| Childrens Health Care | |
|
2525 Chicago Ave S Minneapolis MN 55404 | |
| (612) 813-6111 | |
| Not Available |
| Full Name | Childrens Health Care |
|---|---|
| Speciality | Pediatrics |
| Location | 2525 Chicago Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Brenda Lu Alexander Mccormick (SR. VP AND CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6128136129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Health Care 5901 Lincoln Drive, Cbc-2-rev/pe Edina MN 55436-1611 Ph: (952) 992-5691 | Childrens Health Care 2525 Chicago Ave S Minneapolis MN 55404 Ph: (612) 813-6111 |
| NPI Number | 1932208808 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 10/31/2022 |
| Medicare PECOS PAC ID | 2668370966 |
|---|---|
| Medicare Enrollment ID | O20040406000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932208808 | NPI | - | NPPES |
| 435247500 | Medicaid | MN | |
| C02052 | Other | MN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 331018 (Minnesota) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | David B Gremmels |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508813452 PECOS PAC ID: 8820992357 Enrollment ID: I20031125000578 |
| Provider Name | Franklin Lipman Rimell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235150491 PECOS PAC ID: 8123923711 Enrollment ID: I20031205000520 |
| Provider Name | Robert J Tibesar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205822954 PECOS PAC ID: 2668365016 Enrollment ID: I20040207000380 |
| Provider Name | David A Hirschman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518980267 PECOS PAC ID: 6901791029 Enrollment ID: I20040218000311 |
| Provider Name | Charles M Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437198223 PECOS PAC ID: 0244125094 Enrollment ID: I20040219000581 |
| Provider Name | Joseph A Dearani |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407834344 PECOS PAC ID: 8527953165 Enrollment ID: I20040220000900 |
| Provider Name | Barbara Kelly Gleason Han |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346280351 PECOS PAC ID: 8820985518 Enrollment ID: I20040227000855 |
| Provider Name | Justin Michael Kirven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093778524 PECOS PAC ID: 1052304045 Enrollment ID: I20040406000526 |
| Provider Name | Timothy P Culbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376517060 PECOS PAC ID: 5496748170 Enrollment ID: I20040407000897 |
| Provider Name | Maura A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619942588 PECOS PAC ID: 5799778478 Enrollment ID: I20040407000951 |
| Provider Name | Ashajyothi M Mooganayakanakote Siddappa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649284647 PECOS PAC ID: 7719974898 Enrollment ID: I20040429000873 |
| Provider Name | Joel P Spalding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275582876 PECOS PAC ID: 0648268581 Enrollment ID: I20040430001376 |
| Provider Name | Elizabeth E Gilles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376647636 PECOS PAC ID: 3072501311 Enrollment ID: I20040504001577 |
| Provider Name | Daniel S Mclellan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205821667 PECOS PAC ID: 9830188457 Enrollment ID: I20040510000502 |
| Provider Name | Marlieke Van Tyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487731527 PECOS PAC ID: 1254320385 Enrollment ID: I20040512000383 |
| Provider Name | Henry W Ortega |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548347651 PECOS PAC ID: 2365432564 Enrollment ID: I20040518000305 |
| Provider Name | Julie M Boman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427022110 PECOS PAC ID: 2365424827 Enrollment ID: I20040607001139 |
| Provider Name | Kent W Wegmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093714040 PECOS PAC ID: 1153211040 Enrollment ID: I20040609000018 |
| Provider Name | Richard J Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528097839 PECOS PAC ID: 8325021041 Enrollment ID: I20040611001030 |
| Provider Name | John J Nicotra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194753335 PECOS PAC ID: 3870576507 Enrollment ID: I20040611001127 |
| Provider Name | William A Mize |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811933310 PECOS PAC ID: 0941283683 Enrollment ID: I20040611001215 |
| Provider Name | Jean Jasienski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003894833 PECOS PAC ID: 3971588328 Enrollment ID: I20040621001295 |
| Provider Name | Susan F Sencer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588638076 PECOS PAC ID: 6305822636 Enrollment ID: I20040628000681 |
| Provider Name | Robert M Segal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992798078 PECOS PAC ID: 2466430970 Enrollment ID: I20040712000332 |
| Provider Name | Rahul M Tamhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073625752 PECOS PAC ID: 6800874975 Enrollment ID: I20040713001578 |
| Provider Name | Nancy J Mendelsohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033106091 PECOS PAC ID: 2062492069 Enrollment ID: I20040721000819 |
| Provider Name | Tanya L Halvorsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376629972 PECOS PAC ID: 4880674282 Enrollment ID: I20040726000304 |
| Provider Name | Anne E Bendel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508830092 PECOS PAC ID: 5991776254 Enrollment ID: I20040802001299 |
| Provider Name | Adam Lokeh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205939618 PECOS PAC ID: 8527033653 Enrollment ID: I20040908000271 |
| Provider Name | Kristine J Hendrickson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205837283 PECOS PAC ID: 3678549763 Enrollment ID: I20040909000702 |
| Provider Name | Donna M Milner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275610214 PECOS PAC ID: 5991772725 Enrollment ID: I20040913000343 |
| Provider Name | Mark J Hudson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962463547 PECOS PAC ID: 7517936958 Enrollment ID: I20041001000197 |
| Provider Name | Patrick L Carolan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750479127 PECOS PAC ID: 5799744074 Enrollment ID: I20041004000898 |
| Provider Name | Timothy A Lander |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548264435 PECOS PAC ID: 8426018698 Enrollment ID: I20041012001274 |
| Provider Name | Gerald M Rosen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1841214343 PECOS PAC ID: 7315908548 Enrollment ID: I20041021000436 |
| Provider Name | David A Dassenko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104865716 PECOS PAC ID: 8123081262 Enrollment ID: I20041109000887 |
| Provider Name | Julia A Gourde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861462582 PECOS PAC ID: 9739145103 Enrollment ID: I20041207000938 |
| Provider Name | Mani M Mokalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043243041 PECOS PAC ID: 8628971348 Enrollment ID: I20041220000137 |
| Provider Name | Joseph L Arms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417052077 PECOS PAC ID: 5698723864 Enrollment ID: I20050105000383 |
| Provider Name | Christine Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730188699 PECOS PAC ID: 2668420324 Enrollment ID: I20050110000391 |
| Provider Name | Christopher S Bowron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174695704 PECOS PAC ID: 6901855113 Enrollment ID: I20050114000222 |
| Provider Name | Barbara Jean Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184643017 PECOS PAC ID: 4880643865 Enrollment ID: I20050117000442 |
| Provider Name | David R Aughey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538135520 PECOS PAC ID: 7315996238 Enrollment ID: I20050118000977 |
| Provider Name | Michele Richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417924630 PECOS PAC ID: 2961452362 Enrollment ID: I20050124000815 |
| Provider Name | Kristin L Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124029756 PECOS PAC ID: 2567416175 Enrollment ID: I20050308000042 |
| Provider Name | Stephen C Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306810577 PECOS PAC ID: 5597719559 Enrollment ID: I20050311000645 |
| Provider Name | Nguyen C Huynh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346393345 PECOS PAC ID: 3678528429 Enrollment ID: I20050315000606 |
| Provider Name | Timothy M Casey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285626184 PECOS PAC ID: 6608822630 Enrollment ID: I20050323000640 |
| Provider Name | Kristin G Heuermann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316920853 PECOS PAC ID: 0749227866 Enrollment ID: I20050411000853 |
| Provider Name | Sheldon T Berkowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942201942 PECOS PAC ID: 8820038698 Enrollment ID: I20050511000399 |
| Provider Name | Kimmy S Oberstar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043323678 PECOS PAC ID: 1456393602 Enrollment ID: I20050526000943 |
| Provider Name | Peter J Melchert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699735837 PECOS PAC ID: 3678519626 Enrollment ID: I20050630000206 |
| Provider Name | David P Tetzlaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245290329 PECOS PAC ID: 1658307442 Enrollment ID: I20050713000290 |
| Provider Name | Michelle S Kennedy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023080751 PECOS PAC ID: 4981692266 Enrollment ID: I20051116000974 |
| Provider Name | Jane E Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043286743 PECOS PAC ID: 3971523390 Enrollment ID: I20051130000777 |
| Provider Name | Kari D Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285717082 PECOS PAC ID: 8426079500 Enrollment ID: I20051216000353 |
| Provider Name | Mahmoud G Nagib |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730111477 PECOS PAC ID: 5395759815 Enrollment ID: I20060203000206 |
