| Christie Clinic, PLLC | |
|
101 W University Ave Champaign IL 61820-3909 | |
| (217) 366-1200 | |
| (217) 366-6106 |
| Full Name | Christie Clinic, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 W University Ave, Champaign, Illinois |
| Authorized Official Name and Position | Candace Mcgregor (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2173661255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christie Clinic, PLLC 101 W University Ave Champaign IL 61820-3909 Ph: (217) 366-1200 | Christie Clinic, PLLC 101 W University Ave Champaign IL 61820-3909 Ph: (217) 366-1200 |
| NPI Number | 1871523829 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 7719899319 |
|---|---|
| Medicare Enrollment ID | O20031103000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871523829 | NPI | - | NPPES |
| Provider Name | Andrew Bartlett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073520516 PECOS PAC ID: 2769386655 Enrollment ID: I20031121000723 |
| Provider Name | Laurie P Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124019286 PECOS PAC ID: 6608761754 Enrollment ID: I20040217001097 |
| Provider Name | Krishnan Srinivasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770579922 PECOS PAC ID: 9436047099 Enrollment ID: I20040306000032 |
| Provider Name | Samuel E Steffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790704435 PECOS PAC ID: 4183513500 Enrollment ID: I20040313000219 |
| Provider Name | Nathan L Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225089626 PECOS PAC ID: 4688563927 Enrollment ID: I20040313000452 |
| Provider Name | Kristi L Gresch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144236720 PECOS PAC ID: 9032001714 Enrollment ID: I20040326001243 |
| Provider Name | Julie a Maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780650739 PECOS PAC ID: 4082608146 Enrollment ID: I20040412001154 |
| Provider Name | Jo Ann Archey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104831627 PECOS PAC ID: 1153316377 Enrollment ID: I20040417000180 |
| Provider Name | Douglas J Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649287210 PECOS PAC ID: 4789670845 Enrollment ID: I20040423000077 |
| Provider Name | Charles R Ellington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407833130 PECOS PAC ID: 9032108907 Enrollment ID: I20040507000350 |
| Provider Name | Jason S Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982639621 PECOS PAC ID: 6204721251 Enrollment ID: I20040510000277 |
| Provider Name | Ashok A. Jagasia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447278676 PECOS PAC ID: 3375525801 Enrollment ID: I20040607000970 |
| Provider Name | Salim George Khazoum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053326579 PECOS PAC ID: 9537132394 Enrollment ID: I20040818001318 |
| Provider Name | Lisa M Mullett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548200512 PECOS PAC ID: 2668445453 Enrollment ID: I20040819000083 |
| Provider Name | Karleen M Mcneal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972611838 PECOS PAC ID: 1355317611 Enrollment ID: I20040908000611 |
| Provider Name | Matthew Kamin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043203862 PECOS PAC ID: 1557337755 Enrollment ID: I20040909000070 |
| Provider Name | Nathan a Crouch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750386215 PECOS PAC ID: 9931176799 Enrollment ID: I20040913000543 |
| Provider Name | Jeffrey C Hoschek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376641217 PECOS PAC ID: 0244209450 Enrollment ID: I20040924000830 |
| Provider Name | Robin a Whatley-beachum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275641003 PECOS PAC ID: 6406810969 Enrollment ID: I20041115000619 |
| Provider Name | Amber B Oberheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174684278 PECOS PAC ID: 5890759997 Enrollment ID: I20041118000250 |
| Provider Name | Eric P Woodard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285671917 PECOS PAC ID: 0749246155 Enrollment ID: I20041207001256 |
| Provider Name | Denise a Crutcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124027891 PECOS PAC ID: 3577511617 Enrollment ID: I20050105001007 |
| Provider Name | Ayman S Alzubi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306843339 PECOS PAC ID: 1850349499 Enrollment ID: I20050110001050 |
| Provider Name | Davendra P Ramkumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063420370 PECOS PAC ID: 3375593726 Enrollment ID: I20050125000063 |
| Provider Name | Paul R Naour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144206178 PECOS PAC ID: 8426008350 Enrollment ID: I20050127000726 |
| Provider Name | Gina C Bird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902813454 PECOS PAC ID: 3971553710 Enrollment ID: I20050128000496 |
| Provider Name | Eleanor K Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942217542 PECOS PAC ID: 6103870977 Enrollment ID: I20050304000620 |
| Provider Name | Hong Holly Zhang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609863620 PECOS PAC ID: 5496792285 Enrollment ID: I20050413000531 |
| Provider Name | Charlotte L Schuchart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659389393 PECOS PAC ID: 6709829344 Enrollment ID: I20050606000497 |
| Provider Name | James B Hancock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235116088 PECOS PAC ID: 7911935390 Enrollment ID: I20050727000740 |
| Provider Name | Peter Samuel Abadeer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760469522 PECOS PAC ID: 7113955469 Enrollment ID: I20050728000959 |
| Provider Name | Michael R Cochran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831176692 PECOS PAC ID: 3072506559 Enrollment ID: I20050802000530 |
| Provider Name | Stephen L Kindred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720065584 PECOS PAC ID: 9537152012 Enrollment ID: I20050802000714 |
| Provider Name | Lucas C Pogue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033195847 PECOS PAC ID: 1153365291 Enrollment ID: I20050802000796 |
