| Digestive Disease Associates, Ltd | |
|
2112 Harrisburg Pike Ste 202 Lancaster PA 17601-2644 | |
| (717) 869-4600 | |
| Not Available |
| Full Name | Digestive Disease Associates, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2112 Harrisburg Pike Ste 202, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Dale Whitebloom (PRESIDENT) |
| Authorized Official Contact | 7175443400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Associates, Ltd 2112 Harrisburg Pike Ste 202 Lancaster PA 17601-2644 Ph: (717) 869-4600 | Digestive Disease Associates, Ltd 2112 Harrisburg Pike Ste 202 Lancaster PA 17601-2644 Ph: (717) 869-4600 |
| NPI Number | 1154422806 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 06/14/2019 |
| Medicare PECOS PAC ID | 4688575434 |
|---|---|
| Medicare Enrollment ID | O20040115000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154422806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Gregory D Schapiro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619931383 PECOS PAC ID: 3072417682 Enrollment ID: I20031125000432 |
| Provider Name | Anand S Jagannath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578559472 PECOS PAC ID: 6305742826 Enrollment ID: I20031208000379 |
| Provider Name | Elias S Najem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942296843 PECOS PAC ID: 6406754803 Enrollment ID: I20031223000115 |
| Provider Name | Mark A Ennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922086248 PECOS PAC ID: 6002715687 Enrollment ID: I20040102000397 |
| Provider Name | Christine A Gouldy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659367555 PECOS PAC ID: 6305739566 Enrollment ID: I20040203000677 |
| Provider Name | Milind M Vaze |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548256738 PECOS PAC ID: 4385537745 Enrollment ID: I20040209000009 |
| Provider Name | Christopher J Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063401263 PECOS PAC ID: 3577457787 Enrollment ID: I20040210000180 |
| Provider Name | Marian G Feil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962478834 PECOS PAC ID: 4688568694 Enrollment ID: I20040211000245 |
| Provider Name | Charles B Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225024391 PECOS PAC ID: 8224921259 Enrollment ID: I20040212000277 |
| Provider Name | Victoria Tecce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114942430 PECOS PAC ID: 1052207180 Enrollment ID: I20040225000991 |
| Provider Name | Maysoun Ghabra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972503787 PECOS PAC ID: 6709773344 Enrollment ID: I20040301000140 |
| Provider Name | Robert J. Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376541813 PECOS PAC ID: 2860380664 Enrollment ID: I20040304000839 |
| Provider Name | Nicholas J Falsone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679557573 PECOS PAC ID: 4183512189 Enrollment ID: I20040310000684 |
| Provider Name | Robert Boynton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841238656 PECOS PAC ID: 3072403633 Enrollment ID: I20040317000947 |
| Provider Name | Vincent Peter Sekela |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710920251 PECOS PAC ID: 8022900943 Enrollment ID: I20040326000100 |
| Provider Name | Brian R Treston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558357111 PECOS PAC ID: 7416940978 Enrollment ID: I20040408000527 |
| Provider Name | Richard P Moser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528054426 PECOS PAC ID: 6507759545 Enrollment ID: I20040413001447 |
| Provider Name | Brian D Mcinroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457347353 PECOS PAC ID: 7517850548 Enrollment ID: I20040413001530 |
| Provider Name | Kimberly A Levin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700071743 PECOS PAC ID: 2365423399 Enrollment ID: I20040526000854 |
| Provider Name | Chad W Coeyman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992785869 PECOS PAC ID: 3173507076 Enrollment ID: I20040617000541 |
| Provider Name | Harvey B Lefton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346204872 PECOS PAC ID: 5294630869 Enrollment ID: I20040618000472 |
| Provider Name | Daniel C Connell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326138884 PECOS PAC ID: 8820060379 Enrollment ID: I20040806000418 |
| Provider Name | Julie L Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942398573 PECOS PAC ID: 8224000773 Enrollment ID: I20040806000464 |
| Provider Name | James G Logue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598894198 PECOS PAC ID: 1456323633 Enrollment ID: I20040809000714 |
| Provider Name | Marni Clyman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932282001 PECOS PAC ID: 7214820257 Enrollment ID: I20040817000564 |
| Provider Name | Charmaine M Kovacs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255391744 PECOS PAC ID: 5193613230 Enrollment ID: I20040825001020 |
| Provider Name | Jenifer Kaufmann Lehrer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831153543 PECOS PAC ID: 4880653740 Enrollment ID: I20041006000798 |
| Provider Name | Paul Licata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790772002 PECOS PAC ID: 0648230326 Enrollment ID: I20041018000072 |
| Provider Name | Dolores K Rigano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982642203 PECOS PAC ID: 5799747788 Enrollment ID: I20041102000337 |
| Provider Name | Jacques Khoury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427025360 PECOS PAC ID: 2062479579 Enrollment ID: I20041216000410 |
| Provider Name | Besma Samdani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730136219 PECOS PAC ID: 2163482183 Enrollment ID: I20041221000269 |
| Provider Name | Clifford T Lomboy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457449043 PECOS PAC ID: 9436109634 Enrollment ID: I20050126000060 |
| Provider Name | Scott B Slocum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396788949 PECOS PAC ID: 4183675648 Enrollment ID: I20050202000628 |
| Provider Name | Craig E. Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013944123 PECOS PAC ID: 1355393307 Enrollment ID: I20050217000570 |
| Provider Name | Beth Irwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588768121 PECOS PAC ID: 2961456702 Enrollment ID: I20050304000397 |
| Provider Name | Matthew Matalavage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841226826 PECOS PAC ID: 1254385719 Enrollment ID: I20050308000461 |
| Provider Name | Rajni Wallia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942398219 PECOS PAC ID: 0941248934 Enrollment ID: I20050420000866 |
