| Cogent Healthcare Of Washington, Pc | |
|
400 Ne Mother Joseph Pl Vancouver WA 98664-3200 | |
| (360) 256-2000 | |
| Not Available |
| Full Name | Cogent Healthcare Of Washington, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Ne Mother Joseph Pl, Vancouver, Washington |
| 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 Washington, Pc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5670 | Cogent Healthcare Of Washington, Pc 400 Ne Mother Joseph Pl Vancouver WA 98664-3200 Ph: (360) 256-2000 |
| NPI Number | 1861430522 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 06/23/2008 |
| Medicare PECOS PAC ID | 2062306350 |
|---|---|
| Medicare Enrollment ID | O20040209000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861430522 | NPI | - | NPPES |
| 7120983 | Medicaid | WA |
| Provider Name | William M Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902887276 PECOS PAC ID: 5991619207 Enrollment ID: I20031119000282 |
| Provider Name | Kenneth C Ejiogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578580270 PECOS PAC ID: 2163317165 Enrollment ID: I20040218000789 |
| Provider Name | Sushanta K Goswami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366548547 PECOS PAC ID: 1254229065 Enrollment ID: I20040304000888 |
| Provider Name | Kirk Brownell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326077710 PECOS PAC ID: 8729979505 Enrollment ID: I20040322001310 |
| Provider Name | Lesya Semenyuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336210202 PECOS PAC ID: 2163413675 Enrollment ID: I20040522000352 |
| Provider Name | Gabor Koves |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336172469 PECOS PAC ID: 5092781948 Enrollment ID: I20040902000757 |
| Provider Name | Rending Xu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063437028 PECOS PAC ID: 2860458155 Enrollment ID: I20041208000643 |
| Provider Name | Eric R Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245229566 PECOS PAC ID: 7911953534 Enrollment ID: I20050328000388 |
| Provider Name | Allen L Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528035565 PECOS PAC ID: 7719925593 Enrollment ID: I20050421000972 |
| Provider Name | Rana T Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225059199 PECOS PAC ID: 6507806551 Enrollment ID: I20050509000975 |
| Provider Name | Sun J Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811914484 PECOS PAC ID: 5193789626 Enrollment ID: I20050601000361 |
| Provider Name | Khalid Aslam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578593703 PECOS PAC ID: 7810925443 Enrollment ID: I20050803000756 |
| Provider Name | Joshua W Studer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700957651 PECOS PAC ID: 3678502200 Enrollment ID: I20050804000476 |
| Provider Name | Truc Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255352829 PECOS PAC ID: 6507897600 Enrollment ID: I20050829000642 |
| Provider Name | Keith C Pasternak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477567725 PECOS PAC ID: 8123048410 Enrollment ID: I20051201000345 |
| Provider Name | Charles C Nam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588611313 PECOS PAC ID: 9234146747 Enrollment ID: I20060308000437 |
| Provider Name | Patrick M Fraser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942367560 PECOS PAC ID: 5698784437 Enrollment ID: I20060406000307 |
| Provider Name | Andris E Radvany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245233576 PECOS PAC ID: 8224049663 Enrollment ID: I20060519000148 |
| Provider Name | Dante Arranza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437173275 PECOS PAC ID: 7416960919 Enrollment ID: I20060731000265 |
| Provider Name | Kristine L Tiuseco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548295058 PECOS PAC ID: 6204830722 Enrollment ID: I20060914000092 |
| Provider Name | Nils W Naviaux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821107178 PECOS PAC ID: 1951296524 Enrollment ID: I20061113000100 |
| Provider Name | Sarah M Iregui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770673444 PECOS PAC ID: 1456252535 Enrollment ID: I20061114000430 |
| Provider Name | Brent L Herr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982670881 PECOS PAC ID: 5698775740 Enrollment ID: I20070113000157 |
| Provider Name | Emad N Girgis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235146077 PECOS PAC ID: 8820197734 Enrollment ID: I20070712000594 |
| Provider Name | Cha Johnny Vang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760509897 PECOS PAC ID: 8729179742 Enrollment ID: I20070807000428 |
| Provider Name | Cheryl A Kubisty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780602490 PECOS PAC ID: 4385736990 Enrollment ID: I20070827000529 |
| Provider Name | Eve Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720094592 PECOS PAC ID: 6002876216 Enrollment ID: I20070913000012 |
| Provider Name | Song Y Hong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700070208 PECOS PAC ID: 0547343550 Enrollment ID: I20080214000325 |
| Provider Name | Maryjayne M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225123888 PECOS PAC ID: 0244314482 Enrollment ID: I20080226000604 |
| Provider Name | Martha Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275532699 PECOS PAC ID: 7113004094 Enrollment ID: I20080402000380 |
| Provider Name | W. S Sandeno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538167531 PECOS PAC ID: 0840379137 Enrollment ID: I20080512000713 |
| Provider Name | Clark O Parrish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891791232 PECOS PAC ID: 3971672262 Enrollment ID: I20080512000767 |
| Provider Name | Irina Case |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972787018 PECOS PAC ID: 6507930179 Enrollment ID: I20080730000423 |
| Provider Name | Rajshree B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811195738 PECOS PAC ID: 2062505274 Enrollment ID: I20080912000307 |
| Provider Name | Narinderpal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285796987 PECOS PAC ID: 0446352983 Enrollment ID: I20081031000254 |
| Provider Name | Gabriella Szilvia Skuta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346486297 PECOS PAC ID: 1153484191 Enrollment ID: I20090116000305 |
| Provider Name | Richard N Pulido |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497942064 PECOS PAC ID: 3173610102 Enrollment ID: I20090130000519 |
| Provider Name | Ricardo Lafleur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932281250 PECOS PAC ID: 1951300938 Enrollment ID: I20090302000692 |
| Provider Name | Radu A Florea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043485030 PECOS PAC ID: 8325105141 Enrollment ID: I20090324000046 |
| Provider Name | Jonathan W Fish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629039599 PECOS PAC ID: 9537216130 Enrollment ID: I20090420000178 |
| Provider Name | Franchot V Slot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386864593 PECOS PAC ID: 5597858175 Enrollment ID: I20090423000484 |
| Provider Name | Sang Yoon Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538306014 PECOS PAC ID: 2264583111 Enrollment ID: I20090706000497 |
| Provider Name | Daniel D Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831168517 PECOS PAC ID: 0749250629 Enrollment ID: I20090715000154 |
| Provider Name | Rajendra K Suvarna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265434633 PECOS PAC ID: 8820039712 Enrollment ID: I20090811000515 |
| Provider Name | Khadijah Wright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912196726 PECOS PAC ID: 0749335800 Enrollment ID: I20090826000390 |
| Provider Name | Deborah Ann Volk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574081 PECOS PAC ID: 4880596311 Enrollment ID: I20090826000435 |
| Provider Name | Teresa H Lam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982721858 PECOS PAC ID: 3375699440 Enrollment ID: I20090915000816 |
| Provider Name | Malik F Fuimaono |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487884573 PECOS PAC ID: 7113063413 Enrollment ID: I20090929000655 |
| Provider Name | Mukesh K Thawani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174716427 PECOS PAC ID: 5890832810 Enrollment ID: I20091023000626 |
| Provider Name | Edgar Alberto Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370176 PECOS PAC ID: 4385700434 Enrollment ID: I20100115000411 |
| Provider Name | Joseph Daniel Gottfried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801829262 PECOS PAC ID: 4486799483 Enrollment ID: I20100302000516 |
