| Duke Health Integrated Practice, Inc. | |
|
40 Duke Medicine Cir Durham NC 27710-4000 | |
| (919) 620-4855 | |
| (919) 620-4921 |
| Full Name | Duke Health Integrated Practice, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 40 Duke Medicine Cir, Durham, North Carolina |
| Authorized Official Name and Position | Jennifer Nicole Roberts (DIRECTOR FINANCE) |
| Authorized Official Contact | 9196840439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice 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 Number | 1205553369 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 09/18/2026 |
| Certification Date | 09/18/2026 |
| Medicare PECOS PAC ID | 8325412737 |
|---|---|
| Medicare Enrollment ID | O20230327002247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205553369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Pamela D Pennigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902980899 PECOS PAC ID: 7315859675 Enrollment ID: I20031104000581 |
| Provider Name | Dwayne Callwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023194479 PECOS PAC ID: 4789597709 Enrollment ID: I20031106000495 |
| Provider Name | Thomas S Devetski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679594758 PECOS PAC ID: 3476466780 Enrollment ID: I20031111000769 |
| Provider Name | Allan H Friedman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881777043 PECOS PAC ID: 5991618100 Enrollment ID: I20031112000335 |
| Provider Name | Charlotte Caroline F Martelo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972589125 PECOS PAC ID: 6204749435 Enrollment ID: I20031112000481 |
| Provider Name | Burke E Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457336778 PECOS PAC ID: 5395649826 Enrollment ID: I20031125000632 |
| Provider Name | Beth Hays Lindsay |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316033616 PECOS PAC ID: 9234034570 Enrollment ID: I20031201000486 |
| Provider Name | Daniel J George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124101381 PECOS PAC ID: 0143125336 Enrollment ID: I20031201000726 |
| Provider Name | Susanne D Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649249210 PECOS PAC ID: 1355248956 Enrollment ID: I20031212000558 |
| Provider Name | Vinod K Prasad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013070895 PECOS PAC ID: 6002714771 Enrollment ID: I20031219000659 |
| Provider Name | Scott a Strine |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1346299351 PECOS PAC ID: 3678472255 Enrollment ID: I20040102000378 |
| Provider Name | Gwendolen T Buhr |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891878039 PECOS PAC ID: 7719887918 Enrollment ID: I20040113000325 |
| Provider Name | Christopher R Watters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518945583 PECOS PAC ID: 8820999501 Enrollment ID: I20040115000970 |
| Provider Name | Catherine J Flanagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023152501 PECOS PAC ID: 5294636924 Enrollment ID: I20040116000037 |
| Provider Name | Allin Vesa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275566689 PECOS PAC ID: 3476455767 Enrollment ID: I20040126000924 |
| Provider Name | Robert J Tumey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811066780 PECOS PAC ID: 9436043650 Enrollment ID: I20040210000281 |
| Provider Name | Mihai V Podgoreanu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669433827 PECOS PAC ID: 1153215777 Enrollment ID: I20040212000654 |
| Provider Name | Denise M Lally-goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770667826 PECOS PAC ID: 3173418332 Enrollment ID: I20040217000438 |
| Provider Name | Karen C Nielsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902980816 PECOS PAC ID: 0941197644 Enrollment ID: I20040227000898 |
| Provider Name | Salim F Idriss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447313218 PECOS PAC ID: 1759278344 Enrollment ID: I20040228000437 |
| Provider Name | Suzanne L Kirby |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245305598 PECOS PAC ID: 6800783119 Enrollment ID: I20040302000551 |
| Provider Name | Gloria G Liu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659462059 PECOS PAC ID: 7618865825 Enrollment ID: I20040309000861 |
| Provider Name | Scott Lee Sailer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336196203 PECOS PAC ID: 3779472139 Enrollment ID: I20040312001154 |
| Provider Name | Beth T Wrenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306920285 PECOS PAC ID: 1254221039 Enrollment ID: I20040316001239 |
| Provider Name | Thomas Eldridge Stinchcombe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265510416 PECOS PAC ID: 4587555487 Enrollment ID: I20040322000742 |
| Provider Name | Richard D Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073697728 PECOS PAC ID: 8527050111 Enrollment ID: I20040401001798 |
| Provider Name | Nancy a Maclaurin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831273986 PECOS PAC ID: 7416949946 Enrollment ID: I20040402000282 |
| Provider Name | Margeva M Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831273549 PECOS PAC ID: 1557353950 Enrollment ID: I20040402000817 |
| Provider Name | Ashley N Grimsley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245263821 PECOS PAC ID: 0648264762 Enrollment ID: I20040412001591 |
| Provider Name | Manesh R Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487696365 PECOS PAC ID: 6709871460 Enrollment ID: I20040420000995 |
| Provider Name | Sean M Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992770572 PECOS PAC ID: 9032105754 Enrollment ID: I20040420001521 |
| Provider Name | Kevin Marc Rathke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750313110 PECOS PAC ID: 2163418898 Enrollment ID: I20040420001579 |
| Provider Name | Margot M Oneill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194809087 PECOS PAC ID: 4183611882 Enrollment ID: I20040426001633 |
| Provider Name | Michael a Blazing |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1306878673 PECOS PAC ID: 9931196219 Enrollment ID: I20040428001023 |
| Provider Name | Richard L Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336230747 PECOS PAC ID: 2264336353 Enrollment ID: I20040429001061 |
| Provider Name | Elizabeth J Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134127905 PECOS PAC ID: 9234120098 Enrollment ID: I20040520000521 |
| Provider Name | Beverly G Gardner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760552947 PECOS PAC ID: 1951392455 Enrollment ID: I20040522000273 |
| Provider Name | Richard F Riedel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235227844 PECOS PAC ID: 3779564547 Enrollment ID: I20040527000246 |
| Provider Name | Carlos M De Castro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912080169 PECOS PAC ID: 4183605629 Enrollment ID: I20040528000995 |
| Provider Name | Jennifer Nixon Pierce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225089691 PECOS PAC ID: 2961483300 Enrollment ID: I20040601000350 |
| Provider Name | Adrian Felipe Hernandez |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1902980063 PECOS PAC ID: 2668454943 Enrollment ID: I20040601001473 |
| Provider Name | Neeraj R Agrawal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336189174 PECOS PAC ID: 5294717021 Enrollment ID: I20040604000101 |
| Provider Name | Michael G Camitta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306909171 PECOS PAC ID: 1759365240 Enrollment ID: I20040614000948 |
| Provider Name | John Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649241894 PECOS PAC ID: 9436133865 Enrollment ID: I20040615000305 |
| Provider Name | Heather E Whitson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245299627 PECOS PAC ID: 7214911494 Enrollment ID: I20040615001501 |
| Provider Name | Tedric D Boyse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225090772 PECOS PAC ID: 2668362724 Enrollment ID: I20040616000649 |
| Provider Name | Alison P Toth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982644720 PECOS PAC ID: 0941284913 Enrollment ID: I20040616001161 |
| Provider Name | Sara Beth Page |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881778785 PECOS PAC ID: 0446234462 Enrollment ID: I20040616001559 |
| Provider Name | Benjamin H Trichon |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1871599860 PECOS PAC ID: 2264417021 Enrollment ID: I20040624000226 |
| Provider Name | Devdutta G Sangvai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174607097 PECOS PAC ID: 4587649355 Enrollment ID: I20040624000257 |
| Provider Name | Carolee Ann West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174574578 PECOS PAC ID: 6406832245 Enrollment ID: I20040624000839 |
| Provider Name | Lawrence Liao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124102272 PECOS PAC ID: 3678559143 Enrollment ID: I20040625000365 |
| Provider Name | Jon J Wilson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1548298334 PECOS PAC ID: 6507842911 Enrollment ID: I20040626000270 |
| Provider Name | Nancy J Weigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992805634 PECOS PAC ID: 0840276283 Enrollment ID: I20040626000429 |
| Provider Name | Christopher D Lascola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508952896 PECOS PAC ID: 7315923430 Enrollment ID: I20040628001468 |
| Provider Name | Beckie M Jarrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346220902 PECOS PAC ID: 0648257352 Enrollment ID: I20040701000158 |
| Provider Name | Linda W Medlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073684379 PECOS PAC ID: 0345227070 Enrollment ID: I20040701000374 |
| Provider Name | Louis F Diehl |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275616427 PECOS PAC ID: 3971580531 Enrollment ID: I20040701000569 |
| Provider Name | Michelle M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699859751 PECOS PAC ID: 4183601578 Enrollment ID: I20040702000764 |
| Provider Name | Karen P Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265490494 PECOS PAC ID: 2860479292 Enrollment ID: I20040702001047 |
| Provider Name | Kevin P Jackson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952413189 PECOS PAC ID: 0244217586 Enrollment ID: I20040702001189 |
| Provider Name | Christopher G Willett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770679144 PECOS PAC ID: 2264410075 Enrollment ID: I20040708001407 |
| Provider Name | Donald D Hegland |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376627869 PECOS PAC ID: 3476531294 Enrollment ID: I20040708001477 |
| Provider Name | Deborah L Guentensberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417001736 PECOS PAC ID: 6800874900 Enrollment ID: I20040713001100 |
| Provider Name | Jennifer C Mcelreath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669418257 PECOS PAC ID: 7315926235 Enrollment ID: I20040715000280 |
| Provider Name | Deanna W Adkins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942359955 PECOS PAC ID: 9234118969 Enrollment ID: I20040716000295 |
| Provider Name | Blake R Boggess |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558444794 PECOS PAC ID: 9638158371 Enrollment ID: I20040716000387 |
| Provider Name | Steven L Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235227547 PECOS PAC ID: 8527047125 Enrollment ID: I20040716000956 |
| Provider Name | Jeremy Leonard Hardison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073508602 PECOS PAC ID: 6103805650 Enrollment ID: I20040717000228 |
| Provider Name | Amy M Fowler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063437580 PECOS PAC ID: 4284613746 Enrollment ID: I20040717000237 |
| Provider Name | Hope E Uronis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982729331 PECOS PAC ID: 2860471158 Enrollment ID: I20040719001603 |
| Provider Name | Daniel a Ostrovsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114080991 PECOS PAC ID: 1456331669 Enrollment ID: I20040720000992 |
| Provider Name | William J Parsons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437158508 PECOS PAC ID: 0042290298 Enrollment ID: I20040720001289 |
| Provider Name | Debra L Best |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902980618 PECOS PAC ID: 4183604333 Enrollment ID: I20040720001318 |
| Provider Name | Todd a Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073540209 PECOS PAC ID: 9537149430 Enrollment ID: I20040721001575 |
| Provider Name | Calhoun D Cunningham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699774000 PECOS PAC ID: 9133109994 Enrollment ID: I20040722000364 |
| Provider Name | Kimberly G Lykins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437244985 PECOS PAC ID: 7810977550 Enrollment ID: I20040722000942 |
| Provider Name | Michael R Komada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093775009 PECOS PAC ID: 0941280622 Enrollment ID: I20040722001180 |
| Provider Name | Shu S Lin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003990912 PECOS PAC ID: 2860472206 Enrollment ID: I20040724000428 |
| Provider Name | Christopher Pugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972535698 PECOS PAC ID: 7911977269 Enrollment ID: I20040729000164 |
| Provider Name | Michael Justin Feiler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528141785 PECOS PAC ID: 9335119155 Enrollment ID: I20040729000220 |
| Provider Name | Chad M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427144500 PECOS PAC ID: 9638149008 Enrollment ID: I20040731000198 |
| Provider Name | Bryan Drew Blitstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932185626 PECOS PAC ID: 1658342324 Enrollment ID: I20040804001877 |
| Provider Name | Abigail H Melnick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225112113 PECOS PAC ID: 1951373471 Enrollment ID: I20040806000258 |
| Provider Name | Emily N Vinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467547182 PECOS PAC ID: 5799757563 Enrollment ID: I20040811000985 |
| Provider Name | Hercilia Mayumi Homi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942384854 PECOS PAC ID: 5597737205 Enrollment ID: I20040811001256 |
| Provider Name | Michael B Datto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386727535 PECOS PAC ID: 2769454412 Enrollment ID: I20040812000116 |
| Provider Name | Marshall W Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194766378 PECOS PAC ID: 8325012917 Enrollment ID: I20040820000136 |
| Provider Name | Frank J Moya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023192911 PECOS PAC ID: 3173597093 Enrollment ID: I20040825000481 |
| Provider Name | Anna Mae E Diehl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871512004 PECOS PAC ID: 4981678703 Enrollment ID: I20040825001376 |
| Provider Name | Jonathan a Stiber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295819167 PECOS PAC ID: 2062487747 Enrollment ID: I20040826001013 |
| Provider Name | Anthony J Viera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962563866 PECOS PAC ID: 4486629037 Enrollment ID: I20040827000888 |
| Provider Name | Nicole a Larrier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730275819 PECOS PAC ID: 4981679453 Enrollment ID: I20040827001093 |
| Provider Name | John P Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932295227 PECOS PAC ID: 5496720393 Enrollment ID: I20040901001140 |
| Provider Name | Steven Paul Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457355406 PECOS PAC ID: 7012983232 Enrollment ID: I20040908001168 |
| Provider Name | Kathy K Yu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568414217 PECOS PAC ID: 2668449679 Enrollment ID: I20040910000335 |
| Provider Name | Joshua F Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417948563 PECOS PAC ID: 4284601162 Enrollment ID: I20040910000921 |
| Provider Name | Caroline W Carrico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528141777 PECOS PAC ID: 6103895461 Enrollment ID: I20041002000042 |
| Provider Name | Michael P Bolognesi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649367384 PECOS PAC ID: 4385548056 Enrollment ID: I20041002000124 |
| Provider Name | Judd W Moul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114001005 PECOS PAC ID: 6406815950 Enrollment ID: I20041008000982 |
| Provider Name | Kathleen W Bartlett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740363985 PECOS PAC ID: 3678532132 Enrollment ID: I20041008000997 |
| Provider Name | Michael P Carboni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215090089 PECOS PAC ID: 3678476884 Enrollment ID: I20041012000448 |
| Provider Name | Mark Branch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922182633 PECOS PAC ID: 8022078385 Enrollment ID: I20041012001139 |
| Provider Name | Anna C Vandis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336257526 PECOS PAC ID: 4284694324 Enrollment ID: I20041013001105 |
| Provider Name | Douglas W Schreyack |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861589418 PECOS PAC ID: 0840250684 Enrollment ID: I20041015000184 |
| Provider Name | Jill C Barbour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619082575 PECOS PAC ID: 8820058506 Enrollment ID: I20041018000070 |
| Provider Name | James S Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780617621 PECOS PAC ID: 9133189624 Enrollment ID: I20041019000500 |
| Provider Name | Miriam K Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578599668 PECOS PAC ID: 4981665031 Enrollment ID: I20041021000704 |
| Provider Name | David a Tendler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811957731 PECOS PAC ID: 2567423692 Enrollment ID: I20041022000186 |
| Provider Name | Sarah Holste Hodges |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255371720 PECOS PAC ID: 9436110137 Enrollment ID: I20041026000373 |
| Provider Name | Brenda W Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619207032 PECOS PAC ID: 1254393598 Enrollment ID: I20041029000558 |
| Provider Name | Deborah J Semmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285797068 PECOS PAC ID: 3971565912 Enrollment ID: I20041101001141 |
| Provider Name | Robin L Hardie-hood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972542900 PECOS PAC ID: 3274596481 Enrollment ID: I20041109000563 |
| Provider Name | Warwick a Ames |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063596971 PECOS PAC ID: 9739142530 Enrollment ID: I20041111000443 |
| Provider Name | Thomas Janse Schermerhorn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457371403 PECOS PAC ID: 7012971484 Enrollment ID: I20041116000221 |
| Provider Name | Vern C Juel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053495119 PECOS PAC ID: 5698739860 Enrollment ID: I20041117000424 |
| Provider Name | Shannon W Lamb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689625923 PECOS PAC ID: 2062476088 Enrollment ID: I20041118000429 |
| Provider Name | Michael J Amyot |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972614352 PECOS PAC ID: 7911961941 Enrollment ID: I20041118000476 |
| Provider Name | Piers C Barker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144383910 PECOS PAC ID: 2668437401 Enrollment ID: I20041122000420 |
| Provider Name | Aimee K Zaas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619030491 PECOS PAC ID: 9133184476 Enrollment ID: I20041129000127 |
| Provider Name | Jonathan D Cowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518945880 PECOS PAC ID: 0648236695 Enrollment ID: I20041206000257 |
| Provider Name | Ara D Metjian |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1679635502 PECOS PAC ID: 8921064528 Enrollment ID: I20041206000635 |
| Provider Name | Timothy a Driscoll |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841353612 PECOS PAC ID: 3971569112 Enrollment ID: I20041208001054 |
| Provider Name | Eugene a Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598856098 PECOS PAC ID: 7012973266 Enrollment ID: I20041208001111 |
| Provider Name | Mark Z Rosenthal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598849499 PECOS PAC ID: 1951368877 Enrollment ID: I20041215000609 |
| Provider Name | Senthilkumar Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801970728 PECOS PAC ID: 7618935560 Enrollment ID: I20041227000086 |
| Provider Name | Leslie L Bronner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184707325 PECOS PAC ID: 5496713349 Enrollment ID: I20041227000119 |
| Provider Name | Brian Halstater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821101965 PECOS PAC ID: 5698733384 Enrollment ID: I20041228000708 |
| Provider Name | Scot Eric Reeg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760423594 PECOS PAC ID: 6002700200 Enrollment ID: I20050106000190 |
| Provider Name | John William Foreman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922161793 PECOS PAC ID: 3577511286 Enrollment ID: I20050110000725 |
| Provider Name | Ashley M Underwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447334313 PECOS PAC ID: 8325097348 Enrollment ID: I20050118000179 |
| Provider Name | Lisa Scott Ray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033226311 PECOS PAC ID: 4587613161 Enrollment ID: I20050120000960 |
| Provider Name | Thomas J Weber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659364750 PECOS PAC ID: 5294784765 Enrollment ID: I20050121000714 |
| Provider Name | Matthew T Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316953938 PECOS PAC ID: 2163334475 Enrollment ID: I20050203000147 |
| Provider Name | Joanne Kurtzberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437212206 PECOS PAC ID: 5092766311 Enrollment ID: I20050203000735 |
| Provider Name | Yeshesvini Raman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841259249 PECOS PAC ID: 0749231694 Enrollment ID: I20050208000584 |
| Provider Name | Melanie E Trost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275669707 PECOS PAC ID: 9133170004 Enrollment ID: I20050208000811 |
| Provider Name | Nirmish R Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033113899 PECOS PAC ID: 3779535372 Enrollment ID: I20050211000227 |
| Provider Name | William J Richardson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831286475 PECOS PAC ID: 4587616131 Enrollment ID: I20050211000510 |
| Provider Name | Liana Puscas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568545820 PECOS PAC ID: 7416909585 Enrollment ID: I20050216000954 |