| Provider Name | Triniti L Feldhege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962487017 PECOS PAC ID: 5799790564 Enrollment ID: I20060215000447 |
| Provider Name | John W Zimny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447259494 PECOS PAC ID: 5395750178 Enrollment ID: I20060215000491 |
| Provider Name | Sonja M Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467438812 PECOS PAC ID: 2466468400 Enrollment ID: I20060228000344 |
| Provider Name | Polo Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134189970 PECOS PAC ID: 8921015017 Enrollment ID: I20060315000045 |
| Provider Name | Jennifer H Kyllo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679565774 PECOS PAC ID: 8224049945 Enrollment ID: I20060509000923 |
| Provider Name | Peter H Helseth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205828308 PECOS PAC ID: 9032120753 Enrollment ID: I20060509000939 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20060814000078 |
| Provider Name | Susan L Kearney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154375061 PECOS PAC ID: 8628077096 Enrollment ID: I20061212000515 |
| Provider Name | Tracey A Mcguinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265515753 PECOS PAC ID: 8123027273 Enrollment ID: I20061219000122 |
| Provider Name | John J Garcia |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1275585861 PECOS PAC ID: 1456353655 Enrollment ID: I20070131000531 |
| Provider Name | Marydee C Chamberlain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073624177 PECOS PAC ID: 4981706645 Enrollment ID: I20070227000131 |
| Provider Name | Jawhar Rawwas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134212533 PECOS PAC ID: 4183728462 Enrollment ID: I20070326000359 |
| Provider Name | David G Einzig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350391 PECOS PAC ID: 0941309561 Enrollment ID: I20070622000337 |
| Provider Name | Kendra L Gram |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942422787 PECOS PAC ID: 3375644578 Enrollment ID: I20070718000265 |
| Provider Name | Andrea L Lampland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780728147 PECOS PAC ID: 4385735786 Enrollment ID: I20070814000144 |
| Provider Name | Thomas N George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144215088 PECOS PAC ID: 3678667698 Enrollment ID: I20070921000393 |
| Provider Name | Eileen M Kurpiers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992722706 PECOS PAC ID: 3375638570 Enrollment ID: I20071003000320 |
| Provider Name | Jesse L Hennum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720132319 PECOS PAC ID: 9638259864 Enrollment ID: I20071231000153 |
| Provider Name | Erin A Osterholm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083806061 PECOS PAC ID: 8628159654 Enrollment ID: I20080116000440 |
| Provider Name | Michael K Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699741652 PECOS PAC ID: 0840378543 Enrollment ID: I20080422000213 |
| Provider Name | Francis X Moga |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154376176 PECOS PAC ID: 7315030038 Enrollment ID: I20080430000584 |
| Provider Name | Julie A Albecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902091689 PECOS PAC ID: 5597834788 Enrollment ID: I20080514000102 |
| Provider Name | David M Overman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619916848 PECOS PAC ID: 5698868313 Enrollment ID: I20080602000575 |
| Provider Name | Mark Joseph Bergeron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699838300 PECOS PAC ID: 9234203845 Enrollment ID: I20080730000785 |
| Provider Name | Patrick A Pederson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336321348 PECOS PAC ID: 0244308906 Enrollment ID: I20081007000885 |
| Provider Name | Melissa K Claar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588821573 PECOS PAC ID: 6901964774 Enrollment ID: I20081022000706 |
| Provider Name | Angela R Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043365984 PECOS PAC ID: 1355400557 Enrollment ID: I20081103000425 |
| Provider Name | Rachel Justine Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780611947 PECOS PAC ID: 3375556210 Enrollment ID: I20081117000374 |
| Provider Name | Nicole B Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306016860 PECOS PAC ID: 9133205263 Enrollment ID: I20081218000365 |
| Provider Name | Andrea M Gravley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104074434 PECOS PAC ID: 6608939673 Enrollment ID: I20090116000589 |
| Provider Name | Cathleen M Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386723245 PECOS PAC ID: 2860557196 Enrollment ID: I20090219000444 |
| Provider Name | Steven A Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386805067 PECOS PAC ID: 6800952011 Enrollment ID: I20090312000343 |
| Provider Name | Melissa B Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760474258 PECOS PAC ID: 8325105083 Enrollment ID: I20090324000570 |
| Provider Name | Mary A Langevin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144401845 PECOS PAC ID: 9638226277 Enrollment ID: I20090416000355 |
| Provider Name | Laura G Hoyt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417923533 PECOS PAC ID: 2062569619 Enrollment ID: I20090416000492 |
| Provider Name | Angela J Noble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346432283 PECOS PAC ID: 6204984313 Enrollment ID: I20090429000448 |
| Provider Name | Kris Ann P Schultz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437350725 PECOS PAC ID: 0143371518 Enrollment ID: I20090624000521 |
| Provider Name | Nicole M Omann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952445900 PECOS PAC ID: 1951454776 Enrollment ID: I20090727000637 |
| Provider Name | Milagros Santiago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922091008 PECOS PAC ID: 4587717632 Enrollment ID: I20090806000585 |
| Provider Name | Peter Wayne Clarine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831320522 PECOS PAC ID: 6406901891 Enrollment ID: I20090909000164 |
| Provider Name | Yoav H Messinger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063482388 PECOS PAC ID: 2163577479 Enrollment ID: I20090909000486 |
| Provider Name | Megan E Deisz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629147095 PECOS PAC ID: 4385780667 Enrollment ID: I20090930000659 |
| Provider Name | Mary Ellen Heezen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982687422 PECOS PAC ID: 2769528728 Enrollment ID: I20091005000398 |
| Provider Name | Lydia Najera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689747982 PECOS PAC ID: 5890831630 Enrollment ID: I20091007000653 |
| Provider Name | Timothy A Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760696900 PECOS PAC ID: 9335285162 Enrollment ID: I20091008000596 |
| Provider Name | Pamela G Chawla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417956376 PECOS PAC ID: 6406937762 Enrollment ID: I20091104000272 |
| Provider Name | Keith L Cavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497830145 PECOS PAC ID: 8426955592 Enrollment ID: I20091118000228 |
| Provider Name | Rachel S Darling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790972446 PECOS PAC ID: 9436290012 Enrollment ID: I20100104000715 |
| Provider Name | Scott A Schwantes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033302286 PECOS PAC ID: 3870635774 Enrollment ID: I20100114000644 |
| Provider Name | Cheryl A Gale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801828645 PECOS PAC ID: 5799827564 Enrollment ID: I20100118000167 |
| Provider Name | Nancy M Fahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023034329 PECOS PAC ID: 1052333556 Enrollment ID: I20100201000716 |
| Provider Name | Barbara N Malone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831135193 PECOS PAC ID: 7113976127 Enrollment ID: I20100217000731 |
| Provider Name | Jill M Gorius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659357259 PECOS PAC ID: 3870638075 Enrollment ID: I20100226000229 |
| Provider Name | Mylynda S Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285713396 PECOS PAC ID: 0345375515 Enrollment ID: I20100315000150 |
| Provider Name | Anna E Knapp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396072039 PECOS PAC ID: 6406981521 Enrollment ID: I20100315000822 |
| Provider Name | Julie Chu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225008527 PECOS PAC ID: 3870562317 Enrollment ID: I20100421000566 |
| Provider Name | Weston P Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407903156 PECOS PAC ID: 3678607389 Enrollment ID: I20100817001023 |
| Provider Name | Julie L Lessard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801814470 PECOS PAC ID: 7719011352 Enrollment ID: I20100817001582 |
| Provider Name | Lori A Ranney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841477650 PECOS PAC ID: 8325172745 Enrollment ID: I20100819001029 |
| Provider Name | Beth M Brandenburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104961143 PECOS PAC ID: 3678767084 Enrollment ID: I20101029000902 |
| Provider Name | Christine B Hills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124220462 PECOS PAC ID: 7517152978 Enrollment ID: I20101110001256 |
| Provider Name | Stephen P England |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114968534 PECOS PAC ID: 4880682558 Enrollment ID: I20101115000191 |
| Provider Name | Michael T Healy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861672628 PECOS PAC ID: 4688863616 Enrollment ID: I20110106000645 |
| Provider Name | Marko Vezmar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740599513 PECOS PAC ID: 4284814682 Enrollment ID: I20110202000022 |
