Duke Health Integrated Practice, Inc. - Medicare Primary Care in Durham, NC

Duke Health Integrated Practice, Inc. is a medicare enrolled primary clinic (General Practice) in Durham, North Carolina. The current practice location for Duke Health Integrated Practice, Inc. is 40 Duke Medicine Cir, Durham, North Carolina. For appointments, you can reach them via phone at (919) 620-4855. The mailing address for Duke Health Integrated Practice, Inc. is Po Box 110566, Durham, North Carolina and phone number is (919) 620-4855.

Duke Health Integrated Practice, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205553369. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (919) 620-4855.

Contact Information

Duke Health Integrated Practice, Inc.
40 Duke Medicine Cir
Durham
NC 27710-4000
(919) 620-4855
(919) 620-4921

Map and Direction


Primary Care Clinic Profile

Full NameDuke Health Integrated Practice, Inc.
SpecialityGeneral Practice
Location40 Duke Medicine Cir, Durham, North Carolina
Authorized Official Name and PositionJohn Stuart Smith (VP FINANCE)
Authorized Official Contact9196138995
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Duke Health Integrated Practice, Inc.
Po Box 110566
Durham
NC 27709-5566

Ph: (919) 620-4855
Duke Health Integrated Practice, Inc.
40 Duke Medicine Cir
Durham
NC 27710-4000

Ph: (919) 620-4855

NPI Details:

NPI Number1205553369
Provider Enumeration Date10/20/2022
Last Update Date09/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8325412737
Medicare Enrollment IDO20230327002247

