| Deaconess Care Group | |
|
600 Mary Street Evansville IN 47747-0001 | |
| (812) 450-3036 | |
| (812) 450-2193 |
| Full Name | Deaconess Care Group |
|---|---|
| Speciality | Hospitalist |
| Location | 600 Mary Street, Evansville, Indiana |
| Authorized Official Name and Position | Cheryl a Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Care Group Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-3036 | Deaconess Care Group 600 Mary Street Evansville IN 47747-0001 Ph: (812) 450-3036 |
| NPI Number | 1427097443 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Medicare PECOS PAC ID | 9032021431 |
|---|---|
| Medicare Enrollment ID | O20040115000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427097443 | NPI | - | NPPES |
| 200153710A | Medicaid | IN | |
| CG1119 | Other | IN | RR MEDICARE GROUP # |
| Provider Name | Rama D Chilukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699841874 PECOS PAC ID: 8527970847 Enrollment ID: I20031104000423 |
| Provider Name | Chandrashekar Kumbar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1568425692 PECOS PAC ID: 3274447479 Enrollment ID: I20031112000747 |
| Provider Name | David a Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801973086 PECOS PAC ID: 4385548031 Enrollment ID: I20031124000486 |
| Provider Name | Hirak J Sen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386664852 PECOS PAC ID: 1658278163 Enrollment ID: I20031215000050 |
| Provider Name | Kenneth G Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619971942 PECOS PAC ID: 1759288152 Enrollment ID: I20031215000535 |
| Provider Name | Cathy Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063434470 PECOS PAC ID: 6002702388 Enrollment ID: I20040224000734 |
| Provider Name | Scott M Cordts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095262 PECOS PAC ID: 4880680669 Enrollment ID: I20040426000649 |
| Provider Name | Albert Umbach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013912138 PECOS PAC ID: 4385622026 Enrollment ID: I20040709000873 |
| Provider Name | Gina R Niemeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720183247 PECOS PAC ID: 4284612615 Enrollment ID: I20040712000570 |
| Provider Name | Valerie Ann Turpen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003974270 PECOS PAC ID: 3375521743 Enrollment ID: I20040712000853 |
| Provider Name | Cynthia D Gress |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982636536 PECOS PAC ID: 2062490261 Enrollment ID: I20040713001058 |
| Provider Name | Terry M Hoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164469722 PECOS PAC ID: 5799767521 Enrollment ID: I20040726000004 |
| Provider Name | Daniel Robert Bonham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740206283 PECOS PAC ID: 7214908573 Enrollment ID: I20040802001262 |
| Provider Name | Randy a Lance |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467492348 PECOS PAC ID: 9133192545 Enrollment ID: I20040814000073 |
| Provider Name | Christopher B Cannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730105875 PECOS PAC ID: 4183697832 Enrollment ID: I20040819000605 |
| Provider Name | Bernard J Kay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649202631 PECOS PAC ID: 8820991623 Enrollment ID: I20040823000236 |
| Provider Name | Clifford L Dotson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487689014 PECOS PAC ID: 9638144686 Enrollment ID: I20040901000798 |
| Provider Name | Mohammed a Allaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336142728 PECOS PAC ID: 9638146863 Enrollment ID: I20040915001160 |
| Provider Name | Deena M Bentley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255334884 PECOS PAC ID: 7517935695 Enrollment ID: I20040917000482 |
| Provider Name | Barry W Gest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952388183 PECOS PAC ID: 2860461472 Enrollment ID: I20040930000337 |
| Provider Name | Judy C Reising-knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467577288 PECOS PAC ID: 1759340045 Enrollment ID: I20041004000240 |
| Provider Name | Sandhya Donepudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275588055 PECOS PAC ID: 5890754808 Enrollment ID: I20041008001081 |
| Provider Name | Toni M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043213390 PECOS PAC ID: 5597725150 Enrollment ID: I20041018000789 |
| Provider Name | Prabhakara Shetty Heggunje |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316900442 PECOS PAC ID: 2466441209 Enrollment ID: I20041020001219 |
| Provider Name | Erin E Pope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649275769 PECOS PAC ID: 7214996453 Enrollment ID: I20041028000556 |
| Provider Name | Lynn a Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699875617 PECOS PAC ID: 9335101476 Enrollment ID: I20041101000279 |
| Provider Name | Umesh C Jairath |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154384261 PECOS PAC ID: 8527960418 Enrollment ID: I20041221000064 |
| Provider Name | Deborah a Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124027255 PECOS PAC ID: 1759349921 Enrollment ID: I20041221000219 |
| Provider Name | Sherri a Walling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497799100 PECOS PAC ID: 0941258628 Enrollment ID: I20050110000476 |
| Provider Name | Jonathan S Lowrey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013912997 PECOS PAC ID: 5991753477 Enrollment ID: I20050111000867 |
| Provider Name | Susan Joan Chinworth Martig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528016227 PECOS PAC ID: 5294784138 Enrollment ID: I20050118000459 |
| Provider Name | Robert S Starrett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437107521 PECOS PAC ID: 3779497961 Enrollment ID: I20050203000636 |
| Provider Name | Satyam Tatineni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245298066 PECOS PAC ID: 7315851508 Enrollment ID: I20050203000657 |
| Provider Name | Charlene a Buchanan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104877430 PECOS PAC ID: 7315999059 Enrollment ID: I20050210000786 |
| Provider Name | Rekha Tummala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083772248 PECOS PAC ID: 9739131798 Enrollment ID: I20050217000647 |
| Provider Name | Patrick R Cross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902843782 PECOS PAC ID: 8921041682 Enrollment ID: I20050603000965 |
| Provider Name | Deirdre a Durkis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316047996 PECOS PAC ID: 8628013661 Enrollment ID: I20050621000839 |
| Provider Name | Nirmal Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982607131 PECOS PAC ID: 2769447515 Enrollment ID: I20050627001189 |
| Provider Name | Sridhar Banuru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649244781 PECOS PAC ID: 0749225670 Enrollment ID: I20050628000826 |
| Provider Name | Narayan P Neupane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285675173 PECOS PAC ID: 8921044298 Enrollment ID: I20050708000175 |
| Provider Name | Roseanna Linn Parkhurst Gatewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023051141 PECOS PAC ID: 9638105919 Enrollment ID: I20050718000986 |
| Provider Name | Joseph Waling |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114902160 PECOS PAC ID: 9335178060 Enrollment ID: I20050812000376 |
| Provider Name | Lori L Munsie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801904867 PECOS PAC ID: 8820023088 Enrollment ID: I20050927001192 |
| Provider Name | David Scott James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346282316 PECOS PAC ID: 0547237679 Enrollment ID: I20051010000712 |
| Provider Name | Arthur Bentsen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295713857 PECOS PAC ID: 5991721060 Enrollment ID: I20051018000707 |
| Provider Name | William Michael Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336138650 PECOS PAC ID: 7012934011 Enrollment ID: I20051028000683 |
| Provider Name | Gina T Huhnke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811092307 PECOS PAC ID: 3870570310 Enrollment ID: I20051129000829 |
| Provider Name | Babar Zuberi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275532640 PECOS PAC ID: 9335165893 Enrollment ID: I20051205000300 |
| Provider Name | Beth Michelle Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518941384 PECOS PAC ID: 4082636766 Enrollment ID: I20051221000874 |
| Provider Name | Song MD Hong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043311806 PECOS PAC ID: 9537129390 Enrollment ID: I20060106000479 |
| Provider Name | Joseph Ramsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619968724 PECOS PAC ID: 2466420005 Enrollment ID: I20060118000623 |
| Provider Name | Pallavi K Bhatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497733257 PECOS PAC ID: 9436164555 Enrollment ID: I20060210000478 |
| Provider Name | Duane H Kuhlenschmidt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033196522 PECOS PAC ID: 4587679584 Enrollment ID: I20060213000400 |
| Provider Name | Rajesh J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336128339 PECOS PAC ID: 5193730190 Enrollment ID: I20060213000428 |
| Provider Name | Evan C Speck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679502777 PECOS PAC ID: 2466467477 Enrollment ID: I20060213000535 |
| Provider Name | Amy K Reising |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326014655 PECOS PAC ID: 4587672266 Enrollment ID: I20060323000115 |
| Provider Name | Ahmed Zia Karim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205838414 PECOS PAC ID: 2466465059 Enrollment ID: I20060727000159 |
| Provider Name | Stephanie L Preston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427014331 PECOS PAC ID: 5092712042 Enrollment ID: I20061103000419 |
| Provider Name | Charles Alan Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972541183 PECOS PAC ID: 4183622590 Enrollment ID: I20061120000210 |
| Provider Name | Roxana a Donea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205898400 PECOS PAC ID: 9234138769 Enrollment ID: I20061212000065 |
| Provider Name | Lorie E Hessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932113032 PECOS PAC ID: 1557360633 Enrollment ID: I20061219000350 |
| Provider Name | Naveen Devabhaktuni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679586705 PECOS PAC ID: 0547174252 Enrollment ID: I20061227000165 |
| Provider Name | William Tortoriello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861411100 PECOS PAC ID: 5092715268 Enrollment ID: I20070111000558 |
| Provider Name | Robert E Alley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346282241 PECOS PAC ID: 9830291988 Enrollment ID: I20070221000179 |
| Provider Name | Judith R Canlas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912926734 PECOS PAC ID: 1052414679 Enrollment ID: I20070319000609 |
| Provider Name | Bassam Yousef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598745184 PECOS PAC ID: 7113813304 Enrollment ID: I20070430000354 |
| Provider Name | James M Neahring |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104874379 PECOS PAC ID: 9234043423 Enrollment ID: I20070505000006 |
| Provider Name | Laura D Diaz Del Castillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194834440 PECOS PAC ID: 9537068580 Enrollment ID: I20070516000058 |
| Provider Name | Melissa Gail Eisenhauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275504706 PECOS PAC ID: 7113828005 Enrollment ID: I20070517000290 |
| Provider Name | Lindsay W Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033116314 PECOS PAC ID: 4486752003 Enrollment ID: I20070606000001 |
| Provider Name | Howard Heerdt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952356289 PECOS PAC ID: 4981612819 Enrollment ID: I20070612000665 |
| Provider Name | Andrew Houseman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558352021 PECOS PAC ID: 1557261823 Enrollment ID: I20070620000166 |
| Provider Name | Christine Schaffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407866866 PECOS PAC ID: 7517986995 Enrollment ID: I20070720000486 |
| Provider Name | Jessica N Mendel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154526739 PECOS PAC ID: 7719079854 Enrollment ID: I20070822000384 |
| Provider Name | Terry L Sweatt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508855651 PECOS PAC ID: 0042235384 Enrollment ID: I20070910000745 |
| Provider Name | Cynthia Kay Kiesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558405753 PECOS PAC ID: 6406941186 Enrollment ID: I20070927000061 |
| Provider Name | Elizabeth Head |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396939559 PECOS PAC ID: 8426143306 Enrollment ID: I20071008000274 |
| Provider Name | Timothy Dwight Almquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720005333 PECOS PAC ID: 6901992601 Enrollment ID: I20071010000708 |
| Provider Name | Tracy J Deno-buechlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467646752 PECOS PAC ID: 6204922602 Enrollment ID: I20071017000156 |
| Provider Name | William Francis Boone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881882793 PECOS PAC ID: 1254429434 Enrollment ID: I20071211000603 |
| Provider Name | Venkatesh R Madadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649264383 PECOS PAC ID: 0648257519 Enrollment ID: I20080205000245 |
| Provider Name | Roderick Warren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093719841 PECOS PAC ID: 0446295059 Enrollment ID: I20080324000523 |
| Provider Name | Kurt D Bottles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942376116 PECOS PAC ID: 4789761990 Enrollment ID: I20080411000097 |
| Provider Name | Daniel W Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528046182 PECOS PAC ID: 8224051420 Enrollment ID: I20080514000015 |
| Provider Name | Karla R Kitch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942260138 PECOS PAC ID: 6709891336 Enrollment ID: I20080729000725 |