| Provider Name | Maren E Olson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629080692 PECOS PAC ID: 6800078403 Enrollment ID: I20110302000940 |
| Provider Name | Christopher D Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346430592 PECOS PAC ID: 2860676673 Enrollment ID: I20110401000615 |
| Provider Name | Stacey A Van Lith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295861078 PECOS PAC ID: 4183808884 Enrollment ID: I20110404000792 |
| Provider Name | Katherine A Dow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174827323 PECOS PAC ID: 1951585413 Enrollment ID: I20110406000921 |
| Provider Name | Melissa Christensen Froehlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023193778 PECOS PAC ID: 5698730752 Enrollment ID: I20110408000411 |
| Provider Name | Julie D Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114926268 PECOS PAC ID: 2264616655 Enrollment ID: I20110408000505 |
| Provider Name | Nancy R Mcallister |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093894560 PECOS PAC ID: 0941233159 Enrollment ID: I20110426000656 |
| Provider Name | Mary A Schnabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326015785 PECOS PAC ID: 4385829456 Enrollment ID: I20110505000221 |
| Provider Name | Isabelle Mh Krisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083904569 PECOS PAC ID: 3173700242 Enrollment ID: I20110527000413 |
| Provider Name | Charles Shepard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376713107 PECOS PAC ID: 7810175809 Enrollment ID: I20110621000776 |
| Provider Name | Molly E Raske |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093820730 PECOS PAC ID: 9436220142 Enrollment ID: I20110713000481 |
| Provider Name | Jason W Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699921627 PECOS PAC ID: 1557416906 Enrollment ID: I20110720000172 |
| Provider Name | Anne L Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003109653 PECOS PAC ID: 7618145285 Enrollment ID: I20110726000577 |
| Provider Name | Beth A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750674594 PECOS PAC ID: 6709056054 Enrollment ID: I20110824000853 |
| Provider Name | Michael R Sprehe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528011533 PECOS PAC ID: 2466427638 Enrollment ID: I20110826000493 |
| Provider Name | Karen Resch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790897460 PECOS PAC ID: 2769652312 Enrollment ID: I20110908002284 |
| Provider Name | Bryan H Schmitt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649235466 PECOS PAC ID: 2567633068 Enrollment ID: I20110913000727 |
| Provider Name | Angela Marie Kelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376864355 PECOS PAC ID: 0941471130 Enrollment ID: I20110920000354 |
| Provider Name | Angela Renee Goepferd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205971223 PECOS PAC ID: 9830361427 Enrollment ID: I20111003000724 |
| Provider Name | Walter H Truong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669664629 PECOS PAC ID: 7810160223 Enrollment ID: I20111031000757 |
| Provider Name | Kerry B Ace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790862738 PECOS PAC ID: 8527231893 Enrollment ID: I20111101000748 |
| Provider Name | Jennifer C Laine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871798751 PECOS PAC ID: 2062685340 Enrollment ID: I20111102000109 |
| Provider Name | Jeffrey R Dahlen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265680144 PECOS PAC ID: 9032385000 Enrollment ID: I20111222000483 |
| Provider Name | Kristen T Appert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831164730 PECOS PAC ID: 6002082658 Enrollment ID: I20120103000171 |
| Provider Name | Muhammad Yasir Qureshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407065014 PECOS PAC ID: 3577719749 Enrollment ID: I20120804000048 |
| Provider Name | Michael A Abdulhadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154521342 PECOS PAC ID: 9638357601 Enrollment ID: I20120810000314 |
| Provider Name | Kristina E Catrine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578623005 PECOS PAC ID: 0345383204 Enrollment ID: I20120906000394 |
| Provider Name | Niyati N Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114173093 PECOS PAC ID: 8921256165 Enrollment ID: I20120913000469 |
| Provider Name | Heidi J Kamrath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396989935 PECOS PAC ID: 6608024708 Enrollment ID: I20120914000389 |
| Provider Name | Andrew E Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942596820 PECOS PAC ID: 4486802428 Enrollment ID: I20120917000134 |
| Provider Name | Lindsey C Yock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841586559 PECOS PAC ID: 5395993349 Enrollment ID: I20120917000251 |
| Provider Name | James Steven Mccabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538395660 PECOS PAC ID: 6103074158 Enrollment ID: I20120917000259 |
| Provider Name | Erin Marie Kuisle Novak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447450549 PECOS PAC ID: 0749468445 Enrollment ID: I20120918000140 |
| Provider Name | Elizabeth A. Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508006693 PECOS PAC ID: 2567610371 Enrollment ID: I20120920000488 |
| Provider Name | Carolyn E Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861729204 PECOS PAC ID: 5193976330 Enrollment ID: I20121115000390 |
| Provider Name | Linda Eleanor Graeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477833804 PECOS PAC ID: 7810140423 Enrollment ID: I20130110000221 |
| Provider Name | Charles D Blackwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750492856 PECOS PAC ID: 5496727638 Enrollment ID: I20130121000234 |
| Provider Name | Kellee A Street |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063599181 PECOS PAC ID: 6709030943 Enrollment ID: I20130216000010 |
| Provider Name | Samuel R Reid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770660813 PECOS PAC ID: 0143475954 Enrollment ID: I20130228000360 |
| Provider Name | Jodi M O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619214368 PECOS PAC ID: 4082851852 Enrollment ID: I20130515000254 |
| Provider Name | Christian Hanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528221538 PECOS PAC ID: 7012155922 Enrollment ID: I20130605000516 |
| Provider Name | Laura J Heinmiller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972837706 PECOS PAC ID: 3577702448 Enrollment ID: I20130625000818 |
| Provider Name | Anne Marie Priebe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497977011 PECOS PAC ID: 9830368216 Enrollment ID: I20130708000259 |
| Provider Name | Bjorn Ingemar Engstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255599403 PECOS PAC ID: 0345480687 Enrollment ID: I20130709000490 |
| Provider Name | Tate Alan Gisslen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629269121 PECOS PAC ID: 1254513724 Enrollment ID: I20130717000805 |
| Provider Name | Maren E Flynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134362809 PECOS PAC ID: 5597907204 Enrollment ID: I20130808000871 |
| Provider Name | Samantha L Pace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073845426 PECOS PAC ID: 3971746827 Enrollment ID: I20130826000503 |
| Provider Name | Nihal M Hamouda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356605315 PECOS PAC ID: 5890931612 Enrollment ID: I20130827000604 |
| Provider Name | Laura M Gandrud Pickett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578522009 PECOS PAC ID: 1850374802 Enrollment ID: I20131113000506 |
| Provider Name | Maureen K Jaqua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255658001 PECOS PAC ID: 8729214135 Enrollment ID: I20131113000677 |
| Provider Name | Georgia L Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972869360 PECOS PAC ID: 2365678778 Enrollment ID: I20131113000685 |
| Provider Name | Meysam A Kebriaei |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255452926 PECOS PAC ID: 8123254554 Enrollment ID: I20131113001192 |
| Provider Name | Yanerys M Ramos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043460686 PECOS PAC ID: 2264668953 Enrollment ID: I20131203000596 |
| Provider Name | Mark G Schnellinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700811460 PECOS PAC ID: 2062430804 Enrollment ID: I20131204002074 |
| Provider Name | Fatima S Jaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295967388 PECOS PAC ID: 2062649965 Enrollment ID: I20131223000562 |
| Provider Name | Thomas M Skrypek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710157631 PECOS PAC ID: 4587891320 Enrollment ID: I20131226000581 |
| Provider Name | Robroy H Maciver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467580589 PECOS PAC ID: 1456589175 Enrollment ID: I20131231001976 |
| Provider Name | Bradley C Linden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578762357 PECOS PAC ID: 7719079102 Enrollment ID: I20140108000175 |
| Provider Name | Lisa M Laforest |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407048697 PECOS PAC ID: 8426286949 Enrollment ID: I20140108000910 |
| Provider Name | Julie A Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306144159 PECOS PAC ID: 0143458570 Enrollment ID: I20140110000827 |
| Provider Name | Christopher J Dunne |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407014368 PECOS PAC ID: 6507094737 Enrollment ID: I20140116000374 |
| Provider Name | Melissa A Adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124312962 PECOS PAC ID: 5698903763 Enrollment ID: I20140117000363 |
| Provider Name | Debra A Weimerskirch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770556193 PECOS PAC ID: 1658500293 Enrollment ID: I20140131000901 |
