| Community Care Network Inc | |
|
9660 Wicker Ave St John IN 46373-9487 | |
| (219) 365-7620 | |
| (219) 226-2287 |
| Full Name | Community Care Network Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9660 Wicker Ave, St John, Indiana |
| Authorized Official Name and Position | Alan Madhur Kumar (ADMINISTRATOR) |
| Authorized Official Contact | 2197031619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Network Inc 9660 Wicker Ave St John IN 46373-9487 Ph: (219) 365-7620 | Community Care Network Inc 9660 Wicker Ave St John IN 46373-9487 Ph: (219) 365-7620 |
| NPI Number | 1457610487 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 05/31/2024 |
| Medicare PECOS PAC ID | 3678737012 |
|---|---|
| Medicare Enrollment ID | O20120614000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457610487 | NPI | - | NPPES |
| Provider Name | John P Rachoy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124138805 PECOS PAC ID: 7214840024 Enrollment ID: I20031110000016 |
| Provider Name | Carolina V Ocampo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548476237 PECOS PAC ID: 1658285226 Enrollment ID: I20031118000235 |
| Provider Name | George F Abu-aita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710997929 PECOS PAC ID: 6002711215 Enrollment ID: I20031201000801 |
| Provider Name | John E Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295744175 PECOS PAC ID: 7012814650 Enrollment ID: I20031212000760 |
| Provider Name | Linus Bhupendra Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407836547 PECOS PAC ID: 9436058112 Enrollment ID: I20031231000585 |
| Provider Name | Robert P Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255335816 PECOS PAC ID: 2163325523 Enrollment ID: I20040202000132 |
| Provider Name | Tarek Kudaimi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689638033 PECOS PAC ID: 0244125532 Enrollment ID: I20040217000029 |
| Provider Name | Joseph L Newberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013133396 PECOS PAC ID: 9638060296 Enrollment ID: I20040521001014 |
| Provider Name | Alison Riley Petrovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588669188 PECOS PAC ID: 3072596048 Enrollment ID: I20040610000865 |
| Provider Name | Thomas A Pawlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285660399 PECOS PAC ID: 7911980990 Enrollment ID: I20040610000928 |
| Provider Name | Howard J Marcus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972585842 PECOS PAC ID: 7810973716 Enrollment ID: I20040629001194 |
| Provider Name | Ramesh Unni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427039205 PECOS PAC ID: 3274504139 Enrollment ID: I20040804000273 |
| Provider Name | Sharon S Harig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770585861 PECOS PAC ID: 1456323922 Enrollment ID: I20040806000565 |
| Provider Name | Brian K Mcclenic |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1801845078 PECOS PAC ID: 4183696388 Enrollment ID: I20040809000902 |
| Provider Name | Joseph A Dejoan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497714364 PECOS PAC ID: 6507838356 Enrollment ID: I20040811000856 |
| Provider Name | Snezana D Barancyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104811637 PECOS PAC ID: 2466425384 Enrollment ID: I20040818000242 |
| Provider Name | Sheillah C Gentile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528118510 PECOS PAC ID: 6406829241 Enrollment ID: I20040818001187 |
| Provider Name | Yasir Fasih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336142066 PECOS PAC ID: 7719951532 Enrollment ID: I20040825001370 |
| Provider Name | Joseph C Legaspi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104826676 PECOS PAC ID: 9739154436 Enrollment ID: I20040826001162 |
| Provider Name | Aruna Uppuluri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427058551 PECOS PAC ID: 8921077280 Enrollment ID: I20041002000043 |
| Provider Name | Ahmad B Shughoury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356343578 PECOS PAC ID: 0345209110 Enrollment ID: I20041007000220 |
| Provider Name | George E Sloan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124097993 PECOS PAC ID: 0244292613 Enrollment ID: I20041028000285 |
| Provider Name | Khaled A Reheem Farag |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811931108 PECOS PAC ID: 0143282228 Enrollment ID: I20041101000634 |
| Provider Name | Nazal Obaid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891797064 PECOS PAC ID: 3779488028 Enrollment ID: I20041116000054 |
| Provider Name | Kais J Yehyawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477555670 PECOS PAC ID: 7911961362 Enrollment ID: I20041116000064 |
| Provider Name | Abdulrazzak Kawamleh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306848577 PECOS PAC ID: 5799749164 Enrollment ID: I20041116000180 |
| Provider Name | Wayel Kaakaji |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184733008 PECOS PAC ID: 2860453990 Enrollment ID: I20041201000979 |
| Provider Name | Darren Earnshaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346270162 PECOS PAC ID: 2860443074 Enrollment ID: I20050204000492 |
| Provider Name | Jaime E Ruiz Montero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245360726 PECOS PAC ID: 6406809607 Enrollment ID: I20050228000981 |
| Provider Name | Tamara Joy Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922076702 PECOS PAC ID: 1850346024 Enrollment ID: I20050321000770 |
| Provider Name | Kirk W Turner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760597736 PECOS PAC ID: 4880640036 Enrollment ID: I20050330000853 |
| Provider Name | Doran Erik Lounsbury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144391939 PECOS PAC ID: 4688620867 Enrollment ID: I20050330001054 |
| Provider Name | Malek M Maatouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972574986 PECOS PAC ID: 1658357462 Enrollment ID: I20050427001031 |
| Provider Name | Bharat V Bhavsar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891795860 PECOS PAC ID: 5597704411 Enrollment ID: I20050429000727 |
| Provider Name | Robert M Westphal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295840411 PECOS PAC ID: 1355382946 Enrollment ID: I20050513000098 |
| Provider Name | Jon D Misch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790767465 PECOS PAC ID: 8325005754 Enrollment ID: I20050514000014 |
| Provider Name | Billie A Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508837782 PECOS PAC ID: 7214978501 Enrollment ID: I20050517000745 |
| Provider Name | Ewelina Kervin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245370188 PECOS PAC ID: 2365485893 Enrollment ID: I20050606001202 |
| Provider Name | Richard J Browne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043217383 PECOS PAC ID: 0345283727 Enrollment ID: I20050607000326 |
| Provider Name | Paul J Stanish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780689984 PECOS PAC ID: 0345283099 Enrollment ID: I20050607000384 |
| Provider Name | Ender A Akan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487658282 PECOS PAC ID: 1254375447 Enrollment ID: I20050617001005 |
| Provider Name | Rashmi Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912995820 PECOS PAC ID: 1456387638 Enrollment ID: I20050711000214 |
| Provider Name | Priya M Shastri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437101409 PECOS PAC ID: 2163451964 Enrollment ID: I20050811000686 |
| Provider Name | Connie J Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770657959 PECOS PAC ID: 3577594506 Enrollment ID: I20050829001037 |
| Provider Name | Matthew Arnold Ramos Libiran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588656995 PECOS PAC ID: 4082646658 Enrollment ID: I20050902000472 |
| Provider Name | Kantilal S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316015944 PECOS PAC ID: 0648203331 Enrollment ID: I20050913001348 |
| Provider Name | Amy H Mcmahon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295767325 PECOS PAC ID: 5092740696 Enrollment ID: I20051003000549 |
| Provider Name | Shanu Kondamuri |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1497754287 PECOS PAC ID: 6002715125 Enrollment ID: I20051017000382 |
| Provider Name | Vijay Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740289313 PECOS PAC ID: 7315858743 Enrollment ID: I20051208000092 |
| Provider Name | Saveen Kesav Kondamuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346249927 PECOS PAC ID: 2163443953 Enrollment ID: I20051208000112 |
| Provider Name | Mark Robert Mcmurtrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467459750 PECOS PAC ID: 1951324391 Enrollment ID: I20060111000719 |
| Provider Name | Cynthia E Gropper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821036427 PECOS PAC ID: 0345263505 Enrollment ID: I20060113000368 |
| Provider Name | Louis Theodore Teodori |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487699880 PECOS PAC ID: 2466466396 Enrollment ID: I20060131000487 |
| Provider Name | Catherine A Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619917812 PECOS PAC ID: 0244249399 Enrollment ID: I20060418000364 |
| Provider Name | Frances Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689602468 PECOS PAC ID: 3072523612 Enrollment ID: I20060427000253 |
| Provider Name | William Wallace Forgey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508800814 PECOS PAC ID: 6204833494 Enrollment ID: I20061101000030 |
| Provider Name | Smita Raiker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629085816 PECOS PAC ID: 4880692110 Enrollment ID: I20061122000350 |
| Provider Name | Krishnakant S Raiker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124036769 PECOS PAC ID: 4789682378 Enrollment ID: I20061122000375 |
| Provider Name | Douglas B Post |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174552061 PECOS PAC ID: 8224039656 Enrollment ID: I20070126000463 |
| Provider Name | Dylan Slotar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154429074 PECOS PAC ID: 5991707721 Enrollment ID: I20070208000443 |
| Provider Name | Shariq M Ibrahim |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1245336486 PECOS PAC ID: 6204938061 Enrollment ID: I20070226000085 |
| Provider Name | Karen E Leitzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528090800 PECOS PAC ID: 3577665991 Enrollment ID: I20070302000325 |
| Provider Name | Martha Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134204183 PECOS PAC ID: 0143323709 Enrollment ID: I20070320000304 |
| Provider Name | Patricia M Tunberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164461687 PECOS PAC ID: 2062516578 Enrollment ID: I20070322000270 |
| Provider Name | Peter G Mavrelis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326043597 PECOS PAC ID: 6103824115 Enrollment ID: I20070323000030 |
| Provider Name | Jong H Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891797569 PECOS PAC ID: 3476657677 Enrollment ID: I20070328000144 |
| Provider Name | Rebecca Papamihalakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366581787 PECOS PAC ID: 0446357263 Enrollment ID: I20070512000004 |
| Provider Name | Anas Hakam Safadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457452484 PECOS PAC ID: 5799882353 Enrollment ID: I20070517000024 |
