| Clinical Care Associates Of The University Of Pennsylvania Health | |
|
250 King Of Prussia Rd 4th Floor Radnor PA 19087-5220 | |
| (610) 902-1720 | |
| Not Available |
| Full Name | Clinical Care Associates Of The University Of Pennsylvania Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 King Of Prussia Rd, Radnor, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (ENROLLMENT LEAD) |
| Authorized Official Contact | 2156626187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Care Associates Of The University Of Pennsylvania Health 250 King Of Prussia Rd 4th Floor Radnor PA 19087-5220 Ph: (610) 902-1720 | Clinical Care Associates Of The University Of Pennsylvania Health 250 King Of Prussia Rd 4th Floor Radnor PA 19087-5220 Ph: (610) 902-1720 |
| NPI Number | 1972682995 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 4688588866 |
|---|---|
| Medicare Enrollment ID | O20031113000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972682995 | NPI | - | NPPES |
| 428207 | Other | PA | BLUE SHIELD |
| 1343994 | Other | PA | BLUE SHIELD |
| Provider Name | Ann M Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114978681 PECOS PAC ID: 0941114813 Enrollment ID: I20031114000458 |
| Provider Name | Andrew C Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528027646 PECOS PAC ID: 6800794694 Enrollment ID: I20031231000049 |
| Provider Name | Jatin B Kyada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225099559 PECOS PAC ID: 5991605727 Enrollment ID: I20040109000413 |
| Provider Name | Kim Olthoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538196811 PECOS PAC ID: 1658272430 Enrollment ID: I20040115000452 |
| Provider Name | Evan Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164428645 PECOS PAC ID: 5991606386 Enrollment ID: I20040119000271 |
| Provider Name | Diane Zimmerman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548282866 PECOS PAC ID: 8224930094 Enrollment ID: I20040122000603 |
| Provider Name | Denise S Staiano-keba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710097753 PECOS PAC ID: 5799688982 Enrollment ID: I20040127000612 |
| Provider Name | Leslie F Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528141645 PECOS PAC ID: 9032003280 Enrollment ID: I20040210000434 |
| Provider Name | Kathleen B Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215969530 PECOS PAC ID: 8729976832 Enrollment ID: I20040310000060 |
| Provider Name | Pedro M Solanet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437112554 PECOS PAC ID: 8123012713 Enrollment ID: I20040414001573 |
| Provider Name | Alan Marc Kravatz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356369623 PECOS PAC ID: 9234126822 Enrollment ID: I20040427000407 |
| Provider Name | John H Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831155134 PECOS PAC ID: 2668469917 Enrollment ID: I20040428000838 |
| Provider Name | Siva Kumar Ramachandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215902937 PECOS PAC ID: 4284610924 Enrollment ID: I20040624001574 |
| Provider Name | Edward Houston Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851367155 PECOS PAC ID: 6002892171 Enrollment ID: I20040629000079 |
| Provider Name | Kendal Passot Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942232236 PECOS PAC ID: 7113904277 Enrollment ID: I20040707000013 |
| Provider Name | Victoria Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457318768 PECOS PAC ID: 1557340569 Enrollment ID: I20040714001027 |
| Provider Name | Jason J Bofinger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740278647 PECOS PAC ID: 4789664798 Enrollment ID: I20040721000899 |
| Provider Name | Harish M Sehdev |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841228442 PECOS PAC ID: 9537149406 Enrollment ID: I20040721001321 |
| Provider Name | Peter A Gearhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669490959 PECOS PAC ID: 8628058450 Enrollment ID: I20040722000795 |
| Provider Name | David T. Lush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801823893 PECOS PAC ID: 2163402520 Enrollment ID: I20040726000085 |
| Provider Name | Stephanie H Ewing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578581864 PECOS PAC ID: 2365413713 Enrollment ID: I20040802000617 |
| Provider Name | David W Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750367017 PECOS PAC ID: 4183695430 Enrollment ID: I20040802001210 |
| Provider Name | Leslie Sharon Renbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730113705 PECOS PAC ID: 3274504154 Enrollment ID: I20040804000413 |
| Provider Name | Diane Sorg Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518040203 PECOS PAC ID: 9032180633 Enrollment ID: I20040805000932 |
| Provider Name | Maryanne Diamond |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780698217 PECOS PAC ID: 5496727620 Enrollment ID: I20040809001127 |
| Provider Name | Michael Andrew Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306849435 PECOS PAC ID: 5092788380 Enrollment ID: I20040816000475 |
| Provider Name | Lilbourn L Parrott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528072352 PECOS PAC ID: 7618941337 Enrollment ID: I20040819001216 |
| Provider Name | Mary Katherine Brigandi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093773442 PECOS PAC ID: 2860467941 Enrollment ID: I20040901000223 |
| Provider Name | Dominic A Marchiano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578594438 PECOS PAC ID: 6709852692 Enrollment ID: I20040902000324 |
| Provider Name | Phillip W Hayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992719728 PECOS PAC ID: 6406823459 Enrollment ID: I20040910000578 |
| Provider Name | Pasquale Brancazio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891856951 PECOS PAC ID: 9931176989 Enrollment ID: I20040910000592 |
| Provider Name | Po Chau Tsoi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073534954 PECOS PAC ID: 3476521618 Enrollment ID: I20040924000147 |
| Provider Name | Joyce D Liporace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710956156 PECOS PAC ID: 0345219812 Enrollment ID: I20040930000923 |
| Provider Name | Andrew Jay Litwack |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073549770 PECOS PAC ID: 7810956463 Enrollment ID: I20041008000126 |
| Provider Name | Amit Kumar Shori |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225099542 PECOS PAC ID: 9638139892 Enrollment ID: I20041013000419 |
| Provider Name | Dwight C Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598738833 PECOS PAC ID: 3971563040 Enrollment ID: I20041013000531 |
| Provider Name | Susan Soojin Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487846705 PECOS PAC ID: 9931161866 Enrollment ID: I20041102000719 |
| Provider Name | Sabah Servaes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912958323 PECOS PAC ID: 0345204731 Enrollment ID: I20041116000354 |
| Provider Name | Annapurna Devi Korimilli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053556167 PECOS PAC ID: 1759346588 Enrollment ID: I20041122000344 |
| Provider Name | Daisy Ortiz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124040555 PECOS PAC ID: 5799733978 Enrollment ID: I20050104000829 |
| Provider Name | Andrew D Sitkoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063485308 PECOS PAC ID: 7618926809 Enrollment ID: I20050114000086 |
| Provider Name | Michael P Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518985639 PECOS PAC ID: 7315996576 Enrollment ID: I20050114000561 |
| Provider Name | Abigail Wolf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518986215 PECOS PAC ID: 3779533229 Enrollment ID: I20050124000331 |
| Provider Name | Lori A Norman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588627210 PECOS PAC ID: 9830149319 Enrollment ID: I20050124000621 |
| Provider Name | Alexis M Styers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538167101 PECOS PAC ID: 6507817947 Enrollment ID: I20050203000073 |
| Provider Name | Robert H Li |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033140710 PECOS PAC ID: 6507848132 Enrollment ID: I20050203000714 |
| Provider Name | Qaiss Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154395952 PECOS PAC ID: 2860443520 Enrollment ID: I20050210000088 |
| Provider Name | Chris Terry Derk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609899210 PECOS PAC ID: 5890747232 Enrollment ID: I20050215000109 |
| Provider Name | Kathleen S King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003848300 PECOS PAC ID: 9739128109 Enrollment ID: I20050426001122 |
| Provider Name | Lisa B Black |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730152653 PECOS PAC ID: 5597705921 Enrollment ID: I20050505000261 |
| Provider Name | Fermin C Garcia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780672477 PECOS PAC ID: 1658311428 Enrollment ID: I20050511000397 |
| Provider Name | Ami Sharad Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710900865 PECOS PAC ID: 6800836685 Enrollment ID: I20050511000503 |
| Provider Name | Seth S Haplea |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467408906 PECOS PAC ID: 5496653867 Enrollment ID: I20050512000309 |
| Provider Name | Carol Griesemer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669496493 PECOS PAC ID: 3476594003 Enrollment ID: I20050513000363 |
| Provider Name | Linda Rimmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407881659 PECOS PAC ID: 6002857513 Enrollment ID: I20050516000177 |
| Provider Name | Patricia Mullen Reilly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063436806 PECOS PAC ID: 7618918673 Enrollment ID: I20050519000660 |
| Provider Name | Yvonne Denise Prioleau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295758613 PECOS PAC ID: 9436190212 Enrollment ID: I20050523000279 |
| Provider Name | Kathleen A Daly Leonard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518905629 PECOS PAC ID: 5597707059 Enrollment ID: I20050525000038 |
| Provider Name | Kellen Karl Kovalovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871689422 PECOS PAC ID: 4981646346 Enrollment ID: I20050525000835 |
| Provider Name | David R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619909942 PECOS PAC ID: 5597707703 Enrollment ID: I20050527000363 |
| Provider Name | Sharon S Jankauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255495248 PECOS PAC ID: 8729020946 Enrollment ID: I20050527000504 |
| Provider Name | Tahir Maqsood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558381087 PECOS PAC ID: 0446294458 Enrollment ID: I20050610000399 |
| Provider Name | Jean C Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477541381 PECOS PAC ID: 8527002435 Enrollment ID: I20050613000270 |
| Provider Name | Marc J Wertheimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023045937 PECOS PAC ID: 7315981289 Enrollment ID: I20050613000759 |
| Provider Name | John C Masek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740206705 PECOS PAC ID: 5193761385 Enrollment ID: I20050628000843 |
| Provider Name | Michelle M Eisenhower |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588691968 PECOS PAC ID: 2163468471 Enrollment ID: I20050707000867 |
| Provider Name | Zachary Franklin Meisel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013919935 PECOS PAC ID: 6204862006 Enrollment ID: I20050713000368 |
| Provider Name | Deborah Zarnow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598716664 PECOS PAC ID: 7719913284 Enrollment ID: I20050715000518 |
| Provider Name | Sandra D Donover |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013993088 PECOS PAC ID: 1052348430 Enrollment ID: I20050719000140 |
| Provider Name | Steven Gitaro Fukuchi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902875990 PECOS PAC ID: 9335177161 Enrollment ID: I20050802000504 |
| Provider Name | Kelly R Desouza-sanders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912929860 PECOS PAC ID: 9537190384 Enrollment ID: I20050822001255 |
| Provider Name | William H Pentz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831180074 PECOS PAC ID: 6002847092 Enrollment ID: I20050830000348 |
| Provider Name | William Francis Brazerol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245213578 PECOS PAC ID: 6406888262 Enrollment ID: I20050901000432 |
| Provider Name | Luigi V Patitucci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548294473 PECOS PAC ID: 4082646187 Enrollment ID: I20050909000528 |
| Provider Name | Thomas Joseph Sinclair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255366183 PECOS PAC ID: 4082639091 Enrollment ID: I20051010000277 |
| Provider Name | Marisa Anne Rowlson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932166188 PECOS PAC ID: 8527083237 Enrollment ID: I20051012000272 |
| Provider Name | Gregory V Grier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215971577 PECOS PAC ID: 2062438567 Enrollment ID: I20051024000105 |
| Provider Name | Karthik Ranganna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174561542 PECOS PAC ID: 4082633946 Enrollment ID: I20051121000454 |
| Provider Name | Catherine Ndiwalungi Lubwama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518070754 PECOS PAC ID: 6901825769 Enrollment ID: I20051122000321 |
| Provider Name | Gyi P Mo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467477372 PECOS PAC ID: 8729009113 Enrollment ID: I20051213000623 |
| Provider Name | Talitha Massaquoi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275524415 PECOS PAC ID: 9234152810 Enrollment ID: I20060110000413 |
| Provider Name | John Rodgers Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649271180 PECOS PAC ID: 9830113448 Enrollment ID: I20060123000569 |
| Provider Name | Janice Lynn Sumner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508919440 PECOS PAC ID: 8224045372 Enrollment ID: I20060314000536 |
| Provider Name | Wanda Ronner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417995077 PECOS PAC ID: 2567473036 Enrollment ID: I20060511000410 |
| Provider Name | Jessica Arlene Feldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881647808 PECOS PAC ID: 0840201091 Enrollment ID: I20060601000068 |
| Provider Name | Paula Seth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235119637 PECOS PAC ID: 4082686969 Enrollment ID: I20060727000060 |
| Provider Name | Catrina Denise Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003832957 PECOS PAC ID: 9638172448 Enrollment ID: I20060817000197 |
| Provider Name | Zhabiz Kazeminezhad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407865298 PECOS PAC ID: 1850395328 Enrollment ID: I20060914000475 |
| Provider Name | Daphne J Florence |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518988757 PECOS PAC ID: 2062432792 Enrollment ID: I20060921000219 |
| Provider Name | John Aziz Youssef |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851346472 PECOS PAC ID: 4587669775 Enrollment ID: I20060921000395 |
| Provider Name | Stephen G Rosen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689682130 PECOS PAC ID: 8628034279 Enrollment ID: I20060925000257 |
| Provider Name | Katherine Fleming Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285656132 PECOS PAC ID: 2668477506 Enrollment ID: I20060927000178 |
| Provider Name | Carl Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770502221 PECOS PAC ID: 4385640838 Enrollment ID: I20061006000148 |
| Provider Name | Alan B Schorr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548263544 PECOS PAC ID: 4284630898 Enrollment ID: I20061009000058 |
| Provider Name | Allyson T Prasad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356447171 PECOS PAC ID: 2961408968 Enrollment ID: I20061016000133 |
| Provider Name | Joseph Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881790855 PECOS PAC ID: 4486650488 Enrollment ID: I20061016000151 |
| Provider Name | Irma Neckritz Yehuda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871680884 PECOS PAC ID: 6507863040 Enrollment ID: I20061026000149 |
| Provider Name | Jay E Rothkopf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972694800 PECOS PAC ID: 2264439116 Enrollment ID: I20061107000171 |
| Provider Name | Dana Devaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023117314 PECOS PAC ID: 5395742183 Enrollment ID: I20061109000296 |
| Provider Name | Ronald J Werrin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245299254 PECOS PAC ID: 2365440013 Enrollment ID: I20061114000060 |
| Provider Name | Lisa Joy Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659310159 PECOS PAC ID: 7719985464 Enrollment ID: I20061114000065 |
| Provider Name | Deena Sanusi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922185438 PECOS PAC ID: 0840298477 Enrollment ID: I20061115000180 |
| Provider Name | Catherine Salva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053415372 PECOS PAC ID: 4688569312 Enrollment ID: I20061122000076 |
| Provider Name | Joel Sam Betesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093724890 PECOS PAC ID: 4688673890 Enrollment ID: I20061218000244 |
| Provider Name | Karuna Shekdar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760424097 PECOS PAC ID: 6204837610 Enrollment ID: I20070129000281 |
| Provider Name | Robin Marie Haskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053490284 PECOS PAC ID: 7719989896 Enrollment ID: I20070201000496 |
| Provider Name | Jennifer Coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366521593 PECOS PAC ID: 2860494978 Enrollment ID: I20070202000126 |
| Provider Name | Maria Alesi Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396807731 PECOS PAC ID: 3779585781 Enrollment ID: I20070205000234 |
| Provider Name | Elizabeth A Mcpherson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245273721 PECOS PAC ID: 7012922776 Enrollment ID: I20070205000256 |
| Provider Name | Valerie A Cucinotta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659438612 PECOS PAC ID: 6406858398 Enrollment ID: I20070206000292 |
| Provider Name | Evelyn Helene Duvivier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730235110 PECOS PAC ID: 4486656220 Enrollment ID: I20070208000121 |
| Provider Name | Anne M Dabrow Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508935735 PECOS PAC ID: 4789786856 Enrollment ID: I20070220000219 |
| Provider Name | Barbara Anne Elko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306810999 PECOS PAC ID: 9537261375 Enrollment ID: I20070224000047 |