Medical Identifiers

Medical identifiers for Duke Health Integrated Practice, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205553369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Duke Health Integrated Practice, Inc. acts as a billing entity for following providers:
Provider NameDwayne D Callwood
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023194479
PECOS PAC ID: 4789597709
Enrollment ID: I20031106000495
Provider NameThomas S Devetski
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679594758
PECOS PAC ID: 3476466780
Enrollment ID: I20031111000769
Provider NameAllan H Friedman
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1881777043
PECOS PAC ID: 5991618100
Enrollment ID: I20031112000335
Provider NameCharlotte Caroline F Martelo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972589125
PECOS PAC ID: 6204749435
Enrollment ID: I20031112000481
Provider NameThomas E Buchheit
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1336250158
PECOS PAC ID: 1254235013
Enrollment ID: I20031122000121
Provider NameBurke E Thompson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457336778
PECOS PAC ID: 5395649826
Enrollment ID: I20031125000632
Provider NameBeth Hays Lindsay
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1316033616
PECOS PAC ID: 9234034570
Enrollment ID: I20031201000486
Provider NameDaniel J George
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1124101381
PECOS PAC ID: 0143125336
Enrollment ID: I20031201000726
Provider NameSusanne D Jacobs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649249210
PECOS PAC ID: 1355248956
Enrollment ID: I20031212000558
Provider NameVinod K Prasad
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1013070895
PECOS PAC ID: 6002714771
Enrollment ID: I20031219000659
Provider NameScott A Strine
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1346299351
PECOS PAC ID: 3678472255
Enrollment ID: I20040102000378
Provider NameGwendolen T Buhr
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1891878039
PECOS PAC ID: 7719887918
Enrollment ID: I20040113000325
Provider NameChristopher R Watters
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518945583
PECOS PAC ID: 8820999501
Enrollment ID: I20040115000970
Provider NameCatherine J Flanagan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023152501
PECOS PAC ID: 5294636924
Enrollment ID: I20040116000037
Provider NameAnne L Derouin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417031246
PECOS PAC ID: 9335040559
Enrollment ID: I20040121000139
Provider NameMihai V Podgoreanu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1669433827
PECOS PAC ID: 1153215777
Enrollment ID: I20040212000654
Provider NameDenise M Lally-goss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770667826
PECOS PAC ID: 3173418332
Enrollment ID: I20040217000438
Provider NameEleanor H Rhee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1518041417
PECOS PAC ID: 2062307879
Enrollment ID: I20040219000949
Provider NameKaren C Nielsen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1902980816
PECOS PAC ID: 0941197644
Enrollment ID: I20040227000898
Provider NameSalim F Idriss
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447313218
PECOS PAC ID: 1759278344
Enrollment ID: I20040228000437
Provider NameSuzanne L Kirby
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1245305598
PECOS PAC ID: 6800783119
Enrollment ID: I20040302000551
Provider NameBruce J Kowalski
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1467479808
PECOS PAC ID: 5092602292
Enrollment ID: I20040302001138
Provider NameGloria G Liu
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1659462059
PECOS PAC ID: 7618865825
Enrollment ID: I20040309000861
Provider NameScott L Sailer
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1336196203
PECOS PAC ID: 3779472139
Enrollment ID: I20040312001154
Provider NameShashi K Nagaraj
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1861476848
PECOS PAC ID: 8527957562
Enrollment ID: I20040315001135
Provider NameBeth T Wrenn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306920285
PECOS PAC ID: 1254221039
Enrollment ID: I20040316001239
Provider NameThomas Eldridge Stinchcombe
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1265510416
PECOS PAC ID: 4587555487
Enrollment ID: I20040322000742
Provider NameRichard D Duncan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073697728
PECOS PAC ID: 8527050111
Enrollment ID: I20040401001798
Provider NameNancy A Maclaurin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831273986
PECOS PAC ID: 7416949946
Enrollment ID: I20040402000282
Provider NameMargeva M Cole
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831273549
PECOS PAC ID: 1557353950
Enrollment ID: I20040402000817
Provider NameLouis C Almekinders
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184723959
PECOS PAC ID: 8921092065
Enrollment ID: I20040412001692
Provider NameManesh R Patel
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1487696365
PECOS PAC ID: 6709871460
Enrollment ID: I20040420000995
Provider NameKevin M Rathke
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750313110
PECOS PAC ID: 2163418898
Enrollment ID: I20040420001579
Provider NameJudith W Gentile
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497838650
PECOS PAC ID: 9537156211
Enrollment ID: I20040426001509
Provider NameKaren Ann Haith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730263880
PECOS PAC ID: 4183611874
Enrollment ID: I20040426001568
Provider NameMichael A Blazing
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1306878673
PECOS PAC ID: 9931196219
Enrollment ID: I20040428001023
Provider NameRichard L Gilbert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336230747
PECOS PAC ID: 2264336353
Enrollment ID: I20040429001061
Provider NameJohn L Beyer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518036508
PECOS PAC ID: 0648269084
Enrollment ID: I20040510001572
Provider NameBeverly G Gardner
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1760552947
PECOS PAC ID: 1951392455
Enrollment ID: I20040522000273
Provider NameRichard F Riedel
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1235227844
PECOS PAC ID: 3779564547
Enrollment ID: I20040527000246
Provider NameCarlos M De Castro
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1912080169
PECOS PAC ID: 4183605629
Enrollment ID: I20040528000995
Provider NameJennifer Nixon Pierce
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225089691
PECOS PAC ID: 2961483300
Enrollment ID: I20040601000350
Provider NameAdrian Felipe Hernandez
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1902980063
PECOS PAC ID: 2668454943
Enrollment ID: I20040601001473
Provider NameNeeraj R Agrawal
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1336189174
PECOS PAC ID: 5294717021
Enrollment ID: I20040604000101
Provider NameJennifer L Garst
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1134202393
PECOS PAC ID: 9032191630
Enrollment ID: I20040607000730
Provider NameMichael G Camitta
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1306909171
PECOS PAC ID: 1759365240
Enrollment ID: I20040614000948
Provider NameJohn Johnston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649241894
PECOS PAC ID: 9436133865
Enrollment ID: I20040615000305
Provider NameHeather E Whitson
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1245299627
PECOS PAC ID: 7214911494
Enrollment ID: I20040615001501
Provider NameTedric D Boyse
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225090772
PECOS PAC ID: 2668362724
Enrollment ID: I20040616000649
Provider NameAlison P Toth
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1982644720
PECOS PAC ID: 0941284913
Enrollment ID: I20040616001161
Provider NameSara Beth Page
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881778785
PECOS PAC ID: 0446234462
Enrollment ID: I20040616001559
Provider NameDevdutta G Sangvai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174607097
PECOS PAC ID: 4587649355
Enrollment ID: I20040624000257
Provider NameCarolee Ann West
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1174574578
PECOS PAC ID: 6406832245
Enrollment ID: I20040624000839
Provider NameLawrence Liao
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1124102272
PECOS PAC ID: 3678559143
Enrollment ID: I20040625000365
Provider NameJon J Wilson
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1548298334
PECOS PAC ID: 6507842911
Enrollment ID: I20040626000270
Provider NameNancy J Weigle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992805634
PECOS PAC ID: 0840276283
Enrollment ID: I20040626000429
Provider NameChristopher D Lascola
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508952896
PECOS PAC ID: 7315923430
Enrollment ID: I20040628001468
Provider NameThomas J Povsic
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1437233327
PECOS PAC ID: 7618954462
Enrollment ID: I20040630000738
Provider NameBeckie M Jarrett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346220902
PECOS PAC ID: 0648257352
Enrollment ID: I20040701000158
Provider NameLinda W Medlin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073684379
PECOS PAC ID: 0345227070
Enrollment ID: I20040701000374
Provider NameLouis F Diehl
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1275616427
PECOS PAC ID: 3971580531
Enrollment ID: I20040701000569
Provider NameMichelle M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699859751
PECOS PAC ID: 4183601578
Enrollment ID: I20040702000764
Provider NameKaren P Alexander
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1265490494
PECOS PAC ID: 2860479292
Enrollment ID: I20040702001047
Provider NameKevin P Jackson
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1952413189
PECOS PAC ID: 0244217586
Enrollment ID: I20040702001189
Provider NameSydney G Short
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053411165
PECOS PAC ID: 5395722573
Enrollment ID: I20040706000840
Provider NameChristopher G Willett
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1770679144
PECOS PAC ID: 2264410075
Enrollment ID: I20040708001407
Provider NameDonald D Hegland
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1376627869
PECOS PAC ID: 3476531294
Enrollment ID: I20040708001477
Provider NameDeborah L Guentensberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417001736
PECOS PAC ID: 6800874900
Enrollment ID: I20040713001100
Provider NameCaroline L. H. Rao
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1033191143
PECOS PAC ID: 2769461839
Enrollment ID: I20040714000679
Provider NameJennifer C Mcelreath
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669418257
PECOS PAC ID: 7315926235
Enrollment ID: I20040715000280
Provider NameDeanna W Adkins
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1942359955
PECOS PAC ID: 9234118969
Enrollment ID: I20040716000295
Provider NameBlake R Boggess
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1558444794
PECOS PAC ID: 9638158371
Enrollment ID: I20040716000387
Provider NameSteven L Young
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235227547
PECOS PAC ID: 8527047125
Enrollment ID: I20040716000956
Provider NameAmy M Fowler
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063437580
PECOS PAC ID: 4284613746
Enrollment ID: I20040717000237
Provider NameHope E Uronis
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1982729331
PECOS PAC ID: 2860471158
Enrollment ID: I20040719001603
Provider NameDaniel A Ostrovsky
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114080991
PECOS PAC ID: 1456331669
Enrollment ID: I20040720000992
Provider NameWilliam J Parsons
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1437158508
PECOS PAC ID: 0042290298
Enrollment ID: I20040720001289
Provider NameDebra L Best
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902980618
PECOS PAC ID: 4183604333
Enrollment ID: I20040720001318
Provider NameCalhoun D Cunningham
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1699774000
PECOS PAC ID: 9133109994
Enrollment ID: I20040722000364
Provider NameKimberly G Lykins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437244985
PECOS PAC ID: 7810977550
Enrollment ID: I20040722000942
Provider NameMichael R Komada
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1093775009
PECOS PAC ID: 0941280622
Enrollment ID: I20040722001180
Provider NameShu S Lin
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1003990912
PECOS PAC ID: 2860472206
Enrollment ID: I20040724000428
Provider NameO Josh Bloom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588618573
PECOS PAC ID: 3971583212
Enrollment ID: I20040726000697
Provider NameBrett H Foreman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497700264
PECOS PAC ID: 3476523614
Enrollment ID: I20040727000683
Provider NameChristopher Pugh
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1972535698
PECOS PAC ID: 7911977269
Enrollment ID: I20040729000164
Provider NameMichael Justin Feiler
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1528141785
PECOS PAC ID: 9335119155
Enrollment ID: I20040729000220
Provider NameChad M Miller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427144500
PECOS PAC ID: 9638149008
Enrollment ID: I20040731000198
Provider NameAbigail H Melnick
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1225112113
PECOS PAC ID: 1951373471
Enrollment ID: I20040806000258
Provider NameLori A Orlando
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528168572
PECOS PAC ID: 8527030378
Enrollment ID: I20040811000840
Provider NameEmily N Vinson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467547182
PECOS PAC ID: 5799757563
Enrollment ID: I20040811000985
Provider NameHercilia Mayumi Homi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1942384854
PECOS PAC ID: 5597737205
Enrollment ID: I20040811001256
Provider NameMichael B Datto
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1386727535
PECOS PAC ID: 2769454412
Enrollment ID: I20040812000116
Provider NameMarshall W Anderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194766378
PECOS PAC ID: 8325012917
Enrollment ID: I20040820000136
Provider NameFrank J Moya
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023192911
PECOS PAC ID: 3173597093
Enrollment ID: I20040825000481
Provider NameAnna Mae E Diehl
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871512004
PECOS PAC ID: 4981678703
Enrollment ID: I20040825001376
Provider NameJonathan A Stiber
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1295819167
PECOS PAC ID: 2062487747
Enrollment ID: I20040826001013
Provider NameAnthony J Viera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962563866
PECOS PAC ID: 4486629037
Enrollment ID: I20040827000888
Provider NameNicole A Larrier
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1730275819
PECOS PAC ID: 4981679453
Enrollment ID: I20040827001093
Provider NameJohn P Kirkpatrick
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1932295227
PECOS PAC ID: 5496720393
Enrollment ID: I20040901001140
Provider NameSteven Paul Michael
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457355406
PECOS PAC ID: 7012983232
Enrollment ID: I20040908001168
Provider NameKathy K Yu
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1568414217
PECOS PAC ID: 2668449679
Enrollment ID: I20040910000335
Provider NameShelly Burgett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689737454
PECOS PAC ID: 4284602145
Enrollment ID: I20040920000547
Provider NameGretchen Genevieve Kimmick
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1679657738
PECOS PAC ID: 1658349949
Enrollment ID: I20040923001065
Provider NameCaroline W Carrico
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528141777
PECOS PAC ID: 6103895461
Enrollment ID: I20041002000042
Provider NameMichael P Bolognesi
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1649367384
PECOS PAC ID: 4385548056
Enrollment ID: I20041002000124
Provider NameJudd W Moul
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1114001005
PECOS PAC ID: 6406815950
Enrollment ID: I20041008000982
Provider NameKathleen W Bartlett
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740363985
PECOS PAC ID: 3678532132
Enrollment ID: I20041008000997
Provider NameMichael P Carboni
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215090089
PECOS PAC ID: 3678476884
Enrollment ID: I20041012000448
Provider NameMark Branch
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1922182633
PECOS PAC ID: 8022078385
Enrollment ID: I20041012001139
Provider NameDouglas W Schreyack
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1861589418
PECOS PAC ID: 0840250684
Enrollment ID: I20041015000184
Provider NameJill C Barbour
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619082575
PECOS PAC ID: 8820058506
Enrollment ID: I20041018000070
Provider NameJames S Kennedy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780617621
PECOS PAC ID: 9133189624
Enrollment ID: I20041019000500
Provider NameDavid A Tendler
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811957731
PECOS PAC ID: 2567423692
Enrollment ID: I20041022000186
Provider NamePaul L Martin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326101106
PECOS PAC ID: 4789645433
Enrollment ID: I20041026000064
Provider NameSarah Holste Hodges
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1255371720
PECOS PAC ID: 9436110137
Enrollment ID: I20041026000373
Provider NameBrenda W Poirier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619207032
PECOS PAC ID: 1254393598
Enrollment ID: I20041029000558
Provider NameDeborah J Semmel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285797068
PECOS PAC ID: 3971565912
Enrollment ID: I20041101001141
Provider NameRobin L Hardie-hood
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1972542900
PECOS PAC ID: 3274596481
Enrollment ID: I20041109000563
Provider NameWarwick A Ames
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063596971
PECOS PAC ID: 9739142530
Enrollment ID: I20041111000443
Provider NameThomas J Schermerhorn
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457371403
PECOS PAC ID: 7012971484
Enrollment ID: I20041116000221
Provider NameVern C Juel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1053495119
PECOS PAC ID: 5698739860
Enrollment ID: I20041117000424
Provider NameShannon W Lamb
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689625923
PECOS PAC ID: 2062476088
Enrollment ID: I20041118000429
Provider NameMichael J Amyot
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972614352
PECOS PAC ID: 7911961941
Enrollment ID: I20041118000476
Provider NamePiers C Barker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144383910
PECOS PAC ID: 2668437401
Enrollment ID: I20041122000420
Provider NameAimee K Zaas
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1619030491
PECOS PAC ID: 9133184476
Enrollment ID: I20041129000127
Provider NameTimothy A Driscoll
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1841353612
PECOS PAC ID: 3971569112
Enrollment ID: I20041208001054
Provider NameEugene A Lewis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1598856098
PECOS PAC ID: 7012973266
Enrollment ID: I20041208001111
Provider NameMark Z Rosenthal
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1598849499
PECOS PAC ID: 1951368877
Enrollment ID: I20041215000609
Provider NameLeslie L Bronner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1184707325
PECOS PAC ID: 5496713349
Enrollment ID: I20041227000119
Provider NameBrian Halstater
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821101965
PECOS PAC ID: 5698733384
Enrollment ID: I20041228000708
Provider NameDawn L Piercy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265516157
PECOS PAC ID: 4082672332
Enrollment ID: I20050103000755
Provider NameScot Eric Reeg
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1760423594
PECOS PAC ID: 6002700200
Enrollment ID: I20050106000190
Provider NameConsuelo D Rabinovich
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1922161702
PECOS PAC ID: 9133178510
Enrollment ID: I20050113000194
Provider NameThomas J Weber
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1659364750
PECOS PAC ID: 5294784765
Enrollment ID: I20050121000714
Provider NameLanita K Breeze
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053447920
PECOS PAC ID: 7618927898
Enrollment ID: I20050125001054
Provider NamePamela S Douglas
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801979059
PECOS PAC ID: 3476522194
Enrollment ID: I20050202000683
Provider NameJoanne Kurtzberg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1437212206
PECOS PAC ID: 5092766311
Enrollment ID: I20050203000735
Provider NameYeshesvini Raman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841259249
PECOS PAC ID: 0749231694
Enrollment ID: I20050208000584
Provider NameMelanie E Trost
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275669707
PECOS PAC ID: 9133170004
Enrollment ID: I20050208000811
Provider NameNirmish R Shah
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1033113899
PECOS PAC ID: 3779535372
Enrollment ID: I20050211000227
Provider NameWilliam J Richardson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1831286475
PECOS PAC ID: 4587616131
Enrollment ID: I20050211000510
Provider NameLiana Puscas
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1568545820
PECOS PAC ID: 7416909585
Enrollment ID: I20050216000954
Provider NameJeannine M Sherer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932240058
PECOS PAC ID: 3870545718
Enrollment ID: I20050218000336
Provider NameDennis A Turner
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1659331817
PECOS PAC ID: 0547212334
Enrollment ID: I20050221000549
Provider NameSarah K Gauger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225085988
PECOS PAC ID: 7810940640
Enrollment ID: I20050222000181
Provider NameMark F Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689694606
PECOS PAC ID: 1052364528
Enrollment ID: I20050224000238
Provider NameLinda M Sutton
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1366409575
PECOS PAC ID: 0446203533
Enrollment ID: I20050301000667
Provider NameJeffrey D Sparks
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811958168
PECOS PAC ID: 8224082185
Enrollment ID: I20050303000809
Provider NameBryan Batch
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1780759365
PECOS PAC ID: 1951393594
Enrollment ID: I20050309000378
Provider NameJerelyn R Moffet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134282916
PECOS PAC ID: 9638124365
Enrollment ID: I20050316000164
Provider NameCynthia J Everett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952441800
PECOS PAC ID: 0547216582
Enrollment ID: I20050323000704
Provider NameMichael Andre Pullias
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619017472
PECOS PAC ID: 4789630724
Enrollment ID: I20050323000740
Provider NameSpence H Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407993421
PECOS PAC ID: 3678510690
Enrollment ID: I20050412000415
Provider NameLisa M Barkley
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1639341274
PECOS PAC ID: 1557300456
Enrollment ID: I20050429000594
Provider NamePaolo Mannelli
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1730263641
PECOS PAC ID: 4981644739
Enrollment ID: I20050511000242
Provider NameKelly Anne Swain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083740260
PECOS PAC ID: 7719928407
Enrollment ID: I20050512000392
Provider NameSrinivas Pyati
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1043338510
PECOS PAC ID: 9931140639
Enrollment ID: I20050512000509
Provider NameSora Christina Yoon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437174109
PECOS PAC ID: 9830130830
Enrollment ID: I20050519000967
Provider NameBenson M Hoffman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1174607238
PECOS PAC ID: 7012959661
Enrollment ID: I20050524001322
Provider NameWilliam R Berry
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1043250590
PECOS PAC ID: 3779525654
Enrollment ID: I20050601000906
Provider NameEric C Westman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598849465
PECOS PAC ID: 7214970599
Enrollment ID: I20050607001244
Provider NameMatthew K Tsuei
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942275276
PECOS PAC ID: 8022051176
Enrollment ID: I20050609000086
Provider NameSteven C Gross
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467460097
PECOS PAC ID: 6507805629
Enrollment ID: I20050616000460
Provider NameScott Leigh Shofer
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1538156070
PECOS PAC ID: 4981591005
Enrollment ID: I20050617000920
Provider NameTeodoro K Toledo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1417973983
PECOS PAC ID: 0547205452
Enrollment ID: I20050622000136
Provider NameRodney A Radtke
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1730271479
PECOS PAC ID: 2769427194
Enrollment ID: I20050624001094
Provider NameJohn J Villani
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164506036
PECOS PAC ID: 5294771051
Enrollment ID: I20050701000095
Provider NameBrian P Quaranta
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1083600357
PECOS PAC ID: 3173506912
Enrollment ID: I20050712000193
Provider NameDavid S Ruch
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1356438998
PECOS PAC ID: 6800822669
Enrollment ID: I20050713000073
Provider NameAngel Nieves
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205999083
PECOS PAC ID: 3577590439
Enrollment ID: I20050721000882
Provider NameJoe T Minchew
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1003915885
PECOS PAC ID: 9335178151
Enrollment ID: I20050811000368
Provider NameMarc Calabrese
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043211402
PECOS PAC ID: 9436189503
Enrollment ID: I20050818000104
Provider NameKelly Walton Muir
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952409252
PECOS PAC ID: 3577594324
Enrollment ID: I20050822001230
Provider NameRuediger W Lehrich
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1386728293
PECOS PAC ID: 7113958968
Enrollment ID: I20050822001236
Provider NameTeresa Kathleen Tarrant
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1649331653
PECOS PAC ID: 8628009396
Enrollment ID: I20050823000814
Provider NameMikelle Lynette Key Solle
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245257021
PECOS PAC ID: 8022049261
Enrollment ID: I20050826000555
Provider NameMahfuzul Haque
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063404911
PECOS PAC ID: 4587695671
Enrollment ID: I20050829000574
Provider NameWilliam S Jones
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1366456063
PECOS PAC ID: 7113959727
Enrollment ID: I20050902000738
Provider NameChristopher E Cox
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1235212481
PECOS PAC ID: 0840222451
Enrollment ID: I20050902000742
Provider NameVance G Fowler
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1831252600
PECOS PAC ID: 6709818222
Enrollment ID: I20050906000930
Provider NameTally E Lassiter
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1124129119
PECOS PAC ID: 8921992124
Enrollment ID: I20050909000696
Provider NameLinda L Erskine-bauer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003867011
PECOS PAC ID: 9830122589
Enrollment ID: I20050914000393
Provider NameScott G Anderson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1780662742
PECOS PAC ID: 2466438478
Enrollment ID: I20050914000424
Provider NameStuart J Mckinnon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356440069
PECOS PAC ID: 6204869860
Enrollment ID: I20050914000523
Provider NameNathan Maclyn Thielman
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1710040597
PECOS PAC ID: 7517991276
Enrollment ID: I20050921001134
Provider NameGeorge C Hughes
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1255363990
PECOS PAC ID: 7214962224
Enrollment ID: I20050928001111
Provider NameHenry N Pleasant
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275561433
PECOS PAC ID: 8224063029
Enrollment ID: I20050929001255
Provider NameAdeyemi J Olufolabi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1831287200
PECOS PAC ID: 1153356969
Enrollment ID: I20050929001335
Provider NameAda M Conway
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598700692
PECOS PAC ID: 9830114982
Enrollment ID: I20051007000858
Provider NameMegan Elizabeth Clowse
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1063595213
PECOS PAC ID: 8123043676
Enrollment ID: I20051013000383
Provider NameNelson J Chao
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1215951587
PECOS PAC ID: 5698791028
Enrollment ID: I20051014000807
Provider NameSvati H Shah
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134203094
PECOS PAC ID: 5294751236
Enrollment ID: I20051019000931
Provider NameTerry Stephen Lowry
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1932283082
PECOS PAC ID: 7810914363
Enrollment ID: I20051025000248
Provider NameStephen G Miller
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316000193
PECOS PAC ID: 4284651753
Enrollment ID: I20051025000436
Provider NameSusanna Naggie
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1831248855
PECOS PAC ID: 8123045473
Enrollment ID: I20051026001071
Provider NameSherri L Reynolds
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447206479
PECOS PAC ID: 2264459361
Enrollment ID: I20051027001190
Provider NameRadha G Kachhy
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962586024
PECOS PAC ID: 7416975032
Enrollment ID: I20051102000828
Provider NameJana P Pittman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437212669
PECOS PAC ID: 1456379973
Enrollment ID: I20051103000404
Provider NameGeeta Chowdhary
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306828025
PECOS PAC ID: 3375513450
Enrollment ID: I20051103000540
Provider NameJames S Mills
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1568512622
PECOS PAC ID: 7214955632
Enrollment ID: I20051103001156
Provider NameDavid C Gordon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669555827
PECOS PAC ID: 1254305758
Enrollment ID: I20051104000205
Provider NameNicole Calakos
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073696217
PECOS PAC ID: 8921026014
Enrollment ID: I20051107001159
Provider NameKathryn J Trotter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386658391
PECOS PAC ID: 4183642275
Enrollment ID: I20051107001179
Provider NameNina J Verdino
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619937760
PECOS PAC ID: 6800815432
Enrollment ID: I20051114000414
Provider NameDavid M Murdoch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952474371
PECOS PAC ID: 2860411055
Enrollment ID: I20051116001033
Provider NameDana D Portenier
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619051505
PECOS PAC ID: 7618936402
Enrollment ID: I20051122000178
Provider NameSheela J Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871695486
PECOS PAC ID: 9335169911
Enrollment ID: I20051128000606
Provider NameMiriam H Feliu
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1871677781
PECOS PAC ID: 2769402213
Enrollment ID: I20051130000040
Provider NameCynthia E K Shortell
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1114012341
PECOS PAC ID: 7012950942
Enrollment ID: I20051202000493
Provider NameShannon J Mccall
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1417031303
PECOS PAC ID: 1759301666
Enrollment ID: I20051206000751
Provider NameAnnick Desjardins
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1326122235
PECOS PAC ID: 6507886470
Enrollment ID: I20051207000131
Provider NameCarmelo Graffagnino
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1043394950
PECOS PAC ID: 5092736926
Enrollment ID: I20051207000722
Provider NameStephen E Robinson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1144304049
PECOS PAC ID: 3072534478
Enrollment ID: I20051213000736
Provider NameStacey N Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497839369
PECOS PAC ID: 2769403054
Enrollment ID: I20051214000649
Provider NameMichelle M Canfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417947334
PECOS PAC ID: 4385665678
Enrollment ID: I20051214000659
Provider NameJohn S Jones
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1295795201
PECOS PAC ID: 0143200618
Enrollment ID: I20051214000763
Provider NameMark W Schontz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053403261
PECOS PAC ID: 1850313867
Enrollment ID: I20051219000707
Provider NameJoshua S Broder
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275616419
PECOS PAC ID: 7911929450
Enrollment ID: I20051227000247
Provider NameDouglas A Blackman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447349691
PECOS PAC ID: 5991728743
Enrollment ID: I20060109000272
Provider NameAatif M Husain
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1497837595
PECOS PAC ID: 4789607474
Enrollment ID: I20060109000698
Provider NameElise A Olsen
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1598708042
PECOS PAC ID: 2365465069
Enrollment ID: I20060114000028
Provider NameMaitreya B Thakkar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225022056
PECOS PAC ID: 0345264578
Enrollment ID: I20060114000078
Provider NameJorge V Obando
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811071723
PECOS PAC ID: 3971550799
Enrollment ID: I20060125000040
Provider NameJenny C Favret
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1104078211
PECOS PAC ID: 5496779761
Enrollment ID: I20060125000731
Provider NameAnna Lisa Chamis
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1750464905
PECOS PAC ID: 2860406980
Enrollment ID: I20060127000572
Provider NameDonald M Rabil
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1144214917
PECOS PAC ID: 9032123948
Enrollment ID: I20060131000263
Provider NameSarah E Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154470177
PECOS PAC ID: 4385601988
Enrollment ID: I20060202000160
Provider NameMatthew D Paulakonis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992725931
PECOS PAC ID: 4183639438
Enrollment ID: I20060208000434
Provider NameGary M Cox
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1396808168
PECOS PAC ID: 6204841430
Enrollment ID: I20060209000313
Provider NameMichael A Morse
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1588748479
PECOS PAC ID: 4385659366
Enrollment ID: I20060213000266
Provider NameDavid W Butterly
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1518011832
PECOS PAC ID: 8527073477
Enrollment ID: I20060214000076
Provider NameCarla W Brady
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811070055
PECOS PAC ID: 3173539566
Enrollment ID: I20060222000264
Provider NameJulia C Gamble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538108907
PECOS PAC ID: 4688680259
Enrollment ID: I20060310000377
Provider NameGavin Martin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063575843
PECOS PAC ID: 4981612611
Enrollment ID: I20060322000475
Provider NameJane E Onken
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1376613109
PECOS PAC ID: 6709894017
Enrollment ID: I20060329000020
Provider NameKara L Threatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528194701
PECOS PAC ID: 8921016833
Enrollment ID: I20060403000710
Provider NameHenry S Friedman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568525335
PECOS PAC ID: 4284642190
Enrollment ID: I20060403000715
Provider NameDeborah H Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578748182
PECOS PAC ID: 4789692559
Enrollment ID: I20060405000351
Provider NameMichael P Pignone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316970817
PECOS PAC ID: 1951310416
Enrollment ID: I20060411000337
Provider NameJeffrey Crawford
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1023191277
PECOS PAC ID: 9234148776
Enrollment ID: I20060412000080
Provider NameLuna C Ragsdale
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598866865
PECOS PAC ID: 6608885686
Enrollment ID: I20060419000720
Provider NameJames G Blount
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649224635
PECOS PAC ID: 6103836044
Enrollment ID: I20060421000473
Provider NameSandeep Sharad Gavankar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740234749
PECOS PAC ID: 8325058266
Enrollment ID: I20060421000531
Provider NameAnne C Ford
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013070887
PECOS PAC ID: 9638189400
Enrollment ID: I20060425000535
Provider NameBradley F Mann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831119858
PECOS PAC ID: 2860402179
Enrollment ID: I20060502000262
Provider NameGregory F Hulka
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1457315954
PECOS PAC ID: 4789695842
Enrollment ID: I20060606000138
Provider NameShelly L Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427098060
PECOS PAC ID: 0345252276
Enrollment ID: I20060615000065
Provider NameMaria A Selim
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1114962313
PECOS PAC ID: 4789696493
Enrollment ID: I20060621000232
Provider NameBenjamin Charles Chasnis
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1760436422
PECOS PAC ID: 2365455250
Enrollment ID: I20060718000360
Provider NameJon S Placide
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1801831342
PECOS PAC ID: 6204849110
Enrollment ID: I20060719000062
Provider NameThomas A Cornett
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1811920648
PECOS PAC ID: 1951314467
Enrollment ID: I20060731000380
Provider NameMichael A Moody
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1437180783
PECOS PAC ID: 3779586086
Enrollment ID: I20060804000342
Provider NameNeal Edward Ready
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1932156197
PECOS PAC ID: 4587648118
Enrollment ID: I20060804000357
Provider NameSeth Morris Cohen
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1366474082
PECOS PAC ID: 8628019767
Enrollment ID: I20060809000459
Provider NameChristopher R Longo
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1780630749
PECOS PAC ID: 7113920224
Enrollment ID: I20060810000159
Provider NameIvette Lopez Agueda
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699737411
PECOS PAC ID: 7416941083
Enrollment ID: I20060816000108
Provider NameReed Matthew Vanmatre
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1740213354
PECOS PAC ID: 2769485440
Enrollment ID: I20060818000192
Provider NameDean C Taylor
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104841717
PECOS PAC ID: 9830114636
Enrollment ID: I20060822000616
Provider NameJeffrey M Ferranti
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043248958
PECOS PAC ID: 0547263998
Enrollment ID: I20060824000440
Provider NameEdward F Hendershot
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1215971742
PECOS PAC ID: 9234147166
Enrollment ID: I20060828000233
Provider NameLisa S Parnell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770522708
PECOS PAC ID: 1951305978
Enrollment ID: I20060906000325
Provider NameMays A El-dairi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417987215
PECOS PAC ID: 9133124647
Enrollment ID: I20060915000244
Provider NameAnthony N Kuo
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1295752145
PECOS PAC ID: 8022013531
Enrollment ID: I20060915000268
Provider NameKitza P Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699762724
PECOS PAC ID: 3173528353
Enrollment ID: I20060921000278
Provider NameAngeles A Secord
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1073531083
PECOS PAC ID: 5698770808
Enrollment ID: I20060921000538
Provider NameMay K Slowik
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023047230
PECOS PAC ID: 9537164603
Enrollment ID: I20060922000475
Provider NameLaura J Havrilesky
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1316971526
PECOS PAC ID: 7113922204
Enrollment ID: I20060923000047
Provider NameRobert W Benjamin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881612976
PECOS PAC ID: 7416952528
Enrollment ID: I20060925000179
Provider NameStefanie G Schuman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275547465
PECOS PAC ID: 8426053547
Enrollment ID: I20060925000258
Provider NameMichael L James
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1598779795
PECOS PAC ID: 7416952544
Enrollment ID: I20060925000272
Provider NameJill B Koury
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154335263
PECOS PAC ID: 6305879321
Enrollment ID: I20060927000249
Provider NameSarah M Bean
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1255345187
PECOS PAC ID: 0244235125
Enrollment ID: I20060927000529
Provider NameKelli R Brooks
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861406936
PECOS PAC ID: 6305841297
Enrollment ID: I20060927000563
Provider NameJessica M Sun
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366471575
PECOS PAC ID: 9133124977
Enrollment ID: I20060928000551
Provider NameVivian Hou Chu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1083628176
PECOS PAC ID: 9436155058
Enrollment ID: I20061004000504
Provider NameDavid B Macleod
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689684169
PECOS PAC ID: 1254337538
Enrollment ID: I20061010000196
Provider NameMelissa G Teitelman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073547071
PECOS PAC ID: 2961408133
Enrollment ID: I20061011000244
Provider NameMichael L Reynolds
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073579066
PECOS PAC ID: 9234135468
Enrollment ID: I20061011000673
Provider NameHan W Kim
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730292855
PECOS PAC ID: 2062418148
Enrollment ID: I20061012000426
Provider NameCharles M Maxfield
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104930262
PECOS PAC ID: 3173529203
Enrollment ID: I20061013000173
Provider NameDaniel J Simon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1205891512
PECOS PAC ID: 3678583465
Enrollment ID: I20061017000531
Provider NameAmy D Huneycutt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750301842
PECOS PAC ID: 3173520681
Enrollment ID: I20061025000724
Provider NameKaren S Johnson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952405193
PECOS PAC ID: 9335146745
Enrollment ID: I20061027000226
Provider NameWilliam R Lee
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1982688370
PECOS PAC ID: 6204833445
Enrollment ID: I20061031000263
Provider NameHenry Hsien-chun Tseng
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1043224058
PECOS PAC ID: 7315944527
Enrollment ID: I20061101000216
Provider NameKathleen A Mcgann
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750337903
PECOS PAC ID: 0446221089
Enrollment ID: I20061101000333
Provider NameCharles William Hargett
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447367727
PECOS PAC ID: 3577560622
Enrollment ID: I20061102000162
Provider NameChristopher R Brown
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467567735
PECOS PAC ID: 7517901218
Enrollment ID: I20061102000191
Provider NameYuh Chin T Huang
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1184737090
PECOS PAC ID: 1153328224
Enrollment ID: I20061102000304
Provider NameTracy Lynn Setji
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1821105107
PECOS PAC ID: 7315944410
Enrollment ID: I20061102000529
Provider NameTerry Ann Fortin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1790793578
PECOS PAC ID: 9436156254
Enrollment ID: I20061108000389
Provider NameViviana Sandra Martinez Bianchi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194733980
PECOS PAC ID: 7810910213
Enrollment ID: I20061113000421
Provider NameAli R Zomorodi
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1053428326
PECOS PAC ID: 5496753980
Enrollment ID: I20061116000396
Provider NameKyle J Rehder
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760405120
PECOS PAC ID: 8426056797
Enrollment ID: I20061121000078
Provider NameHarry Cozene Stafford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285648352
PECOS PAC ID: 1355349630
Enrollment ID: I20061121000160
Provider NameAndrew J Armstrong
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1528160199
PECOS PAC ID: 2264431980
Enrollment ID: I20061206000601
Provider NameMatthew J Ellis
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1316048424
PECOS PAC ID: 0244239804
Enrollment ID: I20061207000401
Provider NameSarah C Armstrong
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720195092
PECOS PAC ID: 4183641459
Enrollment ID: I20061211000412
Provider NameLacey E Washington
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275585796
PECOS PAC ID: 5698774115
Enrollment ID: I20061211000615
Provider NameJulia T Woodward
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1821040635
PECOS PAC ID: 5597764928
Enrollment ID: I20061213000331
Provider NameConnie E Kim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184638983
PECOS PAC ID: 9931108362
Enrollment ID: I20061213000353
Provider NameGerald Arthur Grant
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1689646796
PECOS PAC ID: 1850390824
Enrollment ID: I20061220000562
Provider NameLaurie Dee Snyder
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1053493924
PECOS PAC ID: 0244230993
Enrollment ID: I20070103000523
Provider NameTracy L Partin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588600381
PECOS PAC ID: 8224039029
Enrollment ID: I20070122000523
Provider NameMeghan Marie Costello Ishak
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063594745
PECOS PAC ID: 6709887433
Enrollment ID: I20070124000312
Provider NameKristina L Breedlove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366533838
PECOS PAC ID: 9638170277
Enrollment ID: I20070124000461
Provider NameCleoanne B Estrera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417034505
PECOS PAC ID: 3779584321
Enrollment ID: I20070124000518
Provider NameShelley A Holmer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1548279292
PECOS PAC ID: 9739180381
Enrollment ID: I20070124000558
Provider NameMelissa D Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821007592
PECOS PAC ID: 2961403423
Enrollment ID: I20070125000391
Provider NameAlexander Tan Limkakeng
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700801669
PECOS PAC ID: 3678502887
Enrollment ID: I20070126000335
Provider NameAtilio Barbeito
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1518059872
PECOS PAC ID: 2365443561
Enrollment ID: I20070130000448
Provider NameLori E Jee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265514061
PECOS PAC ID: 3779585914
Enrollment ID: I20070201000156
Provider NameTerrence K Allen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760553424
PECOS PAC ID: 9032111059
Enrollment ID: I20070205000265
Provider NameHongtao M Guo
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1225134679
PECOS PAC ID: 6204938533
Enrollment ID: I20070216000375
Provider NameAmelia B Beatty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710040555
PECOS PAC ID: 9739281569
Enrollment ID: I20070226000666
Provider NameBrady L Kempton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922190073
PECOS PAC ID: 9234231978
Enrollment ID: I20070226000816
Provider NameJames E Tcheng
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1023104502
PECOS PAC ID: 1355443961
Enrollment ID: I20070228000744
Provider NameAngie Comer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518078070
PECOS PAC ID: 5496858821
Enrollment ID: I20070305000785
Provider NameSusan G Kreissman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215096177
PECOS PAC ID: 0941304455
Enrollment ID: I20070322000296
Provider NameRachael P Finley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346315843
PECOS PAC ID: 6305940867
Enrollment ID: I20070322000643
Provider NameJohn W Ragsdale Iii
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972599603
PECOS PAC ID: 7315945359
Enrollment ID: I20070329000596
Provider NameKamlesh Athavale
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659323319
PECOS PAC ID: 7113021239
Enrollment ID: I20070329000602
Provider NameCorlea W Viskovich
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518049378
PECOS PAC ID: 3072617026
Enrollment ID: I20070330000229
Provider NameKelly A Stauffacher
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316039431
PECOS PAC ID: 1658475496
Enrollment ID: I20070403000595
Provider NameTerry Russell Jones
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194811067
PECOS PAC ID: 9739283425
Enrollment ID: I20070406000340
Provider NameDeverick J Anderson
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1396802534
PECOS PAC ID: 0143325597
Enrollment ID: I20070413000425
Provider NameJennifer Tenhover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659422608
PECOS PAC ID: 0042206401
Enrollment ID: I20070414000025
Provider NameRowena Blas Mariano
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1144254442
PECOS PAC ID: 9931097334
Enrollment ID: I20070414000128
Provider NameHerbon E Fleming
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447355185
PECOS PAC ID: 8628005113
Enrollment ID: I20070418000611
Provider NameDiane B Whitaker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417981093
PECOS PAC ID: 2668578394
Enrollment ID: I20070426000166
Provider NameAnthony G Visco
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144318445
PECOS PAC ID: 9830296813
Enrollment ID: I20070529000040
Provider NameLake Daniel Morrison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992739619
PECOS PAC ID: 5991766172
Enrollment ID: I20070607000615
Provider NamePatricia H Eberhard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700991122
PECOS PAC ID: 2062510308
Enrollment ID: I20070609000039
Provider NameCindy M Charles
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326118985
PECOS PAC ID: 2365540531
Enrollment ID: I20070612000337
Provider NameJames Keith Deorio
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235129081
PECOS PAC ID: 4688772742
Enrollment ID: I20070613000455
Provider NameMelissa M Burkett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629106687
PECOS PAC ID: 2062511504
Enrollment ID: I20070623000025
Provider NameMichael D Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154494227
PECOS PAC ID: 3678673787
Enrollment ID: I20070702000584
Provider NameMarci M Loiselle
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1831290337
PECOS PAC ID: 3173623154
Enrollment ID: I20070705000315
Provider NameGeorge Thomas Clark
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1215977889
PECOS PAC ID: 8426946674
Enrollment ID: I20070710000093
Provider NameGary Lee Pellom
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1467486621
PECOS PAC ID: 8820198617
Enrollment ID: I20070710000649
Provider NameSteve Sok Choi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1679608111
PECOS PAC ID: 9638270168
Enrollment ID: I20070726000835
Provider NameLisa D Hobson-webb
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1871715391
PECOS PAC ID: 4688775174
Enrollment ID: I20070727000551
Provider NameSarah Piecuch Germana
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851516710
PECOS PAC ID: 0749381242
Enrollment ID: I20070727000677
Provider NameRandall P Scheri
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1871531624
PECOS PAC ID: 1658369988
Enrollment ID: I20070728000264
Provider NameJoseph Jackson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386845402
PECOS PAC ID: 4587765961
Enrollment ID: I20070730000391
Provider NamePhillip Brian Smith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790986776
PECOS PAC ID: 7719088194
Enrollment ID: I20070730000452
Provider NameAlbert Yuan Yen Sun
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1285754408
PECOS PAC ID: 9436250834
Enrollment ID: I20070730000557
Provider NameThomas G Hunter
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1871702530
PECOS PAC ID: 3678664976
Enrollment ID: I20070731000696
Provider NamePatrick H Pun
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1326243247
PECOS PAC ID: 2466543582
Enrollment ID: I20070803000347
Provider NameMichael S Waugh
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1629101720
PECOS PAC ID: 2264523240
Enrollment ID: I20070806000230
Provider NameMaureen S Bauer
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1831285063
PECOS PAC ID: 1153412036
Enrollment ID: I20070807000360
Provider NameNazema Yusuf Siddiqui
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144311291
PECOS PAC ID: 8123029964
Enrollment ID: I20070807000522
Provider NameIgor Klem
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104042936
PECOS PAC ID: 9335230093
Enrollment ID: I20070809000364
Provider NameLada Flynn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902016033
PECOS PAC ID: 6507957123
Enrollment ID: I20070810000103
Provider NameClare A Pipkin
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1801843537
PECOS PAC ID: 6709815608
Enrollment ID: I20070810000426
Provider NameRasheed A Gbadegesin
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1205951720
PECOS PAC ID: 4789775297
Enrollment ID: I20070811000140
Provider NameSandeep S Dave
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1356548176
PECOS PAC ID: 8325139835
Enrollment ID: I20070811000149
Provider NameKelli E Friedman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1053494211
PECOS PAC ID: 5597856179
Enrollment ID: I20070813000381
Provider NameDeepak Vikraman-sushama
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629275805
PECOS PAC ID: 1759473135
Enrollment ID: I20070815000894
Provider NameMarc Richard
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1720286578
PECOS PAC ID: 1153413471
Enrollment ID: I20070816000379
Provider NameDaniella Zipkin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679592802
PECOS PAC ID: 1153423660
Enrollment ID: I20070816000780
Provider NameBradley J Kolls
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1356474274
PECOS PAC ID: 4385736594
Enrollment ID: I20070817000230
Provider NameCary Ward
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720283641
PECOS PAC ID: 4880786946
Enrollment ID: I20070817000712
Provider NameChristopher Stephen Boehlke
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417074139
PECOS PAC ID: 3375635469
Enrollment ID: I20070821000236
Provider NameChristopher R Kelsey
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1164552865
PECOS PAC ID: 1759473507
Enrollment ID: I20070823000968
Provider NameLoretta J Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790985224
PECOS PAC ID: 0749372597
Enrollment ID: I20070823000973
Provider NameWilliam J Powers
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1437180940
PECOS PAC ID: 2769437201
Enrollment ID: I20070824000121
Provider NameMaria J Small
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013991090
PECOS PAC ID: 6406949734
Enrollment ID: I20070831000667
Provider NameMatthew Ellison
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1598865438
PECOS PAC ID: 9537198460
Enrollment ID: I20070904000320
Provider NameScott L Sanoff
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1700098068
PECOS PAC ID: 9537252747
Enrollment ID: I20070904000702
Provider NameNatalie S Clarke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992905210
PECOS PAC ID: 0547353682
Enrollment ID: I20070906000462
Provider NameBridget Fey Koontz
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1619006681
PECOS PAC ID: 2961595731
Enrollment ID: I20070910000951
Provider NameMatthew J Crowley
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1962542241
PECOS PAC ID: 5496849937
Enrollment ID: I20070914000430
Provider NameBruce Lincoln Downes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932244878
PECOS PAC ID: 8022102433
Enrollment ID: I20070917000112
Provider NameGayle A Dilalla
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194702910
PECOS PAC ID: 8426142886
Enrollment ID: I20070917000502
Provider NameKelly S Batts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1497804116
PECOS PAC ID: 7113011362
Enrollment ID: I20070918000678
Provider NameShiaowen David Hsu
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1225229974
PECOS PAC ID: 9931291531
Enrollment ID: I20070925000652
Provider NameKaylyn W Morrissey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558555847
PECOS PAC ID: 6901990670
Enrollment ID: I20070926000263
Provider NameJames D Lee
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114924818
PECOS PAC ID: 2466546155
Enrollment ID: I20070926000450
Provider NameSusan E Spratt
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1942384813
PECOS PAC ID: 4385739010
Enrollment ID: I20070926000843
Provider NameGerald Bloomfield
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225094907
PECOS PAC ID: 2163454943
Enrollment ID: I20070926001086
Provider NameLeila Mureebe
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1538230883
PECOS PAC ID: 8820064991
Enrollment ID: I20071003000480
Provider NameErika S Goeckerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801095567
PECOS PAC ID: 1557456647
Enrollment ID: I20071004000348
Provider NameFrederick Fesel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316023054
PECOS PAC ID: 4688760325
Enrollment ID: I20071011000167
Provider NameSusan E Totten
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1265559660
PECOS PAC ID: 6507952249
Enrollment ID: I20071011000251
Provider NameHarbax T Singh
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215098686
PECOS PAC ID: 3678669504
Enrollment ID: I20071023000523
Provider NameM Stephen Melton
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1134315575
PECOS PAC ID: 3375630841
Enrollment ID: I20071030000605
Provider NameAshley Rustin Settlemeyer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881880904
PECOS PAC ID: 7214024793
Enrollment ID: I20071031000066
Provider NameChinwe U Ezirim
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376732727
PECOS PAC ID: 0648368175
Enrollment ID: I20071117000083
Provider NameHeather S Mclean
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578507125
PECOS PAC ID: 7911095385
Enrollment ID: I20071119000262
Provider NameRichard Edward Moon
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760566657
PECOS PAC ID: 6709974108
Enrollment ID: I20071119000518
Provider NameTimothy E Miller
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1356520837
PECOS PAC ID: 7517055924
Enrollment ID: I20071119000536
Provider NameKenneth E Schmader
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1972685204
PECOS PAC ID: 2668560079
Enrollment ID: I20071119000571
Provider NameNeil Stuart Prose
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1427132315
PECOS PAC ID: 6901994318
Enrollment ID: I20071119000595
Provider NameMarion Mull Mccrary
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285631622
PECOS PAC ID: 7315035482
Enrollment ID: I20071127000203
Provider NameVirginia Ann Lightner
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1770557878
PECOS PAC ID: 9032208616
Enrollment ID: I20071204000879
Provider NameKevin L Thomas
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1255475364
PECOS PAC ID: 7012006620
Enrollment ID: I20071205000172
Provider NameMichael V Woodbridge
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154417095
PECOS PAC ID: 7416046032
Enrollment ID: I20071205000231
Provider NameVictor Roggli
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1497841878
PECOS PAC ID: 9638268105
Enrollment ID: I20071205000709
Provider NameShona Patel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780872507
PECOS PAC ID: 4981793452
Enrollment ID: I20071205000725
Provider NameMichael David Spiritos
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1093744880
PECOS PAC ID: 5395834782
Enrollment ID: I20071207000871
Provider NameKristie L Willis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366547697
PECOS PAC ID: 6901996842
Enrollment ID: I20071217000201
Provider NameShannon K Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962681619
PECOS PAC ID: 3971693789
Enrollment ID: I20071217000841
Provider NamePatricia L Lugar
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1376741967
PECOS PAC ID: 7214027812
Enrollment ID: I20071219000776
Provider NameDavid Charles Sabin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538213590
PECOS PAC ID: 6709976186
Enrollment ID: I20071221000498
Provider NameMina N Choi
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093899718
PECOS PAC ID: 8022108349
Enrollment ID: I20071226000195
Provider NameElizabeth G Livingston
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588748636
PECOS PAC ID: 9234219437
Enrollment ID: I20071228000497
Provider NameSarah C Ellestad
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1801979067
PECOS PAC ID: 7315027513
Enrollment ID: I20071228000500
Provider NameAndra H James
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245314301
PECOS PAC ID: 9133209331
Enrollment ID: I20071228000502
Provider NameJonathan W Warren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760601280
PECOS PAC ID: 3577643212
Enrollment ID: I20080107000777
Provider NameMadhav Swaminathan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1558445429
PECOS PAC ID: 7113007808
Enrollment ID: I20080108000212
Provider NameAndre R Stokhuyzen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023291879
PECOS PAC ID: 2961582523
Enrollment ID: I20080108000842
Provider NameRachel A Adcock
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1669661922
PECOS PAC ID: 6406936855
Enrollment ID: I20080110000381
Provider NameMaria M Fakadej
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053488502
PECOS PAC ID: 3375624711
Enrollment ID: I20080111000252
Provider NameRussell D Anderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801963376
PECOS PAC ID: 0143301028
Enrollment ID: I20080116000792
Provider NameNicholas Bandarenko
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1285729913
PECOS PAC ID: 5496837569
Enrollment ID: I20080128000806
Provider NameJennifer O Howell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982695425
PECOS PAC ID: 4880776855
Enrollment ID: I20080129000810
Provider NamePeter Kent Smith
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1639249469
PECOS PAC ID: 5395827232
Enrollment ID: I20080130000600
Provider NameCarolyn S Menendez
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1447220827
PECOS PAC ID: 2062484777
Enrollment ID: I20080204000756
Provider NameAllison W Dimsdale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861686800
PECOS PAC ID: 7214010610
Enrollment ID: I20080208000042
Provider NameLaura L Wrenn
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609915461
PECOS PAC ID: 2567545734
Enrollment ID: I20080211000735
Provider NameChristina K Cone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518141472
PECOS PAC ID: 4385727130
Enrollment ID: I20080216000055
Provider NameRanitha H Dep
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174701197
PECOS PAC ID: 9234212960
Enrollment ID: I20080218000735
Provider NameCharles J Gerardo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033292297
PECOS PAC ID: 5193809176
Enrollment ID: I20080229000063
Provider NameIan J Welsby
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1245314160
PECOS PAC ID: 2860577699
Enrollment ID: I20080304000632
Provider NameDavid M Kaylie
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1972690097
PECOS PAC ID: 6204812472
Enrollment ID: I20080311000349
Provider NameEugene W St Clair
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1851475727
PECOS PAC ID: 7214013994
Enrollment ID: I20080320000272
Provider NameLynne M Koweek
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508915521
PECOS PAC ID: 8729164116
Enrollment ID: I20080326000175