| Provider Name | Brian R Billmeyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376688820 PECOS PAC ID: 9032216403 Enrollment ID: I20070518000347 |
| Provider Name | David A Hudak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144369687 PECOS PAC ID: 2062405012 Enrollment ID: I20070629000097 |
| Provider Name | Wassim Shwaiki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013115039 PECOS PAC ID: 5890886873 Enrollment ID: I20070806000231 |
| Provider Name | Kerstin Ursula Dostal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427257294 PECOS PAC ID: 2567553571 Enrollment ID: I20070806000511 |
| Provider Name | Kathryn M Gjeldum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336165406 PECOS PAC ID: 4587755509 Enrollment ID: I20070806000577 |
| Provider Name | Kumar Venkatachalam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154325421 PECOS PAC ID: 4082612007 Enrollment ID: I20070813000230 |
| Provider Name | Thomas D Devine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942204508 PECOS PAC ID: 0749375129 Enrollment ID: I20071001000033 |
| Provider Name | April Lee Bisaga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164555884 PECOS PAC ID: 7618062647 Enrollment ID: I20071004000733 |
| Provider Name | Gene L Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033240411 PECOS PAC ID: 2769579507 Enrollment ID: I20071026000106 |
| Provider Name | James Hong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881778009 PECOS PAC ID: 6305845009 Enrollment ID: I20071031000358 |
| Provider Name | Michael L Wendahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235321480 PECOS PAC ID: 4183704992 Enrollment ID: I20080107000505 |
| Provider Name | Donald Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720068646 PECOS PAC ID: 0244266583 Enrollment ID: I20080214000289 |
| Provider Name | Pradeep V Kalokhe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760554067 PECOS PAC ID: 3870550114 Enrollment ID: I20080311000635 |
| Provider Name | Keith A Nalley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609913730 PECOS PAC ID: 1153490453 Enrollment ID: I20080513000093 |
| Provider Name | James B Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619970340 PECOS PAC ID: 3173692068 Enrollment ID: I20080519000333 |
| Provider Name | Karin G Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457362519 PECOS PAC ID: 8325055965 Enrollment ID: I20080520000214 |
| Provider Name | John H Burke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043238306 PECOS PAC ID: 3870578818 Enrollment ID: I20080523000240 |
| Provider Name | Douglas C Dedelow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861492993 PECOS PAC ID: 3577633957 Enrollment ID: I20080529000048 |
| Provider Name | David C Wilks |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205836335 PECOS PAC ID: 3072683358 Enrollment ID: I20080529000101 |
| Provider Name | John T Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891891156 PECOS PAC ID: 0840360129 Enrollment ID: I20080529000147 |
| Provider Name | Nitin S Sardesai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518926419 PECOS PAC ID: 4880771930 Enrollment ID: I20080531000046 |
| Provider Name | Catherine K Pieroni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427278308 PECOS PAC ID: 1052481108 Enrollment ID: I20080602000744 |
| Provider Name | Hung Dang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316140882 PECOS PAC ID: 6204922610 Enrollment ID: I20080730000625 |
| Provider Name | John A Hoehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891755690 PECOS PAC ID: 9739141128 Enrollment ID: I20080802000021 |
| Provider Name | Andrej Zajac |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316929623 PECOS PAC ID: 1557331303 Enrollment ID: I20080808000696 |
| Provider Name | Adam Eric Perlmutter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235270067 PECOS PAC ID: 9032205349 Enrollment ID: I20080812000855 |
| Provider Name | Ibrahim G Zabaneh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578555496 PECOS PAC ID: 4486729845 Enrollment ID: I20080819000750 |
| Provider Name | Amy E Turner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558389213 PECOS PAC ID: 4789750373 Enrollment ID: I20080905000066 |
| Provider Name | Eric F Schulte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194724377 PECOS PAC ID: 4688689789 Enrollment ID: I20080918000268 |
| Provider Name | Sameer Sharma |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033278056 PECOS PAC ID: 9739197138 Enrollment ID: I20080929000004 |
| Provider Name | Olusola O Ogundipe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194849901 PECOS PAC ID: 4284735507 Enrollment ID: I20081107000519 |
| Provider Name | Harshavardhan L Dalal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700812823 PECOS PAC ID: 9234299215 Enrollment ID: I20081120000498 |
| Provider Name | Barbara A Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831269901 PECOS PAC ID: 5698835593 Enrollment ID: I20081121000657 |
| Provider Name | Michael H Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194895680 PECOS PAC ID: 0143273383 Enrollment ID: I20081201000448 |
| Provider Name | Fadia J Haddadin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386832830 PECOS PAC ID: 5092876615 Enrollment ID: I20081201000639 |
| Provider Name | Deborah A Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104857499 PECOS PAC ID: 0244269660 Enrollment ID: I20081202000193 |
| Provider Name | Marisa Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477705614 PECOS PAC ID: 7113089285 Enrollment ID: I20081224000148 |
| Provider Name | Arif A Khalil |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619951290 PECOS PAC ID: 3476616806 Enrollment ID: I20090112000634 |
| Provider Name | Alicia J Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881862415 PECOS PAC ID: 6103980149 Enrollment ID: I20090205000429 |
| Provider Name | Diane M Dinino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215970983 PECOS PAC ID: 8224189469 Enrollment ID: I20090629000088 |
| Provider Name | John M Szymczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972701928 PECOS PAC ID: 6002967049 Enrollment ID: I20090702000061 |
| Provider Name | Brian J Blonigen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134330426 PECOS PAC ID: 5890848675 Enrollment ID: I20090727000213 |
| Provider Name | Shirley S Sheth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033362272 PECOS PAC ID: 7012061252 Enrollment ID: I20090821000400 |
| Provider Name | Sean H Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841407277 PECOS PAC ID: 5890743520 Enrollment ID: I20090908000523 |
| Provider Name | Samer Abbas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568481182 PECOS PAC ID: 7113975186 Enrollment ID: I20090924000000 |
| Provider Name | Snezana M Zubic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578567145 PECOS PAC ID: 5597811828 Enrollment ID: I20090928000708 |
| Provider Name | Julie H Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841455318 PECOS PAC ID: 8729124318 Enrollment ID: I20091013000358 |
| Provider Name | Shaila Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902095938 PECOS PAC ID: 1658417019 Enrollment ID: I20091015000351 |
| Provider Name | Jay S Hwang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386644268 PECOS PAC ID: 5294768628 Enrollment ID: I20091102000517 |
| Provider Name | R Bhawani Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679534994 PECOS PAC ID: 2668510306 Enrollment ID: I20091117000520 |
| Provider Name | Teoman R Demir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316959695 PECOS PAC ID: 4789787680 Enrollment ID: I20091202000051 |
| Provider Name | Anne T Dempsey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467466615 PECOS PAC ID: 0749329977 Enrollment ID: I20091202000080 |
| Provider Name | Terrence W Dempsey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477577690 PECOS PAC ID: 9234232133 Enrollment ID: I20091202000104 |
| Provider Name | Andrea Deleo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265436042 PECOS PAC ID: 1052452117 Enrollment ID: I20100112000113 |
| Provider Name | Mark A Feldner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952300873 PECOS PAC ID: 0749321669 Enrollment ID: I20100113000901 |
| Provider Name | John Sacco |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336133685 PECOS PAC ID: 7214849686 Enrollment ID: I20100128000129 |
| Provider Name | Kenneth William Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861491805 PECOS PAC ID: 2567504566 Enrollment ID: I20100128000336 |
| Provider Name | Tracy Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720088818 PECOS PAC ID: 4183766108 Enrollment ID: I20100128000479 |
| Provider Name | Eduardo Fletes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689671786 PECOS PAC ID: 0547304388 Enrollment ID: I20100218000003 |
| Provider Name | Akram Kholoki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164598504 PECOS PAC ID: 9931297785 Enrollment ID: I20100226000776 |
| Provider Name | Keith Atassi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336160753 PECOS PAC ID: 1951499706 Enrollment ID: I20100301000572 |
| Provider Name | Mohamed Turkmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356332662 PECOS PAC ID: 8123163177 Enrollment ID: I20100302000942 |
| Provider Name | Leonard V Covello |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467411835 PECOS PAC ID: 7012915028 Enrollment ID: I20100311000584 |
| Provider Name | Denise C Weaver |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093772378 PECOS PAC ID: 1850426198 Enrollment ID: I20100311000999 |
| Provider Name | Mahmoud A Ismail |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972649051 PECOS PAC ID: 2769371178 Enrollment ID: I20100325001017 |
| Provider Name | Hakam H Safadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851394134 PECOS PAC ID: 3870579717 Enrollment ID: I20100326000886 |
| Provider Name | David Herbstman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841399300 PECOS PAC ID: 7618910217 Enrollment ID: I20100330000883 |
| Provider Name | Rebecca E Galante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437133220 PECOS PAC ID: 4183751100 Enrollment ID: I20100423000214 |
| Provider Name | Douglas W Caruana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053400564 PECOS PAC ID: 3173651296 Enrollment ID: I20100511001056 |
| Provider Name | Sheeyip J Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316917172 PECOS PAC ID: 4587793021 Enrollment ID: I20100521000555 |
| Provider Name | Lori J Murphy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568696284 PECOS PAC ID: 1254460710 Enrollment ID: I20100521000792 |
| Provider Name | John E. Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851326086 PECOS PAC ID: 3678602067 Enrollment ID: I20100524000318 |
| Provider Name | Danny P Kaup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851370050 PECOS PAC ID: 3678638947 Enrollment ID: I20100602000172 |