| Provider Name | Joseph Z El Houjairy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932231388 PECOS PAC ID: 9638243264 Enrollment ID: I20080731000065 |
| Provider Name | Mell B Welborn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427116631 PECOS PAC ID: 9234204280 Enrollment ID: I20080826000613 |
| Provider Name | Ayaz Shaikh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982673661 PECOS PAC ID: 1456323187 Enrollment ID: I20080925000683 |
| Provider Name | Alexander J Radnovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669630661 PECOS PAC ID: 4385712462 Enrollment ID: I20081002000119 |
| Provider Name | Tabassum I Parkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205015898 PECOS PAC ID: 8325116098 Enrollment ID: I20081008000110 |
| Provider Name | David Earl Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912987363 PECOS PAC ID: 0345309258 Enrollment ID: I20081107000017 |
| Provider Name | Vicki L Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508957457 PECOS PAC ID: 5092876235 Enrollment ID: I20081208000043 |
| Provider Name | William M Vickers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053309302 PECOS PAC ID: 0345301347 Enrollment ID: I20081209000797 |
| Provider Name | April Michelle-simmons Toelle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255530317 PECOS PAC ID: 6901967876 Enrollment ID: I20081210000592 |
| Provider Name | Andrew C Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972593572 PECOS PAC ID: 2264594498 Enrollment ID: I20081223000443 |
| Provider Name | Rebecca H Schadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508961954 PECOS PAC ID: 5597820399 Enrollment ID: I20090211000280 |
| Provider Name | Teresa a Mercer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013173327 PECOS PAC ID: 9830255041 Enrollment ID: I20090312000401 |
| Provider Name | Kim a Volz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679533962 PECOS PAC ID: 8325195209 Enrollment ID: I20090410000010 |
| Provider Name | Jorge Ballesteros |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174550925 PECOS PAC ID: 6305811944 Enrollment ID: I20090414000295 |
| Provider Name | James J Laguardia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790766996 PECOS PAC ID: 3577610930 Enrollment ID: I20090422000237 |
| Provider Name | Angela L Schapker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174777072 PECOS PAC ID: 5890847750 Enrollment ID: I20090723000609 |
| Provider Name | Gail E Heppner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780695700 PECOS PAC ID: 3476570706 Enrollment ID: I20090813000662 |
| Provider Name | Margaret H Vickers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265421093 PECOS PAC ID: 4981798022 Enrollment ID: I20090813000740 |
| Provider Name | Alissa N Worstell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952544991 PECOS PAC ID: 0840344149 Enrollment ID: I20090821000007 |
| Provider Name | Joshua N Kindrat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306009253 PECOS PAC ID: 8426116989 Enrollment ID: I20090825000623 |
| Provider Name | Deepa Jyothi Ghanta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588875231 PECOS PAC ID: 3173669363 Enrollment ID: I20091001000007 |
| Provider Name | Marty E Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922058874 PECOS PAC ID: 1557339462 Enrollment ID: I20091028000536 |
| Provider Name | Alysen M Weinzapfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831374099 PECOS PAC ID: 0547309114 Enrollment ID: I20091120000584 |
| Provider Name | Dmitriy Rafael Sintsov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538267281 PECOS PAC ID: 6204815699 Enrollment ID: I20091121000092 |
| Provider Name | Robert L Rusche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437152808 PECOS PAC ID: 9133165129 Enrollment ID: I20091228000106 |
| Provider Name | Jameson D Way |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245248293 PECOS PAC ID: 4082756317 Enrollment ID: I20100125000090 |
| Provider Name | Richard a Joseph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982818571 PECOS PAC ID: 7416850391 Enrollment ID: I20100226000359 |
| Provider Name | Fabian Arnaldo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245382852 PECOS PAC ID: 0648315572 Enrollment ID: I20100303000857 |
| Provider Name | Rhonda Jeanne Eubanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235177338 PECOS PAC ID: 6204963432 Enrollment ID: I20100420000956 |
| Provider Name | David Head |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518299940 PECOS PAC ID: 1355478132 Enrollment ID: I20100427000831 |
| Provider Name | Kenneth R Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457302564 PECOS PAC ID: 3678479359 Enrollment ID: I20100617000655 |
| Provider Name | Matthew Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013117621 PECOS PAC ID: 8426189952 Enrollment ID: I20100628000723 |
| Provider Name | Mathias a Kolleck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720013378 PECOS PAC ID: 5496886848 Enrollment ID: I20100629000022 |
| Provider Name | James Patrick Fouts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215031851 PECOS PAC ID: 7315078730 Enrollment ID: I20100629000740 |
| Provider Name | Reza G Mohammadi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386748903 PECOS PAC ID: 2466583885 Enrollment ID: I20100629000770 |
| Provider Name | Peter L Stevenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588768071 PECOS PAC ID: 1355304320 Enrollment ID: I20100629000889 |
| Provider Name | William P Hardesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881799179 PECOS PAC ID: 8123120235 Enrollment ID: I20100630000379 |
| Provider Name | Azizullah Mehrzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518062819 PECOS PAC ID: 5991836280 Enrollment ID: I20100630000687 |
| Provider Name | Nitin Arun Khadilkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629237078 PECOS PAC ID: 5597897587 Enrollment ID: I20100708001083 |
| Provider Name | Shannon R Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710091541 PECOS PAC ID: 4587796339 Enrollment ID: I20100714001040 |
| Provider Name | Venkata S Yelamanchili |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225022866 PECOS PAC ID: 1153234323 Enrollment ID: I20100716000518 |
| Provider Name | Prasanna L Yelamanchili |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083838130 PECOS PAC ID: 3476685058 Enrollment ID: I20100716000561 |
| Provider Name | Julie K Gerhardt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568401503 PECOS PAC ID: 3678607462 Enrollment ID: I20100816000675 |
| Provider Name | John C Meunier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831391176 PECOS PAC ID: 1850416850 Enrollment ID: I20100914001149 |
| Provider Name | Mark H Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679895171 PECOS PAC ID: 3577756899 Enrollment ID: I20101019001313 |
| Provider Name | Krishna R Chilukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841273968 PECOS PAC ID: 4789779463 Enrollment ID: I20101025001097 |
| Provider Name | Howard a Rumjahn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588644637 PECOS PAC ID: 8820022387 Enrollment ID: I20101112000434 |
| Provider Name | Dimple a Royalty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336343417 PECOS PAC ID: 8224225230 Enrollment ID: I20101202001168 |
| Provider Name | Cynthia D Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104131655 PECOS PAC ID: 5496943292 Enrollment ID: I20101221000486 |
| Provider Name | Sean D Harper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770895195 PECOS PAC ID: 5890810873 Enrollment ID: I20110110000351 |
| Provider Name | Cristina a Vardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558565564 PECOS PAC ID: 7416973474 Enrollment ID: I20110127000797 |
| Provider Name | Dan Vardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245302108 PECOS PAC ID: 3476733320 Enrollment ID: I20110209000612 |
| Provider Name | David Ryon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740230267 PECOS PAC ID: 3375646250 Enrollment ID: I20110209000987 |
| Provider Name | Lisa M Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285936377 PECOS PAC ID: 6204017908 Enrollment ID: I20110301000750 |
| Provider Name | Jenna M Motycka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447550710 PECOS PAC ID: 8325220791 Enrollment ID: I20110307000049 |
| Provider Name | Hisham Allababidi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710913470 PECOS PAC ID: 5597655043 Enrollment ID: I20110715000126 |
| Provider Name | Chad E Link |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609038868 PECOS PAC ID: 1850569260 Enrollment ID: I20110729000015 |
| Provider Name | Jamie L Davison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235391491 PECOS PAC ID: 1759559164 Enrollment ID: I20110729000026 |
| Provider Name | Erika H Poehm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669448551 PECOS PAC ID: 6305881939 Enrollment ID: I20110812000267 |
| Provider Name | Bethany B Burkhart-edelen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386650927 PECOS PAC ID: 6608872296 Enrollment ID: I20110818000888 |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104832658 PECOS PAC ID: 1557367877 Enrollment ID: I20110824000081 |
| Provider Name | Rori a Spray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538337019 PECOS PAC ID: 4789856378 Enrollment ID: I20111003000689 |
| Provider Name | Lindsey N Bowers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770863342 PECOS PAC ID: 1355514266 Enrollment ID: I20111109000011 |
| Provider Name | Kendra L Parus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801178496 PECOS PAC ID: 0042484230 Enrollment ID: I20111128000647 |
| Provider Name | Jessica L Fouts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386920551 PECOS PAC ID: 0345415030 Enrollment ID: I20111207000798 |
| Provider Name | John Holeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588749204 PECOS PAC ID: 0042336497 Enrollment ID: I20111207000812 |
| Provider Name | Corie a Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326280868 PECOS PAC ID: 4385819663 Enrollment ID: I20111215000141 |
| Provider Name | Rebekah K Basham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578849758 PECOS PAC ID: 0749455897 Enrollment ID: I20111219000639 |
| Provider Name | Emily K Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770868606 PECOS PAC ID: 1355517947 Enrollment ID: I20120103000552 |
| Provider Name | Jessica L Hoesli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942532437 PECOS PAC ID: 8325175292 Enrollment ID: I20120316000181 |
| Provider Name | Shauntrece C Deters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972813780 PECOS PAC ID: 2668633157 Enrollment ID: I20120410000343 |
| Provider Name | Barry a Steinkamp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518126580 PECOS PAC ID: 3173786449 Enrollment ID: I20120524000034 |
| Provider Name | Satish R Nandyala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619107885 PECOS PAC ID: 5991969917 Enrollment ID: I20120604000076 |
| Provider Name | Sridhar Bhaskara |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1003892035 PECOS PAC ID: 7315935822 Enrollment ID: I20120625000183 |
| Provider Name | Jason L Hays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659631836 PECOS PAC ID: 0941465843 Enrollment ID: I20120627000204 |
| Provider Name | Riad Lutfi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558504506 PECOS PAC ID: 6406012590 Enrollment ID: I20120717000587 |
| Provider Name | Muhammad J Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871856351 PECOS PAC ID: 1658529359 Enrollment ID: I20120921000777 |
| Provider Name | Nathan a Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316182934 PECOS PAC ID: 2668539982 Enrollment ID: I20121004000017 |
| Provider Name | David a Fish |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124150685 PECOS PAC ID: 3577714450 Enrollment ID: I20121127000669 |
| Provider Name | Amanda S Gaither |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164621371 PECOS PAC ID: 3971696188 Enrollment ID: I20121130000470 |
| Provider Name | Michelle Estep |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063631141 PECOS PAC ID: 8628145687 Enrollment ID: I20121219000449 |
| Provider Name | Audrey B Voyles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124362538 PECOS PAC ID: 5395980684 Enrollment ID: I20130313000526 |
| Provider Name | Paige S Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326382466 PECOS PAC ID: 8123266699 Enrollment ID: I20130523000400 |
| Provider Name | Brittney N Fulcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376825786 PECOS PAC ID: 0143492918 Enrollment ID: I20130823000439 |
| Provider Name | Jennifer N Sitzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134462070 PECOS PAC ID: 5294978631 Enrollment ID: I20130904000107 |
| Provider Name | William R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770842890 PECOS PAC ID: 5092960815 Enrollment ID: I20130917000519 |
| Provider Name | Holly M Happe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538508007 PECOS PAC ID: 9436393188 Enrollment ID: I20130918000667 |
| Provider Name | Elvira Cane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497069926 PECOS PAC ID: 4082858345 Enrollment ID: I20130926000654 |
| Provider Name | Cindy L Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235562810 PECOS PAC ID: 1759518681 Enrollment ID: I20131220000484 |
| Provider Name | Tracy R Woodward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508973934 PECOS PAC ID: 2961630488 Enrollment ID: I20140108000971 |
| Provider Name | Amy Gessford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265675193 PECOS PAC ID: 4981853884 Enrollment ID: I20140114000841 |