| Provider Name | Jennifer Marie Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235562562 PECOS PAC ID: 6305075730 Enrollment ID: I20140206000619 |
| Provider Name | Erin Wise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255533576 PECOS PAC ID: 7911071147 Enrollment ID: I20140220000314 |
| Provider Name | Vaishali Jha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891715256 PECOS PAC ID: 2163429788 Enrollment ID: I20140228000106 |
| Provider Name | Kristin M Dettmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851478895 PECOS PAC ID: 5597995829 Enrollment ID: I20140305001301 |
| Provider Name | Melissa S Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215199013 PECOS PAC ID: 2365612157 Enrollment ID: I20140516000912 |
| Provider Name | Constantinos Athanasios Voulgaropoulos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487615969 PECOS PAC ID: 1850514696 Enrollment ID: I20140522001796 |
| Provider Name | Linda B Madsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891769386 PECOS PAC ID: 0143443705 Enrollment ID: I20140529000517 |
| Provider Name | Brianne B Roby |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265605778 PECOS PAC ID: 5799926713 Enrollment ID: I20140613001153 |
| Provider Name | Marcelo P Vargas |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1114185154 PECOS PAC ID: 6406007954 Enrollment ID: I20140702000543 |
| Provider Name | Michon E Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851733919 PECOS PAC ID: 0042437006 Enrollment ID: I20140814002040 |
| Provider Name | Conor S Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770924300 PECOS PAC ID: 2769623065 Enrollment ID: I20140908001906 |
| Provider Name | Christopher Patrick Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629360144 PECOS PAC ID: 2769652197 Enrollment ID: I20140930001654 |
| Provider Name | Nicole S Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053558247 PECOS PAC ID: 6800016445 Enrollment ID: I20141003000512 |
| Provider Name | Vikas Bhambhani |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1932429917 PECOS PAC ID: 8426279449 Enrollment ID: I20141016000826 |
| Provider Name | Marnie T Huntley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831312933 PECOS PAC ID: 4385865237 Enrollment ID: I20141020000275 |
| Provider Name | Junia C Kimizuka Conniff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477960854 PECOS PAC ID: 6800018938 Enrollment ID: I20141105001354 |
| Provider Name | Angela Tridgell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467646919 PECOS PAC ID: 9436371812 Enrollment ID: I20141120000025 |
| Provider Name | Heather M May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033554316 PECOS PAC ID: 1355585951 Enrollment ID: I20141211001750 |
| Provider Name | Vinay Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255608535 PECOS PAC ID: 6709109358 Enrollment ID: I20150106002208 |
| Provider Name | Deepa R Pai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376660811 PECOS PAC ID: 1658550181 Enrollment ID: I20150112001853 |
| Provider Name | Libbie Tuthill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932520400 PECOS PAC ID: 6305161118 Enrollment ID: I20150218001470 |
| Provider Name | Teresa M Herriage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861880874 PECOS PAC ID: 1456676105 Enrollment ID: I20150220001996 |
| Provider Name | Carlos A Galliani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962504134 PECOS PAC ID: 9830237254 Enrollment ID: I20150313002189 |
| Provider Name | Ewa M Oberdorfer |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1104084979 PECOS PAC ID: 1052638855 Enrollment ID: I20150316000401 |
| Provider Name | Jessica L Novak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497167506 PECOS PAC ID: 8628395498 Enrollment ID: I20150317000661 |
| Provider Name | Ashley D Meek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548533102 PECOS PAC ID: 3375702467 Enrollment ID: I20150317002229 |
| Provider Name | Lisa A Zagar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194164137 PECOS PAC ID: 9739315292 Enrollment ID: I20150403000703 |
| Provider Name | Lindsay M Hill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275735219 PECOS PAC ID: 9638497761 Enrollment ID: I20150421001106 |
| Provider Name | Rhamy N Magid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780901801 PECOS PAC ID: 5193044196 Enrollment ID: I20150424000515 |
| Provider Name | Erin P Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255595195 PECOS PAC ID: 8123347655 Enrollment ID: I20150506000007 |
| Provider Name | Robert A Sicoli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467539593 PECOS PAC ID: 2567781909 Enrollment ID: I20150506000688 |
| Provider Name | Jeffrey J Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497832513 PECOS PAC ID: 1355660705 Enrollment ID: I20150506000787 |
| Provider Name | Kathryn A Wussow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972680015 PECOS PAC ID: 3375862634 Enrollment ID: I20150507002103 |
| Provider Name | Michelle S London |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790897817 PECOS PAC ID: 9234458415 Enrollment ID: I20150511000965 |
| Provider Name | Adriana M Klucar Stoudt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346351467 PECOS PAC ID: 0648599829 Enrollment ID: I20150511001179 |
| Provider Name | Deborah Magnuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003201138 PECOS PAC ID: 4385963412 Enrollment ID: I20150512000708 |
| Provider Name | Thomas M Hetzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699870253 PECOS PAC ID: 5890015986 Enrollment ID: I20150512003076 |
| Provider Name | Manu Madhok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396857058 PECOS PAC ID: 0042530131 Enrollment ID: I20150513000033 |
| Provider Name | Laura M Pett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144393885 PECOS PAC ID: 5193045219 Enrollment ID: I20150513000909 |
| Provider Name | Annalisa K Rudser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215062062 PECOS PAC ID: 5193045904 Enrollment ID: I20150519001407 |
| Provider Name | Jessica E Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205258779 PECOS PAC ID: 8325368541 Enrollment ID: I20150528002565 |
| Provider Name | Jennifer R Halverson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821132283 PECOS PAC ID: 2466773494 Enrollment ID: I20150603000575 |
| Provider Name | Luke A Jakubowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427290055 PECOS PAC ID: 4486871340 Enrollment ID: I20150603000742 |
| Provider Name | Christen L Ebens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386846095 PECOS PAC ID: 3779804182 Enrollment ID: I20150610000328 |
| Provider Name | Alison J Scott |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114336088 PECOS PAC ID: 3971722752 Enrollment ID: I20150611002359 |
| Provider Name | Jonathan R Strutt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407084205 PECOS PAC ID: 6507012770 Enrollment ID: I20150616000416 |
| Provider Name | Betty C Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588776603 PECOS PAC ID: 9133430119 Enrollment ID: I20150617001165 |
| Provider Name | Sarah A Eckhardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790176055 PECOS PAC ID: 1052624004 Enrollment ID: I20150720001818 |
| Provider Name | Stephanie A Fritch Lilla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275707937 PECOS PAC ID: 2163735127 Enrollment ID: I20150720002113 |
| Provider Name | Lacy D Schwarze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164714911 PECOS PAC ID: 3476866179 Enrollment ID: I20150724010178 |
| Provider Name | James Ducharme |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649336504 PECOS PAC ID: 9032422696 Enrollment ID: I20150724012365 |
| Provider Name | Adam M Putschoegl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275829749 PECOS PAC ID: 5597999276 Enrollment ID: I20150729008643 |
| Provider Name | Eduardo J Colom Beauchamp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093020950 PECOS PAC ID: 0143535518 Enrollment ID: I20150813010735 |
| Provider Name | Bethany Grace Fransen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356759534 PECOS PAC ID: 0446565832 Enrollment ID: I20150813011375 |
| Provider Name | Joy A Hasseler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265721906 PECOS PAC ID: 2466767371 Enrollment ID: I20150820010816 |
| Provider Name | Hannah S Lichtsinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033401187 PECOS PAC ID: 6406164177 Enrollment ID: I20150929002354 |
| Provider Name | Jeremy J Brookins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063898948 PECOS PAC ID: 7810206182 Enrollment ID: I20151028000287 |
| Provider Name | Megan E Moffatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952680944 PECOS PAC ID: 5395055057 Enrollment ID: I20151109001316 |
| Provider Name | Kimberly Lynn Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255353843 PECOS PAC ID: 9537479191 Enrollment ID: I20151110003119 |
| Provider Name | Yosef Wexler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679864201 PECOS PAC ID: 2668772385 Enrollment ID: I20151202002763 |
| Provider Name | Christina J Jarosch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609002633 PECOS PAC ID: 0840593653 Enrollment ID: I20160127002290 |
| Provider Name | Andrea Jane Silvola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942633227 PECOS PAC ID: 6406084565 Enrollment ID: I20160304000716 |
| Provider Name | Leah N Bohac Stamps |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922268358 PECOS PAC ID: 2163678533 Enrollment ID: I20160323000612 |
| Provider Name | Lori A Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326227372 PECOS PAC ID: 7315244969 Enrollment ID: I20160324001395 |
