| Christus Trinity Clinic | |
|
520 Douglas Blvd Tyler TX 75702-8307 | |
| (903) 315-4119 | |
| (903) 525-1566 |
| Full Name | Christus Trinity Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 520 Douglas Blvd, Tyler, Texas |
| Authorized Official Name and Position | Robert Karl (CFO) |
| Authorized Official Contact | 4692822611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Trinity Clinic Po Box 846098 Dallas TX 75284-6098 Ph: (903) 324-6450 | Christus Trinity Clinic 520 Douglas Blvd Tyler TX 75702-8307 Ph: (903) 315-4119 |
| NPI Number | 1285684225 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/24/2026 |
| Certification Date | 08/24/2026 |
| Medicare PECOS PAC ID | 3072426741 |
|---|---|
| Medicare Enrollment ID | O20031204001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285684225 | NPI | - | NPPES |
| 138737527 | Medicaid | TX | |
| 141835201 | Medicaid | TX | |
| 141838601 | Other | TX | THSTEPS-WHITEHOUSE |
| 063685402 | Medicaid | TX | |
| 138737533 | Medicaid | TX | |
| 138737536 | Medicaid | TX | |
| 138737511 | Medicaid | TX | |
| 138737521 | Medicaid | TX | |
| 138737529 | Medicaid | TX | |
| 138737530 | Medicaid | TX | |
| 138737522 | Medicaid | TX | |
| 138737532 | Medicaid | TX | |
| 138737534 | Medicaid | TX | |
| 168206402 | Medicaid | TX | |
| 138737528 | Medicaid | TX | |
| 177294903 | Medicaid | TX | |
| 1091520016 | Other | TX | PALMETTO DME-KILGORE |
| 138737504 | Medicaid | TX | |
| 138737506 | Medicaid | TX | |
| 138737510 | Medicaid | TX | |
| 138737524 | Medicaid | TX | |
| 138737531 | Medicaid | TX | |
| 138737535 | Medicaid | TX |
| Provider Name | James Carroll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023048436 PECOS PAC ID: 1456264548 Enrollment ID: I20031105000817 |
| Provider Name | Marcus Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518930304 PECOS PAC ID: 6800709577 Enrollment ID: I20031110000002 |
| Provider Name | Catherine E Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154326577 PECOS PAC ID: 0042123549 Enrollment ID: I20031111000164 |
| Provider Name | Cathy Lynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750415287 PECOS PAC ID: 8729991005 Enrollment ID: I20031112000180 |
| Provider Name | Stanislav Weiner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003801705 PECOS PAC ID: 0547164097 Enrollment ID: I20031125000711 |
| Provider Name | Marco T Silva |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669472577 PECOS PAC ID: 2365356748 Enrollment ID: I20031126000546 |
| Provider Name | Helen Ruth Spiel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306932587 PECOS PAC ID: 0143125856 Enrollment ID: I20031205000097 |
| Provider Name | Steven Lutzker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457447120 PECOS PAC ID: 8820994429 Enrollment ID: I20031212000052 |
| Provider Name | Shariq J Rauf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528019023 PECOS PAC ID: 9234037946 Enrollment ID: I20031219000352 |
| Provider Name | Prakash Hegde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053382754 PECOS PAC ID: 2365340361 Enrollment ID: I20031229000900 |
| Provider Name | Marian K Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114915451 PECOS PAC ID: 7911807706 Enrollment ID: I20040109000247 |
| Provider Name | Christian M Dickson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033142336 PECOS PAC ID: 6103727821 Enrollment ID: I20040115001169 |
| Provider Name | John a Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912901729 PECOS PAC ID: 9133021975 Enrollment ID: I20040122000989 |
| Provider Name | Jesse C Delee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760429161 PECOS PAC ID: 9830091677 Enrollment ID: I20040122001011 |
| Provider Name | Mark Lekas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700827474 PECOS PAC ID: 6800798513 Enrollment ID: I20040123000099 |
| Provider Name | Kimberly R Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184623894 PECOS PAC ID: 5395648307 Enrollment ID: I20040128000678 |
| Provider Name | Ron J Hekier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174573042 PECOS PAC ID: 9537062310 Enrollment ID: I20040129000411 |
| Provider Name | Jon Senkowsky |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619976628 PECOS PAC ID: 9032012737 Enrollment ID: I20040129001086 |
| Provider Name | Salvatore a Barbaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760486757 PECOS PAC ID: 3072406982 Enrollment ID: I20040204001032 |
| Provider Name | Joel W Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093779969 PECOS PAC ID: 4183518376 Enrollment ID: I20040210000060 |
| Provider Name | Jason Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275551400 PECOS PAC ID: 7719874478 Enrollment ID: I20040228000183 |
| Provider Name | James R Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841265477 PECOS PAC ID: 6800783580 Enrollment ID: I20040228000322 |
| Provider Name | Mark Miles Barret |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659341055 PECOS PAC ID: 5698662278 Enrollment ID: I20040228000348 |
| Provider Name | Bert E Sharp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316900376 PECOS PAC ID: 8527956309 Enrollment ID: I20040304001264 |
| Provider Name | Charles Machell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245230507 PECOS PAC ID: 2062323066 Enrollment ID: I20040305001015 |
| Provider Name | Rudranath Talukdar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174546915 PECOS PAC ID: 8123917499 Enrollment ID: I20040313000715 |
| Provider Name | Lynn Frances Fitzgerald |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609871433 PECOS PAC ID: 2668362179 Enrollment ID: I20040318000409 |
| Provider Name | John L Frey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811998453 PECOS PAC ID: 6103818455 Enrollment ID: I20040330000862 |
| Provider Name | Swaroop Rani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730111253 PECOS PAC ID: 7012901523 Enrollment ID: I20040408000991 |
| Provider Name | Stephen a Korte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881615318 PECOS PAC ID: 4587557608 Enrollment ID: I20040412001381 |
| Provider Name | Mark a Hackbarth |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1629071527 PECOS PAC ID: 7719972967 Enrollment ID: I20040416001122 |
| Provider Name | Said Soubra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548219751 PECOS PAC ID: 1850386020 Enrollment ID: I20040416001321 |
| Provider Name | Akram Shakhashiro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033128665 PECOS PAC ID: 8628065042 Enrollment ID: I20040428000508 |
| Provider Name | Machelle a Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316950603 PECOS PAC ID: 2264429331 Enrollment ID: I20040429000788 |
| Provider Name | Andrea R Mcguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053592535 PECOS PAC ID: 9739079609 Enrollment ID: I20040430000571 |
| Provider Name | Everett D Holley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073547782 PECOS PAC ID: 7012905979 Enrollment ID: I20040501000126 |
| Provider Name | Nisha M Saran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770602237 PECOS PAC ID: 3577551167 Enrollment ID: I20040503001445 |
| Provider Name | Debra Sue Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265619241 PECOS PAC ID: 0547258808 Enrollment ID: I20040504001719 |
| Provider Name | Eric S Madore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982678884 PECOS PAC ID: 0941298053 Enrollment ID: I20040505001178 |
| Provider Name | Mir Tajammul Hussain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003893462 PECOS PAC ID: 0840288999 Enrollment ID: I20040505001402 |
| Provider Name | Aamer Abbas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508975772 PECOS PAC ID: 3577551530 Enrollment ID: I20040506000362 |
| Provider Name | Scott a Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043200785 PECOS PAC ID: 4284623067 Enrollment ID: I20040507000504 |
| Provider Name | David Garcia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265417893 PECOS PAC ID: 0840289005 Enrollment ID: I20040511001575 |
| Provider Name | Lester B Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750305710 PECOS PAC ID: 2769472836 Enrollment ID: I20040512001440 |
| Provider Name | Billy George Hughes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851337935 PECOS PAC ID: 3375533458 Enrollment ID: I20040512001533 |
| Provider Name | David W Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154307551 PECOS PAC ID: 5092705079 Enrollment ID: I20040512001616 |
| Provider Name | Thomas E Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548203987 PECOS PAC ID: 5193715092 Enrollment ID: I20040513000734 |
| Provider Name | Thomas a Kaspar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205810629 PECOS PAC ID: 5597755389 Enrollment ID: I20040513001455 |
| Provider Name | Daryl Q Buckelew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588600662 PECOS PAC ID: 0648260489 Enrollment ID: I20040514000217 |
| Provider Name | Olusola Olofinlade |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093750531 PECOS PAC ID: 6901896679 Enrollment ID: I20040514000442 |
| Provider Name | William H Torres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679519755 PECOS PAC ID: 1153311832 Enrollment ID: I20040514000557 |
| Provider Name | Julie T Haygood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124010392 PECOS PAC ID: 9133119605 Enrollment ID: I20040517000207 |
| Provider Name | Marvin B Holcomb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265462527 PECOS PAC ID: 4284625963 Enrollment ID: I20040520001447 |
| Provider Name | Stephen Littlejohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417948084 PECOS PAC ID: 9234120916 Enrollment ID: I20040520001491 |
| Provider Name | Scott W Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669474946 PECOS PAC ID: 2163413600 Enrollment ID: I20040521001175 |
| Provider Name | Frances L Elizondo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245233550 PECOS PAC ID: 6507857042 Enrollment ID: I20040521001187 |
| Provider Name | Timothy Betz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295797025 PECOS PAC ID: 9931097680 Enrollment ID: I20040525000635 |
| Provider Name | Gregory Vincent Barrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215957915 PECOS PAC ID: 5698756526 Enrollment ID: I20040526001579 |
| Provider Name | Laura K Kosub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457354227 PECOS PAC ID: 3678554110 Enrollment ID: I20040528001033 |
| Provider Name | William Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386647121 PECOS PAC ID: 1355322801 Enrollment ID: I20040528001087 |
| Provider Name | James a Caccitolo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1528074317 PECOS PAC ID: 5395727093 Enrollment ID: I20040605000305 |
| Provider Name | Kevin W Caton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043218548 PECOS PAC ID: 8022090646 Enrollment ID: I20040607000200 |
| Provider Name | James E Gulde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881682987 PECOS PAC ID: 6305740549 Enrollment ID: I20040607000719 |
| Provider Name | Howard R Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780640979 PECOS PAC ID: 7113909680 Enrollment ID: I20040607001220 |
| Provider Name | Melissa K Baumgardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467476424 PECOS PAC ID: 6507849031 Enrollment ID: I20040608000121 |
| Provider Name | Stephanie S Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376535054 PECOS PAC ID: 5991788333 Enrollment ID: I20040608000952 |
| Provider Name | Rachael Audrey Keilin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679523534 PECOS PAC ID: 2062495419 Enrollment ID: I20040608001044 |
| Provider Name | Richard Dan Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609877000 PECOS PAC ID: 7911988332 Enrollment ID: I20040609000670 |
| Provider Name | Kerry G Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497812192 PECOS PAC ID: 2668455585 Enrollment ID: I20040611000160 |
| Provider Name | Cynthia M Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871502732 PECOS PAC ID: 9830172410 Enrollment ID: I20040612000742 |
| Provider Name | Thomas R Scholler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467444141 PECOS PAC ID: 4284618836 Enrollment ID: I20040614000538 |
| Provider Name | David M Mccaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558353169 PECOS PAC ID: 6507840162 Enrollment ID: I20040614000582 |
| Provider Name | Lindy M Dolan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124010129 PECOS PAC ID: 6204810880 Enrollment ID: I20040614000752 |
| Provider Name | Kin Wing Au |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497793814 PECOS PAC ID: 4082698535 Enrollment ID: I20040614001350 |
| Provider Name | Jai Hind Joshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700849346 PECOS PAC ID: 6901880160 Enrollment ID: I20040615001301 |
| Provider Name | Yuhoe Gia Dice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919020 PECOS PAC ID: 2264416429 Enrollment ID: I20040615001318 |
| Provider Name | Joe Parkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699732925 PECOS PAC ID: 2567446735 Enrollment ID: I20040615001452 |
| Provider Name | Madhu B Challapalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609847029 PECOS PAC ID: 8921082959 Enrollment ID: I20040616000866 |
| Provider Name | Debra Lynn Krenek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497790737 PECOS PAC ID: 0143204875 Enrollment ID: I20040617001549 |
| Provider Name | Sidney L Redels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679562615 PECOS PAC ID: 0941284608 Enrollment ID: I20040617001762 |
| Provider Name | Brenda L Ingram |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679688675 PECOS PAC ID: 3173509726 Enrollment ID: I20040625000204 |
| Provider Name | Kirk Jason Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700091899 PECOS PAC ID: 9931185386 Enrollment ID: I20040625001011 |
| Provider Name | Alvin Pui Shui Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396725321 PECOS PAC ID: 3072598846 Enrollment ID: I20040630000298 |
| Provider Name | Jawad Zar Shaikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679571376 PECOS PAC ID: 4385621135 Enrollment ID: I20040630000830 |
| Provider Name | Charito Go |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871534198 PECOS PAC ID: 1850379827 Enrollment ID: I20040708000182 |
| Provider Name | Jeffrey David Decaprio |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447255229 PECOS PAC ID: 5991692766 Enrollment ID: I20040710000255 |
| Provider Name | Patricia a Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003915596 PECOS PAC ID: 2466430855 Enrollment ID: I20040712001048 |
| Provider Name | Rebecca Oldner Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245238898 PECOS PAC ID: 1052391133 Enrollment ID: I20040720001607 |
| Provider Name | Jeffrey L Bohn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952308678 PECOS PAC ID: 2961482047 Enrollment ID: I20040720001614 |
| Provider Name | Thomas Jay Dehaven |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477550184 PECOS PAC ID: 7416937594 Enrollment ID: I20040721000043 |
| Provider Name | John K Deaton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497752109 PECOS PAC ID: 9830179936 Enrollment ID: I20040721000097 |
| Provider Name | Gary W Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851333850 PECOS PAC ID: 8921088956 Enrollment ID: I20040721001005 |
| Provider Name | Sergio Muniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710076120 PECOS PAC ID: 2264412295 Enrollment ID: I20040721001023 |
| Provider Name | Enrique M Quevedo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669411955 PECOS PAC ID: 7315927969 Enrollment ID: I20040723000218 |
| Provider Name | Mark O Gabbie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386622827 PECOS PAC ID: 2062492747 Enrollment ID: I20040723000378 |
| Provider Name | Ryan Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523951 PECOS PAC ID: 1951381243 Enrollment ID: I20040726000968 |
| Provider Name | David W Sargent |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710973748 PECOS PAC ID: 9032022850 Enrollment ID: I20040727001650 |
| Provider Name | Kenneth W Stegall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316912470 PECOS PAC ID: 9537139464 Enrollment ID: I20040728001309 |
| Provider Name | Anne M Zeorlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093781767 PECOS PAC ID: 0042280778 Enrollment ID: I20040729000355 |
| Provider Name | Troy D Overbeek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578537510 PECOS PAC ID: 3375513005 Enrollment ID: I20040729000390 |
| Provider Name | Todd P Smith |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215902598 PECOS PAC ID: 8729059001 Enrollment ID: I20040802000726 |
| Provider Name | Joshua D Toby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790799476 PECOS PAC ID: 8729059662 Enrollment ID: I20040804000190 |
| Provider Name | Jason David Layne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578555355 PECOS PAC ID: 1557332277 Enrollment ID: I20040804001609 |
| Provider Name | John C Mcclish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427019249 PECOS PAC ID: 5991776593 Enrollment ID: I20040805000969 |
| Provider Name | Karen a Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558335059 PECOS PAC ID: 4789655283 Enrollment ID: I20040805001007 |
| Provider Name | Kent Paul Webb |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104892926 PECOS PAC ID: 3173594611 Enrollment ID: I20040805001310 |
| Provider Name | Oladimeji Akiode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922078120 PECOS PAC ID: 8921079476 Enrollment ID: I20040805001372 |
| Provider Name | Edison Rodrigues |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508864489 PECOS PAC ID: 0749252203 Enrollment ID: I20040806000483 |
| Provider Name | Samuel Sengco Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689684227 PECOS PAC ID: 3173595584 Enrollment ID: I20040806000906 |
| Provider Name | Amy L Delleney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356465421 PECOS PAC ID: 3971574005 Enrollment ID: I20040806001051 |
| Provider Name | John D Updegrove |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518933308 PECOS PAC ID: 2860476116 Enrollment ID: I20040809000607 |
| Provider Name | David R Dewalch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003098807 PECOS PAC ID: 6608848783 Enrollment ID: I20040810000090 |
| Provider Name | James D Dopson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528031432 PECOS PAC ID: 4880581560 Enrollment ID: I20040810000164 |
| Provider Name | Robert W Frederick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780658112 PECOS PAC ID: 2860464724 Enrollment ID: I20040811000144 |
| Provider Name | Todd D Bengtson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912970773 PECOS PAC ID: 1052383817 Enrollment ID: I20040811000943 |
| Provider Name | Gyorgy Argyelan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396755609 PECOS PAC ID: 1557335155 Enrollment ID: I20040820000172 |
| Provider Name | David N Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295716181 PECOS PAC ID: 2961314505 Enrollment ID: I20040826000818 |
| Provider Name | Mysti D Schott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265440358 PECOS PAC ID: 6103891882 Enrollment ID: I20040826001049 |
| Provider Name | Brandon T Hamisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841245552 PECOS PAC ID: 1153396577 Enrollment ID: I20040830000699 |
| Provider Name | D'laine D Westmoreland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790738524 PECOS PAC ID: 7113992330 Enrollment ID: I20040831001366 |
| Provider Name | Brigham C Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598701500 PECOS PAC ID: 8426024928 Enrollment ID: I20040907000723 |
| Provider Name | Ibidunni Omolayo Ukegbu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447213194 PECOS PAC ID: 5991772451 Enrollment ID: I20040914000544 |
| Provider Name | Bindu B Nair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427042597 PECOS PAC ID: 7315914454 Enrollment ID: I20040916000799 |
| Provider Name | Catherine Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144295742 PECOS PAC ID: 6103894266 Enrollment ID: I20040917000339 |
| Provider Name | Deborah L Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205875929 PECOS PAC ID: 2668441775 Enrollment ID: I20040927000380 |
| Provider Name | Billy Max Eden |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1356370464 PECOS PAC ID: 3971572835 Enrollment ID: I20040928000284 |
| Provider Name | Hiren D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891731865 PECOS PAC ID: 7911976378 Enrollment ID: I20041001000353 |
| Provider Name | Julia D Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649244757 PECOS PAC ID: 1951360122 Enrollment ID: I20041005000491 |
| Provider Name | Ronald L Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124093893 PECOS PAC ID: 7517926538 Enrollment ID: I20041006000427 |
| Provider Name | Reginald C Baptiste |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649202979 PECOS PAC ID: 6002876935 Enrollment ID: I20041015000037 |
| Provider Name | Craig Delisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689616849 PECOS PAC ID: 4082674528 Enrollment ID: I20041019000110 |
| Provider Name | Rodney Burrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871536714 PECOS PAC ID: 5890755334 Enrollment ID: I20041019000126 |
| Provider Name | William D Daniels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609816933 PECOS PAC ID: 0345201406 Enrollment ID: I20041021000788 |
| Provider Name | Marvin L Faulkner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1023153335 PECOS PAC ID: 2860453966 Enrollment ID: I20041021001104 |
| Provider Name | Scott S Satterfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215902804 PECOS PAC ID: 1153382155 Enrollment ID: I20041022000816 |
| Provider Name | Evan M Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699749127 PECOS PAC ID: 9739141052 Enrollment ID: I20041029000340 |
| Provider Name | Jennifer T Rippy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366497992 PECOS PAC ID: 5991767154 Enrollment ID: I20041029000732 |
| Provider Name | Sherif Al-farra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093770737 PECOS PAC ID: 8527021153 Enrollment ID: I20041104001216 |
| Provider Name | June M Belt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497708960 PECOS PAC ID: 3274596671 Enrollment ID: I20041106000198 |
| Provider Name | Julie P Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023164456 PECOS PAC ID: 1557325875 Enrollment ID: I20041116001289 |
| Provider Name | Gregory Freimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891876447 PECOS PAC ID: 4789653486 Enrollment ID: I20041117000524 |
| Provider Name | Oyeyemi a Fabuyi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407826498 PECOS PAC ID: 3577527407 Enrollment ID: I20041119000022 |
| Provider Name | Wesley Merritt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396700571 PECOS PAC ID: 6406810399 Enrollment ID: I20041119000406 |
| Provider Name | Earnest W Stroupe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932147196 PECOS PAC ID: 0941265763 Enrollment ID: I20041122000329 |
| Provider Name | Ellen S Walraven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356398457 PECOS PAC ID: 9335104181 Enrollment ID: I20041122000531 |
| Provider Name | Scott S Foxworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255350708 PECOS PAC ID: 2466418363 Enrollment ID: I20041202000475 |
| Provider Name | Marco Elizondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386679058 PECOS PAC ID: 3779549431 Enrollment ID: I20041203000763 |
| Provider Name | Ramesh Hariharan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770509168 PECOS PAC ID: 0648236232 Enrollment ID: I20041206000560 |
| Provider Name | Ming Lu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225035827 PECOS PAC ID: 4688630064 Enrollment ID: I20041207001059 |
| Provider Name | Mark C Littlejohn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932176252 PECOS PAC ID: 6608834585 Enrollment ID: I20041222000837 |
| Provider Name | Marisol a Garcia Hodge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659388957 PECOS PAC ID: 1052379500 Enrollment ID: I20041229001043 |
| Provider Name | Leonard S. Raphael |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609987916 PECOS PAC ID: 3173581584 Enrollment ID: I20041230000412 |
| Provider Name | Matthew J Ficenec |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538155593 PECOS PAC ID: 9234190497 Enrollment ID: I20050103000483 |
| Provider Name | Mobolaji M Odelowo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073562419 PECOS PAC ID: 0143215137 Enrollment ID: I20050111000318 |
| Provider Name | Ronald L. Hedderich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891725529 PECOS PAC ID: 8628962321 Enrollment ID: I20050114000636 |
| Provider Name | Orel M Everett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164509659 PECOS PAC ID: 3971552043 Enrollment ID: I20050114000685 |
| Provider Name | Jacob D Chaney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114969060 PECOS PAC ID: 4981653607 Enrollment ID: I20050119000861 |
| Provider Name | Patrick L Gleason |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629030804 PECOS PAC ID: 6305895855 Enrollment ID: I20050121000531 |
| Provider Name | Madhavi Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558337238 PECOS PAC ID: 3476503913 Enrollment ID: I20050124000259 |
| Provider Name | Karen Latrice Lazard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801824602 PECOS PAC ID: 3072563915 Enrollment ID: I20050127000763 |
| Provider Name | James E Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962440073 PECOS PAC ID: 5496706962 Enrollment ID: I20050202000676 |
| Provider Name | Henryk Nikicicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205856838 PECOS PAC ID: 3577514819 Enrollment ID: I20050203000906 |
| Provider Name | Matthew T Proctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164451407 PECOS PAC ID: 1052362134 Enrollment ID: I20050207000211 |
| Provider Name | Traci E Forrest |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295755965 PECOS PAC ID: 6901857911 Enrollment ID: I20050208000265 |
| Provider Name | Darren J Tapley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376575357 PECOS PAC ID: 8820040389 Enrollment ID: I20050214000447 |
| Provider Name | Sushama S Brimmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184629990 PECOS PAC ID: 6800848698 Enrollment ID: I20050221000557 |
| Provider Name | Jason T Pickelman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538163910 PECOS PAC ID: 4880647791 Enrollment ID: I20050302000736 |
| Provider Name | Susan Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710104500 PECOS PAC ID: 6103871801 Enrollment ID: I20050315001071 |
| Provider Name | Perry C Lewis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831135912 PECOS PAC ID: 8426025750 Enrollment ID: I20050322000710 |
| Provider Name | Anupama Pant Dhodapkar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306863055 PECOS PAC ID: 7911953971 Enrollment ID: I20050323000893 |
| Provider Name | Tara L Hahn |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1417939018 PECOS PAC ID: 1052395316 Enrollment ID: I20050324000978 |
| Provider Name | Shayne Taylor Skarda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720023328 PECOS PAC ID: 0244286847 Enrollment ID: I20050328000264 |
| Provider Name | Steven K Yoder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376582387 PECOS PAC ID: 6507813623 Enrollment ID: I20050331001068 |
| Provider Name | Diana M Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720021280 PECOS PAC ID: 1759338593 Enrollment ID: I20050405000258 |
| Provider Name | Norman C Sulser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588603583 PECOS PAC ID: 4789631409 Enrollment ID: I20050405000923 |
| Provider Name | Stacy L Leonard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891890786 PECOS PAC ID: 9537116124 Enrollment ID: I20050406000121 |
| Provider Name | Luis F Flores |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306922794 PECOS PAC ID: 7416995733 Enrollment ID: I20050421000726 |
| Provider Name | Manu G Reddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659468023 PECOS PAC ID: 3971542002 Enrollment ID: I20050428000416 |
| Provider Name | Karlene Reid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578643995 PECOS PAC ID: 3577502301 Enrollment ID: I20050429000885 |
| Provider Name | Michael B Hendricks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396785366 PECOS PAC ID: 8426097163 Enrollment ID: I20050502000749 |
| Provider Name | Daniel Muro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568569226 PECOS PAC ID: 0345280988 Enrollment ID: I20050503001221 |
| Provider Name | Joe G Valdez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104810779 PECOS PAC ID: 1254371735 Enrollment ID: I20050504000179 |
| Provider Name | Clayton E Whitney |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780655340 PECOS PAC ID: 1153361449 Enrollment ID: I20050505000829 |
| Provider Name | Rigoberto Ramirez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578593182 PECOS PAC ID: 4183664402 Enrollment ID: I20050505001076 |
| Provider Name | Gerardo Zambrano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982718110 PECOS PAC ID: 3274574728 Enrollment ID: I20050516000525 |
| Provider Name | Tod S Conner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033182753 PECOS PAC ID: 4789625815 Enrollment ID: I20050518000909 |
| Provider Name | Khalid Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407880305 PECOS PAC ID: 3870535628 Enrollment ID: I20050523000947 |
| Provider Name | Allison D Clements |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669402715 PECOS PAC ID: 8527002443 Enrollment ID: I20050613000354 |
| Provider Name | Charles B Humphrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881874394 PECOS PAC ID: 6901840503 Enrollment ID: I20050614001469 |
| Provider Name | Chandra Deel Oud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245204288 PECOS PAC ID: 5597709774 Enrollment ID: I20050617000832 |
| Provider Name | Eric E Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619966371 PECOS PAC ID: 8729023791 Enrollment ID: I20050622000453 |
| Provider Name | Randal Keith Jacks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356314124 PECOS PAC ID: 5496658114 Enrollment ID: I20050622000497 |
| Provider Name | Stephen R Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710986930 PECOS PAC ID: 5092750067 Enrollment ID: I20050622000527 |
| Provider Name | Hector D Ceccoli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548250392 PECOS PAC ID: 9638114242 Enrollment ID: I20050623001009 |
| Provider Name | John Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689631285 PECOS PAC ID: 4880638527 Enrollment ID: I20050628000928 |
| Provider Name | Jason Zhi Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285634592 PECOS PAC ID: 6204806292 Enrollment ID: I20050628001406 |
| Provider Name | Jon M Northam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831190610 PECOS PAC ID: 6406820786 Enrollment ID: I20050630000474 |
| Provider Name | William Robert Witham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447201157 PECOS PAC ID: 0749226397 Enrollment ID: I20050705000794 |
| Provider Name | Peter a Sirianni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407989064 PECOS PAC ID: 9537195557 Enrollment ID: I20050712000254 |
| Provider Name | Cassie R Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851335970 PECOS PAC ID: 4183651524 Enrollment ID: I20050718000845 |
| Provider Name | Weng Y Thong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255329322 PECOS PAC ID: 8628005501 Enrollment ID: I20050721001043 |
| Provider Name | Jessica Camille Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154447852 PECOS PAC ID: 1557398377 Enrollment ID: I20050725000179 |
| Provider Name | Tsauyu Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477527331 PECOS PAC ID: 3577590066 Enrollment ID: I20050726001203 |
| Provider Name | Kai Xia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548236284 PECOS PAC ID: 7315926094 Enrollment ID: I20050727000872 |
| Provider Name | Crystal Campos Valls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679508360 PECOS PAC ID: 7810925146 Enrollment ID: I20050728000795 |
| Provider Name | Neda Esfandiari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356364178 PECOS PAC ID: 0446288781 Enrollment ID: I20050728000901 |
| Provider Name | Stephanie L Mccorkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841257730 PECOS PAC ID: 7517995871 Enrollment ID: I20050728001025 |
| Provider Name | Mary P Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437115805 PECOS PAC ID: 2961430228 Enrollment ID: I20050728001040 |
| Provider Name | William Windham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932171253 PECOS PAC ID: 5092603811 Enrollment ID: I20050801000318 |
| Provider Name | Christine D Criscuolo Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881695864 PECOS PAC ID: 6002844677 Enrollment ID: I20050803001158 |
| Provider Name | Jose M Ugarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457333882 PECOS PAC ID: 6305875949 Enrollment ID: I20050804000482 |
| Provider Name | James a Fojt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154340701 PECOS PAC ID: 5890724470 Enrollment ID: I20050804000803 |
| Provider Name | Cynthia a Simmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578542874 PECOS PAC ID: 7719878685 Enrollment ID: I20050808000320 |
| Provider Name | Laura E O 'halloran |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659345338 PECOS PAC ID: 5092744011 Enrollment ID: I20050810000730 |
| Provider Name | Peter a Tarbox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063472678 PECOS PAC ID: 9638108434 Enrollment ID: I20050811000749 |
| Provider Name | Munawwer Khurshid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699733378 PECOS PAC ID: 3274562905 Enrollment ID: I20050811000989 |
| Provider Name | Sara a Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467519165 PECOS PAC ID: 6608806963 Enrollment ID: I20050816000855 |
| Provider Name | Melita L Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366430332 PECOS PAC ID: 9032149349 Enrollment ID: I20050816001206 |
| Provider Name | John Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376549246 PECOS PAC ID: 3072543321 Enrollment ID: I20050817000741 |
| Provider Name | Suhel Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033242680 PECOS PAC ID: 4688605983 Enrollment ID: I20050826000121 |
| Provider Name | Janet Hurley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912030248 PECOS PAC ID: 1759313570 Enrollment ID: I20050901000106 |
| Provider Name | Daniel Bonville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639286602 PECOS PAC ID: 7911939590 Enrollment ID: I20050902000549 |
| Provider Name | Erin Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669435921 PECOS PAC ID: 5395777874 Enrollment ID: I20050906000638 |
| Provider Name | Eric P Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659480549 PECOS PAC ID: 1557393857 Enrollment ID: I20050907001246 |
| Provider Name | Robert Stephen Ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093864027 PECOS PAC ID: 6204881725 Enrollment ID: I20050908001107 |
| Provider Name | Milan Sekulic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265464564 PECOS PAC ID: 6507898525 Enrollment ID: I20050909000722 |
| Provider Name | James B Knutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033183041 PECOS PAC ID: 6709819592 Enrollment ID: I20050913000451 |
| Provider Name | Theresa L Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003859901 PECOS PAC ID: 9830122621 Enrollment ID: I20050913000501 |
| Provider Name | Ted M Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497747273 PECOS PAC ID: 3870526304 Enrollment ID: I20050915000373 |
| Provider Name | Christina a Tinkler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073515169 PECOS PAC ID: 5395778799 Enrollment ID: I20050915000980 |
| Provider Name | Jeffrey T Manning |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235228784 PECOS PAC ID: 5799718169 Enrollment ID: I20050919000772 |
| Provider Name | Xiaotuan Zhao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285619205 PECOS PAC ID: 5597799627 Enrollment ID: I20050919000907 |
| Provider Name | William F Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265407340 PECOS PAC ID: 0446202675 Enrollment ID: I20050926000547 |
| Provider Name | Gerald J Akpassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296975 PECOS PAC ID: 9739113952 Enrollment ID: I20050926001244 |
| Provider Name | Andrew Rosner Berkson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255304010 PECOS PAC ID: 1850326893 Enrollment ID: I20050928001295 |
| Provider Name | Jose R Hinojosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063435063 PECOS PAC ID: 5395760680 Enrollment ID: I20051005001098 |
| Provider Name | Kenneth G Goldaber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477549749 PECOS PAC ID: 4385669175 Enrollment ID: I20051011000512 |
| Provider Name | Harjodh S Puar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154364412 PECOS PAC ID: 1557387941 Enrollment ID: I20051014000453 |
| Provider Name | Joseph J Saporito |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316923329 PECOS PAC ID: 2163419094 Enrollment ID: I20051020000095 |
| Provider Name | Roger Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144294570 PECOS PAC ID: 7618928771 Enrollment ID: I20051031000510 |
| Provider Name | Luis R Arce |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053381418 PECOS PAC ID: 8729006036 Enrollment ID: I20051104000594 |
| Provider Name | Diane Carol West |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861488256 PECOS PAC ID: 1951329192 Enrollment ID: I20051107000644 |
| Provider Name | Jennifer L Clarner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548277833 PECOS PAC ID: 2466470166 Enrollment ID: I20051110000358 |
| Provider Name | Armando Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063552214 PECOS PAC ID: 8921027335 Enrollment ID: I20051115000737 |
| Provider Name | Ian T Lyn |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1376529826 PECOS PAC ID: 2466472741 Enrollment ID: I20051201000269 |
| Provider Name | Anthony S Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508901596 PECOS PAC ID: 6901826965 Enrollment ID: I20051206000181 |
| Provider Name | John B Dietze |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588665319 PECOS PAC ID: 6709789308 Enrollment ID: I20051215000733 |
| Provider Name | Freddie L Contreras |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447250659 PECOS PAC ID: 1658392766 Enrollment ID: I20051215000760 |
| Provider Name | Christopher Payne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558363507 PECOS PAC ID: 0345297628 Enrollment ID: I20051216000388 |
| Provider Name | Maria De Los Angeles Palafox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699740951 PECOS PAC ID: 8527089622 Enrollment ID: I20051216000484 |
| Provider Name | Donghong Zhang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477577435 PECOS PAC ID: 0143292052 Enrollment ID: I20060112000699 |
| Provider Name | Trung Nam Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144266883 PECOS PAC ID: 5294758447 Enrollment ID: I20060113000261 |
| Provider Name | Ernesto Hugo Guido |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619958204 PECOS PAC ID: 1456375328 Enrollment ID: I20060118000500 |
| Provider Name | Laura R Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720102494 PECOS PAC ID: 8527082353 Enrollment ID: I20060119000870 |
| Provider Name | Glen W Sorrentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265407654 PECOS PAC ID: 9335163708 Enrollment ID: I20060124000974 |
| Provider Name | Brett a Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295721793 PECOS PAC ID: 9739112335 Enrollment ID: I20060125000657 |
| Provider Name | James D Doughtie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447217245 PECOS PAC ID: 2668486911 Enrollment ID: I20060126000151 |
| Provider Name | Amber M Moreno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750355848 PECOS PAC ID: 3375557648 Enrollment ID: I20060126000324 |
| Provider Name | Tam Huynh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235177098 PECOS PAC ID: 7517971989 Enrollment ID: I20060206000783 |
| Provider Name | Douglas E Duncan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548267156 PECOS PAC ID: 1850306119 Enrollment ID: I20060208000547 |
| Provider Name | Matthew V Land |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205889086 PECOS PAC ID: 9436164084 Enrollment ID: I20060217000510 |
| Provider Name | John Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568475598 PECOS PAC ID: 7719896984 Enrollment ID: I20060223000795 |
| Provider Name | Saleem a Zaidi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013947316 PECOS PAC ID: 2163438268 Enrollment ID: I20060227000732 |
| Provider Name | Martin William Fielder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659353605 PECOS PAC ID: 3375550791 Enrollment ID: I20060309000518 |
| Provider Name | Jamal Mubarak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003839747 PECOS PAC ID: 7416965140 Enrollment ID: I20060322000508 |
| Provider Name | Kevin Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417991340 PECOS PAC ID: 4981612751 Enrollment ID: I20060405000401 |
| Provider Name | Andria Beth Cardinalli-stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407896293 PECOS PAC ID: 1658380431 Enrollment ID: I20060406000607 |
| Provider Name | Joseph Francis Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417950189 PECOS PAC ID: 1850359464 Enrollment ID: I20060420000283 |
| Provider Name | Terri L Eckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124024765 PECOS PAC ID: 6608886114 Enrollment ID: I20060428000035 |
| Provider Name | Deborah S Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679578405 PECOS PAC ID: 9537179684 Enrollment ID: I20060503000564 |
| Provider Name | Yvonne H Hinojosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851400139 PECOS PAC ID: 9032129010 Enrollment ID: I20060504000800 |
| Provider Name | Letha Colquitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023005725 PECOS PAC ID: 1658382510 Enrollment ID: I20060508000427 |
| Provider Name | Michael E Nash |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770587271 PECOS PAC ID: 7517974447 Enrollment ID: I20060509000685 |
| Provider Name | Eduardo Gutierrez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780631119 PECOS PAC ID: 4183635808 Enrollment ID: I20060509000965 |
| Provider Name | Clinton J Mcgehee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326171943 PECOS PAC ID: 7214822451 Enrollment ID: I20060509001019 |
| Provider Name | Christine Lanee Gilliam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134161094 PECOS PAC ID: 8224049812 Enrollment ID: I20060510000539 |
| Provider Name | Lisa M Dix-emperador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568410975 PECOS PAC ID: 8426080862 Enrollment ID: I20060706000294 |
| Provider Name | Sambasiva R Sukhavasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508862954 PECOS PAC ID: 3779597760 Enrollment ID: I20060719000308 |
| Provider Name | Michael Loren Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093751265 PECOS PAC ID: 3476556408 Enrollment ID: I20060814000044 |
| Provider Name | Kenneth S Helmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497785356 PECOS PAC ID: 0749284073 Enrollment ID: I20060829000301 |
| Provider Name | Heidi E Schneider |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659317972 PECOS PAC ID: 7315941036 Enrollment ID: I20060911000436 |
| Provider Name | Dixie a Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790707255 PECOS PAC ID: 0244234888 Enrollment ID: I20060913000066 |
| Provider Name | David M Islam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225071921 PECOS PAC ID: 6002810686 Enrollment ID: I20060913000354 |
| Provider Name | Suzzane M Blake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689698946 PECOS PAC ID: 0143224634 Enrollment ID: I20060914000641 |
| Provider Name | Marcia W Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134163868 PECOS PAC ID: 7719982479 Enrollment ID: I20061002000440 |
| Provider Name | Roy B Wadle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194743278 PECOS PAC ID: 4981600590 Enrollment ID: I20061004000403 |
| Provider Name | Jeri S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003834292 PECOS PAC ID: 9133125461 Enrollment ID: I20061010000605 |
| Provider Name | Eva J Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568408649 PECOS PAC ID: 6709882897 Enrollment ID: I20061012000517 |
| Provider Name | Mark L Dillingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568495448 PECOS PAC ID: 0042216913 Enrollment ID: I20061017000283 |
| Provider Name | Jose Raul Soto |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497756449 PECOS PAC ID: 0446287031 Enrollment ID: I20061017000494 |
| Provider Name | Darius F Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992780738 PECOS PAC ID: 2062419674 Enrollment ID: I20061024000432 |
| Provider Name | Ariadna Bory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831107432 PECOS PAC ID: 9234136409 Enrollment ID: I20061031000518 |
| Provider Name | Simon Wayne Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861432817 PECOS PAC ID: 7911905450 Enrollment ID: I20061117000252 |
| Provider Name | Melissa Anne Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144239005 PECOS PAC ID: 2365468329 Enrollment ID: I20061205000677 |
| Provider Name | Claude We Zeifman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962423004 PECOS PAC ID: 5698738441 Enrollment ID: I20061207000424 |
| Provider Name | Timothy Michael Hodges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679676795 PECOS PAC ID: 9739188954 Enrollment ID: I20061215000158 |
| Provider Name | Geetha Ramaswamy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841216595 PECOS PAC ID: 0042211096 Enrollment ID: I20070118000291 |
| Provider Name | Venkatasubbaraya Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693648 PECOS PAC ID: 2163423047 Enrollment ID: I20070119000054 |
| Provider Name | Alexander Wong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992792402 PECOS PAC ID: 8224097746 Enrollment ID: I20070120000066 |
| Provider Name | Stephen E Dailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033172606 PECOS PAC ID: 3779542980 Enrollment ID: I20070123000623 |
| Provider Name | Holly K Duplechain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831208982 PECOS PAC ID: 7911908629 Enrollment ID: I20070124000095 |
| Provider Name | Belinda K Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073555876 PECOS PAC ID: 9335142058 Enrollment ID: I20070124000121 |
| Provider Name | Maryellen W Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275648834 PECOS PAC ID: 4587665054 Enrollment ID: I20070125000472 |
| Provider Name | Richard W Lowry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699712703 PECOS PAC ID: 6901807320 Enrollment ID: I20070126000395 |
| Provider Name | Wesley L Castle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114971058 PECOS PAC ID: 4981685567 Enrollment ID: I20070131000471 |
| Provider Name | Yvette S Levingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568554707 PECOS PAC ID: 6204838352 Enrollment ID: I20070202000359 |
| Provider Name | Neil H Adelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902848120 PECOS PAC ID: 4284636200 Enrollment ID: I20070205000280 |
| Provider Name | Ajay Mitter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174587307 PECOS PAC ID: 2264434158 Enrollment ID: I20070206000259 |
| Provider Name | Cynthia T Curry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215977558 PECOS PAC ID: 9133015274 Enrollment ID: I20070212000046 |
| Provider Name | Wilfred Prados |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598756637 PECOS PAC ID: 0143261479 Enrollment ID: I20070220000118 |
| Provider Name | Steven a Vela |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831134816 PECOS PAC ID: 6800998907 Enrollment ID: I20070220000516 |
| Provider Name | Richard a Jameson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124059589 PECOS PAC ID: 4587766688 Enrollment ID: I20070220000579 |
| Provider Name | Daniel M Bitner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013935691 PECOS PAC ID: 9830291814 Enrollment ID: I20070221000576 |
| Provider Name | Ricky a Paul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073699500 PECOS PAC ID: 3577546696 Enrollment ID: I20070222000254 |
| Provider Name | Christina Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558442376 PECOS PAC ID: 0840392874 Enrollment ID: I20070222000337 |
| Provider Name | Jennifer M Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477639219 PECOS PAC ID: 7719089754 Enrollment ID: I20070222000484 |
| Provider Name | Rashid H Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437211786 PECOS PAC ID: 2961504915 Enrollment ID: I20070222000530 |
| Provider Name | Larry E Burch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487657664 PECOS PAC ID: 9335036656 Enrollment ID: I20070224000092 |
| Provider Name | Robert Mcfarlane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710980826 PECOS PAC ID: 2163319401 Enrollment ID: I20070224000150 |
| Provider Name | Alec B Law |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578566683 PECOS PAC ID: 5890682132 Enrollment ID: I20070224000166 |
| Provider Name | Wayne L Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336142512 PECOS PAC ID: 2860389103 Enrollment ID: I20070224000180 |
| Provider Name | David Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689678542 PECOS PAC ID: 4284545450 Enrollment ID: I20070224000192 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750384459 PECOS PAC ID: 7911817895 Enrollment ID: I20070224000199 |
| Provider Name | Lauren R Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639240450 PECOS PAC ID: 4789786245 Enrollment ID: I20070301000410 |
| Provider Name | Abdullah Mubarak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336109925 PECOS PAC ID: 3678540606 Enrollment ID: I20070302000386 |
| Provider Name | Alejandro Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538185251 PECOS PAC ID: 4880797026 Enrollment ID: I20070308000651 |
| Provider Name | John G O'donnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629071709 PECOS PAC ID: 8426945759 Enrollment ID: I20070309000292 |
| Provider Name | James D Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467530675 PECOS PAC ID: 8325142789 Enrollment ID: I20070326000130 |
| Provider Name | Chih Hao Gilbert Chou |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457395303 PECOS PAC ID: 1951314509 Enrollment ID: I20070329000055 |
| Provider Name | Sharlet Gayl Slough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932118072 PECOS PAC ID: 5597869594 Enrollment ID: I20070416000466 |
| Provider Name | Johnathan D Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336237635 PECOS PAC ID: 1850493248 Enrollment ID: I20070417000330 |
| Provider Name | Lenora Graziani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275584088 PECOS PAC ID: 6709772502 Enrollment ID: I20070501000523 |
| Provider Name | Herbert J Flachofsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205889011 PECOS PAC ID: 0648376921 Enrollment ID: I20070502000546 |
| Provider Name | Ikechukwu C Umezurike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144309105 PECOS PAC ID: 6103923743 Enrollment ID: I20070516000423 |
| Provider Name | Baher M Elhalwagi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235116393 PECOS PAC ID: 8325145709 Enrollment ID: I20070518000437 |
| Provider Name | Barbara Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053345298 PECOS PAC ID: 4183721426 Enrollment ID: I20070521000397 |
| Provider Name | Donald L Head |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699799155 PECOS PAC ID: 8820077100 Enrollment ID: I20070522000653 |
| Provider Name | Eric Bernard Kaszynski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750438263 PECOS PAC ID: 7012015803 Enrollment ID: I20070601000132 |
| Provider Name | Russell S Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568465755 PECOS PAC ID: 5092778894 Enrollment ID: I20070601000352 |
| Provider Name | Heather Trant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336293976 PECOS PAC ID: 3072611789 Enrollment ID: I20070604000590 |
| Provider Name | John H Shum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861616047 PECOS PAC ID: 1153421128 Enrollment ID: I20070705000586 |
| Provider Name | David Kellenberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073632410 PECOS PAC ID: 7810097359 Enrollment ID: I20070712000286 |
| Provider Name | Albert E Scates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700923679 PECOS PAC ID: 7810097243 Enrollment ID: I20070713000245 |
| Provider Name | Junyi Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801840939 PECOS PAC ID: 2466487285 Enrollment ID: I20070717000608 |
| Provider Name | Barry L Mckee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669681771 PECOS PAC ID: 2567421886 Enrollment ID: I20070723000340 |
| Provider Name | Adebola Adesanya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124080288 PECOS PAC ID: 0244331775 Enrollment ID: I20070726000860 |
| Provider Name | Michael J Finger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609858091 PECOS PAC ID: 3870694359 Enrollment ID: I20070727000530 |
| Provider Name | Aline Ghaleb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821179920 PECOS PAC ID: 6507967924 Enrollment ID: I20070728000132 |