| Provider Name | Brent Mcdaniel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356636575 PECOS PAC ID: 3072741008 Enrollment ID: I20140120000287 |
| Provider Name | Cheryl L Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821251471 PECOS PAC ID: 0749337988 Enrollment ID: I20140122000376 |
| Provider Name | Rachel C Lackey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265683635 PECOS PAC ID: 7911177688 Enrollment ID: I20140224001297 |
| Provider Name | Amanda Romerhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649606815 PECOS PAC ID: 9133359672 Enrollment ID: I20140303001590 |
| Provider Name | Steve W Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720156235 PECOS PAC ID: 7416977491 Enrollment ID: I20140410001262 |
| Provider Name | David P Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346272184 PECOS PAC ID: 6002718236 Enrollment ID: I20140416001250 |
| Provider Name | Kari Nicole Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952729352 PECOS PAC ID: 6002049822 Enrollment ID: I20140501002070 |
| Provider Name | Megan Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467750497 PECOS PAC ID: 4587887641 Enrollment ID: I20140519002060 |
| Provider Name | Bradley B Scheu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427345099 PECOS PAC ID: 8224252994 Enrollment ID: I20140619001621 |
| Provider Name | Patricia D Copley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619912979 PECOS PAC ID: 5294768206 Enrollment ID: I20140623001302 |
| Provider Name | Kamal M. M. Abulebda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336395565 PECOS PAC ID: 4587889605 Enrollment ID: I20140703001832 |
| Provider Name | George N Gandev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548445927 PECOS PAC ID: 0143262048 Enrollment ID: I20140723001453 |
| Provider Name | Ryan D Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154519650 PECOS PAC ID: 4688711922 Enrollment ID: I20140814000605 |
| Provider Name | Christina N Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194092668 PECOS PAC ID: 5698993913 Enrollment ID: I20140828001757 |
| Provider Name | Melinda a Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578978557 PECOS PAC ID: 9638397805 Enrollment ID: I20140829001229 |
| Provider Name | Casana R Siebert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457572596 PECOS PAC ID: 8325194343 Enrollment ID: I20140918000807 |
| Provider Name | Dawn R Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376951939 PECOS PAC ID: 9931328051 Enrollment ID: I20140922001882 |
| Provider Name | Caitlin E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497169775 PECOS PAC ID: 3678793593 Enrollment ID: I20140927000313 |
| Provider Name | Erin Brooke Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144622572 PECOS PAC ID: 0042430514 Enrollment ID: I20141003002013 |
| Provider Name | Michael Johns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710208178 PECOS PAC ID: 4284855495 Enrollment ID: I20141031000251 |
| Provider Name | Jodi Ann Wheelock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891103024 PECOS PAC ID: 2062634074 Enrollment ID: I20141106001551 |
| Provider Name | Bridget Marie Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538569447 PECOS PAC ID: 2668694233 Enrollment ID: I20141114001214 |
| Provider Name | Sarah E Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104227115 PECOS PAC ID: 0345562948 Enrollment ID: I20141210001969 |
| Provider Name | Allyson E Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811398829 PECOS PAC ID: 6002139805 Enrollment ID: I20141231002065 |
| Provider Name | Carlos E Giammattei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497741474 PECOS PAC ID: 2961437421 Enrollment ID: I20150115000283 |
| Provider Name | Joshua B Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457769978 PECOS PAC ID: 5496079170 Enrollment ID: I20150129000860 |
| Provider Name | Jody Sutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023416252 PECOS PAC ID: 8325363740 Enrollment ID: I20150206000201 |
| Provider Name | Jayme L Blessinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184029019 PECOS PAC ID: 2769708627 Enrollment ID: I20150311002616 |
| Provider Name | Ramin Rashidian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730412826 PECOS PAC ID: 6507022548 Enrollment ID: I20150417000450 |
| Provider Name | Ashtin M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225421886 PECOS PAC ID: 2769700780 Enrollment ID: I20150422002381 |
| Provider Name | Khawaja a Zaki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356676480 PECOS PAC ID: 3678894334 Enrollment ID: I20150605001792 |
| Provider Name | Joseph R Jenkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982810990 PECOS PAC ID: 0345488177 Enrollment ID: I20150605002139 |
| Provider Name | Shannon Onstott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851780191 PECOS PAC ID: 4385965912 Enrollment ID: I20150608000847 |
| Provider Name | Mouhammad Yabrodi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356505101 PECOS PAC ID: 1557672193 Enrollment ID: I20150623001474 |
| Provider Name | Christopher Mcmullin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982041596 PECOS PAC ID: 0345481586 Enrollment ID: I20150630002159 |
| Provider Name | Amal Paul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205182854 PECOS PAC ID: 0547573800 Enrollment ID: I20150716001278 |
| Provider Name | Daniel L Huther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194149765 PECOS PAC ID: 3173756194 Enrollment ID: I20150727002076 |
| Provider Name | Thanhtam P Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811377153 PECOS PAC ID: 1951615459 Enrollment ID: I20150728005198 |
| Provider Name | Matthew a Tucker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629207253 PECOS PAC ID: 1052561628 Enrollment ID: I20150804003186 |
| Provider Name | Tameem Al-aqtash |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164653804 PECOS PAC ID: 4981836228 Enrollment ID: I20150804004467 |
| Provider Name | Christopher Kevin Whetstine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992195051 PECOS PAC ID: 9638495047 Enrollment ID: I20150807013782 |
| Provider Name | Kurt Thomas Lancaster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295933810 PECOS PAC ID: 2062546377 Enrollment ID: I20150916000404 |
| Provider Name | Jaime L Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437538477 PECOS PAC ID: 8022325356 Enrollment ID: I20150917002669 |
| Provider Name | Laura L Pauckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629444856 PECOS PAC ID: 3779890074 Enrollment ID: I20150918001919 |
| Provider Name | Kevin L Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811375207 PECOS PAC ID: 1759285190 Enrollment ID: I20150921001128 |
| Provider Name | Angela L Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013392620 PECOS PAC ID: 2062721863 Enrollment ID: I20151019000447 |
| Provider Name | Tabitha a Shults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144608605 PECOS PAC ID: 8123337938 Enrollment ID: I20151019000578 |
| Provider Name | Jessica Jeffries |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033377106 PECOS PAC ID: 8527222579 Enrollment ID: I20151019000733 |
| Provider Name | Sara J Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202892 PECOS PAC ID: 5597074161 Enrollment ID: I20151021002566 |
| Provider Name | Erin E Mahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063833523 PECOS PAC ID: 2365751641 Enrollment ID: I20151028000658 |
| Provider Name | Joseph Antoun Mansour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083970016 PECOS PAC ID: 6709038268 Enrollment ID: I20151207001082 |
| Provider Name | Jason M Meckler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659351419 PECOS PAC ID: 1052342300 Enrollment ID: I20160301002558 |
| Provider Name | Harshit H Modi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861694259 PECOS PAC ID: 1052597309 Enrollment ID: I20160406002483 |
| Provider Name | Adam R Wadlington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730528944 PECOS PAC ID: 0547402323 Enrollment ID: I20160518000110 |
| Provider Name | Phillip M Adams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376982371 PECOS PAC ID: 9032351705 Enrollment ID: I20160520001106 |
| Provider Name | Douglas Satcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821126673 PECOS PAC ID: 2264591619 Enrollment ID: I20160602002643 |
| Provider Name | Samata Pathireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053549287 PECOS PAC ID: 4789829938 Enrollment ID: I20160606002342 |
| Provider Name | Steven Kenneth Vonfrolio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851736268 PECOS PAC ID: 0042500886 Enrollment ID: I20160607000211 |
| Provider Name | Bhargav a Trivedi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043451727 PECOS PAC ID: 2365597960 Enrollment ID: I20160620001791 |
| Provider Name | Christopher M Dipiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285968149 PECOS PAC ID: 1355525296 Enrollment ID: I20160621000207 |
| Provider Name | Tejas Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780097386 PECOS PAC ID: 2769773472 Enrollment ID: I20160627001666 |
| Provider Name | Paul Mick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215295613 PECOS PAC ID: 6800188236 Enrollment ID: I20160706000462 |
| Provider Name | Meagan E Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952765208 PECOS PAC ID: 7012209091 Enrollment ID: I20160712001913 |
| Provider Name | Nathan D Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124466040 PECOS PAC ID: 2769606797 Enrollment ID: I20160719001158 |
| Provider Name | Jacklyn M Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225476146 PECOS PAC ID: 4587888227 Enrollment ID: I20160721001236 |
| Provider Name | Anna Kathryn Dauer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558625434 PECOS PAC ID: 5092012153 Enrollment ID: I20160725001810 |
| Provider Name | Franklin Cornelius Mikell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568805265 PECOS PAC ID: 9133361322 Enrollment ID: I20160803000768 |
| Provider Name | Manaf M Zawahreh |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780973073 PECOS PAC ID: 9032403670 Enrollment ID: I20160804002012 |
| Provider Name | Andrea Jolley-paulet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20160831001676 |
| Provider Name | Avi Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760809198 PECOS PAC ID: 8426375254 Enrollment ID: I20160908000414 |
| Provider Name | Celena D Mccandless |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194146787 PECOS PAC ID: 9537391933 Enrollment ID: I20160908000815 |
| Provider Name | Michael R Hobson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922447135 PECOS PAC ID: 8628210879 Enrollment ID: I20160909000440 |
| Provider Name | Michelle R Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871047142 PECOS PAC ID: 1355637729 Enrollment ID: I20160912000358 |
| Provider Name | Javed Syed Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614462 PECOS PAC ID: 2769609957 Enrollment ID: I20160915000090 |
| Provider Name | Marcus Obeius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710036892 PECOS PAC ID: 5193750917 Enrollment ID: I20160923001140 |
| Provider Name | Kourtney E Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548612138 PECOS PAC ID: 8123315538 Enrollment ID: I20160929000493 |
| Provider Name | Alyssa R Hobbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164874756 PECOS PAC ID: 2062700735 Enrollment ID: I20161012001524 |
| Provider Name | Diane E Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477007052 PECOS PAC ID: 5890073902 Enrollment ID: I20161025000575 |
| Provider Name | Lee Doyle Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134482193 PECOS PAC ID: 2466751631 Enrollment ID: I20161027001442 |
| Provider Name | Jessica R Mccain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467897900 PECOS PAC ID: 0345475075 Enrollment ID: I20161110000040 |
| Provider Name | Dana Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316492416 PECOS PAC ID: 2769761386 Enrollment ID: I20161122000736 |
| Provider Name | Aaron Stoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144673401 PECOS PAC ID: 6305126582 Enrollment ID: I20161205001394 |
| Provider Name | Lisa a Scheller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245695592 PECOS PAC ID: 6709182181 Enrollment ID: I20161205001417 |
| Provider Name | Samantha Frances Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093250086 PECOS PAC ID: 2769765163 Enrollment ID: I20170209000489 |
| Provider Name | Anthony Foreman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629514096 PECOS PAC ID: 4789967837 Enrollment ID: I20170215001329 |
| Provider Name | Crystal D Mahoy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124424189 PECOS PAC ID: 8628379666 Enrollment ID: I20170316001493 |
| Provider Name | Rhonda E Jacks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609149202 PECOS PAC ID: 6103085865 Enrollment ID: I20170320002077 |
| Provider Name | Michelle H Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578002028 PECOS PAC ID: 9830474279 Enrollment ID: I20170327000716 |
| Provider Name | Maruthi Srikanth Penumetsa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043469471 PECOS PAC ID: 7810159266 Enrollment ID: I20170411000404 |
| Provider Name | Donna L Sheets |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952374670 PECOS PAC ID: 3971402736 Enrollment ID: I20170411000540 |
| Provider Name | Gihan a Kader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548258684 PECOS PAC ID: 3274639216 Enrollment ID: I20170508001771 |