| Provider Name | Jennifer Joi Jaroscak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891885554 PECOS PAC ID: 6103715602 Enrollment ID: I20050217000596 |
| Provider Name | Jeannine M Sherer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932240058 PECOS PAC ID: 3870545718 Enrollment ID: I20050218000336 |
| Provider Name | Jeffrey N Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205862299 PECOS PAC ID: 9234181108 Enrollment ID: I20050218000604 |
| Provider Name | Cindy Cook Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780638825 PECOS PAC ID: 0648222547 Enrollment ID: I20050218000812 |
| Provider Name | Dennis a Turner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659331817 PECOS PAC ID: 0547212334 Enrollment ID: I20050221000549 |
| Provider Name | Sarah K Gauger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225085988 PECOS PAC ID: 7810940640 Enrollment ID: I20050222000181 |
| Provider Name | Lynne Bailey Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952484115 PECOS PAC ID: 4385697093 Enrollment ID: I20050222000881 |
| Provider Name | Mark F Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689694606 PECOS PAC ID: 1052364528 Enrollment ID: I20050224000238 |
| Provider Name | Linda M Sutton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366409575 PECOS PAC ID: 0446203533 Enrollment ID: I20050301000667 |
| Provider Name | Payal M Perera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811071707 PECOS PAC ID: 7618862673 Enrollment ID: I20050301000709 |
| Provider Name | Jeffrey D Sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811958168 PECOS PAC ID: 8224082185 Enrollment ID: I20050303000809 |
| Provider Name | James B Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760474423 PECOS PAC ID: 9335193895 Enrollment ID: I20050308000466 |
| Provider Name | Bryan Batch |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780759365 PECOS PAC ID: 1951393594 Enrollment ID: I20050309000378 |
| Provider Name | John C Cedarholm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356353379 PECOS PAC ID: 9537051644 Enrollment ID: I20050311000270 |
| Provider Name | Cynthia J Everett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952441800 PECOS PAC ID: 0547216582 Enrollment ID: I20050323000704 |
| Provider Name | Michael Andre Pullias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619017472 PECOS PAC ID: 4789630724 Enrollment ID: I20050323000740 |
| Provider Name | Spence H Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407993421 PECOS PAC ID: 3678510690 Enrollment ID: I20050412000415 |
| Provider Name | James E Messersmith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134203029 PECOS PAC ID: 2163469578 Enrollment ID: I20050415000728 |
| Provider Name | Lisa M Barkley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639341274 PECOS PAC ID: 1557300456 Enrollment ID: I20050429000594 |
| Provider Name | Allison E Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437208451 PECOS PAC ID: 1052351897 Enrollment ID: I20050511000173 |
| Provider Name | Paolo Mannelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263641 PECOS PAC ID: 4981644739 Enrollment ID: I20050511000242 |
| Provider Name | Kelly Anne Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083740260 PECOS PAC ID: 7719928407 Enrollment ID: I20050512000392 |
| Provider Name | Srinivas Pyati |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043338510 PECOS PAC ID: 9931140639 Enrollment ID: I20050512000509 |
| Provider Name | Sora Christina Yoon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437174109 PECOS PAC ID: 9830130830 Enrollment ID: I20050519000967 |
| Provider Name | Benson M Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174607238 PECOS PAC ID: 7012959661 Enrollment ID: I20050524001322 |
| Provider Name | Eric C Westman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598849465 PECOS PAC ID: 7214970599 Enrollment ID: I20050607001244 |
| Provider Name | Matthew K Tsuei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942275276 PECOS PAC ID: 8022051176 Enrollment ID: I20050609000086 |
| Provider Name | Michelle M Dowdall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083649768 PECOS PAC ID: 1658315155 Enrollment ID: I20050615000756 |
| Provider Name | Steven C Gross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467460097 PECOS PAC ID: 6507805629 Enrollment ID: I20050616000460 |
| Provider Name | Scott Leigh Shofer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538156070 PECOS PAC ID: 4981591005 Enrollment ID: I20050617000920 |
| Provider Name | Thienkim N Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588610711 PECOS PAC ID: 8628012812 Enrollment ID: I20050617000993 |
| Provider Name | Teodoro K Toledo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417973983 PECOS PAC ID: 0547205452 Enrollment ID: I20050622000136 |
| Provider Name | Rodney a Radtke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730271479 PECOS PAC ID: 2769427194 Enrollment ID: I20050624001094 |
| Provider Name | John J Villani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164506036 PECOS PAC ID: 5294771051 Enrollment ID: I20050701000095 |
| Provider Name | Brian P Quaranta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083600357 PECOS PAC ID: 3173506912 Enrollment ID: I20050712000193 |
| Provider Name | David S Ruch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356438998 PECOS PAC ID: 6800822669 Enrollment ID: I20050713000073 |
| Provider Name | Angel Nieves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205999083 PECOS PAC ID: 3577590439 Enrollment ID: I20050721000882 |
| Provider Name | Joe T Minchew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003915885 PECOS PAC ID: 9335178151 Enrollment ID: I20050811000368 |
| Provider Name | Ryan Hines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760453070 PECOS PAC ID: 4981634441 Enrollment ID: I20050816000090 |
| Provider Name | Marianne Paul |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285718171 PECOS PAC ID: 6709859457 Enrollment ID: I20050816001176 |
| Provider Name | Marc Calabrese |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043211402 PECOS PAC ID: 9436189503 Enrollment ID: I20050818000104 |
| Provider Name | Kelly Walton Muir |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952409252 PECOS PAC ID: 3577594324 Enrollment ID: I20050822001230 |
| Provider Name | Ruediger W Lehrich |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386728293 PECOS PAC ID: 7113958968 Enrollment ID: I20050822001236 |
| Provider Name | Teresa Kathleen Tarrant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649331653 PECOS PAC ID: 8628009396 Enrollment ID: I20050823000814 |
| Provider Name | Mikelle Lynette Key Solle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245257021 PECOS PAC ID: 8022049261 Enrollment ID: I20050826000555 |
| Provider Name | Mahfuzul Haque |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063404911 PECOS PAC ID: 4587695671 Enrollment ID: I20050829000574 |
| Provider Name | William S Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366456063 PECOS PAC ID: 7113959727 Enrollment ID: I20050902000738 |
| Provider Name | Christopher E Cox |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235212481 PECOS PAC ID: 0840222451 Enrollment ID: I20050902000742 |
| Provider Name | Vance G Fowler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831252600 PECOS PAC ID: 6709818222 Enrollment ID: I20050906000930 |
| Provider Name | Tally E Lassiter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124129119 PECOS PAC ID: 8921992124 Enrollment ID: I20050909000696 |
| Provider Name | Marc Edward Caruana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912958927 PECOS PAC ID: 4486687118 Enrollment ID: I20050914000197 |
| Provider Name | Linda L Erskine-bauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003867011 PECOS PAC ID: 9830122589 Enrollment ID: I20050914000393 |
| Provider Name | Scott G Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780662742 PECOS PAC ID: 2466438478 Enrollment ID: I20050914000424 |
| Provider Name | Stuart J Mckinnon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356440069 PECOS PAC ID: 6204869860 Enrollment ID: I20050914000523 |
| Provider Name | Nathan Maclyn Thielman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710040597 PECOS PAC ID: 7517991276 Enrollment ID: I20050921001134 |
| Provider Name | George C Hughes |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255363990 PECOS PAC ID: 7214962224 Enrollment ID: I20050928001111 |
| Provider Name | Henry N Pleasant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275561433 PECOS PAC ID: 8224063029 Enrollment ID: I20050929001255 |
| Provider Name | Adeyemi J Olufolabi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831287200 PECOS PAC ID: 1153356969 Enrollment ID: I20050929001335 |
| Provider Name | Therese M Hennig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285718346 PECOS PAC ID: 5991730418 Enrollment ID: I20051003000742 |
| Provider Name | Ada M Conway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598700692 PECOS PAC ID: 9830114982 Enrollment ID: I20051007000858 |
| Provider Name | Megan Elizabeth Clowse |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063595213 PECOS PAC ID: 8123043676 Enrollment ID: I20051013000383 |
| Provider Name | Nelson J Chao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215951587 PECOS PAC ID: 5698791028 Enrollment ID: I20051014000807 |
| Provider Name | Svati H Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134203094 PECOS PAC ID: 5294751236 Enrollment ID: I20051019000931 |
| Provider Name | Terry Stephen Lowry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932283082 PECOS PAC ID: 7810914363 Enrollment ID: I20051025000248 |
| Provider Name | Stephen G Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316000193 PECOS PAC ID: 4284651753 Enrollment ID: I20051025000436 |
| Provider Name | Susanna Naggie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831248855 PECOS PAC ID: 8123045473 Enrollment ID: I20051026001071 |
| Provider Name | Sherri L Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447206479 PECOS PAC ID: 2264459361 Enrollment ID: I20051027001190 |
| Provider Name | Radha G Kachhy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962586024 PECOS PAC ID: 7416975032 Enrollment ID: I20051102000828 |
| Provider Name | Jana P Pittman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437212669 PECOS PAC ID: 1456379973 Enrollment ID: I20051103000404 |
| Provider Name | Geeta Chowdhary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306828025 PECOS PAC ID: 3375513450 Enrollment ID: I20051103000540 |
| Provider Name | James S Mills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568512622 PECOS PAC ID: 7214955632 Enrollment ID: I20051103001156 |
| Provider Name | David C Gordon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669555827 PECOS PAC ID: 1254305758 Enrollment ID: I20051104000205 |
| Provider Name | Nicole Calakos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073696217 PECOS PAC ID: 8921026014 Enrollment ID: I20051107001159 |
| Provider Name | Kathryn J Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386658391 PECOS PAC ID: 4183642275 Enrollment ID: I20051107001179 |
| Provider Name | Nina J Verdino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619937760 PECOS PAC ID: 6800815432 Enrollment ID: I20051114000414 |
| Provider Name | Kara S Mcgee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144383928 PECOS PAC ID: 5395764823 Enrollment ID: I20051115000023 |
| Provider Name | April Wall Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154491314 PECOS PAC ID: 9133148505 Enrollment ID: I20051115000399 |
| Provider Name | David M Murdoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952474371 PECOS PAC ID: 2860411055 Enrollment ID: I20051116001033 |
| Provider Name | Dana D Portenier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619051505 PECOS PAC ID: 7618936402 Enrollment ID: I20051122000178 |
| Provider Name | Sheela J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871695486 PECOS PAC ID: 9335169911 Enrollment ID: I20051128000606 |
| Provider Name | Miriam H Feliu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871677781 PECOS PAC ID: 2769402213 Enrollment ID: I20051130000040 |
| Provider Name | Cynthia E K Shortell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114012341 PECOS PAC ID: 7012950942 Enrollment ID: I20051202000493 |
| Provider Name | Shannon J Mccall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417031303 PECOS PAC ID: 1759301666 Enrollment ID: I20051206000751 |
| Provider Name | Annick Desjardins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326122235 PECOS PAC ID: 6507886470 Enrollment ID: I20051207000131 |
| Provider Name | Tanya a Helms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376627430 PECOS PAC ID: 0042231979 Enrollment ID: I20051207000763 |
| Provider Name | Stephen E Robinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144304049 PECOS PAC ID: 3072534478 Enrollment ID: I20051213000736 |
| Provider Name | Stacey N Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497839369 PECOS PAC ID: 2769403054 Enrollment ID: I20051214000649 |
| Provider Name | Michelle M Canfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417947334 PECOS PAC ID: 4385665678 Enrollment ID: I20051214000659 |
| Provider Name | John S Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295795201 PECOS PAC ID: 0143200618 Enrollment ID: I20051214000763 |
| Provider Name | Mark W Schontz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053403261 PECOS PAC ID: 1850313867 Enrollment ID: I20051219000707 |
| Provider Name | Joshua S Broder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275616419 PECOS PAC ID: 7911929450 Enrollment ID: I20051227000247 |
| Provider Name | Kristina C Tourville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225065519 PECOS PAC ID: 1557335874 Enrollment ID: I20051229000179 |
| Provider Name | Douglas a Blackman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447349691 PECOS PAC ID: 5991728743 Enrollment ID: I20060109000272 |
| Provider Name | Aatif M Husain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497837595 PECOS PAC ID: 4789607474 Enrollment ID: I20060109000698 |
| Provider Name | Elizabeth L West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154405058 PECOS PAC ID: 5193748895 Enrollment ID: I20060109000745 |
| Provider Name | William F Sanford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437239431 PECOS PAC ID: 9537182159 Enrollment ID: I20060110000756 |
| Provider Name | Elise a Olsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598708042 PECOS PAC ID: 2365465069 Enrollment ID: I20060114000028 |
| Provider Name | Maitreya B Thakkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225022056 PECOS PAC ID: 0345264578 Enrollment ID: I20060114000078 |
| Provider Name | Jorge V Obando |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811071723 PECOS PAC ID: 3971550799 Enrollment ID: I20060125000040 |
| Provider Name | Jenny C Favret |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104078211 PECOS PAC ID: 5496779761 Enrollment ID: I20060125000731 |
| Provider Name | Anna Lisa Chamis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750464905 PECOS PAC ID: 2860406980 Enrollment ID: I20060127000572 |
| Provider Name | Benjamin Kunesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477524148 PECOS PAC ID: 1254345275 Enrollment ID: I20060130000467 |
| Provider Name | Donald M Rabil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144214917 PECOS PAC ID: 9032123948 Enrollment ID: I20060131000263 |
| Provider Name | Sarah E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154470177 PECOS PAC ID: 4385601988 Enrollment ID: I20060202000160 |
| Provider Name | Matthew D Paulakonis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992725931 PECOS PAC ID: 4183639438 Enrollment ID: I20060208000434 |
| Provider Name | Gary M Cox |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396808168 PECOS PAC ID: 6204841430 Enrollment ID: I20060209000313 |
| Provider Name | Michael a Morse |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588748479 PECOS PAC ID: 4385659366 Enrollment ID: I20060213000266 |
| Provider Name | David W Butterly |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518011832 PECOS PAC ID: 8527073477 Enrollment ID: I20060214000076 |
| Provider Name | Carla W Brady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811070055 PECOS PAC ID: 3173539566 Enrollment ID: I20060222000264 |
| Provider Name | Kristen M T Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184708059 PECOS PAC ID: 7416963368 Enrollment ID: I20060301000513 |
| Provider Name | Julia C Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538108907 PECOS PAC ID: 4688680259 Enrollment ID: I20060310000377 |
| Provider Name | Gavin Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063575843 PECOS PAC ID: 4981612611 Enrollment ID: I20060322000475 |
| Provider Name | Jane E Onken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376613109 PECOS PAC ID: 6709894017 Enrollment ID: I20060329000020 |
| Provider Name | Kara L Threatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528194701 PECOS PAC ID: 8921016833 Enrollment ID: I20060403000710 |
| Provider Name | Henry S Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568525335 PECOS PAC ID: 4284642190 Enrollment ID: I20060403000715 |
| Provider Name | Deborah H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578748182 PECOS PAC ID: 4789692559 Enrollment ID: I20060405000351 |
| Provider Name | Michael P Pignone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316970817 PECOS PAC ID: 1951310416 Enrollment ID: I20060411000337 |
| Provider Name | Jeffrey Crawford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023191277 PECOS PAC ID: 9234148776 Enrollment ID: I20060412000080 |
| Provider Name | Steven T Silverman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518158971 PECOS PAC ID: 0941219950 Enrollment ID: I20060419000096 |
| Provider Name | Luna C Ragsdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598866865 PECOS PAC ID: 6608885686 Enrollment ID: I20060419000720 |
| Provider Name | Thomas B Aberant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932282175 PECOS PAC ID: 4183633001 Enrollment ID: I20060420000230 |
| Provider Name | Anne C Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013070887 PECOS PAC ID: 9638189400 Enrollment ID: I20060425000535 |
| Provider Name | Gloria Garver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639223704 PECOS PAC ID: 2567484710 Enrollment ID: I20060427000022 |
| Provider Name | Bradley F Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831119858 PECOS PAC ID: 2860402179 Enrollment ID: I20060502000262 |
| Provider Name | Tami C Runyan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851351787 PECOS PAC ID: 4183634314 Enrollment ID: I20060502000450 |
| Provider Name | Gregory F Hulka |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457315954 PECOS PAC ID: 4789695842 Enrollment ID: I20060606000138 |
| Provider Name | Ennis Turrentine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588603930 PECOS PAC ID: 8527070580 Enrollment ID: I20060613000139 |
| Provider Name | Shelly L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427098060 PECOS PAC ID: 0345252276 Enrollment ID: I20060615000065 |
| Provider Name | Maria a Selim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114962313 PECOS PAC ID: 4789696493 Enrollment ID: I20060621000232 |
| Provider Name | Ronald T Uszenski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447230099 PECOS PAC ID: 1355353665 Enrollment ID: I20060703000100 |
| Provider Name | Benjamin Charles Chasnis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760436422 PECOS PAC ID: 2365455250 Enrollment ID: I20060718000360 |
| Provider Name | Jon S Placide |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801831342 PECOS PAC ID: 6204849110 Enrollment ID: I20060719000062 |
| Provider Name | Joseph P Shinnick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740246628 PECOS PAC ID: 5890708408 Enrollment ID: I20060727000393 |
| Provider Name | Thomas a Cornett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811920648 PECOS PAC ID: 1951314467 Enrollment ID: I20060731000380 |
| Provider Name | Michael a Moody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437180783 PECOS PAC ID: 3779586086 Enrollment ID: I20060804000342 |
| Provider Name | Neal Edward Ready |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932156197 PECOS PAC ID: 4587648118 Enrollment ID: I20060804000357 |
| Provider Name | Seth Morris Cohen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366474082 PECOS PAC ID: 8628019767 Enrollment ID: I20060809000459 |
| Provider Name | Christopher R Longo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780630749 PECOS PAC ID: 7113920224 Enrollment ID: I20060810000159 |
| Provider Name | Jeffrey E Zapawa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912943051 PECOS PAC ID: 5092740076 Enrollment ID: I20060810000536 |
| Provider Name | Ivette Lopez Agueda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699737411 PECOS PAC ID: 7416941083 Enrollment ID: I20060816000108 |
| Provider Name | Reed Matthew Vanmatre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740213354 PECOS PAC ID: 2769485440 Enrollment ID: I20060818000192 |
| Provider Name | Jeffrey M Ferranti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043248958 PECOS PAC ID: 0547263998 Enrollment ID: I20060824000440 |
| Provider Name | Edward F Hendershot |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215971742 PECOS PAC ID: 9234147166 Enrollment ID: I20060828000233 |
| Provider Name | Mays Antoine Dairi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417987215 PECOS PAC ID: 9133124647 Enrollment ID: I20060915000244 |
| Provider Name | Anthony N Kuo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295752145 PECOS PAC ID: 8022013531 Enrollment ID: I20060915000268 |
