| Columbia Memorial Hospital Doctors Group | |
|
71 Prospect Ave Hudson NY 12534-2907 | |
| (518) 828-7601 | |
| Not Available |
| Full Name | Columbia Memorial Hospital Doctors Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 71 Prospect Ave, Hudson, New York |
| Authorized Official Name and Position | Vincent J Dingman (CHIEF FINANCIAL OFFICIER) |
| Authorized Official Contact | 5188287601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Memorial Hospital Doctors Group Po Box 2000 Hudson NY 12534-2000 Ph: (518) 828-8363 | Columbia Memorial Hospital Doctors Group 71 Prospect Ave Hudson NY 12534-2907 Ph: (518) 828-7601 |
| NPI Number | 1083639587 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 05/17/2010 |
| Medicare PECOS PAC ID | 5092709410 |
|---|---|
| Medicare Enrollment ID | O20040409000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083639587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1001000H (New York) | Primary |
| Provider Name | Ronald P Kaufman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487734430 PECOS PAC ID: 6103712492 Enrollment ID: I20040224000795 |
| Provider Name | Mark D White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962586776 PECOS PAC ID: 3971499278 Enrollment ID: I20040224000900 |
| Provider Name | Tomasz Andrejuk |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871524470 PECOS PAC ID: 2466342381 Enrollment ID: I20040316000838 |
| Provider Name | Stephen B Mesick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205933181 PECOS PAC ID: 0042102253 Enrollment ID: I20040325000013 |
| Provider Name | Brett H Margolias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669558458 PECOS PAC ID: 8325930951 Enrollment ID: I20040327000113 |
| Provider Name | Manoj K Subudhi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740216092 PECOS PAC ID: 9335031632 Enrollment ID: I20040329001624 |
| Provider Name | Benjamin Oke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609823434 PECOS PAC ID: 0648266270 Enrollment ID: I20040421000384 |
| Provider Name | Tariq N Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629069679 PECOS PAC ID: 4981690948 Enrollment ID: I20040423000873 |
| Provider Name | Louis A Di Giovanni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265435432 PECOS PAC ID: 7416945977 Enrollment ID: I20040504000182 |
| Provider Name | Diane B Braden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215973235 PECOS PAC ID: 7113916040 Enrollment ID: I20040506001782 |
| Provider Name | Princewill O Ogbuji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750341897 PECOS PAC ID: 0749261113 Enrollment ID: I20040601000530 |
| Provider Name | Richard E Valliere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053349340 PECOS PAC ID: 9335122779 Enrollment ID: I20040608000960 |
| Provider Name | Helen H Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104915586 PECOS PAC ID: 7810975521 Enrollment ID: I20040709000641 |
| Provider Name | Norman W Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700966751 PECOS PAC ID: 6406836816 Enrollment ID: I20040724000148 |
| Provider Name | Craig A Stanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164529046 PECOS PAC ID: 1850364878 Enrollment ID: I20040818000123 |
| Provider Name | Manuel P Revuelta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184606097 PECOS PAC ID: 1355315714 Enrollment ID: I20040823000002 |
| Provider Name | Charles A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164520391 PECOS PAC ID: 7810958980 Enrollment ID: I20041021000850 |
| Provider Name | Marie C Lingat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144277005 PECOS PAC ID: 7012979529 Enrollment ID: I20041027001026 |
| Provider Name | Christine M Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740388966 PECOS PAC ID: 9638137599 Enrollment ID: I20041222000724 |
| Provider Name | Ronald J Pope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518993153 PECOS PAC ID: 2365491123 Enrollment ID: I20050119000354 |
| Provider Name | Sarah N Reed-esper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710064688 PECOS PAC ID: 3476507039 Enrollment ID: I20050307000247 |
| Provider Name | Elisabeth W Mckeon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689600207 PECOS PAC ID: 9335186741 Enrollment ID: I20050415000737 |
| Provider Name | Robert M Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740205905 PECOS PAC ID: 1658314406 Enrollment ID: I20050602001207 |
| Provider Name | Shirish J Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245349158 PECOS PAC ID: 1254221955 Enrollment ID: I20050629000900 |
| Provider Name | John S Pomichter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588606800 PECOS PAC ID: 4981630233 Enrollment ID: I20050708000895 |