| Provider Name | Faith Stefan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598822546 PECOS PAC ID: 9537262977 Enrollment ID: I20070306000038 |
| Provider Name | Sudha Ayyala Anupindi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376534651 PECOS PAC ID: 7719980358 Enrollment ID: I20070402000489 |
| Provider Name | Donald Lee Emery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730139130 PECOS PAC ID: 8820193899 Enrollment ID: I20070419000414 |
| Provider Name | Robert Steven Rudenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369686 PECOS PAC ID: 2961508460 Enrollment ID: I20070430000375 |
| Provider Name | John Kai Wang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619920923 PECOS PAC ID: 9133225477 Enrollment ID: I20070503000399 |
| Provider Name | Michelle Elizabeth Nashleanas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255545844 PECOS PAC ID: 7911005293 Enrollment ID: I20070611000239 |
| Provider Name | Christina Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225072747 PECOS PAC ID: 6002914306 Enrollment ID: I20070611000416 |
| Provider Name | Rhonda C Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326266925 PECOS PAC ID: 4082712385 Enrollment ID: I20070611000432 |
| Provider Name | Daniel J Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902883846 PECOS PAC ID: 9638158249 Enrollment ID: I20070612000465 |
| Provider Name | Larry Inlip Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255468690 PECOS PAC ID: 1759480726 Enrollment ID: I20070618000039 |
| Provider Name | Pamela Mitra Neff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770648727 PECOS PAC ID: 4385743665 Enrollment ID: I20070627000466 |
| Provider Name | Peter Lawrence Abt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649206590 PECOS PAC ID: 0345215737 Enrollment ID: I20070713000135 |
| Provider Name | Megan Eilrrn Lettieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861598831 PECOS PAC ID: 7618077033 Enrollment ID: I20070713000172 |
| Provider Name | Eduardo Mercurio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760515613 PECOS PAC ID: 0648371484 Enrollment ID: I20070724000652 |
| Provider Name | Susan Jane Back |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902936669 PECOS PAC ID: 1254432800 Enrollment ID: I20070726000059 |
| Provider Name | Rima Arun Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609808666 PECOS PAC ID: 2567563133 Enrollment ID: I20070726000282 |
| Provider Name | Ai En Chu Thlick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649335811 PECOS PAC ID: 4880785559 Enrollment ID: I20070809000470 |
| Provider Name | Parul Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376750729 PECOS PAC ID: 2365533809 Enrollment ID: I20070813000246 |
| Provider Name | Stephanie Lee Ciccarelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497768469 PECOS PAC ID: 1557453677 Enrollment ID: I20070822000162 |
| Provider Name | Nina R O'connor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841212909 PECOS PAC ID: 0143223388 Enrollment ID: I20070823000659 |
| Provider Name | Randall S Gordon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407964299 PECOS PAC ID: 2365534138 Enrollment ID: I20070824000100 |
| Provider Name | Eyob Feyssa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184779415 PECOS PAC ID: 2264525559 Enrollment ID: I20070831000322 |
| Provider Name | Tracey Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619160116 PECOS PAC ID: 8820181647 Enrollment ID: I20070910000481 |
| Provider Name | Kathleen Dutch Eme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386776813 PECOS PAC ID: 5799878328 Enrollment ID: I20070912000394 |
| Provider Name | Pamela Hope Cines |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942406111 PECOS PAC ID: 4587758396 Enrollment ID: I20070924000306 |
| Provider Name | Hiral Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023137742 PECOS PAC ID: 6709970494 Enrollment ID: I20070926000386 |
| Provider Name | Sara Ann Slattery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275573263 PECOS PAC ID: 0840386504 Enrollment ID: I20071011000404 |
| Provider Name | Daniel E Soffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205863198 PECOS PAC ID: 1355437963 Enrollment ID: I20071012000155 |
| Provider Name | Jean M Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235337064 PECOS PAC ID: 0547356198 Enrollment ID: I20071012000524 |
| Provider Name | Carmen Patrascu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568653590 PECOS PAC ID: 4183710445 Enrollment ID: I20071017000757 |
| Provider Name | Gregory Mayro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306031208 PECOS PAC ID: 2567558851 Enrollment ID: I20071018000043 |
| Provider Name | Matthew Lewullis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679604979 PECOS PAC ID: 0244327971 Enrollment ID: I20071029000163 |
| Provider Name | Renee M Giometti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639129208 PECOS PAC ID: 7214025667 Enrollment ID: I20071119000156 |
| Provider Name | Rama Devi Mandapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710178074 PECOS PAC ID: 2961591797 Enrollment ID: I20071203000078 |
| Provider Name | Lisa Parviskhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851362867 PECOS PAC ID: 5991894396 Enrollment ID: I20071208000076 |
| Provider Name | Sally A Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528142452 PECOS PAC ID: 5597845701 Enrollment ID: I20071231000017 |
| Provider Name | Kassa Darge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407996804 PECOS PAC ID: 0345320776 Enrollment ID: I20080110000249 |
| Provider Name | Andrew R Kohut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801079835 PECOS PAC ID: 8325129281 Enrollment ID: I20080116000674 |
| Provider Name | Janine Darby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033305727 PECOS PAC ID: 3971685272 Enrollment ID: I20080125000148 |
| Provider Name | Steven M Eisen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760404669 PECOS PAC ID: 3375625155 Enrollment ID: I20080201000151 |
| Provider Name | Cynthia Vincent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215964507 PECOS PAC ID: 3971540600 Enrollment ID: I20080211000717 |
| Provider Name | Tracey M Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114104577 PECOS PAC ID: 3678657764 Enrollment ID: I20080228000003 |
| Provider Name | Jorge Mora |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1720167257 PECOS PAC ID: 6103928940 Enrollment ID: I20080312000376 |
| Provider Name | Rebecca M Mazar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407911449 PECOS PAC ID: 4082799986 Enrollment ID: I20080317000051 |
| Provider Name | Kevin Sowti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598942021 PECOS PAC ID: 0244316867 Enrollment ID: I20080324000589 |
| Provider Name | Susan M Savini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699975524 PECOS PAC ID: 3375620024 Enrollment ID: I20080407000108 |
| Provider Name | Cheryl Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578748661 PECOS PAC ID: 0547347197 Enrollment ID: I20080407000212 |
| Provider Name | Michael He |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306908884 PECOS PAC ID: 5496832875 Enrollment ID: I20080409000493 |
| Provider Name | Elka Easter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861660458 PECOS PAC ID: 9739266040 Enrollment ID: I20080411000035 |
| Provider Name | John N Daghir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205981099 PECOS PAC ID: 3375622509 Enrollment ID: I20080429000907 |
| Provider Name | David G Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043365844 PECOS PAC ID: 2860571015 Enrollment ID: I20080430000061 |
| Provider Name | Judy B Gawlikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790830412 PECOS PAC ID: 9234218330 Enrollment ID: I20080430000624 |
| Provider Name | Mariann Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871534453 PECOS PAC ID: 8426002700 Enrollment ID: I20080502000307 |
| Provider Name | Youval Katz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609052174 PECOS PAC ID: 3678652245 Enrollment ID: I20080507000452 |
| Provider Name | Lisa J States |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750473591 PECOS PAC ID: 1951367556 Enrollment ID: I20080513000315 |
| Provider Name | Amy J Orloff-fine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447229182 PECOS PAC ID: 8527137488 Enrollment ID: I20080519000077 |
| Provider Name | Jeremy K Souder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225193543 PECOS PAC ID: 9537238142 Enrollment ID: I20080522000510 |
| Provider Name | Renee Tabitha Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578628517 PECOS PAC ID: 1153490560 Enrollment ID: I20080527000113 |
| Provider Name | Mini S Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679756183 PECOS PAC ID: 2769552975 Enrollment ID: I20080530000417 |
| Provider Name | Maria Katalin Bizo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770650210 PECOS PAC ID: 5496712275 Enrollment ID: I20080602000816 |
| Provider Name | Leigh A Kennedy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437320991 PECOS PAC ID: 8325119589 Enrollment ID: I20080616000154 |
| Provider Name | Katherine Y Jenq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922169069 PECOS PAC ID: 2163593377 Enrollment ID: I20080616000621 |
| Provider Name | Mary L Keirsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518132687 PECOS PAC ID: 8325110539 Enrollment ID: I20080703000362 |
| Provider Name | Carl A Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215945985 PECOS PAC ID: 8729054010 Enrollment ID: I20080723000553 |
| Provider Name | Sabrina Sukhan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205992286 PECOS PAC ID: 9032283700 Enrollment ID: I20080730000362 |
| Provider Name | Asim K Rana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730121807 PECOS PAC ID: 0941266621 Enrollment ID: I20080731000510 |
| Provider Name | Oana Vlad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366638033 PECOS PAC ID: 4486728839 Enrollment ID: I20080801000446 |
| Provider Name | Padmaja D Mamillapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619144060 PECOS PAC ID: 2365516572 Enrollment ID: I20080806000661 |
| Provider Name | Gregory T Pruckmayr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851481253 PECOS PAC ID: 3173698818 Enrollment ID: I20080815000052 |
| Provider Name | Kelly Anne Spratt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477580363 PECOS PAC ID: 8527133107 Enrollment ID: I20080815000424 |
| Provider Name | Raymond Stephen Price |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457416604 PECOS PAC ID: 0547335002 Enrollment ID: I20080818000469 |
| Provider Name | Glenn Ereso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063620953 PECOS PAC ID: 3870668882 Enrollment ID: I20080826000200 |
| Provider Name | Jolene A Lowery |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265496392 PECOS PAC ID: 3678640802 Enrollment ID: I20080930000238 |
| Provider Name | Patricia A Lokey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093749061 PECOS PAC ID: 1850459942 Enrollment ID: I20081017000549 |
| Provider Name | Susan E Brunk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881601953 PECOS PAC ID: 3577621440 Enrollment ID: I20081021000714 |
| Provider Name | Megan M Gaskill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962679183 PECOS PAC ID: 9133288921 Enrollment ID: I20081107000682 |
| Provider Name | Louis M Destefano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366474694 PECOS PAC ID: 6507925161 Enrollment ID: I20081111000732 |
| Provider Name | Pamela J Kane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356363204 PECOS PAC ID: 7517027675 Enrollment ID: I20081119000177 |
| Provider Name | Teresa Victoria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427263805 PECOS PAC ID: 1557421682 Enrollment ID: I20081119000815 |
| Provider Name | Edward Ma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730153081 PECOS PAC ID: 4688735236 Enrollment ID: I20081202000148 |
| Provider Name | Matthew H Levine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740205459 PECOS PAC ID: 7911907175 Enrollment ID: I20081205000090 |
| Provider Name | Rita G Borromeo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366474942 PECOS PAC ID: 3577626738 Enrollment ID: I20090114000255 |
| Provider Name | Pooneh Alborzi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194985176 PECOS PAC ID: 9234293390 Enrollment ID: I20090204000425 |
| Provider Name | Matthew P Wlostowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497906929 PECOS PAC ID: 9133285919 Enrollment ID: I20090303000260 |
| Provider Name | Robin Elizabeth Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164624136 PECOS PAC ID: 0941367692 Enrollment ID: I20090324000435 |
| Provider Name | Martha Lynn Brinsfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528004710 PECOS PAC ID: 9739246000 Enrollment ID: I20090401000221 |
| Provider Name | Giulio Zuccoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164663480 PECOS PAC ID: 4385791888 Enrollment ID: I20090421000438 |
| Provider Name | Jill M Baren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902826076 PECOS PAC ID: 0749339240 Enrollment ID: I20090512000416 |
| Provider Name | Gregory E Supple |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881720563 PECOS PAC ID: 0345392197 Enrollment ID: I20090709000228 |
| Provider Name | Steffan W Schulz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316154487 PECOS PAC ID: 2466504246 Enrollment ID: I20090709000520 |
| Provider Name | Amrita Kochhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831334176 PECOS PAC ID: 1153473582 Enrollment ID: I20090716000256 |
| Provider Name | Dafna Ofer |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760697601 PECOS PAC ID: 7719039858 Enrollment ID: I20090721000085 |
| Provider Name | Manasija Rath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164628483 PECOS PAC ID: 3072666981 Enrollment ID: I20090724000322 |
| Provider Name | Ronald B Barg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518932557 PECOS PAC ID: 8325940570 Enrollment ID: I20090812000411 |
| Provider Name | Amy Chang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033320023 PECOS PAC ID: 8729132022 Enrollment ID: I20090821000037 |
| Provider Name | Amitha Padmanabhuni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306008818 PECOS PAC ID: 0749335230 Enrollment ID: I20090904000479 |
| Provider Name | James D Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245359074 PECOS PAC ID: 5597811505 Enrollment ID: I20090916000469 |
| Provider Name | Maryam Khorrami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619125127 PECOS PAC ID: 5597811489 Enrollment ID: I20090917000454 |
| Provider Name | Russell Musthafa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376703553 PECOS PAC ID: 1557417284 Enrollment ID: I20090922000724 |
| Provider Name | Leila C Dumagsa-mcgowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134315658 PECOS PAC ID: 0941346118 Enrollment ID: I20091002000040 |
| Provider Name | Michael B Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457388357 PECOS PAC ID: 3375689300 Enrollment ID: I20091006000251 |
| Provider Name | Tara Rachel Paige |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053496323 PECOS PAC ID: 1355434994 Enrollment ID: I20091020000466 |
| Provider Name | Tara A Parham Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841524725 PECOS PAC ID: 9133266885 Enrollment ID: I20091028000715 |
| Provider Name | Saira Bano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366503021 PECOS PAC ID: 1052417748 Enrollment ID: I20091105000292 |
| Provider Name | Melissa B Bleicher |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508929282 PECOS PAC ID: 2264570597 Enrollment ID: I20091106000370 |
| Provider Name | Jill Eve Langer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003844192 PECOS PAC ID: 9335289321 Enrollment ID: I20091223000378 |
| Provider Name | Jennifer H Keah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275713455 PECOS PAC ID: 3577604255 Enrollment ID: I20091231000390 |
| Provider Name | Stanley J Savinese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497820385 PECOS PAC ID: 2961314679 Enrollment ID: I20100205000239 |
| Provider Name | Renata M Burigatto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760503239 PECOS PAC ID: 4688718596 Enrollment ID: I20100216000486 |
| Provider Name | Kristin Shiban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538231915 PECOS PAC ID: 6204971286 Enrollment ID: I20100302000321 |
| Provider Name | Jennifer Maddaloni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174854939 PECOS PAC ID: 3173668928 Enrollment ID: I20100303001059 |
| Provider Name | David E Eberly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588691497 PECOS PAC ID: 1254476013 Enrollment ID: I20100304000032 |
| Provider Name | Albert H Fink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053347740 PECOS PAC ID: 8224173083 Enrollment ID: I20100304000066 |
| Provider Name | Peter B Nonack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225060502 PECOS PAC ID: 7911042775 Enrollment ID: I20100304000120 |
| Provider Name | Simin Goral |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205863586 PECOS PAC ID: 9436294220 Enrollment ID: I20100304000388 |
| Provider Name | Melanie Ice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417987579 PECOS PAC ID: 3678618931 Enrollment ID: I20100311000161 |
| Provider Name | Ronald A Fronduti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568494847 PECOS PAC ID: 2062557325 Enrollment ID: I20100311000233 |
| Provider Name | Brandt Loev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750318929 PECOS PAC ID: 7214062512 Enrollment ID: I20100311000662 |
| Provider Name | John S Potts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710919014 PECOS PAC ID: 8628103934 Enrollment ID: I20100311000734 |
| Provider Name | Paul Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013935303 PECOS PAC ID: 8729113931 Enrollment ID: I20100312000659 |
