
| Provider Name | Bhavish Aubeelauck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043508963 PECOS PAC ID: 7416261003 Enrollment ID: I20150727000872 |
| Provider Name | Paul a Jackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289820 PECOS PAC ID: 2961716428 Enrollment ID: I20150729007071 |
| Provider Name | Emily Ann Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558746081 PECOS PAC ID: 1658686035 Enrollment ID: I20150813011225 |
| Provider Name | Stacie R. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212677 PECOS PAC ID: 0042525396 Enrollment ID: I20150814013481 |
| Provider Name | Brittany M Augustyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780019307 PECOS PAC ID: 7618282658 Enrollment ID: I20150819008430 |
| Provider Name | Michelle Pavlish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518333541 PECOS PAC ID: 4789990177 Enrollment ID: I20150831002149 |
| Provider Name | Scott M Reifschneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629471081 PECOS PAC ID: 4486977998 Enrollment ID: I20150921001484 |
| Provider Name | Andrew Gard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982831053 PECOS PAC ID: 1951527209 Enrollment ID: I20150928000316 |
| Provider Name | Kristina C Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659749471 PECOS PAC ID: 5890003271 Enrollment ID: I20151005001790 |
| Provider Name | Angelica Z Wong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467896720 PECOS PAC ID: 5294969713 Enrollment ID: I20151116001598 |
| Provider Name | Lindee Abe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912378845 PECOS PAC ID: 2769782903 Enrollment ID: I20151119002656 |
| Provider Name | Bronson J Boosalis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720426240 PECOS PAC ID: 6709018070 Enrollment ID: I20151120002658 |
| Provider Name | Jessica Jane Williamsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679942353 PECOS PAC ID: 8628378643 Enrollment ID: I20151124001098 |
| Provider Name | Carlee a Humm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053713008 PECOS PAC ID: 6608198031 Enrollment ID: I20160104000105 |
| Provider Name | Catherine Brignoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114982048 PECOS PAC ID: 6406894716 Enrollment ID: I20160105002352 |
| Provider Name | Shehnaz Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932321809 PECOS PAC ID: 4486720968 Enrollment ID: I20160114000916 |
| Provider Name | Stanley V Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942526371 PECOS PAC ID: 1456584424 Enrollment ID: I20160126000213 |
| Provider Name | Cody a Sasek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417283045 PECOS PAC ID: 2466582069 Enrollment ID: I20160202002194 |
| Provider Name | Mindy Keane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871951327 PECOS PAC ID: 4082918495 Enrollment ID: I20160205000119 |
| Provider Name | Stephanie K Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548654213 PECOS PAC ID: 3870811151 Enrollment ID: I20160205001972 |
| Provider Name | Chelsea Minert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730546359 PECOS PAC ID: 9133423924 Enrollment ID: I20160216000450 |
| Provider Name | Emi M Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508222183 PECOS PAC ID: 7810292505 Enrollment ID: I20160217001133 |
| Provider Name | Leah Brianne Ridder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083074751 PECOS PAC ID: 7618273541 Enrollment ID: I20160302002282 |
| Provider Name | Laura Marie Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437529880 PECOS PAC ID: 7214233501 Enrollment ID: I20160314000193 |
| Provider Name | Katie Ann Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912202 PECOS PAC ID: 0345546644 Enrollment ID: I20160314000663 |
| Provider Name | Kristin Dawn Busse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568821429 PECOS PAC ID: 4981900289 Enrollment ID: I20160314000668 |
| Provider Name | Mary Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104285865 PECOS PAC ID: 6507162716 Enrollment ID: I20160315001511 |
| Provider Name | Tiffany Marie Kalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083074652 PECOS PAC ID: 2860799806 Enrollment ID: I20160318001014 |
| Provider Name | D'layna Marlene Brening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043672561 PECOS PAC ID: 9335447077 Enrollment ID: I20160414000065 |
| Provider Name | Anna Elizabeth Prauner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235597790 PECOS PAC ID: 1850699406 Enrollment ID: I20160414000826 |
| Provider Name | Nagendra Natarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124245618 PECOS PAC ID: 3577728187 Enrollment ID: I20160418001369 |
| Provider Name | Carolyn M Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720443245 PECOS PAC ID: 6901105733 Enrollment ID: I20160429000980 |
| Provider Name | Elizabeth Jacobsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013339738 PECOS PAC ID: 0446489231 Enrollment ID: I20160503000545 |
| Provider Name | Felicitas Mavunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871957340 PECOS PAC ID: 1658670153 Enrollment ID: I20160505000456 |
| Provider Name | Brooke N Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033556113 PECOS PAC ID: 7214226448 Enrollment ID: I20160512001992 |
| Provider Name | Sean Robert Brozek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245677475 PECOS PAC ID: 2961634100 Enrollment ID: I20160519001273 |
| Provider Name | Juanita D Alvarez Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447616313 PECOS PAC ID: 5799082764 Enrollment ID: I20160525001965 |
| Provider Name | Krystal a Sunderman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710331350 PECOS PAC ID: 8628368511 Enrollment ID: I20160606001285 |
| Provider Name | Terra Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891153854 PECOS PAC ID: 3072803824 Enrollment ID: I20160607000478 |
| Provider Name | Emily J Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265886279 PECOS PAC ID: 4082904537 Enrollment ID: I20160613000660 |
| Provider Name | Joseph Thirumalareddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356611941 PECOS PAC ID: 6406097187 Enrollment ID: I20160615001884 |
| Provider Name | Kellen L Huston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134358500 PECOS PAC ID: 8527359900 Enrollment ID: I20160616002242 |
| Provider Name | Sue Eileen Holliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750514782 PECOS PAC ID: 9638460439 Enrollment ID: I20160627000996 |
| Provider Name | Matthew J Roesner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760830335 PECOS PAC ID: 2163713702 Enrollment ID: I20160629000335 |
| Provider Name | Spencer Borns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215387907 PECOS PAC ID: 4587955125 Enrollment ID: I20160629000449 |
| Provider Name | Michael Ryan Zimmerman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699118224 PECOS PAC ID: 3577706563 Enrollment ID: I20160714001993 |
| Provider Name | Todd J Gaddie |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1801101308 PECOS PAC ID: 5092946152 Enrollment ID: I20160725000573 |
| Provider Name | Vishal Jani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134350069 PECOS PAC ID: 7214220367 Enrollment ID: I20160727000154 |
| Provider Name | Bridget Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528413523 PECOS PAC ID: 2264725167 Enrollment ID: I20160801000091 |
| Provider Name | Denise L Poland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945139 PECOS PAC ID: 6800189614 Enrollment ID: I20160801000484 |
| Provider Name | Kimberly Noelle Spencer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396139069 PECOS PAC ID: 9739407230 Enrollment ID: I20160809000252 |
| Provider Name | Meaghan M Shanahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083844765 PECOS PAC ID: 0941441844 Enrollment ID: I20160811001201 |
| Provider Name | Erin C Walsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336692631 PECOS PAC ID: 0345534442 Enrollment ID: I20160812000892 |
| Provider Name | Mohsin M Mirza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053743229 PECOS PAC ID: 8820382823 Enrollment ID: I20160815001803 |
| Provider Name | Amy L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740630839 PECOS PAC ID: 7810281730 Enrollment ID: I20160815002528 |
| Provider Name | Margaret Leigh Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124475439 PECOS PAC ID: 2769777150 Enrollment ID: I20160824001715 |
| Provider Name | Sahil Mullick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033550421 PECOS PAC ID: 6406142835 Enrollment ID: I20160909002086 |
| Provider Name | Teresa M Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909655 PECOS PAC ID: 9638466378 Enrollment ID: I20160923002256 |
| Provider Name | Ashley M Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083161889 PECOS PAC ID: 6608164637 Enrollment ID: I20161007000059 |
| Provider Name | Trina K Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095172 PECOS PAC ID: 2668760109 Enrollment ID: I20161017000094 |
| Provider Name | Mohammed Zalabani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427345966 PECOS PAC ID: 7618106659 Enrollment ID: I20161027001532 |
| Provider Name | Adam P Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376098335 PECOS PAC ID: 0143508754 Enrollment ID: I20161102002433 |
| Provider Name | Angelica M Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508314709 PECOS PAC ID: 4880972330 Enrollment ID: I20161104001580 |
| Provider Name | Joshua D Ridder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821547936 PECOS PAC ID: 0446530927 Enrollment ID: I20161130000874 |
| Provider Name | Date K Amouzou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755954 PECOS PAC ID: 7719267046 Enrollment ID: I20161202001757 |
| Provider Name | Melissa L Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497040174 PECOS PAC ID: 2961672530 Enrollment ID: I20161207000063 |
| Provider Name | Justin G Adkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346405271 PECOS PAC ID: 3779754528 Enrollment ID: I20161213002462 |
| Provider Name | Lisa M Adkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316102254 PECOS PAC ID: 3072784990 Enrollment ID: I20161214000073 |
| Provider Name | Awinder P Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417204173 PECOS PAC ID: 7911121199 Enrollment ID: I20161214001504 |
| Provider Name | Barkot Gebremichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538595863 PECOS PAC ID: 9739471509 Enrollment ID: I20170131000418 |
| Provider Name | Ashley B. Ciochon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467902692 PECOS PAC ID: 5395028815 Enrollment ID: I20170208000244 |
| Provider Name | Carlos a Fernandez Acosta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750594693 PECOS PAC ID: 3870739345 Enrollment ID: I20170209002144 |
| Provider Name | Lacey a Gottula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154868024 PECOS PAC ID: 0042594822 Enrollment ID: I20170222000976 |
| Provider Name | Ashley R Schwartz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114467727 PECOS PAC ID: 7719262799 Enrollment ID: I20170315001001 |
| Provider Name | Vincent Muma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497293419 PECOS PAC ID: 2961788542 Enrollment ID: I20170413002107 |
| Provider Name | Allyson Kristine Doerr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205371572 PECOS PAC ID: 5092091215 Enrollment ID: I20170424000857 |
| Provider Name | Steffany J Chedel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528503851 PECOS PAC ID: 7012293236 Enrollment ID: I20170424001134 |
| Provider Name | Joseph Carl Pitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467990481 PECOS PAC ID: 7911274238 Enrollment ID: I20170517000230 |
| Provider Name | David M Schanbacher |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962727933 PECOS PAC ID: 5496971459 Enrollment ID: I20170519000470 |
| Provider Name | Matthew a Halfar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184916744 PECOS PAC ID: 5496974081 Enrollment ID: I20170522000057 |
| Provider Name | Lacey Jean Heikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891229787 PECOS PAC ID: 8022324441 Enrollment ID: I20170606001261 |
| Provider Name | Callie Chace Ogburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750791547 PECOS PAC ID: 7416174180 Enrollment ID: I20170612001789 |
| Provider Name | Robert W Plambeck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780945162 PECOS PAC ID: 7214205954 Enrollment ID: I20170621001016 |
| Provider Name | Paul Millner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962817817 PECOS PAC ID: 8820377062 Enrollment ID: I20170706001732 |
| Provider Name | Toufik Mahfood Haddad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932541000 PECOS PAC ID: 8820391154 Enrollment ID: I20170712000494 |
| Provider Name | Anna Worley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477968493 PECOS PAC ID: 6002195211 Enrollment ID: I20170718000991 |
| Provider Name | Sarah Grauman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831506278 PECOS PAC ID: 1850670233 Enrollment ID: I20170718001821 |
| Provider Name | Joslyn E. Pond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087375 PECOS PAC ID: 2264729102 Enrollment ID: I20170721000425 |
| Provider Name | Laurel L Duba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669901765 PECOS PAC ID: 1456621507 Enrollment ID: I20170721001248 |
| Provider Name | Brittani E Moeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487069985 PECOS PAC ID: 9537386958 Enrollment ID: I20170725000104 |
| Provider Name | Douglas P Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700315660 PECOS PAC ID: 9133499114 Enrollment ID: I20170725000371 |
| Provider Name | Wolfgang Fabio Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568519692 PECOS PAC ID: 5991869315 Enrollment ID: I20170726000402 |
| Provider Name | Kaitylyn Ann Boosalis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659804292 PECOS PAC ID: 9234400987 Enrollment ID: I20170731000788 |
| Provider Name | Stacy a Froehlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316469380 PECOS PAC ID: 3779854443 Enrollment ID: I20170731001337 |
| Provider Name | Constance Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487005567 PECOS PAC ID: 4486949989 Enrollment ID: I20170809002650 |
| Provider Name | Susann Ashley O'banion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972026995 PECOS PAC ID: 5890066781 Enrollment ID: I20170811000328 |
| Provider Name | Stephanie L Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295134385 PECOS PAC ID: 9335461581 Enrollment ID: I20170815003051 |
| Provider Name | Colin Adrian Meghoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871660597 PECOS PAC ID: 7416249610 Enrollment ID: I20170817001443 |
| Provider Name | Benjamin Bumgarner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588073399 PECOS PAC ID: 7416239322 Enrollment ID: I20170818000855 |
| Provider Name | Lauren Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205276326 PECOS PAC ID: 1850671165 Enrollment ID: I20170818002771 |
| Provider Name | Mohammed N Nazmul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659351328 PECOS PAC ID: 2163314469 Enrollment ID: I20170824002531 |
| Provider Name | Kassie a Lueth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746363 PECOS PAC ID: 0648543355 Enrollment ID: I20170831001021 |