| Provider Name | Evangelos N Pallis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249198 PECOS PAC ID: 2961439617 Enrollment ID: I20050726000219 |
| Provider Name | Elise J De |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699855619 PECOS PAC ID: 9739118043 Enrollment ID: I20050808000305 |
| Provider Name | Richard E Plotkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922055672 PECOS PAC ID: 3870534746 Enrollment ID: I20050815000472 |
| Provider Name | Allen Herr |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083798839 PECOS PAC ID: 1052381415 Enrollment ID: I20050927000758 |
| Provider Name | Wayne Maben |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306899919 PECOS PAC ID: 4587571237 Enrollment ID: I20051003000776 |
| Provider Name | William P Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659305738 PECOS PAC ID: 8628097136 Enrollment ID: I20051114001156 |
| Provider Name | Benjamin Z Cooper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568564300 PECOS PAC ID: 3577595370 Enrollment ID: I20051206000384 |
| Provider Name | Lisa A Ribons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053495861 PECOS PAC ID: 3971519141 Enrollment ID: I20060224000342 |
| Provider Name | Gary P Siskin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255415063 PECOS PAC ID: 1254347446 Enrollment ID: I20060224000515 |
| Provider Name | Phuong N Vinh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063596872 PECOS PAC ID: 3476569674 Enrollment ID: I20060224000563 |
| Provider Name | Mitchel A Campito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144300104 PECOS PAC ID: 4688680630 Enrollment ID: I20060228000386 |
| Provider Name | Alan L Chu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780764746 PECOS PAC ID: 0749234789 Enrollment ID: I20060228000412 |
| Provider Name | Frederick A Eames |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891879607 PECOS PAC ID: 7012923071 Enrollment ID: I20060228000516 |
| Provider Name | Edward M Marici |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154367928 PECOS PAC ID: 5395751150 Enrollment ID: I20060302000529 |
| Provider Name | Elizabeth A. Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831197441 PECOS PAC ID: 2567478225 Enrollment ID: I20060303000692 |
| Provider Name | Vinod Anand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336195510 PECOS PAC ID: 0042127797 Enrollment ID: I20060308000226 |
| Provider Name | Eric D Hoover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891875852 PECOS PAC ID: 2163431875 Enrollment ID: I20060410000082 |
| Provider Name | Frederic J Hellwitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245272137 PECOS PAC ID: 9133132202 Enrollment ID: I20060714000051 |
| Provider Name | Christopher T Gorczynski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477584761 PECOS PAC ID: 9436152816 Enrollment ID: I20060825000164 |
| Provider Name | Vinod K Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073569232 PECOS PAC ID: 1951218601 Enrollment ID: I20061019000537 |
| Provider Name | Michael E Schuster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295714434 PECOS PAC ID: 8729015128 Enrollment ID: I20070118000340 |
| Provider Name | Ping Lu |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1144393265 PECOS PAC ID: 2062519267 Enrollment ID: I20070523000410 |
| Provider Name | Michael U Weisberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942362009 PECOS PAC ID: 4385646199 Enrollment ID: I20070711000574 |
| Provider Name | Peter A Franklin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043411911 PECOS PAC ID: 2668566969 Enrollment ID: I20070918000100 |
| Provider Name | Christopher W Doti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053380477 PECOS PAC ID: 8022108455 Enrollment ID: I20071221000176 |
| Provider Name | Nancy Lynn Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821059742 PECOS PAC ID: 9739279175 Enrollment ID: I20071221000191 |
| Provider Name | Sam S Somsook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942324926 PECOS PAC ID: 4284711946 Enrollment ID: I20080404000307 |
| Provider Name | Shailaja N Setty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558407247 PECOS PAC ID: 0143390187 Enrollment ID: I20080603000659 |
| Provider Name | Beth Whiteside |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467654616 PECOS PAC ID: 5799876736 Enrollment ID: I20080610000488 |
| Provider Name | Douglas W Wickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447228325 PECOS PAC ID: 5597678763 Enrollment ID: I20080717000289 |
| Provider Name | Rakel M Astorga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831345693 PECOS PAC ID: 5092883207 Enrollment ID: I20081001000131 |
| Provider Name | Anthony P Posca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235306739 PECOS PAC ID: 0547328759 Enrollment ID: I20081016000326 |