| Provider Name | John L Schnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184827834 PECOS PAC ID: 3173614195 Enrollment ID: I20070806000604 |
| Provider Name | James L Strickland |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235276411 PECOS PAC ID: 6901997550 Enrollment ID: I20070810000357 |
| Provider Name | Sandra Jo Higgs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306999610 PECOS PAC ID: 8426140831 Enrollment ID: I20070815000249 |
| Provider Name | Anish P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265487375 PECOS PAC ID: 2668480187 Enrollment ID: I20070828001081 |
| Provider Name | Mark G Strauss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629053186 PECOS PAC ID: 5890888101 Enrollment ID: I20070831000521 |
| Provider Name | Sandee Michelle Volatile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932166881 PECOS PAC ID: 8022044379 Enrollment ID: I20070907000549 |
| Provider Name | Jorge D Trujillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710919618 PECOS PAC ID: 7618860230 Enrollment ID: I20070912000447 |
| Provider Name | Martin a Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669517769 PECOS PAC ID: 3375637697 Enrollment ID: I20070918000292 |
| Provider Name | Mark a Randel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629103619 PECOS PAC ID: 8022102276 Enrollment ID: I20070918000680 |
| Provider Name | Alfonso Aquino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063479681 PECOS PAC ID: 2163413246 Enrollment ID: I20070921000049 |
| Provider Name | Mossaab Shuraih |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144318270 PECOS PAC ID: 9537253406 Enrollment ID: I20070922000146 |
| Provider Name | Jennifer B Symmank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396867511 PECOS PAC ID: 1951495829 Enrollment ID: I20070922000193 |
| Provider Name | Kristie S Dapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538255781 PECOS PAC ID: 2668567256 Enrollment ID: I20070927000280 |
| Provider Name | Bruce Applebaum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902803679 PECOS PAC ID: 3476444290 Enrollment ID: I20071022000360 |
| Provider Name | Sherry L Missildine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215952965 PECOS PAC ID: 1052407046 Enrollment ID: I20071023000087 |
| Provider Name | Mark D Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609840388 PECOS PAC ID: 3779671722 Enrollment ID: I20071108000659 |
| Provider Name | Jeffrey D Turnbull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922008606 PECOS PAC ID: 0244328797 Enrollment ID: I20071116000022 |
| Provider Name | Lynda E Bockmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609089481 PECOS PAC ID: 5092761718 Enrollment ID: I20071119000065 |
| Provider Name | Judson S Welch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457545345 PECOS PAC ID: 7618065855 Enrollment ID: I20071121000343 |
| Provider Name | Thomas B Volatile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093709776 PECOS PAC ID: 7012981178 Enrollment ID: I20071126000252 |
| Provider Name | Farahnaz Haroon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104016732 PECOS PAC ID: 3072577832 Enrollment ID: I20071127000338 |
| Provider Name | Kimberley B Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932169539 PECOS PAC ID: 6507861291 Enrollment ID: I20071128000562 |
| Provider Name | Oscar a Paniagua |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831261809 PECOS PAC ID: 5193814101 Enrollment ID: I20071128000623 |
| Provider Name | Randall Dick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538264361 PECOS PAC ID: 4688763261 Enrollment ID: I20071204000864 |
| Provider Name | Korina M Deleon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417142134 PECOS PAC ID: 5890885941 Enrollment ID: I20071213000428 |
| Provider Name | Holly W Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114914132 PECOS PAC ID: 7416047451 Enrollment ID: I20071214000263 |
| Provider Name | Abraham Cheriyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619034964 PECOS PAC ID: 7618992132 Enrollment ID: I20071214000530 |
| Provider Name | Thuy Anh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336180694 PECOS PAC ID: 6305936162 Enrollment ID: I20071217000413 |
| Provider Name | Robert E Suter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124098926 PECOS PAC ID: 3375503006 Enrollment ID: I20071227000155 |
| Provider Name | Mary J Palecek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801806526 PECOS PAC ID: 9032191796 Enrollment ID: I20080103000254 |
| Provider Name | Kelly L Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639364409 PECOS PAC ID: 0648350645 Enrollment ID: I20080103000273 |
| Provider Name | Thuyen T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962607515 PECOS PAC ID: 1759461643 Enrollment ID: I20080104000234 |
| Provider Name | Bart Petrini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821292400 PECOS PAC ID: 5496835381 Enrollment ID: I20080104000288 |
| Provider Name | Amer Zaheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942397278 PECOS PAC ID: 1153401070 Enrollment ID: I20080104000474 |
| Provider Name | Christy J Welvaert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487703393 PECOS PAC ID: 5496835274 Enrollment ID: I20080107000289 |
| Provider Name | Mohammad R Siadati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194718452 PECOS PAC ID: 3072603661 Enrollment ID: I20080111000223 |
| Provider Name | Michael L Schindel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629035241 PECOS PAC ID: 9537241328 Enrollment ID: I20080215000127 |
| Provider Name | Tanya M Solis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497716393 PECOS PAC ID: 7315927787 Enrollment ID: I20080215000180 |
| Provider Name | Rajashekar Lakkadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588669303 PECOS PAC ID: 4284681735 Enrollment ID: I20080305000514 |
| Provider Name | Timothy K Colgan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730186610 PECOS PAC ID: 6002992922 Enrollment ID: I20080318000526 |
| Provider Name | Sharron E Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457338196 PECOS PAC ID: 3678659794 Enrollment ID: I20080328000458 |
| Provider Name | Lajuan J Chambers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033156757 PECOS PAC ID: 1850324443 Enrollment ID: I20080411000490 |
| Provider Name | Amalia Antigoni Geller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932399243 PECOS PAC ID: 0749368678 Enrollment ID: I20080417000524 |
| Provider Name | Sawroop Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871633636 PECOS PAC ID: 8426143066 Enrollment ID: I20080428000281 |
| Provider Name | Elmer S Ireton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316007347 PECOS PAC ID: 4789763574 Enrollment ID: I20080505000825 |
| Provider Name | Jason K Brockway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043283823 PECOS PAC ID: 7113980525 Enrollment ID: I20080509000148 |
| Provider Name | James E Repasky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942275565 PECOS PAC ID: 8325127756 Enrollment ID: I20080509000240 |
| Provider Name | Shana K Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336200682 PECOS PAC ID: 4486733813 Enrollment ID: I20080509000256 |
| Provider Name | Zahir N Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184685422 PECOS PAC ID: 5890749279 Enrollment ID: I20080522000136 |
| Provider Name | Nancy C Holcek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659345767 PECOS PAC ID: 1658440003 Enrollment ID: I20080527000447 |
| Provider Name | Charlsie Ferguson Gillcoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629246574 PECOS PAC ID: 3072683994 Enrollment ID: I20080604000591 |
| Provider Name | William Andrew Anderson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487694220 PECOS PAC ID: 9234167156 Enrollment ID: I20080604000664 |
| Provider Name | William B Harrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093731788 PECOS PAC ID: 4385641489 Enrollment ID: I20080604000740 |
| Provider Name | Charles C Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013973791 PECOS PAC ID: 1557396264 Enrollment ID: I20080605000073 |
| Provider Name | Tiffany Eliese Egbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205914231 PECOS PAC ID: 6305944646 Enrollment ID: I20080607000103 |
| Provider Name | Kendall Chambellan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861498768 PECOS PAC ID: 8426128943 Enrollment ID: I20080610000108 |
| Provider Name | Doug Hodde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710947957 PECOS PAC ID: 2668542192 Enrollment ID: I20080610000255 |
| Provider Name | Minakshi R Shinde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942247341 PECOS PAC ID: 8820088610 Enrollment ID: I20080610000720 |
| Provider Name | Susan E Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205007309 PECOS PAC ID: 1759452741 Enrollment ID: I20080618000764 |
| Provider Name | John B Sims |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801913710 PECOS PAC ID: 3779654546 Enrollment ID: I20080623000194 |
| Provider Name | Robert R Duran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053317297 PECOS PAC ID: 3971674698 Enrollment ID: I20080624000035 |
| Provider Name | Wendy L Freden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750549358 PECOS PAC ID: 3577525880 Enrollment ID: I20080625000482 |
| Provider Name | Brenda Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154358844 PECOS PAC ID: 8325119910 Enrollment ID: I20080625000732 |
| Provider Name | Joseph Martellotto |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1396950051 PECOS PAC ID: 7113027707 Enrollment ID: I20080626000231 |
| Provider Name | Anthony D Riffel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497704290 PECOS PAC ID: 4486726718 Enrollment ID: I20080702000218 |
| Provider Name | Ryan R Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699940775 PECOS PAC ID: 2860564945 Enrollment ID: I20080707000444 |
| Provider Name | Rajesh P Subramania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588694525 PECOS PAC ID: 2668426081 Enrollment ID: I20080709000699 |
| Provider Name | Lissa Melvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881677979 PECOS PAC ID: 3173502556 Enrollment ID: I20080711000455 |
| Provider Name | Adair F Deberry-carlisle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730110651 PECOS PAC ID: 0941373617 Enrollment ID: I20080715000166 |
| Provider Name | Christopher H Lowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700064573 PECOS PAC ID: 5294808432 Enrollment ID: I20080721000530 |
| Provider Name | Nancy L Pusser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851478820 PECOS PAC ID: 6103827100 Enrollment ID: I20080721000553 |
| Provider Name | Karen M Barton-nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972651313 PECOS PAC ID: 9133292329 Enrollment ID: I20080722000138 |
| Provider Name | Susan Y. Rivera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447451547 PECOS PAC ID: 9032282074 Enrollment ID: I20080723000804 |
| Provider Name | Gabor Szalai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194992818 PECOS PAC ID: 0941374284 Enrollment ID: I20080804000528 |
| Provider Name | Kathleen R Soch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134126717 PECOS PAC ID: 6800960121 Enrollment ID: I20080805000637 |
| Provider Name | Scott a Burlison |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932303534 PECOS PAC ID: 6608940895 Enrollment ID: I20080806000460 |
| Provider Name | David C Osteen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366632838 PECOS PAC ID: 4183798036 Enrollment ID: I20080811000491 |
| Provider Name | Kamran Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245453166 PECOS PAC ID: 7810062361 Enrollment ID: I20080818000459 |
| Provider Name | Kraig Abram Dekoker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043472350 PECOS PAC ID: 2062587546 Enrollment ID: I20080818000706 |
| Provider Name | Neeraja Dasari |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306884853 PECOS PAC ID: 5092880591 Enrollment ID: I20080819000068 |
| Provider Name | Jennifer C Hardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407903206 PECOS PAC ID: 7214002666 Enrollment ID: I20080819000615 |
| Provider Name | Krystal L Castle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053530386 PECOS PAC ID: 7012082464 Enrollment ID: I20080819000634 |
| Provider Name | Allen C Wegener |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790747129 PECOS PAC ID: 7810062270 Enrollment ID: I20080819000660 |
| Provider Name | Allison M Tobola |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447466594 PECOS PAC ID: 1355416736 Enrollment ID: I20080819000926 |
| Provider Name | Lorelei a Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962683185 PECOS PAC ID: 0042385379 Enrollment ID: I20080820000467 |
| Provider Name | Rajiv Goswami |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326088592 PECOS PAC ID: 8224032065 Enrollment ID: I20080826000782 |
| Provider Name | Roy W Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972528289 PECOS PAC ID: 1557364973 Enrollment ID: I20080902000171 |
| Provider Name | Julie C Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841464831 PECOS PAC ID: 1456427145 Enrollment ID: I20080903000487 |
| Provider Name | Jason G Holman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912009861 PECOS PAC ID: 9335215078 Enrollment ID: I20080904000229 |
| Provider Name | Joshua D Stein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497929194 PECOS PAC ID: 8729154315 Enrollment ID: I20080905000030 |
| Provider Name | Erin Lea Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114977949 PECOS PAC ID: 3779659362 Enrollment ID: I20080905000072 |
| Provider Name | Lisa E Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548225261 PECOS PAC ID: 2668433459 Enrollment ID: I20080911000087 |
| Provider Name | Mark R Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346289055 PECOS PAC ID: 8224104492 Enrollment ID: I20080912000046 |
| Provider Name | William N Kantor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851441828 PECOS PAC ID: 6608942495 Enrollment ID: I20080915000695 |
| Provider Name | James R Ryder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427091875 PECOS PAC ID: 7810064763 Enrollment ID: I20080918000720 |
| Provider Name | Jack a Morse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306835400 PECOS PAC ID: 3072680933 Enrollment ID: I20080918000738 |
| Provider Name | Martin L Baum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508805755 PECOS PAC ID: 7618044082 Enrollment ID: I20080926000354 |
| Provider Name | Albert C Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316966971 PECOS PAC ID: 0941397418 Enrollment ID: I20081007000819 |
| Provider Name | Cody N Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285814244 PECOS PAC ID: 1355419904 Enrollment ID: I20081008000873 |
| Provider Name | Todd a Patrick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629056908 PECOS PAC ID: 1456419720 Enrollment ID: I20081015000679 |
| Provider Name | Joseph M Zasik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255380028 PECOS PAC ID: 1456348929 Enrollment ID: I20081016000093 |
| Provider Name | Glen R Wyant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821139510 PECOS PAC ID: 3870575491 Enrollment ID: I20081024000103 |
| Provider Name | Mustafa Sardini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891979175 PECOS PAC ID: 8628136041 Enrollment ID: I20081028000843 |
| Provider Name | Adeline J Jou Tindo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407044597 PECOS PAC ID: 4082773122 Enrollment ID: I20081105000143 |
| Provider Name | Bradley E Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144499344 PECOS PAC ID: 3971662982 Enrollment ID: I20081105000842 |
| Provider Name | Juan M Padilla Maiz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770571416 PECOS PAC ID: 4880675388 Enrollment ID: I20081112000236 |
| Provider Name | Sunil a Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588715916 PECOS PAC ID: 7810057098 Enrollment ID: I20081118000244 |
| Provider Name | Carlyle Langhorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134381296 PECOS PAC ID: 5092874032 Enrollment ID: I20081118000786 |
| Provider Name | Eli Azzi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770548786 PECOS PAC ID: 9032107602 Enrollment ID: I20081121000023 |
| Provider Name | Brian J Kingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356345391 PECOS PAC ID: 9436219201 Enrollment ID: I20081124000538 |
| Provider Name | Chukwudi Eke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801066733 PECOS PAC ID: 7012078553 Enrollment ID: I20081203000142 |
| Provider Name | Lara J Beverly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316199003 PECOS PAC ID: 7517028087 Enrollment ID: I20081203000418 |
| Provider Name | Biljana P Krstic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134397672 PECOS PAC ID: 5991866253 Enrollment ID: I20081204000471 |
| Provider Name | Conway C Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356510515 PECOS PAC ID: 8224199559 Enrollment ID: I20081205000101 |
| Provider Name | Maziar Mahjoobi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821123969 PECOS PAC ID: 2365503547 Enrollment ID: I20081205000530 |
| Provider Name | Robert B. Clarke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225162753 PECOS PAC ID: 5496817512 Enrollment ID: I20081229000083 |
| Provider Name | Dana R Bourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356591432 PECOS PAC ID: 0446312623 Enrollment ID: I20090105000202 |
| Provider Name | Georg D Van Den Sigtenhorst |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396745790 PECOS PAC ID: 6709949209 Enrollment ID: I20090109000285 |
| Provider Name | James D Mopur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407021009 PECOS PAC ID: 0648333070 Enrollment ID: I20090112000653 |
| Provider Name | Marina Yurievna Flaskas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811048697 PECOS PAC ID: 9032285424 Enrollment ID: I20090115000377 |
| Provider Name | Kimberly Seelke-hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497923924 PECOS PAC ID: 4183787138 Enrollment ID: I20090116000373 |
| Provider Name | David Lawrence Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154355626 PECOS PAC ID: 8022171008 Enrollment ID: I20090117000017 |
| Provider Name | Cynthia L Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487809273 PECOS PAC ID: 9739242686 Enrollment ID: I20090120000503 |
| Provider Name | Gregory Dearmond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265651897 PECOS PAC ID: 9537223235 Enrollment ID: I20090124000058 |
| Provider Name | Premal T Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427237627 PECOS PAC ID: 3971667346 Enrollment ID: I20090129000394 |
| Provider Name | Mary B Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497902498 PECOS PAC ID: 0345304572 Enrollment ID: I20090202000581 |
| Provider Name | Shelbi D Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437359601 PECOS PAC ID: 9234293275 Enrollment ID: I20090205000479 |
| Provider Name | Rebecca L Guler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265681381 PECOS PAC ID: 4385708361 Enrollment ID: I20090206000096 |
| Provider Name | James O Booker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851349286 PECOS PAC ID: 8820040942 Enrollment ID: I20090211000103 |
| Provider Name | Paul Meriwether |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093796658 PECOS PAC ID: 1557426384 Enrollment ID: I20090211000516 |
| Provider Name | Brian W Stigall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104834340 PECOS PAC ID: 0244395093 Enrollment ID: I20090211000682 |
| Provider Name | Warren Abrameit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225013915 PECOS PAC ID: 8426113101 Enrollment ID: I20090212000215 |
| Provider Name | Howard K Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659548402 PECOS PAC ID: 7214092147 Enrollment ID: I20090213000394 |
| Provider Name | Badar a Kanwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881673465 PECOS PAC ID: 7810801313 Enrollment ID: I20090223000039 |
| Provider Name | Billy G Beckham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578700043 PECOS PAC ID: 9234295262 Enrollment ID: I20090227000073 |
| Provider Name | Debra J Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730267956 PECOS PAC ID: 9234295296 Enrollment ID: I20090227000256 |
| Provider Name | Travis C Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487678702 PECOS PAC ID: 8729144795 Enrollment ID: I20090227000400 |
| Provider Name | Luis G Fernandez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730131681 PECOS PAC ID: 9436215282 Enrollment ID: I20090304000145 |
| Provider Name | Bryan Benbow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790783165 PECOS PAC ID: 0941300487 Enrollment ID: I20090306000425 |
| Provider Name | David R Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245238740 PECOS PAC ID: 7618033150 Enrollment ID: I20090306000431 |
| Provider Name | Adam Brent Watters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710130315 PECOS PAC ID: 9133285687 Enrollment ID: I20090306000557 |
| Provider Name | Luis H Haro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093794109 PECOS PAC ID: 7810053378 Enrollment ID: I20090306000592 |
| Provider Name | Brooks Ross Greger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073663688 PECOS PAC ID: 5395849681 Enrollment ID: I20090311000247 |
| Provider Name | Mujtaba Ali-khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831290923 PECOS PAC ID: 4880751924 Enrollment ID: I20090317000597 |
| Provider Name | Cynthia G Voorhees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164674123 PECOS PAC ID: 7810054962 Enrollment ID: I20090317000660 |
| Provider Name | Rebecca Shively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508920935 PECOS PAC ID: 4587721568 Enrollment ID: I20090318000318 |
| Provider Name | Monica K Loverdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023215332 PECOS PAC ID: 3476646530 Enrollment ID: I20090319000198 |
| Provider Name | Sarah Gaylord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275639734 PECOS PAC ID: 1850458613 Enrollment ID: I20090323000094 |
| Provider Name | Thomas Hargrove |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902870272 PECOS PAC ID: 8224095971 Enrollment ID: I20090324000252 |
| Provider Name | James Nolan Stanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851366132 PECOS PAC ID: 3476552456 Enrollment ID: I20090324000360 |
| Provider Name | Marney K Sorenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467452862 PECOS PAC ID: 7416903034 Enrollment ID: I20090324000465 |
| Provider Name | Ernest David Autry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932147725 PECOS PAC ID: 6103854708 Enrollment ID: I20090324000494 |
| Provider Name | Timothy Castro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396733382 PECOS PAC ID: 2567359466 Enrollment ID: I20090324000605 |
| Provider Name | Coralyn Marie Furr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770730392 PECOS PAC ID: 4486711082 Enrollment ID: I20090326000236 |
| Provider Name | Hollie R Sikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548454192 PECOS PAC ID: 3375600992 Enrollment ID: I20090326000453 |
| Provider Name | Meko Radomski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417957820 PECOS PAC ID: 9931266301 Enrollment ID: I20090330000536 |
| Provider Name | Paul D Sarna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295727477 PECOS PAC ID: 6800943010 Enrollment ID: I20090403000470 |
| Provider Name | Marc D Feldman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083721070 PECOS PAC ID: 5294882221 Enrollment ID: I20090409000121 |
| Provider Name | Stephanie H Carl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710950530 PECOS PAC ID: 5294882163 Enrollment ID: I20090409000676 |
| Provider Name | Paul M Fanning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972577419 PECOS PAC ID: 5890842793 Enrollment ID: I20090410000188 |
| Provider Name | William W Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164496907 PECOS PAC ID: 0345397246 Enrollment ID: I20090410000191 |
| Provider Name | Rebecca S Vanleeuwen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184875817 PECOS PAC ID: 7719034511 Enrollment ID: I20090414000439 |
| Provider Name | Brian R Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801043724 PECOS PAC ID: 9335296060 Enrollment ID: I20090414000722 |
| Provider Name | Thomas Hunley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346248838 PECOS PAC ID: 8325195910 Enrollment ID: I20090420000016 |
| Provider Name | Michael G Corneille |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154438133 PECOS PAC ID: 4981751401 Enrollment ID: I20090420000365 |
| Provider Name | Luis J Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326284514 PECOS PAC ID: 0749337285 Enrollment ID: I20090420000527 |
| Provider Name | Charla C Spencer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700851193 PECOS PAC ID: 5698732345 Enrollment ID: I20090422000613 |
| Provider Name | Katheryn L Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760663926 PECOS PAC ID: 2365590775 Enrollment ID: I20090423000079 |
| Provider Name | Ian M Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033126933 PECOS PAC ID: 3072661974 Enrollment ID: I20090504000243 |
| Provider Name | Christopher S Boylan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285629501 PECOS PAC ID: 7315842325 Enrollment ID: I20090508000313 |
| Provider Name | Douglas Claire Coltman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619940442 PECOS PAC ID: 5193874162 Enrollment ID: I20090521000319 |
| Provider Name | Scott a Stegall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356323034 PECOS PAC ID: 0547352148 Enrollment ID: I20090526000351 |
| Provider Name | Robert Ochoa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295987139 PECOS PAC ID: 1557411832 Enrollment ID: I20090608000331 |
| Provider Name | Venkatesh Babu Donty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518168160 PECOS PAC ID: 6406906791 Enrollment ID: I20090608000483 |
| Provider Name | Virginia Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841231446 PECOS PAC ID: 7416927850 Enrollment ID: I20090615000477 |
| Provider Name | Donald Patrick Lesslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104027135 PECOS PAC ID: 9335232206 Enrollment ID: I20090616000076 |
| Provider Name | Cheryl L Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043201304 PECOS PAC ID: 3870644206 Enrollment ID: I20090625000201 |
| Provider Name | Marcus Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093929150 PECOS PAC ID: 7810048097 Enrollment ID: I20090629000398 |
| Provider Name | Kyle J Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902817992 PECOS PAC ID: 7618028689 Enrollment ID: I20090702000352 |
| Provider Name | Aroon Kalakunja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801857636 PECOS PAC ID: 2961491188 Enrollment ID: I20090707000612 |
| Provider Name | Sean C Denham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699977801 PECOS PAC ID: 1153499181 Enrollment ID: I20090708000247 |
| Provider Name | William Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457501025 PECOS PAC ID: 9537211370 Enrollment ID: I20090709000120 |
| Provider Name | Misty D Herod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891939088 PECOS PAC ID: 1951453620 Enrollment ID: I20090710000540 |
| Provider Name | Kiplan T Menefee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134383250 PECOS PAC ID: 3375695976 Enrollment ID: I20090713000226 |
| Provider Name | Thomas J Goaley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255320594 PECOS PAC ID: 4981756319 Enrollment ID: I20090716000319 |
| Provider Name | Kelechukwu a Olejeme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437323920 PECOS PAC ID: 6204988496 Enrollment ID: I20090720000144 |
| Provider Name | Klaus H Kuehl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992764146 PECOS PAC ID: 9436201589 Enrollment ID: I20090721000191 |
| Provider Name | Ravi Karia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356523344 PECOS PAC ID: 2365595279 Enrollment ID: I20090724000307 |
| Provider Name | Sean K Troxclair |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740491505 PECOS PAC ID: 4880747765 Enrollment ID: I20090727000116 |
| Provider Name | Harvinder Singh Arora |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891922134 PECOS PAC ID: 6709939432 Enrollment ID: I20090729000010 |
| Provider Name | George M Galvan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255512539 PECOS PAC ID: 1254484702 Enrollment ID: I20090730000208 |
| Provider Name | Y Nguyen Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538161567 PECOS PAC ID: 3375696875 Enrollment ID: I20090731000066 |
| Provider Name | Valarie a Allman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689675753 PECOS PAC ID: 9830151331 Enrollment ID: I20090731000074 |
| Provider Name | Finette J Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184851693 PECOS PAC ID: 0840343984 Enrollment ID: I20090806000493 |
| Provider Name | Rashida M Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548455389 PECOS PAC ID: 3870646946 Enrollment ID: I20090806000791 |
| Provider Name | David B Hutson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730317579 PECOS PAC ID: 9830242932 Enrollment ID: I20090807000251 |
| Provider Name | John P Zubro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437228624 PECOS PAC ID: 3173587821 Enrollment ID: I20090807000582 |
| Provider Name | Rahul Bose |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205044633 PECOS PAC ID: 4284788050 Enrollment ID: I20090812000825 |
| Provider Name | Richard Graves |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023162732 PECOS PAC ID: 0345394128 Enrollment ID: I20090812000877 |
| Provider Name | Feng Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568435394 PECOS PAC ID: 1557437969 Enrollment ID: I20090813000086 |
| Provider Name | Salima Abdul Waheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073700126 PECOS PAC ID: 2062500234 Enrollment ID: I20090813000289 |
| Provider Name | Jared B Petty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720280753 PECOS PAC ID: 8022162759 Enrollment ID: I20090814000519 |
| Provider Name | Jody Seals |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093702250 PECOS PAC ID: 4587718226 Enrollment ID: I20090814000593 |
| Provider Name | Binh-minh Nguyen Le |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730307323 PECOS PAC ID: 0345394698 Enrollment ID: I20090820000490 |
| Provider Name | Daria B Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235199613 PECOS PAC ID: 5092731893 Enrollment ID: I20090820000781 |
| Provider Name | Scott M Lieberman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326038159 PECOS PAC ID: 3870645005 Enrollment ID: I20090825000142 |
| Provider Name | Tiffany J Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801090493 PECOS PAC ID: 7810042959 Enrollment ID: I20090826000174 |
| Provider Name | Leslie D Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891825832 PECOS PAC ID: 5294880217 Enrollment ID: I20090827000105 |
| Provider Name | Alexandre a Petrakian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811987654 PECOS PAC ID: 6507918737 Enrollment ID: I20090828000256 |
| Provider Name | Carl N Israel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396735122 PECOS PAC ID: 1153473384 Enrollment ID: I20090828000482 |
| Provider Name | David J Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922201094 PECOS PAC ID: 8820143779 Enrollment ID: I20090828000591 |
| Provider Name | Jeffrey G Carr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649260373 PECOS PAC ID: 1355493586 Enrollment ID: I20090904000100 |
| Provider Name | Sherif S Iskander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255321980 PECOS PAC ID: 7416003538 Enrollment ID: I20090915000395 |
| Provider Name | Hanh Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881854024 PECOS PAC ID: 8224184882 Enrollment ID: I20090923000293 |
| Provider Name | Hans D Schuricht |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801900188 PECOS PAC ID: 9537215124 Enrollment ID: I20090923000540 |
| Provider Name | Jamie S Landreth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518131945 PECOS PAC ID: 6103991880 Enrollment ID: I20090924000149 |
| Provider Name | Greggory N Angier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114094273 PECOS PAC ID: 8527104314 Enrollment ID: I20091008000272 |
| Provider Name | Kellie S Wess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386978526 PECOS PAC ID: 2860538246 Enrollment ID: I20091015000499 |
| Provider Name | Patrice Alves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437132966 PECOS PAC ID: 4284631847 Enrollment ID: I20091021000558 |
| Provider Name | Cassandra J Muff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063517688 PECOS PAC ID: 6002709896 Enrollment ID: I20091022000679 |
| Provider Name | Amy a Bundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518291988 PECOS PAC ID: 1850438615 Enrollment ID: I20091027000675 |
| Provider Name | Mahmood M Alasmi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215120126 PECOS PAC ID: 3375607450 Enrollment ID: I20091030000124 |
| Provider Name | Dmitry Tuder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992779292 PECOS PAC ID: 0143325753 Enrollment ID: I20091103000174 |
| Provider Name | Nancy Matteer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568615136 PECOS PAC ID: 8628116100 Enrollment ID: I20091104000354 |
| Provider Name | David Eugene Griffith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245229301 PECOS PAC ID: 1456499540 Enrollment ID: I20091110000551 |
| Provider Name | Michael T Charlton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588655799 PECOS PAC ID: 2466547096 Enrollment ID: I20091112000130 |
| Provider Name | Leslie Couch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689663387 PECOS PAC ID: 9830237775 Enrollment ID: I20091112000541 |
| Provider Name | Richard M Viken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174508329 PECOS PAC ID: 0244378867 Enrollment ID: I20091118000586 |
| Provider Name | Monica Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538495510 PECOS PAC ID: 6901945526 Enrollment ID: I20091120000069 |
| Provider Name | Oscar Rivera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376728279 PECOS PAC ID: 6305985953 Enrollment ID: I20091120000341 |
| Provider Name | Kent M Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548259179 PECOS PAC ID: 1759420201 Enrollment ID: I20091123000570 |
| Provider Name | Luis Frias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982710117 PECOS PAC ID: 0244379709 Enrollment ID: I20091123000632 |
| Provider Name | Kevin R Paul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548234354 PECOS PAC ID: 3072652312 Enrollment ID: I20091130000521 |
| Provider Name | Bradley S Merritt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023082062 PECOS PAC ID: 0840339016 Enrollment ID: I20091201000259 |
| Provider Name | Joseph Love |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518196898 PECOS PAC ID: 6901945047 Enrollment ID: I20091202000316 |
| Provider Name | Roger Kiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154398840 PECOS PAC ID: 5890605513 Enrollment ID: I20091202000742 |
| Provider Name | Scott R Mcdearmont |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710099940 PECOS PAC ID: 9830238765 Enrollment ID: I20091205000022 |
| Provider Name | Jose E Fuentez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033445333 PECOS PAC ID: 5395884043 Enrollment ID: I20091209000395 |
| Provider Name | William Scott Cantwell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851592075 PECOS PAC ID: 4284799479 Enrollment ID: I20091209000404 |
| Provider Name | Rekha S Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285630558 PECOS PAC ID: 0648310276 Enrollment ID: I20091211000709 |
| Provider Name | Deborah a Logan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942266861 PECOS PAC ID: 9133193774 Enrollment ID: I20091212000015 |
| Provider Name | Nidhi Jindal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831154756 PECOS PAC ID: 9032140124 Enrollment ID: I20091212000024 |
| Provider Name | Janet Rene Keais-gross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649235490 PECOS PAC ID: 2264536580 Enrollment ID: I20091214000779 |
| Provider Name | Veronica H Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871726158 PECOS PAC ID: 4981744372 Enrollment ID: I20091215000680 |
| Provider Name | Chiagozie Nwasuruba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548250574 PECOS PAC ID: 8022158278 Enrollment ID: I20091218000184 |
| Provider Name | Edward W Tobey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306846712 PECOS PAC ID: 6608855846 Enrollment ID: I20091222000503 |
| Provider Name | Malcolm a Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174525174 PECOS PAC ID: 3375683261 Enrollment ID: I20091228000580 |
| Provider Name | Bret F Craytor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649270539 PECOS PAC ID: 2466592357 Enrollment ID: I20091228000593 |
| Provider Name | Michael Pappas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265432355 PECOS PAC ID: 0042300642 Enrollment ID: I20091228000598 |
| Provider Name | David E Greathouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497755383 PECOS PAC ID: 0244243046 Enrollment ID: I20091229000211 |
| Provider Name | Gary P Engstrom |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336149731 PECOS PAC ID: 6103966940 Enrollment ID: I20091229000518 |
| Provider Name | D'andra D Bingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336149905 PECOS PAC ID: 2860533650 Enrollment ID: I20091230000287 |
| Provider Name | Hayden Nix Hemphill |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396746376 PECOS PAC ID: 2668420159 Enrollment ID: I20091230000307 |
| Provider Name | John E Hueter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609876515 PECOS PAC ID: 4183765944 Enrollment ID: I20091231000153 |
| Provider Name | Jonathan F Thomas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043210149 PECOS PAC ID: 8921149691 Enrollment ID: I20100104000574 |
| Provider Name | Andrew K Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780658633 PECOS PAC ID: 5890713341 Enrollment ID: I20100106000795 |
| Provider Name | Brijesh S Gill |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346279502 PECOS PAC ID: 1557402906 Enrollment ID: I20100106000867 |
| Provider Name | David H Beaird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316917750 PECOS PAC ID: 7315088796 Enrollment ID: I20100107000275 |
| Provider Name | Robert A. Mckinney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104890961 PECOS PAC ID: 2961469614 Enrollment ID: I20100107000500 |
| Provider Name | Harold U Everett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225002850 PECOS PAC ID: 7214078633 Enrollment ID: I20100107000536 |
| Provider Name | Randall T Murff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801860994 PECOS PAC ID: 7012058431 Enrollment ID: I20100107000560 |
| Provider Name | Sylvia a Kariampuzha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316911381 PECOS PAC ID: 9335280627 Enrollment ID: I20100108000478 |
| Provider Name | Amy J Hosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881668986 PECOS PAC ID: 6901947209 Enrollment ID: I20100108000548 |
| Provider Name | Michael J Norton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790759405 PECOS PAC ID: 8921149238 Enrollment ID: I20100108000648 |
| Provider Name | Steven J Cohen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063485886 PECOS PAC ID: 7810954666 Enrollment ID: I20100109000227 |
| Provider Name | William R. Hobbs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063486462 PECOS PAC ID: 4486653466 Enrollment ID: I20100109000322 |
| Provider Name | Neelan S Doolabh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598789117 PECOS PAC ID: 5294876322 Enrollment ID: I20100111000667 |
| Provider Name | Michael C Tobes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811987670 PECOS PAC ID: 3274674312 Enrollment ID: I20100111000704 |
| Provider Name | Mohammad K Khedr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427051705 PECOS PAC ID: 5496731341 Enrollment ID: I20100113000206 |
| Provider Name | Kwame B Agyeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285863753 PECOS PAC ID: 1052452992 Enrollment ID: I20100114000076 |
| Provider Name | William F Turner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790799856 PECOS PAC ID: 7416099320 Enrollment ID: I20100114000762 |
| Provider Name | Donald S Brazell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942217286 PECOS PAC ID: 5991847618 Enrollment ID: I20100120000163 |
| Provider Name | Jesus N Sahad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346333283 PECOS PAC ID: 2567504624 Enrollment ID: I20100127000794 |
| Provider Name | Mark F Collins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184641797 PECOS PAC ID: 6709799133 Enrollment ID: I20100203000335 |
| Provider Name | Scott W Mckinstry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740281302 PECOS PAC ID: 1557355930 Enrollment ID: I20100203000857 |
| Provider Name | Charles V Beall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457321853 PECOS PAC ID: 3173666781 Enrollment ID: I20100204000575 |
| Provider Name | Alan M Eli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700850393 PECOS PAC ID: 4486797024 Enrollment ID: I20100204000817 |
| Provider Name | Charles Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932184967 PECOS PAC ID: 1759424005 Enrollment ID: I20100209000131 |
| Provider Name | Scott Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215912753 PECOS PAC ID: 5496833881 Enrollment ID: I20100209000161 |
| Provider Name | George Benavidez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598749129 PECOS PAC ID: 2860535127 Enrollment ID: I20100209000209 |
| Provider Name | Minh V Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538144530 PECOS PAC ID: 1355440579 Enrollment ID: I20100209000219 |
| Provider Name | John D Pappas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033110234 PECOS PAC ID: 3274527650 Enrollment ID: I20100209000321 |
| Provider Name | James M Neff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013992015 PECOS PAC ID: 0446359665 Enrollment ID: I20100209000771 |
| Provider Name | James a Lively |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043284938 PECOS PAC ID: 4880738699 Enrollment ID: I20100217000559 |
| Provider Name | Roger L Mccown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154395432 PECOS PAC ID: 0648314476 Enrollment ID: I20100217000771 |
| Provider Name | John a Larrinaga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275507204 PECOS PAC ID: 8224172069 Enrollment ID: I20100217000862 |
| Provider Name | Steven P Keuer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801860887 PECOS PAC ID: 9537187083 Enrollment ID: I20100218000839 |
| Provider Name | Maria D Ballesteros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881699361 PECOS PAC ID: 8921142530 Enrollment ID: I20100220000222 |
| Provider Name | Meredith D Arnall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558335828 PECOS PAC ID: 7315081890 Enrollment ID: I20100222000630 |
| Provider Name | Jonathan W Pino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124356613 PECOS PAC ID: 8628112992 Enrollment ID: I20100224000713 |
| Provider Name | George W Kariampuzha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235103201 PECOS PAC ID: 4880738038 Enrollment ID: I20100225000640 |
| Provider Name | Lee H Ridenour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205801966 PECOS PAC ID: 9335106087 Enrollment ID: I20100225000806 |
| Provider Name | Heather D Rasnake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619945862 PECOS PAC ID: 0345385118 Enrollment ID: I20100304000168 |
| Provider Name | Michael David Duchamp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285728394 PECOS PAC ID: 8820051600 Enrollment ID: I20100312000929 |
| Provider Name | Phyllis a Ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811222532 PECOS PAC ID: 2062547128 Enrollment ID: I20100316000131 |
| Provider Name | Clyde F Sanford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528053857 PECOS PAC ID: 7315842317 Enrollment ID: I20100316000739 |
| Provider Name | Emily J Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720319130 PECOS PAC ID: 0345375358 Enrollment ID: I20100316000755 |
| Provider Name | David Villarreal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861417552 PECOS PAC ID: 2466587357 Enrollment ID: I20100317000521 |
| Provider Name | Troyce F Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427039080 PECOS PAC ID: 1850426511 Enrollment ID: I20100319000310 |
| Provider Name | Ray G Scardina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447225115 PECOS PAC ID: 1355476029 Enrollment ID: I20100319000357 |
| Provider Name | Kyle L Gully |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982678231 PECOS PAC ID: 7911074927 Enrollment ID: I20100322000612 |
| Provider Name | John W Scroggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003881608 PECOS PAC ID: 9335274851 Enrollment ID: I20100322000833 |
| Provider Name | Paul W Pitts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871568535 PECOS PAC ID: 4385779800 Enrollment ID: I20100322000882 |
| Provider Name | Eric R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033184312 PECOS PAC ID: 4284769704 Enrollment ID: I20100322000896 |
| Provider Name | Sally L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871568089 PECOS PAC ID: 6002941531 Enrollment ID: I20100322000913 |
| Provider Name | Carlos Martinez-quinonez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568463941 PECOS PAC ID: 8022143429 Enrollment ID: I20100323000805 |
| Provider Name | Andrew E Bentley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326151523 PECOS PAC ID: 2365578770 Enrollment ID: I20100324000982 |
| Provider Name | Jennifer a Steeger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356316681 PECOS PAC ID: 4981730322 Enrollment ID: I20100325000048 |
| Provider Name | Mike E Rodriguez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306847504 PECOS PAC ID: 9032218755 Enrollment ID: I20100325000359 |
| Provider Name | Charles Perricone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659345353 PECOS PAC ID: 8022089929 Enrollment ID: I20100326000059 |
| Provider Name | Amy M Starr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780659995 PECOS PAC ID: 2466588553 Enrollment ID: I20100329000051 |
| Provider Name | Kent E. Tompkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942207436 PECOS PAC ID: 1557272648 Enrollment ID: I20100329000550 |
| Provider Name | Mark J Kubala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497755391 PECOS PAC ID: 3870552037 Enrollment ID: I20100329000694 |
| Provider Name | Ian Angel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750389151 PECOS PAC ID: 2961461124 Enrollment ID: I20100329000724 |
| Provider Name | David L Masel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417937426 PECOS PAC ID: 3476689456 Enrollment ID: I20100329000995 |
| Provider Name | Robert W Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598750739 PECOS PAC ID: 5890879159 Enrollment ID: I20100329001140 |
| Provider Name | Kenneth B Kummerfeld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861487274 PECOS PAC ID: 1557266574 Enrollment ID: I20100330000194 |
| Provider Name | Carl R Earnest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699832873 PECOS PAC ID: 8426184334 Enrollment ID: I20100330001220 |
| Provider Name | Daren P Yeager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417923111 PECOS PAC ID: 4284760950 Enrollment ID: I20100405000371 |
| Provider Name | Linda Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477531853 PECOS PAC ID: 7911041454 Enrollment ID: I20100406000112 |
| Provider Name | Rodney Slone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194890681 PECOS PAC ID: 0648354688 Enrollment ID: I20100414000687 |
| Provider Name | Lawrence Roe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073670725 PECOS PAC ID: 4284718222 Enrollment ID: I20100414000826 |
| Provider Name | Robert T. Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922165661 PECOS PAC ID: 4880721315 Enrollment ID: I20100414000943 |
| Provider Name | James D Toney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336115104 PECOS PAC ID: 4183751407 Enrollment ID: I20100419000465 |
| Provider Name | Kenneth W Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720052566 PECOS PAC ID: 6406983261 Enrollment ID: I20100427000648 |
| Provider Name | Rafael F Coutin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679574230 PECOS PAC ID: 9931236510 Enrollment ID: I20100430000267 |
| Provider Name | David a Hector |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578558987 PECOS PAC ID: 1658276670 Enrollment ID: I20100503000770 |
| Provider Name | William G Petersen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770544579 PECOS PAC ID: 3870621451 Enrollment ID: I20100503000796 |
| Provider Name | Kevin Formes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497878474 PECOS PAC ID: 7517095052 Enrollment ID: I20100504000820 |
| Provider Name | James D Saar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1235104902 PECOS PAC ID: 0446388797 Enrollment ID: I20100507000392 |
| Provider Name | Laura S Mcclenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588987200 PECOS PAC ID: 1759419906 Enrollment ID: I20100507000487 |
| Provider Name | Oscar R Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245206937 PECOS PAC ID: 7214011279 Enrollment ID: I20100507000773 |
| Provider Name | Glenn Genovese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265439251 PECOS PAC ID: 0143213256 Enrollment ID: I20100525000507 |
| Provider Name | Frederick R Sherron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427038363 PECOS PAC ID: 6507995776 Enrollment ID: I20100526000573 |
| Provider Name | David S Galyon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619209384 PECOS PAC ID: 2264561018 Enrollment ID: I20100603000715 |
| Provider Name | Brent William Robinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568404622 PECOS PAC ID: 0547390007 Enrollment ID: I20100609000570 |
| Provider Name | Kevin Platt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861520777 PECOS PAC ID: 4385774819 Enrollment ID: I20100610000290 |
| Provider Name | Kevin L Dean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730180373 PECOS PAC ID: 9234206210 Enrollment ID: I20100610000795 |
| Provider Name | Emmett Ridley Mackan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326042722 PECOS PAC ID: 6507996923 Enrollment ID: I20100611000160 |
| Provider Name | Mesha D'lynn Box |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770735904 PECOS PAC ID: 5597895839 Enrollment ID: I20100611000557 |
| Provider Name | James John Murtagh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20100614000198 |
| Provider Name | Stephanie Ryle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356591713 PECOS PAC ID: 0941361307 Enrollment ID: I20100614000370 |
| Provider Name | Dung N Huynh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962613117 PECOS PAC ID: 7618007683 Enrollment ID: I20100617000838 |
| Provider Name | John A. Henderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255337051 PECOS PAC ID: 6901878693 Enrollment ID: I20100618000436 |
| Provider Name | Joseph D. Harris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275539074 PECOS PAC ID: 2163494857 Enrollment ID: I20100618000455 |
| Provider Name | David Carey Powell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821083429 PECOS PAC ID: 9234208166 Enrollment ID: I20100619000157 |
| Provider Name | James C Connaughton |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467486563 PECOS PAC ID: 5395875264 Enrollment ID: I20100621000140 |
| Provider Name | Kim a Downes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902138563 PECOS PAC ID: 7911038849 Enrollment ID: I20100621000927 |
| Provider Name | Kimeshia N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699928655 PECOS PAC ID: 0840321576 Enrollment ID: I20100624000578 |
| Provider Name | Paula M Gilheany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093042509 PECOS PAC ID: 5698806115 Enrollment ID: I20100628000610 |
| Provider Name | Lorraine Stehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841260759 PECOS PAC ID: 5597896035 Enrollment ID: I20100628000884 |
| Provider Name | Robert Abbate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356552202 PECOS PAC ID: 4587795919 Enrollment ID: I20100629000864 |
| Provider Name | Royal M Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588637698 PECOS PAC ID: 7719905264 Enrollment ID: I20100630000205 |
| Provider Name | Bertron Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942289590 PECOS PAC ID: 6002950540 Enrollment ID: I20100701000324 |
| Provider Name | Mabel Zevallos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336197649 PECOS PAC ID: 1153337548 Enrollment ID: I20100708000725 |
| Provider Name | Richard Charles Clemons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740282664 PECOS PAC ID: 8224175385 Enrollment ID: I20100708000940 |
| Provider Name | Charles Patrick P Isbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497700785 PECOS PAC ID: 6800924341 Enrollment ID: I20100712000725 |