| Provider Name | Kitza P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699762724 PECOS PAC ID: 3173528353 Enrollment ID: I20060921000278 |
| Provider Name | Angeles a Secord |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073531083 PECOS PAC ID: 5698770808 Enrollment ID: I20060921000538 |
| Provider Name | May K Slowik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023047230 PECOS PAC ID: 9537164603 Enrollment ID: I20060922000475 |
| Provider Name | Laura J Havrilesky |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1316971526 PECOS PAC ID: 7113922204 Enrollment ID: I20060923000047 |
| Provider Name | Robert W Benjamin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881612976 PECOS PAC ID: 7416952528 Enrollment ID: I20060925000179 |
| Provider Name | Stefanie G Schuman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275547465 PECOS PAC ID: 8426053547 Enrollment ID: I20060925000258 |
| Provider Name | Michael L James |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598779795 PECOS PAC ID: 7416952544 Enrollment ID: I20060925000272 |
| Provider Name | Sarah M Bean |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255345187 PECOS PAC ID: 0244235125 Enrollment ID: I20060927000529 |
| Provider Name | Kelli R Brooks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861406936 PECOS PAC ID: 6305841297 Enrollment ID: I20060927000563 |
| Provider Name | Jessica M Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366471575 PECOS PAC ID: 9133124977 Enrollment ID: I20060928000551 |
| Provider Name | Susan N Hastings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659395499 PECOS PAC ID: 5496750044 Enrollment ID: I20061003000542 |
| Provider Name | Vivian Hou Chu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083628176 PECOS PAC ID: 9436155058 Enrollment ID: I20061004000504 |
| Provider Name | David B Macleod |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689684169 PECOS PAC ID: 1254337538 Enrollment ID: I20061010000196 |
| Provider Name | Melissa G Teitelman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073547071 PECOS PAC ID: 2961408133 Enrollment ID: I20061011000244 |
| Provider Name | Michael L Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073579066 PECOS PAC ID: 9234135468 Enrollment ID: I20061011000673 |
| Provider Name | Han W Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730292855 PECOS PAC ID: 2062418148 Enrollment ID: I20061012000426 |
| Provider Name | Charles M Maxfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104930262 PECOS PAC ID: 3173529203 Enrollment ID: I20061013000173 |
| Provider Name | Daniel J Simon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205891512 PECOS PAC ID: 3678583465 Enrollment ID: I20061017000531 |
| Provider Name | Amy D Huneycutt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750301842 PECOS PAC ID: 3173520681 Enrollment ID: I20061025000724 |
| Provider Name | Karen S Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952405193 PECOS PAC ID: 9335146745 Enrollment ID: I20061027000226 |
| Provider Name | Henry Hsien-chun Tseng |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043224058 PECOS PAC ID: 7315944527 Enrollment ID: I20061101000216 |
| Provider Name | Kathleen a Mcgann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750337903 PECOS PAC ID: 0446221089 Enrollment ID: I20061101000333 |
| Provider Name | Charles William Hargett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447367727 PECOS PAC ID: 3577560622 Enrollment ID: I20061102000162 |
| Provider Name | Christopher R Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467567735 PECOS PAC ID: 7517901218 Enrollment ID: I20061102000191 |
| Provider Name | Yuh Chin T Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184737090 PECOS PAC ID: 1153328224 Enrollment ID: I20061102000304 |
| Provider Name | Tracy Lynn Setji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821105107 PECOS PAC ID: 7315944410 Enrollment ID: I20061102000529 |
| Provider Name | Peggy K Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356363089 PECOS PAC ID: 6800893603 Enrollment ID: I20061108000175 |
| Provider Name | Terry Ann Fortin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790793578 PECOS PAC ID: 9436156254 Enrollment ID: I20061108000389 |
| Provider Name | Katherine S Garman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720092810 PECOS PAC ID: 5395742134 Enrollment ID: I20061108000531 |
| Provider Name | Viviana Sandra Martinez Bianchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194733980 PECOS PAC ID: 7810910213 Enrollment ID: I20061113000421 |
| Provider Name | Ali R Zomorodi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053428326 PECOS PAC ID: 5496753980 Enrollment ID: I20061116000396 |
| Provider Name | Kyle J Rehder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760405120 PECOS PAC ID: 8426056797 Enrollment ID: I20061121000078 |
| Provider Name | Harry Cozene Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285648352 PECOS PAC ID: 1355349630 Enrollment ID: I20061121000160 |
| Provider Name | Andrew J Armstrong |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528160199 PECOS PAC ID: 2264431980 Enrollment ID: I20061206000601 |
| Provider Name | Mark P Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861592131 PECOS PAC ID: 4880693506 Enrollment ID: I20061206000613 |
| Provider Name | Matthew J Ellis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316048424 PECOS PAC ID: 0244239804 Enrollment ID: I20061207000401 |
| Provider Name | Sarah C Armstrong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720195092 PECOS PAC ID: 4183641459 Enrollment ID: I20061211000412 |
| Provider Name | Lacey E Washington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275585796 PECOS PAC ID: 5698774115 Enrollment ID: I20061211000615 |
| Provider Name | Julia T Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821040635 PECOS PAC ID: 5597764928 Enrollment ID: I20061213000331 |
| Provider Name | Connie E Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184638983 PECOS PAC ID: 9931108362 Enrollment ID: I20061213000353 |
| Provider Name | Levi Scotty Mcgowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235224924 PECOS PAC ID: 7810996071 Enrollment ID: I20061215000483 |
| Provider Name | Gerald Arthur Grant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689646796 PECOS PAC ID: 1850390824 Enrollment ID: I20061220000562 |
| Provider Name | Laurie Dee Snyder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053493924 PECOS PAC ID: 0244230993 Enrollment ID: I20070103000523 |
| Provider Name | Jennifer C Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255438081 PECOS PAC ID: 2062412612 Enrollment ID: I20070104000034 |
| Provider Name | Tracy L Partin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588600381 PECOS PAC ID: 8224039029 Enrollment ID: I20070122000523 |
| Provider Name | Meghan Marie Costello Ishak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063594745 PECOS PAC ID: 6709887433 Enrollment ID: I20070124000312 |
| Provider Name | Kristina Whisnant Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366533838 PECOS PAC ID: 9638170277 Enrollment ID: I20070124000461 |
| Provider Name | Shelley a Holmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279292 PECOS PAC ID: 9739180381 Enrollment ID: I20070124000558 |
| Provider Name | Melissa D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821007592 PECOS PAC ID: 2961403423 Enrollment ID: I20070125000391 |
| Provider Name | Alexander Tan Limkakeng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700801669 PECOS PAC ID: 3678502887 Enrollment ID: I20070126000335 |
| Provider Name | Atilio Barbeito |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518059872 PECOS PAC ID: 2365443561 Enrollment ID: I20070130000448 |
| Provider Name | Lori Hoots Jee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265514061 PECOS PAC ID: 3779585914 Enrollment ID: I20070201000156 |
| Provider Name | Terrence K Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760553424 PECOS PAC ID: 9032111059 Enrollment ID: I20070205000265 |
| Provider Name | Hongtao M Guo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225134679 PECOS PAC ID: 6204938533 Enrollment ID: I20070216000375 |
| Provider Name | Amelia B Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710040555 PECOS PAC ID: 9739281569 Enrollment ID: I20070226000666 |
| Provider Name | Brady L Kempton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922190073 PECOS PAC ID: 9234231978 Enrollment ID: I20070226000816 |
| Provider Name | James E Tcheng |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023104502 PECOS PAC ID: 1355443961 Enrollment ID: I20070228000744 |
| Provider Name | Angie Comer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518078070 PECOS PAC ID: 5496858821 Enrollment ID: I20070305000785 |
| Provider Name | Rachael P Finley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346315843 PECOS PAC ID: 6305940867 Enrollment ID: I20070322000643 |
| Provider Name | John W Ragsdale III |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972599603 PECOS PAC ID: 7315945359 Enrollment ID: I20070329000596 |
| Provider Name | Kamlesh Athavale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659323319 PECOS PAC ID: 7113021239 Enrollment ID: I20070329000602 |
| Provider Name | Corlea W Viskovich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518049378 PECOS PAC ID: 3072617026 Enrollment ID: I20070330000229 |
| Provider Name | Kelly a Stauffacher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316039431 PECOS PAC ID: 1658475496 Enrollment ID: I20070403000595 |
| Provider Name | Terry Russell Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194811067 PECOS PAC ID: 9739283425 Enrollment ID: I20070406000340 |
| Provider Name | Deverick J Anderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396802534 PECOS PAC ID: 0143325597 Enrollment ID: I20070413000425 |
| Provider Name | Jennifer Tenhover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659422608 PECOS PAC ID: 0042206401 Enrollment ID: I20070414000025 |
| Provider Name | Rowena Blas Mariano |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144254442 PECOS PAC ID: 9931097334 Enrollment ID: I20070414000128 |
| Provider Name | David L Gish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821073149 PECOS PAC ID: 5395840607 Enrollment ID: I20070416000277 |
| Provider Name | Michelle M Bertsch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194700419 PECOS PAC ID: 7113022435 Enrollment ID: I20070416000362 |
| Provider Name | Herbon E Fleming |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447355185 PECOS PAC ID: 8628005113 Enrollment ID: I20070418000611 |
| Provider Name | Diane B Whitaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417981093 PECOS PAC ID: 2668578394 Enrollment ID: I20070426000166 |
| Provider Name | Anthony G Visco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144318445 PECOS PAC ID: 9830296813 Enrollment ID: I20070529000040 |
| Provider Name | Lake Daniel Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992739619 PECOS PAC ID: 5991766172 Enrollment ID: I20070607000615 |
| Provider Name | Patricia H Eberhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700991122 PECOS PAC ID: 2062510308 Enrollment ID: I20070609000039 |
| Provider Name | Cindy M Charles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326118985 PECOS PAC ID: 2365540531 Enrollment ID: I20070612000337 |
| Provider Name | James Keith Deorio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235129081 PECOS PAC ID: 4688772742 Enrollment ID: I20070613000455 |
| Provider Name | Catherine L Gaines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063458941 PECOS PAC ID: 3779682745 Enrollment ID: I20070618000009 |
| Provider Name | Melissa M Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629106687 PECOS PAC ID: 2062511504 Enrollment ID: I20070623000025 |
| Provider Name | Scott D Gibson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932282191 PECOS PAC ID: 7012016389 Enrollment ID: I20070627000376 |
| Provider Name | Michael D Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154494227 PECOS PAC ID: 3678673787 Enrollment ID: I20070702000584 |
| Provider Name | Marci M Loiselle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831290337 PECOS PAC ID: 3173623154 Enrollment ID: I20070705000315 |
| Provider Name | George Thomas Clark |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215977889 PECOS PAC ID: 8426946674 Enrollment ID: I20070710000093 |
| Provider Name | Gary Lee Pellom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467486621 PECOS PAC ID: 8820198617 Enrollment ID: I20070710000649 |
| Provider Name | Steve Sok Choi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679608111 PECOS PAC ID: 9638270168 Enrollment ID: I20070726000835 |
| Provider Name | Lisa D Hobson-webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871715391 PECOS PAC ID: 4688775174 Enrollment ID: I20070727000551 |
| Provider Name | Sarah Piecuch Germana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851516710 PECOS PAC ID: 0749381242 Enrollment ID: I20070727000677 |
| Provider Name | Randall P Scheri |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1871531624 PECOS PAC ID: 1658369988 Enrollment ID: I20070728000264 |
| Provider Name | Joseph Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386845402 PECOS PAC ID: 4587765961 Enrollment ID: I20070730000391 |
| Provider Name | Phillip Brian Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790986776 PECOS PAC ID: 7719088194 Enrollment ID: I20070730000452 |
| Provider Name | Albert Yuan Yen Sun |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285754408 PECOS PAC ID: 9436250834 Enrollment ID: I20070730000557 |
| Provider Name | Brad R Dean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750366274 PECOS PAC ID: 0547289308 Enrollment ID: I20070731000688 |
| Provider Name | Thomas G Hunter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871702530 PECOS PAC ID: 3678664976 Enrollment ID: I20070731000696 |
| Provider Name | Patrick H Pun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326243247 PECOS PAC ID: 2466543582 Enrollment ID: I20070803000347 |
| Provider Name | Jennifer M Chazan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962522938 PECOS PAC ID: 3375558612 Enrollment ID: I20070803000444 |
| Provider Name | Michael S Waugh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629101720 PECOS PAC ID: 2264523240 Enrollment ID: I20070806000230 |
| Provider Name | Maureen S Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831285063 PECOS PAC ID: 1153412036 Enrollment ID: I20070807000360 |
| Provider Name | Nazema Yusuf Siddiqui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144311291 PECOS PAC ID: 8123029964 Enrollment ID: I20070807000522 |
| Provider Name | Igor Klem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104042936 PECOS PAC ID: 9335230093 Enrollment ID: I20070809000364 |
| Provider Name | Lada Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902016033 PECOS PAC ID: 6507957123 Enrollment ID: I20070810000103 |
| Provider Name | Clare a Pipkin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801843537 PECOS PAC ID: 6709815608 Enrollment ID: I20070810000426 |
| Provider Name | Rasheed a Gbadegesin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205951720 PECOS PAC ID: 4789775297 Enrollment ID: I20070811000140 |
| Provider Name | Sandeep S Dave |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356548176 PECOS PAC ID: 8325139835 Enrollment ID: I20070811000149 |
| Provider Name | Kelli E Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053494211 PECOS PAC ID: 5597856179 Enrollment ID: I20070813000381 |
| Provider Name | Deepak Vikraman-sushama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629275805 PECOS PAC ID: 1759473135 Enrollment ID: I20070815000894 |
| Provider Name | Marc Richard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720286578 PECOS PAC ID: 1153413471 Enrollment ID: I20070816000379 |
| Provider Name | Daniella Zipkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679592802 PECOS PAC ID: 1153423660 Enrollment ID: I20070816000780 |
| Provider Name | Bradley J Kolls |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356474274 PECOS PAC ID: 4385736594 Enrollment ID: I20070817000230 |
| Provider Name | Cary Ward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720283641 PECOS PAC ID: 4880786946 Enrollment ID: I20070817000712 |
| Provider Name | Christopher Stephen Boehlke |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417074139 PECOS PAC ID: 3375635469 Enrollment ID: I20070821000236 |
| Provider Name | Christopher R Kelsey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164552865 PECOS PAC ID: 1759473507 Enrollment ID: I20070823000968 |
| Provider Name | Loretta J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790985224 PECOS PAC ID: 0749372597 Enrollment ID: I20070823000973 |
| Provider Name | William J Powers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437180940 PECOS PAC ID: 2769437201 Enrollment ID: I20070824000121 |
| Provider Name | Maria J Small |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013991090 PECOS PAC ID: 6406949734 Enrollment ID: I20070831000667 |
| Provider Name | Matthew Ellison |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598865438 PECOS PAC ID: 9537198460 Enrollment ID: I20070904000320 |
| Provider Name | Scott L Sanoff |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700098068 PECOS PAC ID: 9537252747 Enrollment ID: I20070904000702 |
| Provider Name | Natalie S Clarke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992905210 PECOS PAC ID: 0547353682 Enrollment ID: I20070906000462 |
| Provider Name | Bridget Koontz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619006681 PECOS PAC ID: 2961595731 Enrollment ID: I20070910000951 |
| Provider Name | Jennifer L Peifer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265592802 PECOS PAC ID: 4486747151 Enrollment ID: I20070911000743 |
| Provider Name | Bruce Lincoln Downes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932244878 PECOS PAC ID: 8022102433 Enrollment ID: I20070917000112 |
| Provider Name | Gayle a Dilalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194702910 PECOS PAC ID: 8426142886 Enrollment ID: I20070917000502 |
| Provider Name | Kelly S Batts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497804116 PECOS PAC ID: 7113011362 Enrollment ID: I20070918000678 |
| Provider Name | Shiaowen David Hsu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225229974 PECOS PAC ID: 9931291531 Enrollment ID: I20070925000652 |
| Provider Name | Kaylyn W Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558555847 PECOS PAC ID: 6901990670 Enrollment ID: I20070926000263 |
| Provider Name | James D Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114924818 PECOS PAC ID: 2466546155 Enrollment ID: I20070926000450 |
| Provider Name | Susan E Spratt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942384813 PECOS PAC ID: 4385739010 Enrollment ID: I20070926000843 |
| Provider Name | Gerald Bloomfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225094907 PECOS PAC ID: 2163454943 Enrollment ID: I20070926001086 |
| Provider Name | Chad J Michel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497955074 PECOS PAC ID: 1153416300 Enrollment ID: I20071002000838 |
| Provider Name | Leila Mureebe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538230883 PECOS PAC ID: 8820064991 Enrollment ID: I20071003000480 |
| Provider Name | Erika S Goeckerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801095567 PECOS PAC ID: 1557456647 Enrollment ID: I20071004000348 |
| Provider Name | Frederick Fesel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316023054 PECOS PAC ID: 4688760325 Enrollment ID: I20071011000167 |
| Provider Name | Susan E Totten |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265559660 PECOS PAC ID: 6507952249 Enrollment ID: I20071011000251 |
| Provider Name | Dylan Kieran Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508052457 PECOS PAC ID: 2961598081 Enrollment ID: I20071019000295 |
| Provider Name | Anthony W Hamm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467438416 PECOS PAC ID: 6305932443 Enrollment ID: I20071019000465 |
| Provider Name | Harbax T Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215098686 PECOS PAC ID: 3678669504 Enrollment ID: I20071023000523 |
| Provider Name | M Stephen Melton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134315575 PECOS PAC ID: 3375630841 Enrollment ID: I20071030000605 |
| Provider Name | Ashley Rustin Settlemeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881880904 PECOS PAC ID: 7214024793 Enrollment ID: I20071031000066 |
| Provider Name | Erin Ann Garris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497708697 PECOS PAC ID: 1456449032 Enrollment ID: I20071115000099 |
| Provider Name | Melinda F Blazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386833622 PECOS PAC ID: 0749378362 Enrollment ID: I20071115000421 |
| Provider Name | Chinwe U Ezirim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376732727 PECOS PAC ID: 0648368175 Enrollment ID: I20071117000083 |
| Provider Name | Heather S Mclean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578507125 PECOS PAC ID: 7911095385 Enrollment ID: I20071119000262 |
| Provider Name | Richard Edward Moon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760566657 PECOS PAC ID: 6709974108 Enrollment ID: I20071119000518 |
| Provider Name | Timothy E Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356520837 PECOS PAC ID: 7517055924 Enrollment ID: I20071119000536 |
| Provider Name | Neil Stuart Prose |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427132315 PECOS PAC ID: 6901994318 Enrollment ID: I20071119000595 |
| Provider Name | Marion Mull Mccrary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285631622 PECOS PAC ID: 7315035482 Enrollment ID: I20071127000203 |
| Provider Name | Ellen T Chrysogelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073793048 PECOS PAC ID: 6608825278 Enrollment ID: I20071129000343 |