| Provider Name | Susan W Feeney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750321469 PECOS PAC ID: 7012929466 Enrollment ID: I20100624000458 |
| Provider Name | Bruce R Yalowitz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639161235 PECOS PAC ID: 0143127084 Enrollment ID: I20100714000623 |
| Provider Name | Vera H Masutti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073597142 PECOS PAC ID: 5092612846 Enrollment ID: I20100729000486 |
| Provider Name | Tasha M Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033150792 PECOS PAC ID: 3779564190 Enrollment ID: I20100730000136 |
| Provider Name | Hubert Fornalik |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255549812 PECOS PAC ID: 8224119128 Enrollment ID: I20100730000661 |
| Provider Name | Regina M Iwinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750306163 PECOS PAC ID: 4981737715 Enrollment ID: I20100730000777 |
| Provider Name | Marc Crescenzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881678993 PECOS PAC ID: 6709787039 Enrollment ID: I20100814000140 |
| Provider Name | Michael A Owens |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538212204 PECOS PAC ID: 9335273812 Enrollment ID: I20100819000509 |
| Provider Name | Bina K Parekh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558458554 PECOS PAC ID: 5890793798 Enrollment ID: I20100820000676 |
| Provider Name | Muhammad M Kudaimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629011747 PECOS PAC ID: 7416071451 Enrollment ID: I20100827000810 |
| Provider Name | Robert T Woodburn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407848849 PECOS PAC ID: 4284667221 Enrollment ID: I20100901000963 |
| Provider Name | Alan Madhur Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942318548 PECOS PAC ID: 4486759628 Enrollment ID: I20100920000525 |
| Provider Name | Crystal I Tuncay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992790414 PECOS PAC ID: 9739371964 Enrollment ID: I20101006001104 |
| Provider Name | Mark O Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831125806 PECOS PAC ID: 4688867237 Enrollment ID: I20101015000230 |
| Provider Name | Toni B Scott Terry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003929175 PECOS PAC ID: 9335120138 Enrollment ID: I20101027000601 |
| Provider Name | Jana L Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720197387 PECOS PAC ID: 8729086004 Enrollment ID: I20101029001168 |
| Provider Name | Jennifer Sabuda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174830236 PECOS PAC ID: 2163616210 Enrollment ID: I20101102001059 |
| Provider Name | Hatem M Dajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912099664 PECOS PAC ID: 9638235922 Enrollment ID: I20101108000147 |
| Provider Name | Patricia Medina-mcdevitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225167513 PECOS PAC ID: 3779778543 Enrollment ID: I20101108000263 |
| Provider Name | Charity L Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306154786 PECOS PAC ID: 7618163544 Enrollment ID: I20101118000157 |
| Provider Name | Mohammad S Shukairy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952510653 PECOS PAC ID: 2163575218 Enrollment ID: I20101123000113 |
| Provider Name | John Edward Dolatowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205922218 PECOS PAC ID: 0244356715 Enrollment ID: I20101208000872 |
| Provider Name | Dafer Al-haddadin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932192945 PECOS PAC ID: 8022098235 Enrollment ID: I20101209001418 |
| Provider Name | Robert A Dershewitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649271412 PECOS PAC ID: 7214975085 Enrollment ID: I20101215001058 |
| Provider Name | Mark A Simaga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598818270 PECOS PAC ID: 6901094069 Enrollment ID: I20101216000570 |
| Provider Name | Karen A Mannino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871634188 PECOS PAC ID: 1456530575 Enrollment ID: I20110121000348 |
| Provider Name | Lisa S Sheehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730483884 PECOS PAC ID: 0143400978 Enrollment ID: I20110210000459 |
| Provider Name | William H Spear |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811085889 PECOS PAC ID: 4688748767 Enrollment ID: I20110214000328 |
| Provider Name | Vishal Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093920191 PECOS PAC ID: 3072666312 Enrollment ID: I20110225000046 |
| Provider Name | Pratik P Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043451537 PECOS PAC ID: 4880875541 Enrollment ID: I20110301000328 |
| Provider Name | Sambhav Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669433512 PECOS PAC ID: 7416073655 Enrollment ID: I20110302001058 |
| Provider Name | Kelly Mcshane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598073231 PECOS PAC ID: 6103009394 Enrollment ID: I20110325000158 |
| Provider Name | Charles A Kirkland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467525857 PECOS PAC ID: 7315922317 Enrollment ID: I20110328000008 |
| Provider Name | Sarah J Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548575384 PECOS PAC ID: 8921289810 Enrollment ID: I20110401000798 |
| Provider Name | Brooke S Mcdermott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770769929 PECOS PAC ID: 4385702695 Enrollment ID: I20110421000458 |
| Provider Name | Satya N Ramiah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134378375 PECOS PAC ID: 5890973788 Enrollment ID: I20110623000507 |
| Provider Name | Jie Song |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114223351 PECOS PAC ID: 7416135942 Enrollment ID: I20110701000134 |
| Provider Name | Gauri P Kalokhe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225285711 PECOS PAC ID: 5991973943 Enrollment ID: I20110719000664 |
| Provider Name | Kelley L Eshenaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205124179 PECOS PAC ID: 9032380399 Enrollment ID: I20110916000040 |
| Provider Name | Bantu S. Chhangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114198223 PECOS PAC ID: 3779655824 Enrollment ID: I20110929000540 |
| Provider Name | Daphne D Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427330216 PECOS PAC ID: 5294908372 Enrollment ID: I20111107000050 |
| Provider Name | Irene Dmitruk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861703399 PECOS PAC ID: 5597938423 Enrollment ID: I20111109000343 |
| Provider Name | Alan C Senh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497981781 PECOS PAC ID: 9234304221 Enrollment ID: I20111201000684 |
| Provider Name | Samer Ajam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467680942 PECOS PAC ID: 3678740552 Enrollment ID: I20120117000646 |
| Provider Name | Daniel M Netluch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518968544 PECOS PAC ID: 6800784612 Enrollment ID: I20120120000261 |
| Provider Name | Virginia E Hyland |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831473685 PECOS PAC ID: 2567624125 Enrollment ID: I20120427000486 |
| Provider Name | Anna M Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831460666 PECOS PAC ID: 5294998241 Enrollment ID: I20120531000471 |
| Provider Name | Lori A Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942587449 PECOS PAC ID: 5395909006 Enrollment ID: I20120608000435 |
| Provider Name | Corinne M Djuric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164780276 PECOS PAC ID: 3971767153 Enrollment ID: I20120620000242 |
| Provider Name | Jonathan A Garoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174759559 PECOS PAC ID: 1951568120 Enrollment ID: I20120622000600 |
| Provider Name | Sulman M Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982839650 PECOS PAC ID: 2668629718 Enrollment ID: I20120827000807 |
| Provider Name | Julie A Mora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487809364 PECOS PAC ID: 5294911921 Enrollment ID: I20120920000607 |
| Provider Name | Ammar M Shaheen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801095989 PECOS PAC ID: 7911925656 Enrollment ID: I20121004000440 |
| Provider Name | Stephanie A Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356577670 PECOS PAC ID: 3577713221 Enrollment ID: I20121016000071 |
| Provider Name | Chrysanthemum M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023277738 PECOS PAC ID: 2062663594 Enrollment ID: I20121110000080 |
| Provider Name | Nicole A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013268929 PECOS PAC ID: 2365694502 Enrollment ID: I20121214000147 |
| Provider Name | Jared Moon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649546284 PECOS PAC ID: 9032362041 Enrollment ID: I20121226000161 |
| Provider Name | Mark J Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740486398 PECOS PAC ID: 3971684739 Enrollment ID: I20130126000010 |
| Provider Name | Mark E Fesenmyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992770390 PECOS PAC ID: 7416842810 Enrollment ID: I20130429000622 |
| Provider Name | Victoria M Venturella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750625562 PECOS PAC ID: 5092952309 Enrollment ID: I20130506000041 |
| Provider Name | Leah M Johnson-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457697898 PECOS PAC ID: 8628215977 Enrollment ID: I20130506000483 |
| Provider Name | Praveen Nallapareddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396908455 PECOS PAC ID: 1759570484 Enrollment ID: I20130513000246 |
| Provider Name | Kathryn L Trojan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407197346 PECOS PAC ID: 7810134517 Enrollment ID: I20130517000278 |
| Provider Name | Fulton Louis Porter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316944341 PECOS PAC ID: 7214903194 Enrollment ID: I20130517000425 |
| Provider Name | Joann E Marinkovich-davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023356656 PECOS PAC ID: 0446498091 Enrollment ID: I20130521000590 |
| Provider Name | Hakeem I Jibawi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194040006 PECOS PAC ID: 8426298431 Enrollment ID: I20130715000433 |
| Provider Name | Angela M Tursman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730262809 PECOS PAC ID: 5193967206 Enrollment ID: I20130820000030 |
| Provider Name | Dyanna Jm Hamstra Prairie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144667825 PECOS PAC ID: 4486897956 Enrollment ID: I20130830000735 |
| Provider Name | Holly M Gutierrez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235462094 PECOS PAC ID: 1254574692 Enrollment ID: I20130904000032 |
| Provider Name | Bryan J King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063730992 PECOS PAC ID: 2062655400 Enrollment ID: I20130904000041 |
| Provider Name | Lamia Katbi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912048851 PECOS PAC ID: 1658515804 Enrollment ID: I20130910000503 |
| Provider Name | Manoj V Rao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790946168 PECOS PAC ID: 8022252501 Enrollment ID: I20130924000227 |
| Provider Name | Kamaldeep S Heyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205149952 PECOS PAC ID: 1254575665 Enrollment ID: I20130924000676 |
| Provider Name | Anthony E Grippo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467763888 PECOS PAC ID: 2567606833 Enrollment ID: I20130926000742 |
