| Cogent Healthcare Of Georgia Pc | |
|
2701 N Decatur Rd Decatur GA 30033-5918 | |
| (404) 501-5227 | |
| (404) 501-1771 |
| Full Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2701 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | Susan A. Brownie (TREASURER) |
| Authorized Official Contact | 6153775630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Georgia Pc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5658 | Cogent Healthcare Of Georgia Pc 2701 N Decatur Rd Decatur GA 30033-5918 Ph: (404) 501-5227 |
| NPI Number | 1609827823 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 11/17/2021 |
| Medicare PECOS PAC ID | 2961483607 |
|---|---|
| Medicare Enrollment ID | O20040527000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609827823 | NPI | - | NPPES |
| 443109614A | Medicaid | GA |
| Provider Name | Veronica M Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962408997 PECOS PAC ID: 0345154977 Enrollment ID: I20031119000027 |
| Provider Name | Carol N Pryby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528044948 PECOS PAC ID: 4688567951 Enrollment ID: I20040203000102 |
| Provider Name | Jose L Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487641627 PECOS PAC ID: 7113820374 Enrollment ID: I20040219000433 |
| Provider Name | Varma S Meka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366447187 PECOS PAC ID: 8224924980 Enrollment ID: I20040227000585 |
| Provider Name | Raghu N Lolabhattu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851397368 PECOS PAC ID: 2567352941 Enrollment ID: I20040318000950 |
| Provider Name | Andre C Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104990795 PECOS PAC ID: 4688669310 Enrollment ID: I20040420000771 |
| Provider Name | Lasongia Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376579573 PECOS PAC ID: 0244229847 Enrollment ID: I20040510000362 |
| Provider Name | Habigaile Cribe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275592255 PECOS PAC ID: 8729078571 Enrollment ID: I20040514000294 |
| Provider Name | Thomas D Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225012446 PECOS PAC ID: 4284624628 Enrollment ID: I20040517000712 |
| Provider Name | Brick S Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083607956 PECOS PAC ID: 4284624578 Enrollment ID: I20040518000177 |
| Provider Name | Reginald R Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154427615 PECOS PAC ID: 7416932645 Enrollment ID: I20040623000137 |
| Provider Name | Marc S Coan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174516330 PECOS PAC ID: 5496731747 Enrollment ID: I20040628000105 |
| Provider Name | Daniel T Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831196682 PECOS PAC ID: 4688650682 Enrollment ID: I20040629001081 |
| Provider Name | Leanthony A Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629053277 PECOS PAC ID: 5395722185 Enrollment ID: I20040630000359 |
| Provider Name | Chanty D Davis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215951298 PECOS PAC ID: 6608853312 Enrollment ID: I20040712000803 |
| Provider Name | Walter G Irwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922153410 PECOS PAC ID: 1759369994 Enrollment ID: I20040713000681 |
| Provider Name | Onwura Michael Obiekwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972585446 PECOS PAC ID: 1355320185 Enrollment ID: I20040716000281 |
| Provider Name | Oladayo A Osinuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396716312 PECOS PAC ID: 5193795821 Enrollment ID: I20040729000394 |
| Provider Name | Rotimi B Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427037910 PECOS PAC ID: 8527032614 Enrollment ID: I20040824000918 |
| Provider Name | Tarun K Ghosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760560726 PECOS PAC ID: 8426023102 Enrollment ID: I20040826001009 |
| Provider Name | Helen Gidey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770501611 PECOS PAC ID: 6608841861 Enrollment ID: I20040831000898 |
| Provider Name | Kavitha Vemuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790849495 PECOS PAC ID: 7911966700 Enrollment ID: I20041007000368 |
| Provider Name | Jacob Hyppolite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255302428 PECOS PAC ID: 2567421936 Enrollment ID: I20041011000256 |
| Provider Name | Everette B Thombs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881781466 PECOS PAC ID: 4789649351 Enrollment ID: I20041123000230 |
| Provider Name | Walline T Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548364755 PECOS PAC ID: 2769430933 Enrollment ID: I20050105000402 |
| Provider Name | Jeffrey G. Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518071885 PECOS PAC ID: 1355392432 Enrollment ID: I20050207000181 |
| Provider Name | Van E Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881677334 PECOS PAC ID: 2769433457 Enrollment ID: I20050210000300 |
| Provider Name | Janine R Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093896516 PECOS PAC ID: 8123081163 Enrollment ID: I20050311000205 |
| Provider Name | Swapan Kumar Chaudhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639127038 PECOS PAC ID: 3476446162 Enrollment ID: I20050408000668 |
| Provider Name | Frederick A Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912947326 PECOS PAC ID: 6002854874 Enrollment ID: I20050421000856 |
| Provider Name | Isaac C Adiele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790728863 PECOS PAC ID: 8325088271 Enrollment ID: I20050510000619 |
| Provider Name | Eric A Mabo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811997794 PECOS PAC ID: 9335183086 Enrollment ID: I20050614000937 |
| Provider Name | Maria C Cavaliere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447338413 PECOS PAC ID: 5991731382 Enrollment ID: I20050718000407 |
| Provider Name | Amulya K Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598712549 PECOS PAC ID: 5698708428 Enrollment ID: I20050913000797 |
| Provider Name | Terrence R Wise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790759579 PECOS PAC ID: 9830124429 Enrollment ID: I20051003000463 |
| Provider Name | Peter S Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366432544 PECOS PAC ID: 0244265734 Enrollment ID: I20051004000436 |
| Provider Name | Anwer Alis Bhamani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760554703 PECOS PAC ID: 1658397278 Enrollment ID: I20051021000670 |
| Provider Name | Manojkumar C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932134830 PECOS PAC ID: 8426075789 Enrollment ID: I20051026001152 |
| Provider Name | Neelima Puppala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558352062 PECOS PAC ID: 9830116573 Enrollment ID: I20051101000419 |
| Provider Name | Vijay D Lakkappa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477572618 PECOS PAC ID: 1850319799 Enrollment ID: I20051109000254 |
| Provider Name | Richard I Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770573552 PECOS PAC ID: 6002830114 Enrollment ID: I20060117000238 |
| Provider Name | Solomon Tafari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235128828 PECOS PAC ID: 4587670591 Enrollment ID: I20060301000045 |
| Provider Name | Richard Kwasi Agbeko Kessey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760496228 PECOS PAC ID: 5395749360 Enrollment ID: I20060905000523 |
| Provider Name | Oluwayomi S Akande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326082199 PECOS PAC ID: 0143226951 Enrollment ID: I20061018000043 |
| Provider Name | Amardeep S Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902914591 PECOS PAC ID: 8426055971 Enrollment ID: I20061026000230 |
| Provider Name | Kevin Goodlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659476232 PECOS PAC ID: 9335147305 Enrollment ID: I20061130000041 |
| Provider Name | Teresa L Hatten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831184944 PECOS PAC ID: 7719986272 Enrollment ID: I20061211000127 |
| Provider Name | Abiy Mekoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023064938 PECOS PAC ID: 3678590346 Enrollment ID: I20061212000551 |
| Provider Name | Jimmy Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700957016 PECOS PAC ID: 8820097983 Enrollment ID: I20061219000159 |
| Provider Name | Iris A Castro Revoredo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801984562 PECOS PAC ID: 1052312311 Enrollment ID: I20070130000046 |
| Provider Name | Paul E Raber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740394428 PECOS PAC ID: 0547262792 Enrollment ID: I20070201000218 |
| Provider Name | Marguerite M Vardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528098639 PECOS PAC ID: 0042212904 Enrollment ID: I20070206000021 |
| Provider Name | Gary Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053427690 PECOS PAC ID: 6103846282 Enrollment ID: I20070206000147 |
| Provider Name | Jonathan A Hefner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821037110 PECOS PAC ID: 7719946664 Enrollment ID: I20070206000410 |
| Provider Name | Amy Jerusha N Kocherla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831208743 PECOS PAC ID: 5395848832 Enrollment ID: I20070321000296 |
| Provider Name | Olushesan M Ogundipe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194915470 PECOS PAC ID: 0143312132 Enrollment ID: I20070822000907 |
| Provider Name | Catherine Featherston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356542518 PECOS PAC ID: 6507959749 Enrollment ID: I20070905000186 |
| Provider Name | Olalekan Henry Ajibowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235320151 PECOS PAC ID: 7911093208 Enrollment ID: I20071018000048 |
| Provider Name | Nancy M Maignan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114971207 PECOS PAC ID: 1355337361 Enrollment ID: I20071019000253 |
| Provider Name | Priscilla E Igho-pemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295735165 PECOS PAC ID: 9931296696 Enrollment ID: I20071029000350 |
| Provider Name | Bharani Oggu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093805814 PECOS PAC ID: 4587768189 Enrollment ID: I20071113000063 |
| Provider Name | Iris A Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134172588 PECOS PAC ID: 5395777130 Enrollment ID: I20071213000480 |
| Provider Name | Frederick Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992859599 PECOS PAC ID: 5496836496 Enrollment ID: I20080116000169 |
| Provider Name | Paul W Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912976275 PECOS PAC ID: 9931286937 Enrollment ID: I20080401000544 |
| Provider Name | Kingsley E Agbeyegbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649234055 PECOS PAC ID: 4789690736 Enrollment ID: I20080422000669 |