| Provider Name | Virginia Ann Lightner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770557878 PECOS PAC ID: 9032208616 Enrollment ID: I20071204000879 |
| Provider Name | Kevin L Thomas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255475364 PECOS PAC ID: 7012006620 Enrollment ID: I20071205000172 |
| Provider Name | Michael V Woodbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154417095 PECOS PAC ID: 7416046032 Enrollment ID: I20071205000231 |
| Provider Name | Shona Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780872507 PECOS PAC ID: 4981793452 Enrollment ID: I20071205000725 |
| Provider Name | Michael David Spiritos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093744880 PECOS PAC ID: 5395834782 Enrollment ID: I20071207000871 |
| Provider Name | Michael Kerzner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609838010 PECOS PAC ID: 5193610301 Enrollment ID: I20071213000603 |
| Provider Name | Daniel Franklin Geersen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033391321 PECOS PAC ID: 7416047311 Enrollment ID: I20071215000131 |
| Provider Name | Kristie L Willis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366547697 PECOS PAC ID: 6901996842 Enrollment ID: I20071217000201 |
| Provider Name | Shannon K Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962681619 PECOS PAC ID: 3971693789 Enrollment ID: I20071217000841 |
| Provider Name | Brooke Michelle Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891988077 PECOS PAC ID: 2961592274 Enrollment ID: I20071226000099 |
| Provider Name | Elizabeth G Livingston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588748636 PECOS PAC ID: 9234219437 Enrollment ID: I20071228000497 |
| Provider Name | Sarah C Ellestad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801979067 PECOS PAC ID: 7315027513 Enrollment ID: I20071228000500 |
| Provider Name | Andre R Stokhuyzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023291879 PECOS PAC ID: 2961582523 Enrollment ID: I20080108000842 |
| Provider Name | Rachel a Adcock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669661922 PECOS PAC ID: 6406936855 Enrollment ID: I20080110000381 |
| Provider Name | Maria M Fakadej |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053488502 PECOS PAC ID: 3375624711 Enrollment ID: I20080111000252 |
| Provider Name | Russell D Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801963376 PECOS PAC ID: 0143301028 Enrollment ID: I20080116000792 |
| Provider Name | Melissa S Hill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831314780 PECOS PAC ID: 3375625791 Enrollment ID: I20080124000226 |
| Provider Name | Nicholas Bandarenko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285729913 PECOS PAC ID: 5496837569 Enrollment ID: I20080128000806 |
| Provider Name | Jennifer O Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982695425 PECOS PAC ID: 4880776855 Enrollment ID: I20080129000810 |
| Provider Name | Peter Kent Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639249469 PECOS PAC ID: 5395827232 Enrollment ID: I20080130000600 |
| Provider Name | Allison W Dimsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861686800 PECOS PAC ID: 7214010610 Enrollment ID: I20080208000042 |
| Provider Name | Laura L Wrenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609915461 PECOS PAC ID: 2567545734 Enrollment ID: I20080211000735 |
| Provider Name | Scott Cameron Winkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154518462 PECOS PAC ID: 1456434646 Enrollment ID: I20080211000839 |
| Provider Name | Christina K Cone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518141472 PECOS PAC ID: 4385727130 Enrollment ID: I20080216000055 |
| Provider Name | Ranitha H Dep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174701197 PECOS PAC ID: 9234212960 Enrollment ID: I20080218000735 |
| Provider Name | Ashley Wickliffe Voss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467633818 PECOS PAC ID: 5395829915 Enrollment ID: I20080220000738 |
| Provider Name | Melissa a Yalango |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851573927 PECOS PAC ID: 3577647973 Enrollment ID: I20080225000105 |
| Provider Name | Charles J Gerardo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033292297 PECOS PAC ID: 5193809176 Enrollment ID: I20080229000063 |
| Provider Name | Julie M Marshall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568648400 PECOS PAC ID: 6204910151 Enrollment ID: I20080301000015 |
| Provider Name | Ian J Welsby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245314160 PECOS PAC ID: 2860577699 Enrollment ID: I20080304000632 |
| Provider Name | Stacy Wentworth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073792974 PECOS PAC ID: 3678658051 Enrollment ID: I20080310000317 |
| Provider Name | David M Kaylie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972690097 PECOS PAC ID: 6204812472 Enrollment ID: I20080311000349 |
| Provider Name | Eugene W St Clair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851475727 PECOS PAC ID: 7214013994 Enrollment ID: I20080320000272 |
| Provider Name | Lynne M Koweek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508915521 PECOS PAC ID: 8729164116 Enrollment ID: I20080326000175 |
| Provider Name | Erin M Kunz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235328600 PECOS PAC ID: 4688750078 Enrollment ID: I20080326000219 |
| Provider Name | Tracy Jaffe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295821668 PECOS PAC ID: 5395821706 Enrollment ID: I20080326000327 |
| Provider Name | Martha C Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679526420 PECOS PAC ID: 1850478330 Enrollment ID: I20080408000616 |
| Provider Name | Ashraf S Habib |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033293949 PECOS PAC ID: 4688752710 Enrollment ID: I20080415000481 |
| Provider Name | Edana E Christy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154405066 PECOS PAC ID: 6800974700 Enrollment ID: I20080417000278 |
| Provider Name | Karen R Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033268057 PECOS PAC ID: 8426136326 Enrollment ID: I20080417000300 |
| Provider Name | Harriett Purves Burns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801016811 PECOS PAC ID: 0547348781 Enrollment ID: I20080429000142 |
| Provider Name | Graciela Cristina De Angelis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629281399 PECOS PAC ID: 2567540727 Enrollment ID: I20080429000326 |
| Provider Name | Alicia Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538242771 PECOS PAC ID: 0547349524 Enrollment ID: I20080501000375 |
| Provider Name | Emily a Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194808345 PECOS PAC ID: 8123107984 Enrollment ID: I20080505000536 |
| Provider Name | William R Doheny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194741991 PECOS PAC ID: 5698854974 Enrollment ID: I20080512000581 |
| Provider Name | Asra S Firozvi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609931617 PECOS PAC ID: 8224130984 Enrollment ID: I20080514000411 |
| Provider Name | Hilary W Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841373099 PECOS PAC ID: 8729157722 Enrollment ID: I20080516000332 |
| Provider Name | Kristi Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982893491 PECOS PAC ID: 7618046533 Enrollment ID: I20080519000615 |
| Provider Name | Donald D Glower |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528148657 PECOS PAC ID: 8820167752 Enrollment ID: I20080519000668 |
| Provider Name | Carmelo a Milano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508946633 PECOS PAC ID: 2668541426 Enrollment ID: I20080520000205 |
| Provider Name | David Patrick Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639381627 PECOS PAC ID: 4789577735 Enrollment ID: I20080521000271 |
| Provider Name | Anne Buckley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538332903 PECOS PAC ID: 2365512944 Enrollment ID: I20080609000650 |
| Provider Name | Jeffrey G Gaca |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821260431 PECOS PAC ID: 9335219914 Enrollment ID: I20080609000671 |
| Provider Name | Walter Tsong Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821052994 PECOS PAC ID: 0840233771 Enrollment ID: I20080609000695 |
| Provider Name | Joshua R Dooley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568637437 PECOS PAC ID: 8022188580 Enrollment ID: I20080610000464 |
| Provider Name | John W Nelson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891964615 PECOS PAC ID: 8729159140 Enrollment ID: I20080612000389 |
| Provider Name | Mohamad a Mikati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164698437 PECOS PAC ID: 2062583438 Enrollment ID: I20080612000781 |
| Provider Name | Michael Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376690198 PECOS PAC ID: 8921194630 Enrollment ID: I20080612000797 |
| Provider Name | Anne F Phelps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134204464 PECOS PAC ID: 2365513900 Enrollment ID: I20080625000320 |
| Provider Name | Jared D Christensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992711196 PECOS PAC ID: 4789756263 Enrollment ID: I20080627000113 |
| Provider Name | Thomas Polascik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083798979 PECOS PAC ID: 7911079991 Enrollment ID: I20080708000558 |
| Provider Name | Carey K Anders |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073786893 PECOS PAC ID: 3971675885 Enrollment ID: I20080710000103 |
| Provider Name | Cara Louise Obrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326224908 PECOS PAC ID: 1052483815 Enrollment ID: I20080710000635 |
| Provider Name | Sonny Tucker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144487562 PECOS PAC ID: 7810069572 Enrollment ID: I20080712000067 |
| Provider Name | David a Maple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205097078 PECOS PAC ID: 3476626763 Enrollment ID: I20080719000057 |
| Provider Name | Kathleen a Waite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245314111 PECOS PAC ID: 6103998968 Enrollment ID: I20080723000174 |
| Provider Name | Dan G Blazer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1578583779 PECOS PAC ID: 2769481910 Enrollment ID: I20080725000222 |
| Provider Name | Kenyon M Railey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659591618 PECOS PAC ID: 6103999008 Enrollment ID: I20080725000502 |
| Provider Name | Jonathan P Piccini |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003884693 PECOS PAC ID: 6800969643 Enrollment ID: I20080726000075 |
| Provider Name | Scott Snider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730203514 PECOS PAC ID: 3173697794 Enrollment ID: I20080730000841 |
| Provider Name | Joshua a Spencer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659597169 PECOS PAC ID: 0244304517 Enrollment ID: I20080805000131 |
| Provider Name | Christina E Barkauskas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942473756 PECOS PAC ID: 2062586290 Enrollment ID: I20080805000764 |
| Provider Name | Ann E Whitaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386618379 PECOS PAC ID: 0345314241 Enrollment ID: I20080809000144 |
| Provider Name | Franklin Tak Hung Li |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457499089 PECOS PAC ID: 5890860712 Enrollment ID: I20080812000462 |
| Provider Name | Bridget L Archambault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578646717 PECOS PAC ID: 2062587843 Enrollment ID: I20080813000240 |
| Provider Name | Deette C Reel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700049384 PECOS PAC ID: 6406921287 Enrollment ID: I20080813000262 |
| Provider Name | Peter Michael Grossi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881863744 PECOS PAC ID: 4880769629 Enrollment ID: I20080813000809 |
| Provider Name | Benjamin M Furnas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760647242 PECOS PAC ID: 7719052497 Enrollment ID: I20080814000241 |
| Provider Name | Erin Linhardt Blackburn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043485204 PECOS PAC ID: 7810062536 Enrollment ID: I20080814000641 |
| Provider Name | Kelly Hill Blessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730126160 PECOS PAC ID: 7012082621 Enrollment ID: I20080818000433 |
| Provider Name | Kathryn W Newman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790941847 PECOS PAC ID: 4082789425 Enrollment ID: I20080819000479 |
| Provider Name | Vandana Shashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144204868 PECOS PAC ID: 0941375307 Enrollment ID: I20080819000745 |
| Provider Name | Erin B Lesesky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548428923 PECOS PAC ID: 2466527437 Enrollment ID: I20080826000772 |
| Provider Name | Julie K Thacker |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255304341 PECOS PAC ID: 4880651975 Enrollment ID: I20080827000229 |
| Provider Name | Samuel S Wellman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992836837 PECOS PAC ID: 2769573211 Enrollment ID: I20080829000204 |
| Provider Name | Cameron R Wolfe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396910543 PECOS PAC ID: 4880760511 Enrollment ID: I20080904000208 |
| Provider Name | Michael J Rubin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609059567 PECOS PAC ID: 7810066180 Enrollment ID: I20080908000473 |
| Provider Name | Kelly E Westbrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053536508 PECOS PAC ID: 7416023627 Enrollment ID: I20080911000232 |
| Provider Name | Faera Byerly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568681161 PECOS PAC ID: 0648347732 Enrollment ID: I20080915000552 |
| Provider Name | Jude T Carr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730341843 PECOS PAC ID: 4981771771 Enrollment ID: I20080919000439 |
| Provider Name | Eric S Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013065200 PECOS PAC ID: 8527029933 Enrollment ID: I20080920000088 |
| Provider Name | Becky Suzzanne Rubin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275706756 PECOS PAC ID: 4587731203 Enrollment ID: I20080923000195 |
| Provider Name | Jeffrey J Sapyta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750557583 PECOS PAC ID: 8022185750 Enrollment ID: I20080923000308 |
| Provider Name | Jonathan Aaron Leake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740310259 PECOS PAC ID: 6002983749 Enrollment ID: I20080923000403 |
| Provider Name | Paul M Lantos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720279102 PECOS PAC ID: 1557438108 Enrollment ID: I20080923000614 |
| Provider Name | Debra L Sudan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902856651 PECOS PAC ID: 2466419908 Enrollment ID: I20080923000774 |
| Provider Name | Robert W Wiese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457432569 PECOS PAC ID: 1153498761 Enrollment ID: I20080924000295 |
| Provider Name | Rajan T Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366618704 PECOS PAC ID: 3779650189 Enrollment ID: I20080927000037 |
| Provider Name | Kim M Huffman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023079746 PECOS PAC ID: 6103993415 Enrollment ID: I20080927000169 |
| Provider Name | Thomas E Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073568283 PECOS PAC ID: 9537236856 Enrollment ID: I20080927000209 |
| Provider Name | Nicole P Kerner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205996998 PECOS PAC ID: 9537153846 Enrollment ID: I20081006000300 |
| Provider Name | Kathleen M Zacherl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720288517 PECOS PAC ID: 4587722590 Enrollment ID: I20081020000660 |
| Provider Name | Barbara K Berkley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558511824 PECOS PAC ID: 3577621010 Enrollment ID: I20081028000069 |
| Provider Name | Mehri S Mckellar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548335573 PECOS PAC ID: 5799843132 Enrollment ID: I20081029000181 |
| Provider Name | Virgil F Mosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720080310 PECOS PAC ID: 4486678232 Enrollment ID: I20081115000111 |
| Provider Name | Kelly Erin Osborne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780834721 PECOS PAC ID: 8123189388 Enrollment ID: I20081205000437 |
| Provider Name | Paul Cody Malley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952555104 PECOS PAC ID: 5193886315 Enrollment ID: I20081206000038 |
| Provider Name | William C Bordley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376626515 PECOS PAC ID: 7012078249 Enrollment ID: I20081206000118 |
| Provider Name | Jennifer K Dye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336393560 PECOS PAC ID: 3870654833 Enrollment ID: I20081209000457 |
| Provider Name | Jill Elizabeth Duffy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619128626 PECOS PAC ID: 8527129469 Enrollment ID: I20081210000297 |
| Provider Name | Kara Beth Willette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992717292 PECOS PAC ID: 0446311385 Enrollment ID: I20081210000304 |
| Provider Name | Beatrice D Hong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982876892 PECOS PAC ID: 2860553542 Enrollment ID: I20081213000062 |
| Provider Name | Pierre a Paras |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417107046 PECOS PAC ID: 7618039058 Enrollment ID: I20081219000170 |
| Provider Name | Ranjan Sudan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174638712 PECOS PAC ID: 9335201391 Enrollment ID: I20081229000552 |
| Provider Name | Sangeeta P Joshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285842138 PECOS PAC ID: 9436211406 Enrollment ID: I20081229000653 |
| Provider Name | Thomas Lynch Oconnell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710047311 PECOS PAC ID: 1355368572 Enrollment ID: I20090107000226 |
| Provider Name | Deborah Sharp-dale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194767756 PECOS PAC ID: 6507844107 Enrollment ID: I20090107000315 |
| Provider Name | Theresa F Ramos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932117892 PECOS PAC ID: 6507875747 Enrollment ID: I20090107000330 |
| Provider Name | Soheir S Adam |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1366690711 PECOS PAC ID: 4880757327 Enrollment ID: I20090109000600 |
| Provider Name | Jyothi P Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699734533 PECOS PAC ID: 2264435890 Enrollment ID: I20090110000043 |
| Provider Name | Jody a Swartzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164670121 PECOS PAC ID: 0648334573 Enrollment ID: I20090121000536 |
| Provider Name | Tam Thanh Huynh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487804241 PECOS PAC ID: 4082778774 Enrollment ID: I20090123000526 |
| Provider Name | Jane S Bellet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447452990 PECOS PAC ID: 7416011168 Enrollment ID: I20090126000331 |
| Provider Name | Priya V Rajan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528136843 PECOS PAC ID: 6406885037 Enrollment ID: I20090203000506 |
| Provider Name | James W Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912061474 PECOS PAC ID: 1052498532 Enrollment ID: I20090210000603 |
| Provider Name | Purnima Valdez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265454136 PECOS PAC ID: 3971507658 Enrollment ID: I20090210000800 |
| Provider Name | Anna M Solum |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073585618 PECOS PAC ID: 2264597012 Enrollment ID: I20090211000743 |
| Provider Name | Kathryn E Kreider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467691659 PECOS PAC ID: 6507922556 Enrollment ID: I20090227000169 |
| Provider Name | Frieda Saunders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730357641 PECOS PAC ID: 3375557192 Enrollment ID: I20090310000478 |
| Provider Name | Sofia H Rydin-gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629216460 PECOS PAC ID: 9638235856 Enrollment ID: I20090312000686 |
| Provider Name | Moria J Smoski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194965822 PECOS PAC ID: 7618034695 Enrollment ID: I20090318000288 |
| Provider Name | Marla F Wald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568650554 PECOS PAC ID: 1456418466 Enrollment ID: I20090318000584 |
| Provider Name | Richard S Bedlack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851489363 PECOS PAC ID: 3274690599 Enrollment ID: I20090331000360 |
| Provider Name | Ravi Karra |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1952457178 PECOS PAC ID: 9032266341 Enrollment ID: I20090402000219 |
| Provider Name | Geraldine E Kanne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558476929 PECOS PAC ID: 0941358956 Enrollment ID: I20090430000603 |
| Provider Name | Camille Genise Frazier Mills |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346383593 PECOS PAC ID: 0840348652 Enrollment ID: I20090506000406 |
| Provider Name | Andrew Thomas Irons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003067034 PECOS PAC ID: 1658429329 Enrollment ID: I20090507000136 |
| Provider Name | Michael C Comstock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891758330 PECOS PAC ID: 2668521584 Enrollment ID: I20090526000531 |
| Provider Name | Jessica L Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700028990 PECOS PAC ID: 6608925409 Enrollment ID: I20090528000056 |
| Provider Name | Detlev Erdmann |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508886516 PECOS PAC ID: 7113076712 Enrollment ID: I20090529000480 |
| Provider Name | Jeffrey R Marcus |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063596948 PECOS PAC ID: 7012066616 Enrollment ID: I20090529000485 |
| Provider Name | Matthew S Mckinney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982899837 PECOS PAC ID: 3779633128 Enrollment ID: I20090605000589 |
| Provider Name | James P Daubert |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104865278 PECOS PAC ID: 3476603754 Enrollment ID: I20090608000411 |
| Provider Name | Donna B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376780619 PECOS PAC ID: 8224188511 Enrollment ID: I20090608000485 |
| Provider Name | Jamie L Todd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881869758 PECOS PAC ID: 5294885596 Enrollment ID: I20090608000517 |