| Provider Name | Phillip L Bassing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427571371 PECOS PAC ID: 4183997422 Enrollment ID: I20170907001807 |
| Provider Name | Rachael R Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417907437 PECOS PAC ID: 7315210697 Enrollment ID: I20170908000109 |
| Provider Name | Carrie Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548785611 PECOS PAC ID: 3274807276 Enrollment ID: I20170914000655 |
| Provider Name | Uneeda M Leverett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962478677 PECOS PAC ID: 9931233384 Enrollment ID: I20170922000896 |
| Provider Name | Mitchell Edward Weber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467749499 PECOS PAC ID: 6305067992 Enrollment ID: I20170927000578 |
| Provider Name | Jessica L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992173264 PECOS PAC ID: 1850671637 Enrollment ID: I20171010000444 |
| Provider Name | Rachael J Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215343082 PECOS PAC ID: 7214251438 Enrollment ID: I20171010000507 |
| Provider Name | Nathan Thomas Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164940466 PECOS PAC ID: 4082980917 Enrollment ID: I20171020002458 |
| Provider Name | Erik R. Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447541743 PECOS PAC ID: 0345472072 Enrollment ID: I20171129001403 |
| Provider Name | Lindsey N Kerrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013429026 PECOS PAC ID: 7012274046 Enrollment ID: I20171130000233 |
| Provider Name | Sarah K Shomshor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265946107 PECOS PAC ID: 9537426093 Enrollment ID: I20171208001006 |
| Provider Name | Mark Swenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316064835 PECOS PAC ID: 3971696071 Enrollment ID: I20171215002779 |
| Provider Name | Christopher B Thorson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356315170 PECOS PAC ID: 4688626633 Enrollment ID: I20171219001609 |
| Provider Name | Karla Atchley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427047497 PECOS PAC ID: 0749382539 Enrollment ID: I20171221000990 |
| Provider Name | Jeffrey C Macaraeg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730595158 PECOS PAC ID: 4587943923 Enrollment ID: I20180201000558 |
| Provider Name | Pradeepa P Vimalachandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265848949 PECOS PAC ID: 4385923457 Enrollment ID: I20180227002101 |
| Provider Name | Julie Ann Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861682452 PECOS PAC ID: 7416265566 Enrollment ID: I20180307002283 |
| Provider Name | Andrea Marie Vacha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922507086 PECOS PAC ID: 1759643547 Enrollment ID: I20180314001101 |
| Provider Name | Barclay a Monaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962418640 PECOS PAC ID: 5092723049 Enrollment ID: I20180320001562 |
| Provider Name | Venketraman Sahasranaman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710142039 PECOS PAC ID: 3779709761 Enrollment ID: I20180410000107 |
| Provider Name | Twethida Oung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790946481 PECOS PAC ID: 7810179256 Enrollment ID: I20180417000826 |
| Provider Name | Kayla Lawton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881197143 PECOS PAC ID: 0446513550 Enrollment ID: I20180423002846 |
| Provider Name | Wuttiporn Manatsathit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396023834 PECOS PAC ID: 4789993890 Enrollment ID: I20180517002415 |
| Provider Name | Jessica Elaine Prusa Flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598027500 PECOS PAC ID: 2264661354 Enrollment ID: I20180529002433 |
| Provider Name | Darren Matthew Groh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710277447 PECOS PAC ID: 3678838331 Enrollment ID: I20180530000422 |
| Provider Name | Amir Zahra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912268897 PECOS PAC ID: 9133484801 Enrollment ID: I20180530000753 |
| Provider Name | Lauren Joy Hager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215308622 PECOS PAC ID: 6507167384 Enrollment ID: I20180604002276 |
| Provider Name | Alison J Laflan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487032066 PECOS PAC ID: 7113272386 Enrollment ID: I20180613000185 |
| Provider Name | Andre N Orduna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003309451 PECOS PAC ID: 1254687437 Enrollment ID: I20180629001912 |
| Provider Name | Joan Delto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275769093 PECOS PAC ID: 4587933361 Enrollment ID: I20180709000717 |
| Provider Name | Emily Claire States |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023556040 PECOS PAC ID: 1355626581 Enrollment ID: I20180714000111 |
| Provider Name | Erin Hale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801237706 PECOS PAC ID: 6901183466 Enrollment ID: I20180717000785 |
| Provider Name | Emilea R Harshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831684216 PECOS PAC ID: 5890042758 Enrollment ID: I20180724000552 |
| Provider Name | Katherine S Moes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477047702 PECOS PAC ID: 8325395288 Enrollment ID: I20180724000589 |
| Provider Name | Venkata Sandeep Koripalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013390723 PECOS PAC ID: 3173870771 Enrollment ID: I20180726002532 |
| Provider Name | Trina a Stoneham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871988899 PECOS PAC ID: 1951602671 Enrollment ID: I20180730001326 |
| Provider Name | Dalia Lawandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891179198 PECOS PAC ID: 3779840665 Enrollment ID: I20180801003137 |
| Provider Name | Eric Boggess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891101259 PECOS PAC ID: 6608177712 Enrollment ID: I20180802000370 |
| Provider Name | Amanda N Strudthoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275027823 PECOS PAC ID: 9739437856 Enrollment ID: I20180807001376 |
| Provider Name | Kimberly a Butts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093196008 PECOS PAC ID: 1759687643 Enrollment ID: I20180808001115 |
| Provider Name | Lauren B Magill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871071936 PECOS PAC ID: 7719236496 Enrollment ID: I20180814004020 |
| Provider Name | Lindsey K Dworak-swantek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497233555 PECOS PAC ID: 3577812106 Enrollment ID: I20180815001860 |
| Provider Name | Ryan M Trowbridge |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1770996191 PECOS PAC ID: 3072730274 Enrollment ID: I20180821003491 |
| Provider Name | Lynn Ann Jeffrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821476441 PECOS PAC ID: 8921357062 Enrollment ID: I20180822001780 |
| Provider Name | Artem Ryazantsev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043653108 PECOS PAC ID: 9335431204 Enrollment ID: I20180828004075 |
| Provider Name | Jeffrey D Bruning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689056681 PECOS PAC ID: 8426308032 Enrollment ID: I20180831001312 |
| Provider Name | Margaret Sheehy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316280316 PECOS PAC ID: 5597075895 Enrollment ID: I20180905003769 |
| Provider Name | Lindsey F Amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386124188 PECOS PAC ID: 2062762347 Enrollment ID: I20180906003457 |
| Provider Name | Erica J Stohs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366736803 PECOS PAC ID: 8022322767 Enrollment ID: I20180919001165 |
| Provider Name | Krista E Goins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295118586 PECOS PAC ID: 7416237896 Enrollment ID: I20180921002827 |
| Provider Name | Sonny Star Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164909339 PECOS PAC ID: 7911258983 Enrollment ID: I20181002000491 |
| Provider Name | Michael Hyun-ook Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033182795 PECOS PAC ID: 2062460249 Enrollment ID: I20181004002109 |
| Provider Name | Nicole M Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114408531 PECOS PAC ID: 7113279910 Enrollment ID: I20181005000905 |
| Provider Name | Alexis R Fiorini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760960934 PECOS PAC ID: 1052663408 Enrollment ID: I20181011002990 |
| Provider Name | Akshat Sood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326319138 PECOS PAC ID: 5193947174 Enrollment ID: I20181016002021 |
| Provider Name | Emily Liu Burdett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760865323 PECOS PAC ID: 7012261233 Enrollment ID: I20181106002923 |
| Provider Name | Clayton Carl Thor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366704082 PECOS PAC ID: 1052542719 Enrollment ID: I20181113001603 |
| Provider Name | Melany Dawn Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184192346 PECOS PAC ID: 2961756390 Enrollment ID: I20181121000344 |
| Provider Name | Mikaela a Bounds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639654759 PECOS PAC ID: 9234473489 Enrollment ID: I20181129001114 |
| Provider Name | Brittney J Maloley-lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205277225 PECOS PAC ID: 6800173360 Enrollment ID: I20181201000051 |
| Provider Name | Erika M De Mont |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861969453 PECOS PAC ID: 3577807577 Enrollment ID: I20181203000505 |
| Provider Name | Catherine Mcquistan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619419991 PECOS PAC ID: 6002196235 Enrollment ID: I20181205000245 |
| Provider Name | Bradly Zurek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528478591 PECOS PAC ID: 2062714041 Enrollment ID: I20181217002544 |
| Provider Name | Dara E Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447774740 PECOS PAC ID: 9436494457 Enrollment ID: I20181220000130 |
| Provider Name | Kate a Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477074169 PECOS PAC ID: 3173898624 Enrollment ID: I20190111002182 |
| Provider Name | Meggan Linck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063724763 PECOS PAC ID: 8123278470 Enrollment ID: I20190206000313 |
| Provider Name | Kevin J Embach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437151974 PECOS PAC ID: 6002991825 Enrollment ID: I20190213000200 |
| Provider Name | Adair F Deberry-carlisle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730110651 PECOS PAC ID: 0941373617 Enrollment ID: I20190213000478 |
| Provider Name | Ann Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235602533 PECOS PAC ID: 8426396466 Enrollment ID: I20190215002621 |
| Provider Name | Melanie M Wall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306301254 PECOS PAC ID: 1557600277 Enrollment ID: I20190225001308 |
| Provider Name | Jonathan Osita Nwiloh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194782011 PECOS PAC ID: 1254244932 Enrollment ID: I20190306003112 |
| Provider Name | Viren P Punja |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144540295 PECOS PAC ID: 1153553433 Enrollment ID: I20190313002126 |
| Provider Name | Katelyn C Holloway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427515402 PECOS PAC ID: 9931449212 Enrollment ID: I20190323000041 |
| Provider Name | Jasper Nathaniel Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134686538 PECOS PAC ID: 7618217662 Enrollment ID: I20190329000188 |
| Provider Name | Nicole Mixan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758372 PECOS PAC ID: 4981945789 Enrollment ID: I20190404000355 |
| Provider Name | John a Aucar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033141965 PECOS PAC ID: 2466450630 Enrollment ID: I20190424000786 |
| Provider Name | Latoya N Bonam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386115913 PECOS PAC ID: 9234471194 Enrollment ID: I20190425002194 |
| Provider Name | James White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770045536 PECOS PAC ID: 3678816188 Enrollment ID: I20190525000051 |
| Provider Name | Amjad Kabach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891137758 PECOS PAC ID: 2163703307 Enrollment ID: I20190620001764 |
| Provider Name | Kruti Kadakia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932768637 PECOS PAC ID: 1850625377 Enrollment ID: I20190702003112 |
| Provider Name | Nikhil Jagan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427480284 PECOS PAC ID: 5597053264 Enrollment ID: I20190703001400 |
| Provider Name | Amir Batman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351281 PECOS PAC ID: 4880819143 Enrollment ID: I20190711000319 |
| Provider Name | Mara K Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316500119 PECOS PAC ID: 4981939766 Enrollment ID: I20190716003202 |
| Provider Name | Maria Victoria G Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609041573 PECOS PAC ID: 1557373891 Enrollment ID: I20190716003321 |
| Provider Name | Carolina a Landeen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659719565 PECOS PAC ID: 1052554490 Enrollment ID: I20190719000580 |
| Provider Name | David V Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942217989 PECOS PAC ID: 2961594122 Enrollment ID: I20190722000417 |
| Provider Name | Meagan Driesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902469661 PECOS PAC ID: 4981930245 Enrollment ID: I20190724000944 |
| Provider Name | Kathryn Moreland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861854259 PECOS PAC ID: 4284913195 Enrollment ID: I20190727000104 |
| Provider Name | Stephanie Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205491891 PECOS PAC ID: 9638405376 Enrollment ID: I20190801002419 |
| Provider Name | Kirsten a Boedeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538712260 PECOS PAC ID: 9830426576 Enrollment ID: I20190803000102 |
| Provider Name | Roland W Petri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902889678 PECOS PAC ID: 3779625322 Enrollment ID: I20190808001518 |
| Provider Name | Neil Mendoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407146632 PECOS PAC ID: 6305083544 Enrollment ID: I20190815000198 |
| Provider Name | Melissa M Hohenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548822257 PECOS PAC ID: 0143557959 Enrollment ID: I20190815002720 |
| Provider Name | Yu-ting Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184038820 PECOS PAC ID: 3577855246 Enrollment ID: I20190816000672 |
| Provider Name | Lyndsey Hinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578120135 PECOS PAC ID: 2163750571 Enrollment ID: I20190822004255 |
| Provider Name | Jenni L Iske |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659926269 PECOS PAC ID: 3476881780 Enrollment ID: I20190824000582 |
| Provider Name | Christina Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760833115 PECOS PAC ID: 2769760925 Enrollment ID: I20190826001519 |
| Provider Name | Michael Patrick Klayum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790101095 PECOS PAC ID: 4082837877 Enrollment ID: I20190830001310 |
| Provider Name | Amber C Juricek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215597364 PECOS PAC ID: 0345579256 Enrollment ID: I20190830002761 |
| Provider Name | Joshua Homme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275188856 PECOS PAC ID: 4789913146 Enrollment ID: I20190910001990 |
| Provider Name | Thamer Kassim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518410091 PECOS PAC ID: 1759647563 Enrollment ID: I20190911001637 |
| Provider Name | Jeana R Westover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699334565 PECOS PAC ID: 9931438009 Enrollment ID: I20190916001133 |