| Provider Name | Rebecca Ann Townsend |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962502815 PECOS PAC ID: 0143111534 Enrollment ID: I20100310000683 |
| Provider Name | Ayesha Akhter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134174469 PECOS PAC ID: 0345378527 Enrollment ID: I20100507000812 |
| Provider Name | David Munoz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447284807 PECOS PAC ID: 9234193202 Enrollment ID: I20100603000140 |
| Provider Name | Jawaid Behnawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174722979 PECOS PAC ID: 3173653268 Enrollment ID: I20100616000762 |
| Provider Name | Vladimir I Bogin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992782700 PECOS PAC ID: 5991836975 Enrollment ID: I20100708000886 |
| Provider Name | Eduardo Goo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376561266 PECOS PAC ID: 7315931557 Enrollment ID: I20100812000438 |
| Provider Name | Alan C Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104076843 PECOS PAC ID: 2769518075 Enrollment ID: I20100922001264 |
| Provider Name | Abdullah Oz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083692412 PECOS PAC ID: 3678568995 Enrollment ID: I20110110000311 |
| Provider Name | Gunjan M Dalal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871766147 PECOS PAC ID: 3678632528 Enrollment ID: I20110301001164 |
| Provider Name | Adam D Mekonnen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215196555 PECOS PAC ID: 0244413854 Enrollment ID: I20110324000819 |
| Provider Name | Monica P Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619288156 PECOS PAC ID: 9436338258 Enrollment ID: I20110823000571 |
| Provider Name | Girish Bhambhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740497684 PECOS PAC ID: 7214021245 Enrollment ID: I20110831000449 |
| Provider Name | Kashiff Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194989723 PECOS PAC ID: 3476742297 Enrollment ID: I20110831000750 |
| Provider Name | Evgeniya P Gorbacheva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457528473 PECOS PAC ID: 8527238286 Enrollment ID: I20110907001203 |
| Provider Name | Xiaokui Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740440759 PECOS PAC ID: 3779758594 Enrollment ID: I20111206000823 |
| Provider Name | Purvi S Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225248735 PECOS PAC ID: 2567521578 Enrollment ID: I20111213000382 |
| Provider Name | Piotr H Tabaczewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568657450 PECOS PAC ID: 3375699358 Enrollment ID: I20111213000438 |
| Provider Name | James M Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477707685 PECOS PAC ID: 4082807136 Enrollment ID: I20111216000359 |
| Provider Name | Harjeet S Dhillon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508076985 PECOS PAC ID: 4688739683 Enrollment ID: I20111222000184 |
| Provider Name | Madeline Borhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063440675 PECOS PAC ID: 8224007240 Enrollment ID: I20120319000091 |
| Provider Name | Arthur T Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104927730 PECOS PAC ID: 7810960937 Enrollment ID: I20120828000648 |
| Provider Name | Nathaniel L Yu Chua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518290931 PECOS PAC ID: 8820246291 Enrollment ID: I20120911000224 |
| Provider Name | Dexter Preugschat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306158779 PECOS PAC ID: 3971753583 Enrollment ID: I20121017000114 |
| Provider Name | Nai Yen Nelson Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730317462 PECOS PAC ID: 3971753096 Enrollment ID: I20121026000368 |
| Provider Name | Anit Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336377381 PECOS PAC ID: 4486804234 Enrollment ID: I20121101000292 |
| Provider Name | Catherine M Bjerum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275616021 PECOS PAC ID: 2365441524 Enrollment ID: I20121108000441 |
| Provider Name | Sachin Khandelwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093940116 PECOS PAC ID: 3678725686 Enrollment ID: I20121219000535 |
| Provider Name | Sudeep R Kommidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376776377 PECOS PAC ID: 5193977155 Enrollment ID: I20121220000434 |
| Provider Name | Hao Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558688945 PECOS PAC ID: 4981845013 Enrollment ID: I20130731000871 |
| Provider Name | David Rochelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093037632 PECOS PAC ID: 1355508532 Enrollment ID: I20130904000542 |
| Provider Name | Asra Razia Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431885 PECOS PAC ID: 6305080557 Enrollment ID: I20130910000482 |
| Provider Name | Andriy M Viter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528371622 PECOS PAC ID: 8426292467 Enrollment ID: I20130913000267 |
| Provider Name | Samira Bahrainy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447446901 PECOS PAC ID: 4688818909 Enrollment ID: I20130926000169 |
| Provider Name | Jeffrey Wells Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487088738 PECOS PAC ID: 0941247928 Enrollment ID: I20131001000308 |
| Provider Name | Usha R Emani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629392220 PECOS PAC ID: 7012141575 Enrollment ID: I20131016001083 |
| Provider Name | Vickas K Dangayach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154641736 PECOS PAC ID: 5496980856 Enrollment ID: I20131021001538 |
| Provider Name | Rakesh Reddy Tekulapally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164659793 PECOS PAC ID: 4183859341 Enrollment ID: I20131025000039 |
| Provider Name | Kelly D Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982896361 PECOS PAC ID: 6507037843 Enrollment ID: I20131205001100 |
| Provider Name | Dhakshayani Sundaralingam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942289780 PECOS PAC ID: 5890753107 Enrollment ID: I20131218001429 |
| Provider Name | Joseph Barthelemy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447567011 PECOS PAC ID: 5294960985 Enrollment ID: I20131220000787 |
| Provider Name | Jayashree Narayanan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093030223 PECOS PAC ID: 4486882313 Enrollment ID: I20140122001105 |
| Provider Name | Bhupesh Ratansingh Rathod |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699077263 PECOS PAC ID: 8325225949 Enrollment ID: I20140220000505 |
| Provider Name | Brandy Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982032629 PECOS PAC ID: 6800026519 Enrollment ID: I20140225001342 |
| Provider Name | Kristine Theresa Coons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013293422 PECOS PAC ID: 4688813728 Enrollment ID: I20140719000054 |
| Provider Name | Wen Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20140730002861 |
| Provider Name | Srividya Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922388255 PECOS PAC ID: 1951528181 Enrollment ID: I20140812002711 |
| Provider Name | Maninder Mahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225325764 PECOS PAC ID: 7618109208 Enrollment ID: I20140821000047 |
| Provider Name | Affan W Rabbani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598043069 PECOS PAC ID: 7618109216 Enrollment ID: I20140912001056 |
| Provider Name | Amatullah Tasneem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306129705 PECOS PAC ID: 0446471890 Enrollment ID: I20141028001425 |
| Provider Name | Rosa L Rangel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528090701 PECOS PAC ID: 8729150966 Enrollment ID: I20141204001726 |
| Provider Name | Alicia S Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720036411 PECOS PAC ID: 8325041213 Enrollment ID: I20141215000376 |
| Provider Name | Mu Qiao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992947063 PECOS PAC ID: 5597912774 Enrollment ID: I20150219000479 |
| Provider Name | Venkata S Yadavalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841503232 PECOS PAC ID: 8123254067 Enrollment ID: I20150513000006 |
| Provider Name | Yongqing Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144570581 PECOS PAC ID: 0244550119 Enrollment ID: I20150515000747 |
| Provider Name | Janet J Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053668079 PECOS PAC ID: 0244551307 Enrollment ID: I20150602001337 |
| Provider Name | Ravikiran Ellandula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356623177 PECOS PAC ID: 7517183304 Enrollment ID: I20150605002854 |
| Provider Name | Sulakshna Dhamija |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20150708001130 |