| Provider Name | Jennifer Clark Bouwkamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720312028 PECOS PAC ID: 1052449378 Enrollment ID: I20170614000853 |
| Provider Name | Colby P Dorroh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144462797 PECOS PAC ID: 3375723596 Enrollment ID: I20170614000978 |
| Provider Name | Mark H Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518305721 PECOS PAC ID: 0749406841 Enrollment ID: I20170627001071 |
| Provider Name | Raghav Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659668804 PECOS PAC ID: 3476791112 Enrollment ID: I20170627003044 |
| Provider Name | Brandon T Charlton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073855292 PECOS PAC ID: 1153555800 Enrollment ID: I20170630000830 |
| Provider Name | Michael R Daum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639517618 PECOS PAC ID: 2062700636 Enrollment ID: I20170719000614 |
| Provider Name | Tabatha a Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740527555 PECOS PAC ID: 0143465096 Enrollment ID: I20170724000659 |
| Provider Name | Ryan K Neal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992144638 PECOS PAC ID: 7113297094 Enrollment ID: I20170726000422 |
| Provider Name | Della Ellis Evans |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1588644744 PECOS PAC ID: 5597937375 Enrollment ID: I20170809000684 |
| Provider Name | Rebecca L Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659503472 PECOS PAC ID: 8123165115 Enrollment ID: I20170810001180 |
| Provider Name | Christina Anne Hamby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265769137 PECOS PAC ID: 0840329645 Enrollment ID: I20170810001390 |
| Provider Name | Tatiana Denega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124439864 PECOS PAC ID: 5395044317 Enrollment ID: I20170815000491 |
| Provider Name | Lawrence D. Garcia-reyes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346508314 PECOS PAC ID: 8820381676 Enrollment ID: I20170818002870 |
| Provider Name | Ahmed Jawad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295049377 PECOS PAC ID: 6800168097 Enrollment ID: I20170823001815 |
| Provider Name | Jennifer L Lampert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982137428 PECOS PAC ID: 9931472834 Enrollment ID: I20170828004434 |
| Provider Name | David B Maver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740549 PECOS PAC ID: 6901179837 Enrollment ID: I20170829000807 |
| Provider Name | Shea N Souders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790205862 PECOS PAC ID: 5294008900 Enrollment ID: I20170831000991 |
| Provider Name | Amanda J Miley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235653908 PECOS PAC ID: 8820362627 Enrollment ID: I20170918001510 |
| Provider Name | Omar Rivera-rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649547712 PECOS PAC ID: 8820365133 Enrollment ID: I20170919000578 |
| Provider Name | Kristine M Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144750092 PECOS PAC ID: 2668746108 Enrollment ID: I20170921001186 |
| Provider Name | Jamie R Marksberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972030351 PECOS PAC ID: 3173897444 Enrollment ID: I20170926000552 |
| Provider Name | Alexandria Jo Carie-kroeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081345 PECOS PAC ID: 2961777461 Enrollment ID: I20171010001053 |
| Provider Name | Amin H Jiminian Wilmot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710268412 PECOS PAC ID: 5799931788 Enrollment ID: I20171023002666 |
| Provider Name | Jahnavi Sagi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982012621 PECOS PAC ID: 1254551435 Enrollment ID: I20171103001811 |
| Provider Name | Claire M Sutherby |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760905632 PECOS PAC ID: 1850650276 Enrollment ID: I20180110002441 |
| Provider Name | Autumn a Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770981656 PECOS PAC ID: 2961761051 Enrollment ID: I20180118000388 |
| Provider Name | Gabriel M Ballinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689105462 PECOS PAC ID: 1052689148 Enrollment ID: I20180126000711 |
| Provider Name | Irtaza Iqbal Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538346200 PECOS PAC ID: 6709014889 Enrollment ID: I20180213002712 |
| Provider Name | Meredith L Schmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497992101 PECOS PAC ID: 5698831691 Enrollment ID: I20180220002107 |
| Provider Name | Andrew J Krause |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609288356 PECOS PAC ID: 6002031234 Enrollment ID: I20180306001376 |
| Provider Name | Michelle Marie Lovelady-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386949527 PECOS PAC ID: 6406117464 Enrollment ID: I20180308000637 |
| Provider Name | Ricky J Deville |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457692857 PECOS PAC ID: 7719121284 Enrollment ID: I20180315000990 |
| Provider Name | Kathleen M Quatro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124526611 PECOS PAC ID: 3375806292 Enrollment ID: I20180406000061 |
| Provider Name | Phillip E Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407379043 PECOS PAC ID: 2961765375 Enrollment ID: I20180418000581 |
| Provider Name | Jared B Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578725081 PECOS PAC ID: 7517137482 Enrollment ID: I20180613000101 |
| Provider Name | Spencer Greenwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790275766 PECOS PAC ID: 4688929540 Enrollment ID: I20180620001199 |
| Provider Name | Shalonda Maree Newcomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942576871 PECOS PAC ID: 8820237886 Enrollment ID: I20180705000611 |
| Provider Name | James V Alsop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942683263 PECOS PAC ID: 9032492319 Enrollment ID: I20180723001497 |
| Provider Name | Kendra R Streicher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255823399 PECOS PAC ID: 1052669256 Enrollment ID: I20180803002294 |
| Provider Name | Eun Joo Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563366 PECOS PAC ID: 0244542835 Enrollment ID: I20180815001854 |
| Provider Name | Aaron M Quach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790270429 PECOS PAC ID: 0648529289 Enrollment ID: I20180815002405 |
| Provider Name | Michael a Murillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316332620 PECOS PAC ID: 6305141508 Enrollment ID: I20180816003436 |
| Provider Name | Hendy Bulter Jean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063823193 PECOS PAC ID: 7012287758 Enrollment ID: I20180830002739 |
| Provider Name | Clinton W Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629367420 PECOS PAC ID: 9436376308 Enrollment ID: I20180910002212 |
| Provider Name | Mary Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902382757 PECOS PAC ID: 5092066571 Enrollment ID: I20180921001935 |
| Provider Name | Britni Lynn Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477035509 PECOS PAC ID: 4880946532 Enrollment ID: I20181009000913 |
| Provider Name | Yiuka Pitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326303819 PECOS PAC ID: 6204064231 Enrollment ID: I20181102000606 |
| Provider Name | Erin E Nester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235606641 PECOS PAC ID: 2163766379 Enrollment ID: I20181128003344 |
| Provider Name | Shoaib Alam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962451245 PECOS PAC ID: 6800866914 Enrollment ID: I20181227000745 |
| Provider Name | Britney D Merriman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306320270 PECOS PAC ID: 6103162631 Enrollment ID: I20190103003257 |
| Provider Name | Mariah L Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285109413 PECOS PAC ID: 3072859461 Enrollment ID: I20190104002731 |
| Provider Name | Joe Choufani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629414651 PECOS PAC ID: 2062656861 Enrollment ID: I20190114001906 |
| Provider Name | Jeremy D Luckett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770748667 PECOS PAC ID: 4284803297 Enrollment ID: I20190122003062 |
| Provider Name | Talia J Nesmith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477716421 PECOS PAC ID: 1355495615 Enrollment ID: I20190123000268 |
| Provider Name | Beaujon O Davidson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407081987 PECOS PAC ID: 0042434672 Enrollment ID: I20190123000551 |
| Provider Name | Durga P Vedati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821288499 PECOS PAC ID: 4880731124 Enrollment ID: I20190123001670 |
| Provider Name | Sidney Blake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093800245 PECOS PAC ID: 9739267246 Enrollment ID: I20190212000851 |
| Provider Name | Barbara Newberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124014071 PECOS PAC ID: 2062548142 Enrollment ID: I20190220003377 |
| Provider Name | William Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821397407 PECOS PAC ID: 3375769607 Enrollment ID: I20190301002405 |
| Provider Name | Elie Jose Checo Heinsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467764381 PECOS PAC ID: 9739322884 Enrollment ID: I20190305001800 |
| Provider Name | Aimel Azizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144480997 PECOS PAC ID: 0345423158 Enrollment ID: I20190311001735 |
| Provider Name | Jason Matthew Booth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548557721 PECOS PAC ID: 1153633995 Enrollment ID: I20190410000208 |
| Provider Name | Samuel Kimani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053576496 PECOS PAC ID: 8628203882 Enrollment ID: I20190411002547 |
| Provider Name | Jessica M Sale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659833093 PECOS PAC ID: 9638411127 Enrollment ID: I20190502002119 |
| Provider Name | Stephen Koster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942221726 PECOS PAC ID: 9234139502 Enrollment ID: I20190515003135 |
| Provider Name | Ella V Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20190710002266 |
| Provider Name | Amjad Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598739617 PECOS PAC ID: 6305855958 Enrollment ID: I20190710003041 |
| Provider Name | Tracy Welsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881929818 PECOS PAC ID: 4587704952 Enrollment ID: I20190716003483 |
| Provider Name | Jalaram Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366893539 PECOS PAC ID: 9032445697 Enrollment ID: I20190719002538 |
| Provider Name | William M Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184146078 PECOS PAC ID: 1951677046 Enrollment ID: I20190719002661 |
| Provider Name | Raul J. Ramirez Velazquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821440801 PECOS PAC ID: 9537495478 Enrollment ID: I20190730002114 |
| Provider Name | Luke Keihan Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942620026 PECOS PAC ID: 5991014417 Enrollment ID: I20190731000208 |
| Provider Name | Jeremy K Curtis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710378526 PECOS PAC ID: 1254668866 Enrollment ID: I20190805003205 |
| Provider Name | Timothy Michael Farley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710317979 PECOS PAC ID: 4183855869 Enrollment ID: I20190815000275 |
| Provider Name | Stefanie Colavito |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548282916 PECOS PAC ID: 1355393034 Enrollment ID: I20190820001219 |
| Provider Name | Sukhwinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164871174 PECOS PAC ID: 2769754332 Enrollment ID: I20190823002382 |
| Provider Name | Angi Kiewel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508269432 PECOS PAC ID: 1557687498 Enrollment ID: I20190830001294 |
| Provider Name | Tanaporn Rasameesoraj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649534496 PECOS PAC ID: 7315283827 Enrollment ID: I20190904001106 |
| Provider Name | Taylor a Coulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477112357 PECOS PAC ID: 0840529483 Enrollment ID: I20190909000234 |
| Provider Name | Sarah Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700442738 PECOS PAC ID: 3678802980 Enrollment ID: I20190912000364 |
| Provider Name | Elizabeth Ashley Turley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720435118 PECOS PAC ID: 6406108398 Enrollment ID: I20190914000171 |
| Provider Name | Richard Yu Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841647260 PECOS PAC ID: 5496047698 Enrollment ID: I20190925002031 |
| Provider Name | Andrew J Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568954501 PECOS PAC ID: 5890041115 Enrollment ID: I20190925002119 |
| Provider Name | Ann Marie Nau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730736950 PECOS PAC ID: 6608106141 Enrollment ID: I20190925002170 |
| Provider Name | Richard Gilbert Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932631041 PECOS PAC ID: 6103194634 Enrollment ID: I20191011001632 |
| Provider Name | Hannah Elizabeth Schamburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073169546 PECOS PAC ID: 2860724069 Enrollment ID: I20191021001804 |
| Provider Name | Paul W Brinton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912247297 PECOS PAC ID: 4880832633 Enrollment ID: I20191024000220 |
| Provider Name | Adetola A. Otesile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982086161 PECOS PAC ID: 9032470976 Enrollment ID: I20191030003593 |
| Provider Name | Yaser Abu El-sameed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104950542 PECOS PAC ID: 7618068040 Enrollment ID: I20200102002069 |
| Provider Name | Kara W Doucet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523539 PECOS PAC ID: 1456668847 Enrollment ID: I20200124001524 |
| Provider Name | David Scot Sandage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083276463 PECOS PAC ID: 4789911959 Enrollment ID: I20200215000088 |
| Provider Name | Angela Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457996332 PECOS PAC ID: 7517394182 Enrollment ID: I20200219002664 |
