| Cleveland Clinic Florida A Nonprofit Corporation | |
|
2950 Cleveland Clinic Blvd Weston FL 33331-3609 | |
| (954) 659-6035 | |
| (954) 659-6039 |
| Full Name | Cleveland Clinic Florida A Nonprofit Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 2950 Cleveland Clinic Blvd, Weston, Florida |
| Authorized Official Name and Position | Dennis Laraway (EXECUTIVE VP CHIEF FINANCE OFFICER) |
| Authorized Official Contact | 2164451343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Clinic Florida A Nonprofit Corporation 6801 Brecksville Rd Ste 20 Attn: Dpc Rk2-7 Independence OH 44131-5062 Ph: (216) 636-4969 | Cleveland Clinic Florida A Nonprofit Corporation 2950 Cleveland Clinic Blvd Weston FL 33331-3609 Ph: (954) 659-6035 |
| NPI Number | 1215989298 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/08/2025 |
| Medicare PECOS PAC ID | 7911807128 |
|---|---|
| Medicare Enrollment ID | O20040113000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215989298 | NPI | - | NPPES |
| 064897300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sherrie L Bullard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043207293 PECOS PAC ID: 3971402918 Enrollment ID: I20040108000167 |
| Provider Name | Roberto Enrique Pancorbo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730293911 PECOS PAC ID: 1850292988 Enrollment ID: I20040120000753 |
| Provider Name | Nicolas A Muruve |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700813078 PECOS PAC ID: 2264325760 Enrollment ID: I20040207000021 |
| Provider Name | Craig R Asher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578522801 PECOS PAC ID: 8527950393 Enrollment ID: I20040326000455 |
| Provider Name | Fernando Castro-pavia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679535116 PECOS PAC ID: 1557357837 Enrollment ID: I20040422000380 |
| Provider Name | Peter H Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265438287 PECOS PAC ID: 3476446816 Enrollment ID: I20040428000908 |
| Provider Name | Jeffrey Mesuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831167576 PECOS PAC ID: 9234127671 Enrollment ID: I20040504000793 |
| Provider Name | Mandi Sehgal |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215913728 PECOS PAC ID: 3870584725 Enrollment ID: I20040520000357 |
| Provider Name | Michelle J Abramson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699738179 PECOS PAC ID: 3779566054 Enrollment ID: I20040608001307 |
| Provider Name | Marcelo E Helguera |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598725558 PECOS PAC ID: 9436132578 Enrollment ID: I20040610000529 |
| Provider Name | Paul L Petersen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255437109 PECOS PAC ID: 1658358676 Enrollment ID: I20040707000551 |
| Provider Name | Ronnie R Pimentel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003818188 PECOS PAC ID: 4981682051 Enrollment ID: I20040713001584 |
| Provider Name | Martin I Newman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275594459 PECOS PAC ID: 5496733578 Enrollment ID: I20040713001625 |
| Provider Name | Santiago Luis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700863834 PECOS PAC ID: 6103896691 Enrollment ID: I20040730000772 |
| Provider Name | Simon Dorton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275530198 PECOS PAC ID: 3274505011 Enrollment ID: I20040811000735 |
| Provider Name | Lisa G Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740256320 PECOS PAC ID: 0547234189 Enrollment ID: I20040820000505 |
| Provider Name | Dan Deac |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639272628 PECOS PAC ID: 5395711519 Enrollment ID: I20040908001163 |
| Provider Name | Tarannum S Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356354344 PECOS PAC ID: 3779550827 Enrollment ID: I20040916000859 |
| Provider Name | Conrad H Simpfendorfer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356439855 PECOS PAC ID: 3779551114 Enrollment ID: I20040922001137 |
| Provider Name | Pablo A. Bejarano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073532818 PECOS PAC ID: 1951370287 Enrollment ID: I20041001000976 |
| Provider Name | Srinivas C Yerneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871552570 PECOS PAC ID: 9739074923 Enrollment ID: I20041007000515 |
| Provider Name | Odalys Brito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396765798 PECOS PAC ID: 3173583341 Enrollment ID: I20041012001252 |
| Provider Name | Denise A Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003824277 PECOS PAC ID: 2567422686 Enrollment ID: I20041013000931 |
| Provider Name | Terry A King |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861443707 PECOS PAC ID: 0648231829 Enrollment ID: I20041021000064 |
| Provider Name | Ethan D Heit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043290430 PECOS PAC ID: 5193786770 Enrollment ID: I20041026001131 |
| Provider Name | Caroline Kedem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295736692 PECOS PAC ID: 6103892344 Enrollment ID: I20041105000409 |
| Provider Name | Shari H Robins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528001740 PECOS PAC ID: 9739142977 Enrollment ID: I20041109000021 |
| Provider Name | Lyssette L Cardona Bonet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588624191 PECOS PAC ID: 4082672449 Enrollment ID: I20041231000024 |
| Provider Name | Gian M Novaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235190414 PECOS PAC ID: 3779533195 Enrollment ID: I20050124000962 |
| Provider Name | Tamilla A Fork |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912939422 PECOS PAC ID: 6608829171 Enrollment ID: I20050224000223 |
| Provider Name | Janice May Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386608743 PECOS PAC ID: 5698712867 Enrollment ID: I20050411000311 |
| Provider Name | Eva P Delvecchio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811962533 PECOS PAC ID: 8224015763 Enrollment ID: I20050414001137 |
| Provider Name | Jonathan R Goldberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720197304 PECOS PAC ID: 3476599093 Enrollment ID: I20050706000275 |
| Provider Name | Surendra Khera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467436519 PECOS PAC ID: 8921034828 Enrollment ID: I20050712000937 |
| Provider Name | Eloy Villasuso |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619937216 PECOS PAC ID: 7416984968 Enrollment ID: I20050726000935 |
| Provider Name | Tolga Erim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689636524 PECOS PAC ID: 5597794941 Enrollment ID: I20050806000001 |
| Provider Name | Darby Sider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346203155 PECOS PAC ID: 0749210508 Enrollment ID: I20050822000379 |
| Provider Name | Clarence B Yates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962444620 PECOS PAC ID: 3173554870 Enrollment ID: I20050823000246 |
| Provider Name | Manjaree Daw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972587038 PECOS PAC ID: 2769414499 Enrollment ID: I20050902000101 |
| Provider Name | Annie Kuehnel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326263351 PECOS PAC ID: 5193757466 Enrollment ID: I20050907000961 |
| Provider Name | Leopoldo Arosemena |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275645723 PECOS PAC ID: 4688606908 Enrollment ID: I20050908000117 |
| Provider Name | Linh T Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265485577 PECOS PAC ID: 9335172063 Enrollment ID: I20050914000250 |
| Provider Name | Joseph S Ghebrial |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578508024 PECOS PAC ID: 6901885367 Enrollment ID: I20051006000032 |
| Provider Name | Guillermo Velasquez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023074473 PECOS PAC ID: 9931091287 Enrollment ID: I20051102000275 |
| Provider Name | Tracy L Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861411696 PECOS PAC ID: 6507884061 Enrollment ID: I20051103000683 |
| Provider Name | Karin A Arnold-dobal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578669412 PECOS PAC ID: 1759396971 Enrollment ID: I20060209000202 |
| Provider Name | James P Roach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114947793 PECOS PAC ID: 6709893704 Enrollment ID: I20060316000240 |
| Provider Name | Jamal O Sampson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770568008 PECOS PAC ID: 2769491471 Enrollment ID: I20060407000222 |
| Provider Name | Ernesto Bonilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508850918 PECOS PAC ID: 4587678990 Enrollment ID: I20060411000313 |
| Provider Name | Aisha R Subhani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356321632 PECOS PAC ID: 4082623475 Enrollment ID: I20060412000581 |
| Provider Name | Inna V Silver |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114967320 PECOS PAC ID: 5496796450 Enrollment ID: I20060803000385 |
| Provider Name | Emanuele Lo Menzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710945605 PECOS PAC ID: 1254335359 Enrollment ID: I20060901000248 |
| Provider Name | Gina Rosenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265446108 PECOS PAC ID: 1658376702 Enrollment ID: I20060922000330 |
| Provider Name | Angelica P Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427088764 PECOS PAC ID: 9931104676 Enrollment ID: I20061002000274 |
| Provider Name | Maureen A Hopfinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235192600 PECOS PAC ID: 1052318284 Enrollment ID: I20061101000434 |
| Provider Name | Juan M Botero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144283581 PECOS PAC ID: 5597762724 Enrollment ID: I20061101000439 |
| Provider Name | Enrique R Huertas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902869753 PECOS PAC ID: 1658378880 Enrollment ID: I20061101000481 |
| Provider Name | George L Develasco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992767834 PECOS PAC ID: 5193722320 Enrollment ID: I20061101000484 |
| Provider Name | Ira H Abels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548222573 PECOS PAC ID: 2466349501 Enrollment ID: I20061101000488 |
| Provider Name | Cherie F Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326001454 PECOS PAC ID: 0648277871 Enrollment ID: I20061101000491 |
| Provider Name | Jeffrey S Jacobs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730142597 PECOS PAC ID: 9638176860 Enrollment ID: I20061101000499 |
| Provider Name | Rafael E Cabrales |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205898111 PECOS PAC ID: 4082611215 Enrollment ID: I20061101000503 |
| Provider Name | Damon R Salzman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184672701 PECOS PAC ID: 0840259479 Enrollment ID: I20070127000001 |
| Provider Name | Stephen H Livingston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245295419 PECOS PAC ID: 2365443769 Enrollment ID: I20070129000196 |
| Provider Name | Gregory J Gilot |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366494866 PECOS PAC ID: 3971579517 Enrollment ID: I20070216000166 |
| Provider Name | Paul Louis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821024837 PECOS PAC ID: 0941302590 Enrollment ID: I20070228000212 |
| Provider Name | Cedric D Sheffield |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134122369 PECOS PAC ID: 9931205663 Enrollment ID: I20070426000165 |
| Provider Name | Amanda J Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811186422 PECOS PAC ID: 6103927017 Enrollment ID: I20070723000308 |
| Provider Name | Fabian J Candocia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306882873 PECOS PAC ID: 5496847105 Enrollment ID: I20070827000418 |
| Provider Name | Roger Justin Charles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245323062 PECOS PAC ID: 2961437959 Enrollment ID: I20070827000460 |
| Provider Name | Preetesh Dhiraj Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578661286 PECOS PAC ID: 5395741672 Enrollment ID: I20070827000603 |
| Provider Name | Russell C Brockwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578503785 PECOS PAC ID: 4486747557 Enrollment ID: I20070905000595 |
| Provider Name | Jacobo Kirsch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528070521 PECOS PAC ID: 8123022084 Enrollment ID: I20070906000116 |
| Provider Name | Alison J Schneider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144424607 PECOS PAC ID: 7719070689 Enrollment ID: I20070908000051 |
| Provider Name | Minita C Prabhakar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770793317 PECOS PAC ID: 0941394837 Enrollment ID: I20070924000022 |
| Provider Name | Dianne Tecla Sandy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053413443 PECOS PAC ID: 7911937453 Enrollment ID: I20070928000024 |
| Provider Name | Nicole Gallego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184829491 PECOS PAC ID: 8022104579 Enrollment ID: I20071016000048 |
| Provider Name | Margaret Eg Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407946072 PECOS PAC ID: 2365471836 Enrollment ID: I20071017000246 |
| Provider Name | David C Hellman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881679314 PECOS PAC ID: 8820186679 Enrollment ID: I20071113000339 |
| Provider Name | Elizabeth N Scheiber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538123849 PECOS PAC ID: 4082702774 Enrollment ID: I20071113000726 |
| Provider Name | Doris A Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548286446 PECOS PAC ID: 8426146077 Enrollment ID: I20071114000436 |
| Provider Name | Gabriel Gavrilescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124093331 PECOS PAC ID: 6800873456 Enrollment ID: I20071127000650 |
| Provider Name | Lalit S Chaube |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851406250 PECOS PAC ID: 5395750269 Enrollment ID: I20071204000479 |
| Provider Name | Abdul Nadeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912993072 PECOS PAC ID: 1759471550 Enrollment ID: I20071217000717 |
| Provider Name | Juan P Ampuero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811004120 PECOS PAC ID: 1557464831 Enrollment ID: I20080218000030 |
| Provider Name | Hermann J Stubbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851336150 PECOS PAC ID: 1951327576 Enrollment ID: I20080228000637 |
| Provider Name | John P Donohue |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205825387 PECOS PAC ID: 8921186263 Enrollment ID: I20080426000052 |
| Provider Name | Wael K Barsoum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326151408 PECOS PAC ID: 5991700403 Enrollment ID: I20080513000148 |
| Provider Name | Giovanni S Spatola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083896591 PECOS PAC ID: 2264502681 Enrollment ID: I20080528000300 |
| Provider Name | Darice T Wiegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053388199 PECOS PAC ID: 5395797971 Enrollment ID: I20080609000339 |