| Provider Name | Jonathan C Hosch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639143902 PECOS PAC ID: 6800928763 Enrollment ID: I20100713000652 |
| Provider Name | Jay M Stanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184808677 PECOS PAC ID: 8224160197 Enrollment ID: I20100713000711 |
| Provider Name | Anna Maria Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578899845 PECOS PAC ID: 8729110507 Enrollment ID: I20100714000143 |
| Provider Name | Larry W Lin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972600823 PECOS PAC ID: 8224160080 Enrollment ID: I20100715000049 |
| Provider Name | Warren Anthony Albrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881610152 PECOS PAC ID: 2860395589 Enrollment ID: I20100715000622 |
| Provider Name | Dorothy Overman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144254061 PECOS PAC ID: 7214830934 Enrollment ID: I20100715000830 |
| Provider Name | Michael Garrison Hindman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568480887 PECOS PAC ID: 9436281896 Enrollment ID: I20100720000890 |
| Provider Name | Sherif M Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518167188 PECOS PAC ID: 9830221233 Enrollment ID: I20100721000235 |
| Provider Name | Frank Brancaccio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013918234 PECOS PAC ID: 4082745534 Enrollment ID: I20100722000405 |
| Provider Name | German Luy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427260132 PECOS PAC ID: 6800928961 Enrollment ID: I20100726000216 |
| Provider Name | Muhammad Umair R Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235148370 PECOS PAC ID: 6002814530 Enrollment ID: I20100727000459 |
| Provider Name | Chinwe J Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184869950 PECOS PAC ID: 3476686486 Enrollment ID: I20100728000161 |
| Provider Name | Mark S Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487744827 PECOS PAC ID: 1456322205 Enrollment ID: I20100728000603 |
| Provider Name | Andrew D Fuller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518286541 PECOS PAC ID: 2365575313 Enrollment ID: I20100728000729 |
| Provider Name | Thomas W Mieras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578564787 PECOS PAC ID: 2860539921 Enrollment ID: I20100729000181 |
| Provider Name | Albert Mosqueda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952302135 PECOS PAC ID: 7719945575 Enrollment ID: I20100729000512 |
| Provider Name | Oscar Jack Chastain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285635409 PECOS PAC ID: 4082795190 Enrollment ID: I20100729000536 |
| Provider Name | Jerome F Schrapps |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720082142 PECOS PAC ID: 0244307221 Enrollment ID: I20100803000189 |
| Provider Name | Cynthia J Shepherd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346349297 PECOS PAC ID: 6204969744 Enrollment ID: I20100804000192 |
| Provider Name | William Martin Rutledge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487761375 PECOS PAC ID: 5395802193 Enrollment ID: I20100804000861 |
| Provider Name | Sreenath R Meegada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689877391 PECOS PAC ID: 0840323283 Enrollment ID: I20100805000177 |
| Provider Name | Mark David Riddoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437150661 PECOS PAC ID: 5597802652 Enrollment ID: I20100805000223 |
| Provider Name | Igor E Matwijiw |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114911369 PECOS PAC ID: 7911030309 Enrollment ID: I20100805000679 |
| Provider Name | Richard Hilborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639164023 PECOS PAC ID: 9032125109 Enrollment ID: I20100811000819 |
| Provider Name | Muhammad S Mustafa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154511871 PECOS PAC ID: 3274540315 Enrollment ID: I20100812000658 |
| Provider Name | Timothy D Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336126119 PECOS PAC ID: 2062546005 Enrollment ID: I20100812001127 |
| Provider Name | Stephen Sigal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699778035 PECOS PAC ID: 9234032707 Enrollment ID: I20100819000252 |
| Provider Name | Jerry H Gilbert |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629079017 PECOS PAC ID: 5799819264 Enrollment ID: I20100819000350 |
| Provider Name | Gregory Smolarz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386644953 PECOS PAC ID: 7810949930 Enrollment ID: I20100819000895 |
| Provider Name | William Dell Pickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922001882 PECOS PAC ID: 8628102902 Enrollment ID: I20100823000847 |
| Provider Name | Joseph Pistone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831189836 PECOS PAC ID: 9739203027 Enrollment ID: I20100823001039 |
| Provider Name | Joe David Bowers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760662282 PECOS PAC ID: 5799809000 Enrollment ID: I20100824000100 |
| Provider Name | Harold Weems |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225038383 PECOS PAC ID: 5991758849 Enrollment ID: I20100824000430 |
| Provider Name | Cesar Tula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487630885 PECOS PAC ID: 1658325634 Enrollment ID: I20100826001106 |
| Provider Name | Mary K Hawkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699094060 PECOS PAC ID: 9537283445 Enrollment ID: I20100830000732 |
| Provider Name | Jennifer M Shupe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982751798 PECOS PAC ID: 0547384380 Enrollment ID: I20100831000114 |
| Provider Name | Jacy L Retz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285667089 PECOS PAC ID: 5890883615 Enrollment ID: I20100831000888 |
| Provider Name | Carmen Varin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1639141963 PECOS PAC ID: 6901868397 Enrollment ID: I20100902000221 |
| Provider Name | Daniel Acosta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275539405 PECOS PAC ID: 1557301280 Enrollment ID: I20100903000170 |
| Provider Name | Bruce a Gibson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952307902 PECOS PAC ID: 4284674912 Enrollment ID: I20100903000248 |
| Provider Name | Raghujit Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407852452 PECOS PAC ID: 1658311386 Enrollment ID: I20100903000278 |
| Provider Name | James R Menard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447446653 PECOS PAC ID: 6305961707 Enrollment ID: I20100908000801 |
| Provider Name | John C Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225012701 PECOS PAC ID: 6709901655 Enrollment ID: I20100915000497 |
| Provider Name | Luis Balbuena |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649254749 PECOS PAC ID: 2860497773 Enrollment ID: I20100915000635 |
| Provider Name | Timothy S Lyda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952347106 PECOS PAC ID: 5092841437 Enrollment ID: I20100916000326 |
| Provider Name | Iumy Torres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477705499 PECOS PAC ID: 2769507508 Enrollment ID: I20100916000443 |
| Provider Name | Latwanya J Traylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093955536 PECOS PAC ID: 6204951015 Enrollment ID: I20100916001319 |
| Provider Name | Carmen G Coe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942320593 PECOS PAC ID: 8729103494 Enrollment ID: I20100917000828 |
| Provider Name | Jose Ortiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487667127 PECOS PAC ID: 8426070723 Enrollment ID: I20100921000232 |
| Provider Name | Natalie Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336455468 PECOS PAC ID: 2466577929 Enrollment ID: I20100921000713 |
| Provider Name | Sudhir K Alampur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497756266 PECOS PAC ID: 4587780911 Enrollment ID: I20100923000145 |
| Provider Name | Thomas Thuong-van Hoang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730143975 PECOS PAC ID: 6608909429 Enrollment ID: I20100924000708 |
| Provider Name | Mahmood Moradi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275533911 PECOS PAC ID: 1456360643 Enrollment ID: I20100924001234 |
| Provider Name | Michael S Gorby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366446049 PECOS PAC ID: 0345329801 Enrollment ID: I20100927000697 |
| Provider Name | Muhammad a Siddiqui |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689824443 PECOS PAC ID: 7214053297 Enrollment ID: I20100928000171 |
| Provider Name | Lawrence P Elikan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124216510 PECOS PAC ID: 8426174269 Enrollment ID: I20100929000581 |
| Provider Name | Shafik Hanna-moussa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306850227 PECOS PAC ID: 9739103052 Enrollment ID: I20101004001059 |
| Provider Name | Peter Joseph Napoli |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518922772 PECOS PAC ID: 4082806435 Enrollment ID: I20101005000053 |
| Provider Name | Kerrie Ranae Mclemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730406125 PECOS PAC ID: 7517159510 Enrollment ID: I20101008000801 |
| Provider Name | Marilyn Kim Watson-millet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467452359 PECOS PAC ID: 8729058292 Enrollment ID: I20101008000829 |
| Provider Name | Shawn M Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841505179 PECOS PAC ID: 5698967628 Enrollment ID: I20101008001109 |
| Provider Name | Brandon a Tinkler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003097957 PECOS PAC ID: 5294874285 Enrollment ID: I20101013000580 |
| Provider Name | William Dietze |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396740387 PECOS PAC ID: 4284826843 Enrollment ID: I20101014000575 |
| Provider Name | James D Bryant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528149275 PECOS PAC ID: 5597958702 Enrollment ID: I20101020000933 |
| Provider Name | Richard Heston Seidel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821001116 PECOS PAC ID: 8325086861 Enrollment ID: I20101021000149 |
| Provider Name | Craig Radford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053324343 PECOS PAC ID: 5698736247 Enrollment ID: I20101021000171 |
| Provider Name | Louie Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265445886 PECOS PAC ID: 9335187871 Enrollment ID: I20101021000284 |
| Provider Name | Kevin Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811900194 PECOS PAC ID: 2062450505 Enrollment ID: I20101021000310 |
| Provider Name | George Duvall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073526604 PECOS PAC ID: 7517905052 Enrollment ID: I20101021000421 |
| Provider Name | Nancy Graves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013138361 PECOS PAC ID: 9931392933 Enrollment ID: I20101022000599 |
| Provider Name | Bilal a Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417917436 PECOS PAC ID: 9032119896 Enrollment ID: I20101026000504 |
| Provider Name | Charles D Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225342074 PECOS PAC ID: 7416141148 Enrollment ID: I20101027000312 |
| Provider Name | Theresa E Rand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902841919 PECOS PAC ID: 8325091473 Enrollment ID: I20101028000529 |
| Provider Name | Clayton a Mccuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235321126 PECOS PAC ID: 3274727573 Enrollment ID: I20101101000481 |
| Provider Name | Gretchen Marie Bures |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003098815 PECOS PAC ID: 0648464834 Enrollment ID: I20101102000138 |
| Provider Name | Nicole P Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790099547 PECOS PAC ID: 5395939516 Enrollment ID: I20101102000538 |
| Provider Name | Jayesh K Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780840603 PECOS PAC ID: 3577757616 Enrollment ID: I20101102000980 |
| Provider Name | Amanda H Westfall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861613184 PECOS PAC ID: 9638363732 Enrollment ID: I20101103000111 |
| Provider Name | Jacob J Krause |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073827820 PECOS PAC ID: 8426242538 Enrollment ID: I20101103000150 |
| Provider Name | Yogesh G Pai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831154897 PECOS PAC ID: 3375738073 Enrollment ID: I20101108000763 |
| Provider Name | Michael B Blackmon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043202849 PECOS PAC ID: 5698960102 Enrollment ID: I20101110000615 |
| Provider Name | Steven a Curley |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942309075 PECOS PAC ID: 6103011515 Enrollment ID: I20101111000342 |
| Provider Name | Charles H Kilpatrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649254129 PECOS PAC ID: 4981899317 Enrollment ID: I20101111000686 |
| Provider Name | Shantnu Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598927287 PECOS PAC ID: 5395930457 Enrollment ID: I20101115000665 |
| Provider Name | Terry Myrick |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235249483 PECOS PAC ID: 9638276637 Enrollment ID: I20101117000760 |
| Provider Name | Arthur L Strahan Jr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518149632 PECOS PAC ID: 5991991705 Enrollment ID: I20101118001199 |
| Provider Name | Lynn E Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043326788 PECOS PAC ID: 6507053204 Enrollment ID: I20101207001020 |
| Provider Name | James M Harris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487654737 PECOS PAC ID: 4688861297 Enrollment ID: I20101208001024 |
| Provider Name | Renee M Henigan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194907683 PECOS PAC ID: 4385831809 Enrollment ID: I20101209001193 |
| Provider Name | Melissa N Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790090355 PECOS PAC ID: 0648468645 Enrollment ID: I20101216001048 |
| Provider Name | Kimberly Barbolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437132081 PECOS PAC ID: 1557450533 Enrollment ID: I20101217000311 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Richard L Weiner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093701872 PECOS PAC ID: 3870552441 Enrollment ID: I20101220000872 |
| Provider Name | John a Colquitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073552550 PECOS PAC ID: 4385795780 Enrollment ID: I20101222001042 |
| Provider Name | Brandy C Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790996239 PECOS PAC ID: 4082802533 Enrollment ID: I20101228000063 |
| Provider Name | Benji L Burke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306885900 PECOS PAC ID: 8729276209 Enrollment ID: I20101228000459 |
| Provider Name | Darrell Svatek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518937408 PECOS PAC ID: 4789872292 Enrollment ID: I20101228000816 |
| Provider Name | Michael C Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215976873 PECOS PAC ID: 1052509379 Enrollment ID: I20101230000207 |
| Provider Name | Saud Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821126525 PECOS PAC ID: 3577662808 Enrollment ID: I20101230000419 |
| Provider Name | Rebecca a King |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255648259 PECOS PAC ID: 4880883768 Enrollment ID: I20110107000135 |
| Provider Name | Sayojirao V Kodali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033165477 PECOS PAC ID: 0143419036 Enrollment ID: I20110107000276 |
| Provider Name | Naveed a Klair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053503870 PECOS PAC ID: 4789878661 Enrollment ID: I20110112000981 |
| Provider Name | Esmeralda Gonzalez Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912200569 PECOS PAC ID: 4880873041 Enrollment ID: I20110120000756 |
| Provider Name | Ingela Danielsson-sanden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033346630 PECOS PAC ID: 4284601345 Enrollment ID: I20110125001110 |
| Provider Name | Feras Zabad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982699310 PECOS PAC ID: 6406035294 Enrollment ID: I20110126000236 |
| Provider Name | Bryan Hambric |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811047954 PECOS PAC ID: 0042366999 Enrollment ID: I20110203000545 |
| Provider Name | Kimberly H Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164691465 PECOS PAC ID: 0941480271 Enrollment ID: I20110203000690 |
| Provider Name | Laura Beth Mcmurrey Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861723181 PECOS PAC ID: 8729268842 Enrollment ID: I20110207000920 |
| Provider Name | Eric W Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558378893 PECOS PAC ID: 0244411866 Enrollment ID: I20110301001076 |
| Provider Name | H. Boulas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972573590 PECOS PAC ID: 7416165196 Enrollment ID: I20110302000695 |
| Provider Name | Letisha Patterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316174279 PECOS PAC ID: 5092997429 Enrollment ID: I20110307000727 |
| Provider Name | Adam Jing-cheng Yu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437136520 PECOS PAC ID: 5799967121 Enrollment ID: I20110307000818 |
| Provider Name | Tobias P Rebmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851421937 PECOS PAC ID: 4789866484 Enrollment ID: I20110316000346 |
| Provider Name | Toni I White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841418910 PECOS PAC ID: 3678755337 Enrollment ID: I20110316000983 |
| Provider Name | Wayne M Gluf |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518930775 PECOS PAC ID: 1658554258 Enrollment ID: I20110318000732 |
| Provider Name | Tim M Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780613315 PECOS PAC ID: 1557310869 Enrollment ID: I20110324000083 |
| Provider Name | Shari Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760791370 PECOS PAC ID: 5496938458 Enrollment ID: I20110329000430 |
| Provider Name | Tiffany Dawn Luttrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982902888 PECOS PAC ID: 1254514250 Enrollment ID: I20110329000898 |
| Provider Name | Alma D Cadena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881997138 PECOS PAC ID: 5698958536 Enrollment ID: I20110330000460 |
| Provider Name | Melaine Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801112453 PECOS PAC ID: 6103009915 Enrollment ID: I20110331000335 |
| Provider Name | Janet Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023310018 PECOS PAC ID: 8224949060 Enrollment ID: I20110401000547 |
| Provider Name | R Kent Vandergriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215230586 PECOS PAC ID: 1254515935 Enrollment ID: I20110404000539 |
| Provider Name | Marisa E Emmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174722367 PECOS PAC ID: 3678757986 Enrollment ID: I20110412000212 |
| Provider Name | Subhashini S Valavalkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235101106 PECOS PAC ID: 3173707494 Enrollment ID: I20110412000399 |
| Provider Name | Samer Tawakkol |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518937358 PECOS PAC ID: 0749214302 Enrollment ID: I20110414000205 |
| Provider Name | Thomas Michael Bockman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578772471 PECOS PAC ID: 4183808199 Enrollment ID: I20110414000823 |
| Provider Name | Stephanie J Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588689533 PECOS PAC ID: 8820148380 Enrollment ID: I20110422000144 |
| Provider Name | Kimberly Eakin Wegener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750344966 PECOS PAC ID: 6709061401 Enrollment ID: I20110422000161 |
| Provider Name | Kareem S Rasheed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558317578 PECOS PAC ID: 8224213988 Enrollment ID: I20110425000383 |
| Provider Name | Imam Eko Tjahja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760472948 PECOS PAC ID: 8527243906 Enrollment ID: I20110428000508 |
| Provider Name | Robyn L Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033401252 PECOS PAC ID: 2163607292 Enrollment ID: I20110504000577 |
| Provider Name | James H Henderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275604837 PECOS PAC ID: 8628253762 Enrollment ID: I20110504000694 |
| Provider Name | Amy B Kirby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588616783 PECOS PAC ID: 0648276626 Enrollment ID: I20110509000853 |
| Provider Name | Crystal D Pham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336447234 PECOS PAC ID: 6800072521 Enrollment ID: I20110513000636 |
| Provider Name | James M Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023269172 PECOS PAC ID: 8921151309 Enrollment ID: I20110516000873 |
| Provider Name | Stacy T Steans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447318928 PECOS PAC ID: 3173670833 Enrollment ID: I20110520000082 |
| Provider Name | Mariellen a Speaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457336265 PECOS PAC ID: 1658557897 Enrollment ID: I20110523000847 |
| Provider Name | Sebastine Elendu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073536074 PECOS PAC ID: 1658336979 Enrollment ID: I20110526000771 |
| Provider Name | Jeffrey H Raine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386957421 PECOS PAC ID: 5698952612 Enrollment ID: I20110531000456 |
| Provider Name | Jeffrey Dean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497848055 PECOS PAC ID: 7719164649 Enrollment ID: I20110602000104 |
| Provider Name | John W Scroggins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588843585 PECOS PAC ID: 7517144926 Enrollment ID: I20110613000571 |
| Provider Name | Tanya Marie Rackley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184803090 PECOS PAC ID: 8224215447 Enrollment ID: I20110615000379 |
| Provider Name | Deborah Kendall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942423744 PECOS PAC ID: 0345428512 Enrollment ID: I20110617000566 |
| Provider Name | Adam M Schneider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821252925 PECOS PAC ID: 3870652860 Enrollment ID: I20110624000553 |
| Provider Name | Kapil Passi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194953851 PECOS PAC ID: 6608920426 Enrollment ID: I20110630000352 |
| Provider Name | Jenny Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033138854 PECOS PAC ID: 1759386428 Enrollment ID: I20110630000441 |
| Provider Name | Sylyna G Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750421095 PECOS PAC ID: 6507034782 Enrollment ID: I20110713000503 |
| Provider Name | Hashim Khan Mohmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558328229 PECOS PAC ID: 0941240147 Enrollment ID: I20110714000433 |
| Provider Name | Michael E Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053593244 PECOS PAC ID: 9830367622 Enrollment ID: I20110721000661 |
| Provider Name | Anne Whitney Cates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427348408 PECOS PAC ID: 9436327954 Enrollment ID: I20110727000283 |
| Provider Name | Angela Harden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760680953 PECOS PAC ID: 9830287564 Enrollment ID: I20110727000338 |
| Provider Name | Larry Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740288190 PECOS PAC ID: 7618929852 Enrollment ID: I20110727000608 |
| Provider Name | Bradley Hale Byrne |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558582668 PECOS PAC ID: 3779752159 Enrollment ID: I20110802000367 |
| Provider Name | Gina M Jetter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346422532 PECOS PAC ID: 3577732817 Enrollment ID: I20110803000302 |
| Provider Name | Georgia a Womble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649596867 PECOS PAC ID: 8325217524 Enrollment ID: I20110804000168 |
| Provider Name | Shaun M York |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902032162 PECOS PAC ID: 4183893316 Enrollment ID: I20110804000523 |
| Provider Name | Christopher D Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376530188 PECOS PAC ID: 1355492356 Enrollment ID: I20110805000511 |
| Provider Name | Tyler Leete |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760692115 PECOS PAC ID: 5496924151 Enrollment ID: I20110815000299 |
| Provider Name | Jared R Lambson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144292269 PECOS PAC ID: 5799702247 Enrollment ID: I20110817000270 |
| Provider Name | Maygol Sarvi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093723777 PECOS PAC ID: 3870548423 Enrollment ID: I20110819000380 |
| Provider Name | Krystal Kay Jensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609072099 PECOS PAC ID: 3173793445 Enrollment ID: I20110823000848 |
| Provider Name | James D Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184920035 PECOS PAC ID: 5890965792 Enrollment ID: I20110901000574 |
| Provider Name | Bryan a Fisk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679633119 PECOS PAC ID: 2163692914 Enrollment ID: I20110902000463 |
| Provider Name | Carrie D Tutt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124282165 PECOS PAC ID: 9931379658 Enrollment ID: I20110907000765 |
| Provider Name | Jonathan T Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043470040 PECOS PAC ID: 3375713977 Enrollment ID: I20110908001834 |
| Provider Name | Renee S Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467531194 PECOS PAC ID: 6507036118 Enrollment ID: I20110908001893 |
| Provider Name | Paul a Rath |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992909576 PECOS PAC ID: 6305016916 Enrollment ID: I20110908001913 |
| Provider Name | Andrew a Arthur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790824290 PECOS PAC ID: 0345411989 Enrollment ID: I20110912000630 |
| Provider Name | Tanya Griselle Island |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083861066 PECOS PAC ID: 5890854897 Enrollment ID: I20110913000121 |
| Provider Name | Karen D Theriot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669760989 PECOS PAC ID: 9234300799 Enrollment ID: I20110914000406 |
| Provider Name | Victor York Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396824496 PECOS PAC ID: 9234154493 Enrollment ID: I20110914000592 |
| Provider Name | Sheryl a Busch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467693200 PECOS PAC ID: 7618148974 Enrollment ID: I20110915000892 |
| Provider Name | Ronnie D Nash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790073435 PECOS PAC ID: 2769653013 Enrollment ID: I20110919000547 |
| Provider Name | Burkitt W Jensen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952440992 PECOS PAC ID: 0840461851 Enrollment ID: I20110923000356 |
| Provider Name | Andrea M Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063661148 PECOS PAC ID: 7810168705 Enrollment ID: I20110926000810 |
| Provider Name | Peter Pitonak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225128259 PECOS PAC ID: 9234234915 Enrollment ID: I20111003000400 |
| Provider Name | Boris Zelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316140536 PECOS PAC ID: 2365614997 Enrollment ID: I20111004000381 |
| Provider Name | Shreya Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922298397 PECOS PAC ID: 0749326551 Enrollment ID: I20111005000647 |
| Provider Name | Noel S Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386605590 PECOS PAC ID: 1254402928 Enrollment ID: I20111006000266 |
| Provider Name | Atalie I Rivera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548453731 PECOS PAC ID: 9830361294 Enrollment ID: I20111006000321 |
| Provider Name | Anthony S Bordon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649474628 PECOS PAC ID: 8729250139 Enrollment ID: I20111007000065 |
| Provider Name | Mark Gregory Hubert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063614584 PECOS PAC ID: 6406906460 Enrollment ID: I20111007000552 |
| Provider Name | Swati F D Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902087091 PECOS PAC ID: 0446335566 Enrollment ID: I20111011000085 |
| Provider Name | Carlton John Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760770028 PECOS PAC ID: 7315119377 Enrollment ID: I20111017000641 |
| Provider Name | Ashley Lovelady Koch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013299924 PECOS PAC ID: 8729251442 Enrollment ID: I20111025000514 |
| Provider Name | Catherine Z Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952373987 PECOS PAC ID: 8123291796 Enrollment ID: I20111026000392 |
| Provider Name | Leslie D Reddell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699056309 PECOS PAC ID: 9931372505 Enrollment ID: I20111026000406 |
| Provider Name | Warren a Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831479260 PECOS PAC ID: 8325211949 Enrollment ID: I20111027000040 |
| Provider Name | George Edward Manoukian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619265485 PECOS PAC ID: 9436322872 Enrollment ID: I20111101000263 |
| Provider Name | Richard B Barber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992952857 PECOS PAC ID: 2062606064 Enrollment ID: I20111103000587 |
| Provider Name | Karole L Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609890367 PECOS PAC ID: 4284670431 Enrollment ID: I20111103000682 |
| Provider Name | Melissa L Kemp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922127570 PECOS PAC ID: 2961675004 Enrollment ID: I20111104000377 |
| Provider Name | Deloris Nadim Rizqallah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245214246 PECOS PAC ID: 2163469404 Enrollment ID: I20111111000544 |
| Provider Name | Patrick Ayarzagoitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649568239 PECOS PAC ID: 2163696907 Enrollment ID: I20111114000419 |
| Provider Name | Teleshia S Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891005450 PECOS PAC ID: 9436323086 Enrollment ID: I20111117000399 |
| Provider Name | Chimkama N Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366606337 PECOS PAC ID: 1456525914 Enrollment ID: I20111117000670 |
| Provider Name | Amir Ali Emami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295049260 PECOS PAC ID: 2264602515 Enrollment ID: I20111122000114 |
| Provider Name | Lashonda Lashay Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255541561 PECOS PAC ID: 6103999198 Enrollment ID: I20111122000494 |
| Provider Name | Michael Montgomery Blair |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104037100 PECOS PAC ID: 7113191479 Enrollment ID: I20111122000866 |
| Provider Name | Blaine E Rider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679869168 PECOS PAC ID: 7911171921 Enrollment ID: I20111130000688 |
| Provider Name | Stephen a Hutto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689641391 PECOS PAC ID: 3173415783 Enrollment ID: I20111202000534 |
| Provider Name | Mario Alberto Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306897038 PECOS PAC ID: 6305914508 Enrollment ID: I20111209000068 |
| Provider Name | Brandi Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083991160 PECOS PAC ID: 2163697210 Enrollment ID: I20111219000691 |
| Provider Name | David Charles Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912013665 PECOS PAC ID: 6305039041 Enrollment ID: I20111219000713 |
| Provider Name | Angela K Rori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952685885 PECOS PAC ID: 2860668969 Enrollment ID: I20111220000319 |
| Provider Name | Loren Ost |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275526998 PECOS PAC ID: 0547260606 Enrollment ID: I20111227000169 |
| Provider Name | Lacy K Eaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245514785 PECOS PAC ID: 6608042544 Enrollment ID: I20111227000678 |
| Provider Name | James Altonsmith Mckinney |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861571614 PECOS PAC ID: 1951577790 Enrollment ID: I20111229000215 |
| Provider Name | Michael S Owolabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386804466 PECOS PAC ID: 0941476592 Enrollment ID: I20120103000118 |
| Provider Name | Lori Fuquay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407990872 PECOS PAC ID: 9335289917 Enrollment ID: I20120105000488 |
| Provider Name | Harry Kourlis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902865678 PECOS PAC ID: 9133315294 Enrollment ID: I20120111000504 |
| Provider Name | David B Blomstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497929236 PECOS PAC ID: 4587831474 Enrollment ID: I20120117000759 |
| Provider Name | Shawn G Dunn |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1407845563 PECOS PAC ID: 8224024435 Enrollment ID: I20120118000542 |
| Provider Name | George Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376847210 PECOS PAC ID: 4688840663 Enrollment ID: I20120222000957 |
| Provider Name | Marcela Castano De Zamacona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699094029 PECOS PAC ID: 5991963621 Enrollment ID: I20120227000066 |
| Provider Name | Deshawn K Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972651214 PECOS PAC ID: 2567621063 Enrollment ID: I20120301000696 |
| Provider Name | John Owen Stevens |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508886482 PECOS PAC ID: 4385799501 Enrollment ID: I20120307000349 |
| Provider Name | Pamela R Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821367327 PECOS PAC ID: 7113186297 Enrollment ID: I20120308000698 |
| Provider Name | Shazia S Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265483531 PECOS PAC ID: 2769494822 Enrollment ID: I20120314000669 |
| Provider Name | Kevin B Skinner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164790721 PECOS PAC ID: 9830358456 Enrollment ID: I20120316000458 |
| Provider Name | Kolton M. Kuykendall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811267511 PECOS PAC ID: 1850551094 Enrollment ID: I20120327000320 |
| Provider Name | Essam Malaty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508887191 PECOS PAC ID: 9830359561 Enrollment ID: I20120404000325 |
| Provider Name | Christopher Wofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427195171 PECOS PAC ID: 5294995940 Enrollment ID: I20120404000565 |
| Provider Name | Jill a Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851309173 PECOS PAC ID: 9537133715 Enrollment ID: I20120404000635 |
| Provider Name | Vivek Krishna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295920320 PECOS PAC ID: 7719148238 Enrollment ID: I20120410000618 |
| Provider Name | Clinton Twaddell, Jr. |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437131901 PECOS PAC ID: 5294996468 Enrollment ID: I20120416000115 |
| Provider Name | Cynthia B Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184912800 PECOS PAC ID: 8426219452 Enrollment ID: I20120418000239 |
| Provider Name | Vicente M Juan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942348719 PECOS PAC ID: 5294797668 Enrollment ID: I20120418000278 |
| Provider Name | Khaja Moinuddeen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154300903 PECOS PAC ID: 9739142019 Enrollment ID: I20120420000050 |
| Provider Name | Kashif Alauddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659506509 PECOS PAC ID: 0749336956 Enrollment ID: I20120420000215 |
| Provider Name | Amy D Sustaita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003113770 PECOS PAC ID: 2062674690 Enrollment ID: I20120427000220 |
| Provider Name | Karen Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265705453 PECOS PAC ID: 4587826920 Enrollment ID: I20120502000074 |
| Provider Name | Charles R Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255318200 PECOS PAC ID: 9638331945 Enrollment ID: I20120503000172 |
| Provider Name | Angela Doddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801197785 PECOS PAC ID: 8921260886 Enrollment ID: I20120510000402 |
| Provider Name | Katharine J Scheusner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326374802 PECOS PAC ID: 5799822292 Enrollment ID: I20120511000406 |
| Provider Name | Carrie S Beatty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629011242 PECOS PAC ID: 1951564731 Enrollment ID: I20120514000583 |
| Provider Name | Dustin Max Mcdermott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154387538 PECOS PAC ID: 8123166519 Enrollment ID: I20120521000488 |
| Provider Name | John Edward Blair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023042744 PECOS PAC ID: 2163586496 Enrollment ID: I20120523000564 |
| Provider Name | Deepthi Bollineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730337320 PECOS PAC ID: 8022185925 Enrollment ID: I20120530000657 |
| Provider Name | Todd Allen Cumbie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679777585 PECOS PAC ID: 2860656659 Enrollment ID: I20120606000706 |
| Provider Name | Vishal J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881853281 PECOS PAC ID: 2567626310 Enrollment ID: I20120607000539 |
| Provider Name | Timothy Adam Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487927711 PECOS PAC ID: 1355505710 Enrollment ID: I20120614000515 |
| Provider Name | Maanasa Jetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770817629 PECOS PAC ID: 0840454906 Enrollment ID: I20120621000256 |
| Provider Name | Perla N. Soni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811186109 PECOS PAC ID: 5597952465 Enrollment ID: I20120625000609 |
| Provider Name | Prashanth Peddi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922263375 PECOS PAC ID: 0840455879 Enrollment ID: I20120626000076 |
| Provider Name | Eugene a Veley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235204173 PECOS PAC ID: 3577662667 Enrollment ID: I20120627000818 |
| Provider Name | Ifeanyi Emmanuel Elueze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396734802 PECOS PAC ID: 1254231061 Enrollment ID: I20120705000247 |
| Provider Name | Angela Cade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447486691 PECOS PAC ID: 7618132002 Enrollment ID: I20120710000646 |
| Provider Name | Santosh N Hakkapakki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568641371 PECOS PAC ID: 8022199082 Enrollment ID: I20120714000076 |
| Provider Name | Razaq a Badamosi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982813432 PECOS PAC ID: 1850460478 Enrollment ID: I20120714000077 |
| Provider Name | Tiffany a Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396019543 PECOS PAC ID: 5496911695 Enrollment ID: I20120716000188 |
| Provider Name | Ian M Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720271265 PECOS PAC ID: 1052577038 Enrollment ID: I20120718000827 |
| Provider Name | Brannon R Hyde |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487858056 PECOS PAC ID: 4082883947 Enrollment ID: I20120720000521 |
| Provider Name | Ramon Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093030934 PECOS PAC ID: 8325217219 Enrollment ID: I20120723000814 |
| Provider Name | Kyle H Fehlis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215167119 PECOS PAC ID: 2062678725 Enrollment ID: I20120724000737 |
| Provider Name | Jamie Kirby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699813378 PECOS PAC ID: 4688726920 Enrollment ID: I20120725000798 |
| Provider Name | Benjamin Caleb Dubois |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205054301 PECOS PAC ID: 7719143262 Enrollment ID: I20120727000132 |
| Provider Name | Preston W Shumway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134355233 PECOS PAC ID: 2163692419 Enrollment ID: I20120730000686 |
| Provider Name | Bernard K. Ezigbo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619160512 PECOS PAC ID: 2567552409 Enrollment ID: I20120731000602 |
| Provider Name | Amanda N Long |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013129931 PECOS PAC ID: 8628234952 Enrollment ID: I20120731000617 |
| Provider Name | Holly a Blanco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598993172 PECOS PAC ID: 6305092669 Enrollment ID: I20120802000287 |
| Provider Name | Julie V Philley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922135151 PECOS PAC ID: 1759537806 Enrollment ID: I20120806000888 |
| Provider Name | Mahboob Alam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831342641 PECOS PAC ID: 3173779220 Enrollment ID: I20120806000941 |
| Provider Name | Maqsood a Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629084454 PECOS PAC ID: 1254337116 Enrollment ID: I20120807000856 |
| Provider Name | Kyle Anderson Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023284213 PECOS PAC ID: 6002062866 Enrollment ID: I20120809000566 |
| Provider Name | Michael a Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538322029 PECOS PAC ID: 8921276148 Enrollment ID: I20120810000137 |
| Provider Name | Megan S Devine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255541108 PECOS PAC ID: 4981850682 Enrollment ID: I20120813000543 |
| Provider Name | Tayyab H Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073535092 PECOS PAC ID: 8426054511 Enrollment ID: I20120816000605 |
| Provider Name | Edgard I Gonzalez Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477525202 PECOS PAC ID: 0345285557 Enrollment ID: I20120821000477 |
| Provider Name | Melhem a Dandan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053393520 PECOS PAC ID: 5698856334 Enrollment ID: I20120821000791 |
| Provider Name | Debasish Dasgupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578520458 PECOS PAC ID: 9032169875 Enrollment ID: I20120824000452 |
| Provider Name | Candice Roseanne Pellegrino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922022938 PECOS PAC ID: 0244496768 Enrollment ID: I20120828000155 |
| Provider Name | Kristine E Banks Dahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881901007 PECOS PAC ID: 6103096953 Enrollment ID: I20120829000377 |
| Provider Name | Christopher a Timmons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063569887 PECOS PAC ID: 1850548603 Enrollment ID: I20120829000672 |
| Provider Name | Saima Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194952085 PECOS PAC ID: 3577711019 Enrollment ID: I20120907000222 |
| Provider Name | Rebecca a Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265788285 PECOS PAC ID: 1658339825 Enrollment ID: I20120910000887 |
| Provider Name | Long N Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952591745 PECOS PAC ID: 1355599457 Enrollment ID: I20120914000358 |
| Provider Name | Eli Becker |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508858507 PECOS PAC ID: 7810956927 Enrollment ID: I20120914000374 |
| Provider Name | Jyotsna Donepudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740303429 PECOS PAC ID: 7810145935 Enrollment ID: I20120914000595 |
| Provider Name | Ryan D Forster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184854564 PECOS PAC ID: 7719135649 Enrollment ID: I20120918000253 |
| Provider Name | Lucia Ridlen-gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831145234 PECOS PAC ID: 7911070990 Enrollment ID: I20120918000956 |
| Provider Name | Irene a Carrothers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003041831 PECOS PAC ID: 0547418238 Enrollment ID: I20120921000667 |
| Provider Name | Jeremy Shane Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518214493 PECOS PAC ID: 4587813118 Enrollment ID: I20120925000816 |
| Provider Name | Ricardo Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215049051 PECOS PAC ID: 5799687703 Enrollment ID: I20121001000196 |
| Provider Name | Alejandro R De Los Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558527846 PECOS PAC ID: 4385893247 Enrollment ID: I20121009000550 |
| Provider Name | Kristen Leigh Mahurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730434168 PECOS PAC ID: 5799934592 Enrollment ID: I20121011000772 |
| Provider Name | Fidelis Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20121011000852 |
| Provider Name | Kevin Conner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871530469 PECOS PAC ID: 7719136472 Enrollment ID: I20121012000704 |
| Provider Name | Kendell K Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346591856 PECOS PAC ID: 6002066743 Enrollment ID: I20121015000731 |
| Provider Name | Kelley Suzanne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538417688 PECOS PAC ID: 4587814157 Enrollment ID: I20121017000767 |
| Provider Name | David E Wyatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285825471 PECOS PAC ID: 1254581580 Enrollment ID: I20121023000638 |
| Provider Name | Ashley a Lesniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902158751 PECOS PAC ID: 4587814777 Enrollment ID: I20121024000524 |
| Provider Name | Joel R Underwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255344610 PECOS PAC ID: 7113927971 Enrollment ID: I20121024000747 |
| Provider Name | Latania Yvette Booker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790916245 PECOS PAC ID: 1557511771 Enrollment ID: I20121025000045 |
| Provider Name | Joshua L Gilchrist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720216476 PECOS PAC ID: 6204086432 Enrollment ID: I20121025000140 |
| Provider Name | Meher B Dasgupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649236456 PECOS PAC ID: 8123162500 Enrollment ID: I20121112000470 |
| Provider Name | Trisha a Gargiulo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710142393 PECOS PAC ID: 3072764943 Enrollment ID: I20121127000603 |
| Provider Name | Marjorie M Scogin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689661670 PECOS PAC ID: 1052580388 Enrollment ID: I20121203000444 |
| Provider Name | Ryleigh Rebecca Young Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861783946 PECOS PAC ID: 7012186851 Enrollment ID: I20121205000202 |
| Provider Name | Melissa N Whitus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285987842 PECOS PAC ID: 9638322274 Enrollment ID: I20130110000542 |
| Provider Name | Leonard M Thome |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982701652 PECOS PAC ID: 6406915420 Enrollment ID: I20130115000400 |
| Provider Name | Dalton Foster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013170059 PECOS PAC ID: 0749433829 Enrollment ID: I20130124000172 |
| Provider Name | Angelica Belo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710192828 PECOS PAC ID: 8921131830 Enrollment ID: I20130128000267 |
| Provider Name | Lamont a Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215271481 PECOS PAC ID: 6103070198 Enrollment ID: I20130128000433 |
| Provider Name | Gregory R White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649406752 PECOS PAC ID: 1557516523 Enrollment ID: I20130222000244 |
| Provider Name | Deborah C Andrado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598927568 PECOS PAC ID: 0446405161 Enrollment ID: I20130304000394 |
| Provider Name | Myriah G Willborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740557552 PECOS PAC ID: 2567617178 Enrollment ID: I20130306000101 |
| Provider Name | Justin J Klimisch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093919664 PECOS PAC ID: 4981720604 Enrollment ID: I20130307000252 |
| Provider Name | James R Qualls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407141120 PECOS PAC ID: 4789829573 Enrollment ID: I20130327000348 |
| Provider Name | David L Klassen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851539001 PECOS PAC ID: 2062579774 Enrollment ID: I20130403000614 |
| Provider Name | Bridgette D Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174849020 PECOS PAC ID: 2860638293 Enrollment ID: I20130409000523 |
| Provider Name | Delinda Wills |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063531804 PECOS PAC ID: 4880848118 Enrollment ID: I20130410000507 |
| Provider Name | Brooke E Dreiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386939288 PECOS PAC ID: 6002052263 Enrollment ID: I20130415000333 |
| Provider Name | Wendi Konomos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699965533 PECOS PAC ID: 3173769106 Enrollment ID: I20130418000263 |
| Provider Name | Elizabeth Catherine Vasser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487861076 PECOS PAC ID: 2062536956 Enrollment ID: I20130429000295 |
| Provider Name | Alexandra Dionne Kittrell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801134085 PECOS PAC ID: 2769629252 Enrollment ID: I20130430000237 |
| Provider Name | Moinuddin a Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437404480 PECOS PAC ID: 5991959744 Enrollment ID: I20130502000123 |
| Provider Name | Matthew J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427370972 PECOS PAC ID: 0941338149 Enrollment ID: I20130502000347 |
| Provider Name | Saleemah W Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063752145 PECOS PAC ID: 7012154172 Enrollment ID: I20130508000507 |
| Provider Name | Suzanne D Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932435518 PECOS PAC ID: 2961649967 Enrollment ID: I20130511000022 |
| Provider Name | Mandy S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811241292 PECOS PAC ID: 1658518402 Enrollment ID: I20130515000004 |
| Provider Name | Bradden Pyron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447363338 PECOS PAC ID: 5597903666 Enrollment ID: I20130531000076 |
| Provider Name | Mohammad N Alfarawati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154582542 PECOS PAC ID: 9931193745 Enrollment ID: I20130613000009 |
| Provider Name | Hong Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275760803 PECOS PAC ID: 1951540186 Enrollment ID: I20130620000127 |
| Provider Name | Narasimha Sastry Jatavallabhula |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871778316 PECOS PAC ID: 5193903961 Enrollment ID: I20130624000633 |
| Provider Name | Rebecca Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518303932 PECOS PAC ID: 6002055944 Enrollment ID: I20130625000468 |
| Provider Name | Ricardo Cortez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154340958 PECOS PAC ID: 4385713544 Enrollment ID: I20130625000643 |
| Provider Name | Sarat Chandra Jampana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831402882 PECOS PAC ID: 8628218120 Enrollment ID: I20130705000103 |
| Provider Name | Charles L Secrest |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588695654 PECOS PAC ID: 4880790559 Enrollment ID: I20130712000047 |
| Provider Name | Jason Laine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689012114 PECOS PAC ID: 7012158249 Enrollment ID: I20130730000708 |
| Provider Name | Sherri Lynn Ten Pas |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295706471 PECOS PAC ID: 1951384965 Enrollment ID: I20130802000271 |
| Provider Name | Amanda Minick Reneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205271434 PECOS PAC ID: 4385886357 Enrollment ID: I20130805000569 |
| Provider Name | Steven G Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891923710 PECOS PAC ID: 5395987176 Enrollment ID: I20130807000192 |
| Provider Name | James G Fox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962602789 PECOS PAC ID: 3476795113 Enrollment ID: I20130809000214 |
| Provider Name | Sheldon Y Freeberg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639344310 PECOS PAC ID: 3577705102 Enrollment ID: I20130812000518 |
| Provider Name | John Enrique Paredes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730298621 PECOS PAC ID: 2668543463 Enrollment ID: I20130813000173 |
| Provider Name | Tejo Ramam Challa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396082970 PECOS PAC ID: 3870735350 Enrollment ID: I20130813000389 |
| Provider Name | Muhammad Chaudhry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194973701 PECOS PAC ID: 9931246683 Enrollment ID: I20130813000930 |
| Provider Name | Elizabeth W. Sutliff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710187752 PECOS PAC ID: 8628210887 Enrollment ID: I20130819000115 |
| Provider Name | Sarah Beth Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720308745 PECOS PAC ID: 7315189594 Enrollment ID: I20130819000301 |
| Provider Name | Jeri Grace Brocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477893873 PECOS PAC ID: 2062654262 Enrollment ID: I20130819000541 |
| Provider Name | Adebola T Ifafore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124296132 PECOS PAC ID: 5395818447 Enrollment ID: I20130820000081 |
| Provider Name | Madhu Chiluveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154633774 PECOS PAC ID: 5294977310 Enrollment ID: I20130820000136 |
| Provider Name | Ouida M Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689912909 PECOS PAC ID: 2365685419 Enrollment ID: I20130821000688 |
| Provider Name | Rachel L Devaney |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619114659 PECOS PAC ID: 5496890162 Enrollment ID: I20130824000028 |
| Provider Name | Lori a White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841635901 PECOS PAC ID: 1557504305 Enrollment ID: I20130827000758 |
| Provider Name | Paul Richard Bradley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932369832 PECOS PAC ID: 1153564778 Enrollment ID: I20130829000908 |
| Provider Name | Henna Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225376346 PECOS PAC ID: 2365688629 Enrollment ID: I20130830000081 |
| Provider Name | Sam Eljammal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669604310 PECOS PAC ID: 3577694751 Enrollment ID: I20130830000473 |
| Provider Name | Melanie M Handley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053579961 PECOS PAC ID: 5698918142 Enrollment ID: I20130830000554 |
| Provider Name | Enyinnaya Ugochukwu Abarikwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788178 PECOS PAC ID: 4385817386 Enrollment ID: I20130903000476 |
| Provider Name | Cobra Ann Chamblee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366461741 PECOS PAC ID: 9234144114 Enrollment ID: I20130906000035 |
| Provider Name | Margaret Vidal- Kutin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275533663 PECOS PAC ID: 8224272125 Enrollment ID: I20130916000313 |
| Provider Name | Peter D Obesso |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1356577787 PECOS PAC ID: 4789828492 Enrollment ID: I20130919000460 |
| Provider Name | Karah Lynn Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558656348 PECOS PAC ID: 7416191028 Enrollment ID: I20130923000204 |
| Provider Name | Cynthia L Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457671018 PECOS PAC ID: 3678717907 Enrollment ID: I20130926000310 |
| Provider Name | Noyoze M Urhoghide |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316102379 PECOS PAC ID: 7911176425 Enrollment ID: I20130927000182 |
| Provider Name | Nosakhare U Okoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730479981 PECOS PAC ID: 1153555461 Enrollment ID: I20130927000406 |