| Provider Name | Christine Tressel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881624948 PECOS PAC ID: 0941335103 Enrollment ID: I20100315000075 |
| Provider Name | Cheryl A Hlavac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346256963 PECOS PAC ID: 9436284213 Enrollment ID: I20100318000373 |
| Provider Name | Charles F Orellana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396775425 PECOS PAC ID: 4284769076 Enrollment ID: I20100318000431 |
| Provider Name | Janice K Hillman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336171610 PECOS PAC ID: 9830224526 Enrollment ID: I20100319000545 |
| Provider Name | Gary Vigilante |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013947167 PECOS PAC ID: 7416082953 Enrollment ID: I20100323000123 |
| Provider Name | Barbara C Joebstl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194769919 PECOS PAC ID: 0648306001 Enrollment ID: I20100325000254 |
| Provider Name | Edward J Mea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306872080 PECOS PAC ID: 8729114103 Enrollment ID: I20100325000445 |
| Provider Name | Leo F Mccluskey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902837792 PECOS PAC ID: 8527194885 Enrollment ID: I20100326000187 |
| Provider Name | Jennifer S Nizen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689604746 PECOS PAC ID: 9032245220 Enrollment ID: I20100326000573 |
| Provider Name | Wendy P. Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558306571 PECOS PAC ID: 2860528452 Enrollment ID: I20100408000070 |
| Provider Name | Edward Reis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578597043 PECOS PAC ID: 5193852689 Enrollment ID: I20100414000498 |
| Provider Name | Steven M Ginsburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306926837 PECOS PAC ID: 2860529179 Enrollment ID: I20100419000401 |
| Provider Name | Joyce Epelboim |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033323779 PECOS PAC ID: 5991832172 Enrollment ID: I20100420000386 |
| Provider Name | James W Shepard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447284856 PECOS PAC ID: 7618004706 Enrollment ID: I20100421000690 |
| Provider Name | Megan G Doble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891794533 PECOS PAC ID: 0042347676 Enrollment ID: I20100429000972 |
| Provider Name | John T Howell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427083484 PECOS PAC ID: 3779611256 Enrollment ID: I20100504000067 |
| Provider Name | Erica Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750350500 PECOS PAC ID: 1951439470 Enrollment ID: I20100504000581 |
| Provider Name | Richard J Baron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134198757 PECOS PAC ID: 9335277672 Enrollment ID: I20100507000169 |
| Provider Name | Celeste C Mruk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700812401 PECOS PAC ID: 5496883514 Enrollment ID: I20100511000989 |
| Provider Name | Mindi M Roeser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487688453 PECOS PAC ID: 0042348096 Enrollment ID: I20100512000371 |
| Provider Name | Lance B Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942237862 PECOS PAC ID: 7911035852 Enrollment ID: I20100513000299 |
| Provider Name | Andrew L Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881621720 PECOS PAC ID: 6709914641 Enrollment ID: I20100513000337 |
| Provider Name | Terese Hetherington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003838954 PECOS PAC ID: 4486782232 Enrollment ID: I20100514000497 |
| Provider Name | Pamela T Demnicki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528066032 PECOS PAC ID: 3971699661 Enrollment ID: I20100517000012 |
| Provider Name | Julie Tseng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598798514 PECOS PAC ID: 4183753866 Enrollment ID: I20100519000547 |
| Provider Name | Christopher J Rees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669406633 PECOS PAC ID: 6204965619 Enrollment ID: I20100524000463 |
| Provider Name | Kathleen Nasci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114951183 PECOS PAC ID: 8820127087 Enrollment ID: I20100526000384 |
| Provider Name | Stephen Humbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871595041 PECOS PAC ID: 2365572427 Enrollment ID: I20100616000380 |
| Provider Name | Karl Schwabe |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932101235 PECOS PAC ID: 9830229921 Enrollment ID: I20100616000727 |
| Provider Name | Robert Shusman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609873991 PECOS PAC ID: 8820129711 Enrollment ID: I20100621000555 |
| Provider Name | Suraj V Puttanniah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063573871 PECOS PAC ID: 9032240445 Enrollment ID: I20100629000635 |
| Provider Name | Benjamin A Cooperberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760604037 PECOS PAC ID: 5890826119 Enrollment ID: I20100701000109 |
| Provider Name | Todd E Hecht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841227014 PECOS PAC ID: 1355472374 Enrollment ID: I20100708000081 |
| Provider Name | Daniel S Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598767816 PECOS PAC ID: 8325179369 Enrollment ID: I20100708000376 |
| Provider Name | Donelle L. Rhoads |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912976531 PECOS PAC ID: 2365479425 Enrollment ID: I20100709000111 |
| Provider Name | Kenneth A Witterholt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568431534 PECOS PAC ID: 6204863376 Enrollment ID: I20100709000303 |
| Provider Name | Mercedes A Timko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851550479 PECOS PAC ID: 0749312031 Enrollment ID: I20100722000344 |
| Provider Name | Ann J. Aharon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548599517 PECOS PAC ID: 1658404140 Enrollment ID: I20100804000764 |
| Provider Name | Roy D Bloom |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528093663 PECOS PAC ID: 6800910076 Enrollment ID: I20100825001002 |
| Provider Name | Athanasios O Melisiotis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891955589 PECOS PAC ID: 3274657283 Enrollment ID: I20100827000442 |
| Provider Name | Jeffrey R Jaeger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265469175 PECOS PAC ID: 5698899474 Enrollment ID: I20100831000585 |
| Provider Name | Donald Scot Malay |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730119785 PECOS PAC ID: 5698890838 Enrollment ID: I20100913000184 |
| Provider Name | Alan J Mlodzienski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790715746 PECOS PAC ID: 0941280911 Enrollment ID: I20100913000328 |
| Provider Name | Susan Papp Mlodzienski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225060569 PECOS PAC ID: 2163547316 Enrollment ID: I20100913000407 |
| Provider Name | Hammad Raza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265694475 PECOS PAC ID: 4082739057 Enrollment ID: I20100914000757 |
| Provider Name | Michael Downey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073502076 PECOS PAC ID: 0547385544 Enrollment ID: I20100914001194 |
| Provider Name | Christina M Mitchell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932381209 PECOS PAC ID: 8123144946 Enrollment ID: I20100929000362 |
| Provider Name | Vinod K Thangada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407821101 PECOS PAC ID: 0143412684 Enrollment ID: I20101004000091 |
| Provider Name | Richard K Krauss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124056395 PECOS PAC ID: 0345432563 Enrollment ID: I20101006000994 |
| Provider Name | Joseph R Teel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740218478 PECOS PAC ID: 4284639501 Enrollment ID: I20101018000132 |
| Provider Name | Frances Ariella Baylson Glazer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255547360 PECOS PAC ID: 0244423796 Enrollment ID: I20101018000432 |
| Provider Name | Anupama V Shahane |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447424320 PECOS PAC ID: 4385837772 Enrollment ID: I20101018001061 |
| Provider Name | Martha Zubritzky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720044175 PECOS PAC ID: 0143255653 Enrollment ID: I20101020000196 |
| Provider Name | Karen A Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144286584 PECOS PAC ID: 4981897121 Enrollment ID: I20101020001340 |
| Provider Name | Michael J Birkhoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861558785 PECOS PAC ID: 6204020951 Enrollment ID: I20101027000493 |
| Provider Name | Patricia A Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548292873 PECOS PAC ID: 1052506532 Enrollment ID: I20101110000213 |
| Provider Name | Marc Shalaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780613323 PECOS PAC ID: 2860687027 Enrollment ID: I20101112000922 |
| Provider Name | Nan L Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851315691 PECOS PAC ID: 1355536533 Enrollment ID: I20101112001155 |
| Provider Name | Charles Mcclure |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619941580 PECOS PAC ID: 1355536475 Enrollment ID: I20101115000150 |
| Provider Name | Michelle R Beam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457550584 PECOS PAC ID: 4082800768 Enrollment ID: I20101119000692 |
| Provider Name | Richard O Oyelewu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659345601 PECOS PAC ID: 2567658784 Enrollment ID: I20101130000213 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528051257 PECOS PAC ID: 7113938358 Enrollment ID: I20101202000545 |
| Provider Name | Robert Redfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326195082 PECOS PAC ID: 2668669649 Enrollment ID: I20101203000671 |
| Provider Name | Robert N Ditrolio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669498861 PECOS PAC ID: 7810184694 Enrollment ID: I20101206000615 |
| Provider Name | Kim L Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689698425 PECOS PAC ID: 0749477586 Enrollment ID: I20101207000106 |
| Provider Name | Ronald Bruce Barnett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477515815 PECOS PAC ID: 5991992489 Enrollment ID: I20101209000800 |
| Provider Name | Kristina Mcgroarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164660288 PECOS PAC ID: 2668660010 Enrollment ID: I20101229000423 |
| Provider Name | William N Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538108055 PECOS PAC ID: 9537358247 Enrollment ID: I20110112000207 |
| Provider Name | Gary W Dorshimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568408748 PECOS PAC ID: 1355530080 Enrollment ID: I20110112000456 |
| Provider Name | Erin S Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497707095 PECOS PAC ID: 8426247917 Enrollment ID: I20110114000312 |
| Provider Name | Rosemary A Kearney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528086881 PECOS PAC ID: 0941499206 Enrollment ID: I20110118001037 |
| Provider Name | William Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831187731 PECOS PAC ID: 3678752755 Enrollment ID: I20110120001164 |
| Provider Name | Charles O Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376572792 PECOS PAC ID: 0840479986 Enrollment ID: I20110121000572 |
| Provider Name | Venkataraman Rajagopalan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770554222 PECOS PAC ID: 9537171764 Enrollment ID: I20110124000429 |
| Provider Name | John J Stern |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326075243 PECOS PAC ID: 5890974745 Enrollment ID: I20110124001010 |
| Provider Name | Stacy L Pancella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689980641 PECOS PAC ID: 9436338308 Enrollment ID: I20110124001223 |
| Provider Name | Gary W Crooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831129980 PECOS PAC ID: 7719166198 Enrollment ID: I20110201000640 |
| Provider Name | Robert O Detweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790751246 PECOS PAC ID: 8628170669 Enrollment ID: I20110204000307 |
| Provider Name | Avrum N Pollock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194776591 PECOS PAC ID: 9931391869 Enrollment ID: I20110211000841 |
| Provider Name | Nicole Coultes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457654964 PECOS PAC ID: 1355521923 Enrollment ID: I20110215000081 |
| Provider Name | Jennifer N Kiewel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588967087 PECOS PAC ID: 9436339009 Enrollment ID: I20110215000088 |
| Provider Name | Kaya J Oyejide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356541585 PECOS PAC ID: 6901087485 Enrollment ID: I20110217000415 |
| Provider Name | Fred M Weinblatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194802165 PECOS PAC ID: 7719169333 Enrollment ID: I20110303000110 |
| Provider Name | Megan Ann Ruehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275846917 PECOS PAC ID: 6103008487 Enrollment ID: I20110308000442 |
| Provider Name | Lori Michelle Noble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679792113 PECOS PAC ID: 3375726508 Enrollment ID: I20110325000633 |
| Provider Name | Eileen K Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205805827 PECOS PAC ID: 7810171519 Enrollment ID: I20110404000779 |
| Provider Name | Courtney A Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730384637 PECOS PAC ID: 1456535848 Enrollment ID: I20110408000495 |
| Provider Name | Khin C U |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326078312 PECOS PAC ID: 7719161785 Enrollment ID: I20110415000490 |
| Provider Name | Michael A Waronker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275623449 PECOS PAC ID: 3274545785 Enrollment ID: I20110425000087 |
| Provider Name | Michael Braffman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174550099 PECOS PAC ID: 7113102559 Enrollment ID: I20110428000068 |
| Provider Name | Kai Tai Xu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740407204 PECOS PAC ID: 5698967255 Enrollment ID: I20110525000369 |
| Provider Name | Dennis C Policastro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104844497 PECOS PAC ID: 2365629342 Enrollment ID: I20110531000075 |
| Provider Name | Maria Vasiliadis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528221462 PECOS PAC ID: 2668650557 Enrollment ID: I20110623000564 |
| Provider Name | Marina Y Sigidin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366495079 PECOS PAC ID: 7719165448 Enrollment ID: I20110629000321 |
| Provider Name | Shripali Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720285000 PECOS PAC ID: 6709932312 Enrollment ID: I20110630000304 |
| Provider Name | Amber N Devirgiliis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205121571 PECOS PAC ID: 8921286345 Enrollment ID: I20110706000444 |
| Provider Name | Roderick Spears |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336177096 PECOS PAC ID: 5294702478 Enrollment ID: I20110712000505 |
| Provider Name | Esme F. Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174796767 PECOS PAC ID: 4981872835 Enrollment ID: I20110719000688 |
| Provider Name | Edward R Oliver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053460964 PECOS PAC ID: 8628246592 Enrollment ID: I20110720000053 |
| Provider Name | Adeel Hasan Azam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578683660 PECOS PAC ID: 8325216104 Enrollment ID: I20110721000609 |
| Provider Name | Asef Boleslaw Khwaja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477687721 PECOS PAC ID: 3971771783 Enrollment ID: I20110722000042 |
| Provider Name | Richard Bellah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427008283 PECOS PAC ID: 2961673538 Enrollment ID: I20110913000167 |
| Provider Name | Romeo A Sporici |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710140058 PECOS PAC ID: 0345364758 Enrollment ID: I20110914000496 |
| Provider Name | Diana Sporici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215963319 PECOS PAC ID: 5294835732 Enrollment ID: I20110916000395 |
| Provider Name | Carlin J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528030848 PECOS PAC ID: 1153592001 Enrollment ID: I20110926000347 |
| Provider Name | Richard Markowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376594309 PECOS PAC ID: 0941114904 Enrollment ID: I20110926000449 |
| Provider Name | Shashank Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588824007 PECOS PAC ID: 2264604685 Enrollment ID: I20111007000186 |
| Provider Name | Debra T Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710269766 PECOS PAC ID: 4082886833 Enrollment ID: I20111020000500 |
| Provider Name | Tamara A Danilewitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689799587 PECOS PAC ID: 6608048483 Enrollment ID: I20111021000032 |
| Provider Name | Navneet Bhullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154364818 PECOS PAC ID: 4688696966 Enrollment ID: I20111109000391 |
| Provider Name | Saum Shamimi-noori |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073715181 PECOS PAC ID: 7214101088 Enrollment ID: I20111114000735 |
| Provider Name | Adi Ganz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730341744 PECOS PAC ID: 9335334374 Enrollment ID: I20111117000087 |
| Provider Name | Michael M Soojian |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356332894 PECOS PAC ID: 4789725672 Enrollment ID: I20120106000635 |
| Provider Name | Ora J Skiles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689959140 PECOS PAC ID: 4183891500 Enrollment ID: I20120125000271 |
| Provider Name | Elizabeth D Rock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003952326 PECOS PAC ID: 9234217381 Enrollment ID: I20120126000659 |
| Provider Name | Tashika B Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588956809 PECOS PAC ID: 0547427643 Enrollment ID: I20120201000293 |
| Provider Name | Marianne Patricia Mccormick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851319149 PECOS PAC ID: 0840457594 Enrollment ID: I20120208000005 |
| Provider Name | April E. Nitkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043581432 PECOS PAC ID: 2860650801 Enrollment ID: I20120222000921 |
| Provider Name | Lawrence B Grossman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477618270 PECOS PAC ID: 0042408742 Enrollment ID: I20120228000453 |
| Provider Name | Megan Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386662674 PECOS PAC ID: 7618142795 Enrollment ID: I20120411000365 |