| Provider Name | Richard W Akromis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649700295 PECOS PAC ID: 0648549105 Enrollment ID: I20191011001070 |
| Provider Name | Losika Sivaganeshan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063864981 PECOS PAC ID: 4587921598 Enrollment ID: I20191011001850 |
| Provider Name | Elise Ann Plautz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661923 PECOS PAC ID: 1052642675 Enrollment ID: I20191014001333 |
| Provider Name | Lindsey a Feilner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730720434 PECOS PAC ID: 3375875156 Enrollment ID: I20191028002423 |
| Provider Name | Maggie L Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831740760 PECOS PAC ID: 4587996392 Enrollment ID: I20191029000353 |
| Provider Name | Mary J Grieder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386044832 PECOS PAC ID: 7911227970 Enrollment ID: I20191029001017 |
| Provider Name | Jagkirat Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639584105 PECOS PAC ID: 5395067540 Enrollment ID: I20191031001708 |
| Provider Name | Jonathan Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861041238 PECOS PAC ID: 6507198967 Enrollment ID: I20191105000192 |
| Provider Name | Amber Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114561909 PECOS PAC ID: 4284066689 Enrollment ID: I20191122000588 |
| Provider Name | April Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942618624 PECOS PAC ID: 8123240165 Enrollment ID: I20191126000672 |
| Provider Name | Jessica Loree Curtice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043861586 PECOS PAC ID: 4789017153 Enrollment ID: I20191126001478 |
| Provider Name | Sarah a Sankey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710521687 PECOS PAC ID: 9739512260 Enrollment ID: I20191213000994 |
| Provider Name | Laura a Pfeil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114562378 PECOS PAC ID: 5991138430 Enrollment ID: I20191213001523 |
| Provider Name | Lisa M Bruha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992353965 PECOS PAC ID: 9638503857 Enrollment ID: I20191221000712 |
| Provider Name | Tessa D O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629445937 PECOS PAC ID: 5496061384 Enrollment ID: I20200103000847 |
| Provider Name | Tyler J Osterloo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598301418 PECOS PAC ID: 8325472046 Enrollment ID: I20200103002338 |
| Provider Name | Tysha L Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669015061 PECOS PAC ID: 7810322039 Enrollment ID: I20200116001838 |
| Provider Name | Andrea Lynn Husen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588201875 PECOS PAC ID: 9032544002 Enrollment ID: I20200122000081 |
| Provider Name | Nicholas Franssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043610017 PECOS PAC ID: 1052531126 Enrollment ID: I20200122001005 |
| Provider Name | Sampath K Poreddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174726707 PECOS PAC ID: 6800942368 Enrollment ID: I20200205002381 |
| Provider Name | Brianna J Hoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245780659 PECOS PAC ID: 7012299001 Enrollment ID: I20200212002517 |
| Provider Name | Erica F Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609434976 PECOS PAC ID: 1951739598 Enrollment ID: I20200315000017 |
| Provider Name | Daniel Grindstaff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558740795 PECOS PAC ID: 6507174224 Enrollment ID: I20200316000231 |
| Provider Name | David Cantu Duran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881964625 PECOS PAC ID: 1850694027 Enrollment ID: I20200407002586 |
| Provider Name | Christina Shellai Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326672338 PECOS PAC ID: 6406286202 Enrollment ID: I20200419000158 |
| Provider Name | Cortney Mahony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692916 PECOS PAC ID: 9032475033 Enrollment ID: I20200419000173 |
| Provider Name | Toni Cordes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297170 PECOS PAC ID: 1456781004 Enrollment ID: I20200422000378 |
| Provider Name | Jacqlynn Reiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295360915 PECOS PAC ID: 1052741212 Enrollment ID: I20200501000224 |
| Provider Name | Zachary Labs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629600630 PECOS PAC ID: 1850722042 Enrollment ID: I20200501001785 |
| Provider Name | Jared Thomas Alberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295172286 PECOS PAC ID: 9537456629 Enrollment ID: I20200504001454 |
| Provider Name | Jacqueline Poole |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396033981 PECOS PAC ID: 8022238716 Enrollment ID: I20200504001535 |
| Provider Name | William M Pruett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487005542 PECOS PAC ID: 9931492121 Enrollment ID: I20200504001667 |
| Provider Name | Selma Mohammed |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1851504476 PECOS PAC ID: 3678663424 Enrollment ID: I20200506001976 |
| Provider Name | Alisha Ann Josephson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760968341 PECOS PAC ID: 1951732940 Enrollment ID: I20200506003070 |
| Provider Name | Ankur Saini |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144529397 PECOS PAC ID: 4486889060 Enrollment ID: I20200521001573 |
| Provider Name | Lauren E Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538782875 PECOS PAC ID: 0840611026 Enrollment ID: I20200526000298 |
| Provider Name | Genevieve Akouba Allou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942836960 PECOS PAC ID: 0840611927 Enrollment ID: I20200527002184 |
| Provider Name | Jessica Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669000733 PECOS PAC ID: 3678994712 Enrollment ID: I20200528001331 |
| Provider Name | Ellen a Thomsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114460904 PECOS PAC ID: 7113348947 Enrollment ID: I20200603003188 |
| Provider Name | Attila Roka |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396927448 PECOS PAC ID: 6002042678 Enrollment ID: I20200609003215 |
| Provider Name | Ashlie Renae Zima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881237766 PECOS PAC ID: 9638591035 Enrollment ID: I20200611002053 |
| Provider Name | Laura Marie Danielson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508251224 PECOS PAC ID: 8921300674 Enrollment ID: I20200612001087 |
| Provider Name | Derrick L Rocker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285014332 PECOS PAC ID: 6800198623 Enrollment ID: I20200617001714 |
| Provider Name | Deyanna Boston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689100539 PECOS PAC ID: 2264760628 Enrollment ID: I20200619000355 |
| Provider Name | Molly Jane Hiatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760902977 PECOS PAC ID: 0749554202 Enrollment ID: I20200622000318 |
| Provider Name | Lacy L Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821487679 PECOS PAC ID: 0547587164 Enrollment ID: I20200622002651 |
| Provider Name | Amanda D Alexander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689293144 PECOS PAC ID: 8426470246 Enrollment ID: I20200624002922 |
| Provider Name | Jennifer Heusinkvelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952924607 PECOS PAC ID: 1951723634 Enrollment ID: I20200625001993 |
| Provider Name | Melissa Klutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215445077 PECOS PAC ID: 2769727395 Enrollment ID: I20200629000816 |
| Provider Name | Annaliese M Bosco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942654165 PECOS PAC ID: 4385936517 Enrollment ID: I20200630002220 |
| Provider Name | Sandia Iskandar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184986614 PECOS PAC ID: 2062719354 Enrollment ID: I20200702002061 |
| Provider Name | Rebecca M Toomsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275158909 PECOS PAC ID: 3577986553 Enrollment ID: I20200709000811 |
| Provider Name | Kenneth J Shum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013456474 PECOS PAC ID: 3274806252 Enrollment ID: I20200713000507 |
| Provider Name | Marcia Marie Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740803022 PECOS PAC ID: 6507280526 Enrollment ID: I20200723002317 |
| Provider Name | Sunil Nair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306259866 PECOS PAC ID: 9830455971 Enrollment ID: I20200731000525 |
| Provider Name | Traci-lynn Hirai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255782322 PECOS PAC ID: 8325313729 Enrollment ID: I20200731000587 |
| Provider Name | Daniel E Galeas Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548781305 PECOS PAC ID: 6709201197 Enrollment ID: I20200731002646 |
| Provider Name | Maureen D Angelo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730446766 PECOS PAC ID: 3779804992 Enrollment ID: I20200805003139 |
| Provider Name | Sara Albagoush |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265957021 PECOS PAC ID: 6002231081 Enrollment ID: I20200807001628 |
| Provider Name | Sweety Aeilias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902217946 PECOS PAC ID: 5092080234 Enrollment ID: I20200807001999 |
| Provider Name | Ashlee Ranee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565450 PECOS PAC ID: 1153747837 Enrollment ID: I20200812000493 |
| Provider Name | Ashley R Classen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770105868 PECOS PAC ID: 6901222132 Enrollment ID: I20200818002345 |
| Provider Name | Hoang Ngoc Nguyen Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215457189 PECOS PAC ID: 4284993601 Enrollment ID: I20200820002882 |
| Provider Name | Twila R Hoferer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821634205 PECOS PAC ID: 9234555178 Enrollment ID: I20200821002138 |
| Provider Name | Benjamin T Denich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436575 PECOS PAC ID: 7618394412 Enrollment ID: I20200825001720 |
| Provider Name | Alec Hildenbrand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225559057 PECOS PAC ID: 2264859677 Enrollment ID: I20200831003127 |
| Provider Name | Zachary Lloyd Strohm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811513583 PECOS PAC ID: 6800213968 Enrollment ID: I20200903001563 |
| Provider Name | Clint Gregory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730629981 PECOS PAC ID: 2567731946 Enrollment ID: I20200909001999 |
| Provider Name | Sarah Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669824405 PECOS PAC ID: 8921373317 Enrollment ID: I20200914001376 |
| Provider Name | James Jacob Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105331 PECOS PAC ID: 2567517568 Enrollment ID: I20200929003228 |
| Provider Name | Christin Khayat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932715182 PECOS PAC ID: 5698194967 Enrollment ID: I20201006002322 |
| Provider Name | Eric J Kuncir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053382085 PECOS PAC ID: 9436123452 Enrollment ID: I20201007002596 |
| Provider Name | Candy L Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821695461 PECOS PAC ID: 1759701691 Enrollment ID: I20201015000977 |
| Provider Name | Jennifer E Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770106783 PECOS PAC ID: 6406278266 Enrollment ID: I20201022002337 |
| Provider Name | Stephen Grove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184038044 PECOS PAC ID: 3375768625 Enrollment ID: I20201103000974 |
| Provider Name | Patricia a Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992310080 PECOS PAC ID: 2264842103 Enrollment ID: I20201105000526 |
| Provider Name | Kyle W Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592688 PECOS PAC ID: 6608287792 Enrollment ID: I20201120001481 |
| Provider Name | Jeffrey W Ratter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750981635 PECOS PAC ID: 4981016185 Enrollment ID: I20201211001787 |
| Provider Name | Caley Bogatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699377515 PECOS PAC ID: 4082027354 Enrollment ID: I20210105001424 |
| Provider Name | Claudia Gragnoli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083791222 PECOS PAC ID: 9133222672 Enrollment ID: I20210106001137 |
| Provider Name | Nathan Hancock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326209537 PECOS PAC ID: 0244417293 Enrollment ID: I20210106001842 |
| Provider Name | Ryan N Pirraglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861028847 PECOS PAC ID: 3476966490 Enrollment ID: I20210113000837 |
| Provider Name | Noah Bernhardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457882813 PECOS PAC ID: 4385914316 Enrollment ID: I20210119000727 |
| Provider Name | Kate Kloberdanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154919751 PECOS PAC ID: 2961816020 Enrollment ID: I20210201001370 |
| Provider Name | Sara Denly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869181 PECOS PAC ID: 1254745268 Enrollment ID: I20210203001569 |
| Provider Name | Rima I El-herte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164787412 PECOS PAC ID: 3476790957 Enrollment ID: I20210204001047 |
| Provider Name | Adam Linck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093026882 PECOS PAC ID: 2264680289 Enrollment ID: I20210208000657 |
| Provider Name | Nathan Strasser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376135723 PECOS PAC ID: 4789099847 Enrollment ID: I20210223001619 |
| Provider Name | Haelee a Isaacson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023609047 PECOS PAC ID: 2860807849 Enrollment ID: I20210225001295 |
| Provider Name | Shanda R Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366030496 PECOS PAC ID: 7810303609 Enrollment ID: I20210302002136 |
| Provider Name | Zenzile a Johnson Mendoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598891863 PECOS PAC ID: 2769582477 Enrollment ID: I20210318000915 |
| Provider Name | Janelle J Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891371126 PECOS PAC ID: 7810304532 Enrollment ID: I20210325000717 |
| Provider Name | Erin Merrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214076 PECOS PAC ID: 9830455302 Enrollment ID: I20210407000609 |
| Provider Name | Mackenzie a Bargstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770177529 PECOS PAC ID: 8628485737 Enrollment ID: I20210407000819 |
| Provider Name | Nabeel Herial |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477866101 PECOS PAC ID: 6103043864 Enrollment ID: I20210408001249 |
| Provider Name | Meghan E Farquhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493527 PECOS PAC ID: 6305254442 Enrollment ID: I20210409000877 |
| Provider Name | Kelsey Ann Brozek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841506219 PECOS PAC ID: 4486062536 Enrollment ID: I20210409001343 |
| Provider Name | Kathryn Elise George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902347743 PECOS PAC ID: 0547678690 Enrollment ID: I20210409001474 |
| Provider Name | Rachel a Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679592307 PECOS PAC ID: 4082023189 Enrollment ID: I20210430001347 |
| Provider Name | Nicholas Kurt Wischmeier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700148731 PECOS PAC ID: 2860798964 Enrollment ID: I20210504000860 |
| Provider Name | Rebecca a Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417539081 PECOS PAC ID: 0143639047 Enrollment ID: I20210505002221 |
| Provider Name | Andrew Chida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043839061 PECOS PAC ID: 9335558287 Enrollment ID: I20210506000795 |