| Provider Name | Puneet Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902161631 PECOS PAC ID: 0042453565 Enrollment ID: I20150731016518 |
| Provider Name | Micaela Theisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902158421 PECOS PAC ID: 9830342369 Enrollment ID: I20150820010016 |
| Provider Name | Naseer Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962769380 PECOS PAC ID: 0446565238 Enrollment ID: I20150824001529 |
| Provider Name | Nicolas K Veohongs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881955599 PECOS PAC ID: 0244547156 Enrollment ID: I20150909002284 |
| Provider Name | Charles G Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033441456 PECOS PAC ID: 4688846371 Enrollment ID: I20150930000740 |
| Provider Name | James D Atkisson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851377303 PECOS PAC ID: 8820999717 Enrollment ID: I20151009001312 |
| Provider Name | Venkatesh Jairam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952748154 PECOS PAC ID: 7810138096 Enrollment ID: I20151013000659 |
| Provider Name | Gayatri Yambem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093066748 PECOS PAC ID: 9931418860 Enrollment ID: I20151015002193 |
| Provider Name | Ali Abdulhameed Kareem Alhusseini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770840738 PECOS PAC ID: 7012162431 Enrollment ID: I20151102001714 |
| Provider Name | Tamas Ungar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891040572 PECOS PAC ID: 2769792597 Enrollment ID: I20151106002373 |
| Provider Name | John Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194106039 PECOS PAC ID: 0446560908 Enrollment ID: I20151112002031 |
| Provider Name | Desiree H Lehmann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639426232 PECOS PAC ID: 9638470131 Enrollment ID: I20151228001710 |
| Provider Name | Benjamin P Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336435049 PECOS PAC ID: 2769709369 Enrollment ID: I20151231001252 |
| Provider Name | Brian F Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407067903 PECOS PAC ID: 8123211679 Enrollment ID: I20160111002330 |
| Provider Name | Adiba A Syeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992011845 PECOS PAC ID: 6406086370 Enrollment ID: I20160118000913 |
| Provider Name | Promish Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366797524 PECOS PAC ID: 2365752052 Enrollment ID: I20160122001301 |
| Provider Name | Mandar S Ajgaonkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477717452 PECOS PAC ID: 2860670965 Enrollment ID: I20160218002532 |
| Provider Name | Senthilraj Nadarajah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164437935 PECOS PAC ID: 9537198296 Enrollment ID: I20160304001298 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20160422000793 |
| Provider Name | Jooyeon Hong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417299900 PECOS PAC ID: 8224349246 Enrollment ID: I20160518001224 |
| Provider Name | Suresh Nepal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467893438 PECOS PAC ID: 0840580221 Enrollment ID: I20160526002067 |
| Provider Name | Mary D Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023401627 PECOS PAC ID: 2163712142 Enrollment ID: I20160602002537 |
| Provider Name | Jason Chung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770923476 PECOS PAC ID: 5698065399 Enrollment ID: I20160608002507 |
| Provider Name | Arthur E Bagabag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932467206 PECOS PAC ID: 4183914716 Enrollment ID: I20160609001104 |
| Provider Name | Lesley Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558519231 PECOS PAC ID: 5193952059 Enrollment ID: I20160613001537 |
| Provider Name | Sara Suzanne Kemp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790051167 PECOS PAC ID: 7517117757 Enrollment ID: I20160711000027 |
| Provider Name | Liang Du |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912347758 PECOS PAC ID: 0941593701 Enrollment ID: I20160801002139 |
| Provider Name | In Kyu Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033452073 PECOS PAC ID: 1850533233 Enrollment ID: I20160803000619 |
| Provider Name | Alex Yu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548557838 PECOS PAC ID: 9739355603 Enrollment ID: I20160830001671 |
| Provider Name | Judith Glann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851395743 PECOS PAC ID: 1951345552 Enrollment ID: I20160926001696 |
| Provider Name | Zin M Tun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508122136 PECOS PAC ID: 3779806161 Enrollment ID: I20161004001399 |
| Provider Name | Tony George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912291873 PECOS PAC ID: 4284922709 Enrollment ID: I20161014001800 |
| Provider Name | Sophana Karnchanasorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710165303 PECOS PAC ID: 6800933276 Enrollment ID: I20161021001771 |
| Provider Name | Shristi Kunwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497043319 PECOS PAC ID: 1355569435 Enrollment ID: I20161024001034 |
| Provider Name | Precious L Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477819159 PECOS PAC ID: 6103136163 Enrollment ID: I20161213000453 |
| Provider Name | Yirgalem A Tiruneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235540485 PECOS PAC ID: 0143500769 Enrollment ID: I20161216000946 |
| Provider Name | Muhammad A Ghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235359696 PECOS PAC ID: 6507903531 Enrollment ID: I20170104000308 |
| Provider Name | Birpal Pannu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912285867 PECOS PAC ID: 0941432959 Enrollment ID: I20170208000804 |
| Provider Name | John Ibarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881606408 PECOS PAC ID: 2961407697 Enrollment ID: I20170222000552 |
| Provider Name | Aruna A Hawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578901567 PECOS PAC ID: 8820372667 Enrollment ID: I20170223000465 |
| Provider Name | Kevin S Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568878379 PECOS PAC ID: 7416233382 Enrollment ID: I20170406002156 |
| Provider Name | Christopher Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528233582 PECOS PAC ID: 3678745940 Enrollment ID: I20170406002628 |
| Provider Name | Navroop Nagra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720494347 PECOS PAC ID: 2860778024 Enrollment ID: I20170424002440 |
| Provider Name | De An Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568825099 PECOS PAC ID: 5597056671 Enrollment ID: I20170615002146 |
| Provider Name | Rupinder K Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962498741 PECOS PAC ID: 3173557881 Enrollment ID: I20170626002781 |
| Provider Name | Navpreet S Bassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801208731 PECOS PAC ID: 0840569323 Enrollment ID: I20170627003088 |
| Provider Name | Xiaosong Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740600659 PECOS PAC ID: 0547539025 Enrollment ID: I20170627003209 |
| Provider Name | Shoaib B Fareedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851703540 PECOS PAC ID: 3476844564 Enrollment ID: I20170627003271 |
| Provider Name | Miao Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013334432 PECOS PAC ID: 9638481583 Enrollment ID: I20170628000396 |
| Provider Name | The Hung Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982005815 PECOS PAC ID: 4981973393 Enrollment ID: I20170628001273 |
| Provider Name | Suryanarayan Mohapatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720487994 PECOS PAC ID: 9830468255 Enrollment ID: I20170628001522 |
| Provider Name | Raj B Penumetsa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952667974 PECOS PAC ID: 3678873288 Enrollment ID: I20170628001970 |
| Provider Name | Navdeep Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477968337 PECOS PAC ID: 9830488071 Enrollment ID: I20170628002395 |
| Provider Name | Siddharth A Bale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508144478 PECOS PAC ID: 8325266166 Enrollment ID: I20170629001217 |
| Provider Name | Wesley Ablemona |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881004521 PECOS PAC ID: 7618246851 Enrollment ID: I20170703001851 |
| Provider Name | Erin Elizabeth Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376954313 PECOS PAC ID: 2961791207 Enrollment ID: I20170711002740 |
| Provider Name | Nizar Senussi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174964878 PECOS PAC ID: 4688973589 Enrollment ID: I20170712002849 |