| Provider Name | Adekunle Sunday Ogunfuwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669541512 PECOS PAC ID: 1951358027 Enrollment ID: I20080430000243 |
| Provider Name | Michael Todd Peacock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487636742 PECOS PAC ID: 4981773108 Enrollment ID: I20080514000403 |
| Provider Name | Nadene Fair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043482151 PECOS PAC ID: 3678643418 Enrollment ID: I20080605000008 |
| Provider Name | Dwayne T Gard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053440099 PECOS PAC ID: 7719057280 Enrollment ID: I20080610000614 |
| Provider Name | Jonathan F Busbee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346212792 PECOS PAC ID: 4587637855 Enrollment ID: I20080718000492 |
| Provider Name | Barbara T Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245417401 PECOS PAC ID: 3173698701 Enrollment ID: I20080818000144 |
| Provider Name | Willie Landrum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760653612 PECOS PAC ID: 0345316949 Enrollment ID: I20080905000150 |
| Provider Name | Awadhesh K Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851387971 PECOS PAC ID: 2062589922 Enrollment ID: I20080919000014 |
| Provider Name | Ameet V Thatishetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053506949 PECOS PAC ID: 5496823312 Enrollment ID: I20081006000302 |
| Provider Name | Idrissa N Ismail-joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316104557 PECOS PAC ID: 9739257585 Enrollment ID: I20081006000687 |
| Provider Name | Clifford A Crawford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235286030 PECOS PAC ID: 4284702549 Enrollment ID: I20081014000403 |
| Provider Name | Douglas Satcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821126673 PECOS PAC ID: 2264591619 Enrollment ID: I20081030000429 |
| Provider Name | Khudr Burjak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154321248 PECOS PAC ID: 8921079963 Enrollment ID: I20081216000703 |
| Provider Name | Donald R Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427036813 PECOS PAC ID: 7416995725 Enrollment ID: I20081222000148 |
| Provider Name | Nicole Tahira Perrotte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134371446 PECOS PAC ID: 0446315436 Enrollment ID: I20090206000247 |
| Provider Name | Kenneth O Neal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538247879 PECOS PAC ID: 6709863038 Enrollment ID: I20090220000267 |
| Provider Name | Nanik Ram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093978660 PECOS PAC ID: 8123193455 Enrollment ID: I20090730000185 |
| Provider Name | Mary K Mcmahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205021193 PECOS PAC ID: 9032263371 Enrollment ID: I20090820000428 |
| Provider Name | Vishal Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548447105 PECOS PAC ID: 5092860411 Enrollment ID: I20090908000327 |
| Provider Name | Rhonda S Paulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922238518 PECOS PAC ID: 4082750898 Enrollment ID: I20091008000460 |
| Provider Name | Tammy M Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861550865 PECOS PAC ID: 0244256196 Enrollment ID: I20091022000009 |
| Provider Name | Sandra M Francis Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497935183 PECOS PAC ID: 2567501208 Enrollment ID: I20091209000298 |
| Provider Name | Ashraf I Sedfawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972761153 PECOS PAC ID: 2769521434 Enrollment ID: I20091209000588 |
| Provider Name | Yimei M Qian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487801163 PECOS PAC ID: 3173690625 Enrollment ID: I20100122000202 |
| Provider Name | Gina D Hazel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356670350 PECOS PAC ID: 3870638992 Enrollment ID: I20100301000598 |
| Provider Name | Kenya Hanspard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932170305 PECOS PAC ID: 9739072984 Enrollment ID: I20100329000157 |
| Provider Name | Tiffaney S Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962653816 PECOS PAC ID: 9739215351 Enrollment ID: I20100407000168 |
| Provider Name | Shalini J Pandey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346220779 PECOS PAC ID: 4981736733 Enrollment ID: I20100715000007 |
| Provider Name | Philippa N Amene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437322989 PECOS PAC ID: 9537292867 Enrollment ID: I20100806000061 |
| Provider Name | Anand Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669705505 PECOS PAC ID: 9436295227 Enrollment ID: I20100816000046 |
| Provider Name | Angella E Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487687505 PECOS PAC ID: 7113921826 Enrollment ID: I20100818000732 |
| Provider Name | George Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205884020 PECOS PAC ID: 6608874367 Enrollment ID: I20100830000596 |
| Provider Name | Colleen Ann Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659695989 PECOS PAC ID: 8426172321 Enrollment ID: I20100830000597 |
| Provider Name | John J Han |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346466364 PECOS PAC ID: 3779775572 Enrollment ID: I20101012001002 |
| Provider Name | Paul Lawrence Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053410357 PECOS PAC ID: 4981897634 Enrollment ID: I20101026000820 |
| Provider Name | Michael O Kamanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780881185 PECOS PAC ID: 6103993464 Enrollment ID: I20101026001093 |
| Provider Name | Shonna L Mcgee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245425149 PECOS PAC ID: 6406040716 Enrollment ID: I20101101000560 |
| Provider Name | Adeniyi Monzoor Obalanlege |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780601609 PECOS PAC ID: 1456312867 Enrollment ID: I20101111001052 |
| Provider Name | Bamidele Ayotunde Ajibola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644589 PECOS PAC ID: 4082809009 Enrollment ID: I20101116000257 |
| Provider Name | Adeshola Adewunmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285819821 PECOS PAC ID: 6204022510 Enrollment ID: I20101129001061 |
| Provider Name | Lois E Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821305590 PECOS PAC ID: 4284821117 Enrollment ID: I20101204000049 |
| Provider Name | Tamar Gabelaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697395 PECOS PAC ID: 8820092638 Enrollment ID: I20101206000247 |
| Provider Name | William Eli Chastain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891980777 PECOS PAC ID: 4385832419 Enrollment ID: I20101216000150 |
| Provider Name | Yvonne M Maduka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801061775 PECOS PAC ID: 0648469981 Enrollment ID: I20110118000794 |
| Provider Name | Neetu Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225236292 PECOS PAC ID: 3173712411 Enrollment ID: I20110118000823 |
| Provider Name | Muhammad Awais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629397344 PECOS PAC ID: 6901085836 Enrollment ID: I20110125000661 |
| Provider Name | Christie Rae Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134436322 PECOS PAC ID: 2668652421 Enrollment ID: I20110210000906 |
| Provider Name | Purav Mahendrabhai Parmar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639497902 PECOS PAC ID: 9436331857 Enrollment ID: I20110307000623 |
| Provider Name | Anurita Dass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518152495 PECOS PAC ID: 9739365628 Enrollment ID: I20110510000552 |
| Provider Name | Chryselle M Nazare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912167578 PECOS PAC ID: 7618145640 Enrollment ID: I20110719000392 |
| Provider Name | Tiwalade Olawuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114212115 PECOS PAC ID: 3375711039 Enrollment ID: I20110722000678 |
| Provider Name | Lakshmi Gopireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578728309 PECOS PAC ID: 3274702584 Enrollment ID: I20110802000784 |
| Provider Name | Aristotle P Cochon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912165192 PECOS PAC ID: 9830368950 Enrollment ID: I20110808000048 |
| Provider Name | Raquel De Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174785216 PECOS PAC ID: 5294905865 Enrollment ID: I20110909002547 |
| Provider Name | Kurdistan A Gargis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518197755 PECOS PAC ID: 8729259353 Enrollment ID: I20110913000129 |
| Provider Name | Nicola P Revills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124280268 PECOS PAC ID: 3577734045 Enrollment ID: I20110914000558 |
| Provider Name | Rodney J Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710140132 PECOS PAC ID: 7719038934 Enrollment ID: I20111024000292 |
| Provider Name | Kavita Kotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033370655 PECOS PAC ID: 5395919575 Enrollment ID: I20111128000557 |
| Provider Name | Feyi M Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457318446 PECOS PAC ID: 0143214494 Enrollment ID: I20111209000454 |
| Provider Name | Paul Laljibhai Mathieu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164684205 PECOS PAC ID: 6709051865 Enrollment ID: I20111219000825 |
| Provider Name | Imran A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982865176 PECOS PAC ID: 3779755392 Enrollment ID: I20120320000710 |
| Provider Name | Audrea O Vaughan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023339355 PECOS PAC ID: 6305009135 Enrollment ID: I20120515000313 |
| Provider Name | Khurram A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063677011 PECOS PAC ID: 6204092455 Enrollment ID: I20120717000058 |
| Provider Name | Herretta Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982988028 PECOS PAC ID: 8527224617 Enrollment ID: I20120717000546 |
| Provider Name | Sara Chappell Knabe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740501881 PECOS PAC ID: 4082870118 Enrollment ID: I20120718000305 |
| Provider Name | Madhuri Nooka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245443092 PECOS PAC ID: 5092888719 Enrollment ID: I20120720000018 |
| Provider Name | Melissa Lynn Audy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073875910 PECOS PAC ID: 7012173586 Enrollment ID: I20120727000312 |
| Provider Name | Claude Levon Sanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023242179 PECOS PAC ID: 5991961476 Enrollment ID: I20120727000479 |
| Provider Name | Nicolas Bakinde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932336617 PECOS PAC ID: 9931355724 Enrollment ID: I20120809000929 |
| Provider Name | Aisha Y Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083845572 PECOS PAC ID: 1850548207 Enrollment ID: I20120821000066 |
| Provider Name | Michael T Bianco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538390158 PECOS PAC ID: 8426205097 Enrollment ID: I20120904000753 |