| Provider Name | Amanda Michelle Guggenmos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356924138 PECOS PAC ID: 1658780259 Enrollment ID: I20210512000722 |
| Provider Name | Drew N Wellenstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982286316 PECOS PAC ID: 5395154900 Enrollment ID: I20210512001188 |
| Provider Name | Taralyn Hoflen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609292101 PECOS PAC ID: 9830470988 Enrollment ID: I20210607001092 |
| Provider Name | Chanda Lynn Nunnenkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235755182 PECOS PAC ID: 6800296054 Enrollment ID: I20210610000865 |
| Provider Name | Valori E Zobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326297722 PECOS PAC ID: 9436559689 Enrollment ID: I20210610000871 |
| Provider Name | Dana Joseph Hess |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326139163 PECOS PAC ID: 0345463691 Enrollment ID: I20210610000895 |
| Provider Name | Amber Riecken |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508449893 PECOS PAC ID: 5890195846 Enrollment ID: I20210611001538 |
| Provider Name | Omar Saleh Akbik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811330285 PECOS PAC ID: 3779983671 Enrollment ID: I20210615001231 |
| Provider Name | Jona K Kerschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952977118 PECOS PAC ID: 8022418557 Enrollment ID: I20210621001391 |
| Provider Name | Patrick Mulherin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568759207 PECOS PAC ID: 6002101110 Enrollment ID: I20210630001782 |
| Provider Name | Jennifer B Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275777468 PECOS PAC ID: 3072915628 Enrollment ID: I20210706001926 |
| Provider Name | Amy L Ruddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013581685 PECOS PAC ID: 7012319262 Enrollment ID: I20210709001516 |
| Provider Name | Minky Saini |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1700165099 PECOS PAC ID: 5395960702 Enrollment ID: I20210712001105 |
| Provider Name | Carlos Nedal Nasr El Nimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649706458 PECOS PAC ID: 1153723101 Enrollment ID: I20210713002298 |
| Provider Name | Michael Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730683921 PECOS PAC ID: 5799032074 Enrollment ID: I20210713002445 |
| Provider Name | Lashalle Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871163444 PECOS PAC ID: 0345642294 Enrollment ID: I20210714002361 |
| Provider Name | Vikas Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184100430 PECOS PAC ID: 0244582351 Enrollment ID: I20210714002584 |
| Provider Name | Taryn Boik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417142506 PECOS PAC ID: 1759436595 Enrollment ID: I20210721002075 |
| Provider Name | Kyle Gibbens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477043800 PECOS PAC ID: 9234476961 Enrollment ID: I20210721003725 |
| Provider Name | Rebecca a Andresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720662992 PECOS PAC ID: 9234532599 Enrollment ID: I20210723001121 |
| Provider Name | Elizabeth a Willmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346819497 PECOS PAC ID: 2769885037 Enrollment ID: I20210723001640 |
| Provider Name | Jake Schlemmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824684 PECOS PAC ID: 2567748858 Enrollment ID: I20210723001864 |
| Provider Name | Sarah L Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306410543 PECOS PAC ID: 7416350558 Enrollment ID: I20210727001863 |
| Provider Name | Ryan L Golden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548895162 PECOS PAC ID: 3274936356 Enrollment ID: I20210727002648 |
| Provider Name | Pankaj Kulshrestha |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619900065 PECOS PAC ID: 9436154861 Enrollment ID: I20210728001757 |
| Provider Name | Derek L Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104320639 PECOS PAC ID: 6709136849 Enrollment ID: I20210728003017 |
| Provider Name | Kaily Ewing Casey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225424344 PECOS PAC ID: 8325350101 Enrollment ID: I20210803001732 |
| Provider Name | Neil D Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568857332 PECOS PAC ID: 7113229618 Enrollment ID: I20210803001835 |
| Provider Name | Amanda M Lisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669966644 PECOS PAC ID: 6507114378 Enrollment ID: I20210806000317 |
| Provider Name | Evangelos Giakoumatos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417478975 PECOS PAC ID: 9931503224 Enrollment ID: I20210809002604 |
| Provider Name | Kelsey L Witherspoon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174972160 PECOS PAC ID: 0446544175 Enrollment ID: I20210810001013 |
| Provider Name | Christopher Velasquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518490135 PECOS PAC ID: 6507114972 Enrollment ID: I20210813000707 |
| Provider Name | Avin Pothuloori |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245523141 PECOS PAC ID: 0345471249 Enrollment ID: I20210816001716 |
| Provider Name | Blake M Bodendorfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083000905 PECOS PAC ID: 0547686313 Enrollment ID: I20210817002235 |
| Provider Name | Markie Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811563885 PECOS PAC ID: 7810392420 Enrollment ID: I20210819003058 |
| Provider Name | Fahad Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518457894 PECOS PAC ID: 2163827718 Enrollment ID: I20210820000673 |
| Provider Name | Jessica L Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306420252 PECOS PAC ID: 5496150963 Enrollment ID: I20210820002258 |
| Provider Name | Danie Frazee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265599153 PECOS PAC ID: 5799724068 Enrollment ID: I20210823001209 |
| Provider Name | Diva Viteare Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821595877 PECOS PAC ID: 6103163548 Enrollment ID: I20210823001491 |
| Provider Name | Naw Latt Nlam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619471125 PECOS PAC ID: 8628317401 Enrollment ID: I20210823002963 |
| Provider Name | Logan Marie Helge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558035634 PECOS PAC ID: 1557766755 Enrollment ID: I20210826001669 |
| Provider Name | Samantha Ellen Pederson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033885504 PECOS PAC ID: 9133525934 Enrollment ID: I20210902000662 |
| Provider Name | Jalal Dufani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619457868 PECOS PAC ID: 0345593927 Enrollment ID: I20210909003399 |
| Provider Name | Andrew James Schuster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861165425 PECOS PAC ID: 9638576655 Enrollment ID: I20210917001499 |
| Provider Name | Sudha Nandala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093177578 PECOS PAC ID: 2668767062 Enrollment ID: I20210922000487 |
| Provider Name | Margaret J Rubin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487323697 PECOS PAC ID: 3072910710 Enrollment ID: I20210923001289 |
| Provider Name | Alexander C Yang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811254998 PECOS PAC ID: 7911272141 Enrollment ID: I20210923001375 |
| Provider Name | Margaret Messersmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144852666 PECOS PAC ID: 0244637858 Enrollment ID: I20210924000981 |
| Provider Name | Leslie R Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457025223 PECOS PAC ID: 4082012299 Enrollment ID: I20211001001017 |
| Provider Name | Adnan Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184658692 PECOS PAC ID: 4789588377 Enrollment ID: I20211006003422 |
| Provider Name | Abby E Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699115394 PECOS PAC ID: 3072757749 Enrollment ID: I20211011000106 |
| Provider Name | Summer Stanton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023505815 PECOS PAC ID: 5395133425 Enrollment ID: I20211022000780 |
| Provider Name | Samantha Bramblett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369601 PECOS PAC ID: 3476941469 Enrollment ID: I20211025000775 |
| Provider Name | Jessica Kay Batenhorst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285397075 PECOS PAC ID: 5991193864 Enrollment ID: I20211026001057 |
| Provider Name | Taylor Kalin Stowater |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548937816 PECOS PAC ID: 8022406842 Enrollment ID: I20211028000710 |
| Provider Name | Jed Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159453 PECOS PAC ID: 6507255445 Enrollment ID: I20211115000540 |
| Provider Name | Cassandra L Kilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548748320 PECOS PAC ID: 5890184634 Enrollment ID: I20211116001829 |
| Provider Name | Nina Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649933672 PECOS PAC ID: 8022407519 Enrollment ID: I20211123001699 |
| Provider Name | Ryan Polich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750044806 PECOS PAC ID: 3476943929 Enrollment ID: I20211124001191 |
| Provider Name | Kyoko Sterns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336813930 PECOS PAC ID: 3577953835 Enrollment ID: I20211201001816 |
| Provider Name | Kelsie I Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689336265 PECOS PAC ID: 8325438286 Enrollment ID: I20211208001076 |
| Provider Name | Katharine Glantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157887 PECOS PAC ID: 4587055835 Enrollment ID: I20211222000829 |
| Provider Name | Brooke Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093479396 PECOS PAC ID: 0042601296 Enrollment ID: I20211222001283 |
| Provider Name | Katie Vogt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154882462 PECOS PAC ID: 8224363130 Enrollment ID: I20220110000602 |
| Provider Name | Sabrina N Scarbrough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528723160 PECOS PAC ID: 3375935893 Enrollment ID: I20220113001153 |
| Provider Name | Jalal Farhang Vargha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639599467 PECOS PAC ID: 1658681069 Enrollment ID: I20220114000921 |
| Provider Name | Amarela Okanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346911781 PECOS PAC ID: 9830581180 Enrollment ID: I20220118000918 |
| Provider Name | Mallory Coolidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734751 PECOS PAC ID: 8527451756 Enrollment ID: I20220210000168 |
| Provider Name | Courtney Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003567181 PECOS PAC ID: 2961896816 Enrollment ID: I20220218001898 |
| Provider Name | Praveen Jinnur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467755165 PECOS PAC ID: 5193967990 Enrollment ID: I20220303000916 |
| Provider Name | Jessica a Bergquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821742941 PECOS PAC ID: 3072907096 Enrollment ID: I20220308000868 |
| Provider Name | Katherine I Zombik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912658279 PECOS PAC ID: 7810382793 Enrollment ID: I20220310001925 |
| Provider Name | Lydia Klabunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972254803 PECOS PAC ID: 3678968427 Enrollment ID: I20220315001199 |
| Provider Name | Drew R Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821744889 PECOS PAC ID: 8921494014 Enrollment ID: I20220329000927 |
| Provider Name | Reina Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336652874 PECOS PAC ID: 6507252467 Enrollment ID: I20220401002367 |
| Provider Name | Andrew Siref |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982091583 PECOS PAC ID: 0042615452 Enrollment ID: I20220404001146 |
| Provider Name | Bianca Nicole Caswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710640719 PECOS PAC ID: 3173919768 Enrollment ID: I20220407001358 |
| Provider Name | Tessa R Farnham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386390268 PECOS PAC ID: 2961898473 Enrollment ID: I20220411000790 |
| Provider Name | Christina M Vassileva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124172135 PECOS PAC ID: 4082752662 Enrollment ID: I20220413000900 |
| Provider Name | Elaine Haven Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003564980 PECOS PAC ID: 5799172961 Enrollment ID: I20220419000858 |
| Provider Name | Roderick Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114446028 PECOS PAC ID: 2264793314 Enrollment ID: I20220420000790 |
| Provider Name | Jared Scherer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235761107 PECOS PAC ID: 5395172563 Enrollment ID: I20220429000940 |
| Provider Name | Kasidy Celyn Flink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871248245 PECOS PAC ID: 9830586130 Enrollment ID: I20220504002008 |
| Provider Name | Sean C Flor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710545504 PECOS PAC ID: 8628308582 Enrollment ID: I20220505000111 |
| Provider Name | Melinda J Rhea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100327 PECOS PAC ID: 7618354986 Enrollment ID: I20220509000357 |
| Provider Name | Cindi Uhing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558320937 PECOS PAC ID: 1355341090 Enrollment ID: I20220509000465 |
| Provider Name | Diane Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104566512 PECOS PAC ID: 8628455755 Enrollment ID: I20220511001639 |
| Provider Name | Gokul Subhas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669672408 PECOS PAC ID: 2264748136 Enrollment ID: I20220517000477 |
| Provider Name | Kasey M Napper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841957073 PECOS PAC ID: 0648657312 Enrollment ID: I20220518001803 |
| Provider Name | Roger Good |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881652915 PECOS PAC ID: 8628020534 Enrollment ID: I20220520001360 |
| Provider Name | Megan Ann Sobota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629737556 PECOS PAC ID: 8527445121 Enrollment ID: I20220520001481 |
| Provider Name | Andrea Zach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427700863 PECOS PAC ID: 1355729773 Enrollment ID: I20220525002308 |
| Provider Name | Hassan Ahmed Nur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861952947 PECOS PAC ID: 8921486895 Enrollment ID: I20220606000265 |
| Provider Name | Logan N Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821727090 PECOS PAC ID: 0143608919 Enrollment ID: I20220607001652 |
| Provider Name | Rebecca R Ehrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760138804 PECOS PAC ID: 6608254347 Enrollment ID: I20220608001072 |
| Provider Name | Nicole L Granados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053058305 PECOS PAC ID: 6800274416 Enrollment ID: I20220609000576 |
| Provider Name | Clay E Jarrell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083130884 PECOS PAC ID: 6709289820 Enrollment ID: I20220609001500 |
| Provider Name | Faran Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801204979 PECOS PAC ID: 6305111337 Enrollment ID: I20220615001414 |
| Provider Name | Nicholas David Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720718422 PECOS PAC ID: 0749669042 Enrollment ID: I20220616000967 |
| Provider Name | Kara a Widhalm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740945757 PECOS PAC ID: 1254710023 Enrollment ID: I20220624001328 |
| Provider Name | Matthew Joel Minturn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205570819 PECOS PAC ID: 9739568304 Enrollment ID: I20220628002550 |
| Provider Name | Brindi Pinkelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720674724 PECOS PAC ID: 8123407715 Enrollment ID: I20220628003108 |
| Provider Name | Miguel Pedraza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447980115 PECOS PAC ID: 4789064874 Enrollment ID: I20220707000922 |