| Provider Name | Heidar K Jahromi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740395334 PECOS PAC ID: 9133381817 Enrollment ID: I20120425000217 |
| Provider Name | Nancy R Hazle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982632246 PECOS PAC ID: 5092977520 Enrollment ID: I20120430000591 |
| Provider Name | Christie Iiene Werynski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629287818 PECOS PAC ID: 5395908867 Enrollment ID: I20120521000067 |
| Provider Name | Michael D George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104002039 PECOS PAC ID: 8123281623 Enrollment ID: I20120521000268 |
| Provider Name | Antonio Luis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396971370 PECOS PAC ID: 4981868452 Enrollment ID: I20120613000235 |
| Provider Name | Brendan J Kelly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598924532 PECOS PAC ID: 9234393646 Enrollment ID: I20120615000160 |
| Provider Name | Ricca A Ando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871721456 PECOS PAC ID: 2264696582 Enrollment ID: I20120615000388 |
| Provider Name | Elise D Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558622530 PECOS PAC ID: 9133383490 Enrollment ID: I20120618000314 |
| Provider Name | Meera M Harhay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063631596 PECOS PAC ID: 1254595366 Enrollment ID: I20120620000617 |
| Provider Name | Abhay S Srinivasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841480084 PECOS PAC ID: 3072667922 Enrollment ID: I20120629000393 |
| Provider Name | Jeffrey S Arkles |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841405222 PECOS PAC ID: 1759546393 Enrollment ID: I20120703000565 |
| Provider Name | Elaine Goldhammer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053353987 PECOS PAC ID: 8527012442 Enrollment ID: I20120706000459 |
| Provider Name | Arthur F Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548498751 PECOS PAC ID: 0244496966 Enrollment ID: I20120725000336 |
| Provider Name | Alhambra Frarey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013179753 PECOS PAC ID: 2961658224 Enrollment ID: I20120802000263 |
| Provider Name | Patience Marie Terkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467707885 PECOS PAC ID: 9537316138 Enrollment ID: I20120905000271 |
| Provider Name | Aasta Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972766749 PECOS PAC ID: 1153579693 Enrollment ID: I20120907000292 |
| Provider Name | Megan Breslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780933358 PECOS PAC ID: 3274782727 Enrollment ID: I20120927000517 |
| Provider Name | Nicole D Salva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962722256 PECOS PAC ID: 1759530942 Enrollment ID: I20121003000453 |
| Provider Name | Cynthia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861768970 PECOS PAC ID: 2860641859 Enrollment ID: I20121008000326 |
| Provider Name | Ke Hong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164651816 PECOS PAC ID: 3274782297 Enrollment ID: I20121009000099 |
| Provider Name | Caitlin J Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952651556 PECOS PAC ID: 6608025598 Enrollment ID: I20121010000096 |
| Provider Name | Janet R Reid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346204609 PECOS PAC ID: 5597659185 Enrollment ID: I20121026000124 |
| Provider Name | William M Pezzotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629347216 PECOS PAC ID: 3870750722 Enrollment ID: I20121101000035 |
| Provider Name | Lisa Marie Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295001931 PECOS PAC ID: 1254583081 Enrollment ID: I20121130000350 |
| Provider Name | Corrina M. Oxford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245396142 PECOS PAC ID: 4183710288 Enrollment ID: I20121213000371 |
| Provider Name | Ryan Whitcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710221684 PECOS PAC ID: 5193977387 Enrollment ID: I20121217000152 |
| Provider Name | Ellen Mcpartland-mongiori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396055943 PECOS PAC ID: 5496907545 Enrollment ID: I20121218000476 |
| Provider Name | Daria R Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043554199 PECOS PAC ID: 2466604566 Enrollment ID: I20121219000335 |
| Provider Name | Elizabeth S Attig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346585882 PECOS PAC ID: 4981857703 Enrollment ID: I20130103000334 |
| Provider Name | Jacqueline A Pisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972847630 PECOS PAC ID: 2860645504 Enrollment ID: I20130109000290 |
| Provider Name | Meredith J Wozniak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487990388 PECOS PAC ID: 8628221967 Enrollment ID: I20130116000471 |
| Provider Name | Colleen M Silk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497008585 PECOS PAC ID: 3870747959 Enrollment ID: I20130128000183 |
| Provider Name | Momena K Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104005586 PECOS PAC ID: 8921285438 Enrollment ID: I20130131000287 |
| Provider Name | Aileen John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538350798 PECOS PAC ID: 2567546799 Enrollment ID: I20130204000392 |
| Provider Name | Natalia Vasiuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801050737 PECOS PAC ID: 4183895030 Enrollment ID: I20130222000124 |
| Provider Name | Mary Ann Chong Lim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457573271 PECOS PAC ID: 5597802850 Enrollment ID: I20130703000003 |
| Provider Name | Sheela Dwivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306089628 PECOS PAC ID: 5193965242 Enrollment ID: I20130712000441 |
| Provider Name | Robyn Ayana Salkey Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841501202 PECOS PAC ID: 2860633674 Enrollment ID: I20130720000052 |
| Provider Name | April B Beffa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972689610 PECOS PAC ID: 6204939630 Enrollment ID: I20130802000252 |
| Provider Name | Matthew Thomas Mendlik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447425525 PECOS PAC ID: 5991958167 Enrollment ID: I20130807000083 |
| Provider Name | Marwa I Hegagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730490822 PECOS PAC ID: 1456593250 Enrollment ID: I20130807000369 |
| Provider Name | Scott Allen Simpson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083845333 PECOS PAC ID: 0547402224 Enrollment ID: I20130808000401 |
| Provider Name | Manish Gulshan Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457555245 PECOS PAC ID: 8426299231 Enrollment ID: I20130812000226 |
| Provider Name | Sony P John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316109119 PECOS PAC ID: 1557503067 Enrollment ID: I20130813000706 |
| Provider Name | Stephen M Bogh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609195684 PECOS PAC ID: 8325281165 Enrollment ID: I20130827000554 |
| Provider Name | Nicole Bavuso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255667184 PECOS PAC ID: 0547403032 Enrollment ID: I20130903000164 |
| Provider Name | Lisa A Marcus |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669637732 PECOS PAC ID: 8224271580 Enrollment ID: I20130905000679 |
| Provider Name | Elizabeth Hannah Ssebayigga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366768822 PECOS PAC ID: 2668616343 Enrollment ID: I20130919000100 |
| Provider Name | Kapil K Rangavajhala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760637961 PECOS PAC ID: 2769626365 Enrollment ID: I20130923000107 |
| Provider Name | Andres R Riera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841569167 PECOS PAC ID: 0547411050 Enrollment ID: I20130925000727 |
| Provider Name | Megan R March |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518306265 PECOS PAC ID: 0143454751 Enrollment ID: I20131015001579 |
| Provider Name | Casandra Blue Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215246780 PECOS PAC ID: 1557596863 Enrollment ID: I20131022001369 |
| Provider Name | Gena Camoirano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144655861 PECOS PAC ID: 6103051479 Enrollment ID: I20131023001292 |
| Provider Name | Ankit Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851601637 PECOS PAC ID: 0547495723 Enrollment ID: I20131023001706 |
| Provider Name | Hania Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285984369 PECOS PAC ID: 5496980302 Enrollment ID: I20131031000920 |
| Provider Name | Candice Brooke Carbone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194045393 PECOS PAC ID: 7517082795 Enrollment ID: I20131101001148 |
| Provider Name | Yaser Salsabil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821422601 PECOS PAC ID: 7113153024 Enrollment ID: I20131125001296 |
| Provider Name | Catherine M Porter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255606521 PECOS PAC ID: 8325295876 Enrollment ID: I20131210000137 |
| Provider Name | Raymund Castro Santos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063579290 PECOS PAC ID: 3779662556 Enrollment ID: I20131213001611 |
| Provider Name | Latha Cherath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134446859 PECOS PAC ID: 9032347117 Enrollment ID: I20140117000419 |
| Provider Name | Raza Ahmad |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558631713 PECOS PAC ID: 2769611516 Enrollment ID: I20140128000239 |
| Provider Name | Renee L. Mcdonough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669452439 PECOS PAC ID: 8921172628 Enrollment ID: I20140220001409 |
| Provider Name | Nicholas W Ligato |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1629387857 PECOS PAC ID: 8123258209 Enrollment ID: I20140312000102 |
| Provider Name | Monique D Neault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376791541 PECOS PAC ID: 7113158692 Enrollment ID: I20140326001038 |
| Provider Name | Marilyn Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518050681 PECOS PAC ID: 0648374108 Enrollment ID: I20140401000123 |
| Provider Name | Mario J Pasuquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710226667 PECOS PAC ID: 4183856735 Enrollment ID: I20140414000052 |
| Provider Name | Desiree Zanghi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083035828 PECOS PAC ID: 2163655101 Enrollment ID: I20140429000700 |
| Provider Name | Amy Jane Behrman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851331870 PECOS PAC ID: 5395978050 Enrollment ID: I20140502001465 |
| Provider Name | Paula S Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578661898 PECOS PAC ID: 8527046325 Enrollment ID: I20140507000695 |
| Provider Name | Valerie L Geraci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407286404 PECOS PAC ID: 9436372786 Enrollment ID: I20140514001322 |
| Provider Name | Ellen Han Nathanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417398777 PECOS PAC ID: 3274756242 Enrollment ID: I20140520000404 |
| Provider Name | Catherine M Strohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427473255 PECOS PAC ID: 0042433773 Enrollment ID: I20140527000188 |
| Provider Name | Katelyn L Gingrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386067262 PECOS PAC ID: 0446474555 Enrollment ID: I20140611001436 |
| Provider Name | Hayley Solomon Quant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891958419 PECOS PAC ID: 7113142944 Enrollment ID: I20140710000948 |
| Provider Name | Olajumoke Olanrewaju Fadugba |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1760611511 PECOS PAC ID: 8729203583 Enrollment ID: I20140710002025 |
| Provider Name | Melissa Lynne Hawtin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184910556 PECOS PAC ID: 0941425722 Enrollment ID: I20140711000017 |
| Provider Name | Christine White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801189089 PECOS PAC ID: 8224254875 Enrollment ID: I20140717000783 |
| Provider Name | Brynn Utley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225271380 PECOS PAC ID: 9739305202 Enrollment ID: I20140721000158 |
| Provider Name | Summer L Kaplan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245491968 PECOS PAC ID: 0547486227 Enrollment ID: I20140801002048 |
| Provider Name | Erik Thorell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1215247820 PECOS PAC ID: 6204053861 Enrollment ID: I20140806000595 |
| Provider Name | Judith Green Mckenzie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679501126 PECOS PAC ID: 2264650845 Enrollment ID: I20140822001189 |
| Provider Name | Megan Madsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851687305 PECOS PAC ID: 3173771987 Enrollment ID: I20140911000667 |
| Provider Name | Anishee S Undavia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215197124 PECOS PAC ID: 2961641329 Enrollment ID: I20140918001005 |
| Provider Name | Robert Lawrence Giuntoli |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295772515 PECOS PAC ID: 6103955612 Enrollment ID: I20140918002137 |
| Provider Name | Harsha Sharma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306246616 PECOS PAC ID: 2062632458 Enrollment ID: I20141007001809 |
| Provider Name | Bethany Cottingham Goins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063732568 PECOS PAC ID: 9133340748 Enrollment ID: I20141024000201 |
| Provider Name | Kelly N Kadish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821416124 PECOS PAC ID: 5799906038 Enrollment ID: I20141029002515 |
| Provider Name | Kathryn E Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558962 PECOS PAC ID: 5496977548 Enrollment ID: I20141105001927 |
| Provider Name | William George Devece |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073815445 PECOS PAC ID: 8426233289 Enrollment ID: I20141111000421 |
| Provider Name | Moyna H Ng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477505550 PECOS PAC ID: 0840222667 Enrollment ID: I20141125000663 |
| Provider Name | Furman S Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033196308 PECOS PAC ID: 7113001405 Enrollment ID: I20141204000960 |
| Provider Name | Franklin W Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356579437 PECOS PAC ID: 1557683331 Enrollment ID: I20141205000451 |
| Provider Name | Julianne R Campfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073913273 PECOS PAC ID: 7416273966 Enrollment ID: I20150227002079 |
| Provider Name | Olufolakemi Adetutu Akinkunmi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184936296 PECOS PAC ID: 0941527428 Enrollment ID: I20150320001474 |
| Provider Name | Roxanne Sebeny Cristancho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450400 PECOS PAC ID: 4981922002 Enrollment ID: I20150421000728 |
| Provider Name | Morgan E Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295124642 PECOS PAC ID: 7315266343 Enrollment ID: I20150424001320 |
| Provider Name | Lewis Lo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104110535 PECOS PAC ID: 9931320504 Enrollment ID: I20150504000807 |
| Provider Name | Robyn Carlisle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760611578 PECOS PAC ID: 9537206750 Enrollment ID: I20150511000575 |
| Provider Name | Jose A Mendoza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154439909 PECOS PAC ID: 1951365576 Enrollment ID: I20150513000321 |
| Provider Name | Sharon Stechna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407940091 PECOS PAC ID: 1456343060 Enrollment ID: I20150522000831 |
| Provider Name | Marc Charles Tobias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871835207 PECOS PAC ID: 4284955220 Enrollment ID: I20150603000907 |
| Provider Name | Raphael Karkowsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194082164 PECOS PAC ID: 7618100348 Enrollment ID: I20150608002093 |
| Provider Name | Melissa S Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740675008 PECOS PAC ID: 6305167669 Enrollment ID: I20150611002188 |
| Provider Name | Michael Rehr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770842064 PECOS PAC ID: 2769793801 Enrollment ID: I20150616002629 |
| Provider Name | Niharika Ganta |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184949406 PECOS PAC ID: 2769794460 Enrollment ID: I20150709001217 |
| Provider Name | Charlotte Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154642197 PECOS PAC ID: 7911219571 Enrollment ID: I20150710000062 |
| Provider Name | Sophia Rachel Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922497361 PECOS PAC ID: 4082927348 Enrollment ID: I20150716001326 |
| Provider Name | Scott William Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023304185 PECOS PAC ID: 3375775356 Enrollment ID: I20150727001336 |
| Provider Name | Matthew A Morgan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598991796 PECOS PAC ID: 3577786409 Enrollment ID: I20150729008044 |
| Provider Name | Rachael Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568723575 PECOS PAC ID: 1355655622 Enrollment ID: I20150730011631 |
| Provider Name | Nancy Linh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497146492 PECOS PAC ID: 9638484033 Enrollment ID: I20150813011638 |
| Provider Name | Alexander Shvartsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568843977 PECOS PAC ID: 9133434244 Enrollment ID: I20150819007190 |
| Provider Name | John M Chandler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871563940 PECOS PAC ID: 6305913351 Enrollment ID: I20150911000983 |
| Provider Name | Michael Saleeb Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083979298 PECOS PAC ID: 9638486004 Enrollment ID: I20150917000052 |
| Provider Name | Michael David Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073553251 PECOS PAC ID: 8022105055 Enrollment ID: I20150917000966 |
| Provider Name | Daisy Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083081772 PECOS PAC ID: 2466760988 Enrollment ID: I20151002001907 |
| Provider Name | Marlesa Renee Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265728141 PECOS PAC ID: 0547419616 Enrollment ID: I20151006000143 |
| Provider Name | Sara Ann Folit-weinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700185485 PECOS PAC ID: 5496063778 Enrollment ID: I20151006002837 |
| Provider Name | Jamie Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588975163 PECOS PAC ID: 4981845369 Enrollment ID: I20151008002072 |
| Provider Name | Ronda Broady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558381012 PECOS PAC ID: 0345303020 Enrollment ID: I20151021002168 |