| Provider Name | David W Friedman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043248495 PECOS PAC ID: 5092817692 Enrollment ID: I20080613000401 |
| Provider Name | Ilana M Newman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528261302 PECOS PAC ID: 5597836536 Enrollment ID: I20080618000314 |
| Provider Name | Badih Adada |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225128705 PECOS PAC ID: 4880763820 Enrollment ID: I20080627000504 |
| Provider Name | William H Gans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083616320 PECOS PAC ID: 0446323679 Enrollment ID: I20080722000496 |
| Provider Name | Rute C Paixao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235303595 PECOS PAC ID: 1557435021 Enrollment ID: I20080731000535 |
| Provider Name | Juan P Giraldo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114958626 PECOS PAC ID: 3870528748 Enrollment ID: I20080801000606 |
| Provider Name | Brian M Leo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376750265 PECOS PAC ID: 9436224995 Enrollment ID: I20080818000495 |
| Provider Name | Shawn W Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043416506 PECOS PAC ID: 8921173923 Enrollment ID: I20080826000136 |
| Provider Name | Norman A Shepple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417923848 PECOS PAC ID: 0143396275 Enrollment ID: I20080913000131 |
| Provider Name | Meeta Govindarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255545067 PECOS PAC ID: 2365510187 Enrollment ID: I20081007000524 |
| Provider Name | Claudia E Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114011590 PECOS PAC ID: 7719956390 Enrollment ID: I20081018000133 |
| Provider Name | Darryl Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699883538 PECOS PAC ID: 6507758414 Enrollment ID: I20081112000388 |
| Provider Name | Sabrina Akhavan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699925743 PECOS PAC ID: 3577623818 Enrollment ID: I20081117000709 |
| Provider Name | Mehul Doshi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326240417 PECOS PAC ID: 2961565593 Enrollment ID: I20090108000411 |
| Provider Name | Michelle M Dompenciel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093950370 PECOS PAC ID: 0941364012 Enrollment ID: I20090204000449 |
| Provider Name | Mauricio Cohen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386717114 PECOS PAC ID: 9739244971 Enrollment ID: I20090223000147 |
| Provider Name | Ketty Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477644086 PECOS PAC ID: 9537224712 Enrollment ID: I20090223000563 |
| Provider Name | Manuel A Batlle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154520104 PECOS PAC ID: 9133285844 Enrollment ID: I20090304000714 |
| Provider Name | Meena Hierholzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245374685 PECOS PAC ID: 0446347785 Enrollment ID: I20090311000256 |
| Provider Name | Amir Dawoud |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225123367 PECOS PAC ID: 1557351277 Enrollment ID: I20090326000334 |
| Provider Name | Jessica J Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144462078 PECOS PAC ID: 4486702032 Enrollment ID: I20090508000161 |
| Provider Name | Tina M. Spires |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952557779 PECOS PAC ID: 4082763339 Enrollment ID: I20090518000160 |
| Provider Name | Richard J Macchia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720082282 PECOS PAC ID: 6709936214 Enrollment ID: I20090603000660 |
| Provider Name | Pamela Regina Depiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902058415 PECOS PAC ID: 4587714761 Enrollment ID: I20090609000649 |
| Provider Name | Dennis A Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134353501 PECOS PAC ID: 8224188438 Enrollment ID: I20090610000132 |
| Provider Name | Scott Cohen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346431095 PECOS PAC ID: 4385614767 Enrollment ID: I20090727000603 |
| Provider Name | Francoise M Veneroni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902086192 PECOS PAC ID: 5496838682 Enrollment ID: I20090806000443 |
| Provider Name | Cassann Natacha Blake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376580860 PECOS PAC ID: 8022918747 Enrollment ID: I20090808000134 |
| Provider Name | Ramon G Lugo-sanchez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134357957 PECOS PAC ID: 3274688445 Enrollment ID: I20090911000551 |
| Provider Name | Paul R Hebig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871765768 PECOS PAC ID: 0446306864 Enrollment ID: I20090925000270 |
| Provider Name | Edward B Savage |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528030731 PECOS PAC ID: 5799703849 Enrollment ID: I20090930000108 |
| Provider Name | Maria Julia Diacovo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285755132 PECOS PAC ID: 9032255351 Enrollment ID: I20090930000125 |
| Provider Name | Kevin S Stadtlander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841226214 PECOS PAC ID: 0941205892 Enrollment ID: I20091021000546 |
| Provider Name | Diego B Sadler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609974476 PECOS PAC ID: 6507902806 Enrollment ID: I20091021000777 |
| Provider Name | Alok Shrivastava |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164625737 PECOS PAC ID: 7810034840 Enrollment ID: I20091023000715 |
| Provider Name | Elias Chousleb Mizrahi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437303658 PECOS PAC ID: 1355488016 Enrollment ID: I20091028000788 |
| Provider Name | Sonya M Pease |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588677884 PECOS PAC ID: 3870631138 Enrollment ID: I20091107000019 |
| Provider Name | Tabassum Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760612709 PECOS PAC ID: 5597805200 Enrollment ID: I20091210000356 |
| Provider Name | Andre Equardo Boz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1710212527 PECOS PAC ID: 7719027945 Enrollment ID: I20091221000272 |
| Provider Name | Laurence A Smolley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811957368 PECOS PAC ID: 3870635352 Enrollment ID: I20100121000445 |
| Provider Name | Charles A Lascano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376715441 PECOS PAC ID: 0547303695 Enrollment ID: I20100211000419 |
| Provider Name | Michael V Medina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093979783 PECOS PAC ID: 0345385001 Enrollment ID: I20100305000037 |
| Provider Name | Leonard Kaufman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871543314 PECOS PAC ID: 0547359481 Enrollment ID: I20100305000264 |
| Provider Name | Franck F Rahaghi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730137597 PECOS PAC ID: 9335279454 Enrollment ID: I20100615000812 |
| Provider Name | Anas Hadeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437360187 PECOS PAC ID: 8729187943 Enrollment ID: I20100721000902 |
| Provider Name | Nicole A Palekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568440782 PECOS PAC ID: 4880793231 Enrollment ID: I20100729000940 |
| Provider Name | Xaralambos B Zervos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811187925 PECOS PAC ID: 1456484237 Enrollment ID: I20100730000104 |
| Provider Name | Rolando Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457681165 PECOS PAC ID: 0345373171 Enrollment ID: I20100730000772 |
| Provider Name | Barbara G Gesenhues-cabral |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487621454 PECOS PAC ID: 2365575586 Enrollment ID: I20100809000258 |
| Provider Name | David James Maron |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1912937913 PECOS PAC ID: 3678509627 Enrollment ID: I20100810001067 |
| Provider Name | Giovanna M Da Silva Southwick |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1770745028 PECOS PAC ID: 4486788353 Enrollment ID: I20100813000428 |
| Provider Name | Evan R Peck |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861645921 PECOS PAC ID: 7214082874 Enrollment ID: I20100914001183 |
| Provider Name | Steven D Wexner |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1497719173 PECOS PAC ID: 6406972967 Enrollment ID: I20100922000470 |
| Provider Name | Christen Clemmons Mckenna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376863803 PECOS PAC ID: 1355467713 Enrollment ID: I20100923000552 |
| Provider Name | Mark R Berman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1649235029 PECOS PAC ID: 7416073887 Enrollment ID: I20100923000597 |
| Provider Name | Howard S Bush |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598725954 PECOS PAC ID: 1850417221 Enrollment ID: I20100923000631 |
| Provider Name | Viviane F Connor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104888643 PECOS PAC ID: 1052437266 Enrollment ID: I20100924001050 |
| Provider Name | Timmy Q Nguyen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831243112 PECOS PAC ID: 4284750084 Enrollment ID: I20100929001341 |
| Provider Name | Eric G Weiss |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1851355523 PECOS PAC ID: 3870785272 Enrollment ID: I20101004000934 |
| Provider Name | Kenneth R Fromkin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578523056 PECOS PAC ID: 8820280068 Enrollment ID: I20101007000052 |
| Provider Name | Mark K Grove |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225091283 PECOS PAC ID: 7315139565 Enrollment ID: I20101007000148 |
| Provider Name | Samuel Szomstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861455578 PECOS PAC ID: 5496947350 Enrollment ID: I20101011000398 |
| Provider Name | Mitchell S Whiteman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831154202 PECOS PAC ID: 0749472611 Enrollment ID: I20101011000425 |
| Provider Name | Frank J Eidelman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235199969 PECOS PAC ID: 5496947376 Enrollment ID: I20101011000540 |
| Provider Name | Jose M Cabral |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457314817 PECOS PAC ID: 8527251032 Enrollment ID: I20101015001186 |
| Provider Name | Rodolfo J Blandon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053376822 PECOS PAC ID: 4981897493 Enrollment ID: I20101015001193 |
| Provider Name | Chieh-lin Fu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821058116 PECOS PAC ID: 9931392487 Enrollment ID: I20101018000364 |
| Provider Name | Maria E Artze |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588629810 PECOS PAC ID: 5092908541 Enrollment ID: I20101018000406 |
| Provider Name | Dalia S Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548223563 PECOS PAC ID: 3678766995 Enrollment ID: I20101019001305 |
| Provider Name | Raul Jacobo Rosenthal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487617270 PECOS PAC ID: 8527251792 Enrollment ID: I20101020000424 |
| Provider Name | Dana R Sands |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1114981412 PECOS PAC ID: 3375736465 Enrollment ID: I20101021000531 |
| Provider Name | Andrew (andrzej) Ukleja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174586853 PECOS PAC ID: 5597895250 Enrollment ID: I20101021001110 |
| Provider Name | Juan J Nogueras |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1225092893 PECOS PAC ID: 3577756527 Enrollment ID: I20101022000018 |
| Provider Name | Diana J Galindo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1497718522 PECOS PAC ID: 3476746421 Enrollment ID: I20101022000027 |
| Provider Name | Jose M Muniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689638272 PECOS PAC ID: 9133312929 Enrollment ID: I20101025001329 |
| Provider Name | Efrain D Salgado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699739029 PECOS PAC ID: 3375737091 Enrollment ID: I20101027000153 |
| Provider Name | Lawrence S Hakim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003879453 PECOS PAC ID: 5799979092 Enrollment ID: I20101101000519 |
| Provider Name | Gilberto O Alemar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538120779 PECOS PAC ID: 1355535667 Enrollment ID: I20101101000639 |
| Provider Name | Elizabeth R Stone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497715957 PECOS PAC ID: 1658565718 Enrollment ID: I20101102001144 |
| Provider Name | Lillian Craggs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154577542 PECOS PAC ID: 3375738057 Enrollment ID: I20101108000605 |
| Provider Name | Mariana E Berho |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629037981 PECOS PAC ID: 6002001179 Enrollment ID: I20101115000829 |
| Provider Name | Geovannie Marcano-centeno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154542967 PECOS PAC ID: 8628961653 Enrollment ID: I20101124000408 |
| Provider Name | Mauro Braun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649200197 PECOS PAC ID: 5890981849 Enrollment ID: I20101202000302 |
| Provider Name | Christopher B Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548225154 PECOS PAC ID: 7618164070 Enrollment ID: I20101210000371 |
| Provider Name | Mary Shaila S A Naganoolil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336468453 PECOS PAC ID: 4082801188 Enrollment ID: I20101214001117 |
| Provider Name | Samuel A Gurevich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134109044 PECOS PAC ID: 0547252090 Enrollment ID: I20101220000403 |
| Provider Name | Amy L Muncaster Boz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386947703 PECOS PAC ID: 0547459521 Enrollment ID: I20110106000101 |
| Provider Name | Daniel Grobman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588680821 PECOS PAC ID: 9335180595 Enrollment ID: I20110216000613 |
| Provider Name | Megan Leigh Codrington |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902107600 PECOS PAC ID: 3577746627 Enrollment ID: I20110328000031 |
| Provider Name | Maxo Nazaire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629367362 PECOS PAC ID: 2163607516 Enrollment ID: I20110428000145 |
| Provider Name | Glenda Hannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508169699 PECOS PAC ID: 1456539626 Enrollment ID: I20110617000538 |
| Provider Name | Milena Osorio-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235438011 PECOS PAC ID: 9537347257 Enrollment ID: I20110629000199 |
| Provider Name | Doron Feinsilber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306966783 PECOS PAC ID: 4385812585 Enrollment ID: I20110713000797 |
| Provider Name | Sam M Faradyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013076470 PECOS PAC ID: 2163593179 Enrollment ID: I20110714000721 |
| Provider Name | Albert J Parlade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235394990 PECOS PAC ID: 9133297518 Enrollment ID: I20110721000877 |