| Provider Name | Andrew Lefkovits |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295942035 PECOS PAC ID: 0547320863 Enrollment ID: I20081117000555 |
| Provider Name | Ayman Abdelhamid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669430674 PECOS PAC ID: 1052460516 Enrollment ID: I20090513000158 |
| Provider Name | Inna Kudria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114970092 PECOS PAC ID: 6305995556 Enrollment ID: I20090519000479 |
| Provider Name | Umesh Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811146236 PECOS PAC ID: 7618027210 Enrollment ID: I20090602000282 |
| Provider Name | John P Fantauzzi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649442070 PECOS PAC ID: 9234204108 Enrollment ID: I20090615000081 |
| Provider Name | Karin S Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851347009 PECOS PAC ID: 7214083310 Enrollment ID: I20090915000196 |
| Provider Name | Julie H Valliere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477513489 PECOS PAC ID: 7315976362 Enrollment ID: I20091017000012 |
| Provider Name | Michael Gabor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598754582 PECOS PAC ID: 7618968876 Enrollment ID: I20091104000058 |
| Provider Name | Tabitha Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770745168 PECOS PAC ID: 2668510827 Enrollment ID: I20091109000125 |
| Provider Name | Jennifer L Gsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306173877 PECOS PAC ID: 7911049416 Enrollment ID: I20100121000596 |
| Provider Name | Stephen L Krizar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679519433 PECOS PAC ID: 9537297320 Enrollment ID: I20100515000130 |
| Provider Name | Kathleen B Marici |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063458834 PECOS PAC ID: 2163552928 Enrollment ID: I20100605000051 |
| Provider Name | Marilyn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649200585 PECOS PAC ID: 7517097389 Enrollment ID: I20100605000068 |
| Provider Name | Tanya D Mays |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285661512 PECOS PAC ID: 0042340812 Enrollment ID: I20100605000107 |
| Provider Name | Radmila Lyubarova |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356593883 PECOS PAC ID: 7719018399 Enrollment ID: I20100625000264 |
| Provider Name | Edward F Philbin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750376679 PECOS PAC ID: 4082745443 Enrollment ID: I20100629000082 |
| Provider Name | Cynthia S Friedman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043240971 PECOS PAC ID: 9133252646 Enrollment ID: I20100804000990 |
| Provider Name | Scott M Pregont |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093962615 PECOS PAC ID: 9537351937 Enrollment ID: I20101004000882 |
| Provider Name | Daniel Michael Chernoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235124082 PECOS PAC ID: 7810087988 Enrollment ID: I20101008000135 |
| Provider Name | Hans M Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053379966 PECOS PAC ID: 3779772520 Enrollment ID: I20110110000014 |
| Provider Name | Catherine Shin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265446140 PECOS PAC ID: 8628073087 Enrollment ID: I20110110000593 |
| Provider Name | Eric M Wagle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306810775 PECOS PAC ID: 9638108939 Enrollment ID: I20110111000390 |
| Provider Name | Sasi K Cheruvu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194798926 PECOS PAC ID: 3375572670 Enrollment ID: I20110111000453 |
| Provider Name | Areta M Pidwerbetsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972576635 PECOS PAC ID: 4183653488 Enrollment ID: I20110111000477 |
| Provider Name | Joseph S Pazienza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669445326 PECOS PAC ID: 3274562574 Enrollment ID: I20110111000521 |
| Provider Name | Michael Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346213162 PECOS PAC ID: 5294764593 Enrollment ID: I20110119000506 |
| Provider Name | Henry L Clinton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407809924 PECOS PAC ID: 8224945977 Enrollment ID: I20110211000585 |
| Provider Name | Hiral N Amin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811943087 PECOS PAC ID: 9133036882 Enrollment ID: I20110212000063 |
| Provider Name | Samuel K Merkhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982691580 PECOS PAC ID: 5991839953 Enrollment ID: I20110317000059 |
| Provider Name | Dmitri Y Belov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952632390 PECOS PAC ID: 4082898879 Enrollment ID: I20110401000325 |
| Provider Name | Marvin Md Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548234909 PECOS PAC ID: 4587693890 Enrollment ID: I20110512000617 |