| Provider Name | Kathryn Marie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336389980 PECOS PAC ID: 2264624006 Enrollment ID: I20120918000908 |
| Provider Name | Francis Ampadu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083812515 PECOS PAC ID: 1850577842 Enrollment ID: I20120919000188 |
| Provider Name | Kurt S. Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295969228 PECOS PAC ID: 8921256587 Enrollment ID: I20120924000715 |
| Provider Name | Patricia I Chimezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861629651 PECOS PAC ID: 6709036973 Enrollment ID: I20121024000346 |
| Provider Name | Nariel C Offomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851380489 PECOS PAC ID: 5799758983 Enrollment ID: I20121128000528 |
| Provider Name | Abdul Mannan Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437393873 PECOS PAC ID: 9032362561 Enrollment ID: I20130114000238 |
| Provider Name | Amaka E Ezimora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20130128000489 |
| Provider Name | Franklin Chinagorom Ohiagbaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972749034 PECOS PAC ID: 4789854365 Enrollment ID: I20130130000348 |
| Provider Name | Mary O Nwoke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891261 PECOS PAC ID: 3476707381 Enrollment ID: I20130130000356 |
| Provider Name | Shahid Atta Elahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558514232 PECOS PAC ID: 2264596873 Enrollment ID: I20130220000302 |
| Provider Name | Babu Rajendra P Malempati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245211739 PECOS PAC ID: 6507918950 Enrollment ID: I20130403000178 |
| Provider Name | Anthonia O Ekpenike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659577484 PECOS PAC ID: 8426174814 Enrollment ID: I20130403000301 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20130403000435 |
| Provider Name | Marchalee Caroldean Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891950242 PECOS PAC ID: 8729275649 Enrollment ID: I20130521000045 |
| Provider Name | Olusegun Adetuyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417275033 PECOS PAC ID: 2961641576 Enrollment ID: I20130611000721 |
| Provider Name | Meraj M Asif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306073028 PECOS PAC ID: 6507005683 Enrollment ID: I20130716000066 |
| Provider Name | Michael L Caselnova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689696833 PECOS PAC ID: 6103989009 Enrollment ID: I20130716000301 |
| Provider Name | Shreyas Sureshbhai Mistry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447558614 PECOS PAC ID: 1557502184 Enrollment ID: I20130724000841 |
| Provider Name | Renee Lizette Lewis-kensah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043535933 PECOS PAC ID: 3779724893 Enrollment ID: I20130731000808 |
| Provider Name | Brendan J Doucette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114267374 PECOS PAC ID: 4587805643 Enrollment ID: I20130801000271 |
| Provider Name | Amy L. Carrington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336468867 PECOS PAC ID: 4486896347 Enrollment ID: I20130806000740 |
| Provider Name | John Mate-kole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558374371 PECOS PAC ID: 3577705755 Enrollment ID: I20130819000331 |
| Provider Name | Tekesa Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386085090 PECOS PAC ID: 4981708724 Enrollment ID: I20130828000571 |
| Provider Name | Veera V Pavuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255504098 PECOS PAC ID: 7012089329 Enrollment ID: I20130904000497 |
| Provider Name | Chehada Anthony Hatoum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205852167 PECOS PAC ID: 1951345065 Enrollment ID: I20130912000191 |
| Provider Name | Lerissa Ann Antonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730406778 PECOS PAC ID: 8820232218 Enrollment ID: I20130925000698 |
| Provider Name | Victor Hugo Urbieta Caceres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386922938 PECOS PAC ID: 7810121282 Enrollment ID: I20131018000646 |
| Provider Name | Marian Pokuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20131111000762 |
| Provider Name | Patricia Kloser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801988787 PECOS PAC ID: 9537328760 Enrollment ID: I20131112001150 |
| Provider Name | Dan Marian Danila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700096914 PECOS PAC ID: 9335276138 Enrollment ID: I20131122000538 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20131125000697 |
| Provider Name | Keisha C Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336120864 PECOS PAC ID: 2163473521 Enrollment ID: I20131216001118 |
| Provider Name | Elizabeth E. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790125813 PECOS PAC ID: 7911135017 Enrollment ID: I20140117001123 |
| Provider Name | Vivian Nchinda Kenmoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265694921 PECOS PAC ID: 2668648387 Enrollment ID: I20140124000352 |
| Provider Name | Kalemah S Woolfolk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508121351 PECOS PAC ID: 7618106147 Enrollment ID: I20140204000667 |
| Provider Name | Jason Mclavy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639245459 PECOS PAC ID: 7214993948 Enrollment ID: I20140304002105 |
| Provider Name | Cassie H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972852911 PECOS PAC ID: 1850522889 Enrollment ID: I20140315000119 |
| Provider Name | Jennifer L Woehler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144659087 PECOS PAC ID: 6103057864 Enrollment ID: I20140321000111 |
| Provider Name | Mary J Hammack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265615959 PECOS PAC ID: 4587747241 Enrollment ID: I20140501002271 |
| Provider Name | Divya Narayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558672113 PECOS PAC ID: 1254554322 Enrollment ID: I20140516001213 |
| Provider Name | Laura C Tonda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346479748 PECOS PAC ID: 6507080793 Enrollment ID: I20140610000723 |
| Provider Name | Nauman W Rashid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982966644 PECOS PAC ID: 7517118045 Enrollment ID: I20140611001268 |
| Provider Name | Paul C Chukelu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376830174 PECOS PAC ID: 5092939652 Enrollment ID: I20140623000364 |
| Provider Name | Curtis Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055790 PECOS PAC ID: 6103041603 Enrollment ID: I20140625001022 |
| Provider Name | Lawrence M Lockett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902827751 PECOS PAC ID: 5395885560 Enrollment ID: I20140724001489 |
| Provider Name | Glenn Banegura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770744989 PECOS PAC ID: 7315111010 Enrollment ID: I20140808002122 |
| Provider Name | Jeremiah Herm Tyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336382548 PECOS PAC ID: 0345403028 Enrollment ID: I20140903001586 |
| Provider Name | Alketah R Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316234958 PECOS PAC ID: 2264653625 Enrollment ID: I20141028001848 |
| Provider Name | Wila Zanghi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518374537 PECOS PAC ID: 2769704485 Enrollment ID: I20150126000523 |
| Provider Name | Edward Dankyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740695808 PECOS PAC ID: 7214252220 Enrollment ID: I20150216001303 |
| Provider Name | Toks Macarthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164608964 PECOS PAC ID: 2264509041 Enrollment ID: I20150326001012 |
| Provider Name | Udit Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568753606 PECOS PAC ID: 9739327990 Enrollment ID: I20150326001655 |
| Provider Name | Daniel Alan Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200850 PECOS PAC ID: 2860719945 Enrollment ID: I20150330001513 |
| Provider Name | Teresa Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235523044 PECOS PAC ID: 0840519245 Enrollment ID: I20150506002750 |
| Provider Name | Roberto J Lopez-vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891073482 PECOS PAC ID: 5193945897 Enrollment ID: I20150708001257 |
| Provider Name | Joel Nathaniel Palmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952664963 PECOS PAC ID: 7113230392 Enrollment ID: I20150716002233 |
| Provider Name | Janki A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851535918 PECOS PAC ID: 7315174604 Enrollment ID: I20150727002157 |
| Provider Name | Bilkisu S Gaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780940809 PECOS PAC ID: 1759693914 Enrollment ID: I20150729007445 |
| Provider Name | Dwayne A Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578841300 PECOS PAC ID: 8921312158 Enrollment ID: I20150801017382 |
| Provider Name | Rianot T Amzat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982979373 PECOS PAC ID: 4789990391 Enrollment ID: I20150827001434 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20150916002958 |
| Provider Name | Dwayne Lee Chance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508121567 PECOS PAC ID: 6608004825 Enrollment ID: I20151030000574 |
| Provider Name | Olubunmi Titilope Pitan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104174523 PECOS PAC ID: 2365752235 Enrollment ID: I20151104001851 |
| Provider Name | Sruti Pradhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285870717 PECOS PAC ID: 2163691916 Enrollment ID: I20151109001329 |
| Provider Name | Charvette Gaitone Shumaker-kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003280975 PECOS PAC ID: 6002116001 Enrollment ID: I20151124000106 |
| Provider Name | Sherri Nation |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396137899 PECOS PAC ID: 3375861461 Enrollment ID: I20151208001039 |
| Provider Name | Aliyi A Aliyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558700468 PECOS PAC ID: 6507167822 Enrollment ID: I20151210001628 |
| Provider Name | Anetha D Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189904 PECOS PAC ID: 0244531309 Enrollment ID: I20151214001742 |
| Provider Name | Deborah Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366838294 PECOS PAC ID: 7416258454 Enrollment ID: I20151217000511 |
| Provider Name | Dokun Tobi Dairo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508017906 PECOS PAC ID: 1850556309 Enrollment ID: I20151222001360 |
| Provider Name | Shayla Raines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588042535 PECOS PAC ID: 4981905437 Enrollment ID: I20151229000903 |
| Provider Name | Mary Gayle Schnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770958589 PECOS PAC ID: 5597067447 Enrollment ID: I20160108001151 |