| Provider Name | Kayla J Schonhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447610241 PECOS PAC ID: 7911204326 Enrollment ID: I20160330002044 |
| Provider Name | Leah N Tygum |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568536910 PECOS PAC ID: 0244538379 Enrollment ID: I20160406000554 |
| Provider Name | Ashley M Hansmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154781342 PECOS PAC ID: 0446558225 Enrollment ID: I20160411002351 |
| Provider Name | Abbey E Gadbois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972965986 PECOS PAC ID: 1052619343 Enrollment ID: I20160420000959 |
| Provider Name | Kunal Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477833358 PECOS PAC ID: 5395047070 Enrollment ID: I20160517002501 |
| Provider Name | Brieanna Lee Bloomquist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477998037 PECOS PAC ID: 0244536464 Enrollment ID: I20160518000579 |
| Provider Name | Mai Nhia Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306204391 PECOS PAC ID: 3779875711 Enrollment ID: I20160712000768 |
| Provider Name | Collin Torok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558523944 PECOS PAC ID: 7911156948 Enrollment ID: I20160801001831 |
| Provider Name | Shannon M Wallack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255578068 PECOS PAC ID: 0143514620 Enrollment ID: I20160805000961 |
| Provider Name | Jessica A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922455591 PECOS PAC ID: 0547554925 Enrollment ID: I20160808001635 |
| Provider Name | Trenton Charles Cooper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043539422 PECOS PAC ID: 0941504369 Enrollment ID: I20160817003334 |
| Provider Name | Hannah K Westre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437602844 PECOS PAC ID: 6305131889 Enrollment ID: I20160823001470 |
| Provider Name | Risha L Moskalewicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093032567 PECOS PAC ID: 8820231566 Enrollment ID: I20160927002278 |
| Provider Name | Baylee E Zittlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174077184 PECOS PAC ID: 0840587085 Enrollment ID: I20161003000356 |
| Provider Name | Jessica M Retterath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033663414 PECOS PAC ID: 8224326186 Enrollment ID: I20161007001193 |
| Provider Name | Dory B Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568915742 PECOS PAC ID: 6103114053 Enrollment ID: I20161010002286 |
| Provider Name | Ashley N Junghans Rutelonis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992109037 PECOS PAC ID: 5890083430 Enrollment ID: I20161013001351 |
| Provider Name | Nadia Maccabee-ryaboy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477998185 PECOS PAC ID: 6204132525 Enrollment ID: I20161027002165 |
| Provider Name | Cristina M Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346472776 PECOS PAC ID: 1759669385 Enrollment ID: I20161101002465 |
| Provider Name | Stephanie J Sweeny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316184724 PECOS PAC ID: 9133408735 Enrollment ID: I20161123001071 |
| Provider Name | Leslie J Mortland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093859654 PECOS PAC ID: 7810166147 Enrollment ID: I20161201000123 |
| Provider Name | Erin E Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649729088 PECOS PAC ID: 6709167117 Enrollment ID: I20161223000251 |
| Provider Name | Chase W Shutak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811332844 PECOS PAC ID: 3870899198 Enrollment ID: I20170103000413 |
| Provider Name | Danielle P Franklin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104067867 PECOS PAC ID: 3173806551 Enrollment ID: I20170208002981 |
| Provider Name | Anna M Depompolo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821224940 PECOS PAC ID: 3375827876 Enrollment ID: I20170301000543 |
| Provider Name | Sachin R Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649493628 PECOS PAC ID: 4688983984 Enrollment ID: I20170405001771 |
| Provider Name | Darcy K Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831622125 PECOS PAC ID: 4587940804 Enrollment ID: I20170420001490 |
| Provider Name | Alexandra M Lacey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740608462 PECOS PAC ID: 1456657535 Enrollment ID: I20170503002900 |
| Provider Name | Katherine A Brunsberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740522259 PECOS PAC ID: 5991098030 Enrollment ID: I20170516001871 |
| Provider Name | Ciro Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952537862 PECOS PAC ID: 4688970551 Enrollment ID: I20170605001610 |
| Provider Name | Heidi L Gruenhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366888984 PECOS PAC ID: 1052689460 Enrollment ID: I20170607001930 |
| Provider Name | Erin C Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235661661 PECOS PAC ID: 8729356159 Enrollment ID: I20170607002886 |
| Provider Name | Kelsey A Dumanch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265968192 PECOS PAC ID: 7315215340 Enrollment ID: I20170616000234 |
| Provider Name | Matthew L Mielke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811331119 PECOS PAC ID: 6103120688 Enrollment ID: I20170712001570 |
| Provider Name | Daniel J Beissel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689808057 PECOS PAC ID: 4486949237 Enrollment ID: I20170713002499 |
| Provider Name | Kelsie K Martin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407207558 PECOS PAC ID: 7517237514 Enrollment ID: I20170725001062 |
| Provider Name | Timothy R Singewald |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871725614 PECOS PAC ID: 6800166752 Enrollment ID: I20170725003722 |
| Provider Name | Magdalena Ann Kappelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447694674 PECOS PAC ID: 2668777822 Enrollment ID: I20170817004174 |
| Provider Name | Laura M Nilan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568789352 PECOS PAC ID: 0749413060 Enrollment ID: I20170817004312 |
| Provider Name | Eta Queen Barclay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184036394 PECOS PAC ID: 7810293040 Enrollment ID: I20170819000278 |
| Provider Name | Daniel J Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285926212 PECOS PAC ID: 2466725957 Enrollment ID: I20170905002364 |
| Provider Name | Megan P Lambert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619134178 PECOS PAC ID: 9739352675 Enrollment ID: I20170915000001 |
| Provider Name | Erin L Weier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269288 PECOS PAC ID: 8527333582 Enrollment ID: I20171002003008 |
| Provider Name | Nasreen S Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992182158 PECOS PAC ID: 3678877719 Enrollment ID: I20171009002310 |
| Provider Name | Erin Gill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659883833 PECOS PAC ID: 8224395066 Enrollment ID: I20171201002462 |
| Provider Name | Ann Marie Nie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508173980 PECOS PAC ID: 7214121110 Enrollment ID: I20171228000961 |
| Provider Name | Patrick M Basile |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447402342 PECOS PAC ID: 5496039687 Enrollment ID: I20180108001240 |
| Provider Name | Stuart S Winter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982798468 PECOS PAC ID: 3870654353 Enrollment ID: I20180111002296 |
| Provider Name | Bradford J Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952628620 PECOS PAC ID: 5799046710 Enrollment ID: I20180307001376 |
| Provider Name | Rodrigo Rios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619298155 PECOS PAC ID: 5294979746 Enrollment ID: I20180321000575 |
| Provider Name | R Erik Edens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568552065 PECOS PAC ID: 6800869355 Enrollment ID: I20180511001442 |
| Provider Name | Noelle Andrea Ventura Fabie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104172584 PECOS PAC ID: 7315248556 Enrollment ID: I20180622001690 |
| Provider Name | Nathan P Gossai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245557867 PECOS PAC ID: 5193021228 Enrollment ID: I20180626001061 |
| Provider Name | Asmaa Ferdjallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013250836 PECOS PAC ID: 6002109113 Enrollment ID: I20180626002356 |
| Provider Name | Jaime L Barfknecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457625188 PECOS PAC ID: 8729333190 Enrollment ID: I20180626003086 |
| Provider Name | Nathan Allan Neis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043666530 PECOS PAC ID: 8628365970 Enrollment ID: I20180627002645 |
| Provider Name | Thomas A Gebhard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649444167 PECOS PAC ID: 5395984637 Enrollment ID: I20180712000403 |
| Provider Name | Kylie G Fowler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326314030 PECOS PAC ID: 6406135235 Enrollment ID: I20180719002792 |
| Provider Name | Joanna M Lowisz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285992354 PECOS PAC ID: 3274839584 Enrollment ID: I20180810001993 |
| Provider Name | Kelly N Hagedorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568717957 PECOS PAC ID: 4284982901 Enrollment ID: I20180811000054 |
| Provider Name | Anne C Van Gaver |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467906982 PECOS PAC ID: 8527316298 Enrollment ID: I20180813002297 |
| Provider Name | Andrea L Lueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184145914 PECOS PAC ID: 6709135098 Enrollment ID: I20180820002860 |
| Provider Name | Damon R Olson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114283173 PECOS PAC ID: 3678796109 Enrollment ID: I20180822003097 |