| Provider Name | David E Bobman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063471712 PECOS PAC ID: 5698713451 Enrollment ID: I20050421000797 |
| Provider Name | Reginald L Bell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871567206 PECOS PAC ID: 9739128307 Enrollment ID: I20050503000575 |
| Provider Name | Patricia A Kienzle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639252711 PECOS PAC ID: 8921049636 Enrollment ID: I20050512000605 |
| Provider Name | Mehul J Lalani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235229790 PECOS PAC ID: 6608817689 Enrollment ID: I20050519000844 |
| Provider Name | Patrick M Mcmahon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114996709 PECOS PAC ID: 6608769575 Enrollment ID: I20050520000128 |
| Provider Name | Christopher J Long |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609852532 PECOS PAC ID: 2466493325 Enrollment ID: I20050520000403 |
| Provider Name | David Marshall Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306934997 PECOS PAC ID: 8921040544 Enrollment ID: I20050524001064 |
| Provider Name | Thomas J Maddaloni |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952399594 PECOS PAC ID: 9739121633 Enrollment ID: I20050601000280 |
| Provider Name | Louis Laluna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073580486 PECOS PAC ID: 2466400072 Enrollment ID: I20050602001135 |
| Provider Name | Michael Wolfson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073580940 PECOS PAC ID: 4082658208 Enrollment ID: I20050617000312 |
| Provider Name | Jeffrey M Pilchman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942263017 PECOS PAC ID: 7810933223 Enrollment ID: I20050707000079 |
| Provider Name | Dawn S Keown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790761963 PECOS PAC ID: 7517903495 Enrollment ID: I20050720000269 |
| Provider Name | Julie A. Callender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518949635 PECOS PAC ID: 0941238935 Enrollment ID: I20050801000445 |
| Provider Name | Alex Sibu Kuryan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669431425 PECOS PAC ID: 3173552916 Enrollment ID: I20050811000499 |
| Provider Name | Mark H. Johnston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003898131 PECOS PAC ID: 7618908500 Enrollment ID: I20050831000030 |
| Provider Name | Luigi V Patitucci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548294473 PECOS PAC ID: 4082646187 Enrollment ID: I20050909000528 |
| Provider Name | Jeffrey R Greenspan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356376479 PECOS PAC ID: 7911931613 Enrollment ID: I20050922000205 |
| Provider Name | Kelly M Bellamy-dixon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235133026 PECOS PAC ID: 5294750022 Enrollment ID: I20051011000880 |
| Provider Name | Jong-hyun Nam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205805843 PECOS PAC ID: 9830117381 Enrollment ID: I20051103000641 |
| Provider Name | Henry J Venbrux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851389894 PECOS PAC ID: 2567483027 Enrollment ID: I20051212000707 |
| Provider Name | Anthony Lee Rosa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245294941 PECOS PAC ID: 2264446541 Enrollment ID: I20060126000451 |
| Provider Name | Joseph Bojko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457341703 PECOS PAC ID: 8628083227 Enrollment ID: I20060220000180 |
| Provider Name | Charles E Huckel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689650335 PECOS PAC ID: 6800802224 Enrollment ID: I20060222000563 |
| Provider Name | Jonathan James Verrecchio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144320045 PECOS PAC ID: 4486661766 Enrollment ID: I20060316000082 |
| Provider Name | Elio K Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417985110 PECOS PAC ID: 4789693243 Enrollment ID: I20060411000322 |
| Provider Name | Anne G Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043238249 PECOS PAC ID: 5698784163 Enrollment ID: I20060418000338 |
| Provider Name | Kathleen Lukaszewski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356321251 PECOS PAC ID: 5496764557 Enrollment ID: I20060418000458 |
| Provider Name | Tracy Rock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609842574 PECOS PAC ID: 5890705974 Enrollment ID: I20060503000804 |
| Provider Name | Tonja K Oberhansli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558303735 PECOS PAC ID: 2769499268 Enrollment ID: I20060505000163 |
| Provider Name | Anil Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356393797 PECOS PAC ID: 6406742949 Enrollment ID: I20060511000350 |
| Provider Name | John F Altomare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932173143 PECOS PAC ID: 8527079649 Enrollment ID: I20060605000086 |
| Provider Name | Ravi Kishan Ghanta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821043134 PECOS PAC ID: 4082513916 Enrollment ID: I20060612000262 |
| Provider Name | Radhakrishna Rao Kalakuntla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841226651 PECOS PAC ID: 0749293587 Enrollment ID: I20060724000123 |
| Provider Name | Tamra Lynne Heimert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689631814 PECOS PAC ID: 1759394083 Enrollment ID: I20060803000076 |
| Provider Name | Lisa Anne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679591994 PECOS PAC ID: 2668475351 Enrollment ID: I20060818000274 |
| Provider Name | Matthew S Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558304014 PECOS PAC ID: 4284637703 Enrollment ID: I20060822000496 |
| Provider Name | Patrick Noel Weybright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043267784 PECOS PAC ID: 7012910599 Enrollment ID: I20060823000342 |
| Provider Name | Kristie M Adamo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861413288 PECOS PAC ID: 5496751380 Enrollment ID: I20061017000389 |
| Provider Name | Karen A. Piotrowicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053339358 PECOS PAC ID: 4486651569 Enrollment ID: I20061102000345 |
| Provider Name | Jun Steve Hou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619923828 PECOS PAC ID: 5294732186 Enrollment ID: I20061108000045 |
| Provider Name | Loris F Cedeno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235223470 PECOS PAC ID: 5991704686 Enrollment ID: I20061206000367 |
| Provider Name | Brian Keller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699848432 PECOS PAC ID: 0840290227 Enrollment ID: I20070109000229 |