| Provider Name | Niba F Nchotu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366709792 PECOS PAC ID: 3274854153 Enrollment ID: I20170714002137 |
| Provider Name | Cosmas Okaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346668548 PECOS PAC ID: 8628349172 Enrollment ID: I20170802002339 |
| Provider Name | Ajay Venkataram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043625478 PECOS PAC ID: 6103127006 Enrollment ID: I20170810003778 |
| Provider Name | Venkata P Konda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679851786 PECOS PAC ID: 6305065996 Enrollment ID: I20170814002740 |
| Provider Name | Michelle Anh Mai Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366988560 PECOS PAC ID: 8224301718 Enrollment ID: I20170905002582 |
| Provider Name | Edwin F Hargitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568872711 PECOS PAC ID: 1759666449 Enrollment ID: I20170905003287 |
| Provider Name | Shiquan Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104182757 PECOS PAC ID: 1850664210 Enrollment ID: I20170906002604 |
| Provider Name | Susheel R Ramasahayam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366763849 PECOS PAC ID: 8729236864 Enrollment ID: I20170929002581 |
| Provider Name | Paul T Brinn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619381910 PECOS PAC ID: 1759651078 Enrollment ID: I20171012001927 |
| Provider Name | Christine Marie Wiese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538615042 PECOS PAC ID: 8921386004 Enrollment ID: I20171030003073 |
| Provider Name | Maria S Peila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942628318 PECOS PAC ID: 9739305574 Enrollment ID: I20171102000956 |
| Provider Name | Manami Furuya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396935870 PECOS PAC ID: 5890857635 Enrollment ID: I20171219002209 |
| Provider Name | Kristen L Kilcrease |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841603511 PECOS PAC ID: 5294093167 Enrollment ID: I20171222000963 |
| Provider Name | Rachel Marie Parmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811400179 PECOS PAC ID: 2668731217 Enrollment ID: I20180105001146 |
| Provider Name | Hannah J Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093036071 PECOS PAC ID: 4284877424 Enrollment ID: I20180315001210 |
| Provider Name | Ambiga Samiappan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598012320 PECOS PAC ID: 9234442997 Enrollment ID: I20180328000696 |
| Provider Name | Kelly M Carlisle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760461875 PECOS PAC ID: 5294758819 Enrollment ID: I20180430002246 |
| Provider Name | Minette C Lukban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518287739 PECOS PAC ID: 7315139029 Enrollment ID: I20180530002645 |
| Provider Name | Hrishikesh S Raut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861792335 PECOS PAC ID: 8820225444 Enrollment ID: I20180618001593 |
| Provider Name | Mohammed Ali Al-awadhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114366143 PECOS PAC ID: 5799087060 Enrollment ID: I20180621001671 |
| Provider Name | Alain U Alisasis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417338393 PECOS PAC ID: 5597013771 Enrollment ID: I20180803001452 |
| Provider Name | Syed Raza Ali Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730563594 PECOS PAC ID: 2264748151 Enrollment ID: I20180807002526 |
| Provider Name | Priscilla Kim Codiga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629009402 PECOS PAC ID: 7315926979 Enrollment ID: I20180906000245 |
| Provider Name | Ryan B Trinh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851704563 PECOS PAC ID: 2668699224 Enrollment ID: I20180924003396 |
| Provider Name | Taylor Robert Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356860886 PECOS PAC ID: 7517219868 Enrollment ID: I20181015001656 |
| Provider Name | Mary Elizabeth Q Platt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972983146 PECOS PAC ID: 7012225261 Enrollment ID: I20181025002115 |
| Provider Name | Dal Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629450804 PECOS PAC ID: 3779836259 Enrollment ID: I20181031000207 |
| Provider Name | Maya Swaminathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629465026 PECOS PAC ID: 0042578239 Enrollment ID: I20181109002819 |
| Provider Name | Nicka I Khalilova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598102204 PECOS PAC ID: 2860626348 Enrollment ID: I20181127001881 |
| Provider Name | Michael Wakin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477914208 PECOS PAC ID: 6608173869 Enrollment ID: I20181210002138 |
| Provider Name | Nazia A Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952783771 PECOS PAC ID: 1557677887 Enrollment ID: I20181220002435 |
| Provider Name | Sandra M Demars |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811212749 PECOS PAC ID: 3173820156 Enrollment ID: I20190125002713 |
| Provider Name | Rachel Hill May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003391343 PECOS PAC ID: 1658618780 Enrollment ID: I20190129000429 |
| Provider Name | Aaron J Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679992150 PECOS PAC ID: 3072850015 Enrollment ID: I20190129001045 |
| Provider Name | Jessica R Maike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841701752 PECOS PAC ID: 3779821079 Enrollment ID: I20190212002082 |
| Provider Name | Julius Larosa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780605071 PECOS PAC ID: 2466477997 Enrollment ID: I20190301000850 |
| Provider Name | Ravneet K Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841647443 PECOS PAC ID: 3577855972 Enrollment ID: I20190320001464 |
| Provider Name | Mina Walaa Yousef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124478086 PECOS PAC ID: 4981997947 Enrollment ID: I20190418001444 |
| Provider Name | Fangchen Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417108077 PECOS PAC ID: 4880889328 Enrollment ID: I20190515002792 |
| Provider Name | Jon J Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912093923 PECOS PAC ID: 7214824093 Enrollment ID: I20190529000530 |
| Provider Name | Mark Dean Torres Aguiling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043567100 PECOS PAC ID: 5799926382 Enrollment ID: I20190531001785 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20190610001960 |
| Provider Name | Katie Higgins Pernick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487136859 PECOS PAC ID: 8123353125 Enrollment ID: I20190712002251 |
| Provider Name | Arun Mathews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649230145 PECOS PAC ID: 8729011812 Enrollment ID: I20190724000451 |
| Provider Name | Mitchel Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629424981 PECOS PAC ID: 4688901796 Enrollment ID: I20190813001249 |
| Provider Name | Spencer Patrick Nagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639585813 PECOS PAC ID: 9335424126 Enrollment ID: I20190820002796 |
| Provider Name | Eshita Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780083949 PECOS PAC ID: 7416236781 Enrollment ID: I20190830002433 |
| Provider Name | Elizabeth A Yeater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093367005 PECOS PAC ID: 4082943949 Enrollment ID: I20190903001669 |
| Provider Name | Corey P Mccart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972965069 PECOS PAC ID: 9830482587 Enrollment ID: I20190925000520 |
| Provider Name | Jeffrey Lio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255795639 PECOS PAC ID: 4981935442 Enrollment ID: I20191014003507 |
| Provider Name | Sharanya Satkunanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730539784 PECOS PAC ID: 1254622970 Enrollment ID: I20191017002058 |
| Provider Name | Aneil S Parhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983569 PECOS PAC ID: 5991076697 Enrollment ID: I20191018001609 |
| Provider Name | Christopher P Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386081354 PECOS PAC ID: 9436429289 Enrollment ID: I20191021001816 |
| Provider Name | Amare Melak Kassahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538721881 PECOS PAC ID: 1153653001 Enrollment ID: I20191028000543 |
| Provider Name | Nawazish Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801241112 PECOS PAC ID: 1850623463 Enrollment ID: I20191031002463 |
| Provider Name | Arnold K Cha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811320179 PECOS PAC ID: 0749505998 Enrollment ID: I20191108002249 |
| Provider Name | Amaleswari Pamarthy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265745459 PECOS PAC ID: 5193975753 Enrollment ID: I20191115000804 |