Provider NameTracy Jaffe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295821668
PECOS PAC ID: 5395821706
Enrollment ID: I20080326000327
Provider NameAshraf S Habib
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1033293949
PECOS PAC ID: 4688752710
Enrollment ID: I20080415000481
Provider NameEdana E Christy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154405066
PECOS PAC ID: 6800974700
Enrollment ID: I20080417000278
Provider NameHarriett Purves Burns
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801016811
PECOS PAC ID: 0547348781
Enrollment ID: I20080429000142
Provider NameEmily A Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194808345
PECOS PAC ID: 8123107984
Enrollment ID: I20080505000536
Provider NameAsra S Firozvi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1609931617
PECOS PAC ID: 8224130984
Enrollment ID: I20080514000411
Provider NameHilary W Crittenden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841373099
PECOS PAC ID: 8729157722
Enrollment ID: I20080516000332
Provider NameKristi Wiggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982893491
PECOS PAC ID: 7618046533
Enrollment ID: I20080519000615
Provider NameDonald D Glower
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1528148657
PECOS PAC ID: 8820167752
Enrollment ID: I20080519000668
Provider NameCarmelo A Milano
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1508946633
PECOS PAC ID: 2668541426
Enrollment ID: I20080520000205
Provider NameDavid Patrick Fitzgerald
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639381627
PECOS PAC ID: 4789577735
Enrollment ID: I20080521000271
Provider NameDouglas D Schocken
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1568407781
PECOS PAC ID: 6709806268
Enrollment ID: I20080529000761
Provider NameAnne Buckley
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1538332903
PECOS PAC ID: 2365512944
Enrollment ID: I20080609000650
Provider NameJeffrey G Gaca
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1821260431
PECOS PAC ID: 9335219914
Enrollment ID: I20080609000671
Provider NameWalter Tsong Lee
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1821052994
PECOS PAC ID: 0840233771
Enrollment ID: I20080609000695
Provider NameJoshua R Dooley
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1568637437
PECOS PAC ID: 8022188580
Enrollment ID: I20080610000464
Provider NameJohn W Nelson
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1891964615
PECOS PAC ID: 8729159140
Enrollment ID: I20080612000389
Provider NameMohamad A Mikati
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164698437
PECOS PAC ID: 2062583438
Enrollment ID: I20080612000781
Provider NameMichael Campbell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376690198
PECOS PAC ID: 8921194630
Enrollment ID: I20080612000797
Provider NameAlex H Cho
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841415601
PECOS PAC ID: 6901977081
Enrollment ID: I20080617000500
Provider NameAmanda Lynn Obriant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275751026
PECOS PAC ID: 3173694999
Enrollment ID: I20080620000419
Provider NameAnne F Phelps
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134204464
PECOS PAC ID: 2365513900
Enrollment ID: I20080625000320
Provider NameJared D Christensen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992711196
PECOS PAC ID: 4789756263
Enrollment ID: I20080627000113
Provider NameThomas Polascik
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1083798979
PECOS PAC ID: 7911079991
Enrollment ID: I20080708000558
Provider NameCarey K Anders
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1073786893
PECOS PAC ID: 3971675885
Enrollment ID: I20080710000103
Provider NameSonny Tucker
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1144487562
PECOS PAC ID: 7810069572
Enrollment ID: I20080712000067
Provider NameDavid A Maple
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205097078
PECOS PAC ID: 3476626763
Enrollment ID: I20080719000057
Provider NameKathleen A Waite
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245314111
PECOS PAC ID: 6103998968
Enrollment ID: I20080723000174
Provider NameDan G Blazer
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1578583779
PECOS PAC ID: 2769481910
Enrollment ID: I20080725000222
Provider NameKenyon M Railey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659591618
PECOS PAC ID: 6103999008
Enrollment ID: I20080725000502
Provider NameJonathan P Piccini
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1003884693
PECOS PAC ID: 6800969643
Enrollment ID: I20080726000075
Provider NameScott Snider
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730203514
PECOS PAC ID: 3173697794
Enrollment ID: I20080730000841
Provider NameDavid Luther Sappenfield
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1639161862
PECOS PAC ID: 1456306257
Enrollment ID: I20080804000099
Provider NameJoshua A Spencer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1659597169
PECOS PAC ID: 0244304517
Enrollment ID: I20080805000131
Provider NameChristina E Barkauskas
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1942473756
PECOS PAC ID: 2062586290
Enrollment ID: I20080805000764
Provider NameFranklin Tak Hung Li
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1457499089
PECOS PAC ID: 5890860712
Enrollment ID: I20080812000462
Provider NameBridget L Archambault
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578646717
PECOS PAC ID: 2062587843
Enrollment ID: I20080813000240
Provider NameDeette C Reel
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1700049384
PECOS PAC ID: 6406921287
Enrollment ID: I20080813000262
Provider NamePeter Michael Grossi
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1881863744
PECOS PAC ID: 4880769629
Enrollment ID: I20080813000809
Provider NameBenjamin M Furnas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760647242
PECOS PAC ID: 7719052497
Enrollment ID: I20080814000241
Provider NameKelly Hill Blessing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730126160
PECOS PAC ID: 7012082621
Enrollment ID: I20080818000433
Provider NameKathryn W Newman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1790941847
PECOS PAC ID: 4082789425
Enrollment ID: I20080819000479
Provider NameVandana Shashi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144204868
PECOS PAC ID: 0941375307
Enrollment ID: I20080819000745
Provider NameErin B Lesesky
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1548428923
PECOS PAC ID: 2466527437
Enrollment ID: I20080826000772
Provider NameJulie K Thacker
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1255304341
PECOS PAC ID: 4880651975
Enrollment ID: I20080827000229
Provider NameSamuel S Wellman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1992836837
PECOS PAC ID: 2769573211
Enrollment ID: I20080829000204
Provider NameCameron R Wolfe
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1396910543
PECOS PAC ID: 4880760511
Enrollment ID: I20080904000208
Provider NameMichael J Rubin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609059567
PECOS PAC ID: 7810066180
Enrollment ID: I20080908000473
Provider NameKelly E Westbrook
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053536508
PECOS PAC ID: 7416023627
Enrollment ID: I20080911000232
Provider NameFaera Byerly
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1568681161
PECOS PAC ID: 0648347732
Enrollment ID: I20080915000552
Provider NameMichael S Freemark
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659434421
PECOS PAC ID: 1052488822
Enrollment ID: I20080919000228
Provider NameEric S Moore
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013065200
PECOS PAC ID: 8527029933
Enrollment ID: I20080920000088
Provider NameBecky Suzzanne Rubin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275706756
PECOS PAC ID: 4587731203
Enrollment ID: I20080923000195
Provider NameJeffrey J Sapyta
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750557583
PECOS PAC ID: 8022185750
Enrollment ID: I20080923000308
Provider NamePaul M Lantos
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1720279102
PECOS PAC ID: 1557438108
Enrollment ID: I20080923000614
Provider NameDebra L Sudan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1902856651
PECOS PAC ID: 2466419908
Enrollment ID: I20080923000774
Provider NameRobert W Wiese
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457432569
PECOS PAC ID: 1153498761
Enrollment ID: I20080924000295
Provider NameRajan T Gupta
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366618704
PECOS PAC ID: 3779650189
Enrollment ID: I20080927000037
Provider NameKim M Huffman
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1023079746
PECOS PAC ID: 6103993415
Enrollment ID: I20080927000169
Provider NameNicole P Kerner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205996998
PECOS PAC ID: 9537153846
Enrollment ID: I20081006000300
Provider NamePatricia A Wild
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1528231297
PECOS PAC ID: 2860560703
Enrollment ID: I20081006000504
Provider NameKathleen M Zacherl
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720288517
PECOS PAC ID: 4587722590
Enrollment ID: I20081020000660
Provider NameBarbara K Berkley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558511824
PECOS PAC ID: 3577621010
Enrollment ID: I20081028000069
Provider NameMehri S Mckellar
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1548335573
PECOS PAC ID: 5799843132
Enrollment ID: I20081029000181
Provider NameJohn Migaly
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1568459477
PECOS PAC ID: 2062437932
Enrollment ID: I20081206000096
Provider NameWilliam C Bordley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376626515
PECOS PAC ID: 7012078249
Enrollment ID: I20081206000118
Provider NameKara Beth Willette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992717292
PECOS PAC ID: 0446311385
Enrollment ID: I20081210000304
Provider NameJames R Snapper
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1669501961
PECOS PAC ID: 3577624220
Enrollment ID: I20081212000482
Provider NameBeatrice D Hong
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1982876892
PECOS PAC ID: 2860553542
Enrollment ID: I20081213000062
Provider NamePierre A Paras
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417107046
PECOS PAC ID: 7618039058
Enrollment ID: I20081219000170
Provider NameRanjan Sudan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174638712
PECOS PAC ID: 9335201391
Enrollment ID: I20081229000552
Provider NameSangeeta P Joshi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1285842138
PECOS PAC ID: 9436211406
Enrollment ID: I20081229000653
Provider NameThomas Lynch Oconnell
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1710047311
PECOS PAC ID: 1355368572
Enrollment ID: I20090107000226
Provider NameSoheir S Adam
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1366690711
PECOS PAC ID: 4880757327
Enrollment ID: I20090109000600
Provider NameJyothi P Rao
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1699734533
PECOS PAC ID: 2264435890
Enrollment ID: I20090110000043
Provider NameJody A Swartzel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164670121
PECOS PAC ID: 0648334573
Enrollment ID: I20090121000536
Provider NameJane S Bellet
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1447452990
PECOS PAC ID: 7416011168
Enrollment ID: I20090126000331
Provider NameJames W Fox
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912061474
PECOS PAC ID: 1052498532
Enrollment ID: I20090210000603
Provider NamePurnima Valdez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265454136
PECOS PAC ID: 3971507658
Enrollment ID: I20090210000800
Provider NameAnna M Solum
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1073585618
PECOS PAC ID: 2264597012
Enrollment ID: I20090211000743
Provider NameKathryn E Kreider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467691659
PECOS PAC ID: 6507922556
Enrollment ID: I20090227000169
Provider NameFrieda Saunders
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730357641
PECOS PAC ID: 3375557192
Enrollment ID: I20090310000478
Provider NameSofia H Rydin-gray
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629216460
PECOS PAC ID: 9638235856
Enrollment ID: I20090312000686
Provider NameMoria J Smoski
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1194965822
PECOS PAC ID: 7618034695
Enrollment ID: I20090318000288
Provider NameMarla F Wald
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568650554
PECOS PAC ID: 1456418466
Enrollment ID: I20090318000584
Provider NameRichard S Bedlack
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1851489363
PECOS PAC ID: 3274690599
Enrollment ID: I20090331000360
Provider NameRavi Karra
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1952457178
PECOS PAC ID: 9032266341
Enrollment ID: I20090402000219
Provider NameGeraldine E Kanne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558476929
PECOS PAC ID: 0941358956
Enrollment ID: I20090430000603
Provider NameCamille Genise Frazier Mills
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1346383593
PECOS PAC ID: 0840348652
Enrollment ID: I20090506000406
Provider NameDawn M Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740408780
PECOS PAC ID: 1850449323
Enrollment ID: I20090511000584
Provider NameMichael C Comstock
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1891758330
PECOS PAC ID: 2668521584
Enrollment ID: I20090526000531
Provider NameDetlev Erdmann
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1508886516
PECOS PAC ID: 7113076712
Enrollment ID: I20090529000480
Provider NameJeffrey R Marcus
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1063596948
PECOS PAC ID: 7012066616
Enrollment ID: I20090529000485
Provider NameMatthew S Mckinney
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1982899837
PECOS PAC ID: 3779633128
Enrollment ID: I20090605000589
Provider NameMaleka Z Ahmed
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1841286721
PECOS PAC ID: 4486704764
Enrollment ID: I20090608000398
Provider NameJames P Daubert
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1104865278
PECOS PAC ID: 3476603754
Enrollment ID: I20090608000411
Provider NameDonna B Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376780619
PECOS PAC ID: 8224188511
Enrollment ID: I20090608000485
Provider NameJamie L Todd
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1881869758
PECOS PAC ID: 5294885596
Enrollment ID: I20090608000517
Provider NameJin S Yoo
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1811162142
PECOS PAC ID: 9436209772
Enrollment ID: I20090609000213
Provider NameMatthew Charles Wakefield
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770537805
PECOS PAC ID: 9234289315
Enrollment ID: I20090611000184
Provider NameKevin D Hill
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1881741676
PECOS PAC ID: 4587711106
Enrollment ID: I20090617000690
Provider NameJunzo P Chino
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1316138548
PECOS PAC ID: 5092865733
Enrollment ID: I20090618000120
Provider NameBetty C Tong
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1871750406
PECOS PAC ID: 0244380905
Enrollment ID: I20090618000352
Provider NameMorgan D Camp
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083703359
PECOS PAC ID: 1951451624
Enrollment ID: I20090618000389
Provider NameMarc A Finkel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710959960
PECOS PAC ID: 5395895064
Enrollment ID: I20090618000406
Provider NameVernon W Pugh
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1083683726
PECOS PAC ID: 3375693047
Enrollment ID: I20090618000424
Provider NameAlan L Rosen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770556763
PECOS PAC ID: 1557265063
Enrollment ID: I20090618000448
Provider NameRobert C Vogler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245202878
PECOS PAC ID: 1153471834
Enrollment ID: I20090618000481
Provider NameMaria V Sealey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689819351
PECOS PAC ID: 6002967635
Enrollment ID: I20090622000520
Provider NameMustafa S R Bashir
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336350883
PECOS PAC ID: 3072664374
Enrollment ID: I20090626000276
Provider NameAmie Kawasaki
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669659595
PECOS PAC ID: 1759432941
Enrollment ID: I20090629000477
Provider NameKatherine Barnett Peters
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689728214
PECOS PAC ID: 7911058102
Enrollment ID: I20090629000491
Provider NameLakshmi Iswarya Katakam
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124210810
PECOS PAC ID: 9234280421
Enrollment ID: I20090629000534
Provider NameLeonor Corsino
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1831247527
PECOS PAC ID: 1951452143
Enrollment ID: I20090629000540
Provider NameTimothy P Donahue
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1467410597
PECOS PAC ID: 4587715669
Enrollment ID: I20090701000103
Provider NameCharles Yoon Kim
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1528234804
PECOS PAC ID: 9234280298
Enrollment ID: I20090702000296
Provider NameBrian H Eichner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134395114
PECOS PAC ID: 2466503438
Enrollment ID: I20090702000336
Provider NamePriyatham S Mettu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508023284
PECOS PAC ID: 4082765995
Enrollment ID: I20090706000073
Provider NameJennifer Pells
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881607141
PECOS PAC ID: 0042301889
Enrollment ID: I20090707000675
Provider NameAimee B Chung
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821261025
PECOS PAC ID: 2365593100
Enrollment ID: I20090707000748
Provider NameDiana M Cardona
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1841386752
PECOS PAC ID: 2365505682
Enrollment ID: I20090711000043
Provider NameHeather A Van Mater
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043224082
PECOS PAC ID: 3476605825
Enrollment ID: I20090715000383
Provider NameDaniel M Wild
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1669495644
PECOS PAC ID: 2062564206
Enrollment ID: I20090717000620
Provider NameRenee H Raynor
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881778777
PECOS PAC ID: 0042362261
Enrollment ID: I20090720000432
Provider NamePaul B Sparzak
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1346458577
PECOS PAC ID: 3072665157
Enrollment ID: I20090721000482
Provider NameZiad F Gellad
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447421664
PECOS PAC ID: 0648323584
Enrollment ID: I20090724000580
Provider NameRichard K Wood
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1487602561
PECOS PAC ID: 9032137070
Enrollment ID: I20090724000591
Provider NamePeter G Kranz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124293550
PECOS PAC ID: 0345393286
Enrollment ID: I20090724000608
Provider NameGary R Maslow
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568680973
PECOS PAC ID: 2961560123
Enrollment ID: I20090725000123
Provider NameJean Koo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699916015
PECOS PAC ID: 3072666791
Enrollment ID: I20090728000826
Provider NameJohn A Skowron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447486469
PECOS PAC ID: 5193878825
Enrollment ID: I20090728000914
Provider NameCynthia A Moylan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1407022213
PECOS PAC ID: 2567515331
Enrollment ID: I20090729000795
Provider NameLeon J Reinstein
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114913670
PECOS PAC ID: 1355381427
Enrollment ID: I20090729000863
Provider NameStefanie Sarantopoulos
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1801986781
PECOS PAC ID: 8628012846
Enrollment ID: I20090730000094
Provider NameMichael Eric Lipkin
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1710173869
PECOS PAC ID: 2163575416
Enrollment ID: I20090804000180
Provider NameJohn H Strickler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265523377
PECOS PAC ID: 1355494451
Enrollment ID: I20090807000273
Provider NameAndre C Grant
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881740405
PECOS PAC ID: 8628121605
Enrollment ID: I20090810000248
Provider NameJennifer A Rothman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063605285
PECOS PAC ID: 6204980253
Enrollment ID: I20090811000223
Provider NameShalini Ramasunder
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1821262882
PECOS PAC ID: 9739233586
Enrollment ID: I20090813000643
Provider NameCatherine M Kuhn
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1912081829
PECOS PAC ID: 9436203163
Enrollment ID: I20090814000566
Provider NameCathleen S Colon-emeric
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1760545537
PECOS PAC ID: 2769536390
Enrollment ID: I20090817000801
Provider NameHeidi K White
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1316021280
PECOS PAC ID: 5395899926
Enrollment ID: I20090817000804
Provider NameMitchell T Heflin
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1558445619
PECOS PAC ID: 7113071747
Enrollment ID: I20090817000806
Provider NameJames S Smith
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1639137102
PECOS PAC ID: 2668455379
Enrollment ID: I20090819000791
Provider NameRichard Frothingham
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1912088493
PECOS PAC ID: 1850445198
Enrollment ID: I20090820000427
Provider NameGabriela M Maradiaga Panayotti
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669633467
PECOS PAC ID: 9537213889
Enrollment ID: I20090820000480
Provider NameDale E Feldpausch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316956931
PECOS PAC ID: 4587606736
Enrollment ID: I20090822000093
Provider NameKerri Margret Wahl
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1538243456
PECOS PAC ID: 7517011646
Enrollment ID: I20090824000571
Provider NameMichael J Menz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1598879991
PECOS PAC ID: 3577598804
Enrollment ID: I20090831000680
Provider NameNancy M Mcgreal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1457578023
PECOS PAC ID: 6002976883
Enrollment ID: I20090903000062
Provider NameBernadette C Labriola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689805442
PECOS PAC ID: 2365597978
Enrollment ID: I20090903000461
Provider NameJuneko Elaine Grilley Olson
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1417074204
PECOS PAC ID: 6608921028
Enrollment ID: I20090908000275
Provider NameLisa Massa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124259270
PECOS PAC ID: 0244385599
Enrollment ID: I20090910000100
Provider NameAmy Nicole Broach
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1760692313
PECOS PAC ID: 7416056403
Enrollment ID: I20090916000780
Provider NameJason A Liss
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245352400
PECOS PAC ID: 6305931585
Enrollment ID: I20090918000035
Provider NameCaroline P Ozment
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184882078
PECOS PAC ID: 7416003918
Enrollment ID: I20090924000736
Provider NameRita M Kawatu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093802696
PECOS PAC ID: 1254345721
Enrollment ID: I20090929000336
Provider NameJennifer L Rogers
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1972729432
PECOS PAC ID: 4688720972
Enrollment ID: I20090929000418
Provider NameElizabeth Hill Joran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619200557
PECOS PAC ID: 5496891418
Enrollment ID: I20091006000137
Provider NameFan Zhou
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386837615
PECOS PAC ID: 0547306300
Enrollment ID: I20091007000787
Provider NameAnupama B Horne
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1013098946
PECOS PAC ID: 3577609072
Enrollment ID: I20091014000603
Provider NameMichele M Cerra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962616268
PECOS PAC ID: 4082751060
Enrollment ID: I20091023000199
Provider NameHerbert E Fuchs
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1871676031
PECOS PAC ID: 6305983339
Enrollment ID: I20091023000671
Provider NameTheodore N Pappas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366401390
PECOS PAC ID: 2062559974
Enrollment ID: I20091027000125
Provider NameChristopher R Mantyh
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841370079
PECOS PAC ID: 3678610599
Enrollment ID: I20091027000149
Provider NameThomas P Knipper
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003842113
PECOS PAC ID: 1951324359
Enrollment ID: I20091112000488
Provider NameTony P Smith
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1679668354
PECOS PAC ID: 7012056484
Enrollment ID: I20091124000165
Provider NameHenry E Rice
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518093038
PECOS PAC ID: 7810036290
Enrollment ID: I20091124000192
Provider NameErik Karl Paulson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609962919
PECOS PAC ID: 9537208913
Enrollment ID: I20091124000205
Provider NameRendon C Nelson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245326586
PECOS PAC ID: 3870632250
Enrollment ID: I20091124000236
Provider NameDavid M Brizel
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1720173560
PECOS PAC ID: 1658410030
Enrollment ID: I20091124000296
Provider NameJohn C Murray
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1043256258
PECOS PAC ID: 8729127113
Enrollment ID: I20091124000312
Provider NamePriya S Kishnani
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114001021
PECOS PAC ID: 0446399836
Enrollment ID: I20091124000330
Provider NameTerence Z Wong
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1720174196
PECOS PAC ID: 5890834287
Enrollment ID: I20091124000333
Provider NamePaul V Suhocki
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1215023239
PECOS PAC ID: 2567501802
Enrollment ID: I20091130000485
Provider NameLisa M Ho
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801982251
PECOS PAC ID: 3274672514
Enrollment ID: I20091130000498
Provider NameJames M Provenzale
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750476578
PECOS PAC ID: 8527107861
Enrollment ID: I20091130000527
Provider NameEugene W Moretti
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1467522292
PECOS PAC ID: 1456490432
Enrollment ID: I20091204000100
Provider NameChristopher C Young
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1851475735
PECOS PAC ID: 4880733864
Enrollment ID: I20091204000122
Provider NameDavid E Attarian
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1518054246
PECOS PAC ID: 0042359028
Enrollment ID: I20091204000145
Provider NameJames A Nunley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700973310
PECOS PAC ID: 8022157015
Enrollment ID: I20091204000171
Provider NameGlenn M Preminger
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1255415147
PECOS PAC ID: 2365581352
Enrollment ID: I20091204000202
Provider NameSujata V Ghate
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063508232
PECOS PAC ID: 4880734433
Enrollment ID: I20091214000092
Provider NameBradley H Collins
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1881777035
PECOS PAC ID: 6002956661
Enrollment ID: I20091214000174
Provider NameJonathan L Cook
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1417030669
PECOS PAC ID: 7416097084
Enrollment ID: I20091214000237
Provider NameCharles E Spritzer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063507770
PECOS PAC ID: 2961542436
Enrollment ID: I20091214000351
Provider NameBrian G Czito
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1336234012
PECOS PAC ID: 2466448469
Enrollment ID: I20091214000383
Provider NameJay A Baker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265521728
PECOS PAC ID: 3274673751
Enrollment ID: I20091214000399
Provider NameAna Maria Gaca
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780767947
PECOS PAC ID: 4981744463
Enrollment ID: I20091214000420
Provider NameJeffrey R Petrella
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841386158
PECOS PAC ID: 8527108844
Enrollment ID: I20091217000584
Provider NameSarah A Myers
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1578647467
PECOS PAC ID: 8921148255
Enrollment ID: I20091217000625
Provider NameAngelo S Milazzo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407919285
PECOS PAC ID: 1557401882
Enrollment ID: I20091217000637
Provider NameMarie T Mcdonald
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558445460
PECOS PAC ID: 9234279472
Enrollment ID: I20091218000066
Provider NameThomas A D Amico
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1023171899
PECOS PAC ID: 5193865335
Enrollment ID: I20091218000106
Provider NameHarold G Koenig
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487738548
PECOS PAC ID: 5092855239
Enrollment ID: I20091218000113
Provider NameSalvador Borges Neto
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1295821361
PECOS PAC ID: 8729128970
Enrollment ID: I20091218000124
Provider NameDonald Paul Frush
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962585125
PECOS PAC ID: 5991845141
Enrollment ID: I20091218000132
Provider NameGregory S Georgiade
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649333410
PECOS PAC ID: 7618017864
Enrollment ID: I20091218000141
Provider NameWilliam T Cline
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1265419931
PECOS PAC ID: 9234146119
Enrollment ID: I20091221000353
Provider NameJohn Wiener
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1407892748
PECOS PAC ID: 1850386822
Enrollment ID: I20100107000545
Provider NameEdward F Patz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720114234
PECOS PAC ID: 9830230267
Enrollment ID: I20100107000677
Provider NameCarol Anne Hahn
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1982799698
PECOS PAC ID: 4789725045
Enrollment ID: I20100108000238
Provider NamePenny Lynette Stout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376692384
PECOS PAC ID: 2163563495
Enrollment ID: I20100108000791
Provider NameKadiyala V Ravindra
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1922087402
PECOS PAC ID: 9638103435
Enrollment ID: I20100111000673
Provider NameNiraj Chandrakant Patel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407940596
PECOS PAC ID: 7618979337
Enrollment ID: I20100112000856
Provider NameTimothy Mcmahon
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1477635597
PECOS PAC ID: 5395887798
Enrollment ID: I20100122000762
Provider NameJung Young Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447401385
PECOS PAC ID: 3072655471
Enrollment ID: I20100123000001
Provider NameChristine E Hiller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558588640
PECOS PAC ID: 5395887707
Enrollment ID: I20100123000062
Provider NameJoseph R Zanga
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841465366
PECOS PAC ID: 9335281740
Enrollment ID: I20100123000132
Provider NameNeil R Macintyre
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1336202118
PECOS PAC ID: 5294877551
Enrollment ID: I20100125000406
Provider NameLoretta Que
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1245314137
PECOS PAC ID: 3476695750
Enrollment ID: I20100125000613
Provider NameJoseph A Govert
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1487737649
PECOS PAC ID: 7416099700
Enrollment ID: I20100125000781
Provider NameAlice P Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265502090
PECOS PAC ID: 8022150242
Enrollment ID: I20100126000290
Provider NameCraig J Sobolewski
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588748446
PECOS PAC ID: 2567504707
Enrollment ID: I20100126000504
Provider NameJennifer S Li
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1790848570
PECOS PAC ID: 3173665320
Enrollment ID: I20100126000548
Provider NameGeeta K Swamy
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1467536334
PECOS PAC ID: 9739221938
Enrollment ID: I20100127000197
Provider NameJeffrey A Kuller
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528156957
PECOS PAC ID: 9436291648
Enrollment ID: I20100127000236
Provider NameBrita K Boyd
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1902989148
PECOS PAC ID: 6507908712
Enrollment ID: I20100127000261
Provider NameCindy L Amundsen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750464996
PECOS PAC ID: 7315089521
Enrollment ID: I20100127000271
Provider NameClaude S Burton
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1295761021
PECOS PAC ID: 4880736925
Enrollment ID: I20100127000624
Provider NameBrian E Brigman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1710074455
PECOS PAC ID: 4587706627
Enrollment ID: I20100127000653
Provider NameGuy D Dear
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1417031329
PECOS PAC ID: 6204978307
Enrollment ID: I20100128000205
Provider NameRichard Sommerville Lee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1376503458
PECOS PAC ID: 7315080264
Enrollment ID: I20100201000683
Provider NameGuy Glenn Potter
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588727366
PECOS PAC ID: 8729121520
Enrollment ID: I20100202000428
Provider NameMichael M Haglund
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1568546612
PECOS PAC ID: 1355484742
Enrollment ID: I20100208000331
Provider NameLinda G Leithe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356437651
PECOS PAC ID: 3476696881
Enrollment ID: I20100208000477
Provider NameStephen M Klein
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1205910361
PECOS PAC ID: 8022151349
Enrollment ID: I20100208000654
Provider NameJoseph P Mathew
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1649354556
PECOS PAC ID: 5698818920
Enrollment ID: I20100208000723
Provider NameJoel C Morgenlander
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1679657563
PECOS PAC ID: 2769525013
Enrollment ID: I20100209000115
Provider NameAlison C Weidner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235213109
PECOS PAC ID: 0840333100
Enrollment ID: I20100209000141
Provider NameJane P Gagliardi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407939663
PECOS PAC ID: 6901949270
Enrollment ID: I20100209000265
Provider NameMark Stafford-smith
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346324266
PECOS PAC ID: 8921141201
Enrollment ID: I20100209000358
Provider NameSamuel D Stanley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1457448961
PECOS PAC ID: 9638212913
Enrollment ID: I20100209000381
Provider NameDavid F Kong
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1295819357
PECOS PAC ID: 3072593615
Enrollment ID: I20100211000755
Provider NameTristram D Bahnson
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1790713600
PECOS PAC ID: 5799829719
Enrollment ID: I20100215000371
Provider NameRaymond Jin Suk Kim
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1396829206
PECOS PAC ID: 3476697400
Enrollment ID: I20100215000420
Provider NameJohn K Harrison
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1285718338
PECOS PAC ID: 6305980178
Enrollment ID: I20100217000185
Provider NameConnie H Ostrowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932262714
PECOS PAC ID: 3971647637
Enrollment ID: I20100218000242
Provider NameNeil J Freedman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1154404317
PECOS PAC ID: 8426192188
Enrollment ID: I20100218000249
Provider NameMichael H Sketch
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1306920269
PECOS PAC ID: 4587644125
Enrollment ID: I20100218000327
Provider NameAndrew Wang
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1063596930
PECOS PAC ID: 1254475957
Enrollment ID: I20100218000669
Provider NameLaura K Newby
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1295819183
PECOS PAC ID: 0042354748
Enrollment ID: I20100218000695
Provider NameSanjay G Asrani
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003960121
PECOS PAC ID: 5395889976
Enrollment ID: I20100219000636
Provider NameEdward G Buckley
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770646549
PECOS PAC ID: 4183768765
Enrollment ID: I20100219000667
Provider NameSteven N Vaslef
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528142494
PECOS PAC ID: 5991849572
Enrollment ID: I20100219000674
Provider NameRobin R Vann
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1679660054
PECOS PAC ID: 8628112208
Enrollment ID: I20100222000422
Provider NameMilton James
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1912909227
PECOS PAC ID: 6002807948
Enrollment ID: I20100222000636
Provider NameMichael Dee Gunn
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730262999
PECOS PAC ID: 7315081767
Enrollment ID: I20100223000411
Provider NameDaniel P Barboriak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891726790
PECOS PAC ID: 5597800631
Enrollment ID: I20100301000754
Provider NameJames D Eastwood
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477649796
PECOS PAC ID: 6002951142
Enrollment ID: I20100301000802
Provider NameSteven A Olson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1417044025
PECOS PAC ID: 3274678313
Enrollment ID: I20100301000811
Provider NameHolman P Mcadams
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215086236
PECOS PAC ID: 5991840035
Enrollment ID: I20100301000823
Provider NameDavid Scott Enterline
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194810887
PECOS PAC ID: 3072658111
Enrollment ID: I20100301000830
Provider NameHoward A Rockman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447334362
PECOS PAC ID: 3375688427
Enrollment ID: I20100301000895
Provider NameAnand S Lagoo
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1750465662
PECOS PAC ID: 3577608447
Enrollment ID: I20100303000272
Provider NameRoger E Mclendon
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1598849481
PECOS PAC ID: 7012052988
Enrollment ID: I20100303000293
Provider NameEric A Postel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528142411
PECOS PAC ID: 0547305427
Enrollment ID: I20100303000331
Provider NameGlenn Jay Jaffe
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1255415311
PECOS PAC ID: 9537204433
Enrollment ID: I20100303000565
Provider NameNancy W Knudsen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1649340472
PECOS PAC ID: 1153466057
Enrollment ID: I20100303000591
Provider NameCary N Robertson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1730242512
PECOS PAC ID: 6103961016
Enrollment ID: I20100303000633
Provider NameJohn H Sampson
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1720158553
PECOS PAC ID: 9638214547
Enrollment ID: I20100303000651
Provider NameMark B Skeen
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1497839351
PECOS PAC ID: 4789729625
Enrollment ID: I20100303000908
Provider NameJulie A Woodward
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1134203011
PECOS PAC ID: 5496890345
Enrollment ID: I20100303001028
Provider NameSharon Fekrat
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235191115
PECOS PAC ID: 7618012469
Enrollment ID: I20100303001080
Provider NameDavid H Harpole
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1386734564
PECOS PAC ID: 0143365999
Enrollment ID: I20100303001105
Provider NameLeon Walker Herndon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992889059
PECOS PAC ID: 1951446707
Enrollment ID: I20100303001121
Provider NameEvan M Ferry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154653384
PECOS PAC ID: 6507901113
Enrollment ID: I20100308000390
Provider NameJohn H Alexander
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1831282094
PECOS PAC ID: 9931244480
Enrollment ID: I20100308000944
Provider NameAndrew J Muir
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1093899908
PECOS PAC ID: 8527103811
Enrollment ID: I20100311000440
Provider NameMargaret T Bowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609817865
PECOS PAC ID: 4587799895
Enrollment ID: I20100311000777
Provider NameKevin B Waters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295817575
PECOS PAC ID: 6002941630
Enrollment ID: I20100320000252
Provider NameKenneth S Ellington
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1609950344
PECOS PAC ID: 6507991197
Enrollment ID: I20100322000427
Provider NameJohn F Madden
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1043369069
PECOS PAC ID: 4284769878
Enrollment ID: I20100322000465
Provider NameRex C Bentley
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1700975265
PECOS PAC ID: 0345375937
Enrollment ID: I20100322000508
Provider NameThomas J Cummings
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1740363993
PECOS PAC ID: 8426183021
Enrollment ID: I20100322000521
Provider NameRajesh C Dash
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1508940412
PECOS PAC ID: 0143355743
Enrollment ID: I20100322000540
Provider NameLouis R Di Bernardo
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1285717439
PECOS PAC ID: 2860527462
Enrollment ID: I20100322000554
Provider NameCynthia D Guy
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1477636637
PECOS PAC ID: 2668507260
Enrollment ID: I20100322000576
Provider NameDavid N Howell
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1699876102
PECOS PAC ID: 7911032511
Enrollment ID: I20100322000597
Provider NameAlan D Proia
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1609950591
PECOS PAC ID: 1355476953
Enrollment ID: I20100322000618
Provider NameJennifer B Green
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1770674517
PECOS PAC ID: 6901932755
Enrollment ID: I20100331000253
Provider NameSharon F Freedman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740343516
PECOS PAC ID: 3678609112
Enrollment ID: I20100412000069
Provider NameStephen R Smith
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1851475719
PECOS PAC ID: 5991831448
Enrollment ID: I20100413000036
Provider NameAndrea R Bailey
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1861603078
PECOS PAC ID: 4587790050
Enrollment ID: I20100414000083
Provider NameHerbert K Lyerly
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1427111202
PECOS PAC ID: 0840326310
Enrollment ID: I20100414000091
Provider NameMurat O Arcasoy
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1760420145
PECOS PAC ID: 9335276765
Enrollment ID: I20100416000257
Provider NameMitchell W Krucoff
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1740364801
PECOS PAC ID: 7113054560
Enrollment ID: I20100416000420
Provider NameDavid S Caldwell
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1982787123
PECOS PAC ID: 1850428129
Enrollment ID: I20100416000789
Provider NameJohn P Middleton
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1033293923
PECOS PAC ID: 9335276658
Enrollment ID: I20100419000500
Provider NameMalcolm S Branch
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1639252877
PECOS PAC ID: 5193852424
Enrollment ID: I20100419000598
Provider NameThomas Lee Ortel
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1003990995
PECOS PAC ID: 6103953443
Enrollment ID: I20100419000717
Provider NameScott M Palmer
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1649354531
PECOS PAC ID: 3173650413
Enrollment ID: I20100419000742
Provider NameGerard C Blobe
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1184694754
PECOS PAC ID: 1153458492
Enrollment ID: I20100419000767
Provider NamePratap Challa
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1982794137
PECOS PAC ID: 7416084769
Enrollment ID: I20100419000787
Provider NamePeter S Kussin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1790848562
PECOS PAC ID: 4385771567
Enrollment ID: I20100420000448
Provider NameChristopher W Woods
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1013004811
PECOS PAC ID: 8820125032
Enrollment ID: I20100420000700
Provider NameKimberly S Johnson
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1972687036
PECOS PAC ID: 1658408877
Enrollment ID: I20100420000835
Provider NameWilliam J Fulkerson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1194888966
PECOS PAC ID: 6709785686
Enrollment ID: I20100423000206
Provider NameHarvey E Marshall
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1699859579
PECOS PAC ID: 0244367100
Enrollment ID: I20100423000759
Provider NameLaura M Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154498616
PECOS PAC ID: 8527195437
Enrollment ID: I20100426000348
Provider NameEric A Reyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235461419
PECOS PAC ID: 5395872022
Enrollment ID: I20100428000656
Provider NameBarbara D Alexander
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1982747796
PECOS PAC ID: 8325175060
Enrollment ID: I20100428000739
Provider NameDavid F Lobach
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1396829446
PECOS PAC ID: 7012044761
Enrollment ID: I20100428000789
Provider NameMichael Scott Berkoben
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1821171067
PECOS PAC ID: 3072640762
Enrollment ID: I20100429000376
Provider NameTaras T.m. Semchyshyn
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1194804047
PECOS PAC ID: 6507993169
Enrollment ID: I20100430000097
Provider NameWendy P Bush
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164474359
PECOS PAC ID: 1759310014
Enrollment ID: I20100430000565
Provider NameJeffrey R Bytomski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255414496
PECOS PAC ID: 1759419112
Enrollment ID: I20100506000217
Provider NameLawrence R Wu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215011192
PECOS PAC ID: 3476681636
Enrollment ID: I20100507000630
Provider NameShelby L Barthel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518284009
PECOS PAC ID: 6204964190
Enrollment ID: I20100513000911
Provider NameJames Alspaugh
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1851440861
PECOS PAC ID: 7911035704
Enrollment ID: I20100515000101
Provider NameEugene C Kovalik
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1013975937
PECOS PAC ID: 7719015502
Enrollment ID: I20100515000127
Provider NameAlan N Carlson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1124181995
PECOS PAC ID: 1658409339
Enrollment ID: I20100518000169
Provider NameMark E Easley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1790872430
PECOS PAC ID: 4981732666
Enrollment ID: I20100518000223
Provider NameLaura B Enyedi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1710060975
PECOS PAC ID: 4981732674
Enrollment ID: I20100518000232
Provider NameTodd Michael Gerkin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1013991744
PECOS PAC ID: 4688703317
Enrollment ID: I20100518000882
Provider NameRussell P Hall
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1205923042
PECOS PAC ID: 8022147610
Enrollment ID: I20100519000750
Provider NameKimberly J Camp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538499843
PECOS PAC ID: 8325177892
Enrollment ID: I20100520000763
Provider NamePaul S Toth
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1700860392
PECOS PAC ID: 6901935402
Enrollment ID: I20100521000056
Provider NameSusan Marie Chioffi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659420669
PECOS PAC ID: 6204965726
Enrollment ID: I20100521000281
Provider NameJohn T Geneczko
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1902875727
PECOS PAC ID: 3577692854
Enrollment ID: I20100525000573
Provider NameMarisa R D Silva
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013017540
PECOS PAC ID: 0547399859
Enrollment ID: I20100525000857
Provider NameMichael Cohen-wolkowiez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1528233665
PECOS PAC ID: 4183753387
Enrollment ID: I20100526000910
Provider NameBrian E Wolf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538147244
PECOS PAC ID: 2567436710
Enrollment ID: I20100601000213
Provider NameThomas M Bashore
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1659454890
PECOS PAC ID: 1052440062
Enrollment ID: I20100601000777
Provider NameAaron C Lentz
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1134341761
PECOS PAC ID: 9133259898
Enrollment ID: I20100608000087
Provider NameOren N Gottfried
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1578764213
PECOS PAC ID: 9830281187
Enrollment ID: I20100608000133
Provider NameRachel C Blitzblau
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1659554897
PECOS PAC ID: 5395875066
Enrollment ID: I20100608000217
Provider NameJane V Trinh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952323925
PECOS PAC ID: 8325048663
Enrollment ID: I20100608000306
Provider NameChristopher J Roth
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497929178
PECOS PAC ID: 0143350736
Enrollment ID: I20100608000555
Provider NameMatthew B Martin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396729018
PECOS PAC ID: 0143350595
Enrollment ID: I20100610000622
Provider NameSasapin G Prakalapakorn
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1871777953
PECOS PAC ID: 4688704927
Enrollment ID: I20100611000556
Provider NameAmy K Manchester
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1962679795
PECOS PAC ID: 1355472242
Enrollment ID: I20100621000457
Provider NameGregory A Fleming
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376690172
PECOS PAC ID: 8921134032
Enrollment ID: I20100621000506
Provider NameNwora L Okeke
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1205003316
PECOS PAC ID: 5294866109
Enrollment ID: I20100621000792
Provider NameKristen S Clarey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194847707
PECOS PAC ID: 5698806529
Enrollment ID: I20100622000052
Provider NameJorge Antonio Tirado Gutierrez
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1669630968
PECOS PAC ID: 5193856060
Enrollment ID: I20100622000508
Provider NameBrian C Allen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114126588
PECOS PAC ID: 0143351023
Enrollment ID: I20100622000572
Provider NameThomas W Leblanc
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1790997989
PECOS PAC ID: 6305977281
Enrollment ID: I20100622000604
Provider NameDeepak Voora
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1275709149
PECOS PAC ID: 3375570674
Enrollment ID: I20100623000148
Provider NameSabino Zani
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649469610
PECOS PAC ID: 7214068030
Enrollment ID: I20100623000299
Provider NameJodi J Hawes
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1992975528
PECOS PAC ID: 9931230513
Enrollment ID: I20100625000349
Provider NameJasmine E Wilkins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841513033
PECOS PAC ID: 0749311264
Enrollment ID: I20100628000654
Provider NameCarolyn E Keeler
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1083804058
PECOS PAC ID: 1052442415
Enrollment ID: I20100629000124
Provider NameBharathi Upadhya
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730381989
PECOS PAC ID: 3476684887
Enrollment ID: I20100629000665
Provider NameAmber M Jarvis
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1346457512
PECOS PAC ID: 0143351411
Enrollment ID: I20100630000475
Provider NameJullia A Rosdahl
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235337312
PECOS PAC ID: 7719018951
Enrollment ID: I20100701000447
Provider NameCharles Andrew Peery
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407029218
PECOS PAC ID: 0749311983
Enrollment ID: I20100701000530
Provider NameRobert Tighe
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1831126580
PECOS PAC ID: 5991724593
Enrollment ID: I20100702000134
Provider NameEric M Wilson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174604342
PECOS PAC ID: 0547392342
Enrollment ID: I20100714000424
Provider NameLinda P Murphy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750428645
PECOS PAC ID: 6709918543
Enrollment ID: I20100714000976
Provider NameJoseph Salama
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1891723391
PECOS PAC ID: 0840293007
Enrollment ID: I20100716000759
Provider NameJennie S Petruney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457580094
PECOS PAC ID: 2860547197
Enrollment ID: I20100716000764
Provider NameWilliam Daniel Crocker
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1558585422
PECOS PAC ID: 0941332548
Enrollment ID: I20100716000775
Provider NameNicole E Scouras
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1922261445
PECOS PAC ID: 7012049612
Enrollment ID: I20100716000801
Provider NameMarvaretta M Stevenson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891825964
PECOS PAC ID: 0042343840
Enrollment ID: I20100730000425
Provider NameMicah T Mcclain
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1336316454
PECOS PAC ID: 4082747803
Enrollment ID: I20100730000653
Provider NameRebecca Ann Burbridge
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1184630972
PECOS PAC ID: 6800899402
Enrollment ID: I20100730000929
Provider NameKristen G Shirey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033383013
PECOS PAC ID: 9739212580
Enrollment ID: I20100730000988
Provider NameRabia Y Ali
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164671145
PECOS PAC ID: 5193858439
Enrollment ID: I20100806000174
Provider NameRobert K Lark
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235397472
PECOS PAC ID: 3971637067
Enrollment ID: I20100811000289
Provider NameWaleska M Pabon-ramos
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1568580892
PECOS PAC ID: 4587798616
Enrollment ID: I20100811000738
Provider NameMamata Yanamadala
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1164632642
PECOS PAC ID: 7113051251
Enrollment ID: I20100811000873
Provider NameKamran Mahmood
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1992783377
PECOS PAC ID: 3779534094
Enrollment ID: I20100811000971
Provider NameJeffrey P Baker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235292004
PECOS PAC ID: 7911031067
Enrollment ID: I20100811001038
Provider NameWilliam E Kraus
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922182088
PECOS PAC ID: 2668506452
Enrollment ID: I20100816000570
Provider NameAlina Nicoara
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1306901970
PECOS PAC ID: 7113051921
Enrollment ID: I20100816000815
Provider NameGary M Felker
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1346323508
PECOS PAC ID: 0042344640
Enrollment ID: I20100818000672
Provider NameMark Wade Scroggs
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538112875
PECOS PAC ID: 9830223205
Enrollment ID: I20100820000386
Provider NameDavid M Bronstein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215978358
PECOS PAC ID: 0547384711
Enrollment ID: I20100825000980
Provider NameJeffrey W Byrnett
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467455295
PECOS PAC ID: 8224152293
Enrollment ID: I20100826001228
Provider NameDonna R Ransom
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003960667
PECOS PAC ID: 9335263326
Enrollment ID: I20100827000177
Provider NameSana M Al-khatib
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1336223247
PECOS PAC ID: 1759405764
Enrollment ID: I20100827000384
Provider NameMitchell E Horwitz
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1710040589
PECOS PAC ID: 5092839043
Enrollment ID: I20100828000054
Provider NameJeffrey Arthur Dvergsten
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871521443
PECOS PAC ID: 3173554136
Enrollment ID: I20100830000673
Provider NamePeter B Bressler
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1972583656
PECOS PAC ID: 6608825807
Enrollment ID: I20100901000765
Provider NameJames A Bryan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396798666
PECOS PAC ID: 7517949159
Enrollment ID: I20100902000173
Provider NameKathleen Elizabeth West
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437204419
PECOS PAC ID: 9739203456
Enrollment ID: I20100902000413
Provider NameDaniel B Mark
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1881778769
PECOS PAC ID: 9335263730
Enrollment ID: I20100907000600
Provider NameCheryl A Baker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356430813
PECOS PAC ID: 4183748593
Enrollment ID: I20100907000708
Provider NameRadhika Kalisetti
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1376711713
PECOS PAC ID: 6800910217
Enrollment ID: I20100907000725
Provider NameJames A Blumenthal
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1649353889
PECOS PAC ID: 2466577739
Enrollment ID: I20100910000558
Provider NameJustin A Fowler
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1982645586
PECOS PAC ID: 9739252842
Enrollment ID: I20100913000497
Provider NameSusann L Clifford
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811064389
PECOS PAC ID: 7315062296
Enrollment ID: I20100915000921
Provider NameAndrew Berchuck
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1154349181
PECOS PAC ID: 2769507656
Enrollment ID: I20100915000953
Provider NameBert J Klein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417977513
PECOS PAC ID: 4183749096
Enrollment ID: I20100915001250
Provider NameJames F Hedrick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598785297
PECOS PAC ID: 3971687096
Enrollment ID: I20100916000118
Provider NameAndrew C Peterson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1104871367
PECOS PAC ID: 7911022652
Enrollment ID: I20100917000376
Provider NameAlexander Paraschos
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1184641169
PECOS PAC ID: 6507940624
Enrollment ID: I20100917000640
Provider NameAnne-marie Defranco Telford
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063552834
PECOS PAC ID: 8628193331
Enrollment ID: I20100918000200
Provider NameEdward A Evans
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386708006
PECOS PAC ID: 2264557859
Enrollment ID: I20100920000971
Provider NameJuliann C Hobbs
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1639345267
PECOS PAC ID: 5698891026
Enrollment ID: I20100923000233
Provider NameKelly G Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225283450
PECOS PAC ID: 4385760693
Enrollment ID: I20100923001190
Provider NameMartin H Poleski
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1992889810
PECOS PAC ID: 8820114036
Enrollment ID: I20100924000997
Provider NameVishwanath Hande
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528068004
PECOS PAC ID: 6406972611
Enrollment ID: I20100924001073
Provider NameTodd W Cline
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1386662435
PECOS PAC ID: 9638295850
Enrollment ID: I20100924001142
Provider NameJanice M Massey
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1871677757
PECOS PAC ID: 8123144367
Enrollment ID: I20100925000010
Provider NameDeborah Catherine Koltai
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093899700
PECOS PAC ID: 5496871634
Enrollment ID: I20100925000013
Provider NameAllison K Ross
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407930308
PECOS PAC ID: 3375669518
Enrollment ID: I20100925000047
Provider NameTerry Kim
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760566822
PECOS PAC ID: 3274659412
Enrollment ID: I20100925000057
Provider NameScott D Moore
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902988207
PECOS PAC ID: 2163548306
Enrollment ID: I20100925000073
Provider NameDaniel T Laskowitz
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689758732
PECOS PAC ID: 9335265586
Enrollment ID: I20100925000096
Provider NameJason E Stout
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1548323322
PECOS PAC ID: 9830381300
Enrollment ID: I20101004000429
Provider NamePaul B Rosenberg
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1780768689
PECOS PAC ID: 4284826645
Enrollment ID: I20101005000173
Provider NameTimothy Alan Collins
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699858845
PECOS PAC ID: 1355533464
Enrollment ID: I20101007000986
Provider NameSandhya A Lagoo-deenadayalan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831289040
PECOS PAC ID: 5496947517
Enrollment ID: I20101007001070
Provider NameBurton L Scott
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1477654374
PECOS PAC ID: 1254523376
Enrollment ID: I20101007001131
Provider NameGrace Coddington Thrall
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1548344419
PECOS PAC ID: 8022200153
Enrollment ID: I20101007001203
Provider NameVani R Chilukuri
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346323599
PECOS PAC ID: 2567654692
Enrollment ID: I20101007001225
Provider NameJanet L Mccauley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619042801
PECOS PAC ID: 9537123831
Enrollment ID: I20101008000424
Provider NameDiana B Mcneill
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1316021207
PECOS PAC ID: 5193917185
Enrollment ID: I20101008000640
Provider NameRobin Mathews
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225269921
PECOS PAC ID: 4486662087
Enrollment ID: I20101011000994
Provider NameApril K.s. Salama
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1871744490
PECOS PAC ID: 2961694500
Enrollment ID: I20101014000340
Provider NameBenjamin J Conway
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801926183
PECOS PAC ID: 6305876798
Enrollment ID: I20101014000407
Provider NameDarren S Sessler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073829511
PECOS PAC ID: 8628261294
Enrollment ID: I20101015000598
Provider NameMelissa B Abshire
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205153632
PECOS PAC ID: 6305039884
Enrollment ID: I20101015000828
Provider NameErnest Little Helms
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1437117744
PECOS PAC ID: 5193765071
Enrollment ID: I20101018000578
Provider NameJohn Robert Perfect
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1487717260
PECOS PAC ID: 6002009479
Enrollment ID: I20101018000810
Provider NameLori M Haskins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679885107
PECOS PAC ID: 4880887058
Enrollment ID: I20101020000444
Provider NameKathryn Douglass Walker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275754111
PECOS PAC ID: 4486847472
Enrollment ID: I20101022000470
Provider NameBrooke L Moyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770893430
PECOS PAC ID: 6406049188
Enrollment ID: I20101026001166
Provider NameLawrence H Greenblatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629019971
PECOS PAC ID: 2961696349
Enrollment ID: I20101029000574
Provider NameJill Ann Sablar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134429269
PECOS PAC ID: 9830383934
Enrollment ID: I20101103000092
Provider NameKimberly A Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134298243
PECOS PAC ID: 9133313158
Enrollment ID: I20101103000439
Provider NameSteven D Crowley
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1639261472
PECOS PAC ID: 4486848488
Enrollment ID: I20101103001254
Provider NameRobert F Spurney
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1548351869
PECOS PAC ID: 9638363591
Enrollment ID: I20101104000622
Provider NameCristina Gasparetto
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1730242504
PECOS PAC ID: 3779778519
Enrollment ID: I20101106000029
Provider NameDavid S Pisetsky
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1912089020
PECOS PAC ID: 8921293796
Enrollment ID: I20101108000293
Provider NameAna Maria A Fernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033283643
PECOS PAC ID: 4486849767
Enrollment ID: I20101111001382
Provider NameKevin P Speer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528014081
PECOS PAC ID: 3375521826
Enrollment ID: I20101113000113
Provider NameGwynn D Long
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1114001260
PECOS PAC ID: 8325233471
Enrollment ID: I20101115000611
Provider NameMarvin S Swartz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376627240