| Provider Name | Katherine Shannon Booker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316367238 PECOS PAC ID: 8921221128 Enrollment ID: I20180827001259 |
| Provider Name | Kathleen K Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760801088 PECOS PAC ID: 6507163649 Enrollment ID: I20180910002075 |
| Provider Name | Aaron Joseph Huser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407171226 PECOS PAC ID: 6002109931 Enrollment ID: I20180925002882 |
| Provider Name | Kathryn A Otto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437541356 PECOS PAC ID: 2466703640 Enrollment ID: I20180927000946 |
| Provider Name | Scott Thomas Mcewen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972746568 PECOS PAC ID: 4880900067 Enrollment ID: I20181003000364 |
| Provider Name | Jessica Rickard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497235261 PECOS PAC ID: 1759633480 Enrollment ID: I20181009000108 |
| Provider Name | Molly B Martyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073778874 PECOS PAC ID: 0547438582 Enrollment ID: I20181030001860 |
| Provider Name | Matthew J Corti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922519479 PECOS PAC ID: 3476815598 Enrollment ID: I20181102001219 |
| Provider Name | Kathryn C Perkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689916124 PECOS PAC ID: 3375896665 Enrollment ID: I20181103000148 |
| Provider Name | Courtney B Herring |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912224015 PECOS PAC ID: 3870736598 Enrollment ID: I20181116001189 |
| Provider Name | Stephen Edward Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831629047 PECOS PAC ID: 8729332036 Enrollment ID: I20181126000601 |
| Provider Name | Teri R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932634631 PECOS PAC ID: 5496099715 Enrollment ID: I20181127002727 |
| Provider Name | Rita Marie Ous |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023524451 PECOS PAC ID: 4486998408 Enrollment ID: I20181203001305 |
| Provider Name | Ashley Nicole Gyura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821470162 PECOS PAC ID: 8921342882 Enrollment ID: I20181204000139 |
| Provider Name | Timothy Paul Capecchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508159054 PECOS PAC ID: 7315232956 Enrollment ID: I20181213001650 |
| Provider Name | Donna C Hamburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689601965 PECOS PAC ID: 7911144043 Enrollment ID: I20181224000003 |
| Provider Name | Recia Diann Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326229642 PECOS PAC ID: 0244513372 Enrollment ID: I20181226000657 |
| Provider Name | Huma K K Mirza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386919462 PECOS PAC ID: 3274812052 Enrollment ID: I20190103002013 |
| Provider Name | Ann G Downey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184865438 PECOS PAC ID: 0244384238 Enrollment ID: I20190104000184 |
| Provider Name | Anne Katherine Hennes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043787815 PECOS PAC ID: 4385980119 Enrollment ID: I20190115002114 |
| Provider Name | Lane H Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285991117 PECOS PAC ID: 0042465502 Enrollment ID: I20190116004005 |
| Provider Name | Anna Day Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760902787 PECOS PAC ID: 2062750656 Enrollment ID: I20190206000696 |
| Provider Name | Mohamed W Mohamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568612968 PECOS PAC ID: 0749451227 Enrollment ID: I20190207000493 |
| Provider Name | Shaheen Durrani-kolarik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841426863 PECOS PAC ID: 9234477456 Enrollment ID: I20190214000214 |
| Provider Name | Noelle E Morey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710249750 PECOS PAC ID: 0446489140 Enrollment ID: I20190214000709 |
| Provider Name | Kiran Dwarakanath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699980847 PECOS PAC ID: 2062681216 Enrollment ID: I20190305000211 |
| Provider Name | Victor York Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396824496 PECOS PAC ID: 9234154493 Enrollment ID: I20190305002320 |
| Provider Name | Gary Joseph Kummet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467626051 PECOS PAC ID: 5890935209 Enrollment ID: I20190306000602 |
| Provider Name | Katherine Lynn Haynes Braski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326338120 PECOS PAC ID: 4880826734 Enrollment ID: I20190306002234 |
| Provider Name | Eric Culp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508061136 PECOS PAC ID: 6406937986 Enrollment ID: I20190314000456 |
| Provider Name | Amy J Moeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770676173 PECOS PAC ID: 5597005959 Enrollment ID: I20190321000409 |
| Provider Name | Rebecca A Maher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649677097 PECOS PAC ID: 7416235403 Enrollment ID: I20190328000806 |
| Provider Name | Lisa B Howley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760538359 PECOS PAC ID: 8224226535 Enrollment ID: I20190418002444 |
| Provider Name | Cassandra L Hoshor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104388644 PECOS PAC ID: 9133461403 Enrollment ID: I20190507001569 |
| Provider Name | John C Wickland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891070959 PECOS PAC ID: 2567705965 Enrollment ID: I20190529001384 |
| Provider Name | Nathan C Messbarger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205280047 PECOS PAC ID: 2365785607 Enrollment ID: I20190530000103 |
| Provider Name | Heather M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265096234 PECOS PAC ID: 4486987427 Enrollment ID: I20190606002283 |
| Provider Name | Tamika B Lasege |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871638460 PECOS PAC ID: 8123206406 Enrollment ID: I20190611003266 |
| Provider Name | Janna E Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821369786 PECOS PAC ID: 0244564508 Enrollment ID: I20190620002406 |
| Provider Name | Kendra D Dodd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083076681 PECOS PAC ID: 2567755689 Enrollment ID: I20190620003430 |
| Provider Name | Ashley N Phimister |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497109193 PECOS PAC ID: 1456686930 Enrollment ID: I20190708000546 |
| Provider Name | Mary M Skrypek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467626259 PECOS PAC ID: 7214262195 Enrollment ID: I20190715002295 |
| Provider Name | Alyssa Jelinek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033779509 PECOS PAC ID: 6608102694 Enrollment ID: I20190730000108 |
| Provider Name | Megan V Hilgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821433731 PECOS PAC ID: 7810295508 Enrollment ID: I20190730001504 |
| Provider Name | Natalie R Wochenske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104488162 PECOS PAC ID: 4183950983 Enrollment ID: I20190801000649 |
| Provider Name | Derrick L Goubeaux |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770825382 PECOS PAC ID: 3678715539 Enrollment ID: I20190807002256 |
| Provider Name | Ian D Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811250772 PECOS PAC ID: 0749584852 Enrollment ID: I20190816000011 |
| Provider Name | Autumn M Montville |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962999862 PECOS PAC ID: 4486901469 Enrollment ID: I20190821004488 |
| Provider Name | Elizabeth Humes Stephens |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1194082123 PECOS PAC ID: 0547598088 Enrollment ID: I20190822001050 |
| Provider Name | Katherine T Policht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518311224 PECOS PAC ID: 6800124140 Enrollment ID: I20190823001017 |
| Provider Name | Theresa J Wytaske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043634496 PECOS PAC ID: 9739310962 Enrollment ID: I20190826002442 |
| Provider Name | Adam D Langenfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265894463 PECOS PAC ID: 5597028001 Enrollment ID: I20190904001484 |
| Provider Name | Evangelia Gravari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184935462 PECOS PAC ID: 2961795000 Enrollment ID: I20190909003245 |
| Provider Name | Jennifer N Berger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124464771 PECOS PAC ID: 6800192121 Enrollment ID: I20190912003566 |
| Provider Name | Abigail Elizabeth Faulman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679918486 PECOS PAC ID: 9638475825 Enrollment ID: I20190913001166 |
| Provider Name | Christine M Mathiowetz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740799949 PECOS PAC ID: 4981961422 Enrollment ID: I20190916001493 |
| Provider Name | Stacy Lynn Kern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457617060 PECOS PAC ID: 1355690629 Enrollment ID: I20190917000552 |
| Provider Name | Stephanie M Karides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467016477 PECOS PAC ID: 4082944541 Enrollment ID: I20190925002991 |
| Provider Name | Emily R Harrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265775068 PECOS PAC ID: 3375897788 Enrollment ID: I20190930002724 |
| Provider Name | Sara E Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689235467 PECOS PAC ID: 8123358363 Enrollment ID: I20191001001917 |
| Provider Name | Shilpa Hegde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497068415 PECOS PAC ID: 9739335886 Enrollment ID: I20191009000100 |
| Provider Name | Abigael Nyanganyi Maxwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801171129 PECOS PAC ID: 6305132895 Enrollment ID: I20191023000116 |
| Provider Name | Michael T Cullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750939922 PECOS PAC ID: 4486986296 Enrollment ID: I20191029000382 |