| Provider Name | Divya Sachdev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760834428 PECOS PAC ID: 9830521590 Enrollment ID: I20191118002527 |
| Provider Name | Daniel J Rona-hartzog |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376906941 PECOS PAC ID: 4587956438 Enrollment ID: I20191122001599 |
| Provider Name | Cris Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366824914 PECOS PAC ID: 1557634862 Enrollment ID: I20191202001154 |
| Provider Name | Quy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871885194 PECOS PAC ID: 5698902567 Enrollment ID: I20191210000841 |
| Provider Name | David Christopher Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437621612 PECOS PAC ID: 9335488956 Enrollment ID: I20191219002641 |
| Provider Name | Amil Rafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669785804 PECOS PAC ID: 4880812452 Enrollment ID: I20191226001504 |
| Provider Name | David Isaac Golembiowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528087186 PECOS PAC ID: 0446685796 Enrollment ID: I20200115002042 |
| Provider Name | Joseph Aiyenowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598792657 PECOS PAC ID: 9931395332 Enrollment ID: I20200116001377 |
| Provider Name | Karan Mehta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760864102 PECOS PAC ID: 8022388800 Enrollment ID: I20200122001052 |
| Provider Name | Meenu Marie Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013321611 PECOS PAC ID: 9830318989 Enrollment ID: I20200124001355 |
| Provider Name | Ingrid A Draney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710536099 PECOS PAC ID: 5597191262 Enrollment ID: I20200129001284 |
| Provider Name | Quynh-lan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184064149 PECOS PAC ID: 1951697895 Enrollment ID: I20200206003028 |
| Provider Name | Andrew Kunkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356761985 PECOS PAC ID: 1254680663 Enrollment ID: I20200213000844 |
| Provider Name | Christine M Faulds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760789176 PECOS PAC ID: 5597934430 Enrollment ID: I20200213002796 |
| Provider Name | Michael S Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134324080 PECOS PAC ID: 5496845729 Enrollment ID: I20200219000647 |
| Provider Name | Alyse K Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578941373 PECOS PAC ID: 7315259884 Enrollment ID: I20200329000242 |
| Provider Name | Arun Josyula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598968125 PECOS PAC ID: 7618003849 Enrollment ID: I20200401002569 |
| Provider Name | Nidhi Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154633626 PECOS PAC ID: 9335377704 Enrollment ID: I20200415001826 |
| Provider Name | Michael N Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407146269 PECOS PAC ID: 9638397557 Enrollment ID: I20200505003211 |
| Provider Name | Mariam Lotia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437599065 PECOS PAC ID: 3072807213 Enrollment ID: I20200506002788 |
| Provider Name | Debapriya De |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215136197 PECOS PAC ID: 5496849465 Enrollment ID: I20200512001639 |
| Provider Name | Venkataraman Palabindala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114158367 PECOS PAC ID: 3375791312 Enrollment ID: I20200602000382 |
| Provider Name | Rathan Nair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386956720 PECOS PAC ID: 9830325349 Enrollment ID: I20200604002435 |
| Provider Name | Priyanka Attri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023490059 PECOS PAC ID: 9830469949 Enrollment ID: I20200701002358 |
| Provider Name | Josef Edrik Keith Abiog Bautista |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700131125 PECOS PAC ID: 4789802919 Enrollment ID: I20200714001167 |
| Provider Name | Aaron C Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841724721 PECOS PAC ID: 9133464340 Enrollment ID: I20200723001254 |
| Provider Name | John Vu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245768753 PECOS PAC ID: 4082984042 Enrollment ID: I20200723001387 |
| Provider Name | Malik Ahmed Nizamuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235663063 PECOS PAC ID: 7012252232 Enrollment ID: I20200817001399 |
| Provider Name | Andrea Prokop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760910558 PECOS PAC ID: 7012260888 Enrollment ID: I20200903003432 |
| Provider Name | Abhinit Singh Jawanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649794025 PECOS PAC ID: 7517233570 Enrollment ID: I20200914002345 |
| Provider Name | Gib Kirk Linzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891211249 PECOS PAC ID: 6800121047 Enrollment ID: I20200918001695 |
| Provider Name | Ingmar Klaseen Prokop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881129948 PECOS PAC ID: 5092053082 Enrollment ID: I20200921002223 |
| Provider Name | Alma Fe Houghton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679006852 PECOS PAC ID: 7618241407 Enrollment ID: I20200923001584 |
| Provider Name | Mayank Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093160483 PECOS PAC ID: 6901140433 Enrollment ID: I20201001003007 |
| Provider Name | John Taylor Gabriel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992237929 PECOS PAC ID: 9032462809 Enrollment ID: I20201002002922 |
| Provider Name | Zhou Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679094833 PECOS PAC ID: 1153687140 Enrollment ID: I20201020000719 |
| Provider Name | Saba Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871025957 PECOS PAC ID: 8426380437 Enrollment ID: I20201112001953 |
| Provider Name | Macon F Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467675306 PECOS PAC ID: 4385059179 Enrollment ID: I20210208002127 |
| Provider Name | Mark Hilmy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427584572 PECOS PAC ID: 4385988898 Enrollment ID: I20210308001014 |
| Provider Name | Ryan Kelly Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922480730 PECOS PAC ID: 8527363282 Enrollment ID: I20210311002411 |
| Provider Name | Angela Solji Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730582321 PECOS PAC ID: 8325468184 Enrollment ID: I20210331002431 |
| Provider Name | Sean Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841729449 PECOS PAC ID: 6305184342 Enrollment ID: I20210408001962 |
| Provider Name | Amna Jehan Ara Ahmed Fareedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386177293 PECOS PAC ID: 7315378189 Enrollment ID: I20210415002241 |
| Provider Name | Stuart S Haigler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205892882 PECOS PAC ID: 0446274765 Enrollment ID: I20210420002630 |
| Provider Name | Subrat Behera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487936563 PECOS PAC ID: 5395962237 Enrollment ID: I20210423000913 |
| Provider Name | Jahyeok Ihm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467893933 PECOS PAC ID: 1052607314 Enrollment ID: I20210426001399 |
| Provider Name | Shivanand Bomman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063641348 PECOS PAC ID: 0446402846 Enrollment ID: I20210426001918 |
| Provider Name | Joel Mcreynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518941376 PECOS PAC ID: 0244202448 Enrollment ID: I20210505001867 |
| Provider Name | Charles Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205377579 PECOS PAC ID: 0143598037 Enrollment ID: I20210507001852 |
| Provider Name | Anthony S Montuno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841639622 PECOS PAC ID: 4789933607 Enrollment ID: I20210507002121 |
| Provider Name | Oluwakemi T Baiyewu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225404510 PECOS PAC ID: 1850699174 Enrollment ID: I20210507002305 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20210519001798 |
| Provider Name | Teja Venkatahara Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275875130 PECOS PAC ID: 2163717091 Enrollment ID: I20210524002614 |
| Provider Name | Muhammad M Buttar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861802720 PECOS PAC ID: 1850614116 Enrollment ID: I20210526000937 |
| Provider Name | Laurel E Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831452457 PECOS PAC ID: 8325353188 Enrollment ID: I20210527001429 |
| Provider Name | Khushpreet Kaur Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639533706 PECOS PAC ID: 2567861362 Enrollment ID: I20210527002081 |
| Provider Name | Julie Ann Hoffmann Janisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316900921 PECOS PAC ID: 3779520267 Enrollment ID: I20210527002837 |