| Provider Name | Matthew M Baichi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316962160 PECOS PAC ID: 1951307404 Enrollment ID: I20070131000223 |
| Provider Name | Reina Pai Bender |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407913916 PECOS PAC ID: 5698776870 Enrollment ID: I20070131000266 |
| Provider Name | Sharon L Swierczynski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528099256 PECOS PAC ID: 3072554286 Enrollment ID: I20070307000011 |
| Provider Name | Paul D Allegretti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033231907 PECOS PAC ID: 5193822401 Enrollment ID: I20070522000282 |
| Provider Name | Scott C. Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518947480 PECOS PAC ID: 2860599966 Enrollment ID: I20070524000551 |
| Provider Name | Paul Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285853887 PECOS PAC ID: 2668570482 Enrollment ID: I20070601000318 |
| Provider Name | Robert C Capperella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740499227 PECOS PAC ID: 5395844989 Enrollment ID: I20070622000043 |
| Provider Name | Brian H T Le |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649317959 PECOS PAC ID: 3072613959 Enrollment ID: I20070706000085 |
| Provider Name | Carrie Nicole Miller Baichi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629129317 PECOS PAC ID: 7315048089 Enrollment ID: I20070725000096 |
| Provider Name | Jonathan P Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790989218 PECOS PAC ID: 7416041546 Enrollment ID: I20070920000497 |
| Provider Name | Burhan Hameed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588656219 PECOS PAC ID: 3779561782 Enrollment ID: I20070926000009 |
| Provider Name | Naeem Akhtar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194726828 PECOS PAC ID: 2769578871 Enrollment ID: I20071022000214 |
| Provider Name | Junyi Lei |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689606659 PECOS PAC ID: 9032207683 Enrollment ID: I20071114000462 |
| Provider Name | Ana L Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932394160 PECOS PAC ID: 2062500689 Enrollment ID: I20071115000475 |
| Provider Name | Richard A Tiberio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073570933 PECOS PAC ID: 1254420656 Enrollment ID: I20071208000086 |
| Provider Name | Aparna M Mele |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851512719 PECOS PAC ID: 3577643980 Enrollment ID: I20080110000152 |
| Provider Name | Joseph W Danig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376727065 PECOS PAC ID: 1951482868 Enrollment ID: I20080117000080 |
| Provider Name | Lisa A Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164606877 PECOS PAC ID: 6608958020 Enrollment ID: I20080124000264 |
| Provider Name | Patrick J Mcdevitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245443860 PECOS PAC ID: 6800978123 Enrollment ID: I20080125000309 |
| Provider Name | Kathleen Ernst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992989917 PECOS PAC ID: 4385725183 Enrollment ID: I20080128000409 |
| Provider Name | Justin J Harberson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922284652 PECOS PAC ID: 1557448263 Enrollment ID: I20080404000637 |
| Provider Name | Corazon Nicanor Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730124322 PECOS PAC ID: 3870588015 Enrollment ID: I20080418000022 |
| Provider Name | Mary Ellen Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750551685 PECOS PAC ID: 5991883183 Enrollment ID: I20080429000594 |
| Provider Name | Nancy Ann Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639354640 PECOS PAC ID: 9436238532 Enrollment ID: I20080430000604 |
| Provider Name | Julie A Horst |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205002284 PECOS PAC ID: 9739250903 Enrollment ID: I20080616000303 |
| Provider Name | Patricia A Barry Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093938367 PECOS PAC ID: 3971695297 Enrollment ID: I20080721000064 |
| Provider Name | Scott W Michelitch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497967657 PECOS PAC ID: 5092888396 Enrollment ID: I20080721000067 |
| Provider Name | Atul Bhardwaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477746170 PECOS PAC ID: 1254404148 Enrollment ID: I20080725000396 |
| Provider Name | Carl C Gable |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942416011 PECOS PAC ID: 3779657556 Enrollment ID: I20080729000320 |
| Provider Name | Frederick Ruthardt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679671093 PECOS PAC ID: 3476453762 Enrollment ID: I20080825000484 |
| Provider Name | Edmond J Bou Assaf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346449071 PECOS PAC ID: 8820163876 Enrollment ID: I20080826000560 |
| Provider Name | Robert Stokes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225136633 PECOS PAC ID: 8921908211 Enrollment ID: I20081009000435 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770787749 PECOS PAC ID: 5092873448 Enrollment ID: I20081029000284 |
| Provider Name | Charles Robert Calabrese |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730287145 PECOS PAC ID: 5294635587 Enrollment ID: I20081107000200 |
| Provider Name | Christopher P Farrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619127610 PECOS PAC ID: 0648330886 Enrollment ID: I20081118000816 |
| Provider Name | Eva E Sum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679735518 PECOS PAC ID: 4082776851 Enrollment ID: I20090105000191 |
| Provider Name | Colleen Danese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558518498 PECOS PAC ID: 3577629559 Enrollment ID: I20090226000306 |
| Provider Name | Mark Regan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225026636 PECOS PAC ID: 2466518402 Enrollment ID: I20090227000137 |
| Provider Name | Richard S Goldstein |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1417948431 PECOS PAC ID: 7214024991 Enrollment ID: I20090408000625 |
| Provider Name | Anne-marie C Marcoux |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1487644639 PECOS PAC ID: 2860589546 Enrollment ID: I20090408000635 |
| Provider Name | Sadiya Cheshty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245415553 PECOS PAC ID: 9830246388 Enrollment ID: I20090420000614 |
| Provider Name | Michael A Yoder |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346206752 PECOS PAC ID: 9032271580 Enrollment ID: I20090504000422 |
| Provider Name | Kelly Kulak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043452824 PECOS PAC ID: 9133279904 Enrollment ID: I20090617000087 |