| Provider Name | Stephen a Wursta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861922247 PECOS PAC ID: 6002185485 Enrollment ID: I20200303000649 |
| Provider Name | Scott a Tritt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326057126 PECOS PAC ID: 6901898360 Enrollment ID: I20200416001761 |
| Provider Name | Rejmon Dedaj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124297361 PECOS PAC ID: 9133395502 Enrollment ID: I20200513000884 |
| Provider Name | Christopher Santos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992203152 PECOS PAC ID: 8921369349 Enrollment ID: I20200515000188 |
| Provider Name | William Salinas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336541275 PECOS PAC ID: 0446563498 Enrollment ID: I20200528003054 |
| Provider Name | Joel Michael Phelps |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881129286 PECOS PAC ID: 7113293390 Enrollment ID: I20200630001637 |
| Provider Name | Zachary T Fields |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073048369 PECOS PAC ID: 1951642545 Enrollment ID: I20200630003012 |
| Provider Name | Erica C Marburger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740719061 PECOS PAC ID: 3971871955 Enrollment ID: I20200701003136 |
| Provider Name | Virginia I Latouche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306395439 PECOS PAC ID: 7416370796 Enrollment ID: I20200702002224 |
| Provider Name | Jasdip Grewal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346778297 PECOS PAC ID: 3173946316 Enrollment ID: I20200707002746 |
| Provider Name | Raphael Bochent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275808008 PECOS PAC ID: 7113183070 Enrollment ID: I20200708001123 |
| Provider Name | Arham Zavery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780116038 PECOS PAC ID: 4486925534 Enrollment ID: I20200708001874 |
| Provider Name | Kyle Kopatich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891224200 PECOS PAC ID: 7618213109 Enrollment ID: I20200714000677 |
| Provider Name | Carlos Silva |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659675296 PECOS PAC ID: 9436372638 Enrollment ID: I20200716000071 |
| Provider Name | Jared Hutson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982133070 PECOS PAC ID: 0143599167 Enrollment ID: I20200804003476 |
| Provider Name | Rebecca V Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194256180 PECOS PAC ID: 4688947815 Enrollment ID: I20200811002432 |
| Provider Name | Muhammad Ishaq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801310164 PECOS PAC ID: 0244568574 Enrollment ID: I20200812000454 |
| Provider Name | Adriano Michael Duran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154842029 PECOS PAC ID: 5294151742 Enrollment ID: I20200814001798 |
| Provider Name | Nicholas Molfetta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821447970 PECOS PAC ID: 4082030382 Enrollment ID: I20200818000691 |
| Provider Name | Pamela D Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851304190 PECOS PAC ID: 5395732994 Enrollment ID: I20200818000836 |
| Provider Name | Adeel Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720345929 PECOS PAC ID: 7911215348 Enrollment ID: I20200819003293 |
| Provider Name | Jordan Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876503 PECOS PAC ID: 0547686586 Enrollment ID: I20200820001989 |
| Provider Name | Jay a Bhavsar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568971505 PECOS PAC ID: 0941566913 Enrollment ID: I20200824001711 |
| Provider Name | Enrique M Campos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417396094 PECOS PAC ID: 3375831902 Enrollment ID: I20200824002271 |
| Provider Name | Barbara M Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437355377 PECOS PAC ID: 7810948122 Enrollment ID: I20200831000711 |
| Provider Name | Abisai Negron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861413650 PECOS PAC ID: 8224466230 Enrollment ID: I20200902001879 |
| Provider Name | Jovil Kannampuzha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710329776 PECOS PAC ID: 4385871417 Enrollment ID: I20200902002374 |
| Provider Name | Jeremy Henrie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356886832 PECOS PAC ID: 9638448244 Enrollment ID: I20200903002350 |
| Provider Name | David a Baum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750648317 PECOS PAC ID: 7719149962 Enrollment ID: I20200909001029 |
| Provider Name | Aysha Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346774536 PECOS PAC ID: 2769800671 Enrollment ID: I20200909001951 |
| Provider Name | Laura L Kirk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144845868 PECOS PAC ID: 2567880370 Enrollment ID: I20200910002146 |
| Provider Name | Kenneth M Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316454002 PECOS PAC ID: 9739435892 Enrollment ID: I20200917003136 |
| Provider Name | Kristen R Browning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205465580 PECOS PAC ID: 9234558156 Enrollment ID: I20200926000174 |
| Provider Name | Sarah M Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952911034 PECOS PAC ID: 6901225762 Enrollment ID: I20200928001770 |
| Provider Name | Michael D Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487630091 PECOS PAC ID: 1355390865 Enrollment ID: I20200928002775 |
| Provider Name | Elizabeth L Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942717400 PECOS PAC ID: 2163778077 Enrollment ID: I20201007002721 |
| Provider Name | Alex V Baronowsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952711582 PECOS PAC ID: 0143440644 Enrollment ID: I20201008003184 |
| Provider Name | Amy Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275145369 PECOS PAC ID: 6103246335 Enrollment ID: I20201008003210 |
| Provider Name | Pearl Naa Kwarley Quartey-kumapley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396001103 PECOS PAC ID: 3375831571 Enrollment ID: I20201009000482 |
| Provider Name | Dewey Michael Driscoll |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871925057 PECOS PAC ID: 0941444509 Enrollment ID: I20201013002324 |
| Provider Name | Alyssa M Glenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316496557 PECOS PAC ID: 2860774874 Enrollment ID: I20201027002593 |
| Provider Name | Rebecca D Hopper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788756 PECOS PAC ID: 4587831680 Enrollment ID: I20201028000751 |
| Provider Name | Jessica L Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215543087 PECOS PAC ID: 6305256397 Enrollment ID: I20201103000701 |
| Provider Name | Keri Ann E Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881004117 PECOS PAC ID: 5193941458 Enrollment ID: I20201113002314 |
| Provider Name | Wanda K Murray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992743199 PECOS PAC ID: 6800794967 Enrollment ID: I20201113002324 |
| Provider Name | Joseph J Pannapara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679984884 PECOS PAC ID: 2668690884 Enrollment ID: I20201124002363 |
| Provider Name | Anila V Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194204404 PECOS PAC ID: 8820409600 Enrollment ID: I20201130002046 |
| Provider Name | Mark B Dietrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427127190 PECOS PAC ID: 1658372982 Enrollment ID: I20201202000158 |
| Provider Name | Marressa Ruth Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609487065 PECOS PAC ID: 9335551498 Enrollment ID: I20201214001669 |
| Provider Name | Muayad Alali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558736405 PECOS PAC ID: 8123321189 Enrollment ID: I20201229000093 |
| Provider Name | Jenny Sheffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699093096 PECOS PAC ID: 0547497489 Enrollment ID: I20210106002844 |
| Provider Name | Dierdre Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760761613 PECOS PAC ID: 8426228412 Enrollment ID: I20210113000379 |
| Provider Name | Melissa Tillman-bernard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467760884 PECOS PAC ID: 6901090430 Enrollment ID: I20210115000469 |
| Provider Name | Mollie Wetstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710479761 PECOS PAC ID: 9133475452 Enrollment ID: I20210205001530 |
| Provider Name | Kari B Claridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518561687 PECOS PAC ID: 3577978337 Enrollment ID: I20210209002060 |
| Provider Name | Kelli Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386962223 PECOS PAC ID: 0941441240 Enrollment ID: I20210211001682 |
| Provider Name | Najmul Salman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386601888 PECOS PAC ID: 3476591991 Enrollment ID: I20210303001682 |
| Provider Name | Sandra Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174148340 PECOS PAC ID: 7012337942 Enrollment ID: I20210308000854 |
| Provider Name | Vanessa Gisela Tseng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336116128 PECOS PAC ID: 0941214142 Enrollment ID: I20210325000682 |
| Provider Name | Brian Thomas Longwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023694379 PECOS PAC ID: 5991112625 Enrollment ID: I20210325001180 |
| Provider Name | Dhananjay Vasantbhai Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598798589 PECOS PAC ID: 3072582808 Enrollment ID: I20210528002238 |
| Provider Name | Alyssa J Schutte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801254982 PECOS PAC ID: 1456767474 Enrollment ID: I20210604001099 |
| Provider Name | John Caroccio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740871177 PECOS PAC ID: 1052710258 Enrollment ID: I20210621001095 |
| Provider Name | Andrei Tripac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912431453 PECOS PAC ID: 2668720293 Enrollment ID: I20210623002847 |
| Provider Name | Edin Alihodzic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386148427 PECOS PAC ID: 1658772223 Enrollment ID: I20210702001618 |
| Provider Name | Adam Jordan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104321090 PECOS PAC ID: 5294063186 Enrollment ID: I20210706000122 |
| Provider Name | Blake a Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346744489 PECOS PAC ID: 2860720737 Enrollment ID: I20210712000214 |
| Provider Name | Paige a Ruddick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447825377 PECOS PAC ID: 9931501897 Enrollment ID: I20210714002623 |
| Provider Name | Daniel T Cater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548640808 PECOS PAC ID: 1456662287 Enrollment ID: I20210720001457 |
| Provider Name | Kendra Renee Furtek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306472386 PECOS PAC ID: 3072931799 Enrollment ID: I20210722001856 |
| Provider Name | Lindsay M Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063951382 PECOS PAC ID: 3870824188 Enrollment ID: I20210803001211 |
| Provider Name | Audrey a Bickel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043708480 PECOS PAC ID: 1658636501 Enrollment ID: I20210803001626 |
| Provider Name | Oriade Adeoye |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417397688 PECOS PAC ID: 8123317583 Enrollment ID: I20210805003431 |
| Provider Name | Esmeralda Espinoza Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730756552 PECOS PAC ID: 7911301387 Enrollment ID: I20210806000845 |
| Provider Name | Reagan J Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417010752 PECOS PAC ID: 1557765898 Enrollment ID: I20210809000924 |
| Provider Name | Jonathan Balagna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871932442 PECOS PAC ID: 6800175340 Enrollment ID: I20210811001737 |
| Provider Name | Carrie Gresham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118158 PECOS PAC ID: 0042615619 Enrollment ID: I20210819001353 |
| Provider Name | Irfan Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871913046 PECOS PAC ID: 3971894155 Enrollment ID: I20210901002249 |
| Provider Name | David K Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336815356 PECOS PAC ID: 1052717618 Enrollment ID: I20210907001514 |
| Provider Name | Danielle Rae Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215607122 PECOS PAC ID: 6305243338 Enrollment ID: I20210917001906 |
| Provider Name | Jennifer Lynn Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609544907 PECOS PAC ID: 4486051018 Enrollment ID: I20210924001819 |
| Provider Name | Julie Landess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588136774 PECOS PAC ID: 2466791934 Enrollment ID: I20210928000587 |
| Provider Name | Sal Blake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962981084 PECOS PAC ID: 1153671714 Enrollment ID: I20210929000892 |
| Provider Name | Hafiz B Mahboob |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477947612 PECOS PAC ID: 2668780776 Enrollment ID: I20211006000877 |
| Provider Name | Alicia M Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477121325 PECOS PAC ID: 8921406315 Enrollment ID: I20211015001559 |
| Provider Name | Kieri L Curneal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578198016 PECOS PAC ID: 2163810565 Enrollment ID: I20211103001435 |
| Provider Name | Justin Lee Grose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225632110 PECOS PAC ID: 9739578105 Enrollment ID: I20211105002255 |
| Provider Name | Jeremy Dennis Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568609378 PECOS PAC ID: 4688739824 Enrollment ID: I20211122001161 |
| Provider Name | Anna M Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922547 PECOS PAC ID: 6608266457 Enrollment ID: I20211209001478 |
| Provider Name | Alexis Huynh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225328271 PECOS PAC ID: 7719107085 Enrollment ID: I20220214000174 |
| Provider Name | Nathalie Douge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891108692 PECOS PAC ID: 9537431986 Enrollment ID: I20220218001824 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20220315001873 |