| Provider Name | Alexandra M Soriano Caminero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558691006 PECOS PAC ID: 9436328960 Enrollment ID: I20110817000719 |
| Provider Name | Imad M Najm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841236858 PECOS PAC ID: 0042266645 Enrollment ID: I20110818000376 |
| Provider Name | Ribal Darwish |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568400117 PECOS PAC ID: 5294914941 Enrollment ID: I20110823000982 |
| Provider Name | Kristen L Hagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497915334 PECOS PAC ID: 6204006489 Enrollment ID: I20110825000382 |
| Provider Name | Barbara Ercole |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326231861 PECOS PAC ID: 3779633607 Enrollment ID: I20110915000800 |
| Provider Name | Kalyan R Bhamidimarri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154439156 PECOS PAC ID: 9739186396 Enrollment ID: I20110930000519 |
| Provider Name | Sneha S Vaish |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376508887 PECOS PAC ID: 8224105408 Enrollment ID: I20111005000911 |
| Provider Name | Leonardo Protasio Oliveira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871765958 PECOS PAC ID: 3779755160 Enrollment ID: I20111006000662 |
| Provider Name | David G Wolinsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164420998 PECOS PAC ID: 5395710248 Enrollment ID: I20111010000111 |
| Provider Name | Tatiana Jamroz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083630206 PECOS PAC ID: 0244204360 Enrollment ID: I20111012000750 |
| Provider Name | Jinesh P Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619918232 PECOS PAC ID: 8527033356 Enrollment ID: I20111012000766 |
| Provider Name | John F Hoffmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972634541 PECOS PAC ID: 7719001692 Enrollment ID: I20111028000630 |
| Provider Name | Nenette Castellon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871816975 PECOS PAC ID: 7113190588 Enrollment ID: I20111031000318 |
| Provider Name | Damion S Salmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215250360 PECOS PAC ID: 2961675020 Enrollment ID: I20111104000659 |
| Provider Name | Alissa O Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841585767 PECOS PAC ID: 1355515115 Enrollment ID: I20111114000667 |
| Provider Name | Jasmani Cata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275704330 PECOS PAC ID: 4486828043 Enrollment ID: I20111116000280 |
| Provider Name | Serge G Philips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669571725 PECOS PAC ID: 6901070143 Enrollment ID: I20111128000071 |
| Provider Name | Kristin M Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679896146 PECOS PAC ID: 8325212426 Enrollment ID: I20111130000395 |
| Provider Name | Lara E Jehi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801995220 PECOS PAC ID: 1850397852 Enrollment ID: I20111207000607 |
| Provider Name | Stephen T Hantus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740459510 PECOS PAC ID: 5395811046 Enrollment ID: I20111209000609 |
| Provider Name | Jillian Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790061380 PECOS PAC ID: 2769657253 Enrollment ID: I20111212000666 |
| Provider Name | Erlinda C Capili-rosenkranz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265494173 PECOS PAC ID: 9739356957 Enrollment ID: I20120111000433 |
| Provider Name | Nicolas A Brozzi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831366483 PECOS PAC ID: 6305033416 Enrollment ID: I20120320000569 |
| Provider Name | Amber L Bowden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275808131 PECOS PAC ID: 0042471617 Enrollment ID: I20120409000655 |
| Provider Name | Michael L Sprague |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982728879 PECOS PAC ID: 4880748854 Enrollment ID: I20120521000348 |
| Provider Name | Pamela O Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548562747 PECOS PAC ID: 3173786308 Enrollment ID: I20120524000680 |
| Provider Name | Mark Horvath |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598977076 PECOS PAC ID: 4385775766 Enrollment ID: I20120706000259 |
| Provider Name | Loreley Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366767345 PECOS PAC ID: 6709042807 Enrollment ID: I20120717000659 |
| Provider Name | Kevin M Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881824621 PECOS PAC ID: 3274789730 Enrollment ID: I20120816000137 |
| Provider Name | Jonathan I Hakim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871698597 PECOS PAC ID: 7911903463 Enrollment ID: I20120820000455 |
| Provider Name | Avi G Oppenheimer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730485277 PECOS PAC ID: 4385891555 Enrollment ID: I20120822000556 |
| Provider Name | Elliot J Wasser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457579559 PECOS PAC ID: 1850579400 Enrollment ID: I20120822000594 |
| Provider Name | Danita B Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528298155 PECOS PAC ID: 4587811740 Enrollment ID: I20120823000698 |
| Provider Name | Saba F Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205014271 PECOS PAC ID: 3870740673 Enrollment ID: I20120830000160 |
| Provider Name | Jermaine Leclerc |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346492428 PECOS PAC ID: 2062578263 Enrollment ID: I20120907000661 |
| Provider Name | Jomarie Cortes-santos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356505903 PECOS PAC ID: 3173771581 Enrollment ID: I20120910000392 |
| Provider Name | Deirdre M Foster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700935533 PECOS PAC ID: 9638347123 Enrollment ID: I20121016000224 |
| Provider Name | Nydia P Martinez Galvis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528205937 PECOS PAC ID: 3072763416 Enrollment ID: I20121022000322 |
| Provider Name | Jared S Piotrkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366755472 PECOS PAC ID: 8527218874 Enrollment ID: I20121022000468 |
| Provider Name | Melanie C Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134492374 PECOS PAC ID: 7416107537 Enrollment ID: I20121026000372 |
| Provider Name | Mansour J Dagher |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1306198288 PECOS PAC ID: 4082864913 Enrollment ID: I20121030000237 |
| Provider Name | Gail Marie Mcgory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457512113 PECOS PAC ID: 2062696230 Enrollment ID: I20121221000093 |
| Provider Name | Vanessa A Dimoulas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689969636 PECOS PAC ID: 9234383415 Enrollment ID: I20130218000297 |
| Provider Name | Jeffrey A Steiner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356343859 PECOS PAC ID: 6204865835 Enrollment ID: I20130219000024 |
| Provider Name | Adriana M Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659519361 PECOS PAC ID: 6002087202 Enrollment ID: I20130306000260 |
| Provider Name | Peter S Yotseff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417959073 PECOS PAC ID: 4688811052 Enrollment ID: I20130503000129 |
| Provider Name | Amer A Hanano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043419351 PECOS PAC ID: 9032397914 Enrollment ID: I20130507000289 |
| Provider Name | Claudia M Lacayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770898397 PECOS PAC ID: 7517104193 Enrollment ID: I20130520000452 |
| Provider Name | Tessey C Jose |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285836726 PECOS PAC ID: 0840439238 Enrollment ID: I20130614000538 |
| Provider Name | Frederick S Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689985517 PECOS PAC ID: 3375782485 Enrollment ID: I20130621000398 |
| Provider Name | Cheryl Saidi Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1851676381 PECOS PAC ID: 8325208457 Enrollment ID: I20130627000266 |
| Provider Name | Gretchen Augustin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104165539 PECOS PAC ID: 0941440440 Enrollment ID: I20130705000155 |
| Provider Name | Cynthia Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477514974 PECOS PAC ID: 7618869066 Enrollment ID: I20130708000343 |
| Provider Name | Corey D Gabric |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710227798 PECOS PAC ID: 5799925160 Enrollment ID: I20130708000395 |
| Provider Name | Deborah A Galen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104148063 PECOS PAC ID: 9638319908 Enrollment ID: I20130710000038 |
| Provider Name | Andres Borja Alvarez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477873230 PECOS PAC ID: 7315188299 Enrollment ID: I20130719000345 |
| Provider Name | Lilibeth Fermin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144322066 PECOS PAC ID: 7315847399 Enrollment ID: I20130723000964 |
| Provider Name | Anthony Sheehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699065763 PECOS PAC ID: 8426299462 Enrollment ID: I20130802000317 |
| Provider Name | Thomas Abraham Samuel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831187947 PECOS PAC ID: 5698740496 Enrollment ID: I20130807000889 |
| Provider Name | Mark A Newberry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457678286 PECOS PAC ID: 2264680123 Enrollment ID: I20130813000732 |
| Provider Name | Aza M Abdalla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588903207 PECOS PAC ID: 9739321142 Enrollment ID: I20130815000013 |
| Provider Name | Jerry M Cajina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003160516 PECOS PAC ID: 6608019799 Enrollment ID: I20130820001058 |
| Provider Name | Charles M Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992769970 PECOS PAC ID: 5991789927 Enrollment ID: I20130826000307 |
| Provider Name | Brenda G Jimenez Cantisano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710149471 PECOS PAC ID: 1456492099 Enrollment ID: I20130913000614 |
| Provider Name | Alberto J Lopez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114041126 PECOS PAC ID: 4385887827 Enrollment ID: I20130927000354 |
| Provider Name | Li Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891027579 PECOS PAC ID: 9335373554 Enrollment ID: I20131001000514 |
| Provider Name | Sarah R Abdelfattah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033351762 PECOS PAC ID: 6507090768 Enrollment ID: I20131002000250 |
| Provider Name | Lauriel B Klinghoffer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1407102304 PECOS PAC ID: 9436309770 Enrollment ID: I20131011001268 |
| Provider Name | Patrick Kenney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104129634 PECOS PAC ID: 2769659424 Enrollment ID: I20131028001355 |
| Provider Name | Anurag Johri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114103934 PECOS PAC ID: 6002041654 Enrollment ID: I20131106001838 |
| Provider Name | Julie Weiss |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992133078 PECOS PAC ID: 2769617356 Enrollment ID: I20131107000992 |
| Provider Name | Dileep Ravi Nair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093743718 PECOS PAC ID: 2668428269 Enrollment ID: I20131122000766 |
| Provider Name | Jill J Rouleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194158055 PECOS PAC ID: 3476789306 Enrollment ID: I20131122001071 |
| Provider Name | Bridgitte M Broxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184057127 PECOS PAC ID: 3274760665 Enrollment ID: I20131210000798 |
| Provider Name | Neerja Agrawal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477500254 PECOS PAC ID: 5991899437 Enrollment ID: I20131217001658 |
| Provider Name | Charles A Luther |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1134485972 PECOS PAC ID: 6709036304 Enrollment ID: I20140107001096 |
| Provider Name | Matheus M Moraes |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003238684 PECOS PAC ID: 0941439087 Enrollment ID: I20140212001006 |
| Provider Name | Kareem M Abu Elmagd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598736902 PECOS PAC ID: 0244223717 Enrollment ID: I20140226002223 |
| Provider Name | Caroline Metzel Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972931723 PECOS PAC ID: 1456582824 Enrollment ID: I20140327001809 |
| Provider Name | Peter A Rasmussen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902860984 PECOS PAC ID: 8527030014 Enrollment ID: I20140401000810 |
| Provider Name | Susan D Agrama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992895577 PECOS PAC ID: 2961479399 Enrollment ID: I20140410000853 |
| Provider Name | Nicholas Smedira |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124084207 PECOS PAC ID: 0648275792 Enrollment ID: I20140521000528 |
| Provider Name | Richard Rothman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164733143 PECOS PAC ID: 9739321472 Enrollment ID: I20140521001433 |
| Provider Name | Vesselin Dimov |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144396334 PECOS PAC ID: 6103868914 Enrollment ID: I20140619001422 |
| Provider Name | Eric A Hurtado |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1174782635 PECOS PAC ID: 0749212041 Enrollment ID: I20140702002194 |
| Provider Name | Izabela Jugovac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790804789 PECOS PAC ID: 4385808591 Enrollment ID: I20140711001708 |
| Provider Name | Amir Lalani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730507765 PECOS PAC ID: 4082830500 Enrollment ID: I20140718000906 |
| Provider Name | Jessica Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689960718 PECOS PAC ID: 2860619863 Enrollment ID: I20140815000382 |
| Provider Name | Mary L Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194138586 PECOS PAC ID: 4880811736 Enrollment ID: I20140816000218 |
| Provider Name | Keith E Frazer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730161258 PECOS PAC ID: 5395778476 Enrollment ID: I20140819002072 |
| Provider Name | Chakra P Chaulagain |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1487824124 PECOS PAC ID: 0648341016 Enrollment ID: I20140820000708 |
| Provider Name | David Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689877243 PECOS PAC ID: 2466611413 Enrollment ID: I20140822002449 |
| Provider Name | Cary Soto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073921151 PECOS PAC ID: 8022237965 Enrollment ID: I20140908002565 |
| Provider Name | Randall Starling |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669572962 PECOS PAC ID: 4789680844 Enrollment ID: I20141003001429 |
| Provider Name | Jean A Vickers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477630648 PECOS PAC ID: 9032303573 Enrollment ID: I20141021000449 |
| Provider Name | Herman J Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144487927 PECOS PAC ID: 6305017823 Enrollment ID: I20141111002088 |
| Provider Name | Edward M Manno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669444683 PECOS PAC ID: 9739231465 Enrollment ID: I20141112002191 |