| Provider Name | Sven Klauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619953486 PECOS PAC ID: 5698719730 Enrollment ID: I20050802000936 |
| Provider Name | Eric J Farinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841277613 PECOS PAC ID: 3779527817 Enrollment ID: I20050802001032 |
| Provider Name | Sharon R Woods |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508843475 PECOS PAC ID: 9931138245 Enrollment ID: I20050808000289 |
| Provider Name | Barclay K Milton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639186216 PECOS PAC ID: 9335170398 Enrollment ID: I20050830000178 |
| Provider Name | Qazi Khusro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538268628 PECOS PAC ID: 9032021456 Enrollment ID: I20050901000011 |
| Provider Name | Jennifer Lynn Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679558985 PECOS PAC ID: 2860418001 Enrollment ID: I20051018000417 |
| Provider Name | Nathan R Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629087325 PECOS PAC ID: 8426075029 Enrollment ID: I20051101001061 |
| Provider Name | Onachukwu G Osaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447269113 PECOS PAC ID: 6800838194 Enrollment ID: I20051101001140 |
| Provider Name | Stuart Craig King |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1790764462 PECOS PAC ID: 1052330818 Enrollment ID: I20051122000359 |
| Provider Name | Michael a Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952319667 PECOS PAC ID: 5890714935 Enrollment ID: I20051129000556 |
| Provider Name | Douglas W Morton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134143555 PECOS PAC ID: 8729984414 Enrollment ID: I20051213000144 |
| Provider Name | William E Kilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689780496 PECOS PAC ID: 8628091071 Enrollment ID: I20060111000773 |
| Provider Name | Susan Grace Bolton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336156884 PECOS PAC ID: 2163436882 Enrollment ID: I20060202000269 |
| Provider Name | Patricia J Finegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164597837 PECOS PAC ID: 1254348253 Enrollment ID: I20060316000245 |
| Provider Name | Christopher Donovan Lansford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336181189 PECOS PAC ID: 4385612464 Enrollment ID: I20060725000097 |
| Provider Name | Genene P Radden |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710917422 PECOS PAC ID: 9335143064 Enrollment ID: I20060911000501 |
| Provider Name | Danielle F Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770592487 PECOS PAC ID: 0941205215 Enrollment ID: I20060919000485 |
| Provider Name | Alex a Yarbrough |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346253994 PECOS PAC ID: 5193720829 Enrollment ID: I20061002000101 |
| Provider Name | Raminder Pal Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609847599 PECOS PAC ID: 6002853033 Enrollment ID: I20061010000555 |
| Provider Name | Eric Paul Helfer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518064062 PECOS PAC ID: 0446352306 Enrollment ID: I20070222000716 |
| Provider Name | Amir N Cheema |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386707750 PECOS PAC ID: 2163525072 Enrollment ID: I20070314000402 |
| Provider Name | Tamara G Helfer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932102969 PECOS PAC ID: 3678510823 Enrollment ID: I20070409000153 |
| Provider Name | Robert B Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720016686 PECOS PAC ID: 3779555271 Enrollment ID: I20070530000021 |
| Provider Name | Lilla G Berck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396946125 PECOS PAC ID: 8426140807 Enrollment ID: I20070815000851 |
| Provider Name | Shaun M Rudicil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770782062 PECOS PAC ID: 4688766686 Enrollment ID: I20070822001031 |
| Provider Name | Elizabeth E Kuntz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982677159 PECOS PAC ID: 6002895109 Enrollment ID: I20070822001485 |
| Provider Name | Sarah B Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477630523 PECOS PAC ID: 9537251178 Enrollment ID: I20070827000781 |
| Provider Name | Martin a Kuntz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346220522 PECOS PAC ID: 2961304134 Enrollment ID: I20070906000503 |
| Provider Name | Scott Evan Grossberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801831078 PECOS PAC ID: 8224041116 Enrollment ID: I20071015000294 |
| Provider Name | Donald W Wendt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710172325 PECOS PAC ID: 8325135288 Enrollment ID: I20071025000025 |
| Provider Name | Pradnya Vakil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942472832 PECOS PAC ID: 9032297841 Enrollment ID: I20080418000558 |
| Provider Name | Scott C Morgan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679547947 PECOS PAC ID: 2860564804 Enrollment ID: I20080708000220 |
| Provider Name | Kathy J Getty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932116159 PECOS PAC ID: 1759453491 Enrollment ID: I20080711000453 |
| Provider Name | Mariano V Tolentino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356315626 PECOS PAC ID: 0446323711 Enrollment ID: I20080718000620 |
| Provider Name | Jason H Trager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063535417 PECOS PAC ID: 2567535842 Enrollment ID: I20080718000689 |
| Provider Name | Dean Hoffmeister |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346441805 PECOS PAC ID: 5092816470 Enrollment ID: I20080725000116 |
| Provider Name | Naveen Chapa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649479650 PECOS PAC ID: 2860566312 Enrollment ID: I20080801000317 |
| Provider Name | Daniel J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568637189 PECOS PAC ID: 2668547894 Enrollment ID: I20080821000609 |
| Provider Name | Maria Louisa B Maranon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588674105 PECOS PAC ID: 5698841633 Enrollment ID: I20080827000657 |