| Provider Name | Tara Rose Buschor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689022642 PECOS PAC ID: 4385939909 Enrollment ID: I20210601001297 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20210602002398 |
| Provider Name | Solaiman Algharbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972983427 PECOS PAC ID: 6305151101 Enrollment ID: I20210605000002 |
| Provider Name | Mahyar Badrei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992026561 PECOS PAC ID: 5294976981 Enrollment ID: I20210614002933 |
| Provider Name | Jerry W Tu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477963734 PECOS PAC ID: 8921377326 Enrollment ID: I20210617002646 |
| Provider Name | Alexander J Adami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180968 PECOS PAC ID: 0648526087 Enrollment ID: I20210624003776 |
| Provider Name | Douglas Eugene Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497252415 PECOS PAC ID: 5496009037 Enrollment ID: I20210628003496 |
| Provider Name | Kanuboddu Nagarjuna Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003349820 PECOS PAC ID: 9234409160 Enrollment ID: I20210701002212 |
| Provider Name | Anum Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992282370 PECOS PAC ID: 1557614203 Enrollment ID: I20210708003655 |
| Provider Name | Zhibin Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245480086 PECOS PAC ID: 6901958461 Enrollment ID: I20210713001855 |
| Provider Name | Jonathan L Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518462431 PECOS PAC ID: 5991107757 Enrollment ID: I20210715003170 |
| Provider Name | Ahmad J Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093966418 PECOS PAC ID: 0547428633 Enrollment ID: I20210716000456 |
| Provider Name | Shannon Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376035105 PECOS PAC ID: 7315279940 Enrollment ID: I20210720003613 |
| Provider Name | Kris Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437560646 PECOS PAC ID: 0042512592 Enrollment ID: I20210721001072 |
| Provider Name | Michael Dumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285945964 PECOS PAC ID: 4385768118 Enrollment ID: I20210721002103 |
| Provider Name | Jessica Lyn Percoco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127211 PECOS PAC ID: 5294167318 Enrollment ID: I20210728003822 |
| Provider Name | Xiao Liang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821594557 PECOS PAC ID: 8820321938 Enrollment ID: I20210729003979 |
| Provider Name | Kristen M. Scaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811258007 PECOS PAC ID: 3173762929 Enrollment ID: I20210804000777 |
| Provider Name | Nirvi Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730676602 PECOS PAC ID: 7012311665 Enrollment ID: I20210804003170 |
| Provider Name | Leah J. Blake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558757724 PECOS PAC ID: 0749544252 Enrollment ID: I20210805000470 |
| Provider Name | Shahed M Jameel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902002850 PECOS PAC ID: 0648466631 Enrollment ID: I20210805000635 |
| Provider Name | Matthew S Novack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659875136 PECOS PAC ID: 5294086336 Enrollment ID: I20210805000640 |
| Provider Name | Carlos Rodriguez Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023321239 PECOS PAC ID: 2567604630 Enrollment ID: I20210805000963 |
| Provider Name | Yiwen R Liang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467958199 PECOS PAC ID: 2466785571 Enrollment ID: I20210805001552 |
| Provider Name | Michael J Joyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023282894 PECOS PAC ID: 2567523608 Enrollment ID: I20210811001368 |
| Provider Name | Justin Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477040939 PECOS PAC ID: 2668716507 Enrollment ID: I20210817001375 |
| Provider Name | Kenneth Kin Yam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982101556 PECOS PAC ID: 3173879194 Enrollment ID: I20210818002026 |
| Provider Name | Abrill Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952721904 PECOS PAC ID: 0143566414 Enrollment ID: I20210818002510 |
| Provider Name | Marissa B Anderson-chernishof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235549957 PECOS PAC ID: 7315342052 Enrollment ID: I20210818003994 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20210819001971 |
| Provider Name | Divya Mani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881188217 PECOS PAC ID: 9032455852 Enrollment ID: I20210819002976 |
| Provider Name | Sugabramya Kuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669962189 PECOS PAC ID: 6901208180 Enrollment ID: I20210820000557 |
| Provider Name | Roxanne Bautista |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427586445 PECOS PAC ID: 0840564373 Enrollment ID: I20210820002688 |
| Provider Name | May Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497049217 PECOS PAC ID: 5698097673 Enrollment ID: I20210820003121 |
| Provider Name | Maham Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740776186 PECOS PAC ID: 6204231673 Enrollment ID: I20210823003101 |
| Provider Name | Jonathan R Amkraut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851881932 PECOS PAC ID: 8921342866 Enrollment ID: I20210825004188 |
| Provider Name | Shaza Shamdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467957704 PECOS PAC ID: 6305241464 Enrollment ID: I20210827000565 |
| Provider Name | Ali Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679078463 PECOS PAC ID: 0244636801 Enrollment ID: I20210907001465 |
| Provider Name | Amreen Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003348632 PECOS PAC ID: 6901150549 Enrollment ID: I20210914003701 |
| Provider Name | Kibrom Teklehaimanot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669963211 PECOS PAC ID: 9931505054 Enrollment ID: I20210914003795 |
| Provider Name | Furhan Rashid Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20210921003930 |
| Provider Name | Khoi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578820841 PECOS PAC ID: 4587970744 Enrollment ID: I20210929001586 |
| Provider Name | Safieh Golestaneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366869554 PECOS PAC ID: 9638396492 Enrollment ID: I20210929002555 |
| Provider Name | Nikki Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366007510 PECOS PAC ID: 7113254764 Enrollment ID: I20210929002620 |
| Provider Name | Jesse Isenstadt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336508266 PECOS PAC ID: 6507111374 Enrollment ID: I20210930002751 |
| Provider Name | Victoria Fasick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518372036 PECOS PAC ID: 2860798899 Enrollment ID: I20211001002410 |
| Provider Name | Najlaa Khalid Al Sudani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831682780 PECOS PAC ID: 5799183653 Enrollment ID: I20211006002123 |
| Provider Name | Christopher H. Crudder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184112393 PECOS PAC ID: 1658625298 Enrollment ID: I20211006002161 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20211007003591 |
| Provider Name | Michelle Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811486319 PECOS PAC ID: 5193074441 Enrollment ID: I20211014001332 |
| Provider Name | Tatyana Ivanovna Molchanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952966996 PECOS PAC ID: 7517365943 Enrollment ID: I20211014002500 |
| Provider Name | Adrian D Parasca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760701478 PECOS PAC ID: 8729231048 Enrollment ID: I20211019002289 |
| Provider Name | Wally Folad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326331893 PECOS PAC ID: 8022237841 Enrollment ID: I20211021000488 |
| Provider Name | Edward J Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323777 PECOS PAC ID: 5395034615 Enrollment ID: I20211021001809 |
| Provider Name | Lisa Anne Ulf Neisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891329397 PECOS PAC ID: 6103214242 Enrollment ID: I20211022001225 |
| Provider Name | Arash Shamsinejad Babaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750498119 PECOS PAC ID: 0446244438 Enrollment ID: I20211101001937 |
| Provider Name | Evita Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194125732 PECOS PAC ID: 6002187895 Enrollment ID: I20211112002171 |
| Provider Name | Terra D Thorndike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750769311 PECOS PAC ID: 9638487663 Enrollment ID: I20211123001278 |