| Provider Name | Jin S Yoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811162142 PECOS PAC ID: 9436209772 Enrollment ID: I20090609000213 |
| Provider Name | Matthew Charles Wakefield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770537805 PECOS PAC ID: 9234289315 Enrollment ID: I20090611000184 |
| Provider Name | Kevin D Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881741676 PECOS PAC ID: 4587711106 Enrollment ID: I20090617000690 |
| Provider Name | Junzo P Chino |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316138548 PECOS PAC ID: 5092865733 Enrollment ID: I20090618000120 |
| Provider Name | Betty C Tong |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871750406 PECOS PAC ID: 0244380905 Enrollment ID: I20090618000352 |
| Provider Name | Morgan D Camp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083703359 PECOS PAC ID: 1951451624 Enrollment ID: I20090618000389 |
| Provider Name | Marc a Finkel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710959960 PECOS PAC ID: 5395895064 Enrollment ID: I20090618000406 |
| Provider Name | Vernon W Pugh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083683726 PECOS PAC ID: 3375693047 Enrollment ID: I20090618000424 |
| Provider Name | Alan L Rosen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770556763 PECOS PAC ID: 1557265063 Enrollment ID: I20090618000448 |
| Provider Name | Robert C Vogler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245202878 PECOS PAC ID: 1153471834 Enrollment ID: I20090618000481 |
| Provider Name | Maria V Sealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689819351 PECOS PAC ID: 6002967635 Enrollment ID: I20090622000520 |
| Provider Name | Mustafa S R Bashir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336350883 PECOS PAC ID: 3072664374 Enrollment ID: I20090626000276 |
| Provider Name | Amie Kawasaki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669659595 PECOS PAC ID: 1759432941 Enrollment ID: I20090629000477 |
| Provider Name | Katherine Barnett Peters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689728214 PECOS PAC ID: 7911058102 Enrollment ID: I20090629000491 |
| Provider Name | Eileen M Raynor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558320671 PECOS PAC ID: 3870644065 Enrollment ID: I20090629000531 |
| Provider Name | Lakshmi Iswarya Katakam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124210810 PECOS PAC ID: 9234280421 Enrollment ID: I20090629000534 |
| Provider Name | Leonor Corsino |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831247527 PECOS PAC ID: 1951452143 Enrollment ID: I20090629000540 |
| Provider Name | Timothy P Donahue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467410597 PECOS PAC ID: 4587715669 Enrollment ID: I20090701000103 |
| Provider Name | Charles Yoon Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528234804 PECOS PAC ID: 9234280298 Enrollment ID: I20090702000296 |
| Provider Name | Brian H Eichner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134395114 PECOS PAC ID: 2466503438 Enrollment ID: I20090702000336 |
| Provider Name | Krista J Gingrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154519577 PECOS PAC ID: 2769533769 Enrollment ID: I20090702000584 |
| Provider Name | Priyatham S Mettu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508023284 PECOS PAC ID: 4082765995 Enrollment ID: I20090706000073 |
| Provider Name | Jennifer Pells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881607141 PECOS PAC ID: 0042301889 Enrollment ID: I20090707000675 |
| Provider Name | Aimee B Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821261025 PECOS PAC ID: 2365593100 Enrollment ID: I20090707000748 |
| Provider Name | Scott W Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770709875 PECOS PAC ID: 7012069743 Enrollment ID: I20090710000153 |
| Provider Name | Heather a Van Mater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043224082 PECOS PAC ID: 3476605825 Enrollment ID: I20090715000383 |
| Provider Name | Daniel M Wild |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669495644 PECOS PAC ID: 2062564206 Enrollment ID: I20090717000620 |
| Provider Name | Renee H Raynor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881778777 PECOS PAC ID: 0042362261 Enrollment ID: I20090720000432 |
| Provider Name | Paul B Sparzak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346458577 PECOS PAC ID: 3072665157 Enrollment ID: I20090721000482 |
| Provider Name | Richard K Wood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487602561 PECOS PAC ID: 9032137070 Enrollment ID: I20090724000591 |
| Provider Name | Peter G Kranz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124293550 PECOS PAC ID: 0345393286 Enrollment ID: I20090724000608 |
| Provider Name | Gary R Maslow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568680973 PECOS PAC ID: 2961560123 Enrollment ID: I20090725000123 |
| Provider Name | Jean Koo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699916015 PECOS PAC ID: 3072666791 Enrollment ID: I20090728000826 |
| Provider Name | John a Skowron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447486469 PECOS PAC ID: 5193878825 Enrollment ID: I20090728000914 |
| Provider Name | Cynthia a Moylan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407022213 PECOS PAC ID: 2567515331 Enrollment ID: I20090729000795 |
| Provider Name | Stefanie Sarantopoulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801986781 PECOS PAC ID: 8628012846 Enrollment ID: I20090730000094 |
| Provider Name | Heather a Vawter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437233301 PECOS PAC ID: 9032262530 Enrollment ID: I20090731000046 |
| Provider Name | Michael Eric Lipkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710173869 PECOS PAC ID: 2163575416 Enrollment ID: I20090804000180 |
| Provider Name | John H Strickler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265523377 PECOS PAC ID: 1355494451 Enrollment ID: I20090807000273 |
| Provider Name | Michael C Brenner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831328137 PECOS PAC ID: 4880747880 Enrollment ID: I20090807000298 |
| Provider Name | Andre C Grant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881740405 PECOS PAC ID: 8628121605 Enrollment ID: I20090810000248 |
| Provider Name | Jason R Rothman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730329699 PECOS PAC ID: 4789738790 Enrollment ID: I20090810000596 |
| Provider Name | Brian Anthony Singleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134108426 PECOS PAC ID: 5092807370 Enrollment ID: I20090810000637 |
| Provider Name | Jennifer a Rothman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063605285 PECOS PAC ID: 6204980253 Enrollment ID: I20090811000223 |
| Provider Name | Carrie L Knaus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376698688 PECOS PAC ID: 9335237296 Enrollment ID: I20090813000616 |
| Provider Name | Shalini Ramasunder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821262882 PECOS PAC ID: 9739233586 Enrollment ID: I20090813000643 |
| Provider Name | Catherine M Kuhn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912081829 PECOS PAC ID: 9436203163 Enrollment ID: I20090814000566 |
| Provider Name | Cathleen S Colon-emeric |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760545537 PECOS PAC ID: 2769536390 Enrollment ID: I20090817000801 |
| Provider Name | Heidi K White |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316021280 PECOS PAC ID: 5395899926 Enrollment ID: I20090817000804 |
| Provider Name | Mitchell T Heflin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558445619 PECOS PAC ID: 7113071747 Enrollment ID: I20090817000806 |
| Provider Name | James S Smith |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639137102 PECOS PAC ID: 2668455379 Enrollment ID: I20090819000791 |
| Provider Name | Richard Frothingham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912088493 PECOS PAC ID: 1850445198 Enrollment ID: I20090820000427 |
| Provider Name | Dale E Feldpausch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316956931 PECOS PAC ID: 4587606736 Enrollment ID: I20090822000093 |
| Provider Name | Jessica C Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760608418 PECOS PAC ID: 0042317836 Enrollment ID: I20090822000098 |
| Provider Name | Michael J Menz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598879991 PECOS PAC ID: 3577598804 Enrollment ID: I20090831000680 |
| Provider Name | Bernadette C Labriola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689805442 PECOS PAC ID: 2365597978 Enrollment ID: I20090903000461 |
| Provider Name | Juneko Elaine Grilley Olson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417074204 PECOS PAC ID: 6608921028 Enrollment ID: I20090908000275 |
| Provider Name | Lisa Massa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124259270 PECOS PAC ID: 0244385599 Enrollment ID: I20090910000100 |
| Provider Name | Amy Nicole Broach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760692313 PECOS PAC ID: 7416056403 Enrollment ID: I20090916000780 |
| Provider Name | Lisa C Pickett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356425243 PECOS PAC ID: 5294881157 Enrollment ID: I20090917000228 |
| Provider Name | Jason a Liss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245352400 PECOS PAC ID: 6305931585 Enrollment ID: I20090918000035 |
| Provider Name | Caroline P Ozment |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184882078 PECOS PAC ID: 7416003918 Enrollment ID: I20090924000736 |
| Provider Name | Rita M Phiri-tucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093802696 PECOS PAC ID: 1254345721 Enrollment ID: I20090929000336 |
| Provider Name | Jennifer L Rogers |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972729432 PECOS PAC ID: 4688720972 Enrollment ID: I20090929000418 |
| Provider Name | Sunil J Nadakav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487804613 PECOS PAC ID: 9830235068 Enrollment ID: I20091001000430 |
| Provider Name | Elizabeth Hill Joran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619200557 PECOS PAC ID: 5496891418 Enrollment ID: I20091006000137 |
| Provider Name | Amy C Helms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558695643 PECOS PAC ID: 1759427677 Enrollment ID: I20091007000392 |
| Provider Name | Fan Zhou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386837615 PECOS PAC ID: 0547306300 Enrollment ID: I20091007000787 |
| Provider Name | Anupama B Horne |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013098946 PECOS PAC ID: 3577609072 Enrollment ID: I20091014000603 |
| Provider Name | Thomas Anthony Esther |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619200375 PECOS PAC ID: 7810033248 Enrollment ID: I20091015000050 |
| Provider Name | Laura Geraghty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720224496 PECOS PAC ID: 7416014451 Enrollment ID: I20091019000676 |
| Provider Name | Michele M Cerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962616268 PECOS PAC ID: 4082751060 Enrollment ID: I20091023000199 |
| Provider Name | Ben J Garrido |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558549790 PECOS PAC ID: 5698848208 Enrollment ID: I20091023000617 |
| Provider Name | Herbert E Fuchs |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871676031 PECOS PAC ID: 6305983339 Enrollment ID: I20091023000671 |
| Provider Name | Theodore N Pappas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366401390 PECOS PAC ID: 2062559974 Enrollment ID: I20091027000125 |
| Provider Name | Alison P Kerekes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417047259 PECOS PAC ID: 4284672973 Enrollment ID: I20091104000692 |
| Provider Name | Miriam Andrea Caswell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568612273 PECOS PAC ID: 5496893794 Enrollment ID: I20091106000156 |
| Provider Name | Kimberly Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659502573 PECOS PAC ID: 1557409802 Enrollment ID: I20091106000553 |
| Provider Name | Peter J Duquette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356677611 PECOS PAC ID: 5395883557 Enrollment ID: I20091109000120 |
| Provider Name | Timothy Matthew Plonk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124222898 PECOS PAC ID: 3870631989 Enrollment ID: I20091110000773 |
| Provider Name | Thomas P Knipper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003842113 PECOS PAC ID: 1951324359 Enrollment ID: I20091112000488 |
| Provider Name | Amy B Mcallister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508940495 PECOS PAC ID: 6103964812 Enrollment ID: I20091117000211 |
| Provider Name | Henry E Rice |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518093038 PECOS PAC ID: 7810036290 Enrollment ID: I20091124000192 |
| Provider Name | Erik Karl Paulson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609962919 PECOS PAC ID: 9537208913 Enrollment ID: I20091124000205 |
| Provider Name | Rendon C Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245326586 PECOS PAC ID: 3870632250 Enrollment ID: I20091124000236 |
| Provider Name | John C Murray |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043256258 PECOS PAC ID: 8729127113 Enrollment ID: I20091124000312 |
| Provider Name | Priya S Kishnani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114001021 PECOS PAC ID: 0446399836 Enrollment ID: I20091124000330 |
| Provider Name | Terence Z Wong |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1720174196 PECOS PAC ID: 5890834287 Enrollment ID: I20091124000333 |
| Provider Name | Lydia North Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891794558 PECOS PAC ID: 8224136569 Enrollment ID: I20091125000436 |
| Provider Name | Paul V Suhocki |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215023239 PECOS PAC ID: 2567501802 Enrollment ID: I20091130000485 |
| Provider Name | Lisa M Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801982251 PECOS PAC ID: 3274672514 Enrollment ID: I20091130000498 |
| Provider Name | James M Provenzale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750476578 PECOS PAC ID: 8527107861 Enrollment ID: I20091130000527 |
| Provider Name | Sarah a Hlavacek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992895536 PECOS PAC ID: 1658389911 Enrollment ID: I20091201000623 |
| Provider Name | Eugene W Moretti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467522292 PECOS PAC ID: 1456490432 Enrollment ID: I20091204000100 |
| Provider Name | James a Nunley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700973310 PECOS PAC ID: 8022157015 Enrollment ID: I20091204000171 |
| Provider Name | Glenn M Preminger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255415147 PECOS PAC ID: 2365581352 Enrollment ID: I20091204000202 |
| Provider Name | Hector Cooper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750344875 PECOS PAC ID: 3476693052 Enrollment ID: I20091211000294 |
| Provider Name | Sujata V Ghate |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063508232 PECOS PAC ID: 4880734433 Enrollment ID: I20091214000092 |
| Provider Name | Jennifer G Perna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568545721 PECOS PAC ID: 8022158682 Enrollment ID: I20091214000164 |
| Provider Name | Bradley H Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881777035 PECOS PAC ID: 6002956661 Enrollment ID: I20091214000174 |
| Provider Name | Jonathan L Cook |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1417030669 PECOS PAC ID: 7416097084 Enrollment ID: I20091214000237 |
| Provider Name | Charles E Spritzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063507770 PECOS PAC ID: 2961542436 Enrollment ID: I20091214000351 |
| Provider Name | Brian G Czito |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336234012 PECOS PAC ID: 2466448469 Enrollment ID: I20091214000383 |
| Provider Name | Jay a Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265521728 PECOS PAC ID: 3274673751 Enrollment ID: I20091214000399 |
| Provider Name | Ana Maria Gaca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780767947 PECOS PAC ID: 4981744463 Enrollment ID: I20091214000420 |
| Provider Name | Jeffrey R Petrella |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841386158 PECOS PAC ID: 8527108844 Enrollment ID: I20091217000584 |
| Provider Name | Sarah a Myers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578647467 PECOS PAC ID: 8921148255 Enrollment ID: I20091217000625 |
| Provider Name | Angelo S Milazzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407919285 PECOS PAC ID: 1557401882 Enrollment ID: I20091217000637 |
| Provider Name | Marie T Mcdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558445460 PECOS PAC ID: 9234279472 Enrollment ID: I20091218000066 |
| Provider Name | Thomas a D Amico |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023171899 PECOS PAC ID: 5193865335 Enrollment ID: I20091218000106 |
| Provider Name | Harold G Koenig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487738548 PECOS PAC ID: 5092855239 Enrollment ID: I20091218000113 |
| Provider Name | Donald Paul Frush |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962585125 PECOS PAC ID: 5991845141 Enrollment ID: I20091218000132 |
| Provider Name | Gregory S Georgiade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649333410 PECOS PAC ID: 7618017864 Enrollment ID: I20091218000141 |
| Provider Name | I Ling Yu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477551364 PECOS PAC ID: 8426199928 Enrollment ID: I20100106000319 |
| Provider Name | John Wiener |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407892748 PECOS PAC ID: 1850386822 Enrollment ID: I20100107000545 |
| Provider Name | Penny Lynette Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376692384 PECOS PAC ID: 2163563495 Enrollment ID: I20100108000791 |
| Provider Name | Kadiyala V Ravindra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922087402 PECOS PAC ID: 9638103435 Enrollment ID: I20100111000673 |
| Provider Name | Angela N Hutzenbuhler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245216266 PECOS PAC ID: 8426028622 Enrollment ID: I20100112000648 |
| Provider Name | Timothy Andrew O Donnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477637361 PECOS PAC ID: 9739220773 Enrollment ID: I20100112000791 |
| Provider Name | Niraj Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407940596 PECOS PAC ID: 7618979337 Enrollment ID: I20100112000856 |
| Provider Name | Jung Young Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447401385 PECOS PAC ID: 3072655471 Enrollment ID: I20100123000001 |
| Provider Name | Richard M Sabulsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174607055 PECOS PAC ID: 0143362541 Enrollment ID: I20100123000028 |
| Provider Name | Christine E Hiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558588640 PECOS PAC ID: 5395887707 Enrollment ID: I20100123000062 |
| Provider Name | Joseph R Zanga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841465366 PECOS PAC ID: 9335281740 Enrollment ID: I20100123000132 |
| Provider Name | Loretta Que |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245314137 PECOS PAC ID: 3476695750 Enrollment ID: I20100125000613 |
| Provider Name | Joseph a Govert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487737649 PECOS PAC ID: 7416099700 Enrollment ID: I20100125000781 |
| Provider Name | Alice P Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265502090 PECOS PAC ID: 8022150242 Enrollment ID: I20100126000290 |
| Provider Name | Craig J Sobolewski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588748446 PECOS PAC ID: 2567504707 Enrollment ID: I20100126000504 |
| Provider Name | Jennifer S Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790848570 PECOS PAC ID: 3173665320 Enrollment ID: I20100126000548 |
| Provider Name | Geeta K Swamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467536334 PECOS PAC ID: 9739221938 Enrollment ID: I20100127000197 |
| Provider Name | Jeffrey a Kuller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528156957 PECOS PAC ID: 9436291648 Enrollment ID: I20100127000236 |
| Provider Name | Brita K Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902989148 PECOS PAC ID: 6507908712 Enrollment ID: I20100127000261 |
| Provider Name | Cindy L Amundsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750464996 PECOS PAC ID: 7315089521 Enrollment ID: I20100127000271 |
| Provider Name | Claude S Burton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295761021 PECOS PAC ID: 4880736925 Enrollment ID: I20100127000624 |
| Provider Name | Brian E Brigman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710074455 PECOS PAC ID: 4587706627 Enrollment ID: I20100127000653 |
| Provider Name | Christopher B Cole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972686129 PECOS PAC ID: 6406998400 Enrollment ID: I20100128000285 |
| Provider Name | Stephanie M Dearmey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821171075 PECOS PAC ID: 6608919493 Enrollment ID: I20100202000352 |
| Provider Name | Michael M Haglund |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568546612 PECOS PAC ID: 1355484742 Enrollment ID: I20100208000331 |
| Provider Name | Linda G Leithe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356437651 PECOS PAC ID: 3476696881 Enrollment ID: I20100208000477 |
| Provider Name | Stephen M Klein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205910361 PECOS PAC ID: 8022151349 Enrollment ID: I20100208000654 |
| Provider Name | Joseph P Mathew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649354556 PECOS PAC ID: 5698818920 Enrollment ID: I20100208000723 |
| Provider Name | Joel C Morgenlander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679657563 PECOS PAC ID: 2769525013 Enrollment ID: I20100209000115 |
| Provider Name | Alison C Weidner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235213109 PECOS PAC ID: 0840333100 Enrollment ID: I20100209000141 |
| Provider Name | Jane P Gagliardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407939663 PECOS PAC ID: 6901949270 Enrollment ID: I20100209000265 |