| Provider Name | Kelsey Middlestaedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821645342 PECOS PAC ID: 1153653985 Enrollment ID: I20191029001143 |
| Provider Name | Katie Ann Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538712120 PECOS PAC ID: 2365774106 Enrollment ID: I20191029002082 |
| Provider Name | Sara E Gonzalez Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508310921 PECOS PAC ID: 4981037157 Enrollment ID: I20191202000059 |
| Provider Name | Jennifer Rose Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027007 PECOS PAC ID: 1759715865 Enrollment ID: I20191226000746 |
| Provider Name | Dehua Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578790655 PECOS PAC ID: 8729302112 Enrollment ID: I20191231000523 |
| Provider Name | Samuel N Swanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902459811 PECOS PAC ID: 1153755038 Enrollment ID: I20191231001491 |
| Provider Name | Megan M Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258289 PECOS PAC ID: 3971937707 Enrollment ID: I20200102001093 |
| Provider Name | Miriam Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891052171 PECOS PAC ID: 9638480882 Enrollment ID: I20200102001825 |
| Provider Name | Maureen A Gergen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780063321 PECOS PAC ID: 3476988031 Enrollment ID: I20200109000556 |
| Provider Name | Kristen K Vanderveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285987115 PECOS PAC ID: 2567695075 Enrollment ID: I20200117000118 |
| Provider Name | Eva Stazzoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801215470 PECOS PAC ID: 5395019061 Enrollment ID: I20200122002198 |
| Provider Name | Andrea M Stinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588214852 PECOS PAC ID: 2264868678 Enrollment ID: I20200204000048 |
| Provider Name | Magdalene Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467967448 PECOS PAC ID: 8022370477 Enrollment ID: I20200212002759 |
| Provider Name | Kate Zelic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720509862 PECOS PAC ID: 6800222654 Enrollment ID: I20200214000936 |
| Provider Name | Karen Naimoli Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396830683 PECOS PAC ID: 6507293180 Enrollment ID: I20200220000156 |
| Provider Name | Abby Lauren Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013319193 PECOS PAC ID: 5991055675 Enrollment ID: I20200227001632 |
| Provider Name | Amy L White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467082230 PECOS PAC ID: 8426485566 Enrollment ID: I20200302000314 |
| Provider Name | Saydi E Chahla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578802765 PECOS PAC ID: 7214365899 Enrollment ID: I20200313000369 |
| Provider Name | Cassidy P Rhiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285274175 PECOS PAC ID: 4688002926 Enrollment ID: I20200319001134 |
| Provider Name | Gillian G Wiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033749924 PECOS PAC ID: 5597193813 Enrollment ID: I20200320001216 |
| Provider Name | Ellen W Stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952858136 PECOS PAC ID: 3476981796 Enrollment ID: I20200320001381 |
| Provider Name | Ian A Halberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346874583 PECOS PAC ID: 6709215791 Enrollment ID: I20200326000025 |
| Provider Name | Andrew C Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750743159 PECOS PAC ID: 5890045157 Enrollment ID: I20200605000553 |
| Provider Name | Asitha D Jayawardena |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689093460 PECOS PAC ID: 6901108596 Enrollment ID: I20200626001664 |
| Provider Name | Paul H Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679927206 PECOS PAC ID: 1759668379 Enrollment ID: I20200706002076 |
| Provider Name | Andrew J Redmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235572306 PECOS PAC ID: 4688815988 Enrollment ID: I20200807000795 |
| Provider Name | Tyler W Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215597315 PECOS PAC ID: 6800123134 Enrollment ID: I20200820003437 |
| Provider Name | Amy C Fahrenkamp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518579978 PECOS PAC ID: 4082032925 Enrollment ID: I20200909003147 |
| Provider Name | Emily A Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801276175 PECOS PAC ID: 0143532317 Enrollment ID: I20200921003065 |
| Provider Name | Madeline M Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619578572 PECOS PAC ID: 1759796295 Enrollment ID: I20210216001794 |
| Provider Name | Diana E Vilkama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184026353 PECOS PAC ID: 2264756071 Enrollment ID: I20210219002271 |
| Provider Name | Elizabeth P Zorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013278977 PECOS PAC ID: 8325344955 Enrollment ID: I20210402000559 |
| Provider Name | Jenna Rae Eisold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609408210 PECOS PAC ID: 8527476167 Enrollment ID: I20210420000338 |
| Provider Name | Michael J Edzards |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306286786 PECOS PAC ID: 7012147945 Enrollment ID: I20210421000162 |
| Provider Name | Phillip W Plager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992294722 PECOS PAC ID: 9032457635 Enrollment ID: I20210519000286 |
| Provider Name | Kelli L Lueders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487233532 PECOS PAC ID: 7416356522 Enrollment ID: I20210521001863 |
| Provider Name | Jamie L Omann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851544621 PECOS PAC ID: 7618378415 Enrollment ID: I20210630003871 |
| Provider Name | Blake K Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447723796 PECOS PAC ID: 3577803477 Enrollment ID: I20210712001258 |
| Provider Name | Jayme Millie Mech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134686934 PECOS PAC ID: 8527470202 Enrollment ID: I20210712001944 |
| Provider Name | Claudia Campo-soria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538427315 PECOS PAC ID: 1254647480 Enrollment ID: I20210712004025 |
| Provider Name | Susan A Kuldanek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417215658 PECOS PAC ID: 2163789108 Enrollment ID: I20210713002117 |
| Provider Name | Sarah Khayutin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710556766 PECOS PAC ID: 9537563440 Enrollment ID: I20210813000781 |
| Provider Name | Kathleen S Garland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093026270 PECOS PAC ID: 3678717774 Enrollment ID: I20210813002513 |
| Provider Name | Melanie M Niquette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689112781 PECOS PAC ID: 0345646410 Enrollment ID: I20210915001987 |
| Provider Name | Wenliang Geng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629331699 PECOS PAC ID: 9133425531 Enrollment ID: I20210922001807 |
| Provider Name | Cecily M Wegmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679240576 PECOS PAC ID: 3678970340 Enrollment ID: I20210922002445 |
| Provider Name | Sarah M Boman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316611692 PECOS PAC ID: 4082012265 Enrollment ID: I20211004001066 |
| Provider Name | Paul D Melchert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023019031 PECOS PAC ID: 5193878478 Enrollment ID: I20211004003008 |
| Provider Name | Alison J Dittmer Flemig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932514718 PECOS PAC ID: 7315252368 Enrollment ID: I20211005001028 |
| Provider Name | Sarah G S Branigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316572175 PECOS PAC ID: 7113358490 Enrollment ID: I20211119000702 |
| Provider Name | Nicole M Alcorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124796172 PECOS PAC ID: 0042600389 Enrollment ID: I20211201000705 |
| Provider Name | Ellen C Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528736717 PECOS PAC ID: 4183015704 Enrollment ID: I20211215001271 |
| Provider Name | Audrey L Minogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861016560 PECOS PAC ID: 4880088988 Enrollment ID: I20220307002318 |
| Provider Name | Marshal Khant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306296645 PECOS PAC ID: 9436445772 Enrollment ID: I20220408001771 |
| Provider Name | Rachel M Weigert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841617032 PECOS PAC ID: 9436546579 Enrollment ID: I20220420001351 |
| Provider Name | Justine Mrosak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598150419 PECOS PAC ID: 3971815309 Enrollment ID: I20220421001333 |
| Provider Name | Connie B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508858606 PECOS PAC ID: 5193112019 Enrollment ID: I20220425000492 |
| Provider Name | Caitlin L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215677034 PECOS PAC ID: 1658758263 Enrollment ID: I20220520001764 |
| Provider Name | Kent Cabatingan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255776126 PECOS PAC ID: 0244585008 Enrollment ID: I20220525000847 |
| Provider Name | Corey R Matthews |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063888345 PECOS PAC ID: 7719365980 Enrollment ID: I20220531000161 |
| Provider Name | Nicole E Quillen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407200389 PECOS PAC ID: 9133508104 Enrollment ID: I20220622000547 |
| Provider Name | Joanna C Ekstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013394451 PECOS PAC ID: 3971809286 Enrollment ID: I20220628001847 |
| Provider Name | Alexandra P Mareck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053077602 PECOS PAC ID: 1658752969 Enrollment ID: I20220718003540 |
| Provider Name | Rachel Glad Hedstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518420165 PECOS PAC ID: 6507190709 Enrollment ID: I20220727002948 |