| Provider Name | Ayad H Latif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063724623 PECOS PAC ID: 8022242031 Enrollment ID: I20131007000570 |
| Provider Name | Nancy Pachuca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053666271 PECOS PAC ID: 7214161165 Enrollment ID: I20131008000429 |
| Provider Name | Amy Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912254566 PECOS PAC ID: 2365677788 Enrollment ID: I20131021000231 |
| Provider Name | Misty a Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118792 PECOS PAC ID: 3870728249 Enrollment ID: I20131021001800 |
| Provider Name | Noman Saif |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669426375 PECOS PAC ID: 9739141300 Enrollment ID: I20131022001624 |
| Provider Name | Deborah D Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366874505 PECOS PAC ID: 4587899828 Enrollment ID: I20131023000105 |
| Provider Name | Ukana Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356628812 PECOS PAC ID: 8527293331 Enrollment ID: I20131104000885 |
| Provider Name | Jamilla C Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337029 PECOS PAC ID: 1052568102 Enrollment ID: I20131108001448 |
| Provider Name | Michael E Trice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427034875 PECOS PAC ID: 2961300298 Enrollment ID: I20131112001219 |
| Provider Name | Amy M. Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518391879 PECOS PAC ID: 3779719711 Enrollment ID: I20131120001990 |
| Provider Name | Michelle Lynn Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851728240 PECOS PAC ID: 3274769278 Enrollment ID: I20131121001712 |
| Provider Name | Luis Augusto Dominguez Vallejos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194041582 PECOS PAC ID: 2961694732 Enrollment ID: I20131204001733 |
| Provider Name | Krishnakumar R Muthu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407056906 PECOS PAC ID: 7719071182 Enrollment ID: I20131204001742 |
| Provider Name | Kristal L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023444551 PECOS PAC ID: 5092942300 Enrollment ID: I20131212000427 |
| Provider Name | Lauren J Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881029783 PECOS PAC ID: 8022245976 Enrollment ID: I20131220001197 |
| Provider Name | Harrison Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184972994 PECOS PAC ID: 1850365735 Enrollment ID: I20131228000144 |
| Provider Name | Desiree a Holley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528110061 PECOS PAC ID: 1355579095 Enrollment ID: I20140102000623 |
| Provider Name | Michael C Ford |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326020736 PECOS PAC ID: 7416843982 Enrollment ID: I20140103000373 |
| Provider Name | Tina G Hanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194151423 PECOS PAC ID: 0244468817 Enrollment ID: I20140107000253 |
| Provider Name | Bhavana V Akotia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427274141 PECOS PAC ID: 1759470545 Enrollment ID: I20140109001656 |
| Provider Name | William J Robertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346202579 PECOS PAC ID: 6901852870 Enrollment ID: I20140110000431 |
| Provider Name | Qaali Hussein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194047134 PECOS PAC ID: 6406084516 Enrollment ID: I20140117001400 |
| Provider Name | Amby J Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891058194 PECOS PAC ID: 6204064314 Enrollment ID: I20140117001469 |
| Provider Name | Shazia Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184630840 PECOS PAC ID: 8325043565 Enrollment ID: I20140204001034 |
| Provider Name | Emmanuel Obinna Ogbodo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336410190 PECOS PAC ID: 6709036650 Enrollment ID: I20140217001067 |
| Provider Name | Suman K Sinha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114947900 PECOS PAC ID: 8628061397 Enrollment ID: I20140220001345 |
| Provider Name | Uchechukwu S Elendu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073858809 PECOS PAC ID: 4981834504 Enrollment ID: I20140227001217 |
| Provider Name | Wish Mema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194141861 PECOS PAC ID: 0648400275 Enrollment ID: I20140227001501 |
| Provider Name | Ann M Fate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518396803 PECOS PAC ID: 5092945477 Enrollment ID: I20140304001414 |
| Provider Name | Saad Hussain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801062062 PECOS PAC ID: 9537316781 Enrollment ID: I20140305001084 |
| Provider Name | Emily J Sard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740241462 PECOS PAC ID: 2860483005 Enrollment ID: I20140311001485 |
| Provider Name | Abdul Moneim Saad Hasheesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912199654 PECOS PAC ID: 7911094784 Enrollment ID: I20140327001851 |
| Provider Name | Thuc Quyen Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033378195 PECOS PAC ID: 7416188834 Enrollment ID: I20140328001037 |
| Provider Name | Robert L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407285513 PECOS PAC ID: 0840421061 Enrollment ID: I20140401000175 |
| Provider Name | Haroon S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790057347 PECOS PAC ID: 4880842376 Enrollment ID: I20140403000530 |
| Provider Name | Jessica L Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417378217 PECOS PAC ID: 8820220569 Enrollment ID: I20140412000178 |
| Provider Name | Benjamin James Blow |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477798676 PECOS PAC ID: 0345474920 Enrollment ID: I20140414000575 |
| Provider Name | Michelle Jeanine Muldrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194027607 PECOS PAC ID: 5496985434 Enrollment ID: I20140422001709 |
| Provider Name | Lucas M Duvall |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598975898 PECOS PAC ID: 5597845370 Enrollment ID: I20140422001745 |
| Provider Name | Christine Y Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457514903 PECOS PAC ID: 7416112420 Enrollment ID: I20140428000898 |
| Provider Name | Celya N Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650805 PECOS PAC ID: 4981837812 Enrollment ID: I20140430001527 |
| Provider Name | Hong T Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336343706 PECOS PAC ID: 7012080096 Enrollment ID: I20140508001544 |
| Provider Name | Amy C Sproles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265472880 PECOS PAC ID: 2062416209 Enrollment ID: I20140512000370 |
| Provider Name | Michael J Benca |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588774061 PECOS PAC ID: 7618000779 Enrollment ID: I20140513000216 |
| Provider Name | Katherine L. Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205246311 PECOS PAC ID: 8921221102 Enrollment ID: I20140515000152 |
| Provider Name | Melissa M Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033367156 PECOS PAC ID: 9133342223 Enrollment ID: I20140517000027 |
| Provider Name | John Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992792881 PECOS PAC ID: 9335239045 Enrollment ID: I20140519001507 |
| Provider Name | Ashley Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336432046 PECOS PAC ID: 6305018649 Enrollment ID: I20140521000284 |
| Provider Name | Corinna a Orms |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558787713 PECOS PAC ID: 9739302126 Enrollment ID: I20140604000937 |
| Provider Name | Amara Okoli Emenike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437462553 PECOS PAC ID: 7315161403 Enrollment ID: I20140611000699 |
| Provider Name | Stacy Laine Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528483591 PECOS PAC ID: 8628292612 Enrollment ID: I20140613000156 |
| Provider Name | Aimee Lynn Schimizzi |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1073785879 PECOS PAC ID: 7416024427 Enrollment ID: I20140616001132 |
| Provider Name | Vijay R Karia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205042173 PECOS PAC ID: 1951433994 Enrollment ID: I20140616001483 |
| Provider Name | Khadija Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831394295 PECOS PAC ID: 5193949089 Enrollment ID: I20140616001714 |
| Provider Name | Kimberly Ruiz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720405822 PECOS PAC ID: 8123242807 Enrollment ID: I20140619001670 |
| Provider Name | Brendan J Baird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902231335 PECOS PAC ID: 6204066996 Enrollment ID: I20140620000908 |
| Provider Name | Natalie G Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497948129 PECOS PAC ID: 6709962178 Enrollment ID: I20140625001163 |
| Provider Name | Nicole a Riojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598050676 PECOS PAC ID: 4688899115 Enrollment ID: I20140625002107 |
| Provider Name | Babar Zuberi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275532640 PECOS PAC ID: 9335165893 Enrollment ID: I20140626002564 |
| Provider Name | Antao Du |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396916037 PECOS PAC ID: 6507034832 Enrollment ID: I20140708000563 |
| Provider Name | Chelsi Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811281504 PECOS PAC ID: 7911122858 Enrollment ID: I20140708002456 |
| Provider Name | Tracy Lyon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548686751 PECOS PAC ID: 6002031820 Enrollment ID: I20140710000563 |
| Provider Name | Benjamin J Krog |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720282395 PECOS PAC ID: 5698828739 Enrollment ID: I20140714001554 |
| Provider Name | Eric N Bilby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790078145 PECOS PAC ID: 8022233709 Enrollment ID: I20140714001772 |
| Provider Name | Gautam Baskaran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679732549 PECOS PAC ID: 5799914313 Enrollment ID: I20140716001364 |
| Provider Name | Michael D Shortt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972640266 PECOS PAC ID: 9133345614 Enrollment ID: I20140717002231 |
| Provider Name | Praveen K Guntipalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820025 PECOS PAC ID: 5991951907 Enrollment ID: I20140806000644 |
| Provider Name | Alexander Parr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659682284 PECOS PAC ID: 3577707637 Enrollment ID: I20140806001077 |
| Provider Name | Andrew T. Beguin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487622809 PECOS PAC ID: 5799722815 Enrollment ID: I20140815002233 |
| Provider Name | Maria L Ayarzagoitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174936561 PECOS PAC ID: 7315164118 Enrollment ID: I20140818001693 |
| Provider Name | Robert Mcginnis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609049956 PECOS PAC ID: 5294979225 Enrollment ID: I20140825000328 |
| Provider Name | Andres a Bueno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952612350 PECOS PAC ID: 3971721473 Enrollment ID: I20140825002623 |
| Provider Name | Jack B Stephenson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972624542 PECOS PAC ID: 5193943611 Enrollment ID: I20140826000332 |
| Provider Name | Lisa Leffler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295980274 PECOS PAC ID: 0143448563 Enrollment ID: I20140827000965 |
| Provider Name | Steven M Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952580144 PECOS PAC ID: 6406084870 Enrollment ID: I20140902000602 |
| Provider Name | Salem a Salem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760737308 PECOS PAC ID: 0547488637 Enrollment ID: I20140903000973 |
| Provider Name | Stephen G Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992020440 PECOS PAC ID: 7214156009 Enrollment ID: I20140909001961 |
| Provider Name | Brandon E Crim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205099314 PECOS PAC ID: 6608022983 Enrollment ID: I20140909002653 |
| Provider Name | Mark D Prince |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629061171 PECOS PAC ID: 4880883917 Enrollment ID: I20140911001103 |
| Provider Name | Nalini V Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164845046 PECOS PAC ID: 1153540778 Enrollment ID: I20140915000597 |
| Provider Name | Danielle N Belyeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265848428 PECOS PAC ID: 4587883046 Enrollment ID: I20140915002064 |
| Provider Name | Emma I Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639580962 PECOS PAC ID: 3779702279 Enrollment ID: I20140916000939 |
| Provider Name | Stefanie Nichole Bryant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053637603 PECOS PAC ID: 2860612777 Enrollment ID: I20140926002248 |
| Provider Name | Anna Marie Allred |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639378920 PECOS PAC ID: 8325268881 Enrollment ID: I20141003001515 |
| Provider Name | Utpal Mondal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726923 PECOS PAC ID: 4587857867 Enrollment ID: I20141006000899 |
| Provider Name | Melissa a Springmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952697872 PECOS PAC ID: 3375763501 Enrollment ID: I20141009001904 |
| Provider Name | Jon-michael Cline |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972866283 PECOS PAC ID: 9335369438 Enrollment ID: I20141010002121 |
| Provider Name | Hugo Quevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023069085 PECOS PAC ID: 6204845365 Enrollment ID: I20141015000723 |
| Provider Name | Charles D Mccorkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568870640 PECOS PAC ID: 5698996676 Enrollment ID: I20141015001930 |
| Provider Name | Ambesi Ngwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639582174 PECOS PAC ID: 7719108224 Enrollment ID: I20141027002243 |
| Provider Name | William C Boostrom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760475933 PECOS PAC ID: 9931364924 Enrollment ID: I20141029000066 |
| Provider Name | Sanjeev Kota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447416557 PECOS PAC ID: 3577784891 Enrollment ID: I20141029001728 |
| Provider Name | Amanda Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730131509 PECOS PAC ID: 4880606235 Enrollment ID: I20141030002421 |
| Provider Name | Margaret Tracy Owens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689080343 PECOS PAC ID: 9032330295 Enrollment ID: I20141031001981 |
| Provider Name | Monika M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447696257 PECOS PAC ID: 9739322314 Enrollment ID: I20141110000966 |
| Provider Name | Julie Remo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942362710 PECOS PAC ID: 8527280304 Enrollment ID: I20141111001199 |
| Provider Name | Naga Perisetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238922 PECOS PAC ID: 8729254883 Enrollment ID: I20141112000116 |
| Provider Name | Rebecca Taylor Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538561279 PECOS PAC ID: 6709008535 Enrollment ID: I20141112000867 |
| Provider Name | Omosede I Ekhaguere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982995510 PECOS PAC ID: 4880816628 Enrollment ID: I20141112000922 |
| Provider Name | Jordan Abel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417273301 PECOS PAC ID: 4789806522 Enrollment ID: I20141112000943 |
| Provider Name | Sylaza Kantamneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720237498 PECOS PAC ID: 3274693874 Enrollment ID: I20141113000395 |
| Provider Name | Sharla Rishya Shead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285036582 PECOS PAC ID: 2365664901 Enrollment ID: I20141114000144 |
| Provider Name | Hassan Ahmed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295020386 PECOS PAC ID: 1456573724 Enrollment ID: I20141121000701 |
| Provider Name | Lisa G Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760885198 PECOS PAC ID: 0446471635 Enrollment ID: I20141203000832 |
| Provider Name | Alex Bryan Olsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003014044 PECOS PAC ID: 1355663238 Enrollment ID: I20141203001924 |
| Provider Name | Ruchir Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285810630 PECOS PAC ID: 3678895562 Enrollment ID: I20141203002458 |
| Provider Name | Chioma Enyeribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700192275 PECOS PAC ID: 9032398227 Enrollment ID: I20141212000194 |
| Provider Name | Katy Deljoui Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700012143 PECOS PAC ID: 0446497911 Enrollment ID: I20141216002263 |
| Provider Name | Jorge Aaron Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235407214 PECOS PAC ID: 7214250489 Enrollment ID: I20141218001581 |
| Provider Name | James a Blair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881856110 PECOS PAC ID: 7416197603 Enrollment ID: I20141223001117 |
| Provider Name | Cheryl D Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912253279 PECOS PAC ID: 8729301791 Enrollment ID: I20141223001385 |
| Provider Name | Sweety J Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972894004 PECOS PAC ID: 9234452228 Enrollment ID: I20141224000094 |
| Provider Name | Dina Trombley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013915073 PECOS PAC ID: 6901129949 Enrollment ID: I20141229000104 |
| Provider Name | Jessica Christine Westmoreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689079147 PECOS PAC ID: 2163745050 Enrollment ID: I20141230000140 |
| Provider Name | Celeste Marie Leon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144516600 PECOS PAC ID: 0840513628 Enrollment ID: I20141231001035 |
| Provider Name | Emad Shoukry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053318857 PECOS PAC ID: 1759353337 Enrollment ID: I20141231001191 |
| Provider Name | Olukayode a Bamgbelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164677845 PECOS PAC ID: 1557496965 Enrollment ID: I20141231001889 |
| Provider Name | Elsie Deleon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700166436 PECOS PAC ID: 2567785298 Enrollment ID: I20150102001293 |
| Provider Name | Laura a Nietfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669601092 PECOS PAC ID: 4789907478 Enrollment ID: I20150105001407 |
| Provider Name | Siva K Mandadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538396858 PECOS PAC ID: 4880866300 Enrollment ID: I20150106001655 |
| Provider Name | Michael T Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144623356 PECOS PAC ID: 1850614322 Enrollment ID: I20150108001922 |
| Provider Name | Christopher E Romine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427117753 PECOS PAC ID: 5092715359 Enrollment ID: I20150108002000 |
| Provider Name | Chadd T Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699071803 PECOS PAC ID: 0143404285 Enrollment ID: I20150112000621 |
| Provider Name | Stephanie Lufsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174928907 PECOS PAC ID: 2769706225 Enrollment ID: I20150112000706 |
| Provider Name | Anil K Goli |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629013008 PECOS PAC ID: 0941193635 Enrollment ID: I20150114001208 |
| Provider Name | Cheryl L Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720425630 PECOS PAC ID: 2163746330 Enrollment ID: I20150116000209 |
| Provider Name | Renuka Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720374051 PECOS PAC ID: 0840514030 Enrollment ID: I20150116001113 |
| Provider Name | Kareem M Selim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952691321 PECOS PAC ID: 8729241401 Enrollment ID: I20150120000079 |
| Provider Name | Vinh Quang Trang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477810612 PECOS PAC ID: 1557685294 Enrollment ID: I20150128001491 |
| Provider Name | April D Pena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386047074 PECOS PAC ID: 0042534638 Enrollment ID: I20150202000085 |
| Provider Name | Mical Duvall |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669600524 PECOS PAC ID: 5092030585 Enrollment ID: I20150203002288 |
| Provider Name | Daniel S Sa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427075308 PECOS PAC ID: 6901809375 Enrollment ID: I20150206001635 |
| Provider Name | Scott E Hudnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336544485 PECOS PAC ID: 1658696943 Enrollment ID: I20150209000231 |
| Provider Name | Matthew G Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700064789 PECOS PAC ID: 4284758079 Enrollment ID: I20150212001276 |
| Provider Name | Charles Harrison Matthews |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689899676 PECOS PAC ID: 0042477549 Enrollment ID: I20150216000412 |
| Provider Name | Angela P Cabaniss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346646320 PECOS PAC ID: 4385969070 Enrollment ID: I20150223000813 |
| Provider Name | Jorge Lodeiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568409894 PECOS PAC ID: 7315841327 Enrollment ID: I20150226001573 |
| Provider Name | Margaretta Sapon-amoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457771362 PECOS PAC ID: 8224354436 Enrollment ID: I20150306000274 |
| Provider Name | Brian Allgaier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881037158 PECOS PAC ID: 5799001830 Enrollment ID: I20150306001711 |
| Provider Name | MD Saifur Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497002778 PECOS PAC ID: 5597081638 Enrollment ID: I20150306001784 |
| Provider Name | Bernadette Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033510847 PECOS PAC ID: 8022334994 Enrollment ID: I20150312000275 |
| Provider Name | Charles E Shoalmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891955043 PECOS PAC ID: 8325365083 Enrollment ID: I20150318001151 |
| Provider Name | Christopher Hoyt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598833592 PECOS PAC ID: 6507046489 Enrollment ID: I20150320000596 |
| Provider Name | Natalie M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740673557 PECOS PAC ID: 8921325127 Enrollment ID: I20150327001233 |
| Provider Name | Angela R Burrus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245657824 PECOS PAC ID: 4981921194 Enrollment ID: I20150327001765 |
| Provider Name | Lindsey N Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790176287 PECOS PAC ID: 2567789662 Enrollment ID: I20150331000420 |
| Provider Name | Lena Brittany Ingraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884835 PECOS PAC ID: 6901123967 Enrollment ID: I20150401000047 |
| Provider Name | Michelle B Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093153645 PECOS PAC ID: 8224356183 Enrollment ID: I20150406001664 |
| Provider Name | Sonja J Tiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427449529 PECOS PAC ID: 5193043487 Enrollment ID: I20150416002370 |
| Provider Name | Clinton Echols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356732390 PECOS PAC ID: 9335467562 Enrollment ID: I20150417001423 |
| Provider Name | Jennifer Siskron Ogle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073863106 PECOS PAC ID: 1557512191 Enrollment ID: I20150421001041 |
| Provider Name | Miranda N Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588058259 PECOS PAC ID: 5698093722 Enrollment ID: I20150421001276 |
| Provider Name | Mary E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419015 PECOS PAC ID: 7113245259 Enrollment ID: I20150421001723 |
| Provider Name | Jacob D Kelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730583840 PECOS PAC ID: 1052639127 Enrollment ID: I20150422000183 |
| Provider Name | Tonile Michelle Pounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215330550 PECOS PAC ID: 2860716982 Enrollment ID: I20150422000474 |
| Provider Name | Andrea M Glaser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659626802 PECOS PAC ID: 4183943194 Enrollment ID: I20150424000578 |
| Provider Name | Lori Lee Martel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518358290 PECOS PAC ID: 7719206788 Enrollment ID: I20150427000065 |
| Provider Name | Aneicha M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629467006 PECOS PAC ID: 5294054003 Enrollment ID: I20150429000752 |
| Provider Name | David Vizurraga |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447419619 PECOS PAC ID: 1759525629 Enrollment ID: I20150430000802 |
| Provider Name | Ivan Pawlowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386844736 PECOS PAC ID: 4587719489 Enrollment ID: I20150504000437 |
| Provider Name | Saima Haque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487671103 PECOS PAC ID: 5092718460 Enrollment ID: I20150504001581 |
| Provider Name | Dana R Pillans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417343526 PECOS PAC ID: 2668791203 Enrollment ID: I20150504002194 |
| Provider Name | Joshua K Lucas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902294572 PECOS PAC ID: 3779803879 Enrollment ID: I20150513000390 |
| Provider Name | Joseph C Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043608540 PECOS PAC ID: 8123348000 Enrollment ID: I20150515001231 |
| Provider Name | Tameka Lachell Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891190344 PECOS PAC ID: 0042530982 Enrollment ID: I20150518000801 |
| Provider Name | Katie S Storrs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487072120 PECOS PAC ID: 3577883222 Enrollment ID: I20150520000331 |
| Provider Name | Hailegiorgis Woldegiorgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841559309 PECOS PAC ID: 7214176817 Enrollment ID: I20150521001772 |
| Provider Name | Amber N Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780944033 PECOS PAC ID: 2163646936 Enrollment ID: I20150602001692 |
| Provider Name | Osmund Ugochukwu Agbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275728529 PECOS PAC ID: 6800974627 Enrollment ID: I20150602002606 |
| Provider Name | Lori Leigh Neubauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285985804 PECOS PAC ID: 9133368939 Enrollment ID: I20150603000478 |
| Provider Name | Loui Chan Gatdula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528314721 PECOS PAC ID: 7012238389 Enrollment ID: I20150611002572 |
| Provider Name | Rumit Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568717940 PECOS PAC ID: 5496066748 Enrollment ID: I20150612001826 |
| Provider Name | Candice Dean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174878540 PECOS PAC ID: 6709197999 Enrollment ID: I20150615000768 |
| Provider Name | David Joseph Cauthon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558622910 PECOS PAC ID: 3678884418 Enrollment ID: I20150619000556 |
| Provider Name | Tyler W Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481914 PECOS PAC ID: 5698086478 Enrollment ID: I20150619001736 |
| Provider Name | Lydia a Amartey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871919860 PECOS PAC ID: 2466763149 Enrollment ID: I20150622002159 |
| Provider Name | Hani a Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386999761 PECOS PAC ID: 7416268974 Enrollment ID: I20150624002511 |
| Provider Name | Kirsten Kaye Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215331996 PECOS PAC ID: 5799009288 Enrollment ID: I20150629002414 |
| Provider Name | Joe D Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174915375 PECOS PAC ID: 3375855406 Enrollment ID: I20150702001215 |
| Provider Name | Amy Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659631901 PECOS PAC ID: 9335451319 Enrollment ID: I20150706000240 |
| Provider Name | Brandon W Odom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679917413 PECOS PAC ID: 6800108648 Enrollment ID: I20150707002867 |
| Provider Name | David J Bickford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184774168 PECOS PAC ID: 8426360959 Enrollment ID: I20150710002526 |
| Provider Name | Kathryn E Brannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720364334 PECOS PAC ID: 1052587102 Enrollment ID: I20150716002156 |
| Provider Name | Kevin R Hayes |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356521421 PECOS PAC ID: 1052442837 Enrollment ID: I20150716002525 |
| Provider Name | Chandra Sekhar Reddy Navuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982951711 PECOS PAC ID: 6002129186 Enrollment ID: I20150717002212 |
| Provider Name | Courtney a Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891053484 PECOS PAC ID: 5991018913 Enrollment ID: I20150721000472 |
| Provider Name | Sohaib Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407169113 PECOS PAC ID: 1557595592 Enrollment ID: I20150722003486 |
| Provider Name | Rajiv Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861748089 PECOS PAC ID: 1456573351 Enrollment ID: I20150722004693 |
| Provider Name | Beth Peterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194043513 PECOS PAC ID: 6709190192 Enrollment ID: I20150729008410 |
| Provider Name | Faustina N Donkor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104184753 PECOS PAC ID: 6103130521 Enrollment ID: I20150729009451 |
| Provider Name | Megan a Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952798779 PECOS PAC ID: 2264746684 Enrollment ID: I20150729009577 |
| Provider Name | Bryce J Karulak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538407473 PECOS PAC ID: 0547574667 Enrollment ID: I20150804003357 |
| Provider Name | Andrew D Yoder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144608415 PECOS PAC ID: 4183938996 Enrollment ID: I20150806010502 |
| Provider Name | Khashayar Kash Vahdat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528323953 PECOS PAC ID: 9931413689 Enrollment ID: I20150808015698 |
| Provider Name | Nicholas Stephen Andrade |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497919310 PECOS PAC ID: 2163736844 Enrollment ID: I20150810000960 |
| Provider Name | Asritha P Srireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619257995 PECOS PAC ID: 0547492902 Enrollment ID: I20150810001770 |
| Provider Name | Navin Dhingra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518212984 PECOS PAC ID: 0042525644 Enrollment ID: I20150811005296 |
| Provider Name | Timothy L Holcomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609138486 PECOS PAC ID: 0941515431 Enrollment ID: I20150812008371 |
| Provider Name | Kimberly Nicole Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215111273 PECOS PAC ID: 5890910780 Enrollment ID: I20150812008391 |
| Provider Name | Richard E Whiddon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184914491 PECOS PAC ID: 8729205323 Enrollment ID: I20150814013214 |
| Provider Name | Lori C Wyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043570302 PECOS PAC ID: 7810202264 Enrollment ID: I20150814013245 |
| Provider Name | Thomas Carper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306221866 PECOS PAC ID: 5991010811 Enrollment ID: I20150820010919 |
| Provider Name | Roberta Jukes Rinald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013399898 PECOS PAC ID: 3870808637 Enrollment ID: I20150824000599 |
| Provider Name | Maria Stanovic Karlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750547741 PECOS PAC ID: 3375699275 Enrollment ID: I20150826000477 |
| Provider Name | Pragatheeshwar Thirunavukarasu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588717227 PECOS PAC ID: 0749416014 Enrollment ID: I20150901001796 |
| Provider Name | Shannon Glass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982923975 PECOS PAC ID: 4385950682 Enrollment ID: I20150901002625 |
| Provider Name | Janet Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477936649 PECOS PAC ID: 7517273709 Enrollment ID: I20150902002696 |
| Provider Name | Andres F Yepes Hurtado |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497983464 PECOS PAC ID: 4082920103 Enrollment ID: I20150903000352 |
| Provider Name | Melissa E Cloonan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871735852 PECOS PAC ID: 4082854666 Enrollment ID: I20150904000620 |
| Provider Name | Roel Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285993089 PECOS PAC ID: 4385950336 Enrollment ID: I20150904001826 |
| Provider Name | William Hooks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609966985 PECOS PAC ID: 5294042149 Enrollment ID: I20150910000286 |
| Provider Name | Melissa I Almodovar-irizarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639594047 PECOS PAC ID: 6507173481 Enrollment ID: I20150910001208 |
| Provider Name | Heather M Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104209196 PECOS PAC ID: 0749597292 Enrollment ID: I20150915003128 |
| Provider Name | Amanda Ann Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487030201 PECOS PAC ID: 1254648678 Enrollment ID: I20150917002090 |
| Provider Name | Beverly a Prejean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184961856 PECOS PAC ID: 7911149729 Enrollment ID: I20150922002690 |
| Provider Name | Darcy D Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093199325 PECOS PAC ID: 2062729072 Enrollment ID: I20150923000761 |
| Provider Name | Leslie Robbins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770959900 PECOS PAC ID: 3577871573 Enrollment ID: I20150924001079 |
| Provider Name | Brent Lenhart Toland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164717633 PECOS PAC ID: 2466760368 Enrollment ID: I20150925001296 |
| Provider Name | Anu R Lamba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962601328 PECOS PAC ID: 7214107598 Enrollment ID: I20150926000028 |
| Provider Name | Booker Terry King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407910219 PECOS PAC ID: 4486752664 Enrollment ID: I20150926000085 |
| Provider Name | Abigail O Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710353487 PECOS PAC ID: 7911215637 Enrollment ID: I20150930000721 |
| Provider Name | Charles Emerson Grooters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124292263 PECOS PAC ID: 9234312612 Enrollment ID: I20151005000504 |
| Provider Name | Mary Ann Dutchover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154730166 PECOS PAC ID: 9335457738 Enrollment ID: I20151005002876 |
| Provider Name | David K Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740674894 PECOS PAC ID: 2365750494 Enrollment ID: I20151008002715 |
| Provider Name | Sai Soumya Sree Kota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710238514 PECOS PAC ID: 2264741370 Enrollment ID: I20151012000764 |
| Provider Name | Ashley Pesina-garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407109226 PECOS PAC ID: 7719208255 Enrollment ID: I20151019000388 |
| Provider Name | Eileen Neff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831179829 PECOS PAC ID: 6709195464 Enrollment ID: I20151020000498 |
| Provider Name | Kristin Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568841641 PECOS PAC ID: 4082923792 Enrollment ID: I20151020002765 |
| Provider Name | Harold Erik Fite |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548494230 PECOS PAC ID: 9830336379 Enrollment ID: I20151026000060 |
| Provider Name | Robyn L Roberts |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427377001 PECOS PAC ID: 0648589069 Enrollment ID: I20151026000105 |
| Provider Name | Derry Rajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992010433 PECOS PAC ID: 1254640683 Enrollment ID: I20151026000252 |
| Provider Name | Carrie Miller Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588034128 PECOS PAC ID: 1355650607 Enrollment ID: I20151027002777 |
| Provider Name | Jessica L Atkinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467829440 PECOS PAC ID: 6305155508 Enrollment ID: I20151028001725 |
| Provider Name | James Alan Muns |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023276466 PECOS PAC ID: 8820308612 Enrollment ID: I20151106000891 |
| Provider Name | Jena R Decanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306584 PECOS PAC ID: 5991015786 Enrollment ID: I20151106000986 |
| Provider Name | Hani Hanna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619184777 PECOS PAC ID: 8022273606 Enrollment ID: I20151109002094 |
| Provider Name | Spencer O Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386796191 PECOS PAC ID: 8325125461 Enrollment ID: I20151110000109 |
| Provider Name | Laura B Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679944946 PECOS PAC ID: 3577873165 Enrollment ID: I20151111001205 |
| Provider Name | Thomas Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548632516 PECOS PAC ID: 3870803307 Enrollment ID: I20151112000813 |
| Provider Name | Rebecca Raye Hawthorne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790155620 PECOS PAC ID: 4789994294 Enrollment ID: I20151113000475 |
| Provider Name | Rama M Atla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598928863 PECOS PAC ID: 5092986471 Enrollment ID: I20151117000819 |
| Provider Name | Jeffrey B Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689043283 PECOS PAC ID: 5193025492 Enrollment ID: I20151118000689 |
| Provider Name | Samantha Steinis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699197699 PECOS PAC ID: 3274833413 Enrollment ID: I20151119002799 |
| Provider Name | Allison K Schebler-poulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265750848 PECOS PAC ID: 4587789482 Enrollment ID: I20151120000077 |
| Provider Name | Brandon Christopher Ohman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033136908 PECOS PAC ID: 3577589654 Enrollment ID: I20151120000175 |
| Provider Name | Cedric D Mcclinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879445 PECOS PAC ID: 4587964440 Enrollment ID: I20151125000107 |
| Provider Name | Jennifer Marie Borrego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013380203 PECOS PAC ID: 0143520932 Enrollment ID: I20151201000703 |
| Provider Name | Sunita Karki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942673629 PECOS PAC ID: 0547560187 Enrollment ID: I20151203000898 |
| Provider Name | Matthew James Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821461070 PECOS PAC ID: 6406156090 Enrollment ID: I20151203003006 |
| Provider Name | July Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457723207 PECOS PAC ID: 1153621610 Enrollment ID: I20151205000016 |
| Provider Name | Natalie Ea Bachynsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840068 PECOS PAC ID: 4082914569 Enrollment ID: I20151207000741 |
| Provider Name | Olivia Castro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811296569 PECOS PAC ID: 6608176102 Enrollment ID: I20151207001307 |
| Provider Name | Delia Rhinehart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821091505 PECOS PAC ID: 7618038944 Enrollment ID: I20151215000135 |
| Provider Name | Cheryl Anne Decaprio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114390937 PECOS PAC ID: 5395046239 Enrollment ID: I20151217001072 |
| Provider Name | David W Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346625779 PECOS PAC ID: 4385945245 Enrollment ID: I20151217001952 |
| Provider Name | Sabrina Xiaorui Runbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447640057 PECOS PAC ID: 9133446743 Enrollment ID: I20151222000133 |
| Provider Name | George a Barajaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396085957 PECOS PAC ID: 0547561235 Enrollment ID: I20151222002710 |
| Provider Name | Michael Shane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135832 PECOS PAC ID: 1951603984 Enrollment ID: I20160108000252 |
| Provider Name | Tamara Diane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831577311 PECOS PAC ID: 9234432865 Enrollment ID: I20160114001941 |
| Provider Name | Kevin Michael Brady |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528002045 PECOS PAC ID: 3678553682 Enrollment ID: I20160125002344 |
| Provider Name | Odia Russette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205292968 PECOS PAC ID: 3870896566 Enrollment ID: I20160130000021 |
| Provider Name | Dana Deon Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831562834 PECOS PAC ID: 3779886460 Enrollment ID: I20160130000057 |
| Provider Name | Neelima Paladugu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518134329 PECOS PAC ID: 3678649282 Enrollment ID: I20160202000378 |
| Provider Name | Jamie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891167151 PECOS PAC ID: 7810291317 Enrollment ID: I20160203001481 |
| Provider Name | Hillary Sandlin Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992161301 PECOS PAC ID: 8921302316 Enrollment ID: I20160204001587 |
| Provider Name | Sarah G Moyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720499726 PECOS PAC ID: 6608170873 Enrollment ID: I20160209000490 |
| Provider Name | Stephanie Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396148920 PECOS PAC ID: 3870897812 Enrollment ID: I20160211000525 |
| Provider Name | Maria P Cisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720451461 PECOS PAC ID: 1355645284 Enrollment ID: I20160212000748 |
| Provider Name | Tyson E Becker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205068111 PECOS PAC ID: 1951620541 Enrollment ID: I20160217000439 |
| Provider Name | Lucas K Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467818211 PECOS PAC ID: 8123323854 Enrollment ID: I20160217002626 |
| Provider Name | James Harley Dozier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457533101 PECOS PAC ID: 3476611419 Enrollment ID: I20160224001036 |
| Provider Name | Kiona P Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861830408 PECOS PAC ID: 3476858333 Enrollment ID: I20160301002693 |
| Provider Name | Charles Egbo Awelebe Ewoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114994621 PECOS PAC ID: 4981670460 Enrollment ID: I20160302000658 |
| Provider Name | Megan Nicole Wilder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639542046 PECOS PAC ID: 9234435140 Enrollment ID: I20160302001658 |
| Provider Name | Wendi Lashea Darag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477871598 PECOS PAC ID: 2365673324 Enrollment ID: I20160303000267 |
| Provider Name | Krystal Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851730022 PECOS PAC ID: 3274839139 Enrollment ID: I20160303000407 |
| Provider Name | Kanenechukwu Ubesie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205026333 PECOS PAC ID: 2860710175 Enrollment ID: I20160310000106 |
| Provider Name | Tracy R Foltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609233535 PECOS PAC ID: 1658677943 Enrollment ID: I20160314000263 |
| Provider Name | Robert R Pettit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386001634 PECOS PAC ID: 2163728304 Enrollment ID: I20160314001946 |
| Provider Name | Graham Oliver Weaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811156227 PECOS PAC ID: 4587795273 Enrollment ID: I20160322000734 |
| Provider Name | Stacey Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083981021 PECOS PAC ID: 7517264369 Enrollment ID: I20160323000234 |
| Provider Name | April M Coursey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788941 PECOS PAC ID: 8729385463 Enrollment ID: I20160324000831 |
| Provider Name | Grace C English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679627921 PECOS PAC ID: 5890092456 Enrollment ID: I20160324001688 |
| Provider Name | Kimberly Yartklang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740670421 PECOS PAC ID: 0042517609 Enrollment ID: I20160324001786 |
| Provider Name | Clayton Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912378118 PECOS PAC ID: 1254638737 Enrollment ID: I20160329000193 |
| Provider Name | Amy Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134586290 PECOS PAC ID: 3870890247 Enrollment ID: I20160330000847 |
| Provider Name | Suzanne Michelle Gomez-diaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043284375 PECOS PAC ID: 8729386875 Enrollment ID: I20160406001112 |
| Provider Name | Rita J Loud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891155925 PECOS PAC ID: 0648578690 Enrollment ID: I20160407001889 |
| Provider Name | Ashley R Bockmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124489091 PECOS PAC ID: 8426356213 Enrollment ID: I20160412000333 |
| Provider Name | Paul Cheletre Bernard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861460438 PECOS PAC ID: 4385628338 Enrollment ID: I20160414000273 |
| Provider Name | Amy L Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780046664 PECOS PAC ID: 1355649930 Enrollment ID: I20160414001650 |
| Provider Name | Yolanda Bone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780018143 PECOS PAC ID: 8123249117 Enrollment ID: I20160415001773 |
| Provider Name | Maria Clarissa Lopez-briseno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124480751 PECOS PAC ID: 4486952744 Enrollment ID: I20160420000190 |
| Provider Name | Samantha J Palomares |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558729251 PECOS PAC ID: 1658670401 Enrollment ID: I20160428000972 |
| Provider Name | George Lee Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417967951 PECOS PAC ID: 9537144159 Enrollment ID: I20160429000339 |
| Provider Name | Christopher K Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104282565 PECOS PAC ID: 5991004509 Enrollment ID: I20160504000287 |
| Provider Name | Courtney Chavonne Alford-portley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255793451 PECOS PAC ID: 9234438854 Enrollment ID: I20160504000372 |
| Provider Name | Zareh H Khachikian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215084603 PECOS PAC ID: 3971698069 Enrollment ID: I20160504002547 |
| Provider Name | Michelle L Strong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285766121 PECOS PAC ID: 6608946025 Enrollment ID: I20160509001191 |
| Provider Name | Sharhonda Lemay Colbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760848253 PECOS PAC ID: 2961706742 Enrollment ID: I20160509002099 |
| Provider Name | Muhammad I Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891045183 PECOS PAC ID: 3274822473 Enrollment ID: I20160511000940 |
| Provider Name | Andrew T Shay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215165162 PECOS PAC ID: 6709010242 Enrollment ID: I20160518001797 |
| Provider Name | Umair Sohail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376879940 PECOS PAC ID: 0143468066 Enrollment ID: I20160519001286 |
| Provider Name | Jessica Garner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558705814 PECOS PAC ID: 4082903794 Enrollment ID: I20160519001919 |
| Provider Name | Dawn M Strain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609220110 PECOS PAC ID: 1153610761 Enrollment ID: I20160523000039 |
| Provider Name | Cristina R Wohlgehagen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609166529 PECOS PAC ID: 7214172758 Enrollment ID: I20160523000968 |
| Provider Name | David Parish |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508063157 PECOS PAC ID: 2062677495 Enrollment ID: I20160523001213 |
| Provider Name | Shahab Akvan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861706079 PECOS PAC ID: 6103116538 Enrollment ID: I20160526000494 |
| Provider Name | Tracy R Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093172785 PECOS PAC ID: 2062702236 Enrollment ID: I20160531000554 |
| Provider Name | Gilbert Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366853210 PECOS PAC ID: 2365732518 Enrollment ID: I20160601000761 |
| Provider Name | Alan Siqueiros |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861637597 PECOS PAC ID: 4880839976 Enrollment ID: I20160614001179 |
| Provider Name | Chao Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194981126 PECOS PAC ID: 1951567635 Enrollment ID: I20160615000237 |
| Provider Name | Jennifer Leigh Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316296809 PECOS PAC ID: 3779732904 Enrollment ID: I20160615001179 |
| Provider Name | Erik Garza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609119254 PECOS PAC ID: 5395961155 Enrollment ID: I20160620001574 |
| Provider Name | Swetha Panati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992934228 PECOS PAC ID: 4688979651 Enrollment ID: I20160621000125 |
| Provider Name | Fadi Hammoudeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184861791 PECOS PAC ID: 3173792363 Enrollment ID: I20160621000425 |
| Provider Name | Christie Lathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215180047 PECOS PAC ID: 1052443736 Enrollment ID: I20160701001103 |
| Provider Name | Kimberly Theriot Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992155477 PECOS PAC ID: 4880986066 Enrollment ID: I20160708000245 |
| Provider Name | Darrell a Alviar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093103962 PECOS PAC ID: 2769775469 Enrollment ID: I20160718001876 |
| Provider Name | Rohit Khanolkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720085681 PECOS PAC ID: 2062463219 Enrollment ID: I20160719001934 |
| Provider Name | Jennifer M Kresta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407176274 PECOS PAC ID: 7810280401 Enrollment ID: I20160719002218 |
| Provider Name | John a Lahourcade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699060400 PECOS PAC ID: 0143513739 Enrollment ID: I20160719002343 |
| Provider Name | Christopher Jimenez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700013398 PECOS PAC ID: 3870725872 Enrollment ID: I20160720000387 |
| Provider Name | Carmine Vincifora |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265752315 PECOS PAC ID: 3274826847 Enrollment ID: I20160720001977 |
| Provider Name | Rachel Kay Longacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639524861 PECOS PAC ID: 1153614326 Enrollment ID: I20160726000898 |
| Provider Name | Vijaya S R Dendi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326480377 PECOS PAC ID: 1951602630 Enrollment ID: I20160727000828 |
| Provider Name | Kyle J Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548569056 PECOS PAC ID: 3971896937 Enrollment ID: I20160728000523 |
| Provider Name | Abhay Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245642081 PECOS PAC ID: 5890919344 Enrollment ID: I20160729001712 |
| Provider Name | Chris Deaton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578914925 PECOS PAC ID: 2567756927 Enrollment ID: I20160808001190 |
| Provider Name | Cara Cockerill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033404082 PECOS PAC ID: 5092963272 Enrollment ID: I20160808001470 |
| Provider Name | Sunday a Agboola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669603031 PECOS PAC ID: 9638326739 Enrollment ID: I20160811001113 |
| Provider Name | Brandi L Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578915633 PECOS PAC ID: 8729373568 Enrollment ID: I20160818001374 |
| Provider Name | Gabriela Vazquez Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184065815 PECOS PAC ID: 5698060358 Enrollment ID: I20160820000129 |
| Provider Name | Rene Franco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972948081 PECOS PAC ID: 0840585410 Enrollment ID: I20160822000624 |
| Provider Name | Donald Roseberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033585468 PECOS PAC ID: 2860787140 Enrollment ID: I20160825001564 |
| Provider Name | Timothy Chamberlain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487090536 PECOS PAC ID: 7810282126 Enrollment ID: I20160825002387 |
| Provider Name | Kelvin D Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518229178 PECOS PAC ID: 3870899768 Enrollment ID: I20160825002780 |
| Provider Name | Georg Elias |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952542680 PECOS PAC ID: 6608016860 Enrollment ID: I20160826000697 |
| Provider Name | Kolawole Omodayo Atandeyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669608436 PECOS PAC ID: 8527222926 Enrollment ID: I20160830002264 |
| Provider Name | Erica Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124480538 PECOS PAC ID: 6709172638 Enrollment ID: I20160901001157 |
| Provider Name | Richard K Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003858952 PECOS PAC ID: 7618979022 Enrollment ID: I20160914002686 |
| Provider Name | Brandi Addison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891115275 PECOS PAC ID: 6800183872 Enrollment ID: I20160920001716 |
| Provider Name | Babatunde O Oyediran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639432107 PECOS PAC ID: 3072800994 Enrollment ID: I20160921000464 |
| Provider Name | James G Hoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043253693 PECOS PAC ID: 9638151723 Enrollment ID: I20160922001366 |
| Provider Name | Emily a Dosier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407294101 PECOS PAC ID: 3779875505 Enrollment ID: I20160922001553 |
| Provider Name | Patricia Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073932067 PECOS PAC ID: 1052608742 Enrollment ID: I20160923000629 |
| Provider Name | Tracey a Banks-greczanik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487971297 PECOS PAC ID: 5496997546 Enrollment ID: I20160923002157 |
| Provider Name | Joseph K Kurian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316207400 PECOS PAC ID: 6901193580 Enrollment ID: I20160926000972 |
| Provider Name | Christin Jennifer Stoner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366855363 PECOS PAC ID: 1153543772 Enrollment ID: I20160928000785 |
| Provider Name | Tamra L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073960969 PECOS PAC ID: 6103113311 Enrollment ID: I20160930001752 |
| Provider Name | Vikas Goyal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275853327 PECOS PAC ID: 6507005758 Enrollment ID: I20161003000250 |
| Provider Name | Emily Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649725557 PECOS PAC ID: 2961790118 Enrollment ID: I20161004002072 |
| Provider Name | Henry Ssentongo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639418353 PECOS PAC ID: 5294974887 Enrollment ID: I20161004002279 |
| Provider Name | Madhavi Annakula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386075083 PECOS PAC ID: 9830498294 Enrollment ID: I20161005002784 |
| Provider Name | Edward Charles Osterberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477795458 PECOS PAC ID: 0547574980 Enrollment ID: I20161011001430 |
| Provider Name | James B Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932178738 PECOS PAC ID: 6406944925 Enrollment ID: I20161012001388 |
| Provider Name | Roshni P Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255691242 PECOS PAC ID: 6507144763 Enrollment ID: I20161024001394 |
| Provider Name | Lisa Gamble |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710998232 PECOS PAC ID: 5991779175 Enrollment ID: I20161031000417 |
