| Chi Health Clinic Specialty, Llc | |
|
555 S 70th St Lincoln NE 68510-2462 | |
| (402) 219-8000 | |
| Not Available |
| Full Name | Chi Health Clinic Specialty, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 555 S 70th St, Lincoln, 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 Specialty, Llc 7440 S 91st St Lincoln NE 68526-9797 Ph: (402) 421-0904 | Chi Health Clinic Specialty, Llc 555 S 70th St Lincoln NE 68510-2462 Ph: (402) 219-8000 |
| NPI Number | 1285138065 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4789098443 |
|---|---|
| Medicare Enrollment ID | O20210121000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285138065 | NPI | - | NPPES |
| Provider Name | Heidi E Kile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245316470 PECOS PAC ID: 6204733611 Enrollment ID: I20031215000540 |
| Provider Name | Melissa A Johnson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659481224 PECOS PAC ID: 8325933930 Enrollment ID: I20040220000734 |
| Provider Name | Jean M Baumeister |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871500678 PECOS PAC ID: 5193617595 Enrollment ID: I20040329001592 |
| Provider Name | Suzette A Woodward |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215972047 PECOS PAC ID: 4385625029 Enrollment ID: I20040527000874 |
| Provider Name | Thomas J Tegt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265440572 PECOS PAC ID: 9537154364 Enrollment ID: I20040614001358 |
| Provider Name | Scott A Frankforter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487627931 PECOS PAC ID: 5294710331 Enrollment ID: I20040622001164 |
| Provider Name | Bennett Ross Barrios |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437171089 PECOS PAC ID: 7719962711 Enrollment ID: I20040623000648 |
| Provider Name | Richard J Seitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427023993 PECOS PAC ID: 3173595337 Enrollment ID: I20040809000517 |
| Provider Name | Gerold J Stark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235142316 PECOS PAC ID: 7517930787 Enrollment ID: I20040816001178 |
| Provider Name | David Paul Isom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750317012 PECOS PAC ID: 9234103896 Enrollment ID: I20040820000628 |
| Provider Name | Arif A Nawaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457569386 PECOS PAC ID: 5698749067 Enrollment ID: I20040823000101 |
| Provider Name | Mark D Mowry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639146178 PECOS PAC ID: 5698689313 Enrollment ID: I20040907001192 |
| Provider Name | Steven K Krueger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417061987 PECOS PAC ID: 7416916655 Enrollment ID: I20041005000324 |
| Provider Name | Najam Muhammad Firoz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427163286 PECOS PAC ID: 8527028885 Enrollment ID: I20041012001166 |
| Provider Name | Craig H Rabb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538108931 PECOS PAC ID: 1951395292 Enrollment ID: I20041014000496 |
| Provider Name | Lissa A Woodruff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154304301 PECOS PAC ID: 4183689581 Enrollment ID: I20041124000759 |
| Provider Name | Greg A Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285655795 PECOS PAC ID: 9739145327 Enrollment ID: I20041206000559 |
| Provider Name | Tracy L Slocum Farritor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023028172 PECOS PAC ID: 5890751473 Enrollment ID: I20041206000752 |
| Provider Name | Erich R Fruehling |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831270404 PECOS PAC ID: 3375595143 Enrollment ID: I20050221000358 |
| Provider Name | Shawn S Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154414290 PECOS PAC ID: 3577538081 Enrollment ID: I20050228000914 |
| Provider Name | Anton J Smolik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043258387 PECOS PAC ID: 2567417165 Enrollment ID: I20050316000842 |
| Provider Name | Karen E Mcgivney-liechti |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922115799 PECOS PAC ID: 9335187376 Enrollment ID: I20050420001084 |
| Provider Name | Jonathan A Stelling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528076924 PECOS PAC ID: 8022915776 Enrollment ID: I20050509000209 |
| Provider Name | Bradley J Vasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356359681 PECOS PAC ID: 3678513769 Enrollment ID: I20050509000320 |
| Provider Name | Dennis Patrick Mcgowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598855298 PECOS PAC ID: 2860432630 Enrollment ID: I20050511000379 |
| Provider Name | Lewis W Plachy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083622450 PECOS PAC ID: 6305889007 Enrollment ID: I20050603000461 |
| Provider Name | Michael A Pace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356352256 PECOS PAC ID: 3375586092 Enrollment ID: I20050603000575 |
| Provider Name | Madhu V Midathada |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265511034 PECOS PAC ID: 7214971530 Enrollment ID: I20050616000782 |
| Provider Name | Wallace C Peterson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760472039 PECOS PAC ID: 1052373081 Enrollment ID: I20050720000742 |
| Provider Name | Ricky L Heirigs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447346739 PECOS PAC ID: 0648208660 Enrollment ID: I20050801000738 |
| Provider Name | Louis Violi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922002633 PECOS PAC ID: 1456312933 Enrollment ID: I20051114000920 |
| Provider Name | Harvey Hopkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871597583 PECOS PAC ID: 5395708416 Enrollment ID: I20051114000937 |
| Provider Name | Daniel J Mcgowan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780667931 PECOS PAC ID: 2961426747 Enrollment ID: I20060119000460 |
| Provider Name | Daniel J Defreece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013924687 PECOS PAC ID: 4082511720 Enrollment ID: I20060203000511 |
| Provider Name | Stacy D Blum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174530976 PECOS PAC ID: 8527073022 Enrollment ID: I20060220000203 |
| Provider Name | Dean R Thomson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972561991 PECOS PAC ID: 5092720540 Enrollment ID: I20060220000584 |
| Provider Name | Jeffrey E Jarrett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023026663 PECOS PAC ID: 2163431420 Enrollment ID: I20060413000509 |
| Provider Name | Rao Gutta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811936792 PECOS PAC ID: 3274544077 Enrollment ID: I20060508000847 |
| Provider Name | David S Quimby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235183369 PECOS PAC ID: 3072524438 Enrollment ID: I20060522000162 |
| Provider Name | John F Trapp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477522464 PECOS PAC ID: 1557374865 Enrollment ID: I20060802000500 |
| Provider Name | Douglas Fiedler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215976147 PECOS PAC ID: 2668428814 Enrollment ID: I20060823000596 |
| Provider Name | Lois A Dauel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144236357 PECOS PAC ID: 0042216251 Enrollment ID: I20061011000501 |
| Provider Name | Edward P Raines |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568414258 PECOS PAC ID: 6002814142 Enrollment ID: I20061127000390 |
| Provider Name | Omar Nass |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639114234 PECOS PAC ID: 2769451780 Enrollment ID: I20061130000486 |
| Provider Name | William M Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932178548 PECOS PAC ID: 6002817152 Enrollment ID: I20070116000619 |
| Provider Name | Jonathan Spencer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538163241 PECOS PAC ID: 9739140930 Enrollment ID: I20070227000465 |
| Provider Name | John L Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306947981 PECOS PAC ID: 4284738329 Enrollment ID: I20070330000087 |