| Provider Name | Marc R Happe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164580874 PECOS PAC ID: 1658422019 Enrollment ID: I20090624000498 |
| Provider Name | Adam J Spiegel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639317993 PECOS PAC ID: 3678624509 Enrollment ID: I20090706000324 |
| Provider Name | Jennifer L Hoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265667240 PECOS PAC ID: 6406908763 Enrollment ID: I20090716000653 |
| Provider Name | Ketan G Kulkarni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710994231 PECOS PAC ID: 1557415486 Enrollment ID: I20090812000307 |
| Provider Name | Denise Gotsdiner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962434464 PECOS PAC ID: 2567516354 Enrollment ID: I20090813000104 |
| Provider Name | Albert K Hahm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821208505 PECOS PAC ID: 9436204260 Enrollment ID: I20090901000042 |
| Provider Name | Marc R Filstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275606444 PECOS PAC ID: 5395890917 Enrollment ID: I20090903000521 |
| Provider Name | William B Kimmel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699773267 PECOS PAC ID: 4284780024 Enrollment ID: I20090921000580 |
| Provider Name | Malini Mathur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871751610 PECOS PAC ID: 1052467727 Enrollment ID: I20090922000214 |
| Provider Name | Jing Yao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841417664 PECOS PAC ID: 9537215819 Enrollment ID: I20090929000377 |
| Provider Name | Austin Hwang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457569691 PECOS PAC ID: 9234275850 Enrollment ID: I20091012000284 |
| Provider Name | Trisha Dolsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235469156 PECOS PAC ID: 6204970064 Enrollment ID: I20100217000085 |
| Provider Name | Dale Jay Rosenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528156114 PECOS PAC ID: 3779537576 Enrollment ID: I20100222000079 |
| Provider Name | Carl Colton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699856757 PECOS PAC ID: 6507810306 Enrollment ID: I20100222000108 |
| Provider Name | Dale Whitebloom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144310608 PECOS PAC ID: 0547163750 Enrollment ID: I20100222000163 |
| Provider Name | Richard Joel Elkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144318759 PECOS PAC ID: 0143274944 Enrollment ID: I20100225000700 |
| Provider Name | Michael Pawlowsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649250416 PECOS PAC ID: 1759341456 Enrollment ID: I20100303000555 |
| Provider Name | Alexandra L Gibas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679661292 PECOS PAC ID: 9537204391 Enrollment ID: I20100304000019 |
| Provider Name | Ben G. Lazarus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922196518 PECOS PAC ID: 2961456769 Enrollment ID: I20100305000367 |
| Provider Name | Thomas R Foley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689762296 PECOS PAC ID: 4183527393 Enrollment ID: I20100309000653 |
| Provider Name | Keith Laskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821064783 PECOS PAC ID: 4082667910 Enrollment ID: I20100410000038 |
| Provider Name | Kenneth L Jusko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487805115 PECOS PAC ID: 5092866038 Enrollment ID: I20100421000142 |
| Provider Name | Marc Zitin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548237423 PECOS PAC ID: 0941253868 Enrollment ID: I20100423000324 |
| Provider Name | Gary Newman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023085990 PECOS PAC ID: 9739132663 Enrollment ID: I20100423000435 |
| Provider Name | Stuart Barish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003897299 PECOS PAC ID: 4981731825 Enrollment ID: I20100423000503 |
| Provider Name | Giancarlo Mercogliano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144296013 PECOS PAC ID: 1951354877 Enrollment ID: I20100426000130 |
| Provider Name | Norman M Callahan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851367783 PECOS PAC ID: 1355394289 Enrollment ID: I20100427000074 |
| Provider Name | Meena S Desai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699795799 PECOS PAC ID: 2466354071 Enrollment ID: I20100524000231 |
| Provider Name | Richard D Tolin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548237415 PECOS PAC ID: 4486607306 Enrollment ID: I20100525000970 |
| Provider Name | Rupal Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124094073 PECOS PAC ID: 9830113539 Enrollment ID: I20100525001030 |
| Provider Name | Kenneth Spencer Breslin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619911252 PECOS PAC ID: 5395744098 Enrollment ID: I20100616000283 |
| Provider Name | Stephen A Rafelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417997875 PECOS PAC ID: 6204835903 Enrollment ID: I20100628001047 |
| Provider Name | Michelle L Cacek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457572042 PECOS PAC ID: 9638200975 Enrollment ID: I20100630000047 |
| Provider Name | Nicholas P Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346467693 PECOS PAC ID: 9931232261 Enrollment ID: I20100806000127 |
| Provider Name | James Taterka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528012531 PECOS PAC ID: 2466341409 Enrollment ID: I20100817000303 |
| Provider Name | Maura M Barr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275869752 PECOS PAC ID: 9638203193 Enrollment ID: I20100819000189 |
| Provider Name | David Lee Kerstetter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619994076 PECOS PAC ID: 1759405848 Enrollment ID: I20100826000117 |
| Provider Name | Ameet N Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619975299 PECOS PAC ID: 8628175023 Enrollment ID: I20100826001101 |
| Provider Name | Terasa M Astarita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275530958 PECOS PAC ID: 1254455280 Enrollment ID: I20100827000765 |
| Provider Name | Jeffrey P Baliff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629133707 PECOS PAC ID: 4082738513 Enrollment ID: I20100903000742 |
| Provider Name | Ronald P Markos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851399786 PECOS PAC ID: 5193625051 Enrollment ID: I20100910000140 |
| Provider Name | Marie Bailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316985294 PECOS PAC ID: 3870694235 Enrollment ID: I20100913000427 |
| Provider Name | Steven Nack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427096304 PECOS PAC ID: 8022079862 Enrollment ID: I20100914001156 |