| Provider Name | Myisha Porter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093975443 PECOS PAC ID: 9638245152 Enrollment ID: I20080908000380 |
| Provider Name | Barry J Riskin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326233271 PECOS PAC ID: 2860425402 Enrollment ID: I20081205000680 |
| Provider Name | Charles C Shyu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699939694 PECOS PAC ID: 2567525751 Enrollment ID: I20090114000518 |
| Provider Name | Tina M Molis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336167287 PECOS PAC ID: 2668401571 Enrollment ID: I20090416000012 |
| Provider Name | Issac Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528260908 PECOS PAC ID: 8224187752 Enrollment ID: I20090512000637 |
| Provider Name | David P Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427057595 PECOS PAC ID: 1153471701 Enrollment ID: I20090603000079 |
| Provider Name | Andrew J Kluesner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184889578 PECOS PAC ID: 0244383040 Enrollment ID: I20090727000418 |
| Provider Name | Kathryn E Marren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568430379 PECOS PAC ID: 9537058557 Enrollment ID: I20090804000347 |
| Provider Name | Kathleen Naegele |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407004773 PECOS PAC ID: 0446304810 Enrollment ID: I20090819000585 |
| Provider Name | Ming T Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265442636 PECOS PAC ID: 9638224520 Enrollment ID: I20090828000015 |
| Provider Name | Sarah a Spizzirri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063566727 PECOS PAC ID: 6103962139 Enrollment ID: I20091006000244 |
| Provider Name | Candace D Mcgregor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205007721 PECOS PAC ID: 5799822920 Enrollment ID: I20091021000238 |
| Provider Name | Juan J Jimenez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174548911 PECOS PAC ID: 7012054927 Enrollment ID: I20091027000061 |
| Provider Name | Willard S Noyes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518076926 PECOS PAC ID: 9234276940 Enrollment ID: I20091029000411 |
| Provider Name | Ivan Santiago |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275795841 PECOS PAC ID: 9931247657 Enrollment ID: I20091117000305 |
| Provider Name | Carla D Samuel Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326245655 PECOS PAC ID: 4284522137 Enrollment ID: I20100107000024 |
| Provider Name | Jeanelle Y Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043480874 PECOS PAC ID: 4082743141 Enrollment ID: I20100527000569 |
| Provider Name | Dolores R. Fernandez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578570842 PECOS PAC ID: 0840320222 Enrollment ID: I20100610001010 |
| Provider Name | Laura a Harriger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396752531 PECOS PAC ID: 1658401047 Enrollment ID: I20100610001031 |
| Provider Name | Laura J Schwenker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184631731 PECOS PAC ID: 0941331607 Enrollment ID: I20100624000933 |
| Provider Name | Danish Thameem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821035106 PECOS PAC ID: 1759413669 Enrollment ID: I20100713000065 |
| Provider Name | Douglas Bull |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083621544 PECOS PAC ID: 2062544604 Enrollment ID: I20100719000177 |
| Provider Name | Sami S Zabaneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548279110 PECOS PAC ID: 4284716994 Enrollment ID: I20100819001254 |
| Provider Name | Lawrence D Atherton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124033642 PECOS PAC ID: 7517879125 Enrollment ID: I20100826000790 |
| Provider Name | Michael Palazzolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427065028 PECOS PAC ID: 2466534177 Enrollment ID: I20100826001223 |
| Provider Name | Claudia E. Nugent |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629085212 PECOS PAC ID: 4587576061 Enrollment ID: I20100902000437 |
| Provider Name | Kathleen L. Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962419432 PECOS PAC ID: 0941492953 Enrollment ID: I20101008000849 |
| Provider Name | Tangella V. Krishnarao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396755914 PECOS PAC ID: 6901988617 Enrollment ID: I20101019001648 |
| Provider Name | Haydee Jabines-stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558359240 PECOS PAC ID: 6608953344 Enrollment ID: I20101203000476 |
| Provider Name | Rachel M Zubricky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942518162 PECOS PAC ID: 4284821125 Enrollment ID: I20101206000052 |
| Provider Name | Anitha M Perinchery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740292564 PECOS PAC ID: 1153518709 Enrollment ID: I20101208000282 |
| Provider Name | John S. Regan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588672802 PECOS PAC ID: 0345439238 Enrollment ID: I20110107000247 |
| Provider Name | Joseph Keeley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093752370 PECOS PAC ID: 8022290915 Enrollment ID: I20110314001027 |
| Provider Name | Edward H Kolb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538168786 PECOS PAC ID: 3971668591 Enrollment ID: I20110707000525 |
| Provider Name | Anh Van Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417251893 PECOS PAC ID: 5395914188 Enrollment ID: I20110811000881 |
| Provider Name | Julie D Kenny |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962784447 PECOS PAC ID: 9537333414 Enrollment ID: I20111111000481 |
| Provider Name | Kathryn L Scheiding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326329269 PECOS PAC ID: 7315112083 Enrollment ID: I20111207000555 |
| Provider Name | Jeremy D Good |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104196294 PECOS PAC ID: 5092982496 Enrollment ID: I20120126000353 |
| Provider Name | Aamer Habib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922128560 PECOS PAC ID: 3173621885 Enrollment ID: I20120307000612 |