| Provider Name | Tammera G Price-fowlkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700869971 PECOS PAC ID: 6204930175 Enrollment ID: I20070402000704 |
| Provider Name | Brent W Keenportz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912026790 PECOS PAC ID: 5799884367 Enrollment ID: I20070621000647 |
| Provider Name | Paul N Gobbo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144383449 PECOS PAC ID: 1355440777 Enrollment ID: I20070626000816 |
| Provider Name | Pornchai Jonglertham |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265567242 PECOS PAC ID: 9234238361 Enrollment ID: I20070629000552 |
| Provider Name | Joseph B Thibodeau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316973381 PECOS PAC ID: 3476653932 Enrollment ID: I20070712000460 |
| Provider Name | Stacey Knox |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750353447 PECOS PAC ID: 1355326141 Enrollment ID: I20070724000579 |
| Provider Name | Ryan C Ramaekers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174539936 PECOS PAC ID: 8022017508 Enrollment ID: I20070727000513 |
| Provider Name | Joseph Kam H Chiu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265426175 PECOS PAC ID: 6901823152 Enrollment ID: I20070921000079 |
| Provider Name | Chinyere N Obasi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245313253 PECOS PAC ID: 4981784154 Enrollment ID: I20071231000457 |
| Provider Name | Clayton J Friesen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073695037 PECOS PAC ID: 9638257546 Enrollment ID: I20080417000353 |
| Provider Name | Kevin J Reichmuth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073576229 PECOS PAC ID: 7618056813 Enrollment ID: I20080429000676 |
| Provider Name | Himanshu Md Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942280672 PECOS PAC ID: 2365449337 Enrollment ID: I20080506000282 |
| Provider Name | Peter L Gallagher |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730123589 PECOS PAC ID: 9537248018 Enrollment ID: I20080508000685 |
| Provider Name | Douglas L Kosmicki |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295840130 PECOS PAC ID: 7618049354 Enrollment ID: I20080711000506 |
| Provider Name | Salam S Salman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255303251 PECOS PAC ID: 8628030525 Enrollment ID: I20080711000541 |
| Provider Name | Jeffrey Kenneth King |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144228966 PECOS PAC ID: 3971675638 Enrollment ID: I20080712000088 |
| Provider Name | Steven Tyndall |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427134659 PECOS PAC ID: 5294643904 Enrollment ID: I20080805000783 |
| Provider Name | Anuj Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295821585 PECOS PAC ID: 0345247318 Enrollment ID: I20080805000806 |
| Provider Name | Christine R Shkolnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457515710 PECOS PAC ID: 0547334542 Enrollment ID: I20080809000108 |
| Provider Name | Stephen J Ackerman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538149257 PECOS PAC ID: 3577471283 Enrollment ID: I20080815000466 |
| Provider Name | Susan J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164681714 PECOS PAC ID: 8224104708 Enrollment ID: I20080908000074 |
| Provider Name | Brett J Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114140803 PECOS PAC ID: 0840367025 Enrollment ID: I20080930000639 |
| Provider Name | Kevin C Yiee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831301381 PECOS PAC ID: 3476612805 Enrollment ID: I20081030000193 |
| Provider Name | Angela E Johnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295970291 PECOS PAC ID: 2466514161 Enrollment ID: I20081215000086 |
| Provider Name | Virginia M Unverferth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073699203 PECOS PAC ID: 1658433420 Enrollment ID: I20090105000162 |
| Provider Name | Sarah J Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851486120 PECOS PAC ID: 6204999063 Enrollment ID: I20090106000430 |
| Provider Name | Amy L Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629163993 PECOS PAC ID: 4880757640 Enrollment ID: I20090106000470 |
| Provider Name | Michael L Aaronson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326014028 PECOS PAC ID: 7416948997 Enrollment ID: I20090114000380 |
| Provider Name | Beth A Brey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104914282 PECOS PAC ID: 3577626787 Enrollment ID: I20090114000688 |
| 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 | Mary J Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154416444 PECOS PAC ID: 3971668344 Enrollment ID: I20090218000525 |
| Provider Name | Jenna Elizabeth Fiala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982683918 PECOS PAC ID: 8426032988 Enrollment ID: I20090526000350 |
| Provider Name | John W Pflug |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205826989 PECOS PAC ID: 4981754041 Enrollment ID: I20090610000672 |
| Provider Name | Beth A Rawlings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790804821 PECOS PAC ID: 0648322933 Enrollment ID: I20090717000093 |
| Provider Name | Kendra R Piening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295966034 PECOS PAC ID: 9133273832 Enrollment ID: I20090814000304 |
| Provider Name | Jerry K Seiler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396960811 PECOS PAC ID: 9739158064 Enrollment ID: I20090909000569 |
| Provider Name | Deann M Barnard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235360322 PECOS PAC ID: 7012063134 Enrollment ID: I20090915000341 |
| Provider Name | Thomas F Scheer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245263995 PECOS PAC ID: 6709881105 Enrollment ID: I20091106000424 |
| Provider Name | Anthony F Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083873756 PECOS PAC ID: 3476691726 Enrollment ID: I20091106000543 |
| Provider Name | Imtiaz Islam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336122597 PECOS PAC ID: 7719067032 Enrollment ID: I20091202000419 |
| Provider Name | Carol Ann Boelter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417964222 PECOS PAC ID: 1951441484 Enrollment ID: I20091215000039 |
| Provider Name | Joni A Tilford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114006988 PECOS PAC ID: 4183765423 Enrollment ID: I20100108000082 |
| Provider Name | Eric C Rice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366545212 PECOS PAC ID: 1153463989 Enrollment ID: I20100116000316 |
| Provider Name | Raju Rao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992811376 PECOS PAC ID: 3476695883 Enrollment ID: I20100123000072 |
| Provider Name | Natvarlal P Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710196746 PECOS PAC ID: 9234272667 Enrollment ID: I20100206000043 |
| Provider Name | Steven Dunder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346264546 PECOS PAC ID: 0244243632 Enrollment ID: I20100218000172 |
| Provider Name | Timothy A Tesmer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972587327 PECOS PAC ID: 0547336919 Enrollment ID: I20100308000840 |
| Provider Name | John Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992745913 PECOS PAC ID: 5799751400 Enrollment ID: I20100421000800 |
| Provider Name | Andrew Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013070184 PECOS PAC ID: 9032248471 Enrollment ID: I20100524000816 |
| Provider Name | Mary Jane Glade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538354907 PECOS PAC ID: 6103959283 Enrollment ID: I20100727000863 |
| Provider Name | Sean L Hansen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699973164 PECOS PAC ID: 9638211808 Enrollment ID: I20100817000945 |
| Provider Name | Michelle Dawn Wehrly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916979 PECOS PAC ID: 6709910367 Enrollment ID: I20100818000179 |
| Provider Name | Shane J Burr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073793709 PECOS PAC ID: 7719011295 Enrollment ID: I20100819000464 |