| Provider Name | Christian Peter Badillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770711434 PECOS PAC ID: 4880843903 Enrollment ID: I20131009002137 |
| Provider Name | Nadim Hafez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518164284 PECOS PAC ID: 2961694856 Enrollment ID: I20131022001551 |
| Provider Name | Bilal H Safadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457512816 PECOS PAC ID: 7113167438 Enrollment ID: I20131101000555 |
| Provider Name | Liu A Schoen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366635393 PECOS PAC ID: 5193951184 Enrollment ID: I20131121001316 |
| Provider Name | Joshua S Dworetzky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164713269 PECOS PAC ID: 7810160041 Enrollment ID: I20140103001188 |
| Provider Name | Fatma Elzhra Hossini Ramadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164548848 PECOS PAC ID: 4981701455 Enrollment ID: I20140115000298 |
| Provider Name | Sridivya Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538332689 PECOS PAC ID: 1355570524 Enrollment ID: I20140210001772 |
| Provider Name | Jason Robert White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700211828 PECOS PAC ID: 7315177649 Enrollment ID: I20140305001275 |
| Provider Name | Denise Poppen-szynal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528494655 PECOS PAC ID: 5092945022 Enrollment ID: I20140313000061 |
| Provider Name | Brittany C Hausmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609207323 PECOS PAC ID: 0749411718 Enrollment ID: I20140317001025 |
| Provider Name | Chantal L Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508979725 PECOS PAC ID: 4284865494 Enrollment ID: I20140331002059 |
| Provider Name | John G Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154363372 PECOS PAC ID: 6608845078 Enrollment ID: I20140416002475 |
| Provider Name | Francisco Acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467446930 PECOS PAC ID: 5597731075 Enrollment ID: I20140509000028 |
| Provider Name | Vsevolod Tikhomirov |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790989150 PECOS PAC ID: 9436244191 Enrollment ID: I20140602000186 |
| Provider Name | Kelly L Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518379130 PECOS PAC ID: 8224253463 Enrollment ID: I20140702001485 |
| Provider Name | Patricia E Ohalloran |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780097014 PECOS PAC ID: 9739304619 Enrollment ID: I20140709001096 |
| Provider Name | Alma D Farin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801104815 PECOS PAC ID: 8123244076 Enrollment ID: I20140729002482 |
| Provider Name | Anand A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699061457 PECOS PAC ID: 6901023639 Enrollment ID: I20140804001533 |
| Provider Name | Jennifer A Platt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376842682 PECOS PAC ID: 8921232257 Enrollment ID: I20140813001376 |
| Provider Name | Christina T Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801180633 PECOS PAC ID: 1557588472 Enrollment ID: I20140815001746 |
| Provider Name | Amanda Nakashian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558783019 PECOS PAC ID: 2567681158 Enrollment ID: I20140912001470 |
| Provider Name | Kedar A Kakodkar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073724076 PECOS PAC ID: 4082840293 Enrollment ID: I20141006000267 |
| Provider Name | Constantina C Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861515447 PECOS PAC ID: 6103992771 Enrollment ID: I20141028001231 |
| Provider Name | Jill Van Tholen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477955201 PECOS PAC ID: 8325360175 Enrollment ID: I20141204002059 |
| Provider Name | Monika D Vasic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275935132 PECOS PAC ID: 8224351747 Enrollment ID: I20150108000091 |
| Provider Name | Christina M Matoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639567761 PECOS PAC ID: 2769706928 Enrollment ID: I20150115002365 |
| Provider Name | Jolene Gelarden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114119278 PECOS PAC ID: 2567786643 Enrollment ID: I20150120001530 |
| Provider Name | Natalie Sessions |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992997175 PECOS PAC ID: 1658516976 Enrollment ID: I20150121001891 |
| Provider Name | Vatsal K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639458763 PECOS PAC ID: 7416179981 Enrollment ID: I20150123001910 |
| Provider Name | Virag Dandekar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861620403 PECOS PAC ID: 2163747569 Enrollment ID: I20150205001838 |
| Provider Name | Jill Ann Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386665867 PECOS PAC ID: 5698797231 Enrollment ID: I20150406000238 |
| Provider Name | Kathleen Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417903600 PECOS PAC ID: 3274851381 Enrollment ID: I20150421000627 |
| Provider Name | Robert Edward Clemency Iii |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508127663 PECOS PAC ID: 0345552998 Enrollment ID: I20150709002957 |
| Provider Name | Maria T Aguirre |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710205067 PECOS PAC ID: 9537472766 Enrollment ID: I20150717000428 |
| Provider Name | Holly Longstreet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588925655 PECOS PAC ID: 5890911317 Enrollment ID: I20150721002565 |
| Provider Name | Amer Sidani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790948180 PECOS PAC ID: 5799962817 Enrollment ID: I20150727000272 |
| Provider Name | Michael J Knesek |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336376367 PECOS PAC ID: 6406160423 Enrollment ID: I20150805006769 |
| Provider Name | David A. Stewart |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700042389 PECOS PAC ID: 9638314636 Enrollment ID: I20150820011965 |
| Provider Name | Jonathan Y Ji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477603504 PECOS PAC ID: 1456538172 Enrollment ID: I20150921000088 |
| Provider Name | Jamie L Bump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772636 PECOS PAC ID: 5496062655 Enrollment ID: I20150921001630 |
| Provider Name | Jessica Kiszka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336554898 PECOS PAC ID: 3476779745 Enrollment ID: I20151022000089 |
| Provider Name | Sarosh Bukhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306092648 PECOS PAC ID: 7618286097 Enrollment ID: I20151028001575 |
| Provider Name | Travis K Haldeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033162425 PECOS PAC ID: 8426189044 Enrollment ID: I20151109000044 |
| Provider Name | Brian Hoener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275884397 PECOS PAC ID: 9830499839 Enrollment ID: I20151124000038 |
| Provider Name | Lauren K Rutili |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538433438 PECOS PAC ID: 6406157049 Enrollment ID: I20151223001730 |
| Provider Name | Mark Gardner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114055787 PECOS PAC ID: 8123320652 Enrollment ID: I20151230001060 |
| Provider Name | Jill A Colontuono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619161916 PECOS PAC ID: 4587729215 Enrollment ID: I20160311000410 |
| Provider Name | Preethi K Venepalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700049558 PECOS PAC ID: 7911171673 Enrollment ID: I20160701001484 |
| Provider Name | Natalie Cowan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699123950 PECOS PAC ID: 4587956040 Enrollment ID: I20160705000149 |
| Provider Name | Usman K Qadeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467728378 PECOS PAC ID: 7214229491 Enrollment ID: I20160708000296 |
| Provider Name | Jennifer Owen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114312337 PECOS PAC ID: 8729371240 Enrollment ID: I20160721000706 |
| Provider Name | Jaime C Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689031536 PECOS PAC ID: 6204129620 Enrollment ID: I20160722001300 |
| Provider Name | Oscar Dean Norton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285606590 PECOS PAC ID: 5395705297 Enrollment ID: I20160803000412 |
| Provider Name | Wassim Ballany |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023259777 PECOS PAC ID: 0345534657 Enrollment ID: I20160810000198 |
| Provider Name | Adil Alavi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649215161 PECOS PAC ID: 1759410228 Enrollment ID: I20160824003082 |
| Provider Name | Kelly Dejong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417329707 PECOS PAC ID: 6204122252 Enrollment ID: I20160831001053 |
| Provider Name | Brian A Genovesi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831536572 PECOS PAC ID: 8628219359 Enrollment ID: I20160909001226 |
| Provider Name | Daniel Woods |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326209347 PECOS PAC ID: 4688863251 Enrollment ID: I20160921000677 |
| Provider Name | Shalini S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598106585 PECOS PAC ID: 4587983424 Enrollment ID: I20160926000935 |
| Provider Name | Michelle Zubair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366797052 PECOS PAC ID: 2365739828 Enrollment ID: I20160927001257 |
| Provider Name | Patricia P Panelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528068970 PECOS PAC ID: 4789646522 Enrollment ID: I20161003000264 |
| Provider Name | Brent Cutro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346479474 PECOS PAC ID: 1658535919 Enrollment ID: I20161017002134 |
| Provider Name | Jennifer L Klaich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467857136 PECOS PAC ID: 3375821606 Enrollment ID: I20161020001739 |
| Provider Name | Umparrys Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336799 PECOS PAC ID: 8022399161 Enrollment ID: I20170103000765 |
| Provider Name | Stuart Arthur Allan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649725151 PECOS PAC ID: 1052692753 Enrollment ID: I20170111000203 |
| Provider Name | Megan E Doheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609318922 PECOS PAC ID: 9638450315 Enrollment ID: I20170112000293 |
| Provider Name | Erica Ketchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407308117 PECOS PAC ID: 2769764513 Enrollment ID: I20170131001418 |
| Provider Name | Margarita Vega-suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003368606 PECOS PAC ID: 1456635846 Enrollment ID: I20170302001992 |
| Provider Name | Kristin M Stok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619411576 PECOS PAC ID: 4789968744 Enrollment ID: I20170313000439 |
| Provider Name | Krystal Lee Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346601168 PECOS PAC ID: 6709161425 Enrollment ID: I20170321000889 |
| Provider Name | An Na Park |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992025563 PECOS PAC ID: 6901052810 Enrollment ID: I20170329002072 |
| Provider Name | Cherise L Cokley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285835025 PECOS PAC ID: 7517196843 Enrollment ID: I20170417001280 |
| Provider Name | Syed Anadil A Anvery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487940789 PECOS PAC ID: 7517289341 Enrollment ID: I20170428000793 |