PECOS PAC ID: 7618003187
Enrollment ID: I20101122000530
Provider NameDwight D Koeberl
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023192184
PECOS PAC ID: 4183810708
Enrollment ID: I20101122001062
Provider NameLisa G Criscione Schreiber
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1902988181
PECOS PAC ID: 3375739865
Enrollment ID: I20101123000554
Provider NameAnne B Harrington
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205980349
PECOS PAC ID: 3072709278
Enrollment ID: I20101130001199
Provider NameKatherine Lynn Applegate
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336223049
PECOS PAC ID: 3971790494
Enrollment ID: I20101209001129
Provider NamePaul Mosca
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1114935749
PECOS PAC ID: 0648253427
Enrollment ID: I20101210000341
Provider NameTanya E Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184925901
PECOS PAC ID: 7315134798
Enrollment ID: I20101210000672
Provider NameCarolyn E Pizoli
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073769519
PECOS PAC ID: 5890862122
Enrollment ID: I20101210000753
Provider NameScott C Elston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710942016
PECOS PAC ID: 3870781735
Enrollment ID: I20101220001029
Provider NameBetty B Staples
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932283801
PECOS PAC ID: 0345438958
Enrollment ID: I20101227000400
Provider NameMartha Ashley Agee Snyder
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760566624
PECOS PAC ID: 2466640958
Enrollment ID: I20101228000596
Provider NameJoanne F Band
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922181163
PECOS PAC ID: 9335337823
Enrollment ID: I20101228000633
Provider NameJennifer V Rowell
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1093928376
PECOS PAC ID: 0042409989
Enrollment ID: I20110107000854
Provider NameJennifer M Lawson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427111293
PECOS PAC ID: 0648469585
Enrollment ID: I20110107000902
Provider NameElizabeth N Pavlisko
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1275708463
PECOS PAC ID: 0648459891
Enrollment ID: I20110120000684
Provider NameBryant W Stolp
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1104900075
PECOS PAC ID: 2860671427
Enrollment ID: I20110127001161
Provider NameJohn Bright Eck
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1265515415
PECOS PAC ID: 1850570425
Enrollment ID: I20110127001187
Provider NameChetan B Patel
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1730256835
PECOS PAC ID: 2961682810
Enrollment ID: I20110209000551
Provider NamePaul S Jowell
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235213398
PECOS PAC ID: 0941480446
Enrollment ID: I20110215000528
Provider NameMarilyn Jo Telen
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1346399367
PECOS PAC ID: 6305026840
Enrollment ID: I20110215001041
Provider NameMary H Foster
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1356442818
PECOS PAC ID: 3375723844
Enrollment ID: I20110216000108
Provider NameChristopher B Granger
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1295818458
PECOS PAC ID: 7315127800
Enrollment ID: I20110216000342
Provider NameTamrah J Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750684296
PECOS PAC ID: 2466633706
Enrollment ID: I20110221000405
Provider NameKatherine Hansen Kalinowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588964233
PECOS PAC ID: 7719168939
Enrollment ID: I20110222000387
Provider NameSarah E Cook
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1730482290
PECOS PAC ID: 5597946442
Enrollment ID: I20110224000734
Provider NameNicole E Jelesoff
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1376515635
PECOS PAC ID: 6709067671
Enrollment ID: I20110224000939
Provider NameBeatriz B Morris
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861555641
PECOS PAC ID: 7012198716
Enrollment ID: I20110301000751
Provider NameCarolyn L Lekavich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558431387
PECOS PAC ID: 1951582501
Enrollment ID: I20110302000323
Provider NameMagdalena S Sobczyk
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417254673
PECOS PAC ID: 5698957298
Enrollment ID: I20110302000976
Provider NameTamara J Somers
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1245537083
PECOS PAC ID: 3072795269
Enrollment ID: I20110309000469
Provider NameMelissa Erin Judson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629014600
PECOS PAC ID: 5395759963
Enrollment ID: I20110310000650
Provider NameNicole S.c. Heilbron
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1972809572
PECOS PAC ID: 4880876549
Enrollment ID: I20110316001060
Provider NameJames Philmon Hooten
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1194745893
PECOS PAC ID: 2567645252
Enrollment ID: I20110317000354
Provider NameDaniele Marin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407152283
PECOS PAC ID: 8628251220
Enrollment ID: I20110318000648
Provider NameJill Kimesia Burleson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346323581
PECOS PAC ID: 1759564016
Enrollment ID: I20110323000741
Provider NameSean P Montgomery
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629234547
PECOS PAC ID: 9537342852
Enrollment ID: I20110324000337
Provider NameHillary Dolan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407058498
PECOS PAC ID: 4981790193
Enrollment ID: I20110401000225
Provider NameEstela D Field
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1649292590
PECOS PAC ID: 8729979323
Enrollment ID: I20110408000030
Provider NameCindy C Southerland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730481763
PECOS PAC ID: 8820272206
Enrollment ID: I20110408000347
Provider NameStacey L Shields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356525109
PECOS PAC ID: 3971787359
Enrollment ID: I20110408000404
Provider NameMargaret L Eren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538242797
PECOS PAC ID: 3577747492
Enrollment ID: I20110418000380
Provider NameDouglas B Garrison
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1801125091
PECOS PAC ID: 9830374701
Enrollment ID: I20110420000155
Provider NameGowthami M Arepally
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1447349907
PECOS PAC ID: 3577748375
Enrollment ID: I20110420000675
Provider NameSusan D Izatt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356404123
PECOS PAC ID: 9234314345
Enrollment ID: I20110504000384
Provider NameMary L Affronti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437318300
PECOS PAC ID: 3577749043
Enrollment ID: I20110517000920
Provider NameShivanand Lad
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1346408507
PECOS PAC ID: 9032396734
Enrollment ID: I20110607000002
Provider NameMisty B Gainey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396062618
PECOS PAC ID: 0941334387
Enrollment ID: I20110627000459
Provider NameMichael R Harrison
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1760674535
PECOS PAC ID: 8921159294
Enrollment ID: I20110628000707
Provider NameBeverly A Gray
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912199126
PECOS PAC ID: 2466630181
Enrollment ID: I20110629000176
Provider NameDavid B Goldston
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750464913
PECOS PAC ID: 6305024035
Enrollment ID: I20110629000270
Provider NameLaura Blue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538239363
PECOS PAC ID: 2961680384
Enrollment ID: I20110706000413
Provider NameRachel E Dew
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619131372
PECOS PAC ID: 2860670221
Enrollment ID: I20110707000361
Provider NameJason I Koontz
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1386817104
PECOS PAC ID: 3577741867
Enrollment ID: I20110712000009
Provider NameJulius M Wilder
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598924995
PECOS PAC ID: 2062680309
Enrollment ID: I20110712000783
Provider NameEileen K Maziarz
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1801063904
PECOS PAC ID: 7315115656
Enrollment ID: I20110713000013
Provider NameGrace C Mccarthy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1629249511
PECOS PAC ID: 3678741782
Enrollment ID: I20110715000379
Provider NameKanecia O Zimmerman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1477729663
PECOS PAC ID: 7416125539
Enrollment ID: I20110715000487
Provider NameRichard J Chung
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386819795
PECOS PAC ID: 3173664257
Enrollment ID: I20110715000636
Provider NameHung-lun J Hsia
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1992997514
PECOS PAC ID: 3476721515
Enrollment ID: I20110716000007
Provider NameChristian F Mauro
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1699859587
PECOS PAC ID: 9931377967
Enrollment ID: I20110719000348
Provider NameJohn Thomas Mitchell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669670923
PECOS PAC ID: 7113195736
Enrollment ID: I20110726000004
Provider NameJonathan C Routh
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1184601536
PECOS PAC ID: 8426226960
Enrollment ID: I20110727000512
Provider NameHemang Kalpeshkumar Shah
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1932229879
PECOS PAC ID: 2769650175
Enrollment ID: I20110729000016
Provider NameBrandi A Bottiger
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1114131612
PECOS PAC ID: 9739358136
Enrollment ID: I20110801000476
Provider NameXiang S Wang
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1952523037
PECOS PAC ID: 1254492051
Enrollment ID: I20110802000055
Provider NameJustin T Mhoon
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972727659
PECOS PAC ID: 0749459022
Enrollment ID: I20110802000536
Provider NameAlzora L Benjamin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760795728
PECOS PAC ID: 9234308529
Enrollment ID: I20110802000606
Provider NameMatthew Hartwig
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1912174780
PECOS PAC ID: 3678742970
Enrollment ID: I20110802000719
Provider NameAshley Mcbride Mortenson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033403456
PECOS PAC ID: 9133398373
Enrollment ID: I20110804000578
Provider NameJuliessa M Pavon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275709354
PECOS PAC ID: 0840469722
Enrollment ID: I20110810000253
Provider NameZebulon Z Spector
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326208950
PECOS PAC ID: 5092984906
Enrollment ID: I20110810000685
Provider NameKanhka Linthavong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205097748
PECOS PAC ID: 8628247541
Enrollment ID: I20110811000092
Provider NameRichard D Runkle
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1902017320
PECOS PAC ID: 8224207998
Enrollment ID: I20110815000413
Provider NameAnna H Bordelon
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831356716
PECOS PAC ID: 6608929203
Enrollment ID: I20110819000017
Provider NameCatherine A Staton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962660720
PECOS PAC ID: 7214081801
Enrollment ID: I20110823000049
Provider NameTyeasha D Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073800967
PECOS PAC ID: 5294905444
Enrollment ID: I20110826000389
Provider NameAparna S Rege
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558683433
PECOS PAC ID: 5698801298
Enrollment ID: I20110830000000
Provider NameJill Z Stuart
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1114215670
PECOS PAC ID: 6305016296
Enrollment ID: I20110901000364
Provider NameSteven J Shaw
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1922269737
PECOS PAC ID: 8820268550
Enrollment ID: I20110907000805
Provider NameLejla Nml Vajzovic
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1548434921
PECOS PAC ID: 6002086766
Enrollment ID: I20110907001180
Provider NameMichelle Richardson Brownstein
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1346549722
PECOS PAC ID: 6103096896
Enrollment ID: I20110907001562
Provider NameIslam M Othman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700905411
PECOS PAC ID: 6901076694
Enrollment ID: I20110907001583
Provider NameErin L Manning
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1003139049
PECOS PAC ID: 0648396184
Enrollment ID: I20110908001956
Provider NameJames Brennan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1164689105
PECOS PAC ID: 3971773524
Enrollment ID: I20110908002359
Provider NameEdmund H Jooste
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1053365874
PECOS PAC ID: 4385673722
Enrollment ID: I20110909002640
Provider NameKathryn E Gustafson
Provider TypePractitioner - Psychologist Billing Independently
Provider IdentifiersNPI Number: 1326192642
PECOS PAC ID: 7012188642
Enrollment ID: I20110912000438
Provider NameChristina Leanne Ankney
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245523398
PECOS PAC ID: 4385815877
Enrollment ID: I20110913000585
Provider NameRhonda M Merwin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1073778197
PECOS PAC ID: 8123299526
Enrollment ID: I20110915000165
Provider NameMarcus Elijah Babaoff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861650590
PECOS PAC ID: 5294906533
Enrollment ID: I20110919000442
Provider NameRichard C Mather
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598923609
PECOS PAC ID: 8123213030
Enrollment ID: I20110920000010
Provider NameMonique Anderson Starks
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053468918
PECOS PAC ID: 3870764046
Enrollment ID: I20110920000085
Provider NameJustin R Scruggs
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1063615821
PECOS PAC ID: 3274704416
Enrollment ID: I20110920000925
Provider NameBrad M Taicher
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346445400
PECOS PAC ID: 5991976037
Enrollment ID: I20110920000945
Provider NameEun Sil S Hwang
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1154385177
PECOS PAC ID: 5496839573
Enrollment ID: I20110921000847
Provider NameThomas J Vandeven
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1821265380
PECOS PAC ID: 4082885835
Enrollment ID: I20110927000681
Provider NameCharles R Woodard
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1871708636
PECOS PAC ID: 4688707409
Enrollment ID: I20110929000316
Provider NameMatthew A Sparks
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1487754024
PECOS PAC ID: 7719987858
Enrollment ID: I20110929000514
Provider NameCorinne M Linardic
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1609939487
PECOS PAC ID: 7416129044
Enrollment ID: I20111004000424
Provider NameJamie Elizabeth Corbett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629367289
PECOS PAC ID: 4385816958
Enrollment ID: I20111004000839
Provider NameJennifer Turi
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1356404131
PECOS PAC ID: 2062684426
Enrollment ID: I20111006000271
Provider NameAmy R Alger
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1780735886
PECOS PAC ID: 5698840619
Enrollment ID: I20111010000524
Provider NameMelissa A Daubert
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1558553834
PECOS PAC ID: 3476725664
Enrollment ID: I20111012000399
Provider NameSamuel B Adams
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639358617
PECOS PAC ID: 1254504939
Enrollment ID: I20111024000813
Provider NameMary Guhwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033404256
PECOS PAC ID: 3678746385
Enrollment ID: I20111025000453
Provider NameRonald B Laney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396900288
PECOS PAC ID: 5890968549
Enrollment ID: I20111026000050
Provider NameSusanne Meghdadpour
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780747568
PECOS PAC ID: 7012180573
Enrollment ID: I20111027000648
Provider NameJohn Joseph Paat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518944909
PECOS PAC ID: 5799846101
Enrollment ID: I20111027000678
Provider NameNaomi Ornstein Davis
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588943252
PECOS PAC ID: 2769655240
Enrollment ID: I20111027000899
Provider NameNatasha S Akhter
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1992967863
PECOS PAC ID: 7517026149
Enrollment ID: I20111028000474
Provider NameSarah Wolfe
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1952592149
PECOS PAC ID: 2365615804
Enrollment ID: I20111028000648
Provider NameLashaunda R Mcclarty
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023302981
PECOS PAC ID: 3173796356
Enrollment ID: I20111103000489
Provider NameMegan M Maloney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730473570
PECOS PAC ID: 9133392319
Enrollment ID: I20111103000524
Provider NameArleen H Song
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1114014990
PECOS PAC ID: 5799810487
Enrollment ID: I20111111000719
Provider NameScott N Compton
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1649329657
PECOS PAC ID: 7315111069
Enrollment ID: I20111115000887
Provider NameKrista K Ingle
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356576441
PECOS PAC ID: 6305010646
Enrollment ID: I20111122000579
Provider NameMary Thorp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063548915
PECOS PAC ID: 2365617248
Enrollment ID: I20111205000073
Provider NameTammy R Schaeffer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366529729
PECOS PAC ID: 4385819200
Enrollment ID: I20111205000480
Provider NameKena B Sigman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508942277
PECOS PAC ID: 1052586971
Enrollment ID: I20111205000549
Provider NameAugustus Oliver Grant
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1497839302
PECOS PAC ID: 1759556541
Enrollment ID: I20111206000450
Provider NameJohn W Moses
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770646556
PECOS PAC ID: 2668647454
Enrollment ID: I20111206000452
Provider NameMeredith L Muncy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578612594
PECOS PAC ID: 4284809021
Enrollment ID: I20111207000106
Provider NameDonald R. Moede
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023167046
PECOS PAC ID: 7214102979
Enrollment ID: I20111207000450
Provider NameJosephine H Macmang
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861785610
PECOS PAC ID: 0446425136
Enrollment ID: I20111207000785
Provider NameEleonora G Lad
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811150576
PECOS PAC ID: 2466627104
Enrollment ID: I20111208000508
Provider NameMargaret A Mchenry
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346493095
PECOS PAC ID: 6204001837
Enrollment ID: I20111209000714
Provider NameMaryelle H Kiely
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881971224
PECOS PAC ID: 3072788462
Enrollment ID: I20111214000121
Provider NameFletcher L Hartsell
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1720282544
PECOS PAC ID: 2961678735
Enrollment ID: I20111228000286
Provider NameDwight Perry
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1497756688
PECOS PAC ID: 0941368484
Enrollment ID: I20120120000197
Provider NameChristopher Kontos
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104900265
PECOS PAC ID: 0941477640
Enrollment ID: I20120120000493
Provider NameVirginia Kraus
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1013091172
PECOS PAC ID: 6608043336
Enrollment ID: I20120120000831
Provider NameBrent J Theiling
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891901708
PECOS PAC ID: 7113063371
Enrollment ID: I20120130000167
Provider NameEric J Benner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073730958
PECOS PAC ID: 4284891524
Enrollment ID: I20120130000215
Provider NameLawrence Edward Crawford
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932282183
PECOS PAC ID: 9931244936
Enrollment ID: I20120202000462
Provider NameKristal M Riska
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1245516798
PECOS PAC ID: 4688831530
Enrollment ID: I20120203000221
Provider NameElizabeth Wayne Landolfo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669556577
PECOS PAC ID: 5294992996
Enrollment ID: I20120208000543
Provider NameMichael Barry Kastan
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1255334371
PECOS PAC ID: 4688831142
Enrollment ID: I20120210000586
Provider NameObinna O Adibe
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942476692
PECOS PAC ID: 9335213636
Enrollment ID: I20120302000149
Provider NameLyndsey N Prange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568734895
PECOS PAC ID: 6305005372
Enrollment ID: I20120312000000
Provider NameValerie Sabol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205914611
PECOS PAC ID: 3476567066
Enrollment ID: I20120312000079
Provider NameMegan Brissie Sager
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609150879
PECOS PAC ID: 4981863883
Enrollment ID: I20120313000604
Provider NameScott Gallagher
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1932111390
PECOS PAC ID: 6002881075
Enrollment ID: I20120315000488
Provider NameRachel M Reilly
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962623777
PECOS PAC ID: 0941469563
Enrollment ID: I20120316000434
Provider NameSarah Yttri Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609147255
PECOS PAC ID: 1951561497
Enrollment ID: I20120321000181
Provider NameLaura S Porter
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1366714313
PECOS PAC ID: 5496915936
Enrollment ID: I20120321000199
Provider NameLytara Farquharson Baxter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780960997
PECOS PAC ID: 1557521614
Enrollment ID: I20120327000590
Provider NameCarl Lansing Berg
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1144399767
PECOS PAC ID: 7810905213
Enrollment ID: I20120330000336
Provider NameLisa C Muasher
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1740263177
PECOS PAC ID: 1850427378
Enrollment ID: I20120404000921
Provider NameBarbara Keith Walter
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760597132
PECOS PAC ID: 6709047426
Enrollment ID: I20120405000325
Provider NameKevin D Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417232018
PECOS PAC ID: 7416118484
Enrollment ID: I20120418000674
Provider NameKerry K Minor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245508696
PECOS PAC ID: 0648432492
Enrollment ID: I20120424000569
Provider NameDalia Khalifa
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669648044
PECOS PAC ID: 5890958771
Enrollment ID: I20120514000442
Provider NameMashael S Al-hegelan
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1043492960
PECOS PAC ID: 5799948162
Enrollment ID: I20120522001074
Provider NameRita A Deimler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538446356
PECOS PAC ID: 6608039896
Enrollment ID: I20120529000000
Provider NameBrian Joseph Colin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1336306349
PECOS PAC ID: 6204090293
Enrollment ID: I20120601000348
Provider NameNicole R. Guinn
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1598939688
PECOS PAC ID: 3870757842
Enrollment ID: I20120605000005
Provider NameKarthik Raghunathan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1477657344
PECOS PAC ID: 6204937386
Enrollment ID: I20120605000006
Provider NameDaniel B Landi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558596510
PECOS PAC ID: 9436313293
Enrollment ID: I20120607000594
Provider NamePatricia L Mcgugan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891015145
PECOS PAC ID: 5698939320
Enrollment ID: I20120611000015
Provider NameMaire Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093967630
PECOS PAC ID: 7315090016
Enrollment ID: I20120611000596
Provider NameStephen P Bergin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801030507
PECOS PAC ID: 6103080429
Enrollment ID: I20120615000474
Provider NameJennifer L Saullo
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1962613950
PECOS PAC ID: 7618069113
Enrollment ID: I20120618000046
Provider NameCessaly C Summers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346426590
PECOS PAC ID: 0446415467
Enrollment ID: I20120625000735
Provider NameRachel Greenberg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801039847
PECOS PAC ID: 0446415400
Enrollment ID: I20120626000467
Provider NameCharles T Wood
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780828046
PECOS PAC ID: 7517122583
Enrollment ID: I20120626000493
Provider NameAnkoor Shah
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1306024161
PECOS PAC ID: 6204091010
Enrollment ID: I20120628000681
Provider NameMichel Georges Khouri
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1982812129
PECOS PAC ID: 2567627243
Enrollment ID: I20120702000225
Provider NameRebekah W Moehring
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1427210392
PECOS PAC ID: 5092970772
Enrollment ID: I20120702000249
Provider NameTodd Lee Kiefer
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1376710269
PECOS PAC ID: 2860657434
Enrollment ID: I20120705000140
Provider NameMelissa Daluvoy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760657860
PECOS PAC ID: 8325197536
Enrollment ID: I20120709000327
Provider NameNada Kais El Husseini
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1912171398
PECOS PAC ID: 9931364163
Enrollment ID: I20120713000020
Provider NameLance A Roy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013932995
PECOS PAC ID: 6901062058
Enrollment ID: I20120718000493
Provider NameMicheal W Manning
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1790949121
PECOS PAC ID: 8022132836
Enrollment ID: I20120719000605
Provider NameMelanie J Bonner
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316000185
PECOS PAC ID: 8325204274
Enrollment ID: I20120723000397
Provider NameBrad P Novey
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1982702338
PECOS PAC ID: 2264439405
Enrollment ID: I20120724000455
Provider NameGrace Kim
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1093917981
PECOS PAC ID: 9931365210
Enrollment ID: I20120801000296
Provider NameSujay M Kansagra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679790505
PECOS PAC ID: 9830355114
Enrollment ID: I20120801000310
Provider NameKunoor Jain Spangler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1326257478
PECOS PAC ID: 2860648169
Enrollment ID: I20120801000685
Provider NameKevin Shah
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1255508107
PECOS PAC ID: 9234385576
Enrollment ID: I20120802000129
Provider NameJeffrey M Clarke
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1295909034
PECOS PAC ID: 3476709726
Enrollment ID: I20120802000190
Provider NameArif H Kamal
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1417063694
PECOS PAC ID: 4082618012
Enrollment ID: I20120803000811
Provider NameMichael R Abern
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1033377403
PECOS PAC ID: 2567618630
Enrollment ID: I20120806000035
Provider NameRiddhishkumar Shah
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1417184235
PECOS PAC ID: 3274789318
Enrollment ID: I20120806000815
Provider NameSarah Guo Summerville
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265669907
PECOS PAC ID: 5698921575
Enrollment ID: I20120808000651
Provider NameAmanda B Brantley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295091353
PECOS PAC ID: 6507012309
Enrollment ID: I20120810000182
Provider NameMarissa L Carvalho
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649526864
PECOS PAC ID: 2567618382
Enrollment ID: I20120810000357
Provider NameDennis M Abraham
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1972688414
PECOS PAC ID: 9032365630
Enrollment ID: I20120815000162
Provider NameJohn M Reynolds
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1407858343
PECOS PAC ID: 0042300386
Enrollment ID: I20120815000187
Provider NameTung Tran
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1992919567
PECOS PAC ID: 0446406045
Enrollment ID: I20120815000211
Provider NameElsje Harker
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1881805224
PECOS PAC ID: 3072760461
Enrollment ID: I20120820000576
Provider NameAndreas M Staebler
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1568624021
PECOS PAC ID: 6406003847
Enrollment ID: I20120821000053
Provider NameStephen D Jackson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548428964
PECOS PAC ID: 0941457303
Enrollment ID: I20120821000187
Provider NameChristiane H London
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508111345
PECOS PAC ID: 3678720885
Enrollment ID: I20120823000193
Provider NameCharles M Cotten
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588727358
PECOS PAC ID: 0042251936
Enrollment ID: I20120824000233
Provider NameZachary Eric Potter
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558527341
PECOS PAC ID: 9335396209
Enrollment ID: I20120828000630
Provider NameJoanne C Wen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063664993
PECOS PAC ID: 8022265792
Enrollment ID: I20120831000198
Provider NameBrittany B Travars
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558648626
PECOS PAC ID: 4688821259
Enrollment ID: I20120904000659
Provider NameManisha Palta
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1487855664
PECOS PAC ID: 3476701988
Enrollment ID: I20120906000926
Provider NameNarayanan Venkatasubramani
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659469732
PECOS PAC ID: 3375617772
Enrollment ID: I20120907000566
Provider NameOlga G James
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1386819811
PECOS PAC ID: 0840448320
Enrollment ID: I20120907000709
Provider NameWilliam Curtis Eward
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164689006
PECOS PAC ID: 1052569191
Enrollment ID: I20120914000760
Provider NameKhary S Carew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134355456
PECOS PAC ID: 8628226677
Enrollment ID: I20120917000187
Provider NameBeverly M Gregory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992072029
PECOS PAC ID: 4082862016
Enrollment ID: I20120918000250
Provider NameAmy P Stallings
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174726731
PECOS PAC ID: 9133279839
Enrollment ID: I20120918000871
Provider NameMaggie M Stoecker
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1407029770
PECOS PAC ID: 3779731666
Enrollment ID: I20120918000904
Provider NameJacob Schroder
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1699948455
PECOS PAC ID: 8921256637
Enrollment ID: I20120920000598
Provider NameBeth C Herold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770519134
PECOS PAC ID: 5698924280
Enrollment ID: I20120925000274
Provider NameBrent Allen Hanks
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1568639441
PECOS PAC ID: 7719136183
Enrollment ID: I20120927000780
Provider NameJoseph B Borawski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144367780
PECOS PAC ID: 1759530157
Enrollment ID: I20120928000344
Provider NameSuhail K Mithani
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629093109
PECOS PAC ID: 7810990983
Enrollment ID: I20121003000511
Provider NameJorge A Delgado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629099122
PECOS PAC ID: 3375689110
Enrollment ID: I20121005000574
Provider NameSarah Anne Stucke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417202490
PECOS PAC ID: 6204085285
Enrollment ID: I20121008000226
Provider NameLouise L Highley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1952560120
PECOS PAC ID: 6800045899
Enrollment ID: I20121008000402
Provider NameGail A Spiridigliozzi
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033293907
PECOS PAC ID: 2264682715
Enrollment ID: I20121018000837
Provider NameAllethaire M Renninger
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750646733
PECOS PAC ID: 9234380056
Enrollment ID: I20121102000563
Provider NameRichard Brian Pitts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063775054
PECOS PAC ID: 8325299001
Enrollment ID: I20121105000563
Provider NameArese Eady
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285982900
PECOS PAC ID: 3274784962
Enrollment ID: I20121105000651
Provider NameJessica Frost Main
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1679837363
PECOS PAC ID: 2567613961
Enrollment ID: I20121112000728
Provider NameIan Robert Macnaughton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891059069
PECOS PAC ID: 6507017902
Enrollment ID: I20121113000068
Provider NameJudson R Elliott
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669734703
PECOS PAC ID: 1254582471
Enrollment ID: I20121116000557
Provider NameTara L Nixon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053664458
PECOS PAC ID: 5991956013
Enrollment ID: I20121117000129
Provider NameDeb Ashish Bhowmick
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1275696650
PECOS PAC ID: 6406013440
Enrollment ID: I20121119000545
Provider NameZaneta Yeungjoo Strouch
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1982874749
PECOS PAC ID: 5698842318
Enrollment ID: I20121128000157
Provider NameIra Gaines
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881619476
PECOS PAC ID: 1850364324
Enrollment ID: I20121210000500
Provider NameLisa M Whitley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306108527
PECOS PAC ID: 6406009752
Enrollment ID: I20130117000047
Provider NameDavid Powers
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1730169459
PECOS PAC ID: 2365527033
Enrollment ID: I20130129000149
Provider NameBruce J Derrick
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861629925
PECOS PAC ID: 7517111412
Enrollment ID: I20130130000270
Provider NameTess S John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205171642
PECOS PAC ID: 7810132149
Enrollment ID: I20130314000285
Provider NameGuiling Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891033387
PECOS PAC ID: 2769627702
Enrollment ID: I20130322000418
Provider NameJerrold H Levy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1891863429
PECOS PAC ID: 6002098837
Enrollment ID: I20130323000094
Provider NameAnne D Cherry
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1649438094
PECOS PAC ID: 6002051828
Enrollment ID: I20130327000638
Provider NameRachael Bushman Caiola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215277876
PECOS PAC ID: 3274778097
Enrollment ID: I20130327000645
Provider NameElizabeth L Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568713279
PECOS PAC ID: 8022253624
Enrollment ID: I20130403000087
Provider NameCarolyn Beth Patrick
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093065880
PECOS PAC ID: 5193961068
Enrollment ID: I20130419000098
Provider NameAmber D Stohl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598001927
PECOS PAC ID: 0345486841
Enrollment ID: I20130428000002
Provider NameJustin W Markey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780989152
PECOS PAC ID: 0547427452
Enrollment ID: I20130516000517
Provider NameBenjamin A Alman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1073732392
PECOS PAC ID: 8729226865
Enrollment ID: I20130530000547
Provider NameLisa Hughes Lapeze
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972854511
PECOS PAC ID: 4587802657
Enrollment ID: I20130531000092
Provider NameKaren Wierwille Corvin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639102494
PECOS PAC ID: 3577536044
Enrollment ID: I20130607000327
Provider NameAndrew R Spector
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1851556096
PECOS PAC ID: 8224221205
Enrollment ID: I20130612000439
Provider NameKarl Martin Schweitzer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1730346446
PECOS PAC ID: 5890934384
Enrollment ID: I20130612000746
Provider NameSamantha D Schweitzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063758175
PECOS PAC ID: 5991944399
Enrollment ID: I20130614000607
Provider NameStephanie A Eucker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679897474
PECOS PAC ID: 0345489605
Enrollment ID: I20130617000503
Provider NameMatilda W Nicholas
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1730323338
PECOS PAC ID: 7517106578
Enrollment ID: I20130624000288
Provider NameWen-chi Foo
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1740449552
PECOS PAC ID: 9931348810
Enrollment ID: I20130626000061
Provider NameJeff P Vista
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750339883
PECOS PAC ID: 3577456011
Enrollment ID: I20130626000328
Provider NameCarolyn Sears Avery
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1467695486
PECOS PAC ID: 9638318538
Enrollment ID: I20130626000347
Provider NameCraig R Rackley
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1750548400
PECOS PAC ID: 5092955898
Enrollment ID: I20130627000598
Provider NameRobert W Harrison
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457547853
PECOS PAC ID: 3971653270
Enrollment ID: I20130627000844
Provider NameBrian J Ohlendorf
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1154565521
PECOS PAC ID: 0244470748
Enrollment ID: I20130705000123
Provider NamePhilip A Fong
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1366657256
PECOS PAC ID: 4486894581
Enrollment ID: I20130715000222
Provider NameJessica Radford Phares
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447590534
PECOS PAC ID: 6507006475
Enrollment ID: I20130717000663
Provider NameTricia A Koch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760829063
PECOS PAC ID: 6608017520
Enrollment ID: I20130718000502
Provider NameDaniel Lee Gilstrap
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1811100373
PECOS PAC ID: 5799926051
Enrollment ID: I20130729000810
Provider NameSreeja M Natesan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992934384
PECOS PAC ID: 6406097765
Enrollment ID: I20130729000829
Provider NameLiza I Genao
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1508086182
PECOS PAC ID: 4587723713
Enrollment ID: I20130801000047
Provider NameIndia Green Bynum
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538503941
PECOS PAC ID: 1153562244
Enrollment ID: I20130801000498
Provider NameDanielle M Brander
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1144497553
PECOS PAC ID: 0143461673
Enrollment ID: I20130802000041
Provider NameSreekanth Vemulapalli
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104022987
PECOS PAC ID: 8628149036
Enrollment ID: I20130802000098
Provider NameHiba Abouassi
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1063617470
PECOS PAC ID: 6204975279
Enrollment ID: I20130805000613
Provider NameChristoph P Hornik
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1528231974
PECOS PAC ID: 3870735749
Enrollment ID: I20130806000832
Provider NameSudarshan Rajagopal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134391253
PECOS PAC ID: 0143461681
Enrollment ID: I20130807000264
Provider NameSarah S Lewis
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1902072093
PECOS PAC ID: 9830330372
Enrollment ID: I20130807000306
Provider NameGregory L Stonerock
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1124467725
PECOS PAC ID: 0941442743
Enrollment ID: I20130807000449
Provider NameDavid W Jang
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1295995355
PECOS PAC ID: 1052569225
Enrollment ID: I20130812000363
Provider NameCharles D Scales
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1497921175
PECOS PAC ID: 3072791672
Enrollment ID: I20130812000551
Provider NameOluwatoyosi A Onwuemene
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770759854
PECOS PAC ID: 1951543412
Enrollment ID: I20130813000146
Provider NameShannon A Byrne
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1982938064
PECOS PAC ID: 3678715141
Enrollment ID: I20130813000308
Provider NameCrystal C Tyson
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1104002864
PECOS PAC ID: 1850462920
Enrollment ID: I20130820000229
Provider NameElizabeth N Erickson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538485065
PECOS PAC ID: 8527201508
Enrollment ID: I20130821001067
Provider NameLeda Scearce
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1871715920
PECOS PAC ID: 1951544980
Enrollment ID: I20130823000601
Provider NameIngrid Katarina Maple
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629414727
PECOS PAC ID: 4688817638
Enrollment ID: I20130823000746
Provider NameNeel Nikul Kapadia
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871810358
PECOS PAC ID: 8820239619
Enrollment ID: I20130823000766
Provider NameMichael J Allingham
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1285878124
PECOS PAC ID: 1658514625
Enrollment ID: I20130823001043
Provider NameMiles Berger
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1235366253
PECOS PAC ID: 1759524523
Enrollment ID: I20130826000948
Provider NameErica D Taylor
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1720291370
PECOS PAC ID: 7214170984
Enrollment ID: I20130828000149
Provider NameDavid S Vanmater
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1437374584
PECOS PAC ID: 2264675909
Enrollment ID: I20130828001014
Provider NameKyle W Elliott
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710228788
PECOS PAC ID: 1759525991
Enrollment ID: I20130910000336
Provider NameYauheni Anufryienak
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659715597
PECOS PAC ID: 7618111865
Enrollment ID: I20130910000550
Provider NameBrandon A Howard
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1912101841
PECOS PAC ID: 0244474351
Enrollment ID: I20130911000357
Provider NameHeather A Toth
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1649603606
PECOS PAC ID: 1658515770
Enrollment ID: I20130911000430
Provider NameArmando Ramirez
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184849382
PECOS PAC ID: 9537316575
Enrollment ID: I20130912000492
Provider NameScott Lawrence Runyon
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1831356377
PECOS PAC ID: 9739323767
Enrollment ID: I20130913000094
Provider NameJohn T Lemm
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487820833
PECOS PAC ID: 9537303565
Enrollment ID: I20130913000118
Provider NameDaniel Oh
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1821258765
PECOS PAC ID: 1153565932
Enrollment ID: I20130917000586
Provider NameHilary C Bartholomew
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306081997
PECOS PAC ID: 0840434593
Enrollment ID: I20130918000718
Provider NameMichelle B Pavlis
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1104144625
PECOS PAC ID: 3375787641
Enrollment ID: I20130926000755
Provider NameCorey S Bolac
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730322975
PECOS PAC ID: 9234363516
Enrollment ID: I20130930000492
Provider NameTara Chandrasekhar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962663484
PECOS PAC ID: 8325272453
Enrollment ID: I20131003000508
Provider NameAlicia Thomas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528280898
PECOS PAC ID: 5395984918
Enrollment ID: I20131011000519
Provider NameMartha S Aitken
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295174498
PECOS PAC ID: 5698909232
Enrollment ID: I20131014001444
Provider NameSuzanne Dvergsten
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629047089
PECOS PAC ID: 0840383246
Enrollment ID: I20131015000559
Provider NameMarisa C Flores
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720127566
PECOS PAC ID: 4385531144
Enrollment ID: I20131015000660
Provider NameLucy M Schenkman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447494760
PECOS PAC ID: 4587898093
Enrollment ID: I20131015002008
Provider NameJennifer E Dominguez
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487803490
PECOS PAC ID: 7517192958
Enrollment ID: I20131021001020
Provider NameAdam D Devore
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1558560987
PECOS PAC ID: 5698807923
Enrollment ID: I20131021001539
Provider NameAnnabelle N Chua
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1982626370
PECOS PAC ID: 8820018351
Enrollment ID: I20131106001882
Provider NameVanessa T Schroder
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396902466
PECOS PAC ID: 7618103102
Enrollment ID: I20131111000338
Provider NameVivian O Makar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962450478
PECOS PAC ID: 7719113687
Enrollment ID: I20131125000041
Provider NameMaxine L Murray
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1194780346
PECOS PAC ID: 2264446053
Enrollment ID: I20131125000212
Provider NameMeghann Nadine Toilolo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700223450
PECOS PAC ID: 9436385242
Enrollment ID: I20131127001235
Provider NameCrista Walters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649610429
PECOS PAC ID: 5597992016
Enrollment ID: I20131209000344
Provider NameEmily H Sellars
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831527696
PECOS PAC ID: 8921235110
Enrollment ID: I20131213001190
Provider NameHillary Y Yu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093951691
PECOS PAC ID: 9830236926
Enrollment ID: I20131213001414
Provider NameJulie Diana Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770793085
PECOS PAC ID: 5799912929
Enrollment ID: I20131216000472
Provider NameKyne M Wang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962468660
PECOS PAC ID: 7517194434
Enrollment ID: I20131219001944
Provider NameJohn W Sleasman
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1366453201
PECOS PAC ID: 9436204831
Enrollment ID: I20131220001712
Provider NameJames L Abbruzzese
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1134233224
PECOS PAC ID: 0345238325
Enrollment ID: I20131226001530
Provider NameRebecca B Thomas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164861118
PECOS PAC ID: 1557598273
Enrollment ID: I20131227001880
Provider NameRichard D Lopez
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1215961883
PECOS PAC ID: 4284806498
Enrollment ID: I20140108000118
Provider NameJessica E Salyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194154328
PECOS PAC ID: 5991933194
Enrollment ID: I20140115001370
Provider NameGeraldine Dawson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437456407
PECOS PAC ID: 8628207206
Enrollment ID: I20140130000684
Provider NameElizabeth W Mosley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710326608
PECOS PAC ID: 9032348586
Enrollment ID: I20140204001167
Provider NameNicole R Peralta
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457590044
PECOS PAC ID: 4082771357
Enrollment ID: I20140213001552
Provider NameTalal I Mousallem
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487812749
PECOS PAC ID: 7517197379
Enrollment ID: I20140224001149
Provider NameTimothy James Amrhein
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295900249
PECOS PAC ID: 7719134915
Enrollment ID: I20140305001013
Provider NameJanel L Solanki
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861649022
PECOS PAC ID: 2769559251
Enrollment ID: I20140320002133
Provider NameElizabeth M Zechinati
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093138802
PECOS PAC ID: 7113158841
Enrollment ID: I20140324000209
Provider NameJayson Mark Michnowicz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811329816
PECOS PAC ID: 7810129491
Enrollment ID: I20140414001018
Provider NameBrittany Joelle Chapman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831511575
PECOS PAC ID: 4385876788
Enrollment ID: I20140417002040
Provider NameAnnemarie Thompson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487741591
PECOS PAC ID: 7416085550
Enrollment ID: I20140505000005
Provider NameJames M Davis
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1326006974
PECOS PAC ID: 0042287369
Enrollment ID: I20140505000965
Provider NameCaitlin J Curtis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437573656
PECOS PAC ID: 0749413375
Enrollment ID: I20140505002234
Provider NameXiaoyin Jiang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1457594517
PECOS PAC ID: 2264655604
Enrollment ID: I20140603001722
Provider NameFay J Tripp
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437430493
PECOS PAC ID: 5092938464
Enrollment ID: I20140604000070
Provider NameLars J Grimm
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619110624
PECOS PAC ID: 5496979825
Enrollment ID: I20140605000147
Provider NameEun Lee Langman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881821494
PECOS PAC ID: 0244454510
Enrollment ID: I20140609000307
Provider NameRobert J Mentz
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1669670790
PECOS PAC ID: 8628292166
Enrollment ID: I20140624000803
Provider NameShelley R Mcdonald
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1922205517
PECOS PAC ID: 6103918545
Enrollment ID: I20140624001180
Provider NameNicholas Said
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1912169004
PECOS PAC ID: 3072753334
Enrollment ID: I20140626001214
Provider NameGrace M Lee
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1609092154
PECOS PAC ID: 9537212816
Enrollment ID: I20140626001808
Provider NameJustin A Crocker
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447410394
PECOS PAC ID: 9335376102
Enrollment ID: I20140626002395
Provider NameLindsay A Rein
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457526659
PECOS PAC ID: 7416172853
Enrollment ID: I20140627001055
Provider NameAndrea G Udani
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1780828970
PECOS PAC ID: 6709001852
Enrollment ID: I20140702002180
Provider NameLaura C Page
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669762548
PECOS PAC ID: 4789809831
Enrollment ID: I20140702002250
Provider NameKarissa Gable
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1801028790
PECOS PAC ID: 7517101439
Enrollment ID: I20140707001919
Provider NameOmobonike O Oloruntoba
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1548586977
PECOS PAC ID: 4981829975
Enrollment ID: I20140708000344
Provider NameDavid I Ortiz Melo
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1306046776
PECOS PAC ID: 3375693203
Enrollment ID: I20140708000556
Provider NameSaritha M Vermeer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1699907519
PECOS PAC ID: 6204051212
Enrollment ID: I20140708001000
Provider NameDavid Andrew D Alessio
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871558817
PECOS PAC ID: 5193617140
Enrollment ID: I20140709001892
Provider NameAnkeet D Udani
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689807331
PECOS PAC ID: 0143466953
Enrollment ID: I20140710002284
Provider NameJoseph G Mammarappallil
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659514727
PECOS PAC ID: 2264657980
Enrollment ID: I20140711002041
Provider NameJennifer I Morales
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1487940300
PECOS PAC ID: 6002031739
Enrollment ID: I20140712000006
Provider NameElisabeth T Tracy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174797963
PECOS PAC ID: 2466677117
Enrollment ID: I20140714000532
Provider NameDilraj S Grewal
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437460656
PECOS PAC ID: 6709001456
Enrollment ID: I20140714000675
Provider NameJoann J Liu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215995899
PECOS PAC ID: 7719872910
Enrollment ID: I20140714001121
Provider NameKeri A Seymour
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1952565665
PECOS PAC ID: 6305061995
Enrollment ID: I20140716000992
Provider NameMatthew G Rein
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1134393200
PECOS PAC ID: 4789800152
Enrollment ID: I20140721000333
Provider NameWilliam S Yancy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598851974
PECOS PAC ID: 1759507023
Enrollment ID: I20140722001636
Provider NameRichard J Noel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1891747507
PECOS PAC ID: 3476502600
Enrollment ID: I20140729001345
Provider NameKrista L Lebron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922429000
PECOS PAC ID: 1951527811
Enrollment ID: I20140729002841
Provider NameJessica Tripp Page
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427485960
PECOS PAC ID: 5597981407
Enrollment ID: I20140730001453
Provider NameRebecca L Donohoe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811287774
PECOS PAC ID: 9830316231
Enrollment ID: I20140807002668
Provider NameAlexander C Allori
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1316948532
PECOS PAC ID: 9133362858
Enrollment ID: I20140812000319
Provider NameElizabeth S Umar
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134532526
PECOS PAC ID: 3274750468
Enrollment ID: I20140812001579
Provider NameSarah Dotters Katz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770808537
PECOS PAC ID: 6901023126
Enrollment ID: I20140812002588
Provider NamePinar Gumus Balikcioglu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619269537
PECOS PAC ID: 7214154343
Enrollment ID: I20140813000390
Provider NameSamuel J Francis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891086781
PECOS PAC ID: 2466679592
Enrollment ID: I20140813000531
Provider NameLu W Adams
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1295052348
PECOS PAC ID: 5092932194
Enrollment ID: I20140813002853
Provider NameJennifer Elaine Oxley
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1730501792
PECOS PAC ID: 0648497669
Enrollment ID: I20140814000814
Provider NamePeter E Fecci
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1245435858
PECOS PAC ID: 8123285301
Enrollment ID: I20140818001002
Provider NameCoral Xantia Giovacchini
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1598081986
PECOS PAC ID: 6103043930
Enrollment ID: I20140818002763
Provider NameBenjamin F Redmon
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1457671711
PECOS PAC ID: 2466679253
Enrollment ID: I20140819002143
Provider NameTeah M Bayless
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346567468
PECOS PAC ID: 2668690173
Enrollment ID: I20140825002801
Provider NameYubin Kang
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1205046927
PECOS PAC ID: 3072647650
Enrollment ID: I20140828000171
Provider NameCandace Parks Passaro
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457763245
PECOS PAC ID: 3678791944
Enrollment ID: I20140828000306
Provider NameNiharika B Mettu
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1447427737
PECOS PAC ID: 2264650399
Enrollment ID: I20140902001132
Provider NameMelissa Maria Erickson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1730356056
PECOS PAC ID: 2466622717
Enrollment ID: I20140910001058
Provider NameJessica A K Shields
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427475839
PECOS PAC ID: 9032338637
Enrollment ID: I20140912002053
Provider NameElizabeth B Malinzak
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1194967497
PECOS PAC ID: 6608095187
Enrollment ID: I20140916000105
Provider NameKamrooz Ghadimi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346510682
PECOS PAC ID: 5092982579
Enrollment ID: I20140917001304
Provider NameAllan Douglas Kirk
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306925409
PECOS PAC ID: 2961594247
Enrollment ID: I20140919000889
Provider NameDorothy Anna Sipkins
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1225191737
PECOS PAC ID: 5890701627
Enrollment ID: I20140919002242
Provider NameMarlo Reyleen Watson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285982124
PECOS PAC ID: 0143449207
Enrollment ID: I20140923000323
Provider NameRichard Joseph Obrien
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346297306
PECOS PAC ID: 5991836579
Enrollment ID: I20140924000721
Provider NameJeffrey Ward Cooney
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1235450396
PECOS PAC ID: 9931328127
Enrollment ID: I20140926000816
Provider NameCasey Bayliss Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285041053
PECOS PAC ID: 4688894561
Enrollment ID: I20140926000967
Provider NameKristin Schroeder
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376747105
PECOS PAC ID: 1254551153
Enrollment ID: I20140926001719
Provider NameJeffrey C Gadsden
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1376605063
PECOS PAC ID: 4587767579
Enrollment ID: I20141001000668
Provider NameNeel G Thomas
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1457671901
PECOS PAC ID: 0143440875
Enrollment ID: I20141001001308
Provider NameJennifer D Stromberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164748166
PECOS PAC ID: 0749414241
Enrollment ID: I20141014002088
Provider NameChristina Zapko Page
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306252242
PECOS PAC ID: 6103047238
Enrollment ID: I20141014002389
Provider NameKeisha-gaye N O'garo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1639378672
PECOS PAC ID: 3870714827
Enrollment ID: I20141016001624
Provider NameHakim Azfar Ali
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1942412416
PECOS PAC ID: 8325107840
Enrollment ID: I20141017000761
Provider NameJon F Faigle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851791107
PECOS PAC ID: 0244451144
Enrollment ID: I20141017001085
Provider NameElizabeth M Rooney
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1942619960
PECOS PAC ID: 3971724808
Enrollment ID: I20141017002325
Provider NameAnn M Reed
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1437129491
PECOS PAC ID: 9830143593
Enrollment ID: I20141103002176
Provider NameSana Arif
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1326201724
PECOS PAC ID: 0941443816
Enrollment ID: I20141105000719
Provider NameJeremiah J Olivas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477969616
PECOS PAC ID: 7618199035
Enrollment ID: I20141119000301
Provider NameAfreen I Shariff
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1699061796
PECOS PAC ID: 8921320953
Enrollment ID: I20141202002479
Provider NameWuwei Feng
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1497836076
PECOS PAC ID: 9739358433
Enrollment ID: I20141203001899
Provider NameMelody Anita Baldwin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043536907
PECOS PAC ID: 6204158942
Enrollment ID: I20141208000623
Provider NameYeshu Conn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235547241
PECOS PAC ID: 4688996341
Enrollment ID: I20141208001438
Provider NameLinda Carime Cendales
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1396937561
PECOS PAC ID: 5092873588
Enrollment ID: I20141212002055
Provider NameAnthony D Sung
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1639345796
PECOS PAC ID: 0042533457
Enrollment ID: I20141216000405
Provider NameRhiann V. M. Del Valle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548696784
PECOS PAC ID: 4284853755
Enrollment ID: I20141216001893
Provider NameAbigail M Jones
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144646134
PECOS PAC ID: 0547583411
Enrollment ID: I20141229001419
Provider NameDaniel J Friedman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316267883
PECOS PAC ID: 4183885510
Enrollment ID: I20141230000040
Provider NameBrandi N Snow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649685785
PECOS PAC ID: 1355664012
Enrollment ID: I20150105000530
Provider NameKristen K Mcmillan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518382332
PECOS PAC ID: 3476876020
Enrollment ID: I20150106001978
Provider NameKasey A Savage
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770903247
PECOS PAC ID: 9032433164
Enrollment ID: I20150121000926
Provider NameChristine S Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053714006
PECOS PAC ID: 1153645106
Enrollment ID: I20150121001979
Provider NameJoan Jasien
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881865566
PECOS PAC ID: 4688824634
Enrollment ID: I20150127001879
Provider NameBrittany A Davidson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245469162
PECOS PAC ID: 5294059903
Enrollment ID: I20150128000621
Provider NameJessica L Poisson
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1518128511
PECOS PAC ID: 5294961033
Enrollment ID: I20150129002242
Provider NamePadma R Kamineni
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1275575615
PECOS PAC ID: 4688691439
Enrollment ID: I20150210001950
Provider NameAudrey Eh Metz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316237118
PECOS PAC ID: 8224353008
Enrollment ID: I20150219001441
Provider NameHeather Jean Hastings
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962703751
PECOS PAC ID: 6103009758
Enrollment ID: I20150226000495
Provider NameThomas L Novick
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518993674
PECOS PAC ID: 1052637428
Enrollment ID: I20150302000832
Provider NameThorsten M Seyler
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1801022520
PECOS PAC ID: 5395061592
Enrollment ID: I20150305002244
Provider NameRegenia Hubbard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952654311
PECOS PAC ID: 4981920964
Enrollment ID: I20150310002192
Provider NameDanielle E Range
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1962587980
PECOS PAC ID: 4082613880
Enrollment ID: I20150316002034
Provider NameEhimemen O Iboaya
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1083626402
PECOS PAC ID: 7810166105
Enrollment ID: I20150318002000
Provider NameStuart J Knechtle
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1013971670
PECOS PAC ID: 2668548868
Enrollment ID: I20150324001043
Provider NameKendra Joy Modell Parrish
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629259254
PECOS PAC ID: 8325296080
Enrollment ID: I20150324001775
Provider NameTricia E Fuller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093909418
PECOS PAC ID: 3678658887
Enrollment ID: I20150324001786
Provider NameJennifer J Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760888770
PECOS PAC ID: 8224355482
Enrollment ID: I20150326002248
Provider NameJulie Elizabeth Rockefeller
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1184811663
PECOS PAC ID: 4587981774
Enrollment ID: I20150327000783
Provider NameJennifer I Sherwin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053602805
PECOS PAC ID: 5597082685
Enrollment ID: I20150330001934
Provider NameKristen V Dicks
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235372822
PECOS PAC ID: 7315265584
Enrollment ID: I20150420001100
Provider NameLauren Franz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083880934
PECOS PAC ID: 6103144399
Enrollment ID: I20150420001574
Provider NameMindi Holt Ramsey
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1962893164
PECOS PAC ID: 4981922192
Enrollment ID: I20150420002192
Provider NameRachel E Aiello
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1700286010
PECOS PAC ID: 5991023087
Enrollment ID: I20150422000863
Provider NameDhanesh Kumar Gupta
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1245294479
PECOS PAC ID: 7214931260
Enrollment ID: I20150427002505
Provider NameCharlene Lillian James
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386873917
PECOS PAC ID: 9032393913
Enrollment ID: I20150508000487
Provider NameKenneth Gregory Morris
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770665804
PECOS PAC ID: 2769702570
Enrollment ID: I20150519001309
Provider NameValerie A Keck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952794505
PECOS PAC ID: 2365763554
Enrollment ID: I20150529002076
Provider NameChristopher Eckstein
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1003023201
PECOS PAC ID: 4183818925
Enrollment ID: I20150601001851
Provider NameLaura A Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649677931
PECOS PAC ID: 4587985494
Enrollment ID: I20150603003154
Provider NameEmma C Rossi
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1215198080
PECOS PAC ID: 3678744190
Enrollment ID: I20150605001117