| Provider Name | Philip A Scalamogna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508854902 PECOS PAC ID: 5193840015 Enrollment ID: I20100916000100 |
| Provider Name | Rajih A. Alkhafaji |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932133493 PECOS PAC ID: 7214944909 Enrollment ID: I20100923001135 |
| Provider Name | Ronald J. Brzana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861426173 PECOS PAC ID: 8820996358 Enrollment ID: I20100928000907 |
| Provider Name | Daniel Blecker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154393684 PECOS PAC ID: 7113813791 Enrollment ID: I20101007000222 |
| Provider Name | Rajesh Panchwagh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376542373 PECOS PAC ID: 6507834942 Enrollment ID: I20101012000663 |
| Provider Name | Seth E Rosenzweig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184691511 PECOS PAC ID: 5193773703 Enrollment ID: I20101019001562 |
| Provider Name | Carl D. Mele |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922072172 PECOS PAC ID: 9436175726 Enrollment ID: I20101022000566 |
| Provider Name | Anirudh Masand-rai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295702629 PECOS PAC ID: 7911893599 Enrollment ID: I20101025000554 |
| Provider Name | Stuart A Weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356327092 PECOS PAC ID: 3870788342 Enrollment ID: I20101110000082 |
| Provider Name | Sarah H Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578781860 PECOS PAC ID: 2466647631 Enrollment ID: I20101112000991 |
| Provider Name | Mary R Nunan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821315151 PECOS PAC ID: 9931396462 Enrollment ID: I20101209001326 |
| Provider Name | Muhammad A Virk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275845620 PECOS PAC ID: 2961690243 Enrollment ID: I20101230000889 |
| Provider Name | Robert B Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760582654 PECOS PAC ID: 4082678164 Enrollment ID: I20110207000698 |
| Provider Name | Raynard J Cheung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891758843 PECOS PAC ID: 3072542828 Enrollment ID: I20110216000151 |
| Provider Name | Richard Panicco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891757621 PECOS PAC ID: 3678501962 Enrollment ID: I20110330000751 |
| Provider Name | Philip Joson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275595548 PECOS PAC ID: 4486682770 Enrollment ID: I20110405000980 |
| Provider Name | Frederic A Meyers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902996176 PECOS PAC ID: 2264335876 Enrollment ID: I20110421000108 |
| Provider Name | Michael A Waronker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275623449 PECOS PAC ID: 3274545785 Enrollment ID: I20110425000087 |
| Provider Name | Craig R Barash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245288190 PECOS PAC ID: 2769449248 Enrollment ID: I20110517000710 |
| Provider Name | Richard Kenney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861448672 PECOS PAC ID: 5799747903 Enrollment ID: I20110523000416 |
| Provider Name | John A Volpe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063460624 PECOS PAC ID: 7214994797 Enrollment ID: I20110524000518 |
| Provider Name | Anthony Michael Yanarella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376832683 PECOS PAC ID: 0749467686 Enrollment ID: I20110602000203 |
| Provider Name | Christopher M Bloomer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023094943 PECOS PAC ID: 1052599180 Enrollment ID: I20110621000021 |
| Provider Name | Joseph J Herdman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417148131 PECOS PAC ID: 2860589363 Enrollment ID: I20110621000322 |
| Provider Name | Nathan B Martz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417255985 PECOS PAC ID: 3274711965 Enrollment ID: I20110628000704 |
| Provider Name | Nirav R. Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023148731 PECOS PAC ID: 6002910353 Enrollment ID: I20110629000535 |
| Provider Name | Eutoria R Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144523283 PECOS PAC ID: 3375721863 Enrollment ID: I20110705000454 |
| Provider Name | Scott Fink |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023060480 PECOS PAC ID: 7214036243 Enrollment ID: I20110711000115 |
| Provider Name | Robert K Bailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568695039 PECOS PAC ID: 4688842362 Enrollment ID: I20110725000277 |
| Provider Name | Jonathan A Weinhold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700171402 PECOS PAC ID: 8628246204 Enrollment ID: I20110726000703 |
| Provider Name | Jennifer Anne Totten |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497940605 PECOS PAC ID: 4789852294 Enrollment ID: I20110727000179 |
| Provider Name | Linda Camlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174833842 PECOS PAC ID: 2062681307 Enrollment ID: I20110810000114 |
| Provider Name | Denise Deriane Najjar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104911718 PECOS PAC ID: 2860663101 Enrollment ID: I20110919000400 |
| Provider Name | Debra T Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710269766 PECOS PAC ID: 4082886833 Enrollment ID: I20111020000500 |
| Provider Name | Heather Jewel Gerst |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114193299 PECOS PAC ID: 0244403939 Enrollment ID: I20111025000124 |
| Provider Name | Benjamin W Raile |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093979981 PECOS PAC ID: 9234303025 Enrollment ID: I20111111000642 |
| Provider Name | David Ross Neiblum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942269782 PECOS PAC ID: 2860415353 Enrollment ID: I20111115000019 |
| Provider Name | Victor R Araya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285693069 PECOS PAC ID: 9032201934 Enrollment ID: I20111202000134 |
| Provider Name | Richard C. Gossar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053308403 PECOS PAC ID: 5698940641 Enrollment ID: I20111202000649 |
| Provider Name | Robert Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982989430 PECOS PAC ID: 9638345077 Enrollment ID: I20120105000709 |
| Provider Name | Maria C Gannett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376874990 PECOS PAC ID: 2668508227 Enrollment ID: I20120106000145 |
| Provider Name | Elizabeth W Mahoney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710256169 PECOS PAC ID: 2264699180 Enrollment ID: I20120206000170 |
| Provider Name | John J Oconnor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649249806 PECOS PAC ID: 6608894282 Enrollment ID: I20120215000316 |