| Provider Name | Cassandra Jean Headley |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1881095701 PECOS PAC ID: 7416279195 Enrollment ID: I20141208002129 |
| Provider Name | Felix Nicolas Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235577164 PECOS PAC ID: 5092038513 Enrollment ID: I20150107002524 |
| Provider Name | Ketan S Deoras |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1063681187 PECOS PAC ID: 7911157128 Enrollment ID: I20150126001861 |
| Provider Name | Toni A Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003223710 PECOS PAC ID: 6507183522 Enrollment ID: I20150331001500 |
| Provider Name | Surafel Kebede Gebreselassie |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912170713 PECOS PAC ID: 3173698073 Enrollment ID: I20150407000445 |
| Provider Name | Edward Mauricio Noguera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063549723 PECOS PAC ID: 2163527771 Enrollment ID: I20150407000756 |
| Provider Name | Lara Than |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346438348 PECOS PAC ID: 1850446121 Enrollment ID: I20150407000822 |
| Provider Name | Tatyana S Tsykman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144636382 PECOS PAC ID: 6406174275 Enrollment ID: I20150408001211 |
| Provider Name | John Nabil Bibawy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760799050 PECOS PAC ID: 5294978771 Enrollment ID: I20150526001759 |
| Provider Name | Annie Yuen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750679643 PECOS PAC ID: 7416105648 Enrollment ID: I20150618000087 |
| Provider Name | Justin M Dolan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316213895 PECOS PAC ID: 2365768363 Enrollment ID: I20150629001254 |
| Provider Name | Mirko A Meier Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275731622 PECOS PAC ID: 1557416674 Enrollment ID: I20150708002034 |
| Provider Name | Camilo I Garcia Gracia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346563855 PECOS PAC ID: 8224341185 Enrollment ID: I20150721001827 |
| Provider Name | Hassan Ayaz Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811158082 PECOS PAC ID: 2062653462 Enrollment ID: I20150721002094 |
| Provider Name | Monika Y Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932428380 PECOS PAC ID: 1658686142 Enrollment ID: I20150812008439 |
| Provider Name | Mihir H Naik |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699090647 PECOS PAC ID: 3375859655 Enrollment ID: I20150901001939 |
| Provider Name | Jaclyn Walbroehl Railsback |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497012512 PECOS PAC ID: 3274764477 Enrollment ID: I20150901002642 |
| Provider Name | Shatha A Shaif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235487422 PECOS PAC ID: 7012223241 Enrollment ID: I20150902000603 |
| Provider Name | Karla M Arce |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922319110 PECOS PAC ID: 4082921911 Enrollment ID: I20150909003048 |
| Provider Name | Amanda Nicole Accetturo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376970335 PECOS PAC ID: 3678880291 Enrollment ID: I20150915001621 |
| Provider Name | David Grossman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972601706 PECOS PAC ID: 0547390452 Enrollment ID: I20151005003111 |
| Provider Name | Fernando J Cabrera |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891957080 PECOS PAC ID: 3476795337 Enrollment ID: I20151021002201 |
| Provider Name | Oscar A Gerardini |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922482454 PECOS PAC ID: 0345559910 Enrollment ID: I20151021002370 |
| Provider Name | Harrison Borno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154756039 PECOS PAC ID: 3577872928 Enrollment ID: I20151026001232 |
| Provider Name | Nancy R Goddard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861613226 PECOS PAC ID: 4688984719 Enrollment ID: I20151102002289 |
| Provider Name | Farah Tejpar |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962795385 PECOS PAC ID: 9133367378 Enrollment ID: I20151109000649 |
| Provider Name | Kadian Simmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240888 PECOS PAC ID: 6901106046 Enrollment ID: I20151123000735 |
| Provider Name | Ervin Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699145417 PECOS PAC ID: 6709186570 Enrollment ID: I20151201000011 |
| Provider Name | Michal Obrzut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992983944 PECOS PAC ID: 7517038276 Enrollment ID: I20151201002448 |
| Provider Name | Gregory S Mcdonald |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1578784484 PECOS PAC ID: 6204996945 Enrollment ID: I20151201003039 |
| Provider Name | Paula I D'andrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831574342 PECOS PAC ID: 0840591160 Enrollment ID: I20151210001272 |
| Provider Name | Shalini Syama Saith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154551521 PECOS PAC ID: 9638318801 Enrollment ID: I20151214002491 |
| Provider Name | Meagan L Babyak |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104295674 PECOS PAC ID: 9830490812 Enrollment ID: I20151216001060 |
| Provider Name | Gayle A Lyew-ayee |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720401524 PECOS PAC ID: 5597988741 Enrollment ID: I20151216002166 |
| Provider Name | Jennifer B Milbery |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104294974 PECOS PAC ID: 3274834106 Enrollment ID: I20151218002004 |
| Provider Name | Lori M Millingen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1588033948 PECOS PAC ID: 6305148560 Enrollment ID: I20160105000908 |
| Provider Name | Lucia Mazza |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083082291 PECOS PAC ID: 8022311281 Enrollment ID: I20160121001037 |
| Provider Name | Koji Hashimoto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730358938 PECOS PAC ID: 2062569296 Enrollment ID: I20160122001127 |
| Provider Name | Tina B Ruchalski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821261223 PECOS PAC ID: 3072662519 Enrollment ID: I20160122001592 |
| Provider Name | Alice S Rim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134183940 PECOS PAC ID: 9830094523 Enrollment ID: I20160122001882 |
| Provider Name | Joseph Patrick Iannotti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306809306 PECOS PAC ID: 7315940228 Enrollment ID: I20160125001799 |
| Provider Name | Mushtaq A Shaikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831342823 PECOS PAC ID: 6002071446 Enrollment ID: I20160126001474 |
| Provider Name | Lisa H Ashley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164897138 PECOS PAC ID: 6204139116 Enrollment ID: I20160127001990 |
| Provider Name | Laura Valentine |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326414095 PECOS PAC ID: 5991009581 Enrollment ID: I20160202000389 |
| Provider Name | Carlos Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699065904 PECOS PAC ID: 4284939075 Enrollment ID: I20160216001014 |
| Provider Name | Kristine E Courty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649605098 PECOS PAC ID: 9234434978 Enrollment ID: I20160218000523 |
| Provider Name | Catherine C Crochetiere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972791697 PECOS PAC ID: 5496845224 Enrollment ID: I20160229001627 |
| Provider Name | Sheila Rosemberg-hirshbein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689077380 PECOS PAC ID: 9830494863 Enrollment ID: I20160229001759 |
| Provider Name | Sofia Fischer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396994547 PECOS PAC ID: 6305962416 Enrollment ID: I20160308000221 |
| Provider Name | Arun Nagarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801850268 PECOS PAC ID: 8022079250 Enrollment ID: I20160406000668 |
| Provider Name | Segundo Joel Cardenas- Goicoechea |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1720143852 PECOS PAC ID: 2860633039 Enrollment ID: I20160408001564 |
| Provider Name | Stephen L Tobias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730281981 PECOS PAC ID: 9032022801 Enrollment ID: I20160411000511 |
| Provider Name | Carla S Mcwilliams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164652624 PECOS PAC ID: 3577706878 Enrollment ID: I20160415000155 |
| Provider Name | Yara Zoe Feliciano Rivera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083916514 PECOS PAC ID: 3678863743 Enrollment ID: I20160601001813 |
| Provider Name | Natalia C Torres Negron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699121780 PECOS PAC ID: 7012209695 Enrollment ID: I20160630001865 |
| Provider Name | Malgorzata Beckman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487627360 PECOS PAC ID: 1850314063 Enrollment ID: I20160713000754 |
| Provider Name | Pamela M Frazzini Padilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821352352 PECOS PAC ID: 4486947918 Enrollment ID: I20160721001009 |
| Provider Name | Mauricio Velez |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780629253 PECOS PAC ID: 4981608874 Enrollment ID: I20160725002945 |
| Provider Name | Elina Levkoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376973156 PECOS PAC ID: 8123257813 Enrollment ID: I20160726000305 |
| Provider Name | Gonzalo I Arcentales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275989956 PECOS PAC ID: 2365735412 Enrollment ID: I20160727000012 |
| Provider Name | Christina Schilero |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154761229 PECOS PAC ID: 5698068450 Enrollment ID: I20160801002393 |
| Provider Name | Mark E Todd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275574212 PECOS PAC ID: 8123009511 Enrollment ID: I20160808001892 |
| Provider Name | Frances Tardy-rivera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770890147 PECOS PAC ID: 4082900907 Enrollment ID: I20160901000638 |
| Provider Name | Nina T Rivera |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407205214 PECOS PAC ID: 4284921263 Enrollment ID: I20160919001503 |
| Provider Name | Salwa Rhazouani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518259126 PECOS PAC ID: 9032382452 Enrollment ID: I20160921001957 |
| Provider Name | Roger A Alvarez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457593832 PECOS PAC ID: 2769648740 Enrollment ID: I20160927000220 |
| Provider Name | Helene G Logginidou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124119441 PECOS PAC ID: 2163489055 Enrollment ID: I20160928000003 |
| Provider Name | Sabrina M Seus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033452578 PECOS PAC ID: 7113214388 Enrollment ID: I20161003001530 |
| Provider Name | Nicole A Pirrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982961629 PECOS PAC ID: 4284897729 Enrollment ID: I20161004001301 |
| Provider Name | Sarah C Stock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558504555 PECOS PAC ID: 0345554507 Enrollment ID: I20161018000659 |
| Provider Name | Emmanouil Palaios |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073765574 PECOS PAC ID: 9638318215 Enrollment ID: I20161028000923 |
| Provider Name | Angelie L Mascarinas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780977744 PECOS PAC ID: 0648423855 Enrollment ID: I20161031000011 |
| Provider Name | Jill Elaine Prather |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952854309 PECOS PAC ID: 4981983228 Enrollment ID: I20161109002130 |
| Provider Name | Anna Janulewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1003167008 PECOS PAC ID: 1355592551 Enrollment ID: I20161117000376 |
| Provider Name | Brian C Katz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083162622 PECOS PAC ID: 0042590184 Enrollment ID: I20161207002587 |
| Provider Name | Rishi Paul Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750447660 PECOS PAC ID: 9133141245 Enrollment ID: I20161215001629 |
| Provider Name | Jennylee Diaz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770953663 PECOS PAC ID: 2466752373 Enrollment ID: I20161219000828 |
| Provider Name | Cristina C Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225582190 PECOS PAC ID: 2668754821 Enrollment ID: I20170123002869 |
| Provider Name | Carolina G Assis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255876470 PECOS PAC ID: 3072895960 Enrollment ID: I20170130002123 |
| Provider Name | Elizabeth M Nieves |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437694775 PECOS PAC ID: 9739462672 Enrollment ID: I20170220001016 |
| Provider Name | Jordan Shapiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1083060586 PECOS PAC ID: 7012291602 Enrollment ID: I20170227001276 |
| Provider Name | Jeanene M Alessi-graziano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316483373 PECOS PAC ID: 0547545030 Enrollment ID: I20170324000278 |
| Provider Name | Lauren M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568907780 PECOS PAC ID: 3274818646 Enrollment ID: I20170327001776 |
| Provider Name | Ashley H Cevallos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033656087 PECOS PAC ID: 7416232772 Enrollment ID: I20170329000307 |
| Provider Name | Kelly M Katz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1437606142 PECOS PAC ID: 0143506204 Enrollment ID: I20170404002317 |
| Provider Name | Gricelle J. Vazquez-navarro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124569686 PECOS PAC ID: 9335425370 Enrollment ID: I20170406000319 |
| Provider Name | Jennifer P Corvino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912445024 PECOS PAC ID: 6901182179 Enrollment ID: I20170425000639 |
| Provider Name | Zeina A. Nahleh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790742476 PECOS PAC ID: 7719899814 Enrollment ID: I20170425000883 |
| Provider Name | Melissa M Dubrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073045357 PECOS PAC ID: 7911284062 Enrollment ID: I20170427002242 |
| Provider Name | Rolenda Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932644432 PECOS PAC ID: 4981981958 Enrollment ID: I20170428000547 |
| Provider Name | Clara E Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760868574 PECOS PAC ID: 3476830365 Enrollment ID: I20170502000960 |
| Provider Name | Alice Dastrup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053859595 PECOS PAC ID: 6709163629 Enrollment ID: I20170502002643 |
| Provider Name | Mari Rachel Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861925562 PECOS PAC ID: 5294003208 Enrollment ID: I20170615002373 |
| Provider Name | Maryam Nouhi Arbatani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255748182 PECOS PAC ID: 3779851530 Enrollment ID: I20170620000922 |
| Provider Name | Steven C Minear |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215226618 PECOS PAC ID: 6305115387 Enrollment ID: I20170706003135 |