| Provider Name | Edward Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285073890 PECOS PAC ID: 3678882602 Enrollment ID: I20161107002295 |
| Provider Name | Nithin Reddy Nayini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780022681 PECOS PAC ID: 3678872116 Enrollment ID: I20161108000918 |
| Provider Name | Rama Krishna Kancharla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093145245 PECOS PAC ID: 5698054062 Enrollment ID: I20161108001748 |
| Provider Name | Leah Irving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801344551 PECOS PAC ID: 1355620667 Enrollment ID: I20161109000774 |
| Provider Name | Travis Wies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952607467 PECOS PAC ID: 6608057542 Enrollment ID: I20161110000172 |
| Provider Name | Saba a Rizvi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568677045 PECOS PAC ID: 3274603519 Enrollment ID: I20161112000147 |
| Provider Name | Odochi Ariwodo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356896013 PECOS PAC ID: 5193004927 Enrollment ID: I20161117001922 |
| Provider Name | Kyle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639620271 PECOS PAC ID: 8325327869 Enrollment ID: I20161128001055 |
| Provider Name | Anwar Y Zaman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760773709 PECOS PAC ID: 9335428804 Enrollment ID: I20161128002244 |
| Provider Name | Gabriel Elia Yacob |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003107285 PECOS PAC ID: 1759523038 Enrollment ID: I20161129001033 |
| Provider Name | Sohrab Rahimi Naini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831352095 PECOS PAC ID: 4082760095 Enrollment ID: I20161201001846 |
| Provider Name | Waheeda Mithani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497952253 PECOS PAC ID: 5698944882 Enrollment ID: I20161202000824 |
| Provider Name | Terris White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467773978 PECOS PAC ID: 4880974146 Enrollment ID: I20161205000246 |
| Provider Name | Daniel Pace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043646425 PECOS PAC ID: 7315173697 Enrollment ID: I20161206001048 |
| Provider Name | Andrew Covey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245785187 PECOS PAC ID: 3779863840 Enrollment ID: I20161207000111 |
| Provider Name | Gale J Hobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487893525 PECOS PAC ID: 7416179346 Enrollment ID: I20161207002071 |
| Provider Name | Katherine a Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891245908 PECOS PAC ID: 3577843408 Enrollment ID: I20161209001307 |
| Provider Name | Robert a Izenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922006188 PECOS PAC ID: 2264583483 Enrollment ID: I20161210000054 |
| Provider Name | James B Buchinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063567634 PECOS PAC ID: 4082700273 Enrollment ID: I20161213001622 |
| Provider Name | Toby C Silvertooth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144771288 PECOS PAC ID: 7315227121 Enrollment ID: I20161214000991 |
| Provider Name | Susan D Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770964991 PECOS PAC ID: 2668752304 Enrollment ID: I20161215000101 |
| Provider Name | Christina Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841641735 PECOS PAC ID: 7012297674 Enrollment ID: I20161217000221 |
| Provider Name | Lija L Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891135125 PECOS PAC ID: 3779807300 Enrollment ID: I20161219002084 |
| Provider Name | Jarrett D Aldinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689934788 PECOS PAC ID: 5496036956 Enrollment ID: I20161221002105 |
| Provider Name | Kathleen a Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248410 PECOS PAC ID: 6608183736 Enrollment ID: I20161227000626 |
| Provider Name | Padgett Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083158802 PECOS PAC ID: 1052692316 Enrollment ID: I20161227001997 |
| Provider Name | Michelle Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417407149 PECOS PAC ID: 2567743859 Enrollment ID: I20161228000854 |
| Provider Name | Binita Kharel Nepal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629423363 PECOS PAC ID: 8426339508 Enrollment ID: I20170104000102 |
| Provider Name | Margarete J Borck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518228147 PECOS PAC ID: 2769763853 Enrollment ID: I20170104000271 |
| Provider Name | Mark E Vig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023251527 PECOS PAC ID: 2668621368 Enrollment ID: I20170106001629 |
| Provider Name | Brittany M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093854721 PECOS PAC ID: 9537440482 Enrollment ID: I20170109000165 |
| Provider Name | Jerome P Lisk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821036500 PECOS PAC ID: 4082667159 Enrollment ID: I20170109001582 |
| Provider Name | Asif Sewani |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245434836 PECOS PAC ID: 4486721305 Enrollment ID: I20170111001328 |
| Provider Name | Jacob Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669921789 PECOS PAC ID: 9739461435 Enrollment ID: I20170112001640 |
| Provider Name | Tammy Renee Huff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417490566 PECOS PAC ID: 3577843820 Enrollment ID: I20170113000522 |
| Provider Name | Christian D Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235685538 PECOS PAC ID: 2961784509 Enrollment ID: I20170117000654 |
| Provider Name | Penny Shavers Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215489935 PECOS PAC ID: 1254613615 Enrollment ID: I20170119000245 |
| Provider Name | Holly M Bastian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588619043 PECOS PAC ID: 1850436007 Enrollment ID: I20170120000262 |
| Provider Name | Jennifer N Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598161663 PECOS PAC ID: 2062794241 Enrollment ID: I20170124000467 |
| Provider Name | Mohamed Omballi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184867996 PECOS PAC ID: 3577791433 Enrollment ID: I20170124001377 |
| Provider Name | Jessica Ann King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454160 PECOS PAC ID: 6901113471 Enrollment ID: I20170124001988 |
| Provider Name | Erich Paul Gerhardt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851528335 PECOS PAC ID: 7618126145 Enrollment ID: I20170124002763 |
| Provider Name | Matthew S Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942743547 PECOS PAC ID: 6305128240 Enrollment ID: I20170130000260 |
| Provider Name | Pamela D Mackay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124562012 PECOS PAC ID: 6507148343 Enrollment ID: I20170131001324 |
| Provider Name | Debra A. King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548710239 PECOS PAC ID: 2860775665 Enrollment ID: I20170201001157 |
| Provider Name | Viktor Miro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073856019 PECOS PAC ID: 9931482718 Enrollment ID: I20170202001176 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20170208000223 |
| Provider Name | Eric Lavoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508120239 PECOS PAC ID: 9739318031 Enrollment ID: I20170208001901 |
| Provider Name | Joseph Arnold Baidoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164798534 PECOS PAC ID: 3072777838 Enrollment ID: I20170209002101 |
| Provider Name | Uju Nnameka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568805042 PECOS PAC ID: 3173810579 Enrollment ID: I20170210001679 |
| Provider Name | Justin Olinde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831417518 PECOS PAC ID: 5597992701 Enrollment ID: I20170215000993 |
| Provider Name | Atam Mehdiratta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700828050 PECOS PAC ID: 7810892171 Enrollment ID: I20170220000232 |
| Provider Name | Parul Kaushik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497014872 PECOS PAC ID: 3072758986 Enrollment ID: I20170222001077 |
| Provider Name | Kelly Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180354 PECOS PAC ID: 2961786678 Enrollment ID: I20170224000636 |
| Provider Name | Melinda S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770020778 PECOS PAC ID: 9032493622 Enrollment ID: I20170227001664 |
| Provider Name | Sonya Grigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962949768 PECOS PAC ID: 9830473453 Enrollment ID: I20170228000080 |
| Provider Name | Wayne Eric Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528030095 PECOS PAC ID: 0749251981 Enrollment ID: I20170303000588 |
| Provider Name | Mitchell W Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407392822 PECOS PAC ID: 1355625682 Enrollment ID: I20170303001159 |
| Provider Name | Murray S Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134665607 PECOS PAC ID: 6002190394 Enrollment ID: I20170306001362 |
| Provider Name | Angelique a Brannon-goedeke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699918946 PECOS PAC ID: 5294961728 Enrollment ID: I20170306002233 |
| Provider Name | Jorge I Garcia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235332404 PECOS PAC ID: 7416040175 Enrollment ID: I20170316000604 |
| Provider Name | Anthony W Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407105547 PECOS PAC ID: 9931343274 Enrollment ID: I20170317001040 |
| Provider Name | Jacqueline Moran Weber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689113060 PECOS PAC ID: 4880979590 Enrollment ID: I20170321000482 |
| Provider Name | Misty L Baggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719147 PECOS PAC ID: 8123303526 Enrollment ID: I20170328000125 |
| Provider Name | Ashley Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639619943 PECOS PAC ID: 1355626615 Enrollment ID: I20170329000203 |
| Provider Name | Shania W Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790223279 PECOS PAC ID: 5698050961 Enrollment ID: I20170329000700 |
| Provider Name | Stephen T Ingram |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659780146 PECOS PAC ID: 7719109883 Enrollment ID: I20170403001108 |
| Provider Name | Richard Greczanik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689823429 PECOS PAC ID: 5698813491 Enrollment ID: I20170404000813 |
| Provider Name | Jeta L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366899288 PECOS PAC ID: 1759667819 Enrollment ID: I20170404002497 |
| Provider Name | Tanya L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420310 PECOS PAC ID: 3678859683 Enrollment ID: I20170405001984 |
| Provider Name | Jamie L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538609920 PECOS PAC ID: 1850677766 Enrollment ID: I20170407000668 |
| Provider Name | Kalee L Kirk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407232010 PECOS PAC ID: 9638455314 Enrollment ID: I20170412000210 |
| Provider Name | Colbie Cross Norment |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801263439 PECOS PAC ID: 3072899756 Enrollment ID: I20170412000316 |
| Provider Name | Terri Lee Hoffman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871512137 PECOS PAC ID: 3577450733 Enrollment ID: I20170412001810 |
| Provider Name | Nagi Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831313733 PECOS PAC ID: 6103102678 Enrollment ID: I20170418000259 |
| Provider Name | Christopher M Warmath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458223 PECOS PAC ID: 8022394485 Enrollment ID: I20170419001290 |
| Provider Name | Michael a Mckelva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346771748 PECOS PAC ID: 0941586275 Enrollment ID: I20170420001886 |
| Provider Name | Hiep C Nguyen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821189937 PECOS PAC ID: 9436251642 Enrollment ID: I20170424001870 |
| Provider Name | Alisha Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043751464 PECOS PAC ID: 5496031676 Enrollment ID: I20170425000899 |
| Provider Name | James D Bove |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487695664 PECOS PAC ID: 7810974318 Enrollment ID: I20170426001170 |
| Provider Name | Naomi Mathew |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376857292 PECOS PAC ID: 4486931466 Enrollment ID: I20170428001204 |
| Provider Name | Khabeer Abdul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992252266 PECOS PAC ID: 5597042507 Enrollment ID: I20170501000308 |
| Provider Name | Flora Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154778751 PECOS PAC ID: 1355628207 Enrollment ID: I20170503001026 |
| Provider Name | Laurean Jada Winston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790111490 PECOS PAC ID: 7719117431 Enrollment ID: I20170510001848 |
| Provider Name | Johnson Mwangi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578748505 PECOS PAC ID: 6608185103 Enrollment ID: I20170510002290 |
| Provider Name | Melanie L Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508912502 PECOS PAC ID: 2062501794 Enrollment ID: I20170525002617 |
| Provider Name | Jeremy R Cefalu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306289186 PECOS PAC ID: 4284930983 Enrollment ID: I20170530000331 |
| Provider Name | Jamie Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194264614 PECOS PAC ID: 7911274527 Enrollment ID: I20170602001842 |
| Provider Name | Andrew P Okelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073907069 PECOS PAC ID: 1951689090 Enrollment ID: I20170602001973 |
| Provider Name | Rhonda Kay Tower Siddens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417497520 PECOS PAC ID: 7113294653 Enrollment ID: I20170605000646 |
| Provider Name | Mfon Ofong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598297798 PECOS PAC ID: 3375810864 Enrollment ID: I20170605002598 |
| Provider Name | Megan T DO |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780981670 PECOS PAC ID: 4284876368 Enrollment ID: I20170607000209 |
| Provider Name | Julius Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144769365 PECOS PAC ID: 7810265196 Enrollment ID: I20170608002298 |
| Provider Name | Diane E Jendrzey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790764983 PECOS PAC ID: 1759395023 Enrollment ID: I20170615001983 |
| Provider Name | Allison Patrice Payne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194166876 PECOS PAC ID: 9537437462 Enrollment ID: I20170619002276 |
| Provider Name | Miriam Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780627919 PECOS PAC ID: 3779851506 Enrollment ID: I20170619002513 |
| Provider Name | Juan Ferreris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841317922 PECOS PAC ID: 8224305388 Enrollment ID: I20170620001684 |
| Provider Name | John a Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104238666 PECOS PAC ID: 3971729898 Enrollment ID: I20170621000532 |
| Provider Name | Nadyn M Giralt Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417361148 PECOS PAC ID: 4284902974 Enrollment ID: I20170621002705 |
| Provider Name | Shahed Izaddoost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386928562 PECOS PAC ID: 0749559276 Enrollment ID: I20170627000770 |
| Provider Name | Steven H Hsu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164708772 PECOS PAC ID: 9234451188 Enrollment ID: I20170628003224 |
| Provider Name | Thalia N Casimire |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467650507 PECOS PAC ID: 6507085271 Enrollment ID: I20170629002048 |
| Provider Name | Joseph G Carver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720408909 PECOS PAC ID: 9032435805 Enrollment ID: I20170706002830 |
| Provider Name | Rosemary Nustas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689094880 PECOS PAC ID: 8224255864 Enrollment ID: I20170711002829 |
| Provider Name | William B Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659634277 PECOS PAC ID: 0143457283 Enrollment ID: I20170712001841 |
| Provider Name | Meagan M Culpepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861929234 PECOS PAC ID: 7618246257 Enrollment ID: I20170713000225 |
| Provider Name | Bryan Christopher Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629489364 PECOS PAC ID: 0941594493 Enrollment ID: I20170714000263 |
| Provider Name | Aminatu Akande |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104265032 PECOS PAC ID: 3072757897 Enrollment ID: I20170717000543 |
| Provider Name | Jessica Wilkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104175553 PECOS PAC ID: 5496025892 Enrollment ID: I20170718001576 |
| Provider Name | Imam H Shaik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609294586 PECOS PAC ID: 0648587808 Enrollment ID: I20170719002404 |
| Provider Name | Sridhar Venkatachalam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659509990 PECOS PAC ID: 9537214564 Enrollment ID: I20170721000138 |
| Provider Name | Jonathan a Canion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295154631 PECOS PAC ID: 8729387691 Enrollment ID: I20170726001003 |
| Provider Name | Yordanos Azene Habtegebriel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053699694 PECOS PAC ID: 5294055760 Enrollment ID: I20170801001565 |
| Provider Name | Paul M Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922319052 PECOS PAC ID: 1456663442 Enrollment ID: I20170801001841 |
| Provider Name | Narpinder Dhanoa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801202783 PECOS PAC ID: 5496064271 Enrollment ID: I20170803002811 |
| Provider Name | Cristal a Saenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740736016 PECOS PAC ID: 9537430715 Enrollment ID: I20170807001074 |
| Provider Name | Jessica Schechtman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396188157 PECOS PAC ID: 0648589309 Enrollment ID: I20170807001710 |
| Provider Name | Carah Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609288091 PECOS PAC ID: 3274831607 Enrollment ID: I20170808002645 |
| Provider Name | Ali Khalifa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588930242 PECOS PAC ID: 8123399037 Enrollment ID: I20170810000464 |
| Provider Name | Yashashree a Vegi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023420999 PECOS PAC ID: 7315245537 Enrollment ID: I20170810000523 |
| Provider Name | Lacey Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043732266 PECOS PAC ID: 5597036426 Enrollment ID: I20170810001320 |
| Provider Name | Rita a Alumanah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457771818 PECOS PAC ID: 5294050340 Enrollment ID: I20170811001364 |
| Provider Name | Kerry L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629326251 PECOS PAC ID: 3274824750 Enrollment ID: I20170811001863 |
| Provider Name | Hayden Head |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568874824 PECOS PAC ID: 9931407798 Enrollment ID: I20170814000049 |
| Provider Name | Leila Green |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245484534 PECOS PAC ID: 6507150034 Enrollment ID: I20170818000267 |
| Provider Name | Britton S Plemmons |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093154189 PECOS PAC ID: 1850686528 Enrollment ID: I20170822000805 |
| Provider Name | Farooq F Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972597821 PECOS PAC ID: 1153362579 Enrollment ID: I20170822002467 |
| Provider Name | Khalid Sherani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760873293 PECOS PAC ID: 3577835743 Enrollment ID: I20170823000717 |
| Provider Name | Neel Srikishen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912286048 PECOS PAC ID: 0648542761 Enrollment ID: I20170823003556 |
| Provider Name | Mohammad Makkouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467864686 PECOS PAC ID: 7315246519 Enrollment ID: I20170829000164 |
| Provider Name | Henock Zabher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003846221 PECOS PAC ID: 6406848704 Enrollment ID: I20170829001148 |
| Provider Name | Mestawet Teka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225341563 PECOS PAC ID: 3870812357 Enrollment ID: I20170901000392 |
| Provider Name | Jennifer L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518494285 PECOS PAC ID: 9234402801 Enrollment ID: I20170901000424 |
| Provider Name | Spiros Manolidis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205976008 PECOS PAC ID: 2567423726 Enrollment ID: I20170906000656 |
| Provider Name | Ermias S Abebe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548558273 PECOS PAC ID: 0648563890 Enrollment ID: I20170906001915 |
| Provider Name | Tessa N Mauldin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814172 PECOS PAC ID: 6204109267 Enrollment ID: I20170913002611 |
| Provider Name | Marjorie Ann Malbas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588977284 PECOS PAC ID: 1759655780 Enrollment ID: I20170914002034 |
| Provider Name | Evita Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194125732 PECOS PAC ID: 6002187895 Enrollment ID: I20170918001647 |
| Provider Name | John Mark Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912319427 PECOS PAC ID: 6204100068 Enrollment ID: I20170919000536 |
| Provider Name | Chelsea Flitcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695364 PECOS PAC ID: 3678847365 Enrollment ID: I20170919002518 |
| Provider Name | Ramchander K Chari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952351603 PECOS PAC ID: 0840266037 Enrollment ID: I20170922000312 |
| Provider Name | Sailaja Sakam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023399144 PECOS PAC ID: 5890009096 Enrollment ID: I20170922003212 |
| Provider Name | Alma Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306189808 PECOS PAC ID: 8022234491 Enrollment ID: I20170925002375 |
| Provider Name | Elliot R Row |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689965345 PECOS PAC ID: 1456625656 Enrollment ID: I20170927002402 |
| Provider Name | Matthew Michael Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326305236 PECOS PAC ID: 6002190055 Enrollment ID: I20170927004200 |
| Provider Name | Julie L Kaesberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649323791 PECOS PAC ID: 3173898160 Enrollment ID: I20170929003155 |
| Provider Name | Heather Leigh Licht |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043505001 PECOS PAC ID: 5092080812 Enrollment ID: I20171004002752 |
| Provider Name | Adelina G Meadows |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124375969 PECOS PAC ID: 9234359878 Enrollment ID: I20171004002841 |
| Provider Name | Leigh a Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487981452 PECOS PAC ID: 8022383702 Enrollment ID: I20171005001649 |
| Provider Name | Mary K Eagleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669765350 PECOS PAC ID: 1153696851 Enrollment ID: I20171005002436 |
| Provider Name | Demetrice Lorraine Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407823735 PECOS PAC ID: 7416125398 Enrollment ID: I20171006001844 |
| Provider Name | Heidi Carr Lehnig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609282664 PECOS PAC ID: 1052637998 Enrollment ID: I20171010002873 |
| Provider Name | Kara K Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225448699 PECOS PAC ID: 3870875388 Enrollment ID: I20171011002670 |
| Provider Name | Gabriel T Faz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285936625 PECOS PAC ID: 1850682477 Enrollment ID: I20171013002486 |
| Provider Name | Roberta L Sanders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619297348 PECOS PAC ID: 0446376552 Enrollment ID: I20171017001295 |
| Provider Name | Malasha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730591959 PECOS PAC ID: 9234438904 Enrollment ID: I20171019002653 |
| Provider Name | Bryan Scott Shaver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659826626 PECOS PAC ID: 6608143672 Enrollment ID: I20171023002520 |
| Provider Name | Caleb James Mentzer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285920223 PECOS PAC ID: 8628217023 Enrollment ID: I20171024000037 |
| Provider Name | Kelly Denise Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821526146 PECOS PAC ID: 8123394798 Enrollment ID: I20171026000709 |
| Provider Name | Varalaxmi Sreeram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881003010 PECOS PAC ID: 2163721259 Enrollment ID: I20171030003212 |
| Provider Name | Elizabeth Hope Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922524644 PECOS PAC ID: 9436425774 Enrollment ID: I20171101000189 |
| Provider Name | Muhammad Farooqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356768303 PECOS PAC ID: 9133340938 Enrollment ID: I20171101003522 |
| Provider Name | Rebecca J Lassetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821342296 PECOS PAC ID: 3173889995 Enrollment ID: I20171113000254 |
| Provider Name | Clinton S Lanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881105088 PECOS PAC ID: 3072870351 Enrollment ID: I20171121001294 |
| Provider Name | Leann Dawn Calvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114438892 PECOS PAC ID: 5294092581 Enrollment ID: I20171121002198 |
| Provider Name | Thomas Ryan Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093231631 PECOS PAC ID: 5597022897 Enrollment ID: I20171121002516 |
| Provider Name | Michael D Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649781220 PECOS PAC ID: 1658638978 Enrollment ID: I20171121003138 |
| Provider Name | Charles a Aswell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861433609 PECOS PAC ID: 6608883517 Enrollment ID: I20171122000430 |
| Provider Name | Charlotte Hagy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760916308 PECOS PAC ID: 7517224421 Enrollment ID: I20171201000862 |
| Provider Name | Oliver Lee Kesterson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306997515 PECOS PAC ID: 9335116300 Enrollment ID: I20171202000140 |
| Provider Name | Christina J Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396254678 PECOS PAC ID: 3678830460 Enrollment ID: I20171204001166 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20171205001286 |
| Provider Name | Abigayle Jorgenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952811655 PECOS PAC ID: 7012274640 Enrollment ID: I20171206001966 |
| Provider Name | Obinna Ukabam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528354545 PECOS PAC ID: 0345489696 Enrollment ID: I20171211000211 |
| Provider Name | Abdelrazig B Suliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163408 PECOS PAC ID: 0042519142 Enrollment ID: I20171211000944 |
| Provider Name | Reynaldo B Daba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184167561 PECOS PAC ID: 3476811910 Enrollment ID: I20171211001757 |
| Provider Name | Kinjal Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679860290 PECOS PAC ID: 5294050951 Enrollment ID: I20171212000041 |
| Provider Name | Nicole Kalgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417471566 PECOS PAC ID: 5597023762 Enrollment ID: I20171215001280 |
| Provider Name | Teshome Gebrmichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215344791 PECOS PAC ID: 3971722513 Enrollment ID: I20171218000469 |
| Provider Name | Megan E Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922526219 PECOS PAC ID: 8527326602 Enrollment ID: I20171219000588 |
| Provider Name | Heather E West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295247989 PECOS PAC ID: 4880952969 Enrollment ID: I20171219000660 |
| Provider Name | Coby Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497268809 PECOS PAC ID: 4486912565 Enrollment ID: I20171219000871 |
| Provider Name | David a Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851805055 PECOS PAC ID: 1052679149 Enrollment ID: I20171219001200 |
| Provider Name | Thar Yahya Yasir Elbaage |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851336341 PECOS PAC ID: 2163316688 Enrollment ID: I20171220000244 |
| Provider Name | Karissa Monique Nauert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962753491 PECOS PAC ID: 1052679016 Enrollment ID: I20171220001585 |
| Provider Name | Vikas Bansal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689782559 PECOS PAC ID: 4284679093 Enrollment ID: I20180102000336 |
| Provider Name | Jennifer L Bardwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558870360 PECOS PAC ID: 2062770753 Enrollment ID: I20180102000508 |
| Provider Name | Devin Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477090637 PECOS PAC ID: 8325321771 Enrollment ID: I20180102000700 |
| Provider Name | Olakumbi B Otulana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760769699 PECOS PAC ID: 7911286554 Enrollment ID: I20180108001934 |
| Provider Name | Aaron M Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477842896 PECOS PAC ID: 2961623681 Enrollment ID: I20180111002780 |
| Provider Name | Kyle P Urbanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346778685 PECOS PAC ID: 2961761101 Enrollment ID: I20180117000463 |
| Provider Name | Robert James Leach |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114910411 PECOS PAC ID: 1658352893 Enrollment ID: I20180119000905 |
| Provider Name | Charlie E Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275053910 PECOS PAC ID: 6406115328 Enrollment ID: I20180122001273 |
| Provider Name | Scott C Robertson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356394423 PECOS PAC ID: 7719975325 Enrollment ID: I20180124001758 |
| Provider Name | Michele L Bentoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356856652 PECOS PAC ID: 5395005011 Enrollment ID: I20180129000310 |
| Provider Name | Divya B Pious |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386064277 PECOS PAC ID: 5395014872 Enrollment ID: I20180205001540 |
| Provider Name | Facundo Fulgueira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184042343 PECOS PAC ID: 8527328806 Enrollment ID: I20180206000471 |
| Provider Name | Seth M. Hale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144666025 PECOS PAC ID: 5496055121 Enrollment ID: I20180208000497 |
| Provider Name | Matthew H Wilkerson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134566946 PECOS PAC ID: 3577707199 Enrollment ID: I20180208002016 |
| Provider Name | Karli Kay Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871027847 PECOS PAC ID: 1456619949 Enrollment ID: I20180209000445 |
| Provider Name | Hussien Elsiesy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265450811 PECOS PAC ID: 5395636815 Enrollment ID: I20180213001234 |
| Provider Name | Kalin Siros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558875195 PECOS PAC ID: 7416218128 Enrollment ID: I20180220002781 |
| Provider Name | Laura C Flores-rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104121250 PECOS PAC ID: 3779880018 Enrollment ID: I20180222002295 |
| Provider Name | Shenise Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265969380 PECOS PAC ID: 2365703832 Enrollment ID: I20180223001731 |
| Provider Name | Ryan Patrick Morton |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922239268 PECOS PAC ID: 4688993892 Enrollment ID: I20180227000472 |
| Provider Name | Cody C Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689174955 PECOS PAC ID: 9739440124 Enrollment ID: I20180227002330 |
| Provider Name | Shana Turbyfill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982111514 PECOS PAC ID: 6608137005 Enrollment ID: I20180227003166 |
| Provider Name | Ryan Sexton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134660905 PECOS PAC ID: 1850658634 Enrollment ID: I20180301000479 |
| Provider Name | Kasey M Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255841144 PECOS PAC ID: 4688935885 Enrollment ID: I20180305001003 |
| Provider Name | Kristen Nicole Voivedich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700384310 PECOS PAC ID: 8123389194 Enrollment ID: I20180308000709 |
| Provider Name | Tonja Deem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376045831 PECOS PAC ID: 0840552469 Enrollment ID: I20180320000779 |
| Provider Name | Francis X Robichaux |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316998149 PECOS PAC ID: 8921903790 Enrollment ID: I20180320001986 |
| Provider Name | Margaret Warren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841519394 PECOS PAC ID: 6800010638 Enrollment ID: I20180321002341 |
| Provider Name | Lasandra Denise Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356429674 PECOS PAC ID: 8426040882 Enrollment ID: I20180322002695 |
| Provider Name | Christa Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235644451 PECOS PAC ID: 0143582536 Enrollment ID: I20180323000296 |
| Provider Name | Kathleen Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013417823 PECOS PAC ID: 2567724685 Enrollment ID: I20180329000438 |
| Provider Name | Kaylee B Pasley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598277105 PECOS PAC ID: 6103189972 Enrollment ID: I20180409000335 |
| Provider Name | Valerie Joyce Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790284701 PECOS PAC ID: 6901169747 Enrollment ID: I20180410000605 |
| Provider Name | Brandy M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447761390 PECOS PAC ID: 5991068751 Enrollment ID: I20180410001691 |
| Provider Name | Sonseira Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275035941 PECOS PAC ID: 1951664523 Enrollment ID: I20180412000982 |
| Provider Name | Tameka T Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740784594 PECOS PAC ID: 5991068579 Enrollment ID: I20180412001292 |
| Provider Name | Daniel R Klinger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326208414 PECOS PAC ID: 8820302474 Enrollment ID: I20180416002596 |
| Provider Name | Lizbeth Grubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568964203 PECOS PAC ID: 2668735952 Enrollment ID: I20180419001989 |
| Provider Name | Kimberly Ellen Catlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922388727 PECOS PAC ID: 6608035092 Enrollment ID: I20180419002675 |
| Provider Name | Michael Nwaneri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073788444 PECOS PAC ID: 2365604709 Enrollment ID: I20180420002198 |
| Provider Name | Brandon G Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306340690 PECOS PAC ID: 5799048831 Enrollment ID: I20180424001448 |
| Provider Name | Adam Don Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821502931 PECOS PAC ID: 3678837408 Enrollment ID: I20180503000377 |
| Provider Name | Laine Anderson Claxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790292266 PECOS PAC ID: 1951665454 Enrollment ID: I20180509002155 |
| Provider Name | Oluwaseyi D Adejorin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770895252 PECOS PAC ID: 9638312820 Enrollment ID: I20180511001137 |
| Provider Name | Jason Ben Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104323336 PECOS PAC ID: 4789949876 Enrollment ID: I20180518001833 |
| Provider Name | Hope Abrego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689179087 PECOS PAC ID: 9436414448 Enrollment ID: I20180522002178 |
| Provider Name | Tomi R Yezak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285124842 PECOS PAC ID: 8527313899 Enrollment ID: I20180611001824 |
| Provider Name | Schola a Nwachukwu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548555782 PECOS PAC ID: 0244552537 Enrollment ID: I20180613000299 |
| Provider Name | Asif J Ali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972941904 PECOS PAC ID: 4284932658 Enrollment ID: I20180614001258 |
| Provider Name | Thomas J Percival |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982864435 PECOS PAC ID: 5799906764 Enrollment ID: I20180614001810 |
| Provider Name | Isaac Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427443043 PECOS PAC ID: 3375857949 Enrollment ID: I20180622000785 |
| Provider Name | Rob T Hruska |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487944500 PECOS PAC ID: 4981910338 Enrollment ID: I20180625000778 |
| Provider Name | Melissa Ann Lamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699282087 PECOS PAC ID: 5597011817 Enrollment ID: I20180628002654 |
| Provider Name | Paul James Schmitt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003115270 PECOS PAC ID: 0547498305 Enrollment ID: I20180703001110 |
| Provider Name | Christopher M Sirianni |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1467896241 PECOS PAC ID: 4486936747 Enrollment ID: I20180706000828 |
| Provider Name | Pedro M Calderon Artero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568751196 PECOS PAC ID: 6507112463 Enrollment ID: I20180706001301 |
| Provider Name | Movses Hayrabedian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801265046 PECOS PAC ID: 9133428014 Enrollment ID: I20180711002036 |
| Provider Name | Ryan Tubre |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821434630 PECOS PAC ID: 7719283365 Enrollment ID: I20180712000666 |
| Provider Name | Ehson Javaid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528351715 PECOS PAC ID: 3870813611 Enrollment ID: I20180712001803 |
| Provider Name | Pearl Diana Mwansa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487033650 PECOS PAC ID: 9931411170 Enrollment ID: I20180716000701 |
| Provider Name | Henry Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801398235 PECOS PAC ID: 0042572448 Enrollment ID: I20180718003595 |
| Provider Name | Scott Fraser Kohlert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407358740 PECOS PAC ID: 2062769177 Enrollment ID: I20180720000972 |
| Provider Name | Robel Fikre Desta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992187694 PECOS PAC ID: 3678878659 Enrollment ID: I20180723000235 |
| Provider Name | Tiffany Renae Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225520505 PECOS PAC ID: 6406103316 Enrollment ID: I20180724002359 |
| Provider Name | Andrew Thomas Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770961674 PECOS PAC ID: 6608123526 Enrollment ID: I20180724002708 |
| Provider Name | Amaree Terrazas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194247890 PECOS PAC ID: 3870841489 Enrollment ID: I20180730001612 |
| Provider Name | Genevieve Ann Fonseca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689164733 PECOS PAC ID: 0446508865 Enrollment ID: I20180801002224 |
| Provider Name | Rodney L Lagrone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295154284 PECOS PAC ID: 0648597997 Enrollment ID: I20180803000575 |
| Provider Name | Rhonda Kay Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518450600 PECOS PAC ID: 2961750922 Enrollment ID: I20180807003610 |
| Provider Name | Christie Mannino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740611177 PECOS PAC ID: 7315295300 Enrollment ID: I20180808000451 |
| Provider Name | Angela Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588154660 PECOS PAC ID: 3476801374 Enrollment ID: I20180809002005 |
| Provider Name | Minale a Desta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477948701 PECOS PAC ID: 7719235522 Enrollment ID: I20180809004406 |
| Provider Name | Mary a Martin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366829509 PECOS PAC ID: 6800186545 Enrollment ID: I20180813002671 |
| Provider Name | David Matthew Burkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174000962 PECOS PAC ID: 0547519134 Enrollment ID: I20180815000140 |
| Provider Name | Valarie M Chambless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215423397 PECOS PAC ID: 3476802919 Enrollment ID: I20180816002798 |
| Provider Name | Jessica L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225567118 PECOS PAC ID: 0648529008 Enrollment ID: I20180817000622 |
| Provider Name | Janett K Phelps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164650255 PECOS PAC ID: 5890932883 Enrollment ID: I20180817000707 |
| Provider Name | Daniel W Robbins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548605900 PECOS PAC ID: 9436408838 Enrollment ID: I20180817002227 |
| Provider Name | Douglas L Barron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770998395 PECOS PAC ID: 0648566323 Enrollment ID: I20180817002271 |
| Provider Name | Boyd Nelson Bills |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205221173 PECOS PAC ID: 2860741154 Enrollment ID: I20180820003007 |
| Provider Name | Krishan B Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710398615 PECOS PAC ID: 3274854518 Enrollment ID: I20180821000854 |
| Provider Name | Jordan M Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659613990 PECOS PAC ID: 5395094544 Enrollment ID: I20180821001853 |
| Provider Name | Nicholas Christian Ferraro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457644205 PECOS PAC ID: 2365791225 Enrollment ID: I20180827000544 |
| Provider Name | Ashok K Mudundi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740287663 PECOS PAC ID: 8820027188 Enrollment ID: I20180830002680 |
| Provider Name | Brenda L Goings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477925600 PECOS PAC ID: 6002111887 Enrollment ID: I20180831000367 |
| Provider Name | Vanessa Laws |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770020257 PECOS PAC ID: 0244580785 Enrollment ID: I20180905000460 |
| Provider Name | Zachary C Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598185845 PECOS PAC ID: 0345590766 Enrollment ID: I20180906000556 |
| Provider Name | Jennifer J Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447707039 PECOS PAC ID: 2567740574 Enrollment ID: I20180906002604 |
| Provider Name | Katie a Devany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093295016 PECOS PAC ID: 0749530038 Enrollment ID: I20180907000079 |
| Provider Name | Nandakishore Akula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568714541 PECOS PAC ID: 4587976386 Enrollment ID: I20180911002576 |
| Provider Name | Sebastian Juan Villarreal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992053243 PECOS PAC ID: 7719237742 Enrollment ID: I20180912001163 |
| Provider Name | Jenelle Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841777000 PECOS PAC ID: 8022369990 Enrollment ID: I20180918000079 |
| Provider Name | Crystal G Roe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861871857 PECOS PAC ID: 6507117389 Enrollment ID: I20180918000733 |
| Provider Name | Michelle M Hagopian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184940363 PECOS PAC ID: 9537434568 Enrollment ID: I20180925001104 |
| Provider Name | Priyal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205220654 PECOS PAC ID: 7214245703 Enrollment ID: I20180925003965 |
| Provider Name | Kelli Kay Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942787528 PECOS PAC ID: 1557612769 Enrollment ID: I20180927002445 |
| Provider Name | Seth a Bellister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891043956 PECOS PAC ID: 9537433727 Enrollment ID: I20181001001344 |
| Provider Name | Vijaya Gandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578945861 PECOS PAC ID: 5698077261 Enrollment ID: I20181004001817 |
| Provider Name | Anagh Chohan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497138754 PECOS PAC ID: 8325357726 Enrollment ID: I20181008002353 |
| Provider Name | Matthew Bryan Gowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083196752 PECOS PAC ID: 8527310275 Enrollment ID: I20181009000860 |
| Provider Name | June Yowtak Guillet |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770894586 PECOS PAC ID: 9234379066 Enrollment ID: I20181011001086 |
| Provider Name | Wesley K Biwott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083196802 PECOS PAC ID: 9436401874 Enrollment ID: I20181011002524 |
| Provider Name | Raja Mohan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043534589 PECOS PAC ID: 7315196904 Enrollment ID: I20181015001151 |
| Provider Name | Naktal Satam Hamoud |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922237494 PECOS PAC ID: 6002066941 Enrollment ID: I20181016002973 |
| Provider Name | Kaleigh Kristin Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730660010 PECOS PAC ID: 6709138845 Enrollment ID: I20181017003119 |
| Provider Name | Heidi R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093292104 PECOS PAC ID: 8224381371 Enrollment ID: I20181019000743 |
| Provider Name | Christopher James Godwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396127684 PECOS PAC ID: 7416263918 Enrollment ID: I20181022002893 |
| Provider Name | Justin Fowler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386835585 PECOS PAC ID: 3971746058 Enrollment ID: I20181024002116 |
| Provider Name | Jacob G Thoele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003398157 PECOS PAC ID: 8022361872 Enrollment ID: I20181025001198 |
| Provider Name | Richard Landrigan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295798619 PECOS PAC ID: 0446156921 Enrollment ID: I20181025002073 |
| Provider Name | Mark W Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326111790 PECOS PAC ID: 1658465695 Enrollment ID: I20181029000934 |
| Provider Name | Shelby Byrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902346034 PECOS PAC ID: 7214280833 Enrollment ID: I20181030000378 |
| Provider Name | Salah Elsaharty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982625224 PECOS PAC ID: 3072581800 Enrollment ID: I20181030002214 |
| Provider Name | Anna K Lancaster |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386127983 PECOS PAC ID: 0042563389 Enrollment ID: I20181102000833 |
| Provider Name | Allen D Adams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700862794 PECOS PAC ID: 7517919053 Enrollment ID: I20181106000784 |
| Provider Name | Thanh Le |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710236641 PECOS PAC ID: 1456605633 Enrollment ID: I20181107002586 |
| Provider Name | Jennifer Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336977 PECOS PAC ID: 7810241932 Enrollment ID: I20181108000692 |
| Provider Name | Melinda Coker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093039539 PECOS PAC ID: 9830410687 Enrollment ID: I20181109001254 |
| Provider Name | Peter Stevan Jerome |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396740668 PECOS PAC ID: 7315915733 Enrollment ID: I20181109001408 |
| Provider Name | Lalith P. Premachandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083025530 PECOS PAC ID: 9931481926 Enrollment ID: I20181112000422 |
| Provider Name | Honey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270466 PECOS PAC ID: 9335493386 Enrollment ID: I20181112000430 |
| Provider Name | Zehra Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003296690 PECOS PAC ID: 0345549556 Enrollment ID: I20181112000944 |
| Provider Name | Erica O Salami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013330984 PECOS PAC ID: 4688805609 Enrollment ID: I20181112001575 |
| Provider Name | Joyce E Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760971105 PECOS PAC ID: 0648524520 Enrollment ID: I20181112002076 |
| Provider Name | Raman Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464680 PECOS PAC ID: 0648524546 Enrollment ID: I20181113000374 |
| Provider Name | Brian P Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952466500 PECOS PAC ID: 6305816406 Enrollment ID: I20181113001416 |
| Provider Name | Christopher Michael Bell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013275627 PECOS PAC ID: 9739325291 Enrollment ID: I20181119000848 |
| Provider Name | Srinivas Ramireddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508113515 PECOS PAC ID: 1456663079 Enrollment ID: I20181120001241 |
| Provider Name | Matthew Aaron Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336475904 PECOS PAC ID: 4385897057 Enrollment ID: I20181121001766 |
| Provider Name | Ashley Lyn Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043787435 PECOS PAC ID: 1052655123 Enrollment ID: I20181129002385 |
| Provider Name | Jeremy M Troyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013483361 PECOS PAC ID: 7214271337 Enrollment ID: I20181130000654 |
| Provider Name | Andrew Jacob Skabelund |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710131511 PECOS PAC ID: 7517181555 Enrollment ID: I20181130001059 |
| Provider Name | John C Richier |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437116324 PECOS PAC ID: 3678508074 Enrollment ID: I20181130001085 |
| Provider Name | Doris Udosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700369808 PECOS PAC ID: 9436493475 Enrollment ID: I20181203002360 |
| Provider Name | Loyd J Jeffers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558496505 PECOS PAC ID: 7911241807 Enrollment ID: I20181204000961 |
| Provider Name | Michael C Elliott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306312822 PECOS PAC ID: 1355685199 Enrollment ID: I20181204003446 |
| Provider Name | Trent David Hood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821575259 PECOS PAC ID: 8820332570 Enrollment ID: I20181206000710 |
| Provider Name | Perla Cornelio Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780169300 PECOS PAC ID: 8022352509 Enrollment ID: I20181211000832 |
| Provider Name | Jennifer a Urban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508335225 PECOS PAC ID: 1951646363 Enrollment ID: I20181212003282 |
| Provider Name | Amaya De La Garza Skabelund |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801179759 PECOS PAC ID: 1355581091 Enrollment ID: I20181213001476 |
| Provider Name | Ronen S Dudaie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861782237 PECOS PAC ID: 1759559792 Enrollment ID: I20181218000261 |
| Provider Name | Nessa E Miller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477715118 PECOS PAC ID: 0941511059 Enrollment ID: I20181220002655 |
| Provider Name | Hille C Corona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396008371 PECOS PAC ID: 7517101819 Enrollment ID: I20181227001297 |
| Provider Name | Maegan L Nix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538558374 PECOS PAC ID: 4688999014 Enrollment ID: I20181228000889 |
| Provider Name | Molly L Lemaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982129052 PECOS PAC ID: 5890030308 Enrollment ID: I20190102001234 |
| Provider Name | Eric J Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063425817 PECOS PAC ID: 0648264283 Enrollment ID: I20190103002064 |
| Provider Name | Mark T Tawil |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285620179 PECOS PAC ID: 4486786738 Enrollment ID: I20190103002474 |
| Provider Name | Courtney E Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396212437 PECOS PAC ID: 7911243431 Enrollment ID: I20190103002834 |
| Provider Name | Amarina E O'byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037323 PECOS PAC ID: 6901142421 Enrollment ID: I20190103002930 |
| Provider Name | Sarah Anne Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932600855 PECOS PAC ID: 7113263690 Enrollment ID: I20190104001992 |
| Provider Name | Amber D Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346718939 PECOS PAC ID: 9638415060 Enrollment ID: I20190107001193 |
| Provider Name | Douglas Roderick Stoddard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699095125 PECOS PAC ID: 1052623584 Enrollment ID: I20190111000907 |
| Provider Name | Richard Nelson Smedley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932677739 PECOS PAC ID: 7719223742 Enrollment ID: I20190114000821 |
| Provider Name | Anthony Clark Gibbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710457940 PECOS PAC ID: 1850637539 Enrollment ID: I20190117000792 |
| Provider Name | Brandi F Dunford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003387861 PECOS PAC ID: 8022354687 Enrollment ID: I20190118000584 |
| Provider Name | Harnek Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811917917 PECOS PAC ID: 1951296961 Enrollment ID: I20190122000460 |
| Provider Name | Darla J. Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598232886 PECOS PAC ID: 9830436401 Enrollment ID: I20190122000926 |
| Provider Name | Lane Niramolphisal Dudo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164994430 PECOS PAC ID: 7618214149 Enrollment ID: I20190122003491 |
| Provider Name | Georgette Stiban |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245733682 PECOS PAC ID: 8628315413 Enrollment ID: I20190201001288 |
| Provider Name | Ahmar Malik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346598554 PECOS PAC ID: 9335453133 Enrollment ID: I20190206002102 |
| Provider Name | Sheriffdeen Olalekan Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184910382 PECOS PAC ID: 6305088766 Enrollment ID: I20190206002702 |
| Provider Name | Erika M Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508340837 PECOS PAC ID: 9537407036 Enrollment ID: I20190207001913 |
| Provider Name | John M Ketcher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740594159 PECOS PAC ID: 1759565641 Enrollment ID: I20190211000516 |
| Provider Name | Francis Ssali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366790990 PECOS PAC ID: 6901117696 Enrollment ID: I20190211002928 |
| Provider Name | Ranadhir R Beereddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508164096 PECOS PAC ID: 0840426300 Enrollment ID: I20190213000359 |
| Provider Name | Eric Lloyd Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871891499 PECOS PAC ID: 6800053588 Enrollment ID: I20190214000642 |
| Provider Name | Courtney Catherine Correa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275051831 PECOS PAC ID: 7416295340 Enrollment ID: I20190219000453 |
| Provider Name | Julie Eileen Roat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400660 PECOS PAC ID: 3476892233 Enrollment ID: I20190222001557 |
| Provider Name | Jessica D Havir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801350525 PECOS PAC ID: 7618216227 Enrollment ID: I20190226002122 |
| Provider Name | Valerie M Butler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558636407 PECOS PAC ID: 4385883974 Enrollment ID: I20190301001069 |
| Provider Name | Brittany Ackley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295155844 PECOS PAC ID: 9032433842 Enrollment ID: I20190306001842 |
| Provider Name | Amanda K Hundley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306266085 PECOS PAC ID: 3779801204 Enrollment ID: I20190311000313 |
| Provider Name | Joshua T Pinkham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972075141 PECOS PAC ID: 6901146737 Enrollment ID: I20190314000593 |
| Provider Name | Holly M Rozelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881158590 PECOS PAC ID: 1254671019 Enrollment ID: I20190314001906 |