| Provider Name | Andrea Reader |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982090239 PECOS PAC ID: 4789961517 Enrollment ID: I20170504001513 |
| Provider Name | Joanna K Malek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588049035 PECOS PAC ID: 7012284953 Enrollment ID: I20170525001491 |
| Provider Name | Matthew Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841725231 PECOS PAC ID: 1153698659 Enrollment ID: I20170605002842 |
| Provider Name | George I Zabaneh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285048793 PECOS PAC ID: 7810291853 Enrollment ID: I20170627003159 |
| Provider Name | Maureen Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700306057 PECOS PAC ID: 9830469147 Enrollment ID: I20170719002693 |
| Provider Name | Anoop Appannagari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912136979 PECOS PAC ID: 8527224518 Enrollment ID: I20170720000948 |
| Provider Name | Nikhil A Shetty |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316202138 PECOS PAC ID: 9638396716 Enrollment ID: I20170728001399 |
| Provider Name | Ryan Mcclain Swearingen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598026684 PECOS PAC ID: 0446568794 Enrollment ID: I20170816003987 |
| Provider Name | Michelle Srisuwananukorn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609160464 PECOS PAC ID: 4880997857 Enrollment ID: I20170912002855 |
| Provider Name | Indu K Chalana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992061584 PECOS PAC ID: 0547573149 Enrollment ID: I20170913003163 |
| Provider Name | Christopher M Osan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427477413 PECOS PAC ID: 7618242702 Enrollment ID: I20170928002388 |
| Provider Name | Tiffany N Berber-stanisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730603937 PECOS PAC ID: 8527333673 Enrollment ID: I20170929000994 |
| Provider Name | Alyssa M Pagliere Osan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760801658 PECOS PAC ID: 9335414325 Enrollment ID: I20170929003225 |
| Provider Name | Alaa Rawhi Atieh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609290246 PECOS PAC ID: 8820354434 Enrollment ID: I20171115002098 |
| Provider Name | Kristen Nicole Mcging |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144734849 PECOS PAC ID: 0749548501 Enrollment ID: I20171227002355 |
| Provider Name | Stephanie M Rogowski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134641996 PECOS PAC ID: 4082973334 Enrollment ID: I20180115000346 |
| Provider Name | Jennifer Ann Rumpel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1588827562 PECOS PAC ID: 3274777917 Enrollment ID: I20180131002868 |
| Provider Name | Michael L Eng |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801907878 PECOS PAC ID: 2062419625 Enrollment ID: I20180220001948 |
| Provider Name | Brittany L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841704996 PECOS PAC ID: 2860753357 Enrollment ID: I20180226000306 |
| Provider Name | Demetrius K Lopes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184693244 PECOS PAC ID: 2264562701 Enrollment ID: I20180228000139 |
| Provider Name | Angela D Patti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255848263 PECOS PAC ID: 9739441502 Enrollment ID: I20180315001773 |
| Provider Name | Carolyn Mae Blouir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174024939 PECOS PAC ID: 6709148208 Enrollment ID: I20180321001774 |
| Provider Name | Jeffrin L Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104325992 PECOS PAC ID: 0547523326 Enrollment ID: I20180409000448 |
| Provider Name | Daniel Litera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134629785 PECOS PAC ID: 1052674702 Enrollment ID: I20180411002568 |
| Provider Name | Susan J Bigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518383264 PECOS PAC ID: 4284867540 Enrollment ID: I20180412002919 |
| Provider Name | Maura A Dickinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154645604 PECOS PAC ID: 3971735606 Enrollment ID: I20180504000306 |
| Provider Name | Sheila A Roser |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1124525704 PECOS PAC ID: 9133484009 Enrollment ID: I20180523002256 |
| Provider Name | Geoffrey S Ritter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043713225 PECOS PAC ID: 7810252509 Enrollment ID: I20180530001430 |
| Provider Name | Priscilla Moe Mulesa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285137752 PECOS PAC ID: 0547525230 Enrollment ID: I20180530001436 |
| Provider Name | Breanna Nicole Faber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033612353 PECOS PAC ID: 2961767686 Enrollment ID: I20180530002597 |
| Provider Name | Robert James Watson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861983769 PECOS PAC ID: 4486909785 Enrollment ID: I20180608001151 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750541892 PECOS PAC ID: 9032365713 Enrollment ID: I20180629000700 |
| Provider Name | Shawn P Naranjo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629338777 PECOS PAC ID: 3476792169 Enrollment ID: I20180703003385 |
| Provider Name | Osama A Zaghmout |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659791788 PECOS PAC ID: 9032465992 Enrollment ID: I20180706001356 |
| Provider Name | Omar Husseini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467740894 PECOS PAC ID: 3971827841 Enrollment ID: I20180714000131 |
| Provider Name | Kathleen Saoud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255727665 PECOS PAC ID: 3274843040 Enrollment ID: I20180723000423 |
| Provider Name | Bishara R Khoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831576693 PECOS PAC ID: 4284929480 Enrollment ID: I20180801001968 |
| Provider Name | Teresa Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861886335 PECOS PAC ID: 9032422753 Enrollment ID: I20180808003732 |
| Provider Name | Thanzeela K Mohideen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336566538 PECOS PAC ID: 5799061107 Enrollment ID: I20180817002916 |
| Provider Name | Imran A Osmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457794794 PECOS PAC ID: 5890921332 Enrollment ID: I20180820002509 |
| Provider Name | Jennifer A Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811098387 PECOS PAC ID: 9234107616 Enrollment ID: I20180918003619 |
| Provider Name | Akta Sehgal Kakodkar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053622928 PECOS PAC ID: 3870807142 Enrollment ID: I20181010003337 |
| Provider Name | Alysia T Townsend |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487611034 PECOS PAC ID: 7113949504 Enrollment ID: I20181011000052 |
| Provider Name | Alicia M Kobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902390313 PECOS PAC ID: 0143572651 Enrollment ID: I20181011000808 |
| Provider Name | Megan Maria Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174032320 PECOS PAC ID: 1153689641 Enrollment ID: I20181011001948 |
| Provider Name | Tami Degeorge |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144724972 PECOS PAC ID: 2769734102 Enrollment ID: I20181011002668 |
| Provider Name | Stephanie Bandstra |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215388426 PECOS PAC ID: 6103178553 Enrollment ID: I20181012000139 |
| Provider Name | Priyanka Kumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295078418 PECOS PAC ID: 0749582724 Enrollment ID: I20181018000570 |
| Provider Name | Mildred J Willy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407982291 PECOS PAC ID: 7416943154 Enrollment ID: I20181031002048 |
| Provider Name | Kirk D Jenkins |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306161955 PECOS PAC ID: 3678889557 Enrollment ID: I20181105001387 |
| Provider Name | Nichole M Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255819405 PECOS PAC ID: 8123372208 Enrollment ID: I20181107002845 |
| Provider Name | Marylynn Katherine Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124540687 PECOS PAC ID: 0143564906 Enrollment ID: I20181205000465 |
| Provider Name | Jason M Frazier |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528223450 PECOS PAC ID: 9436371143 Enrollment ID: I20181205000618 |
| Provider Name | Pratik N Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104082445 PECOS PAC ID: 0042480659 Enrollment ID: I20181205000858 |
| Provider Name | Stephanie M Evanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245556455 PECOS PAC ID: 6305061292 Enrollment ID: I20181205001394 |
| Provider Name | Amy E Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750863841 PECOS PAC ID: 8325383714 Enrollment ID: I20181212002109 |
| Provider Name | Lauren Ashley Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780150607 PECOS PAC ID: 1759626716 Enrollment ID: I20181219000978 |
| Provider Name | Alicia Christina Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093284838 PECOS PAC ID: 1254677628 Enrollment ID: I20190107002776 |
| Provider Name | Sarah Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801022124 PECOS PAC ID: 4183872724 Enrollment ID: I20190108002696 |
| Provider Name | Nicholas Gross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629432091 PECOS PAC ID: 4385932144 Enrollment ID: I20190115000045 |
| Provider Name | Anna T Heppner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083194161 PECOS PAC ID: 4688911233 Enrollment ID: I20190122000032 |
| Provider Name | Lisa Michelle Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720576986 PECOS PAC ID: 9032456389 Enrollment ID: I20190124003563 |
| Provider Name | Farrukh Chaudhry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003077900 PECOS PAC ID: 3577794023 Enrollment ID: I20190125001298 |
| Provider Name | Amy Castillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396221883 PECOS PAC ID: 0648517912 Enrollment ID: I20190129002321 |
| Provider Name | Amber Hanas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386138493 PECOS PAC ID: 3678811239 Enrollment ID: I20190206003453 |
| Provider Name | Kimberly M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255804613 PECOS PAC ID: 3072851369 Enrollment ID: I20190212001588 |
| Provider Name | Timothy G Yovankin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780002360 PECOS PAC ID: 1052668373 Enrollment ID: I20190213000707 |
| Provider Name | Katie Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356812879 PECOS PAC ID: 5193063311 Enrollment ID: I20190214000427 |
| Provider Name | Joanne Weisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457825325 PECOS PAC ID: 3274872288 Enrollment ID: I20190308000073 |
| Provider Name | Kristen N Bilek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518423938 PECOS PAC ID: 6608115639 Enrollment ID: I20190308000641 |
| Provider Name | Brett Fulka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083190714 PECOS PAC ID: 4688914484 Enrollment ID: I20190313002825 |
| Provider Name | Christina M Korem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689145567 PECOS PAC ID: 1658612502 Enrollment ID: I20190403001017 |
| Provider Name | Dean Michael Ferrera |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982727830 PECOS PAC ID: 2668565243 Enrollment ID: I20190415000413 |