| Provider Name | Whitley Scott Emge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285385880 PECOS PAC ID: 6305231036 Enrollment ID: I20220316001844 |
| Provider Name | Lisa C Vellinga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366877433 PECOS PAC ID: 6507096898 Enrollment ID: I20220324001487 |
| Provider Name | Caridad Padron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003310616 PECOS PAC ID: 5496005068 Enrollment ID: I20220329001628 |
| Provider Name | Ling Twohig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750523684 PECOS PAC ID: 9133301898 Enrollment ID: I20220408000350 |
| Provider Name | Adam Wayne Trotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992785935 PECOS PAC ID: 3072699974 Enrollment ID: I20220426002280 |
| Provider Name | Gregory Burchett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194989269 PECOS PAC ID: 0244398105 Enrollment ID: I20220429001335 |
| Provider Name | Andy Sahadeo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730333832 PECOS PAC ID: 3173689304 Enrollment ID: I20220429001965 |
| Provider Name | Christopher L Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114946852 PECOS PAC ID: 8224099551 Enrollment ID: I20220513000588 |
| Provider Name | Tracy Marie Kania |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245243187 PECOS PAC ID: 6406872829 Enrollment ID: I20220513002219 |
| Provider Name | Teara Lynn Kist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477030831 PECOS PAC ID: 1153709936 Enrollment ID: I20220607002046 |
| Provider Name | Damonique Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679111702 PECOS PAC ID: 7618304486 Enrollment ID: I20220615000547 |
| Provider Name | Harsh Rashmikant Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386273936 PECOS PAC ID: 1355762832 Enrollment ID: I20220628002940 |
| Provider Name | James Pennington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255900064 PECOS PAC ID: 1557741410 Enrollment ID: I20220708002951 |
| Provider Name | Jonathan a Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088767 PECOS PAC ID: 6901134717 Enrollment ID: I20220725002294 |
| Provider Name | Ahmed Aziz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831159037 PECOS PAC ID: 1759341696 Enrollment ID: I20220728000506 |
| Provider Name | Sarah Jean Volkman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124512520 PECOS PAC ID: 4880940105 Enrollment ID: I20220801000565 |
| Provider Name | Jonathan Cunningham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144892795 PECOS PAC ID: 1759768187 Enrollment ID: I20220802000712 |
| Provider Name | Abduljabbar Dheyab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053607580 PECOS PAC ID: 2961709407 Enrollment ID: I20220805002229 |
| Provider Name | Nayef Nimri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184077992 PECOS PAC ID: 6800174442 Enrollment ID: I20220808001264 |
| Provider Name | Bailey Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861134314 PECOS PAC ID: 6709269673 Enrollment ID: I20220810003415 |
| Provider Name | Branden Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912359993 PECOS PAC ID: 5698003002 Enrollment ID: I20220811000546 |
| Provider Name | Matthew Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063082394 PECOS PAC ID: 3375926629 Enrollment ID: I20220818001895 |
| Provider Name | Piotr H Tabaczewski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568657450 PECOS PAC ID: 3375699358 Enrollment ID: I20220819001469 |
| Provider Name | Mark Janorschke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20220825001281 |
| Provider Name | Mallory E Blessinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164154621 PECOS PAC ID: 9335523109 Enrollment ID: I20220826002935 |
| Provider Name | Carolyn Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821721739 PECOS PAC ID: 3870977382 Enrollment ID: I20220901001800 |
| Provider Name | Robin Elizabeth Betz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992437891 PECOS PAC ID: 6305220526 Enrollment ID: I20220907000713 |
| Provider Name | Charles Wichman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235539495 PECOS PAC ID: 4587048715 Enrollment ID: I20220907001127 |
| Provider Name | Oyenmwen Edo-ohonba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649731498 PECOS PAC ID: 7719213834 Enrollment ID: I20220908002572 |
| Provider Name | Courtney Merkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982339917 PECOS PAC ID: 7113302852 Enrollment ID: I20220916001997 |
| Provider Name | Heather Mellish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962919738 PECOS PAC ID: 6709145568 Enrollment ID: I20220919001307 |
| Provider Name | Donny Le |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245800671 PECOS PAC ID: 2466830880 Enrollment ID: I20220923000649 |
| Provider Name | Nabeel Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104273879 PECOS PAC ID: 3870885759 Enrollment ID: I20220926001984 |
| Provider Name | Khang C Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023577848 PECOS PAC ID: 3678959731 Enrollment ID: I20220928000267 |
| Provider Name | Osciriah Press |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689061723 PECOS PAC ID: 8527372333 Enrollment ID: I20220928003451 |
| Provider Name | Karnika Ayinapudi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164842415 PECOS PAC ID: 7719300987 Enrollment ID: I20221010000673 |
| Provider Name | Ying Tang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619537784 PECOS PAC ID: 7618375288 Enrollment ID: I20221012001680 |
| Provider Name | Ashwin Durairaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104212513 PECOS PAC ID: 7810288420 Enrollment ID: I20221012002864 |
| Provider Name | Lisa Koop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265160881 PECOS PAC ID: 2062888720 Enrollment ID: I20221020001618 |
| Provider Name | Samantha Byers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497476717 PECOS PAC ID: 2163898750 Enrollment ID: I20221024001029 |
| Provider Name | Sierra Sigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811614720 PECOS PAC ID: 6204202658 Enrollment ID: I20221026001573 |
| Provider Name | Evan Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023462744 PECOS PAC ID: 1951645183 Enrollment ID: I20221027002499 |
| Provider Name | Vicky Sandhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316407596 PECOS PAC ID: 4688093867 Enrollment ID: I20221101000564 |
| Provider Name | Jessica Skylar Ganapathy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952043028 PECOS PAC ID: 2466821897 Enrollment ID: I20221207001331 |
| Provider Name | Logan L Bradbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477276913 PECOS PAC ID: 5597134858 Enrollment ID: I20221207002998 |
| Provider Name | Wail Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033340492 PECOS PAC ID: 2860709433 Enrollment ID: I20221214000351 |
| Provider Name | Justine Moesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518676816 PECOS PAC ID: 5799154613 Enrollment ID: I20221214003136 |
| Provider Name | Lydia M Roden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922623024 PECOS PAC ID: 2365811171 Enrollment ID: I20221216001085 |
| Provider Name | Austin Kirk Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154054054 PECOS PAC ID: 8820468804 Enrollment ID: I20230109001635 |
| Provider Name | Lisa G Pagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194816116 PECOS PAC ID: 7113917402 Enrollment ID: I20230109002252 |
| Provider Name | Simeon Zou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063649101 PECOS PAC ID: 4688817414 Enrollment ID: I20230112000128 |
| Provider Name | Hunter Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588378293 PECOS PAC ID: 9830560374 Enrollment ID: I20230120001638 |
| Provider Name | James Gebel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538210935 PECOS PAC ID: 6305737271 Enrollment ID: I20230217002368 |
| Provider Name | Jerica Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194180786 PECOS PAC ID: 8921304544 Enrollment ID: I20230307001416 |
| Provider Name | Madeleine Morris Serrano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649992116 PECOS PAC ID: 1557735164 Enrollment ID: I20230322002218 |
| Provider Name | Christina E Hamon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689387094 PECOS PAC ID: 0648644179 Enrollment ID: I20230323000529 |
| Provider Name | Allison B French |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669191730 PECOS PAC ID: 2769852607 Enrollment ID: I20230428000847 |
| Provider Name | Lauren L Cage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437648805 PECOS PAC ID: 1254685449 Enrollment ID: I20230505001192 |
| Provider Name | Brian Raymond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952670846 PECOS PAC ID: 1658538939 Enrollment ID: I20230509000150 |
| Provider Name | Khalil Beydoun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942705694 PECOS PAC ID: 6608131776 Enrollment ID: I20230510001721 |
| Provider Name | Kristena Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861965212 PECOS PAC ID: 6103164371 Enrollment ID: I20230524000959 |
| Provider Name | Lindsey B Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881031821 PECOS PAC ID: 3274767553 Enrollment ID: I20230608003287 |
| Provider Name | Bassem Koleilat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578680831 PECOS PAC ID: 1456410349 Enrollment ID: I20230615000282 |
| Provider Name | William T Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225521214 PECOS PAC ID: 8729334842 Enrollment ID: I20230615002436 |
| Provider Name | Abbie L Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972160703 PECOS PAC ID: 0547628950 Enrollment ID: I20230616000972 |
| Provider Name | Ehimen Jude Okpoloa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689201733 PECOS PAC ID: 5698199446 Enrollment ID: I20230616003173 |
| Provider Name | Tushar Nayar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619120300 PECOS PAC ID: 3577724772 Enrollment ID: I20230620003191 |
| Provider Name | Osaze Edo-ohonba |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639331317 PECOS PAC ID: 7113094012 Enrollment ID: I20230621003439 |
| Provider Name | Jessica L Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740951078 PECOS PAC ID: 5193115400 Enrollment ID: I20230623000111 |
| Provider Name | Ypaul Goldenmerry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255894325 PECOS PAC ID: 5193183861 Enrollment ID: I20230628001538 |
| Provider Name | Nicholas Ramey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619666914 PECOS PAC ID: 1850750472 Enrollment ID: I20230629002946 |
| Provider Name | Jahnavi Trivedi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104313444 PECOS PAC ID: 2668737321 Enrollment ID: I20230707000615 |
| Provider Name | Akshay Goel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508396961 PECOS PAC ID: 5597036491 Enrollment ID: I20230707001931 |
| Provider Name | Amr Aly Ahmed El-aawar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780065599 PECOS PAC ID: 2668723875 Enrollment ID: I20230714002948 |
| Provider Name | Jamare Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366019978 PECOS PAC ID: 5890192793 Enrollment ID: I20230717002553 |
| Provider Name | Brittany M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942997473 PECOS PAC ID: 3476913708 Enrollment ID: I20230719000679 |
| Provider Name | Sushant Tiwari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629631148 PECOS PAC ID: 2062742117 Enrollment ID: I20230725002732 |
| Provider Name | P Lucas V Urbi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770251407 PECOS PAC ID: 9537554548 Enrollment ID: I20230804003470 |
| Provider Name | Margie U. Chinasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871989939 PECOS PAC ID: 2466754791 Enrollment ID: I20230808000687 |
| Provider Name | Hasan Albitar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316466774 PECOS PAC ID: 7719243716 Enrollment ID: I20230808001117 |
| Provider Name | Johnna Mckelvey Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912369182 PECOS PAC ID: 3375886096 Enrollment ID: I20230808002821 |
| Provider Name | Cameron Waller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700346830 PECOS PAC ID: 5991030678 Enrollment ID: I20230809002982 |
| Provider Name | Tara Elizabeth Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265728265 PECOS PAC ID: 2365804218 Enrollment ID: I20230809003967 |
| Provider Name | Johnathan Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821526229 PECOS PAC ID: 5294077426 Enrollment ID: I20230810000433 |
| Provider Name | Faisal Tawwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285927277 PECOS PAC ID: 8921255530 Enrollment ID: I20230815003362 |
| Provider Name | Kimberly Frazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013953678 PECOS PAC ID: 7517918154 Enrollment ID: I20230822001582 |
| Provider Name | Justin David Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497496459 PECOS PAC ID: 6305225368 Enrollment ID: I20230828000806 |
| Provider Name | Olivia G Cody |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063101368 PECOS PAC ID: 1951764125 Enrollment ID: I20230906000867 |
| Provider Name | Marcelle Ashley Stucky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164764577 PECOS PAC ID: 8022333632 Enrollment ID: I20230906003365 |
| Provider Name | Roman Comer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093449126 PECOS PAC ID: 8628454964 Enrollment ID: I20230914000433 |
| Provider Name | Marc Zabate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255866810 PECOS PAC ID: 6800164567 Enrollment ID: I20230914001088 |