| Provider Name | Jennifer F Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508305111 PECOS PAC ID: 5597034462 Enrollment ID: I20170708000218 |
| Provider Name | Deon G Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932648995 PECOS PAC ID: 8123397098 Enrollment ID: I20170708000250 |
| Provider Name | Elvia I Goez-gutierrez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669746731 PECOS PAC ID: 2264701887 Enrollment ID: I20170712003554 |
| Provider Name | Eva M Suarez |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063738045 PECOS PAC ID: 0547576498 Enrollment ID: I20170726001247 |
| Provider Name | Jason R Lunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861810236 PECOS PAC ID: 6901177989 Enrollment ID: I20170809003090 |
| Provider Name | Armin Shivazad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972865046 PECOS PAC ID: 8224300611 Enrollment ID: I20170819000154 |
| Provider Name | Samantha M Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538570403 PECOS PAC ID: 5193019891 Enrollment ID: I20170913000438 |
| Provider Name | Syed A Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295132900 PECOS PAC ID: 0547542797 Enrollment ID: I20170914000677 |
| Provider Name | Karen V Sierra |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265899702 PECOS PAC ID: 7911271036 Enrollment ID: I20170927003266 |
| Provider Name | Surabhi Ranjan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194085332 PECOS PAC ID: 4587893805 Enrollment ID: I20171006000691 |
| Provider Name | Sophia L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457613861 PECOS PAC ID: 7911226204 Enrollment ID: I20171023002496 |
| Provider Name | Brandon J Rein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124384987 PECOS PAC ID: 5092958819 Enrollment ID: I20171025002519 |
| Provider Name | Samuel Trosman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750657243 PECOS PAC ID: 6204102510 Enrollment ID: I20171031002412 |
| Provider Name | Heather Lee Rawlings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407280829 PECOS PAC ID: 2961626759 Enrollment ID: I20171107002221 |
| Provider Name | Ravishankar Shivashankar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003198938 PECOS PAC ID: 9537475116 Enrollment ID: I20171229000510 |
| Provider Name | Sheri L Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326585704 PECOS PAC ID: 7517226046 Enrollment ID: I20180109001020 |
| Provider Name | Kimika Ziadie Raffety |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720395585 PECOS PAC ID: 9931326246 Enrollment ID: I20180212000305 |
| Provider Name | David D Pasquale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437358298 PECOS PAC ID: 1557456654 Enrollment ID: I20180223000690 |
| Provider Name | Mario C Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316296957 PECOS PAC ID: 2860753118 Enrollment ID: I20180228002509 |
| Provider Name | Clinton James Schlenker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538461306 PECOS PAC ID: 1052632296 Enrollment ID: I20180419002827 |
| Provider Name | Carlos A. Higuera Rueda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437344991 PECOS PAC ID: 6305096579 Enrollment ID: I20180607003074 |
| Provider Name | Ian Ross Drexler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265722888 PECOS PAC ID: 2860776812 Enrollment ID: I20180608000920 |
| Provider Name | Trevor J Applehof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801275789 PECOS PAC ID: 6002122363 Enrollment ID: I20180618002207 |
| Provider Name | Monica L Multani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497114649 PECOS PAC ID: 9830482553 Enrollment ID: I20180626002997 |
| Provider Name | Valeria Bruno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144745597 PECOS PAC ID: 2466708177 Enrollment ID: I20180711002189 |
| Provider Name | Labrent Harrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053651786 PECOS PAC ID: 1951658061 Enrollment ID: I20180720000701 |
| Provider Name | Rafik Refaat Kamel Tadros |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851654123 PECOS PAC ID: 1759532047 Enrollment ID: I20180727000120 |
| Provider Name | Andrew R Blum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760642771 PECOS PAC ID: 2668546177 Enrollment ID: I20180731003871 |
| Provider Name | Scott R. Hayworth |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699284885 PECOS PAC ID: 3173872892 Enrollment ID: I20180814001009 |
| Provider Name | Christopher Neil Selleck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649658303 PECOS PAC ID: 2769782101 Enrollment ID: I20180922000091 |
| Provider Name | Charlene Renee' Juan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134612591 PECOS PAC ID: 7810249554 Enrollment ID: I20181009000718 |
| Provider Name | Dian Feng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710145453 PECOS PAC ID: 6901950112 Enrollment ID: I20181115001181 |
| Provider Name | Enma F Poveda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487049086 PECOS PAC ID: 0840504452 Enrollment ID: I20181121001009 |
| Provider Name | Belkis Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760927248 PECOS PAC ID: 8325113855 Enrollment ID: I20181127002118 |
| Provider Name | Silvia Tse Bunting |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548366594 PECOS PAC ID: 6103823216 Enrollment ID: I20181213002917 |
| Provider Name | Danielle Marie Pelletier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811941131 PECOS PAC ID: 0244242931 Enrollment ID: I20181215000123 |
| Provider Name | Aditya Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750794087 PECOS PAC ID: 4486999174 Enrollment ID: I20181228000431 |
| Provider Name | Dennis Tang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619447604 PECOS PAC ID: 1254677529 Enrollment ID: I20190107003149 |
| Provider Name | Linda Godinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649665761 PECOS PAC ID: 1153635776 Enrollment ID: I20190111002046 |
| Provider Name | Mayank Roy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124349220 PECOS PAC ID: 5890918577 Enrollment ID: I20190122001295 |
| Provider Name | Mansour Afshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447395454 PECOS PAC ID: 6204928682 Enrollment ID: I20190123002439 |
| Provider Name | Leyla V Maric |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952677429 PECOS PAC ID: 0345565388 Enrollment ID: I20190125000679 |
| Provider Name | Donald Francis Kirby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811087463 PECOS PAC ID: 4082786504 Enrollment ID: I20190131001903 |
| Provider Name | Katarzyna Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487135786 PECOS PAC ID: 6406193275 Enrollment ID: I20190201000305 |
| Provider Name | Adrienne Relic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689191884 PECOS PAC ID: 6800160078 Enrollment ID: I20190201000717 |
| Provider Name | Stephanie Nicole Zachar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073092540 PECOS PAC ID: 5395082051 Enrollment ID: I20190204001206 |
| Provider Name | Tracy Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023387909 PECOS PAC ID: 3375881048 Enrollment ID: I20190205003411 |
| Provider Name | Vineet Punia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205154754 PECOS PAC ID: 8921398017 Enrollment ID: I20190206001411 |
| Provider Name | Erica A Morga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396233342 PECOS PAC ID: 0042558652 Enrollment ID: I20190206001711 |
| Provider Name | Samantha R Whitehorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417467267 PECOS PAC ID: 7618215179 Enrollment ID: I20190208001579 |
| Provider Name | Glenan Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295235323 PECOS PAC ID: 8022356310 Enrollment ID: I20190212001346 |
| Provider Name | Andres Antonio Mascaro Pankova |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922397116 PECOS PAC ID: 3779843347 Enrollment ID: I20190219001655 |
| Provider Name | Evan W Alley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497726947 PECOS PAC ID: 4789669045 Enrollment ID: I20190219002640 |
| Provider Name | Tiffany G Minnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720537343 PECOS PAC ID: 8921347519 Enrollment ID: I20190226001328 |
| Provider Name | Christina M Diaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679037766 PECOS PAC ID: 9335488220 Enrollment ID: I20190312001444 |
| Provider Name | Raymond Sutkowski |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083970909 PECOS PAC ID: 2163650375 Enrollment ID: I20190318002357 |
| Provider Name | Jose Navia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346204542 PECOS PAC ID: 0446262711 Enrollment ID: I20190322001880 |
| Provider Name | Orphee Cameron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487127312 PECOS PAC ID: 3678813763 Enrollment ID: I20190328000320 |
| Provider Name | Bradley Potsic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063533412 PECOS PAC ID: 0244470672 Enrollment ID: I20190510000197 |
| Provider Name | Jackeline L Farrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023406105 PECOS PAC ID: 7618210444 Enrollment ID: I20190520001511 |
| Provider Name | Elena Pimanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278445 PECOS PAC ID: 7315170941 Enrollment ID: I20190611002050 |
| Provider Name | Nicole Adside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275071144 PECOS PAC ID: 0941534317 Enrollment ID: I20190619001888 |
| Provider Name | Orly Hadar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801258033 PECOS PAC ID: 0547569832 Enrollment ID: I20190710001641 |
| Provider Name | Laura Scheidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275997199 PECOS PAC ID: 4385979244 Enrollment ID: I20190715001601 |
| Provider Name | Berenice A Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508220385 PECOS PAC ID: 8224364625 Enrollment ID: I20190723002355 |
| Provider Name | Lori K Posk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669573317 PECOS PAC ID: 3375549553 Enrollment ID: I20190726002335 |
| Provider Name | Kristen N Selema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386006385 PECOS PAC ID: 8123311032 Enrollment ID: I20190731003158 |
| Provider Name | Vanita Sooknanan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144882887 PECOS PAC ID: 2961739529 Enrollment ID: I20190806001697 |
| Provider Name | Niall A Smyth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720321524 PECOS PAC ID: 0749518215 Enrollment ID: I20190821002831 |
| Provider Name | Gloria Francis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811331911 PECOS PAC ID: 8426280876 Enrollment ID: I20190822004152 |
| Provider Name | Shoeleh Kazemi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578581484 PECOS PAC ID: 3375548399 Enrollment ID: I20190823000450 |
| Provider Name | Preston Grieco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437569142 PECOS PAC ID: 6901143338 Enrollment ID: I20190827000757 |
| Provider Name | Justin Dowlatshahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811317407 PECOS PAC ID: 6709185630 Enrollment ID: I20190827003380 |
| Provider Name | Hamid Borghei Razavi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326573478 PECOS PAC ID: 2567700644 Enrollment ID: I20190920001121 |
| Provider Name | Rafael A Arteta-bulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457323404 PECOS PAC ID: 9234163551 Enrollment ID: I20190924000914 |
| Provider Name | Maria Teresa Bejarano Varas |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1932387115 PECOS PAC ID: 0547393886 Enrollment ID: I20190924001316 |
| Provider Name | Mirlande Bouquet Cazeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891270781 PECOS PAC ID: 6406186915 Enrollment ID: I20190926000999 |
| Provider Name | Deanna Siroonian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275189599 PECOS PAC ID: 7416288865 Enrollment ID: I20191016000592 |
| Provider Name | Tamara Ines Estevez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457828030 PECOS PAC ID: 1052642311 Enrollment ID: I20191017001559 |
| Provider Name | Allison Barchi Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083110548 PECOS PAC ID: 6204168396 Enrollment ID: I20191022002485 |
| Provider Name | Jorge Manrique-succar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790223527 PECOS PAC ID: 5799043402 Enrollment ID: I20191025001533 |
| Provider Name | Courtney E Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982250304 PECOS PAC ID: 7214369446 Enrollment ID: I20191108002193 |
| Provider Name | Jarelys Hernandez Jimenez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184088098 PECOS PAC ID: 9133415839 Enrollment ID: I20191216002843 |
| Provider Name | Victor Omar Garbalosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982069910 PECOS PAC ID: 4981038452 Enrollment ID: I20191217001564 |
| Provider Name | John Woytanowski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467802835 PECOS PAC ID: 7012254923 Enrollment ID: I20191217002940 |
| Provider Name | Maria Eugenia Rodriguez Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881144459 PECOS PAC ID: 1153755004 Enrollment ID: I20191231000125 |
| Provider Name | Andrea Marie Petri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910747 PECOS PAC ID: 5193150787 Enrollment ID: I20200108000935 |
| Provider Name | Shari M Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417220088 PECOS PAC ID: 4688009921 Enrollment ID: I20200115001368 |
| Provider Name | Melissa Ashley Woo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134665912 PECOS PAC ID: 7618251976 Enrollment ID: I20200123001877 |
| Provider Name | Klarina Portnoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225329063 PECOS PAC ID: 8022234103 Enrollment ID: I20200127000356 |
| Provider Name | Katrin Susanne Arnolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225342868 PECOS PAC ID: 2062700743 Enrollment ID: I20200130003057 |
| Provider Name | Madelina Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834711 PECOS PAC ID: 2062848955 Enrollment ID: I20200213000633 |
| Provider Name | Christina Lynn Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154969855 PECOS PAC ID: 2668808437 Enrollment ID: I20200214001688 |
| Provider Name | Mohammed Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811438682 PECOS PAC ID: 0840627477 Enrollment ID: I20200220002178 |
| Provider Name | Paul X Benedetto |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1134393028 PECOS PAC ID: 5799940185 Enrollment ID: I20200228002247 |
| Provider Name | Peter Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215965405 PECOS PAC ID: 7012920812 Enrollment ID: I20200323000317 |
| Provider Name | Sumaira Jagvani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740826692 PECOS PAC ID: 5395174940 Enrollment ID: I20200401003135 |