| Provider Name | Ryan T Snowden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235414715 PECOS PAC ID: 0244493286 Enrollment ID: I20120531000422 |
| Provider Name | Marsha Ann Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528333655 PECOS PAC ID: 2062676323 Enrollment ID: I20120618000295 |
| Provider Name | Maleah Grussing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164553582 PECOS PAC ID: 9436314325 Enrollment ID: I20120627000064 |
| Provider Name | Christine Benway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356560353 PECOS PAC ID: 0749436897 Enrollment ID: I20120806000897 |
| Provider Name | Jessica M Sorensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023370699 PECOS PAC ID: 3072762913 Enrollment ID: I20121009000359 |
| Provider Name | Katherine a Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306007836 PECOS PAC ID: 9638329337 Enrollment ID: I20121015000272 |
| Provider Name | Dawn Brunner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063643187 PECOS PAC ID: 1355591421 Enrollment ID: I20121025000662 |
| Provider Name | Ihsan Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609958032 PECOS PAC ID: 1850499906 Enrollment ID: I20121207000297 |
| Provider Name | Irshad Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063640639 PECOS PAC ID: 8123270378 Enrollment ID: I20121214000315 |
| Provider Name | Marshall B Hay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780683391 PECOS PAC ID: 7416959218 Enrollment ID: I20130125000269 |
| Provider Name | Megan M Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306192810 PECOS PAC ID: 1254585821 Enrollment ID: I20130206000587 |
| Provider Name | Samantha Herriott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811257348 PECOS PAC ID: 3375789555 Enrollment ID: I20130412000313 |
| Provider Name | Karla R Schweigert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568708667 PECOS PAC ID: 7517106826 Enrollment ID: I20130618000399 |
| Provider Name | Kelly D Donoho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407299704 PECOS PAC ID: 6103069026 Enrollment ID: I20130826000166 |
| Provider Name | Kenna Courtney Stephanie Altobello |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851716708 PECOS PAC ID: 2163655580 Enrollment ID: I20140508001512 |
| Provider Name | Jaime Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477963924 PECOS PAC ID: 9234352659 Enrollment ID: I20140603000969 |
| Provider Name | Stephanie Anne Loy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376830901 PECOS PAC ID: 3779708706 Enrollment ID: I20140708001641 |
| Provider Name | Sarah E Winter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316258056 PECOS PAC ID: 4587881958 Enrollment ID: I20140807001851 |
| Provider Name | Daniel Deem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487948386 PECOS PAC ID: 3870710387 Enrollment ID: I20140910002496 |
| Provider Name | Smita Murty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447493945 PECOS PAC ID: 1052550597 Enrollment ID: I20140919000841 |
| Provider Name | Andre Francois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790070837 PECOS PAC ID: 9032348735 Enrollment ID: I20141003001337 |
| Provider Name | Obiajulu Onwuekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760899090 PECOS PAC ID: 4587886031 Enrollment ID: I20141118000341 |
| Provider Name | Kelly Mae Guzlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467858308 PECOS PAC ID: 6507188075 Enrollment ID: I20141211002130 |
| Provider Name | Jody R Delind |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194971317 PECOS PAC ID: 2567619943 Enrollment ID: I20150206001160 |
| Provider Name | Joanita Maison-bice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154724623 PECOS PAC ID: 7517283989 Enrollment ID: I20150302000793 |
| Provider Name | Rhonda Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477942894 PECOS PAC ID: 2961720362 Enrollment ID: I20150415001540 |
| Provider Name | Brett Yockey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346400850 PECOS PAC ID: 9032257860 Enrollment ID: I20150504002446 |
| Provider Name | Parameshwaraiah Dakshinesh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376775072 PECOS PAC ID: 9133434996 Enrollment ID: I20150824000319 |
| Provider Name | Tegan Mccormick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417222670 PECOS PAC ID: 5597998377 Enrollment ID: I20150901002291 |
| Provider Name | Mary Katherine E Kenney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003299082 PECOS PAC ID: 7517276652 Enrollment ID: I20151012002208 |
| Provider Name | Laura Darko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639443245 PECOS PAC ID: 3678882164 Enrollment ID: I20151023000953 |
| Provider Name | John H Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174403 PECOS PAC ID: 7315256567 Enrollment ID: I20151029000511 |
| Provider Name | Maureen E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639546047 PECOS PAC ID: 9234449000 Enrollment ID: I20151106000291 |
| Provider Name | Megan Rand |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538591169 PECOS PAC ID: 3072813161 Enrollment ID: I20151120001925 |
| Provider Name | Tara Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861865305 PECOS PAC ID: 1153622709 Enrollment ID: I20151224000006 |
| Provider Name | Steven J Damore |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285645804 PECOS PAC ID: 5193724235 Enrollment ID: I20160208000702 |
| Provider Name | Stacey Trulock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578867826 PECOS PAC ID: 2668770751 Enrollment ID: I20160405002041 |
| Provider Name | Jason Huston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124288915 PECOS PAC ID: 5890979512 Enrollment ID: I20160422000245 |
| Provider Name | Bree Mcclusky Ocasio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326231200 PECOS PAC ID: 1658665088 Enrollment ID: I20160809000263 |