| Provider Name | Rajan Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780930388 PECOS PAC ID: 0244521623 Enrollment ID: I20211124002038 |
| Provider Name | Tauqeer Rahat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316388549 PECOS PAC ID: 8022311752 Enrollment ID: I20211201001897 |
| Provider Name | Negalign T Nigussie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154815801 PECOS PAC ID: 6103170915 Enrollment ID: I20211206001649 |
| Provider Name | Bernadette A Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063919702 PECOS PAC ID: 5991136558 Enrollment ID: I20211209000914 |
| Provider Name | Afshin Bidari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447455738 PECOS PAC ID: 8022177625 Enrollment ID: I20211213000428 |
| Provider Name | Chapin Ensminger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073134888 PECOS PAC ID: 2769809656 Enrollment ID: I20211214001121 |
| Provider Name | Neslie Joy Joya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669835260 PECOS PAC ID: 1052699477 Enrollment ID: I20211214002705 |
| Provider Name | Emem L Umoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962875039 PECOS PAC ID: 9537441803 Enrollment ID: I20220110002372 |
| Provider Name | Bethany S Lacheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336638345 PECOS PAC ID: 7618226317 Enrollment ID: I20220112001335 |
| Provider Name | Nicole Baumgartner - Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003266396 PECOS PAC ID: 4880921287 Enrollment ID: I20220118002185 |
| Provider Name | Zanaida Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184922080 PECOS PAC ID: 7214196716 Enrollment ID: I20220121001859 |
| Provider Name | Aditya Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922591122 PECOS PAC ID: 1759773740 Enrollment ID: I20220125002098 |
| Provider Name | Raheel Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962843979 PECOS PAC ID: 0547556201 Enrollment ID: I20220131001020 |
| Provider Name | Calvin Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841676541 PECOS PAC ID: 3274842216 Enrollment ID: I20220201002603 |
| Provider Name | Dipal Dilipbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780981563 PECOS PAC ID: 8022338268 Enrollment ID: I20220214001376 |
| Provider Name | James Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326452087 PECOS PAC ID: 2062704380 Enrollment ID: I20220215000286 |
| Provider Name | John Tso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366829764 PECOS PAC ID: 7618227513 Enrollment ID: I20220221001319 |
| Provider Name | Chelsea Marie Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790447753 PECOS PAC ID: 5294129961 Enrollment ID: I20220222002046 |
| Provider Name | Kimberly Shani Forte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568782738 PECOS PAC ID: 4183852023 Enrollment ID: I20220228002064 |
| Provider Name | Khaled Darwesh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265963805 PECOS PAC ID: 0941573745 Enrollment ID: I20220307002221 |
| Provider Name | James Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710060 PECOS PAC ID: 7517352115 Enrollment ID: I20220317001770 |
| Provider Name | Courtney S Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972096907 PECOS PAC ID: 3678979291 Enrollment ID: I20220318000479 |
| Provider Name | Monnica Luz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609409036 PECOS PAC ID: 3678980448 Enrollment ID: I20220318000949 |
| Provider Name | Neeharika Ralh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538683669 PECOS PAC ID: 2466726641 Enrollment ID: I20220319000001 |
| Provider Name | Shubhkarman Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750802245 PECOS PAC ID: 2860766029 Enrollment ID: I20220319000007 |
| Provider Name | Jonathan J Dick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891011771 PECOS PAC ID: 9931337961 Enrollment ID: I20220324000918 |
| Provider Name | Khoi T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225528987 PECOS PAC ID: 5597011361 Enrollment ID: I20220401002257 |
| Provider Name | James Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376705897 PECOS PAC ID: 6800937624 Enrollment ID: I20220405002406 |
| Provider Name | Veeramaneni Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992235527 PECOS PAC ID: 0345672416 Enrollment ID: I20220407000266 |
| Provider Name | Tatiana Motschman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720674898 PECOS PAC ID: 5698161131 Enrollment ID: I20220408001007 |
| Provider Name | Romin Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801259510 PECOS PAC ID: 3577899756 Enrollment ID: I20220429000850 |
| Provider Name | Steven Carl Nuanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922413285 PECOS PAC ID: 5193094357 Enrollment ID: I20220510002381 |
| Provider Name | Ryan Reed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912393166 PECOS PAC ID: 5496099442 Enrollment ID: I20220511000827 |
| Provider Name | Martine Fresnelle Rochelin-chery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215597273 PECOS PAC ID: 2062817109 Enrollment ID: I20220512000519 |
| Provider Name | Abraham Walusimbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063939007 PECOS PAC ID: 3577823210 Enrollment ID: I20220516001879 |
| Provider Name | Chan Ly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932736121 PECOS PAC ID: 0345628871 Enrollment ID: I20220611000238 |
| Provider Name | Andres G Zuleta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396059150 PECOS PAC ID: 1759521388 Enrollment ID: I20220613001739 |
| Provider Name | David Conrad Siebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780647057 PECOS PAC ID: 3678561966 Enrollment ID: I20220627000953 |
| Provider Name | Divya Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316432248 PECOS PAC ID: 2567842834 Enrollment ID: I20220704000453 |
| Provider Name | Lewis Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699183285 PECOS PAC ID: 0345546529 Enrollment ID: I20220705000191 |
| Provider Name | Uzoma Raymond Chukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255741567 PECOS PAC ID: 7911216940 Enrollment ID: I20220705002342 |
| Provider Name | Harinder Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720573660 PECOS PAC ID: 7517347768 Enrollment ID: I20220705002940 |
| Provider Name | Temitope Ajibawo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629560024 PECOS PAC ID: 4183014228 Enrollment ID: I20220707002748 |
| Provider Name | Liza Rodriguez Jimenez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346222049 PECOS PAC ID: 1456315563 Enrollment ID: I20220713001392 |
| Provider Name | Zakaria Ibrahim Sharif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013570159 PECOS PAC ID: 7517294812 Enrollment ID: I20220725002597 |
| Provider Name | Vicky Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407596 PECOS PAC ID: 4688093867 Enrollment ID: I20220729001139 |
| Provider Name | Pragna Janagam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831757749 PECOS PAC ID: 2860874294 Enrollment ID: I20220802002451 |
| Provider Name | Pratul Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023667698 PECOS PAC ID: 9032591318 Enrollment ID: I20220803001117 |
| Provider Name | Nicholas Peter Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487217345 PECOS PAC ID: 9032440029 Enrollment ID: I20220804003045 |
| Provider Name | Seth Kingree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346569001 PECOS PAC ID: 2466694120 Enrollment ID: I20220804003190 |
| Provider Name | Vikram Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235792680 PECOS PAC ID: 3577895093 Enrollment ID: I20220805002276 |
| Provider Name | Ziad M Shwaiki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740843515 PECOS PAC ID: 7810230166 Enrollment ID: I20220805002372 |
| Provider Name | Kirit Singh Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659834364 PECOS PAC ID: 9234465089 Enrollment ID: I20220808000826 |
| Provider Name | Danyal Taheri Abkouh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871145771 PECOS PAC ID: 5092041756 Enrollment ID: I20220808003409 |
| Provider Name | Matthew Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225691363 PECOS PAC ID: 5991032674 Enrollment ID: I20220815000680 |
| Provider Name | Muniba Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578120184 PECOS PAC ID: 1557744026 Enrollment ID: I20220816001415 |
| Provider Name | Anteneh Tesema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760914089 PECOS PAC ID: 0840508271 Enrollment ID: I20220817002580 |