| Provider Name | Michael L Francavilla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154550010 PECOS PAC ID: 8022328756 Enrollment ID: I20151110001451 |
| Provider Name | Baohuong Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396004644 PECOS PAC ID: 8729200373 Enrollment ID: I20151117000226 |
| Provider Name | Maria C Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277767 PECOS PAC ID: 4385954601 Enrollment ID: I20151117000343 |
| Provider Name | Elham A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609124585 PECOS PAC ID: 6204136534 Enrollment ID: I20151118001439 |
| Provider Name | Xiu Hua Ye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942515549 PECOS PAC ID: 3971803396 Enrollment ID: I20151207002602 |
| Provider Name | Jillian Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508128398 PECOS PAC ID: 9436450509 Enrollment ID: I20151214002059 |
| Provider Name | Jeanne M Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790727147 PECOS PAC ID: 1153427232 Enrollment ID: I20151222002294 |
| Provider Name | Brianna Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992175343 PECOS PAC ID: 2567763055 Enrollment ID: I20151229002215 |
| Provider Name | Krisda Chaiyachati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174812366 PECOS PAC ID: 4183848823 Enrollment ID: I20151231001484 |
| Provider Name | Heike M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912378258 PECOS PAC ID: 7416259866 Enrollment ID: I20151231001518 |
| Provider Name | Abigail C Thurston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437435518 PECOS PAC ID: 9234303645 Enrollment ID: I20160106001833 |
| Provider Name | Spencer Rybinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902288053 PECOS PAC ID: 9234431032 Enrollment ID: I20160112000082 |
| Provider Name | Kalia C Cole-avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265802953 PECOS PAC ID: 7315249059 Enrollment ID: I20160112001738 |
| Provider Name | Tricia Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790156701 PECOS PAC ID: 4284936881 Enrollment ID: I20160113000709 |
| Provider Name | Jessica Feinerman Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194199224 PECOS PAC ID: 3274835897 Enrollment ID: I20160113001124 |
| Provider Name | Curtis L Nolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639462393 PECOS PAC ID: 2163643362 Enrollment ID: I20160121002147 |
| Provider Name | Christina Elizabeth Worst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669849261 PECOS PAC ID: 7416251103 Enrollment ID: I20160201000096 |
| Provider Name | Thierry Arnoult |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114383403 PECOS PAC ID: 7113222589 Enrollment ID: I20160223000827 |
| Provider Name | Kelly Peszko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205293131 PECOS PAC ID: 9931406592 Enrollment ID: I20160324001839 |
| Provider Name | Hilary Rose Ugras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083099840 PECOS PAC ID: 9234436858 Enrollment ID: I20160328000333 |
| Provider Name | Jennifer Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376917823 PECOS PAC ID: 4688972714 Enrollment ID: I20160406000612 |
| Provider Name | Susan M Gerber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568627545 PECOS PAC ID: 3375680572 Enrollment ID: I20160418001561 |
| Provider Name | Sajjad A Savul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215967666 PECOS PAC ID: 4789598426 Enrollment ID: I20160419001889 |
| Provider Name | Monica Matus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588097216 PECOS PAC ID: 9739312539 Enrollment ID: I20160419002662 |
| Provider Name | Dyan O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780917641 PECOS PAC ID: 8426356718 Enrollment ID: I20160420000918 |
| Provider Name | Kevin Michael Baumlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659349603 PECOS PAC ID: 4082716717 Enrollment ID: I20160420001175 |
| Provider Name | Judith Anesi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902191695 PECOS PAC ID: 3476714874 Enrollment ID: I20160525000694 |
| Provider Name | Naji Mohamad Alamuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962798900 PECOS PAC ID: 6507156940 Enrollment ID: I20160526001011 |
| Provider Name | Julie Uspal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083976161 PECOS PAC ID: 4284924630 Enrollment ID: I20160526001204 |
| Provider Name | Erin Michelle Haley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922444165 PECOS PAC ID: 8123318417 Enrollment ID: I20160527000151 |
| Provider Name | Heather Beauparlant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063744084 PECOS PAC ID: 7517147242 Enrollment ID: I20160527000916 |
| Provider Name | Flint Yuan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821331158 PECOS PAC ID: 8123324134 Enrollment ID: I20160601000288 |
| Provider Name | Lee M Jablow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245658129 PECOS PAC ID: 0143511642 Enrollment ID: I20160613002373 |
| Provider Name | Jenae Strader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134525256 PECOS PAC ID: 8224329735 Enrollment ID: I20160614000152 |
| Provider Name | Cathryn A. Mcwilliams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932113453 PECOS PAC ID: 4183915648 Enrollment ID: I20160614001689 |
| Provider Name | Stephanie Yellin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104112168 PECOS PAC ID: 6507174505 Enrollment ID: I20160621002158 |
| Provider Name | Colin Ligon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316180540 PECOS PAC ID: 6002070125 Enrollment ID: I20160701000333 |
| Provider Name | Alejandra Giselle Borensztein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699909556 PECOS PAC ID: 1850515024 Enrollment ID: I20160705000309 |
| Provider Name | Paula K Edelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194087270 PECOS PAC ID: 2163720053 Enrollment ID: I20160705000369 |
| Provider Name | Dominique Ramos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295030641 PECOS PAC ID: 3173700275 Enrollment ID: I20160711002171 |
| Provider Name | Matthew G Mcclure |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124389028 PECOS PAC ID: 7416254404 Enrollment ID: I20160714000683 |
| Provider Name | Nadia Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467890053 PECOS PAC ID: 7214220201 Enrollment ID: I20160728001341 |
| Provider Name | Laura Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275984981 PECOS PAC ID: 8729371729 Enrollment ID: I20160728001769 |
| Provider Name | Alexis Somme Tingan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235457235 PECOS PAC ID: 6800189630 Enrollment ID: I20160801001190 |
| Provider Name | Samira Dabiri Zanjani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487911764 PECOS PAC ID: 6103110143 Enrollment ID: I20160812002185 |
| Provider Name | Lindsay Stuart Odell Pfeiffenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265799266 PECOS PAC ID: 8527363977 Enrollment ID: I20160818000178 |
| Provider Name | Donna C Calvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154796001 PECOS PAC ID: 4082909643 Enrollment ID: I20160822000120 |
| Provider Name | Jenice L Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851565501 PECOS PAC ID: 0840352886 Enrollment ID: I20160901000362 |
| Provider Name | Michael M Sidhom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235496340 PECOS PAC ID: 1658667431 Enrollment ID: I20160902000602 |
| Provider Name | Maris Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316314537 PECOS PAC ID: 2163726118 Enrollment ID: I20160906002352 |
| Provider Name | Sarah K Tyrrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003369059 PECOS PAC ID: 3971899543 Enrollment ID: I20160907002511 |
| Provider Name | Sara Sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023374550 PECOS PAC ID: 1658687389 Enrollment ID: I20160914001407 |
| Provider Name | Neha Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205271608 PECOS PAC ID: 2668697160 Enrollment ID: I20160920001319 |
| Provider Name | Dacey Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073941308 PECOS PAC ID: 3779870605 Enrollment ID: I20160921000642 |
| Provider Name | Shafinaz Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710040431 PECOS PAC ID: 4587719042 Enrollment ID: I20160923000686 |
| Provider Name | Amanda K Leonberg Yoo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326369018 PECOS PAC ID: 0244556371 Enrollment ID: I20160926001164 |
| Provider Name | Catherine Kazanjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003363235 PECOS PAC ID: 7618265752 Enrollment ID: I20161005002311 |
| Provider Name | Kelly K Pio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085951 PECOS PAC ID: 6406144203 Enrollment ID: I20161011002156 |
| Provider Name | Laura Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568724193 PECOS PAC ID: 7113215807 Enrollment ID: I20161012002104 |
| Provider Name | Steven Joseph Ralston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003870015 PECOS PAC ID: 5991733115 Enrollment ID: I20161101002247 |
| Provider Name | Traci L Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932574662 PECOS PAC ID: 5991084824 Enrollment ID: I20161117001472 |
| Provider Name | Lauren Flynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538310198 PECOS PAC ID: 8325327158 Enrollment ID: I20161117001587 |
| Provider Name | Monica Ann Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801260302 PECOS PAC ID: 3678852431 Enrollment ID: I20161118000089 |
| Provider Name | Elom Amoussou Kpeto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194164780 PECOS PAC ID: 2264712629 Enrollment ID: I20161201001430 |
| Provider Name | Swapna Gummadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962632638 PECOS PAC ID: 1355598061 Enrollment ID: I20161220001924 |
| Provider Name | Carl Jay Waldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750371274 PECOS PAC ID: 1153518683 Enrollment ID: I20161220002356 |
| Provider Name | Caitlyn M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194275354 PECOS PAC ID: 6608157573 Enrollment ID: I20170109001048 |
| Provider Name | Kristopher S Fayock |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225205008 PECOS PAC ID: 2466618798 Enrollment ID: I20170110000696 |
| Provider Name | Kelly Ann Milligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487011193 PECOS PAC ID: 9436431079 Enrollment ID: I20170117000553 |
| Provider Name | Michele J. Lamarr-suggs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528496924 PECOS PAC ID: 4183851868 Enrollment ID: I20170201002146 |
| Provider Name | Christine Preblick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841356219 PECOS PAC ID: 1153419510 Enrollment ID: I20170202000924 |
| Provider Name | Kristin Schrenzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245774363 PECOS PAC ID: 4385927672 Enrollment ID: I20170211000036 |
| Provider Name | Michael Tocci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497953095 PECOS PAC ID: 1850470048 Enrollment ID: I20170214000824 |
| Provider Name | Eric Beckelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649721465 PECOS PAC ID: 8224311238 Enrollment ID: I20170216000887 |
| Provider Name | Daniel Selassie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861467771 PECOS PAC ID: 7810271251 Enrollment ID: I20170302000123 |
| Provider Name | Theresa R Metanchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255627204 PECOS PAC ID: 0749409118 Enrollment ID: I20170322000048 |
| Provider Name | Shannon N Maffucci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346784980 PECOS PAC ID: 7810272432 Enrollment ID: I20170322002491 |
| Provider Name | Donna M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851849152 PECOS PAC ID: 7810273893 Enrollment ID: I20170405000891 |
| Provider Name | Sarah Kenia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538567516 PECOS PAC ID: 4385969393 Enrollment ID: I20170424002325 |
| Provider Name | Virginia Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063957264 PECOS PAC ID: 6103102389 Enrollment ID: I20170425001000 |
| Provider Name | Amber Dawn Haymore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427593995 PECOS PAC ID: 0941587992 Enrollment ID: I20170501001653 |
| Provider Name | Andrea Mcglinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417495599 PECOS PAC ID: 4183901788 Enrollment ID: I20170509001768 |
| Provider Name | Sarah Cioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861923039 PECOS PAC ID: 7315224896 Enrollment ID: I20170510002189 |
| Provider Name | Amy Klein-zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265441935 PECOS PAC ID: 9638446610 Enrollment ID: I20170523000154 |
| Provider Name | Diane Peng Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487189056 PECOS PAC ID: 7618244617 Enrollment ID: I20170523001166 |
| Provider Name | Brian Lee Ju |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710240601 PECOS PAC ID: 2163720988 Enrollment ID: I20170526000030 |
| Provider Name | Netanel Berko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750679882 PECOS PAC ID: 0648414383 Enrollment ID: I20170531000794 |
| Provider Name | Jillian Whitney Lazor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700179108 PECOS PAC ID: 0648560532 Enrollment ID: I20170601001979 |
| Provider Name | Patrick Mangialardi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235557836 PECOS PAC ID: 8527335066 Enrollment ID: I20170605000465 |
| Provider Name | Alexander Edwin Glaser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093125288 PECOS PAC ID: 9133425333 Enrollment ID: I20170605001459 |
| Provider Name | Andrea Hsu Roe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417249665 PECOS PAC ID: 1658686464 Enrollment ID: I20170606000532 |
| Provider Name | Jeffrey Bright Ware |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518256213 PECOS PAC ID: 8022386499 Enrollment ID: I20170608001257 |
| Provider Name | Onyekachukwu Nwankwo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700105822 PECOS PAC ID: 3274757422 Enrollment ID: I20170615000862 |
| Provider Name | Peter Yen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982018073 PECOS PAC ID: 0749408680 Enrollment ID: I20170619000036 |
| Provider Name | Behdad David Besharatian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255620878 PECOS PAC ID: 5890939524 Enrollment ID: I20170621000855 |
| Provider Name | Chidinma C. Nwakanma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285977538 PECOS PAC ID: 2961797824 Enrollment ID: I20170622001631 |
| Provider Name | Danielle Nicole Petro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861933210 PECOS PAC ID: 3072882513 Enrollment ID: I20170627001480 |
| Provider Name | Lora S Regan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073677688 PECOS PAC ID: 2668741901 Enrollment ID: I20170630000263 |
| Provider Name | Michael Richard Acord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457677007 PECOS PAC ID: 4880963636 Enrollment ID: I20170711000035 |
| Provider Name | Ryne A Didier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104117209 PECOS PAC ID: 5597919878 Enrollment ID: I20170714001474 |
| Provider Name | Penden Mahautmr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326442542 PECOS PAC ID: 6709180052 Enrollment ID: I20170718000107 |
| Provider Name | Jeannine M Simms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396274635 PECOS PAC ID: 9638449069 Enrollment ID: I20170718002734 |
| Provider Name | Ajay Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376831859 PECOS PAC ID: 4981920451 Enrollment ID: I20170720000232 |
| Provider Name | Christina Chai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366860199 PECOS PAC ID: 4385915917 Enrollment ID: I20170801000501 |
| Provider Name | Charles Joonghie Bae |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477592335 PECOS PAC ID: 2466408166 Enrollment ID: I20170803000053 |
| Provider Name | Hansel Javier Otero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861655755 PECOS PAC ID: 0941439517 Enrollment ID: I20170815000237 |
| Provider Name | Ravi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801216601 PECOS PAC ID: 8820219199 Enrollment ID: I20170822000984 |
| Provider Name | Lauren Dinella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225550023 PECOS PAC ID: 0547532749 Enrollment ID: I20170823002104 |
| Provider Name | Joy Palma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073036893 PECOS PAC ID: 6800169426 Enrollment ID: I20170901002558 |
| Provider Name | Elena M Detaranto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235659020 PECOS PAC ID: 7416220751 Enrollment ID: I20170907001974 |
| Provider Name | Xavier Jimenez Samayoa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467870931 PECOS PAC ID: 7214201581 Enrollment ID: I20170926000360 |
| Provider Name | Laura Ann Rohrbaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134549116 PECOS PAC ID: 5799059085 Enrollment ID: I20170926001546 |
| Provider Name | Neal Mulcesh Kinariwala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679993588 PECOS PAC ID: 7719250521 Enrollment ID: I20170926002808 |
| Provider Name | Jie Chen Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053545863 PECOS PAC ID: 4486877008 Enrollment ID: I20171005003787 |
| Provider Name | Claiborne Childs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881983682 PECOS PAC ID: 7416279682 Enrollment ID: I20171010000508 |
| Provider Name | Jordan Benjamin Rapp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053679902 PECOS PAC ID: 8628343076 Enrollment ID: I20171011000117 |
| Provider Name | Michael Collin Kingsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952712507 PECOS PAC ID: 7810275179 Enrollment ID: I20171011000234 |
| Provider Name | Susan Prescott Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134654361 PECOS PAC ID: 1759656101 Enrollment ID: I20171011000532 |
| Provider Name | Andrew Degnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801152004 PECOS PAC ID: 4385919588 Enrollment ID: I20171013000037 |
| Provider Name | Shannon Mone Eimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972028140 PECOS PAC ID: 7719253558 Enrollment ID: I20171024001582 |