| Provider Name | Julie Tierney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053815886 PECOS PAC ID: 6204177322 Enrollment ID: I20190417002400 |
| Provider Name | Aamir Badruddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871769331 PECOS PAC ID: 1052462157 Enrollment ID: I20190422000675 |
| Provider Name | Dana Rose Tameling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891280731 PECOS PAC ID: 5890037329 Enrollment ID: I20190501003032 |
| Provider Name | Guneesh Saluja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649434465 PECOS PAC ID: 3678627478 Enrollment ID: I20190603002446 |
| Provider Name | Jane S Kye |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821221102 PECOS PAC ID: 1557584471 Enrollment ID: I20190612003957 |
| Provider Name | Megan Fiscella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053979484 PECOS PAC ID: 4385978204 Enrollment ID: I20190627000117 |
| Provider Name | Julie Ann Mantis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104349422 PECOS PAC ID: 0244565398 Enrollment ID: I20190711000491 |
| Provider Name | Maryanhthu Do |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912917659 PECOS PAC ID: 1658263280 Enrollment ID: I20190719001705 |
| Provider Name | Leslie Wilbanks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154550994 PECOS PAC ID: 3476779794 Enrollment ID: I20190719001772 |
| Provider Name | Christine Firlit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518316264 PECOS PAC ID: 0941591580 Enrollment ID: I20190719001956 |
| Provider Name | Ragini Bielski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467794883 PECOS PAC ID: 6305147950 Enrollment ID: I20190725001220 |
| Provider Name | Mehdi Akhavan-heidari |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346414562 PECOS PAC ID: 4284709908 Enrollment ID: I20190731002002 |
| Provider Name | Danielle Lorraine Mcneil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164840252 PECOS PAC ID: 6800163890 Enrollment ID: I20190805003262 |
| Provider Name | Thomas Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083061568 PECOS PAC ID: 4688962277 Enrollment ID: I20190806004121 |
| Provider Name | Samuel C. Lau |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1730526260 PECOS PAC ID: 1850535246 Enrollment ID: I20190808000376 |
| Provider Name | Ted Vellos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497173447 PECOS PAC ID: 2567799471 Enrollment ID: I20190814002762 |
| Provider Name | Danielle Nicole Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497119648 PECOS PAC ID: 1951696152 Enrollment ID: I20190820004192 |
| Provider Name | Barbara Diakos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912934423 PECOS PAC ID: 9931240694 Enrollment ID: I20190822001371 |
| Provider Name | Rose Diakos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699701342 PECOS PAC ID: 7113068875 Enrollment ID: I20190822001544 |
| Provider Name | Oksana Kushnir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164874632 PECOS PAC ID: 9931469186 Enrollment ID: I20190822004305 |
| Provider Name | Shruti Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619210143 PECOS PAC ID: 4486958899 Enrollment ID: I20190909003607 |
| Provider Name | Kari Klisurich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568015592 PECOS PAC ID: 3678803459 Enrollment ID: I20190920000737 |
| Provider Name | Jon Robert Dal Santo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942855218 PECOS PAC ID: 8426388760 Enrollment ID: I20190930000385 |
| Provider Name | Sherman Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982808101 PECOS PAC ID: 5395869531 Enrollment ID: I20191001003028 |
| Provider Name | Lena Modieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659878635 PECOS PAC ID: 5496004939 Enrollment ID: I20191003000352 |
| Provider Name | Mary Vath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811545338 PECOS PAC ID: 1355673419 Enrollment ID: I20191023001789 |
| Provider Name | Alyse Daniele Wood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346890936 PECOS PAC ID: 4789916370 Enrollment ID: I20191031001832 |
| Provider Name | Ilona Marie Carlos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689709933 PECOS PAC ID: 0749367134 Enrollment ID: I20191115001896 |
| Provider Name | Joseph Vartan Danavi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407122849 PECOS PAC ID: 6507167467 Enrollment ID: I20200106000767 |
| Provider Name | Abigail Mae Boersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912540303 PECOS PAC ID: 5294160883 Enrollment ID: I20200108000884 |
| Provider Name | Zachary Speicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588206239 PECOS PAC ID: 4486089646 Enrollment ID: I20200115002925 |
| Provider Name | Diana L Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477113181 PECOS PAC ID: 9830524982 Enrollment ID: I20200117000475 |
| Provider Name | Carlos Rafael Gonzalez Rendon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467688879 PECOS PAC ID: 5597903468 Enrollment ID: I20200124001614 |
| Provider Name | Erica L Deenihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861033060 PECOS PAC ID: 0244666972 Enrollment ID: I20200128003080 |
| Provider Name | Whitney O'sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306482617 PECOS PAC ID: 3971939364 Enrollment ID: I20200203001882 |
| Provider Name | Heather Kmiecik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508405853 PECOS PAC ID: 2860827706 Enrollment ID: I20200222000009 |
| Provider Name | Terry Himes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700995438 PECOS PAC ID: 2567441181 Enrollment ID: I20200306000464 |
| Provider Name | Rick Barker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588141592 PECOS PAC ID: 0840628772 Enrollment ID: I20200306002121 |
| Provider Name | Julia M Ferguson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477184281 PECOS PAC ID: 1052749645 Enrollment ID: I20200313000702 |
| Provider Name | Kourtney Milenkoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033743653 PECOS PAC ID: 7214365857 Enrollment ID: I20200315000035 |
| Provider Name | John Marc Vander Veer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528558889 PECOS PAC ID: 1153759287 Enrollment ID: I20200323003441 |
| Provider Name | David S Boss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558614024 PECOS PAC ID: 5991929762 Enrollment ID: I20200324003568 |
| Provider Name | Brittany Catizone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255963336 PECOS PAC ID: 0840629895 Enrollment ID: I20200326002857 |
| Provider Name | Alberto Nava Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669963765 PECOS PAC ID: 3971854324 Enrollment ID: I20200428001366 |
| Provider Name | Saaduddin Siddiqui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063940005 PECOS PAC ID: 0244509081 Enrollment ID: I20200429002283 |
| Provider Name | Sarosh Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841743812 PECOS PAC ID: 9830424688 Enrollment ID: I20200512000170 |
| Provider Name | Lachanda Leann Dunlap-wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447609870 PECOS PAC ID: 0042631038 Enrollment ID: I20200529000960 |
| Provider Name | Patricia Biel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063031367 PECOS PAC ID: 3971924648 Enrollment ID: I20200604001813 |
| Provider Name | Ali M Al Khazaali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093197451 PECOS PAC ID: 1759636475 Enrollment ID: I20200604002640 |
| Provider Name | Anne Meier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306256839 PECOS PAC ID: 3577893353 Enrollment ID: I20200608001539 |
| Provider Name | Zachary Dobbin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598113458 PECOS PAC ID: 1557652120 Enrollment ID: I20200611002959 |
| Provider Name | Clark Tanner Bilbrey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427672740 PECOS PAC ID: 2860814175 Enrollment ID: I20200615001982 |
| Provider Name | Maria Ficker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548620149 PECOS PAC ID: 2860721107 Enrollment ID: I20200618000395 |
| Provider Name | Tanesha Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487148946 PECOS PAC ID: 9638414287 Enrollment ID: I20200721000450 |
| Provider Name | Ambika Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528591658 PECOS PAC ID: 6305115080 Enrollment ID: I20200818001270 |
| Provider Name | Vincent Ricobene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194334003 PECOS PAC ID: 2466878590 Enrollment ID: I20200819002155 |
| Provider Name | Danica Milenkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114902632 PECOS PAC ID: 1951593201 Enrollment ID: I20201026000385 |
| Provider Name | Mohammad Alkhatib |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932436177 PECOS PAC ID: 1658413240 Enrollment ID: I20201110001415 |
| Provider Name | Vinny Prem Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194165613 PECOS PAC ID: 6305077728 Enrollment ID: I20201113002042 |
| Provider Name | Thomas Patrick Cothran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003197856 PECOS PAC ID: 3274944475 Enrollment ID: I20201119000285 |
| Provider Name | Kathryn Ann Lipari |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700926342 PECOS PAC ID: 5193136265 Enrollment ID: I20201120000774 |
| Provider Name | Shahbaz Shahid Nisar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659647717 PECOS PAC ID: 6103137492 Enrollment ID: I20201221000745 |
| Provider Name | Cristal Reider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427650464 PECOS PAC ID: 4688086358 Enrollment ID: I20201222001635 |
| Provider Name | Kristin Noriega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053726547 PECOS PAC ID: 5597023499 Enrollment ID: I20210104000713 |
| Provider Name | Melissa Moeller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427618313 PECOS PAC ID: 6800209974 Enrollment ID: I20210108002257 |
| Provider Name | Marcia Smitka |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134619349 PECOS PAC ID: 8921411034 Enrollment ID: I20210111001234 |
| Provider Name | Alexis Borgman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174125520 PECOS PAC ID: 0042624694 Enrollment ID: I20210122001314 |
| Provider Name | Cherokee N Robinson Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467040311 PECOS PAC ID: 1557776614 Enrollment ID: I20210223001440 |
| Provider Name | Taylor Drake Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669835963 PECOS PAC ID: 2567755622 Enrollment ID: I20210323000827 |
| Provider Name | Mary Sajn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477141729 PECOS PAC ID: 4082021308 Enrollment ID: I20210401000834 |
| Provider Name | Joana R Lopes Perdigao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992067094 PECOS PAC ID: 9133422611 Enrollment ID: I20210407002254 |
| Provider Name | Charonn Woods |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396109062 PECOS PAC ID: 9638461379 Enrollment ID: I20210512000739 |
| Provider Name | Cheryl Ann Chand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124667647 PECOS PAC ID: 3678982154 Enrollment ID: I20210513000973 |