| Provider Name | Michelle Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659526077 PECOS PAC ID: 4385939214 Enrollment ID: I20160817000591 |
| Provider Name | Rafael Ruggieri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932335130 PECOS PAC ID: 1658594999 Enrollment ID: I20160826001978 |
| Provider Name | Mitchell Dale Hammel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679914675 PECOS PAC ID: 8729399506 Enrollment ID: I20160902001601 |
| Provider Name | Lindsay Bustle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750836300 PECOS PAC ID: 8325334170 Enrollment ID: I20160906000525 |
| Provider Name | James F Hlubocky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235441635 PECOS PAC ID: 1850522269 Enrollment ID: I20160906001687 |
| Provider Name | Valerie Jennings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710243142 PECOS PAC ID: 8426367608 Enrollment ID: I20160907001920 |
| Provider Name | Nikolaos Karagiorgos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750513255 PECOS PAC ID: 7113213257 Enrollment ID: I20160915001432 |
| Provider Name | Olivia Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336695550 PECOS PAC ID: 5597052555 Enrollment ID: I20160920001089 |
| Provider Name | Emily Foertsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356897003 PECOS PAC ID: 4789972597 Enrollment ID: I20161011002540 |
| Provider Name | Alexis Rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689014839 PECOS PAC ID: 8325289358 Enrollment ID: I20161026002408 |
| Provider Name | Darby Pfoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487010807 PECOS PAC ID: 9335446400 Enrollment ID: I20161028000815 |
| Provider Name | Krishna M Irrinki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235479783 PECOS PAC ID: 7618256272 Enrollment ID: I20161122002278 |
| Provider Name | Annelise Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700337474 PECOS PAC ID: 8022398270 Enrollment ID: I20161206001573 |
| Provider Name | Maneesha Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871552885 PECOS PAC ID: 0244261055 Enrollment ID: I20161206002177 |
| Provider Name | Jennifer Ingold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215479654 PECOS PAC ID: 9032491816 Enrollment ID: I20170201000022 |
| Provider Name | Kaushik J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861486987 PECOS PAC ID: 6901802867 Enrollment ID: I20170206000053 |
| Provider Name | Francis S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164864625 PECOS PAC ID: 5092098103 Enrollment ID: I20170216000647 |
| Provider Name | Jennifer Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295270288 PECOS PAC ID: 6709153158 Enrollment ID: I20170606002438 |
| Provider Name | Aasma Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982916466 PECOS PAC ID: 1658641063 Enrollment ID: I20170718001717 |
| Provider Name | Rachel Alexandra Whittle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538699194 PECOS PAC ID: 5092086405 Enrollment ID: I20170803001378 |
| Provider Name | Heena a Birbal Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255694675 PECOS PAC ID: 8820391444 Enrollment ID: I20170816001760 |
| Provider Name | Bethany Zich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669909644 PECOS PAC ID: 7719252428 Enrollment ID: I20171005002787 |
| Provider Name | Kathryn Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922459650 PECOS PAC ID: 8325333495 Enrollment ID: I20171014000001 |
| Provider Name | Caitlyn Foote |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073951729 PECOS PAC ID: 0042517534 Enrollment ID: I20171016000185 |
| Provider Name | Clarissa Liew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942495494 PECOS PAC ID: 4082708912 Enrollment ID: I20171208000772 |
| Provider Name | Laura Ann Jacob |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144427857 PECOS PAC ID: 2365701638 Enrollment ID: I20180111001753 |
| Provider Name | Ashley Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629586946 PECOS PAC ID: 7113287095 Enrollment ID: I20180214002473 |
| Provider Name | Amit S Parkhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676424 PECOS PAC ID: 9335400902 Enrollment ID: I20180221002533 |
| Provider Name | Alarmelu Sambandam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194767772 PECOS PAC ID: 1658375605 Enrollment ID: I20180301000038 |
| Provider Name | Bimal Vyas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366769945 PECOS PAC ID: 6305167172 Enrollment ID: I20180806001843 |
| Provider Name | Jennifer Lynn Laubscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003304064 PECOS PAC ID: 8921357450 Enrollment ID: I20180816002490 |
| Provider Name | Michael Kuhlenschmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588046288 PECOS PAC ID: 5496005225 Enrollment ID: I20180829000972 |
| Provider Name | Eleni Moraites |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417022161 PECOS PAC ID: 6103826722 Enrollment ID: I20181006000053 |
| Provider Name | Laura L Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326435074 PECOS PAC ID: 7315258399 Enrollment ID: I20181009000700 |
| Provider Name | Whitney Clare Gutierrez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861870099 PECOS PAC ID: 9638413230 Enrollment ID: I20181210000887 |
| Provider Name | Karen Valerie Draper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861791261 PECOS PAC ID: 4284903782 Enrollment ID: I20181219000668 |
| Provider Name | Anatoliy Vaysberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275973711 PECOS PAC ID: 0749530475 Enrollment ID: I20190124002359 |
| Provider Name | Yasser a Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063895746 PECOS PAC ID: 3375882608 Enrollment ID: I20190305001542 |
| Provider Name | Patrick C Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437617511 PECOS PAC ID: 1052653029 Enrollment ID: I20190424000571 |
| Provider Name | Jhoana Rayo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386022804 PECOS PAC ID: 2860735958 Enrollment ID: I20190513000509 |