| Provider Name | Ann E Narmi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134348071 PECOS PAC ID: 6608935531 Enrollment ID: I20100908000381 |
| Provider Name | Lance A Wiebusch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154442507 PECOS PAC ID: 3678698750 Enrollment ID: I20100913000865 |
| Provider Name | Nathan Benjamin Green |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679563936 PECOS PAC ID: 7113976176 Enrollment ID: I20100920000668 |
| Provider Name | Kris L Mleczko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073579207 PECOS PAC ID: 0446442438 Enrollment ID: I20101008000666 |
| Provider Name | Adeleke E Badejo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063452845 PECOS PAC ID: 2769460625 Enrollment ID: I20101012001354 |
| Provider Name | Laura J Fick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366750283 PECOS PAC ID: 5496944837 Enrollment ID: I20110114001067 |
| Provider Name | Latrice Diann Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932439205 PECOS PAC ID: 8426230848 Enrollment ID: I20110307000634 |
| Provider Name | Panayotis Alain Efstratiou |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083623706 PECOS PAC ID: 6204731771 Enrollment ID: I20110310001057 |
| Provider Name | Thomas W Frederickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295728368 PECOS PAC ID: 8527026491 Enrollment ID: I20110414000676 |
| Provider Name | Joshua R Anderson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225252042 PECOS PAC ID: 2961689575 Enrollment ID: I20110608000396 |
| Provider Name | Rebecca A Stratton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831319813 PECOS PAC ID: 7214114750 Enrollment ID: I20110609000074 |
| Provider Name | Amy Elizabeth Theesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770874570 PECOS PAC ID: 3870762404 Enrollment ID: I20110816000269 |
| Provider Name | Kara M Meinke Baehr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679692750 PECOS PAC ID: 6901076272 Enrollment ID: I20110823000966 |
| Provider Name | Richard B Thompson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699989772 PECOS PAC ID: 4981778594 Enrollment ID: I20110922000658 |
| Provider Name | Marcia A Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700164886 PECOS PAC ID: 9133394679 Enrollment ID: I20111212000121 |
| Provider Name | Timothy D Knudsen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982782827 PECOS PAC ID: 0345241253 Enrollment ID: I20120121000095 |
| Provider Name | Ryan Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790981082 PECOS PAC ID: 4183881568 Enrollment ID: I20120214000308 |
| Provider Name | Jade A Malcolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568734804 PECOS PAC ID: 3476713710 Enrollment ID: I20120324000092 |
| Provider Name | Carol Swarts |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780758698 PECOS PAC ID: 2062573165 Enrollment ID: I20120402000688 |
| 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 | Melissa R Hoferer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386992303 PECOS PAC ID: 3476702341 Enrollment ID: I20121009000658 |
| Provider Name | Jennifer Ann Sterner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184974792 PECOS PAC ID: 3870744790 Enrollment ID: I20121127000034 |
| Provider Name | Ilya G Berim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588801567 PECOS PAC ID: 6002068376 Enrollment ID: I20121212000612 |
| Provider Name | Deborah L Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649538448 PECOS PAC ID: 0042464968 Enrollment ID: I20130131000144 |
| Provider Name | Katie R Riessland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700139219 PECOS PAC ID: 5496900615 Enrollment ID: I20130219000300 |
| 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 | Anand R Deshmukh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003022708 PECOS PAC ID: 4082855101 Enrollment ID: I20130731000784 |
| Provider Name | Adam Macdissi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720399116 PECOS PAC ID: 9739321365 Enrollment ID: I20130812000541 |
| Provider Name | Radu Neamu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083895577 PECOS PAC ID: 1456593912 Enrollment ID: I20130813000091 |
| Provider Name | Joseph I Radke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205277183 PECOS PAC ID: 8325281694 Enrollment ID: I20130905000793 |
| Provider Name | Tina J Stringham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154762433 PECOS PAC ID: 5890939110 Enrollment ID: I20130926000137 |
| Provider Name | Abeera Mansur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033541610 PECOS PAC ID: 6709010770 Enrollment ID: I20131004000379 |
| Provider Name | Douglas L Clark |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801982939 PECOS PAC ID: 9234201831 Enrollment ID: I20131018000763 |
| Provider Name | Kristin L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942640073 PECOS PAC ID: 5698900603 Enrollment ID: I20131029001468 |
| Provider Name | Monica L Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205139318 PECOS PAC ID: 1254511488 Enrollment ID: I20140121000947 |
| Provider Name | Gina Grace Mentzer |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1316168628 PECOS PAC ID: 5991944902 Enrollment ID: I20140211001408 |
| Provider Name | Anwaar Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851683395 PECOS PAC ID: 9133390347 Enrollment ID: I20140308000057 |
| Provider Name | Darci K L Venem |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356503031 PECOS PAC ID: 8921153529 Enrollment ID: I20140529001208 |
| Provider Name | Regina Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447673363 PECOS PAC ID: 1355565326 Enrollment ID: I20140612001659 |
| Provider Name | Prathima Jasti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699971473 PECOS PAC ID: 7517153562 Enrollment ID: I20140616001136 |
| Provider Name | Jami S Kezeor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861805111 PECOS PAC ID: 9830314814 Enrollment ID: I20140707001937 |
| Provider Name | Vinay Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558590513 PECOS PAC ID: 2860615747 Enrollment ID: I20141022001537 |
| Provider Name | David G Crockett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801107636 PECOS PAC ID: 8820229859 Enrollment ID: I20141103001020 |
| Provider Name | Kelli Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853424 PECOS PAC ID: 4880816438 Enrollment ID: I20141114000667 |
| Provider Name | Ahmed Aboeata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376709808 PECOS PAC ID: 7315262904 Enrollment ID: I20150202000434 |
| Provider Name | Atam Mehdiratta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700828050 PECOS PAC ID: 7810892171 Enrollment ID: I20150415000976 |
| Provider Name | Jason R Mallin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316083835 PECOS PAC ID: 3173628906 Enrollment ID: I20150507000933 |
| Provider Name | Shoaib Alam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962451245 PECOS PAC ID: 6800866914 Enrollment ID: I20150601000865 |
| Provider Name | Franz Murphy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194953059 PECOS PAC ID: 7315258639 Enrollment ID: I20150612000988 |
| Provider Name | Andrew E Moellering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861752461 PECOS PAC ID: 1355574740 Enrollment ID: I20150625001484 |
| 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 | Meghan M Freeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205228301 PECOS PAC ID: 9335453935 Enrollment ID: I20150727001243 |
| Provider Name | Paul A Jackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289820 PECOS PAC ID: 2961716428 Enrollment ID: I20150729007071 |
| Provider Name | Muhammad Ebrahim Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609139625 PECOS PAC ID: 0648586248 Enrollment ID: I20150827000855 |