| Provider Name | Mehjabin Zahir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134367626 PECOS PAC ID: 0446438329 Enrollment ID: I20110623000359 |
| Provider Name | Sally M Michailides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427243799 PECOS PAC ID: 8628256039 Enrollment ID: I20110706000234 |
| Provider Name | Lawrence Keating |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891818233 PECOS PAC ID: 6608044540 Enrollment ID: I20110721000015 |
| Provider Name | Monica R Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598779787 PECOS PAC ID: 6305842907 Enrollment ID: I20111010000518 |
| Provider Name | Mylene Colucci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790909885 PECOS PAC ID: 5991962136 Enrollment ID: I20120131000508 |
| Provider Name | Guirlaine Blot-sanon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588818504 PECOS PAC ID: 0446417018 Enrollment ID: I20120209000291 |
| Provider Name | Catherine L Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487895579 PECOS PAC ID: 5597933853 Enrollment ID: I20120611000052 |
| Provider Name | Gaetano T Pastena |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871822346 PECOS PAC ID: 9739210709 Enrollment ID: I20120813000040 |
| Provider Name | Daniel Blachman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083931075 PECOS PAC ID: 7113169434 Enrollment ID: I20130815000219 |
| Provider Name | Lynn Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518300177 PECOS PAC ID: 5698918563 Enrollment ID: I20130823001126 |
| Provider Name | Allison S Liss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396086815 PECOS PAC ID: 0042453391 Enrollment ID: I20130905000549 |
| Provider Name | Lymaris Garcia Medina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740508191 PECOS PAC ID: 7517191422 Enrollment ID: I20131009000220 |
| Provider Name | Laura Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174817910 PECOS PAC ID: 5193950632 Enrollment ID: I20131108000916 |
| Provider Name | Julia V Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477980712 PECOS PAC ID: 7214163237 Enrollment ID: I20131122000254 |
| Provider Name | Brian Mccauley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710290812 PECOS PAC ID: 8426284290 Enrollment ID: I20131127000178 |
| Provider Name | Rabin Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326335761 PECOS PAC ID: 8022274927 Enrollment ID: I20140128001307 |
| Provider Name | Sara P Raymond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366602971 PECOS PAC ID: 7012157282 Enrollment ID: I20140414000383 |
| Provider Name | Dorinda Michelle Midwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558699405 PECOS PAC ID: 0042482226 Enrollment ID: I20140603002189 |
| Provider Name | Michael R Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669509014 PECOS PAC ID: 7517126667 Enrollment ID: I20140626001784 |
| Provider Name | Christine L Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316181753 PECOS PAC ID: 9335327816 Enrollment ID: I20140626002009 |
| Provider Name | Emily F Warburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851718258 PECOS PAC ID: 3971729849 Enrollment ID: I20140730000145 |
| Provider Name | Robert C Welliver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124287651 PECOS PAC ID: 7810130721 Enrollment ID: I20140811001804 |
| Provider Name | Annamae Conry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487602322 PECOS PAC ID: 6406883156 Enrollment ID: I20140818000668 |
| Provider Name | Alicia Maren Wiczulis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255656179 PECOS PAC ID: 3173743929 Enrollment ID: I20140930001853 |
| Provider Name | Teal A Gasbarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154722213 PECOS PAC ID: 2365662426 Enrollment ID: I20141013002009 |
| Provider Name | Ananth Narayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134325699 PECOS PAC ID: 7315102811 Enrollment ID: I20141015001066 |
| Provider Name | Ashley R Telisky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205194214 PECOS PAC ID: 9436370319 Enrollment ID: I20141017000266 |
| Provider Name | Craig M Zelig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194790527 PECOS PAC ID: 2961686233 Enrollment ID: I20141115000115 |
| Provider Name | Tarekul Haque Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306924303 PECOS PAC ID: 5496703415 Enrollment ID: I20141211000670 |
| Provider Name | Amy E Shoesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477948123 PECOS PAC ID: 9537470489 Enrollment ID: I20150618000457 |
| Provider Name | Samit N Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073742011 PECOS PAC ID: 5698990885 Enrollment ID: I20150710001646 |
| Provider Name | Sreenivas Garla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013177641 PECOS PAC ID: 3072739259 Enrollment ID: I20151106001555 |