| Provider Name | Lisa Ryan Hobbs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841517679 PECOS PAC ID: 6507084696 Enrollment ID: I20190604002599 |
| Provider Name | Robert P Cusick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184606790 PECOS PAC ID: 6901840917 Enrollment ID: I20190619000590 |
| Provider Name | Dara Naomi Catron |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497940993 PECOS PAC ID: 8224363783 Enrollment ID: I20190705001242 |
| Provider Name | Marisa Overton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053430884 PECOS PAC ID: 4981930294 Enrollment ID: I20190724002929 |
| Provider Name | Anna Snowden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912464322 PECOS PAC ID: 2062741887 Enrollment ID: I20190904001271 |
| Provider Name | Parin Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053737643 PECOS PAC ID: 2365755659 Enrollment ID: I20190912001153 |
| Provider Name | Stephanie P Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245720705 PECOS PAC ID: 9032457643 Enrollment ID: I20190918002664 |
| Provider Name | Blake a Weis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801236617 PECOS PAC ID: 7214255447 Enrollment ID: I20191007002767 |
| Provider Name | Angela J Cusick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003889239 PECOS PAC ID: 8426061565 Enrollment ID: I20191112002955 |
| Provider Name | Chad M Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558918409 PECOS PAC ID: 4880029701 Enrollment ID: I20200122001960 |
| Provider Name | Amy Beth Kutska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790320802 PECOS PAC ID: 5799111514 Enrollment ID: I20200213002631 |
| Provider Name | Catherine Ann Wrigley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700221488 PECOS PAC ID: 8123260403 Enrollment ID: I20200714002870 |
| Provider Name | Cathy Hinton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043227689 PECOS PAC ID: 2264484898 Enrollment ID: I20200724001189 |
| Provider Name | Kurt Kibler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992236087 PECOS PAC ID: 5597036046 Enrollment ID: I20200901000973 |
| Provider Name | Kyle Kappes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255961470 PECOS PAC ID: 2567889819 Enrollment ID: I20200901001276 |
| Provider Name | Mohammed Usman Qasim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508396953 PECOS PAC ID: 3173894433 Enrollment ID: I20200909000825 |
| Provider Name | Swathi Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528440757 PECOS PAC ID: 4486072311 Enrollment ID: I20200909002485 |
| Provider Name | Sana Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881117091 PECOS PAC ID: 5698026953 Enrollment ID: I20200915000074 |
| Provider Name | Sabrina Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740713007 PECOS PAC ID: 5698026979 Enrollment ID: I20200929002070 |
| Provider Name | Tyler J Neal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336555994 PECOS PAC ID: 3274832589 Enrollment ID: I20200930002526 |
| Provider Name | Lizandro Sanchez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649885880 PECOS PAC ID: 5698194918 Enrollment ID: I20201006000233 |
| Provider Name | Kathryn Lane |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154639508 PECOS PAC ID: 9739317751 Enrollment ID: I20201109000683 |
| Provider Name | Sarah Bouton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841578614 PECOS PAC ID: 6002040623 Enrollment ID: I20201116002698 |
| Provider Name | David M Anderson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1821098013 PECOS PAC ID: 9234190661 Enrollment ID: I20201202001235 |
| Provider Name | Megan a Ketcherside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912229428 PECOS PAC ID: 7911319298 Enrollment ID: I20201210000450 |
| Provider Name | Mary Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881133114 PECOS PAC ID: 9335549831 Enrollment ID: I20210621000039 |
| Provider Name | Nirmal Gokarn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255607248 PECOS PAC ID: 5496014854 Enrollment ID: I20210630003953 |
| Provider Name | Gregory E Punch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386802312 PECOS PAC ID: 0840438107 Enrollment ID: I20210706001931 |
| Provider Name | Erin Vanderwater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295196442 PECOS PAC ID: 0840692844 Enrollment ID: I20210714000187 |
| Provider Name | Shahram Maroof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699156737 PECOS PAC ID: 8820390669 Enrollment ID: I20210804001490 |
| Provider Name | Durga Pai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164639985 PECOS PAC ID: 0749462075 Enrollment ID: I20210824000054 |
| Provider Name | Sarah Willard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033505367 PECOS PAC ID: 9537461868 Enrollment ID: I20210824000143 |
| Provider Name | Edwin Okyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699221960 PECOS PAC ID: 6103114194 Enrollment ID: I20210827001379 |
| Provider Name | Jared Willard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619362852 PECOS PAC ID: 2961793286 Enrollment ID: I20210827002569 |
| Provider Name | Matthew Kresca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770078743 PECOS PAC ID: 4082046065 Enrollment ID: I20210901000688 |
| Provider Name | Sean Desilva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851734354 PECOS PAC ID: 9931505591 Enrollment ID: I20210907001785 |
| Provider Name | Surina R Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104271352 PECOS PAC ID: 1052604980 Enrollment ID: I20210915000153 |
| Provider Name | Nathan Issac Ackerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306208640 PECOS PAC ID: 3476951591 Enrollment ID: I20211004002630 |
| Provider Name | Kristen M Enderle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386316206 PECOS PAC ID: 9133527567 Enrollment ID: I20211014002610 |
| Provider Name | Melanie Dilger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710658919 PECOS PAC ID: 7416355896 Enrollment ID: I20211015000799 |