| Provider Name | Aashutosh U Goswami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518222983 PECOS PAC ID: 8123335270 Enrollment ID: I20150922001911 |
| Provider Name | Melinda A Eltiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295110401 PECOS PAC ID: 6608184346 Enrollment ID: I20150930001258 |
| Provider Name | Anuradha Tunuguntla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114128261 PECOS PAC ID: 8527099076 Enrollment ID: I20151009000569 |
| Provider Name | Kristin Elizabeth Markel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588050116 PECOS PAC ID: 1658680749 Enrollment ID: I20151012000247 |
| Provider Name | Lakshminarayan Yerra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366549933 PECOS PAC ID: 0648257600 Enrollment ID: I20151028001951 |
| Provider Name | James N Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306100912 PECOS PAC ID: 6406158179 Enrollment ID: I20160112002478 |
| Provider Name | Douglas Bauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114331808 PECOS PAC ID: 4486959962 Enrollment ID: I20160526001399 |
| Provider Name | Sue Eileen Holliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750514782 PECOS PAC ID: 9638460439 Enrollment ID: I20160627000996 |
| Provider Name | Michael J Sanley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437388741 PECOS PAC ID: 9133375082 Enrollment ID: I20160628002219 |
| Provider Name | Nicole Wanda Catherine Nolan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083901698 PECOS PAC ID: 6800027566 Enrollment ID: I20160721000031 |
| Provider Name | Aaron D Robinson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851666432 PECOS PAC ID: 4587957436 Enrollment ID: I20160729000985 |
| Provider Name | Emily Magel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386094746 PECOS PAC ID: 1052605185 Enrollment ID: I20160811001553 |
| Provider Name | Amy L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740630839 PECOS PAC ID: 7810281730 Enrollment ID: I20160815002528 |
| Provider Name | Aiman Smer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073825782 PECOS PAC ID: 6901192483 Enrollment ID: I20160909000227 |
| Provider Name | Abhisekh Sinha Ray |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659620698 PECOS PAC ID: 0244537397 Enrollment ID: I20160909000596 |
| Provider Name | Evan Schmitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649471947 PECOS PAC ID: 5799886115 Enrollment ID: I20160920002859 |
| Provider Name | Pamela Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205298023 PECOS PAC ID: 2567759905 Enrollment ID: I20160928001477 |
| Provider Name | Melissa K Studnicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891148789 PECOS PAC ID: 2365739729 Enrollment ID: I20160928001930 |
| Provider Name | Sheila Tuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740636109 PECOS PAC ID: 5496043820 Enrollment ID: I20161018000531 |
| Provider Name | Mohammed T Zalabani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427345966 PECOS PAC ID: 7618106659 Enrollment ID: I20161027001532 |
| Provider Name | Arun Kanmantha Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013143122 PECOS PAC ID: 6406136654 Enrollment ID: I20161206001513 |
| Provider Name | Sakeer Hussain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952423071 PECOS PAC ID: 7214036227 Enrollment ID: I20161227001919 |
| Provider Name | Jeffrey T Macmillan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295758365 PECOS PAC ID: 2466488945 Enrollment ID: I20170118002515 |
| Provider Name | Barkot Gebremichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538595863 PECOS PAC ID: 9739471509 Enrollment ID: I20170131000418 |
| Provider Name | Kylee Rae Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407300601 PECOS PAC ID: 7012299795 Enrollment ID: I20170308001420 |
| Provider Name | Dagmawe A Ayalew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215363668 PECOS PAC ID: 9133407380 Enrollment ID: I20170315001240 |
| Provider Name | Lacey Jean Heikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891229787 PECOS PAC ID: 8022324441 Enrollment ID: I20170606001261 |
| Provider Name | Toufik Mahfood Haddad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932541000 PECOS PAC ID: 8820391154 Enrollment ID: I20170712000494 |
| Provider Name | Jason D Shuda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265844427 PECOS PAC ID: 0042431348 Enrollment ID: I20170712000501 |
| Provider Name | Meenakshi Ghosh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093064040 PECOS PAC ID: 4981974011 Enrollment ID: I20170724001459 |
| Provider Name | Danielle Lynn Wooldrik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548608326 PECOS PAC ID: 6103056965 Enrollment ID: I20170724002262 |
| Provider Name | Alexander Kaganas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548401466 PECOS PAC ID: 4880841204 Enrollment ID: I20170801001915 |
| Provider Name | Chelsea M Pedroza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528588357 PECOS PAC ID: 8820360464 Enrollment ID: I20170817000514 |
| Provider Name | Kristen R Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915845 PECOS PAC ID: 9032481189 Enrollment ID: I20170824000223 |
| Provider Name | Terri L Baehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295251494 PECOS PAC ID: 9032481130 Enrollment ID: I20170824001836 |
| Provider Name | Cristina Hurlbut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134484298 PECOS PAC ID: 9931339157 Enrollment ID: I20170908001043 |
| Provider Name | Katherine A Yunghans |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528496213 PECOS PAC ID: 4789950833 Enrollment ID: I20171018000602 |
| Provider Name | Suzette R Clarke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881006195 PECOS PAC ID: 2567757545 Enrollment ID: I20171122002444 |
| Provider Name | Sarah Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447764758 PECOS PAC ID: 9638436587 Enrollment ID: I20171130001297 |
| Provider Name | Mark Stavas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336468636 PECOS PAC ID: 8820303191 Enrollment ID: I20171219000790 |
| Provider Name | Jeffrey C Macaraeg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730595158 PECOS PAC ID: 4587943923 Enrollment ID: I20180201000558 |
| Provider Name | Marie J Polynice |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265738371 PECOS PAC ID: 5294973210 Enrollment ID: I20180205002974 |
| Provider Name | Mary C Lally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417242587 PECOS PAC ID: 0547406399 Enrollment ID: I20180412001695 |
| Provider Name | John Abboud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417957416 PECOS PAC ID: 2365481983 Enrollment ID: I20180507002435 |
| Provider Name | Katie M Lewandowski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700377223 PECOS PAC ID: 0749535078 Enrollment ID: I20180608002218 |
| Provider Name | Suellen R Bruguera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245724137 PECOS PAC ID: 9335495092 Enrollment ID: I20180711000129 |
| Provider Name | Wei Jie Chin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477938579 PECOS PAC ID: 7416253976 Enrollment ID: I20180713001699 |
| Provider Name | Suresh Manapuram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730593823 PECOS PAC ID: 8527356286 Enrollment ID: I20180713001913 |
| Provider Name | Allie M Sohn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245527191 PECOS PAC ID: 0244587673 Enrollment ID: I20180717001963 |
| Provider Name | Cory E Shield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366825911 PECOS PAC ID: 9335453109 Enrollment ID: I20180719001533 |
| Provider Name | Darius Rutazaana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790160554 PECOS PAC ID: 8426305384 Enrollment ID: I20180724000556 |