| Provider Name | Chinonye Uzaoamaka Nwoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245662139 PECOS PAC ID: 9234432089 Enrollment ID: I20160128000800 |
| Provider Name | Shannon Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487971263 PECOS PAC ID: 6709027436 Enrollment ID: I20160204002026 |
| Provider Name | Eniola O Otuseso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962451757 PECOS PAC ID: 6608836952 Enrollment ID: I20160301001853 |
| Provider Name | Joulia M Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194011312 PECOS PAC ID: 3476709346 Enrollment ID: I20160302002421 |
| Provider Name | Ebenezer E Frans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689698896 PECOS PAC ID: 5496705709 Enrollment ID: I20160321001427 |
| Provider Name | Pamela Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629438007 PECOS PAC ID: 4789981812 Enrollment ID: I20160404002335 |
| Provider Name | Usman Manzoor Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538421243 PECOS PAC ID: 9638473234 Enrollment ID: I20160427000659 |
| Provider Name | Chinyere M Izuchukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942698022 PECOS PAC ID: 9133428600 Enrollment ID: I20160504002477 |
| Provider Name | Mariam Kabir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699065557 PECOS PAC ID: 7113146499 Enrollment ID: I20160506000945 |
| Provider Name | India Kenyonda Holloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750721668 PECOS PAC ID: 5890084610 Enrollment ID: I20160518001787 |
| Provider Name | Daniel S Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821436023 PECOS PAC ID: 4880906031 Enrollment ID: I20160624001969 |
| Provider Name | Anteneh M Gizaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699114660 PECOS PAC ID: 4183916265 Enrollment ID: I20160711001052 |
| Provider Name | Frankie H White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548608813 PECOS PAC ID: 0547582561 Enrollment ID: I20160811001996 |
| Provider Name | Linda A Nwadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467804997 PECOS PAC ID: 1052606555 Enrollment ID: I20160823002005 |
| Provider Name | Joseph Olawole Ogunsulire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942555073 PECOS PAC ID: 5890095038 Enrollment ID: I20160831001750 |
| Provider Name | Chisom J Mbonu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902241946 PECOS PAC ID: 8729380787 Enrollment ID: I20160907002016 |
| Provider Name | Benjamin Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104212869 PECOS PAC ID: 4385930924 Enrollment ID: I20160908001685 |
| Provider Name | Pamela A Rizkalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891131124 PECOS PAC ID: 9931495223 Enrollment ID: I20160913001765 |
| Provider Name | Edem K Avoke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891006631 PECOS PAC ID: 5395970115 Enrollment ID: I20160921001399 |
| Provider Name | Nikky Keer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053751651 PECOS PAC ID: 4880981463 Enrollment ID: I20160926001085 |
| Provider Name | Pankaj Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376771105 PECOS PAC ID: 8123211919 Enrollment ID: I20161006001769 |
| Provider Name | Darc-pucelle Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265760177 PECOS PAC ID: 1355473315 Enrollment ID: I20161014000814 |
| Provider Name | Daniel Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467862813 PECOS PAC ID: 6204139595 Enrollment ID: I20161019002553 |
| Provider Name | Tresa Nesbitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609154483 PECOS PAC ID: 9638499817 Enrollment ID: I20161025001077 |
| Provider Name | Yolin Bueno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194061150 PECOS PAC ID: 4486932894 Enrollment ID: I20161104001148 |
| Provider Name | Nazrul Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124345830 PECOS PAC ID: 8628204450 Enrollment ID: I20161205001141 |
| Provider Name | Bernardino Villescas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194167262 PECOS PAC ID: 2860772753 Enrollment ID: I20161212001040 |
| Provider Name | Shilpa Gadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336450964 PECOS PAC ID: 7214179019 Enrollment ID: I20161214000077 |
| Provider Name | Georgianne Summer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205370558 PECOS PAC ID: 9335429083 Enrollment ID: I20161215000308 |
| Provider Name | Nekey C Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649632753 PECOS PAC ID: 7315229218 Enrollment ID: I20170130002248 |
| Provider Name | Petrenia A Davis-jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710143128 PECOS PAC ID: 4486957123 Enrollment ID: I20170206000283 |
| Provider Name | Daisy-scarlett Maccallum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508120924 PECOS PAC ID: 8628205705 Enrollment ID: I20170223002549 |
| Provider Name | Katherine Moody |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134482474 PECOS PAC ID: 6800020769 Enrollment ID: I20170403001199 |
| Provider Name | Tricia Charlene Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205036431 PECOS PAC ID: 8729277991 Enrollment ID: I20170419002990 |
| Provider Name | Chioma Udogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487825667 PECOS PAC ID: 2163588963 Enrollment ID: I20170601000277 |
| Provider Name | Dawn M Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392325 PECOS PAC ID: 2264709864 Enrollment ID: I20170602001444 |
| Provider Name | Yomiyyu Gammada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144571167 PECOS PAC ID: 1456669068 Enrollment ID: I20170612001433 |
| Provider Name | Noha Raouf Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023066206 PECOS PAC ID: 5395773899 Enrollment ID: I20170620000584 |
| Provider Name | Ronnie C Marrache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821172396 PECOS PAC ID: 7214911544 Enrollment ID: I20170621003240 |
| Provider Name | Marian Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538520549 PECOS PAC ID: 1951679570 Enrollment ID: I20170622000805 |
| Provider Name | Kelechi C Ejimofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215484555 PECOS PAC ID: 8628346251 Enrollment ID: I20170622001065 |
| Provider Name | Tristan L Sevdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679673925 PECOS PAC ID: 2062721061 Enrollment ID: I20170628003520 |
| Provider Name | Steven Eric Goldberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316937725 PECOS PAC ID: 0840264560 Enrollment ID: I20170705002926 |
| Provider Name | Nisha Panicker Aravindakshan-patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942527478 PECOS PAC ID: 6507173770 Enrollment ID: I20170710003102 |
| Provider Name | Sakib Maya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790196749 PECOS PAC ID: 4082916176 Enrollment ID: I20170712001795 |
| Provider Name | Kristin A Mcphillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861768574 PECOS PAC ID: 5496058117 Enrollment ID: I20170712003324 |
| Provider Name | Roger Vega Blanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983114 PECOS PAC ID: 0648540294 Enrollment ID: I20170714001298 |
| Provider Name | Kimberly Shani Forte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568782738 PECOS PAC ID: 4183852023 Enrollment ID: I20170717002163 |
| Provider Name | Sukumar Gandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972921054 PECOS PAC ID: 6709157258 Enrollment ID: I20170802002418 |
| Provider Name | Sarubh Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043544992 PECOS PAC ID: 4486800711 Enrollment ID: I20170821000147 |
| Provider Name | Christiana C Ezeihekaibee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972952869 PECOS PAC ID: 1850663261 Enrollment ID: I20170821000337 |
| Provider Name | Katherina I Ekeji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700145836 PECOS PAC ID: 5193964880 Enrollment ID: I20170829004461 |
| Provider Name | Cara Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841619723 PECOS PAC ID: 2466753116 Enrollment ID: I20170830002759 |
| Provider Name | Emad F Beshai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528069598 PECOS PAC ID: 3072614833 Enrollment ID: I20170830003813 |
| Provider Name | Dellinia D Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851826390 PECOS PAC ID: 0244503928 Enrollment ID: I20170830003921 |
| Provider Name | Gary Trewick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482850 PECOS PAC ID: 6608179858 Enrollment ID: I20170906002554 |
| Provider Name | Wenlan Duan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336374446 PECOS PAC ID: 5799081030 Enrollment ID: I20170906002581 |
| Provider Name | Daniel E Ukpong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376805192 PECOS PAC ID: 2567683410 Enrollment ID: I20170908002926 |
| Provider Name | Gina Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790236040 PECOS PAC ID: 4880967033 Enrollment ID: I20170909000010 |
| Provider Name | Nancy C Echefu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588083620 PECOS PAC ID: 3173825858 Enrollment ID: I20170913002519 |
| Provider Name | Chandra Nukala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770715591 PECOS PAC ID: 3476780453 Enrollment ID: I20170918000973 |
| Provider Name | Anna K Sikod |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811316995 PECOS PAC ID: 7113229428 Enrollment ID: I20170920002566 |
| Provider Name | Jacqueline Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093263071 PECOS PAC ID: 7012281611 Enrollment ID: I20170920002832 |
| Provider Name | Wayne Ross Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114345972 PECOS PAC ID: 2062632615 Enrollment ID: I20170921000081 |
| Provider Name | Jason L Wechsler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740266246 PECOS PAC ID: 5496798977 Enrollment ID: I20170922002610 |
| Provider Name | Natali V Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275524654 PECOS PAC ID: 9830141787 Enrollment ID: I20170922002907 |
| Provider Name | Erick Myrtil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255760757 PECOS PAC ID: 8022382225 Enrollment ID: I20170927002285 |
| Provider Name | Girmay G Hailu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841605201 PECOS PAC ID: 1658646351 Enrollment ID: I20171005002238 |
| Provider Name | Mubasher Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578978425 PECOS PAC ID: 5799050225 Enrollment ID: I20171009001760 |
| Provider Name | Jewell Robinson Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275988289 PECOS PAC ID: 6103104161 Enrollment ID: I20171011003845 |
| Provider Name | Mira Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518368745 PECOS PAC ID: 1052639374 Enrollment ID: I20171024000589 |