| Provider Name | Rashmi Dubey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053358234 PECOS PAC ID: 0547214181 Enrollment ID: I20160229000534 |
| Provider Name | Michael A Serrapica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518193473 PECOS PAC ID: 4284932211 Enrollment ID: I20160407001280 |
| Provider Name | Stacey Langford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194968909 PECOS PAC ID: 4789998519 Enrollment ID: I20160413001718 |
| Provider Name | Piret Paas-holland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942471339 PECOS PAC ID: 1456504323 Enrollment ID: I20160607000032 |
| Provider Name | Trent W Lyons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972738656 PECOS PAC ID: 5890928709 Enrollment ID: I20160607001755 |
| Provider Name | Anuj Malhotra |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629369657 PECOS PAC ID: 0345533741 Enrollment ID: I20160722000691 |
| Provider Name | Tara A Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316203763 PECOS PAC ID: 0143514653 Enrollment ID: I20160805001859 |
| Provider Name | Caitlin H Enright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225451123 PECOS PAC ID: 3274828066 Enrollment ID: I20160817002976 |
| Provider Name | Chowdhury F Miah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427472240 PECOS PAC ID: 3072738319 Enrollment ID: I20160928000737 |
| Provider Name | Ellen Y Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619288065 PECOS PAC ID: 4981982709 Enrollment ID: I20161031000647 |
| Provider Name | Bruce A Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164587408 PECOS PAC ID: 8224093281 Enrollment ID: I20161103000020 |
| Provider Name | Heather Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578915765 PECOS PAC ID: 4688953011 Enrollment ID: I20161108000679 |
| Provider Name | Ronnie Tom Oommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581887 PECOS PAC ID: 8325289077 Enrollment ID: I20161216001599 |
| Provider Name | Daniel J. Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306281530 PECOS PAC ID: 1557651874 Enrollment ID: I20170110000333 |
| Provider Name | Salma Akter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205097904 PECOS PAC ID: 7113209750 Enrollment ID: I20170117000391 |
| Provider Name | Gulvahid Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225287329 PECOS PAC ID: 0244478022 Enrollment ID: I20170124000941 |
| Provider Name | Asna A Amin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1649474925 PECOS PAC ID: 2365626074 Enrollment ID: I20170413002041 |
| Provider Name | Tina Seecharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215299854 PECOS PAC ID: 6800172172 Enrollment ID: I20170421000887 |
| Provider Name | Christopher Stark |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467741116 PECOS PAC ID: 4385945682 Enrollment ID: I20170605001828 |
| Provider Name | Rhonda Alena Darmstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558800540 PECOS PAC ID: 1052680873 Enrollment ID: I20170710001983 |
| Provider Name | Adam S Howe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083939284 PECOS PAC ID: 9537311881 Enrollment ID: I20170817000193 |
| Provider Name | Neil M Yager |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811215296 PECOS PAC ID: 4284906777 Enrollment ID: I20170817002948 |
| Provider Name | Keisha K Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760801740 PECOS PAC ID: 5092089441 Enrollment ID: I20170922002217 |
| Provider Name | Anita K Goodrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801150057 PECOS PAC ID: 2466760806 Enrollment ID: I20180103000083 |
| Provider Name | Nims Varadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528478492 PECOS PAC ID: 6002187283 Enrollment ID: I20180327000077 |
| Provider Name | Joanna Maxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992203236 PECOS PAC ID: 8426311663 Enrollment ID: I20180420001891 |
| Provider Name | Sam Hash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356751739 PECOS PAC ID: 5294009239 Enrollment ID: I20180501001504 |
| Provider Name | Evan C Adelstein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376623090 PECOS PAC ID: 5395744353 Enrollment ID: I20180621001544 |
| Provider Name | Jessica L Fournier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598025595 PECOS PAC ID: 7719256536 Enrollment ID: I20180628001729 |
| Provider Name | Penny L Knichel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437602737 PECOS PAC ID: 6103174701 Enrollment ID: I20180730001325 |
| Provider Name | Nadja T Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609360809 PECOS PAC ID: 3779831573 Enrollment ID: I20180810001730 |
| Provider Name | Joseph M Giampa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083047724 PECOS PAC ID: 9739459389 Enrollment ID: I20180831000376 |