| Provider Name | Ali Piper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396009031 PECOS PAC ID: 9032407911 Enrollment ID: I20180731000387 |
| Provider Name | Richard A. Fermelia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851486831 PECOS PAC ID: 4587769369 Enrollment ID: I20180814002789 |
| Provider Name | Shoaib Junejo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902251010 PECOS PAC ID: 9931458452 Enrollment ID: I20180816001966 |
| Provider Name | Heidi K Hansen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184052458 PECOS PAC ID: 8729371471 Enrollment ID: I20180820001440 |
| Provider Name | Mathew B Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619357191 PECOS PAC ID: 7315254141 Enrollment ID: I20180822002908 |
| Provider Name | Kirby L Knuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649750126 PECOS PAC ID: 0547519662 Enrollment ID: I20180823001351 |
| Provider Name | Sarah J Lade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275027658 PECOS PAC ID: 5496004343 Enrollment ID: I20180827000304 |
| Provider Name | Artem Ryazantsev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043653108 PECOS PAC ID: 9335431204 Enrollment ID: I20180828004075 |
| Provider Name | Kamille M Skrdla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457845786 PECOS PAC ID: 1153671292 Enrollment ID: I20180911001111 |
| 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 | Aaron M Morgenstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346537107 PECOS PAC ID: 7911134408 Enrollment ID: I20181101001182 |
| Provider Name | Matthew P Shupe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629206750 PECOS PAC ID: 4880989359 Enrollment ID: I20181106002571 |
| Provider Name | Christine A Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093290041 PECOS PAC ID: 7012261191 Enrollment ID: I20181107002941 |
| Provider Name | Scott Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356316053 PECOS PAC ID: 3173553344 Enrollment ID: I20181217002949 |
| Provider Name | Fernando N Lamounier |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1609826312 PECOS PAC ID: 5991717456 Enrollment ID: I20181221002463 |
| Provider Name | Meggan Linck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063724763 PECOS PAC ID: 8123278470 Enrollment ID: I20190206000313 |
| Provider Name | Jonathan Nwiloh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194782011 PECOS PAC ID: 1254244932 Enrollment ID: I20190306003112 |
| Provider Name | Lucinda D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437617123 PECOS PAC ID: 2668713199 Enrollment ID: I20190411000149 |
| Provider Name | John A Aucar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033141965 PECOS PAC ID: 2466450630 Enrollment ID: I20190424000786 |
| Provider Name | Amjad Kabach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891137758 PECOS PAC ID: 2163703307 Enrollment ID: I20190620001764 |
| Provider Name | Thomas G Harbert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629058060 PECOS PAC ID: 7719879279 Enrollment ID: I20190702001730 |
| Provider Name | Nikhil Jagan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427480284 PECOS PAC ID: 5597053264 Enrollment ID: I20190703001400 |
| Provider Name | Tyler Hitchler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154779338 PECOS PAC ID: 1850686130 Enrollment ID: I20190709000498 |
| Provider Name | Anton Simorov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083020556 PECOS PAC ID: 1052530268 Enrollment ID: I20190715000653 |
| Provider Name | Zeeshan Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477009686 PECOS PAC ID: 2668747908 Enrollment ID: I20190716002085 |
| Provider Name | Suchitra Pilli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750649844 PECOS PAC ID: 1153681937 Enrollment ID: I20190727000132 |
| Provider Name | Marcelle Botha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790345536 PECOS PAC ID: 5294061131 Enrollment ID: I20190730002439 |
| Provider Name | Richard Michael Jacoby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053353029 PECOS PAC ID: 3173610391 Enrollment ID: I20190806002760 |
| Provider Name | Tara Lynn Baum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275710477 PECOS PAC ID: 4284823428 Enrollment ID: I20190813001059 |
| Provider Name | Kathryn Corinne Wiedman Klayum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295129203 PECOS PAC ID: 9931415445 Enrollment ID: I20190813003472 |
| Provider Name | Thomas Kleisli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518195627 PECOS PAC ID: 1850686056 Enrollment ID: I20190829000402 |
| Provider Name | Ashley Fratello |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619390465 PECOS PAC ID: 2264760131 Enrollment ID: I20190830000668 |
| Provider Name | Rabie Emsalem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477008571 PECOS PAC ID: 3375800303 Enrollment ID: I20190910001663 |
| Provider Name | Thamer A Kassim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518410091 PECOS PAC ID: 1759647563 Enrollment ID: I20190911001637 |
| Provider Name | Elise Ann Plautz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661923 PECOS PAC ID: 1052642675 Enrollment ID: I20191014001333 |
| Provider Name | Polina K Inkoulova |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801095906 PECOS PAC ID: 9436237385 Enrollment ID: I20191028002517 |
| Provider Name | Maggie L Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831740760 PECOS PAC ID: 4587996392 Enrollment ID: I20191029000353 |
| Provider Name | Richard Angelico |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447243753 PECOS PAC ID: 5294785820 Enrollment ID: I20191116000460 |
| Provider Name | Wilbur K Freeman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003293697 PECOS PAC ID: 0042562373 Enrollment ID: I20191127000549 |
| Provider Name | Ahmad J. Khalifa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710947833 PECOS PAC ID: 8628003605 Enrollment ID: I20191212002807 |
| Provider Name | Rachel M Keiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720621121 PECOS PAC ID: 0547694804 Enrollment ID: I20191220000379 |
| Provider Name | Haris Zahoor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700017217 PECOS PAC ID: 0941466213 Enrollment ID: I20200109001390 |
| Provider Name | Robin Chirackal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689102998 PECOS PAC ID: 2264785468 Enrollment ID: I20200111000113 |
| Provider Name | Lauren P Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245870369 PECOS PAC ID: 7810323649 Enrollment ID: I20200213002948 |
| Provider Name | Michael Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285710517 PECOS PAC ID: 7113088253 Enrollment ID: I20200303001438 |
| Provider Name | Jordan Bontrager |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477184018 PECOS PAC ID: 2365870649 Enrollment ID: I20200319002779 |
| Provider Name | Kevan T Iffrig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215347471 PECOS PAC ID: 9032546890 Enrollment ID: I20200329000008 |
| Provider Name | Shay Renae Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124658547 PECOS PAC ID: 0840629424 Enrollment ID: I20200402000938 |
| Provider Name | Elizabeth Kirstin Mollard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962739656 PECOS PAC ID: 7012057375 Enrollment ID: I20200403002477 |
| Provider Name | Sarah Lynn Creamer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659626927 PECOS PAC ID: 4486973799 Enrollment ID: I20200419000160 |
| Provider Name | Ashraya Karkee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780094995 PECOS PAC ID: 0547535445 Enrollment ID: I20200430002278 |
| 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 | Michael John Kaster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891180980 PECOS PAC ID: 8729391933 Enrollment ID: I20200504001599 |