| Provider Name | Brian Lefchak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265939961 PECOS PAC ID: 0244578078 Enrollment ID: I20220802004061 |
| Provider Name | Marit Elizabeth Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881919322 PECOS PAC ID: 2769865302 Enrollment ID: I20220816000086 |
| Provider Name | Rebecca L Sulkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174253082 PECOS PAC ID: 8123401387 Enrollment ID: I20220822000110 |
| Provider Name | Molly A Greenshields |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487113783 PECOS PAC ID: 9931582103 Enrollment ID: I20220822000171 |
| Provider Name | Nicola P O'connor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942683255 PECOS PAC ID: 5698039550 Enrollment ID: I20220822000809 |
| Provider Name | Allison H Mariani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255673075 PECOS PAC ID: 4486923182 Enrollment ID: I20220822002524 |
| Provider Name | Meghan E Mcclure |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932460227 PECOS PAC ID: 8224345855 Enrollment ID: I20220823001243 |
| Provider Name | Katherine A Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871027268 PECOS PAC ID: 0840538401 Enrollment ID: I20220831000906 |
| Provider Name | Sarah C Driscoll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033781372 PECOS PAC ID: 2668856931 Enrollment ID: I20220906001218 |
| Provider Name | Nita Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912369133 PECOS PAC ID: 7315234143 Enrollment ID: I20220907002217 |
| Provider Name | Erin L Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477783884 PECOS PAC ID: 3072778687 Enrollment ID: I20220913003349 |
| Provider Name | Alexandra A Belzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952034050 PECOS PAC ID: 6305221102 Enrollment ID: I20220914003734 |
| Provider Name | Hillary L Omisakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407594856 PECOS PAC ID: 9032594783 Enrollment ID: I20220915001932 |
| Provider Name | Jessica M Bloom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275140477 PECOS PAC ID: 3779968433 Enrollment ID: I20220915002419 |
| Provider Name | Becky J Vonbank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033712450 PECOS PAC ID: 1456728831 Enrollment ID: I20221028001093 |
| Provider Name | Alaina M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760119911 PECOS PAC ID: 2264809433 Enrollment ID: I20221031002127 |
| Provider Name | Molly Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528784394 PECOS PAC ID: 5496122392 Enrollment ID: I20221107000894 |
| Provider Name | Tracy N Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487099354 PECOS PAC ID: 0345548715 Enrollment ID: I20221109003301 |
| Provider Name | Summer K Flanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205575560 PECOS PAC ID: 7911375308 Enrollment ID: I20221115003560 |
| Provider Name | Allison M Galkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801547112 PECOS PAC ID: 9537538103 Enrollment ID: I20221205001060 |
| Provider Name | Svetlana R Melamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942614896 PECOS PAC ID: 0446542815 Enrollment ID: I20221213000603 |
| Provider Name | Beth N Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083383657 PECOS PAC ID: 5597120394 Enrollment ID: I20230501001543 |
| Provider Name | Jacelyn Krupke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285111989 PECOS PAC ID: 4587091558 Enrollment ID: I20230501001767 |
| Provider Name | Chelsea Self |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053738518 PECOS PAC ID: 2466857990 Enrollment ID: I20230502001437 |
| Provider Name | Brittany A Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184350407 PECOS PAC ID: 8426413840 Enrollment ID: I20230508000954 |
| Provider Name | Layni K Bednarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659066041 PECOS PAC ID: 9931567559 Enrollment ID: I20230614000936 |
| Provider Name | Hai-thien N Phu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790340651 PECOS PAC ID: 4385978956 Enrollment ID: I20230614003897 |
| Provider Name | Nathan K Wegmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396279139 PECOS PAC ID: 0840614681 Enrollment ID: I20230615002240 |
| Provider Name | Amy K Bruzek |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639556426 PECOS PAC ID: 9335454362 Enrollment ID: I20230803004394 |
| Provider Name | Bridget A Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801315528 PECOS PAC ID: 1658630736 Enrollment ID: I20230804002068 |
| Provider Name | Elizabeth S Jarrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316431000 PECOS PAC ID: 5092112722 Enrollment ID: I20230808001182 |
| Provider Name | Cynthia D Nicholas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710142617 PECOS PAC ID: 4183786486 Enrollment ID: I20230912003730 |
| Provider Name | Karen K Hoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811323348 PECOS PAC ID: 8527412857 Enrollment ID: I20230920003102 |
| Provider Name | Olivia R Egan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578230496 PECOS PAC ID: 0648624981 Enrollment ID: I20230920003512 |
| Provider Name | Brooklyn V Leitch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679060842 PECOS PAC ID: 2769720085 Enrollment ID: I20230922002225 |
| Provider Name | Annamaria Cioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073299004 PECOS PAC ID: 7911353834 Enrollment ID: I20231030002226 |
| Provider Name | Bryan Matthew Jepson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447606561 PECOS PAC ID: 5991039737 Enrollment ID: I20231108000740 |
| Provider Name | Preetha Keya Sinha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003252198 PECOS PAC ID: 7416190152 Enrollment ID: I20240207003595 |
| Provider Name | Amanda M Totenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992328314 PECOS PAC ID: 3577908383 Enrollment ID: I20240304000901 |
| Provider Name | Cassidy C Gilman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902688237 PECOS PAC ID: 2062857774 Enrollment ID: I20240304001142 |
| Provider Name | Madison L Yawger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538934096 PECOS PAC ID: 0749626299 Enrollment ID: I20240307000715 |
| Provider Name | Timothy P Singleton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407938400 PECOS PAC ID: 9830153337 Enrollment ID: I20240307002881 |
| Provider Name | Monica G Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548867138 PECOS PAC ID: 5698112985 Enrollment ID: I20240321004135 |
| Provider Name | Jami Lyn Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235324427 PECOS PAC ID: 0547456600 Enrollment ID: I20240513002421 |
| Provider Name | Haley Hong Zweber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659954600 PECOS PAC ID: 2062954746 Enrollment ID: I20240610002018 |
| Provider Name | Chelsea R Kimlinger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083043442 PECOS PAC ID: 9638476203 Enrollment ID: I20240719002308 |
| Provider Name | Allison E Klinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457105686 PECOS PAC ID: 9638618325 Enrollment ID: I20240826003115 |
| Provider Name | Patrick F O'brien |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790130003 PECOS PAC ID: 8729371562 Enrollment ID: I20240903002753 |
| Provider Name | Jesse D Stringer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972745388 PECOS PAC ID: 2668771940 Enrollment ID: I20240910002225 |
| Provider Name | Andrew Robert Palmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811485451 PECOS PAC ID: 5294084844 Enrollment ID: I20240925000518 |
| Provider Name | Albert L Zhang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033606959 PECOS PAC ID: 7315286556 Enrollment ID: I20241003001015 |
| Provider Name | Carissa M Bunke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609369073 PECOS PAC ID: 5799167458 Enrollment ID: I20241004001951 |
| Provider Name | Mackenzie R Beacom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194555128 PECOS PAC ID: 1254862923 Enrollment ID: I20241004002363 |
| Provider Name | Carrey Schottler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487491817 PECOS PAC ID: 4587195250 Enrollment ID: I20241004002568 |
| Provider Name | Luke William Schroeder |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295028397 PECOS PAC ID: 7911222732 Enrollment ID: I20241008000497 |
| Provider Name | Cameron T Kasmai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467972950 PECOS PAC ID: 0749550275 Enrollment ID: I20241011003669 |
| Provider Name | Alexsandra R Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659962124 PECOS PAC ID: 9537694963 Enrollment ID: I20241122000380 |
| Provider Name | Elizabeth A Olson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780418269 PECOS PAC ID: 1355878067 Enrollment ID: I20241219000935 |
| Provider Name | Jennifer Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295264240 PECOS PAC ID: 1658641535 Enrollment ID: I20250124002705 |
| Provider Name | Holly Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013403872 PECOS PAC ID: 7618407446 Enrollment ID: I20250210001940 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Group Health Plan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Regents Of The University Of Minnesota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-677-3211 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
Fairview Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Ams Healing And Wellness Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Ofc U2-09, Minneapolis, MN 55401 Phone: 320-282-4023 | |
First Class Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 N 2nd St, Minneapolis, MN 55411 Phone: 952-270-5238 |