| Provider Name | Samantha Lord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538658653 PECOS PAC ID: 7517295355 Enrollment ID: I20220708002782 |
| Provider Name | Candace P Giles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538435482 PECOS PAC ID: 6103206925 Enrollment ID: I20220711000506 |
| Provider Name | Kristen Gerjevic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780927301 PECOS PAC ID: 2365740339 Enrollment ID: I20220711000602 |
| Provider Name | Sassan Naderi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811987936 PECOS PAC ID: 8729021506 Enrollment ID: I20220714003000 |
| Provider Name | Muazzam Mirza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710549159 PECOS PAC ID: 4688903909 Enrollment ID: I20220718000339 |
| Provider Name | Srikanth Reddy Kothapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083266159 PECOS PAC ID: 9638409626 Enrollment ID: I20220719002284 |
| Provider Name | Paul R Synowicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720540552 PECOS PAC ID: 7719212471 Enrollment ID: I20220729000902 |
| Provider Name | Alexander Richard Staller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497101919 PECOS PAC ID: 1456647510 Enrollment ID: I20220730000221 |
| Provider Name | Megan Elizabeth Kucks Skrdla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467188763 PECOS PAC ID: 8426430620 Enrollment ID: I20220804002490 |
| Provider Name | Rohma Tanveer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770137325 PECOS PAC ID: 2769864867 Enrollment ID: I20220805002755 |
| Provider Name | Tonya M Flakus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649916529 PECOS PAC ID: 8628450681 Enrollment ID: I20220808001662 |
| Provider Name | Alexa L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073246187 PECOS PAC ID: 5294117107 Enrollment ID: I20220809000489 |
| Provider Name | Gabrielle Abissi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922502400 PECOS PAC ID: 7618211228 Enrollment ID: I20220817002812 |
| Provider Name | Shantanu M Patil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629326509 PECOS PAC ID: 2567776479 Enrollment ID: I20220819000858 |
| Provider Name | Amandeep Rakhra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720430184 PECOS PAC ID: 4284990003 Enrollment ID: I20220824002698 |
| Provider Name | Dylan J Seitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568114320 PECOS PAC ID: 9931583861 Enrollment ID: I20220826000716 |
| Provider Name | Daniel John Soden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891432209 PECOS PAC ID: 3072997873 Enrollment ID: I20220829000261 |
| Provider Name | Reed Macy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417418898 PECOS PAC ID: 6800220534 Enrollment ID: I20220902001949 |
| Provider Name | Sharon Ann Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366162232 PECOS PAC ID: 9133503386 Enrollment ID: I20220907002069 |
| Provider Name | Eric Christianson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861842759 PECOS PAC ID: 6800182163 Enrollment ID: I20220909002438 |
| Provider Name | Peter J Adamson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043669336 PECOS PAC ID: 7012310899 Enrollment ID: I20220912002486 |
| Provider Name | Jamie Lynn Wirth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225760382 PECOS PAC ID: 5890170708 Enrollment ID: I20220913003089 |
| Provider Name | Ahmed Al-chalabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801286711 PECOS PAC ID: 5496016206 Enrollment ID: I20220914002921 |
| Provider Name | David Knowles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518316348 PECOS PAC ID: 4486941051 Enrollment ID: I20220916001018 |
| Provider Name | Ricardy Rimpel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871854125 PECOS PAC ID: 2466691167 Enrollment ID: I20220919000511 |
| Provider Name | Sunita Jena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013570266 PECOS PAC ID: 7618205253 Enrollment ID: I20220921002008 |
| Provider Name | Thomas J Percival |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982864435 PECOS PAC ID: 5799906764 Enrollment ID: I20220929000324 |
| Provider Name | Zaynab N Said |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568047512 PECOS PAC ID: 9032595996 Enrollment ID: I20220929001202 |
| Provider Name | Jan Hendrickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811520802 PECOS PAC ID: 5991181570 Enrollment ID: I20221005001484 |
| Provider Name | Megan D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740924422 PECOS PAC ID: 7719363258 Enrollment ID: I20221006000453 |
| Provider Name | Daniel Edward Hatz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407174584 PECOS PAC ID: 5395152151 Enrollment ID: I20221006000457 |
| Provider Name | Holly F Baumann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639893159 PECOS PAC ID: 3870979206 Enrollment ID: I20221007001332 |
| Provider Name | Claire Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063137719 PECOS PAC ID: 0749666063 Enrollment ID: I20221010002261 |
| Provider Name | Bernalda Kay Fritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386375640 PECOS PAC ID: 7517333883 Enrollment ID: I20221012002051 |
| Provider Name | Mikayla D Exline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477279198 PECOS PAC ID: 1153797980 Enrollment ID: I20221021000626 |
| Provider Name | Elisabeth Anne Elgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391056 PECOS PAC ID: 3870969579 Enrollment ID: I20221021000923 |
| Provider Name | Madeline S Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376268185 PECOS PAC ID: 0042686602 Enrollment ID: I20221022000135 |
| Provider Name | Dawn Leah Heapy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568944866 PECOS PAC ID: 6204203524 Enrollment ID: I20221029000088 |
| Provider Name | Bradley Trinidad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578918520 PECOS PAC ID: 3678865003 Enrollment ID: I20221101001891 |
| Provider Name | Katie L Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770290173 PECOS PAC ID: 5597132357 Enrollment ID: I20221108000631 |
| Provider Name | Roger Ohanes Oghlakian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245449461 PECOS PAC ID: 8022286541 Enrollment ID: I20221110001236 |
| Provider Name | Maryam Gbadamosi-akindele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619231131 PECOS PAC ID: 8921312455 Enrollment ID: I20221110002362 |
| Provider Name | Elizabeth M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699498022 PECOS PAC ID: 4981071446 Enrollment ID: I20221114001015 |
| Provider Name | Michelle J Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538882022 PECOS PAC ID: 7810364395 Enrollment ID: I20221114001663 |
| Provider Name | Isabella Ann Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073232344 PECOS PAC ID: 7416325410 Enrollment ID: I20221123000731 |
| Provider Name | Lauren Elizabeth Warneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689245250 PECOS PAC ID: 4486057098 Enrollment ID: I20221128001550 |
| Provider Name | Sara J Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952035685 PECOS PAC ID: 6901274521 Enrollment ID: I20221201001180 |
| Provider Name | Jessica P Hutchison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235847906 PECOS PAC ID: 0143698761 Enrollment ID: I20221201001647 |
| Provider Name | Mackenzie C Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598400129 PECOS PAC ID: 9739557315 Enrollment ID: I20221202000352 |
| Provider Name | Nicole Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003528316 PECOS PAC ID: 2860862562 Enrollment ID: I20221221000240 |
| Provider Name | Jennifer Cougill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518217447 PECOS PAC ID: 9436301520 Enrollment ID: I20221221000245 |
| Provider Name | Enyonam Abalekpor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227288 PECOS PAC ID: 4183094774 Enrollment ID: I20221222001201 |
| Provider Name | Megan Begley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992420509 PECOS PAC ID: 7113397688 Enrollment ID: I20221227000518 |
| Provider Name | Rachel Deatz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053034710 PECOS PAC ID: 2668842840 Enrollment ID: I20230104002173 |
| Provider Name | Kirsten Emily Leas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538897368 PECOS PAC ID: 6406227214 Enrollment ID: I20230113000757 |
| Provider Name | Robert Tambone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396276226 PECOS PAC ID: 0547691263 Enrollment ID: I20230119001546 |
| Provider Name | Worku Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679951214 PECOS PAC ID: 9133475650 Enrollment ID: I20230124001550 |
| Provider Name | Emily J Mayberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871208306 PECOS PAC ID: 7810368743 Enrollment ID: I20230131003342 |
| Provider Name | Waddah Badir Al-refaie |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1801825237 PECOS PAC ID: 4688779481 Enrollment ID: I20230202002589 |
| Provider Name | Yusra Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427612589 PECOS PAC ID: 0446684906 Enrollment ID: I20230202003210 |
| Provider Name | Melissa Ernesti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437876323 PECOS PAC ID: 5799157426 Enrollment ID: I20230207000935 |
| Provider Name | Carey Winkler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669434395 PECOS PAC ID: 1658363031 Enrollment ID: I20230221000255 |
| Provider Name | Danielle Cecilia Calvillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295431500 PECOS PAC ID: 6002289808 Enrollment ID: I20230225000350 |
| Provider Name | Haley Brianne Uhrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396453304 PECOS PAC ID: 8729451521 Enrollment ID: I20230225000357 |
| Provider Name | Michaela Lintner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649651928 PECOS PAC ID: 9739492158 Enrollment ID: I20230227000224 |
| Provider Name | Elie Elliot Dancour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275824252 PECOS PAC ID: 3577876705 Enrollment ID: I20230228000864 |
| Provider Name | Jessie M Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144941204 PECOS PAC ID: 6002289204 Enrollment ID: I20230309001951 |
| Provider Name | Alexandra Beth Ensign |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457072878 PECOS PAC ID: 0244603389 Enrollment ID: I20230310000885 |
| Provider Name | Mason Andrews |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255473054 PECOS PAC ID: 3870732183 Enrollment ID: I20230317002413 |
| Provider Name | Emily M Talmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649996059 PECOS PAC ID: 7214301951 Enrollment ID: I20230321001904 |
| Provider Name | Andrew J Haggerty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902512924 PECOS PAC ID: 0143694745 Enrollment ID: I20230322001940 |
| Provider Name | Howard Levene |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952574774 PECOS PAC ID: 8325191513 Enrollment ID: I20230323002782 |
| Provider Name | Austin J Enfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184334195 PECOS PAC ID: 2769856962 Enrollment ID: I20230329000954 |
| Provider Name | Seanna C Block |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558061796 PECOS PAC ID: 2567836737 Enrollment ID: I20230330000889 |
| Provider Name | Joseph Froehner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811619307 PECOS PAC ID: 4486029584 Enrollment ID: I20230403001465 |
| Provider Name | Emily a Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568178333 PECOS PAC ID: 6608241716 Enrollment ID: I20230403001795 |
| Provider Name | Summer a Malina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720789407 PECOS PAC ID: 4981079613 Enrollment ID: I20230412000621 |
| Provider Name | Courtney a Brackin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053017335 PECOS PAC ID: 5597130955 Enrollment ID: I20230418000345 |
| Provider Name | Morgan Chipps |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508531021 PECOS PAC ID: 2961867213 Enrollment ID: I20230420002469 |
| Provider Name | Claire Christine Fanta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376264929 PECOS PAC ID: 5799140794 Enrollment ID: I20230426002164 |
| Provider Name | Nickolas Alan Bockoven |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912627555 PECOS PAC ID: 0648635391 Enrollment ID: I20230502000940 |
| Provider Name | Meyer Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629188651 PECOS PAC ID: 0749247484 Enrollment ID: I20230505001967 |
| Provider Name | Daniel Columcille O'brien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356699524 PECOS PAC ID: 2062878473 Enrollment ID: I20230509002445 |
| Provider Name | Tania Arreguin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497389415 PECOS PAC ID: 9436515376 Enrollment ID: I20230518000529 |
| Provider Name | Ikenna Nweze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225264849 PECOS PAC ID: 6406195254 Enrollment ID: I20230519000645 |
| Provider Name | Brittany Victoria Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215434808 PECOS PAC ID: 1658737366 Enrollment ID: I20230523002441 |
| Provider Name | Abubakar Tauseef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588282875 PECOS PAC ID: 4183049505 Enrollment ID: I20230614002453 |
| Provider Name | Michael a Koren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881914802 PECOS PAC ID: 6901038801 Enrollment ID: I20230615000852 |
| Provider Name | Heidi Horstman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033641253 PECOS PAC ID: 0143593855 Enrollment ID: I20230616000740 |
| Provider Name | Cole a Neville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801571880 PECOS PAC ID: 9335507557 Enrollment ID: I20230621001101 |
| Provider Name | Kimberly J Farris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225217904 PECOS PAC ID: 3072602135 Enrollment ID: I20230621001428 |
| Provider Name | Keshia Marie Edsill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922702109 PECOS PAC ID: 6709244874 Enrollment ID: I20230621003321 |
| Provider Name | Andy W. Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992226617 PECOS PAC ID: 9638537749 Enrollment ID: I20230622001024 |
| Provider Name | Victoria K Nwosu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558449603 PECOS PAC ID: 5597811406 Enrollment ID: I20230628000372 |
| Provider Name | Shannon Devries |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801413117 PECOS PAC ID: 6305261728 Enrollment ID: I20230628000939 |
| Provider Name | Umair Usman Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295220473 PECOS PAC ID: 2264784669 Enrollment ID: I20230629002719 |
| Provider Name | Andrew T Patterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578954731 PECOS PAC ID: 3375902919 Enrollment ID: I20230629003387 |
| Provider Name | Lilian Maria Vargas Barahona |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346761004 PECOS PAC ID: 5698199545 Enrollment ID: I20230630001580 |
| Provider Name | Matthew J Hornung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316623978 PECOS PAC ID: 8426417957 Enrollment ID: I20230630002750 |
| Provider Name | Angelika Ann Bull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801588330 PECOS PAC ID: 7517326044 Enrollment ID: I20230630002755 |
| Provider Name | Shagufta Hayat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578979621 PECOS PAC ID: 1658598560 Enrollment ID: I20230706001916 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780930172 PECOS PAC ID: 7214292879 Enrollment ID: I20230710002401 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20230713002320 |