Provider NameSarit Vaserman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154725604
PECOS PAC ID: 9234440165
Enrollment ID: I20150618003058
Provider NameArmando D Bedoya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285924563
PECOS PAC ID: 6406167246
Enrollment ID: I20150619000545
Provider NameLaura K Overton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366838047
PECOS PAC ID: 1850602319
Enrollment ID: I20150624002284
Provider NamePhilip H Spotts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619932795
PECOS PAC ID: 0648329003
Enrollment ID: I20150630001615
Provider NameJoshua P Spaete
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1730342239
PECOS PAC ID: 1951613140
Enrollment ID: I20150630002621
Provider NameShaina Rose Eckhouse
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164683025
PECOS PAC ID: 3072734599
Enrollment ID: I20150701001223
Provider NameMichael Harris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497012751
PECOS PAC ID: 6002128170
Enrollment ID: I20150701002358
Provider NameRebecca Lynne Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215330121
PECOS PAC ID: 8527370618
Enrollment ID: I20150701002822
Provider NameMatthew William Luedke
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1144541541
PECOS PAC ID: 6507178449
Enrollment ID: I20150706002277
Provider NameJohn Roberts
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1912149931
PECOS PAC ID: 4587976485
Enrollment ID: I20150707001291
Provider NameMichael R Pietak
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1811209406
PECOS PAC ID: 0345552196
Enrollment ID: I20150707003193
Provider NameChristopher J Hostler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174812432
PECOS PAC ID: 7012229891
Enrollment ID: I20150708000599
Provider NameStacey T Allred
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740677277
PECOS PAC ID: 4385956853
Enrollment ID: I20150713000625
Provider NameSean D Pokorney
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1124282413
PECOS PAC ID: 9739492380
Enrollment ID: I20150724012074
Provider NameTalal Dahhan
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1730410234
PECOS PAC ID: 3678887122
Enrollment ID: I20150729006678
Provider NameCarly Elizabeth Kelley
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1447494281
PECOS PAC ID: 2961716840
Enrollment ID: I20150805009331
Provider NameRebecca Y Klinger
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063738763
PECOS PAC ID: 7719292358
Enrollment ID: I20150812006474
Provider NameTina D Tailor
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225352982
PECOS PAC ID: 1850606427
Enrollment ID: I20150812007416
Provider NameErin H Weant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740619584
PECOS PAC ID: 5193941565
Enrollment ID: I20150813009781
Provider NameAlexandra Megan Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720472400
PECOS PAC ID: 1254646078
Enrollment ID: I20150821014114
Provider NamePatrick J Codd
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1770742314
PECOS PAC ID: 8527226307
Enrollment ID: I20150821014163
Provider NameBrian D Lewis
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053507731
PECOS PAC ID: 9931364460
Enrollment ID: I20150824000747
Provider NameMaryellen S Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609181254
PECOS PAC ID: 5294929964
Enrollment ID: I20150825005437
Provider NameDaniel J Rocke
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1851534317
PECOS PAC ID: 1456667096
Enrollment ID: I20150827002625
Provider NameDeborah Ballard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619364411
PECOS PAC ID: 9830405208
Enrollment ID: I20150831001585
Provider NameKimberly Ann Bagley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194106989
PECOS PAC ID: 4880900141
Enrollment ID: I20150901001341
Provider NameJ Todd Purves
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1952508947
PECOS PAC ID: 8527135904
Enrollment ID: I20150909002939
Provider NameDavid A Leiman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1558596403
PECOS PAC ID: 6103133046
Enrollment ID: I20150909003349
Provider NameJoseph A Camarato
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306107883
PECOS PAC ID: 7810139896
Enrollment ID: I20150915000220
Provider NameArturo Suarez
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1619106036
PECOS PAC ID: 4385669878
Enrollment ID: I20150916002263
Provider NameAndrea S Senter
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467778241
PECOS PAC ID: 5395052609
Enrollment ID: I20150918002531
Provider NameDaniel Douglas Kovacs
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1649590217
PECOS PAC ID: 5890912802
Enrollment ID: I20150921001444
Provider NameRebecca S Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831581610
PECOS PAC ID: 3274840228
Enrollment ID: I20150923002297
Provider NameXi Chen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144515834
PECOS PAC ID: 9638332265
Enrollment ID: I20150924002283
Provider NameLindsay Y King
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1013054477
PECOS PAC ID: 3971655523
Enrollment ID: I20150924002528
Provider NameBrian R Kincaid
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912223488
PECOS PAC ID: 4183932130
Enrollment ID: I20150924002758
Provider NameReid C Chamberlain
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053677286
PECOS PAC ID: 0143538066
Enrollment ID: I20150925002416
Provider NameRobert I Mccaslin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164472536
PECOS PAC ID: 0648203877
Enrollment ID: I20150928000535
Provider NameJayanth R Doss
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1699936302
PECOS PAC ID: 3274701370
Enrollment ID: I20150928002036
Provider NameAndrea Szematowicz Hartzell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770966764
PECOS PAC ID: 8224346028
Enrollment ID: I20150928002494
Provider NameDivakar Gupta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225353626
PECOS PAC ID: 1658595988
Enrollment ID: I20150928003003
Provider NameCerrone A Cohen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619297579
PECOS PAC ID: 7315255163
Enrollment ID: I20150929001108
Provider NameMichelle M Schneider
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1568762003
PECOS PAC ID: 7517275274
Enrollment ID: I20150929001777
Provider NameAndrada Delia Neacsiu
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295857761
PECOS PAC ID: 8820306582
Enrollment ID: I20150929002044
Provider NameMatthew Ramseur Mcdaniel
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1043535651
PECOS PAC ID: 3971728031
Enrollment ID: I20151002002469
Provider NameRichard Andrew Krasuski
Provider TypePractitioner - Adult Congenital Heart Disease (achd)
Provider IdentifiersNPI Number: 1205921954
PECOS PAC ID: 8628009909
Enrollment ID: I20151006002195
Provider NameNicola M Kim
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1194815688
PECOS PAC ID: 0840326385
Enrollment ID: I20151006002341
Provider NameLaura Nasrallah Doss
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518193838
PECOS PAC ID: 9032427281
Enrollment ID: I20151007003010
Provider NameJohn Patrick Hemming
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649412016
PECOS PAC ID: 9931355021
Enrollment ID: I20151012000711
Provider NameElizabeth L Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487886776
PECOS PAC ID: 0143344325
Enrollment ID: I20151013001461
Provider NameDeesha Mago-shah
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760772768
PECOS PAC ID: 7810206810
Enrollment ID: I20151013002272
Provider NameYasmin Maisonave
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1881902856
PECOS PAC ID: 7113236928
Enrollment ID: I20151019000602
Provider NameRobert K Lewis
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1164542221
PECOS PAC ID: 3173743887
Enrollment ID: I20151019000667
Provider NameBethany E Beasley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679868020
PECOS PAC ID: 3072750637
Enrollment ID: I20151019000877
Provider NameErin R Leiman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1154584159
PECOS PAC ID: 8820266810
Enrollment ID: I20151019002450
Provider NameKaren A.s. Chachu
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871727396
PECOS PAC ID: 6507175247
Enrollment ID: I20151021000689
Provider NameHarvey G Moore
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1154359354
PECOS PAC ID: 4385609841
Enrollment ID: I20151021002619
Provider NameCory Vatsaas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538317565
PECOS PAC ID: 8729233093
Enrollment ID: I20151023000246
Provider NameHannah E Heet
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1720403975
PECOS PAC ID: 7315256757
Enrollment ID: I20151026000733
Provider NameBrian Keith Hinchman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588710669
PECOS PAC ID: 6103823588
Enrollment ID: I20151028002023
Provider NameAnnunziato Amendola
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1043202419
PECOS PAC ID: 4880653047
Enrollment ID: I20151028003047
Provider NameElizabeth A Nichols
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1508158528
PECOS PAC ID: 2668612425
Enrollment ID: I20151029001560
Provider NameNeil D Ray
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1932419116
PECOS PAC ID: 6406087642
Enrollment ID: I20151102001053
Provider NameYuriy S Bronshteyn
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1477873842
PECOS PAC ID: 3072789973
Enrollment ID: I20151113000416
Provider NameJaclyn M White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477920247
PECOS PAC ID: 3870803232
Enrollment ID: I20151116000349
Provider NameMonica E Lemmon
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1144463993
PECOS PAC ID: 9739338112
Enrollment ID: I20151116001682
Provider NameMichael T Stang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1285830604
PECOS PAC ID: 7214002872
Enrollment ID: I20151118001687
Provider NameChristopher L Holley
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1033246764
PECOS PAC ID: 8921107491
Enrollment ID: I20151123000270
Provider NameCatherine F Sellers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790160745
PECOS PAC ID: 8527368448
Enrollment ID: I20151128000012
Provider NameMcallister Windom
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003172321
PECOS PAC ID: 8022318831
Enrollment ID: I20151201001192
Provider NameSameer S Kamath
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1205040813
PECOS PAC ID: 4789754425
Enrollment ID: I20151204000557
Provider NameHuiwen B Xie
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1760412662
PECOS PAC ID: 5698756294
Enrollment ID: I20151207002870
Provider NameLashonda H Means
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821465998
PECOS PAC ID: 8224339650
Enrollment ID: I20151209000789
Provider NameWilliam M Bullock
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407172455
PECOS PAC ID: 5092016287
Enrollment ID: I20151211001652
Provider NameAndrew Randall Newsome
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366823726
PECOS PAC ID: 1850692054
Enrollment ID: I20151211002407
Provider NameRegina E Balgowan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871995563
PECOS PAC ID: 5496056699
Enrollment ID: I20151211002423
Provider NameLynnetta M Shoop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255728200
PECOS PAC ID: 8820399033
Enrollment ID: I20151214000038
Provider NameJohn J Poggi
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1083692396
PECOS PAC ID: 2567556871
Enrollment ID: I20151214002714
Provider NameTricia Lynn Taylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982072286
PECOS PAC ID: 0749581841
Enrollment ID: I20151215000573
Provider NameMaggie M Sweitzer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1619348315
PECOS PAC ID: 1052612181
Enrollment ID: I20151215001713
Provider NameSarah H Dawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124402508
PECOS PAC ID: 8628379369
Enrollment ID: I20151222000917
Provider NameLesley Cutler Hodges
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164802849
PECOS PAC ID: 3678874377
Enrollment ID: I20151222002925
Provider NameAnne Marie Harbour-tonn
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1588713044
PECOS PAC ID: 8325349921
Enrollment ID: I20151228001214
Provider NameElizabeth Innes Deans Thomason
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205068723
PECOS PAC ID: 1456599356
Enrollment ID: I20160105001533
Provider NameTonya Michelle Jolly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073745444
PECOS PAC ID: 8729380829
Enrollment ID: I20160106002147
Provider NameShelly G Kutchma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790054468
PECOS PAC ID: 7315249430
Enrollment ID: I20160106002650
Provider NameRavi K Jasti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144649146
PECOS PAC ID: 3476855412
Enrollment ID: I20160107000734
Provider NameScott R Floyd
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1699746974
PECOS PAC ID: 6608976626
Enrollment ID: I20160107001985
Provider NameSarah E Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326374208
PECOS PAC ID: 3173748050
Enrollment ID: I20160112001938
Provider NameJiaoti Huang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1518987965
PECOS PAC ID: 9537263322
Enrollment ID: I20160204000908
Provider NameChristina Dennis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508140179
PECOS PAC ID: 5698079812
Enrollment ID: I20160209001991
Provider NameRoman T Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407101868
PECOS PAC ID: 1355566068
Enrollment ID: I20160219001903
Provider NamePaula Suzanne Kennedy-newton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235500893
PECOS PAC ID: 9830494277
Enrollment ID: I20160224000156
Provider NameAshley Darroch Neville
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669847489
PECOS PAC ID: 0840595898
Enrollment ID: I20160229002097
Provider NameElda Lambert Fisher
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1306042122
PECOS PAC ID: 9830494723
Enrollment ID: I20160302000765
Provider NameBenita Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780056390
PECOS PAC ID: 4880990696
Enrollment ID: I20160303002523
Provider NameStacy Cowherd Telloni
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1922241165
PECOS PAC ID: 4082910831
Enrollment ID: I20160304001175
Provider NameStacy Marie Head
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770598203
PECOS PAC ID: 6507162278
Enrollment ID: I20160307000115
Provider NameRayleen Cassidy Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407276751
PECOS PAC ID: 3274839931
Enrollment ID: I20160308000174
Provider NameChristopher Brice Boelter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821463167
PECOS PAC ID: 8022314525
Enrollment ID: I20160309001744
Provider NameJames E Knutson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1144485707
PECOS PAC ID: 9335381870
Enrollment ID: I20160311002022
Provider NameCherese S Infinito
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1780092601
PECOS PAC ID: 0941507909
Enrollment ID: I20160318001383
Provider NameKatherine Elizabeth Prince
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871967919
PECOS PAC ID: 5294032108
Enrollment ID: I20160321000817
Provider NameAnn Renee Collier
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1891863411
PECOS PAC ID: 4587766506
Enrollment ID: I20160322000511
Provider NameIrene Galang Abella
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1912371162
PECOS PAC ID: 0143527697
Enrollment ID: I20160328001652
Provider NameHeather H Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497072169
PECOS PAC ID: 8426355934
Enrollment ID: I20160329001496
Provider NameLauren N Heinz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881035269
PECOS PAC ID: 4789809583
Enrollment ID: I20160408001272
Provider NameRachel Ann Miller
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1720076250
PECOS PAC ID: 4284761156
Enrollment ID: I20160412002867
Provider NameEunjin Lynn Park
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407226749
PECOS PAC ID: 5294033593
Enrollment ID: I20160420001445
Provider NameColette Swevia Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063796340
PECOS PAC ID: 0941442867
Enrollment ID: I20160426000134
Provider NameJennifer L Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710304886
PECOS PAC ID: 5890910673
Enrollment ID: I20160502002064
Provider NameArthur Wakefield Baker
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1730347139
PECOS PAC ID: 6305023896
Enrollment ID: I20160519000087
Provider NameCaitlyn Mooneyham Gallagher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104271030
PECOS PAC ID: 7315236064
Enrollment ID: I20160519000107
Provider NameAparna Chandra Swaminathan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235496282
PECOS PAC ID: 8729377411
Enrollment ID: I20160519001307
Provider NameJaclyn Horne Dobbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477914000
PECOS PAC ID: 6204125925
Enrollment ID: I20160519002104
Provider NameGregory E Alexander
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376536318
PECOS PAC ID: 9436131992
Enrollment ID: I20160523002687
Provider NameKristen Marie Stefureac
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720442429
PECOS PAC ID: 8628367109
Enrollment ID: I20160524000006
Provider NameMatthew Robert Kappus
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235365297
PECOS PAC ID: 0648428953
Enrollment ID: I20160525002175
Provider NameAmit Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1730400268
PECOS PAC ID: 1254560782
Enrollment ID: I20160602000020
Provider NameJordan Mckenzie-solis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003270042
PECOS PAC ID: 4385934082
Enrollment ID: I20160609000014
Provider NameAlyson Mcghan Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962778118
PECOS PAC ID: 6800186511
Enrollment ID: I20160609000429
Provider NameJennifer Rymer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134410566
PECOS PAC ID: 2961792510
Enrollment ID: I20160609001901
Provider NameSarah L Tallent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528408929
PECOS PAC ID: 2567752025
Enrollment ID: I20160613000863
Provider NameChristian Blake Cameron
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1245556877
PECOS PAC ID: 8022311166
Enrollment ID: I20160614002272
Provider NameSidney M Gospe
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790048155
PECOS PAC ID: 3971894106
Enrollment ID: I20160620001195
Provider NameJames Spencer Clayton Ronald
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1417262080
PECOS PAC ID: 6305137969
Enrollment ID: I20160629000821
Provider NameEileen T Chambers
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952437501
PECOS PAC ID: 6103924402
Enrollment ID: I20160706001669
Provider NameAutumn Kirsten Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073931168
PECOS PAC ID: 2961794235
Enrollment ID: I20160706001899
Provider NameErik F Hauck
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1952505521
PECOS PAC ID: 2163559592
Enrollment ID: I20160707000042
Provider NameMargareta Ann Montoya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629424858
PECOS PAC ID: 9436441318
Enrollment ID: I20160713002167
Provider NameLisa Gooding Foxworth
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598119851
PECOS PAC ID: 9830481720
Enrollment ID: I20160713002316
Provider NameGregory Daniel Brown
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1881984094
PECOS PAC ID: 0244522043
Enrollment ID: I20160715000253
Provider NameJames William Wisler
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922242882
PECOS PAC ID: 6800188525
Enrollment ID: I20160715001290
Provider NameIan C Lee
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1740578483
PECOS PAC ID: 5496058026
Enrollment ID: I20160720001738
Provider NameBenjamin Scott Oberman
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1699069807
PECOS PAC ID: 2163715327
Enrollment ID: I20160726000524
Provider NameLarry Ronald Jackson
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1023285582
PECOS PAC ID: 9830482991
Enrollment ID: I20160727000246
Provider NameSophie K Shaikh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598007866
PECOS PAC ID: 0345533121
Enrollment ID: I20160802000242
Provider NameNazish K Hashmi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1982938288
PECOS PAC ID: 7315231164
Enrollment ID: I20160802002423
Provider NameMegan Elizabeth Reller
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1073614897
PECOS PAC ID: 7416923792
Enrollment ID: I20160802002832
Provider NameSophie W Galson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649618000
PECOS PAC ID: 7315231008
Enrollment ID: I20160803000718
Provider NameDarin Lyn Dufault
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1972824787
PECOS PAC ID: 2466670245
Enrollment ID: I20160803002676
Provider NameWilliam Jonathan Dunkman
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1558595306
PECOS PAC ID: 4183855414
Enrollment ID: I20160808000114
Provider NameAmmon Milton Fager
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1245557594
PECOS PAC ID: 3779877188
Enrollment ID: I20160808002548
Provider NameJulian T Hertz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891138921
PECOS PAC ID: 9931419686
Enrollment ID: I20160810000216
Provider NameZachary F Williams
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407147275
PECOS PAC ID: 0345482949
Enrollment ID: I20160811001671
Provider NameLauren N Fay
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1225486517
PECOS PAC ID: 4587958533
Enrollment ID: I20160815000338
Provider NameNia Schwann Mitchell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235276510
PECOS PAC ID: 3678761962
Enrollment ID: I20160815000500
Provider NameAmy Tammenga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194196477
PECOS PAC ID: 6406140466
Enrollment ID: I20160815000622
Provider NameRebecca Victoria Taylor
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023300589
PECOS PAC ID: 3274758743
Enrollment ID: I20160815002503
Provider NameSiddharth D Sata
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1366735433
PECOS PAC ID: 4981998853
Enrollment ID: I20160816001388
Provider NameMajda Hadziahmetovic
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972853695
PECOS PAC ID: 1254626187
Enrollment ID: I20160817000743
Provider NameStephanie Nicole Brogdon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003278953
PECOS PAC ID: 0143515023
Enrollment ID: I20160817002291
Provider NameLuke A Kinsinger
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407172836
PECOS PAC ID: 6709192594
Enrollment ID: I20160818000555
Provider NameErica S Peethumnongsin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467712448
PECOS PAC ID: 6103041504
Enrollment ID: I20160819001436
Provider NameWilliam Andrew Morrow
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871954115
PECOS PAC ID: 6800181538
Enrollment ID: I20160819001752
Provider NameShannon Kathleen Beall
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538513122
PECOS PAC ID: 1153616602
Enrollment ID: I20160823000399
Provider NameSarah Rock O'rourke
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1699127662
PECOS PAC ID: 7517252877
Enrollment ID: I20160825000845
Provider NameLauren Siewny
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497198287
PECOS PAC ID: 9830484955
Enrollment ID: I20160829000056
Provider NameSundhar Ramalingam
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1366768632
PECOS PAC ID: 9032405949
Enrollment ID: I20160901000385
Provider NameTarannum Jaleel
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1821354648
PECOS PAC ID: 6204076946
Enrollment ID: I20160901000447
Provider NameTina Marie Gremore
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740410034
PECOS PAC ID: 5193863629
Enrollment ID: I20160906001150
Provider NameMegan R Barrett
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053635516
PECOS PAC ID: 3577792217
Enrollment ID: I20160906001581
Provider NameShreyansh Dineshbhai Shah
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164657383
PECOS PAC ID: 1951529916
Enrollment ID: I20160906001991
Provider NameAvani A Pendse
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1801188511
PECOS PAC ID: 3779708300
Enrollment ID: I20160906002016
Provider NameLisa Rae Carnago
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871943100
PECOS PAC ID: 9537455225
Enrollment ID: I20160906002419
Provider NameJill Elizabeth Lorenzi
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487005476
PECOS PAC ID: 9931495629
Enrollment ID: I20160906002631
Provider NameJill Caroline Moore
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1922294651
PECOS PAC ID: 1850443623
Enrollment ID: I20160907000466
Provider NameRajesh Viswanathan Swaminathan
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1386759066
PECOS PAC ID: 6800966763
Enrollment ID: I20160907002083
Provider NameLesli Ann Simers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629452990
PECOS PAC ID: 1850687369
Enrollment ID: I20160909001074
Provider NameRobert Walker Mcgarrah
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1336300342
PECOS PAC ID: 4981990371
Enrollment ID: I20160912001041
Provider NamePhillip Bryce Jones
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033379078
PECOS PAC ID: 2062688393
Enrollment ID: I20160913000511
Provider NameMaria Cristina Segovia
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1194734947
PECOS PAC ID: 0941206098
Enrollment ID: I20160914001365
Provider NameJulia Corwin Schechter
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881046811
PECOS PAC ID: 3870889900
Enrollment ID: I20160915001317
Provider NameMichelle J White
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598089567
PECOS PAC ID: 4486967551
Enrollment ID: I20160915002492
Provider NameAlexandra Thomas
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1417945049
PECOS PAC ID: 7517033269
Enrollment ID: I20160916001121
Provider NameKelly S Acharya
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639436371
PECOS PAC ID: 3870880933
Enrollment ID: I20160919000245
Provider NameKarl William Thomas
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1255329108
PECOS PAC ID: 9436252319
Enrollment ID: I20160920001094
Provider NameNada F Kamel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467867184
PECOS PAC ID: 6406075142
Enrollment ID: I20160920002469
Provider NameJohn Joseph Strouse
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1538161245
PECOS PAC ID: 7719969385
Enrollment ID: I20160922002699
Provider NameNalatha H Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154703205
PECOS PAC ID: 5193012540
Enrollment ID: I20160928001568
Provider NameColleen M Naglee
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1821291832
PECOS PAC ID: 0446416903
Enrollment ID: I20160930001756
Provider NameAndrew Barbas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1013174275
PECOS PAC ID: 4587951728
Enrollment ID: I20161003000693
Provider NameWhitney Lynanne Meeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023469848
PECOS PAC ID: 8729376918
Enrollment ID: I20161004000049
Provider NameChandler A Long
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1568666055
PECOS PAC ID: 4385886803
Enrollment ID: I20161004001142
Provider NameSharon L Mccartney
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1003131970
PECOS PAC ID: 0840588927
Enrollment ID: I20161005000211
Provider NameAbigail S Haberman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669826236
PECOS PAC ID: 5890083901
Enrollment ID: I20161005001229
Provider NameJeffrey Cheng
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1265690242
PECOS PAC ID: 2668614314
Enrollment ID: I20161006001352
Provider NameLaura H Rosenberger
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558529958
PECOS PAC ID: 1557590395
Enrollment ID: I20161006001572
Provider NameSara F Grace
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629369350
PECOS PAC ID: 6002123205
Enrollment ID: I20161007001306
Provider NameNoelle E Younge
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1205009248
PECOS PAC ID: 8628247566
Enrollment ID: I20161011000036
Provider NameHarajeshwar S Kohli
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689917270
PECOS PAC ID: 4688970197
Enrollment ID: I20161011001540
Provider NamePadma Gulur
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1225017627
PECOS PAC ID: 2961414131
Enrollment ID: I20161011002571
Provider NameDiana Hsu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1356548341
PECOS PAC ID: 1153590237
Enrollment ID: I20161012001141
Provider NameDane Michael Barrett
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1033436423
PECOS PAC ID: 0042449738
Enrollment ID: I20161013001500
Provider NameRussel R Kahmke
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1134445042
PECOS PAC ID: 7810209905
Enrollment ID: I20161017002034
Provider NameStephen P Shaheen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437491628
PECOS PAC ID: 8224326608
Enrollment ID: I20161018001956
Provider NameChristy Michelle Cassas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043600638
PECOS PAC ID: 7012237225
Enrollment ID: I20161024001640
Provider NameLisa M Einhorn
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1134418221
PECOS PAC ID: 9436437589
Enrollment ID: I20161025002223
Provider NameKimberly Rw Jackson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225245996
PECOS PAC ID: 7719156793
Enrollment ID: I20161026002199
Provider NameVictoria M Parente
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972860443
PECOS PAC ID: 5193003960
Enrollment ID: I20161028001557
Provider NameLatoya C Patterson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710253349
PECOS PAC ID: 4486932183
Enrollment ID: I20161101000902
Provider NameMatthew Kelly
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306004577
PECOS PAC ID: 8820376460
Enrollment ID: I20161101002583
Provider NameLeigh-ann H Neal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619387784
PECOS PAC ID: 4789962325
Enrollment ID: I20161101002752
Provider NameArun Ganesh
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1932490653
PECOS PAC ID: 6002037959
Enrollment ID: I20161102000729
Provider NameJennifer K Plichta
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1134383292
PECOS PAC ID: 7315254125
Enrollment ID: I20161102001016
Provider NamePatsy Warren Park
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801023494
PECOS PAC ID: 6901027978
Enrollment ID: I20161107001825
Provider NameBilly Yu-ang Lan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225233653
PECOS PAC ID: 5799086674
Enrollment ID: I20161115001432
Provider NameAmanda D Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033564844
PECOS PAC ID: 5991084840
Enrollment ID: I20161116001520
Provider NameAkiko Chiba
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1861620809
PECOS PAC ID: 1850602400
Enrollment ID: I20161118001684
Provider NameJason E Lang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962413492
PECOS PAC ID: 3274535265
Enrollment ID: I20161122000139
Provider NameMiguel Angel Materin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528292679
PECOS PAC ID: 6709936834
Enrollment ID: I20161128001479
Provider NameAnn Mccollum Steele
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891157194
PECOS PAC ID: 2163701624
Enrollment ID: I20161128001813
Provider NameKlaus G E Werner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871854141
PECOS PAC ID: 2769648922
Enrollment ID: I20161130001235
Provider NameNathan L Cheung
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396125183
PECOS PAC ID: 1658651096
Enrollment ID: I20161201000533
Provider NameKaren L Sherman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1801043930
PECOS PAC ID: 1951681162
Enrollment ID: I20161206000155
Provider NameDanielle Laughlin Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083039507
PECOS PAC ID: 9133425135
Enrollment ID: I20161206001455
Provider NameAnkit Anil Patel
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1871850065
PECOS PAC ID: 1759689029
Enrollment ID: I20161207000292
Provider NameRalph Abi Hachem
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1285953430
PECOS PAC ID: 5395046684
Enrollment ID: I20161207001158
Provider NameNicholas T Befera
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1457504268
PECOS PAC ID: 0244510279
Enrollment ID: I20161209000728
Provider NameMatthew V Buck
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1124289715
PECOS PAC ID: 1658509039
Enrollment ID: I20161209001662
Provider NameMyles S Wolf
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1629069927
PECOS PAC ID: 0648331348
Enrollment ID: I20161212000764
Provider NameJessica C Schwartz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609118793
PECOS PAC ID: 9436439262
Enrollment ID: I20161213000658
Provider NameJennifer B Gilner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912131194
PECOS PAC ID: 3173803889
Enrollment ID: I20161214001269
Provider NameBrenna L Hughes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215908637
PECOS PAC ID: 6507877669
Enrollment ID: I20161219000178
Provider NameKaren Christine Baker
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1033183314
PECOS PAC ID: 3072783455
Enrollment ID: I20161219001398
Provider NameJennifer N Hauck
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1023307550
PECOS PAC ID: 0941581557
Enrollment ID: I20161219002313
Provider NameAndres M Pineda Maldonado
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1588905566
PECOS PAC ID: 6406137884
Enrollment ID: I20161222000970
Provider NameSarahn M Wheeler
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1659514487
PECOS PAC ID: 1850672114
Enrollment ID: I20161227002075
Provider NameJennifer Pothoven Dougherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487083192
PECOS PAC ID: 5496036733
Enrollment ID: I20161229000453
Provider NameKelly Erin Avery
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275986911
PECOS PAC ID: 6709167950
Enrollment ID: I20161229001113
Provider NameBlanca Iris Padilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245346170
PECOS PAC ID: 3274657705
Enrollment ID: I20170105000194
Provider NameEmily C Sterrett
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992939029
PECOS PAC ID: 9133375850
Enrollment ID: I20170110003436
Provider NameEdward Scott Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841746773
PECOS PAC ID: 9436431749
Enrollment ID: I20170123000470
Provider NameCharlene Alexis Wong
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316262660
PECOS PAC ID: 1557643699
Enrollment ID: I20170125000088
Provider NameNeema Kapadia Sharda
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1841559374
PECOS PAC ID: 1557582897
Enrollment ID: I20170125001240
Provider NameSarah E Roberson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275082703
PECOS PAC ID: 4880976885
Enrollment ID: I20170127000928
Provider NameAshley Ann Moskovich
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1871036517
PECOS PAC ID: 0244512127
Enrollment ID: I20170130001672
Provider NamePatricia Elizabeth Gammon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316020571
PECOS PAC ID: 1850673757
Enrollment ID: I20170130002294
Provider NameMegan J Huchko
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811067655
PECOS PAC ID: 5294837316
Enrollment ID: I20170131000701
Provider NameCristine Radojicic
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1245294206
PECOS PAC ID: 9537172721
Enrollment ID: I20170202002560
Provider NameJacob A Klapper
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1013196989
PECOS PAC ID: 6800973504
Enrollment ID: I20170208001444
Provider NameHoward Wayne Francis
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1548208481
PECOS PAC ID: 8325229982
Enrollment ID: I20170220002129
Provider NameBecky A Smith
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1891952990
PECOS PAC ID: 6608044557
Enrollment ID: I20170302002085
Provider NameJulie Hale Buttler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851345847
PECOS PAC ID: 3870504285
Enrollment ID: I20170308000539
Provider NamePatricia Lynn Kohler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548260417
PECOS PAC ID: 1658342431
Enrollment ID: I20170315000109
Provider NamePaul E Wischmeyer
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1558454900
PECOS PAC ID: 5193850501
Enrollment ID: I20170321000471
Provider NameKristale R Privette
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942758156
PECOS PAC ID: 3971889981
Enrollment ID: I20170405001865
Provider NameJana G Schuller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871042580
PECOS PAC ID: 9638455520
Enrollment ID: I20170406002801
Provider NameDavid A Katz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184794166
PECOS PAC ID: 6204112097
Enrollment ID: I20170410001992
Provider NameKevin G Hueman
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1336110931
PECOS PAC ID: 5698051159
Enrollment ID: I20170418000033
Provider NameBrandilynn A Freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417324302
PECOS PAC ID: 8921384140
Enrollment ID: I20170424001133
Provider NameMariah S Prince
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467904359
PECOS PAC ID: 1759668320
Enrollment ID: I20170509000234
Provider NameHector F Martinez-wilson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013234251
PECOS PAC ID: 3072730811
Enrollment ID: I20170509002445
Provider NameStephanie R Chancy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124482906
PECOS PAC ID: 0244517738
Enrollment ID: I20170510003000
Provider NameShalu Bansal
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1144531088
PECOS PAC ID: 7315195021
Enrollment ID: I20170516000727
Provider NameHaley A Moss
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710247242
PECOS PAC ID: 6204128168
Enrollment ID: I20170517000459
Provider NameWilliam A Jiranek
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184714941
PECOS PAC ID: 8820984719
Enrollment ID: I20170526001812
Provider NameAmanda Litton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992169130
PECOS PAC ID: 9537436209
Enrollment ID: I20170531000538
Provider NameKristina M Nazareth-pidgeon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114210366
PECOS PAC ID: 0840416046
Enrollment ID: I20170605001044
Provider NameHui Chen
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1710237185
PECOS PAC ID: 6103193552
Enrollment ID: I20170606002282
Provider NameLorie Marie Kabugo-musoke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376924605
PECOS PAC ID: 9032403340
Enrollment ID: I20170607002095
Provider NameBenjamin A Smallheer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629249750
PECOS PAC ID: 5193804375
Enrollment ID: I20170619002028
Provider NameDimitri Putilin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1811438179
PECOS PAC ID: 8022386671
Enrollment ID: I20170622001815
Provider NameGenevieve C Wroblewski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578017521
PECOS PAC ID: 3375811920
Enrollment ID: I20170622001936
Provider NameTimothy L Pierson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407300510
PECOS PAC ID: 9537437041
Enrollment ID: I20170623001462
Provider NameJoy Elliott Curry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619204245
PECOS PAC ID: 4587932090
Enrollment ID: I20170623001719
Provider NameAdam R Williams
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1710125695
PECOS PAC ID: 9537437090
Enrollment ID: I20170626000814
Provider NameSandra B Brown
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245676808
PECOS PAC ID: 8820212558
Enrollment ID: I20170626000865
Provider NameMariam Wasim
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1205125101
PECOS PAC ID: 1658649124
Enrollment ID: I20170626001158
Provider NameDavid Andrew Brown
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1316188238
PECOS PAC ID: 3971871443
Enrollment ID: I20170626001346
Provider NameJessica L Anderson-riddell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073768990
PECOS PAC ID: 3870650260
Enrollment ID: I20170626001741
Provider NameCourtney Jane Ware
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073056917
PECOS PAC ID: 5698043180
Enrollment ID: I20170626001923
Provider NameMarina M Bova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992253173
PECOS PAC ID: 9335418839
Enrollment ID: I20170626002775
Provider NameClayton A Alfonso
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790028843
PECOS PAC ID: 0143599357
Enrollment ID: I20170703000529
Provider NamePaul M Swaney
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1518302769
PECOS PAC ID: 7719121383
Enrollment ID: I20170703001965
Provider NamePennilee S West
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1801024724
PECOS PAC ID: 7113073107
Enrollment ID: I20170705001958
Provider NameMoira Ann Rynn
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1932248705
PECOS PAC ID: 2062454366
Enrollment ID: I20170705002693
Provider NameAhmed M Galal
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1902179906
PECOS PAC ID: 1951562842
Enrollment ID: I20170706001900
Provider NameNegmeldeen F Mamoun
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1942476270
PECOS PAC ID: 8426113200
Enrollment ID: I20170711001299
Provider NameMarat Fudim
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013262419
PECOS PAC ID: 9739458522
Enrollment ID: I20170711001518
Provider NameBenjamin M Wildman-tobriner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891053864
PECOS PAC ID: 1052680626
Enrollment ID: I20170713001240
Provider NameSylvia P Samanez Larkin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669663357
PECOS PAC ID: 9234409863
Enrollment ID: I20170714000723
Provider NameZachary Healy
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1508090275
PECOS PAC ID: 9638449002
Enrollment ID: I20170718000237
Provider NameThomas J Farrer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1780118687
PECOS PAC ID: 6406126739
Enrollment ID: I20170719003387
Provider NameJoshua T Thaden
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1134419252
PECOS PAC ID: 0042580979
Enrollment ID: I20170725002852
Provider NameNegin Misaghian-xanthos
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1154688026
PECOS PAC ID: 4284923293
Enrollment ID: I20170726003592
Provider NameShruti M Raja
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1548569791
PECOS PAC ID: 9739450313
Enrollment ID: I20170731002402
Provider NameEmily S Mccormick
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1477712339
PECOS PAC ID: 4284905803
Enrollment ID: I20170801000081
Provider NameMatthew Kirk Langman
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1932420171
PECOS PAC ID: 6507137668
Enrollment ID: I20170808001220
Provider NameJohn N Copeland
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1629362884
PECOS PAC ID: 8426342122
Enrollment ID: I20170809002063
Provider NameJason Ryan Tatreau
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366702359
PECOS PAC ID: 3577788058
Enrollment ID: I20170809004194
Provider NameMuhammad Zafar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790018000
PECOS PAC ID: 3274847611
Enrollment ID: I20170810002279
Provider NameIris L Vance
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1891061131
PECOS PAC ID: 2860763679
Enrollment ID: I20170811001439
Provider NameMatthew Evan Ehrlich
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1154687200
PECOS PAC ID: 7719116300
Enrollment ID: I20170811002348
Provider NameChelsea Amanda Connor
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1104187327
PECOS PAC ID: 6709007214
Enrollment ID: I20170814000575
Provider NameMichael Deel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093030496
PECOS PAC ID: 3476824269
Enrollment ID: I20170814001267
Provider NameAna Ep Buck
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811130990
PECOS PAC ID: 5991934879
Enrollment ID: I20170815002613
Provider NameSamrat U Das
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508049388
PECOS PAC ID: 8628150935
Enrollment ID: I20170815003043
Provider NameNeha J Pagidipati
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1699933234
PECOS PAC ID: 5698935708
Enrollment ID: I20170816000248
Provider NameJacob Paul Feigal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003173618
PECOS PAC ID: 2860764503
Enrollment ID: I20170816000287
Provider NameMichael D Malinzak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841516606
PECOS PAC ID: 1759653280
Enrollment ID: I20170818000260
Provider NameKevin M Gurysh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568880631
PECOS PAC ID: 7517239544
Enrollment ID: I20170824003772
Provider NameScott M Cowart
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326577503
PECOS PAC ID: 1557633476
Enrollment ID: I20170828000002
Provider NameRabina Kochar Walsh
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1437415072
PECOS PAC ID: 7214209147
Enrollment ID: I20170828000779
Provider NameJeremy M Force
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1275826737
PECOS PAC ID: 9436399763
Enrollment ID: I20170828001074
Provider NameKim G Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1831432665
PECOS PAC ID: 4880966753
Enrollment ID: I20170828002640
Provider NameAsim A Raja
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1699818484
PECOS PAC ID: 8426320318
Enrollment ID: I20170828003157
Provider NameMichael J Smith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336340454
PECOS PAC ID: 1153417795
Enrollment ID: I20170829000000
Provider NameJocelyn R Wittstein
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1518182138
PECOS PAC ID: 5092901504
Enrollment ID: I20170829002663
Provider NameJohn V Duronville
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1063779759
PECOS PAC ID: 7618240482
Enrollment ID: I20170830002813
Provider NameGail Pacharis Brock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245284884
PECOS PAC ID: 3678587268
Enrollment ID: I20170831003281
Provider NameAngela M Tunno
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1366795197
PECOS PAC ID: 8628341104
Enrollment ID: I20170905001976
Provider NameMai K El Mallah
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1265548499
PECOS PAC ID: 9830119049
Enrollment ID: I20170905002260
Provider NameKathleen W Lagesse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316496862
PECOS PAC ID: 0648543082
Enrollment ID: I20170906001835
Provider NameDarshan Kothari
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1558681353
PECOS PAC ID: 4587880497
Enrollment ID: I20170906003020
Provider NameJade N Clausen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497163539
PECOS PAC ID: 5395966782
Enrollment ID: I20170907000439
Provider NameAmber J Oberle
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1558653691
PECOS PAC ID: 6406096577
Enrollment ID: I20170907002058
Provider NameRex W.b. Sagalla
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1174784516
PECOS PAC ID: 7517138407
Enrollment ID: I20170911001175
Provider NameChristpher Scott Klifto
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164713947
PECOS PAC ID: 4587937784
Enrollment ID: I20170911001753
Provider NameChakib Ayoub
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013443324
PECOS PAC ID: 9830462837
Enrollment ID: I20170913000413
Provider NameGeorgia M Beasley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861659567
PECOS PAC ID: 5193033744
Enrollment ID: I20170913002128
Provider NameMichelle H Hartzog
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1073034278
PECOS PAC ID: 5799059531
Enrollment ID: I20170918003620
Provider NameJennifer E Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003343757
PECOS PAC ID: 6901170760
Enrollment ID: I20170919000673
Provider NameJordan W Whitson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1205121803
PECOS PAC ID: 3577704303
Enrollment ID: I20170920001776
Provider NameCarrie A Johnson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1851501605
PECOS PAC ID: 8325199367
Enrollment ID: I20170920004066
Provider NameTaewoong Choi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1558598680
PECOS PAC ID: 6901022706
Enrollment ID: I20170921003379
Provider NameJohn C Barr
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1518178318
PECOS PAC ID: 3274790522
Enrollment ID: I20170922001095
Provider NameJennifer E Mehdiratta
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1225391469
PECOS PAC ID: 8426276106
Enrollment ID: I20170922002765
Provider NameJonas J Swartz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417213786
PECOS PAC ID: 0547404428
Enrollment ID: I20170925000006
Provider NameStuart D Russell
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1669407854
PECOS PAC ID: 3870572258
Enrollment ID: I20170928000196
Provider NameMichelle L Kern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245769389
PECOS PAC ID: 9234404385
Enrollment ID: I20170929001065
Provider NameGabriel C Smith
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1740556653
PECOS PAC ID: 2163656919
Enrollment ID: I20170929001150
Provider NameAlexandra Stefanovic
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1033310701
PECOS PAC ID: 3476628959
Enrollment ID: I20171002003658
Provider NameKevin C Oeffinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417928987
PECOS PAC ID: 2062445117
Enrollment ID: I20171003004254
Provider NameKai Sun
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1568758001
PECOS PAC ID: 7517266992
Enrollment ID: I20171003007019
Provider NameDavid Ashley
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1164944377
PECOS PAC ID: 1658646591
Enrollment ID: I20171003007066
Provider NameCourtney R Goodwin
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1538303235
PECOS PAC ID: 2769631043
Enrollment ID: I20171003007558
Provider NameTamara Noel Fitzgerald
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457534596
PECOS PAC ID: 4880828938
Enrollment ID: I20171005000652
Provider NameWilliam E Bynum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134431810
PECOS PAC ID: 3971803719
Enrollment ID: I20171005002926
Provider NameSteven H Cook
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1194015370
PECOS PAC ID: 3678848256
Enrollment ID: I20171006002938
Provider NameMatthew D Barber
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548204928
PECOS PAC ID: 7517979099
Enrollment ID: I20171009001506
Provider NameJohn Eric Jelovsek
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235192170
PECOS PAC ID: 0244235604
Enrollment ID: I20171009001871
Provider NameJason W Crockett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922543131
PECOS PAC ID: 6103191614
Enrollment ID: I20171010001760
Provider NameCristiana Costa Chase
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1295029130
PECOS PAC ID: 1456659143
Enrollment ID: I20171012002094
Provider NameMiranda K Flowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316274087
PECOS PAC ID: 8527283241
Enrollment ID: I20171013001057
Provider NameMandy A Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639692544
PECOS PAC ID: 4587939715
Enrollment ID: I20171013001436
Provider NameSujani G Surakanti
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1568549137
PECOS PAC ID: 7416996160
Enrollment ID: I20171016000193
Provider NameCristen Ann Paige
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1548785876
PECOS PAC ID: 4385910512
Enrollment ID: I20171016002532
Provider NameTobias L Straube
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063832053
PECOS PAC ID: 3375819527
Enrollment ID: I20171017000011
Provider NameAnnapoorani Veerappan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1356636880
PECOS PAC ID: 6608142567
Enrollment ID: I20171019002235
Provider NameNeel Subramanian
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013216241
PECOS PAC ID: 6608091764
Enrollment ID: I20171019002887
Provider NameMuhammad M Abd-el-barr
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1891922688
PECOS PAC ID: 0749503001
Enrollment ID: I20171023000007
Provider NameShannon Hiatt Coward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265858047
PECOS PAC ID: 9133419781
Enrollment ID: I20171024001634
Provider NameErin Howard
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588812754
PECOS PAC ID: 7214203678
Enrollment ID: I20171030002871
Provider NameFaith Shelby Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477730620
PECOS PAC ID: 7315183100
Enrollment ID: I20171103000625
Provider NameKimberly Michelle Fisher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104340157
PECOS PAC ID: 7113283359
Enrollment ID: I20171103002631
Provider NameAmanda H Kumar
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1922374693
PECOS PAC ID: 6305102476
Enrollment ID: I20171106001031
Provider NameZak A Loring
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1467795609
PECOS PAC ID: 2365708484
Enrollment ID: I20171106002847
Provider NameMargaret M Harding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518362730
PECOS PAC ID: 2961726500
Enrollment ID: I20171108003436
Provider NameTimothy Owen Stanley
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1154328672
PECOS PAC ID: 4486827805
Enrollment ID: I20171108003918
Provider NameDavid Williams
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346681392
PECOS PAC ID: 1759647571
Enrollment ID: I20171113000062
Provider NameSrikala Addepalli
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457630915
PECOS PAC ID: 1153629407
Enrollment ID: I20171113000369
Provider NameDebra J Lugo
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1568779114
PECOS PAC ID: 3476819954
Enrollment ID: I20171116001258
Provider NameSophia Weinmann
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1790050029
PECOS PAC ID: 9032475470
Enrollment ID: I20171117001241
Provider NameRohini Kannuswamy
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1932548963
PECOS PAC ID: 2062779499
Enrollment ID: I20171120002405
Provider NameSushrusha Arjyal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871858316
PECOS PAC ID: 8426292699
Enrollment ID: I20171120002806
Provider NameJamie R Privratsky
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1417223249
PECOS PAC ID: 4486911708
Enrollment ID: I20171121003117
Provider NameMichael L Kent
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407827645
PECOS PAC ID: 3779725890
Enrollment ID: I20171127001757
Provider NameAnna E Schaffer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063935377
PECOS PAC ID: 8820355076
Enrollment ID: I20171127002123
Provider NameTyler A Higgs
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407397359
PECOS PAC ID: 7719244888
Enrollment ID: I20171127003082
Provider NameShannon M Page
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1073879680
PECOS PAC ID: 3072808278
Enrollment ID: I20171130003299
Provider NameAshlee T Riddick
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982121299
PECOS PAC ID: 1254698053
Enrollment ID: I20171204001945
Provider NameMelissa A Raddatz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184966988
PECOS PAC ID: 9739313313
Enrollment ID: I20171206000088
Provider NameJohn D Berger
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417474578
PECOS PAC ID: 4082971619
Enrollment ID: I20171206001663
Provider NameJoseph William Turek
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114193224
PECOS PAC ID: 2365620648
Enrollment ID: I20171207002904
Provider NameRebecca Anne Mcvey
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1598017154
PECOS PAC ID: 7618235151
Enrollment ID: I20171211001904
Provider NameMargaret O Johnson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1114219367
PECOS PAC ID: 6002114816
Enrollment ID: I20171213000226
Provider NameLindsay G Terrell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790079283
PECOS PAC ID: 7618235045
Enrollment ID: I20171213000287
Provider NameNitin L Mehdiratta
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1285999482
PECOS PAC ID: 6204051600
Enrollment ID: I20171213002197
Provider NameVictor Lucas Perez Quinones
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790714327
PECOS PAC ID: 1658383856
Enrollment ID: I20171214001848
Provider NameStephen John Greene
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1003170861
PECOS PAC ID: 7911265186
Enrollment ID: I20171215001465
Provider NameMargaret Ellen Hardy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518415173
PECOS PAC ID: 5092073106
Enrollment ID: I20171219002235
Provider NameValerie B Boyle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841328788
PECOS PAC ID: 3577821222
Enrollment ID: I20171229001194
Provider NameTiffany L Covas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528487279
PECOS PAC ID: 7618235235
Enrollment ID: I20180102002795
Provider NameJulie Joo Yeon Kim Chang
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1750606653
PECOS PAC ID: 8022377605
Enrollment ID: I20180108001117
Provider NameMelissa A Rafidi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306365630
PECOS PAC ID: 4880953124
Enrollment ID: I20180112002224
Provider NameMeenal K Kheterpal
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1700013174
PECOS PAC ID: 0143454801
Enrollment ID: I20180116000730
Provider NameSamantha L Schmidtke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578081501
PECOS PAC ID: 4486913555
Enrollment ID: I20180117002694
Provider NameKristin N Holbrook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558889907
PECOS PAC ID: 8022377027
Enrollment ID: I20180120000028
Provider NameSuresh K Agarwal
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1629038906
PECOS PAC ID: 6002710407
Enrollment ID: I20180122002547
Provider NameMary Yurashevich
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1659715019
PECOS PAC ID: 6002103132
Enrollment ID: I20180122003237
Provider NameChamia N Maker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255885612
PECOS PAC ID: 4082994942
Enrollment ID: I20180123000790
Provider NameKhoon Ghee Queenie Tan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720378904
PECOS PAC ID: 5092007369
Enrollment ID: I20180123003469
Provider NameIsami Sakai
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184940918
PECOS PAC ID: 0749580173
Enrollment ID: I20180124002260
Provider NameMaria Cecilia P Domingo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174913685
PECOS PAC ID: 9335408079
Enrollment ID: I20180125001938
Provider NameDayana Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801258405
PECOS PAC ID: 6305106014
Enrollment ID: I20180126002555
Provider NameAshley L Barba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518260900
PECOS PAC ID: 5698990307
Enrollment ID: I20180208002946
Provider NameAdrienne R Barnosky
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1215149414
PECOS PAC ID: 2466644414
Enrollment ID: I20180213002017
Provider NameMohammed O Mohiuddin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063925352
PECOS PAC ID: 0244590131
Enrollment ID: I20180214002775
Provider NameTeresa S Avery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396258703
PECOS PAC ID: 1052672441
Enrollment ID: I20180227002603
Provider NameKatharine L Jackson
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1780840579
PECOS PAC ID: 3375760812
Enrollment ID: I20180305001955
Provider NameKarma A Tockman
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1528220217
PECOS PAC ID: 0244591329
Enrollment ID: I20180306002667
Provider NameKellye Christine Carder
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1285955682
PECOS PAC ID: 6406970250
Enrollment ID: I20180312001318
Provider NameSara Young
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1912314485
PECOS PAC ID: 1658633524
Enrollment ID: I20180313002282
Provider NameElisabeth Kakmou Touko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427566983
PECOS PAC ID: 4385906031
Enrollment ID: I20180319000311
Provider NameJadee L Neff
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1730444118
PECOS PAC ID: 3173775913
Enrollment ID: I20180320001446
Provider NameKatharine Alexis Donlon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790290674
PECOS PAC ID: 3173885712
Enrollment ID: I20180320002035
Provider NameCatherine M Majestic
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1861825465
PECOS PAC ID: 0143582619
Enrollment ID: I20180321000368
Provider NameLindsay J Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871941955
PECOS PAC ID: 1759643265
Enrollment ID: I20180321002107
Provider NameLinda Harpole
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578077780
PECOS PAC ID: 9931461456
Enrollment ID: I20180321002499
Provider NamePamela Singh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1720595002
PECOS PAC ID: 7517229867
Enrollment ID: I20180326001273
Provider NameStephanie H Spaulding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013434257
PECOS PAC ID: 0941562292
Enrollment ID: I20180326001434
Provider NameMichelle M Pietrocola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588172381
PECOS PAC ID: 0648532879
Enrollment ID: I20180327002646
Provider NameNicole Amy Penke
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356530331
PECOS PAC ID: 2860662608
Enrollment ID: I20180402002267
Provider NameChristina Wyatt
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1356360390
PECOS PAC ID: 5890685705
Enrollment ID: I20180409000354
Provider NameLoreta Grecu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1831163039
PECOS PAC ID: 8527138155
Enrollment ID: I20180409002493
Provider NameMayur Khandu Patel
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1386802205
PECOS PAC ID: 1153560743
Enrollment ID: I20180410000228
Provider NameRebekah M Doiron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003222399
PECOS PAC ID: 1850511171
Enrollment ID: I20180412002694
Provider NameStephanie L Buck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891085544
PECOS PAC ID: 6709001415
Enrollment ID: I20180416000426
Provider NameShih-hsiu J Wang
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1689930604
PECOS PAC ID: 7810272630
Enrollment ID: I20180416002243
Provider NameVijay Krishnamoorthy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1477750149
PECOS PAC ID: 0749356830
Enrollment ID: I20180419001740
Provider NameLatorya D Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720593908
PECOS PAC ID: 2163785387
Enrollment ID: I20180420000823
Provider NameLeslie C De Perczel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851760540
PECOS PAC ID: 0042512048
Enrollment ID: I20180424000913
Provider NameMichelle M Leroux Martinez
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1841716065
PECOS PAC ID: 7618231549
Enrollment ID: I20180501001674
Provider NameKrista Lynn Haines
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699099218
PECOS PAC ID: 5597981571
Enrollment ID: I20180514001367
Provider NameNina D Block
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568870277
PECOS PAC ID: 9234350638
Enrollment ID: I20180515002148
Provider NameRebecca Doll
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1366610578
PECOS PAC ID: 7911261144
Enrollment ID: I20180515002908
Provider NameKatelyn Marie Hausfeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477055218
PECOS PAC ID: 6709140973
Enrollment ID: I20180516001686