| Provider Name | Jagdeep Singh Sodhi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255532347 PECOS PAC ID: 7810182359 Enrollment ID: I20190314001923 |
| Provider Name | Heidi Nicole Pettit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720415748 PECOS PAC ID: 8820338502 Enrollment ID: I20190315000502 |
| Provider Name | Aleesa Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457825416 PECOS PAC ID: 6709126188 Enrollment ID: I20190321001253 |
| Provider Name | Hussain Haideri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063470052 PECOS PAC ID: 2365410941 Enrollment ID: I20190321001610 |
| Provider Name | Caitlyn J Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932666302 PECOS PAC ID: 6002156270 Enrollment ID: I20190326001096 |
| Provider Name | Divya B Mella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013275213 PECOS PAC ID: 6901146034 Enrollment ID: I20190327000941 |
| Provider Name | Joel Massey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396805966 PECOS PAC ID: 7618115130 Enrollment ID: I20190329000883 |
| Provider Name | Hyojin Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437615978 PECOS PAC ID: 5193066199 Enrollment ID: I20190401000182 |
| Provider Name | Erin Mccasland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417416819 PECOS PAC ID: 1557602018 Enrollment ID: I20190410000262 |
| Provider Name | Emma M Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932664273 PECOS PAC ID: 6709127053 Enrollment ID: I20190415000611 |
| Provider Name | Abigail Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821563321 PECOS PAC ID: 7214278381 Enrollment ID: I20190418001118 |
| Provider Name | Joshua Brynjulf NG |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245435767 PECOS PAC ID: 4981872793 Enrollment ID: I20190423001973 |
| Provider Name | Manuel Ramos Ramirez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790190296 PECOS PAC ID: 5395046296 Enrollment ID: I20190506002501 |
| Provider Name | Brandi Michele Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891276481 PECOS PAC ID: 7315289568 Enrollment ID: I20190508002556 |
| Provider Name | Jennifer Lynne Erian |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760809644 PECOS PAC ID: 9739422973 Enrollment ID: I20190510000271 |
| Provider Name | Douglas Ross Lehman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962673152 PECOS PAC ID: 1759527930 Enrollment ID: I20190513001589 |
| Provider Name | Summer Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477016095 PECOS PAC ID: 8426391384 Enrollment ID: I20190515002980 |
| Provider Name | James Heath Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548729262 PECOS PAC ID: 8022351873 Enrollment ID: I20190517000425 |
| Provider Name | Karun Jit Walia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447690482 PECOS PAC ID: 5890938500 Enrollment ID: I20190517000698 |
| Provider Name | Rachel D Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104480383 PECOS PAC ID: 1254674831 Enrollment ID: I20190522002620 |
| Provider Name | Phillip Granville Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194086926 PECOS PAC ID: 4183848138 Enrollment ID: I20190523000868 |
| Provider Name | Dat Vo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780004523 PECOS PAC ID: 1850680067 Enrollment ID: I20190531000910 |
| Provider Name | Ellen E Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871052068 PECOS PAC ID: 1456684695 Enrollment ID: I20190604000128 |
| Provider Name | Chad David Fairchild |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386801918 PECOS PAC ID: 9133362338 Enrollment ID: I20190605000825 |
| Provider Name | Karina R Bartlett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831518026 PECOS PAC ID: 1951683473 Enrollment ID: I20190607001369 |
| Provider Name | Tammy Lynn Fairchild |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457586141 PECOS PAC ID: 5496980898 Enrollment ID: I20190610001172 |
| Provider Name | Mishawna Bohner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285189274 PECOS PAC ID: 3375829823 Enrollment ID: I20190610001842 |
| Provider Name | Karthik D Mekala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669739942 PECOS PAC ID: 2860783172 Enrollment ID: I20190611000253 |
| Provider Name | Krishanthan Vigneswaran |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437418746 PECOS PAC ID: 9537492350 Enrollment ID: I20190611001848 |
| Provider Name | Uloma I Oziri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396184891 PECOS PAC ID: 7315216124 Enrollment ID: I20190611003562 |
| Provider Name | Shannon Rene Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427515311 PECOS PAC ID: 6507199189 Enrollment ID: I20190613001983 |
| Provider Name | Kevin R Kotamarti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790163756 PECOS PAC ID: 1153654595 Enrollment ID: I20190618000031 |
| Provider Name | Slade Braswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922512839 PECOS PAC ID: 9436482882 Enrollment ID: I20190618000351 |
| Provider Name | Jeff Will Josma |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740609031 PECOS PAC ID: 9638403975 Enrollment ID: I20190620001696 |
| Provider Name | Siobain Kay Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134504426 PECOS PAC ID: 2062760622 Enrollment ID: I20190621000615 |
| Provider Name | Blake a Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184070864 PECOS PAC ID: 0042503013 Enrollment ID: I20190624000050 |
| Provider Name | Jonathan Lewis Henderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497910459 PECOS PAC ID: 5496995656 Enrollment ID: I20190624000879 |
| Provider Name | Dustin Allen Stidger |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902225238 PECOS PAC ID: 2668749235 Enrollment ID: I20190626001640 |
| Provider Name | David D Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609225960 PECOS PAC ID: 0345534798 Enrollment ID: I20190626001890 |
| Provider Name | Georgette H Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487117578 PECOS PAC ID: 6901130889 Enrollment ID: I20190626002508 |
| Provider Name | Nishit K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235394487 PECOS PAC ID: 3173791571 Enrollment ID: I20190627002687 |
| Provider Name | Paul Edwin Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952728917 PECOS PAC ID: 9638403439 Enrollment ID: I20190627003330 |
| Provider Name | Mary Juanita Stokes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679815880 PECOS PAC ID: 4385978881 Enrollment ID: I20190702002439 |
| Provider Name | Alexander Bradley Kreines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164854410 PECOS PAC ID: 7911232327 Enrollment ID: I20190708001509 |
| Provider Name | Sathiraju Undavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144412099 PECOS PAC ID: 3577623677 Enrollment ID: I20190711000712 |
| Provider Name | John T Mccurdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275190944 PECOS PAC ID: 4789919895 Enrollment ID: I20190711002568 |
| Provider Name | Mojirayo a Sarumi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134557952 PECOS PAC ID: 8426369125 Enrollment ID: I20190718001977 |
| Provider Name | Mariama Isha Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851851257 PECOS PAC ID: 9133455421 Enrollment ID: I20190724002210 |
| Provider Name | Zulfarah Ishaque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801250428 PECOS PAC ID: 1456687797 Enrollment ID: I20190724004114 |
| Provider Name | Joseph Baylan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134431232 PECOS PAC ID: 3476889619 Enrollment ID: I20190725003772 |
| Provider Name | Christina Marie Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508336470 PECOS PAC ID: 1254667397 Enrollment ID: I20190726000029 |
| Provider Name | Charity U Eko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114362902 PECOS PAC ID: 1951698299 Enrollment ID: I20190729003052 |
| Provider Name | Johnny Richard Peoples |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154600609 PECOS PAC ID: 5496925323 Enrollment ID: I20190730003936 |
| Provider Name | Connie Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073967584 PECOS PAC ID: 8820332075 Enrollment ID: I20190801002678 |
| Provider Name | Tanwie Tita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447726260 PECOS PAC ID: 8123355823 Enrollment ID: I20190802001727 |
| Provider Name | Brandi M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144872839 PECOS PAC ID: 0941537666 Enrollment ID: I20190802002640 |
| Provider Name | Jessie Liang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790105898 PECOS PAC ID: 3779888029 Enrollment ID: I20190815000669 |
| Provider Name | Michael Andrews |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063791853 PECOS PAC ID: 5799062568 Enrollment ID: I20190815002932 |
| Provider Name | William Christman Ratliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619328721 PECOS PAC ID: 8820384290 Enrollment ID: I20190817000177 |
| Provider Name | Crystal Rolleg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932434537 PECOS PAC ID: 1951439520 Enrollment ID: I20190819001513 |
| Provider Name | James Applebury |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275850836 PECOS PAC ID: 6103055199 Enrollment ID: I20190822001250 |
| Provider Name | Kimberly L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547359 PECOS PAC ID: 0345577748 Enrollment ID: I20190823000989 |
| Provider Name | Shelly L Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174183693 PECOS PAC ID: 7911235247 Enrollment ID: I20190826000786 |
| Provider Name | Telisha Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871152496 PECOS PAC ID: 7810042975 Enrollment ID: I20190826003148 |
| Provider Name | Jennifer D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922660711 PECOS PAC ID: 9830427871 Enrollment ID: I20190828003043 |
| Provider Name | Muazer Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891113577 PECOS PAC ID: 2466673066 Enrollment ID: I20190828003068 |
| Provider Name | Andrei G Scherer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841640414 PECOS PAC ID: 5092008680 Enrollment ID: I20190829000385 |
| Provider Name | Sally G Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174175962 PECOS PAC ID: 2769710680 Enrollment ID: I20190829002946 |
| Provider Name | Mehdi Rambod |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619262755 PECOS PAC ID: 1557663481 Enrollment ID: I20190904001894 |
| Provider Name | William Christopher Garre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275980948 PECOS PAC ID: 9931494192 Enrollment ID: I20190905002106 |
| Provider Name | Dona Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063064533 PECOS PAC ID: 5395074843 Enrollment ID: I20190909001048 |
| Provider Name | Aaron Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558713339 PECOS PAC ID: 5991097842 Enrollment ID: I20190917001133 |
| Provider Name | Huan Si Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280869 PECOS PAC ID: 9234468208 Enrollment ID: I20190917001952 |
| Provider Name | Soumya Mamidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477900496 PECOS PAC ID: 3678810462 Enrollment ID: I20190918002149 |
| Provider Name | Anas Galleon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689814048 PECOS PAC ID: 6406988104 Enrollment ID: I20190919001224 |
| Provider Name | Niva Dhakhwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366892614 PECOS PAC ID: 2466744032 Enrollment ID: I20190923001009 |
| Provider Name | Joyce M Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558716142 PECOS PAC ID: 7315239258 Enrollment ID: I20190924003100 |
| Provider Name | Clinton Gebert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669944757 PECOS PAC ID: 0446580054 Enrollment ID: I20190925000707 |
| Provider Name | David E Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356753370 PECOS PAC ID: 2466701321 Enrollment ID: I20190926000401 |
| Provider Name | Brandi N Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255988937 PECOS PAC ID: 7618207085 Enrollment ID: I20190927000296 |
| Provider Name | Kristina L Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760037790 PECOS PAC ID: 7113257379 Enrollment ID: I20191001002419 |
| Provider Name | Christopher Lewis Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790830321 PECOS PAC ID: 0345386124 Enrollment ID: I20191002000538 |
| Provider Name | Dilpreet Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710273339 PECOS PAC ID: 7810126422 Enrollment ID: I20191002002296 |
| Provider Name | Shiva Shafiei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629630744 PECOS PAC ID: 7517298649 Enrollment ID: I20191003002885 |
| Provider Name | Jacqueline Mcneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316507080 PECOS PAC ID: 2668702291 Enrollment ID: I20191007002948 |
| Provider Name | Nayo S Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609237841 PECOS PAC ID: 2264714674 Enrollment ID: I20191009003459 |
| Provider Name | Jennifer Kaye Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407328164 PECOS PAC ID: 5193056844 Enrollment ID: I20191010000050 |
| Provider Name | Mauricio Francisco La Rosa De Los Rios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235488719 PECOS PAC ID: 1759643018 Enrollment ID: I20191010000339 |
| Provider Name | Georgia L Blair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790171460 PECOS PAC ID: 8022340256 Enrollment ID: I20191021002755 |
| Provider Name | John Mcgrimley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619388071 PECOS PAC ID: 8921330051 Enrollment ID: I20191023000147 |
| Provider Name | Melonie Michele Monk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811336985 PECOS PAC ID: 2062744030 Enrollment ID: I20191023002679 |
| Provider Name | Nikhil Nalluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518245935 PECOS PAC ID: 3779868435 Enrollment ID: I20191025000036 |
| Provider Name | Nikki Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811543168 PECOS PAC ID: 5799017661 Enrollment ID: I20191025000312 |
| Provider Name | Debanshu D. Roy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992125751 PECOS PAC ID: 6507156510 Enrollment ID: I20191101001597 |
| Provider Name | Brittany Ashton Mcdaniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558902577 PECOS PAC ID: 7113259698 Enrollment ID: I20191102000032 |
| Provider Name | Deborah Lynn Shuman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841400744 PECOS PAC ID: 1456434042 Enrollment ID: I20191104001149 |
| Provider Name | Caleb L Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013569508 PECOS PAC ID: 0648502039 Enrollment ID: I20191105001029 |
| Provider Name | Michelle Cecchini |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710142971 PECOS PAC ID: 7618288994 Enrollment ID: I20191114001949 |
| Provider Name | Dorothy Elizabeth Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265709034 PECOS PAC ID: 0749447019 Enrollment ID: I20191120003109 |
| Provider Name | Stephanie Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770134751 PECOS PAC ID: 6406288927 Enrollment ID: I20191121000028 |
| Provider Name | Inyang Ndebbio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710346630 PECOS PAC ID: 7810320280 Enrollment ID: I20191126001740 |
| Provider Name | Christina Diana Mortenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083256283 PECOS PAC ID: 1355774662 Enrollment ID: I20191127000335 |
| Provider Name | Erik Ray Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609287697 PECOS PAC ID: 0345567897 Enrollment ID: I20191204000389 |
| Provider Name | Douglas R. Koontz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265420509 PECOS PAC ID: 2567442502 Enrollment ID: I20191210002740 |
| Provider Name | Simona Luckow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427412188 PECOS PAC ID: 9830483874 Enrollment ID: I20191212000284 |
| Provider Name | Carolyn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114482569 PECOS PAC ID: 6507299179 Enrollment ID: I20191212001634 |
| Provider Name | Marcus Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922641299 PECOS PAC ID: 3072946508 Enrollment ID: I20191213001133 |
| Provider Name | Amia Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255757175 PECOS PAC ID: 5294168738 Enrollment ID: I20191213001397 |
| Provider Name | Elizabeth S George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986594 PECOS PAC ID: 2769815216 Enrollment ID: I20191213001782 |
| Provider Name | Manjunath Muddaraju |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992149702 PECOS PAC ID: 9931411618 Enrollment ID: I20191213002151 |
| Provider Name | Celia C Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720472640 PECOS PAC ID: 0749595429 Enrollment ID: I20191219002644 |
| Provider Name | Christopher Carl Phillips |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205940483 PECOS PAC ID: 4587761549 Enrollment ID: I20191220001978 |
| Provider Name | Bradley Rittenhouse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073666301 PECOS PAC ID: 3375848633 Enrollment ID: I20191228000187 |
| Provider Name | La'mesa Yvonne Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457855637 PECOS PAC ID: 1355775370 Enrollment ID: I20191230001229 |
| Provider Name | Haley Flanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578105771 PECOS PAC ID: 7315371267 Enrollment ID: I20191231000194 |
| Provider Name | Cesar F Artiles Feliz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457580334 PECOS PAC ID: 3779893268 Enrollment ID: I20200102000773 |
| Provider Name | Yasser Etman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295949980 PECOS PAC ID: 6204901937 Enrollment ID: I20200103001347 |
| Provider Name | Bobby Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689212060 PECOS PAC ID: 7618302803 Enrollment ID: I20200116000700 |
| Provider Name | Keith Kirbow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376189308 PECOS PAC ID: 3072881200 Enrollment ID: I20200127001205 |
| Provider Name | Jennifer Tsuki Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427581115 PECOS PAC ID: 8022388941 Enrollment ID: I20200128002138 |
| Provider Name | Courtney J Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972140630 PECOS PAC ID: 7911333638 Enrollment ID: I20200128002404 |
| Provider Name | Jeffry T Negard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528302130 PECOS PAC ID: 5991066870 Enrollment ID: I20200129002274 |
| Provider Name | Alfonso N Combong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760519078 PECOS PAC ID: 1456455203 Enrollment ID: I20200131000289 |
| Provider Name | Leon L Tung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700171287 PECOS PAC ID: 7810111457 Enrollment ID: I20200204000821 |
| Provider Name | Michelle J Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376963777 PECOS PAC ID: 2466701966 Enrollment ID: I20200204002172 |
| Provider Name | Jasmine S Azghani Vardeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548800022 PECOS PAC ID: 5193151421 Enrollment ID: I20200205002230 |
| Provider Name | Kimberly Modena Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518479542 PECOS PAC ID: 2769562487 Enrollment ID: I20200211000125 |
| Provider Name | Celestine C Ishiekwene |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447505243 PECOS PAC ID: 6901174580 Enrollment ID: I20200212001431 |
| Provider Name | Rafael Favela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659631299 PECOS PAC ID: 7012146665 Enrollment ID: I20200213002636 |
| Provider Name | Shahid Ali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124466123 PECOS PAC ID: 1557797388 Enrollment ID: I20200213002918 |
| Provider Name | Benjamin Michael Strahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376174235 PECOS PAC ID: 8921435744 Enrollment ID: I20200217001232 |
| Provider Name | Richard Lesperance |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194927228 PECOS PAC ID: 4284881459 Enrollment ID: I20200221000902 |
| Provider Name | Christie R Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629614078 PECOS PAC ID: 3678900164 Enrollment ID: I20200221002323 |
| Provider Name | Lindsay Deanne Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154961084 PECOS PAC ID: 7719314244 Enrollment ID: I20200224001121 |
| Provider Name | James Mcclintock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063044238 PECOS PAC ID: 2961839386 Enrollment ID: I20200225001469 |
| Provider Name | Sergio a Leon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083814057 PECOS PAC ID: 3274687454 Enrollment ID: I20200302000294 |
| Provider Name | Britney E Leffall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467910455 PECOS PAC ID: 6800138728 Enrollment ID: I20200311001749 |
| Provider Name | Rose Alicia Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922639962 PECOS PAC ID: 6002244753 Enrollment ID: I20200312000887 |
| Provider Name | Dane Thomas Garden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790282242 PECOS PAC ID: 1456609502 Enrollment ID: I20200312001245 |
| Provider Name | Tori Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952947350 PECOS PAC ID: 8022446491 Enrollment ID: I20200318000563 |
| Provider Name | Edward W Pottmeyer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982710539 PECOS PAC ID: 4880651553 Enrollment ID: I20200323001631 |
| Provider Name | Jordan Shapiro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073839239 PECOS PAC ID: 3577795335 Enrollment ID: I20200326000488 |
| Provider Name | Emily Michelle Greer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992339915 PECOS PAC ID: 8325477383 Enrollment ID: I20200326003266 |
| Provider Name | Autumn Barnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153417 PECOS PAC ID: 0840629754 Enrollment ID: I20200327002599 |
| Provider Name | Elizabeth Dawn Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275519274 PECOS PAC ID: 5991046922 Enrollment ID: I20200331002818 |
| Provider Name | Aubree Lemarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629600499 PECOS PAC ID: 3678902194 Enrollment ID: I20200405000212 |
| Provider Name | Tera Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316574213 PECOS PAC ID: 1850720061 Enrollment ID: I20200408003437 |
| Provider Name | Courtney Whitehurst |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588192009 PECOS PAC ID: 4789957291 Enrollment ID: I20200415001328 |
| Provider Name | Munaza Gohar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477087856 PECOS PAC ID: 5294165999 Enrollment ID: I20200421000955 |
| Provider Name | Chandra P Sanwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235662735 PECOS PAC ID: 4789014291 Enrollment ID: I20200424000964 |
| Provider Name | Elizabeth Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568913051 PECOS PAC ID: 4880974633 Enrollment ID: I20200427002378 |
| Provider Name | Sawyer Blakeley Hall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720449044 PECOS PAC ID: 5991136103 Enrollment ID: I20200501002692 |
| Provider Name | Kaci Anne Drumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447871124 PECOS PAC ID: 7416388111 Enrollment ID: I20200513002024 |
| Provider Name | Harriet Kayanja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811159155 PECOS PAC ID: 0749325520 Enrollment ID: I20200513002321 |
| Provider Name | Trung Hieu Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932307766 PECOS PAC ID: 8224152541 Enrollment ID: I20200514000069 |
| Provider Name | Angelita Ancheta Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659907160 PECOS PAC ID: 4082045596 Enrollment ID: I20200518002499 |
| Provider Name | Kayla Ann Riggs |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578004859 PECOS PAC ID: 7416388855 Enrollment ID: I20200519000844 |
| Provider Name | Megan Shepherd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538556402 PECOS PAC ID: 2264735281 Enrollment ID: I20200519001223 |
| Provider Name | Deborah Jean Crowley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740489830 PECOS PAC ID: 4082045315 Enrollment ID: I20200520002085 |
| Provider Name | Randall Blake Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194365585 PECOS PAC ID: 3476984725 Enrollment ID: I20200520003065 |
| Provider Name | Cody Covington |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265810725 PECOS PAC ID: 1951682046 Enrollment ID: I20200521002127 |
| Provider Name | Eric Bradley Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033739388 PECOS PAC ID: 1456772649 Enrollment ID: I20200526000461 |
| Provider Name | Joy Ikeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003387143 PECOS PAC ID: 5991045379 Enrollment ID: I20200602001182 |
| Provider Name | Dhruv S Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639572134 PECOS PAC ID: 3577984319 Enrollment ID: I20200602002352 |
| Provider Name | Nduka Kenneth Ukah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659924199 PECOS PAC ID: 6709043219 Enrollment ID: I20200608000040 |
| Provider Name | Tinamarie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679985881 PECOS PAC ID: 2163745944 Enrollment ID: I20200610001075 |
| Provider Name | Rachel J Austin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659628675 PECOS PAC ID: 4981988334 Enrollment ID: I20200615003626 |
| Provider Name | Chase Culver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467870667 PECOS PAC ID: 8729332929 Enrollment ID: I20200617002345 |
| Provider Name | Autumn Whitlock-morales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972539302 PECOS PAC ID: 5294739660 Enrollment ID: I20200619001813 |
| Provider Name | Ramy L Noche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245763143 PECOS PAC ID: 6800166828 Enrollment ID: I20200624002485 |
| Provider Name | Matthew Kole |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073856399 PECOS PAC ID: 2769789536 Enrollment ID: I20200701000409 |
| Provider Name | Michael J Ewing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053708784 PECOS PAC ID: 5193148096 Enrollment ID: I20200710002074 |
| Provider Name | Whitney Lynn Finstad Selph |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033504014 PECOS PAC ID: 6002230364 Enrollment ID: I20200720001380 |
| Provider Name | Rae Shannon Hammonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700402708 PECOS PAC ID: 1951725274 Enrollment ID: I20200720003646 |
| Provider Name | Roy Wesley Jones |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245650183 PECOS PAC ID: 1355765439 Enrollment ID: I20200722001370 |
| Provider Name | Kristyn Mathewson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255865382 PECOS PAC ID: 9931477387 Enrollment ID: I20200727001418 |
| Provider Name | Michael Brandon Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558781344 PECOS PAC ID: 3173825346 Enrollment ID: I20200727001860 |
| Provider Name | Eric Trestman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639412018 PECOS PAC ID: 1254687247 Enrollment ID: I20200727001887 |
| Provider Name | Asmik Asatrian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912384793 PECOS PAC ID: 9032467923 Enrollment ID: I20200728001443 |
| Provider Name | Jonathan Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801162029 PECOS PAC ID: 3870725781 Enrollment ID: I20200729000342 |
| Provider Name | George Liras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891159802 PECOS PAC ID: 6002108784 Enrollment ID: I20200729001279 |
| Provider Name | Muhammad a Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881661593 PECOS PAC ID: 5496784688 Enrollment ID: I20200730000492 |
| Provider Name | Bessie Burchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366051526 PECOS PAC ID: 2163847435 Enrollment ID: I20200803003234 |
| Provider Name | Christopher Peter Meltsakos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508277153 PECOS PAC ID: 6204251572 Enrollment ID: I20200803003505 |
| Provider Name | Kimberly Marie Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811529050 PECOS PAC ID: 4486079662 Enrollment ID: I20200805000646 |
| Provider Name | Allyson a Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437504040 PECOS PAC ID: 0446542526 Enrollment ID: I20200810001162 |
| Provider Name | Sara Elizabeth Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134744410 PECOS PAC ID: 0345665170 Enrollment ID: I20200810003417 |
| Provider Name | Sara Lary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538471875 PECOS PAC ID: 2466578943 Enrollment ID: I20200812003950 |
| Provider Name | Stephen Ryan Ogletree |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306379805 PECOS PAC ID: 6800212481 Enrollment ID: I20200813000044 |
| Provider Name | John Mclain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366857336 PECOS PAC ID: 9133470404 Enrollment ID: I20200813000604 |
| Provider Name | Dominique S Harnage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477103414 PECOS PAC ID: 2163848623 Enrollment ID: I20200813002918 |
| Provider Name | Indeevar Peram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154619492 PECOS PAC ID: 0446472542 Enrollment ID: I20200820001709 |
| Provider Name | Ashley Crutchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033735154 PECOS PAC ID: 3476979469 Enrollment ID: I20200821000054 |
| Provider Name | Matthew Hawthorne Ramage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558568253 PECOS PAC ID: 0547686404 Enrollment ID: I20200821002909 |
| Provider Name | Afshan Hussain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437569704 PECOS PAC ID: 6901100908 Enrollment ID: I20200824000115 |
| Provider Name | Emmanuel Timilehin Okeremgbo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659996932 PECOS PAC ID: 5395980957 Enrollment ID: I20200826002307 |
| Provider Name | Michael Bortz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497166243 PECOS PAC ID: 2769763895 Enrollment ID: I20200827002974 |
| Provider Name | Rodney Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922640879 PECOS PAC ID: 3173941457 Enrollment ID: I20200918000609 |
| Provider Name | Muhie Dean N/a Sabayon |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962908848 PECOS PAC ID: 1951729102 Enrollment ID: I20200921000785 |
| Provider Name | Eric Hintz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316115496 PECOS PAC ID: 0840599502 Enrollment ID: I20200921002497 |
| Provider Name | Ana Gutierrez Alvarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568873909 PECOS PAC ID: 2567792310 Enrollment ID: I20200922001230 |
| Provider Name | Yao Jen Chang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992883805 PECOS PAC ID: 2860459583 Enrollment ID: I20200923002447 |
| Provider Name | Peter Michael Karagozian |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578060182 PECOS PAC ID: 7719242296 Enrollment ID: I20200928001628 |
| Provider Name | Jeanie Sozansky Lujan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962896977 PECOS PAC ID: 7214233857 Enrollment ID: I20200929001371 |
| Provider Name | Jeff Mistroff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326579053 PECOS PAC ID: 6800215641 Enrollment ID: I20200929001569 |
| Provider Name | Kera S Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265093918 PECOS PAC ID: 0345582409 Enrollment ID: I20201001001227 |
| Provider Name | Michael Sorto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568810323 PECOS PAC ID: 9830424431 Enrollment ID: I20201005001066 |
| Provider Name | Melissa Michelle Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548870892 PECOS PAC ID: 4385063650 Enrollment ID: I20201006002040 |
| Provider Name | Rachel E Fouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891329728 PECOS PAC ID: 0547689721 Enrollment ID: I20201008000480 |
| Provider Name | Tara Cumming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632066 PECOS PAC ID: 7719264704 Enrollment ID: I20201008000848 |
| Provider Name | Kedric Glenn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578022398 PECOS PAC ID: 2062746217 Enrollment ID: I20201008001383 |
| Provider Name | James Takara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902883747 PECOS PAC ID: 5597770263 Enrollment ID: I20201008002117 |
| Provider Name | Brandon David Macias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689285454 PECOS PAC ID: 4486074622 Enrollment ID: I20201008003691 |
| Provider Name | Russell F Stanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356797740 PECOS PAC ID: 1355633488 Enrollment ID: I20201013002007 |
| Provider Name | Jessica Lemoine Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174130462 PECOS PAC ID: 0840610549 Enrollment ID: I20201019002561 |
| Provider Name | Rebecca S Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144612508 PECOS PAC ID: 8123332962 Enrollment ID: I20201022000438 |
| Provider Name | Linda R Swittenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881923621 PECOS PAC ID: 5193860724 Enrollment ID: I20201103000919 |
| Provider Name | John Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932216686 PECOS PAC ID: 0941293179 Enrollment ID: I20201103002852 |
| Provider Name | Jared S Folwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619312766 PECOS PAC ID: 2264725449 Enrollment ID: I20201117000220 |
| Provider Name | Jacob Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831798685 PECOS PAC ID: 9638580913 Enrollment ID: I20201117001429 |
| Provider Name | Carie Elise Bodnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568071116 PECOS PAC ID: 6305257619 Enrollment ID: I20201117002870 |
| Provider Name | Richard Oppeltz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720263775 PECOS PAC ID: 8628297207 Enrollment ID: I20201124000106 |
| Provider Name | Zehra Tekin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184010563 PECOS PAC ID: 8426306226 Enrollment ID: I20201124001739 |
| Provider Name | Kristine Nichole Verhalen-evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508464520 PECOS PAC ID: 8729499587 Enrollment ID: I20201130001311 |
| Provider Name | Sadia Ghias Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578095121 PECOS PAC ID: 5294073631 Enrollment ID: I20201130002227 |
| Provider Name | Sarah B Dailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518507995 PECOS PAC ID: 3779994363 Enrollment ID: I20201203001456 |
| Provider Name | Karla Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942818240 PECOS PAC ID: 2163833641 Enrollment ID: I20201207000040 |
| Provider Name | Blesson John |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871190439 PECOS PAC ID: 5193137651 Enrollment ID: I20201208000697 |
| Provider Name | Priyanka Buchupalle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144743477 PECOS PAC ID: 6709157381 Enrollment ID: I20201211001755 |
| Provider Name | Neel K Kapasi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003131533 PECOS PAC ID: 1456599307 Enrollment ID: I20201215000572 |
| Provider Name | Sarah Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205438900 PECOS PAC ID: 3476965518 Enrollment ID: I20201215001960 |
| Provider Name | Josslyn Hastie Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760091193 PECOS PAC ID: 7618389693 Enrollment ID: I20201216000402 |
| Provider Name | Dena Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316239452 PECOS PAC ID: 6709058878 Enrollment ID: I20201222001885 |
| Provider Name | Joan Marie Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073119970 PECOS PAC ID: 3779995394 Enrollment ID: I20201223000995 |
| Provider Name | Ian Ratheal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639558810 PECOS PAC ID: 9032417399 Enrollment ID: I20210107000413 |
| Provider Name | Hamza Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306230362 PECOS PAC ID: 4789933128 Enrollment ID: I20210115001298 |
| Provider Name | Daniel Mwanza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275827826 PECOS PAC ID: 9335326719 Enrollment ID: I20210122002583 |
| Provider Name | Carrol a Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235743105 PECOS PAC ID: 8921412339 Enrollment ID: I20210126002733 |
| Provider Name | Fahad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922347400 PECOS PAC ID: 0244510584 Enrollment ID: I20210128000334 |
| Provider Name | Vincente Nelson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306157110 PECOS PAC ID: 0345535977 Enrollment ID: I20210128002297 |
| Provider Name | Sean Kevin Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659442010 PECOS PAC ID: 1456536770 Enrollment ID: I20210202000417 |
| Provider Name | Connie Cordova Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780286823 PECOS PAC ID: 5496160830 Enrollment ID: I20210217003148 |
| Provider Name | Crystale J Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275784969 PECOS PAC ID: 4880832872 Enrollment ID: I20210224000582 |
| Provider Name | Micah a Walden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265037329 PECOS PAC ID: 8022423938 Enrollment ID: I20210225003368 |
| Provider Name | Tracy Jo Snow Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225478019 PECOS PAC ID: 8123343381 Enrollment ID: I20210301002306 |
| Provider Name | Andrew Michael Wishy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619389939 PECOS PAC ID: 8527332337 Enrollment ID: I20210303001180 |
| Provider Name | Karmen Lynn Serda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861086068 PECOS PAC ID: 9032525605 Enrollment ID: I20210305000004 |
| Provider Name | Bruce C Goetting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306989934 PECOS PAC ID: 4183510563 Enrollment ID: I20210309000377 |
| Provider Name | Hannah Caroline Lockeby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700431905 PECOS PAC ID: 0345656708 Enrollment ID: I20210309002541 |
| Provider Name | Katy Jane Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558956466 PECOS PAC ID: 7214343342 Enrollment ID: I20210315001942 |
| Provider Name | Bishal Bista |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720435746 PECOS PAC ID: 9032495346 Enrollment ID: I20210316000631 |
| Provider Name | Ketki Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255629465 PECOS PAC ID: 6103148077 Enrollment ID: I20210316000824 |
| Provider Name | Ryan Rahhal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932241742 PECOS PAC ID: 8123297298 Enrollment ID: I20210316000979 |
| Provider Name | Courtney E Stokley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952870560 PECOS PAC ID: 1658787742 Enrollment ID: I20210316001256 |
| Provider Name | Phillip M Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346832854 PECOS PAC ID: 8628485562 Enrollment ID: I20210322000974 |
| Provider Name | William Brian Gormley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831151760 PECOS PAC ID: 2163432998 Enrollment ID: I20210322002702 |
| Provider Name | Jennifer M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104312362 PECOS PAC ID: 0042627614 Enrollment ID: I20210326000377 |
| Provider Name | Patricia Holley Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558995738 PECOS PAC ID: 6709293269 Enrollment ID: I20210329002110 |
| Provider Name | Christopher Lutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336481241 PECOS PAC ID: 4880836600 Enrollment ID: I20210330000542 |
| Provider Name | Maria Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306422845 PECOS PAC ID: 6103233549 Enrollment ID: I20210331000540 |
| Provider Name | David Shane Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285210815 PECOS PAC ID: 0941617187 Enrollment ID: I20210406000257 |
| Provider Name | Kristen M Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316504632 PECOS PAC ID: 0941618854 Enrollment ID: I20210414000863 |
| Provider Name | Courtney Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912512005 PECOS PAC ID: 1850709536 Enrollment ID: I20210419000588 |
| Provider Name | John M Hancock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104239409 PECOS PAC ID: 5991114902 Enrollment ID: I20210504000829 |
| Provider Name | Uday Kiran Togaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093199697 PECOS PAC ID: 8123324282 Enrollment ID: I20210505000334 |
| Provider Name | Salima Vasani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295148245 PECOS PAC ID: 7113292236 Enrollment ID: I20210505002062 |
| Provider Name | Laticia Chemeare Beaudoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245837251 PECOS PAC ID: 8426467333 Enrollment ID: I20210505002517 |
| Provider Name | Ryan S Bellaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215065917 PECOS PAC ID: 4789675828 Enrollment ID: I20210505002610 |
| Provider Name | Haley Lynn Eager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164004024 PECOS PAC ID: 8628487436 Enrollment ID: I20210507000836 |
| Provider Name | Rincy Panicker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720481682 PECOS PAC ID: 1951523828 Enrollment ID: I20210513000274 |
| Provider Name | Lawrence Remy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417545062 PECOS PAC ID: 4880003219 Enrollment ID: I20210514000473 |
| Provider Name | Mehran Abolbashari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144633272 PECOS PAC ID: 1658780911 Enrollment ID: I20210518000082 |
| Provider Name | Yanet Lobaina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720510282 PECOS PAC ID: 6901176437 Enrollment ID: I20210518000475 |
| Provider Name | Brittany Nicole Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700477056 PECOS PAC ID: 4981003191 Enrollment ID: I20210520000663 |
| Provider Name | Joshua Rutland |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518225762 PECOS PAC ID: 8820312978 Enrollment ID: I20210521002177 |
| Provider Name | Juliana Ekpenyong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689289308 PECOS PAC ID: 1355740317 Enrollment ID: I20210524001355 |
| Provider Name | James Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992297642 PECOS PAC ID: 4183970940 Enrollment ID: I20210528000558 |
| Provider Name | Rebecca Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043884885 PECOS PAC ID: 4385043033 Enrollment ID: I20210528001537 |
| Provider Name | Daniel Ryan Monsivais |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508113986 PECOS PAC ID: 6608106539 Enrollment ID: I20210602001285 |
| Provider Name | Satish Boddhula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376927558 PECOS PAC ID: 0648570457 Enrollment ID: I20210604001272 |
| Provider Name | Marianne Damian Rios |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104409291 PECOS PAC ID: 0547660953 Enrollment ID: I20210607001008 |
| Provider Name | Emmanuel Okon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386881993 PECOS PAC ID: 4385799642 Enrollment ID: I20210608002175 |
| Provider Name | Kunal Vijaykumar Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528486438 PECOS PAC ID: 7012317332 Enrollment ID: I20210608002279 |
| Provider Name | Steven M Dayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720424831 PECOS PAC ID: 1951609429 Enrollment ID: I20210608002547 |
| Provider Name | Osazee E Oviawe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073966222 PECOS PAC ID: 8527354455 Enrollment ID: I20210610002191 |
| Provider Name | Shane L Barney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659759819 PECOS PAC ID: 9436577624 Enrollment ID: I20210611000407 |
| Provider Name | Asghar Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922354174 PECOS PAC ID: 2062733009 Enrollment ID: I20210616000181 |
| Provider Name | Daniel Jun Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063875292 PECOS PAC ID: 5092115600 Enrollment ID: I20210617002342 |
| Provider Name | Raquel Garza Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023641818 PECOS PAC ID: 2567863095 Enrollment ID: I20210622001555 |
| Provider Name | Rocio Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699351775 PECOS PAC ID: 4981005303 Enrollment ID: I20210623001320 |
| Provider Name | Jeffrey a Money |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922406313 PECOS PAC ID: 8325365414 Enrollment ID: I20210623003474 |
| Provider Name | Swathi Challa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285038059 PECOS PAC ID: 6507101706 Enrollment ID: I20210630002476 |
| Provider Name | Robin Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972165090 PECOS PAC ID: 2769719640 Enrollment ID: I20210702000550 |
| Provider Name | Venkata Sandeep Koripalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013390723 PECOS PAC ID: 3173870771 Enrollment ID: I20210702000584 |
| Provider Name | Miranda Shalek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861073009 PECOS PAC ID: 3577965136 Enrollment ID: I20210706002109 |
| Provider Name | Amanda Randle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275907503 PECOS PAC ID: 8123322310 Enrollment ID: I20210707000669 |
| Provider Name | Laila Malani Mohammad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720320070 PECOS PAC ID: 1355743717 Enrollment ID: I20210708001713 |
| Provider Name | Mariel Bagley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235622986 PECOS PAC ID: 7214283530 Enrollment ID: I20210708003611 |
| Provider Name | Allison Leigh Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124619424 PECOS PAC ID: 5395147474 Enrollment ID: I20210712003611 |
| Provider Name | John Odneal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013414259 PECOS PAC ID: 8426313743 Enrollment ID: I20210713001049 |
| Provider Name | Jennifer Morgan Tarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306428537 PECOS PAC ID: 0042612038 Enrollment ID: I20210713003773 |
| Provider Name | Kipper Li Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134793938 PECOS PAC ID: 7012310584 Enrollment ID: I20210721001045 |
| Provider Name | Ankur Pradhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043708407 PECOS PAC ID: 8426303827 Enrollment ID: I20210721003370 |
| Provider Name | William James Pickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902390495 PECOS PAC ID: 9133522691 Enrollment ID: I20210722000278 |
| Provider Name | Amber Noel Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326618141 PECOS PAC ID: 1850794231 Enrollment ID: I20210722001629 |
| Provider Name | Crystal Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053845859 PECOS PAC ID: 5395014955 Enrollment ID: I20210722002306 |
| Provider Name | Michael Hunter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386023471 PECOS PAC ID: 7810248853 Enrollment ID: I20210723000655 |
| Provider Name | Sowmya Boddhula |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134569825 PECOS PAC ID: 9133352875 Enrollment ID: I20210723002981 |
| Provider Name | Sandip Savaliya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235556358 PECOS PAC ID: 9931332749 Enrollment ID: I20210726000814 |
| Provider Name | Anna Hollingsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023515293 PECOS PAC ID: 0143579789 Enrollment ID: I20210726001962 |
| Provider Name | Thomas Muse |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689054454 PECOS PAC ID: 4789965872 Enrollment ID: I20210727003905 |
| Provider Name | James Nielsen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295735710 PECOS PAC ID: 1355422767 Enrollment ID: I20210728001180 |
| Provider Name | Hamza M Tola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818342 PECOS PAC ID: 6406259373 Enrollment ID: I20210729002252 |
| Provider Name | Esosa G Odigie-okon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588815914 PECOS PAC ID: 0446573240 Enrollment ID: I20210804002343 |
| Provider Name | Young Chun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922387380 PECOS PAC ID: 8224432885 Enrollment ID: I20210804003507 |
| Provider Name | Paul R Leatham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871014936 PECOS PAC ID: 9537439211 Enrollment ID: I20210805000103 |
| Provider Name | Savyata Hamal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689178683 PECOS PAC ID: 8123372430 Enrollment ID: I20210805001963 |
| Provider Name | Breanne Shante Braaten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194398297 PECOS PAC ID: 7315341724 Enrollment ID: I20210806002325 |
| Provider Name | Donna Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669018529 PECOS PAC ID: 5193129484 Enrollment ID: I20210809002693 |
| Provider Name | Sarra Musa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730474222 PECOS PAC ID: 1254619240 Enrollment ID: I20210809003872 |
| Provider Name | Banyar Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306342282 PECOS PAC ID: 4981941911 Enrollment ID: I20210811000468 |
| Provider Name | Matthew T Gunst |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659728400 PECOS PAC ID: 0244518033 Enrollment ID: I20210811004426 |
| Provider Name | Ashish Chaddha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376955492 PECOS PAC ID: 7911217682 Enrollment ID: I20210812001616 |
| Provider Name | Shannon Rene Bearden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134616436 PECOS PAC ID: 2567891849 Enrollment ID: I20210814000150 |
| Provider Name | Ciera Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326570003 PECOS PAC ID: 6709281694 Enrollment ID: I20210816000927 |
| Provider Name | Cheryl Ann Shovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851921357 PECOS PAC ID: 4789089699 Enrollment ID: I20210816001884 |
| Provider Name | Shelby Lynn Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720680267 PECOS PAC ID: 5395140248 Enrollment ID: I20210816003427 |
| Provider Name | Farheen Saeed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326402504 PECOS PAC ID: 0345594669 Enrollment ID: I20210818003061 |
| Provider Name | Brenda Matzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497290910 PECOS PAC ID: 4587915913 Enrollment ID: I20210819001813 |
| Provider Name | Bethany Nichole Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164094744 PECOS PAC ID: 7810392438 Enrollment ID: I20210819003523 |
| Provider Name | Monica Isabel Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730761842 PECOS PAC ID: 8426453051 Enrollment ID: I20210820000201 |
| Provider Name | Mohammad Alqaim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023471596 PECOS PAC ID: 8022300441 Enrollment ID: I20210820000453 |
| Provider Name | Daphanie D Taylor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922480177 PECOS PAC ID: 6002116662 Enrollment ID: I20210821000199 |
| Provider Name | Esmael Yimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413186 PECOS PAC ID: 5496092447 Enrollment ID: I20210824000242 |
| Provider Name | Madison Elizabeth Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821761008 PECOS PAC ID: 2163828179 Enrollment ID: I20210831000056 |
| Provider Name | Monica Marie Karrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093388134 PECOS PAC ID: 9830595859 Enrollment ID: I20210831000353 |
| Provider Name | Kelly M Ratheal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518345594 PECOS PAC ID: 8527366855 Enrollment ID: I20210831003521 |
| Provider Name | Jason Robert Hall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003223983 PECOS PAC ID: 4385952399 Enrollment ID: I20210903002195 |
| Provider Name | Cesar a Santiago |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1659396406 PECOS PAC ID: 8224033758 Enrollment ID: I20210907000586 |
| Provider Name | Michael Z Gebeyehu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053728188 PECOS PAC ID: 1557633484 Enrollment ID: I20210907001713 |
| Provider Name | Alisabeth Chrystene Hearron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831413541 PECOS PAC ID: 9335332170 Enrollment ID: I20210908002046 |
| Provider Name | Michelle Lee Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184120735 PECOS PAC ID: 9436555901 Enrollment ID: I20210908002988 |
| Provider Name | Veronica Rachell Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760736847 PECOS PAC ID: 7810129194 Enrollment ID: I20210909000540 |
| Provider Name | Haley Nicole Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114598976 PECOS PAC ID: 7810393279 Enrollment ID: I20210909002713 |
| Provider Name | Richard Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487224028 PECOS PAC ID: 9830595107 Enrollment ID: I20210913000368 |
| Provider Name | Tamara Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679159743 PECOS PAC ID: 0042616245 Enrollment ID: I20210914002340 |
| Provider Name | Jennifer M Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215446760 PECOS PAC ID: 3375534548 Enrollment ID: I20210915001264 |
| Provider Name | Abid S Butt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154634947 PECOS PAC ID: 7719002351 Enrollment ID: I20210915001997 |
| Provider Name | Purav Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629464821 PECOS PAC ID: 5496050841 Enrollment ID: I20210915003541 |
| Provider Name | Samreen Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083119754 PECOS PAC ID: 7416354477 Enrollment ID: I20210920000198 |
| Provider Name | Chandler Dyan Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982379640 PECOS PAC ID: 1557768512 Enrollment ID: I20210920000379 |
| Provider Name | Ogechi a Ohia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063013605 PECOS PAC ID: 6002213758 Enrollment ID: I20210922001651 |
| Provider Name | Arti Khatri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932606241 PECOS PAC ID: 9739434077 Enrollment ID: I20210923001259 |
| Provider Name | Clayton Thomas Hodges |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154680486 PECOS PAC ID: 1254682792 Enrollment ID: I20210929001256 |
| Provider Name | Elizabeth Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730729070 PECOS PAC ID: 9133526346 Enrollment ID: I20210930000034 |
| Provider Name | Brandi Ross-douglas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588779904 PECOS PAC ID: 0941205876 Enrollment ID: I20210930003000 |
| Provider Name | Nadia Samari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932787694 PECOS PAC ID: 1456759612 Enrollment ID: I20211004000069 |
| Provider Name | Varun Miriyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043683824 PECOS PAC ID: 1759656259 Enrollment ID: I20211005003311 |