| Provider Name | David Mcintosh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1710050869 PECOS PAC ID: 4183679822 Enrollment ID: I20230718001204 |
| Provider Name | Tyler Evans |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316506249 PECOS PAC ID: 2567790306 Enrollment ID: I20230718003800 |
| Provider Name | Laila Malani Mohammad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720320070 PECOS PAC ID: 1355743717 Enrollment ID: I20230720003035 |
| Provider Name | Rahul M Varman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023539426 PECOS PAC ID: 8426328014 Enrollment ID: I20230728002161 |
| Provider Name | Kathleen Anne Hunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457792483 PECOS PAC ID: 6002186731 Enrollment ID: I20230731000133 |
| Provider Name | Makenzi Stevenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770100901 PECOS PAC ID: 9133544604 Enrollment ID: I20230731001799 |
| Provider Name | Padma Priya Gummadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326563453 PECOS PAC ID: 3173940798 Enrollment ID: I20230731002206 |
| Provider Name | Maren M Ruehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194406603 PECOS PAC ID: 4385005735 Enrollment ID: I20230801002777 |
| Provider Name | Keithstone Young Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346867587 PECOS PAC ID: 6204251879 Enrollment ID: I20230802000182 |
| Provider Name | Douglas Hardesty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013203835 PECOS PAC ID: 5395022909 Enrollment ID: I20230802000384 |
| Provider Name | Hannah F Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265119481 PECOS PAC ID: 8628439940 Enrollment ID: I20230803001011 |
| Provider Name | Lillia Cherkasskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225514185 PECOS PAC ID: 7214289545 Enrollment ID: I20230804000622 |
| Provider Name | Sreelakshmi Surendran Pillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255958443 PECOS PAC ID: 1456776871 Enrollment ID: I20230808003961 |
| Provider Name | Amber Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134649726 PECOS PAC ID: 9638443195 Enrollment ID: I20230810002340 |
| Provider Name | Aun R Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982182341 PECOS PAC ID: 6204255292 Enrollment ID: I20230811002426 |
| Provider Name | Ryan Michael Bass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548467764 PECOS PAC ID: 1153454970 Enrollment ID: I20230822002252 |
| Provider Name | Julie Held |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104219526 PECOS PAC ID: 9335490713 Enrollment ID: I20230823001488 |
| Provider Name | Shahabuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174899546 PECOS PAC ID: 7214255819 Enrollment ID: I20230825002575 |
| Provider Name | Matthew W Dorwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528680709 PECOS PAC ID: 1759700743 Enrollment ID: I20230828001872 |
| Provider Name | Linda Miodonski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366163453 PECOS PAC ID: 3678936366 Enrollment ID: I20230829000870 |
| Provider Name | Benjamin Gibson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568099786 PECOS PAC ID: 8123443256 Enrollment ID: I20230829001116 |
| Provider Name | Holly Groteluschen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104449149 PECOS PAC ID: 2769801794 Enrollment ID: I20230906001799 |
| Provider Name | Morgan J Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598444283 PECOS PAC ID: 9335503481 Enrollment ID: I20230908000533 |
| Provider Name | Mariana S Bebawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598382632 PECOS PAC ID: 1557786977 Enrollment ID: I20230911000714 |
| Provider Name | Cassady I Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851914196 PECOS PAC ID: 6406271097 Enrollment ID: I20230911001548 |
| Provider Name | Erika Felstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902582497 PECOS PAC ID: 6901260793 Enrollment ID: I20230912003725 |
| Provider Name | Liran Bendor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104310887 PECOS PAC ID: 6507114337 Enrollment ID: I20230913003960 |
| Provider Name | Ingrid H Berg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073873766 PECOS PAC ID: 7810115854 Enrollment ID: I20230914002262 |
| Provider Name | Zachary Meyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861053902 PECOS PAC ID: 1456681410 Enrollment ID: I20230914003593 |
| Provider Name | Carolyn Frances Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518648963 PECOS PAC ID: 6901260512 Enrollment ID: I20230915001002 |
| Provider Name | Alexander Geoffrey Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20230919000122 |
| Provider Name | Michaela Ann Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134873698 PECOS PAC ID: 7911391669 Enrollment ID: I20230919004249 |
| Provider Name | Kaitlin Anne Rogge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063196707 PECOS PAC ID: 9931553104 Enrollment ID: I20230922000574 |
| Provider Name | Kristina M Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579008 PECOS PAC ID: 1254785017 Enrollment ID: I20230927002305 |
| Provider Name | Mary Spivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073839981 PECOS PAC ID: 3072736719 Enrollment ID: I20230927003932 |
| Provider Name | Britney Scott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245762723 PECOS PAC ID: 3870869902 Enrollment ID: I20230929000200 |
| Provider Name | Kseniya Lueck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306313531 PECOS PAC ID: 4880091586 Enrollment ID: I20231003000779 |
| Provider Name | Nicole J Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841070513 PECOS PAC ID: 2567816903 Enrollment ID: I20231003003539 |
| Provider Name | Taylor Soon-sutton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649766130 PECOS PAC ID: 0648522839 Enrollment ID: I20231005002311 |
| Provider Name | Jacob Dean Horstman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184401580 PECOS PAC ID: 9133574478 Enrollment ID: I20231006000873 |
| Provider Name | Robert Gallegos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205870805 PECOS PAC ID: 2365436417 Enrollment ID: I20231010000686 |
| Provider Name | Kayden L Reilly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043091804 PECOS PAC ID: 8022463918 Enrollment ID: I20231012002926 |
| Provider Name | Wing Yeen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20231013000465 |
| Provider Name | Kara Roncin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316493968 PECOS PAC ID: 5395190862 Enrollment ID: I20231018003397 |
| Provider Name | Ali Kimyaghalam |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922455146 PECOS PAC ID: 4587033998 Enrollment ID: I20231019002840 |
| Provider Name | Kaitlyn D Premer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154100881 PECOS PAC ID: 3577919976 Enrollment ID: I20231020002020 |
| Provider Name | Ella M Holbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386420883 PECOS PAC ID: 2466808712 Enrollment ID: I20231024001366 |
| Provider Name | Merry a Mccully |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932980554 PECOS PAC ID: 4880040088 Enrollment ID: I20231024003501 |
| Provider Name | Courtney Meyer Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700566437 PECOS PAC ID: 1759738586 Enrollment ID: I20231115002720 |
| Provider Name | Capri Renae Steinkuhler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588443378 PECOS PAC ID: 6103273875 Enrollment ID: I20231117000953 |
| Provider Name | Nathan M Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932891330 PECOS PAC ID: 1850749060 Enrollment ID: I20231129000934 |
| Provider Name | Weily Jae Esch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962289769 PECOS PAC ID: 5890144372 Enrollment ID: I20231208002049 |
| Provider Name | Zoya Voronovich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215356589 PECOS PAC ID: 1254550502 Enrollment ID: I20231211003254 |
| Provider Name | Erin Gillaspie |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073777470 PECOS PAC ID: 5991946907 Enrollment ID: I20231227002159 |
| Provider Name | Mohamedanwar Ghandour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932690526 PECOS PAC ID: 9335474436 Enrollment ID: I20240102003403 |
| Provider Name | Puja Kandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861278533 PECOS PAC ID: 4880045566 Enrollment ID: I20240106000489 |
| Provider Name | John a Grant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093701278 PECOS PAC ID: 2365400686 Enrollment ID: I20240108000549 |
| Provider Name | Allie Catherine-ann Verzani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871379099 PECOS PAC ID: 4587015102 Enrollment ID: I20240109000312 |
| Provider Name | Rory P Keys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225558562 PECOS PAC ID: 4587089628 Enrollment ID: I20240112002794 |
| Provider Name | Reed Bernhisel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104697192 PECOS PAC ID: 1759734932 Enrollment ID: I20240124003870 |
| Provider Name | Shanthakumari Jinnur |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457795205 PECOS PAC ID: 4183939648 Enrollment ID: I20240126001361 |
| Provider Name | Agatha Critchfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639336019 PECOS PAC ID: 9234253915 Enrollment ID: I20240203000097 |
| Provider Name | Nicole Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710756069 PECOS PAC ID: 4183067374 Enrollment ID: I20240205001746 |
| Provider Name | Tiffanie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194595579 PECOS PAC ID: 7315380565 Enrollment ID: I20240205003735 |
| Provider Name | Sydney R Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104687995 PECOS PAC ID: 0749623627 Enrollment ID: I20240207003148 |
| Provider Name | Derek W Belt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326663410 PECOS PAC ID: 5698118321 Enrollment ID: I20240208004037 |
| Provider Name | Susan Derry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023109030 PECOS PAC ID: 7214903632 Enrollment ID: I20240212002237 |
| Provider Name | Daniel Schere |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639369366 PECOS PAC ID: 6002064045 Enrollment ID: I20240220001467 |
| Provider Name | Antonio Laudito |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447401450 PECOS PAC ID: 1052362837 Enrollment ID: I20240223001750 |
| Provider Name | Haleigh Noel Griffith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942934088 PECOS PAC ID: 2961847405 Enrollment ID: I20240223003594 |
| Provider Name | Hannah G. O. Mcmannes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114789948 PECOS PAC ID: 7618312174 Enrollment ID: I20240224000103 |
| Provider Name | Carly Moran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902530058 PECOS PAC ID: 2769827658 Enrollment ID: I20240301001108 |
| Provider Name | Jacqueline Denise Borzekofski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629848049 PECOS PAC ID: 1456796242 Enrollment ID: I20240304000295 |
| Provider Name | Erin Jane Dougherty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104387851 PECOS PAC ID: 0547605164 Enrollment ID: I20240305001214 |
| Provider Name | Patience E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679286280 PECOS PAC ID: 4284874140 Enrollment ID: I20240305001577 |
| Provider Name | Reagan Nicole Bradshaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184358236 PECOS PAC ID: 2466898143 Enrollment ID: I20240316000364 |
| Provider Name | Allison Marie Briley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467215889 PECOS PAC ID: 3274979950 Enrollment ID: I20240316000428 |
| Provider Name | Bailey E Stangl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184358244 PECOS PAC ID: 4789021197 Enrollment ID: I20240321000698 |
| Provider Name | Kora Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992439046 PECOS PAC ID: 0840637104 Enrollment ID: I20240321002929 |
| Provider Name | Brynn W Kanne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437911005 PECOS PAC ID: 9931547692 Enrollment ID: I20240401003071 |
| Provider Name | Cameron Gueldner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417713181 PECOS PAC ID: 1759729247 Enrollment ID: I20240403001058 |
| Provider Name | Hailey E Bohac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275267320 PECOS PAC ID: 0547608093 Enrollment ID: I20240403003274 |
| Provider Name | Sarah Burwell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649038621 PECOS PAC ID: 6406294495 Enrollment ID: I20240410001220 |
| Provider Name | Alyna Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720712615 PECOS PAC ID: 1658710751 Enrollment ID: I20240423001559 |
| Provider Name | David F Cawthon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063587384 PECOS PAC ID: 2163480005 Enrollment ID: I20240425001879 |
| Provider Name | Lauren Kreuzberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487388526 PECOS PAC ID: 9335589837 Enrollment ID: I20240501002010 |
| Provider Name | Jacinto Manon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326246638 PECOS PAC ID: 8527201789 Enrollment ID: I20240508002997 |
| Provider Name | Kristin Jolene Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730942285 PECOS PAC ID: 6406297456 Enrollment ID: I20240508003357 |
| Provider Name | Ashlee J Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255193645 PECOS PAC ID: 5799126116 Enrollment ID: I20240515003283 |
| Provider Name | Akwaugo Thelma Uzoegwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033506332 PECOS PAC ID: 1254678071 Enrollment ID: I20240523000323 |
| Provider Name | Joseph Dominic Chabot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033421623 PECOS PAC ID: 7618196221 Enrollment ID: I20240523000879 |
| Provider Name | Nicolette Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124480660 PECOS PAC ID: 1456625136 Enrollment ID: I20240523000884 |
| Provider Name | James Bahensky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316729494 PECOS PAC ID: 0042752214 Enrollment ID: I20240604002070 |
| Provider Name | Jacob Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588413074 PECOS PAC ID: 3072055474 Enrollment ID: I20240612002479 |
| Provider Name | Melissa M Sonderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922849082 PECOS PAC ID: 2163964578 Enrollment ID: I20240612002826 |
| Provider Name | Charles Bailey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437145174 PECOS PAC ID: 4880588334 Enrollment ID: I20240625001464 |
| Provider Name | Saravana Balaraman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972740488 PECOS PAC ID: 2365690070 Enrollment ID: I20240701004053 |
| Provider Name | Ali J Khiabani |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528449527 PECOS PAC ID: 7618281825 Enrollment ID: I20240704000318 |
| Provider Name | Salah El-bash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235343922 PECOS PAC ID: 3870667538 Enrollment ID: I20240704000491 |
| Provider Name | Waqas Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386061729 PECOS PAC ID: 3678977717 Enrollment ID: I20240709001159 |
| Provider Name | Ty Spillman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558932905 PECOS PAC ID: 0840694295 Enrollment ID: I20240709003340 |
| Provider Name | Leauna Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265139497 PECOS PAC ID: 0446795231 Enrollment ID: I20240717000779 |