| Provider Name | Shadae L Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285186452 PECOS PAC ID: 3678849007 Enrollment ID: I20171030001812 |
| Provider Name | Maereg N Tesfaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689085334 PECOS PAC ID: 1456651827 Enrollment ID: I20171102000286 |
| Provider Name | Kaye Bardeloza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750796702 PECOS PAC ID: 2769770635 Enrollment ID: I20171109000782 |
| Provider Name | Liudmila Yesaulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457779944 PECOS PAC ID: 6709002058 Enrollment ID: I20171109000948 |
| Provider Name | Claudel Gratia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508001496 PECOS PAC ID: 5890917264 Enrollment ID: I20171115000904 |
| Provider Name | Christopher Robert Curro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154681310 PECOS PAC ID: 7416105010 Enrollment ID: I20171121002154 |
| Provider Name | Aloysius F Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477821155 PECOS PAC ID: 1355562273 Enrollment ID: I20171122001730 |
| Provider Name | Nauman A Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427187020 PECOS PAC ID: 2961466610 Enrollment ID: I20171122002176 |
| Provider Name | Shuntina Lenette Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619320306 PECOS PAC ID: 2769749902 Enrollment ID: I20171127001607 |
| Provider Name | Masud Habibullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285992602 PECOS PAC ID: 5294041893 Enrollment ID: I20171127002066 |
| Provider Name | Lyle Norman Shelver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265431001 PECOS PAC ID: 9739137845 Enrollment ID: I20171201001311 |
| Provider Name | Ashley Kessler Dasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558881078 PECOS PAC ID: 1850658360 Enrollment ID: I20171207002126 |
| Provider Name | Sravani Gundarlapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376958355 PECOS PAC ID: 4486931128 Enrollment ID: I20171215001812 |
| Provider Name | Shayan Greg Zafrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326427642 PECOS PAC ID: 0547579310 Enrollment ID: I20171219002665 |
| Provider Name | Thomas Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336363373 PECOS PAC ID: 3577664481 Enrollment ID: I20180118001072 |
| Provider Name | Bonnie F Patrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992856249 PECOS PAC ID: 4183679921 Enrollment ID: I20180118001964 |
| Provider Name | Rubin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336587526 PECOS PAC ID: 9234431818 Enrollment ID: I20180119000768 |
| Provider Name | Rene Nicole Fisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700399060 PECOS PAC ID: 1658631890 Enrollment ID: I20180207001602 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20180416002515 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20180417000372 |
| Provider Name | Leah Helton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255518890 PECOS PAC ID: 4587928411 Enrollment ID: I20180501001379 |
| Provider Name | Pegah Ghafourian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700113669 PECOS PAC ID: 8426351602 Enrollment ID: I20180502000700 |
| Provider Name | Ekei J Tanifum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629186614 PECOS PAC ID: 7214078021 Enrollment ID: I20180508001247 |
| Provider Name | Helio J Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821416108 PECOS PAC ID: 2163788290 Enrollment ID: I20180530002604 |
| Provider Name | Cedric Emden Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20180531001321 |
| Provider Name | Marilynn Tedja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013335108 PECOS PAC ID: 7810267879 Enrollment ID: I20180607002151 |
| Provider Name | Akua A Ampadu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144581570 PECOS PAC ID: 5991006710 Enrollment ID: I20180608001088 |
| Provider Name | Amjid Muhammad Nawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720379142 PECOS PAC ID: 1658518519 Enrollment ID: I20180614002451 |
| Provider Name | Ina Vate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467963942 PECOS PAC ID: 0547515454 Enrollment ID: I20180618002447 |
| Provider Name | Christopher Daniel Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457663551 PECOS PAC ID: 8729215983 Enrollment ID: I20180703002294 |
| Provider Name | Sonu Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568727220 PECOS PAC ID: 5799093621 Enrollment ID: I20180709000482 |
| Provider Name | Harrison Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750899738 PECOS PAC ID: 0143576827 Enrollment ID: I20180711001046 |
| Provider Name | Robert Glenn Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154769974 PECOS PAC ID: 2466695291 Enrollment ID: I20180726000552 |
| Provider Name | Saranya Selvaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285904193 PECOS PAC ID: 2466751698 Enrollment ID: I20180802003366 |
| Provider Name | Natalie Britt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932489481 PECOS PAC ID: 6406149368 Enrollment ID: I20180803000899 |
| Provider Name | Allen R Dennis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598866790 PECOS PAC ID: 7810928322 Enrollment ID: I20180807000506 |
| Provider Name | Rebecca Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750874707 PECOS PAC ID: 1658629605 Enrollment ID: I20180807003340 |
| Provider Name | Cara Nachtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568965028 PECOS PAC ID: 5395094791 Enrollment ID: I20180817002003 |
| Provider Name | Shaheryar Jafri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033595830 PECOS PAC ID: 5597027649 Enrollment ID: I20180904002866 |
| Provider Name | Tanisha A O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982913224 PECOS PAC ID: 4688868060 Enrollment ID: I20180918004390 |
| Provider Name | Charlotte Coggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871976589 PECOS PAC ID: 3173812468 Enrollment ID: I20180924003751 |
| Provider Name | Taiwo Sheyin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285019885 PECOS PAC ID: 3173874443 Enrollment ID: I20180925004270 |
| Provider Name | Jessica Alferink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235627464 PECOS PAC ID: 7416209358 Enrollment ID: I20181004001062 |
| Provider Name | Hakeem Ayinde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366706111 PECOS PAC ID: 6002129129 Enrollment ID: I20181008002633 |
| Provider Name | Yoseph Hailu Tekleyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821470949 PECOS PAC ID: 4183976640 Enrollment ID: I20181010002755 |
| Provider Name | Jennifer Dorough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295219939 PECOS PAC ID: 5799038758 Enrollment ID: I20181022002747 |
| Provider Name | Osciriah Press |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689061723 PECOS PAC ID: 8527372333 Enrollment ID: I20181022003520 |
| Provider Name | Asif Nadeem Tahir |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1750329728 PECOS PAC ID: 5698787521 Enrollment ID: I20181101000623 |
| Provider Name | Christopher Carswell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790779122 PECOS PAC ID: 0648524777 Enrollment ID: I20181108001152 |
| Provider Name | Charnetta T Colton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376720466 PECOS PAC ID: 8527312685 Enrollment ID: I20181108002757 |
| Provider Name | Kristina Mccaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477931236 PECOS PAC ID: 0648572990 Enrollment ID: I20181114003437 |
| Provider Name | Kehinde Idowu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063806982 PECOS PAC ID: 1153695887 Enrollment ID: I20181115001310 |
| Provider Name | Shenique Anderson Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912256892 PECOS PAC ID: 2062715543 Enrollment ID: I20181119002508 |
| Provider Name | Clayton Hearn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124406152 PECOS PAC ID: 0648563916 Enrollment ID: I20181126003457 |
| Provider Name | Erin Breeann Lindholm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245520279 PECOS PAC ID: 0345564829 Enrollment ID: I20181129000615 |
| Provider Name | Tamika Lynette Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205324548 PECOS PAC ID: 0749525038 Enrollment ID: I20181213003235 |
| Provider Name | Onyinye Adaeze Iheaku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457747941 PECOS PAC ID: 9335441757 Enrollment ID: I20181218004184 |
| Provider Name | Onyinyechi Uloma Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937084 PECOS PAC ID: 0749525798 Enrollment ID: I20181219000631 |
| Provider Name | Stacy Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851869150 PECOS PAC ID: 2466797329 Enrollment ID: I20181220001685 |
| Provider Name | Roberto Jesus Romero Maldonado |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467834499 PECOS PAC ID: 3678819398 Enrollment ID: I20190116002390 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20190318002940 |
| Provider Name | Katrin Usifo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407141690 PECOS PAC ID: 8022254622 Enrollment ID: I20190401001030 |
| Provider Name | Sonia Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487965364 PECOS PAC ID: 8224271168 Enrollment ID: I20190418002464 |
| Provider Name | Notoya Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654363 PECOS PAC ID: 2961744818 Enrollment ID: I20190425001510 |
| Provider Name | Ameet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548667934 PECOS PAC ID: 2961773585 Enrollment ID: I20190503000579 |
| Provider Name | Brittney J Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548795156 PECOS PAC ID: 3173880267 Enrollment ID: I20190521000392 |
| Provider Name | Malhar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942690193 PECOS PAC ID: 3779862891 Enrollment ID: I20190531000935 |
| Provider Name | Michael Oriakhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366894701 PECOS PAC ID: 7113250036 Enrollment ID: I20190610000091 |
| Provider Name | Kamla Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417445206 PECOS PAC ID: 6204169139 Enrollment ID: I20190618000707 |
| Provider Name | Sarah Campos-monell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20190718002180 |
| Provider Name | Ngozi Ifeadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811342587 PECOS PAC ID: 8426340654 Enrollment ID: I20190720000025 |
| Provider Name | Suzette Adele Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255539599 PECOS PAC ID: 0042241754 Enrollment ID: I20190723003715 |
| Provider Name | Angela Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679058614 PECOS PAC ID: 5193051332 Enrollment ID: I20190725003830 |
| Provider Name | Samuel Saad Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20190803000128 |