| Provider Name | Khoa Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881363976 PECOS PAC ID: 6103215363 Enrollment ID: I20211110001586 |
| Provider Name | Dayana Mathew Karintholil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851051221 PECOS PAC ID: 8820489685 Enrollment ID: I20220105001292 |
| Provider Name | Cristina Lungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811547862 PECOS PAC ID: 2567853252 Enrollment ID: I20220107001208 |
| Provider Name | Maria Wondra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063955359 PECOS PAC ID: 7719370220 Enrollment ID: I20220204001986 |
| Provider Name | Joy L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164173324 PECOS PAC ID: 2163816943 Enrollment ID: I20220221000434 |
| Provider Name | Molly Sandgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669981296 PECOS PAC ID: 6305103714 Enrollment ID: I20220308002947 |
| Provider Name | Sarah Shoemaker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023686128 PECOS PAC ID: 1759776727 Enrollment ID: I20220310000943 |
| Provider Name | Laura Muehling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316695034 PECOS PAC ID: 7416334495 Enrollment ID: I20220512001127 |
| Provider Name | Heidi Gaddey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396732061 PECOS PAC ID: 9830375492 Enrollment ID: I20220627001893 |
| Provider Name | Jennifer Dawn Sheler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063166379 PECOS PAC ID: 7911388533 Enrollment ID: I20220713003745 |
| Provider Name | Hamid Yaqoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700238383 PECOS PAC ID: 6608257761 Enrollment ID: I20220720002407 |
| Provider Name | Shrunjal Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851847149 PECOS PAC ID: 0547558942 Enrollment ID: I20220818000591 |
| Provider Name | Ari Alexandra Pence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174028971 PECOS PAC ID: 2163767732 Enrollment ID: I20220904000049 |
| Provider Name | Jennifer Wroblewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407417926 PECOS PAC ID: 5193051894 Enrollment ID: I20220914001472 |
| Provider Name | Morgan Moon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376063305 PECOS PAC ID: 6204105562 Enrollment ID: I20220923002407 |
| Provider Name | Tor Ulla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083158844 PECOS PAC ID: 4385926351 Enrollment ID: I20221013002838 |
| Provider Name | Amanda Lynne Norton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619603727 PECOS PAC ID: 0547637837 Enrollment ID: I20221028001546 |
| Provider Name | Carly Huchel Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568190494 PECOS PAC ID: 2860860335 Enrollment ID: I20221115002109 |
| Provider Name | Sara E James |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558895862 PECOS PAC ID: 3779835764 Enrollment ID: I20221116002991 |
| Provider Name | Janna Deann Pflugmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104544691 PECOS PAC ID: 4183093750 Enrollment ID: I20221205001047 |
| Provider Name | Kathryn Tite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093423832 PECOS PAC ID: 2365807021 Enrollment ID: I20230502001511 |
| Provider Name | Lori Fiessinger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578982773 PECOS PAC ID: 7719105816 Enrollment ID: I20230522002785 |
| Provider Name | Jacqueline Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295421170 PECOS PAC ID: 9830556968 Enrollment ID: I20230606001207 |
| Provider Name | Sijo Sunny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508489543 PECOS PAC ID: 0244657260 Enrollment ID: I20230807000883 |
| Provider Name | Andrew Gene Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477084804 PECOS PAC ID: 7517236243 Enrollment ID: I20230815003865 |
| Provider Name | Erica Person |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730104902 PECOS PAC ID: 3274689575 Enrollment ID: I20230905000213 |
| Provider Name | Ellen Flora |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003699158 PECOS PAC ID: 5799149423 Enrollment ID: I20230914001042 |
| Provider Name | Nicole Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417730938 PECOS PAC ID: 6103271283 Enrollment ID: I20231010000931 |
| Provider Name | Christine Lusby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578120077 PECOS PAC ID: 7416349519 Enrollment ID: I20231017001997 |
| Provider Name | Jennifer Koser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457661449 PECOS PAC ID: 2567647878 Enrollment ID: I20231031001245 |
| Provider Name | Milind N Joshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710249024 PECOS PAC ID: 4587807730 Enrollment ID: I20231031003008 |
| Provider Name | Patricia Fairchild |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033729306 PECOS PAC ID: 0244686814 Enrollment ID: I20231102002175 |
| Provider Name | Michele a Heil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518746254 PECOS PAC ID: 9830455369 Enrollment ID: I20231103002187 |
| Provider Name | Shereka D Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083398168 PECOS PAC ID: 6709233844 Enrollment ID: I20231109003701 |
| Provider Name | Caitlyn Lee Burton-gowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184405193 PECOS PAC ID: 6608228580 Enrollment ID: I20240116003094 |
| Provider Name | Kenneth Marcus Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326720202 PECOS PAC ID: 1850744327 Enrollment ID: I20240131003368 |
| Provider Name | Christopher T Veal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801460746 PECOS PAC ID: 8628471216 Enrollment ID: I20240202002942 |
| Provider Name | Francesca Elizabeth Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467067942 PECOS PAC ID: 0244632040 Enrollment ID: I20240216004337 |
| Provider Name | Georgios Tzavellas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710368659 PECOS PAC ID: 4789005273 Enrollment ID: I20240306001453 |