| Provider Name | William M Pruett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487005542 PECOS PAC ID: 9931492121 Enrollment ID: I20200504001667 |
| Provider Name | Craig S Cookman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770997462 PECOS PAC ID: 8426274366 Enrollment ID: I20200504001823 |
| Provider Name | Ankur Saini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144529397 PECOS PAC ID: 4486889060 Enrollment ID: I20200521001573 |
| Provider Name | Mohammad Selim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326593021 PECOS PAC ID: 3779840780 Enrollment ID: I20200611002362 |
| Provider Name | Tyler A Bliss |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063894913 PECOS PAC ID: 3971819970 Enrollment ID: I20200616000659 |
| Provider Name | Emily Rae Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780200139 PECOS PAC ID: 3870916620 Enrollment ID: I20200713000713 |
| Provider Name | Lillian Boutros Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013533967 PECOS PAC ID: 3476977703 Enrollment ID: I20200721000355 |
| Provider Name | Letisha Jolene Deibert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104346113 PECOS PAC ID: 1850664855 Enrollment ID: I20200721002742 |
| Provider Name | Brandi Ganatra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639710551 PECOS PAC ID: 4587088786 Enrollment ID: I20200721002747 |
| Provider Name | Sunil Nair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306259866 PECOS PAC ID: 9830455971 Enrollment ID: I20200731000525 |
| Provider Name | Daniel Eduardo Galeas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548781305 PECOS PAC ID: 6709201197 Enrollment ID: I20200731002646 |
| Provider Name | Ramy Osman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295251031 PECOS PAC ID: 5698190973 Enrollment ID: I20200804000212 |
| Provider Name | Patrick Joseph Hensley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912266255 PECOS PAC ID: 6204122641 Enrollment ID: I20200807002528 |
| Provider Name | Yazeid Alshebani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124422936 PECOS PAC ID: 0547558447 Enrollment ID: I20201006003232 |
| Provider Name | Jennifer E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770106783 PECOS PAC ID: 6406278266 Enrollment ID: I20201022002337 |
| Provider Name | Chelsey Loree Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306444930 PECOS PAC ID: 6608287974 Enrollment ID: I20201118001761 |
| Provider Name | Mohamed Shtiwi Ayan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700219193 PECOS PAC ID: 4385936046 Enrollment ID: I20201125000732 |
| Provider Name | David Battin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700881000 PECOS PAC ID: 2860466976 Enrollment ID: I20201228001560 |
| Provider Name | James H Keene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316136476 PECOS PAC ID: 2769612092 Enrollment ID: I20210126001911 |
| Provider Name | Michael Ryskin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326007774 PECOS PAC ID: 0446285571 Enrollment ID: I20210128001233 |
| Provider Name | Amanda Stuelpnagel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932555653 PECOS PAC ID: 0244525202 Enrollment ID: I20210218000236 |
| Provider Name | Todd M James |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467764498 PECOS PAC ID: 3476700105 Enrollment ID: I20210218000324 |
| Provider Name | Alia Khan-hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609958180 PECOS PAC ID: 1052327467 Enrollment ID: I20210305001159 |
| Provider Name | Rachel Nicole Jendro |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1518136928 PECOS PAC ID: 6901032523 Enrollment ID: I20210309000318 |
| Provider Name | Joshua A Multack |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164693891 PECOS PAC ID: 8820176423 Enrollment ID: I20210318000708 |
| Provider Name | Jonathan R Epperson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801177522 PECOS PAC ID: 2567879661 Enrollment ID: I20210407000647 |
| Provider Name | Jacqueline Kelly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730507971 PECOS PAC ID: 5698082063 Enrollment ID: I20210526001215 |
| Provider Name | Krystle M Hajek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598339939 PECOS PAC ID: 1355740069 Enrollment ID: I20210601000964 |
| Provider Name | Kenny Simpkins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770577918 PECOS PAC ID: 7315018892 Enrollment ID: I20210607001006 |
| Provider Name | Nayanjyoti Kaushik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619226057 PECOS PAC ID: 9830490564 Enrollment ID: I20210608000981 |
| Provider Name | Julie Lynn Lessard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801814470 PECOS PAC ID: 7719011352 Enrollment ID: I20210611002393 |
| Provider Name | Kenneth A Klein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891736963 PECOS PAC ID: 9335040237 Enrollment ID: I20210617000385 |
| Provider Name | Samantha J Boyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669976080 PECOS PAC ID: 8921358268 Enrollment ID: I20210713000483 |
| 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 | Jesse Schmid |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407207319 PECOS PAC ID: 0749572949 Enrollment ID: I20210714002300 |
| Provider Name | Vikas Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184100430 PECOS PAC ID: 0244582351 Enrollment ID: I20210714002584 |
| Provider Name | Jordan Moncrief |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164912002 PECOS PAC ID: 0244580066 Enrollment ID: I20210714003170 |
| Provider Name | Adeolu Morawo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841652823 PECOS PAC ID: 1658664107 Enrollment ID: I20210715004086 |
| Provider Name | Siju Michael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104302918 PECOS PAC ID: 5991057002 Enrollment ID: I20210721001007 |
| Provider Name | Jennifer Bartles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588236871 PECOS PAC ID: 4688077191 Enrollment ID: I20210721002776 |
| Provider Name | Chandrakumaran Anchalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063942464 PECOS PAC ID: 8820369077 Enrollment ID: I20210722002651 |
| Provider Name | Pankaj Kulshrestha |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619900065 PECOS PAC ID: 9436154861 Enrollment ID: I20210728001757 |
| Provider Name | Daniel Vance Sales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487159968 PECOS PAC ID: 8426312919 Enrollment ID: I20210729000060 |
| Provider Name | Rosina Schiff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033648308 PECOS PAC ID: 7517236631 Enrollment ID: I20210810003361 |
| Provider Name | Cole Marolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689164063 PECOS PAC ID: 6406106228 Enrollment ID: I20210819001228 |
| Provider Name | Joel Kruse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629566211 PECOS PAC ID: 6103177928 Enrollment ID: I20210819001288 |
| Provider Name | Jalal Dufani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619457868 PECOS PAC ID: 0345593927 Enrollment ID: I20210909003399 |
| Provider Name | Jerry Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629509567 PECOS PAC ID: 8123356722 Enrollment ID: I20210921000667 |
| Provider Name | Andrea J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427616986 PECOS PAC ID: 5991104051 Enrollment ID: I20210921000714 |
| Provider Name | Jeffrey Scott Gilroy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538177514 PECOS PAC ID: 0941281455 Enrollment ID: I20210921001034 |
| Provider Name | Loui Rejjal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073931846 PECOS PAC ID: 7214156546 Enrollment ID: I20210924001640 |
| Provider Name | The Wut Yee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487038667 PECOS PAC ID: 5193079457 Enrollment ID: I20211007000625 |
| Provider Name | Joseph Patrick Mctygue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396410759 PECOS PAC ID: 8527456763 Enrollment ID: I20211021000357 |