| Provider Name | Allexa Spring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528732252 PECOS PAC ID: 2163816109 Enrollment ID: I20240717002340 |
| Provider Name | Hisham Elkhider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831610815 PECOS PAC ID: 2961772884 Enrollment ID: I20240717002592 |
| Provider Name | Bailey Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598507709 PECOS PAC ID: 6608312848 Enrollment ID: I20240723004486 |
| Provider Name | Lauren Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417575366 PECOS PAC ID: 5698190023 Enrollment ID: I20240724001930 |
| Provider Name | Nidhi Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255771465 PECOS PAC ID: 0143598177 Enrollment ID: I20240724001960 |
| Provider Name | Megan Kalata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801413042 PECOS PAC ID: 6305261975 Enrollment ID: I20240724003946 |
| Provider Name | Rohan Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396241246 PECOS PAC ID: 0446508097 Enrollment ID: I20240725000201 |
| Provider Name | Paul Pikman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972001501 PECOS PAC ID: 3274880976 Enrollment ID: I20240725003298 |
| Provider Name | Juan Pernia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306417225 PECOS PAC ID: 8022412402 Enrollment ID: I20240725004487 |
| Provider Name | Daniel Milyavsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194285908 PECOS PAC ID: 4981089455 Enrollment ID: I20240729003878 |
| Provider Name | Katherine E Merritt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093383192 PECOS PAC ID: 3971901190 Enrollment ID: I20240731003488 |
| Provider Name | Nicholas Clarke |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1881950376 PECOS PAC ID: 7416247986 Enrollment ID: I20240802003755 |
| Provider Name | Bryce Frederick Schutte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588235287 PECOS PAC ID: 0547664922 Enrollment ID: I20240805003818 |
| Provider Name | Kylie Rose Zach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912735424 PECOS PAC ID: 0648717835 Enrollment ID: I20240806001723 |
| Provider Name | Vanessa Catherine Hannick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750797338 PECOS PAC ID: 9436696598 Enrollment ID: I20240807000498 |
| Provider Name | Cristella Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609243013 PECOS PAC ID: 5193061117 Enrollment ID: I20240808001292 |
| Provider Name | Samy Chettat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063904555 PECOS PAC ID: 1557609138 Enrollment ID: I20240809000095 |
| Provider Name | Lubna Anays Nasr El Nimer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174106934 PECOS PAC ID: 2062959935 Enrollment ID: I20240809000465 |
| Provider Name | Evanthia Bernitsas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528270808 PECOS PAC ID: 9537208806 Enrollment ID: I20240810000400 |
| Provider Name | Stefan C Hemmings |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760820575 PECOS PAC ID: 9234428582 Enrollment ID: I20240814002678 |
| Provider Name | Erika Marie Begler |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689203002 PECOS PAC ID: 0446673875 Enrollment ID: I20240815000847 |
| Provider Name | Caitlyn Renee Mccall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699207019 PECOS PAC ID: 9931477585 Enrollment ID: I20240819001473 |
| Provider Name | Ian Bowers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487147377 PECOS PAC ID: 5496001356 Enrollment ID: I20240820003873 |
| Provider Name | Miranda M Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720818362 PECOS PAC ID: 6800335787 Enrollment ID: I20240822003371 |
| Provider Name | Jamie L Uram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699527903 PECOS PAC ID: 8921547811 Enrollment ID: I20240822004215 |
| Provider Name | Courtney C Reefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497585939 PECOS PAC ID: 8527507425 Enrollment ID: I20240822004477 |
| Provider Name | Tara E Bjorklund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972120962 PECOS PAC ID: 6608290853 Enrollment ID: I20240826000973 |
| Provider Name | Kyle Erin Cassling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831543669 PECOS PAC ID: 1759674187 Enrollment ID: I20240828004142 |
| Provider Name | Sudeshna Dutta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073184735 PECOS PAC ID: 2961806344 Enrollment ID: I20240829004225 |
| Provider Name | Chelsea Rambo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255913125 PECOS PAC ID: 8628471059 Enrollment ID: I20240904001910 |
| Provider Name | Ranjan Gupta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285714337 PECOS PAC ID: 1456544543 Enrollment ID: I20240904001971 |
| Provider Name | Jess Michael Roland |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497215875 PECOS PAC ID: 0042634305 Enrollment ID: I20240905003201 |
| Provider Name | Rubab Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093385023 PECOS PAC ID: 3476951138 Enrollment ID: I20240909000586 |
| Provider Name | Caelan Lee Brazee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295569986 PECOS PAC ID: 0547700247 Enrollment ID: I20240909003441 |
| Provider Name | Thomas Volberding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376117036 PECOS PAC ID: 9032511845 Enrollment ID: I20240910000295 |
| Provider Name | Huijun Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972985604 PECOS PAC ID: 6204137268 Enrollment ID: I20240910003038 |
| Provider Name | Abhushan Poudyal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497107189 PECOS PAC ID: 4385937960 Enrollment ID: I20240913000814 |
| Provider Name | Courtney Merkwan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295908770 PECOS PAC ID: 2264612324 Enrollment ID: I20240913003453 |
| Provider Name | Tulasi Annapureddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619327202 PECOS PAC ID: 8527392703 Enrollment ID: I20240914000444 |
| Provider Name | Jacob Brenner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881369015 PECOS PAC ID: 3870998651 Enrollment ID: I20240916001063 |
| Provider Name | Molly C Geraghty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912577487 PECOS PAC ID: 3577961366 Enrollment ID: I20240919001039 |
| Provider Name | Gregory Evan Koval |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205356367 PECOS PAC ID: 4587938048 Enrollment ID: I20240919002100 |
| Provider Name | Shiva Ponamgi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669743118 PECOS PAC ID: 7517109390 Enrollment ID: I20240920000188 |
| Provider Name | Darya Blednova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023451010 PECOS PAC ID: 5092001941 Enrollment ID: I20240930000980 |
| Provider Name | Corbin E Haque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104655208 PECOS PAC ID: 6204367154 Enrollment ID: I20241002001516 |
| Provider Name | Christoffel Lombard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487490736 PECOS PAC ID: 9931631900 Enrollment ID: I20241015003139 |
| Provider Name | Jordan E Garry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417470857 PECOS PAC ID: 6406120567 Enrollment ID: I20241016002401 |
| Provider Name | Mabelle Cohen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770661167 PECOS PAC ID: 6406033380 Enrollment ID: I20241021004328 |
| Provider Name | Brittany Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649858325 PECOS PAC ID: 4880076264 Enrollment ID: I20241023000905 |
| Provider Name | Shahram Tabib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609819887 PECOS PAC ID: 5496713232 Enrollment ID: I20241029002895 |
| Provider Name | Ethan Duane Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811488158 PECOS PAC ID: 8426459991 Enrollment ID: I20241031003220 |
| Provider Name | Stacy Cerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205668993 PECOS PAC ID: 8123265816 Enrollment ID: I20241118003097 |
| Provider Name | Maria Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598585374 PECOS PAC ID: 2860927316 Enrollment ID: I20241121001135 |
| Provider Name | Anne D Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497571814 PECOS PAC ID: 6709312226 Enrollment ID: I20241207000310 |
| Provider Name | Brian M Edick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255762787 PECOS PAC ID: 7517493042 Enrollment ID: I20241209000248 |
| Provider Name | Bruce Becker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891719712 PECOS PAC ID: 7618947250 Enrollment ID: I20241210002404 |
| Provider Name | Kyle Uto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982274585 PECOS PAC ID: 1153723382 Enrollment ID: I20241211003766 |
| Provider Name | Joseph Aziz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073954475 PECOS PAC ID: 8527298983 Enrollment ID: I20241214000324 |
| Provider Name | Khalid Mohamed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386094944 PECOS PAC ID: 8022345222 Enrollment ID: I20241223000906 |
| Provider Name | Meyokia Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831919661 PECOS PAC ID: 5193253888 Enrollment ID: I20250108003055 |
| Provider Name | Paul Wadensweiler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144753740 PECOS PAC ID: 4789917410 Enrollment ID: I20250113000268 |
| Provider Name | Kara D Muma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346228046 PECOS PAC ID: 5698749802 Enrollment ID: I20250113000978 |
| Provider Name | Robert Andrew Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275612301 PECOS PAC ID: 0042361990 Enrollment ID: I20250115003669 |
| Provider Name | Lynn Mubita |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588985758 PECOS PAC ID: 2769605054 Enrollment ID: I20250117002715 |
| Provider Name | Adrienne R Mcmanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841014396 PECOS PAC ID: 9739618513 Enrollment ID: I20250123000918 |
| Provider Name | Tara Rene Blackwelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831526557 PECOS PAC ID: 1951830751 Enrollment ID: I20250123002047 |
| Provider Name | Dean Karas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437287794 PECOS PAC ID: 7012086952 Enrollment ID: I20250128004567 |
| Provider Name | Alyssa L Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760293484 PECOS PAC ID: 5890225635 Enrollment ID: I20250210002032 |
| Provider Name | Jolynn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861225591 PECOS PAC ID: 2062932858 Enrollment ID: I20250224002671 |
| Provider Name | Yuttana Chawengsub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518306570 PECOS PAC ID: 7618190968 Enrollment ID: I20250226001429 |
| Provider Name | Kayla D Woodworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821808684 PECOS PAC ID: 8820519242 Enrollment ID: I20250301000071 |
| Provider Name | Ashley Manhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699227892 PECOS PAC ID: 6406385624 Enrollment ID: I20250306003420 |
| Provider Name | Sandy Dao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912715947 PECOS PAC ID: 9739600669 Enrollment ID: I20250308000237 |
| Provider Name | Allison Elizabeth Bean Kidambi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356150130 PECOS PAC ID: 0446772958 Enrollment ID: I20250313001951 |
| Provider Name | John Michael Higginbotham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790930899 PECOS PAC ID: 0446429013 Enrollment ID: I20250318000150 |
| Provider Name | Khan Akmal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376804054 PECOS PAC ID: 0749420503 Enrollment ID: I20250319003264 |
| Provider Name | Muhammad Khurram Guhjjar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962854307 PECOS PAC ID: 0446659601 Enrollment ID: I20250319003533 |
| Provider Name | Shelby Ann Gustin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831875426 PECOS PAC ID: 5092238386 Enrollment ID: I20250327001279 |
| Provider Name | Emily Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114759321 PECOS PAC ID: 2567985393 Enrollment ID: I20250402000676 |
| Provider Name | Savannah Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306656673 PECOS PAC ID: 4688198385 Enrollment ID: I20250403001761 |
| Provider Name | Abigail Christine Reding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831876168 PECOS PAC ID: 7214451798 Enrollment ID: I20250407000103 |
| Provider Name | Paul Suding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215944129 PECOS PAC ID: 2264531714 Enrollment ID: I20250416000574 |
| Provider Name | Joseph D Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083876288 PECOS PAC ID: 5991973034 Enrollment ID: I20250422001790 |
| Provider Name | Tyler J Rosengren |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710500343 PECOS PAC ID: 0244653848 Enrollment ID: I20250423001083 |
| Provider Name | Nhung Hong Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083429468 PECOS PAC ID: 6406372408 Enrollment ID: I20250501002745 |
| Provider Name | Bruce Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548246184 PECOS PAC ID: 7517033798 Enrollment ID: I20250501003269 |
| Provider Name | Kathrine R Ruffalo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821774423 PECOS PAC ID: 7618494659 Enrollment ID: I20250503000128 |
| Provider Name | Pranita Nirgudkar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245420496 PECOS PAC ID: 7214008374 Enrollment ID: I20250505003050 |
| Provider Name | Eleni Z Ioannidis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275259616 PECOS PAC ID: 3173990215 Enrollment ID: I20250512002285 |
| Provider Name | Itay D Melamed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619078656 PECOS PAC ID: 8527167527 Enrollment ID: I20250519003162 |
| Provider Name | Cristina Jasmin Torres |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760008296 PECOS PAC ID: 2567875404 Enrollment ID: I20250603000852 |
| Provider Name | Cassie M Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689473670 PECOS PAC ID: 6709395288 Enrollment ID: I20250605000503 |
| Provider Name | Mrunal Manohar Koche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891254389 PECOS PAC ID: 5799295069 Enrollment ID: I20250606001686 |
| Provider Name | Rebecca Reicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528803178 PECOS PAC ID: 3971013095 Enrollment ID: I20250609001310 |
| Provider Name | Lucas Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114714276 PECOS PAC ID: 5395255319 Enrollment ID: I20250610000142 |
| Provider Name | Elizabeth Marie Wooster-pierson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639585359 PECOS PAC ID: 8729397419 Enrollment ID: I20250611001531 |
| Provider Name | Krishna Kishore Bingi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477782142 PECOS PAC ID: 0446552103 Enrollment ID: I20250612000992 |
| Provider Name | Brett Cherrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801231261 PECOS PAC ID: 7315253788 Enrollment ID: I20250624003437 |
| Provider Name | Ahmed Sabri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912515099 PECOS PAC ID: 3971928136 Enrollment ID: I20250626003881 |
| Provider Name | Bryanna Lynn Kneeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902790165 PECOS PAC ID: 7012420664 Enrollment ID: I20250627001913 |
| Provider Name | Justin De Grado |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982888228 PECOS PAC ID: 0648495960 Enrollment ID: I20250628000099 |
| Provider Name | Phuoc Huy Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629704556 PECOS PAC ID: 0547642613 Enrollment ID: I20250630001340 |