| Provider Name | Felicia Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942880745 PECOS PAC ID: 2365851714 Enrollment ID: I20210514001192 |
| Provider Name | Carol Anne Hahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982799698 PECOS PAC ID: 4789725045 Enrollment ID: I20210518002311 |
| Provider Name | Christopher Aranda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528551637 PECOS PAC ID: 7416204805 Enrollment ID: I20210520000333 |
| Provider Name | Joshua Park |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225482854 PECOS PAC ID: 1658770888 Enrollment ID: I20210520001320 |
| Provider Name | Sarah Berber |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083203673 PECOS PAC ID: 4587063334 Enrollment ID: I20210527000221 |
| Provider Name | Amit M Kakkar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144489048 PECOS PAC ID: 1658559786 Enrollment ID: I20210604001223 |
| Provider Name | Donald Graves |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841579471 PECOS PAC ID: 4587880661 Enrollment ID: I20210607001377 |
| Provider Name | Morgan Slawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871194860 PECOS PAC ID: 0648670703 Enrollment ID: I20210610001561 |
| Provider Name | Kevin A Parikh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356795280 PECOS PAC ID: 3072804962 Enrollment ID: I20210611002341 |
| Provider Name | Samad Faheem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821522004 PECOS PAC ID: 6002187457 Enrollment ID: I20210616000803 |
| Provider Name | Edward Capoccia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891177051 PECOS PAC ID: 7618274713 Enrollment ID: I20210617002017 |
| Provider Name | Shannon Renee Mccarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962079525 PECOS PAC ID: 3173925310 Enrollment ID: I20210712001777 |
| Provider Name | Jon Edgington |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992185292 PECOS PAC ID: 9537461264 Enrollment ID: I20210713000989 |
| Provider Name | Sarosh Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760673925 PECOS PAC ID: 6305910779 Enrollment ID: I20210825000632 |
| Provider Name | Maritza G Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154684728 PECOS PAC ID: 8921353236 Enrollment ID: I20210825001397 |
| Provider Name | Khalid Najib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558626077 PECOS PAC ID: 4981918265 Enrollment ID: I20210910002730 |
| Provider Name | Kimberly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124791108 PECOS PAC ID: 4385041235 Enrollment ID: I20210921000795 |
| Provider Name | Navdeep K Bhatti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538587035 PECOS PAC ID: 5698015527 Enrollment ID: I20210921001066 |
| Provider Name | Michael Gluth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629049226 PECOS PAC ID: 7810975620 Enrollment ID: I20211011000424 |
| Provider Name | Olajumoke Adekoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699360289 PECOS PAC ID: 1153729645 Enrollment ID: I20211014000523 |
| Provider Name | Victoria J Rarity |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881189512 PECOS PAC ID: 7719233725 Enrollment ID: I20211014001545 |
| Provider Name | Riley Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568131175 PECOS PAC ID: 6103214077 Enrollment ID: I20211026001340 |
| Provider Name | Amee K Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1598144321 PECOS PAC ID: 0749582229 Enrollment ID: I20211027001126 |
| Provider Name | Amy L Hallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871260281 PECOS PAC ID: 1153719810 Enrollment ID: I20211028002843 |
| Provider Name | Kim A Williams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154587426 PECOS PAC ID: 1759504897 Enrollment ID: I20211103001325 |
| Provider Name | Victoria Pyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114468501 PECOS PAC ID: 7113316308 Enrollment ID: I20211109002240 |
| Provider Name | Megan Greenya |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487673570 PECOS PAC ID: 9537318894 Enrollment ID: I20211112001230 |
| Provider Name | Matthew A Nash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740257930 PECOS PAC ID: 0143260588 Enrollment ID: I20211115002493 |
| Provider Name | Renee Katsinis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558748277 PECOS PAC ID: 8022447036 Enrollment ID: I20211117000905 |
| Provider Name | Shadi Halabi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306285051 PECOS PAC ID: 6901108836 Enrollment ID: I20211214001492 |
| Provider Name | Ganapathi Gottumukkala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780683953 PECOS PAC ID: 6709912538 Enrollment ID: I20211222001149 |
| Provider Name | Emily A Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639848401 PECOS PAC ID: 8820489677 Enrollment ID: I20220105000955 |
| Provider Name | Michele Christine Kotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180139 PECOS PAC ID: 4183026198 Enrollment ID: I20220105001079 |
| Provider Name | John Joseph Millichap |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225211600 PECOS PAC ID: 4688827009 Enrollment ID: I20220202001888 |
| Provider Name | Adam Whittington |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093104887 PECOS PAC ID: 4981997020 Enrollment ID: I20220203001935 |
| Provider Name | Shawn Kumar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043552953 PECOS PAC ID: 2961765300 Enrollment ID: I20220219000135 |
| Provider Name | Marvin Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649943010 PECOS PAC ID: 2961896691 Enrollment ID: I20220223001795 |
| Provider Name | Amanda Stolarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124774724 PECOS PAC ID: 9234523440 Enrollment ID: I20220304001400 |
| Provider Name | Meaghan Misiasz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1821316621 PECOS PAC ID: 4486943107 Enrollment ID: I20220405002783 |
| Provider Name | Leslie Lair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386392728 PECOS PAC ID: 0648666180 Enrollment ID: I20220408001181 |
| Provider Name | Ashlee L Benke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336731918 PECOS PAC ID: 3072909571 Enrollment ID: I20220411000659 |
| Provider Name | Kathryn M Vroom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841930468 PECOS PAC ID: 8628464922 Enrollment ID: I20220414001054 |
| Provider Name | Rachelle Marie Hannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245989797 PECOS PAC ID: 9537556287 Enrollment ID: I20220427000705 |
| Provider Name | Eva Cybulski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154063667 PECOS PAC ID: 1951798560 Enrollment ID: I20220429001103 |
| Provider Name | Rebecca Garza |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780900308 PECOS PAC ID: 0446540454 Enrollment ID: I20220503001552 |
| Provider Name | Cassandra Karney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124776901 PECOS PAC ID: 0840677969 Enrollment ID: I20220511001104 |
| Provider Name | Jamie M Markulin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457096935 PECOS PAC ID: 5799162814 Enrollment ID: I20220511001371 |
| Provider Name | Lauren Thiesfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417417544 PECOS PAC ID: 4789061565 Enrollment ID: I20220517001164 |
| Provider Name | Mohammad Shakir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932342102 PECOS PAC ID: 4587803895 Enrollment ID: I20220526001830 |
| Provider Name | Chintan Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003476268 PECOS PAC ID: 7012245798 Enrollment ID: I20220607000310 |
| Provider Name | Maralys Colon Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902359177 PECOS PAC ID: 8123436185 Enrollment ID: I20220607000790 |
| Provider Name | Zalak Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013665280 PECOS PAC ID: 9638558836 Enrollment ID: I20220617001846 |
| Provider Name | Amanda Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831840172 PECOS PAC ID: 2466831144 Enrollment ID: I20220627002496 |
| Provider Name | Omar Obaid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902292915 PECOS PAC ID: 7315234507 Enrollment ID: I20220629003722 |
| Provider Name | Dhruvil Pandya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477627396 PECOS PAC ID: 0749314375 Enrollment ID: I20220706002728 |
| Provider Name | Victoria Jipping |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740593268 PECOS PAC ID: 0345429437 Enrollment ID: I20220720000376 |
| Provider Name | James St. Clair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942650700 PECOS PAC ID: 3678865946 Enrollment ID: I20220721002331 |
| Provider Name | Andrew House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528521697 PECOS PAC ID: 4981934338 Enrollment ID: I20220725000255 |
| Provider Name | Sami Ismail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033670385 PECOS PAC ID: 9032446752 Enrollment ID: I20220727000623 |
| Provider Name | Alicja Milik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538144464 PECOS PAC ID: 5496771693 Enrollment ID: I20220810003416 |
| Provider Name | Jennifer Schafbuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295460848 PECOS PAC ID: 8628451432 Enrollment ID: I20220811001264 |
| Provider Name | Nico Del Piccolo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538696620 PECOS PAC ID: 9830460997 Enrollment ID: I20220824001739 |
| Provider Name | David Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093373987 PECOS PAC ID: 4880078260 Enrollment ID: I20220902001560 |
| Provider Name | Inyoung Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730567264 PECOS PAC ID: 5193028058 Enrollment ID: I20220913003720 |
| Provider Name | Andrea Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033756341 PECOS PAC ID: 1052797198 Enrollment ID: I20220927003765 |
| Provider Name | Jackson Davenport |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376277905 PECOS PAC ID: 3779966874 Enrollment ID: I20220929003527 |
| Provider Name | Sarah Berber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083203673 PECOS PAC ID: 4587063334 Enrollment ID: I20221017003070 |
| Provider Name | Lisa Ann Meaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689150146 PECOS PAC ID: 0648646554 Enrollment ID: I20221018002180 |
| Provider Name | Elena Gueorguiev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356804223 PECOS PAC ID: 0446673511 Enrollment ID: I20221021000512 |
| Provider Name | Yesenia Rybarski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396088019 PECOS PAC ID: 6204203102 Enrollment ID: I20221107000953 |
| Provider Name | Abigail Helen Elston |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750098661 PECOS PAC ID: 2860869666 Enrollment ID: I20221108002149 |
| Provider Name | Holly Blair |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093432379 PECOS PAC ID: 6608244116 Enrollment ID: I20221114003121 |
| Provider Name | Christy House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740824895 PECOS PAC ID: 3375970445 Enrollment ID: I20221121002355 |
| Provider Name | Inna Husain |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669769295 PECOS PAC ID: 9739303504 Enrollment ID: I20221205001457 |