| Provider Name | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20211021002416 |
| Provider Name | Karson Kalian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699262527 PECOS PAC ID: 2062764475 Enrollment ID: I20211202001257 |
| Provider Name | Farrah Lee Rosentreader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467124412 PECOS PAC ID: 4688064819 Enrollment ID: I20211202001603 |
| Provider Name | Joseph Wiedermann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952334542 PECOS PAC ID: 5092878280 Enrollment ID: I20211213000476 |
| Provider Name | Khadijeh Zarkoob |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295705630 PECOS PAC ID: 1153343207 Enrollment ID: I20220121002029 |
| Provider Name | Kelsey E Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720345333 PECOS PAC ID: 3274767181 Enrollment ID: I20220210002317 |
| Provider Name | Daniel Dube |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629214028 PECOS PAC ID: 8123185980 Enrollment ID: I20220211000782 |
| Provider Name | Venkata Sowjanya Kanakadandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831540277 PECOS PAC ID: 7012200306 Enrollment ID: I20220216000910 |
| Provider Name | Muhammad Adnan Raufi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467482232 PECOS PAC ID: 3779588538 Enrollment ID: I20220302000493 |
| Provider Name | Lee Douglass Roberson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790750065 PECOS PAC ID: 5991806259 Enrollment ID: I20220315001183 |
| Provider Name | Mahmut Yucel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104453091 PECOS PAC ID: 9638564974 Enrollment ID: I20220323000504 |
| Provider Name | Kayla Neemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932853280 PECOS PAC ID: 1951797703 Enrollment ID: I20220405001026 |
| Provider Name | Mariah J Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902556244 PECOS PAC ID: 9335535095 Enrollment ID: I20220405001952 |
| Provider Name | Christina M Vassileva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124172135 PECOS PAC ID: 4082752662 Enrollment ID: I20220413000900 |
| Provider Name | Hassan Ahmed Nur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861952947 PECOS PAC ID: 8921486895 Enrollment ID: I20220606000265 |
| Provider Name | Amanda Faye Grosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881344836 PECOS PAC ID: 5991185308 Enrollment ID: I20220701000989 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568670321 PECOS PAC ID: 9032383047 Enrollment ID: I20220706000544 |
| Provider Name | Miguel Pedraza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447980115 PECOS PAC ID: 4789064874 Enrollment ID: I20220707000922 |
| Provider Name | Michael S Firstenberg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912961749 PECOS PAC ID: 3870517733 Enrollment ID: I20220713000331 |
| Provider Name | Srikanth Reddy Kothapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083266159 PECOS PAC ID: 9638409626 Enrollment ID: I20220719002284 |
| Provider Name | Katelyn S Schweitzer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245975580 PECOS PAC ID: 4385025162 Enrollment ID: I20220726001090 |
| Provider Name | Elena Kraus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962880872 PECOS PAC ID: 5890098669 Enrollment ID: I20220727000784 |
| Provider Name | Niraj Yadav |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053763300 PECOS PAC ID: 5890060206 Enrollment ID: I20220809001133 |
| Provider Name | Joshua D Vollstaedt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538517131 PECOS PAC ID: 3375838246 Enrollment ID: I20220809002039 |
| Provider Name | Ghazala Q Roopani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528026408 PECOS PAC ID: 8729996806 Enrollment ID: I20220809002303 |
| Provider Name | Zhan Li |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710365697 PECOS PAC ID: 1254638760 Enrollment ID: I20220818000740 |
| Provider Name | Shashank Jolly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902047814 PECOS PAC ID: 3779634522 Enrollment ID: I20220818001509 |
| Provider Name | Victor Dreicer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922072834 PECOS PAC ID: 7810989944 Enrollment ID: I20220822000592 |
| Provider Name | Sida Niu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699201905 PECOS PAC ID: 0749552818 Enrollment ID: I20220826001634 |
| Provider Name | Michael Marks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184711228 PECOS PAC ID: 7810952314 Enrollment ID: I20220830000282 |
| Provider Name | Brandi L Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992968333 PECOS PAC ID: 3577948611 Enrollment ID: I20220909002773 |
| Provider Name | Peter J Adamson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043669336 PECOS PAC ID: 7012310899 Enrollment ID: I20220912002486 |
| Provider Name | Mihaela Savu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982763462 PECOS PAC ID: 5597657536 Enrollment ID: I20220914000437 |
| Provider Name | Ahmed Al-chalabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801286711 PECOS PAC ID: 5496016206 Enrollment ID: I20220914002921 |
| Provider Name | Linda Susan Reimers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104067958 PECOS PAC ID: 5991180317 Enrollment ID: I20220920003154 |
| Provider Name | Debanshu Roy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992125751 PECOS PAC ID: 6507156510 Enrollment ID: I20221005003062 |
| Provider Name | Daniel Edward Hatz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407174584 PECOS PAC ID: 5395152151 Enrollment ID: I20221006000457 |
| Provider Name | Denise Waterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538882170 PECOS PAC ID: 9739565235 Enrollment ID: I20221006003186 |
| Provider Name | Zachariah Luke Wittenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538654785 PECOS PAC ID: 2062764467 Enrollment ID: I20221014001647 |
| Provider Name | Geoffrey B Kostiner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235123530 PECOS PAC ID: 2163476185 Enrollment ID: I20221109001431 |
| Provider Name | Ram Balasubramanian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831346006 PECOS PAC ID: 8921395492 Enrollment ID: I20221122000711 |
| Provider Name | Steven Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669477287 PECOS PAC ID: 1951492248 Enrollment ID: I20221214000417 |
| Provider Name | Candace Lynn Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386225621 PECOS PAC ID: 9234509639 Enrollment ID: I20221229001348 |
| Provider Name | Rage Geringer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447757349 PECOS PAC ID: 9032514682 Enrollment ID: I20230103000463 |
| Provider Name | Andrew H Goldstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518951284 PECOS PAC ID: 4385629062 Enrollment ID: I20230106000913 |
| Provider Name | Fotis Souslian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518159557 PECOS PAC ID: 1254494909 Enrollment ID: I20230110002031 |
| Provider Name | Worku Haile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679951214 PECOS PAC ID: 9133475650 Enrollment ID: I20230124001550 |
| Provider Name | Emily J Ren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205128931 PECOS PAC ID: 2163727389 Enrollment ID: I20230130001721 |
| Provider Name | Morgan Braden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558833277 PECOS PAC ID: 2769720846 Enrollment ID: I20230206001864 |
| Provider Name | Carey L Winkler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669434395 PECOS PAC ID: 1658363031 Enrollment ID: I20230221000255 |
| Provider Name | William Frederick Shaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467517631 PECOS PAC ID: 5294790945 Enrollment ID: I20230221001268 |
| Provider Name | Andrea Carkoski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982317384 PECOS PAC ID: 2163895855 Enrollment ID: I20230228000947 |