| Provider Name | Murshed Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619533536 PECOS PAC ID: 9032441696 Enrollment ID: I20211005003372 |
| Provider Name | Joshua Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881191567 PECOS PAC ID: 1355606815 Enrollment ID: I20211006000401 |
| Provider Name | Shannon Finklea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609404995 PECOS PAC ID: 2769880707 Enrollment ID: I20211006000846 |
| Provider Name | Jenny Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558757419 PECOS PAC ID: 9638598998 Enrollment ID: I20211007002975 |
| Provider Name | Tung Nguyen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073833521 PECOS PAC ID: 9537307830 Enrollment ID: I20211012000648 |
| Provider Name | Hoang Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194229302 PECOS PAC ID: 9830597434 Enrollment ID: I20211012003549 |
| Provider Name | Tigist D Gemechu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20211013001525 |
| Provider Name | Casie May Zarate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447925821 PECOS PAC ID: 8325446719 Enrollment ID: I20211015001369 |
| Provider Name | Julia Pye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164071684 PECOS PAC ID: 9931431467 Enrollment ID: I20211020001968 |
| Provider Name | Amy Marie Thesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942558747 PECOS PAC ID: 2062666480 Enrollment ID: I20211020002936 |
| Provider Name | David S Lidwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528002227 PECOS PAC ID: 1951632322 Enrollment ID: I20211021001123 |
| Provider Name | Saira Hoda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992293724 PECOS PAC ID: 1658618871 Enrollment ID: I20211022001447 |
| Provider Name | Jacob Dougherty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326577859 PECOS PAC ID: 3072934066 Enrollment ID: I20211028000587 |
| Provider Name | Tori Vives |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629576673 PECOS PAC ID: 2769870401 Enrollment ID: I20211028002090 |
| Provider Name | Okechukwu J Okeke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083918163 PECOS PAC ID: 6800103722 Enrollment ID: I20211029000457 |
| Provider Name | Kartik Nakul Rajagopalan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215390968 PECOS PAC ID: 9638574932 Enrollment ID: I20211029001481 |
| Provider Name | Morgan Caughlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508363136 PECOS PAC ID: 3072868538 Enrollment ID: I20211101001678 |
| Provider Name | Dustin Lowell Merriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861154767 PECOS PAC ID: 5496143091 Enrollment ID: I20211102000027 |
| Provider Name | Chelsi Boykin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306416409 PECOS PAC ID: 8224426739 Enrollment ID: I20211102000745 |
| Provider Name | Michael Sauza Aydalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790357937 PECOS PAC ID: 4082003371 Enrollment ID: I20211108000187 |
| Provider Name | Elaine M Cleveland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063706877 PECOS PAC ID: 3971830407 Enrollment ID: I20211111001388 |
| Provider Name | Lacey Mcmillan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760832117 PECOS PAC ID: 9436442340 Enrollment ID: I20211111001754 |
| Provider Name | Cheryl Elsik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548925126 PECOS PAC ID: 0345639381 Enrollment ID: I20211115000088 |
| Provider Name | Jorge Gonzalez-cruz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386850006 PECOS PAC ID: 4486753845 Enrollment ID: I20211115003002 |
| Provider Name | Reagan S Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134770621 PECOS PAC ID: 9931599479 Enrollment ID: I20211124000594 |
| Provider Name | Andrew Stuart Crutchfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225691835 PECOS PAC ID: 8325438864 Enrollment ID: I20211124000795 |
| Provider Name | Brianne Newman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194759126 PECOS PAC ID: 2769872183 Enrollment ID: I20211129001908 |
| Provider Name | Alfred D Lua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790913002 PECOS PAC ID: 6608091996 Enrollment ID: I20211130001526 |
| Provider Name | Kelly Ann Wedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629730676 PECOS PAC ID: 2860882024 Enrollment ID: I20211201002203 |
| Provider Name | Courtney Rene Kissling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407518525 PECOS PAC ID: 5597155689 Enrollment ID: I20211203001605 |
| Provider Name | Brian D Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790452340 PECOS PAC ID: 1153711049 Enrollment ID: I20211208002453 |
| Provider Name | Steven Porter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922071737 PECOS PAC ID: 1355378696 Enrollment ID: I20211210000458 |
| Provider Name | Tamika Mixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720754898 PECOS PAC ID: 2567853120 Enrollment ID: I20211215002956 |
| Provider Name | Madison Orwosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992461271 PECOS PAC ID: 1759772148 Enrollment ID: I20211220000027 |
| Provider Name | Tilak Raj |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760450084 PECOS PAC ID: 7517971609 Enrollment ID: I20211221001625 |
| Provider Name | Donna Lachelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114531217 PECOS PAC ID: 1355732546 Enrollment ID: I20211223000112 |
| Provider Name | Cindi Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477010445 PECOS PAC ID: 3577995018 Enrollment ID: I20211230000212 |
| Provider Name | Howard Richard Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982717138 PECOS PAC ID: 9830155381 Enrollment ID: I20220106001986 |
| Provider Name | Mohamed Khalifa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528467552 PECOS PAC ID: 0446536080 Enrollment ID: I20220110002279 |
| Provider Name | Fawad Khaliq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104289750 PECOS PAC ID: 8224312897 Enrollment ID: I20220112001156 |
| Provider Name | Rebecca Ramsay Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013472273 PECOS PAC ID: 5294127635 Enrollment ID: I20220118000078 |
| Provider Name | Sunil S Reddy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851787782 PECOS PAC ID: 8022319672 Enrollment ID: I20220124002721 |
| Provider Name | Foluke Adeola Akinyemi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356515654 PECOS PAC ID: 6608268438 Enrollment ID: I20220127002405 |
| Provider Name | Vanetta L Levesque |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033309133 PECOS PAC ID: 5496837585 Enrollment ID: I20220201001856 |
| Provider Name | James Rittimann |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396973434 PECOS PAC ID: 3577879238 Enrollment ID: I20220201001935 |
| Provider Name | Richard Lee Carl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346901113 PECOS PAC ID: 8527451152 Enrollment ID: I20220203001146 |
| Provider Name | Chelsey Danielle Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619637238 PECOS PAC ID: 3274926795 Enrollment ID: I20220205000008 |
| Provider Name | Andrew Galffy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972896710 PECOS PAC ID: 5395056212 Enrollment ID: I20220207002314 |
| Provider Name | Lisa Michelle Wertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861065302 PECOS PAC ID: 9638562069 Enrollment ID: I20220208001922 |
| Provider Name | Jennifer Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518201284 PECOS PAC ID: 6901058221 Enrollment ID: I20220214001951 |
| Provider Name | Prema Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356092894 PECOS PAC ID: 3678966785 Enrollment ID: I20220214002329 |
| Provider Name | Kelly Milou James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932777901 PECOS PAC ID: 7113310061 Enrollment ID: I20220217000447 |
| Provider Name | Christian J Hirsch |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871602789 PECOS PAC ID: 7113956640 Enrollment ID: I20220217000483 |
| Provider Name | Jennifer Ann Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809709 PECOS PAC ID: 3173916046 Enrollment ID: I20220217001424 |
| Provider Name | Nicholas Poponea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538579776 PECOS PAC ID: 5092935163 Enrollment ID: I20220217002163 |
| Provider Name | Dominick Anthony Vitale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700142742 PECOS PAC ID: 4688903917 Enrollment ID: I20220218000323 |
| Provider Name | Preston Broadhead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891379541 PECOS PAC ID: 9032503974 Enrollment ID: I20220218001188 |
| Provider Name | Monesa Charlene Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255084281 PECOS PAC ID: 9739573528 Enrollment ID: I20220221001126 |
| Provider Name | Hollie Ormond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285302828 PECOS PAC ID: 7113311887 Enrollment ID: I20220222002015 |
| Provider Name | Christopher Alexander Guidry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639599640 PECOS PAC ID: 6800214925 Enrollment ID: I20220224000915 |
| Provider Name | Suzanne L Staebler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568424794 PECOS PAC ID: 4789806779 Enrollment ID: I20220228000017 |
| Provider Name | James D Commander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942879002 PECOS PAC ID: 8527355247 Enrollment ID: I20220301002824 |
| Provider Name | Christine K Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801233580 PECOS PAC ID: 8224271200 Enrollment ID: I20220302001306 |
| Provider Name | Samantha P Denton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407502032 PECOS PAC ID: 8022403708 Enrollment ID: I20220316000057 |
| Provider Name | Jana Schade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912025362 PECOS PAC ID: 6406947910 Enrollment ID: I20220317000176 |
| Provider Name | Christina Lea Croley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003480245 PECOS PAC ID: 2264827831 Enrollment ID: I20220317000404 |
| Provider Name | Ronald Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780345553 PECOS PAC ID: 6305231655 Enrollment ID: I20220323001231 |
| Provider Name | John Arraf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972276897 PECOS PAC ID: 4789079864 Enrollment ID: I20220328002565 |
| Provider Name | Shawn Aghili |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871531590 PECOS PAC ID: 8224034004 Enrollment ID: I20220329000970 |
| Provider Name | Amna Mota |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528681525 PECOS PAC ID: 8628496304 Enrollment ID: I20220331000433 |
| Provider Name | Atish Chopra |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215215371 PECOS PAC ID: 5698061737 Enrollment ID: I20220405000407 |
| Provider Name | Kevin Peter Vergel De Dios Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831843044 PECOS PAC ID: 9638565328 Enrollment ID: I20220405003172 |
| Provider Name | Theron C Toole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184604837 PECOS PAC ID: 7012303605 Enrollment ID: I20220407001204 |
| Provider Name | Sandra Portillo Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265094726 PECOS PAC ID: 3971999145 Enrollment ID: I20220416000081 |
| Provider Name | Kathryn Mulford Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891440723 PECOS PAC ID: 6507253788 Enrollment ID: I20220419001314 |
| Provider Name | Russell Dumire |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619971223 PECOS PAC ID: 3072610005 Enrollment ID: I20220419002775 |
| Provider Name | Veronica Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902547177 PECOS PAC ID: 5890182968 Enrollment ID: I20220420002404 |
| Provider Name | Jeana Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831861889 PECOS PAC ID: 0143617183 Enrollment ID: I20220421002348 |
| Provider Name | Jennifer S Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023647286 PECOS PAC ID: 7113314162 Enrollment ID: I20220422000132 |
| Provider Name | Pansy Uberoi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144665886 PECOS PAC ID: 8224351960 Enrollment ID: I20220428000431 |
| Provider Name | Roger Pearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295706273 PECOS PAC ID: 2961569918 Enrollment ID: I20220502000791 |
| Provider Name | Brandon Lee Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134425226 PECOS PAC ID: 4385825280 Enrollment ID: I20220503001694 |
| Provider Name | Marie Carol Pizzolatto |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558859215 PECOS PAC ID: 2668859927 Enrollment ID: I20220507000011 |
| Provider Name | Abdelkader Almanfi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366678203 PECOS PAC ID: 7618262775 Enrollment ID: I20220509001079 |
| Provider Name | Antoinette Lenton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063825024 PECOS PAC ID: 3375920408 Enrollment ID: I20220511001602 |
| Provider Name | Corey Jude Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730838905 PECOS PAC ID: 1850778911 Enrollment ID: I20220512000032 |
| Provider Name | Jessica Neaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518543487 PECOS PAC ID: 5496132391 Enrollment ID: I20220516000547 |
| Provider Name | Lindsey Ann Jenkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891430443 PECOS PAC ID: 9537546478 Enrollment ID: I20220516002356 |
| Provider Name | Jeremy Linden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558521716 PECOS PAC ID: 2163608886 Enrollment ID: I20220517001861 |
| Provider Name | Sommer Long Ledkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295482719 PECOS PAC ID: 2466839279 Enrollment ID: I20220517002375 |
| Provider Name | Julieta Boydon Almazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588289532 PECOS PAC ID: 9234516055 Enrollment ID: I20220517002660 |
| Provider Name | Debra Rey Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700468733 PECOS PAC ID: 6901283738 Enrollment ID: I20220518000087 |
| Provider Name | Kokeesha E Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639785900 PECOS PAC ID: 6103203831 Enrollment ID: I20220518000435 |
| Provider Name | Hazel May Fielder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033866157 PECOS PAC ID: 4981081684 Enrollment ID: I20220518003056 |
| Provider Name | Patricia G Arguijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619624970 PECOS PAC ID: 9739566449 Enrollment ID: I20220519000163 |
| Provider Name | Margaret Broadhead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629652367 PECOS PAC ID: 3375920085 Enrollment ID: I20220519000181 |
| Provider Name | Anthony James Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063169688 PECOS PAC ID: 8527445097 Enrollment ID: I20220523001625 |
| Provider Name | Christie L Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750673554 PECOS PAC ID: 7618297417 Enrollment ID: I20220526001271 |
| Provider Name | Megan Leigh Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427703388 PECOS PAC ID: 5890173264 Enrollment ID: I20220526001639 |
| Provider Name | Ashley Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275298317 PECOS PAC ID: 5193103471 Enrollment ID: I20220526002349 |
| Provider Name | Erin Rizzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558821397 PECOS PAC ID: 2769808625 Enrollment ID: I20220527000069 |
| Provider Name | Kasi Addison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679034870 PECOS PAC ID: 6709114671 Enrollment ID: I20220527000344 |
| Provider Name | Jennifer Cirilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093487613 PECOS PAC ID: 9931587268 Enrollment ID: I20220527000957 |
| Provider Name | Emily Simon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912469362 PECOS PAC ID: 0446585806 Enrollment ID: I20220601001038 |
| Provider Name | Ambria Fay Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417458340 PECOS PAC ID: 3375921299 Enrollment ID: I20220606002460 |
| Provider Name | Gabriel Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245468396 PECOS PAC ID: 0446479208 Enrollment ID: I20220607001897 |
| Provider Name | Frances L Lagrone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790246726 PECOS PAC ID: 1052646676 Enrollment ID: I20220614001655 |
| Provider Name | Hamish Sunil Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689023228 PECOS PAC ID: 5496048639 Enrollment ID: I20220615000829 |
| Provider Name | David Edward White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245893148 PECOS PAC ID: 4587999438 Enrollment ID: I20220615001083 |
| Provider Name | Joseph Howard Mcmordie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396159851 PECOS PAC ID: 8022238195 Enrollment ID: I20220616002383 |
| Provider Name | Jill Ann Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225776495 PECOS PAC ID: 6800275876 Enrollment ID: I20220622000449 |
| Provider Name | Kymberly Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407502990 PECOS PAC ID: 9335528058 Enrollment ID: I20220625000657 |
| Provider Name | Htun Latt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679990527 PECOS PAC ID: 0244556959 Enrollment ID: I20220629000263 |
| Provider Name | Jessica Denise Modisette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386393213 PECOS PAC ID: 5597145045 Enrollment ID: I20220630001695 |
| Provider Name | Ethelbert Baker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417922758 PECOS PAC ID: 1254243371 Enrollment ID: I20220701000097 |
| Provider Name | Monty Putman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477075810 PECOS PAC ID: 0446673313 Enrollment ID: I20220705001075 |
| Provider Name | Ebenezer Fozao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861999021 PECOS PAC ID: 1658617253 Enrollment ID: I20220706001779 |
| Provider Name | Omar Taha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841618303 PECOS PAC ID: 1355686312 Enrollment ID: I20220711000953 |
| Provider Name | Maryam Khalily Rahmani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780213199 PECOS PAC ID: 3375924079 Enrollment ID: I20220712003990 |
| Provider Name | Bejoy Thomas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194102483 PECOS PAC ID: 7214249630 Enrollment ID: I20220713000366 |
| Provider Name | Joseph Heron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629639976 PECOS PAC ID: 2163803727 Enrollment ID: I20220714001001 |
| Provider Name | Karla Ivy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780066035 PECOS PAC ID: 6002105178 Enrollment ID: I20220715000278 |
| Provider Name | Karlee Mckenzie Wright |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932839446 PECOS PAC ID: 3577944024 Enrollment ID: I20220715000622 |
| Provider Name | Justin Du |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356901482 PECOS PAC ID: 0143627752 Enrollment ID: I20220718000142 |
| Provider Name | Teresa Townes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588280283 PECOS PAC ID: 3779964069 Enrollment ID: I20220718002934 |
| Provider Name | Christian Douthit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093192395 PECOS PAC ID: 6305131731 Enrollment ID: I20220722001479 |
| Provider Name | Edward Strecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992268304 PECOS PAC ID: 3870836026 Enrollment ID: I20220722002911 |
| Provider Name | Regan Cale Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003563537 PECOS PAC ID: 5193106052 Enrollment ID: I20220722003055 |
| Provider Name | Austin M Mcphilamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811212236 PECOS PAC ID: 2860633948 Enrollment ID: I20220725002165 |
| Provider Name | Matthew E Negem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760892343 PECOS PAC ID: 0749525822 Enrollment ID: I20220725003311 |
| Provider Name | Paul E Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699315192 PECOS PAC ID: 6901209097 Enrollment ID: I20220725003439 |
| Provider Name | Brianna Nicole Ask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700515897 PECOS PAC ID: 2062894611 Enrollment ID: I20220729001063 |
| Provider Name | Faisal Arif |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891927810 PECOS PAC ID: 4284880881 Enrollment ID: I20220730000448 |
| Provider Name | Serena Cuellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811554108 PECOS PAC ID: 6901136522 Enrollment ID: I20220809002337 |
| Provider Name | Shelby Allen Harry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881331783 PECOS PAC ID: 0840673737 Enrollment ID: I20220810000022 |
| Provider Name | Mudassar Khan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386098440 PECOS PAC ID: 7113321761 Enrollment ID: I20220812000214 |
| Provider Name | Lorraine Yvette Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457969347 PECOS PAC ID: 5799168456 Enrollment ID: I20220813000775 |
| Provider Name | Rashed a Alfarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184078826 PECOS PAC ID: 8123312782 Enrollment ID: I20220815001622 |
| Provider Name | Maria Whiteacre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396403739 PECOS PAC ID: 8123401452 Enrollment ID: I20220818001276 |
| Provider Name | Allison Marsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952891475 PECOS PAC ID: 1557611647 Enrollment ID: I20220818003753 |
| Provider Name | Amy Elizabeth Vander Vorste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952929366 PECOS PAC ID: 6901289164 Enrollment ID: I20220821000014 |
| Provider Name | Kristen Troxler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568076354 PECOS PAC ID: 1254759582 Enrollment ID: I20220822002529 |
| Provider Name | Hayden Lowe Joseph |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194170225 PECOS PAC ID: 6406257013 Enrollment ID: I20220824001537 |
| Provider Name | Sherry Alexandra Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326772732 PECOS PAC ID: 5395128383 Enrollment ID: I20220824002550 |
| Provider Name | Tiffany Nicole Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194458877 PECOS PAC ID: 6103200019 Enrollment ID: I20220825004334 |
| Provider Name | Elaine Tuong Vi Vo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1992142996 PECOS PAC ID: 6608250170 Enrollment ID: I20220901000473 |
| Provider Name | Awad Ahmed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851702831 PECOS PAC ID: 2062630593 Enrollment ID: I20220901003497 |
| Provider Name | Alex N Hoang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538589791 PECOS PAC ID: 9032417373 Enrollment ID: I20220907001838 |
| Provider Name | Steven Gary Fein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437146552 PECOS PAC ID: 7113963836 Enrollment ID: I20220907002777 |
| Provider Name | Alicia Kincaid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861843633 PECOS PAC ID: 9537543723 Enrollment ID: I20220907003689 |
| Provider Name | Sanmitha Sundaram Kota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174170781 PECOS PAC ID: 5395129480 Enrollment ID: I20220909000375 |
| Provider Name | Ioannis Nick Liras |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023513868 PECOS PAC ID: 2264781525 Enrollment ID: I20220909001993 |
| Provider Name | Rashna Ginwalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093962284 PECOS PAC ID: 9638294416 Enrollment ID: I20220912000010 |
| Provider Name | Kyle P Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306986484 PECOS PAC ID: 6406918291 Enrollment ID: I20220912003644 |
| Provider Name | Selwyn Erapuram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891256095 PECOS PAC ID: 8729316674 Enrollment ID: I20220912003684 |
| Provider Name | Lloyd Jones |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902240872 PECOS PAC ID: 7315243417 Enrollment ID: I20220913002436 |
| Provider Name | Sudhathi Chennuru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689740326 PECOS PAC ID: 6800700915 Enrollment ID: I20220913003834 |
| Provider Name | Emily B Quini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154884757 PECOS PAC ID: 9436534294 Enrollment ID: I20220914001411 |
| Provider Name | Jessica Marie Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639179955 PECOS PAC ID: 6305221151 Enrollment ID: I20220915001449 |
| Provider Name | Courtney Brooks Chism |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821551235 PECOS PAC ID: 0749513067 Enrollment ID: I20220915003389 |
| Provider Name | Telisha Mooney Nemec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306565577 PECOS PAC ID: 8325423908 Enrollment ID: I20220919000236 |
| Provider Name | Michael S Morkos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023546983 PECOS PAC ID: 5092190611 Enrollment ID: I20220919001911 |
| Provider Name | Merlin Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700231586 PECOS PAC ID: 8022424746 Enrollment ID: I20220923001087 |
| Provider Name | Manji B Osifeso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033465505 PECOS PAC ID: 9830482314 Enrollment ID: I20220923002323 |
| Provider Name | Kirby Wilcoxson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087575 PECOS PAC ID: 0345519229 Enrollment ID: I20220927001137 |
| Provider Name | Heidi Tondre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679213268 PECOS PAC ID: 4284010364 Enrollment ID: I20220927001158 |
| Provider Name | Zainab a Shafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013370667 PECOS PAC ID: 2264789684 Enrollment ID: I20220927001547 |
| Provider Name | Lauren Clark |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053032243 PECOS PAC ID: 3870979800 Enrollment ID: I20220928003684 |
| Provider Name | Ajit M Alexander |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861888760 PECOS PAC ID: 8022313360 Enrollment ID: I20221003000028 |
| Provider Name | Courtney Chung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568867216 PECOS PAC ID: 4082951975 Enrollment ID: I20221012000572 |
| Provider Name | Marie Charisse Impe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033870456 PECOS PAC ID: 2769858026 Enrollment ID: I20221012001382 |
| Provider Name | James D Reid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295826881 PECOS PAC ID: 4284618166 Enrollment ID: I20221014000931 |
| Provider Name | Kaylee Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073247516 PECOS PAC ID: 9537535687 Enrollment ID: I20221014002162 |
| Provider Name | Leah Dillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033847967 PECOS PAC ID: 1850767757 Enrollment ID: I20221018001582 |
| Provider Name | Courtney Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457094328 PECOS PAC ID: 0547636326 Enrollment ID: I20221019001476 |
| Provider Name | Benjamin W Hoyt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710334941 PECOS PAC ID: 8224404041 Enrollment ID: I20221019002902 |
| Provider Name | Loranee Braun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215029566 PECOS PAC ID: 1153452610 Enrollment ID: I20221022000147 |
| Provider Name | Ololade Oluwakemi Ogundele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336670330 PECOS PAC ID: 3971877952 Enrollment ID: I20221031001936 |
| Provider Name | Lakisha Nashun Bennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609526771 PECOS PAC ID: 9537536743 Enrollment ID: I20221101000978 |
| Provider Name | Numan Jahangir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174985634 PECOS PAC ID: 8022303999 Enrollment ID: I20221102001766 |
| Provider Name | Ryan Allen Mcdermott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114313301 PECOS PAC ID: 7517258668 Enrollment ID: I20221109002835 |
| Provider Name | Kimberly Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215489331 PECOS PAC ID: 3072884873 Enrollment ID: I20221115002476 |
| Provider Name | Ana Karina Serratos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467065706 PECOS PAC ID: 5698143170 Enrollment ID: I20221115002478 |
| Provider Name | Nael E Saad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497762801 PECOS PAC ID: 1850464298 Enrollment ID: I20221116003317 |
| Provider Name | Dianna Lynn Kidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851017974 PECOS PAC ID: 3678941895 Enrollment ID: I20221119000131 |
| Provider Name | Krystal S Ware |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225341373 PECOS PAC ID: 9436585288 Enrollment ID: I20221121000185 |
| Provider Name | Kristen Edney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740915610 PECOS PAC ID: 1355719485 Enrollment ID: I20221122001117 |
| Provider Name | Steven H Tekell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851663421 PECOS PAC ID: 0244498517 Enrollment ID: I20221122001215 |
| Provider Name | Haley Millender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912659582 PECOS PAC ID: 2365820198 Enrollment ID: I20221122002500 |
| Provider Name | Jennifer Lee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801519426 PECOS PAC ID: 9133597032 Enrollment ID: I20221128001123 |
| Provider Name | Nikhil S Patankar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770863490 PECOS PAC ID: 7416385513 Enrollment ID: I20221207000244 |
| Provider Name | Hannah Lynn Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083387278 PECOS PAC ID: 0244609535 Enrollment ID: I20221208000857 |
| Provider Name | Sabrina Starr Miles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063139137 PECOS PAC ID: 8527437623 Enrollment ID: I20221213000513 |
| Provider Name | Rangadham Nagarakanti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790836252 PECOS PAC ID: 5092738765 Enrollment ID: I20221216000746 |
| Provider Name | Taylor Renee Cardenas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730801325 PECOS PAC ID: 2961871694 Enrollment ID: I20221219002881 |
| Provider Name | Nicole Marie Milsap |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548898414 PECOS PAC ID: 0446620173 Enrollment ID: I20221221001517 |
| Provider Name | Molly Marion Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508474537 PECOS PAC ID: 3375913643 Enrollment ID: I20221230001911 |
| Provider Name | Jennifer Ann Auger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730803073 PECOS PAC ID: 9638549942 Enrollment ID: I20230103001070 |
| Provider Name | Jie Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316994684 PECOS PAC ID: 0042119281 Enrollment ID: I20230106000689 |
| Provider Name | Melissa Ann Fenstermaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407563588 PECOS PAC ID: 2668842774 Enrollment ID: I20230106001081 |
| Provider Name | Carley Ann Jaynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003526153 PECOS PAC ID: 6709256738 Enrollment ID: I20230106002432 |
| Provider Name | Viraj V Desai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861055147 PECOS PAC ID: 9335519305 Enrollment ID: I20230109001341 |
| Provider Name | Rachael Ann Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558883751 PECOS PAC ID: 2264705722 Enrollment ID: I20230112000454 |
| Provider Name | Laura S Pumarejo-gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831696517 PECOS PAC ID: 3577953066 Enrollment ID: I20230117002234 |
| Provider Name | Bintou Sarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457078792 PECOS PAC ID: 7416328943 Enrollment ID: I20230120000953 |
| Provider Name | Alisha Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902184930 PECOS PAC ID: 6103095757 Enrollment ID: I20230123001635 |
| Provider Name | Kirby Kile |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003524869 PECOS PAC ID: 8123499423 Enrollment ID: I20230124003550 |
| Provider Name | Tamer Hudali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770863615 PECOS PAC ID: 9739303157 Enrollment ID: I20230125000986 |
| Provider Name | Dallin Stephens Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588124366 PECOS PAC ID: 0648509836 Enrollment ID: I20230126002374 |
| Provider Name | Amanda Boulis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992973044 PECOS PAC ID: 8325122559 Enrollment ID: I20230126002397 |
| Provider Name | Michael Siegenthaler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093863532 PECOS PAC ID: 7012918782 Enrollment ID: I20230130000809 |
| Provider Name | Holly Rebecca Etheredge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538878053 PECOS PAC ID: 4183095151 Enrollment ID: I20230131000095 |
| Provider Name | Brittany Rae Flemister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811600927 PECOS PAC ID: 8325419211 Enrollment ID: I20230201001992 |
| Provider Name | Maribel Serrano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134445505 PECOS PAC ID: 7012133838 Enrollment ID: I20230203000790 |
| Provider Name | Lori George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760041180 PECOS PAC ID: 0648506139 Enrollment ID: I20230208002674 |
| Provider Name | Karli May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346976453 PECOS PAC ID: 2769854223 Enrollment ID: I20230209000552 |
| Provider Name | Rosalinda Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881215440 PECOS PAC ID: 3678945177 Enrollment ID: I20230209001838 |
| Provider Name | Joyce Ann Mcmurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099392 PECOS PAC ID: 5496121402 Enrollment ID: I20230211000345 |
| Provider Name | Nabeel G El-amir |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1841243698 PECOS PAC ID: 2567359748 Enrollment ID: I20230214001003 |
| Provider Name | Elizabeth M Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609508373 PECOS PAC ID: 2769854777 Enrollment ID: I20230220001925 |
| Provider Name | Ashley Villagran Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710699731 PECOS PAC ID: 5395118327 Enrollment ID: I20230222001492 |
| Provider Name | Edwin Isaboke Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194292888 PECOS PAC ID: 2769855790 Enrollment ID: I20230222001805 |
| Provider Name | Kelsey Danielle Sheeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720543556 PECOS PAC ID: 6406229335 Enrollment ID: I20230223003013 |
| Provider Name | Waleed Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770653487 PECOS PAC ID: 2860476199 Enrollment ID: I20230228000791 |
| Provider Name | Erica Jordan Maloney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609585538 PECOS PAC ID: 7719350461 Enrollment ID: I20230301000328 |
| Provider Name | Prithvi Muddana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275199689 PECOS PAC ID: 9335512870 Enrollment ID: I20230302001572 |
| Provider Name | Keonna Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578824751 PECOS PAC ID: 7416189477 Enrollment ID: I20230303001366 |
| Provider Name | Brittainy Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932765567 PECOS PAC ID: 3072986116 Enrollment ID: I20230310000866 |
| Provider Name | Ellia Ciammaichella |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669821260 PECOS PAC ID: 8921435777 Enrollment ID: I20230316002928 |
| Provider Name | Jared Augustine Reyna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235847344 PECOS PAC ID: 1052785698 Enrollment ID: I20230321002340 |
| Provider Name | Alicia Nicole Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649913807 PECOS PAC ID: 9335513878 Enrollment ID: I20230323000775 |
| Provider Name | Aaron Jaffe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922457894 PECOS PAC ID: 2769713056 Enrollment ID: I20230323001588 |
| Provider Name | Shakeem Iyamah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356904098 PECOS PAC ID: 2860866209 Enrollment ID: I20230324002730 |
| Provider Name | Lailane Pancho Asuncion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306545983 PECOS PAC ID: 6204200603 Enrollment ID: I20230327001956 |
| Provider Name | Gustavo Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649227653 PECOS PAC ID: 5496838138 Enrollment ID: I20230328000393 |
| Provider Name | Nitin Walyat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679716799 PECOS PAC ID: 5890950596 Enrollment ID: I20230328001095 |
| Provider Name | Hayden James Nugent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649986712 PECOS PAC ID: 6204200405 Enrollment ID: I20230329000986 |
| Provider Name | Juanita Garces |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700176807 PECOS PAC ID: 0446532899 Enrollment ID: I20230330000223 |
| Provider Name | Emily Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245881473 PECOS PAC ID: 8022428010 Enrollment ID: I20230331001183 |
| Provider Name | Latwana C Matthew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349848 PECOS PAC ID: 7517235211 Enrollment ID: I20230403002111 |
| Provider Name | Jessica N Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083310916 PECOS PAC ID: 8022483171 Enrollment ID: I20230404000545 |
| Provider Name | Mark W Richardson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477623734 PECOS PAC ID: 9133203177 Enrollment ID: I20230405002079 |
| Provider Name | Haley Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386359131 PECOS PAC ID: 2860867546 Enrollment ID: I20230411002005 |
| Provider Name | Jennifer Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376097071 PECOS PAC ID: 3577938109 Enrollment ID: I20230412001197 |
| Provider Name | Mamatha Kadiyala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851382584 PECOS PAC ID: 6002848041 Enrollment ID: I20230417000365 |
| Provider Name | Regan Alexandra Hawkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568180966 PECOS PAC ID: 9436524741 Enrollment ID: I20230418001639 |
| Provider Name | Michael O Sant |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861478752 PECOS PAC ID: 4385656446 Enrollment ID: I20230422000265 |
| Provider Name | Darrell Ferguson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740504133 PECOS PAC ID: 6507249794 Enrollment ID: I20230426000327 |
| Provider Name | Alicia Danielle Wilmeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184370595 PECOS PAC ID: 1557726411 Enrollment ID: I20230427001844 |
| Provider Name | Gregory Duhon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487034039 PECOS PAC ID: 8527319243 Enrollment ID: I20230427002374 |
| Provider Name | Tyrone Galbreath |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356636245 PECOS PAC ID: 7416178199 Enrollment ID: I20230428001138 |
| Provider Name | Lisardo Garcia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407057201 PECOS PAC ID: 3779654686 Enrollment ID: I20230428002830 |
| Provider Name | Ricardo N/a Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669955696 PECOS PAC ID: 6800251638 Enrollment ID: I20230502000113 |
| Provider Name | Lisa Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770925265 PECOS PAC ID: 4486898988 Enrollment ID: I20230502001877 |
| Provider Name | Tracey Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821051012 PECOS PAC ID: 5092729731 Enrollment ID: I20230503001672 |
| Provider Name | Ashley N Quitugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285158246 PECOS PAC ID: 7012281744 Enrollment ID: I20230509002926 |
| Provider Name | Cristina Bardita |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861809295 PECOS PAC ID: 8325338577 Enrollment ID: I20230510002799 |
| Provider Name | Kasim Kasim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780846873 PECOS PAC ID: 0941377972 Enrollment ID: I20230510003577 |
| Provider Name | Suganya Manivannan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215255179 PECOS PAC ID: 9032423074 Enrollment ID: I20230512002161 |
| Provider Name | Stavan Y Patel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558688309 PECOS PAC ID: 6507161817 Enrollment ID: I20230519001851 |
| Provider Name | Brian J Western |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265069702 PECOS PAC ID: 3476975160 Enrollment ID: I20230524003032 |
| Provider Name | Andrew C James |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528270030 PECOS PAC ID: 4789831694 Enrollment ID: I20230525001719 |
| Provider Name | Heather Capree Flugel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471178 PECOS PAC ID: 0143687558 Enrollment ID: I20230530003018 |
| Provider Name | Chandrasekhar Nandipaty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700316262 PECOS PAC ID: 6204107782 Enrollment ID: I20230605001156 |
| Provider Name | Melissa Ann Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760181473 PECOS PAC ID: 7416314596 Enrollment ID: I20230605002665 |
| Provider Name | Chidinma Joy Anyiwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700349693 PECOS PAC ID: 9436576303 Enrollment ID: I20230607000346 |
| Provider Name | Robert Gallegos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205870805 PECOS PAC ID: 2365436417 Enrollment ID: I20230608000587 |
| Provider Name | William B Lea |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790947760 PECOS PAC ID: 8325285448 Enrollment ID: I20230613001483 |
| Provider Name | Ayman Elbadawi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841669587 PECOS PAC ID: 5193077311 Enrollment ID: I20230616000017 |
| Provider Name | Omokorede Apampa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376065268 PECOS PAC ID: 6406273846 Enrollment ID: I20230619000562 |
| Provider Name | Darsham Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235346115 PECOS PAC ID: 1052472701 Enrollment ID: I20230622002153 |
| Provider Name | Seth Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831537414 PECOS PAC ID: 0143511519 Enrollment ID: I20230622002885 |
| Provider Name | Steve Dang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902429632 PECOS PAC ID: 5698196095 Enrollment ID: I20230623001476 |
| Provider Name | Mitchell Jacob George |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487071387 PECOS PAC ID: 1658739677 Enrollment ID: I20230623002201 |
| Provider Name | Neal Foley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043604432 PECOS PAC ID: 7416241542 Enrollment ID: I20230628000685 |
| Provider Name | David Cavaness |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1487218798 PECOS PAC ID: 9436484631 Enrollment ID: I20230703001700 |
| Provider Name | Kenedy Andon Foryoung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225472392 PECOS PAC ID: 9335472265 Enrollment ID: I20230705002131 |
| Provider Name | Michelle Camden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326708512 PECOS PAC ID: 4981099587 Enrollment ID: I20230712000454 |
| Provider Name | Margarett a Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477099661 PECOS PAC ID: 1951672039 Enrollment ID: I20230713002283 |
| Provider Name | Zachary C Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770157075 PECOS PAC ID: 9638539802 Enrollment ID: I20230719002581 |
| Provider Name | Bilal Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386902260 PECOS PAC ID: 8628366747 Enrollment ID: I20230720000129 |
| Provider Name | Azael Arizpe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518491588 PECOS PAC ID: 7719348606 Enrollment ID: I20230725000598 |
| Provider Name | Jesus Aleman Ozuna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831728310 PECOS PAC ID: 5496177917 Enrollment ID: I20230728001549 |
| Provider Name | Robert Beatty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447264122 PECOS PAC ID: 0941254445 Enrollment ID: I20230728003027 |
| Provider Name | Darrin D Privett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669674644 PECOS PAC ID: 5193805208 Enrollment ID: I20230731000272 |
| Provider Name | Melanie Sarabia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043891906 PECOS PAC ID: 4587025119 Enrollment ID: I20230731000689 |
| Provider Name | Rama Dilip Gajulapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235360223 PECOS PAC ID: 9739345364 Enrollment ID: I20230731000992 |
| Provider Name | Andrew Assaf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508214321 PECOS PAC ID: 9739517988 Enrollment ID: I20230801000331 |
| Provider Name | Dustin C Luse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407353055 PECOS PAC ID: 9830550185 Enrollment ID: I20230802002741 |
| Provider Name | Melisa Lynn Lott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760770671 PECOS PAC ID: 3678877180 Enrollment ID: I20230806000042 |
| Provider Name | Ammar Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659720522 PECOS PAC ID: 9931496551 Enrollment ID: I20230807000112 |
| Provider Name | David a Peifer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427543156 PECOS PAC ID: 5092061853 Enrollment ID: I20230807001856 |
| Provider Name | Michelle Shieh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669867156 PECOS PAC ID: 7517202419 Enrollment ID: I20230807002071 |
| Provider Name | Aaron Killpack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457588212 PECOS PAC ID: 4183910326 Enrollment ID: I20230808001556 |
| Provider Name | Justina Michele Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578262556 PECOS PAC ID: 3678935020 Enrollment ID: I20230816002931 |
| Provider Name | Timothy R Shutter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285127704 PECOS PAC ID: 3870955107 Enrollment ID: I20230817001982 |
| Provider Name | Trevor J Wait |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366977860 PECOS PAC ID: 2264709054 Enrollment ID: I20230822000647 |
| Provider Name | Ernest J Laney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154600104 PECOS PAC ID: 9537467246 Enrollment ID: I20230823001439 |
| Provider Name | Michael Edward Eiffert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508878471 PECOS PAC ID: 1153307616 Enrollment ID: I20230823002570 |
| Provider Name | Luis M Reyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962023564 PECOS PAC ID: 7416378583 Enrollment ID: I20230824003725 |
| Provider Name | Christopher V Petrikas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902434079 PECOS PAC ID: 3870916364 Enrollment ID: I20230825003284 |
| Provider Name | Bernardo Nocum Isla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053003764 PECOS PAC ID: 4981067642 Enrollment ID: I20230828003381 |
| Provider Name | Shehriyar Mehershahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720463524 PECOS PAC ID: 9234511197 Enrollment ID: I20230829004072 |
| Provider Name | Andrew J Paliga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346497674 PECOS PAC ID: 4587828256 Enrollment ID: I20230831003630 |
| Provider Name | Hasan Ashraf |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205217361 PECOS PAC ID: 6608188701 Enrollment ID: I20230901002102 |
| Provider Name | Abebu Y Tesfa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477142875 PECOS PAC ID: 0042673394 Enrollment ID: I20230905000339 |
| Provider Name | Mohammad Y a Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649641226 PECOS PAC ID: 7719233238 Enrollment ID: I20230906004240 |
| Provider Name | Rana Raheel H Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336555390 PECOS PAC ID: 2365711587 Enrollment ID: I20230907001275 |
| Provider Name | Shirley Buntoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831727239 PECOS PAC ID: 8022433135 Enrollment ID: I20230907003090 |
| Provider Name | Rayan S Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851920722 PECOS PAC ID: 3173987179 Enrollment ID: I20230908002824 |
| Provider Name | Ryan L Ratliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164046280 PECOS PAC ID: 7618390931 Enrollment ID: I20230911000026 |
| Provider Name | Brady Daniel Holstead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099422 PECOS PAC ID: 3375974108 Enrollment ID: I20230912004387 |
| Provider Name | Galaedriel B Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184313942 PECOS PAC ID: 8022472760 Enrollment ID: I20230913001844 |
| Provider Name | Tyler J Houston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437738549 PECOS PAC ID: 1052720646 Enrollment ID: I20230913003004 |
| Provider Name | Armando Elizondo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154825016 PECOS PAC ID: 7517214984 Enrollment ID: I20230914002714 |
| Provider Name | Anusha V Jogimahanti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801392014 PECOS PAC ID: 5890033872 Enrollment ID: I20230914003227 |
| Provider Name | Jill Rene Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710641436 PECOS PAC ID: 8123482791 Enrollment ID: I20230914003540 |
| Provider Name | Parvati Dhurvas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437787868 PECOS PAC ID: 5890117360 Enrollment ID: I20230915000179 |
| Provider Name | Caitrin Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760177943 PECOS PAC ID: 6305200668 Enrollment ID: I20230919004004 |
| Provider Name | Imran Siddiqui |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1235389875 PECOS PAC ID: 8820226467 Enrollment ID: I20230920000019 |
| Provider Name | Khamis a Shalabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124505300 PECOS PAC ID: 8224453782 Enrollment ID: I20230920000495 |
| Provider Name | Lindsey M Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376871350 PECOS PAC ID: 0941330559 Enrollment ID: I20230920000501 |
| Provider Name | Timothy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558048835 PECOS PAC ID: 4082078373 Enrollment ID: I20230920001103 |
| Provider Name | Xiang Gao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447631205 PECOS PAC ID: 9032454376 Enrollment ID: I20230920001831 |
| Provider Name | Lauren Elizabeth Rutter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962999722 PECOS PAC ID: 9335475755 Enrollment ID: I20230921000751 |
| Provider Name | Susan D. Gallien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831354752 PECOS PAC ID: 2961556279 Enrollment ID: I20230921002837 |
| Provider Name | Jennifer L Caughron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871206029 PECOS PAC ID: 0244684470 Enrollment ID: I20230921003376 |
| Provider Name | John Henstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215564141 PECOS PAC ID: 4981035896 Enrollment ID: I20230927001474 |
| Provider Name | John Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558989053 PECOS PAC ID: 4880095207 Enrollment ID: I20230928001645 |
| Provider Name | Anna Louise Honeycutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720769615 PECOS PAC ID: 5395199079 Enrollment ID: I20230928003136 |
| Provider Name | Gabriela New |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295208817 PECOS PAC ID: 8820336886 Enrollment ID: I20230928003434 |
| Provider Name | Nicole Marie Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710439237 PECOS PAC ID: 0749560035 Enrollment ID: I20230930000037 |
| Provider Name | Madhuri Tirumandas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043606320 PECOS PAC ID: 3678991130 Enrollment ID: I20230930000488 |
| Provider Name | Taylor B Laster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982059929 PECOS PAC ID: 1254785850 Enrollment ID: I20231002000858 |
| Provider Name | Gayatri Sonti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295905107 PECOS PAC ID: 6204981822 Enrollment ID: I20231002002272 |
| Provider Name | Satesh K Raju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669553178 PECOS PAC ID: 9537488457 Enrollment ID: I20231002002765 |
| Provider Name | Theresa E Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215019518 PECOS PAC ID: 4082883681 Enrollment ID: I20231003002688 |
| Provider Name | David John Yeh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720044415 PECOS PAC ID: 7113989088 Enrollment ID: I20231004001405 |
| Provider Name | Shairah Hortelano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689352445 PECOS PAC ID: 2062867443 Enrollment ID: I20231005001552 |
| Provider Name | T'juaniequa B Wideman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053195982 PECOS PAC ID: 3274988449 Enrollment ID: I20231006003276 |
| Provider Name | Samantha R Spiro Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447935234 PECOS PAC ID: 2264887330 Enrollment ID: I20231010000129 |
| Provider Name | Aaron James Redmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568247088 PECOS PAC ID: 2062867104 Enrollment ID: I20231010003203 |
| Provider Name | Ashlyn Nicole Spruell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184409229 PECOS PAC ID: 0840645990 Enrollment ID: I20231010003951 |
| Provider Name | Hailey Elizabeth Bonner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083225239 PECOS PAC ID: 9830544873 Enrollment ID: I20231011004101 |
| Provider Name | Prateek Patibandla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326493958 PECOS PAC ID: 6002148210 Enrollment ID: I20231012002363 |
| Provider Name | Nway Nway |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457960460 PECOS PAC ID: 8527413368 Enrollment ID: I20231013000621 |
| Provider Name | Thach Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043614860 PECOS PAC ID: 6507181534 Enrollment ID: I20231013002103 |
| Provider Name | Korde M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952189219 PECOS PAC ID: 9830544618 Enrollment ID: I20231013002458 |
| Provider Name | Revathi Belur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518133842 PECOS PAC ID: 1951545912 Enrollment ID: I20231016000448 |
| Provider Name | Sandra Golaszewski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154791119 PECOS PAC ID: 0840645487 Enrollment ID: I20231017001663 |
| Provider Name | Julie Dianne Kubena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811774342 PECOS PAC ID: 4385090786 Enrollment ID: I20231020001836 |
| Provider Name | Brandon Gollhofer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447871280 PECOS PAC ID: 9739510074 Enrollment ID: I20231021000365 |
| Provider Name | Nivas Govindarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093343667 PECOS PAC ID: 3779966569 Enrollment ID: I20231021000574 |
| Provider Name | Michael Adrian Daniels |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215033618 PECOS PAC ID: 5890952576 Enrollment ID: I20231024003264 |
| Provider Name | Anne-lise Thuy Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952973117 PECOS PAC ID: 6305216615 Enrollment ID: I20231025000112 |
| Provider Name | Sydney E Saldino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447873005 PECOS PAC ID: 4688091689 Enrollment ID: I20231025002006 |
| Provider Name | Es-haq Saddeldin Hassanin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013538693 PECOS PAC ID: 4789015074 Enrollment ID: I20231026000940 |