| Provider Name | Jon Kristofer Pomeroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942529052 PECOS PAC ID: 9739314824 Enrollment ID: I20171026000845 |
| Provider Name | Thanh-thi Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750645396 PECOS PAC ID: 4688982333 Enrollment ID: I20171103000060 |
| Provider Name | Matthew F Watto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730404591 PECOS PAC ID: 4183868599 Enrollment ID: I20171108000748 |
| Provider Name | Katsiaryna Vasilyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896025 PECOS PAC ID: 4981960770 Enrollment ID: I20171110001739 |
| Provider Name | Maureen P Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205324 PECOS PAC ID: 2466719844 Enrollment ID: I20171121001092 |
| Provider Name | Karen M Mcgeehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366215 PECOS PAC ID: 4183764392 Enrollment ID: I20171129001378 |
| Provider Name | Jill Riaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881064368 PECOS PAC ID: 2961712948 Enrollment ID: I20171129002721 |
| Provider Name | Lauren Anne Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467764464 PECOS PAC ID: 3779701776 Enrollment ID: I20171207001414 |
| Provider Name | Lesley Bates |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740709062 PECOS PAC ID: 2163789686 Enrollment ID: I20171207002499 |
| Provider Name | Lauren E Waronker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336336999 PECOS PAC ID: 7719060706 Enrollment ID: I20171211002626 |
| Provider Name | Alexander James Gambogi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689012064 PECOS PAC ID: 8022232099 Enrollment ID: I20171220000508 |
| Provider Name | Eliah Malka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760827471 PECOS PAC ID: 2567748361 Enrollment ID: I20180103001022 |
| Provider Name | Ashley Woodruff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376960906 PECOS PAC ID: 8921367442 Enrollment ID: I20180109000220 |
| Provider Name | Donna M Depalmo-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306356498 PECOS PAC ID: 0840559670 Enrollment ID: I20180124000161 |
| Provider Name | Maria Rose Capriotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710226048 PECOS PAC ID: 9739448507 Enrollment ID: I20180124001898 |
| Provider Name | Joseph Chun-fu Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093000911 PECOS PAC ID: 4486878477 Enrollment ID: I20180129001362 |
| Provider Name | Megan Grace Stathes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447768379 PECOS PAC ID: 0345500021 Enrollment ID: I20180129002633 |
| Provider Name | Zaffer A Qasim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477895993 PECOS PAC ID: 6002033255 Enrollment ID: I20180130000991 |
| Provider Name | Timothy Edward Hausmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114434701 PECOS PAC ID: 4789944380 Enrollment ID: I20180130001337 |
| Provider Name | Kateryna Kiselova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639580509 PECOS PAC ID: 9032336482 Enrollment ID: I20180202001042 |
| Provider Name | Ashley Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194199000 PECOS PAC ID: 5395047344 Enrollment ID: I20180213003119 |
| Provider Name | Brandeis K Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114289402 PECOS PAC ID: 6800180860 Enrollment ID: I20180307001638 |
| Provider Name | Misun Hwang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598084881 PECOS PAC ID: 7517252232 Enrollment ID: I20180316001474 |
| Provider Name | Kenya Danyelle Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790211282 PECOS PAC ID: 7214299601 Enrollment ID: I20180323000026 |
| Provider Name | Laura Beth Peskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184131377 PECOS PAC ID: 7618230194 Enrollment ID: I20180416000837 |
| Provider Name | Steven C Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720582760 PECOS PAC ID: 8921361155 Enrollment ID: I20180420001582 |
| Provider Name | Ashley V Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518469832 PECOS PAC ID: 4880958693 Enrollment ID: I20180502002751 |
| Provider Name | Melissa Ann Cargan-bodnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518407832 PECOS PAC ID: 3476817131 Enrollment ID: I20180503002425 |
| Provider Name | Benjamin Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922341528 PECOS PAC ID: 3375849573 Enrollment ID: I20180508002642 |
| Provider Name | Keith Campbell Hemmert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760800478 PECOS PAC ID: 3173829959 Enrollment ID: I20180509001053 |
| Provider Name | Alexander Remy Bonnel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932595956 PECOS PAC ID: 3476847427 Enrollment ID: I20180514000442 |
| Provider Name | Jennifer Love |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174941702 PECOS PAC ID: 8729384292 Enrollment ID: I20180514002269 |
| Provider Name | Kathleen Cheun Yin Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386976587 PECOS PAC ID: 8820397367 Enrollment ID: I20180516000185 |
| Provider Name | Joshua Eli Glick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154748549 PECOS PAC ID: 7416253869 Enrollment ID: I20180516000855 |
| Provider Name | Andrew Robert Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063807139 PECOS PAC ID: 5294020186 Enrollment ID: I20180516001817 |
| Provider Name | Sheila K Deniken |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366826919 PECOS PAC ID: 1557626728 Enrollment ID: I20180518000352 |
| Provider Name | Paul Nicolas Fiorilli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194040436 PECOS PAC ID: 2961645478 Enrollment ID: I20180521000411 |
| Provider Name | Carolyn Beth O Connor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457419491 PECOS PAC ID: 5496701658 Enrollment ID: I20180529000065 |
| Provider Name | Yousef Mahmoud Hamdeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831532670 PECOS PAC ID: 3678706272 Enrollment ID: I20180531001903 |
| Provider Name | Samantha Pluy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255847976 PECOS PAC ID: 4385909829 Enrollment ID: I20180604000932 |
| Provider Name | Malgorzata Mysliwiec |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104192095 PECOS PAC ID: 4183934516 Enrollment ID: I20180605000196 |
| Provider Name | Dawn Marie Kutteroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700388816 PECOS PAC ID: 2163787599 Enrollment ID: I20180605002396 |
| Provider Name | Chad Talarek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568615995 PECOS PAC ID: 5395923353 Enrollment ID: I20180605002675 |
| Provider Name | Jacqueline W Depasse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275895609 PECOS PAC ID: 7315191814 Enrollment ID: I20180606000509 |
| Provider Name | Mark Prudente |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326539305 PECOS PAC ID: 1254696537 Enrollment ID: I20180608000045 |
| Provider Name | Emma Lundsmith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497133318 PECOS PAC ID: 7719296433 Enrollment ID: I20180614002897 |
| Provider Name | Lisa Maria Walke |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1548243751 PECOS PAC ID: 6406984061 Enrollment ID: I20180618001568 |
| Provider Name | Jourdan Elizabeth Triebwasser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134414048 PECOS PAC ID: 7416186424 Enrollment ID: I20180627000355 |
| Provider Name | Michael Moriarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881075372 PECOS PAC ID: 5294081626 Enrollment ID: I20180627001976 |
| Provider Name | Erik Olson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174844815 PECOS PAC ID: 2961771274 Enrollment ID: I20180628000150 |
| Provider Name | Siddharth Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841555646 PECOS PAC ID: 1759637481 Enrollment ID: I20180710002952 |
| Provider Name | Michael Elias Abboud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962820852 PECOS PAC ID: 8426275629 Enrollment ID: I20180716001932 |
| Provider Name | Michael Antonio Vella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144546995 PECOS PAC ID: 5193072189 Enrollment ID: I20180723000918 |
| Provider Name | Margaret Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285768192 PECOS PAC ID: 9133476070 Enrollment ID: I20180723003421 |
| Provider Name | Ami Gokli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932466505 PECOS PAC ID: 2961769724 Enrollment ID: I20180724001216 |
| Provider Name | Justin Sloane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790198901 PECOS PAC ID: 7012136120 Enrollment ID: I20180724003332 |
| Provider Name | Richard Joseph Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417958661 PECOS PAC ID: 6709067101 Enrollment ID: I20180730001547 |
| Provider Name | Yoav Karpenshif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164802971 PECOS PAC ID: 9931457579 Enrollment ID: I20180730002576 |
| Provider Name | Margaret Kathleen Ciavarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356725022 PECOS PAC ID: 8921356007 Enrollment ID: I20180806002668 |
| Provider Name | Cara Dolin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922399641 PECOS PAC ID: 4789932658 Enrollment ID: I20180809000356 |
| Provider Name | Joseph S Fernandez-moure |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073741484 PECOS PAC ID: 8123274446 Enrollment ID: I20180816003291 |
| Provider Name | Benjamin Chih-an Sun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083697791 PECOS PAC ID: 3476521253 Enrollment ID: I20180827001575 |
| Provider Name | Lisa M Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093204471 PECOS PAC ID: 3274882030 Enrollment ID: I20180828001445 |
| Provider Name | Aleda Elise Elkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871030296 PECOS PAC ID: 9335424761 Enrollment ID: I20180906000009 |
| Provider Name | Wayne Wing Fai Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538589288 PECOS PAC ID: 4587934724 Enrollment ID: I20180910001166 |
| Provider Name | Sparsha Kukunoor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942557574 PECOS PAC ID: 1153649223 Enrollment ID: I20180911000071 |
| Provider Name | Elena Kazlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548641889 PECOS PAC ID: 0042560104 Enrollment ID: I20180911002210 |
| Provider Name | Christian Matthew Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477948271 PECOS PAC ID: 5395095251 Enrollment ID: I20180913003175 |
| Provider Name | Mark Saab |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962711341 PECOS PAC ID: 1850558487 Enrollment ID: I20180918000341 |
| Provider Name | Corina N Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255826731 PECOS PAC ID: 3779834502 Enrollment ID: I20180918003068 |
| Provider Name | Mark J Simone-skdimore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568681609 PECOS PAC ID: 5395812564 Enrollment ID: I20180924002501 |
| Provider Name | Ramesh Pandit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659752517 PECOS PAC ID: 7012218563 Enrollment ID: I20180926003412 |
| Provider Name | Stephen Naylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851332472 PECOS PAC ID: 6103863873 Enrollment ID: I20181002003092 |
| Provider Name | Kelly Christine Ortiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134502479 PECOS PAC ID: 8527310374 Enrollment ID: I20181008000057 |
| Provider Name | Hannah E Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992065130 PECOS PAC ID: 5193965283 Enrollment ID: I20181023002457 |
| Provider Name | Oma Amy Ramsubhag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659875615 PECOS PAC ID: 2769735604 Enrollment ID: I20181023002986 |
| Provider Name | Michele Mcgarvey Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851781728 PECOS PAC ID: 7618270059 Enrollment ID: I20181112000359 |
| Provider Name | Aung Naing Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912389768 PECOS PAC ID: 2163776048 Enrollment ID: I20181112002245 |
| Provider Name | Jayasree Khosla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962821140 PECOS PAC ID: 1658594445 Enrollment ID: I20181115000049 |
| Provider Name | Ty B Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164423893 PECOS PAC ID: 8325094618 Enrollment ID: I20181120000430 |
| Provider Name | Oluwatoni Eniola Aluko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164876504 PECOS PAC ID: 7810231966 Enrollment ID: I20181130001820 |
| Provider Name | Heather Nicole Santucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548749302 PECOS PAC ID: 3173867058 Enrollment ID: I20181204000689 |
| Provider Name | Davoren Ann Chick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124056411 PECOS PAC ID: 4486662731 Enrollment ID: I20181206000252 |
| Provider Name | Allison Kamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225511819 PECOS PAC ID: 9739424417 Enrollment ID: I20181228000044 |
| Provider Name | Amanda Ober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477036192 PECOS PAC ID: 7214272830 Enrollment ID: I20181228001974 |
| Provider Name | Ardi Hermawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891267753 PECOS PAC ID: 2668718883 Enrollment ID: I20190109001527 |
| Provider Name | Ya-feng Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548681992 PECOS PAC ID: 8123381373 Enrollment ID: I20190111000134 |
| Provider Name | Sonia A Ignatius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710269683 PECOS PAC ID: 4880816529 Enrollment ID: I20190115001286 |
| Provider Name | Danielle Marie Matwijec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194294306 PECOS PAC ID: 2466798038 Enrollment ID: I20190118001171 |
| Provider Name | Laura Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932672128 PECOS PAC ID: 0042557472 Enrollment ID: I20190123003114 |
| Provider Name | Lauren Mcinerney Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912252685 PECOS PAC ID: 3971754995 Enrollment ID: I20190124001692 |
| Provider Name | Elizabett Rafailova-sliozberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851869630 PECOS PAC ID: 3173860335 Enrollment ID: I20190125000209 |
| Provider Name | Hannah M Kreiling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275948499 PECOS PAC ID: 1254559420 Enrollment ID: I20190128001183 |
| Provider Name | Darcy E Alimenti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356815120 PECOS PAC ID: 3779820808 Enrollment ID: I20190129000344 |
| Provider Name | Zeel Jagdish Tamboli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952507287 PECOS PAC ID: 1557553856 Enrollment ID: I20190129002326 |
| Provider Name | Thomas Hatzidais |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588135602 PECOS PAC ID: 8820335698 Enrollment ID: I20190201000409 |
| Provider Name | Emma Pennington Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649564105 PECOS PAC ID: 7911159017 Enrollment ID: I20190204000313 |
| Provider Name | Dana Duo Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093079964 PECOS PAC ID: 5991954661 Enrollment ID: I20190213002527 |
| Provider Name | Teri Ellen Benn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124256730 PECOS PAC ID: 7012239593 Enrollment ID: I20190214003077 |
| Provider Name | Brianne Ehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346704715 PECOS PAC ID: 1850639949 Enrollment ID: I20190215000146 |
| Provider Name | Tiffany Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568933612 PECOS PAC ID: 7517205628 Enrollment ID: I20190215000852 |
| Provider Name | Paige Danielle Ruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583109 PECOS PAC ID: 0345589040 Enrollment ID: I20190225000580 |
| Provider Name | Craig M Riley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861734105 PECOS PAC ID: 4981926128 Enrollment ID: I20190320003382 |
| Provider Name | Sean D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360664 PECOS PAC ID: 6507107760 Enrollment ID: I20190416002705 |
| Provider Name | Jennifer Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972071058 PECOS PAC ID: 7416298542 Enrollment ID: I20190417002696 |
| Provider Name | Janet Soeffing Jacapraro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902842842 PECOS PAC ID: 5193721967 Enrollment ID: I20190424000008 |
| Provider Name | Katherine Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538284336 PECOS PAC ID: 7810083524 Enrollment ID: I20190516002748 |
| Provider Name | Tryphena S Hsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942784731 PECOS PAC ID: 9638412372 Enrollment ID: I20190520002477 |
| Provider Name | Tara Y. Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583653 PECOS PAC ID: 9436492105 Enrollment ID: I20190521000588 |
| Provider Name | Steven Bialick |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750745063 PECOS PAC ID: 8921341330 Enrollment ID: I20190528000340 |
| Provider Name | Natasha Chandini Hakkal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336481688 PECOS PAC ID: 3274831789 Enrollment ID: I20190530001952 |
| Provider Name | Sophia Sabio-gesmundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710446620 PECOS PAC ID: 3971836750 Enrollment ID: I20190611000048 |
| Provider Name | Rachel Marie Klinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275091803 PECOS PAC ID: 5395079651 Enrollment ID: I20190620002618 |
| Provider Name | Kyle James Bardet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598128316 PECOS PAC ID: 9032409651 Enrollment ID: I20190620003195 |
| Provider Name | George A Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588745780 PECOS PAC ID: 2668575739 Enrollment ID: I20190625001626 |
| Provider Name | Kelly Marie Cimino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568921161 PECOS PAC ID: 8123352077 Enrollment ID: I20190626001403 |
| Provider Name | Rebecca Ann Dennis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902241698 PECOS PAC ID: 7719211515 Enrollment ID: I20190627003394 |
| Provider Name | Kevin Joseph Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427412717 PECOS PAC ID: 2961736616 Enrollment ID: I20190628001990 |
| Provider Name | Lindsay Kim Haines |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1346635034 PECOS PAC ID: 6406180199 Enrollment ID: I20190701000359 |