| Provider Name | Spiro S Mavromates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790148260 PECOS PAC ID: 9436444577 Enrollment ID: I20190806001230 |
| Provider Name | Sheena N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447743786 PECOS PAC ID: 5597092874 Enrollment ID: I20190808003183 |
| Provider Name | Olusegun Ayodeji Sheyin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912254624 PECOS PAC ID: 0345577565 Enrollment ID: I20190812001561 |
| Provider Name | Venkatabharathi Velam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407046295 PECOS PAC ID: 3274672852 Enrollment ID: I20190812001660 |
| Provider Name | Muhammad Ayyaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427405828 PECOS PAC ID: 9436436243 Enrollment ID: I20190917000620 |
| Provider Name | Onyeka Paul Ojinna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639553621 PECOS PAC ID: 4688910748 Enrollment ID: I20190920002195 |
| Provider Name | Alan Paul S Briones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588689640 PECOS PAC ID: 0345294815 Enrollment ID: I20190925001681 |
| Provider Name | Rashieda Timpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859140 PECOS PAC ID: 9537414594 Enrollment ID: I20191009001436 |
| Provider Name | John Ray Blevins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649438730 PECOS PAC ID: 0244354173 Enrollment ID: I20191015002786 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20191106000397 |
| Provider Name | Timothy Taeho Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457633430 PECOS PAC ID: 0749583276 Enrollment ID: I20191113002879 |
| Provider Name | Julianne Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518510247 PECOS PAC ID: 5395178396 Enrollment ID: I20191205000898 |
| Provider Name | Lassina Will Koidima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710548771 PECOS PAC ID: 8426481458 Enrollment ID: I20191205002127 |
| Provider Name | Jonathan Evan Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861756314 PECOS PAC ID: 6305162603 Enrollment ID: I20191205002968 |
| Provider Name | Adriana Maria Nestoiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558621383 PECOS PAC ID: 5991015984 Enrollment ID: I20191209000753 |
| Provider Name | Rasheda Renee Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609385517 PECOS PAC ID: 1052744620 Enrollment ID: I20191212001594 |
| Provider Name | Whitney Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609437359 PECOS PAC ID: 0143654384 Enrollment ID: I20191223000560 |
| Provider Name | Mitchell Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003470402 PECOS PAC ID: 2860826963 Enrollment ID: I20191226000624 |
| Provider Name | Michelle Rochard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265890487 PECOS PAC ID: 5890078620 Enrollment ID: I20191228000391 |
| Provider Name | Saranya Wongchai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346583275 PECOS PAC ID: 7012205487 Enrollment ID: I20191231002384 |
| Provider Name | Nick Narinder Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578682316 PECOS PAC ID: 5395805303 Enrollment ID: I20200103001626 |
| Provider Name | Ammar B Nassri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548689409 PECOS PAC ID: 6507142205 Enrollment ID: I20200113002695 |
| Provider Name | Minesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508051939 PECOS PAC ID: 4385799675 Enrollment ID: I20200116002555 |
| Provider Name | Vishnu Shridath Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528391034 PECOS PAC ID: 2769508886 Enrollment ID: I20200122000118 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20200123003171 |
| Provider Name | Nathan Duffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801431333 PECOS PAC ID: 9537595228 Enrollment ID: I20200128001089 |
| Provider Name | Charlotte Angwabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134782493 PECOS PAC ID: 0840626461 Enrollment ID: I20200130000529 |
| Provider Name | Omar Ganzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710524764 PECOS PAC ID: 4789010117 Enrollment ID: I20200204000526 |
| Provider Name | Hosam N Khayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144271206 PECOS PAC ID: 0042285298 Enrollment ID: I20200302001765 |
| Provider Name | Irlande Robillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558515387 PECOS PAC ID: 8426348913 Enrollment ID: I20200312001478 |
| Provider Name | Nadia Parchment |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295056430 PECOS PAC ID: 3678793130 Enrollment ID: I20200319002339 |
| Provider Name | Leisa Covington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700339728 PECOS PAC ID: 3274962121 Enrollment ID: I20200330000139 |
| Provider Name | Maulikkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831551126 PECOS PAC ID: 6507120227 Enrollment ID: I20200410002061 |
| Provider Name | Jatan J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893646 PECOS PAC ID: 4789978289 Enrollment ID: I20200420000434 |
| Provider Name | Robert P Kulchinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982683595 PECOS PAC ID: 0941228688 Enrollment ID: I20200423003058 |
| Provider Name | Stacey Hammond Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144414368 PECOS PAC ID: 5193861029 Enrollment ID: I20200424002534 |
| Provider Name | Loghman Huseynov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962891317 PECOS PAC ID: 5294041075 Enrollment ID: I20200504002750 |
| Provider Name | Hassan A Elhewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457668139 PECOS PAC ID: 5991947038 Enrollment ID: I20200507003145 |
| Provider Name | Vinay Garlapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508271206 PECOS PAC ID: 5294092771 Enrollment ID: I20200604001680 |
| Provider Name | Zalika T Nisbeth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902256027 PECOS PAC ID: 9436438280 Enrollment ID: I20200702002009 |
| Provider Name | Gabriel Ikemba Madu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437491123 PECOS PAC ID: 4082961214 Enrollment ID: I20200713003806 |
| Provider Name | Kimberly R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528414943 PECOS PAC ID: 2062701956 Enrollment ID: I20200723003808 |
| Provider Name | David C Lachman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083877765 PECOS PAC ID: 1456406032 Enrollment ID: I20200728000497 |
| Provider Name | Brandon R Kirshner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396278933 PECOS PAC ID: 5092040634 Enrollment ID: I20200807000175 |
| Provider Name | Caitlin Maureen Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548793995 PECOS PAC ID: 7810267069 Enrollment ID: I20200812000967 |
| Provider Name | Saleha Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427571827 PECOS PAC ID: 7214209063 Enrollment ID: I20200824001513 |
| Provider Name | David Pudalov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033642822 PECOS PAC ID: 6709151483 Enrollment ID: I20200824003710 |
| Provider Name | Sarah Hazim Al Mansi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538680343 PECOS PAC ID: 9931527686 Enrollment ID: I20200914000920 |
| Provider Name | Jose Lara Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972036200 PECOS PAC ID: 1456621424 Enrollment ID: I20200914000921 |
| Provider Name | Scott Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407268956 PECOS PAC ID: 7517186877 Enrollment ID: I20200915001484 |
| Provider Name | Chanda Yaqub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740596469 PECOS PAC ID: 3577759208 Enrollment ID: I20200917002313 |
| Provider Name | Olubunmi Ojelade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295047918 PECOS PAC ID: 7810128055 Enrollment ID: I20200923003310 |
| Provider Name | James W Corley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720512072 PECOS PAC ID: 1456680123 Enrollment ID: I20201106002153 |
| Provider Name | Ijeoma Genevieve Eccles-james |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427581628 PECOS PAC ID: 1850701590 Enrollment ID: I20201109000000 |
| Provider Name | Manicia Shundreal Liddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568963866 PECOS PAC ID: 3779829908 Enrollment ID: I20201124002869 |
| Provider Name | Rana M Adeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528435724 PECOS PAC ID: 7214227479 Enrollment ID: I20201130003113 |
| Provider Name | Caroline Carreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558893305 PECOS PAC ID: 1850661083 Enrollment ID: I20201201001905 |
| Provider Name | Don E Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245215847 PECOS PAC ID: 6709866817 Enrollment ID: I20201210002219 |
| Provider Name | Shannon Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783455 PECOS PAC ID: 0547691271 Enrollment ID: I20201218001066 |
| Provider Name | Biram C Hicks |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295710606 PECOS PAC ID: 8022919661 Enrollment ID: I20201223001226 |
| Provider Name | Satish V Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417024183 PECOS PAC ID: 1355612466 Enrollment ID: I20201228001050 |
| Provider Name | Bert J Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497839070 PECOS PAC ID: 4587738877 Enrollment ID: I20210104001118 |
| Provider Name | Timothy A Podesta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871024802 PECOS PAC ID: 8224363288 Enrollment ID: I20210114001026 |
| Provider Name | Pujan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497286363 PECOS PAC ID: 5698045557 Enrollment ID: I20210203000279 |
| Provider Name | Pascha N Chafin-gaylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457604993 PECOS PAC ID: 6901046648 Enrollment ID: I20210204000566 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20210204002158 |
| Provider Name | Saeid Behroozi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952415846 PECOS PAC ID: 2365415114 Enrollment ID: I20210209002206 |
| Provider Name | Michele Musto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699977694 PECOS PAC ID: 5698868677 Enrollment ID: I20210223000419 |
| Provider Name | Diane Schoeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821274192 PECOS PAC ID: 3375795321 Enrollment ID: I20210226000211 |
| Provider Name | Esther Amprofi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912529819 PECOS PAC ID: 7618399064 Enrollment ID: I20210226001377 |
| Provider Name | Uzoma Anaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942568233 PECOS PAC ID: 6002186087 Enrollment ID: I20210228000022 |
| Provider Name | Jerome J Tuitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197366 PECOS PAC ID: 8921393075 Enrollment ID: I20210326002044 |