| Provider Name | Brian J Plasil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164638151 PECOS PAC ID: 7113056078 Enrollment ID: I20120222000151 |
| Provider Name | Melissa G. Morgan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407183726 PECOS PAC ID: 3577721489 Enrollment ID: I20120223000608 |
| Provider Name | Elizabeth A Sun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023087285 PECOS PAC ID: 8426076001 Enrollment ID: I20120409000485 |
| Provider Name | Daniel S Case |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356549158 PECOS PAC ID: 0345387304 Enrollment ID: I20120503000424 |
| Provider Name | Adam B Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568670198 PECOS PAC ID: 1658537774 Enrollment ID: I20120718000156 |
| Provider Name | Brain J Karp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073657409 PECOS PAC ID: 7113093907 Enrollment ID: I20120723000678 |
| Provider Name | Christopher Eric Shih |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881699445 PECOS PAC ID: 2264415603 Enrollment ID: I20120907000589 |
| Provider Name | Patricia Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659433936 PECOS PAC ID: 6305905563 Enrollment ID: I20120918000029 |
| Provider Name | Richard A Hartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255699096 PECOS PAC ID: 0749438349 Enrollment ID: I20120924000072 |
| Provider Name | John David Horwhat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487747242 PECOS PAC ID: 3779661541 Enrollment ID: I20130204000040 |
| Provider Name | Tareq Yasin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013118231 PECOS PAC ID: 9638318009 Enrollment ID: I20130614000217 |
| Provider Name | Christopher Bahy Ibrahim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205065125 PECOS PAC ID: 3072668250 Enrollment ID: I20130617000510 |
| Provider Name | Jeremy M Benger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548422751 PECOS PAC ID: 9931365186 Enrollment ID: I20130719000413 |
| Provider Name | Regina D Canty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124364260 PECOS PAC ID: 4587819198 Enrollment ID: I20130722000149 |
| Provider Name | Ashley M Knapp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306283189 PECOS PAC ID: 2163665977 Enrollment ID: I20130827000286 |
| Provider Name | Brian P Mcallister |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760702336 PECOS PAC ID: 7517191810 Enrollment ID: I20130927000259 |
| Provider Name | Charlotte A Budzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811975303 PECOS PAC ID: 5698900140 Enrollment ID: I20131108001490 |
| Provider Name | Gregory Michael Yandrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942637186 PECOS PAC ID: 4284862582 Enrollment ID: I20140113001376 |
| Provider Name | Jason Lee Pennypacker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154533313 PECOS PAC ID: 3375781768 Enrollment ID: I20140124001177 |
| Provider Name | Nicholas R Lambros |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831512318 PECOS PAC ID: 6002046893 Enrollment ID: I20140221001472 |
| Provider Name | Shiny B Parambath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972933455 PECOS PAC ID: 1951534148 Enrollment ID: I20140423001030 |
| Provider Name | Desiree Zanghi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083035828 PECOS PAC ID: 2163655101 Enrollment ID: I20140429000700 |
| Provider Name | Valerie L Geraci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407286404 PECOS PAC ID: 9436372786 Enrollment ID: I20140514001322 |
| Provider Name | Letitia Saylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750703922 PECOS PAC ID: 2163645060 Enrollment ID: I20140522000286 |
| Provider Name | Joshua P Cantor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245441252 PECOS PAC ID: 8325294796 Enrollment ID: I20140610001478 |
| Provider Name | Francesca M Calabrese |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760893770 PECOS PAC ID: 7113141870 Enrollment ID: I20140619000824 |
| Provider Name | Philip J Elbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235484031 PECOS PAC ID: 4385860642 Enrollment ID: I20140722001206 |
| Provider Name | Nicole E Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609188879 PECOS PAC ID: 7416174685 Enrollment ID: I20140812000931 |
| Provider Name | Mitul T Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235347485 PECOS PAC ID: 3870768963 Enrollment ID: I20140812001562 |
| Provider Name | Christopher Leon Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699793604 PECOS PAC ID: 8123027927 Enrollment ID: I20140818000111 |
| Provider Name | Wesley Schrock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235392713 PECOS PAC ID: 5294972337 Enrollment ID: I20140822002187 |
| Provider Name | John Melvin Modene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609289834 PECOS PAC ID: 9638397045 Enrollment ID: I20140827000807 |
| Provider Name | Nicholas M Ngumo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841603230 PECOS PAC ID: 3779702857 Enrollment ID: I20140923000771 |
| Provider Name | Grant M Thorell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770985715 PECOS PAC ID: 3577885235 Enrollment ID: I20141208001492 |
| Provider Name | Heidi M Kling-newnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164828935 PECOS PAC ID: 2769705771 Enrollment ID: I20141224000746 |
| Provider Name | John D Betteridge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447354410 PECOS PAC ID: 4688813264 Enrollment ID: I20150407001887 |
| Provider Name | Tanya Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407241086 PECOS PAC ID: 9335468057 Enrollment ID: I20150501000070 |
| Provider Name | Michael S Mccollum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114161643 PECOS PAC ID: 7618192998 Enrollment ID: I20150716001599 |
| Provider Name | Anthony J Agbay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447426275 PECOS PAC ID: 0143404244 Enrollment ID: I20150724010606 |
| Provider Name | Jonathan R Enterline |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841421070 PECOS PAC ID: 8022322668 Enrollment ID: I20150727002539 |
| Provider Name | Farid Razavi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407099112 PECOS PAC ID: 1658686332 Enrollment ID: I20150811004390 |
| Provider Name | Nasir Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376816504 PECOS PAC ID: 4587970926 Enrollment ID: I20150901000367 |