| Provider Name | Kaitlin E Wojcehowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992427652 PECOS PAC ID: 1153790175 Enrollment ID: I20221214002570 |
| Provider Name | Kari Anne Dewolf |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871097600 PECOS PAC ID: 0345610697 Enrollment ID: I20221230001075 |
| Provider Name | Stephanie Cobb |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801507314 PECOS PAC ID: 7113397324 Enrollment ID: I20230104002983 |
| Provider Name | Adebowale Osisanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205542297 PECOS PAC ID: 9234501412 Enrollment ID: I20230216001842 |
| Provider Name | Neelofur Ahmad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154320976 PECOS PAC ID: 0840344701 Enrollment ID: I20230310000734 |
| Provider Name | Gianna Kuras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184324956 PECOS PAC ID: 1153795547 Enrollment ID: I20230327001714 |
| Provider Name | Alecia Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427755065 PECOS PAC ID: 2062886450 Enrollment ID: I20230327001720 |
| Provider Name | Yazen Assaf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962938118 PECOS PAC ID: 3577835818 Enrollment ID: I20230327002326 |
| Provider Name | Reagan Colette Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619674934 PECOS PAC ID: 9335513548 Enrollment ID: I20230329001267 |
| Provider Name | Kimberly Biggerstaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669173688 PECOS PAC ID: 7416322508 Enrollment ID: I20230403000939 |
| Provider Name | Tarek Ajam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588059356 PECOS PAC ID: 4688977507 Enrollment ID: I20230403001157 |
| Provider Name | Ashley Asztalos Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124725676 PECOS PAC ID: 1759756687 Enrollment ID: I20230406002716 |
| Provider Name | Lorrie Mamich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942908223 PECOS PAC ID: 5890150643 Enrollment ID: I20230429000030 |
| Provider Name | Todd Janus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811063100 PECOS PAC ID: 9032212204 Enrollment ID: I20230509002210 |
| Provider Name | Sibil Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124656731 PECOS PAC ID: 0840614368 Enrollment ID: I20230516000533 |
| Provider Name | Ahmad Dabbouseh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235768078 PECOS PAC ID: 3173980208 Enrollment ID: I20230606001334 |
| Provider Name | Hadi Atassi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407218621 PECOS PAC ID: 5395016208 Enrollment ID: I20230608000443 |
| Provider Name | Rebecca Hauser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760176275 PECOS PAC ID: 7719344597 Enrollment ID: I20230609001578 |
| Provider Name | Cindy L Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669170858 PECOS PAC ID: 1850759408 Enrollment ID: I20230614001875 |
| Provider Name | Benjamin Bryan Goldenberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124522537 PECOS PAC ID: 7113278979 Enrollment ID: I20230616003237 |
| Provider Name | Rachna Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144647264 PECOS PAC ID: 1153650643 Enrollment ID: I20230623001206 |
| Provider Name | Khurram Nazir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619261252 PECOS PAC ID: 1951615871 Enrollment ID: I20230623002334 |
| Provider Name | Ashish Premkumar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215279344 PECOS PAC ID: 6800189366 Enrollment ID: I20230706003786 |
| Provider Name | Jonathan Meyer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285021758 PECOS PAC ID: 7618286808 Enrollment ID: I20230713001746 |
| Provider Name | Sandricka Collier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154700961 PECOS PAC ID: 7810316247 Enrollment ID: I20230717001846 |
| Provider Name | Shamim Y Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245298785 PECOS PAC ID: 6305917451 Enrollment ID: I20230718002445 |
| Provider Name | Blake Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962195016 PECOS PAC ID: 4789044090 Enrollment ID: I20230718003964 |
| Provider Name | Jason Rothchild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972122455 PECOS PAC ID: 2264855923 Enrollment ID: I20230719003803 |
| Provider Name | Imran Ahmad |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1841722717 PECOS PAC ID: 2668742180 Enrollment ID: I20230804002845 |
| Provider Name | Marco Naguib |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922114826 PECOS PAC ID: 8527065465 Enrollment ID: I20230805000062 |
| Provider Name | Manmeet Maan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811512080 PECOS PAC ID: 0345665873 Enrollment ID: I20230807000279 |
| Provider Name | Christopher Haak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063186831 PECOS PAC ID: 2062802085 Enrollment ID: I20230822001683 |
| Provider Name | Alan Mundakkal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679101075 PECOS PAC ID: 8426410416 Enrollment ID: I20230824003458 |
| Provider Name | Benjamin Lemelman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427303635 PECOS PAC ID: 4183927049 Enrollment ID: I20230912000554 |
| Provider Name | Oyebamiji Ohu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932889631 PECOS PAC ID: 9830553478 Enrollment ID: I20230914002140 |
| Provider Name | Tabitha Crane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689020448 PECOS PAC ID: 5294068946 Enrollment ID: I20230922000502 |
| Provider Name | Kenya Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982489332 PECOS PAC ID: 1557715505 Enrollment ID: I20230926001567 |
| Provider Name | Esteban Golombievski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023339033 PECOS PAC ID: 7719299171 Enrollment ID: I20231019002635 |
| Provider Name | Daniel Vukas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013993005 PECOS PAC ID: 5698702462 Enrollment ID: I20231116002809 |
| Provider Name | Justin Louie Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689447500 PECOS PAC ID: 6002265832 Enrollment ID: I20231205003600 |
| Provider Name | Eric Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245944198 PECOS PAC ID: 2567811094 Enrollment ID: I20231209000631 |
| Provider Name | Selena Samardzich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255018826 PECOS PAC ID: 6901255298 Enrollment ID: I20231212002526 |
| Provider Name | Ryan Khanna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609267905 PECOS PAC ID: 0749573921 Enrollment ID: I20231218003125 |
| Provider Name | Jacquelyn Michelle Kukulski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215499249 PECOS PAC ID: 9537519301 Enrollment ID: I20231220002932 |
| Provider Name | Ahmed Cheema |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942435375 PECOS PAC ID: 9537450705 Enrollment ID: I20240102001112 |
| Provider Name | Mydhili Nandanan Moorthie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982847810 PECOS PAC ID: 7911158043 Enrollment ID: I20240119003414 |
| Provider Name | Enrique G Saguil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487675633 PECOS PAC ID: 3375573918 Enrollment ID: I20240220000424 |
| Provider Name | Wenhua Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366591729 PECOS PAC ID: 1153422639 Enrollment ID: I20240306002897 |
| Provider Name | Leslie Sotres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447013768 PECOS PAC ID: 6507202835 Enrollment ID: I20240308003343 |
| Provider Name | Jeong Hye Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033808712 PECOS PAC ID: 6002254752 Enrollment ID: I20240401002719 |
| Provider Name | Danielle Nicole Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225898190 PECOS PAC ID: 4082053459 Enrollment ID: I20240417004182 |
| Provider Name | David Arps |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770804312 PECOS PAC ID: 6901118488 Enrollment ID: I20240430000646 |
| Provider Name | Timothy Tan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205272507 PECOS PAC ID: 7719223999 Enrollment ID: I20240501002178 |
| Provider Name | Katelyn Dykstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497510689 PECOS PAC ID: 5597105924 Enrollment ID: I20240501003376 |
| Provider Name | Dominic Harris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912394883 PECOS PAC ID: 6709190622 Enrollment ID: I20240530002495 |
| Provider Name | Tareq Al Saadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568967420 PECOS PAC ID: 2163812587 Enrollment ID: I20240617000504 |
| Provider Name | Yogesh Jonna |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477086189 PECOS PAC ID: 9739518002 Enrollment ID: I20240705001058 |
| Provider Name | Stephane Bernard Degraff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659934933 PECOS PAC ID: 9436527744 Enrollment ID: I20240722001775 |
| Provider Name | Kaitlin Qualls |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366904989 PECOS PAC ID: 3971913229 Enrollment ID: I20240722002539 |
| Provider Name | Viraj Maniar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669905063 PECOS PAC ID: 0042646614 Enrollment ID: I20240807002518 |
| Provider Name | Sarah Zubair |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750867008 PECOS PAC ID: 4284986068 Enrollment ID: I20240808004060 |
| Provider Name | Harini Gurram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912402462 PECOS PAC ID: 5991041717 Enrollment ID: I20240814000532 |
| Provider Name | Joshua Simon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699206672 PECOS PAC ID: 1759652407 Enrollment ID: I20240815003090 |
| Provider Name | Eric Mallett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528265816 PECOS PAC ID: 7810035862 Enrollment ID: I20240906001387 |
| Provider Name | Marquita Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194567594 PECOS PAC ID: 5193266336 Enrollment ID: I20240916001892 |
| Provider Name | Cassandra Erika Haniford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720810419 PECOS PAC ID: 1658812607 Enrollment ID: I20240918002432 |
| Provider Name | Kimberly L. Ploehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528075199 PECOS PAC ID: 5698737088 Enrollment ID: I20240926001275 |
| Provider Name | Ng'onga N Kaoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598585499 PECOS PAC ID: 7113450974 Enrollment ID: I20241031002493 |
| Provider Name | Meghan Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932928868 PECOS PAC ID: 3274067889 Enrollment ID: I20241105001703 |
| Provider Name | William Jimenez Marte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407341506 PECOS PAC ID: 2163885872 Enrollment ID: I20241125002870 |
| Provider Name | Ivan Aryee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023845203 PECOS PAC ID: 4385170281 Enrollment ID: I20241214000284 |
| Provider Name | Brett Schiffman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1134515000 PECOS PAC ID: 8527389675 Enrollment ID: I20241217004223 |
| Provider Name | Lindsey M Cirak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487467270 PECOS PAC ID: 3678093754 Enrollment ID: I20250219002168 |