| Provider Name | Nadia Gerban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376102913 PECOS PAC ID: 0648504233 Enrollment ID: I20190702001738 |
| Provider Name | Lorene Elizabeth Oberlies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356804942 PECOS PAC ID: 8224363825 Enrollment ID: I20190717003875 |
| Provider Name | Christina M Kuehn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407288939 PECOS PAC ID: 9032353016 Enrollment ID: I20190725003660 |
| Provider Name | Ramya Punati |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962821876 PECOS PAC ID: 9638479595 Enrollment ID: I20190805002477 |
| Provider Name | Savvas Andronikou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174088074 PECOS PAC ID: 0143557561 Enrollment ID: I20190808000655 |
| Provider Name | Martin Harari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511177 PECOS PAC ID: 1153658976 Enrollment ID: I20190815003165 |
| Provider Name | Alyson R Michener |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649667684 PECOS PAC ID: 1951639764 Enrollment ID: I20190817000167 |
| Provider Name | Anna Courtney Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215390372 PECOS PAC ID: 7012207137 Enrollment ID: I20190830002459 |
| Provider Name | Nicole Ann Brice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285191858 PECOS PAC ID: 3173852985 Enrollment ID: I20190904000705 |
| Provider Name | Gyula Michael Petranyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447703152 PECOS PAC ID: 8527397397 Enrollment ID: I20190904003083 |
| Provider Name | Kristin Gales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336536374 PECOS PAC ID: 0446532386 Enrollment ID: I20190905000305 |
| Provider Name | Charles Anthony Gabis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760758957 PECOS PAC ID: 0941513063 Enrollment ID: I20190923003098 |
| Provider Name | Jamie-marie Defelice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992364889 PECOS PAC ID: 1850621533 Enrollment ID: I20190924003106 |
| Provider Name | Tara V Savelloni |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164075859 PECOS PAC ID: 2860723814 Enrollment ID: I20191007001020 |
| Provider Name | Stefanie J Haynes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821338914 PECOS PAC ID: 0042581589 Enrollment ID: I20191007002402 |
| Provider Name | Jaimie Amanda Sholinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316588585 PECOS PAC ID: 5092047951 Enrollment ID: I20191025000136 |
| Provider Name | Amy L Siegel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588678007 PECOS PAC ID: 6305178112 Enrollment ID: I20191029000360 |
| Provider Name | Ashish Rohira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326084716 PECOS PAC ID: 7416953971 Enrollment ID: I20191111001484 |
| Provider Name | Benjamin Ross Sanfilippo-cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407261639 PECOS PAC ID: 1052616828 Enrollment ID: I20191111002343 |
| Provider Name | Steven Eric Blasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834596 PECOS PAC ID: 1456610534 Enrollment ID: I20191118001679 |
| Provider Name | Marilyn Grace Marencik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578088712 PECOS PAC ID: 5890127203 Enrollment ID: I20191122000765 |
| Provider Name | Lauren Elise Oppenheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336796564 PECOS PAC ID: 5698108629 Enrollment ID: I20191205002193 |
| Provider Name | Cindy Mae Iglesias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952743908 PECOS PAC ID: 2264736784 Enrollment ID: I20191209002497 |
| Provider Name | Andrew Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477993962 PECOS PAC ID: 1658648621 Enrollment ID: I20191223000288 |
| Provider Name | Alicia R Haegele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811265150 PECOS PAC ID: 4284068925 Enrollment ID: I20200106000503 |
| Provider Name | Angela Conlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366006934 PECOS PAC ID: 0840625364 Enrollment ID: I20200110000476 |
| Provider Name | Lee Sinclair Ziesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548804545 PECOS PAC ID: 8729413034 Enrollment ID: I20200115000081 |
| Provider Name | Shanesha Denere Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982241345 PECOS PAC ID: 8224463096 Enrollment ID: I20200124001262 |
| Provider Name | Idil Kore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720469000 PECOS PAC ID: 3577878628 Enrollment ID: I20200220002156 |
| Provider Name | Theresa Mary George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871939728 PECOS PAC ID: 4486925237 Enrollment ID: I20200317002358 |
| Provider Name | Jessica R Malinowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720625189 PECOS PAC ID: 9739519232 Enrollment ID: I20200424000656 |
| Provider Name | Ehren Kelly Dancy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033640974 PECOS PAC ID: 5698025625 Enrollment ID: I20200506003170 |
| Provider Name | Rose Onyeali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689028847 PECOS PAC ID: 7810282746 Enrollment ID: I20200507000785 |
| Provider Name | Victoria Regina Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306485305 PECOS PAC ID: 5496186280 Enrollment ID: I20200512000129 |
| Provider Name | Zachary Bearint |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114573060 PECOS PAC ID: 7618308040 Enrollment ID: I20200519000274 |
| Provider Name | Susan Tark Spinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639344039 PECOS PAC ID: 9335570662 Enrollment ID: I20200520002153 |
| Provider Name | Michelle Lauren Rumbaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982136719 PECOS PAC ID: 8325460603 Enrollment ID: I20200615000203 |
| Provider Name | Rebecca Hamm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730524208 PECOS PAC ID: 0143526475 Enrollment ID: I20200623001467 |
| Provider Name | Afrin Burney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710360599 PECOS PAC ID: 4284932906 Enrollment ID: I20200629000390 |
| Provider Name | Navpreet Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568081008 PECOS PAC ID: 9638592660 Enrollment ID: I20200709002954 |
| Provider Name | Maura Patricia Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659801942 PECOS PAC ID: 7517380488 Enrollment ID: I20200710000831 |
| Provider Name | Elizabeth Banks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396158820 PECOS PAC ID: 5092019778 Enrollment ID: I20200720000119 |
| Provider Name | Jennifer A Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417595737 PECOS PAC ID: 4284058538 Enrollment ID: I20200721001033 |
| Provider Name | Anna Marie Kanyuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952837767 PECOS PAC ID: 5496179301 Enrollment ID: I20200724002260 |
| Provider Name | Robert Summey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801273602 PECOS PAC ID: 0648586594 Enrollment ID: I20200728001302 |
| Provider Name | Sugandha Singh Landy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013449347 PECOS PAC ID: 8426473067 Enrollment ID: I20200730000832 |
| Provider Name | Ronak Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518499334 PECOS PAC ID: 0446675821 Enrollment ID: I20200731002181 |
| Provider Name | Samir Panvelker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194145250 PECOS PAC ID: 3375765852 Enrollment ID: I20200811003333 |
| Provider Name | Arun Minupuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083142541 PECOS PAC ID: 6305262189 Enrollment ID: I20200812000273 |
| Provider Name | Ross Littauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629462858 PECOS PAC ID: 1355653528 Enrollment ID: I20200812003936 |
| Provider Name | Deepika Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760424220 PECOS PAC ID: 6901897206 Enrollment ID: I20200817003065 |
| Provider Name | Mariam Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811382237 PECOS PAC ID: 0547572976 Enrollment ID: I20200820003633 |
| Provider Name | Thomas Ernesto Santamaria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194188086 PECOS PAC ID: 6709169808 Enrollment ID: I20200821000609 |
| Provider Name | Kaysha Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124496807 PECOS PAC ID: 9638479587 Enrollment ID: I20200824000464 |
| Provider Name | Maura Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720519473 PECOS PAC ID: 7214361898 Enrollment ID: I20200825001125 |
| Provider Name | Sonia Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548791221 PECOS PAC ID: 1254677933 Enrollment ID: I20200825002081 |
| Provider Name | Caroline K Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568807303 PECOS PAC ID: 3274756614 Enrollment ID: I20200826000023 |
| Provider Name | Jordan Stone |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154700730 PECOS PAC ID: 0042501165 Enrollment ID: I20200831000005 |
| Provider Name | Eric Peng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467988899 PECOS PAC ID: 0446520332 Enrollment ID: I20200903000490 |
| Provider Name | Monica Rezk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467849281 PECOS PAC ID: 2466879564 Enrollment ID: I20200903002872 |
| Provider Name | Megha Patel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013398486 PECOS PAC ID: 1052665445 Enrollment ID: I20200909000742 |
| Provider Name | Malika Iton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811303936 PECOS PAC ID: 8426373671 Enrollment ID: I20200909000915 |
| Provider Name | Michael O'neil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376988600 PECOS PAC ID: 8729343090 Enrollment ID: I20200921002679 |
| Provider Name | Susan Matesanz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588009724 PECOS PAC ID: 3072932847 Enrollment ID: I20200928001938 |
| Provider Name | Aimee Monahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891143079 PECOS PAC ID: 6608103874 Enrollment ID: I20200929000004 |
| Provider Name | Katherine H Mcdonnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154558476 PECOS PAC ID: 8325288525 Enrollment ID: I20200929000049 |
| Provider Name | Shana Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639620446 PECOS PAC ID: 2567743131 Enrollment ID: I20200929000234 |
| Provider Name | Anna Spivak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801216106 PECOS PAC ID: 9032538723 Enrollment ID: I20200930000148 |
| Provider Name | Elizabeth Marie Kramp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043821192 PECOS PAC ID: 9931528643 Enrollment ID: I20200930000587 |
| Provider Name | Nicole Keane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477085280 PECOS PAC ID: 7416220405 Enrollment ID: I20201008002023 |
| Provider Name | Cramer A Mccullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770014763 PECOS PAC ID: 2466729314 Enrollment ID: I20201015001351 |
| Provider Name | Hye Rin Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508277690 PECOS PAC ID: 2466863766 Enrollment ID: I20201117001982 |
| Provider Name | Giovanni Del Vecchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942784012 PECOS PAC ID: 4284047408 Enrollment ID: I20210107002464 |
| Provider Name | Kiera Mcelrone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346652765 PECOS PAC ID: 0648496588 Enrollment ID: I20210119000945 |
| Provider Name | Karin Bhawanjot Narula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497392781 PECOS PAC ID: 8921413758 Enrollment ID: I20210209000597 |
| Provider Name | David A Newman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407119803 PECOS PAC ID: 2163718230 Enrollment ID: I20210216003387 |
| Provider Name | Yasmin Khawja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407116452 PECOS PAC ID: 7416173208 Enrollment ID: I20210310001775 |
| Provider Name | Aileen Patricia Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245628486 PECOS PAC ID: 9234545211 Enrollment ID: I20210317001914 |
| Provider Name | Claudia Anastasia Montesdeoca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962069930 PECOS PAC ID: 3375951163 Enrollment ID: I20210415001308 |
| Provider Name | Angela Gayle Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265015085 PECOS PAC ID: 4082522248 Enrollment ID: I20210510002351 |
| Provider Name | Katherine Brodie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154859841 PECOS PAC ID: 8123437696 Enrollment ID: I20210513000553 |
| Provider Name | Neil Anjon Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134655418 PECOS PAC ID: 6204235500 Enrollment ID: I20210518002306 |
| Provider Name | Christina Dave |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588990451 PECOS PAC ID: 0648406793 Enrollment ID: I20210520001891 |
| Provider Name | Joseph Leanza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558892356 PECOS PAC ID: 2466729322 Enrollment ID: I20210521001892 |
| Provider Name | Matthew Joseph Counihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043896459 PECOS PAC ID: 1153720164 Enrollment ID: I20210525000817 |
| Provider Name | Kevin Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922493253 PECOS PAC ID: 0244547743 Enrollment ID: I20210527000009 |
| Provider Name | Carol Grieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902492820 PECOS PAC ID: 8921415126 Enrollment ID: I20210609002597 |
| Provider Name | Julia Primus Kittka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508440264 PECOS PAC ID: 3779983770 Enrollment ID: I20210614000927 |
| Provider Name | Jennifer L Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598361016 PECOS PAC ID: 2668872607 Enrollment ID: I20210614002299 |
| Provider Name | Jessica Vondrak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245687185 PECOS PAC ID: 3072803733 Enrollment ID: I20210614002424 |
| Provider Name | Polly H Van Den Berg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497103667 PECOS PAC ID: 7012202948 Enrollment ID: I20210621001940 |
| Provider Name | Rachana Mundada |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023564739 PECOS PAC ID: 3072801877 Enrollment ID: I20210624000496 |
| Provider Name | Allison Sussman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760970669 PECOS PAC ID: 5496156705 Enrollment ID: I20210624000764 |
| Provider Name | Jessica Berman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134514672 PECOS PAC ID: 4981999745 Enrollment ID: I20210702002746 |
| Provider Name | Danielle Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487185203 PECOS PAC ID: 0840568119 Enrollment ID: I20210707000577 |
| Provider Name | Dylan James Mcdivitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841783438 PECOS PAC ID: 6305248824 Enrollment ID: I20210707000834 |
| Provider Name | Stephen Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811485030 PECOS PAC ID: 5092117416 Enrollment ID: I20210708000178 |
| Provider Name | Hadja Idiatou Diallo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568819043 PECOS PAC ID: 5698069474 Enrollment ID: I20210708001153 |
| Provider Name | Nicholina Haldane-lutterodt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558859827 PECOS PAC ID: 4486056785 Enrollment ID: I20210708003102 |
| Provider Name | Mariah Presbery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255823597 PECOS PAC ID: 2567717572 Enrollment ID: I20210709001315 |
| Provider Name | Patrick Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881044600 PECOS PAC ID: 2668872060 Enrollment ID: I20210712001675 |
| Provider Name | Sarah Elizabeth Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083294888 PECOS PAC ID: 8527460575 Enrollment ID: I20210713002243 |
| Provider Name | Jaeyoon Chung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508209644 PECOS PAC ID: 4385877836 Enrollment ID: I20210715000062 |
| Provider Name | Olivia Mcvay Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164955514 PECOS PAC ID: 8325440142 Enrollment ID: I20210715001564 |
| Provider Name | Donna Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730763756 PECOS PAC ID: 6002218831 Enrollment ID: I20210715001827 |
| Provider Name | Molli Bascom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386171668 PECOS PAC ID: 1759658693 Enrollment ID: I20210720002014 |
| Provider Name | Margot Finnegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720657182 PECOS PAC ID: 5597169888 Enrollment ID: I20210809002937 |
| Provider Name | Dvone Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528459500 PECOS PAC ID: 4688078512 Enrollment ID: I20210813001964 |
| Provider Name | Linda Mae Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508459413 PECOS PAC ID: 8022412998 Enrollment ID: I20210814000184 |
| Provider Name | Jawad Ahsan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043707839 PECOS PAC ID: 5496150104 Enrollment ID: I20210818002967 |
| Provider Name | Jana Havranova Abraham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043663966 PECOS PAC ID: 1355634387 Enrollment ID: I20210820000457 |
| Provider Name | Jarle Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659804896 PECOS PAC ID: 9436427754 Enrollment ID: I20210830000048 |
| Provider Name | Thu Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396325098 PECOS PAC ID: 9032514062 Enrollment ID: I20210830000266 |
| Provider Name | George Thomachan Kannarkat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760914972 PECOS PAC ID: 0840567046 Enrollment ID: I20210901001114 |
| Provider Name | Laishiya Munshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477915262 PECOS PAC ID: 3274826805 Enrollment ID: I20210902001272 |
| Provider Name | Jens Witsch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649621269 PECOS PAC ID: 9638440555 Enrollment ID: I20210910000018 |
| Provider Name | Jash A Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477044089 PECOS PAC ID: 7214334820 Enrollment ID: I20210924000635 |
| Provider Name | Kimberly H Joffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598326787 PECOS PAC ID: 6002214186 Enrollment ID: I20211004001460 |
| Provider Name | Arielle Bivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841607314 PECOS PAC ID: 8820390503 Enrollment ID: I20211014000109 |
| Provider Name | Shelby Lynn Sloane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164098281 PECOS PAC ID: 1355749854 Enrollment ID: I20211014000932 |