| Provider Name | Daniel a Wooldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477129419 PECOS PAC ID: 0143622944 Enrollment ID: I20240402000830 |
| Provider Name | Jessica R Teymouri |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821378217 PECOS PAC ID: 5890134340 Enrollment ID: I20240416003232 |
| Provider Name | Holly Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386494896 PECOS PAC ID: 4587006580 Enrollment ID: I20240522002058 |
| Provider Name | Blair Mitchell-handley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821558065 PECOS PAC ID: 9335501857 Enrollment ID: I20240712003230 |
| Provider Name | Jeffrey Powers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992888 PECOS PAC ID: 3375538176 Enrollment ID: I20240806002243 |
| Provider Name | Christopher Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174194351 PECOS PAC ID: 1658776356 Enrollment ID: I20240814001160 |
| Provider Name | Amber Wooldridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700450350 PECOS PAC ID: 4587067251 Enrollment ID: I20240903004213 |
| Provider Name | Mark Saatzer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831658988 PECOS PAC ID: 1759709405 Enrollment ID: I20240906003657 |
| Provider Name | Memoona Mian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891170924 PECOS PAC ID: 6103222021 Enrollment ID: I20240910003146 |
| Provider Name | Elana Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801387253 PECOS PAC ID: 9436480548 Enrollment ID: I20240926004418 |
| Provider Name | Grace Oseiwe Oboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194576793 PECOS PAC ID: 5294266417 Enrollment ID: I20240930000348 |
| Provider Name | Kessie Chandler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649016528 PECOS PAC ID: 0941731186 Enrollment ID: I20240930001015 |
| Provider Name | Muhammad Yasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164943882 PECOS PAC ID: 0547534281 Enrollment ID: I20241007003521 |
| Provider Name | Mikaela Sommer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760214647 PECOS PAC ID: 6002347408 Enrollment ID: I20241009000190 |
| Provider Name | Muhammad Saad Ali Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669727590 PECOS PAC ID: 2062653504 Enrollment ID: I20241017002579 |
| Provider Name | Daniel Rosenblat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063866986 PECOS PAC ID: 4688969892 Enrollment ID: I20241021000885 |
| Provider Name | Eva Laughter Almeter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639998966 PECOS PAC ID: 5799219234 Enrollment ID: I20241106003972 |
| Provider Name | Zoya Azam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811577356 PECOS PAC ID: 0648705574 Enrollment ID: I20241202000143 |
| Provider Name | Fizza M Naqvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598250433 PECOS PAC ID: 1951651058 Enrollment ID: I20241203003994 |
| Provider Name | Benjamin Windham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104478932 PECOS PAC ID: 8820421852 Enrollment ID: I20241204001784 |
| Provider Name | Emily Holben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154142784 PECOS PAC ID: 3577091586 Enrollment ID: I20250103001890 |
| Provider Name | Jeffery Scott Romig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508992561 PECOS PAC ID: 3779011705 Enrollment ID: I20250103002667 |
| Provider Name | Abdul Basit Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730756198 PECOS PAC ID: 7911398557 Enrollment ID: I20250109003173 |
| Provider Name | Amee Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376343418 PECOS PAC ID: 8123542214 Enrollment ID: I20250410001123 |
| Provider Name | Michael Stepuszek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114690146 PECOS PAC ID: 0749670545 Enrollment ID: I20250627002489 |
| Provider Name | Braden Carius |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326618802 PECOS PAC ID: 4587031570 Enrollment ID: I20250711003388 |
| Provider Name | Abike Ogunrenike Durojaye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154459568 PECOS PAC ID: 1759474703 Enrollment ID: I20250814000873 |
| Provider Name | Kelly Schmidt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659998441 PECOS PAC ID: 2567837578 Enrollment ID: I20250818001460 |
| Provider Name | Jonathon Fellmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184244683 PECOS PAC ID: 2769983162 Enrollment ID: I20250828000955 |
| Provider Name | Abuzar Ali Asif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780240929 PECOS PAC ID: 7911409248 Enrollment ID: I20250905003811 |
| Provider Name | Rebecca Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386536043 PECOS PAC ID: 7416444831 Enrollment ID: I20251017001091 |
| Provider Name | Harvey Langee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801818042 PECOS PAC ID: 8820040546 Enrollment ID: I20251118003508 |
| Provider Name | Dennis James Costa |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477599603 PECOS PAC ID: 2062585573 Enrollment ID: I20260211001446 |
| Provider Name | Ashley Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467305987 PECOS PAC ID: 0840766234 Enrollment ID: I20260414001223 |
Dr. Donald E. Janoff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3004 Crossing Ct, Champaign, IL 61822 Phone: 217-352-3252 |
Healthsource Chiropractic of Champaign, S.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2003 Round Barn Rd, Suite B, Champaign, IL 61821 Phone: 217-281-0006 |
FN on Neil St. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 821 S Neil St, Champaign, IL 61820 Phone: 217-356-1558 |
Marathon Health, Champaign Il Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2143 S Neil St, Champaign, IL 61820 Phone: 217-726-2996 |
George P. Savvas M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Springfield Ave, Champaign, IL 61820 Phone: 217-359-7289 |
Frances Nelson Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Walnut St, Champaign, IL 61820 Phone: 217-356-1558 |