| Provider Name | Kerri A Scorpio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356835755 PECOS PAC ID: 3779833124 Enrollment ID: I20180905001557 |
| Provider Name | Vivek N Bhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861809626 PECOS PAC ID: 9739460254 Enrollment ID: I20181003002688 |
| Provider Name | Foozhan Farahmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831576776 PECOS PAC ID: 1153673553 Enrollment ID: I20181012002282 |
| Provider Name | Soumya Ashok |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780070862 PECOS PAC ID: 3072867803 Enrollment ID: I20181114003046 |
| Provider Name | Dorly M Nerval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366605230 PECOS PAC ID: 1254610454 Enrollment ID: I20190103001404 |
| Provider Name | Maude Kaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831615772 PECOS PAC ID: 7517204191 Enrollment ID: I20190122001131 |
| Provider Name | Bradley E Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194721498 PECOS PAC ID: 7416123609 Enrollment ID: I20190403000455 |
| Provider Name | Elizabeth Chandy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437456159 PECOS PAC ID: 8022391549 Enrollment ID: I20190410002545 |
| Provider Name | Marco Vitto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285926709 PECOS PAC ID: 1850626250 Enrollment ID: I20190708001410 |
| Provider Name | Camille Dumas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851710859 PECOS PAC ID: 8729203971 Enrollment ID: I20190802000471 |
| Provider Name | Luay Alshara |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902226863 PECOS PAC ID: 2365713179 Enrollment ID: I20190808002535 |
| Provider Name | Brittany Lynn Intrieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629639869 PECOS PAC ID: 6800123050 Enrollment ID: I20190809001743 |
| Provider Name | Christopher K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508428160 PECOS PAC ID: 4284962044 Enrollment ID: I20190819001656 |
| Provider Name | Laurence O.f. Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447348222 PECOS PAC ID: 0547163180 Enrollment ID: I20190819002772 |
| Provider Name | Meghan B Rothrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528612892 PECOS PAC ID: 8921338278 Enrollment ID: I20190930000647 |
| Provider Name | Chantal A Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823236 PECOS PAC ID: 5991132672 Enrollment ID: I20200218001653 |
| Provider Name | Jonas G Wilson-leedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669739108 PECOS PAC ID: 2668613159 Enrollment ID: I20200225002498 |
| Provider Name | Nina Rachel Molin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114059979 PECOS PAC ID: 4486665304 Enrollment ID: I20200326000892 |
| Provider Name | Elizabeth Teresa Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801421060 PECOS PAC ID: 9335578905 Enrollment ID: I20200402000277 |
| Provider Name | Kimberly Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184038069 PECOS PAC ID: 9931326881 Enrollment ID: I20200520000578 |
| Provider Name | Maria Covington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487184735 PECOS PAC ID: 6608147343 Enrollment ID: I20200818003961 |
| Provider Name | Aiad Zaza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629336672 PECOS PAC ID: 9638315450 Enrollment ID: I20200824002067 |
| Provider Name | Paul D Rodrigue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972876340 PECOS PAC ID: 1557771524 Enrollment ID: I20201103000051 |
| Provider Name | Manan Pandya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629500889 PECOS PAC ID: 8820400351 Enrollment ID: I20201207002297 |
| Provider Name | Olanrewaju Adedokun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912341058 PECOS PAC ID: 0345652905 Enrollment ID: I20201224000127 |
| Provider Name | Trevor J Salverson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558757377 PECOS PAC ID: 1254676166 Enrollment ID: I20210527003030 |
| Provider Name | Gregory I Pace |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457745044 PECOS PAC ID: 5890075451 Enrollment ID: I20210728003380 |
| Provider Name | Jennifer L Pollard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538691431 PECOS PAC ID: 2567790181 Enrollment ID: I20210817002071 |
| Provider Name | Kathryne Kostamo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336660349 PECOS PAC ID: 8123423720 Enrollment ID: I20210819002813 |
| Provider Name | Agnes K. Pace |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1952796039 PECOS PAC ID: 0042590671 Enrollment ID: I20210824000674 |
| Provider Name | Anthony K Sayegh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881056935 PECOS PAC ID: 4880939719 Enrollment ID: I20211004002933 |