| Provider Name | Luis Arnaldo Rivera-berrios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194824151 PECOS PAC ID: 0244669760 Enrollment ID: I20200405000103 |
| Provider Name | Ancy Rupin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528607660 PECOS PAC ID: 8224469440 Enrollment ID: I20200504000161 |
| Provider Name | David G Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225135619 PECOS PAC ID: 9931395365 Enrollment ID: I20200514000458 |
| Provider Name | Diana Saravia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619388022 PECOS PAC ID: 2466883004 Enrollment ID: I20200514000909 |
| Provider Name | Laura Dominguez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649407925 PECOS PAC ID: 0143469502 Enrollment ID: I20200605001775 |
| Provider Name | Chandelle Raza-rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689195406 PECOS PAC ID: 9436570090 Enrollment ID: I20200608000161 |
| Provider Name | Fnu Asad-ur-rahman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083023998 PECOS PAC ID: 6305267824 Enrollment ID: I20200609000169 |
| Provider Name | Jessica Waughtel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083960710 PECOS PAC ID: 1355573007 Enrollment ID: I20200609000613 |
| Provider Name | Antonio Daniele Pinna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982229530 PECOS PAC ID: 5496177735 Enrollment ID: I20200615003364 |
| Provider Name | Alecia P Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780224493 PECOS PAC ID: 7315369394 Enrollment ID: I20200619001935 |
| Provider Name | Sooreh Dodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700124211 PECOS PAC ID: 8628385788 Enrollment ID: I20200713001424 |
| Provider Name | Ana Isabel Pena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023403706 PECOS PAC ID: 4981917234 Enrollment ID: I20200713002810 |
| Provider Name | Pratibaa Vrinda Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073034039 PECOS PAC ID: 0042565632 Enrollment ID: I20200714000307 |
| Provider Name | Thomas Sean William Petit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134423387 PECOS PAC ID: 1557544764 Enrollment ID: I20200715001464 |
| Provider Name | Tiffany George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780004283 PECOS PAC ID: 5193087922 Enrollment ID: I20200728001568 |
| Provider Name | Ricardo Javier Hernandez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235494402 PECOS PAC ID: 4183049158 Enrollment ID: I20200807001317 |
| Provider Name | Bruno Urrea |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154783249 PECOS PAC ID: 4981995842 Enrollment ID: I20200811001555 |
| Provider Name | Jodi Ann M Chin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841725199 PECOS PAC ID: 1456617232 Enrollment ID: I20200812001647 |
| Provider Name | Meghan Galili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497296693 PECOS PAC ID: 1850663527 Enrollment ID: I20200819000606 |
| Provider Name | Adria Suarez Mora |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578805909 PECOS PAC ID: 7719281757 Enrollment ID: I20200831000189 |
| Provider Name | Kyle Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790232718 PECOS PAC ID: 5496082273 Enrollment ID: I20200901000400 |
| Provider Name | Lamia Farag |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1649899352 PECOS PAC ID: 0840619458 Enrollment ID: I20201001000772 |
| Provider Name | Eric A Moogerfeld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407453061 PECOS PAC ID: 5395165625 Enrollment ID: I20201026001900 |
| Provider Name | Sally Growns Dowling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124230628 PECOS PAC ID: 1951467265 Enrollment ID: I20201102000143 |
| Provider Name | Steven A Gill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841441136 PECOS PAC ID: 8224285507 Enrollment ID: I20201102001016 |
| Provider Name | Parag M Amin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578817219 PECOS PAC ID: 6103044334 Enrollment ID: I20201103000960 |
| Provider Name | Blaise Baxter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487681342 PECOS PAC ID: 6507763232 Enrollment ID: I20201104000418 |
| Provider Name | Lia S Jamian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659712099 PECOS PAC ID: 6002131307 Enrollment ID: I20201105000831 |
| Provider Name | Lisa Eleanor Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679174593 PECOS PAC ID: 6800208802 Enrollment ID: I20201216001424 |
| Provider Name | Rosmary Del Valle Caraballo Araque |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215533179 PECOS PAC ID: 6800209107 Enrollment ID: I20210105002999 |
| Provider Name | Toan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174606024 PECOS PAC ID: 1658569140 Enrollment ID: I20210202000455 |
| Provider Name | Conor P Delaney |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760408413 PECOS PAC ID: 4486683323 Enrollment ID: I20210204000112 |
| Provider Name | Brian Burkey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023117454 PECOS PAC ID: 1153330386 Enrollment ID: I20210226000032 |
| Provider Name | Yvette Aronova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457943573 PECOS PAC ID: 9436564325 Enrollment ID: I20210301000244 |
| Provider Name | Raghavendra Charan Makam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235378217 PECOS PAC ID: 5890961205 Enrollment ID: I20210301000315 |
| Provider Name | Peter Brooks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073558037 PECOS PAC ID: 6507899317 Enrollment ID: I20210304000278 |
| Provider Name | Kurt Spindler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497855456 PECOS PAC ID: 3678557683 Enrollment ID: I20210330000935 |
| Provider Name | Matthew J Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033552344 PECOS PAC ID: 9931320660 Enrollment ID: I20210330002108 |
| Provider Name | Luis F Serrano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720256381 PECOS PAC ID: 4688711526 Enrollment ID: I20210415000739 |
| Provider Name | Benjamin D Zusman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669811311 PECOS PAC ID: 7214170356 Enrollment ID: I20210416000366 |
| Provider Name | Shilpa Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588953368 PECOS PAC ID: 5890912810 Enrollment ID: I20210423000608 |
| Provider Name | Marco Martins De Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083156152 PECOS PAC ID: 5496164550 Enrollment ID: I20210503001198 |
| Provider Name | Garrett L Gaillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952899510 PECOS PAC ID: 7315294386 Enrollment ID: I20210506000124 |
| Provider Name | Samantha Gillenwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790131613 PECOS PAC ID: 1052680378 Enrollment ID: I20210518001616 |
| Provider Name | Fayssa Salomon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043742836 PECOS PAC ID: 1456627009 Enrollment ID: I20210520000677 |
| Provider Name | Juan Nunez Medina |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265750970 PECOS PAC ID: 8224209630 Enrollment ID: I20210602002764 |
| Provider Name | Maritery Batista-dudek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689254294 PECOS PAC ID: 4880093301 Enrollment ID: I20210602002823 |
| Provider Name | Trisha Marie Plastini |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1619313798 PECOS PAC ID: 4688971740 Enrollment ID: I20210602003148 |
| Provider Name | Chebli Mrad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881078715 PECOS PAC ID: 3870831092 Enrollment ID: I20210603001971 |
| Provider Name | Allen Reisman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366462749 PECOS PAC ID: 0941253157 Enrollment ID: I20210609000107 |
| Provider Name | Samer Riaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730573718 PECOS PAC ID: 0840505350 Enrollment ID: I20210610002721 |
| Provider Name | Shoshana Dana Bielich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942542188 PECOS PAC ID: 4082014881 Enrollment ID: I20210616001450 |
| Provider Name | Brittany Hendrix |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528635422 PECOS PAC ID: 5799185245 Enrollment ID: I20210621002099 |
| Provider Name | Schella Derosier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770070187 PECOS PAC ID: 6103181615 Enrollment ID: I20210708002866 |
| Provider Name | Nadejda Alekseeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538298005 PECOS PAC ID: 2668874892 Enrollment ID: I20210712001128 |
| Provider Name | Isabel Cristina Ramati |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962599274 PECOS PAC ID: 3375945256 Enrollment ID: I20210714003641 |
| Provider Name | Saman Ahmadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033412408 PECOS PAC ID: 4688969652 Enrollment ID: I20210719002597 |
| Provider Name | Myriam Bermudez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457545956 PECOS PAC ID: 6002186269 Enrollment ID: I20210722001470 |
| Provider Name | Anam Baig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972965150 PECOS PAC ID: 0648559187 Enrollment ID: I20210723001539 |
| Provider Name | Jenna Varner Geary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568953339 PECOS PAC ID: 6305249491 Enrollment ID: I20210727002895 |
| Provider Name | Nicholas Golden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619978343 PECOS PAC ID: 7719069913 Enrollment ID: I20210728000836 |
| Provider Name | David Franklin Snipelisky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699069088 PECOS PAC ID: 9537307673 Enrollment ID: I20210728003255 |
| Provider Name | Ashley Ann Shanblatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326533282 PECOS PAC ID: 8729482542 Enrollment ID: I20210802000857 |
| Provider Name | Sarah A Vogler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427256395 PECOS PAC ID: 1658521851 Enrollment ID: I20210805000571 |
| Provider Name | Kruti J Yagnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114380763 PECOS PAC ID: 9133415870 Enrollment ID: I20210805002386 |
| Provider Name | Mubashir Pervez |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225326952 PECOS PAC ID: 6608140728 Enrollment ID: I20210809003317 |
| Provider Name | Rochelle Rosian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053347864 PECOS PAC ID: 8921011784 Enrollment ID: I20210810001054 |
| Provider Name | Candice Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194104083 PECOS PAC ID: 5092006510 Enrollment ID: I20210810001167 |
| Provider Name | Emanuela Silva-alvarenga |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1740607803 PECOS PAC ID: 6608091970 Enrollment ID: I20210811000375 |
| Provider Name | Jason Wheeler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710414362 PECOS PAC ID: 9931477015 Enrollment ID: I20210811001819 |
| Provider Name | Christopher W Fleming |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245684158 PECOS PAC ID: 6507137742 Enrollment ID: I20210811003631 |
| Provider Name | Girum G Beyene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942437892 PECOS PAC ID: 6406901263 Enrollment ID: I20210811004532 |
| Provider Name | Ati Persad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669042370 PECOS PAC ID: 4486058476 Enrollment ID: I20210812003921 |
| Provider Name | Bryan D Nevil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356705255 PECOS PAC ID: 4385937085 Enrollment ID: I20210825002546 |
| Provider Name | Michael J Anzalone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972277788 PECOS PAC ID: 4183029309 Enrollment ID: I20210825002780 |
| Provider Name | Irene Rahman-garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780176164 PECOS PAC ID: 0446655567 Enrollment ID: I20210826002626 |
| Provider Name | Jorge Luis Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
| Provider Name | Amanda Spector |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780925255 PECOS PAC ID: 4082916762 Enrollment ID: I20210827002992 |
| Provider Name | Christopher Lau |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255642831 PECOS PAC ID: 5496065989 Enrollment ID: I20210901000486 |
| Provider Name | Maria Barrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013577055 PECOS PAC ID: 6608106927 Enrollment ID: I20210901001122 |
| Provider Name | Hersimren Basi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1255569828 PECOS PAC ID: 2769778091 Enrollment ID: I20210901003747 |
| Provider Name | Marissa Mostowtt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457025751 PECOS PAC ID: 0648676494 Enrollment ID: I20210902002572 |
| Provider Name | Sabih Hamad Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205330024 PECOS PAC ID: 5395141097 Enrollment ID: I20210903001578 |
| Provider Name | Semiramis Carbajal Mamani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1922545433 PECOS PAC ID: 1557637204 Enrollment ID: I20210903002362 |
| Provider Name | Ivan Romero Legro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356505507 PECOS PAC ID: 9234376138 Enrollment ID: I20210903002887 |
| Provider Name | Robbi Kempner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275560013 PECOS PAC ID: 2264591874 Enrollment ID: I20210911000069 |
| Provider Name | Bradford Sklow |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518057140 PECOS PAC ID: 1052326022 Enrollment ID: I20210914000620 |
| Provider Name | Elizabeth Cecilia Landis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932773835 PECOS PAC ID: 8426455288 Enrollment ID: I20210921001504 |
| Provider Name | Adrienne Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902251309 PECOS PAC ID: 3274879135 Enrollment ID: I20211004003247 |
| Provider Name | Hoon Choi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639499882 PECOS PAC ID: 5092009100 Enrollment ID: I20211006000050 |
| Provider Name | Debbieann Marie Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144994070 PECOS PAC ID: 5799183687 Enrollment ID: I20211006003522 |
| Provider Name | Philipp N Streubel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811209596 PECOS PAC ID: 2860642642 Enrollment ID: I20211103001785 |
| Provider Name | Tricia Hall-wellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972275634 PECOS PAC ID: 2062800428 Enrollment ID: I20211104000767 |
| Provider Name | Cassidy Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477168011 PECOS PAC ID: 5698185494 Enrollment ID: I20211104001659 |
| Provider Name | Christina Joy Freese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770253627 PECOS PAC ID: 5991194300 Enrollment ID: I20211104002953 |
| Provider Name | Heydi K Gaviria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710653266 PECOS PAC ID: 3971992314 Enrollment ID: I20211105001025 |