| Provider Name | Kunal Buch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124373196 PECOS PAC ID: 6608186325 Enrollment ID: I20210407000543 |
| Provider Name | Michael Assefa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457849333 PECOS PAC ID: 6709293871 Enrollment ID: I20210408000555 |
| Provider Name | Osama Elhilali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780023788 PECOS PAC ID: 7618256587 Enrollment ID: I20210426000320 |
| Provider Name | Katrina Mcclane Leshanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417184771 PECOS PAC ID: 6800035478 Enrollment ID: I20210503002216 |
| Provider Name | Dominique Juanita Crain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902332745 PECOS PAC ID: 4688083462 Enrollment ID: I20210506002946 |
| Provider Name | Oluwole Akinrinola Akintayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104264134 PECOS PAC ID: 8224272059 Enrollment ID: I20210526002044 |
| Provider Name | Vatsal G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891282596 PECOS PAC ID: 7618202250 Enrollment ID: I20210603002669 |
| Provider Name | Frank Conrad Duerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194220939 PECOS PAC ID: 1052710407 Enrollment ID: I20210604001445 |
| Provider Name | D'amico Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952805269 PECOS PAC ID: 1658627971 Enrollment ID: I20210614001066 |
| Provider Name | Brinsley E Ekinde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154854909 PECOS PAC ID: 9830599604 Enrollment ID: I20210616000150 |
| Provider Name | Kunal A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508354226 PECOS PAC ID: 8729339601 Enrollment ID: I20210624001220 |
| Provider Name | Jerry Sojan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104321611 PECOS PAC ID: 7517206204 Enrollment ID: I20210702001982 |
| Provider Name | Gloria Esoimeme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861999526 PECOS PAC ID: 9830591908 Enrollment ID: I20210712003148 |
| Provider Name | Sebastian Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023506854 PECOS PAC ID: 6901146554 Enrollment ID: I20210714003587 |
| Provider Name | Nicholas Mavromates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376048660 PECOS PAC ID: 6305198276 Enrollment ID: I20210722000006 |
| Provider Name | Kashiff Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194989723 PECOS PAC ID: 3476742297 Enrollment ID: I20210729002882 |
| Provider Name | Nishant Dixit Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083101760 PECOS PAC ID: 5496159170 Enrollment ID: I20210803000243 |
| Provider Name | Parth Pareshkumar Bhavsar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104323203 PECOS PAC ID: 4789932518 Enrollment ID: I20210811002522 |
| Provider Name | Sileshi Miheret Fenta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891283016 PECOS PAC ID: 0345551396 Enrollment ID: I20210817000508 |
| Provider Name | Kaushik Chaganty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548764079 PECOS PAC ID: 8729330501 Enrollment ID: I20210817000961 |
| Provider Name | Craig Novack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285121764 PECOS PAC ID: 0042615304 Enrollment ID: I20210825000118 |
| Provider Name | Pardeep Singh Taunk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336643477 PECOS PAC ID: 6608270699 Enrollment ID: I20210827001061 |
| Provider Name | Nina Jo Paletta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376048959 PECOS PAC ID: 4082966858 Enrollment ID: I20210908001063 |
| Provider Name | Florence N Iloh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255836680 PECOS PAC ID: 8224434709 Enrollment ID: I20210908003576 |
| Provider Name | Salome E Defore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245736172 PECOS PAC ID: 0840541561 Enrollment ID: I20210913003031 |
| Provider Name | Juliet Mkpuechina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790358299 PECOS PAC ID: 8921405028 Enrollment ID: I20210915003858 |
| Provider Name | Matthew Joseph Boss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588168538 PECOS PAC ID: 5193077964 Enrollment ID: I20210922001134 |
| Provider Name | Iroshan Sashika Handapangoda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164911376 PECOS PAC ID: 7517365620 Enrollment ID: I20211004002386 |
| Provider Name | Wycliffe Okumu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832354 PECOS PAC ID: 9335295310 Enrollment ID: I20211018000571 |
| Provider Name | Toni D Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598327975 PECOS PAC ID: 6406183318 Enrollment ID: I20211102002073 |
| Provider Name | Zachary Doegg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851745780 PECOS PAC ID: 3173810165 Enrollment ID: I20211112001600 |
| Provider Name | Henry M Ogbuagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992029987 PECOS PAC ID: 6507288032 Enrollment ID: I20211112001716 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20211112002608 |
| Provider Name | Renuka Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720374051 PECOS PAC ID: 0840514030 Enrollment ID: I20211116001482 |
| Provider Name | Cecile S. Muehrcke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053353318 PECOS PAC ID: 3072427392 Enrollment ID: I20211119000451 |
| Provider Name | Daniel P Meewes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148769 PECOS PAC ID: 0042446874 Enrollment ID: I20211130000204 |
| Provider Name | Ashlee Tubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487032520 PECOS PAC ID: 2062724917 Enrollment ID: I20211206002063 |
| Provider Name | Rachel Michelle Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013579846 PECOS PAC ID: 0143610022 Enrollment ID: I20211208002052 |
| Provider Name | Kathryn Dresser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326712712 PECOS PAC ID: 9638569254 Enrollment ID: I20211214000196 |
| Provider Name | Shivani Bishnoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528224839 PECOS PAC ID: 9739352725 Enrollment ID: I20211216000334 |
| Provider Name | Syed M. Shan-ul-islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487742896 PECOS PAC ID: 2769587948 Enrollment ID: I20211228001731 |
| Provider Name | Margaret Wambui Nyoro-o'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679146187 PECOS PAC ID: 7416348537 Enrollment ID: I20211229000008 |
| Provider Name | Jorge Margiela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467984138 PECOS PAC ID: 4981976420 Enrollment ID: I20211230000059 |
| Provider Name | Sudeep H Ruparelia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265817001 PECOS PAC ID: 9739480799 Enrollment ID: I20220204000678 |
| Provider Name | Sejal Bhatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306349972 PECOS PAC ID: 6709270531 Enrollment ID: I20220222000284 |
| Provider Name | Keylon Glawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023596236 PECOS PAC ID: 9638563752 Enrollment ID: I20220304001902 |
| Provider Name | Mohammad Annaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962481168 PECOS PAC ID: 1658385638 Enrollment ID: I20220310001930 |
| Provider Name | Elizabeth L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073834693 PECOS PAC ID: 3072755651 Enrollment ID: I20220413001801 |
| Provider Name | Olujide A Bamiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750341293 PECOS PAC ID: 1557364908 Enrollment ID: I20220418001874 |
| Provider Name | Deena Wise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982683488 PECOS PAC ID: 7517031115 Enrollment ID: I20220518001237 |
| Provider Name | Nagasasikanth Mopuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205399805 PECOS PAC ID: 2668875535 Enrollment ID: I20220606000862 |
| Provider Name | Dana Vinter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952833600 PECOS PAC ID: 8022369057 Enrollment ID: I20220607001080 |
| Provider Name | Kamilah J Spencer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760864474 PECOS PAC ID: 5799017109 Enrollment ID: I20220615000753 |
| Provider Name | Oluwarotimi Adepoju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982950937 PECOS PAC ID: 6608182084 Enrollment ID: I20220627000855 |
| Provider Name | Shashank Kailash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013441468 PECOS PAC ID: 3678953262 Enrollment ID: I20220628003547 |
| Provider Name | Andrew Kiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861811598 PECOS PAC ID: 4981905882 Enrollment ID: I20220630002187 |
| Provider Name | Angela H Sullivan-bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063405553 PECOS PAC ID: 6608776927 Enrollment ID: I20220705001752 |
| Provider Name | Jenson T Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285291070 PECOS PAC ID: 0244565174 Enrollment ID: I20220718001857 |
| Provider Name | Shail Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578025300 PECOS PAC ID: 9436484045 Enrollment ID: I20220719000921 |
| Provider Name | Spencer Peterson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740426048 PECOS PAC ID: 4587976204 Enrollment ID: I20220719003339 |
| Provider Name | Alexia Cassandra Mcintyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700318276 PECOS PAC ID: 5395160766 Enrollment ID: I20220722000509 |
| Provider Name | Obaid Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942866736 PECOS PAC ID: 0840671855 Enrollment ID: I20220722000783 |
| Provider Name | Anthony Adebayo Adetomiwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902469752 PECOS PAC ID: 3173905916 Enrollment ID: I20220727000189 |
| Provider Name | Fortunate Amarachukwu Ejimone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780242420 PECOS PAC ID: 9133501232 Enrollment ID: I20220805002682 |
| Provider Name | Stephen James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497218192 PECOS PAC ID: 4284016221 Enrollment ID: I20220808000636 |
| Provider Name | Michael Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194285783 PECOS PAC ID: 4789912767 Enrollment ID: I20220809000346 |
| Provider Name | Gasim Elshazali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922128339 PECOS PAC ID: 3274661889 Enrollment ID: I20220822000736 |
| Provider Name | Mohamed Owesh M Contractor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902367816 PECOS PAC ID: 9931438645 Enrollment ID: I20220824002262 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275549529 PECOS PAC ID: 8729031620 Enrollment ID: I20220831003096 |
| Provider Name | Kartik Kailesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568786465 PECOS PAC ID: 2466693346 Enrollment ID: I20220902000908 |
| Provider Name | Parul Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184289167 PECOS PAC ID: 8224428115 Enrollment ID: I20220906000695 |