| Provider Name | Mark Stafford-smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346324266 PECOS PAC ID: 8921141201 Enrollment ID: I20100209000358 |
| Provider Name | Samuel D Stanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457448961 PECOS PAC ID: 9638212913 Enrollment ID: I20100209000381 |
| Provider Name | David F Kong |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295819357 PECOS PAC ID: 3072593615 Enrollment ID: I20100211000755 |
| Provider Name | Tristram D Bahnson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790713600 PECOS PAC ID: 5799829719 Enrollment ID: I20100215000371 |
| Provider Name | Raymond Jin Suk Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396829206 PECOS PAC ID: 3476697400 Enrollment ID: I20100215000420 |
| Provider Name | John K Harrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285718338 PECOS PAC ID: 6305980178 Enrollment ID: I20100217000185 |
| Provider Name | Neil J Freedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154404317 PECOS PAC ID: 8426192188 Enrollment ID: I20100218000249 |
| Provider Name | Michael H Sketch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306920269 PECOS PAC ID: 4587644125 Enrollment ID: I20100218000327 |
| Provider Name | Andrew Wang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063596930 PECOS PAC ID: 1254475957 Enrollment ID: I20100218000669 |
| Provider Name | Laura K Newby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295819183 PECOS PAC ID: 0042354748 Enrollment ID: I20100218000695 |
| Provider Name | Brian Alan Burne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114257284 PECOS PAC ID: 8820132541 Enrollment ID: I20100218000857 |
| Provider Name | Sanjay G Asrani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003960121 PECOS PAC ID: 5395889976 Enrollment ID: I20100219000636 |
| Provider Name | Edward G Buckley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770646549 PECOS PAC ID: 4183768765 Enrollment ID: I20100219000667 |
| Provider Name | Steven N Vaslef |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528142494 PECOS PAC ID: 5991849572 Enrollment ID: I20100219000674 |
| Provider Name | Robin R Vann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679660054 PECOS PAC ID: 8628112208 Enrollment ID: I20100222000422 |
| Provider Name | Milton James |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912909227 PECOS PAC ID: 6002807948 Enrollment ID: I20100222000636 |
| Provider Name | Daniel P Barboriak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891726790 PECOS PAC ID: 5597800631 Enrollment ID: I20100301000754 |
| Provider Name | James D Eastwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477649796 PECOS PAC ID: 6002951142 Enrollment ID: I20100301000802 |
| Provider Name | Steven a Olson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417044025 PECOS PAC ID: 3274678313 Enrollment ID: I20100301000811 |
| Provider Name | Holman P Mcadams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215086236 PECOS PAC ID: 5991840035 Enrollment ID: I20100301000823 |
| Provider Name | David Scott Enterline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194810887 PECOS PAC ID: 3072658111 Enrollment ID: I20100301000830 |
| Provider Name | Howard a Rockman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447334362 PECOS PAC ID: 3375688427 Enrollment ID: I20100301000895 |
| Provider Name | Anand S Lagoo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750465662 PECOS PAC ID: 3577608447 Enrollment ID: I20100303000272 |
| Provider Name | Glenn Jay Jaffe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255415311 PECOS PAC ID: 9537204433 Enrollment ID: I20100303000565 |
| Provider Name | Nancy W Knudsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649340472 PECOS PAC ID: 1153466057 Enrollment ID: I20100303000591 |
| Provider Name | Cary N Robertson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730242512 PECOS PAC ID: 6103961016 Enrollment ID: I20100303000633 |
| Provider Name | Mark B Skeen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497839351 PECOS PAC ID: 4789729625 Enrollment ID: I20100303000908 |
| Provider Name | Julie a Woodward |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134203011 PECOS PAC ID: 5496890345 Enrollment ID: I20100303001028 |
| Provider Name | Sharon Fekrat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235191115 PECOS PAC ID: 7618012469 Enrollment ID: I20100303001080 |
| Provider Name | David H Harpole |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386734564 PECOS PAC ID: 0143365999 Enrollment ID: I20100303001105 |
| Provider Name | Leon Walker Herndon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992889059 PECOS PAC ID: 1951446707 Enrollment ID: I20100303001121 |
| Provider Name | Courtney J Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699956219 PECOS PAC ID: 7113008889 Enrollment ID: I20100304000897 |
| Provider Name | William S Payne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124062674 PECOS PAC ID: 4981749520 Enrollment ID: I20100306000096 |
| Provider Name | Evan M Ferry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154653384 PECOS PAC ID: 6507901113 Enrollment ID: I20100308000390 |
| Provider Name | John H Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831282094 PECOS PAC ID: 9931244480 Enrollment ID: I20100308000944 |
| Provider Name | Andrew J Muir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093899908 PECOS PAC ID: 8527103811 Enrollment ID: I20100311000440 |
| Provider Name | Margaret T Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609817865 PECOS PAC ID: 4587799895 Enrollment ID: I20100311000777 |
| Provider Name | Quinnette B Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548368905 PECOS PAC ID: 7517092240 Enrollment ID: I20100318000919 |
| Provider Name | Kevin B Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295817575 PECOS PAC ID: 6002941630 Enrollment ID: I20100320000252 |
| Provider Name | Kenneth S Ellington |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609950344 PECOS PAC ID: 6507991197 Enrollment ID: I20100322000427 |
| Provider Name | John F Madden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043369069 PECOS PAC ID: 4284769878 Enrollment ID: I20100322000465 |
| Provider Name | Rex C Bentley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700975265 PECOS PAC ID: 0345375937 Enrollment ID: I20100322000508 |
| Provider Name | Thomas J Cummings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740363993 PECOS PAC ID: 8426183021 Enrollment ID: I20100322000521 |
| Provider Name | Rajesh C Dash |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508940412 PECOS PAC ID: 0143355743 Enrollment ID: I20100322000540 |
| Provider Name | Louis R Di Bernardo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285717439 PECOS PAC ID: 2860527462 Enrollment ID: I20100322000554 |
| Provider Name | Cynthia D Guy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477636637 PECOS PAC ID: 2668507260 Enrollment ID: I20100322000576 |
| Provider Name | David N Howell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699876102 PECOS PAC ID: 7911032511 Enrollment ID: I20100322000597 |
| Provider Name | Alan D Proia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609950591 PECOS PAC ID: 1355476953 Enrollment ID: I20100322000618 |
| Provider Name | Elizabeth K Goacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841373008 PECOS PAC ID: 9335284827 Enrollment ID: I20100322000818 |
| Provider Name | Jay H Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750382909 PECOS PAC ID: 7618002106 Enrollment ID: I20100325000696 |
| Provider Name | Janathea M Oregan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427372770 PECOS PAC ID: 8820124993 Enrollment ID: I20100327000552 |
| Provider Name | Kristina L Eiden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376765966 PECOS PAC ID: 7315916814 Enrollment ID: I20100331001001 |
| Provider Name | Sharon F Freedman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740343516 PECOS PAC ID: 3678609112 Enrollment ID: I20100412000069 |
| Provider Name | Stephen R Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851475719 PECOS PAC ID: 5991831448 Enrollment ID: I20100413000036 |
| Provider Name | Andrea Renee Bailey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861603078 PECOS PAC ID: 4587790050 Enrollment ID: I20100414000083 |
| Provider Name | Herbert K Lyerly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427111202 PECOS PAC ID: 0840326310 Enrollment ID: I20100414000091 |
| Provider Name | Murat O Arcasoy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760420145 PECOS PAC ID: 9335276765 Enrollment ID: I20100416000257 |
| Provider Name | Mitchell W Krucoff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740364801 PECOS PAC ID: 7113054560 Enrollment ID: I20100416000420 |
| Provider Name | John P Middleton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033293923 PECOS PAC ID: 9335276658 Enrollment ID: I20100419000500 |
| Provider Name | Malcolm S Branch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639252877 PECOS PAC ID: 5193852424 Enrollment ID: I20100419000598 |
| Provider Name | Thomas Lee Ortel |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003990995 PECOS PAC ID: 6103953443 Enrollment ID: I20100419000717 |
| Provider Name | Scott M Palmer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649354531 PECOS PAC ID: 3173650413 Enrollment ID: I20100419000742 |
| Provider Name | Gerard C Blobe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1184694754 PECOS PAC ID: 1153458492 Enrollment ID: I20100419000767 |
| Provider Name | Pratap Challa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982794137 PECOS PAC ID: 7416084769 Enrollment ID: I20100419000787 |
| Provider Name | Christopher W Woods |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013004811 PECOS PAC ID: 8820125032 Enrollment ID: I20100420000700 |
| Provider Name | Kimberly S Johnson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972687036 PECOS PAC ID: 1658408877 Enrollment ID: I20100420000835 |
| Provider Name | Harvey E Marshall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699859579 PECOS PAC ID: 0244367100 Enrollment ID: I20100423000759 |
| Provider Name | Laura M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154498616 PECOS PAC ID: 8527195437 Enrollment ID: I20100426000348 |
| Provider Name | Eric a Reyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235461419 PECOS PAC ID: 5395872022 Enrollment ID: I20100428000656 |
| Provider Name | Barbara D Alexander |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982747796 PECOS PAC ID: 8325175060 Enrollment ID: I20100428000739 |
| Provider Name | David F Lobach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396829446 PECOS PAC ID: 7012044761 Enrollment ID: I20100428000789 |
| Provider Name | Taras T.M. Semchyshyn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194804047 PECOS PAC ID: 6507993169 Enrollment ID: I20100430000097 |
| Provider Name | Wendy P Bush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164474359 PECOS PAC ID: 1759310014 Enrollment ID: I20100430000565 |
| Provider Name | Jeffrey R Bytomski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255414496 PECOS PAC ID: 1759419112 Enrollment ID: I20100506000217 |
| Provider Name | Lisa M Povsic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790868958 PECOS PAC ID: 1951439223 Enrollment ID: I20100506000420 |
| Provider Name | Lawrence R Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215011192 PECOS PAC ID: 3476681636 Enrollment ID: I20100507000630 |
| Provider Name | Paige a Rossman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811067648 PECOS PAC ID: 8820126899 Enrollment ID: I20100512000565 |
| Provider Name | Shelby L Barthel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518284009 PECOS PAC ID: 6204964190 Enrollment ID: I20100513000911 |
| Provider Name | James Alspaugh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851440861 PECOS PAC ID: 7911035704 Enrollment ID: I20100515000101 |
| Provider Name | Eugene C Kovalik |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013975937 PECOS PAC ID: 7719015502 Enrollment ID: I20100515000127 |
| Provider Name | Alan N Carlson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124181995 PECOS PAC ID: 1658409339 Enrollment ID: I20100518000169 |
| Provider Name | Mark E Easley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790872430 PECOS PAC ID: 4981732666 Enrollment ID: I20100518000223 |
| Provider Name | Laura B Enyedi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710060975 PECOS PAC ID: 4981732674 Enrollment ID: I20100518000232 |
| Provider Name | Todd Michael Gerkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013991744 PECOS PAC ID: 4688703317 Enrollment ID: I20100518000882 |
| Provider Name | Russell P Hall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205923042 PECOS PAC ID: 8022147610 Enrollment ID: I20100519000750 |
| Provider Name | Paul S Toth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700860392 PECOS PAC ID: 6901935402 Enrollment ID: I20100521000056 |
| Provider Name | John T Geneczko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902875727 PECOS PAC ID: 3577692854 Enrollment ID: I20100525000573 |
| Provider Name | Marisa R D Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013017540 PECOS PAC ID: 0547399859 Enrollment ID: I20100525000857 |
| Provider Name | Michael Cohen-wolkowiez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528233665 PECOS PAC ID: 4183753387 Enrollment ID: I20100526000910 |
| Provider Name | Brian E Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538147244 PECOS PAC ID: 2567436710 Enrollment ID: I20100601000213 |
| Provider Name | Thomas M Bashore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659454890 PECOS PAC ID: 1052440062 Enrollment ID: I20100601000777 |
| Provider Name | Aaron C Lentz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134341761 PECOS PAC ID: 9133259898 Enrollment ID: I20100608000087 |
| Provider Name | Oren N Gottfried |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578764213 PECOS PAC ID: 9830281187 Enrollment ID: I20100608000133 |
| Provider Name | Rachel C Blitzblau |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659554897 PECOS PAC ID: 5395875066 Enrollment ID: I20100608000217 |
| Provider Name | Jane V Trinh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952323925 PECOS PAC ID: 8325048663 Enrollment ID: I20100608000306 |
| Provider Name | Christopher J Roth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497929178 PECOS PAC ID: 0143350736 Enrollment ID: I20100608000555 |
| Provider Name | Sasapin G Prakalapakorn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871777953 PECOS PAC ID: 4688704927 Enrollment ID: I20100611000556 |
| Provider Name | Austin Samuel Rose |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386745925 PECOS PAC ID: 6709916620 Enrollment ID: I20100618000593 |
| Provider Name | David Y Ming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578739413 PECOS PAC ID: 4284764168 Enrollment ID: I20100621000289 |
| Provider Name | Gregory a Fleming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376690172 PECOS PAC ID: 8921134032 Enrollment ID: I20100621000506 |
| Provider Name | Patrick J Laguerre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336324193 PECOS PAC ID: 5890826705 Enrollment ID: I20100621000728 |
| Provider Name | Nwora L Okeke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205003316 PECOS PAC ID: 5294866109 Enrollment ID: I20100621000792 |
| Provider Name | Jorge Antonio Tirado Gutierrez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669630968 PECOS PAC ID: 5193856060 Enrollment ID: I20100622000508 |
| Provider Name | Brian C Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114126588 PECOS PAC ID: 0143351023 Enrollment ID: I20100622000572 |
| Provider Name | Thomas W Leblanc |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790997989 PECOS PAC ID: 6305977281 Enrollment ID: I20100622000604 |
| Provider Name | Sabino Zani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649469610 PECOS PAC ID: 7214068030 Enrollment ID: I20100623000299 |
| Provider Name | Jodi J Hawes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992975528 PECOS PAC ID: 9931230513 Enrollment ID: I20100625000349 |
| Provider Name | Jasmine E Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841513033 PECOS PAC ID: 0749311264 Enrollment ID: I20100628000654 |
| Provider Name | Carolyn E Keeler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083804058 PECOS PAC ID: 1052442415 Enrollment ID: I20100629000124 |
| Provider Name | Bharathi Upadhya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730381989 PECOS PAC ID: 3476684887 Enrollment ID: I20100629000665 |
| Provider Name | Amber M Jarvis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346457512 PECOS PAC ID: 0143351411 Enrollment ID: I20100630000475 |
| Provider Name | Jullia a Rosdahl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235337312 PECOS PAC ID: 7719018951 Enrollment ID: I20100701000447 |
| Provider Name | Charles Andrew Peery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407029218 PECOS PAC ID: 0749311983 Enrollment ID: I20100701000530 |
| Provider Name | Eric M Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174604342 PECOS PAC ID: 0547392342 Enrollment ID: I20100714000424 |
| Provider Name | Linda P Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750428645 PECOS PAC ID: 6709918543 Enrollment ID: I20100714000976 |
| Provider Name | Joseph Salama |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891723391 PECOS PAC ID: 0840293007 Enrollment ID: I20100716000759 |
| Provider Name | Jennie S Petruney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457580094 PECOS PAC ID: 2860547197 Enrollment ID: I20100716000764 |
| Provider Name | William Daniel Crocker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558585422 PECOS PAC ID: 0941332548 Enrollment ID: I20100716000775 |
| Provider Name | Nicole E Scouras |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922261445 PECOS PAC ID: 7012049612 Enrollment ID: I20100716000801 |
| Provider Name | Edward R Houser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649431024 PECOS PAC ID: 2961534102 Enrollment ID: I20100723000070 |
| Provider Name | Marvaretta M Stevenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891825964 PECOS PAC ID: 0042343840 Enrollment ID: I20100730000425 |
| Provider Name | Micah T Mcclain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336316454 PECOS PAC ID: 4082747803 Enrollment ID: I20100730000653 |
| Provider Name | Rebecca Ann Burbridge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184630972 PECOS PAC ID: 6800899402 Enrollment ID: I20100730000929 |
| Provider Name | Kristen G Shirey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033383013 PECOS PAC ID: 9739212580 Enrollment ID: I20100730000988 |
| Provider Name | Rabia Y Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164671145 PECOS PAC ID: 5193858439 Enrollment ID: I20100806000174 |
| Provider Name | Nikhil Balakrishnan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396993184 PECOS PAC ID: 3870627953 Enrollment ID: I20100811000164 |
| Provider Name | Robert K Lark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235397472 PECOS PAC ID: 3971637067 Enrollment ID: I20100811000289 |
| Provider Name | Waleska M Pabon-ramos |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568580892 PECOS PAC ID: 4587798616 Enrollment ID: I20100811000738 |
| Provider Name | Kamran Mahmood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992783377 PECOS PAC ID: 3779534094 Enrollment ID: I20100811000971 |
| Provider Name | Jeffrey P Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235292004 PECOS PAC ID: 7911031067 Enrollment ID: I20100811001038 |
| Provider Name | Susan L Blackwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629148457 PECOS PAC ID: 5092849026 Enrollment ID: I20100812000969 |
| Provider Name | Gary E Macy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740364892 PECOS PAC ID: 3678607587 Enrollment ID: I20100813000846 |
| Provider Name | William E Kraus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922182088 PECOS PAC ID: 2668506452 Enrollment ID: I20100816000570 |
| Provider Name | Alina Nicoara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306901970 PECOS PAC ID: 7113051921 Enrollment ID: I20100816000815 |
| Provider Name | Gary M Felker |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346323508 PECOS PAC ID: 0042344640 Enrollment ID: I20100818000672 |
| Provider Name | David M Bronstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215978358 PECOS PAC ID: 0547384711 Enrollment ID: I20100825000980 |
| Provider Name | Donna R Ransom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003960667 PECOS PAC ID: 9335263326 Enrollment ID: I20100827000177 |
| Provider Name | Sana M Al-khatib |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336223247 PECOS PAC ID: 1759405764 Enrollment ID: I20100827000384 |
| Provider Name | Mitchell E Horwitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710040589 PECOS PAC ID: 5092839043 Enrollment ID: I20100828000054 |
| Provider Name | Jeffrey Arthur Dvergsten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871521443 PECOS PAC ID: 3173554136 Enrollment ID: I20100830000673 |
| Provider Name | Eric Ryan Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215997580 PECOS PAC ID: 7113938879 Enrollment ID: I20100831000269 |
| Provider Name | Peter B Bressler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972583656 PECOS PAC ID: 6608825807 Enrollment ID: I20100901000765 |
| Provider Name | Kathleen Elizabeth West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437204419 PECOS PAC ID: 9739203456 Enrollment ID: I20100902000413 |
| Provider Name | Althea S Rutherford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538364948 PECOS PAC ID: 6305960956 Enrollment ID: I20100902000961 |
| Provider Name | Daniel B Mark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881778769 PECOS PAC ID: 9335263730 Enrollment ID: I20100907000600 |