| Provider Name | Jason M Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396135083 PECOS PAC ID: 6406160357 Enrollment ID: I20230309002167 |
| Provider Name | Syed Mohsin Saghir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225569494 PECOS PAC ID: 1456615442 Enrollment ID: I20230329002055 |
| Provider Name | Qais Radaideh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063829844 PECOS PAC ID: 1658599519 Enrollment ID: I20230403001508 |
| Provider Name | Hemang Panchal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508155144 PECOS PAC ID: 2860725678 Enrollment ID: I20230404000738 |
| Provider Name | Matthew Simonich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790755056 PECOS PAC ID: 3375445109 Enrollment ID: I20230411001965 |
| Provider Name | John Waters |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033176656 PECOS PAC ID: 9537150321 Enrollment ID: I20230419002198 |
| Provider Name | Meyer Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629188651 PECOS PAC ID: 0749247484 Enrollment ID: I20230505001967 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679863542 PECOS PAC ID: 1951606979 Enrollment ID: I20230715000398 |
| Provider Name | Tyler Evans |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316506249 PECOS PAC ID: 2567790306 Enrollment ID: I20230718003800 |
| Provider Name | Carlos R. Dominguez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447771019 PECOS PAC ID: 3577923481 Enrollment ID: I20230724001396 |
| Provider Name | Emily Quick Bear |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346702677 PECOS PAC ID: 2860853777 Enrollment ID: I20230725001861 |
| Provider Name | Angela France |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457916421 PECOS PAC ID: 5597091157 Enrollment ID: I20230815001148 |
| Provider Name | Kallie Roberts |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831559228 PECOS PAC ID: 5395011068 Enrollment ID: I20230822001980 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20230825000713 |
| Provider Name | Cassandra Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407538093 PECOS PAC ID: 5395108013 Enrollment ID: I20230829002071 |
| Provider Name | Oana Majorant |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518205103 PECOS PAC ID: 2860709607 Enrollment ID: I20230906000173 |
| Provider Name | Julie Jerabek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568585263 PECOS PAC ID: 1254588296 Enrollment ID: I20230908003282 |
| Provider Name | Julie Pletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336192210 PECOS PAC ID: 2961463260 Enrollment ID: I20230915000245 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20230919000122 |
| Provider Name | Mary Spivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073839981 PECOS PAC ID: 3072736719 Enrollment ID: I20230927003932 |
| Provider Name | Lisa Graham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386955623 PECOS PAC ID: 0840432043 Enrollment ID: I20231005003378 |
| Provider Name | Jessica P Jacobson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578959847 PECOS PAC ID: 4789039652 Enrollment ID: I20231012001494 |
| Provider Name | Hala Fatima |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275586976 PECOS PAC ID: 5698786051 Enrollment ID: I20231012002043 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20231013000465 |
| Provider Name | Danielle Bergman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437340437 PECOS PAC ID: 6002984697 Enrollment ID: I20231028000124 |
| Provider Name | Jagadeshwar Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649250960 PECOS PAC ID: 2567423817 Enrollment ID: I20231031002977 |
| Provider Name | Capri Renae Steinkuhler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588443378 PECOS PAC ID: 6103273875 Enrollment ID: I20231117000953 |
| Provider Name | Ali Arbabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003816554 PECOS PAC ID: 2062447980 Enrollment ID: I20231127000644 |
| Provider Name | Timothy Gocke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316359417 PECOS PAC ID: 6507142031 Enrollment ID: I20231206003692 |
| Provider Name | Shayef Gabasha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639596265 PECOS PAC ID: 1456570894 Enrollment ID: I20231218000968 |
| Provider Name | Mona Batra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053304634 PECOS PAC ID: 1658319876 Enrollment ID: I20231219002677 |
| Provider Name | Ross Valone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154313765 PECOS PAC ID: 6507857737 Enrollment ID: I20231220001915 |
| Provider Name | Mohammed Qasswal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265084339 PECOS PAC ID: 3971833930 Enrollment ID: I20231221002922 |
| Provider Name | Duane Schuil |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245253392 PECOS PAC ID: 1052383445 Enrollment ID: I20240105000434 |
| Provider Name | Brandon Walker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669882213 PECOS PAC ID: 6507282761 Enrollment ID: I20240105001684 |
| Provider Name | John Grant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093701278 PECOS PAC ID: 2365400686 Enrollment ID: I20240108000549 |
| Provider Name | Joseph Frederickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548883069 PECOS PAC ID: 8325464142 Enrollment ID: I20240109003300 |
| Provider Name | Nathan Lafevers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437612678 PECOS PAC ID: 6305170499 Enrollment ID: I20240118000988 |
| Provider Name | Bindhu Oommen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831345081 PECOS PAC ID: 7214170703 Enrollment ID: I20240124000762 |
| Provider Name | Ahadi Hakki |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194816389 PECOS PAC ID: 5496800997 Enrollment ID: I20240124004137 |
| Provider Name | Nabil Al-kourainy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902339971 PECOS PAC ID: 6103194196 Enrollment ID: I20240131001320 |
| Provider Name | Carol L Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518011287 PECOS PAC ID: 4284759176 Enrollment ID: I20240201002434 |
| Provider Name | Agatha Critchfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639336019 PECOS PAC ID: 9234253915 Enrollment ID: I20240203000097 |
| Provider Name | Andrew Dabbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871538652 PECOS PAC ID: 8527088186 Enrollment ID: I20240207003070 |
| Provider Name | Antonio Laudito |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447401450 PECOS PAC ID: 1052362837 Enrollment ID: I20240223001750 |
| Provider Name | Todd Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881460665 PECOS PAC ID: 8022453539 Enrollment ID: I20240223002689 |
| Provider Name | Erik Robert Lystad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740574581 PECOS PAC ID: 8921383092 Enrollment ID: I20240228001726 |
Cheney Ridge Family Medical Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3540 Village Dr, Suite 100, Lincoln, NE 68516 Phone: 402-420-7113 | |
Pine Lake Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9100 Andermatt Drive Suite 1, Lincoln, NE 68526 Phone: 402-434-2730 Fax: 402-434-3970 | |
Plume Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 S 13th St Ste 1900, Lincoln, NE 68508 Phone: 720-248-4483 | |
Ramic Lincoln, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 S 70th St, Suite 116, Lincoln, NE 68516 Phone: 402-327-8080 Fax: 402-327-8090 | |
Doctors Of Women, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8055 O St Ste 100, Lincoln, NE 68510 Phone: 402-488-4022 Fax: 402-488-4113 | |
Nebraska Urban Indian Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2331 Fairfield St, Lincoln, NE 68521 Phone: 402-434-7177 Fax: 402-434-7180 | |
Mobile Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7480 N 56th St Ste 9, Lincoln, NE 68514 Phone: 402-476-1455 Fax: 402-476-1670 |