| Provider Name | Jaehyoung Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336522960 PECOS PAC ID: 8426303553 Enrollment ID: I20211019002307 |
| Provider Name | Laura Dennin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609414002 PECOS PAC ID: 2567850175 Enrollment ID: I20211102000443 |
| Provider Name | Molly Conn Cincotta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972967891 PECOS PAC ID: 9234422072 Enrollment ID: I20211103000351 |
| Provider Name | Anjelica Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033615927 PECOS PAC ID: 3072860642 Enrollment ID: I20211103000502 |
| Provider Name | Emily Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215377999 PECOS PAC ID: 9931330834 Enrollment ID: I20211117002034 |
| Provider Name | Elsabeth Tizazu Asare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952808354 PECOS PAC ID: 3375883143 Enrollment ID: I20211119000710 |
| Provider Name | Kristen Colavita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033602826 PECOS PAC ID: 2365831807 Enrollment ID: I20211122002907 |
| Provider Name | Alison Berkeyheiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619597572 PECOS PAC ID: 4688093222 Enrollment ID: I20211124000115 |
| Provider Name | Robert Oldt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316173925 PECOS PAC ID: 3779721998 Enrollment ID: I20211130000924 |
| Provider Name | Kathleen Ella Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548931793 PECOS PAC ID: 9032509195 Enrollment ID: I20211203000222 |
| Provider Name | Amanda Kahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316430879 PECOS PAC ID: 2668717638 Enrollment ID: I20211206002437 |
| Provider Name | Julianne Mamrol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912661513 PECOS PAC ID: 7517357395 Enrollment ID: I20211209002964 |
| Provider Name | Chioma Adaeze Ndubisi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164687497 PECOS PAC ID: 5799937900 Enrollment ID: I20211228000022 |
| Provider Name | Tammaris Rivera Kaschak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689338766 PECOS PAC ID: 7315338175 Enrollment ID: I20220105001493 |
| Provider Name | Flannery Farrell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356949499 PECOS PAC ID: 9739590266 Enrollment ID: I20220106002593 |
| Provider Name | Katlyn Schieler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821761636 PECOS PAC ID: 4486045176 Enrollment ID: I20220107001166 |
| Provider Name | Clarissa Hake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083210983 PECOS PAC ID: 2365834975 Enrollment ID: I20220111001654 |
| Provider Name | Dana M Dimichele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578222329 PECOS PAC ID: 9133512775 Enrollment ID: I20220203001306 |
| Provider Name | Shanna Sowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912521725 PECOS PAC ID: 9436542669 Enrollment ID: I20220210000180 |
| Provider Name | Matthew Pagano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464151 PECOS PAC ID: 0941550297 Enrollment ID: I20220222001713 |
| Provider Name | Laura Baptista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538810064 PECOS PAC ID: 7911392063 Enrollment ID: I20220328001211 |
| Provider Name | Janet Haas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588893499 PECOS PAC ID: 4587050877 Enrollment ID: I20220414000405 |
| Provider Name | Timothy Matthew Markman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417375924 PECOS PAC ID: 9234516766 Enrollment ID: I20220521000385 |
| Provider Name | Theodore Schnitzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164984084 PECOS PAC ID: 2860727310 Enrollment ID: I20220523000559 |
| Provider Name | Humza Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770143018 PECOS PAC ID: 2466787262 Enrollment ID: I20220523000796 |
| Provider Name | Samantha Rae Powers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831693605 PECOS PAC ID: 8224415658 Enrollment ID: I20220524001732 |
| Provider Name | Maricelly Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821747478 PECOS PAC ID: 4880072891 Enrollment ID: I20220603000911 |
| Provider Name | Christina Mangiaracina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497318174 PECOS PAC ID: 9234517152 Enrollment ID: I20220606002223 |
| Provider Name | Joshua Hitchings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063075794 PECOS PAC ID: 8123406733 Enrollment ID: I20220609000744 |
| Provider Name | Manish Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568925584 PECOS PAC ID: 5890174353 Enrollment ID: I20220614002062 |
| Provider Name | Salma Shaikhouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356735765 PECOS PAC ID: 2769799089 Enrollment ID: I20220615000854 |
| Provider Name | Laura Carradin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750035911 PECOS PAC ID: 1557740602 Enrollment ID: I20220620001351 |
| Provider Name | Wesley Butt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710521208 PECOS PAC ID: 6305279720 Enrollment ID: I20220621000911 |
| Provider Name | Gabrielle Christine Bertulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174260863 PECOS PAC ID: 9537548649 Enrollment ID: I20220621001433 |
| Provider Name | Midhun Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740767672 PECOS PAC ID: 6305248089 Enrollment ID: I20220621001476 |
| Provider Name | Randy Dalbey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336699693 PECOS PAC ID: 9335429059 Enrollment ID: I20220623000019 |
| Provider Name | Peter D Orsaneo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093329872 PECOS PAC ID: 7911314588 Enrollment ID: I20220627002408 |
| Provider Name | Beth Pineles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578957767 PECOS PAC ID: 0749588259 Enrollment ID: I20220628000381 |
| Provider Name | Elizabeth Isaacoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447754668 PECOS PAC ID: 7012271604 Enrollment ID: I20220629000009 |
| Provider Name | Luke Waggoner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538658935 PECOS PAC ID: 3274913710 Enrollment ID: I20220630001472 |
| Provider Name | Sheila Ann De Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528621653 PECOS PAC ID: 8628458510 Enrollment ID: I20220709000318 |
| Provider Name | Madeline Louise Singer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013369131 PECOS PAC ID: 7618357500 Enrollment ID: I20220709000354 |
| Provider Name | Sohil Golwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245727643 PECOS PAC ID: 0749535185 Enrollment ID: I20220709000864 |
| Provider Name | Denise Hooks-anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417931056 PECOS PAC ID: 6103839998 Enrollment ID: I20220711000011 |
| Provider Name | Genea Mukherji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396038113 PECOS PAC ID: 1759510050 Enrollment ID: I20220711000146 |
| Provider Name | Monali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255997920 PECOS PAC ID: 9931580529 Enrollment ID: I20220713002833 |
| Provider Name | Srijan Tandukar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346675188 PECOS PAC ID: 2769780626 Enrollment ID: I20220715000054 |
| Provider Name | Sharon Colgate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265971014 PECOS PAC ID: 2264700327 Enrollment ID: I20220722000028 |
| Provider Name | Victoria Persampiere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265060909 PECOS PAC ID: 7315335528 Enrollment ID: I20220722003054 |
| Provider Name | Joshua Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538727946 PECOS PAC ID: 2365879194 Enrollment ID: I20220726001137 |
| Provider Name | Nicholas Theodoropoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356801153 PECOS PAC ID: 9537490628 Enrollment ID: I20220803000051 |
| Provider Name | Eashaa Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538722350 PECOS PAC ID: 6901288281 Enrollment ID: I20220803000904 |
| Provider Name | Michele Lee Carrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598404642 PECOS PAC ID: 5698157840 Enrollment ID: I20220804000145 |
| Provider Name | Sahani Jayatilaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518526078 PECOS PAC ID: 0648505354 Enrollment ID: I20220806000014 |
| Provider Name | Diyong S Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144820622 PECOS PAC ID: 1355723255 Enrollment ID: I20220808003426 |
| Provider Name | Nicole Hartmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457883886 PECOS PAC ID: 9830464502 Enrollment ID: I20220810000005 |
| Provider Name | Shuvodra Routh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831755339 PECOS PAC ID: 2466836192 Enrollment ID: I20220830002792 |
| Provider Name | Gina Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295232866 PECOS PAC ID: 8527446707 Enrollment ID: I20220907002530 |
| Provider Name | Heidi Ching |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962813808 PECOS PAC ID: 7214154590 Enrollment ID: I20220915001055 |
| Provider Name | Toni Sabbouh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205367034 PECOS PAC ID: 5991129413 Enrollment ID: I20220926003239 |
| Provider Name | Kwon Soo Kim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376064097 PECOS PAC ID: 2668897752 Enrollment ID: I20220927003345 |
| Provider Name | Clare Alyse Rech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881258242 PECOS PAC ID: 2163752627 Enrollment ID: I20220930000090 |
| Provider Name | Nay Seif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619328820 PECOS PAC ID: 7315239373 Enrollment ID: I20221014002558 |
| Provider Name | Krisztina Fazio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043955925 PECOS PAC ID: 5092181875 Enrollment ID: I20221019001509 |
| Provider Name | Katrina Ieva Marcelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053040121 PECOS PAC ID: 4688040413 Enrollment ID: I20221019003401 |
| Provider Name | Nicole Caby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063144806 PECOS PAC ID: 9830565399 Enrollment ID: I20221025001246 |
| Provider Name | Gina M Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982325015 PECOS PAC ID: 5890162937 Enrollment ID: I20221103000227 |
| Provider Name | Daniel D Sairsingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982335014 PECOS PAC ID: 0941677538 Enrollment ID: I20221111000244 |
| Provider Name | Lindsay Gregg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174234546 PECOS PAC ID: 2567831209 Enrollment ID: I20221220000054 |
| Provider Name | Kerry Kennedy Meltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861951618 PECOS PAC ID: 4587034624 Enrollment ID: I20230105001584 |
| Provider Name | Hongyu Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609280551 PECOS PAC ID: 4587986674 Enrollment ID: I20230111000832 |
| Provider Name | Susan Raymond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457740334 PECOS PAC ID: 8527467794 Enrollment ID: I20230126001174 |
| Provider Name | Katharine Grace Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336851757 PECOS PAC ID: 6608248000 Enrollment ID: I20230213001668 |
| Provider Name | Jenee Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932820446 PECOS PAC ID: 3779955786 Enrollment ID: I20230220001881 |
| Provider Name | Roger Tommy Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821706698 PECOS PAC ID: 0345613204 Enrollment ID: I20230224001135 |
| Provider Name | Alyssa Marie Dombrosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306559331 PECOS PAC ID: 5799158366 Enrollment ID: I20230301001323 |
| Provider Name | Samuel Michael Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205361011 PECOS PAC ID: 7416321773 Enrollment ID: I20230328001911 |
| Provider Name | Mihir Kakara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992169866 PECOS PAC ID: 6507159027 Enrollment ID: I20230328003063 |
| Provider Name | Lori Ann Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972201952 PECOS PAC ID: 2567837552 Enrollment ID: I20230405000022 |
| Provider Name | Jordan Elizabeth Marinchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366145609 PECOS PAC ID: 8123493640 Enrollment ID: I20230413002138 |
| Provider Name | Amanda Wiese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427410299 PECOS PAC ID: 8022304807 Enrollment ID: I20230417002960 |
| Provider Name | Erin Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639877947 PECOS PAC ID: 6507221470 Enrollment ID: I20230427002156 |
| Provider Name | Jessica Mesisca |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831730340 PECOS PAC ID: 8426480153 Enrollment ID: I20230524001758 |
| Provider Name | Vincent Jing Ping Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922624998 PECOS PAC ID: 7315369865 Enrollment ID: I20230525003096 |
| Provider Name | Andrew Agostini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144759440 PECOS PAC ID: 6305193178 Enrollment ID: I20230530002219 |
| Provider Name | Alexandra Lauren Pfister |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154984011 PECOS PAC ID: 1557728920 Enrollment ID: I20230531002283 |
| Provider Name | Wei Zheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033485313 PECOS PAC ID: 2466751656 Enrollment ID: I20230607003140 |
| Provider Name | Matthew Bloch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295230449 PECOS PAC ID: 7113264268 Enrollment ID: I20230615002236 |
| Provider Name | Douglas Mayeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245867076 PECOS PAC ID: 8628495959 Enrollment ID: I20230629000012 |
| Provider Name | Aref Tarek Senno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861050288 PECOS PAC ID: 7517293343 Enrollment ID: I20230719002205 |
| Provider Name | Ian D Garrahy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124552435 PECOS PAC ID: 4880963727 Enrollment ID: I20230724003094 |
| Provider Name | Samuel D Lipten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639528342 PECOS PAC ID: 2860787033 Enrollment ID: I20230726001720 |
| Provider Name | Maxwell Ambrosino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265060164 PECOS PAC ID: 8820459506 Enrollment ID: I20230727001603 |
| Provider Name | Matthew Kelly Janssen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215399472 PECOS PAC ID: 9032570296 Enrollment ID: I20230803003045 |
| Provider Name | Lucia Gabriela Cavero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780211243 PECOS PAC ID: 5890118962 Enrollment ID: I20230803003496 |
| Provider Name | Alicia Cryer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114423431 PECOS PAC ID: 3375925357 Enrollment ID: I20230823000395 |
| Provider Name | Deirdre Kurtz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518429075 PECOS PAC ID: 3274996244 Enrollment ID: I20230824002106 |
| Provider Name | Ellen Rose Dahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659878940 PECOS PAC ID: 0446614697 Enrollment ID: I20230907000336 |
| Provider Name | Jessica A Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982231700 PECOS PAC ID: 0143643692 Enrollment ID: I20230912000440 |
| Provider Name | Lyudmyla Michniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174237184 PECOS PAC ID: 0446614192 Enrollment ID: I20230913002108 |
| Provider Name | Israel Doyle Benjamin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215591540 PECOS PAC ID: 7517321003 Enrollment ID: I20230918001307 |
| Provider Name | Brett Kenneth Irving |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245837848 PECOS PAC ID: 6406210855 Enrollment ID: I20230919000041 |
| Provider Name | Elisabeth Rose Lugano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811572308 PECOS PAC ID: 7315343332 Enrollment ID: I20230920000492 |
| Provider Name | Sibo Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780205625 PECOS PAC ID: 7719309046 Enrollment ID: I20230920004080 |
| Provider Name | Bridget Reilly Durkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154811313 PECOS PAC ID: 3678927886 Enrollment ID: I20230921002617 |
| Provider Name | Kaetan Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740806850 PECOS PAC ID: 5294157772 Enrollment ID: I20230921003517 |
| Provider Name | Mary Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801588777 PECOS PAC ID: 2466806526 Enrollment ID: I20230925000939 |
| Provider Name | Laneka Raison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194508705 PECOS PAC ID: 6901250927 Enrollment ID: I20230926000023 |
| Provider Name | Caitlin Ingraham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891226981 PECOS PAC ID: 7719255579 Enrollment ID: I20230926003251 |
| Provider Name | David Everett Toffey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386202786 PECOS PAC ID: 0547614323 Enrollment ID: I20230927002952 |
| Provider Name | Skye Altaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912536889 PECOS PAC ID: 2567884299 Enrollment ID: I20230929002778 |
| Provider Name | Ronald Parsons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508913252 PECOS PAC ID: 7113173550 Enrollment ID: I20231016000739 |
| Provider Name | Elizabeth Sonnenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194136978 PECOS PAC ID: 4688078579 Enrollment ID: I20231017002931 |
| Provider Name | Devin Michele Reilly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346702099 PECOS PAC ID: 8921456534 Enrollment ID: I20231120003382 |
| Provider Name | Christine Marie Mckeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912680216 PECOS PAC ID: 7517315336 Enrollment ID: I20231204002852 |
| Provider Name | Anjuli Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922441393 PECOS PAC ID: 5698070860 Enrollment ID: I20231212003012 |
| Provider Name | Amanda Lea Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528832656 PECOS PAC ID: 4880044114 Enrollment ID: I20231228000887 |
| Provider Name | Angella Makaha-lyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942769013 PECOS PAC ID: 8022416205 Enrollment ID: I20240301002965 |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-5600 | |
Trustees Of The Univ Of Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Clinical Health Care Associates Of New Jersey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, 4th Floor, Radnor, PA 19087 Phone: 610-902-1738 | |
Trustees Of The Univ Of Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 |