| Provider Name | Faysal Al-ghoula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477008670 PECOS PAC ID: 6608141940 Enrollment ID: I20230927001667 |
| Provider Name | Kareem Maher El-khodary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629607510 PECOS PAC ID: 0345694824 Enrollment ID: I20231003000703 |
| Provider Name | Theodore J Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295231181 PECOS PAC ID: 9931456530 Enrollment ID: I20231013001904 |
| Provider Name | Lannette Trapp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235435827 PECOS PAC ID: 9234314956 Enrollment ID: I20231014000101 |
| Provider Name | Lillian Silva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083073035 PECOS PAC ID: 2961709324 Enrollment ID: I20231018002563 |
| Provider Name | Michael J Albring |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225424203 PECOS PAC ID: 7113223579 Enrollment ID: I20231030002006 |
| Provider Name | Abiy Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855104 PECOS PAC ID: 3274958384 Enrollment ID: I20231116000145 |
| Provider Name | Vemana Jampala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538509385 PECOS PAC ID: 4587950274 Enrollment ID: I20231206001922 |
| Provider Name | Alexis Sosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326822503 PECOS PAC ID: 4981053279 Enrollment ID: I20231212002608 |
| Provider Name | Hannah S White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205539012 PECOS PAC ID: 5890143051 Enrollment ID: I20231213003599 |
| Provider Name | Christen a Baesel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497072078 PECOS PAC ID: 8628428364 Enrollment ID: I20231221001739 |
| Provider Name | Andrea Infantino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508238916 PECOS PAC ID: 1850690637 Enrollment ID: I20240104001881 |
| Provider Name | Janet R Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427094879 PECOS PAC ID: 5597116327 Enrollment ID: I20240105002644 |
| Provider Name | Zachary Ian Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134178569 PECOS PAC ID: 0143273615 Enrollment ID: I20240125001032 |
| Provider Name | Katie Elizabeth Sandefer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588289581 PECOS PAC ID: 8921422650 Enrollment ID: I20240129004018 |
| Provider Name | Anteneh Fisseha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154881175 PECOS PAC ID: 7012398845 Enrollment ID: I20240131001445 |
| Provider Name | Samantha Sollman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770211179 PECOS PAC ID: 3072998574 Enrollment ID: I20240131002570 |
| Provider Name | Michael Nesmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417934431 PECOS PAC ID: 3476536996 Enrollment ID: I20240206001136 |
| Provider Name | Bernard Ndedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497381438 PECOS PAC ID: 8123442605 Enrollment ID: I20240214003087 |
| Provider Name | Anuja Y Trivedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144847963 PECOS PAC ID: 6204285703 Enrollment ID: I20240314000846 |
| Provider Name | Harish Talla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588951339 PECOS PAC ID: 2567683881 Enrollment ID: I20240401001104 |
| Provider Name | Natasha Pugh Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104971266 PECOS PAC ID: 4486602638 Enrollment ID: I20240402000716 |
| Provider Name | Brent Evan Bland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316708365 PECOS PAC ID: 6507204997 Enrollment ID: I20240404000909 |
| Provider Name | George Derefaka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386074474 PECOS PAC ID: 2769612274 Enrollment ID: I20240417003479 |
| Provider Name | Andrew Duncan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407391154 PECOS PAC ID: 9830473222 Enrollment ID: I20240418001404 |
| Provider Name | Mary E Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104172808 PECOS PAC ID: 8628373578 Enrollment ID: I20240419003184 |
| Provider Name | Ricci Robison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902051543 PECOS PAC ID: 4880933084 Enrollment ID: I20240425001156 |
| Provider Name | Laressa F Bazzell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962641431 PECOS PAC ID: 5395892061 Enrollment ID: I20240427001848 |
| Provider Name | Bruce Weickel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093709545 PECOS PAC ID: 8527016997 Enrollment ID: I20240506000742 |
| Provider Name | Margree D Spight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215041710 PECOS PAC ID: 8527082262 Enrollment ID: I20240521002667 |
| Provider Name | Cody Lee Helms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700647492 PECOS PAC ID: 6204278609 Enrollment ID: I20240530004099 |
| Provider Name | Syed Shabee Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174176226 PECOS PAC ID: 0749684090 Enrollment ID: I20240605000416 |
| Provider Name | Lisa Carwile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811775026 PECOS PAC ID: 8022468040 Enrollment ID: I20240607003354 |
| Provider Name | Dayna Mcdaniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013202555 PECOS PAC ID: 3173793965 Enrollment ID: I20240611003955 |
| Provider Name | Jonathan Tyler Deboer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518492446 PECOS PAC ID: 3173896719 Enrollment ID: I20240612002124 |
| Provider Name | Cassidy Lynn Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588437230 PECOS PAC ID: 2961944467 Enrollment ID: I20240612002172 |
| Provider Name | Katelyn R Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619732633 PECOS PAC ID: 0143762542 Enrollment ID: I20240612002537 |
| Provider Name | Navid Behrooz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871889311 PECOS PAC ID: 8527332279 Enrollment ID: I20240614002701 |
| Provider Name | Javaid Arrine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992742597 PECOS PAC ID: 7416859780 Enrollment ID: I20240617001029 |
| Provider Name | Amanda Grace Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134970452 PECOS PAC ID: 7517401854 Enrollment ID: I20240627003593 |
| Provider Name | Stjepan Surbek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972277929 PECOS PAC ID: 8921542069 Enrollment ID: I20240701002174 |
| Provider Name | Summer Swinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336165521 PECOS PAC ID: 1850338906 Enrollment ID: I20240715001337 |
| Provider Name | Ekaterina a Good |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104445782 PECOS PAC ID: 4880037332 Enrollment ID: I20240718003060 |
| Provider Name | Kayla Blake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881447324 PECOS PAC ID: 3870039456 Enrollment ID: I20240718003717 |
| Provider Name | Melissa Mckinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356009468 PECOS PAC ID: 0345786935 Enrollment ID: I20240718004104 |
| Provider Name | Chiedozie Max Ofoma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467181933 PECOS PAC ID: 4688058449 Enrollment ID: I20240719001329 |
| Provider Name | Joshua Tyler Olinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467035642 PECOS PAC ID: 3779985338 Enrollment ID: I20240723003226 |
| Provider Name | Jonathon Blake Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215535919 PECOS PAC ID: 5193137578 Enrollment ID: I20240827001783 |
| Provider Name | Benjamin Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871000133 PECOS PAC ID: 4789946823 Enrollment ID: I20240827003905 |
| Provider Name | Frederic Wafic Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619553682 PECOS PAC ID: 8921547498 Enrollment ID: I20240828001961 |
| Provider Name | Tyler J. Unfried |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114766979 PECOS PAC ID: 5294274668 Enrollment ID: I20240829000767 |
| Provider Name | Moeez Haroon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972038768 PECOS PAC ID: 1456890763 Enrollment ID: I20240830001901 |
| Provider Name | Mychal Bolton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043890304 PECOS PAC ID: 8820499783 Enrollment ID: I20240830002242 |
| Provider Name | Madallyn Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215785183 PECOS PAC ID: 5597204727 Enrollment ID: I20240830003136 |
| Provider Name | Krystal Chantal Amoroso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740959998 PECOS PAC ID: 8820537079 Enrollment ID: I20240831000024 |
| Provider Name | Rachel Silliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164003224 PECOS PAC ID: 7517366305 Enrollment ID: I20240831000337 |
| Provider Name | Joseph D Martz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073007464 PECOS PAC ID: 1254687577 Enrollment ID: I20240831000482 |
| Provider Name | Myrian Tech Vinan Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639665433 PECOS PAC ID: 7719238682 Enrollment ID: I20240903000707 |
| Provider Name | Mohamed Abd El Maksoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033792825 PECOS PAC ID: 4587030341 Enrollment ID: I20240903002188 |
| Provider Name | Molly O Flottman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730612599 PECOS PAC ID: 9931648094 Enrollment ID: I20240903003406 |
| Provider Name | Jayme Schaaf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124504634 PECOS PAC ID: 5092147967 Enrollment ID: I20240905000201 |
| Provider Name | Donald Brake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346702065 PECOS PAC ID: 5991031304 Enrollment ID: I20240910001149 |
| Provider Name | Jared Cerny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699405597 PECOS PAC ID: 4587045067 Enrollment ID: I20240910002088 |
| Provider Name | Sarah Mufti |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1689038275 PECOS PAC ID: 5496041519 Enrollment ID: I20240910002858 |
| Provider Name | Ashley Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023856614 PECOS PAC ID: 4183164361 Enrollment ID: I20240914000305 |
| Provider Name | Yandro Leal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932690021 PECOS PAC ID: 0042611501 Enrollment ID: I20240918000553 |
| Provider Name | Dilnoza Nasritdinova |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942950738 PECOS PAC ID: 4183007123 Enrollment ID: I20240918001267 |
| Provider Name | Lori Jennifer Baldwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982801007 PECOS PAC ID: 3678669017 Enrollment ID: I20240923000512 |
| Provider Name | Todd Bohling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033622477 PECOS PAC ID: 3173883162 Enrollment ID: I20240930002521 |
| Provider Name | Sundeep Mummaneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831693076 PECOS PAC ID: 8123421674 Enrollment ID: I20241008001893 |
| Provider Name | Hilary Nwosu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255473625 PECOS PAC ID: 6608899208 Enrollment ID: I20241009004111 |
| Provider Name | Manuel Diaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295014348 PECOS PAC ID: 3678792967 Enrollment ID: I20241011000835 |
| Provider Name | Adrian George Thodoropoulos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073858668 PECOS PAC ID: 0941448203 Enrollment ID: I20241011001248 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962260794 PECOS PAC ID: 2264976877 Enrollment ID: I20241012000159 |
| Provider Name | Pulcherie Guissou Ada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265039218 PECOS PAC ID: 3375948920 Enrollment ID: I20241017003754 |
| Provider Name | Amy Y Engelhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508364522 PECOS PAC ID: 9335495522 Enrollment ID: I20241028002964 |
| Provider Name | Stacie Weickel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164751574 PECOS PAC ID: 0143357509 Enrollment ID: I20241029003751 |
| Provider Name | Lisa Vezikov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912560921 PECOS PAC ID: 8820325046 Enrollment ID: I20241101001598 |
| Provider Name | Annette Patton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982925814 PECOS PAC ID: 0446518666 Enrollment ID: I20241101002210 |
| Provider Name | Erin Vincent Baum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801316336 PECOS PAC ID: 0941734693 Enrollment ID: I20241118000846 |
| Provider Name | Stephanie Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588946107 PECOS PAC ID: 5890959209 Enrollment ID: I20241127000221 |
| Provider Name | Echo Reardon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124041884 PECOS PAC ID: 6002718822 Enrollment ID: I20241129000286 |
| Provider Name | Michael Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588238703 PECOS PAC ID: 1557761517 Enrollment ID: I20241202002174 |
| Provider Name | Shawn P Robbins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326480658 PECOS PAC ID: 3779717517 Enrollment ID: I20241218003323 |
| Provider Name | Dora Rose Meyer Spears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700517026 PECOS PAC ID: 5799166278 Enrollment ID: I20241224001288 |
| Provider Name | Daniel Joas Belizaire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558890491 PECOS PAC ID: 8527339480 Enrollment ID: I20241224001607 |
| Provider Name | Andrew Chase Whitfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447934674 PECOS PAC ID: 5698120889 Enrollment ID: I20241226001081 |
| Provider Name | Amgad Botros |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679739551 PECOS PAC ID: 9830346493 Enrollment ID: I20241231000996 |
| Provider Name | Amanda Tift |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053824144 PECOS PAC ID: 2769742899 Enrollment ID: I20241231001768 |
| Provider Name | Kaleem Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093178113 PECOS PAC ID: 8325386378 Enrollment ID: I20250102002037 |
| Provider Name | Savannah Kalmanek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720896624 PECOS PAC ID: 6305374356 Enrollment ID: I20250103003285 |