| Provider Name | Michael Dakkak |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1699200683 PECOS PAC ID: 0042580607 Enrollment ID: I20211108000939 |
| Provider Name | Jose R Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548840986 PECOS PAC ID: 4183014392 Enrollment ID: I20211202000905 |
| Provider Name | Sara Fandino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134890452 PECOS PAC ID: 6305236472 Enrollment ID: I20211203000658 |
| Provider Name | Patricia Ann Zavaleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174122667 PECOS PAC ID: 6204226335 Enrollment ID: I20211206000206 |
| Provider Name | Emily Rivero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023772274 PECOS PAC ID: 1254721178 Enrollment ID: I20211208003398 |
| Provider Name | Teresa Diago Uso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790028116 PECOS PAC ID: 2365681780 Enrollment ID: I20211210000081 |
| Provider Name | Rachel Bertschman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710643408 PECOS PAC ID: 1557752284 Enrollment ID: I20220106001411 |
| Provider Name | Patrick E Mclendon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245684414 PECOS PAC ID: 6901199108 Enrollment ID: I20220107002350 |
| Provider Name | Kine Jeree Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689266215 PECOS PAC ID: 0345632055 Enrollment ID: I20220108000122 |
| Provider Name | Kushal Handa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396762258 PECOS PAC ID: 4385684422 Enrollment ID: I20220111002790 |
| Provider Name | Jordan H Zabari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020339 PECOS PAC ID: 6406248681 Enrollment ID: I20220120001088 |
| Provider Name | Peyton R Kranz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053062588 PECOS PAC ID: 5193118974 Enrollment ID: I20220201000576 |
| Provider Name | Teresa Alessandra Palacios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134896392 PECOS PAC ID: 7911390653 Enrollment ID: I20220202000432 |
| Provider Name | Samantha Soltis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447710256 PECOS PAC ID: 8921491556 Enrollment ID: I20220203001007 |
| Provider Name | Hany S Anton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164402657 PECOS PAC ID: 5395724587 Enrollment ID: I20220208001824 |
| Provider Name | Victoria Lyndsey Canarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669825238 PECOS PAC ID: 5991198186 Enrollment ID: I20220211000082 |
| Provider Name | Jerry Estep |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336343847 PECOS PAC ID: 4587765060 Enrollment ID: I20220214000893 |
| Provider Name | David A Zisman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558381699 PECOS PAC ID: 5092868372 Enrollment ID: I20220311000872 |
| Provider Name | Alvin C Wee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558539874 PECOS PAC ID: 2567546443 Enrollment ID: I20220322002263 |
| Provider Name | Corinne E Bott-silverman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164485116 PECOS PAC ID: 3274636089 Enrollment ID: I20220405000072 |
| Provider Name | Seetha Venkateswaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669978565 PECOS PAC ID: 6800144098 Enrollment ID: I20220406003085 |
| Provider Name | Tashelle Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720734833 PECOS PAC ID: 0941697577 Enrollment ID: I20220428000947 |
| Provider Name | Timothy Murray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063481596 PECOS PAC ID: 7214909944 Enrollment ID: I20220429001897 |
| Provider Name | Esther Yoon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639571698 PECOS PAC ID: 2264769892 Enrollment ID: I20220505001861 |
| Provider Name | John Rippy |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1669723664 PECOS PAC ID: 7719131093 Enrollment ID: I20220506000757 |
| Provider Name | Jeannot Estimable |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295472967 PECOS PAC ID: 7719364231 Enrollment ID: I20220520002404 |
| Provider Name | Hannah Kerr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114123593 PECOS PAC ID: 7012133911 Enrollment ID: I20220601003057 |
| Provider Name | Howard Berg |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1588667273 PECOS PAC ID: 8628052636 Enrollment ID: I20220602002621 |
| Provider Name | Masato Fujiki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003056300 PECOS PAC ID: 4880841857 Enrollment ID: I20220603001730 |
| Provider Name | Alexandra Mikhael |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053795484 PECOS PAC ID: 9537461413 Enrollment ID: I20220705000001 |
| Provider Name | Morris Sasson Harari |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386061596 PECOS PAC ID: 0547690919 Enrollment ID: I20220705001209 |
| Provider Name | Yanet Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821759242 PECOS PAC ID: 4486034675 Enrollment ID: I20220706000964 |
| Provider Name | David Baran |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1871594150 PECOS PAC ID: 7719947977 Enrollment ID: I20220707004031 |
| Provider Name | Alberto Pieretti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528327715 PECOS PAC ID: 8123271350 Enrollment ID: I20220708001676 |
| Provider Name | Tilak Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568629228 PECOS PAC ID: 7315185998 Enrollment ID: I20220711001912 |
| Provider Name | Aaron Hirsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386030849 PECOS PAC ID: 0648560136 Enrollment ID: I20220711002965 |
| Provider Name | Darko Pucar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679725451 PECOS PAC ID: 1951433291 Enrollment ID: I20220711003817 |
| Provider Name | Rodrigo Navarro Ramirez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770116253 PECOS PAC ID: 7315338126 Enrollment ID: I20220713004277 |
| Provider Name | Amre Nouh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306162474 PECOS PAC ID: 2466679428 Enrollment ID: I20220714000621 |
| Provider Name | Nathalia Velasquez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477903987 PECOS PAC ID: 0840609723 Enrollment ID: I20220726001750 |
| Provider Name | Adalberto Jose Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295197564 PECOS PAC ID: 9436449964 Enrollment ID: I20220802001405 |
| Provider Name | Peter Diep |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598252512 PECOS PAC ID: 8426384488 Enrollment ID: I20220802003646 |
| Provider Name | Carla Fortique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467713776 PECOS PAC ID: 8729226766 Enrollment ID: I20220803000618 |
| Provider Name | Tarangi Deepak Sutaria |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225562879 PECOS PAC ID: 9133529951 Enrollment ID: I20220810001710 |
| Provider Name | John H Seymour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247249 PECOS PAC ID: 1951648005 Enrollment ID: I20220822002970 |
| Provider Name | Angela Fernandez Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942664511 PECOS PAC ID: 9931437456 Enrollment ID: I20220823002450 |
| Provider Name | Sonam Jaglan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346696663 PECOS PAC ID: 5092007401 Enrollment ID: I20220826002654 |
| Provider Name | Jennifer N Tarakmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215433537 PECOS PAC ID: 0446634315 Enrollment ID: I20220826002789 |
| Provider Name | Jenny S Placido Disla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891182879 PECOS PAC ID: 8921344177 Enrollment ID: I20220831003284 |
| Provider Name | Khirah Madison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619696366 PECOS PAC ID: 6507241437 Enrollment ID: I20220914000093 |
| Provider Name | Sarah Nasr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689393316 PECOS PAC ID: 9032594809 Enrollment ID: I20220914002143 |
| Provider Name | Ryan M Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154766632 PECOS PAC ID: 1951626761 Enrollment ID: I20221005001535 |
| Provider Name | Laura A Duncan-leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578030730 PECOS PAC ID: 3779959036 Enrollment ID: I20221012001347 |
| Provider Name | Sahar Hamade |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447972294 PECOS PAC ID: 4284001512 Enrollment ID: I20221031000261 |
| Provider Name | Jasmine Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932276326 PECOS PAC ID: 5193615581 Enrollment ID: I20221101001620 |
| Provider Name | Barbara Magella Destine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508357 PECOS PAC ID: 6305213174 Enrollment ID: I20221108001193 |
| Provider Name | Michael Pinlac |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1174278261 PECOS PAC ID: 8921483199 Enrollment ID: I20221108003034 |
| Provider Name | Ja-anna Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891411146 PECOS PAC ID: 8628446986 Enrollment ID: I20221118000263 |
| Provider Name | Laura Davila Junker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659097533 PECOS PAC ID: 6901274166 Enrollment ID: I20221118000667 |
| Provider Name | Amir Behdad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497978902 PECOS PAC ID: 8527192541 Enrollment ID: I20221121003310 |
| Provider Name | Marilia C De Oliveira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871203372 PECOS PAC ID: 3779952163 Enrollment ID: I20221206003398 |
| Provider Name | Jayne Millman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083235196 PECOS PAC ID: 0648649079 Enrollment ID: I20221207001319 |
| Provider Name | Brian W Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588640981 PECOS PAC ID: 2668437997 Enrollment ID: I20221213002808 |
| Provider Name | Maria Defatima Pozuelo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285681999 PECOS PAC ID: 6901846658 Enrollment ID: I20221217000311 |
| Provider Name | Saira Rani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457643835 PECOS PAC ID: 0446472229 Enrollment ID: I20230104000412 |
| Provider Name | Jake Ley Gillis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053020842 PECOS PAC ID: 8224408315 Enrollment ID: I20230106000179 |
| Provider Name | Anneliese Marcelle Beaubrun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255745501 PECOS PAC ID: 2567739543 Enrollment ID: I20230109000451 |
| Provider Name | Kyle Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609010677 PECOS PAC ID: 2466699160 Enrollment ID: I20230110003031 |
| Provider Name | Melissa Danielle Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265149256 PECOS PAC ID: 2062882947 Enrollment ID: I20230111000448 |
| Provider Name | Mirna Maria Flores Raudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205567427 PECOS PAC ID: 8628448511 Enrollment ID: I20230111000823 |
| Provider Name | Larissa Dunker De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912240375 PECOS PAC ID: 0143456616 Enrollment ID: I20230117001383 |
| Provider Name | Phuong Anh Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689927600 PECOS PAC ID: 7719358159 Enrollment ID: I20230124000608 |
| Provider Name | Amanda Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851000319 PECOS PAC ID: 0042682940 Enrollment ID: I20230201003276 |
| Provider Name | Annette J Deutscher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356836019 PECOS PAC ID: 4082021100 Enrollment ID: I20230202000270 |
| Provider Name | Jason Lemarr Henry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932188174 PECOS PAC ID: 8022256726 Enrollment ID: I20230202000537 |
| Provider Name | Glenda Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679101042 PECOS PAC ID: 1557733003 Enrollment ID: I20230209000197 |
| Provider Name | Lisa Yamamoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134440035 PECOS PAC ID: 3577855352 Enrollment ID: I20230213000778 |
| Provider Name | Mohamed Elgabaly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861656282 PECOS PAC ID: 9931366564 Enrollment ID: I20230222003264 |
| Provider Name | Ricardo Plata Aguilar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780116863 PECOS PAC ID: 5799187985 Enrollment ID: I20230405000841 |
| Provider Name | Kim S Geiringer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548752694 PECOS PAC ID: 4082089610 Enrollment ID: I20230412001016 |
| Provider Name | Christine Veda Goordeen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124651849 PECOS PAC ID: 5395100812 Enrollment ID: I20230504002606 |
| Provider Name | Karla Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144679606 PECOS PAC ID: 9638506280 Enrollment ID: I20230524002995 |
| Provider Name | David Tabriz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124383237 PECOS PAC ID: 4284862327 Enrollment ID: I20230602000211 |
| Provider Name | Sonal Naren Jadeja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801327408 PECOS PAC ID: 8022381052 Enrollment ID: I20230613001495 |
| Provider Name | Evan Botti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891284840 PECOS PAC ID: 5193068849 Enrollment ID: I20230620001672 |
| Provider Name | Catherine Kowalski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346406865 PECOS PAC ID: 2365699444 Enrollment ID: I20230621000154 |
| Provider Name | Jyotsna Kochiyil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437671062 PECOS PAC ID: 9133500846 Enrollment ID: I20230630000874 |
| Provider Name | Katherine Fernandez-garcia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215626536 PECOS PAC ID: 2466811591 Enrollment ID: I20230706003893 |
| Provider Name | Fernanda Heitor-behdad |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902027113 PECOS PAC ID: 3072650928 Enrollment ID: I20230718003027 |
| Provider Name | Andrea R Linares |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396240396 PECOS PAC ID: 5193061679 Enrollment ID: I20230727001219 |
| Provider Name | Ahmed Koriesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598179285 PECOS PAC ID: 6406101138 Enrollment ID: I20230727004010 |
| Provider Name | Monica Segura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962031930 PECOS PAC ID: 8123457264 Enrollment ID: I20230803000047 |
| Provider Name | Monica George-palop |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801380530 PECOS PAC ID: 9335500545 Enrollment ID: I20230804000201 |
| Provider Name | Shadi Bsat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134851082 PECOS PAC ID: 4688055809 Enrollment ID: I20230804002546 |
| Provider Name | Andrea Folds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912535923 PECOS PAC ID: 4789005000 Enrollment ID: I20230807002346 |
| Provider Name | Thomas Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528371192 PECOS PAC ID: 9133448921 Enrollment ID: I20230809000926 |
| Provider Name | Olivia Casas Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245790526 PECOS PAC ID: 8426410259 Enrollment ID: I20230810003925 |