| Provider Name | Kayln Breanne Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043095128 PECOS PAC ID: 4385090356 Enrollment ID: I20231026003408 |
| Provider Name | Yen-linh Krantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073137436 PECOS PAC ID: 7810319548 Enrollment ID: I20231027001223 |
| Provider Name | Cheyenne Mattes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578145447 PECOS PAC ID: 3577972025 Enrollment ID: I20231030001848 |
| Provider Name | George Maidaa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790093797 PECOS PAC ID: 0244474997 Enrollment ID: I20231030002465 |
| Provider Name | Kenneth S Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457098873 PECOS PAC ID: 5294181947 Enrollment ID: I20231101000308 |
| Provider Name | Amber Michelle Higgs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679354138 PECOS PAC ID: 3779939475 Enrollment ID: I20231101002561 |
| Provider Name | Kai Tubb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225615875 PECOS PAC ID: 4082023478 Enrollment ID: I20231102002876 |
| Provider Name | Cecivon Arreola Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528357118 PECOS PAC ID: 2365686839 Enrollment ID: I20231102004002 |
| Provider Name | Ramya Vadlamudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710249727 PECOS PAC ID: 1254640931 Enrollment ID: I20231106001162 |
| Provider Name | Walid Ibn Essayed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568812436 PECOS PAC ID: 5597059469 Enrollment ID: I20231106002010 |
| Provider Name | Ana Lisa Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164031159 PECOS PAC ID: 9032566450 Enrollment ID: I20231107001729 |
| Provider Name | Keegan M Payne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942656327 PECOS PAC ID: 8527461367 Enrollment ID: I20231107002503 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20231108002595 |
| Provider Name | Vidhi B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710515820 PECOS PAC ID: 0446672182 Enrollment ID: I20231109002937 |
| Provider Name | Shannon Marie Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871102103 PECOS PAC ID: 0244687309 Enrollment ID: I20231110000668 |
| Provider Name | Luke Miles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447644414 PECOS PAC ID: 7012220619 Enrollment ID: I20231110001861 |
| Provider Name | Anish Bansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699926824 PECOS PAC ID: 0446409536 Enrollment ID: I20231112000072 |
| Provider Name | Akm Muktadir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134625403 PECOS PAC ID: 7315301280 Enrollment ID: I20231114001343 |
| Provider Name | Connie M Dela'o |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760648703 PECOS PAC ID: 6901023241 Enrollment ID: I20231114003692 |
| Provider Name | Elizabeth a Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578184313 PECOS PAC ID: 2163843335 Enrollment ID: I20231115003088 |
| Provider Name | Haley M Pickett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689453656 PECOS PAC ID: 9133576903 Enrollment ID: I20231115003981 |
| Provider Name | Venkata Mangalagiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154618239 PECOS PAC ID: 2264756378 Enrollment ID: I20231117000714 |
| Provider Name | Timothy Moran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639313513 PECOS PAC ID: 4082838032 Enrollment ID: I20231117001370 |
| Provider Name | Taniesha Buffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114107836 PECOS PAC ID: 2860689692 Enrollment ID: I20231121000425 |
| Provider Name | Victoria O Obianwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124708078 PECOS PAC ID: 3779931308 Enrollment ID: I20231121000963 |
| Provider Name | Jonelle George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700226693 PECOS PAC ID: 4486984465 Enrollment ID: I20231122003452 |
| Provider Name | Mohammed a Sayeed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881184323 PECOS PAC ID: 5698027639 Enrollment ID: I20231127003068 |
| Provider Name | Katheryn Carmichael Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689238453 PECOS PAC ID: 6507214566 Enrollment ID: I20231130003964 |
| Provider Name | Joel William Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225691736 PECOS PAC ID: 5698109395 Enrollment ID: I20231204002537 |
| Provider Name | Hannah Crews Brian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245859925 PECOS PAC ID: 4284057555 Enrollment ID: I20231205000415 |
| Provider Name | Lacey King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013781335 PECOS PAC ID: 4284083783 Enrollment ID: I20231208002803 |
| Provider Name | Elsie Mainali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528162963 PECOS PAC ID: 5799961025 Enrollment ID: I20231211001141 |
| Provider Name | Alana Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225559800 PECOS PAC ID: 1658643804 Enrollment ID: I20231212001939 |
| Provider Name | David Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730709833 PECOS PAC ID: 0345696159 Enrollment ID: I20231218003366 |
| Provider Name | Chantz Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215615869 PECOS PAC ID: 1951751833 Enrollment ID: I20231219003057 |
| Provider Name | Adam Lewis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982637831 PECOS PAC ID: 2961486790 Enrollment ID: I20231222002948 |
| Provider Name | Lexi Monds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063285856 PECOS PAC ID: 2365893039 Enrollment ID: I20240105004327 |
| Provider Name | Mary Cathleen Shellnutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811366552 PECOS PAC ID: 8729439831 Enrollment ID: I20240112001015 |
| Provider Name | Jasmine K Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134748627 PECOS PAC ID: 9234554460 Enrollment ID: I20240117004835 |
| Provider Name | Armando Ponce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548990955 PECOS PAC ID: 4789036252 Enrollment ID: I20240119003050 |
| Provider Name | Brittani a Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881045011 PECOS PAC ID: 8820325392 Enrollment ID: I20240126002714 |
| Provider Name | Maria Rocio Criss-lampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205606845 PECOS PAC ID: 9537503925 Enrollment ID: I20240213003499 |
| Provider Name | Jacob Martin Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033970769 PECOS PAC ID: 2567806342 Enrollment ID: I20240220003337 |
| Provider Name | Fadi Albahra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598392573 PECOS PAC ID: 0244655108 Enrollment ID: I20240227002399 |
| Provider Name | James Knott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073592408 PECOS PAC ID: 4880643766 Enrollment ID: I20240228004084 |
| Provider Name | John Bailey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386662377 PECOS PAC ID: 1951322700 Enrollment ID: I20240229000840 |
| Provider Name | Ambesi Ngwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639582174 PECOS PAC ID: 7719108224 Enrollment ID: I20240304000932 |
| Provider Name | Melonie Dayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831961523 PECOS PAC ID: 8527403104 Enrollment ID: I20240305003721 |
| Provider Name | Melissa Nuncio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003695636 PECOS PAC ID: 6103262217 Enrollment ID: I20240312001732 |
| Provider Name | Logan Nicole Jahns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649040577 PECOS PAC ID: 6406292366 Enrollment ID: I20240313003826 |
| Provider Name | Chelsea Marie Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215708102 PECOS PAC ID: 3779920491 Enrollment ID: I20240318001444 |
| Provider Name | Nicole Renee' Glasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346902517 PECOS PAC ID: 6204273717 Enrollment ID: I20240320000526 |
| Provider Name | Anna Grace Cool |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003682659 PECOS PAC ID: 2062859226 Enrollment ID: I20240322003124 |
| Provider Name | Robert a Whiteford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053367227 PECOS PAC ID: 6608772827 Enrollment ID: I20240327001000 |
| Provider Name | Hannah Mae Adamson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912761966 PECOS PAC ID: 0042658676 Enrollment ID: I20240402002354 |
| Provider Name | Tania Soc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598522922 PECOS PAC ID: 5294174769 Enrollment ID: I20240416004248 |
| Provider Name | Elyse Hammett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831103159 PECOS PAC ID: 2466457932 Enrollment ID: I20240423000139 |
| Provider Name | Amanda Marie Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285223966 PECOS PAC ID: 5496196644 Enrollment ID: I20240518000132 |
| Provider Name | Alexander Chao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063514321 PECOS PAC ID: 4284654682 Enrollment ID: I20240531002811 |
| Provider Name | Teresa E Hirst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578665030 PECOS PAC ID: 7113469438 Enrollment ID: I20240603000419 |
| Provider Name | Andrew Hamby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760412209 PECOS PAC ID: 5395044960 Enrollment ID: I20240603002835 |
| Provider Name | Hector De Pena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891542593 PECOS PAC ID: 9234671421 Enrollment ID: I20240603003369 |
| Provider Name | Tajan C Hayter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649805235 PECOS PAC ID: 3971927427 Enrollment ID: I20240604000456 |
| Provider Name | Amanda Rose Hutchens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508112947 PECOS PAC ID: 5799227948 Enrollment ID: I20240604001557 |
| Provider Name | Jason Pang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639639883 PECOS PAC ID: 1254790033 Enrollment ID: I20240605003015 |
| Provider Name | Jonathan Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134574460 PECOS PAC ID: 7012373293 Enrollment ID: I20240605003317 |
| Provider Name | Arpan Bhakta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417160250 PECOS PAC ID: 7012081607 Enrollment ID: I20240606004337 |
| Provider Name | Rachel Alaine Truitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114783917 PECOS PAC ID: 5698217396 Enrollment ID: I20240610002533 |
| Provider Name | Ashley Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184176331 PECOS PAC ID: 3870900889 Enrollment ID: I20240613002117 |
| Provider Name | Anthony Cerna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962062091 PECOS PAC ID: 1456687235 Enrollment ID: I20240613003054 |
| Provider Name | Ugne Cerna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104486232 PECOS PAC ID: 7719213594 Enrollment ID: I20240615000142 |
| Provider Name | Marley Canterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043068554 PECOS PAC ID: 0446793590 Enrollment ID: I20240618002453 |
| Provider Name | Ashley N Veasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326522202 PECOS PAC ID: 6507309416 Enrollment ID: I20240620001283 |
| Provider Name | Puja Hazari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821854928 PECOS PAC ID: 5193268753 Enrollment ID: I20240624003537 |
| Provider Name | Colton Pendley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124885918 PECOS PAC ID: 3971047275 Enrollment ID: I20240627002087 |
| Provider Name | Ryan Guthrie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588261556 PECOS PAC ID: 2961804414 Enrollment ID: I20240708003078 |
| Provider Name | Harrison W Torres |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871052209 PECOS PAC ID: 7911237797 Enrollment ID: I20240710005241 |
| Provider Name | Evelyn Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386265106 PECOS PAC ID: 5799116398 Enrollment ID: I20240710005290 |
| Provider Name | Katherine Elizabeth Pouns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598228199 PECOS PAC ID: 2567907736 Enrollment ID: I20240711003096 |
| Provider Name | Francis Phillip Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144804279 PECOS PAC ID: 4183024656 Enrollment ID: I20240712004077 |
| Provider Name | David Andrew Palombo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700151016 PECOS PAC ID: 0547407785 Enrollment ID: I20240715001648 |
| Provider Name | David Raj Chandra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689244766 PECOS PAC ID: 3870038755 Enrollment ID: I20240716001324 |
| Provider Name | Neel Tushar Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487187142 PECOS PAC ID: 7810432655 Enrollment ID: I20240716003657 |
| Provider Name | Ashlee Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255189940 PECOS PAC ID: 6709321557 Enrollment ID: I20240716004254 |
| Provider Name | Shontreal M Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235540154 PECOS PAC ID: 8921356437 Enrollment ID: I20240718002811 |
| Provider Name | Tao Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275177073 PECOS PAC ID: 8628514239 Enrollment ID: I20240718004957 |
| Provider Name | Camryn Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831764182 PECOS PAC ID: 9638615131 Enrollment ID: I20240719003533 |
| Provider Name | Ross-jordon Elliott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982137931 PECOS PAC ID: 4789120288 Enrollment ID: I20240720000041 |
| Provider Name | Hayley Cantway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720660053 PECOS PAC ID: 1557807088 Enrollment ID: I20240722000176 |
| Provider Name | Samuel D Leonard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649733551 PECOS PAC ID: 1153867544 Enrollment ID: I20240722002516 |
| Provider Name | Peter Hon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487894382 PECOS PAC ID: 7113197310 Enrollment ID: I20240722002910 |
| Provider Name | Jessica Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750967378 PECOS PAC ID: 7719382050 Enrollment ID: I20240723004282 |
| Provider Name | Daniel Aloho Bekong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023692068 PECOS PAC ID: 9931645132 Enrollment ID: I20240724001827 |
| Provider Name | Tanya Crail |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316977549 PECOS PAC ID: 3577009554 Enrollment ID: I20240725004636 |
| Provider Name | Spicelyn a Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508963 PECOS PAC ID: 8527504505 Enrollment ID: I20240725004815 |
| Provider Name | Matthew Hermansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437418324 PECOS PAC ID: 8921372376 Enrollment ID: I20240726000131 |
| Provider Name | Esteban Sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851965859 PECOS PAC ID: 0244630986 Enrollment ID: I20240726003623 |
| Provider Name | Mahanoor Raza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639844574 PECOS PAC ID: 4486059169 Enrollment ID: I20240727000401 |
| Provider Name | Alejandro Bustamante Laue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740867977 PECOS PAC ID: 5496157133 Enrollment ID: I20240729001174 |
| Provider Name | Timothy R Hover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629642616 PECOS PAC ID: 5092115717 Enrollment ID: I20240731002475 |
| Provider Name | Kayla Marie Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265279434 PECOS PAC ID: 9436696085 Enrollment ID: I20240801000922 |
| Provider Name | Alain Kameni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811574213 PECOS PAC ID: 2860939311 Enrollment ID: I20240801004682 |
| Provider Name | Morgan Weaver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376387233 PECOS PAC ID: 0345787685 Enrollment ID: I20240803000371 |
| Provider Name | Suwan Baldev Mehra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396948659 PECOS PAC ID: 6608056189 Enrollment ID: I20240807001574 |
| Provider Name | Frederico Rocha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417149022 PECOS PAC ID: 6709901622 Enrollment ID: I20240807002147 |
| Provider Name | Leah Gatdula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740857291 PECOS PAC ID: 4587101688 Enrollment ID: I20240807002179 |
| Provider Name | Vijay Bhaskar Gayam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316296668 PECOS PAC ID: 3779870308 Enrollment ID: I20240807002708 |
| Provider Name | Jaclyn Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992356 PECOS PAC ID: 9133402811 Enrollment ID: I20240807003814 |
| Provider Name | Erin Kleismit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346645744 PECOS PAC ID: 3678890324 Enrollment ID: I20240808001560 |
| Provider Name | Shyam Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295318269 PECOS PAC ID: 6406393321 Enrollment ID: I20240808003032 |
| Provider Name | Shelbi D Billingsley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063259331 PECOS PAC ID: 8527506435 Enrollment ID: I20240809002138 |
| Provider Name | Steven K Hooton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487407581 PECOS PAC ID: 1658819586 Enrollment ID: I20240809002957 |
| Provider Name | Joshua Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790734242 PECOS PAC ID: 9436161106 Enrollment ID: I20240812002407 |
| Provider Name | Kathryn Colwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548840028 PECOS PAC ID: 0648689810 Enrollment ID: I20240814000438 |
| Provider Name | Shivani M Gaitonde |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962962977 PECOS PAC ID: 9537607148 Enrollment ID: I20240814002122 |
| Provider Name | Mabelle Cohen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770661167 PECOS PAC ID: 6406033380 Enrollment ID: I20240819000538 |
| Provider Name | Jonathan Esclovon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770019549 PECOS PAC ID: 7911445184 Enrollment ID: I20240819003635 |
| Provider Name | Bonnie Cheung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194740480 PECOS PAC ID: 6901870773 Enrollment ID: I20240821003241 |
| Provider Name | Lauryn Danielle Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487499935 PECOS PAC ID: 2365981362 Enrollment ID: I20240821005143 |
| Provider Name | Kylee Carver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215777503 PECOS PAC ID: 7315486214 Enrollment ID: I20240822004595 |
| Provider Name | Joel Tellez Quiroga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750938247 PECOS PAC ID: 9133507734 Enrollment ID: I20240823002208 |
| Provider Name | Sanju Eswaran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790281681 PECOS PAC ID: 4385981984 Enrollment ID: I20240823002364 |
| Provider Name | Andrew Nasseri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558386367 PECOS PAC ID: 0941204465 Enrollment ID: I20240823002890 |
| Provider Name | Annie Ho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669156766 PECOS PAC ID: 1850830639 Enrollment ID: I20240823003188 |
| Provider Name | David Kirk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336999770 PECOS PAC ID: 8325587116 Enrollment ID: I20240823003605 |
| Provider Name | Jamie Venegas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932135738 PECOS PAC ID: 4486659554 Enrollment ID: I20240826003934 |
| Provider Name | Wendy Tan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740912112 PECOS PAC ID: 3577002153 Enrollment ID: I20240827003110 |
| Provider Name | Sara Despain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669812376 PECOS PAC ID: 2961635123 Enrollment ID: I20240829000999 |
| Provider Name | Sara Maguina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851975676 PECOS PAC ID: 9436559630 Enrollment ID: I20240830000830 |
| Provider Name | Savannah Lea Olivarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295589133 PECOS PAC ID: 5193265973 Enrollment ID: I20240906003269 |
| Provider Name | Jonathan C Smith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316575657 PECOS PAC ID: 6608290291 Enrollment ID: I20240906004014 |
| Provider Name | April Latricia Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373170 PECOS PAC ID: 7214477728 Enrollment ID: I20240911002206 |
| Provider Name | Krystal Leigh Donson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467953174 PECOS PAC ID: 0648521864 Enrollment ID: I20240912000700 |
| Provider Name | Elizabeth Gershberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366019804 PECOS PAC ID: 2961942131 Enrollment ID: I20240913003472 |
| Provider Name | Blake Wilson Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871811794 PECOS PAC ID: 4385880038 Enrollment ID: I20240916000776 |
| Provider Name | Brittany E Fields |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831401694 PECOS PAC ID: 2769674431 Enrollment ID: I20240916001198 |
| Provider Name | Kenneth Tanyi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306230826 PECOS PAC ID: 3173831534 Enrollment ID: I20240916002861 |
| Provider Name | Kenisha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609359165 PECOS PAC ID: 7911242268 Enrollment ID: I20240918000950 |
| Provider Name | Steven Juaquin Anzaldua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629815477 PECOS PAC ID: 2163963059 Enrollment ID: I20240918004315 |
| Provider Name | Amanda Ellisor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225802770 PECOS PAC ID: 6800337635 Enrollment ID: I20240920001041 |
| Provider Name | Vincent V Tran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467912279 PECOS PAC ID: 1557699881 Enrollment ID: I20240923001298 |
| Provider Name | Gary Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558488197 PECOS PAC ID: 3173614906 Enrollment ID: I20240928000051 |
| Provider Name | Diane Timms |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083874069 PECOS PAC ID: 0547310872 Enrollment ID: I20240928000412 |
| Provider Name | Allen Rafael |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962408526 PECOS PAC ID: 0648351825 Enrollment ID: I20241002003433 |
| Provider Name | Danielle Marie Spelios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881429132 PECOS PAC ID: 0749711554 Enrollment ID: I20241003003839 |
| Provider Name | Vijaykumar Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922108976 PECOS PAC ID: 0547229197 Enrollment ID: I20241008004362 |
| Provider Name | Zachery Thomas Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184451049 PECOS PAC ID: 9931631322 Enrollment ID: I20241009004363 |
| Provider Name | Carmela Andrea Ver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306379441 PECOS PAC ID: 2860779998 Enrollment ID: I20241010001297 |
| Provider Name | Victoria M. Fleemin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689326274 PECOS PAC ID: 1456701853 Enrollment ID: I20241011000159 |
| Provider Name | Justin Ugwu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033537873 PECOS PAC ID: 9638440274 Enrollment ID: I20241015003578 |
| Provider Name | Rebekah Barido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740267 PECOS PAC ID: 5799058202 Enrollment ID: I20241016003945 |
| Provider Name | Craig a Hawkins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659394112 PECOS PAC ID: 5193799252 Enrollment ID: I20241017000589 |
| Provider Name | Madison Taylor Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053178608 PECOS PAC ID: 5991237760 Enrollment ID: I20241017002618 |
| Provider Name | Stephanie N Strode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750471249 PECOS PAC ID: 6901995869 Enrollment ID: I20241017002912 |
| Provider Name | Heather Anne Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275350373 PECOS PAC ID: 4880126606 Enrollment ID: I20241017004502 |
| Provider Name | Kelsey Barrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518793256 PECOS PAC ID: 6103359633 Enrollment ID: I20241023000567 |
| Provider Name | Tracy Omoegbele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336601087 PECOS PAC ID: 9537692744 Enrollment ID: I20241026000237 |
| Provider Name | Tikku George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619532033 PECOS PAC ID: 2163757915 Enrollment ID: I20241028001377 |
| Provider Name | Joshua Castle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508602749 PECOS PAC ID: 2961935770 Enrollment ID: I20241101000255 |
| Provider Name | Olivia Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649099235 PECOS PAC ID: 0840724944 Enrollment ID: I20241112003337 |
| Provider Name | Brittany Bransford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265990774 PECOS PAC ID: 3779955810 Enrollment ID: I20241114002680 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023436037 PECOS PAC ID: 4587962055 Enrollment ID: I20241114003588 |
| Provider Name | Khyra Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003640350 PECOS PAC ID: 6204360936 Enrollment ID: I20241118000460 |
| Provider Name | Alison Fecher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952406910 PECOS PAC ID: 1951377829 Enrollment ID: I20241121001452 |
| Provider Name | Naila Ghafoor |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1629538418 PECOS PAC ID: 0345603726 Enrollment ID: I20241121002017 |
| Provider Name | Marwah Elsehety |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770011355 PECOS PAC ID: 1052788817 Enrollment ID: I20241122003706 |
| Provider Name | Margaret Huffman Boles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407421332 PECOS PAC ID: 6901205301 Enrollment ID: I20241123000220 |
| Provider Name | Sasha Elizabeth Andrews-petty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801095195 PECOS PAC ID: 9638313067 Enrollment ID: I20241130000352 |
| Provider Name | Betty Jean Coscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316781263 PECOS PAC ID: 2961937735 Enrollment ID: I20241203002100 |
| Provider Name | Judith Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922616424 PECOS PAC ID: 3476089194 Enrollment ID: I20241204004518 |
| Provider Name | Tara Lynn Peurifoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598586943 PECOS PAC ID: 0840726295 Enrollment ID: I20241209001411 |
| Provider Name | German Almonte Hidalgo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023458395 PECOS PAC ID: 9638413032 Enrollment ID: I20241211004266 |
| Provider Name | Porche Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760192462 PECOS PAC ID: 0042746059 Enrollment ID: I20241212003989 |
| Provider Name | Catherine Kayleigh Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649092164 PECOS PAC ID: 4082140009 Enrollment ID: I20241212004318 |
| Provider Name | Julie Katherine Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821134610 PECOS PAC ID: 1153498985 Enrollment ID: I20241216000468 |
| Provider Name | Jay Yates |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902820970 PECOS PAC ID: 8527051150 Enrollment ID: I20241216001792 |
| Provider Name | Paul Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245265610 PECOS PAC ID: 9234156654 Enrollment ID: I20241226001362 |
| Provider Name | Carissa Renae Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417778333 PECOS PAC ID: 7012444359 Enrollment ID: I20241226002343 |
| Provider Name | Jacqueline Vierheilig |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649388133 PECOS PAC ID: 2466624556 Enrollment ID: I20250102000620 |
| Provider Name | Amy Marguerite Reed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881072189 PECOS PAC ID: 0648568097 Enrollment ID: I20250106001353 |
| Provider Name | Caroline Burt Summersgill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053146779 PECOS PAC ID: 8820526536 Enrollment ID: I20250108004113 |
| Provider Name | Raymond Silva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184665747 PECOS PAC ID: 7719051994 Enrollment ID: I20250109000285 |
| Provider Name | Alysia Necaia Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699357202 PECOS PAC ID: 7214465814 Enrollment ID: I20250109003838 |
| Provider Name | Lauryn Louise Carr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023836418 PECOS PAC ID: 9739618463 Enrollment ID: I20250125000028 |
| Provider Name | Ahmed Aly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588005714 PECOS PAC ID: 5395008916 Enrollment ID: I20250127000384 |
| Provider Name | Hisham Ibrahim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578935268 PECOS PAC ID: 8921354101 Enrollment ID: I20250129000117 |
| Provider Name | Brian Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851969299 PECOS PAC ID: 6204291404 Enrollment ID: I20250207000888 |
| Provider Name | Jacob Swann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972898054 PECOS PAC ID: 0244641959 Enrollment ID: I20250210001622 |
| Provider Name | Shahzad Malik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780007211 PECOS PAC ID: 6406070655 Enrollment ID: I20250210002106 |
| Provider Name | Natalie Best |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598115081 PECOS PAC ID: 9234424326 Enrollment ID: I20250226000042 |
| Provider Name | Kiesha Nicole Benn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447468863 PECOS PAC ID: 5395887996 Enrollment ID: I20250305000799 |
| Provider Name | Monica Riojas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275724387 PECOS PAC ID: 2365621679 Enrollment ID: I20250312001339 |
| Provider Name | Guy Steinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366545360 PECOS PAC ID: 3173606084 Enrollment ID: I20250312001843 |
| Provider Name | Claudia Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659199487 PECOS PAC ID: 9739600263 Enrollment ID: I20250312002893 |
| Provider Name | Beverly Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013122522 PECOS PAC ID: 9537255005 Enrollment ID: I20250312004150 |
| Provider Name | Oluwakunle Oluwatosin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396912796 PECOS PAC ID: 1557439262 Enrollment ID: I20250313002618 |
| Provider Name | Rupesh Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568557692 PECOS PAC ID: 9537168919 Enrollment ID: I20250317001387 |
| Provider Name | Shelly H Tien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457500787 PECOS PAC ID: 4082860168 Enrollment ID: I20250317001688 |
| Provider Name | Garrett Ross Essary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619785318 PECOS PAC ID: 0042732265 Enrollment ID: I20250318000472 |
| Provider Name | Reagan Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750106951 PECOS PAC ID: 9032632609 Enrollment ID: I20250325002271 |
| Provider Name | Amen Ness |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679670764 PECOS PAC ID: 7911942776 Enrollment ID: I20250326000567 |
| Provider Name | Rosa De La Cerda-blanc |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609673094 PECOS PAC ID: 3072036391 Enrollment ID: I20250327002145 |
| Provider Name | Hope Greenwade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184490302 PECOS PAC ID: 9234582487 Enrollment ID: I20250331000548 |
| Provider Name | Jared James Greer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073336327 PECOS PAC ID: 2567985690 Enrollment ID: I20250331001160 |
| Provider Name | Omar Eton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275736050 PECOS PAC ID: 6204899214 Enrollment ID: I20250401000113 |
| Provider Name | David John Irving |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013248053 PECOS PAC ID: 2365965266 Enrollment ID: I20250401002973 |
| Provider Name | Ioannis Karampelas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528216868 PECOS PAC ID: 5496031627 Enrollment ID: I20250408002822 |
| Provider Name | Stacy Harwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467152074 PECOS PAC ID: 1951826148 Enrollment ID: I20250421001615 |
| Provider Name | Jami Elizabeth Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336941012 PECOS PAC ID: 5597281329 Enrollment ID: I20250424002641 |
| Provider Name | Howard Levene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952574774 PECOS PAC ID: 8325191513 Enrollment ID: I20250507001681 |
| Provider Name | Katarzyna Grazyna Wilczewska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679300867 PECOS PAC ID: 9133646755 Enrollment ID: I20250507002243 |
| Provider Name | Nell Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467253641 PECOS PAC ID: 9032636337 Enrollment ID: I20250509001610 |
| Provider Name | Stephanie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871219931 PECOS PAC ID: 3678090776 Enrollment ID: I20250512001207 |
| Provider Name | Thomas Foss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194257089 PECOS PAC ID: 4284904129 Enrollment ID: I20250514000242 |
| Provider Name | Jana Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265841282 PECOS PAC ID: 8628290657 Enrollment ID: I20250519003500 |
| Provider Name | Ariana Lerma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477284214 PECOS PAC ID: 6204354541 Enrollment ID: I20250520001486 |
| Provider Name | Michael Davies |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477085579 PECOS PAC ID: 6305365347 Enrollment ID: I20250522002413 |
| Provider Name | Kurt Barger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417514902 PECOS PAC ID: 0244607729 Enrollment ID: I20250612001322 |
| Provider Name | Callie Elizabeth Dunkerson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851181697 PECOS PAC ID: 8123539616 Enrollment ID: I20250612002055 |
| Provider Name | Kari Teraguchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073685095 PECOS PAC ID: 4587085014 Enrollment ID: I20250612002320 |
| Provider Name | Wael Dakkak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417308065 PECOS PAC ID: 2163715129 Enrollment ID: I20250613000952 |
| Provider Name | Mohamad Dabbagh |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1902433402 PECOS PAC ID: 7214351451 Enrollment ID: I20250613001182 |
| Provider Name | Kristian Monet Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811794621 PECOS PAC ID: 7911418256 Enrollment ID: I20250613003394 |
| Provider Name | Mark Catton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508855875 PECOS PAC ID: 2567423502 Enrollment ID: I20250617000529 |
| Provider Name | Aaron Gitthens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679065098 PECOS PAC ID: 1052662350 Enrollment ID: I20250620002455 |
| Provider Name | Eric Michael Teplicki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851724801 PECOS PAC ID: 4284908344 Enrollment ID: I20250620003714 |
| Provider Name | Mark Awolesi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871605485 PECOS PAC ID: 9436336484 Enrollment ID: I20250623001919 |
| Provider Name | Jon Preston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538159322 PECOS PAC ID: 2365404274 Enrollment ID: I20250624001447 |
| Provider Name | David Walden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871237719 PECOS PAC ID: 3870946213 Enrollment ID: I20250625000942 |
| Provider Name | Bao Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861848061 PECOS PAC ID: 2961876594 Enrollment ID: I20250625001043 |
| Provider Name | Krystle Lashaun Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164217576 PECOS PAC ID: 3173035177 Enrollment ID: I20250625001934 |
| Provider Name | Imtiaz Ismail |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114369170 PECOS PAC ID: 4587806393 Enrollment ID: I20250627000571 |
| Provider Name | Cassandra Freeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194449819 PECOS PAC ID: 0244607505 Enrollment ID: I20250716001235 |
| Provider Name | Gautham Sivaraj Prabhakar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326602616 PECOS PAC ID: 2163965914 Enrollment ID: I20250716003495 |
| Provider Name | Sara M Stubbs Walden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265176002 PECOS PAC ID: 0749795839 Enrollment ID: I20250716003902 |
| Provider Name | Joseph Sramek |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891763439 PECOS PAC ID: 1850347618 Enrollment ID: I20250716004039 |
| Provider Name | Ahmad Alhourani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497287791 PECOS PAC ID: 1850648890 Enrollment ID: I20250717004591 |
| Provider Name | Fahad Hussain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306411467 PECOS PAC ID: 9638513328 Enrollment ID: I20250722001677 |
| Provider Name | Humza Salman Jamil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720667140 PECOS PAC ID: 5496261901 Enrollment ID: I20250722001871 |
| Provider Name | Ronni Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407593676 PECOS PAC ID: 8628422763 Enrollment ID: I20250722002208 |
| Provider Name | Jennifer Mcbrain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114719192 PECOS PAC ID: 4082120506 Enrollment ID: I20250722002381 |
| Provider Name | Augustin Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033796073 PECOS PAC ID: 7719386929 Enrollment ID: I20250722002549 |
| Provider Name | Maximiliano Magallanes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285195016 PECOS PAC ID: 6305381799 Enrollment ID: I20250722002563 |
| Provider Name | Kachikwulu Ajulu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588284632 PECOS PAC ID: 0042757007 Enrollment ID: I20250722004163 |
| Provider Name | Athena Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538749411 PECOS PAC ID: 9537606215 Enrollment ID: I20250722004300 |
| Provider Name | Dylan Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164171583 PECOS PAC ID: 5294116281 Enrollment ID: I20250722004462 |
| Provider Name | Mohammad Khatib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861999781 PECOS PAC ID: 9234527763 Enrollment ID: I20250723000750 |
| Provider Name | Martina Mustroph |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295266534 PECOS PAC ID: 7315283801 Enrollment ID: I20250723001634 |
| Provider Name | Sarah Elizabeth Bostick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205585056 PECOS PAC ID: 8729594858 Enrollment ID: I20250723004758 |
| Provider Name | Angela Virginia Pardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659020048 PECOS PAC ID: 3577079615 Enrollment ID: I20250724000199 |
| Provider Name | Muhammad Sarfraz Nawaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619222544 PECOS PAC ID: 6103132824 Enrollment ID: I20250724002520 |
| Provider Name | Lakshmi Sumanth Seethina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770224115 PECOS PAC ID: 1759898810 Enrollment ID: I20250724003328 |
| Provider Name | Shelby Spenrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104400696 PECOS PAC ID: 3779980438 Enrollment ID: I20250724003523 |
| Provider Name | Subhashini Ladella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114981255 PECOS PAC ID: 6709831126 Enrollment ID: I20250724004320 |
| Provider Name | Oscar Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194460675 PECOS PAC ID: 8224418009 Enrollment ID: I20250725000009 |
| Provider Name | Ali Al-nahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053061564 PECOS PAC ID: 8628459872 Enrollment ID: I20250725000309 |
| Provider Name | Brian Barreda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962898742 PECOS PAC ID: 6103133210 Enrollment ID: I20250728003078 |
| Provider Name | Wilson Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700394731 PECOS PAC ID: 6103186309 Enrollment ID: I20250731000178 |
| Provider Name | Lauren Ontiveros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528859865 PECOS PAC ID: 9133637218 Enrollment ID: I20250731002456 |
| Provider Name | Matthew Richard Webb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437686755 PECOS PAC ID: 3779850128 Enrollment ID: I20250805001856 |
| Provider Name | Meagan Womack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306403530 PECOS PAC ID: 3870039340 Enrollment ID: I20250808001048 |
| Provider Name | Jenna Rivera Haney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851021752 PECOS PAC ID: 2062910516 Enrollment ID: I20250813001459 |
| Provider Name | Monica Ryland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770982076 PECOS PAC ID: 0446573620 Enrollment ID: I20250820000422 |
| Provider Name | Alexis Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245991504 PECOS PAC ID: 7911373857 Enrollment ID: I20250821001923 |
| Provider Name | David Tuke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053725077 PECOS PAC ID: 2163968280 Enrollment ID: I20250821003991 |
| Provider Name | Reymundo Barocio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326471863 PECOS PAC ID: 3779719885 Enrollment ID: I20250821004517 |
| Provider Name | Victoria a Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831089374 PECOS PAC ID: 0345740551 Enrollment ID: I20250822001000 |
| Provider Name | Hannah Moore Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700773421 PECOS PAC ID: 5496255226 Enrollment ID: I20250825004172 |
| Provider Name | Ramneet Bal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255336244 PECOS PAC ID: 5092742379 Enrollment ID: I20250826004775 |
| Provider Name | Satish Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427511005 PECOS PAC ID: 7214474550 Enrollment ID: I20250829001139 |
| Provider Name | Erika Morgan Huddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033853759 PECOS PAC ID: 7012418023 Enrollment ID: I20250831000115 |
| Provider Name | Aneel Shermohmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508508383 PECOS PAC ID: 7315449006 Enrollment ID: I20250903002011 |
| Provider Name | Joshua P Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669719258 PECOS PAC ID: 2769600121 Enrollment ID: I20250905004624 |
| Provider Name | Candace Rose Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720979826 PECOS PAC ID: 9537661616 Enrollment ID: I20250908001450 |
| Provider Name | Javier Martin Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780391110 PECOS PAC ID: 0749783868 Enrollment ID: I20250912003062 |
| Provider Name | Bradley Kapten |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922505338 PECOS PAC ID: 0840546941 Enrollment ID: I20250916004711 |
| Provider Name | Constantin Dasanu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922120708 PECOS PAC ID: 3375449465 Enrollment ID: I20250918003520 |
| Provider Name | Jhanelle Dawes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982133096 PECOS PAC ID: 8224453840 Enrollment ID: I20250919002556 |
| Provider Name | Aerial George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578369450 PECOS PAC ID: 2062924970 Enrollment ID: I20250926004020 |
| Provider Name | Mary Margaret Roberts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043196553 PECOS PAC ID: 1951806082 Enrollment ID: I20250927000382 |
| Provider Name | Hector Zuniga Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588558563 PECOS PAC ID: 1850896911 Enrollment ID: I20250929000365 |
| Provider Name | Abigail Lampin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124733902 PECOS PAC ID: 7618473414 Enrollment ID: I20251001001096 |
| Provider Name | Samantha Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821589466 PECOS PAC ID: 6901303122 Enrollment ID: I20251006003134 |
| Provider Name | Alexandra Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659811610 PECOS PAC ID: 3678904216 Enrollment ID: I20251015004736 |
| Provider Name | Anna Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609170802 PECOS PAC ID: 5890976476 Enrollment ID: I20251015004945 |
| Provider Name | Michael Suleiman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073554226 PECOS PAC ID: 4284676172 Enrollment ID: I20251017000130 |
| Provider Name | Michael Giovan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427077064 PECOS PAC ID: 5799721197 Enrollment ID: I20251017000146 |
| Provider Name | Jaylie Brooke Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861375446 PECOS PAC ID: 0749778108 Enrollment ID: I20251020000193 |
| Provider Name | Presli Weiblinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053195370 PECOS PAC ID: 3577051051 Enrollment ID: I20251024003912 |
| Provider Name | Arielle Brittanie Lamont |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841172822 PECOS PAC ID: 5890284871 Enrollment ID: I20251029004853 |
| Provider Name | David Christianson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992094932 PECOS PAC ID: 0143450825 Enrollment ID: I20251110002564 |
| Provider Name | Mark Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912881202 PECOS PAC ID: 4688165848 Enrollment ID: I20251114003370 |
| Provider Name | Jacob Mcfadden |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083001978 PECOS PAC ID: 1254729783 Enrollment ID: I20251117002915 |
| Provider Name | Alan Fishman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699737403 PECOS PAC ID: 1850447863 Enrollment ID: I20251118001538 |
| Provider Name | Antonio Fernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255369591 PECOS PAC ID: 6608834551 Enrollment ID: I20251118001895 |
| Provider Name | Lynne M Singleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760189393 PECOS PAC ID: 3971094848 Enrollment ID: I20251118004644 |
| Provider Name | Oyidie Igbokidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104896497 PECOS PAC ID: 5890727010 Enrollment ID: I20251119000412 |
| Provider Name | Tanya Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497134662 PECOS PAC ID: 0941517304 Enrollment ID: I20251120000599 |
| Provider Name | David Barham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639526718 PECOS PAC ID: 8022427814 Enrollment ID: I20251120002253 |
| Provider Name | Jenna M Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104718469 PECOS PAC ID: 9830681410 Enrollment ID: I20251121000117 |
| Provider Name | Aidan Goodreau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316811508 PECOS PAC ID: 2466944921 Enrollment ID: I20251121002936 |
| Provider Name | Kristen Mcshan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639043854 PECOS PAC ID: 8527550037 Enrollment ID: I20251121004415 |
| Provider Name | Delaney Drake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134018138 PECOS PAC ID: 2365934817 Enrollment ID: I20251122001121 |
| Provider Name | Caroline B Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952274540 PECOS PAC ID: 3375035512 Enrollment ID: I20251125000826 |
| Provider Name | Amber Michelle Schimmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861360141 PECOS PAC ID: 5193217339 Enrollment ID: I20251125000829 |
| Provider Name | Melinda Hintermeister |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871579565 PECOS PAC ID: 0446290027 Enrollment ID: I20251125001330 |
| Provider Name | Charuta Furey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215432042 PECOS PAC ID: 4587157797 Enrollment ID: I20251205001922 |
| Provider Name | Julie Giovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760914873 PECOS PAC ID: 7214312909 Enrollment ID: I20251208001423 |
| Provider Name | Heidi Leveritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932077948 PECOS PAC ID: 1658864624 Enrollment ID: I20251208001500 |
| Provider Name | Patrick M Weill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225590607 PECOS PAC ID: 1557699030 Enrollment ID: I20251211001572 |
| Provider Name | Andrewston Ting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356803233 PECOS PAC ID: 4183162647 Enrollment ID: I20251214000056 |
| Provider Name | Alyssa Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992324586 PECOS PAC ID: 5092209395 Enrollment ID: I20251215000651 |
| Provider Name | Dwain Hamilton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609932664 PECOS PAC ID: 7719916402 Enrollment ID: I20251217004158 |
| Provider Name | Noreen Tiangco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942569777 PECOS PAC ID: 5496000192 Enrollment ID: I20251219001417 |
| Provider Name | Enrique Vera Tudela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699335919 PECOS PAC ID: 1052646718 Enrollment ID: I20251230000146 |
| Provider Name | Kaeli Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093396178 PECOS PAC ID: 1759788623 Enrollment ID: I20260106003021 |
| Provider Name | Michael Liddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285845552 PECOS PAC ID: 8022288109 Enrollment ID: I20260107000029 |
| Provider Name | Allan Hamilton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922462910 PECOS PAC ID: 3678979788 Enrollment ID: I20260109000908 |
| Provider Name | Soudabeh Daliri |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588123723 PECOS PAC ID: 1254668502 Enrollment ID: I20260109002155 |
| Provider Name | Steven Dibiase |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750332292 PECOS PAC ID: 0840229001 Enrollment ID: I20260109003844 |
| Provider Name | Peter Meshreky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396396412 PECOS PAC ID: 4284110818 Enrollment ID: I20260113002731 |
| Provider Name | Sarah Lindsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629617857 PECOS PAC ID: 0042647497 Enrollment ID: I20260121001390 |
| Provider Name | Landon D Ehlers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588045967 PECOS PAC ID: 7416263322 Enrollment ID: I20260126000603 |
| Provider Name | Nathan William Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962367227 PECOS PAC ID: 5193202653 Enrollment ID: I20260127001852 |
| Provider Name | Kamesha Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003073800 PECOS PAC ID: 7315290699 Enrollment ID: I20260127002141 |
| Provider Name | Teralea Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457443558 PECOS PAC ID: 6507005592 Enrollment ID: I20260130001898 |
| Provider Name | Abdl-rawf Al-nowaylati |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770921983 PECOS PAC ID: 9234521550 Enrollment ID: I20260213004252 |
| Provider Name | Jennifer Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023521721 PECOS PAC ID: 7214417518 Enrollment ID: I20260216003461 |
| Provider Name | Taylor Marie Rose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265393128 PECOS PAC ID: 1355821554 Enrollment ID: I20260217002086 |
| Provider Name | Blaine Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891772091 PECOS PAC ID: 3375524267 Enrollment ID: I20260302002946 |
| Provider Name | Harli Jewel Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083571871 PECOS PAC ID: 9931681236 Enrollment ID: I20260305002096 |
| Provider Name | Tara Elizabeth Ritzma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659256048 PECOS PAC ID: 4082196100 Enrollment ID: I20260306000974 |
| Provider Name | Paul Speece |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932171733 PECOS PAC ID: 5890694756 Enrollment ID: I20260311001967 |
| Provider Name | Marranda Morales |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124979075 PECOS PAC ID: 3476036047 Enrollment ID: I20260311003640 |
| Provider Name | Samiran Roy Chaudhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609257799 PECOS PAC ID: 2961753678 Enrollment ID: I20260311003839 |
| Provider Name | Jazzlyn Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538794227 PECOS PAC ID: 7214411883 Enrollment ID: I20260320003482 |
| Provider Name | Delsea-rain Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487529772 PECOS PAC ID: 2567946049 Enrollment ID: I20260323002674 |
| Provider Name | Timothy Danish |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457682924 PECOS PAC ID: 8527358761 Enrollment ID: I20260324001724 |
| Provider Name | Kinsey Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619820768 PECOS PAC ID: 2769966084 Enrollment ID: I20260324003284 |
| Provider Name | Mariah Dawn Meenach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023997335 PECOS PAC ID: 9133604291 Enrollment ID: I20260326003897 |
| Provider Name | Morgan Nichole Sollie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184570368 PECOS PAC ID: 1951886506 Enrollment ID: I20260331004636 |
| Provider Name | Veronica Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528921194 PECOS PAC ID: 4183199227 Enrollment ID: I20260407001516 |
| Provider Name | Roxana Samimi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518278472 PECOS PAC ID: 3971776493 Enrollment ID: I20260407002419 |
| Provider Name | Joseph M Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366247454 PECOS PAC ID: 8426524869 Enrollment ID: I20260414002622 |
| Provider Name | Jennifer Larue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164379699 PECOS PAC ID: 5991271207 Enrollment ID: I20260415001097 |
| Provider Name | Yetunde Balogun |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306129713 PECOS PAC ID: 8729318688 Enrollment ID: I20260416001597 |
| Provider Name | Oluwabunmi Oluwayinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811402209 PECOS PAC ID: 7416288311 Enrollment ID: I20260417002302 |
| Provider Name | Neil Nagovski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588635668 PECOS PAC ID: 4486683406 Enrollment ID: I20260418000296 |
| Provider Name | Sejal Desai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104477181 PECOS PAC ID: 4981030640 Enrollment ID: I20260420000566 |
| Provider Name | Arundhati Biswas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326297565 PECOS PAC ID: 5092872309 Enrollment ID: I20260501002511 |
| Provider Name | Wendi Denise Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992237887 PECOS PAC ID: 7911476809 Enrollment ID: I20260520002663 |
| Provider Name | Jaime Renea Sleziak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013860196 PECOS PAC ID: 5092285858 Enrollment ID: I20260521004804 |
| Provider Name | Julia Deen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578953097 PECOS PAC ID: 0941600985 Enrollment ID: I20260528002287 |
Trinity Clinic Orthopaedics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840 |
Pure Radiance Laser Retreat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6722 S Broadway Ave, Tyler, TX 75703 Phone: 903-561-0300 |
Clifford D. Mullins, D.C., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14653 Eastside Rd, Tyler, TX 75707 Phone: 903-566-4449 |
Frank P Reuter Jr MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 S Bois D Arc Ave, Tyler, TX 75701 Phone: 903-597-5579 Fax: 903-597-5722 |
David W Ball MD Internal Medicine PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5407 New Copeland Rd Ste 200, Tyler, TX 75703 Phone: 903-330-2081 Fax: 903-630-9309 |
Integrity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Old Bullard Rd Ste B, Tyler, TX 75703 Phone: 903-630-5595 Fax: 903-630-5599 |