| Provider Name | Elizabeth Niederwerder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396215414 PECOS PAC ID: 8325388796 Enrollment ID: I20250106001630 |
| Provider Name | Raeann L Nance |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780361360 PECOS PAC ID: 6204298128 Enrollment ID: I20250106001733 |
| Provider Name | Cayla M Panama |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376351254 PECOS PAC ID: 1052840071 Enrollment ID: I20250121001838 |
| Provider Name | Taylor C Willard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003638412 PECOS PAC ID: 3870022783 Enrollment ID: I20250122001876 |
| Provider Name | Kristyn Arielle Renfrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538996301 PECOS PAC ID: 3274062039 Enrollment ID: I20250123000585 |
| Provider Name | Tabicia Linn Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457987877 PECOS PAC ID: 0244653525 Enrollment ID: I20250123003255 |
| Provider Name | Josiah Judge Soap |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215666110 PECOS PAC ID: 8527444819 Enrollment ID: I20250129001670 |
| Provider Name | Worawute Supaongprapa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205913951 PECOS PAC ID: 4385638386 Enrollment ID: I20250205002044 |
| Provider Name | Anne Tintinalli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639124126 PECOS PAC ID: 5193771962 Enrollment ID: I20250205002115 |
| Provider Name | John David Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790725893 PECOS PAC ID: 6002847191 Enrollment ID: I20250211003967 |
| Provider Name | Thomas Andrew Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265020986 PECOS PAC ID: 7911437587 Enrollment ID: I20250212000198 |
| Provider Name | Eleanor Banzon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104123546 PECOS PAC ID: 0749416022 Enrollment ID: I20250212002247 |
| Provider Name | John Sung Joon Kang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720265556 PECOS PAC ID: 3779661467 Enrollment ID: I20250213001134 |
| Provider Name | Jared Nathaniel Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447817366 PECOS PAC ID: 5496087454 Enrollment ID: I20250214002746 |
| Provider Name | Ashley Ann Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396153631 PECOS PAC ID: 8921229519 Enrollment ID: I20250304003283 |
| Provider Name | Natalie D Tornatore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235948845 PECOS PAC ID: 3476075292 Enrollment ID: I20250320002363 |
| Provider Name | Marcos Alves Alberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669121836 PECOS PAC ID: 2769861780 Enrollment ID: I20250320003709 |
| Provider Name | Victor J Rodrigues |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619007689 PECOS PAC ID: 6901960830 Enrollment ID: I20250404000987 |
| Provider Name | Utibe Ndebbio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083177133 PECOS PAC ID: 9436481090 Enrollment ID: I20250410001436 |
| Provider Name | Hersh Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164760484 PECOS PAC ID: 2769607779 Enrollment ID: I20250423001122 |
| Provider Name | Marsc Mertilus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043885734 PECOS PAC ID: 7012315377 Enrollment ID: I20250512000867 |
| Provider Name | Morgan Pecknold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174277404 PECOS PAC ID: 2163800426 Enrollment ID: I20250515000972 |
| Provider Name | Angela Vella Tuffy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780263863 PECOS PAC ID: 4284092339 Enrollment ID: I20250515001323 |
| Provider Name | Andrew R Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578303111 PECOS PAC ID: 4385162122 Enrollment ID: I20250515002788 |
| Provider Name | Debra Sue Lumbley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730146408 PECOS PAC ID: 1153313424 Enrollment ID: I20250516001489 |
| Provider Name | Karthik Ramaswamy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295787885 PECOS PAC ID: 0446148670 Enrollment ID: I20250520002678 |
| Provider Name | Khwaja Mubeen Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427794619 PECOS PAC ID: 6507375888 Enrollment ID: I20250530000404 |
| Provider Name | Kevin Barnes Simmons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497068035 PECOS PAC ID: 5799800348 Enrollment ID: I20250530000817 |
| Provider Name | Jeffrey Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063627859 PECOS PAC ID: 6800983727 Enrollment ID: I20250530001140 |
| Provider Name | Aaron Louis Costlow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164008504 PECOS PAC ID: 0244630101 Enrollment ID: I20250603003702 |
| Provider Name | Ryan Joseph Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376120691 PECOS PAC ID: 5193133494 Enrollment ID: I20250611000112 |
| Provider Name | Skylar J Pharris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154733772 PECOS PAC ID: 8325262959 Enrollment ID: I20250612002995 |
| Provider Name | Kevin J Makati |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467541953 PECOS PAC ID: 5890756464 Enrollment ID: I20250613001440 |
| Provider Name | Nathanael Adam Heifner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558255646 PECOS PAC ID: 2466964598 Enrollment ID: I20250625000329 |
| Provider Name | Craig Urbanke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386144525 PECOS PAC ID: 8628331857 Enrollment ID: I20250625000890 |
| Provider Name | Prabhat Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376282814 PECOS PAC ID: 0446636237 Enrollment ID: I20250701004502 |
| Provider Name | Hannah Elizabeth Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750012175 PECOS PAC ID: 2365823846 Enrollment ID: I20250715002181 |
| Provider Name | Prasanna Raut |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669105292 PECOS PAC ID: 0446633770 Enrollment ID: I20250723000245 |
| Provider Name | Augustine Tudeme |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295378115 PECOS PAC ID: 3274969506 Enrollment ID: I20250725000586 |
| Provider Name | Melissa Eve Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790510972 PECOS PAC ID: 2466960653 Enrollment ID: I20250731000578 |
| Provider Name | Stafford Austin Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20250805000488 |
| Provider Name | Ibrahim M Selevany |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992239206 PECOS PAC ID: 4082008115 Enrollment ID: I20250805000525 |
| Provider Name | Ahmad Tahir Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811647456 PECOS PAC ID: 8426437245 Enrollment ID: I20250806003064 |
| Provider Name | Michael Karl Melbardis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073254686 PECOS PAC ID: 2466830872 Enrollment ID: I20250807000512 |
| Provider Name | Adesuwa Omone Ighodaro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811627029 PECOS PAC ID: 3375041544 Enrollment ID: I20250807004122 |
| Provider Name | Nageshwar R Kothur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134865868 PECOS PAC ID: 2961876305 Enrollment ID: I20250811003147 |
| Provider Name | Heather Ackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982428769 PECOS PAC ID: 4284782608 Enrollment ID: I20250819001964 |
| Provider Name | Erin Elizabeth Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366893224 PECOS PAC ID: 2264727320 Enrollment ID: I20250822000556 |
| Provider Name | Sonali Walia Paul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457000887 PECOS PAC ID: 7012396039 Enrollment ID: I20250822001097 |
| Provider Name | Lia Thomas Chacko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053726976 PECOS PAC ID: 5395038624 Enrollment ID: I20250904000659 |
| Provider Name | Julia Jingfan Miao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033643580 PECOS PAC ID: 0446525554 Enrollment ID: I20250905001996 |
| Provider Name | Ethan Fry |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245769124 PECOS PAC ID: 0345514139 Enrollment ID: I20250909001237 |
| Provider Name | Imran Dosani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215142401 PECOS PAC ID: 5991973752 Enrollment ID: I20250911002928 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20250918000599 |
| Provider Name | Rajinder D Balasuriya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356710362 PECOS PAC ID: 7214282144 Enrollment ID: I20250923003456 |
| Provider Name | Robert Lee Percell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316025505 PECOS PAC ID: 4082501713 Enrollment ID: I20250924000362 |
| Provider Name | Sunil Kongara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144632167 PECOS PAC ID: 1456617810 Enrollment ID: I20250926001080 |
| Provider Name | Meet Hemant Kumar Bhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225772098 PECOS PAC ID: 0345749065 Enrollment ID: I20251001003312 |
| Provider Name | Raghav Anjan Ravuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891323036 PECOS PAC ID: 2062945165 Enrollment ID: I20251006001119 |
| Provider Name | Anup Kumar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548689870 PECOS PAC ID: 3678883352 Enrollment ID: I20251008003764 |
| Provider Name | Beyla J Zuberi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861492373 PECOS PAC ID: 5799672002 Enrollment ID: I20251013002821 |
| Provider Name | Rickie L White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770526782 PECOS PAC ID: 7618124314 Enrollment ID: I20251013003113 |
| Provider Name | Andrew B Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326928011 PECOS PAC ID: 3678060217 Enrollment ID: I20251016001645 |
| Provider Name | Jesse Peter Cannella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750086948 PECOS PAC ID: 7517324502 Enrollment ID: I20251016002199 |
| Provider Name | Brittany M Eckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518852664 PECOS PAC ID: 0547757122 Enrollment ID: I20251016002552 |
| Provider Name | Chrissy Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750026183 PECOS PAC ID: 8224416052 Enrollment ID: I20251017001408 |
| Provider Name | Mohammad Ummer Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598452104 PECOS PAC ID: 2668839010 Enrollment ID: I20251017001600 |
| Provider Name | John Leon Hufstedler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013805282 PECOS PAC ID: 4880181221 Enrollment ID: I20251017001957 |
| Provider Name | Crystal Lee Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043582901 PECOS PAC ID: 7719146588 Enrollment ID: I20251023002101 |
| Provider Name | Dominique Taylor Aleo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508555020 PECOS PAC ID: 0143687228 Enrollment ID: I20251124001711 |
| Provider Name | Jennifer Yanoschak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255300778 PECOS PAC ID: 8123922853 Enrollment ID: I20251222000780 |
| Provider Name | Hannah Gee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386330736 PECOS PAC ID: 7618333113 Enrollment ID: I20260107002452 |
| Provider Name | Yale Bernard Herskowitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871235275 PECOS PAC ID: 3678050259 Enrollment ID: I20260126001487 |
| Provider Name | Jeremiah Lee Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720228851 PECOS PAC ID: 8628128600 Enrollment ID: I20260204003566 |
| Provider Name | Meredith Lynn Carnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942182282 PECOS PAC ID: 1153800636 Enrollment ID: I20260204004119 |
| Provider Name | Evan Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265818520 PECOS PAC ID: 5799038048 Enrollment ID: I20260206003779 |
| Provider Name | Jason Mathias Ambrose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669271318 PECOS PAC ID: 9032633672 Enrollment ID: I20260212001709 |
| Provider Name | Preet Ayoub Shaikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174175319 PECOS PAC ID: 2466783337 Enrollment ID: I20260217001729 |
| Provider Name | Michael Clay Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386817468 PECOS PAC ID: 6002065083 Enrollment ID: I20260318000747 |
| Provider Name | Christopher P Slane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396135885 PECOS PAC ID: 1355668047 Enrollment ID: I20260319003092 |
| Provider Name | Joseph H Schutte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770444168 PECOS PAC ID: 3870077035 Enrollment ID: I20260325002654 |
| Provider Name | Valentina Maksymyuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740818467 PECOS PAC ID: 9335579077 Enrollment ID: I20260408003750 |
| Provider Name | Kelly Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180354 PECOS PAC ID: 2961786678 Enrollment ID: I20260409000403 |
| Provider Name | Leena Varshney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104498559 PECOS PAC ID: 7315340494 Enrollment ID: I20260611000491 |
| Provider Name | Bhargav Bharatkumar Koyani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639850514 PECOS PAC ID: 0042781213 Enrollment ID: I20260615000385 |
| Provider Name | Patrick Mote Elangwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114226958 PECOS PAC ID: 8325273055 Enrollment ID: I20260625001158 |
Deaconess Clinic I Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4506 1st Ave, Evansville, IN 47710 Phone: 812-428-6161 Fax: 812-421-2883 |
Deaconess Clinic - Memorial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Connie Robinson Way, Evansville, IN 47713 Phone: 812-450-8764 Fax: 124-012-1178 |
Doris Ann Best Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 958 S Kenmore Dr, Suite B, Evansville, IN 47714 Phone: 812-471-8503 |
Deaconess Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-426-9565 Fax: 812-426-9572 |
Bellemeade Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 Bellemeade Ave, Suite 200-b, Evansville, IN 47714 Phone: 812-485-3737 |
Rick Crawford MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W Buena Vista Rd, Suite 100, Evansville, IN 47710 Phone: 812-480-6698 Fax: 812-437-0037 |