| Provider Name | Wilbur Charles Hitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598767725 PECOS PAC ID: 2961509401 Enrollment ID: I20211007002933 |
| Provider Name | Adrien Nicole Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518301704 PECOS PAC ID: 5395076657 Enrollment ID: I20211013002251 |
| Provider Name | Manek Aulakh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225456569 PECOS PAC ID: 1052531795 Enrollment ID: I20220401001134 |
| Provider Name | Robin G Knapp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295775823 PECOS PAC ID: 4880744796 Enrollment ID: I20220420001195 |
| Provider Name | Nicole M Dimuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003567702 PECOS PAC ID: 4183011927 Enrollment ID: I20220427000211 |
| Provider Name | Katherine Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013326396 PECOS PAC ID: 4284013087 Enrollment ID: I20220624002311 |
| Provider Name | Travis J Bevington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578925632 PECOS PAC ID: 1052656824 Enrollment ID: I20220726001109 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593391 PECOS PAC ID: 9638570781 Enrollment ID: I20220811000717 |
| Provider Name | Michelle Wilber-apostolov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669105912 PECOS PAC ID: 7719361013 Enrollment ID: I20220906002811 |
| Provider Name | Michael Huppmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164628467 PECOS PAC ID: 7315062536 Enrollment ID: I20220909001471 |
| Provider Name | Catherine E Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437886843 PECOS PAC ID: 2769867787 Enrollment ID: I20220912002741 |
| Provider Name | Amy Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087692 PECOS PAC ID: 0840676979 Enrollment ID: I20220927003004 |
| Provider Name | Caitlyn Sartori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922721059 PECOS PAC ID: 6800264375 Enrollment ID: I20221115002336 |
| Provider Name | Fahad Yousaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346701331 PECOS PAC ID: 3375872658 Enrollment ID: I20221122001582 |
| Provider Name | Justine Morgan-colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104355478 PECOS PAC ID: 8426428988 Enrollment ID: I20221228001808 |
| Provider Name | Matthew G. Marvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659995579 PECOS PAC ID: 2961875513 Enrollment ID: I20230301000482 |
| Provider Name | Isabella P Bautista |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316409253 PECOS PAC ID: 4385974211 Enrollment ID: I20230601000632 |
| Provider Name | Brent Mccarragher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699192088 PECOS PAC ID: 0648602474 Enrollment ID: I20230710002208 |
| Provider Name | Nathan Chertack |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568968600 PECOS PAC ID: 5092174979 Enrollment ID: I20230711000351 |
| Provider Name | Elaine M Jaworski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538629118 PECOS PAC ID: 6204169113 Enrollment ID: I20230717001922 |
| Provider Name | Michael E Schiller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952861783 PECOS PAC ID: 6709215957 Enrollment ID: I20230720000681 |
| Provider Name | Robert Magee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225652605 PECOS PAC ID: 3173986825 Enrollment ID: I20230828002847 |
| Provider Name | Alexis Rion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285179937 PECOS PAC ID: 7416308218 Enrollment ID: I20240105001744 |
| Provider Name | Vicki L Wolfe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033366596 PECOS PAC ID: 5193176634 Enrollment ID: I20240109001571 |
| Provider Name | Melissa Hermans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194488429 PECOS PAC ID: 8820449390 Enrollment ID: I20240109002358 |
| Provider Name | Thomas Lange |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639575129 PECOS PAC ID: 9032560511 Enrollment ID: I20240109002956 |
Columbia Memorial Hospital Medical Imaging Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Hudson, NY 12534 Phone: 518-828-8224 Fax: 518-828-8167 | |
Columbia Memorial Family Care (hudson) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Suite 210, Hudson, NY 12534 Phone: 518-828-3327 Fax: 518-697-8158 | |
Eutierria Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Industrial Tract Anx, Hudson, NY 12534 Phone: 518-291-8844 | |
The Spine Institute Of Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Suite L40, Hudson, NY 12534 Phone: 518-697-6000 Fax: 518-697-5345 | |
Hudson Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Prospect Ave, Suite 130, Hudson, NY 12534 Phone: 518-697-3540 Fax: 518-697-3551 | |
Prime Columbia Greene Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 949 Columbia St, Hudson, NY 12534 Phone: 518-828-7188 Fax: 518-828-5049 |