Provider NameJeffrey R Gingrich
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1518930528
PECOS PAC ID: 3274664297
Enrollment ID: I20180516002090
Provider NameRyan C Bialas
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1790070324
PECOS PAC ID: 6002031168
Enrollment ID: I20180521001543
Provider NameAmy E Barto
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1710934443
PECOS PAC ID: 1355354937
Enrollment ID: I20180521002805
Provider NameDavid Wayne Van Wyck
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1316173503
PECOS PAC ID: 1557626306
Enrollment ID: I20180525000763
Provider NameTiffany Dieso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124490008
PECOS PAC ID: 4082979844
Enrollment ID: I20180525000935
Provider NameChrystal Ann Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699195537
PECOS PAC ID: 6901029412
Enrollment ID: I20180529002340
Provider NameGladwell Gacuga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043501307
PECOS PAC ID: 0941452148
Enrollment ID: I20180530001958
Provider NameDanielle E Sturkey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285017863
PECOS PAC ID: 8921318544
Enrollment ID: I20180606002457
Provider NameThuy Le
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1043262371
PECOS PAC ID: 2365454212
Enrollment ID: I20180609000210
Provider NameSara E Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629479043
PECOS PAC ID: 7618199407
Enrollment ID: I20180612000416
Provider NameBrittany A Zwischenberger
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1710205901
PECOS PAC ID: 4284989401
Enrollment ID: I20180612001267
Provider NameKristin P Dierks
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578726378
PECOS PAC ID: 4789742982
Enrollment ID: I20180612002566
Provider NameKevin W Southerland
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1154564813
PECOS PAC ID: 0547515660
Enrollment ID: I20180613002533
Provider NameAndrew W Godfrey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1407109614
PECOS PAC ID: 2961770532
Enrollment ID: I20180614000512
Provider NameBrett T Phillips
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1407013279
PECOS PAC ID: 8022379866
Enrollment ID: I20180614001973
Provider NameMichelle Sy Go
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245641851
PECOS PAC ID: 3870487903
Enrollment ID: I20180619003248
Provider NameSuma Shah
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1053654699
PECOS PAC ID: 8123373727
Enrollment ID: I20180622001647
Provider NameDeanna A Griffie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396249256
PECOS PAC ID: 9638424161
Enrollment ID: I20180625000128
Provider NameElizabeth A Briere
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144415340
PECOS PAC ID: 7719232263
Enrollment ID: I20180625001081
Provider NameMichael R Canos
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1114138401
PECOS PAC ID: 3072687268
Enrollment ID: I20180626000167
Provider NameAngelika Gabrielski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447591516
PECOS PAC ID: 4880949387
Enrollment ID: I20180627003951
Provider NameYvonne E Baker
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1811331135
PECOS PAC ID: 8527314871
Enrollment ID: I20180629000337
Provider NameEugene Friedman
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1205196920
PECOS PAC ID: 8022364389
Enrollment ID: I20180629000606
Provider NameVeerajalandhar Allareddy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326259433
PECOS PAC ID: 2860664406
Enrollment ID: I20180703000201
Provider NameKristen S Camplin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700074606
PECOS PAC ID: 5597011502
Enrollment ID: I20180705001784
Provider NameHaramol Gill
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255726428
PECOS PAC ID: 6103172135
Enrollment ID: I20180705002881
Provider NameAmanda L Faulkner
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1750795860
PECOS PAC ID: 1052626439
Enrollment ID: I20180706001347
Provider NameSamuel J Kuzminski
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235366899
PECOS PAC ID: 8527354364
Enrollment ID: I20180709001729
Provider NameFrances A Reda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164898870
PECOS PAC ID: 5092006445
Enrollment ID: I20180710000892
Provider NameCameron R Taylor
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1871911354
PECOS PAC ID: 8527384015
Enrollment ID: I20180710001240
Provider NameAnastasia M Herbert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740469691
PECOS PAC ID: 5799031258
Enrollment ID: I20180713001014
Provider NameDaniel M Buckland
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851719587
PECOS PAC ID: 8921307133
Enrollment ID: I20180713001832
Provider NameLingye Chen
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1356604128
PECOS PAC ID: 0547517062
Enrollment ID: I20180716000600
Provider NameKathleen M Flynn
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801895149
PECOS PAC ID: 3779539739
Enrollment ID: I20180717001838
Provider NameKevin F Mcenaney
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093716482
PECOS PAC ID: 0749537009
Enrollment ID: I20180718002741
Provider NameBenjamin R Lloyd
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1194083527
PECOS PAC ID: 3476800673
Enrollment ID: I20180719000042
Provider NameCarolee B Rule
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356332910
PECOS PAC ID: 3678820875
Enrollment ID: I20180719000377
Provider NameCortney L Mouillesseaux
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356532691
PECOS PAC ID: 7416096615
Enrollment ID: I20180720002180
Provider NameAmanda F Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083830137
PECOS PAC ID: 1456608314
Enrollment ID: I20180724000426
Provider NameJonathan G Martin
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1609197425
PECOS PAC ID: 3577857911
Enrollment ID: I20180724000763
Provider NameSharmell O Wilson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972563013
PECOS PAC ID: 6709133523
Enrollment ID: I20180724003089
Provider NameJoanne E Wagner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134189251
PECOS PAC ID: 9133476732
Enrollment ID: I20180726002705
Provider NameTanya Glaser
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164840211
PECOS PAC ID: 0648528141
Enrollment ID: I20180731001386
Provider NameLisette M Ramos
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1124224274
PECOS PAC ID: 9638220783
Enrollment ID: I20180731001554
Provider NameAnne Dunbar Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558706770
PECOS PAC ID: 5294038774
Enrollment ID: I20180801003456
Provider NameMegan M Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932353059
PECOS PAC ID: 6406104520
Enrollment ID: I20180807001215
Provider NameKyle Todd Mitchell
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1659634608
PECOS PAC ID: 8820227333
Enrollment ID: I20180807002878
Provider NameLarissa Saldana
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013178243
PECOS PAC ID: 0749452266
Enrollment ID: I20180808000825
Provider NameRebecca B Elowski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841556255
PECOS PAC ID: 0941451371
Enrollment ID: I20180808002308
Provider NameHarpreet K Singh
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1104111574
PECOS PAC ID: 8729207618
Enrollment ID: I20180809004869
Provider NameNeil Naik
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1699111252
PECOS PAC ID: 0749406551
Enrollment ID: I20180810001554
Provider NameDanai Udomtecha
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1164615720
PECOS PAC ID: 4789743295
Enrollment ID: I20180814003073
Provider NameJaime Mcdermott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912255431
PECOS PAC ID: 2062642176
Enrollment ID: I20180815001388
Provider NameAshley Gentile Traversa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760987259
PECOS PAC ID: 3476802018
Enrollment ID: I20180815002348
Provider NameCourtney Mcmickens
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598083560
PECOS PAC ID: 6608095393
Enrollment ID: I20180815002425
Provider NameErica Anne Heniser
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1104237486
PECOS PAC ID: 0749405389
Enrollment ID: I20180817002306
Provider NameAdriana Ida Cline
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003294059
PECOS PAC ID: 7416268164
Enrollment ID: I20180820001027
Provider NameAndrea Blaire Dotson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205222080
PECOS PAC ID: 3375857295
Enrollment ID: I20180821002365
Provider NameSanjay Venkatesh
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1841686391
PECOS PAC ID: 8628378858
Enrollment ID: I20180824000578
Provider NameKishan S Parikh
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1780813782
PECOS PAC ID: 4789835216
Enrollment ID: I20180828000169
Provider NameMatthew R Pipeling
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1174677462
PECOS PAC ID: 8426126095
Enrollment ID: I20180829001658
Provider NameRebecca G Theophanous
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831584085
PECOS PAC ID: 5991055741
Enrollment ID: I20180829001745
Provider NameTyler Steven Pidgeon
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265725329
PECOS PAC ID: 7315163193
Enrollment ID: I20180829002857
Provider NameAustin X Dixon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164869327
PECOS PAC ID: 8224267000
Enrollment ID: I20180831002353
Provider NameNoreen Bukhari-parlakturk
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1700229614
PECOS PAC ID: 5698025229
Enrollment ID: I20180831002462
Provider NameChristopher Michael White
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770840043
PECOS PAC ID: 8123378684
Enrollment ID: I20180904000906
Provider NameNicholas Devito
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1962758060
PECOS PAC ID: 8921358482
Enrollment ID: I20180904000995
Provider NameLutsiya K Huang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912360397
PECOS PAC ID: 2163713595
Enrollment ID: I20180905000141
Provider NameMichael A Schmidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568979987
PECOS PAC ID: 6002166451
Enrollment ID: I20180905001696
Provider NameJason Y Cho
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861759482
PECOS PAC ID: 9638429954
Enrollment ID: I20180907001710
Provider NameColeen M Cowperthwait
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1649769894
PECOS PAC ID: 5799035960
Enrollment ID: I20180910001040
Provider NameAnanda M Chowdhury
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1689932030
PECOS PAC ID: 5890096093
Enrollment ID: I20180910002246
Provider NameMegan Pike Alford
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114314135
PECOS PAC ID: 7315297520
Enrollment ID: I20180910002494
Provider NameJennifer L Mcnally
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1699054718
PECOS PAC ID: 5395964902
Enrollment ID: I20180910002939
Provider NameRami Al-rohil
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1558671511
PECOS PAC ID: 8426341272
Enrollment ID: I20180911001633
Provider NameMatthew R Glass
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1235333899
PECOS PAC ID: 9638224777
Enrollment ID: I20180911002722
Provider NameJordan Schaumberg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194144063
PECOS PAC ID: 7113277203
Enrollment ID: I20180911003100
Provider NameCaroline E Sloan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508251844
PECOS PAC ID: 2668722760
Enrollment ID: I20180911003483
Provider NameAmber Fresco
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1588077499
PECOS PAC ID: 1355691452
Enrollment ID: I20180911003698
Provider NameJames T Herbert
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1053653410
PECOS PAC ID: 9436409471
Enrollment ID: I20180912001628
Provider NameAnne Elizabeth West Honart
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053725051
PECOS PAC ID: 3779833744
Enrollment ID: I20180912002710
Provider NameCarolyn H Glass
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1164541264
PECOS PAC ID: 6305196387
Enrollment ID: I20180912003202
Provider NameBradley Kevin Farrell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205325107
PECOS PAC ID: 7517217466
Enrollment ID: I20180913002929
Provider NameBrendan J Flanagan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184011249
PECOS PAC ID: 3971853854
Enrollment ID: I20180914000423
Provider NameHarry Paul Erba
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1508942566
PECOS PAC ID: 6002951845
Enrollment ID: I20180914002687
Provider NameEsther Jeong
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831576362
PECOS PAC ID: 8224389143
Enrollment ID: I20180914002775
Provider NameIbukunoluwa C Kalu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245597178
PECOS PAC ID: 2365691441
Enrollment ID: I20180915000017
Provider NameAtul Kapila
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1952744294
PECOS PAC ID: 2365744257
Enrollment ID: I20180917001514
Provider NameEvan David Kharasch
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1780602219
PECOS PAC ID: 0648298653
Enrollment ID: I20180917001892
Provider NameKevin E Vorenkamp
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1053364141
PECOS PAC ID: 6002827466
Enrollment ID: I20180918002527
Provider NameKevin Ryan Kalisz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528406543
PECOS PAC ID: 1052682317
Enrollment ID: I20180918003803
Provider NameJulia A Messina
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1760702880
PECOS PAC ID: 7517107337
Enrollment ID: I20180920000235
Provider NamePalen P Mallory
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245596535
PECOS PAC ID: 3274884887
Enrollment ID: I20180920002345
Provider NameKelly J Valencia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649764846
PECOS PAC ID: 0941551568
Enrollment ID: I20180920002639
Provider NameSneha Mantri
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1265798631
PECOS PAC ID: 9436388741
Enrollment ID: I20180920003032
Provider NameAndrew P Landstrom
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952669046
PECOS PAC ID: 6800147380
Enrollment ID: I20180921001994
Provider NameKathleen Claus
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1669819611
PECOS PAC ID: 3072802727
Enrollment ID: I20180921002737
Provider NameEmily E Swartwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083114201
PECOS PAC ID: 1456602978
Enrollment ID: I20180924000246
Provider NameDane R Whicker
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1508350125
PECOS PAC ID: 1153672670
Enrollment ID: I20180924000400
Provider NameStephen J Balevic
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154641892
PECOS PAC ID: 0446501894
Enrollment ID: I20180924001784
Provider NameAlejandro J Landa
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841618477
PECOS PAC ID: 6002167467
Enrollment ID: I20180924002259
Provider NameKaty C Liu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1801216221
PECOS PAC ID: 3476804725
Enrollment ID: I20180925003621
Provider NameSunny H Patel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1821354812
PECOS PAC ID: 5496006751
Enrollment ID: I20180925003969
Provider NameBrittany A Matthews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457838880
PECOS PAC ID: 5193076412
Enrollment ID: I20180926002114
Provider NameStacey Maskarinec
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1639469745
PECOS PAC ID: 9931450186
Enrollment ID: I20180926004094
Provider NameNeeraj K Surana
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1053578054
PECOS PAC ID: 0941466205
Enrollment ID: I20181001002475
Provider NameRebecca Sadun
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1437475100
PECOS PAC ID: 6002168044
Enrollment ID: I20181002003701
Provider NameMegan Elizabeth Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134479454
PECOS PAC ID: 9133370349
Enrollment ID: I20181003001525
Provider NameLars M Wagner
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1730244344
PECOS PAC ID: 4981651866
Enrollment ID: I20181003001912
Provider NameAnjni Patel Joiner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861758401
PECOS PAC ID: 8820393275
Enrollment ID: I20181007000001
Provider NameAndrew J Kubinski
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1902223266
PECOS PAC ID: 8729330576
Enrollment ID: I20181007000032
Provider NameSophia S Younts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821583642
PECOS PAC ID: 0042562795
Enrollment ID: I20181009000990
Provider NameKristen M Rezak
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1801086905
PECOS PAC ID: 9830353663
Enrollment ID: I20181009002763
Provider NameEdgardo J Cintron Diaz
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1740569839
PECOS PAC ID: 1254683857
Enrollment ID: I20181010000020
Provider NameDavid L Leverenz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619311305
PECOS PAC ID: 5395048995
Enrollment ID: I20181011001093
Provider NameTammy H Kreuzer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194750794
PECOS PAC ID: 2860456027
Enrollment ID: I20181015000882
Provider NameLeonard Talbot
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1962679787
PECOS PAC ID: 8224296991
Enrollment ID: I20181015001420
Provider NameEric Allen Johnbull
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063783355
PECOS PAC ID: 9234481524
Enrollment ID: I20181015003302
Provider NameAnne Lousie Marano
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1730507088
PECOS PAC ID: 6305062555
Enrollment ID: I20181016002446
Provider NameKenzie Jane Bowen Johnston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518387992
PECOS PAC ID: 9638393507
Enrollment ID: I20181017003429
Provider NameVarnita Tahiliani
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1598022733
PECOS PAC ID: 3173876141
Enrollment ID: I20181022003347
Provider NameStephanie Bryant
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1053818971
PECOS PAC ID: 3870846777
Enrollment ID: I20181023001426
Provider NameJulia D Visgauss
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1699031401
PECOS PAC ID: 3072866821
Enrollment ID: I20181025000978
Provider NameJie Wang
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1215257183
PECOS PAC ID: 0749424232
Enrollment ID: I20181029000002
Provider NameErika Schwengel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780037309
PECOS PAC ID: 5799038360
Enrollment ID: I20181029001481
Provider NameLamercie Marie Wynee Saint Hilaire
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649617549
PECOS PAC ID: 8820387061
Enrollment ID: I20181106002526
Provider NameRajiv Seth Swamy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396923793
PECOS PAC ID: 2769566439
Enrollment ID: I20181113000978
Provider NameNatasha N Cassara
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659857241
PECOS PAC ID: 8820342488
Enrollment ID: I20181116002039
Provider NameLisa Ellen Rasbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770697559
PECOS PAC ID: 9537164173
Enrollment ID: I20181116002256
Provider NameMitali D Patel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336627967
PECOS PAC ID: 7214281567
Enrollment ID: I20181126002952
Provider NameChad A Kloefkorn
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1366861148
PECOS PAC ID: 9133494099
Enrollment ID: I20181126003322
Provider NameAngela L Pollak
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1861810814
PECOS PAC ID: 2860736162
Enrollment ID: I20181127001830
Provider NameKimberly J Holzmacher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821576539
PECOS PAC ID: 8426392705
Enrollment ID: I20181128001440
Provider NameJames Hanley Morgan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649213950
PECOS PAC ID: 6709783285
Enrollment ID: I20181128003262
Provider NamePeter J Allen
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1144211905
PECOS PAC ID: 7416980719
Enrollment ID: I20181203000001
Provider NameRicha Agarwal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932381829
PECOS PAC ID: 7719135722
Enrollment ID: I20181203002106
Provider NameElizabeth Marriott
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407078231
PECOS PAC ID: 5799884136
Enrollment ID: I20181207000843
Provider NameCathleen M Bury
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497173033
PECOS PAC ID: 3678844313
Enrollment ID: I20181210002290
Provider NameMichael Lidsky
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1922254259
PECOS PAC ID: 0042554586
Enrollment ID: I20181210002972
Provider NameElizabeth J Malcolm
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700838877
PECOS PAC ID: 3375559487
Enrollment ID: I20181211001412
Provider NameAngela Dvorak De Morales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013427483
PECOS PAC ID: 1052670973
Enrollment ID: I20181211001668
Provider NameMartha Obeng Kenney
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1245502988
PECOS PAC ID: 0749430791
Enrollment ID: I20181211002094
Provider NameRobert James. French
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942490065
PECOS PAC ID: 9032351465
Enrollment ID: I20181212001322
Provider NameRebekah F Matta
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1316476989
PECOS PAC ID: 8325383706
Enrollment ID: I20181213002104
Provider NameAlissa M. Collins
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1326314717
PECOS PAC ID: 9537436845
Enrollment ID: I20181219002805
Provider NameSamantha R Eaker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346726874
PECOS PAC ID: 6800131699
Enrollment ID: I20181226000909
Provider NameRachelle Ann Catarozzoli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891163663
PECOS PAC ID: 3274842265
Enrollment ID: I20181227002099
Provider NameGiselle Lopez
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1821415290
PECOS PAC ID: 0840547253
Enrollment ID: I20181231000319
Provider NameSarah P Mccormick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588148761
PECOS PAC ID: 8123364643
Enrollment ID: I20190103003115
Provider NameXunrong Luo
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1730245945
PECOS PAC ID: 6002831195
Enrollment ID: I20190108000397
Provider NameHayley J Karan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255816500
PECOS PAC ID: 3375889678
Enrollment ID: I20190108000750
Provider NameHope F Mooney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619167434
PECOS PAC ID: 9436495785
Enrollment ID: I20190108002818
Provider NameRio M Landa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205301108
PECOS PAC ID: 2163768417
Enrollment ID: I20190108002824
Provider NameMeghan K Esper
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1598251985
PECOS PAC ID: 9133465396
Enrollment ID: I20190108003516
Provider NameGary J Faerber
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1366533804
PECOS PAC ID: 2466591698
Enrollment ID: I20190109003042
Provider NameJennifer Margaret Bissey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609354000
PECOS PAC ID: 1658617741
Enrollment ID: I20190110001124
Provider NameVanisha R Wilson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073925525
PECOS PAC ID: 3678875705
Enrollment ID: I20190110001461
Provider NameSonia Elizabeth Xavier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043454523
PECOS PAC ID: 5698944940
Enrollment ID: I20190111000712
Provider NameValerie Adams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316425648
PECOS PAC ID: 5597001438
Enrollment ID: I20190114001391
Provider NameChristopher I Shaffrey
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235208877
PECOS PAC ID: 7618965062
Enrollment ID: I20190116003105
Provider NameDerek G Southwell
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1316236912
PECOS PAC ID: 6103057260
Enrollment ID: I20190117000995
Provider NameChristoffer Gregory Nelson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538658323
PECOS PAC ID: 3971849514
Enrollment ID: I20190117003983
Provider NameDebra L Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457577355
PECOS PAC ID: 8921344573
Enrollment ID: I20190118000142
Provider NameMeryl Severson
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1427265248
PECOS PAC ID: 9830283977
Enrollment ID: I20190118002472
Provider NameSusan F Dent
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1912482498
PECOS PAC ID: 6901143486
Enrollment ID: I20190122001743
Provider NameBrittany A Countryman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184033623
PECOS PAC ID: 9234440116
Enrollment ID: I20190122003441
Provider NameKathleen Cooney
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1073699039
PECOS PAC ID: 3173652666
Enrollment ID: I20190123000189
Provider NameJanet C Sheaves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275009938
PECOS PAC ID: 8820335375
Enrollment ID: I20190123000337
Provider NameKeisha Lancaster Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245715598
PECOS PAC ID: 2567709934
Enrollment ID: I20190123001291
Provider NameCamille M Buchanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689149825
PECOS PAC ID: 8628315934
Enrollment ID: I20190124002003
Provider NameRuth Galle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689141731
PECOS PAC ID: 2062759236
Enrollment ID: I20190125000736
Provider NameTaylor T Addis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982179800
PECOS PAC ID: 3678810769
Enrollment ID: I20190128002207
Provider NameJennifer Michelle Decoste
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518354604
PECOS PAC ID: 7517204381
Enrollment ID: I20190201000525
Provider NameCassandra G Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780152827
PECOS PAC ID: 0941547681
Enrollment ID: I20190204000667
Provider NameJaskiran Kaur Vidwan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1851547756
PECOS PAC ID: 9739345349
Enrollment ID: I20190204002535
Provider NameLeslie A Beer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053784082
PECOS PAC ID: 1850663956
Enrollment ID: I20190205001228
Provider NameTristin R Valdivia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295221851
PECOS PAC ID: 8628316387
Enrollment ID: I20190205002981
Provider NameMelanie B Thomas
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1225134075
PECOS PAC ID: 3476620857
Enrollment ID: I20190211000193
Provider NameAngelica Ortiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659840015
PECOS PAC ID: 8729326996
Enrollment ID: I20190213001637
Provider NameJoshua T Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154804722
PECOS PAC ID: 0648518845
Enrollment ID: I20190213002937
Provider NameMariah J Moger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194226514
PECOS PAC ID: 8325386535
Enrollment ID: I20190213003168
Provider NameKari A Overstreet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134610108
PECOS PAC ID: 5597003715
Enrollment ID: I20190214000245
Provider NameLaura Barisoni Thomas
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1063405793
PECOS PAC ID: 8628968831
Enrollment ID: I20190218000141
Provider NameKhyati H Baxi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1710203385
PECOS PAC ID: 3779862313
Enrollment ID: I20190218001150
Provider NameElizabeth B Gilbert
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568704740
PECOS PAC ID: 7719225713
Enrollment ID: I20190218002007
Provider NameChrystal D Rowe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134631989
PECOS PAC ID: 0143568097
Enrollment ID: I20190219001427
Provider NameFatima Z Syed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053754325
PECOS PAC ID: 6901185867
Enrollment ID: I20190219001753
Provider NameDetty Thomas Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063927549
PECOS PAC ID: 8921346743
Enrollment ID: I20190220001830
Provider NameKathleen M Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801370655
PECOS PAC ID: 0749528511
Enrollment ID: I20190221000410
Provider NameAlexandre T Rotta
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023079316
PECOS PAC ID: 7618951757
Enrollment ID: I20190222002270
Provider NameJohn Wesley Howell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265901425
PECOS PAC ID: 5496094278
Enrollment ID: I20190222002364
Provider NameKiersten A Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346646874
PECOS PAC ID: 4284958794
Enrollment ID: I20190301001772
Provider NameNaomi N Duke
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366539496
PECOS PAC ID: 3577552538
Enrollment ID: I20190305001933
Provider NameChristian Hernandez
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1881958460
PECOS PAC ID: 6204131733
Enrollment ID: I20190312002639
Provider NameDeanna Lynne Walters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942773783
PECOS PAC ID: 7517207202
Enrollment ID: I20190315000691
Provider NameJatin Roper
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1124273461
PECOS PAC ID: 3678743515
Enrollment ID: I20190315001409
Provider NameElizabeth K Tresohlavy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558847236
PECOS PAC ID: 4789924390
Enrollment ID: I20190319000438
Provider NameEllen Catherine Byars
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255838561
PECOS PAC ID: 0840530283
Enrollment ID: I20190320003078
Provider NameAli Raza Qamar
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1316248727
PECOS PAC ID: 6800036732
Enrollment ID: I20190320003137
Provider NameTedrick Lamar Vernon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1841778529
PECOS PAC ID: 6002156213
Enrollment ID: I20190326003019
Provider NameJoy M Chaksupa
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144417296
PECOS PAC ID: 5395825970
Enrollment ID: I20190403001937
Provider NameChristine E Zdeb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790259984
PECOS PAC ID: 8123369642
Enrollment ID: I20190410002636
Provider NameWenjing Huang Adams
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588665863
PECOS PAC ID: 5799676474
Enrollment ID: I20190411001951
Provider NameScott Joseph Antonia
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1669404091
PECOS PAC ID: 9032293105
Enrollment ID: I20190411003089
Provider NameOkechukwu A Anakwenze
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1043418759
PECOS PAC ID: 7012133523
Enrollment ID: I20190417001953
Provider NameMilta O Little
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740409754
PECOS PAC ID: 7214061837
Enrollment ID: I20190418002321
Provider NameAmber B Pope
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336603869
PECOS PAC ID: 7315289303
Enrollment ID: I20190423000639
Provider NameHazida S Kazaure
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1548526312
PECOS PAC ID: 5294077202
Enrollment ID: I20190423001202
Provider NameSerena P Wong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710306204
PECOS PAC ID: 3971823295
Enrollment ID: I20190423002246
Provider NameNatalie N Krohl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538672852
PECOS PAC ID: 2860734225
Enrollment ID: I20190504000080
Provider NameAshley Kay Lawson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1639458599
PECOS PAC ID: 5799956587
Enrollment ID: I20190506002720
Provider NameAngela P Rutherford
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1821555160
PECOS PAC ID: 6305188673
Enrollment ID: I20190507001662
Provider NameSwaroop Pawar
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073778627
PECOS PAC ID: 0749439495
Enrollment ID: I20190507001992
Provider NameMelissa A Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346706371
PECOS PAC ID: 7416290069
Enrollment ID: I20190522001190
Provider NameMelissa Rightor
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1689703761
PECOS PAC ID: 9537402813
Enrollment ID: I20190530001879
Provider NamePiper P Kilpatrick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760610547
PECOS PAC ID: 6002057007
Enrollment ID: I20190604001416
Provider NameHolly Nichols
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689089013
PECOS PAC ID: 6406075019
Enrollment ID: I20190606000331
Provider NameBrandon Taylor Ruderman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780047928
PECOS PAC ID: 4486947165
Enrollment ID: I20190617000184
Provider NameBryan M Osullivan Murphy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891115820
PECOS PAC ID: 3375841232
Enrollment ID: I20190618002145
Provider NameMarlena Parson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548682826
PECOS PAC ID: 8224362629
Enrollment ID: I20190618002777
Provider NameWilliam R Jeck
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1972984482
PECOS PAC ID: 1951618370
Enrollment ID: I20190620000829
Provider NameRoy J Colglazier
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588077440
PECOS PAC ID: 4789918012
Enrollment ID: I20190620001446
Provider NameChristopher Robert Stamey
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1669882098
PECOS PAC ID: 9830491513
Enrollment ID: I20190620002652
Provider NameHui M Tseng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922445212
PECOS PAC ID: 8325274186
Enrollment ID: I20190625000721
Provider NameRebecca Mcgowan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184187387
PECOS PAC ID: 8628304904
Enrollment ID: I20190724001620
Provider NameKunjan Shakya
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1689802787
PECOS PAC ID: 0547410656
Enrollment ID: I20190729003469
Provider NameChad Michael Gridley
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1396180717
PECOS PAC ID: 1153558051
Enrollment ID: I20190730004589
Provider NameJulie A Fried
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1841532744
PECOS PAC ID: 6507192242
Enrollment ID: I20190801002621
Provider NameMara L Becker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538179700
PECOS PAC ID: 0345249975
Enrollment ID: I20190801002918
Provider NameSweta Sengupta
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1063830578
PECOS PAC ID: 6406182195
Enrollment ID: I20190802000716
Provider NameKen He Young
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1891756318
PECOS PAC ID: 8224018411
Enrollment ID: I20190802002868
Provider NameZachary J Reitman
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1134547201
PECOS PAC ID: 6800100496
Enrollment ID: I20190805000240
Provider NameDenise H Tola
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053354894
PECOS PAC ID: 8022068410
Enrollment ID: I20190805002200
Provider NameBryce Alan Harbertson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073956637
PECOS PAC ID: 1658513031
Enrollment ID: I20190806001395
Provider NameJohn D Purakal
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1407275258
PECOS PAC ID: 5496055469
Enrollment ID: I20190808000448
Provider NameJohn C Eppensteiner
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912393638
PECOS PAC ID: 9234466491
Enrollment ID: I20190809002135
Provider NameAnna Aliza Jaffe Ruderman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013371079
PECOS PAC ID: 2860785458
Enrollment ID: I20190810000063
Provider NameNicholas A Turner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619243037
PECOS PAC ID: 4082917794
Enrollment ID: I20190813002422
Provider NameSara Lynn Fawson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1235680364
PECOS PAC ID: 3971887357
Enrollment ID: I20190816002645
Provider NameAnne C Weaver
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1598184509
PECOS PAC ID: 0244568905
Enrollment ID: I20190820002082
Provider NameAndrea Sitlinger
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1518209865
PECOS PAC ID: 6103154737
Enrollment ID: I20190821000906
Provider NameAreeg H El-gharbawy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629231451
PECOS PAC ID: 8022271154
Enrollment ID: I20190823003159
Provider NameAmi Yogesh Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1588927826
PECOS PAC ID: 8325276215
Enrollment ID: I20190824000187
Provider NameTristin A Allen
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1982041778
PECOS PAC ID: 6507008190
Enrollment ID: I20190826002410
Provider NameCecelia Zhang
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1861735474
PECOS PAC ID: 7012245293
Enrollment ID: I20190826003403
Provider NameScott Le
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1831509389
PECOS PAC ID: 4981983400
Enrollment ID: I20190828001694
Provider NameDaniel Christopher Parker
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1174866198
PECOS PAC ID: 1658681093
Enrollment ID: I20190903001143
Provider NameBrian William Stephenson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1376805366
PECOS PAC ID: 8729300736
Enrollment ID: I20190903001418
Provider NameKimberly G Ramsdell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407815921
PECOS PAC ID: 2365771151
Enrollment ID: I20190903003049
Provider NameAlison A Buchan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881252526
PECOS PAC ID: 7911236641
Enrollment ID: I20190905002763
Provider NameShelby Addison Neal
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679868640
PECOS PAC ID: 7416264304
Enrollment ID: I20190909001228
Provider NameJonathan Puthenveetil Mathew
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760896484
PECOS PAC ID: 6204057367
Enrollment ID: I20190910000595
Provider NameAndrew W Mccrary
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487920906
PECOS PAC ID: 0143559575
Enrollment ID: I20190911000653
Provider NameDaniel L Edmonston
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1932436938
PECOS PAC ID: 0648509901
Enrollment ID: I20190911002273
Provider NamePedro E Santiago
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1447276779
PECOS PAC ID: 6204165459
Enrollment ID: I20190912002761
Provider NameSejal Narendra Patel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073855318
PECOS PAC ID: 2961731021
Enrollment ID: I20190916000994
Provider NameAlixandra S Purakal
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578902706
PECOS PAC ID: 5092017871
Enrollment ID: I20190916001502
Provider NameAndrew J Liu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215279989
PECOS PAC ID: 3375775687
Enrollment ID: I20190916002449
Provider NameSharla M Rent
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1891038048
PECOS PAC ID: 0749582203
Enrollment ID: I20190916003571
Provider NameMax L Schiff
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851679641
PECOS PAC ID: 6002128840
Enrollment ID: I20190916003643
Provider NameJanet Waimin Lee
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245573120
PECOS PAC ID: 5597010306
Enrollment ID: I20190917000400
Provider NameJennifer Marie Bartlett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396305496
PECOS PAC ID: 8325378326
Enrollment ID: I20190917003798
Provider NameGarth S Herbert
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1073583548
PECOS PAC ID: 7214179126
Enrollment ID: I20190918001155
Provider NameJoseph S Fernandez-moure
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1073741484
PECOS PAC ID: 8123274446
Enrollment ID: I20190919001521
Provider NameDeng B Madut
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1679839898
PECOS PAC ID: 5890025613
Enrollment ID: I20190920003027
Provider NameJessica L Seidelman
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1699018747
PECOS PAC ID: 5597095349
Enrollment ID: I20190923000638
Provider NameAdam Brekke
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366862666
PECOS PAC ID: 5698077220
Enrollment ID: I20190923001542
Provider NameBradley J Goldstein
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1053353136
PECOS PAC ID: 7214909282
Enrollment ID: I20190924003906
Provider NameLindsey T Hanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871159202
PECOS PAC ID: 4981934577
Enrollment ID: I20190924003928
Provider NameKristin Ed Weimer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720320815
PECOS PAC ID: 0547590085
Enrollment ID: I20190925002473
Provider NameSusan Gr Mcduff
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1861810756
PECOS PAC ID: 9234445107
Enrollment ID: I20190925003826
Provider NameMelissa Anne Loyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245799733
PECOS PAC ID: 1355671835
Enrollment ID: I20190925003962
Provider NameRichard C Sabin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023326550
PECOS PAC ID: 5597947135
Enrollment ID: I20190927003097
Provider NameAnita M Kelsey
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1083617161
PECOS PAC ID: 3971798810
Enrollment ID: I20191001001139
Provider NameRushina Cholera
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841646486
PECOS PAC ID: 5395038160
Enrollment ID: I20191001001623
Provider NameAndrew Hanselman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1699038208
PECOS PAC ID: 0345542056
Enrollment ID: I20191001001681
Provider NameSharon Beckman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184028599
PECOS PAC ID: 9830429018
Enrollment ID: I20191001003523
Provider NameLloyd Berthold Williams
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1730333741
PECOS PAC ID: 6507012341
Enrollment ID: I20191002003774
Provider NameJustin D Allen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487034245
PECOS PAC ID: 6608185541
Enrollment ID: I20191003000212
Provider NameDurga Swetha Borkar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063851160
PECOS PAC ID: 8123242898
Enrollment ID: I20191004003140
Provider NameJordan Kimmet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770036550
PECOS PAC ID: 4587942487
Enrollment ID: I20191007001325
Provider NameChantal J Boisvert
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1366606055
PECOS PAC ID: 0941378178
Enrollment ID: I20191007001830
Provider NameKhoi Duc Than
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1326269671
PECOS PAC ID: 7810216454
Enrollment ID: I20191007001944
Provider NameGillian O Noel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487979845
PECOS PAC ID: 8628389715
Enrollment ID: I20191007002885
Provider NameLisa Marie Mcelroy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174766851
PECOS PAC ID: 9931499829
Enrollment ID: I20191008000583
Provider NameHadja Thiam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114586948
PECOS PAC ID: 7911238845
Enrollment ID: I20191008001570
Provider NameArchana Khandelwal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700236395
PECOS PAC ID: 3971834805
Enrollment ID: I20191008001816
Provider NameFuad Y Aleskerov
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1730565490
PECOS PAC ID: 2668781113
Enrollment ID: I20191008002987
Provider NameDorothy Anne Lowell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770894735
PECOS PAC ID: 9830420694
Enrollment ID: I20191008003733
Provider NameKaveh Ardalan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588942676
PECOS PAC ID: 9335425479
Enrollment ID: I20191009001815
Provider NameElena Tenenbaum
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1770073041
PECOS PAC ID: 8921339680
Enrollment ID: I20191010000449
Provider NameSabrina M Shearer
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1124413497
PECOS PAC ID: 3173833035
Enrollment ID: I20191014001168
Provider NameHilary Joan Mcintosh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871148387
PECOS PAC ID: 0648501270
Enrollment ID: I20191014001809
Provider NameSarah N. Zaheer
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1407177892
PECOS PAC ID: 7214171123
Enrollment ID: I20191014003112
Provider NameJulio Martinez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104289107
PECOS PAC ID: 7012248578
Enrollment ID: I20191014003276
Provider NameNatisha Mandadi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1235514936
PECOS PAC ID: 7113223520
Enrollment ID: I20191016001284
Provider NameAubree Lee Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962865576
PECOS PAC ID: 0648562546
Enrollment ID: I20191017000357
Provider NameReeti Kumar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992140867
PECOS PAC ID: 8123329570
Enrollment ID: I20191022000307
Provider NameSona Sharma
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1336326131
PECOS PAC ID: 5193892198
Enrollment ID: I20191022002220
Provider NameHeather K Vestal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1447571781
PECOS PAC ID: 6002074598
Enrollment ID: I20191023003363
Provider NameTiffany Y Mcewen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275099186
PECOS PAC ID: 5496087397
Enrollment ID: I20191025001817
Provider NameSarah P Daniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114588670
PECOS PAC ID: 6709118623
Enrollment ID: I20191025002612
Provider NameAkshay Pendyal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1427374339
PECOS PAC ID: 2163657297
Enrollment ID: I20191028001846
Provider NameMonique C Agustin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053971226
PECOS PAC ID: 3779815436
Enrollment ID: I20191029003364
Provider NameKatrina N Compton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821656596
PECOS PAC ID: 6103158860
Enrollment ID: I20191029003459
Provider NameJeanna D Blitz
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1518076603
PECOS PAC ID: 4082619408
Enrollment ID: I20191102000344
Provider NameStephen P Peterson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629127915
PECOS PAC ID: 2264485598
Enrollment ID: I20191104001814
Provider NameSi Sandy An
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1609295591
PECOS PAC ID: 4981907516
Enrollment ID: I20191105002698
Provider NameJohn S Guthrie
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457906877
PECOS PAC ID: 5193157493
Enrollment ID: I20191106003423
Provider NameTammara L Watts
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1417079369
PECOS PAC ID: 2466504030
Enrollment ID: I20191106003504
Provider NameNishant Prashant Shah
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457601106
PECOS PAC ID: 1850510504
Enrollment ID: I20191108000311
Provider NameJoshua James Siglin
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1275768731
PECOS PAC ID: 5496978652
Enrollment ID: I20191111002707
Provider NameVijay K Ramaiah
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1982920377
PECOS PAC ID: 6608046024
Enrollment ID: I20191119000712
Provider NameAmanda Lee Pratt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326486150
PECOS PAC ID: 8820213770
Enrollment ID: I20191119000903
Provider NameSarada Eleswarpu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1104205350
PECOS PAC ID: 6002119641
Enrollment ID: I20191119002105
Provider NameDuane Richard Hennion
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417948597
PECOS PAC ID: 6608020359
Enrollment ID: I20191119002223
Provider NameMatthew L Vestal
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1619289428
PECOS PAC ID: 2567734460
Enrollment ID: I20191120000932
Provider NameDeborah R Kaye
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1225353295
PECOS PAC ID: 3173772191
Enrollment ID: I20191120001196
Provider NameJerome Jeffrey Federspiel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1033503131
PECOS PAC ID: 4789995234
Enrollment ID: I20191120002157
Provider NameYun-hua Chiang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053868356
PECOS PAC ID: 6002198918
Enrollment ID: I20191121001509
Provider NameCarrie Anne Jones
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174918791
PECOS PAC ID: 4385076736
Enrollment ID: I20191122002479
Provider NameTrevor D Burt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417190455
PECOS PAC ID: 7315093473
Enrollment ID: I20191127001847
Provider NameMeredith Whitacre
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1598057317
PECOS PAC ID: 1850517004
Enrollment ID: I20191202002832
Provider NameAnthony S Ceraulo
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1437539764
PECOS PAC ID: 1850600776
Enrollment ID: I20191203000730
Provider NameJennifer I Johntony
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982939088
PECOS PAC ID: 9335469923
Enrollment ID: I20191203002569
Provider NameMustafa Khasraw
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1235361353
PECOS PAC ID: 9931532900
Enrollment ID: I20191204003239
Provider NameSonali Advani
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1174880280
PECOS PAC ID: 6709172208
Enrollment ID: I20191211002851
Provider NameIoana Antonescu
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1952768343
PECOS PAC ID: 4688925076
Enrollment ID: I20191211002922
Provider NameMelissa A Barbor
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477589042
PECOS PAC ID: 8527031319
Enrollment ID: I20191213000004
Provider NameGuiyun Zhou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952412421
PECOS PAC ID: 3971538539
Enrollment ID: I20191216003058
Provider NameChanjuan Shi
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1356493944
PECOS PAC ID: 8325180698
Enrollment ID: I20191217000056
Provider NameStephanie Elizabeth Cooper
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1649546847
PECOS PAC ID: 2466771555
Enrollment ID: I20191217000422
Provider NameLidya Melesse
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558820126
PECOS PAC ID: 9335573732
Enrollment ID: I20191217003047
Provider NameMadeera Kathpal
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1114150612
PECOS PAC ID: 7719274240
Enrollment ID: I20191226002287
Provider NameGalen A Royce-nagel
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1841566858
PECOS PAC ID: 5496046237
Enrollment ID: I20191227002061
Provider NameAudrey Elizabeth Walstrom
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1013443076
PECOS PAC ID: 9032473020
Enrollment ID: I20191230000505
Provider NameMargaret Howard
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1417275090
PECOS PAC ID: 1254630700
Enrollment ID: I20200115002379
Provider NameRebecca J Varley
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1154540375
PECOS PAC ID: 4284069253
Enrollment ID: I20200121002560
Provider NameAnn V Augustine
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1750556452
PECOS PAC ID: 5092869842
Enrollment ID: I20200125000292
Provider NameMarie Louise Meng
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1699094599
PECOS PAC ID: 7214228998
Enrollment ID: I20200203000721
Provider NameJayne Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861037319
PECOS PAC ID: 8820424161
Enrollment ID: I20200205002644
Provider NameDana R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891346987
PECOS PAC ID: 1052747292
Enrollment ID: I20200205003009
Provider NameBrian Chei-fai Lau
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1154610327
PECOS PAC ID: 2264725423
Enrollment ID: I20200212000434
Provider NameTrinitia Y Cannon
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1376763276
PECOS PAC ID: 6305979865
Enrollment ID: I20200212002055
Provider NameDavid Durant Dinsmore
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427697622
PECOS PAC ID: 6204262108
Enrollment ID: I20200213001321
Provider NameGregory E Sawin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699844225
PECOS PAC ID: 5193753051
Enrollment ID: I20200219002336
Provider NameAaron Kyle Cecil
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982082079
PECOS PAC ID: 3072820638
Enrollment ID: I20200221000364
Provider NameKim Marion Carollo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972072114
PECOS PAC ID: 5496095697
Enrollment ID: I20200221002630
Provider NameKathryn L Gloyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033317581
PECOS PAC ID: 8820268584
Enrollment ID: I20200224002321
Provider NameJennifer L Cohen
Provider TypePractitioner - Medical Genetics And Genomics
Provider IdentifiersNPI Number: 1295115111
PECOS PAC ID: 0749617082
Enrollment ID: I20200225003031
Provider NameHannah Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558907238
PECOS PAC ID: 0244668754
Enrollment ID: I20200317000434
Provider NameOpeyemi A Olabisi
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1104052612
PECOS PAC ID: 9931361631
Enrollment ID: I20200317002250
Provider NameLora Ray
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1891331609
PECOS PAC ID: 3971931080
Enrollment ID: I20200323002474
Provider NameDiandra N Ayala-peacock
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1558682336
PECOS PAC ID: 6608189261
Enrollment ID: I20200327000402
Provider NameAlex Cravanas
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1326337460
PECOS PAC ID: 9638482482
Enrollment ID: I20200330001542
Provider NameKrystal Lynn Morgan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1265966592
PECOS PAC ID: 7416386271
Enrollment ID: I20200331001509
Provider NameChristopher Conrad Gianvecchio
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801804844
PECOS PAC ID: 2264344779
Enrollment ID: I20200413003606
Provider NameEdwin P Alyea
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1215974993
PECOS PAC ID: 8628016466
Enrollment ID: I20200416003055
Provider NameJennifer E Ketterly
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1174766943
PECOS PAC ID: 4082044904
Enrollment ID: I20200416003210
Provider NameGanga S. Moorthy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952755779
PECOS PAC ID: 2961795554
Enrollment ID: I20200417001166
Provider NameAnna Rapoport
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255978334
PECOS PAC ID: 2466882238
Enrollment ID: I20200417002478
Provider NameSusmitha Joshi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932683091
PECOS PAC ID: 4688004492
Enrollment ID: I20200420000290
Provider NameChristina V Killette
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1063056877
PECOS PAC ID: 1052741519
Enrollment ID: I20200423002383
Provider NameSarah Allison Linhart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568094910
PECOS PAC ID: 8729419957
Enrollment ID: I20200504000439
Provider NameRenee L Buchser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053975284
PECOS PAC ID: 1557792553
Enrollment ID: I20200506003226
Provider NameCoral Elyse Stevens Hodges
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982247292
PECOS PAC ID: 1153752191
Enrollment ID: I20200507002140
Provider NameDavid Michael Schlientz
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1124406004
PECOS PAC ID: 0042521692
Enrollment ID: I20200511003295
Provider NameXiaoyan Li
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073909255
PECOS PAC ID: 7810216959
Enrollment ID: I20200514001632
Provider NameChristina Marie Fitz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366805046
PECOS PAC ID: 0446671648
Enrollment ID: I20200526000972
Provider NameSara B Weems
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1710524830
PECOS PAC ID: 0345661492
Enrollment ID: I20200528002148
Provider NameBenjamin Scott Dunne
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1831455310
PECOS PAC ID: 2860764305
Enrollment ID: I20200603002569
Provider NameHarpreet Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235774118
PECOS PAC ID: 8325469794
Enrollment ID: I20200611000302
Provider NameOleg Alekseev
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1922457464
PECOS PAC ID: 6901174622
Enrollment ID: I20200617000010
Provider NameAnkeet Mukesh Shah
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1154779304
PECOS PAC ID: 7214222371
Enrollment ID: I20200617002244
Provider NameRoberta Capp
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548451669
PECOS PAC ID: 2264601939
Enrollment ID: I20200618002369
Provider NameNatalia Gonzalez
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1023436177
PECOS PAC ID: 8628490760
Enrollment ID: I20200618003173
Provider NameNicole L Helmke
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790170256
PECOS PAC ID: 4789006735
Enrollment ID: I20200619000583
Provider NameKaran Ravindra Kumar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245534528
PECOS PAC ID: 6406168830
Enrollment ID: I20200622002172
Provider NameWayneho Kam
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1659767911
PECOS PAC ID: 1254634512
Enrollment ID: I20200623000114
Provider NameEmily Sara Herfel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063873669
PECOS PAC ID: 2961778972
Enrollment ID: I20200623001069
Provider NameClayton Ellis Wisely
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1669834875
PECOS PAC ID: 7012204605
Enrollment ID: I20200624002620
Provider NameGeorgia Darby Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730726498
PECOS PAC ID: 4385066190
Enrollment ID: I20200624002756
Provider NameColm B Kelleher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1235524927
PECOS PAC ID: 1052611084
Enrollment ID: I20200626001560
Provider NameMeghan Thompson Twisdale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275154999
PECOS PAC ID: 5698197176
Enrollment ID: I20200630001112
Provider NameErin Webb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477191500
PECOS PAC ID: 4385072735
Enrollment ID: I20200630002889
Provider NameLuiz Maracaja
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1083993224
PECOS PAC ID: 6800014036
Enrollment ID: I20200630003670
Provider NameJonathan Velez Rivera
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1033524707
PECOS PAC ID: 1052734217
Enrollment ID: I20200706002795
Provider NameVishal A Mandge
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1427251826
PECOS PAC ID: 6800912163
Enrollment ID: I20200710001646
Provider NameAmber Hoang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1184087322
PECOS PAC ID: 6305137100
Enrollment ID: I20200713001880
Provider NameLauren Kay Broderick
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1588046213
PECOS PAC ID: 5698081867
Enrollment ID: I20200717000844
Provider NameMichael Yarrington
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1013334952
PECOS PAC ID: 5496053720
Enrollment ID: I20200717002516
Provider NameDeepshikha C Ashana
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1174898357
PECOS PAC ID: 0648582478
Enrollment ID: I20200720002088
Provider NameJordan L Mayberry
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1275928848
PECOS PAC ID: 4789008962
Enrollment ID: I20200721002335
Provider NameCherylee Wj Chang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1023170271
PECOS PAC ID: 3971532375
Enrollment ID: I20200722000159
Provider NameAlex Michaels
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942644240
PECOS PAC ID: 5597994301
Enrollment ID: I20200723001308
Provider NameTommy Guanying Fu
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1508215195
PECOS PAC ID: 9032497193
Enrollment ID: I20200723001978
Provider NameYvonne C Jimenez
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043840234
PECOS PAC ID: 4082038096
Enrollment ID: I20200723002139
Provider NamePatrick Edward Georgoff
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376804443
PECOS PAC ID: 4183930688
Enrollment ID: I20200723002902
Provider NameAlison Shew
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1689028250
PECOS PAC ID: 5193019511
Enrollment ID: I20200729003976
Provider NameChelse Ann Stokhuyzen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275053738
PECOS PAC ID: 1456626373
Enrollment ID: I20200729004097
Provider NamePhilip Chapman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437175429
PECOS PAC ID: 3577553361
Enrollment ID: I20200806000399
Provider NameAnastasia-stefania Alexopoulos
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1134560543
PECOS PAC ID: 2062715915
Enrollment ID: I20200807001594
Provider NameSamia Aleem
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043623713
PECOS PAC ID: 1254756240
Enrollment ID: I20200807002091
Provider NameMatthew Kyle Labriola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841653425
PECOS PAC ID: 2365735727
Enrollment ID: I20200810003385
Provider NamePhilip Chu
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1235543356
PECOS PAC ID: 4486872348
Enrollment ID: I20200813000114
Provider NameMichael Dorry
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1487073755
PECOS PAC ID: 6800212457
Enrollment ID: I20200813002368
Provider NameCandy A Richardson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1528431939
PECOS PAC ID: 1456777895
Enrollment ID: I20200817002468
Provider NameAyesha N. Nicole Lovick
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1669886511
PECOS PAC ID: 6507084803
Enrollment ID: I20200818001652
Provider NamePeter Kang Yi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1023224938
PECOS PAC ID: 4082787304
Enrollment ID: I20200818002132
Provider NameNeelima Navuluri
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1881012789
PECOS PAC ID: 5294151437
Enrollment ID: I20200818002634
Provider NameMegan O'brien Jamison
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1417390873
PECOS PAC ID: 6800154097
Enrollment ID: I20200819000762
Provider NameRichalle Victoria Smith Sullivan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427402080
PECOS PAC ID: 1951673284
Enrollment ID: I20200820001167
Provider NameJanny Mabel Sweetow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013368604
PECOS PAC ID: 6901178516
Enrollment ID: I20200820003438
Provider NameBrian C Mac Grory
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073875951
PECOS PAC ID: 4183935745
Enrollment ID: I20200824000607
Provider NameSherri Lyn Smith
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1518991181
PECOS PAC ID: 1658798327
Enrollment ID: I20200826000894
Provider NameIsaac David Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154778769
PECOS PAC ID: 1456647148
Enrollment ID: I20200831001969
Provider NameBrian Timothy Antono
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669834206
PECOS PAC ID: 8527352517
Enrollment ID: I20200901001904
Provider NameChristopher James Hoimes
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1780634188
PECOS PAC ID: 8426080458
Enrollment ID: I20200901003346
Provider NameAndrew M Baker
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992167902
PECOS PAC ID: 9638466642
Enrollment ID: I20200902002782
Provider NameSarah Jo Stephens
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1548656036
PECOS PAC ID: 6204253354
Enrollment ID: I20200903001048
Provider NameAaron Samual Feiger
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942663588
PECOS PAC ID: 5496172587
Enrollment ID: I20200903002445
Provider NameKatherine Lee Conrad
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1780204123
PECOS PAC ID: 9537586599
Enrollment ID: I20200905000031
Provider NameEmmalie Elizabeth Stay
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407233471
PECOS PAC ID: 4587977954
Enrollment ID: I20200909000585
Provider NameAmanda Kristine Suggs
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1609135599
PECOS PAC ID: 5092067074
Enrollment ID: I20200910000185
Provider NameRachel Ann O'brian
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780004812
PECOS PAC ID: 6002241684
Enrollment ID: I20200914002681
Provider NameBrian James Andonian
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1467872929
PECOS PAC ID: 9537587852
Enrollment ID: I20200917001413
Provider NameElizabeth E Devore
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699244525
PECOS PAC ID: 1456779719
Enrollment ID: I20200917003135
Provider NameVijay Gulabray Paryani
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1063856284
PECOS PAC ID: 9739494618
Enrollment ID: I20200917003138
Provider NameChantal Jasmine Gil
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487903167