| Provider Name | Megan Elizabeth Brandt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740889468 PECOS PAC ID: 5395258719 Enrollment ID: I20250630002072 |
| Provider Name | Jenna Shumar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669097010 PECOS PAC ID: 5092130179 Enrollment ID: I20250702001602 |
| Provider Name | Keegan Archer Mccabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558091801 PECOS PAC ID: 1153798269 Enrollment ID: I20250707000556 |
| Provider Name | James Porter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780203893 PECOS PAC ID: 2062874621 Enrollment ID: I20250710004027 |
| Provider Name | Patryk Purta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942798848 PECOS PAC ID: 0749665743 Enrollment ID: I20250711003438 |
| Provider Name | Ching-jen Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740607795 PECOS PAC ID: 5799907267 Enrollment ID: I20250712000240 |
| Provider Name | John B Balman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962560524 PECOS PAC ID: 8628583044 Enrollment ID: I20250715002290 |
| Provider Name | Dakota Nerland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942932702 PECOS PAC ID: 0244745347 Enrollment ID: I20250716004090 |
| Provider Name | Kelli Salter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386853612 PECOS PAC ID: 3678718335 Enrollment ID: I20250717000363 |
| Provider Name | Janna Marie Blaszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245026954 PECOS PAC ID: 9638684665 Enrollment ID: I20250717000677 |
| Provider Name | Christopher Allan Sandoval |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205269818 PECOS PAC ID: 2365957347 Enrollment ID: I20250717002153 |
| Provider Name | Timothy John Kable |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164916854 PECOS PAC ID: 8628325107 Enrollment ID: I20250721003233 |
| Provider Name | Ankush Ratwani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437511664 PECOS PAC ID: 3577960269 Enrollment ID: I20250722000604 |
| Provider Name | Abbi Crook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699534966 PECOS PAC ID: 5496261570 Enrollment ID: I20250724001108 |
| Provider Name | Chelsey Ann Petz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700014677 PECOS PAC ID: 5698930436 Enrollment ID: I20250728000898 |
| Provider Name | John Robert Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710447313 PECOS PAC ID: 7719212562 Enrollment ID: I20250728001538 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235615097 PECOS PAC ID: 6608208335 Enrollment ID: I20250730004026 |
| Provider Name | Ian Patrick Jackson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326602459 PECOS PAC ID: 1355670340 Enrollment ID: I20250801001202 |
| Provider Name | Shiva Shankar Vangimalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477074425 PECOS PAC ID: 2264857978 Enrollment ID: I20250802000314 |
| Provider Name | Brittany JT Hauke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518698356 PECOS PAC ID: 7012393036 Enrollment ID: I20250807000330 |
| Provider Name | Austin Lee Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952290884 PECOS PAC ID: 3476051715 Enrollment ID: I20250807000679 |
| Provider Name | Victoria Noel Lussier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386386704 PECOS PAC ID: 7113394701 Enrollment ID: I20250808000399 |
| Provider Name | Katelyn Kristine Myers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306417050 PECOS PAC ID: 1759785777 Enrollment ID: I20250811000395 |
| Provider Name | Daisy Barragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437049962 PECOS PAC ID: 5294233789 Enrollment ID: I20250813002237 |
| Provider Name | Farzad Effan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720712284 PECOS PAC ID: 5092198143 Enrollment ID: I20250816000074 |
| Provider Name | Nosakhare O Edogun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336879154 PECOS PAC ID: 1759764335 Enrollment ID: I20250819003889 |
| Provider Name | Caitlin Mckenna Griffin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871099432 PECOS PAC ID: 8224366505 Enrollment ID: I20250819004157 |
| Provider Name | Samantha Stoupa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790411627 PECOS PAC ID: 2466835517 Enrollment ID: I20250820002878 |
| Provider Name | Snowleopard C Tyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962148452 PECOS PAC ID: 2264810134 Enrollment ID: I20250820004173 |
| Provider Name | Kaitlin Elizabeth Ridout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417843046 PECOS PAC ID: 3678073012 Enrollment ID: I20250821001288 |
| Provider Name | Osama Mohammad Kamal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245964915 PECOS PAC ID: 8820473093 Enrollment ID: I20250821001874 |
| Provider Name | Dilasha S Neupane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033738281 PECOS PAC ID: 8022439884 Enrollment ID: I20250822003917 |
| Provider Name | Samantha Woller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043943129 PECOS PAC ID: 9537541685 Enrollment ID: I20250823000388 |
| Provider Name | Katelynn Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902781701 PECOS PAC ID: 6901307255 Enrollment ID: I20250828004046 |
| Provider Name | Matthew J Baier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134879794 PECOS PAC ID: 2860872710 Enrollment ID: I20250904000244 |
| Provider Name | Jenna Leigh Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376122846 PECOS PAC ID: 8527560804 Enrollment ID: I20250905002718 |
| Provider Name | Olivia M Rice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609372275 PECOS PAC ID: 1254688161 Enrollment ID: I20250909003338 |
| Provider Name | Jason Thomas White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669268645 PECOS PAC ID: 3375046147 Enrollment ID: I20250910000213 |
| Provider Name | Andrew S Dergan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609512805 PECOS PAC ID: 1153700067 Enrollment ID: I20250910003866 |
| Provider Name | Nathan a Foje |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265092712 PECOS PAC ID: 1254662513 Enrollment ID: I20250918003890 |
| Provider Name | Mallory J Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144114307 PECOS PAC ID: 8628572914 Enrollment ID: I20250918004506 |
| Provider Name | Abdul Kabir Abdussalam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730773367 PECOS PAC ID: 4587168612 Enrollment ID: I20250919003657 |
| Provider Name | Amanda Kiehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118644 PECOS PAC ID: 8527294883 Enrollment ID: I20250926003976 |
| Provider Name | Jordan T Blough |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861885428 PECOS PAC ID: 7911254289 Enrollment ID: I20250929001028 |
| Provider Name | Kathleen Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154569408 PECOS PAC ID: 4183120140 Enrollment ID: I20250930001873 |
| Provider Name | Baylee K Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801778717 PECOS PAC ID: 1850897752 Enrollment ID: I20250930003209 |
| Provider Name | Purav Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902338742 PECOS PAC ID: 7719224104 Enrollment ID: I20251001001317 |
| Provider Name | Ala Waleed Bakheet Abushattal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508590233 PECOS PAC ID: 2062896947 Enrollment ID: I20251001001832 |
| Provider Name | Allyson S Portsche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700759115 PECOS PAC ID: 2769988914 Enrollment ID: I20251006001599 |
| Provider Name | Jessica Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588553945 PECOS PAC ID: 2668979501 Enrollment ID: I20251008000942 |
| Provider Name | Avinash S Patil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720291024 PECOS PAC ID: 5496885915 Enrollment ID: I20251010002998 |
| Provider Name | Eliza Rochford Plummer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003541830 PECOS PAC ID: 0143605667 Enrollment ID: I20251015001814 |
| Provider Name | Jessica Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033095179 PECOS PAC ID: 4486141207 Enrollment ID: I20251015002537 |
| Provider Name | Audra Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295267284 PECOS PAC ID: 0648767475 Enrollment ID: I20251015003237 |
| Provider Name | Melissa Davison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417697541 PECOS PAC ID: 8123409364 Enrollment ID: I20251016004737 |
| Provider Name | Navdeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508738204 PECOS PAC ID: 5890282248 Enrollment ID: I20251017002198 |
| Provider Name | Sarah M Beeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043103765 PECOS PAC ID: 5193213536 Enrollment ID: I20251018000565 |
| Provider Name | Lauren B Botsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174316244 PECOS PAC ID: 6709376296 Enrollment ID: I20251104000914 |
| Provider Name | Ashley L Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629947452 PECOS PAC ID: 1759872252 Enrollment ID: I20251112003422 |
| Provider Name | Morgan Seline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598563892 PECOS PAC ID: 9234640137 Enrollment ID: I20251121003332 |
| Provider Name | Abbey Jo Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811722440 PECOS PAC ID: 5799293247 Enrollment ID: I20251124004170 |
| Provider Name | Akua Fordjour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285040626 PECOS PAC ID: 2961781109 Enrollment ID: I20251204001043 |
| Provider Name | Caitlyn B Cookenmaster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780245183 PECOS PAC ID: 1951636190 Enrollment ID: I20251215001541 |
| Provider Name | Lisa Saul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588626436 PECOS PAC ID: 5395711683 Enrollment ID: I20251215002856 |
| Provider Name | Bharath Pendyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639656499 PECOS PAC ID: 6204171390 Enrollment ID: I20251222000611 |
| Provider Name | Shelby Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164303020 PECOS PAC ID: 7416442975 Enrollment ID: I20251222002209 |
| Provider Name | Roshani Kandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053095802 PECOS PAC ID: 0446610083 Enrollment ID: I20251229003158 |
| Provider Name | Rakhshanda Layeequr-rahman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992787311 PECOS PAC ID: 3274514823 Enrollment ID: I20260107000709 |
| Provider Name | Alexandru C Bucura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215686175 PECOS PAC ID: 2163882739 Enrollment ID: I20260113003601 |
| Provider Name | Emily R Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255229647 PECOS PAC ID: 9537662192 Enrollment ID: I20260114002425 |
| Provider Name | Jill Kristine Swanson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982574208 PECOS PAC ID: 3072090786 Enrollment ID: I20260123002614 |
| Provider Name | Surya Srividya Petla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184074601 PECOS PAC ID: 2466748132 Enrollment ID: I20260127001302 |
| Provider Name | Brittany Howard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235458001 PECOS PAC ID: 5991942831 Enrollment ID: I20260202001969 |
| Provider Name | Leonardo Alvarado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114803988 PECOS PAC ID: 5092296814 Enrollment ID: I20260219003352 |
| Provider Name | Kyler Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477390680 PECOS PAC ID: 2466933874 Enrollment ID: I20260224003304 |
| Provider Name | Abigail Marie Frick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003652728 PECOS PAC ID: 9931681269 Enrollment ID: I20260305000652 |
| Provider Name | Lucas Matthew Long |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922844810 PECOS PAC ID: 0446732648 Enrollment ID: I20260306000304 |
| Provider Name | Temidayo Ayotomiwa Abe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366947798 PECOS PAC ID: 9436546017 Enrollment ID: I20260306000389 |
| Provider Name | Joseph Braddock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053982769 PECOS PAC ID: 6103220587 Enrollment ID: I20260310001132 |
| Provider Name | Steven Houck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235616681 PECOS PAC ID: 9234488909 Enrollment ID: I20260312000874 |
| Provider Name | Zhun Pan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356847685 PECOS PAC ID: 6901155779 Enrollment ID: I20260331003891 |
| Provider Name | Gregory J Diorio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427369867 PECOS PAC ID: 9739466400 Enrollment ID: I20260415003210 |
| Provider Name | Joycin Nicole Stonacek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205672946 PECOS PAC ID: 7113493081 Enrollment ID: I20260417001591 |
| Provider Name | Makenna Rose Vanlengen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023855053 PECOS PAC ID: 7618444001 Enrollment ID: I20260422003039 |
| Provider Name | Jesna Susan Mathew Sublett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639460827 PECOS PAC ID: 6709181274 Enrollment ID: I20260429002838 |
| Provider Name | Paul Lee Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881654218 PECOS PAC ID: 5092776799 Enrollment ID: I20260430002553 |
| Provider Name | Jennifer M Szatkowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356734768 PECOS PAC ID: 5991039463 Enrollment ID: I20260506002855 |
| Provider Name | Mohammad a Almubaslat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578731212 PECOS PAC ID: 1052437498 Enrollment ID: I20260507003715 |
| Provider Name | Jordan Wardy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063127397 PECOS PAC ID: 3274905203 Enrollment ID: I20260511003202 |
| Provider Name | Michelle Sarah Huerter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700761210 PECOS PAC ID: 4183193972 Enrollment ID: I20260521001855 |
| Provider Name | Julie Bodyfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891646089 PECOS PAC ID: 4789154576 Enrollment ID: I20260521002101 |
| Provider Name | Luminita Sanda Crisan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194934273 PECOS PAC ID: 2668537945 Enrollment ID: I20260610003522 |
| Provider Name | Nasrin Rahimian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942934534 PECOS PAC ID: 0345622205 Enrollment ID: I20260611002323 |
| Provider Name | Carlos Humberto Corral |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245212539 PECOS PAC ID: 3072604750 Enrollment ID: I20260612002005 |
| Provider Name | Larry Gerard Ferachi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881958262 PECOS PAC ID: 1557679933 Enrollment ID: I20260625000820 |
Eagle Run Chiropractic, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13808 W Maple Rd, Suite 116, Omaha, NE 68164 Phone: 402-491-4087 Fax: 402-491-4091 |
Bott PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11810 Nicholas St Ste 101, Omaha, NE 68154 Phone: 402-779-8400 Fax: 402-779-8401 |
Sanchez Family Medical LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3440 S 50th St, Omaha, NE 68106 Phone: 402-214-9040 Fax: 402-884-0088 |
Powers Chiropractic, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11343 Wright Cir, Omaha, NE 68144 Phone: 402-504-4344 Fax: 402-504-1173 |
Physicians of Internal Medicine, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7710 Mercy Rd Ste 601, Omaha, NE 68124 Phone: 402-397-5236 Fax: 402-397-8864 |
Trillion Health and Hormone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12002 Pacific St, Omaha, NE 68154 Phone: 402-201-2373 Fax: 402-201-2432 |