| Provider Name | Cheryl a Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356430813 PECOS PAC ID: 4183748593 Enrollment ID: I20100907000708 |
| Provider Name | Radhika Kalisetti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376711713 PECOS PAC ID: 6800910217 Enrollment ID: I20100907000725 |
| Provider Name | Kenneth J Pelletier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265488662 PECOS PAC ID: 3476678772 Enrollment ID: I20100909001023 |
| Provider Name | Justin a Fowler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982645586 PECOS PAC ID: 9739252842 Enrollment ID: I20100913000497 |
| Provider Name | Jennifer H Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093899155 PECOS PAC ID: 6103941216 Enrollment ID: I20100913001134 |
| Provider Name | Evan K Dropkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437379732 PECOS PAC ID: 0648395681 Enrollment ID: I20100915000328 |
| Provider Name | Susann L Clifford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811064389 PECOS PAC ID: 7315062296 Enrollment ID: I20100915000921 |
| Provider Name | Andrew Berchuck |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154349181 PECOS PAC ID: 2769507656 Enrollment ID: I20100915000953 |
| Provider Name | Jonathan T Mundy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841207719 PECOS PAC ID: 4981729886 Enrollment ID: I20100915001149 |
| Provider Name | Bert J Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417977513 PECOS PAC ID: 4183749096 Enrollment ID: I20100915001250 |
| Provider Name | James F Hedrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598785297 PECOS PAC ID: 3971687096 Enrollment ID: I20100916000118 |
| Provider Name | Nicholas Mark Hudak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508806407 PECOS PAC ID: 1052375375 Enrollment ID: I20100916000147 |
| Provider Name | Stephanie Solosko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407170079 PECOS PAC ID: 9537284260 Enrollment ID: I20100917000263 |
| Provider Name | Andrew C Peterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104871367 PECOS PAC ID: 7911022652 Enrollment ID: I20100917000376 |
| Provider Name | Alexander Paraschos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184641169 PECOS PAC ID: 6507940624 Enrollment ID: I20100917000640 |
| Provider Name | Anne-marie Defranco Telford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063552834 PECOS PAC ID: 8628193331 Enrollment ID: I20100918000200 |
| Provider Name | Edward a Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386708006 PECOS PAC ID: 2264557859 Enrollment ID: I20100920000971 |
| Provider Name | Kelly G Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225283450 PECOS PAC ID: 4385760693 Enrollment ID: I20100923001190 |
| Provider Name | Vishwanath Hande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528068004 PECOS PAC ID: 6406972611 Enrollment ID: I20100924001073 |
| Provider Name | Todd W Cline |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386662435 PECOS PAC ID: 9638295850 Enrollment ID: I20100924001142 |
| Provider Name | Deborah Catherine Koltai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093899700 PECOS PAC ID: 5496871634 Enrollment ID: I20100925000013 |
| Provider Name | Terry Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760566822 PECOS PAC ID: 3274659412 Enrollment ID: I20100925000057 |
| Provider Name | Daniel T Laskowitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689758732 PECOS PAC ID: 9335265586 Enrollment ID: I20100925000096 |
| Provider Name | Jason E Stout |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548323322 PECOS PAC ID: 9830381300 Enrollment ID: I20101004000429 |
| Provider Name | Jitendra K Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679885511 PECOS PAC ID: 1557553914 Enrollment ID: I20101005000169 |
| Provider Name | Paul B Rosenberg |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780768689 PECOS PAC ID: 4284826645 Enrollment ID: I20101005000173 |
| Provider Name | Timothy Alan Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699858845 PECOS PAC ID: 1355533464 Enrollment ID: I20101007000986 |
| Provider Name | Sandhya a Lagoo-deenadayalan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831289040 PECOS PAC ID: 5496947517 Enrollment ID: I20101007001070 |
| Provider Name | Burton L Scott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477654374 PECOS PAC ID: 1254523376 Enrollment ID: I20101007001131 |
| Provider Name | Grace Coddington Thrall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548344419 PECOS PAC ID: 8022200153 Enrollment ID: I20101007001203 |
| Provider Name | Vani R Chilukuri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346323599 PECOS PAC ID: 2567654692 Enrollment ID: I20101007001225 |
| Provider Name | Diana B Mcneill |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316021207 PECOS PAC ID: 5193917185 Enrollment ID: I20101008000640 |
| Provider Name | Robin Mathews |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225269921 PECOS PAC ID: 4486662087 Enrollment ID: I20101011000994 |
| Provider Name | Nicole Marie Graf Perkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922316116 PECOS PAC ID: 2860684677 Enrollment ID: I20101012001144 |
| Provider Name | Erica L Sudyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932418787 PECOS PAC ID: 8921290735 Enrollment ID: I20101012001170 |
| Provider Name | April K.S. Salama |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871744490 PECOS PAC ID: 2961694500 Enrollment ID: I20101014000340 |
| Provider Name | Benjamin J Conway |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801926183 PECOS PAC ID: 6305876798 Enrollment ID: I20101014000407 |
| Provider Name | Darren S Sessler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073829511 PECOS PAC ID: 8628261294 Enrollment ID: I20101015000598 |
| Provider Name | Melissa B Abshire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205153632 PECOS PAC ID: 6305039884 Enrollment ID: I20101015000828 |
| Provider Name | John Robert Perfect |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487717260 PECOS PAC ID: 6002009479 Enrollment ID: I20101018000810 |
| Provider Name | Lori M Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679885107 PECOS PAC ID: 4880887058 Enrollment ID: I20101020000444 |
| Provider Name | Kathryn Douglass Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275754111 PECOS PAC ID: 4486847472 Enrollment ID: I20101022000470 |
| Provider Name | Erin N Brunmeier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316250921 PECOS PAC ID: 4880887785 Enrollment ID: I20101025000108 |
| Provider Name | Donald David Salguero |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427364967 PECOS PAC ID: 8729271556 Enrollment ID: I20101025000590 |
| Provider Name | Brooke L Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770893430 PECOS PAC ID: 6406049188 Enrollment ID: I20101026001166 |
| Provider Name | Sarah a Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568778736 PECOS PAC ID: 9133313232 Enrollment ID: I20101103000049 |
| Provider Name | Jill Ann Sablar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134429269 PECOS PAC ID: 9830383934 Enrollment ID: I20101103000092 |
| Provider Name | Steven D Crowley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639261472 PECOS PAC ID: 4486848488 Enrollment ID: I20101103001254 |
| Provider Name | Cristina Gasparetto |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730242504 PECOS PAC ID: 3779778519 Enrollment ID: I20101106000029 |
| Provider Name | Ana Maria a Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033283643 PECOS PAC ID: 4486849767 Enrollment ID: I20101111001382 |
| Provider Name | Kevin P Speer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528014081 PECOS PAC ID: 3375521826 Enrollment ID: I20101113000113 |
| Provider Name | Gwynn D Long |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114001260 PECOS PAC ID: 8325233471 Enrollment ID: I20101115000611 |
| Provider Name | Amy Marie Mackie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255667127 PECOS PAC ID: 7618162645 Enrollment ID: I20101116000374 |
| Provider Name | Marvin S Swartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376627240 PECOS PAC ID: 7618003187 Enrollment ID: I20101122000530 |
| Provider Name | Dwight D Koeberl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023192184 PECOS PAC ID: 4183810708 Enrollment ID: I20101122001062 |
| Provider Name | Lisa G Criscione Schreiber |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902988181 PECOS PAC ID: 3375739865 Enrollment ID: I20101123000554 |
| Provider Name | Anne B Harrington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205980349 PECOS PAC ID: 3072709278 Enrollment ID: I20101130001199 |
| Provider Name | Katherine Lynn Applegate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336223049 PECOS PAC ID: 3971790494 Enrollment ID: I20101209001129 |
| Provider Name | Paul Mosca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114935749 PECOS PAC ID: 0648253427 Enrollment ID: I20101210000341 |
| Provider Name | Tanya E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184925901 PECOS PAC ID: 7315134798 Enrollment ID: I20101210000672 |
| Provider Name | Tara Rae Herrmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083916167 PECOS PAC ID: 2769679059 Enrollment ID: I20101213000801 |
| Provider Name | Scott C Elston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710942016 PECOS PAC ID: 3870781735 Enrollment ID: I20101220001029 |
| Provider Name | Betty B Staples |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932283801 PECOS PAC ID: 0345438958 Enrollment ID: I20101227000400 |
| Provider Name | Martha Ashley Agee Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760566624 PECOS PAC ID: 2466640958 Enrollment ID: I20101228000596 |
| Provider Name | Joanne F Band |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922181163 PECOS PAC ID: 9335337823 Enrollment ID: I20101228000633 |
| Provider Name | Jennifer V Rowell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093928376 PECOS PAC ID: 0042409989 Enrollment ID: I20110107000854 |
| Provider Name | Jennifer M Lawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427111293 PECOS PAC ID: 0648469585 Enrollment ID: I20110107000902 |
| Provider Name | Samantha K Verruto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396055638 PECOS PAC ID: 7618166372 Enrollment ID: I20110111000549 |
| Provider Name | Elizabeth N Pavlisko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275708463 PECOS PAC ID: 0648459891 Enrollment ID: I20110120000684 |
| Provider Name | Edgar O Hartle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194789578 PECOS PAC ID: 3375644339 Enrollment ID: I20110125000173 |
| Provider Name | John Bright Eck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265515415 PECOS PAC ID: 1850570425 Enrollment ID: I20110127001187 |
| Provider Name | Chetan B Patel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730256835 PECOS PAC ID: 2961682810 Enrollment ID: I20110209000551 |
| Provider Name | Paul S Jowell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235213398 PECOS PAC ID: 0941480446 Enrollment ID: I20110215000528 |
| Provider Name | Marilyn Jo Telen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346399367 PECOS PAC ID: 6305026840 Enrollment ID: I20110215001041 |
| Provider Name | Mary H Foster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356442818 PECOS PAC ID: 3375723844 Enrollment ID: I20110216000108 |
| Provider Name | Christopher B Granger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295818458 PECOS PAC ID: 7315127800 Enrollment ID: I20110216000342 |
| Provider Name | Kenneth Paul Boccaccio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194751255 PECOS PAC ID: 8729269220 Enrollment ID: I20110216000553 |
| Provider Name | Tamrah J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750684296 PECOS PAC ID: 2466633706 Enrollment ID: I20110221000405 |
| Provider Name | Katherine Hansen Kalinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588964233 PECOS PAC ID: 7719168939 Enrollment ID: I20110222000387 |
| Provider Name | Jennifer Hirschy Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215010475 PECOS PAC ID: 0840471892 Enrollment ID: I20110223000820 |
| Provider Name | Sarah E Cook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730482290 PECOS PAC ID: 5597946442 Enrollment ID: I20110224000734 |
| Provider Name | Nicole E Jelesoff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376515635 PECOS PAC ID: 6709067671 Enrollment ID: I20110224000939 |
| Provider Name | Carolyn L Lekavich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558431387 PECOS PAC ID: 1951582501 Enrollment ID: I20110302000323 |
| Provider Name | Magdalena S Sobczyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417254673 PECOS PAC ID: 5698957298 Enrollment ID: I20110302000976 |
| Provider Name | Melissa Erin Judson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629014600 PECOS PAC ID: 5395759963 Enrollment ID: I20110310000650 |
| Provider Name | James Philmon Hooten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194745893 PECOS PAC ID: 2567645252 Enrollment ID: I20110317000354 |
| Provider Name | Daniele Marin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407152283 PECOS PAC ID: 8628251220 Enrollment ID: I20110318000648 |
| Provider Name | Jill Kimesia Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346323581 PECOS PAC ID: 1759564016 Enrollment ID: I20110323000741 |
| Provider Name | Sean P Montgomery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629234547 PECOS PAC ID: 9537342852 Enrollment ID: I20110324000337 |
| Provider Name | Hillary Dolan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407058498 PECOS PAC ID: 4981790193 Enrollment ID: I20110401000225 |
| Provider Name | Estela D Field |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649292590 PECOS PAC ID: 8729979323 Enrollment ID: I20110408000030 |
| Provider Name | Cindy C Southerland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730481763 PECOS PAC ID: 8820272206 Enrollment ID: I20110408000347 |
| Provider Name | Stacey L Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356525109 PECOS PAC ID: 3971787359 Enrollment ID: I20110408000404 |
| Provider Name | Sangeetha Potu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578770095 PECOS PAC ID: 9436287869 Enrollment ID: I20110411000733 |
| Provider Name | Ashley R Britt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356648190 PECOS PAC ID: 7719161041 Enrollment ID: I20110412000518 |
| Provider Name | Margaret L Eren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538242797 PECOS PAC ID: 3577747492 Enrollment ID: I20110418000380 |
| Provider Name | Douglas B Garrison |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801125091 PECOS PAC ID: 9830374701 Enrollment ID: I20110420000155 |
| Provider Name | Gowthami M Arepally |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1447349907 PECOS PAC ID: 3577748375 Enrollment ID: I20110420000675 |
| Provider Name | Susan D Izatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356404123 PECOS PAC ID: 9234314345 Enrollment ID: I20110504000384 |
| Provider Name | Shivanand Lad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346408507 PECOS PAC ID: 9032396734 Enrollment ID: I20110607000002 |
| Provider Name | Misty B Gainey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396062618 PECOS PAC ID: 0941334387 Enrollment ID: I20110627000459 |
| Provider Name | Michael R Harrison |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760674535 PECOS PAC ID: 8921159294 Enrollment ID: I20110628000707 |
| Provider Name | Beverly a Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912199126 PECOS PAC ID: 2466630181 Enrollment ID: I20110629000176 |
| Provider Name | Laura Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538239363 PECOS PAC ID: 2961680384 Enrollment ID: I20110706000413 |
| Provider Name | Rachel E Dew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619131372 PECOS PAC ID: 2860670221 Enrollment ID: I20110707000361 |
| Provider Name | Jason I Koontz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386817104 PECOS PAC ID: 3577741867 Enrollment ID: I20110712000009 |
| Provider Name | Julius M Wilder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598924995 PECOS PAC ID: 2062680309 Enrollment ID: I20110712000783 |
| Provider Name | Eileen K Maziarz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801063904 PECOS PAC ID: 7315115656 Enrollment ID: I20110713000013 |
| Provider Name | Grace Mccarthy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629249511 PECOS PAC ID: 3678741782 Enrollment ID: I20110715000379 |
| Provider Name | Kanecia O Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477729663 PECOS PAC ID: 7416125539 Enrollment ID: I20110715000487 |
| Provider Name | Christian F Mauro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699859587 PECOS PAC ID: 9931377967 Enrollment ID: I20110719000348 |
| Provider Name | John Thomas Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669670923 PECOS PAC ID: 7113195736 Enrollment ID: I20110726000004 |
| Provider Name | Jonathan C Routh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184601536 PECOS PAC ID: 8426226960 Enrollment ID: I20110727000512 |
| Provider Name | Hemang Kalpeshkumar Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932229879 PECOS PAC ID: 2769650175 Enrollment ID: I20110729000016 |
| Provider Name | Brandi a Bottiger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114131612 PECOS PAC ID: 9739358136 Enrollment ID: I20110801000476 |
| Provider Name | Xiang S Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952523037 PECOS PAC ID: 1254492051 Enrollment ID: I20110802000055 |
| Provider Name | Justin T Mhoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972727659 PECOS PAC ID: 0749459022 Enrollment ID: I20110802000536 |
| Provider Name | Alzora L Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760795728 PECOS PAC ID: 9234308529 Enrollment ID: I20110802000606 |
| Provider Name | Matthew Hartwig |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912174780 PECOS PAC ID: 3678742970 Enrollment ID: I20110802000719 |
| Provider Name | Ashley Mcbride Mortenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033403456 PECOS PAC ID: 9133398373 Enrollment ID: I20110804000578 |
| Provider Name | Juliessa M Pavon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275709354 PECOS PAC ID: 0840469722 Enrollment ID: I20110810000253 |
| Provider Name | Zebulon Z Spector |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326208950 PECOS PAC ID: 5092984906 Enrollment ID: I20110810000685 |
| Provider Name | Kanhka Linthavong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205097748 PECOS PAC ID: 8628247541 Enrollment ID: I20110811000092 |
| Provider Name | Tracy M Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952598922 PECOS PAC ID: 6002994258 Enrollment ID: I20110812000578 |
| Provider Name | Richard D Runkle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902017320 PECOS PAC ID: 8224207998 Enrollment ID: I20110815000413 |
| Provider Name | Anna H Bordelon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831356716 PECOS PAC ID: 6608929203 Enrollment ID: I20110819000017 |
| Provider Name | Catherine a Staton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962660720 PECOS PAC ID: 7214081801 Enrollment ID: I20110823000049 |
| Provider Name | Tyeasha D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073800967 PECOS PAC ID: 5294905444 Enrollment ID: I20110826000389 |
| Provider Name | Aparna S Rege |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558683433 PECOS PAC ID: 5698801298 Enrollment ID: I20110830000000 |
| Provider Name | Jill Z Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114215670 PECOS PAC ID: 6305016296 Enrollment ID: I20110901000364 |
| Provider Name | Steven J Shaw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922269737 PECOS PAC ID: 8820268550 Enrollment ID: I20110907000805 |
| Provider Name | Lejla Nml Vajzovic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548434921 PECOS PAC ID: 6002086766 Enrollment ID: I20110907001180 |
| Provider Name | Islam M Othman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700905411 PECOS PAC ID: 6901076694 Enrollment ID: I20110907001583 |
| Provider Name | Erin L Manning |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003139049 PECOS PAC ID: 0648396184 Enrollment ID: I20110908001956 |
| Provider Name | James Brennan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164689105 PECOS PAC ID: 3971773524 Enrollment ID: I20110908002359 |
| Provider Name | Edmund H Jooste |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053365874 PECOS PAC ID: 4385673722 Enrollment ID: I20110909002640 |
| Provider Name | Kathryn E Gustafson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1326192642 PECOS PAC ID: 7012188642 Enrollment ID: I20110912000438 |
| Provider Name | Christina Leanne Ankney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245523398 PECOS PAC ID: 4385815877 Enrollment ID: I20110913000585 |
| Provider Name | Rhonda M Merwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073778197 PECOS PAC ID: 8123299526 Enrollment ID: I20110915000165 |
| Provider Name | Marcus Elijah Babaoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861650590 PECOS PAC ID: 5294906533 Enrollment ID: I20110919000442 |
| Provider Name | Richard C Mather |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598923609 PECOS PAC ID: 8123213030 Enrollment ID: I20110920000010 |
| Provider Name | Monique Anderson Starks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053468918 PECOS PAC ID: 3870764046 Enrollment ID: I20110920000085 |
| Provider Name | Justin R Scruggs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063615821 PECOS PAC ID: 3274704416 Enrollment ID: I20110920000925 |
| Provider Name | Eun Sil S Hwang |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154385177 PECOS PAC ID: 5496839573 Enrollment ID: I20110921000847 |
| Provider Name | Charles R Woodard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871708636 PECOS PAC ID: 4688707409 Enrollment ID: I20110929000316 |