| Provider Name | Taisiya Tumarinson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790023166 PECOS PAC ID: 1456678705 Enrollment ID: I20230812000002 |
| Provider Name | Daniel Klein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629518279 PECOS PAC ID: 9638402530 Enrollment ID: I20230814002125 |
| Provider Name | Courtney Poston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144888264 PECOS PAC ID: 3779810742 Enrollment ID: I20230814003214 |
| Provider Name | Yehuda Galili |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871034074 PECOS PAC ID: 8022389956 Enrollment ID: I20230821003779 |
| Provider Name | Ebram Maher Salama |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1487382370 PECOS PAC ID: 1456714427 Enrollment ID: I20230824002099 |
| Provider Name | Eduardo Fernandes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023363934 PECOS PAC ID: 5890078760 Enrollment ID: I20230824002554 |
| Provider Name | Melissa Montenegro Sossa |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053092056 PECOS PAC ID: 5991168759 Enrollment ID: I20230825001956 |
| Provider Name | Jose Manuel Sarmiento |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558814053 PECOS PAC ID: 5597021089 Enrollment ID: I20230828001231 |
| Provider Name | Marylise Boutros |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1568777191 PECOS PAC ID: 0143684241 Enrollment ID: I20230907002831 |
| Provider Name | Romy Fontoura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043744402 PECOS PAC ID: 0244629806 Enrollment ID: I20230912002875 |
| Provider Name | Gabriel Dunwoody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215619952 PECOS PAC ID: 6800250556 Enrollment ID: I20230913002145 |
| Provider Name | Andrew T Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184129785 PECOS PAC ID: 0143600213 Enrollment ID: I20230918001086 |
| Provider Name | Alexa Weiss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043097819 PECOS PAC ID: 9638523269 Enrollment ID: I20230929001587 |
| Provider Name | Eniley Santi Palacios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477239457 PECOS PAC ID: 1951756204 Enrollment ID: I20231006001472 |
| Provider Name | Manisha R Chand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922538883 PECOS PAC ID: 0941572952 Enrollment ID: I20231027000106 |
| Provider Name | Paunel B Agyei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194258830 PECOS PAC ID: 3971980400 Enrollment ID: I20231102002936 |
| Provider Name | Claudia Rivera Philippon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427730860 PECOS PAC ID: 1254788516 Enrollment ID: I20231107004088 |
| Provider Name | Denise Elizabeth Pattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757843 PECOS PAC ID: 7517187149 Enrollment ID: I20231108000546 |
| Provider Name | Alyssa Leblanc |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447946652 PECOS PAC ID: 7911351812 Enrollment ID: I20231115002694 |
| Provider Name | Ashley Nicole Vasquez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629842562 PECOS PAC ID: 1850748500 Enrollment ID: I20231117000081 |
| Provider Name | Alejandro Pita |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457705030 PECOS PAC ID: 4688963648 Enrollment ID: I20231201000815 |
| Provider Name | Arun George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780456475 PECOS PAC ID: 7517316334 Enrollment ID: I20231205003308 |
| Provider Name | Crystal Carrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104605864 PECOS PAC ID: 2860841434 Enrollment ID: I20231207001834 |
| Provider Name | Ryan Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285429 PECOS PAC ID: 9032567078 Enrollment ID: I20231219004199 |
| Provider Name | Juan P Umana |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114610862 PECOS PAC ID: 8426415308 Enrollment ID: I20240109004402 |
| Provider Name | Lais Botelho |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578331922 PECOS PAC ID: 6608229802 Enrollment ID: I20240124001121 |
| Provider Name | Jean-pierre Durand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366210916 PECOS PAC ID: 6103279005 Enrollment ID: I20240126002697 |
| Provider Name | Yolaine Martin Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225818545 PECOS PAC ID: 3375986417 Enrollment ID: I20240206002814 |
| Provider Name | Yasdet Maldonado |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093914756 PECOS PAC ID: 9436322161 Enrollment ID: I20240314004370 |
| Provider Name | Valeria Guadalupe De Francisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467213942 PECOS PAC ID: 2668819202 Enrollment ID: I20240319002026 |
| Provider Name | Lachlan Macleay |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215023767 PECOS PAC ID: 8527182518 Enrollment ID: I20240410003961 |
| Provider Name | Arianna Alvarez Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699533505 PECOS PAC ID: 6608215256 Enrollment ID: I20240416002874 |
| Provider Name | Erica Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710749320 PECOS PAC ID: 2769821164 Enrollment ID: I20240418000954 |
| Provider Name | Roberto Santiago Gabitto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861658387 PECOS PAC ID: 6305901505 Enrollment ID: I20240425004204 |
| Provider Name | Chirag Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508032137 PECOS PAC ID: 4981757622 Enrollment ID: I20240430003349 |
| Provider Name | Bernadette R Ramos-cardona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013392166 PECOS PAC ID: 9234519919 Enrollment ID: I20240529004070 |
| Provider Name | Meron Rachel Kristos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912156621 PECOS PAC ID: 5698944825 Enrollment ID: I20240531000553 |
| Provider Name | Jessica Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164288866 PECOS PAC ID: 2062954845 Enrollment ID: I20240607002133 |
| Provider Name | Lindsay Marie Hindsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871368928 PECOS PAC ID: 3476096470 Enrollment ID: I20240618004556 |
| Provider Name | Dia Smiley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962638437 PECOS PAC ID: 5991935751 Enrollment ID: I20240626004373 |
| Provider Name | Kirill Lyapichev |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700206661 PECOS PAC ID: 2466856299 Enrollment ID: I20240627004056 |
| Provider Name | Christy Marie Vadakkan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881199040 PECOS PAC ID: 3971942277 Enrollment ID: I20240705001100 |
| Provider Name | Sabrina C Vullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992491419 PECOS PAC ID: 7911442454 Enrollment ID: I20240709003387 |
| Provider Name | Barbara Pociurko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396261574 PECOS PAC ID: 8820416050 Enrollment ID: I20240712002701 |
| Provider Name | Claudia Vallin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972091262 PECOS PAC ID: 5496094203 Enrollment ID: I20240716001203 |
| Provider Name | Lucas J Rindy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184112468 PECOS PAC ID: 7719344498 Enrollment ID: I20240717004063 |
| Provider Name | Jaclyn Keats |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932958246 PECOS PAC ID: 9032654710 Enrollment ID: I20240717004180 |
| Provider Name | Vanessa Gissel Fuentes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487211702 PECOS PAC ID: 5092137521 Enrollment ID: I20240726003815 |
| Provider Name | Britney Vasemise Abner Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427635382 PECOS PAC ID: 7214330554 Enrollment ID: I20240729004698 |
| Provider Name | Federico Andres Napoli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508463175 PECOS PAC ID: 3274070750 Enrollment ID: I20240801002145 |
| Provider Name | Tyler J Dolan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497421739 PECOS PAC ID: 8921480765 Enrollment ID: I20240805004086 |
| Provider Name | Miquel David Gonzalez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548759616 PECOS PAC ID: 7911246749 Enrollment ID: I20240807000876 |
| Provider Name | Natalia Del Mazo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730741281 PECOS PAC ID: 0547707556 Enrollment ID: I20240807003080 |
| Provider Name | Charles Walker Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235691197 PECOS PAC ID: 3375983760 Enrollment ID: I20240812002011 |
| Provider Name | Ryan Chan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891299244 PECOS PAC ID: 3375870934 Enrollment ID: I20240813001949 |
| Provider Name | Julia Mounira Asmar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649776782 PECOS PAC ID: 1951651181 Enrollment ID: I20240815000373 |
| Provider Name | Amir Bashiri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215499314 PECOS PAC ID: 8123354248 Enrollment ID: I20240816004041 |
| Provider Name | Marcus Oosenbrug |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760175772 PECOS PAC ID: 5193263499 Enrollment ID: I20240819000623 |
| Provider Name | Bayarmaa Altanovna Mandzhieva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063917367 PECOS PAC ID: 0840547139 Enrollment ID: I20240820000059 |
| Provider Name | Alexander Stuart Christ |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720541691 PECOS PAC ID: 1052643301 Enrollment ID: I20240820004767 |
| Provider Name | Khaled Refaai Mohamed Refaai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033859368 PECOS PAC ID: 3577940436 Enrollment ID: I20240822002574 |
| Provider Name | Abdulrahman Albakr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396594826 PECOS PAC ID: 8123567948 Enrollment ID: I20240826000108 |
| Provider Name | Annie Joseph |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306334404 PECOS PAC ID: 3072842905 Enrollment ID: I20240827000633 |
| Provider Name | Oriana Katalina Salamo Colletti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528557097 PECOS PAC ID: 8527507771 Enrollment ID: I20240831000146 |
| Provider Name | Shellie Parchman Rovelo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811094907 PECOS PAC ID: 2860408556 Enrollment ID: I20240912000555 |
| Provider Name | Jiro Kusakabe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417338377 PECOS PAC ID: 3476867672 Enrollment ID: I20240912000630 |
| Provider Name | Larissa Andrade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912571951 PECOS PAC ID: 6305387416 Enrollment ID: I20240917001409 |
| Provider Name | Shawn O'keefe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366005092 PECOS PAC ID: 7810438884 Enrollment ID: I20240917004554 |
| Provider Name | Stephanie Fayaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164268512 PECOS PAC ID: 5395286793 Enrollment ID: I20240925003976 |
| Provider Name | Paul Mookencherry Thambi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952482655 PECOS PAC ID: 4183612252 Enrollment ID: I20240926000349 |
| Provider Name | Jeremy Kyle Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346804903 PECOS PAC ID: 7618209503 Enrollment ID: I20240927001647 |
| Provider Name | Jennine L Putnick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003265885 PECOS PAC ID: 2860737384 Enrollment ID: I20241007000091 |
| Provider Name | Mark Alan Molos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427036797 PECOS PAC ID: 7012821127 Enrollment ID: I20241010003031 |
| Provider Name | Maria Juliana Fulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013742576 PECOS PAC ID: 1951834662 Enrollment ID: I20241101000757 |
| Provider Name | Payton Shapiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1184467342 PECOS PAC ID: 4183158181 Enrollment ID: I20241113003785 |
| Provider Name | Laura Denise Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396564662 PECOS PAC ID: 3870029952 Enrollment ID: I20241212002388 |
| Provider Name | Christina Janet Quintero Estades |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346656097 PECOS PAC ID: 8729315353 Enrollment ID: I20250106001677 |
| Provider Name | Nataly Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144056979 PECOS PAC ID: 2163950510 Enrollment ID: I20250113001987 |
| Provider Name | Harold Ira Litt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750319893 PECOS PAC ID: 0840489613 Enrollment ID: I20250114002992 |
| Provider Name | Joshua Brian Schmidt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700604733 PECOS PAC ID: 2466981246 Enrollment ID: I20250123000927 |
| Provider Name | Parikshit Sudhirkumar Sharma |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487985883 PECOS PAC ID: 4284750357 Enrollment ID: I20250124003643 |
| Provider Name | Donald Imwalle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164461372 PECOS PAC ID: 5395743082 Enrollment ID: I20250206002128 |
| Provider Name | Julie Anda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477379923 PECOS PAC ID: 0143740233 Enrollment ID: I20250219002607 |
| Provider Name | Starlet S Harrimon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316742703 PECOS PAC ID: 3577085539 Enrollment ID: I20250319001648 |
| Provider Name | Avalon Karen Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679381966 PECOS PAC ID: 0840712816 Enrollment ID: I20250319001906 |
| Provider Name | Gregory C Heins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366443657 PECOS PAC ID: 8527193945 Enrollment ID: I20250321002364 |
| Provider Name | Jalisa Carvalho |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336765999 PECOS PAC ID: 5991146540 Enrollment ID: I20250417003465 |
| Provider Name | Jain Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639420714 PECOS PAC ID: 2062702830 Enrollment ID: I20250430002684 |
| Provider Name | Jeniffer Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891581765 PECOS PAC ID: 5597284943 Enrollment ID: I20250528003800 |
Compass Nephrology Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2685 Executive Park Dr Ste 5, Weston, FL 33331 Phone: 954-590-0556 | |
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Ruthman Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2741 Executive Park Dr, Suite 4, Weston, FL 33331 Phone: 954-659-2102 | |
Yaneth Trujillo Md.pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1290 Weston Rd Ste 203, Weston, FL 33326 Phone: 954-436-8036 Fax: 954-949-9180 | |
E&b Best Care, Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4581 Weston Rd, Suite #383, Weston, FL 33331 Phone: 954-297-5421 | |
Nula Medical Management Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4090 W Whitewater Ave, Weston, FL 33332 Phone: 954-696-6232 | |
Flomed Infusion Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2685 Executive Park Dr Ste 6, Weston, FL 33331 Phone: 561-559-9800 |