PECOS PAC ID: 2961820188
Enrollment ID: I20200918002240
Provider NameKenneth Wade Herring
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679005003
PECOS PAC ID: 2961771316
Enrollment ID: I20200922000520
Provider NameLindsey R Bewley
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1730447111
PECOS PAC ID: 5597059170
Enrollment ID: I20200923002080
Provider NameLauren Mozingo
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1093101446
PECOS PAC ID: 9234432527
Enrollment ID: I20200924000279
Provider NameAndrea Diaz Stransky
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760893143
PECOS PAC ID: 9133401763
Enrollment ID: I20200924003011
Provider NameHeather W Waldrop
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1275876393
PECOS PAC ID: 0749501039
Enrollment ID: I20200925001750
Provider NameJohn Lynch Lyles
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1497174627
PECOS PAC ID: 2668891565
Enrollment ID: I20200925002017
Provider NameChristine Elissa Eyler
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1770859829
PECOS PAC ID: 9739496381
Enrollment ID: I20201005001511
Provider NameNicole Andrea Sagalla
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1154641769
PECOS PAC ID: 2365676772
Enrollment ID: I20201005002828
Provider NameJeslyn M Kleinschmit
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972999704
PECOS PAC ID: 0042521635
Enrollment ID: I20201006000496
Provider NameYoon Hie Kim
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1962857011
PECOS PAC ID: 2860783453
Enrollment ID: I20201006000648
Provider NameSweta Mahesh Patel
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1275809451
PECOS PAC ID: 1951610930
Enrollment ID: I20201006000732
Provider NameBeth Huizenga Shaz
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1710924824
PECOS PAC ID: 1052315207
Enrollment ID: I20201006001911
Provider NameMichael Owens Boyd
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1548615412
PECOS PAC ID: 2365733482
Enrollment ID: I20201006002607
Provider NameKristin Jernigan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417592189
PECOS PAC ID: 2668891862
Enrollment ID: I20201007000494
Provider NameClifford L Crutcher
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1437491305
PECOS PAC ID: 7618267782
Enrollment ID: I20201013000093
Provider NameJordan Michael Komisarow
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1619210770
PECOS PAC ID: 4486074390
Enrollment ID: I20201014003517
Provider NameKatelyn Carroll
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063971364
PECOS PAC ID: 6204256050
Enrollment ID: I20201015002026
Provider NameKeri Konstant
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306466859
PECOS PAC ID: 1850711532
Enrollment ID: I20201019002033
Provider NameAnna L Daniel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629535331
PECOS PAC ID: 6204256860
Enrollment ID: I20201020002341
Provider NameMelissa Bauer
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1922128222
PECOS PAC ID: 6002932845
Enrollment ID: I20201020003786
Provider NameSamantha L Ligouri
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568070787
PECOS PAC ID: 0446670061
Enrollment ID: I20201021001341
Provider NameSundar Krishnan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1578757167
PECOS PAC ID: 0749330132
Enrollment ID: I20201022001828
Provider NameRebekah Marie Hardin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811510704
PECOS PAC ID: 1355751660
Enrollment ID: I20201027002380
Provider NameKatherine Ann Young
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1760800015
PECOS PAC ID: 8820392582
Enrollment ID: I20201027003549
Provider NameNeeta Sethi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114362746
PECOS PAC ID: 5799195046
Enrollment ID: I20201028000753
Provider NameSamuel Thomas Bauer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1487779807
PECOS PAC ID: 6406040179
Enrollment ID: I20201028000783
Provider NameAmanda Michele Craig
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215381645
PECOS PAC ID: 5597175703
Enrollment ID: I20201029000533
Provider NameSheylan Patel
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1528487022
PECOS PAC ID: 2163649229
Enrollment ID: I20201030000921
Provider NameZachary Ginsberg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992024004
PECOS PAC ID: 0840517868
Enrollment ID: I20201102001911
Provider NameSahar Ghassemi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1962692202
PECOS PAC ID: 9537255187
Enrollment ID: I20201105000423
Provider NamePrachi T Parikh
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1851703888
PECOS PAC ID: 5698185403
Enrollment ID: I20201106000492
Provider NameDorlan J Kimbrough
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1568661684
PECOS PAC ID: 2961651773
Enrollment ID: I20201106000808
Provider NameKaren Sorio Mcgowan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063691657
PECOS PAC ID: 4284044850
Enrollment ID: I20201110002622
Provider NameStephanie Christine Macpherson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043638273
PECOS PAC ID: 8527478056
Enrollment ID: I20201111002221
Provider NameRuth Jenny
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447710496
PECOS PAC ID: 5991115453
Enrollment ID: I20201112000419
Provider NameChristopher Rogge
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548872633
PECOS PAC ID: 2365852704
Enrollment ID: I20201113000821
Provider NameRachael Anna Mintz-cole
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1245658582
PECOS PAC ID: 6406183276
Enrollment ID: I20201113001182
Provider NameMichael Joseph Devinney
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1922495183
PECOS PAC ID: 9931519329
Enrollment ID: I20201116000038
Provider NameKatelyn Ann Morrow
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871050419
PECOS PAC ID: 0244641603
Enrollment ID: I20201117000268
Provider NameWilliam E Harris
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770042376
PECOS PAC ID: 5698186971
Enrollment ID: I20201117001224
Provider NameDavid Joseph Shaz
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1568447977
PECOS PAC ID: 2860484300
Enrollment ID: I20201202001237
Provider NameMithunan Maheswaranathan
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1255744876
PECOS PAC ID: 6709104862
Enrollment ID: I20201203001984
Provider NameAnnika Marie Wilson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891306171
PECOS PAC ID: 9739590282
Enrollment ID: I20201204001395
Provider NameMegan Hildebran Childs
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538629829
PECOS PAC ID: 5395157705
Enrollment ID: I20201209000286
Provider NameHannah Chicowlas Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013522424
PECOS PAC ID: 9133531411
Enrollment ID: I20201210000315
Provider NameRichard J Foxworth
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700343548
PECOS PAC ID: 0446662787
Enrollment ID: I20201210002005
Provider NameDeborah Anne Zimmerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861014524
PECOS PAC ID: 4385056431
Enrollment ID: I20201214001366
Provider NameDiane Karen Helm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205454139
PECOS PAC ID: 0941612071
Enrollment ID: I20201215001416
Provider NameGoni Katz Greenberg
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1568971810
PECOS PAC ID: 8628339272
Enrollment ID: I20201216001708
Provider NameDorothy Alice Blake
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326531393
PECOS PAC ID: 1355691239
Enrollment ID: I20201216002111
Provider NameHayley Smith Marcoplos
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437766029
PECOS PAC ID: 3476965401
Enrollment ID: I20201216002594
Provider NameWhitney Rains Taheri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245830215
PECOS PAC ID: 5890107742
Enrollment ID: I20201217000284
Provider NameSarah E Stephens
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003253543
PECOS PAC ID: 2860618329
Enrollment ID: I20201218000020
Provider NameLauren Elizabeth Barkley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508480823
PECOS PAC ID: 2860804549
Enrollment ID: I20201222002144
Provider NameJonathan Pierce Huggins
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1750709234
PECOS PAC ID: 7214261247
Enrollment ID: I20201229002496
Provider NameKatherine Ramos
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1124640537
PECOS PAC ID: 1951714476
Enrollment ID: I20201230001133
Provider NameDerek Brady Covington
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1649562091
PECOS PAC ID: 4284941519
Enrollment ID: I20210108000641
Provider NameClarissa Nicole Stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639777212
PECOS PAC ID: 0042623019
Enrollment ID: I20210112001740
Provider NameTrevor Scott Packer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093310799
PECOS PAC ID: 1254744238
Enrollment ID: I20210112002241
Provider NameAnna Michelle Mackie
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1215542378
PECOS PAC ID: 5698188316
Enrollment ID: I20210119001024
Provider NameWilliam Thomas Clarke
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477996650
PECOS PAC ID: 3779847272
Enrollment ID: I20210120002152
Provider NameFawaz Abdulaziz M Alenezi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1487268512
PECOS PAC ID: 0840604450
Enrollment ID: I20210122000016
Provider NameCain Edward Dimon
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1437196839
PECOS PAC ID: 8921074089
Enrollment ID: I20210202000616
Provider NameBrittany Napier Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528592045
PECOS PAC ID: 7618381633
Enrollment ID: I20210202001284
Provider NameDelicia Maria White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528667870
PECOS PAC ID: 5193130680
Enrollment ID: I20210216000027
Provider NameJustin J Uzl
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144584962
PECOS PAC ID: 3274857008
Enrollment ID: I20210216001753
Provider NameShannon Marie Vannasane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801403795
PECOS PAC ID: 7113332313
Enrollment ID: I20210222001430
Provider NameMatthew Jacob Boyer
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1043586142
PECOS PAC ID: 7719259696
Enrollment ID: I20210305000660
Provider NameLisa A Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093320525
PECOS PAC ID: 3072929611
Enrollment ID: I20210308000461
Provider NameAnna Michelle Bueton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962017111
PECOS PAC ID: 0244646719
Enrollment ID: I20210308001656
Provider NameAnne Berry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508020280
PECOS PAC ID: 9436396637
Enrollment ID: I20210317001354
Provider NameSuephy C Chen
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1922113141
PECOS PAC ID: 6800972225
Enrollment ID: I20210318000413
Provider NameDanielle Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679123624
PECOS PAC ID: 4688081581
Enrollment ID: I20210319001757
Provider NameLinaleea Cunanan Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669087243
PECOS PAC ID: 7911314778
Enrollment ID: I20210324001115
Provider NameCrystal Goins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750971628
PECOS PAC ID: 4587071204
Enrollment ID: I20210325000540
Provider NameMadhu Chaudhry
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1447201678
PECOS PAC ID: 5890836803
Enrollment ID: I20210330001899
Provider NameCherith Godwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265049316
PECOS PAC ID: 5092122457
Enrollment ID: I20210331001059
Provider NameSamuel Travis Martin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831789544
PECOS PAC ID: 3971910217
Enrollment ID: I20210401001881
Provider NameTaryn E Scibienski
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669827382
PECOS PAC ID: 7517375322
Enrollment ID: I20210415002474
Provider NameRyan Richard Plesher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447867700
PECOS PAC ID: 2769890433
Enrollment ID: I20210419000204
Provider NameLindsey Mckissick White
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669908281
PECOS PAC ID: 4183997505
Enrollment ID: I20210419002203
Provider NameEdward P Chen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1801985882
PECOS PAC ID: 4981590494
Enrollment ID: I20210421000311
Provider NameAutumn Hughes Kesler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851985915
PECOS PAC ID: 0446669659
Enrollment ID: I20210429000128
Provider NameManuela Carugati
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1760841712
PECOS PAC ID: 0749699718
Enrollment ID: I20210503002256
Provider NameHanna Marie Buckle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740885961
PECOS PAC ID: 7810306818
Enrollment ID: I20210504000350
Provider NameCatherine Swandby Shuford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952908196
PECOS PAC ID: 5698184638
Enrollment ID: I20210504002043
Provider NameLaura Caroline Plesher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154916930
PECOS PAC ID: 5597174326
Enrollment ID: I20210507001581
Provider NameLauren Michelle Conroy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023610904
PECOS PAC ID: 1153720446
Enrollment ID: I20210518001657
Provider NameMansi D Amin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427349554
PECOS PAC ID: 0042506073
Enrollment ID: I20210521000913
Provider NameGlenda Lynn Fields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740870187
PECOS PAC ID: 7517366503
Enrollment ID: I20210525000023
Provider NameLisa Ann Norfleet
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1972634509
PECOS PAC ID: 3779616669
Enrollment ID: I20210527000204
Provider NameJohn Edward Mcmanigle
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1518320720
PECOS PAC ID: 3173816774
Enrollment ID: I20210528001241
Provider NameCassandra Kay Kisby
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184064040
PECOS PAC ID: 6406098565
Enrollment ID: I20210603000297
Provider NameEric Carlsen
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1144708017
PECOS PAC ID: 6204235765
Enrollment ID: I20210603000934
Provider NameBrendan Christopher Cline
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871971960
PECOS PAC ID: 5799096459
Enrollment ID: I20210603001345
Provider NameWei Chen
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1013395193
PECOS PAC ID: 7911201496
Enrollment ID: I20210603002315
Provider NameWesley Daniel Mallinger
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1225411556
PECOS PAC ID: 0840507026
Enrollment ID: I20210603002881
Provider NameHiba Batool Zaidi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750813549
PECOS PAC ID: 0446659833
Enrollment ID: I20210607000205
Provider NameJon Stephen Andrews
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1770978546
PECOS PAC ID: 1254731375
Enrollment ID: I20210611000262
Provider NameCameron Locklear
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1891109872
PECOS PAC ID: 9335412618
Enrollment ID: I20210614000328
Provider NameEmily Elizabeth Greenwald
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003158288
PECOS PAC ID: 9335433796
Enrollment ID: I20210615000456
Provider NameJohn August Hoff
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1336645589
PECOS PAC ID: 5991105884
Enrollment ID: I20210615001046
Provider NameSarah Patricia Thomas
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841652054
PECOS PAC ID: 3779983689
Enrollment ID: I20210615001564
Provider NameMelissa A Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902408412
PECOS PAC ID: 8426458282
Enrollment ID: I20210615003744
Provider NameKourtney Henderson Houser
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1700148053
PECOS PAC ID: 0547409286
Enrollment ID: I20210617003249
Provider NameKatherine O'brien Cashen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255538088
PECOS PAC ID: 9537393152
Enrollment ID: I20210621000556
Provider NameKirti Magudia
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992124226
PECOS PAC ID: 9234448325
Enrollment ID: I20210621001869
Provider NameTravis Scott Henry
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922024983
PECOS PAC ID: 7810026861
Enrollment ID: I20210621002962
Provider NameAlyssa Soskis
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1205274859
PECOS PAC ID: 4688801939
Enrollment ID: I20210628000421
Provider NameRachel Elizabeth Factor
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1831301241
PECOS PAC ID: 5799852018
Enrollment ID: I20210630001559
Provider NameAndrew Kipling Miller
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518454073
PECOS PAC ID: 2264781756
Enrollment ID: I20210706003037
Provider NameAmanda Joe Eltz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154915510
PECOS PAC ID: 6204238579
Enrollment ID: I20210708002390
Provider NameTrey Carlton Mullikin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598110298
PECOS PAC ID: 3476848862
Enrollment ID: I20210709001000
Provider NameRaman Nohria
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184005100
PECOS PAC ID: 2567775414
Enrollment ID: I20210713001603
Provider NameCorina Adela Busuioc
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316029606
PECOS PAC ID: 6406881770
Enrollment ID: I20210714001689
Provider NameCatherine Anne Cheely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669057865
PECOS PAC ID: 5991108698
Enrollment ID: I20210719001739
Provider NameNikki-taylor Dow
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134788409
PECOS PAC ID: 0749683100
Enrollment ID: I20210722000787
Provider NameWissam Najib Mansour
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1437569852
PECOS PAC ID: 5193069003
Enrollment ID: I20210722003147
Provider NameRoger Marcelo Vilardaga Viera
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396092649
PECOS PAC ID: 1355744624
Enrollment ID: I20210723001418
Provider NameRachelle Giovanna Mccauley Thomasson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326630377
PECOS PAC ID: 8022411339
Enrollment ID: I20210723002814
Provider NameJonathan Adam Greenberg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659804060
PECOS PAC ID: 7810390044
Enrollment ID: I20210727000396
Provider NameChristopher Peterson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871551960
PECOS PAC ID: 4688689086
Enrollment ID: I20210727000489
Provider NameWen Shuai
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1710371786
PECOS PAC ID: 6800299959
Enrollment ID: I20210727001321
Provider NameDaniel Philip Nussbaum
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1942590047
PECOS PAC ID: 8426451592
Enrollment ID: I20210727002252
Provider NameTara Nikonow Morgan
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1457779100
PECOS PAC ID: 2365866936
Enrollment ID: I20210727002721
Provider NameJessica Poe Shumate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275148025
PECOS PAC ID: 7315340338
Enrollment ID: I20210728000421
Provider NameKendrick V Kennedy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184120941
PECOS PAC ID: 3274936117
Enrollment ID: I20210729001125
Provider NameJessica Wen-chia Lee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932562758
PECOS PAC ID: 9335542208
Enrollment ID: I20210729002545
Provider NameJoseph Yi-qiao Cao
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144601352
PECOS PAC ID: 9234551284
Enrollment ID: I20210729003599
Provider NameSathyan Gurumurthy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679890529
PECOS PAC ID: 8224279179
Enrollment ID: I20210730000013
Provider NameJordan Elliott Pomeroy
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1750709382
PECOS PAC ID: 2769885540
Enrollment ID: I20210730002914
Provider NameCharity Ibilola Oyedeji
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1902149149
PECOS PAC ID: 5890080402
Enrollment ID: I20210802002581
Provider NameSarah Katherine Blanchard
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1487073268
PECOS PAC ID: 6901200609
Enrollment ID: I20210803000724
Provider NameJennifer Marie White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356813653
PECOS PAC ID: 5698009660
Enrollment ID: I20210804003846
Provider NameTarig Sharif Muzamil Ali-dinar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790987477
PECOS PAC ID: 1658407861
Enrollment ID: I20210806000214
Provider NameErin Rachael Hanlin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881032027
PECOS PAC ID: 9638500572
Enrollment ID: I20210806001449
Provider NameSean Patrick Ryan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235524968
PECOS PAC ID: 6406278183
Enrollment ID: I20210809003102
Provider NameMatthew Robert Sinclair
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1528486198
PECOS PAC ID: 1153695192
Enrollment ID: I20210811003765
Provider NameMalcolm Debaun
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1134509003
PECOS PAC ID: 6305277088
Enrollment ID: I20210812001685
Provider NameKathryn Pax Lattimore Moore
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215315569
PECOS PAC ID: 9133430721
Enrollment ID: I20210813000594
Provider NameJay Paul Willhite
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275945297
PECOS PAC ID: 2567764053
Enrollment ID: I20210813001233
Provider NameNita Valikodath
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972036069
PECOS PAC ID: 3173892882
Enrollment ID: I20210813002238
Provider NameShelby Lynn Allen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1013397405
PECOS PAC ID: 7810297926
Enrollment ID: I20210813002461
Provider NameJohn Larkin Musgrove
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1215355524
PECOS PAC ID: 7214332147
Enrollment ID: I20210816002844
Provider NameJulie Marie Steinbrink
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1437595386
PECOS PAC ID: 3173823952
Enrollment ID: I20210817002776
Provider NameNancy Yimei Yang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780116350
PECOS PAC ID: 4789089541
Enrollment ID: I20210818000214
Provider NameNitya Kalyani Kumar
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1669836094
PECOS PAC ID: 5395140081
Enrollment ID: I20210818002041
Provider NameKisha Altovese Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730798612
PECOS PAC ID: 1254736952
Enrollment ID: I20210818002256
Provider NameGabriel Rene Scott
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1013445410
PECOS PAC ID: 9335544089
Enrollment ID: I20210819000052
Provider NameFrancois Soto Palou
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1598162182
PECOS PAC ID: 9638574205
Enrollment ID: I20210819001168
Provider NameMary Katherine Kowal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710477757
PECOS PAC ID: 5597006726
Enrollment ID: I20210819001877
Provider NameMelissa Mercedes Campbell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841600616
PECOS PAC ID: 3577989839
Enrollment ID: I20210820000390
Provider NameOmar S Alibrahim
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053324913
PECOS PAC ID: 5193820561
Enrollment ID: I20210826000576
Provider NameKendall Elizabeth Bradley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1710373683
PECOS PAC ID: 3577968759
Enrollment ID: I20210826000743
Provider NameSendhilnathan Ramalingam
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1164818126
PECOS PAC ID: 2961807037
Enrollment ID: I20210827001262
Provider NameGeoffroy Courcelle Sisk
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1508008657
PECOS PAC ID: 4183862931
Enrollment ID: I20210831000137
Provider NameMaggie Lee Dinome
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1477589851
PECOS PAC ID: 4880664119
Enrollment ID: I20210831002903
Provider NameAlisan Fathalizadeh
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1649619990
PECOS PAC ID: 8921353574
Enrollment ID: I20210831003054
Provider NameRex Monroe Mccallum
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1326122219
PECOS PAC ID: 5991986598
Enrollment ID: I20210901004004
Provider NameShital H Patel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386031177
PECOS PAC ID: 3476959255
Enrollment ID: I20210901004203
Provider NameNoam Eliashiv Bartuv
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245824812
PECOS PAC ID: 7113323924
Enrollment ID: I20210902000784
Provider NameRobert Hayes Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134742117
PECOS PAC ID: 6002212727
Enrollment ID: I20210903002546
Provider NameLeah Esther Waldman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629464458
PECOS PAC ID: 5294071627
Enrollment ID: I20210907001251
Provider NameAlejandro Gomez-viso
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245763820
PECOS PAC ID: 7113264912
Enrollment ID: I20210907002416
Provider NameShatha Wajih Yousef
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902099658
PECOS PAC ID: 9931358454
Enrollment ID: I20210908000103
Provider NameTristen Taeho Chun
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1780944777
PECOS PAC ID: 7113147935
Enrollment ID: I20210908002076
Provider NameHannah Euphrates Woriax
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245650159
PECOS PAC ID: 1951521780
Enrollment ID: I20210908002134
Provider NameMarjorie S Soltis
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1396109427
PECOS PAC ID: 6901199504
Enrollment ID: I20210908002164
Provider NameLarissa Lester Truschel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699161786
PECOS PAC ID: 0446675888
Enrollment ID: I20210909000181
Provider NameCina Sasannejad
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1316331622
PECOS PAC ID: 2668774761
Enrollment ID: I20210909000724
Provider NameJill Melissa Hagey
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457883324
PECOS PAC ID: 8325457120
Enrollment ID: I20210909002953
Provider NameJeremy Lynn Grove
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790452241
PECOS PAC ID: 9234535550
Enrollment ID: I20210910001623
Provider NameNathan Troy Tagg
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1477541480
PECOS PAC ID: 4486745411
Enrollment ID: I20210913002100
Provider NameMary Mcgowan Buckley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043607542
PECOS PAC ID: 8426454620
Enrollment ID: I20210914002244
Provider NameGedion Titus Kipkoech Ngeno
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1477992857
PECOS PAC ID: 5496151557
Enrollment ID: I20210915001121
Provider NameChristopher Lloyd Mosher
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1669884318
PECOS PAC ID: 3476778655
Enrollment ID: I20210916001195
Provider NameKelsey Elizabeth Starnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942821285
PECOS PAC ID: 5193147197
Enrollment ID: I20210917002599
Provider NameAndrew Hong Yan Wong
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1215390984
PECOS PAC ID: 7113219072
Enrollment ID: I20210917002805
Provider NameAlexander Joseph Snyder
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1942732391
PECOS PAC ID: 7113296880
Enrollment ID: I20210920001716
Provider NameFreylen Erna Lustria Nonato
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457907115
PECOS PAC ID: 7012248552
Enrollment ID: I20210920002189
Provider NameChristopher John Shoff
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1053739946
PECOS PAC ID: 4486872587
Enrollment ID: I20210923002082
Provider NameYasmine Inaya
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1629648365
PECOS PAC ID: 5193122646
Enrollment ID: I20210924003033
Provider NameMia Lynn Mallory
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326075474
PECOS PAC ID: 5496774671
Enrollment ID: I20210928000293
Provider NameAndrea Lorenne Bauchat
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184043176
PECOS PAC ID: 3577986009
Enrollment ID: I20210928001988
Provider NameJeffrey Brian Russ
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821450602
PECOS PAC ID: 9638439920
Enrollment ID: I20210930003196
Provider NameAmber Michelle Graham
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922495811
PECOS PAC ID: 9739587916
Enrollment ID: I20211004000955
Provider NameLorrie Versola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720657976
PECOS PAC ID: 4587062641
Enrollment ID: I20211005000938
Provider NameMatthew James Doell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710578711
PECOS PAC ID: 8224436126
Enrollment ID: I20211007000397
Provider NameJulie Beth Penzner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144487398
PECOS PAC ID: 1658423207
Enrollment ID: I20211007002606
Provider NameBrandon W Smith
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1225479520
PECOS PAC ID: 4385959402
Enrollment ID: I20211008001349
Provider NameAmol Ashwin Sura
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760839948
PECOS PAC ID: 6800212598
Enrollment ID: I20211008001602
Provider NameMeghan L Burns
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184182057
PECOS PAC ID: 4284032962
Enrollment ID: I20211011001292
Provider NameLouis Robert Jacobson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376625145
PECOS PAC ID: 5294133989
Enrollment ID: I20211011001803
Provider NameFlorence Brown
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184159006
PECOS PAC ID: 8729358098
Enrollment ID: I20211012000102
Provider NameOmar Hassan Al-qudsi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1134546443
PECOS PAC ID: 7214238872
Enrollment ID: I20211012000671
Provider NamePaul Stechschulte
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457747057
PECOS PAC ID: 9436468956
Enrollment ID: I20211015002210
Provider NameWhitney Messer Abel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134792211
PECOS PAC ID: 7517365885
Enrollment ID: I20211018002393
Provider NameKerry Elizabeth Mulcahy
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1790453868
PECOS PAC ID: 7315335650
Enrollment ID: I20211019002753
Provider NameAstrid Marie Rose Botty Van Den Bruele
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1033539754
PECOS PAC ID: 3678871423
Enrollment ID: I20211020000468
Provider NameAmanda Annette Dorsey Kimberg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891159216
PECOS PAC ID: 5496143695
Enrollment ID: I20211020001917
Provider NameJonathan Reed Komisar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043673577
PECOS PAC ID: 3870886260
Enrollment ID: I20211021000512
Provider NameJamie Elizabeth Mancuso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811560303
PECOS PAC ID: 2769870880
Enrollment ID: I20211022000326
Provider NameJennifer Cate
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932636313
PECOS PAC ID: 1254600315
Enrollment ID: I20211026000743
Provider NameMegan Kathleen Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023688116
PECOS PAC ID: 2264820182
Enrollment ID: I20211026003383
Provider NameKatharine Rose Colton
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1982099651
PECOS PAC ID: 3678879574
Enrollment ID: I20211027002203
Provider NameHazem M Ahmed
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1528276557
PECOS PAC ID: 0941194567
Enrollment ID: I20211103001565
Provider NameSarah Caril
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1700991775
PECOS PAC ID: 9931144748
Enrollment ID: I20211103002610
Provider NameAndrew M Schwartz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114380524
PECOS PAC ID: 8022301670
Enrollment ID: I20211104001681
Provider NameAnthony Catanzano
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1740677640
PECOS PAC ID: 4789001165
Enrollment ID: I20211105000484
Provider NameHannah Akbarzadeh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407427156
PECOS PAC ID: 4981093283
Enrollment ID: I20211108000642
Provider NameMatthew Scott Klepper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982373312
PECOS PAC ID: 7911396221
Enrollment ID: I20211108000898
Provider NameWilliam Walker Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427563980
PECOS PAC ID: 9032478359
Enrollment ID: I20211108001823
Provider NameAnne Colleen Schmelzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376110262
PECOS PAC ID: 0244629319
Enrollment ID: I20211110002272
Provider NameJodi Antonelli
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1023283017
PECOS PAC ID: 3678729118
Enrollment ID: I20211112000744
Provider NameKatie Bright Colosimo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720754849
PECOS PAC ID: 9133518814
Enrollment ID: I20211118001219
Provider NameKelsey Lynn Gilchrist
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821669565
PECOS PAC ID: 8325437973
Enrollment ID: I20211119001501
Provider NameShweta Punj
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1427365501
PECOS PAC ID: 4587889175
Enrollment ID: I20211124000051
Provider NamePamela Peters
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043741531
PECOS PAC ID: 2466705694
Enrollment ID: I20211124000674
Provider NameShilpi Agrawala
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871025981
PECOS PAC ID: 5092117382
Enrollment ID: I20211202001775
Provider NameSandy El Bitar
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1487060232
PECOS PAC ID: 0143447722
Enrollment ID: I20211209002005
Provider NameCecilia Rice Kelly
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1497134464
PECOS PAC ID: 8921319112
Enrollment ID: I20211209002693
Provider NameDouglas Bruce Timmons
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215468772
PECOS PAC ID: 0446669550
Enrollment ID: I20211209002731
Provider NameKaren Amanda Scherr
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174020101
PECOS PAC ID: 5597168971
Enrollment ID: I20211210001691
Provider NameAllison Walker Cutler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770151219
PECOS PAC ID: 3870983570
Enrollment ID: I20211213001934
Provider NameKatelyn Suzanne Linker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831851005
PECOS PAC ID: 7911397575
Enrollment ID: I20211214001808
Provider NameMelia Johnson Kalsbeek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386210482
PECOS PAC ID: 1254721814
Enrollment ID: I20211214001954
Provider NameLeigh Anne Hartman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336803857
PECOS PAC ID: 4385035625
Enrollment ID: I20211222000443
Provider NameDaniel Ryan Anderson
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1710340955
PECOS PAC ID: 5698069458
Enrollment ID: I20211222001318
Provider NameJustin Thomas Low
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1457770380
PECOS PAC ID: 7416250980
Enrollment ID: I20211229000047
Provider NameCarleen Mckenna
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1861068389
PECOS PAC ID: 4284025172
Enrollment ID: I20220104001286
Provider NameGarrison Hunter Moore
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306283122
PECOS PAC ID: 1951535624
Enrollment ID: I20220104001309
Provider NameKatherine E Marting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720657323
PECOS PAC ID: 9931590759
Enrollment ID: I20220104003055
Provider NameHenry Lazaro Delgado Avila
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649840315
PECOS PAC ID: 2062803893
Enrollment ID: I20220105000227
Provider NameBrooke Hames
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912215104
PECOS PAC ID: 1355526237
Enrollment ID: I20220111002867
Provider NameSchyler Nicole House
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1568919199
PECOS PAC ID: 4082981378
Enrollment ID: I20220113002054
Provider NameErin Brooke Gettler
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1346669777
PECOS PAC ID: 2567764632
Enrollment ID: I20220113002188
Provider NameAn-kwok Ian Wong
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1144615238
PECOS PAC ID: 1456743913
Enrollment ID: I20220113002601
Provider NameJulia Ann Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053815134
PECOS PAC ID: 6901150655
Enrollment ID: I20220114001557
Provider NameAllison Kate Bassil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548931074
PECOS PAC ID: 4789076027
Enrollment ID: I20220119001877
Provider NameEmad Hasan
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1891744389
PECOS PAC ID: 0648270751
Enrollment ID: I20220127002209
Provider NameEmily Joubert
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1396023990
PECOS PAC ID: 8325431133
Enrollment ID: I20220131000522
Provider NameLeah Christine Acker
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1184156887
PECOS PAC ID: 8123411949
Enrollment ID: I20220131001040
Provider NameAnna Downing Sholl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669134375
PECOS PAC ID: 4688067432
Enrollment ID: I20220131001858
Provider NameTyson Lucian Sydney Pankey
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1194396804
PECOS PAC ID: 7618360348
Enrollment ID: I20220202000139
Provider NameKathryn Lowe Sagester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760149421
PECOS PAC ID: 1254724842
Enrollment ID: I20220202002733
Provider NameAmy Leigh Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386620318
PECOS PAC ID: 6709830540
Enrollment ID: I20220208000056
Provider NameYasmin Anjanette Mathlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902385784
PECOS PAC ID: 5698016707
Enrollment ID: I20220210000019
Provider NameKimberly Sharay Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932798667
PECOS PAC ID: 3971996109
Enrollment ID: I20220210000231
Provider NameLisa Jennings Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447836010
PECOS PAC ID: 6305239534
Enrollment ID: I20220210000356
Provider NameCherish Toussaint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861158420
PECOS PAC ID: 8426441676
Enrollment ID: I20220210001099
Provider NameAlexis Nicole French
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1831711423
PECOS PAC ID: 8527451715
Enrollment ID: I20220211000096
Provider NameSteven Jeffrey Eliades
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1245405174
PECOS PAC ID: 7416106976
Enrollment ID: I20220216001848
Provider NamePatrick R Corrigan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548922503
PECOS PAC ID: 5395138200
Enrollment ID: I20220216002027
Provider NameEmma Lea Teman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891452868
PECOS PAC ID: 3678966504
Enrollment ID: I20220216002914
Provider NameAmy Elizabeth Heltemes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821541350
PECOS PAC ID: 2961798418
Enrollment ID: I20220218000271
Provider NameSergio Pina Oviedo
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1578880142
PECOS PAC ID: 5294012605
Enrollment ID: I20220218001070
Provider NameVirginia Anne Goracke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639541071
PECOS PAC ID: 9234426297
Enrollment ID: I20220228000740
Provider NameKatherine A Gallagher
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487322384
PECOS PAC ID: 2860886256
Enrollment ID: I20220301001352
Provider NameAshley Nicole Johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1679196869
PECOS PAC ID: 9638563901
Enrollment ID: I20220302001813
Provider NameTimothy Scott George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750051074
PECOS PAC ID: 7719371020
Enrollment ID: I20220303000263
Provider NameRonan Sugrue
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1740705243
PECOS PAC ID: 8325440605
Enrollment ID: I20220304002214
Provider NameErin Brett Denio
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023562956
PECOS PAC ID: 1759775844
Enrollment ID: I20220307002069
Provider NameAmber Renae Graeser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477129815
PECOS PAC ID: 9436544467
Enrollment ID: I20220309002722
Provider NameSarah Kathleen Lyles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619643012
PECOS PAC ID: 8224423892
Enrollment ID: I20220317000538
Provider NameLauren Anne Baughman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730740358
PECOS PAC ID: 0345577367
Enrollment ID: I20220323000321
Provider NameKatherine Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316521032
PECOS PAC ID: 1355736596
Enrollment ID: I20220324001964
Provider NameKarra Anne Jones
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1598177446
PECOS PAC ID: 7618196551
Enrollment ID: I20220329002046
Provider NameNatalie Claire Moreau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962076802
PECOS PAC ID: 5193111979
Enrollment ID: I20220404000953
Provider NameBrian Michael Rue
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1831572403
PECOS PAC ID: 5395046445
Enrollment ID: I20220406002278
Provider NameTywana Myava Donaldson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285108209
PECOS PAC ID: 7618363284
Enrollment ID: I20220407000595
Provider NameLeigh Ann Spivey-rita
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629671839
PECOS PAC ID: 1355737883
Enrollment ID: I20220408000352
Provider NameShaniquewa Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154992816
PECOS PAC ID: 3971999269
Enrollment ID: I20220414000280
Provider NameRamiro Sergio Maldonado
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215228036
PECOS PAC ID: 3173872454
Enrollment ID: I20220414001881
Provider NameSummer Langston Buck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285190157
PECOS PAC ID: 8729320643
Enrollment ID: I20220420000386
Provider NameJonathan Dickens
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578769022
PECOS PAC ID: 8820270788
Enrollment ID: I20220421000225
Provider NameNicolena Collette Dewitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932783966
PECOS PAC ID: 2163819129
Enrollment ID: I20220422000304
Provider NameKasey Dale Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487309845
PECOS PAC ID: 2860889581
Enrollment ID: I20220428000267
Provider NameHannah King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548837925
PECOS PAC ID: 6204223852
Enrollment ID: I20220428001876
Provider NameRyan Meteer Antiel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679836803
PECOS PAC ID: 7719123710
Enrollment ID: I20220504002455
Provider NameMallory Stavrinakis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154881969
PECOS PAC ID: 3274910559
Enrollment ID: I20220509000772
Provider NameMiriam Treggiari
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689899668
PECOS PAC ID: 1153447388
Enrollment ID: I20220511001122
Provider NameJeffrey David Kozlowski
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598740631
PECOS PAC ID: 2567561988
Enrollment ID: I20220512001362
Provider NameDerek Le Nguyen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588197560
PECOS PAC ID: 8426305418
Enrollment ID: I20220516001558
Provider NameRebecca Wadlinger
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1124304282
PECOS PAC ID: 3779850482
Enrollment ID: I20220520001335
Provider NameDanielle Elizabeth Kruse
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548701741
PECOS PAC ID: 4587935515
Enrollment ID: I20220524002404
Provider NameVivian Marie Minkemeyer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508391210
PECOS PAC ID: 3577835784
Enrollment ID: I20220526002747
Provider NameDiana Alame
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1194919605
PECOS PAC ID: 6103005921
Enrollment ID: I20220527000262
Provider NameKara Brightman Johnson Wegermann
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447678966
PECOS PAC ID: 5395123541
Enrollment ID: I20220601000331
Provider NameMargaret Hannah Swerlick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750036273
PECOS PAC ID: 2062890122
Enrollment ID: I20220601001029
Provider NameRobin Abraham Zachariah
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1992125025
PECOS PAC ID: 4688948649
Enrollment ID: I20220603001013
Provider NameFengming Chen
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1407210388
PECOS PAC ID: 0042592081
Enrollment ID: I20220606001550
Provider NameRobert Joseph Rolfe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790172443
PECOS PAC ID: 7214258128
Enrollment ID: I20220608000896
Provider NameJoseph Liberal Giramata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831666197
PECOS PAC ID: 5890033864
Enrollment ID: I20220608002169
Provider NameMichael Robert Harowicz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225561640
PECOS PAC ID: 0244588580
Enrollment ID: I20220609002940
Provider NameAndrew Charles Bowman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699279133
PECOS PAC ID: 3072845320
Enrollment ID: I20220613001875
Provider NameRolake Alabi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891290797
PECOS PAC ID: 4587077110
Enrollment ID: I20220613001908
Provider NameWarren Hammert
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1710940788
PECOS PAC ID: 5193739076
Enrollment ID: I20220613003152
Provider NameQiaohui Wei White
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649910126
PECOS PAC ID: 0749669224
Enrollment ID: I20220614002859
Provider NameBasil Mathews
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952891087
PECOS PAC ID: 4486908159
Enrollment ID: I20220614003103
Provider NameKubra Sarici
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093380867
PECOS PAC ID: 5193104537
Enrollment ID: I20220615002102
Provider NameKristi Y Wu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1700382827
PECOS PAC ID: 4385970870
Enrollment ID: I20220615003223
Provider NameAbhinav Golla
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1649762501
PECOS PAC ID: 3678909728
Enrollment ID: I20220616001528
Provider NameArpita Suketu Maniar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790433084
PECOS PAC ID: 1153700356
Enrollment ID: I20220617001973
Provider NameRicky Cui
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1821592049
PECOS PAC ID: 4385976042
Enrollment ID: I20220620001982
Provider NameEliot Robert Dow
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740711647
PECOS PAC ID: 0941635973
Enrollment ID: I20220621001172
Provider NameCollin Kent
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1477083301
PECOS PAC ID: 2769861590
Enrollment ID: I20220624000056
Provider NameSantosh Sharma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831571686
PECOS PAC ID: 0941533368
Enrollment ID: I20220627002025
Provider NameLinsey Mae Zaroban
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568927978
PECOS PAC ID: 4486996386
Enrollment ID: I20220628001218
Provider NameBrandy Patterson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962693002
PECOS PAC ID: 2860582657
Enrollment ID: I20220628001749
Provider NameFelicia Lucy, Lorena Dickerson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1417127549
PECOS PAC ID: 2860872397
Enrollment ID: I20220630001231
Provider NameYasmeen Mondane Murray-hyman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629652342
PECOS PAC ID: 8224418769
Enrollment ID: I20220630001266
Provider NameRyan Matthew Orgel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013336015
PECOS PAC ID: 8224393566
Enrollment ID: I20220701000845
Provider NameCharles Mcgonegle Burns
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1811315336
PECOS PAC ID: 9638435928
Enrollment ID: I20220706001118
Provider NameAnica Peros Land
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679216519
PECOS PAC ID: 9931589090
Enrollment ID: I20220707000105
Provider NameAaron Vose
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1851703086
PECOS PAC ID: 5294952248
Enrollment ID: I20220707000352
Provider NameRussell-john Krom
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1124550074
PECOS PAC ID: 4688054380
Enrollment ID: I20220711003681
Provider NameOlga Theresa Gupta
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1386673267
PECOS PAC ID: 1456355676
Enrollment ID: I20220712000327
Provider NameRamyar Torabi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1871099507
PECOS PAC ID: 7416337175
Enrollment ID: I20220712001966
Provider NameSarah Madison Duff
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417480153
PECOS PAC ID: 4981969607
Enrollment ID: I20220712002047
Provider NameHailey Lynn Weeks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073286613
PECOS PAC ID: 6901287622
Enrollment ID: I20220713000178
Provider NameTalisha Dalini Ramchal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063875748
PECOS PAC ID: 3173816857
Enrollment ID: I20220713004194
Provider NameSaraniya Sathiamoorthi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598261471
PECOS PAC ID: 2264782853
Enrollment ID: I20220714000398
Provider NameKevin Jevon Jackson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538662374
PECOS PAC ID: 7810378346
Enrollment ID: I20220714004139
Provider NameKeyaria Denise Gray
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922442219
PECOS PAC ID: 1850610460
Enrollment ID: I20220715002226
Provider NameXiao Yi Zhou
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578057543
PECOS PAC ID: 1254680846
Enrollment ID: I20220716000385
Provider NameZhuangjun Si
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932605672
PECOS PAC ID: 0345575577
Enrollment ID: I20220718000500
Provider NameKatherine Alexandria Cheng
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740642883
PECOS PAC ID: 2163766288
Enrollment ID: I20220720001730
Provider NameSanghee Hong
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1679991756
PECOS PAC ID: 9032486717
Enrollment ID: I20220720003103
Provider NameShannon Moffitt Bomstein
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1881323764
PECOS PAC ID: 0547641581
Enrollment ID: I20220721001947
Provider NameDail Ann Ciani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700219292
PECOS PAC ID: 4486886058
Enrollment ID: I20220721002682
Provider NameStephanie Iwalani Dolan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114361110
PECOS PAC ID: 2365724713
Enrollment ID: I20220722000530
Provider NameDaliya Dzhaber
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528685328
PECOS PAC ID: 4284034836
Enrollment ID: I20220722001972
Provider NameAanal Jigishkumar Vyas
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1881348274
PECOS PAC ID: 4789065665
Enrollment ID: I20220725000072
Provider NameRand Nicholas Wilcox Vanden Berg
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1568824217
PECOS PAC ID: 3375882939
Enrollment ID: I20220725000171
Provider NameElizabeth Reiser Kerr
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760941876
PECOS PAC ID: 5496097701
Enrollment ID: I20220725002194
Provider NameErin Victoria Shea
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851753560
PECOS PAC ID: 6406237221
Enrollment ID: I20220725002446
Provider NameChristopher Francis Dibble
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1518348655
PECOS PAC ID: 3779897681
Enrollment ID: I20220726000231
Provider NameAndrew Benjamin Cutler
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1982099743
PECOS PAC ID: 1052792819
Enrollment ID: I20220726000433
Provider NameJames Franklin Wharam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740280288
PECOS PAC ID: 9234162975
Enrollment ID: I20220727002969
Provider NameZiv Beckerman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1346691458
PECOS PAC ID: 2961796743
Enrollment ID: I20220729000783
Provider NameAmber Michelle Mcginnis Whitmill
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1790244705
PECOS PAC ID: 4587998513
Enrollment ID: I20220802000458
Provider NameEvan Darcy Cozzens Calabrese
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043671977
PECOS PAC ID: 9133501463
Enrollment ID: I20220803002917
Provider NameBo Wang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093211666
PECOS PAC ID: 0749528305
Enrollment ID: I20220803003595
Provider NameVrinda P Jindal
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043868060
PECOS PAC ID: 7517391758
Enrollment ID: I20220804000157
Provider NameHavan Leigh Harris
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1194450999
PECOS PAC ID: 3274915442
Enrollment ID: I20220804000859
Provider NameCourtney Hodge
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730756289
PECOS PAC ID: 7315329513
Enrollment ID: I20220804002129
Provider NameJordan Robert Foreman
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1982137584
PECOS PAC ID: 4981975620
Enrollment ID: I20220808001335
Provider NameDanny Joseph Schust
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619950821
PECOS PAC ID: 6800864307
Enrollment ID: I20220809000726
Provider NameEdina Cindy Wang
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1538698758
PECOS PAC ID: 4183997463
Enrollment ID: I20220811002617
Provider NameCara Neufeld Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699268524
PECOS PAC ID: 6305198292
Enrollment ID: I20220811003528
Provider NameLaura Anne Bacigalupi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811644040
PECOS PAC ID: 0345623088
Enrollment ID: I20220813000314
Provider NameAbigail Irene Tepper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407511934
PECOS PAC ID: 1254714819
Enrollment ID: I20220815000220
Provider NameElizabeth Bruenderman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1821451196
PECOS PAC ID: 5799168399
Enrollment ID: I20220815002059
Provider NameJoseph Cline
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922453703
PECOS PAC ID: 3870883804
Enrollment ID: I20220815003174
Provider NameCourtney Caroline Schlachter
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1457086464
PECOS PAC ID: 3779966320
Enrollment ID: I20220816000395
Provider NameRebecca Weber Knackstedt
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1679967715
PECOS PAC ID: 9335545912
Enrollment ID: I20220816001275
Provider NameEric John Formeister
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1760877542
PECOS PAC ID: 7517380678
Enrollment ID: I20220817003028
Provider NameSachin Mehta
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1164876611
PECOS PAC ID: 5193017721
Enrollment ID: I20220818000757
Provider NameMuhammad Anwar
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1144682386
PECOS PAC ID: 2365733771
Enrollment ID: I20220819002902
Provider NameKelby Lomax Mcdaniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881323384
PECOS PAC ID: 4284017344
Enrollment ID: I20220823000729
Provider NameElizabeth Ann Greene
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558724815
PECOS PAC ID: 5991098568
Enrollment ID: I20220824002366
Provider NameAnoop Premswaroop Patel
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1255567756
PECOS PAC ID: 1759549942
Enrollment ID: I20220825000826
Provider NameEliana Brailovsky Saltzman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1407389646
PECOS PAC ID: 8224412200
Enrollment ID: I20220825002571
Provider NameRyan Everett Fecteau
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1215469333
PECOS PAC ID: 6709260516
Enrollment ID: I20220829000693
Provider NameZachary J Carter
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1275067407
PECOS PAC ID: 0547663643
Enrollment ID: I20220829000804
Provider NameJeylan Suzan Close
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457701955
PECOS PAC ID: 7012209125
Enrollment ID: I20220829000883
Provider NameAlice Bryn Salter
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972865509
PECOS PAC ID: 1658593876
Enrollment ID: I20220829002315
Provider NameYoung Mee Choi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1346660206
PECOS PAC ID: 5395010441
Enrollment ID: I20220830000156
Provider NameCeshae Cemonique Alexia Harding
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063973147
PECOS PAC ID: 5395129092
Enrollment ID: I20220830000857
Provider NameNandini Swati Abburi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1730618349
PECOS PAC ID: 0345511416
Enrollment ID: I20220830003605
Provider NamePablo Carlos Plasencia
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346702453
PECOS PAC ID: 6800270455
Enrollment ID: I20220830003975
Provider NameMallory Christine Tassone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255088241
PECOS PAC ID: 1557745106
Enrollment ID: I20220830004326
Provider NameLindsey Victoria Weidmann
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1669908661
PECOS PAC ID: 8426328204
Enrollment ID: I20220831000873
Provider NameGabryel Lorena Garcia-sampson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811550510
PECOS PAC ID: 8325422751
Enrollment ID: I20220901003017
Provider NameJennifer Lee Perri
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1487065801
PECOS PAC ID: 0547520520
Enrollment ID: I20220907000740
Provider NameMadison Ivey Dunning
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1689340994
PECOS PAC ID: 6103200324
Enrollment ID: I20220907000818
Provider NameNicole Clark Bland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164161519
PECOS PAC ID: 9234514340
Enrollment ID: I20220909001644
Provider NameJessica Renee Albanese
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366973927
PECOS PAC ID: 5991077539
Enrollment ID: I20220912000526
Provider NameGabriela Marie Plasencia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720540842
PECOS PAC ID: 9830574839
Enrollment ID: I20220912001932
Provider NameMohit Bansal
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679920094
PECOS PAC ID: 2264727411
Enrollment ID: I20220913001954
Provider NameSophia Angelina Stenstedt Dunworth
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1720510068
PECOS PAC ID: 0042611683
Enrollment ID: I20220914000787
Provider NameMichelle Diane Kelsey
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1235519596
PECOS PAC ID: 6103133988
Enrollment ID: I20220914003349
Provider NameJuhnnel Omar Vera Santiago
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1932655636
PECOS PAC ID: 9133478746
Enrollment ID: I20220915000236
Provider NameMollie E Kotzen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053809350
PECOS PAC ID: 0042695728
Enrollment ID: I20220915003520
Provider NameBlair Noel Costin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1891220125
PECOS PAC ID: 8325318710
Enrollment ID: I20220916002145
Provider NameVirginia Watkins
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679066187
PECOS PAC ID: 1254716897
Enrollment ID: I20220916002254
Provider NameRachel Elizabeth Simpson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1992185532
PECOS PAC ID: 2264743418
Enrollment ID: I20220916002766
Provider NameHilary Friedlander
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1366939472
PECOS PAC ID: 4183962137
Enrollment ID: I20220916002788
Provider NameSarah Mabrey Heston
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982024220
PECOS PAC ID: 6901181049
Enrollment ID: I20220916002884
Provider NameChristian Alexander Pean
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528416773
PECOS PAC ID: 9234527128
Enrollment ID: I20220919003064
Provider NameSenthil Selvaraj
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1417395823
PECOS PAC ID: 4789811365
Enrollment ID: I20220920000061
Provider NameJulia Michelle Deruyter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700494838
PECOS PAC ID: 3870978331
Enrollment ID: I20220920000311
Provider NameJacob A. Greenberg
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1801973888
PECOS PAC ID: 9830222017
Enrollment ID: I20220920002772
Provider NameAmal Hamdan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174015929
PECOS PAC ID: 3173870227
Enrollment ID: I20220922003867
Provider NameSamantha Ashley Polly
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1336676618
PECOS PAC ID: 1355744640
Enrollment ID: I20220923000994
Provider NameRani Bansal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306208467
PECOS PAC ID: 9032404264
Enrollment ID: I20220926003566
Provider NameAbbigail Woll
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1366934366
PECOS PAC ID: 6709139447
Enrollment ID: I20220927000858
Provider NameRobert Anthony Medairos
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1639601644
PECOS PAC ID: 3678801107
Enrollment ID: I20220927000971
Provider NameDavid Jeffrey Faro
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467957753
PECOS PAC ID: 9032460241
Enrollment ID: I20220927003822
Provider NameRebecca Suzanne Frazier
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1457799595
PECOS PAC ID: 3476860123
Enrollment ID: I20220929003058
Provider NameJoshua Tray Lee Mcgalliard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689310187
PECOS PAC ID: 7113303033
Enrollment ID: I20220929003605
Provider NameMadeleine Rose Heldman
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1649669342
PECOS PAC ID: 3577855139
Enrollment ID: I20220930000385
Provider NameShawn William Adams
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1265827471
PECOS PAC ID: 7416263751
Enrollment ID: I20221003003230
Provider NameJay Soong-jin Lee
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1225474588
PECOS PAC ID: 5799091765
Enrollment ID: I20221004001401
Provider NameMichael Douglas Morris
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1518320761
PECOS PAC ID: 8426344052
Enrollment ID: I20221004001930
Provider NameRavi Anand
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619325503
PECOS PAC ID: 8123306149
Enrollment ID: I20221006001803
Provider NameNicole Gong Jawitz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205299971
PECOS PAC ID: 9133411929
Enrollment ID: I20221007001529
Provider NameCandice Ray Sheldon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407147283
PECOS PAC ID: 4284954884
Enrollment ID: I20221007002830
Provider NameJoel Rivera Concepcion
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1659758654
PECOS PAC ID: 0244633907
Enrollment ID: I20221010000476
Provider NameDeepa Upadhyaya
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1891906012
PECOS PAC ID: 3072639335
Enrollment ID: I20221010000613
Provider NameKathryn Strople Ericson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174255095
PECOS PAC ID: 1557747896
Enrollment ID: I20221010002741
Provider NameSteven Parry
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1508210725
PECOS PAC ID: 8325333792
Enrollment ID: I20221011000309
Provider NameKatherine Marie Winegar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346729092
PECOS PAC ID: 2668713603
Enrollment ID: I20221011000310
Provider NameShivon Latice Lamb-dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922755875
PECOS PAC ID: 5890161145
Enrollment ID: I20221012001207
Provider NameMara Alexandra Serbanescu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1417334509
PECOS PAC ID: 0648528588
Enrollment ID: I20221012003942
Provider NameKathryn Elizabeth Hutchins O'donnell
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1134653421
PECOS PAC ID: 4183090145
Enrollment ID: I20221015000105
Provider NameAngela Nolin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1386148963
PECOS PAC ID: 8022356658
Enrollment ID: I20221018000219
Provider NameLuting Sun Eckensweiler
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114418050
PECOS PAC ID: 0446651517
Enrollment ID: I20221018002056
Provider NameTanya Jean Munger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154576221
PECOS PAC ID: 3971753328
Enrollment ID: I20221018002423
Provider NameNicholas Scarcella
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1043744659
PECOS PAC ID: 1759659352
Enrollment ID: I20221019001661
Provider NameGirish Kalra
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1316124415
PECOS PAC ID: 6002009099
Enrollment ID: I20221019001830
Provider NameNeill Li
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1194106716
PECOS PAC ID: 8224469218