| Provider Name | Mue S Ngo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235381617 PECOS PAC ID: 9032428982 Enrollment ID: I20151016000419 |
| Provider Name | Sharifah Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558734756 PECOS PAC ID: 7911202593 Enrollment ID: I20160304000457 |
| Provider Name | Olivia Carrasquillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669827572 PECOS PAC ID: 7416247002 Enrollment ID: I20160610000412 |
| Provider Name | Nina S Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720309024 PECOS PAC ID: 2769607928 Enrollment ID: I20160720000036 |
| Provider Name | Brittany M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326667 PECOS PAC ID: 0143518340 Enrollment ID: I20161004000228 |
| Provider Name | Brittany N Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285082693 PECOS PAC ID: 4587952528 Enrollment ID: I20161007000168 |
| Provider Name | Donna R Moyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629001714 PECOS PAC ID: 0345154423 Enrollment ID: I20161018002268 |
| Provider Name | Mark J Mentrikoski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427372044 PECOS PAC ID: 3274760491 Enrollment ID: I20170213000072 |
| Provider Name | Ryan W Urbas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720344849 PECOS PAC ID: 4486938867 Enrollment ID: I20170302001435 |
| Provider Name | Julie Ann Crum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528058583 PECOS PAC ID: 8729052162 Enrollment ID: I20170530000847 |
| Provider Name | Jessica Sterling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740522010 PECOS PAC ID: 0446567754 Enrollment ID: I20170608000014 |
| Provider Name | Robert A Frankel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902196801 PECOS PAC ID: 8820317282 Enrollment ID: I20170608001111 |
| Provider Name | Lisa J Yoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407148075 PECOS PAC ID: 3072882539 Enrollment ID: I20170627002360 |
| Provider Name | Kevin Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174815625 PECOS PAC ID: 5698044840 Enrollment ID: I20170705000033 |
| Provider Name | Karen Lee Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972049609 PECOS PAC ID: 1658642624 Enrollment ID: I20170809002504 |
| Provider Name | Franklin Defelippo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497085211 PECOS PAC ID: 7618004888 Enrollment ID: I20171020002813 |
| Provider Name | Alison Anna Platt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134371131 PECOS PAC ID: 8426238858 Enrollment ID: I20171101002869 |
| Provider Name | Trevor S Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376079681 PECOS PAC ID: 8224394010 Enrollment ID: I20171110001905 |
| Provider Name | Christopher M Pietruszynski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508371956 PECOS PAC ID: 2668731068 Enrollment ID: I20180110001875 |
| Provider Name | Noel Kay Lynne Boas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255848792 PECOS PAC ID: 4183983984 Enrollment ID: I20180125000012 |
| Provider Name | Emily B Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124536396 PECOS PAC ID: 2264792134 Enrollment ID: I20180214002092 |
| Provider Name | Sothea P Saing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225420482 PECOS PAC ID: 3375862436 Enrollment ID: I20180308000349 |
| Provider Name | Jennifer S Hooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225273352 PECOS PAC ID: 2769545623 Enrollment ID: I20180320001287 |
| Provider Name | Rehan A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811197817 PECOS PAC ID: 1456448109 Enrollment ID: I20180410001614 |
| Provider Name | Louise E Babikow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821588351 PECOS PAC ID: 3779848957 Enrollment ID: I20180518000721 |
| Provider Name | Eren Taydas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902164742 PECOS PAC ID: 0547574519 Enrollment ID: I20180530002036 |
| Provider Name | William B Huntington |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033479704 PECOS PAC ID: 7416202064 Enrollment ID: I20180622000095 |
| Provider Name | Heather E Sauder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336627843 PECOS PAC ID: 1759630536 Enrollment ID: I20180828002291 |
| Provider Name | Alan J Shienbaum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811967904 PECOS PAC ID: 1557406568 Enrollment ID: I20180906003271 |
| Provider Name | Staci Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104391044 PECOS PAC ID: 4082959655 Enrollment ID: I20181231001341 |
| Provider Name | Maura Levandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770053324 PECOS PAC ID: 9739425562 Enrollment ID: I20190115002145 |
| Provider Name | Kaci Elizabeth Christian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003182114 PECOS PAC ID: 8527373182 Enrollment ID: I20190503000097 |
| Provider Name | Jennifer Melissa Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144679762 PECOS PAC ID: 9739430018 Enrollment ID: I20190619000171 |
| Provider Name | Marc D Hopkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619941127 PECOS PAC ID: 3779757109 Enrollment ID: I20190627000578 |
| Provider Name | Anan Said |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780983205 PECOS PAC ID: 9931408044 Enrollment ID: I20190627003306 |
| Provider Name | Robert B Cooper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558704403 PECOS PAC ID: 6901130665 Enrollment ID: I20190628002307 |
| Provider Name | Michael F Riverso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538506381 PECOS PAC ID: 8325281652 Enrollment ID: I20190703000344 |
| Provider Name | Andrew Eddie Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780034140 PECOS PAC ID: 2365725660 Enrollment ID: I20190709002428 |
| Provider Name | Manju Ambelil |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427478205 PECOS PAC ID: 7012251648 Enrollment ID: I20190731000617 |
| Provider Name | Virginia Rudd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760559231 PECOS PAC ID: 2264501766 Enrollment ID: I20191001001545 |
| Provider Name | John A Linderman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366085458 PECOS PAC ID: 2961838131 Enrollment ID: I20200206001319 |
| Provider Name | Kimberly Rose Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851939698 PECOS PAC ID: 9638505647 Enrollment ID: I20200212000121 |
| Provider Name | Sarah Glessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396398210 PECOS PAC ID: 3577992551 Enrollment ID: I20200327000383 |
| Provider Name | Eric Montgomery |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477704021 PECOS PAC ID: 7416198833 Enrollment ID: I20200615003248 |