| Provider Name | Trevor Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306399043 PECOS PAC ID: 5092040725 Enrollment ID: I20220906001774 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20220907002010 |
| Provider Name | Anne Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043398613 PECOS PAC ID: 9234264656 Enrollment ID: I20220908001377 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20220909000007 |
| Provider Name | Sherif Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518167188 PECOS PAC ID: 9830221233 Enrollment ID: I20220912002670 |
| Provider Name | Kathleen J Locker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578698270 PECOS PAC ID: 4082696968 Enrollment ID: I20220926001241 |
| Provider Name | Candace Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235290511 PECOS PAC ID: 8628028040 Enrollment ID: I20221007002234 |
| Provider Name | Mariama Barry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700446275 PECOS PAC ID: 1850627381 Enrollment ID: I20221011001652 |
| Provider Name | Oluwatoyin Alawale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780245829 PECOS PAC ID: 6204268857 Enrollment ID: I20221014002545 |
| Provider Name | Christopher Mattson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427051739 PECOS PAC ID: 4284876079 Enrollment ID: I20221025001695 |
| Provider Name | Shreya Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215464425 PECOS PAC ID: 4688944853 Enrollment ID: I20221027001519 |
| Provider Name | Beatrice Zepeda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235353954 PECOS PAC ID: 5294979530 Enrollment ID: I20221031002665 |
| Provider Name | Alexandria Mayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770043754 PECOS PAC ID: 6608243563 Enrollment ID: I20221104002484 |
| Provider Name | Dagmawit Assefa Mekuria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154986099 PECOS PAC ID: 0244607802 Enrollment ID: I20221110002311 |
| Provider Name | Ahmad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326595224 PECOS PAC ID: 8729341052 Enrollment ID: I20221122000656 |
| Provider Name | Irene W Tchuente |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053871327 PECOS PAC ID: 9931439262 Enrollment ID: I20221201000710 |
| Provider Name | Vishnu Vardhan Madireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811063761 PECOS PAC ID: 2860597671 Enrollment ID: I20221219001741 |
| Provider Name | Tyrone Butler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861874612 PECOS PAC ID: 4183974918 Enrollment ID: I20221222000787 |
| Provider Name | Alejandro Victoria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043200934 PECOS PAC ID: 2062502560 Enrollment ID: I20221230000103 |
| Provider Name | Anh Hoang Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134581762 PECOS PAC ID: 3375838402 Enrollment ID: I20230105000353 |
| Provider Name | Anne Marie Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336493519 PECOS PAC ID: 7911377767 Enrollment ID: I20230112000693 |
| Provider Name | Jiye Kwon Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043770928 PECOS PAC ID: 9739415266 Enrollment ID: I20230125001264 |
| Provider Name | Garrick Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487881439 PECOS PAC ID: 9234315409 Enrollment ID: I20230206003169 |
| Provider Name | Veronica Tassin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144626946 PECOS PAC ID: 7113201799 Enrollment ID: I20230209000374 |
| Provider Name | Ambiga Samiappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598012320 PECOS PAC ID: 9234442997 Enrollment ID: I20230223000690 |
| Provider Name | Muhammad Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588844286 PECOS PAC ID: 9931393766 Enrollment ID: I20230224000503 |
| Provider Name | Taira Everett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353901 PECOS PAC ID: 8123242096 Enrollment ID: I20230322003061 |
| Provider Name | Leela Samudra Kantamneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700443728 PECOS PAC ID: 2668876251 Enrollment ID: I20230518000859 |
| Provider Name | Marlene Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598394900 PECOS PAC ID: 4082019245 Enrollment ID: I20230522001064 |
| Provider Name | Ijeoma Arubaleze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881081933 PECOS PAC ID: 2062768591 Enrollment ID: I20230530000100 |
| Provider Name | Ljubomir Ilic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750348843 PECOS PAC ID: 7113020439 Enrollment ID: I20230609001595 |
| Provider Name | Alexander Mathai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104856608 PECOS PAC ID: 1759483209 Enrollment ID: I20230612001758 |
| Provider Name | Javed S Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614462 PECOS PAC ID: 2769609957 Enrollment ID: I20230615003252 |
| Provider Name | Sean Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841729449 PECOS PAC ID: 6305184342 Enrollment ID: I20230616001933 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437520301 PECOS PAC ID: 1951694165 Enrollment ID: I20230619001315 |
| Provider Name | Eboni Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942851597 PECOS PAC ID: 5597124214 Enrollment ID: I20230628003896 |
| Provider Name | Hansley Bobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689202517 PECOS PAC ID: 3173983384 Enrollment ID: I20230720000224 |
| Provider Name | Sean J Durkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538664230 PECOS PAC ID: 1254683113 Enrollment ID: I20230726000023 |
| Provider Name | Wesley Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740806652 PECOS PAC ID: 1254758493 Enrollment ID: I20230726003776 |
| Provider Name | Affiong Nsunwara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922310457 PECOS PAC ID: 9436386810 Enrollment ID: I20230731000339 |
| Provider Name | Mitsy Moreno Barr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962030866 PECOS PAC ID: 9436575008 Enrollment ID: I20230802004051 |
| Provider Name | Suzanne Pavlou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669414355 PECOS PAC ID: 4688838238 Enrollment ID: I20230808002518 |
| Provider Name | Zeshan Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760045462 PECOS PAC ID: 5991047813 Enrollment ID: I20230809003964 |
| Provider Name | Patrick Imonitie Igharosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336675032 PECOS PAC ID: 3678818663 Enrollment ID: I20230817001058 |
| Provider Name | Gabrielle Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619531621 PECOS PAC ID: 6800211210 Enrollment ID: I20230828002734 |
| Provider Name | Dhruv Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417214693 PECOS PAC ID: 3072827930 Enrollment ID: I20230831003942 |
| Provider Name | Haney N Assaad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730119702 PECOS PAC ID: 4385741750 Enrollment ID: I20230905003739 |
| Provider Name | Shelby Jane Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750085353 PECOS PAC ID: 4082078654 Enrollment ID: I20230914003351 |
| Provider Name | Michelle Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548503154 PECOS PAC ID: 6608171012 Enrollment ID: I20230919003222 |
| Provider Name | Samreen Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174486 PECOS PAC ID: 7618249350 Enrollment ID: I20231006000689 |
| Provider Name | Angela Asare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497019400 PECOS PAC ID: 3072753359 Enrollment ID: I20231013002496 |
| Provider Name | Paige Gorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750061164 PECOS PAC ID: 4385090398 Enrollment ID: I20231027000882 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20231027002277 |
| Provider Name | Adnan Lakhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871853671 PECOS PAC ID: 8628386539 Enrollment ID: I20231030001371 |
| Provider Name | Euginie Charlery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184204018 PECOS PAC ID: 7113322801 Enrollment ID: I20231122000261 |
| Provider Name | Muhammad Usman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841813383 PECOS PAC ID: 8729448410 Enrollment ID: I20231130002237 |
| Provider Name | Kareem Bazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639466436 PECOS PAC ID: 3274759428 Enrollment ID: I20231130003669 |
| Provider Name | Jeremy Pottash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497142046 PECOS PAC ID: 9931443470 Enrollment ID: I20231213001930 |
| Provider Name | Sholabomi Oyewole-eletu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922461128 PECOS PAC ID: 0446597751 Enrollment ID: I20231218000455 |
| Provider Name | Shannon Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376035105 PECOS PAC ID: 7315279940 Enrollment ID: I20231222001279 |
| Provider Name | Anjali Bhateja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924126 PECOS PAC ID: 8426345901 Enrollment ID: I20240110000610 |
| Provider Name | Gregory Benn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700440617 PECOS PAC ID: 2163891623 Enrollment ID: I20240122000355 |
| Provider Name | Swetha Musty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932686011 PECOS PAC ID: 2365796539 Enrollment ID: I20240122000416 |
| Provider Name | Ekaterina Latycheva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326301367 PECOS PAC ID: 3577870468 Enrollment ID: I20240126002290 |
| Provider Name | Kimberly Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932429099 PECOS PAC ID: 0446407183 Enrollment ID: I20240226003363 |
| Provider Name | Bushra Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073008033 PECOS PAC ID: 2860744786 Enrollment ID: I20240301001212 |
East Atlanta Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3660 Flat Shoals Rd, Suite 200, Decatur, GA 30034 Phone: 404-244-1813 Fax: 404-244-1831 | |
Nova Physician Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2732 Candler Rd, Decatur, GA 30034 Phone: 706-478-5717 Fax: 706-229-4883 | |
Metro Medical Associates Of Decatur, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 Lawrenceville Hwy, Decatur, GA 30033 Phone: 404-292-8335 Fax: 678-904-2649 | |
Snapfinger Woods Family Practice Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5071 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 770-981-0600 Fax: 770-981-0677 | |
Whole Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 W Ponce De Leon Ave, Decatur, GA 30030 Phone: 404-377-9010 Fax: 404-935-0254 | |
Unity Health Systems Of Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4229 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 404-289-0313 Fax: 404-289-0314 | |
Empower Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Swanton Way Ste A, Suite 101, Decatur, GA 30030 Phone: 404-981-6278 |