Enrollment ID: I20221019002111
Provider NameAshley Danielle Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265033625
PECOS PAC ID: 7911316088
Enrollment ID: I20221019002362
Provider NameAshley Nicole Dischinger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831544469
PECOS PAC ID: 4284924366
Enrollment ID: I20221019003336
Provider NameRegan Christine Cronin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619604576
PECOS PAC ID: 6305212085
Enrollment ID: I20221020002266
Provider NameSudip Dilip Thakar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811492432
PECOS PAC ID: 3870839178
Enrollment ID: I20221020003390
Provider NameStephanie Lynn Nicholls
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518695840
PECOS PAC ID: 7113393828
Enrollment ID: I20221021000191
Provider NameMegan Wegman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073247466
PECOS PAC ID: 9133595796
Enrollment ID: I20221022000134
Provider NameSteven Michael Russo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851754576
PECOS PAC ID: 8729386040
Enrollment ID: I20221024000603
Provider NameBrett Rocos
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1972226322
PECOS PAC ID: 8527434034
Enrollment ID: I20221024001956
Provider NameAshit Patel
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1093987828
PECOS PAC ID: 9335310697
Enrollment ID: I20221026001051
Provider NameAustin L Cole
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629649397
PECOS PAC ID: 8729455027
Enrollment ID: I20221028002054
Provider NameDanielle Sunae Chun
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932598885
PECOS PAC ID: 8628375060
Enrollment ID: I20221031000529
Provider NameFong Wong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124749452
PECOS PAC ID: 0749657005
Enrollment ID: I20221031001465
Provider NameDanielle Renee Wilson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1003158312
PECOS PAC ID: 1355718552
Enrollment ID: I20221101000558
Provider NamePoorva Jayant Apte
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1104354356
PECOS PAC ID: 5395010698
Enrollment ID: I20221101001605
Provider NameAline Lima Van Belois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619602810
PECOS PAC ID: 0446627574
Enrollment ID: I20221102003250
Provider NameKelsey Margaret Getzloff
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689207284
PECOS PAC ID: 7214304294
Enrollment ID: I20221103002199
Provider NameBrendan Mills Cain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336883164
PECOS PAC ID: 4385011311
Enrollment ID: I20221104000821
Provider NameMegan Nicole Mittelman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780260703
PECOS PAC ID: 0042687808
Enrollment ID: I20221108000619
Provider NameYoung Kim
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1477996007
PECOS PAC ID: 7719120260
Enrollment ID: I20221108001182
Provider NameAnnmarie Louise Kieber-emmons
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1316205768
PECOS PAC ID: 9537301643
Enrollment ID: I20221109000466
Provider NameMark Lachiewicz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1740508423
PECOS PAC ID: 4981822046
Enrollment ID: I20221109003167
Provider NameGina Maire Iannuzzelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104571652
PECOS PAC ID: 3072980697
Enrollment ID: I20221110000474
Provider NameAlexander Steven Barsam
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1578914974
PECOS PAC ID: 7719262252
Enrollment ID: I20221110001384
Provider NameMiriam Laquer Estin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184120040
PECOS PAC ID: 6305213836
Enrollment ID: I20221112000146
Provider NameOlivia Wulf Detweiler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063151371
PECOS PAC ID: 5294102737
Enrollment ID: I20221113000038
Provider NameMichael Frederick Fadell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740489350
PECOS PAC ID: 7113019605
Enrollment ID: I20221114001910
Provider NameSara M Hassani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1154775559
PECOS PAC ID: 0840560850
Enrollment ID: I20221114002269
Provider NameMelodi Javid Whitley
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1447782263
PECOS PAC ID: 9436557048
Enrollment ID: I20221114002288
Provider NameAbby Caitlin Niedermann
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326610395
PECOS PAC ID: 7315315603
Enrollment ID: I20221117000646
Provider NameCatherine Alexis Sims
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1669906210
PECOS PAC ID: 7416228879
Enrollment ID: I20221117001727
Provider NameDanielle L Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720730245
PECOS PAC ID: 8325416662
Enrollment ID: I20221117002569
Provider NameJason Lucious Williams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568881647
PECOS PAC ID: 5890117113
Enrollment ID: I20221121000374
Provider NameIlana Renee Brodzki
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1164192563
PECOS PAC ID: 2264800325
Enrollment ID: I20221121001370
Provider NameRachel D Murray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447792890
PECOS PAC ID: 6507234663
Enrollment ID: I20221121001523
Provider NameRachel Frances Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265003305
PECOS PAC ID: 4789052853
Enrollment ID: I20221121001801
Provider NameLynette Maria Spencer
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1295442374
PECOS PAC ID: 9436527538
Enrollment ID: I20221121003234
Provider NameElizabeth Ann Gesse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952048027
PECOS PAC ID: 6608244710
Enrollment ID: I20221122000288
Provider NameGabriel Marie Holtman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023789583
PECOS PAC ID: 6103216874
Enrollment ID: I20221123000025
Provider NameErin Elizabeth Medeiros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225532930
PECOS PAC ID: 9638579741
Enrollment ID: I20221123000327
Provider NameKaren Sporl Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508216961
PECOS PAC ID: 3971897406
Enrollment ID: I20221128000631
Provider NameRama Devi Boppana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033869631
PECOS PAC ID: 4284002171
Enrollment ID: I20221128000899
Provider NameGrace Peace Niyonkuru
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023746484
PECOS PAC ID: 8527436336
Enrollment ID: I20221129002671
Provider NameDhvani Shah
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790075828
PECOS PAC ID: 1456623289
Enrollment ID: I20221201001296
Provider NameJyotsna Mullur
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1861842023
PECOS PAC ID: 5597154153
Enrollment ID: I20221201003390
Provider NameJacqueline Marie Stewart
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154649721
PECOS PAC ID: 7113167297
Enrollment ID: I20221205000615
Provider NameJoseph Harold Mcclellan
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1780070219
PECOS PAC ID: 1658689625
Enrollment ID: I20221205001575
Provider NameJeffrey Edward Keenan
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1396035168
PECOS PAC ID: 1557786464
Enrollment ID: I20221208000445
Provider NameRachel Christine Mckee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053035824
PECOS PAC ID: 0941679237
Enrollment ID: I20221208000958
Provider NameAmber Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184359309
PECOS PAC ID: 4284003500
Enrollment ID: I20221208001945
Provider NameBrittany Ashlee Bruce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538626742
PECOS PAC ID: 5799154993
Enrollment ID: I20221209002700
Provider NameBriana Christen Cass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497462071
PECOS PAC ID: 4284003492
Enrollment ID: I20221210000236
Provider NameNab Deep Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659089852
PECOS PAC ID: 1759750805
Enrollment ID: I20221212001558
Provider NameRobert Joseph Optican
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639272164
PECOS PAC ID: 7517905532
Enrollment ID: I20221213003399
Provider NameVirginia Stanley Parker
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1568859395
PECOS PAC ID: 0648649616
Enrollment ID: I20221214000182
Provider NamePaul Matthew Prince
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518689694
PECOS PAC ID: 9133598147
Enrollment ID: I20221214002108
Provider NameJeremy Romek Glissen Brown
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1134577406
PECOS PAC ID: 3072808245
Enrollment ID: I20221219000651
Provider NameCatherine Lynch Parrish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972220713
PECOS PAC ID: 8729457486
Enrollment ID: I20221220001062
Provider NameCassandra Hartell
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1245966118
PECOS PAC ID: 5991174658
Enrollment ID: I20221220001122
Provider NameJessica Marie Robertson
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1548558562
PECOS PAC ID: 1658741343
Enrollment ID: I20221220002858
Provider NameMatthew Palmer Rubach
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1073768164
PECOS PAC ID: 7012387749
Enrollment ID: I20221221001373
Provider NameEmily Fahrig Cole
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1194105981
PECOS PAC ID: 4688986003
Enrollment ID: I20221221001601
Provider NameRaven Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386352698
PECOS PAC ID: 1759751423
Enrollment ID: I20221222000080
Provider NameEmma Jean Par
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851735062
PECOS PAC ID: 3870721863
Enrollment ID: I20221222000297
Provider NameDawn Marie Coleman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1891817185
PECOS PAC ID: 9133375355
Enrollment ID: I20221227002525
Provider NameElizabeth Joy Scott
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265889224
PECOS PAC ID: 0547553778
Enrollment ID: I20221229001553
Provider NamePaige Elizabeth Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922721844
PECOS PAC ID: 5294105615
Enrollment ID: I20221229002150
Provider NameAlexandra Rudolph Kaatz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346810587
PECOS PAC ID: 3577933910
Enrollment ID: I20221230000262
Provider NameStephanie Diana Clune
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063121960
PECOS PAC ID: 3779953047
Enrollment ID: I20221230002205
Provider NameAman Opneja
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1629419494
PECOS PAC ID: 1759518327
Enrollment ID: I20230103000141
Provider NameKaitlyn Wittwer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1215551601
PECOS PAC ID: 0648673053
Enrollment ID: I20230103000969
Provider NameStephanie Harriet Hargrove
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1821661216
PECOS PAC ID: 2567832736
Enrollment ID: I20230104000861
Provider NameLauren Marie Dilullo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063026003
PECOS PAC ID: 8820400468
Enrollment ID: I20230104001687
Provider NameJonathan Eric Posner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841478732
PECOS PAC ID: 4587034616
Enrollment ID: I20230105001164
Provider NamePaul Norman Cassis
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1992191795
PECOS PAC ID: 2163724725
Enrollment ID: I20230109002202
Provider NameAnna Garcia
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457319493
PECOS PAC ID: 4183652977
Enrollment ID: I20230110002884
Provider NameAmreen Dinani
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1386808525
PECOS PAC ID: 9133355902
Enrollment ID: I20230111001558
Provider NameAlexandra Nicole Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245651728
PECOS PAC ID: 1254650385
Enrollment ID: I20230118001457
Provider NameSargam Kapoor
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1467893255
PECOS PAC ID: 7719213362
Enrollment ID: I20230119002173
Provider NameKevin Purcell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1124556881
PECOS PAC ID: 4486928512
Enrollment ID: I20230123002960
Provider NameTimothy Scott Peterson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740742725
PECOS PAC ID: 5193196434
Enrollment ID: I20230124001003
Provider NameMarika Coffman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1912481730
PECOS PAC ID: 0648641944
Enrollment ID: I20230125000083
Provider NameMelissa Cordova Rosado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073255121
PECOS PAC ID: 5294106431
Enrollment ID: I20230125002679
Provider NameAdam Paul Johnson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396005955
PECOS PAC ID: 8224260740
Enrollment ID: I20230126001215
Provider NameMarie Angelina Futrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467178004
PECOS PAC ID: 4880065978
Enrollment ID: I20230127002850
Provider NameBridget Reid Dolan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912615360
PECOS PAC ID: 2365813326
Enrollment ID: I20230130002331
Provider NameBrianna Renee Palmerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801569421
PECOS PAC ID: 8628467651
Enrollment ID: I20230130002583
Provider NameKris Michael Mahadeo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922324672
PECOS PAC ID: 8123299047
Enrollment ID: I20230131000446
Provider NameTodd William Frieze
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1710935838
PECOS PAC ID: 8426066390
Enrollment ID: I20230201000764
Provider NameLuis Felipe Carrillo Polanco
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1952741621
PECOS PAC ID: 8628324431
Enrollment ID: I20230203000320
Provider NameAlice Yoosun Ho
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1285784017
PECOS PAC ID: 3971604356
Enrollment ID: I20230207000353
Provider NamePriyanka Prakash Sista
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427412576
PECOS PAC ID: 9234411455
Enrollment ID: I20230207003667
Provider NameJamie Marie Riedell
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1083065940
PECOS PAC ID: 6103298781
Enrollment ID: I20230208000205
Provider NameSusan Louise Murray
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1356947824
PECOS PAC ID: 5294107702
Enrollment ID: I20230209002457
Provider NameThomas Ryan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356425235
PECOS PAC ID: 6103806740
Enrollment ID: I20230209002650
Provider NameJean Elie Tabbal
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1205584588
PECOS PAC ID: 6800268129
Enrollment ID: I20230215002014
Provider NameGiancarlo Martin Diaz Zamora
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1215191457
PECOS PAC ID: 7810122397
Enrollment ID: I20230215003058
Provider NameEvangeline Kamalini Arulraja
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831686039
PECOS PAC ID: 3274903059
Enrollment ID: I20230216002803
Provider NameStacey Kathryn Prudich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831806017
PECOS PAC ID: 1850763970
Enrollment ID: I20230217001012
Provider NameCesar De Cesar Netto
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326494642
PECOS PAC ID: 2466747373
Enrollment ID: I20230221000847
Provider NameSean P Mcgowan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1487194114
PECOS PAC ID: 2163793878
Enrollment ID: I20230221002992
Provider NameJennifer Michelle Crimmins
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1578910006
PECOS PAC ID: 5092006098
Enrollment ID: I20230222000171
Provider NameMary Claire Ellis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982268231
PECOS PAC ID: 8527431543
Enrollment ID: I20230222001207
Provider NameAlessandra Inez Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396402715
PECOS PAC ID: 2860865714
Enrollment ID: I20230224000368
Provider NameVinaya Rao
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1851341986
PECOS PAC ID: 2062401920
Enrollment ID: I20230224000966
Provider NameDaniel Albert Sherwood
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1043646847
PECOS PAC ID: 9436551603
Enrollment ID: I20230226000008
Provider NameSarah Frush Cotter
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1770978371
PECOS PAC ID: 7012243629
Enrollment ID: I20230226000027
Provider NameTarshona Bernice Stevens
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1396108908
PECOS PAC ID: 0042683799
Enrollment ID: I20230301000142
Provider NameKerry Elizabeth Drury
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164815734
PECOS PAC ID: 5092188516
Enrollment ID: I20230303001909
Provider NameShamir Mccall Sykes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619688975
PECOS PAC ID: 7214300631
Enrollment ID: I20230307000104
Provider NameAyanna Michelle Baptiste
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1689924763
PECOS PAC ID: 1850541079
Enrollment ID: I20230308002064
Provider NameAlexandra Rae Schroeder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912620477
PECOS PAC ID: 9830562032
Enrollment ID: I20230309001858
Provider NameMargaret Embury Witek
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659859031
PECOS PAC ID: 3476807793
Enrollment ID: I20230309002318
Provider NameBronwyn Marie Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811356249
PECOS PAC ID: 5294109187
Enrollment ID: I20230315002831
Provider NameMonica Shah Kulkarni
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164928859
PECOS PAC ID: 4789931791
Enrollment ID: I20230327000504
Provider NameCatherine Elizabeth Tricase
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487288031
PECOS PAC ID: 7810319597
Enrollment ID: I20230404000359
Provider NameYaw Boachie Adjei
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1770797938
PECOS PAC ID: 0244486108
Enrollment ID: I20230406001401
Provider NameJessica Danielle Lindsay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740854082
PECOS PAC ID: 3476928110
Enrollment ID: I20230411000477
Provider NameMaral Alisse Banan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760943898
PECOS PAC ID: 1850620857
Enrollment ID: I20230412001319
Provider NameSchuyler Marie Barraclough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538430798
PECOS PAC ID: 3779810189
Enrollment ID: I20230414001946
Provider NameJennifer L Sullivan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033778360
PECOS PAC ID: 1254735475
Enrollment ID: I20230417003004
Provider NameAlicia Evette Blue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245967728
PECOS PAC ID: 1153796487
Enrollment ID: I20230418002518
Provider NameMichael Todd Meske
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730582214
PECOS PAC ID: 2163887498
Enrollment ID: I20230420001357
Provider NameStashawna Glenita Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659081933
PECOS PAC ID: 1254796535
Enrollment ID: I20230421000249
Provider NameJohana Fajardo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043578438
PECOS PAC ID: 5294991584
Enrollment ID: I20230421001082
Provider NameCatherine Marie Lewter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619618790
PECOS PAC ID: 1658736780
Enrollment ID: I20230425001741
Provider NameKristen Nicole Fulcher
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1083374078
PECOS PAC ID: 7517322456
Enrollment ID: I20230428001884
Provider NameJameel Muzaffar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497954564
PECOS PAC ID: 0648394908
Enrollment ID: I20230501002171
Provider NameMarcia Liliana Moran
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003859943
PECOS PAC ID: 9133176027
Enrollment ID: I20230501002239
Provider NameRanju Jha Singh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306559117
PECOS PAC ID: 2062877517
Enrollment ID: I20230505000566
Provider NameCrystal Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174273445
PECOS PAC ID: 3678938123
Enrollment ID: I20230505000661
Provider NameAmanda Elaine Savarese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629776307
PECOS PAC ID: 8820453251
Enrollment ID: I20230508001276
Provider NameShahla Bari
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1487063525
PECOS PAC ID: 3870898836
Enrollment ID: I20230509000119
Provider NameJeffrey Ronald Ashton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740786623
PECOS PAC ID: 5597121558
Enrollment ID: I20230517000384
Provider NameChelsea Jean Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811696750
PECOS PAC ID: 6002272523
Enrollment ID: I20230525000386
Provider NameJustin John Hungerford
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023513280
PECOS PAC ID: 9931453073
Enrollment ID: I20230526002347
Provider NameTheresa X. Pham
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093212003
PECOS PAC ID: 9133474067
Enrollment ID: I20230530000478
Provider NameCameron Bradley Strong
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710474390
PECOS PAC ID: 4587021977
Enrollment ID: I20230530002168
Provider NameAnthony Rivera
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1487860524
PECOS PAC ID: 2961598420
Enrollment ID: I20230531003008
Provider NameAishwarya Kamakshi Rajagopalan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689179897
PECOS PAC ID: 3072914894
Enrollment ID: I20230601000119
Provider NameDmitriy M Niyazov
Provider TypePractitioner - Medical Genetics And Genomics
Provider IdentifiersNPI Number: 1699950899
PECOS PAC ID: 0749363448
Enrollment ID: I20230601000918
Provider NameRichard Edward Olmsted
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518461284
PECOS PAC ID: 8921354903
Enrollment ID: I20230602000048
Provider NameDaniel Neitzke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598253528
PECOS PAC ID: 8729331665
Enrollment ID: I20230602000351
Provider NameKadeem Aundre Walker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538663620
PECOS PAC ID: 7315289352
Enrollment ID: I20230602000534
Provider NameJessica Houk
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679005441
PECOS PAC ID: 8921377615
Enrollment ID: I20230605000360
Provider NameAnil Jakov Nagavalli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659863918
PECOS PAC ID: 5991162141
Enrollment ID: I20230605000996
Provider NameNedeljko Uncanin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346744737
PECOS PAC ID: 1052778123
Enrollment ID: I20230605002204
Provider NameDallin Jay Johansen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831686740
PECOS PAC ID: 0345599551
Enrollment ID: I20230605002915
Provider NameDaniela Kroshinsky
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1346372331
PECOS PAC ID: 9032202429
Enrollment ID: I20230605003037
Provider NameStephen Russell Wallace
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194220061
PECOS PAC ID: 8325371511
Enrollment ID: I20230605003157
Provider NameKatelyn Keith Jacques
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437853744
PECOS PAC ID: 5890152730
Enrollment ID: I20230607002483
Provider NameVeer Monish Gariwala
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144727686
PECOS PAC ID: 1456600014
Enrollment ID: I20230607003307
Provider NameElizabeth Marie Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053913376
PECOS PAC ID: 9931566817
Enrollment ID: I20230608000427
Provider NameAmit Goldberg
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1265401343
PECOS PAC ID: 3971539297
Enrollment ID: I20230609000013
Provider NameWilliam F Malcolm
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093854911
PECOS PAC ID: 8426415134
Enrollment ID: I20230611000024
Provider NameVirginia Labelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518020387
PECOS PAC ID: 7315305653
Enrollment ID: I20230620001004
Provider NameRebecca Ann Schroeder
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1619078383
PECOS PAC ID: 1153789300
Enrollment ID: I20230620001735
Provider NameDavid Tanaka
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457414237
PECOS PAC ID: 1254799414
Enrollment ID: I20230620002091
Provider NameJulia Mounira Asmar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649776782
PECOS PAC ID: 1951651181
Enrollment ID: I20230620002581
Provider NameMargaret Hazelett Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346545167
PECOS PAC ID: 1658553433
Enrollment ID: I20230621002278
Provider NameWilson Edward Bowlby
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720538937
PECOS PAC ID: 7315297587
Enrollment ID: I20230621002350
Provider NameGrace Alexandra Hopkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063111789
PECOS PAC ID: 3971961053
Enrollment ID: I20230621003706
Provider NameDavid Yutaka Johnson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1821350836
PECOS PAC ID: 1951658038
Enrollment ID: I20230622001209
Provider NameLauren A Stafford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811050693
PECOS PAC ID: 7113385238
Enrollment ID: I20230622001348
Provider NameYui-lin Tang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801959689
PECOS PAC ID: 7810355948
Enrollment ID: I20230622001979
Provider NamePatricia Lynn Ashley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417010281
PECOS PAC ID: 0244698207
Enrollment ID: I20230622003602
Provider NameSamuel Lloyd Karns
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295239960
PECOS PAC ID: 0446500565
Enrollment ID: I20230623002590
Provider NameWendi Li
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932697695
PECOS PAC ID: 2961745294
Enrollment ID: I20230626000613
Provider NameThomas Joseph D'angelo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154984318
PECOS PAC ID: 3173865623
Enrollment ID: I20230626001023
Provider NameDaniel Jack Frush
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407344906
PECOS PAC ID: 4688929433
Enrollment ID: I20230626001135
Provider NameHunter Lee Bowlby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467153726
PECOS PAC ID: 4587022397
Enrollment ID: I20230626002329
Provider NameEmile Brink Gordon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184121899
PECOS PAC ID: 5799143533
Enrollment ID: I20230626003380
Provider NameElijah Austin Lackey
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1821594219
PECOS PAC ID: 0042678807
Enrollment ID: I20230627000621
Provider NameJonathan Robert Manning Kaplan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467751685
PECOS PAC ID: 8022322379
Enrollment ID: I20230627001228
Provider NameElizabeth Kimley Bonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558063065
PECOS PAC ID: 7416316724
Enrollment ID: I20230705002459
Provider NameAlexandra Lyndon Bey
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1134651961
PECOS PAC ID: 0042679367
Enrollment ID: I20230705002620
Provider NameSabrina Sisto Alessi Cesar
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1467957233
PECOS PAC ID: 7214263870
Enrollment ID: I20230706000148
Provider NameNicole Marie Kneisler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619505336
PECOS PAC ID: 3173982980
Enrollment ID: I20230711001590
Provider NameChristopher Todd Michaelsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982326195
PECOS PAC ID: 8921468711
Enrollment ID: I20230712000373
Provider NameStephen Neville
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548752231
PECOS PAC ID: 3072868934
Enrollment ID: I20230712001049
Provider NameShawn Jay Sethi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417487067
PECOS PAC ID: 4981003589
Enrollment ID: I20230712002914
Provider NameChenyu Lin
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1093177545
PECOS PAC ID: 1557668670
Enrollment ID: I20230713000934
Provider NameStephanie Luy Lim
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548721582
PECOS PAC ID: 9638539364
Enrollment ID: I20230713001064
Provider NameMichael Haley Cutrone
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1972035780
PECOS PAC ID: 6608236351
Enrollment ID: I20230713001976
Provider NameChristopher James Nash
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578956157
PECOS PAC ID: 1456625425
Enrollment ID: I20230713002849
Provider NameJessica Christine Wanthal
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174175491
PECOS PAC ID: 0345623286
Enrollment ID: I20230713004226
Provider NameCara Hoke
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134659246
PECOS PAC ID: 7719250372
Enrollment ID: I20230714001764
Provider NameJonathan Mark Morena
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1245734474
PECOS PAC ID: 9335490192
Enrollment ID: I20230717000519
Provider NameAlyssa Rose Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770272205
PECOS PAC ID: 2365802808
Enrollment ID: I20230717000908
Provider NameElla Perry Jordan
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760125462
PECOS PAC ID: 7618337080
Enrollment ID: I20230717002290
Provider NameThomas James Gregory
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023647146
PECOS PAC ID: 3870916968
Enrollment ID: I20230718000875
Provider NameBrian Geraghty
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245725605
PECOS PAC ID: 9133520083
Enrollment ID: I20230718001009
Provider NameDaniel Kelly Benjamin Jr.
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780747550
PECOS PAC ID: 2466812698
Enrollment ID: I20230719001116
Provider NameBenjamin Daniel Long
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043702392
PECOS PAC ID: 8022366939
Enrollment ID: I20230720000491
Provider NameNicole Marie Pristera
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1033572664
PECOS PAC ID: 1052605896
Enrollment ID: I20230721000651
Provider NameLaura Alder
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1932633617
PECOS PAC ID: 5294004834
Enrollment ID: I20230724000120
Provider NameRahul Kant Goel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861980047
PECOS PAC ID: 8022366970
Enrollment ID: I20230724001877
Provider NameAditee Pradhan Narayan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356477525
PECOS PAC ID: 6507226453
Enrollment ID: I20230724003134
Provider NameDouglas M Overbey
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1396008983
PECOS PAC ID: 8921329889
Enrollment ID: I20230725001094
Provider NameEric Stephen Dilbone
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1043717788
PECOS PAC ID: 0042569741
Enrollment ID: I20230725002574
Provider NameBrian Bishop Hughley
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1528202041
PECOS PAC ID: 9638306582
Enrollment ID: I20230725002868
Provider NameGarrett Reinhard
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417683186
PECOS PAC ID: 2668833435
Enrollment ID: I20230727000694
Provider NameJoseph Lafferty
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497317176
PECOS PAC ID: 7113388828
Enrollment ID: I20230727002581
Provider NameAvani Sanjeev Mangoli
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700237336
PECOS PAC ID: 5597050492
Enrollment ID: I20230727003882
Provider NameVictoria Ann Wells
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043707813
PECOS PAC ID: 7810320207
Enrollment ID: I20230731000387
Provider NameMyosha Mcfarland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467076299
PECOS PAC ID: 1355702812
Enrollment ID: I20230731002275
Provider NameSummer Elizabeth Garey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710630629
PECOS PAC ID: 1658748280
Enrollment ID: I20230801000072
Provider NameDeepika Prasad Kulkarni
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1821521956
PECOS PAC ID: 6800257270
Enrollment ID: I20230801003492
Provider NameJennifer Romagnoli
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861127292
PECOS PAC ID: 3072974468
Enrollment ID: I20230801004497
Provider NameOlivia J Killeen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225560576
PECOS PAC ID: 3971876780
Enrollment ID: I20230802000540
Provider NameJamal Renard Fitts
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528564465
PECOS PAC ID: 8628439981
Enrollment ID: I20230802002912
Provider NameMegan Rivera
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558999342
PECOS PAC ID: 3375963531
Enrollment ID: I20230803000253
Provider NameJessie Ping Gu
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1386177756
PECOS PAC ID: 4880055102
Enrollment ID: I20230803000726
Provider NameElias Hubbard Pratt
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1174977714
PECOS PAC ID: 2264725662
Enrollment ID: I20230803002053
Provider NameRowena Dolor Cuffe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396836441
PECOS PAC ID: 0345601514
Enrollment ID: I20230803003417
Provider NameTucker Coston
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1295268803
PECOS PAC ID: 9436421799
Enrollment ID: I20230804001559
Provider NameAndrew Nicholas Tuck
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1386208577
PECOS PAC ID: 5890156947
Enrollment ID: I20230804002614
Provider NameEziafa Izuka Oduah
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1760898589
PECOS PAC ID: 5496973976
Enrollment ID: I20230804003106
Provider NameScott Michael Carlson
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1558899039
PECOS PAC ID: 3870954894
Enrollment ID: I20230807001796
Provider NameRachel Ann Brader
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1891221339
PECOS PAC ID: 5799055323
Enrollment ID: I20230807003956
Provider NameAlexander Robert Thomas Graham
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1245750561
PECOS PAC ID: 6204192495
Enrollment ID: I20230808000261
Provider NameAmanda James Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437833670
PECOS PAC ID: 0042672057
Enrollment ID: I20230808002038
Provider NameNima Moghaddam
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1760120356
PECOS PAC ID: 5698141885
Enrollment ID: I20230809000950
Provider NameXiaochen Liu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023543097
PECOS PAC ID: 1052680915
Enrollment ID: I20230810000858
Provider NameDaniel Anthony Palasz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700349966
PECOS PAC ID: 3870828676
Enrollment ID: I20230810001861
Provider NameCarlee Wells Jones
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1477662005
PECOS PAC ID: 5991167751
Enrollment ID: I20230811000629
Provider NameZachary Wegermann
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1295153435
PECOS PAC ID: 5294197992
Enrollment ID: I20230811002295
Provider NameMolly Jean Hillenbrand
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1346772175
PECOS PAC ID: 9335419670
Enrollment ID: I20230814001865
Provider NameCandace Therece Lightheart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023620226
PECOS PAC ID: 1355703927
Enrollment ID: I20230814002234
Provider NameCody Adam Rigsbee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780189993
PECOS PAC ID: 8022367390
Enrollment ID: I20230814002901
Provider NameJoshua Paull Lee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1912439746
PECOS PAC ID: 7618339201
Enrollment ID: I20230814003228
Provider NameElizabeth Thompson Paul
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1871070524
PECOS PAC ID: 8527312859
Enrollment ID: I20230814003527
Provider NameAshley Wietsma Johnston
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1548656226
PECOS PAC ID: 8921409780
Enrollment ID: I20230815002117
Provider NameStephanie Michelle Garbarino
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1104289289
PECOS PAC ID: 6002100831
Enrollment ID: I20230815003908
Provider NameAllyssa Marie Treadwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003505348
PECOS PAC ID: 5890157234
Enrollment ID: I20230816002303
Provider NameJoseph Allen Zakhar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407233901
PECOS PAC ID: 3173834207
Enrollment ID: I20230816002970
Provider NameAngelique Eleni Boutzoukas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669903829
PECOS PAC ID: 9931470234
Enrollment ID: I20230816003715
Provider NameAvital Lily Okrent Smolar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508507674
PECOS PAC ID: 5294109641
Enrollment ID: I20230816003937
Provider NameJennifer Lynn Holder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679257786
PECOS PAC ID: 1052773371
Enrollment ID: I20230817001616
Provider NameShruti Hemant Agashe
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1306376405
PECOS PAC ID: 4284033614
Enrollment ID: I20230817002489
Provider NameHeather N Greenspan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1346561990
PECOS PAC ID: 1355622937
Enrollment ID: I20230817002909
Provider NameStephen Cannada Harward
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1841653417
PECOS PAC ID: 2365735255
Enrollment ID: I20230818000212
Provider NameYun Bo Tian
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235792268
PECOS PAC ID: 0042547952
Enrollment ID: I20230818001034
Provider NameHannah Dzimitrowicz Mcmanus
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1821451485
PECOS PAC ID: 9830481738
Enrollment ID: I20230818001325
Provider NameChristopher Andreas Turski
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1568040178
PECOS PAC ID: 2264894575
Enrollment ID: I20230818001402
Provider NameJeffrey Shevach
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1225579667
PECOS PAC ID: 0244574986
Enrollment ID: I20230818002418
Provider NameRebecca C Dirks
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396193181
PECOS PAC ID: 1850683087
Enrollment ID: I20230821002868
Provider NamePedro Andre Rosa-cortes
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811332315
PECOS PAC ID: 2567894694
Enrollment ID: I20230821003309
Provider NameConnor Anders Moseley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598226458
PECOS PAC ID: 3678935731
Enrollment ID: I20230822000915
Provider NameNinad Desai
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1386031441
PECOS PAC ID: 9830401421
Enrollment ID: I20230822003428
Provider NameEric Michael Mastria
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1972034510
PECOS PAC ID: 8022471143
Enrollment ID: I20230822004228
Provider NameElizabeth Lyn Mccain
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164050589
PECOS PAC ID: 8426411497
Enrollment ID: I20230824001770
Provider NameElizabeth Omolade Atteh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245868710
PECOS PAC ID: 5294198164
Enrollment ID: I20230824002510
Provider NameJashalynn Chanelle German
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1417480526
PECOS PAC ID: 2860778271
Enrollment ID: I20230829001572
Provider NameGeorge N Baison
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1942680418
PECOS PAC ID: 3779882246
Enrollment ID: I20230830000760
Provider NameSonya Mansukhlal Kothadia
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1790214047
PECOS PAC ID: 1456772755
Enrollment ID: I20230830001178
Provider NameChristopher William Prater
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457681306
PECOS PAC ID: 2365681764
Enrollment ID: I20230830004434
Provider NameSavannah Maria Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437858347
PECOS PAC ID: 4880057371
Enrollment ID: I20230831000996
Provider NameChelsea Xian Zhu
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1962963181
PECOS PAC ID: 7517291313
Enrollment ID: I20230831001638
Provider NameNatalie Kay Katz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871956896
PECOS PAC ID: 8527351717
Enrollment ID: I20230901001160
Provider NameJennifer Margaret Dunnick
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972920999
PECOS PAC ID: 2466762588
Enrollment ID: I20230901003152
Provider NameJoseph Patrick Horrigan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144330622
PECOS PAC ID: 5395108625
Enrollment ID: I20230901003395
Provider NameKasey Jo Zawodniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194775544
PECOS PAC ID: 7911906334
Enrollment ID: I20230906001384
Provider NameAndrew Charles Stubenrauch
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508360876
PECOS PAC ID: 2961752811
Enrollment ID: I20230906004318
Provider NameKelly Andrejko Rang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740785914
PECOS PAC ID: 1355705591
Enrollment ID: I20230906004399
Provider NameCole Ernest Ziegler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649776212
PECOS PAC ID: 0345596219
Enrollment ID: I20230906004412
Provider NameCrosby Mitchell Culp
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1073019857
PECOS PAC ID: 5890159032
Enrollment ID: I20230906004454
Provider NameGayle Marie Vranic
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1255476974
PECOS PAC ID: 9931352028
Enrollment ID: I20230907000849
Provider NameCorrie Chumpitazi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053300087
PECOS PAC ID: 0648369579
Enrollment ID: I20230907001420
Provider NameAdjoa Boateng Evans
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1275912321
PECOS PAC ID: 8729391529
Enrollment ID: I20230907001830
Provider NameHope Alexandra Hendricks
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902339328
PECOS PAC ID: 2264896349
Enrollment ID: I20230907001844
Provider NameAnn Cameron Barr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801357983
PECOS PAC ID: 7113381229
Enrollment ID: I20230907003407
Provider NameJohn Elliott Howe
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1760846018
PECOS PAC ID: 9931490265
Enrollment ID: I20230907004355
Provider NameLaura Katherine Lowrey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770917247
PECOS PAC ID: 9830465491
Enrollment ID: I20230908000975
Provider NameEmma Margaret Fixsen
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1710541651
PECOS PAC ID: 9739543604
Enrollment ID: I20230911002619
Provider NameEvander Michael Britt
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1770087827
PECOS PAC ID: 7214287085
Enrollment ID: I20230911003770
Provider NameSimone Alyssa Schneider
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1891143582
PECOS PAC ID: 1658662051
Enrollment ID: I20230912004100
Provider NameCollin Elizabeth Burks
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1578051751
PECOS PAC ID: 3274888219
Enrollment ID: I20230913003624
Provider NameHaley Ravndal Wagner
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1144861162
PECOS PAC ID: 9931563665
Enrollment ID: I20230914001184
Provider NameApril Halley Wall
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1467833731
PECOS PAC ID: 8022362516
Enrollment ID: I20230914002257
Provider NameAnthony Emyll Melendez Torres
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730641846
PECOS PAC ID: 7315289428
Enrollment ID: I20230915001305
Provider NameDesiree Ann Coutinho
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1811351877
PECOS PAC ID: 3678821600
Enrollment ID: I20230915002909
Provider NameSarah Amy Westergaard
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1932632247
PECOS PAC ID: 9739451816
Enrollment ID: I20230918000803
Provider NameOsinakachukwu Chinazaekpere Mbata
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1376003566
PECOS PAC ID: 7214260736
Enrollment ID: I20230919000807
Provider NameRabia Ahmad Ghazi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1083058622
PECOS PAC ID: 9638570294
Enrollment ID: I20230920001610
Provider NameLogan Dale Adams
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1447719299
PECOS PAC ID: 7113256157
Enrollment ID: I20230920003676
Provider NameAlexandra G Castillejos Ellenthal
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144780933
PECOS PAC ID: 5496086209
Enrollment ID: I20230920004117
Provider NameZachary Yates Lennon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154991560
PECOS PAC ID: 4981058120
Enrollment ID: I20230921003834
Provider NameMichelle Meriweather Ponder
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1114423704
PECOS PAC ID: 1153666243
Enrollment ID: I20230922002182
Provider NameRyan Kane
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841752862
PECOS PAC ID: 6406189745
Enrollment ID: I20230922003455
Provider NameDaren Joshua Simkin
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1073903290
PECOS PAC ID: 3476801762
Enrollment ID: I20230923000361
Provider NameNatalia Maria Diaz-rodriguez
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1790042570
PECOS PAC ID: 7214187673
Enrollment ID: I20230923000787
Provider NameVidhya Karivedu
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1114369212
PECOS PAC ID: 2860786753
Enrollment ID: I20230925000147
Provider NameSarah Ruth Johnson
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1013412477
PECOS PAC ID: 6901152925
Enrollment ID: I20230925000378
Provider NameSarah Nystrom
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1629412747
PECOS PAC ID: 1355638735
Enrollment ID: I20230926002836
Provider NameKunal Jatin Patel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447698642
PECOS PAC ID: 7618199506
Enrollment ID: I20230927001010
Provider NameSathish Mohan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447679782
PECOS PAC ID: 1254557168
Enrollment ID: I20230928001191
Provider NameSusanna Shan Hill
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1740674183
PECOS PAC ID: 2264818251
Enrollment ID: I20230928001915
Provider NameNaushad Murtadha Khakoo
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1871903997
PECOS PAC ID: 8820327661
Enrollment ID: I20230928002598
Provider NameTong Wang
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1912385303
PECOS PAC ID: 4587979703
Enrollment ID: I20230928003647
Provider NameAferdita Spahillari
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1891010187
PECOS PAC ID: 8729373998
Enrollment ID: I20230929002324
Provider NameLindsay Atherton Edwards
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861781460
PECOS PAC ID: 2264760446
Enrollment ID: I20231001000024
Provider NameLaurie Anne Graves
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801273990
PECOS PAC ID: 6204143241
Enrollment ID: I20231002000018
Provider NameAnnika Sinha
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1124589148
PECOS PAC ID: 4385987601
Enrollment ID: I20231002001294
Provider NameMazen Zein
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1164884615
PECOS PAC ID: 6406140201
Enrollment ID: I20231002003768
Provider NameAkayla Ford Gillians
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1861050981
PECOS PAC ID: 9335470475
Enrollment ID: I20231004003452
Provider NameErin Rebecca Cohn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841976875
PECOS PAC ID: 0143675587
Enrollment ID: I20231005000076
Provider NameEmily Chen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1164926895
PECOS PAC ID: 3870844244
Enrollment ID: I20231009000399
Provider NameVanessa Ann Sillaman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962180091
PECOS PAC ID: 3577918770
Enrollment ID: I20231009000404
Provider NameKarenia Landa
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447645213
PECOS PAC ID: 6204281421
Enrollment ID: I20231009000890
Provider NameMelissa Mundy Allen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578909396
PECOS PAC ID: 5698914364
Enrollment ID: I20231009002774
Provider NameNarat Srivali
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1679867873
PECOS PAC ID: 9335366079
Enrollment ID: I20231009003062
Provider NameAllison Neal Martin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1801230578
PECOS PAC ID: 0749419547
Enrollment ID: I20231011001166
Provider NameHeidi Volos
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619753605
PECOS PAC ID: 0547615379
Enrollment ID: I20231013000507
Provider NameBruno Pedro Chumpitazi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710009287
PECOS PAC ID: 7416049275
Enrollment ID: I20231017003693
Provider NameEmily J White
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568711166
PECOS PAC ID: 3274785993
Enrollment ID: I20231017003916
Provider NameBushra Sharif Hussein
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710506746
PECOS PAC ID: 6507211109
Enrollment ID: I20231017004064
Provider NameNichole Christine Graves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881356509
PECOS PAC ID: 1759772817
Enrollment ID: I20231018002021
Provider NameJenna Nicole Mcneill
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1609280734
PECOS PAC ID: 9133347669
Enrollment ID: I20231018003497
Provider NameYesenia Noyola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871269605
PECOS PAC ID: 3173920865
Enrollment ID: I20231019000081
Provider NameLauren B Turker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205179611
PECOS PAC ID: 8224300520
Enrollment ID: I20231019000116
Provider NameAlesandra Giamario Seal Pavlik
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1720769581
PECOS PAC ID: 5799131223
Enrollment ID: I20231019002310
Provider NameAmelia Prieur Tankersley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023680675
PECOS PAC ID: 2769838200
Enrollment ID: I20231019002467
Provider NameAnne Thomas Steele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326730854
PECOS PAC ID: 4183070626
Enrollment ID: I20231019002627
Provider NameAndrew William Gross
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164983094
PECOS PAC ID: 9234585795
Enrollment ID: I20231019003352
Provider NameRohini Rao Sigireddi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1457811440
PECOS PAC ID: 5294181756
Enrollment ID: I20231019003614
Provider NameDavid Neil Kugelman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932697703
PECOS PAC ID: 1355676685
Enrollment ID: I20231023001893
Provider NameBeth Marie D'amico
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184868465
PECOS PAC ID: 0143646612
Enrollment ID: I20231024001600
Provider NameErica Coppola
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1811305220
PECOS PAC ID: 6901113042
Enrollment ID: I20231024004258
Provider NameMeredith Hoover
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205493129
PECOS PAC ID: 5294167169
Enrollment ID: I20231025000150
Provider NameGunay Uludag Kirimli
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932806973
PECOS PAC ID: 8123474350
Enrollment ID: I20231025000295
Provider NameEmily A Commesso
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1366975807
PECOS PAC ID: 9537549274
Enrollment ID: I20231025000328
Provider NameDavid Michael Stepien
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194103598
PECOS PAC ID: 1951616184
Enrollment ID: I20231025001187
Provider NameKristen Batich Vaios
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1053843441
PECOS PAC ID: 2668828765
Enrollment ID: I20231025003771
Provider NameHuihua Li
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1336646256
PECOS PAC ID: 5496002362
Enrollment ID: I20231026004400
Provider NameZachary Aberman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679005391
PECOS PAC ID: 1850635046
Enrollment ID: I20231027002395
Provider NameShashank Shekhar
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1356781629
PECOS PAC ID: 9032434873
Enrollment ID: I20231030000279
Provider NameMatthew Thomas Morris
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1811494446
PECOS PAC ID: 8123362035
Enrollment ID: I20231031000514
Provider NameRobert Leonard Mazgaj
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1528478823
PECOS PAC ID: 6204129646
Enrollment ID: I20231031003989
Provider NameAlexis Marie Nye
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1528740123
PECOS PAC ID: 3476909086
Enrollment ID: I20231101003639
Provider NameNatasha Komelia Iranzad
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1649767583
PECOS PAC ID: 0143676791
Enrollment ID: I20231102001276
Provider NameOlivia Christiana Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497444236
PECOS PAC ID: 6901253590
Enrollment ID: I20231102003653
Provider NameSarah Ashley Villarroel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336205558
PECOS PAC ID: 3779930300
Enrollment ID: I20231103001370
Provider NameHai Viet-nguyen Salfity
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164710174
PECOS PAC ID: 4284871427
Enrollment ID: I20231103001474
Provider NameMohammed Aslam
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1811230238
PECOS PAC ID: 3072731124
Enrollment ID: I20231106001325
Provider NameAlexandria Morgan Clark
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275198038
PECOS PAC ID: 7517314818
Enrollment ID: I20231108001082
Provider NameMary Katherine Anastasio
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609337765
PECOS PAC ID: 4789031097
Enrollment ID: I20231108001726
Provider NameMustafa Iftikhar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1487218152
PECOS PAC ID: 1850715467
Enrollment ID: I20231109002077
Provider NameMadison Lee Shoaf
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1679927610
PECOS PAC ID: 3971987850
Enrollment ID: I20231110001155
Provider NameKevin George Williams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1346781523
PECOS PAC ID: 4688021769
Enrollment ID: I20231110001899
Provider NameMeredith Anne Wilds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922884360
PECOS PAC ID: 3870940968
Enrollment ID: I20231110002295
Provider NameJean Jingpeng He
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1134617012
PECOS PAC ID: 9335491737
Enrollment ID: I20231110002423
Provider NameLauren Tam Covert
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043674146
PECOS PAC ID: 9931556040
Enrollment ID: I20231111000133
Provider NameSandra Jones Cobb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518743244
PECOS PAC ID: 2668829466
Enrollment ID: I20231116001462
Provider NameMichael Bryan Rothberg
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1700232477
PECOS PAC ID: 9133412455
Enrollment ID: I20231116001672
Provider NameNickolas Kotos Garson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1144781071
PECOS PAC ID: 3577890565
Enrollment ID: I20231117002627
Provider NameKaitlin Colleen Bevers
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1437578473
PECOS PAC ID: 7911220736
Enrollment ID: I20231121001985
Provider NameLena Vaynberg Eder
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1568968451
PECOS PAC ID: 8729436191
Enrollment ID: I20231122002659
Provider NameMuhammet Furkan Yilmaz
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1225408859
PECOS PAC ID: 0648609669
Enrollment ID: I20231127002636
Provider NameWilliam Dillon
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1588089361
PECOS PAC ID: 2668820572
Enrollment ID: I20231201002143
Provider NameTara Streich-tilles
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619396579
PECOS PAC ID: 9537585625
Enrollment ID: I20231202000434
Provider NameJoseph Brian Clark
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043330558
PECOS PAC ID: 2668573056
Enrollment ID: I20231204000179
Provider NameAbigail Lynn Bernard
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497218788
PECOS PAC ID: 5496088221
Enrollment ID: I20231204002033
Provider NameRachel Wood
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1952756561
PECOS PAC ID: 5294029260
Enrollment ID: I20231204002182
Provider NameSenta Abrielle Furman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780025569
PECOS PAC ID: 9537531371
Enrollment ID: I20231206000656
Provider NameMichelle Lane Ore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396416483
PECOS PAC ID: 7618343005
Enrollment ID: I20231208001177
Provider NameKathleen Patricia Andrews-wood
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366805830
PECOS PAC ID: 3274826433
Enrollment ID: I20231214000045
Provider NameStephanie Jo Sexton
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1881004158
PECOS PAC ID: 1759783897
Enrollment ID: I20231214000063
Provider NameRuth Johanna Lotz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376791202
PECOS PAC ID: 6608225677
Enrollment ID: I20231215002310
Provider NameHeather Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093022048
PECOS PAC ID: 8123216579
Enrollment ID: I20231218000446
Provider NameSahil Aggarwal
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1497216428
PECOS PAC ID: 3274982160
Enrollment ID: I20231218003807
Provider NameAmy Lilian Behman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1043992076
PECOS PAC ID: 0244680643
Enrollment ID: I20231227003063
Provider NameKaren E Welty-wolf
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1073614509
PECOS PAC ID: 0345690756
Enrollment ID: I20231228000041
Provider NameBriana Nicole Brownlow
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275300667
PECOS PAC ID: 5799135950
Enrollment ID: I20231229002018
Provider NameWally Figaro-dishmey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790566446
PECOS PAC ID: 5698126647
Enrollment ID: I20240104000685
Provider NameSevil Mariya Elmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467239541
PECOS PAC ID: 0941651368
Enrollment ID: I20240110003474
Provider NameIrene Timothy Lee
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1649837717
PECOS PAC ID: 2062863244
Enrollment ID: I20240112000015
Provider NameSara Alice Martin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992237531
PECOS PAC ID: 9638409923
Enrollment ID: I20240112002578
Provider NameKiran Sury
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1972007508
PECOS PAC ID: 7618329715
Enrollment ID: I20240112004321
Provider NameJuliette Logan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1679007231
PECOS PAC ID: 5799108742
Enrollment ID: I20240117000697
Provider NameShayna Melody Cheek
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1962272955
PECOS PAC ID: 5193177962
Enrollment ID: I20240117001908
Provider NameEvelyna George Kliassov
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1689237844
PECOS PAC ID: 9234581984
Enrollment ID: I20240117004739
Provider NameJuliette Helene Rousseau
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316644727
PECOS PAC ID: 1254783723
Enrollment ID: I20240119002971
Provider NameStephanie Lee Jessee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598291445
PECOS PAC ID: 7416309893
Enrollment ID: I20240122002657
Provider NameKatherine Dayton Jones
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1649840216
PECOS PAC ID: 9931551330
Enrollment ID: I20240122003146
Provider NameAndrew David Jimenez
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609569888
PECOS PAC ID: 9537511753
Enrollment ID: I20240123003077
Provider NameChristopher Dermarkarian
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093246076
PECOS PAC ID: 2961771696
Enrollment ID: I20240124001009
Provider NameAnna Kristina Strasma
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1396274619
PECOS PAC ID: 8224481320
Enrollment ID: I20240125000052
Provider NameStephanie Tammy Hsu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811450315
PECOS PAC ID: 2961855705
Enrollment ID: I20240129002959
Provider NameBonnie Ann Sklar
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1730748252
PECOS PAC ID: 3971926262
Enrollment ID: I20240131002870
Provider NameMartus Zheng Quan Gn
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1114419231
PECOS PAC ID: 1951656990
Enrollment ID: I20240202002167
Provider NameMonica M Abdelmalak
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1528520574
PECOS PAC ID: 0446601405
Enrollment ID: I20240205000019
Provider NameDiana Alison Barden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093286767
PECOS PAC ID: 8628318409
Enrollment ID: I20240205003288
Provider NameKwai Tei Candy Chan Poon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962934091
PECOS PAC ID: 7618310715
Enrollment ID: I20240206001332
Provider NameNour Akil
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992146955
PECOS PAC ID: 5890067508
Enrollment ID: I20240207000968
Provider NameTaylor Blanche Drolshagen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275226078
PECOS PAC ID: 5698118511
Enrollment ID: I20240208000001
Provider NameKatherine Piilani Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932971389
PECOS PAC ID: 0840633673
Enrollment ID: I20240208003686
Provider NameLeigh Mary Skehan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578048666
PECOS PAC ID: 3476892084
Enrollment ID: I20240214000012
Provider NameLisa Morere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184819088
PECOS PAC ID: 8123187887
Enrollment ID: I20240214000026
Provider NameEun Young Choi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1396204210
PECOS PAC ID: 8921332719
Enrollment ID: I20240214000079
Provider NameJessica Krystle Ramsey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962004044
PECOS PAC ID: 0547651903
Enrollment ID: I20240219003874
Provider NameReinaldo Perez
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1083140321
PECOS PAC ID: 5698108777
Enrollment ID: I20240220001585
Provider NameLisa Kotyra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689770901
PECOS PAC ID: 9234160219
Enrollment ID: I20240221000053
Provider NameMariam Baig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467089219
PECOS PAC ID: 2365866456
Enrollment ID: I20240226000067
Provider NameMeaghan Elizabeth Paluck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922875038
PECOS PAC ID: 9436594819
Enrollment ID: I20240226000102
Provider NameKathryn Marie Oconnor
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1215161070
PECOS PAC ID: 6002033297
Enrollment ID: I20240227000044
Provider NameSara Khov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821866609
PECOS PAC ID: 6305281692
Enrollment ID: I20240227000094
Provider NameMegan Lynn Fitzsimmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841563707
PECOS PAC ID: 5092963819
Enrollment ID: I20240228001862
Provider NameElsayed Elbasiony
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245935535
PECOS PAC ID: 0042655102
Enrollment ID: I20240228002008
Provider NameCristina Salmon Echanique
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326499161
PECOS PAC ID: 8729315528
Enrollment ID: I20240305000428
Provider NameHunter Kelsey Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043896079
PECOS PAC ID: 9931544566
Enrollment ID: I20240305001827
Provider NameCarol Alejandra Parrales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073020145
PECOS PAC ID: 3971933391
Enrollment ID: I20240307001027
Provider NameJoann Lauren Nocito
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346028461
PECOS PAC ID: 0143666487
Enrollment ID: I20240308003713
Provider NameDaniel Levy Bercowski
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1609882802
PECOS PAC ID: 8426494691
Enrollment ID: I20240311000496
Provider NameKassiane Saieed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487439162
PECOS PAC ID: 9032555099
Enrollment ID: I20240312004201
Provider NameChassidy Leeann Sharp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720475767
PECOS PAC ID: 8022322288
Enrollment ID: I20240315000705

Reviews and Comments


General Practice in Durham, NC

Durham Recovery Response Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 309 Crutchfield St, Durham, NC 27704
Phone: 919-797-1943    Fax: 919-560-0302
Durham Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4220 N Roxboro St, Durham, NC 27704
Phone: 919-471-1518    
Triangle Geriatrics & Palliative Medicine, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Rosehill Ave, Durham, NC 27705
Phone: 540-447-6614    
Duke Student Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710
Phone: 919-681-9355    
Novant Health Durham Internal Medicine Southpoint
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713
Phone: 919-477-6900    Fax: 919-544-6210
American Current Care Of North Carolina Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703
Phone: 919-941-1911    Fax: 919-941-1901
Shae Medical, Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5306 Nc Highway 55, Suite 105, Durham, NC 27713
Phone: 919-646-4858    Fax: 919-679-7112

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.