| Provider Name | Adarsh Sai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467742940 PECOS PAC ID: 4789801176 Enrollment ID: I20200625000065 |
| Provider Name | Evan S Shelby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568807402 PECOS PAC ID: 0042438806 Enrollment ID: I20200626000157 |
| Provider Name | Ashley Lynn Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669071114 PECOS PAC ID: 4284047705 Enrollment ID: I20201230000874 |
| Provider Name | Jennifer Lisa Marth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174135875 PECOS PAC ID: 4183032642 Enrollment ID: I20210421002270 |
| Provider Name | Cindy Louise Loeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942889126 PECOS PAC ID: 4486062833 Enrollment ID: I20210423000520 |
| Provider Name | Shyam Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124439427 PECOS PAC ID: 3971875220 Enrollment ID: I20210609002528 |
| Provider Name | Stephen Michael Testa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902291438 PECOS PAC ID: 2365747706 Enrollment ID: I20210715004243 |
| Provider Name | Caylor Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336717610 PECOS PAC ID: 8729483573 Enrollment ID: I20210817004264 |
| Provider Name | Joseph Chapman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619369576 PECOS PAC ID: 2466766126 Enrollment ID: I20210820002042 |
| Provider Name | Janelle Talbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477228955 PECOS PAC ID: 0941698781 Enrollment ID: I20211027000784 |
| Provider Name | Rebekah Shue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689246860 PECOS PAC ID: 4688063191 Enrollment ID: I20211122001639 |
| Provider Name | Carrie A Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114275690 PECOS PAC ID: 5193119162 Enrollment ID: I20220308002951 |
| Provider Name | Hassan Borghei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093913550 PECOS PAC ID: 6406949866 Enrollment ID: I20220324002767 |
| Provider Name | Kira Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255085809 PECOS PAC ID: 7618364621 Enrollment ID: I20220421001334 |
| Provider Name | Elizabeth Ehrlich Chapman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528450483 PECOS PAC ID: 5698087336 Enrollment ID: I20220427000113 |
| Provider Name | Justin Derosa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841649944 PECOS PAC ID: 8022497395 Enrollment ID: I20220616000160 |
| Provider Name | Russ Raj Arjal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821144403 PECOS PAC ID: 5294807301 Enrollment ID: I20221213001118 |
| Provider Name | Margaret Ann Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740991389 PECOS PAC ID: 0840661096 Enrollment ID: I20230125003214 |
| Provider Name | Craig Sorkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598025397 PECOS PAC ID: 5193978120 Enrollment ID: I20230130000219 |
| Provider Name | Armin Marefat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629291000 PECOS PAC ID: 2264500438 Enrollment ID: I20230131003505 |
| Provider Name | Kara Colleen Noon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326751025 PECOS PAC ID: 6800269721 Enrollment ID: I20230223002236 |
| Provider Name | Tara Brooke Kupperstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962115808 PECOS PAC ID: 2365815651 Enrollment ID: I20230308000168 |
| Provider Name | Elena Khlobystova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831798867 PECOS PAC ID: 7618333279 Enrollment ID: I20230524001045 |
| Provider Name | Faiz Afridi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124480132 PECOS PAC ID: 4981931326 Enrollment ID: I20230612000420 |
| Provider Name | Scott Douglas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932632270 PECOS PAC ID: 2466723804 Enrollment ID: I20230714001241 |
| Provider Name | Maggie Cheung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689102295 PECOS PAC ID: 4981064433 Enrollment ID: I20230717001015 |
| Provider Name | Alexandra Pogosky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700315082 PECOS PAC ID: 9537438940 Enrollment ID: I20230717001968 |
| Provider Name | Mary Rouzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134632334 PECOS PAC ID: 5991064438 Enrollment ID: I20230802004440 |
| Provider Name | David R Beswick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124190095 PECOS PAC ID: 8729983226 Enrollment ID: I20230803004448 |
| Provider Name | Stacie Laine Bratcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174281281 PECOS PAC ID: 6204228885 Enrollment ID: I20230805000115 |
| Provider Name | Johann Hasbun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164885398 PECOS PAC ID: 3375887532 Enrollment ID: I20230808000376 |
| Provider Name | Fred B Rosenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003817180 PECOS PAC ID: 9931167897 Enrollment ID: I20230808000895 |
| Provider Name | Ashley Davis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972031581 PECOS PAC ID: 8123397742 Enrollment ID: I20230810000008 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881377729 PECOS PAC ID: 3577910975 Enrollment ID: I20231107001249 |
| Provider Name | Erin Beth Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215611900 PECOS PAC ID: 5799132403 Enrollment ID: I20231116002348 |
| Provider Name | Maria Davydova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215613856 PECOS PAC ID: 7315383668 Enrollment ID: I20240309000381 |
John A. Palumbo, M.d. & Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Oregon Pike, Suite 1201, Lancaster, PA 17601 Phone: 717-295-3012 Fax: 717-295-3014 | |
Penn Medicine Lancaster General Health Physicians Vaccination Booster Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601 Phone: 717-588-1490 Fax: 717-588-1491 | |
Penn Medicine Lghp Family Medicine Abbeyville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Abbeyville Rd, Lancaster, PA 17603 Phone: 717-291-5991 Fax: 717-291-5806 | |
Patient First - Lancaster Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Oregon Pike, Lancaster, PA 17601 Phone: 717-925-2995 Fax: 717-925-2996 | |
Wound Medicine Of Central Pennsylvania Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 N Pine St, Lancaster, PA 17603 Phone: 631-828-4920 | |
Avalon Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602 Phone: 717-899-8113 Fax: 717-617-2476 | |
Sleep Disorder Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Ranck Ave, Lancaster, PA 17602 Phone: 717-569-7044 Fax: 717-431-9684 |