| Provider Name | Alicia Korona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821470386 PECOS PAC ID: 5890088702 Enrollment ID: I20220818000546 |
| Provider Name | Bashar Khiatah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174186613 PECOS PAC ID: 8729461082 Enrollment ID: I20220818002530 |
| Provider Name | Ekaterina V Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194287292 PECOS PAC ID: 1759764020 Enrollment ID: I20220818002726 |
| Provider Name | Furqan M Taher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841853967 PECOS PAC ID: 5799013314 Enrollment ID: I20220824000866 |
| Provider Name | Matthew L Holzberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194288647 PECOS PAC ID: 1658606710 Enrollment ID: I20220824000897 |
| Provider Name | Ruhong Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063679587 PECOS PAC ID: 9638317928 Enrollment ID: I20220825001730 |
| Provider Name | Raashi Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457847584 PECOS PAC ID: 3375892979 Enrollment ID: I20220825002375 |
| Provider Name | Katherine Stafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033775218 PECOS PAC ID: 2062894025 Enrollment ID: I20220826000803 |
| Provider Name | Jinesh Raj Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760047369 PECOS PAC ID: 3274917885 Enrollment ID: I20220831001942 |
| Provider Name | Ravina Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124681283 PECOS PAC ID: 4688058183 Enrollment ID: I20220901001382 |
| Provider Name | Derek Johanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598329237 PECOS PAC ID: 3577947738 Enrollment ID: I20220907002213 |
| Provider Name | Joel Andrew Ohrt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003341983 PECOS PAC ID: 2668856758 Enrollment ID: I20220909000368 |
| Provider Name | Kevin Phi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689235541 PECOS PAC ID: 3577948389 Enrollment ID: I20220914003829 |
| Provider Name | Bradley Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326120833 PECOS PAC ID: 2264432616 Enrollment ID: I20220915003133 |
| Provider Name | Karim Christopher Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306309372 PECOS PAC ID: 0143605840 Enrollment ID: I20220916000396 |
| Provider Name | Benton Sawyer Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609337047 PECOS PAC ID: 2163756875 Enrollment ID: I20220916002011 |
| Provider Name | Fatima A Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801283577 PECOS PAC ID: 6406192020 Enrollment ID: I20220920003315 |
| Provider Name | Elizabeth Clare Doolin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033670856 PECOS PAC ID: 9739565946 Enrollment ID: I20220926001047 |
| Provider Name | Landi Marie Tillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962036939 PECOS PAC ID: 8628454733 Enrollment ID: I20220927002275 |
| Provider Name | Quinn Lougheide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871014506 PECOS PAC ID: 3375929334 Enrollment ID: I20220929000915 |
| Provider Name | Raad Al Shaikhli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326433483 PECOS PAC ID: 5698073492 Enrollment ID: I20221004002320 |
| Provider Name | Muhammad Qasim Maqbool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992018253 PECOS PAC ID: 9537319157 Enrollment ID: I20221004003064 |
| Provider Name | Arifa Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225598899 PECOS PAC ID: 8123359783 Enrollment ID: I20221007000414 |
| Provider Name | Lei Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376104000 PECOS PAC ID: 0446685192 Enrollment ID: I20221007002119 |
| Provider Name | Dolcine Dalmacy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184664666 PECOS PAC ID: 4587552278 Enrollment ID: I20221025000872 |
| Provider Name | Sumaiya Thakor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619526779 PECOS PAC ID: 0840666319 Enrollment ID: I20221025001660 |
| Provider Name | Surmin Basra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326560046 PECOS PAC ID: 4789957788 Enrollment ID: I20221026002944 |
| Provider Name | Bryan Edward Paradise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588182950 PECOS PAC ID: 5092071332 Enrollment ID: I20221027001938 |
| Provider Name | Orishebawo B Popoola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306309315 PECOS PAC ID: 6800124041 Enrollment ID: I20221027002574 |
| Provider Name | Priscilla James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023570231 PECOS PAC ID: 1254305030 Enrollment ID: I20221028001914 |
| Provider Name | Joseph James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093274607 PECOS PAC ID: 4385987817 Enrollment ID: I20221031001024 |
| Provider Name | Mikhail Lomize |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619210622 PECOS PAC ID: 7810291986 Enrollment ID: I20221101002881 |
| Provider Name | Krishna Nimmagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801176805 PECOS PAC ID: 8022238260 Enrollment ID: I20221118001139 |
| Provider Name | Sindhoora Adyanthaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053974758 PECOS PAC ID: 9234463076 Enrollment ID: I20221121002227 |
| Provider Name | Norma Cleo Navarro-time |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265083133 PECOS PAC ID: 2466821822 Enrollment ID: I20221207002656 |
| Provider Name | Tanesh Sadarangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992955488 PECOS PAC ID: 4789841248 Enrollment ID: I20221220000737 |
| Provider Name | Ahmad F Badery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386744266 PECOS PAC ID: 2163456831 Enrollment ID: I20221220001258 |
| Provider Name | Umar Mohammed Hardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972680239 PECOS PAC ID: 7810947892 Enrollment ID: I20221221002934 |
| Provider Name | Faith Dieleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942860994 PECOS PAC ID: 1658778568 Enrollment ID: I20221221002946 |
| Provider Name | John S Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354925 PECOS PAC ID: 1557580883 Enrollment ID: I20221227002292 |
| Provider Name | Chen Ye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225490261 PECOS PAC ID: 1951694058 Enrollment ID: I20221227002493 |
| Provider Name | Krishna Pakanati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770870867 PECOS PAC ID: 1759502503 Enrollment ID: I20230104002102 |
| Provider Name | Daniel Elizondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366002362 PECOS PAC ID: 1456687672 Enrollment ID: I20230106000725 |
| Provider Name | Sanjeev Bakshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194709956 PECOS PAC ID: 9133110075 Enrollment ID: I20230106001574 |
| Provider Name | Kayla Leann Gammill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669184503 PECOS PAC ID: 7719358530 Enrollment ID: I20230113001106 |
| Provider Name | Sandhya Kommana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619185519 PECOS PAC ID: 7315018439 Enrollment ID: I20230117003094 |
| Provider Name | Abdirahman Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659766954 PECOS PAC ID: 9638453145 Enrollment ID: I20230118000958 |
| Provider Name | Moriah Schwarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295397966 PECOS PAC ID: 6305218272 Enrollment ID: I20230202002961 |
| Provider Name | Felix Litvak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629495791 PECOS PAC ID: 9830455773 Enrollment ID: I20230210000525 |
Oregon Health & Science University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Ne 87th Ave, Suite 110, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1720 | |
Advanced Gastroenterology, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3250 Se 164th Ave Ste 205, Vancouver, WA 98683 Phone: 360-946-4313 Fax: 360-576-1133 | |
Amg Of Washington, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 E 37th St, Vancouver, WA 98663 Phone: 888-506-1858 | |
Main Street Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Ne 88th St Ste D102, Vancouver, WA 98665 Phone: 360-474-5905 Fax: 360-639-8017 | |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Se Mill Plain Blvd, Cascade Park Medical Office, Vancouver, WA 98684 Phone: 800-813-2000 | |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7101 Ne 137th Ave, Vancouver, WA 98682 Phone: 800-813-2000 Fax: 503-286-6879 | |
Cascade Family Medicine, P.s. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 406 Se 131st Ave, Suite 203 B, Vancouver, WA 98683 Phone: 360-254-4402 Fax: 360-892-9241 |