| Provider Name | Matthew a Sparks |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487754024 PECOS PAC ID: 7719987858 Enrollment ID: I20110929000514 |
| Provider Name | Corinne M Linardic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609939487 PECOS PAC ID: 7416129044 Enrollment ID: I20111004000424 |
| Provider Name | Jamie Elizabeth Corbett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629367289 PECOS PAC ID: 4385816958 Enrollment ID: I20111004000839 |
| Provider Name | Jennifer Turi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356404131 PECOS PAC ID: 2062684426 Enrollment ID: I20111006000271 |
| Provider Name | Amy R Alger |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780735886 PECOS PAC ID: 5698840619 Enrollment ID: I20111010000524 |
| Provider Name | Melissa a Daubert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558553834 PECOS PAC ID: 3476725664 Enrollment ID: I20111012000399 |
| Provider Name | Mary Hamlin Womble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538451406 PECOS PAC ID: 3072786888 Enrollment ID: I20111021000559 |
| Provider Name | Samuel B Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639358617 PECOS PAC ID: 1254504939 Enrollment ID: I20111024000813 |
| Provider Name | Mary Guhwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033404256 PECOS PAC ID: 3678746385 Enrollment ID: I20111025000453 |
| Provider Name | Rachel Holston Cline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639458516 PECOS PAC ID: 1355514076 Enrollment ID: I20111025000529 |
| Provider Name | Ronald B Laney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396900288 PECOS PAC ID: 5890968549 Enrollment ID: I20111026000050 |
| Provider Name | Susanne Meghdadpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780747568 PECOS PAC ID: 7012180573 Enrollment ID: I20111027000648 |
| Provider Name | John Joseph Paat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944909 PECOS PAC ID: 5799846101 Enrollment ID: I20111027000678 |
| Provider Name | Naomi Ornstein Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588943252 PECOS PAC ID: 2769655240 Enrollment ID: I20111027000899 |
| Provider Name | Natasha S Akhter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992967863 PECOS PAC ID: 7517026149 Enrollment ID: I20111028000474 |
| Provider Name | Sarah Wolfe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952592149 PECOS PAC ID: 2365615804 Enrollment ID: I20111028000648 |
| Provider Name | Lashaunda R Mcclarty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023302981 PECOS PAC ID: 3173796356 Enrollment ID: I20111103000489 |
| Provider Name | Megan M Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730473570 PECOS PAC ID: 9133392319 Enrollment ID: I20111103000524 |
| Provider Name | Arleen H Song |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114014990 PECOS PAC ID: 5799810487 Enrollment ID: I20111111000719 |
| Provider Name | Cecelia White Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699069971 PECOS PAC ID: 4486828134 Enrollment ID: I20111116000012 |
| Provider Name | Krista K Ingle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356576441 PECOS PAC ID: 6305010646 Enrollment ID: I20111122000579 |
| Provider Name | Mary Thorp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063548915 PECOS PAC ID: 2365617248 Enrollment ID: I20111205000073 |
| Provider Name | Tammy R Schaeffer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366529729 PECOS PAC ID: 4385819200 Enrollment ID: I20111205000480 |
| Provider Name | Kena B Sigman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508942277 PECOS PAC ID: 1052586971 Enrollment ID: I20111205000549 |
| Provider Name | Katharine Heinkel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073697942 PECOS PAC ID: 3678748597 Enrollment ID: I20111205000570 |
| Provider Name | Augustus Oliver Grant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497839302 PECOS PAC ID: 1759556541 Enrollment ID: I20111206000450 |
| Provider Name | John W Moses |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770646556 PECOS PAC ID: 2668647454 Enrollment ID: I20111206000452 |
| Provider Name | Meredith L Muncy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578612594 PECOS PAC ID: 4284809021 Enrollment ID: I20111207000106 |
| Provider Name | Donald R. Moede |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023167046 PECOS PAC ID: 7214102979 Enrollment ID: I20111207000450 |
| Provider Name | Josephine H Macmang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861785610 PECOS PAC ID: 0446425136 Enrollment ID: I20111207000785 |
| Provider Name | Eleonora G Lad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811150576 PECOS PAC ID: 2466627104 Enrollment ID: I20111208000508 |
| Provider Name | Margaret a Mchenry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346493095 PECOS PAC ID: 6204001837 Enrollment ID: I20111209000714 |
| Provider Name | Maryelle H Kiely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881971224 PECOS PAC ID: 3072788462 Enrollment ID: I20111214000121 |
| Provider Name | Fletcher L Hartsell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720282544 PECOS PAC ID: 2961678735 Enrollment ID: I20111228000286 |
| Provider Name | Mary Diane Williams Garber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265664437 PECOS PAC ID: 2961678396 Enrollment ID: I20120105000631 |
| Provider Name | Dwight Perry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497756688 PECOS PAC ID: 0941368484 Enrollment ID: I20120120000197 |
| Provider Name | Christopher Kontos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104900265 PECOS PAC ID: 0941477640 Enrollment ID: I20120120000493 |
| Provider Name | Virginia Kraus |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013091172 PECOS PAC ID: 6608043336 Enrollment ID: I20120120000831 |
| Provider Name | Brent J Theiling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891901708 PECOS PAC ID: 7113063371 Enrollment ID: I20120130000167 |
| Provider Name | Eric J Benner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073730958 PECOS PAC ID: 4284891524 Enrollment ID: I20120130000215 |
| Provider Name | Lawrence Edward Crawford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932282183 PECOS PAC ID: 9931244936 Enrollment ID: I20120202000462 |
| Provider Name | Kristal M Riska |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245516798 PECOS PAC ID: 4688831530 Enrollment ID: I20120203000221 |
| Provider Name | Elizabeth Wayne Landolfo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669556577 PECOS PAC ID: 5294992996 Enrollment ID: I20120208000543 |
| Provider Name | Kathryn Gosnell Coble |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235406976 PECOS PAC ID: 0042478075 Enrollment ID: I20120222000803 |
| Provider Name | Kevin B Vanhoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659374833 PECOS PAC ID: 8921077223 Enrollment ID: I20120228000387 |
| Provider Name | Cheryl Huang Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548531254 PECOS PAC ID: 7416115928 Enrollment ID: I20120229000555 |
| Provider Name | Jeanne Eyman Schwartz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598852238 PECOS PAC ID: 4183883457 Enrollment ID: I20120306000275 |
| Provider Name | Najia Cheema |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649322413 PECOS PAC ID: 6901902501 Enrollment ID: I20120308000007 |
| Provider Name | Lyndsey N Prange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568734895 PECOS PAC ID: 6305005372 Enrollment ID: I20120312000000 |
| Provider Name | Christina L Steigerwald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104104454 PECOS PAC ID: 1254590243 Enrollment ID: I20120312000167 |
| Provider Name | Megan Brissie Sager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609150879 PECOS PAC ID: 4981863883 Enrollment ID: I20120313000604 |
| Provider Name | Scott Gallagher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932111390 PECOS PAC ID: 6002881075 Enrollment ID: I20120315000488 |
| Provider Name | Rachel M Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962623777 PECOS PAC ID: 0941469563 Enrollment ID: I20120316000434 |
| Provider Name | Sarah Yttri Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609147255 PECOS PAC ID: 1951561497 Enrollment ID: I20120321000181 |
| Provider Name | Laura S Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366714313 PECOS PAC ID: 5496915936 Enrollment ID: I20120321000199 |
| Provider Name | Jon D Verceles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841263324 PECOS PAC ID: 4880683713 Enrollment ID: I20120326000402 |
| Provider Name | Lytara Teneshia Baxter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780960997 PECOS PAC ID: 1557521614 Enrollment ID: I20120327000590 |
| Provider Name | Lisa C Muasher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740263177 PECOS PAC ID: 1850427378 Enrollment ID: I20120404000921 |
| Provider Name | Kelly a Duewer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649388935 PECOS PAC ID: 7517968928 Enrollment ID: I20120405000268 |
| Provider Name | Barbara Keith Walter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760597132 PECOS PAC ID: 6709047426 Enrollment ID: I20120405000325 |
| Provider Name | Kevin D Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417232018 PECOS PAC ID: 7416118484 Enrollment ID: I20120418000674 |
| Provider Name | Ashley R Haskin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902176993 PECOS PAC ID: 7416119219 Enrollment ID: I20120424000043 |
| Provider Name | Kerry K Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245508696 PECOS PAC ID: 0648432492 Enrollment ID: I20120424000569 |
| Provider Name | Dalia Khalifa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669648044 PECOS PAC ID: 5890958771 Enrollment ID: I20120514000442 |
| Provider Name | Mashael S Al-hegelan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043492960 PECOS PAC ID: 5799948162 Enrollment ID: I20120522001074 |
| Provider Name | Rita a Deimler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538446356 PECOS PAC ID: 6608039896 Enrollment ID: I20120529000000 |
| Provider Name | Brian Joseph Colin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336306349 PECOS PAC ID: 6204090293 Enrollment ID: I20120601000348 |
| Provider Name | Nicole R. Guinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598939688 PECOS PAC ID: 3870757842 Enrollment ID: I20120605000005 |
| Provider Name | Karthik Raghunathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477657344 PECOS PAC ID: 6204937386 Enrollment ID: I20120605000006 |
| Provider Name | Daniel B Landi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558596510 PECOS PAC ID: 9436313293 Enrollment ID: I20120607000594 |
| Provider Name | Patricia L Mcgugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891015145 PECOS PAC ID: 5698939320 Enrollment ID: I20120611000015 |
| Provider Name | Maire Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093967630 PECOS PAC ID: 7315090016 Enrollment ID: I20120611000596 |
| Provider Name | Stephen P Bergin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801030507 PECOS PAC ID: 6103080429 Enrollment ID: I20120615000474 |
| Provider Name | Jennifer L Saullo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962613950 PECOS PAC ID: 7618069113 Enrollment ID: I20120618000046 |
| Provider Name | Cessaly C Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346426590 PECOS PAC ID: 0446415467 Enrollment ID: I20120625000735 |
| Provider Name | Rachel Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801039847 PECOS PAC ID: 0446415400 Enrollment ID: I20120626000467 |
| Provider Name | Charles T Wood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780828046 PECOS PAC ID: 7517122583 Enrollment ID: I20120626000493 |
| Provider Name | Richard Hsang-yang Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710157243 PECOS PAC ID: 5496910291 Enrollment ID: I20120628000655 |
| Provider Name | Ankoor Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306024161 PECOS PAC ID: 6204091010 Enrollment ID: I20120628000681 |
| Provider Name | Michel Georges Khouri |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1982812129 PECOS PAC ID: 2567627243 Enrollment ID: I20120702000225 |
| Provider Name | Rebekah W Moehring |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427210392 PECOS PAC ID: 5092970772 Enrollment ID: I20120702000249 |
| Provider Name | Melissa Daluvoy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760657860 PECOS PAC ID: 8325197536 Enrollment ID: I20120709000327 |
| Provider Name | Nada Kais El Husseini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912171398 PECOS PAC ID: 9931364163 Enrollment ID: I20120713000020 |
| Provider Name | Micheal W Manning |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790949121 PECOS PAC ID: 8022132836 Enrollment ID: I20120719000605 |
| Provider Name | Brad P Novey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982702338 PECOS PAC ID: 2264439405 Enrollment ID: I20120724000455 |
| Provider Name | Darla C Mcpherson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205069861 PECOS PAC ID: 3274799705 Enrollment ID: I20120726000689 |
| Provider Name | Grace Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093917981 PECOS PAC ID: 9931365210 Enrollment ID: I20120801000296 |
| Provider Name | Sujay M Kansagra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679790505 PECOS PAC ID: 9830355114 Enrollment ID: I20120801000310 |
| Provider Name | Kevin Shah |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1255508107 PECOS PAC ID: 9234385576 Enrollment ID: I20120802000129 |
| Provider Name | Jeffrey M Clarke |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295909034 PECOS PAC ID: 3476709726 Enrollment ID: I20120802000190 |
| Provider Name | Arif H Kamal |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417063694 PECOS PAC ID: 4082618012 Enrollment ID: I20120803000811 |
| Provider Name | Michael R Abern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033377403 PECOS PAC ID: 2567618630 Enrollment ID: I20120806000035 |
| Provider Name | Riddhishkumar Shah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417184235 PECOS PAC ID: 3274789318 Enrollment ID: I20120806000815 |
| Provider Name | Sarah Guo Summerville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265669907 PECOS PAC ID: 5698921575 Enrollment ID: I20120808000651 |
| Provider Name | Amanda B Brantley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295091353 PECOS PAC ID: 6507012309 Enrollment ID: I20120810000182 |
| Provider Name | Dennis M Abraham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972688414 PECOS PAC ID: 9032365630 Enrollment ID: I20120815000162 |
| Provider Name | John M Reynolds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407858343 PECOS PAC ID: 0042300386 Enrollment ID: I20120815000187 |
| Provider Name | Tung Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992919567 PECOS PAC ID: 0446406045 Enrollment ID: I20120815000211 |
| Provider Name | Susannah M White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982962908 PECOS PAC ID: 5991951311 Enrollment ID: I20120816000973 |
| Provider Name | Elsje Harker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881805224 PECOS PAC ID: 3072760461 Enrollment ID: I20120820000576 |
| Provider Name | Andreas M Staebler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568624021 PECOS PAC ID: 6406003847 Enrollment ID: I20120821000053 |
| Provider Name | Stephen D Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548428964 PECOS PAC ID: 0941457303 Enrollment ID: I20120821000187 |
| Provider Name | Millicent Bryanne Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285863852 PECOS PAC ID: 1456508837 Enrollment ID: I20120821000498 |
| Provider Name | Christiane H London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508111345 PECOS PAC ID: 3678720885 Enrollment ID: I20120823000193 |
| Provider Name | Charles M Cotten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588727358 PECOS PAC ID: 0042251936 Enrollment ID: I20120824000233 |
| Provider Name | Zachary Eric Potter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558527341 PECOS PAC ID: 9335396209 Enrollment ID: I20120828000630 |
| Provider Name | Joanne C Wen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063664993 PECOS PAC ID: 8022265792 Enrollment ID: I20120831000198 |
| Provider Name | Brittany B Travars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558648626 PECOS PAC ID: 4688821259 Enrollment ID: I20120904000659 |
| Provider Name | Manisha Palta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487855664 PECOS PAC ID: 3476701988 Enrollment ID: I20120906000926 |
| Provider Name | Narayanan Venkatasubramani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659469732 PECOS PAC ID: 3375617772 Enrollment ID: I20120907000566 |
| Provider Name | Olga G James |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386819811 PECOS PAC ID: 0840448320 Enrollment ID: I20120907000709 |
| Provider Name | Emily Rose Mcauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205154952 PECOS PAC ID: 7810145026 Enrollment ID: I20120913000155 |
| Provider Name | Thomas Christopher Gaines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558620153 PECOS PAC ID: 3476701541 Enrollment ID: I20120914000091 |
| Provider Name | William Curtis Eward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164689006 PECOS PAC ID: 1052569191 Enrollment ID: I20120914000760 |
| Provider Name | Beverly M Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992072029 PECOS PAC ID: 4082862016 Enrollment ID: I20120918000250 |
| Provider Name | Amy P Stallings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174726731 PECOS PAC ID: 9133279839 Enrollment ID: I20120918000871 |
| Provider Name | Maggie M Stoecker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407029770 PECOS PAC ID: 3779731666 Enrollment ID: I20120918000904 |
| Provider Name | Jacob Schroder |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699948455 PECOS PAC ID: 8921256637 Enrollment ID: I20120920000598 |
| Provider Name | Beth C Herold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770519134 PECOS PAC ID: 5698924280 Enrollment ID: I20120925000274 |
| Provider Name | Joseph B Borawski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144367780 PECOS PAC ID: 1759530157 Enrollment ID: I20120928000344 |
| Provider Name | Suhail K Mithani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629093109 PECOS PAC ID: 7810990983 Enrollment ID: I20121003000511 |
| Provider Name | Jorge a Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629099122 PECOS PAC ID: 3375689110 Enrollment ID: I20121005000574 |
| Provider Name | Louise L Highley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952560120 PECOS PAC ID: 6800045899 Enrollment ID: I20121008000402 |
| Provider Name | Beth Parente |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659648004 PECOS PAC ID: 1658521091 Enrollment ID: I20121022000279 |
| Provider Name | Tara Beth Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407106628 PECOS PAC ID: 2961652912 Enrollment ID: I20121029000108 |
| Provider Name | Vijaykumar Ramniklal Jarsania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225265176 PECOS PAC ID: 1052561875 Enrollment ID: I20121101000023 |
| Provider Name | Allethaire M Renninger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750646733 PECOS PAC ID: 9234380056 Enrollment ID: I20121102000563 |
| Provider Name | Richard Brian Pitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063775054 PECOS PAC ID: 8325299001 Enrollment ID: I20121105000563 |
| Provider Name | Jessica Frost Main |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679837363 PECOS PAC ID: 2567613961 Enrollment ID: I20121112000728 |
| Provider Name | Ian Robert Macnaughton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891059069 PECOS PAC ID: 6507017902 Enrollment ID: I20121113000068 |
| Provider Name | Judson R Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669734703 PECOS PAC ID: 1254582471 Enrollment ID: I20121116000557 |
| Provider Name | Tara L Nixon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053664458 PECOS PAC ID: 5991956013 Enrollment ID: I20121117000129 |
| Provider Name | Deb Ashish Bhowmick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275696650 PECOS PAC ID: 6406013440 Enrollment ID: I20121119000545 |
| Provider Name | Zaneta Yeungjoo Strouch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982874749 PECOS PAC ID: 5698842318 Enrollment ID: I20121128000157 |
| Provider Name | Lisa M Whitley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306108527 PECOS PAC ID: 6406009752 Enrollment ID: I20130117000047 |
| Provider Name | Patrick Brady Cacchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235487497 PECOS PAC ID: 3971757055 Enrollment ID: I20130128000173 |
| Provider Name | David Powers |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730169459 PECOS PAC ID: 2365527033 Enrollment ID: I20130129000149 |
| Provider Name | Bruce J Derrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861629925 PECOS PAC ID: 7517111412 Enrollment ID: I20130130000270 |
| Provider Name | Richard O Salmony |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164689402 PECOS PAC ID: 9638243322 Enrollment ID: I20130221000512 |
| Provider Name | Jamie Stabile Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568701050 PECOS PAC ID: 6608021647 Enrollment ID: I20130225000212 |
| Provider Name | Katina D Walline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205901493 PECOS PAC ID: 6103964135 Enrollment ID: I20130226000600 |
| Provider Name | Tess S John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205171642 PECOS PAC ID: 7810132149 Enrollment ID: I20130314000285 |
| Provider Name | Guiling Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891033387 PECOS PAC ID: 2769627702 Enrollment ID: I20130322000418 |
| Provider Name | Jerrold H Levy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891863429 PECOS PAC ID: 6002098837 Enrollment ID: I20130323000094 |
| Provider Name | Michael a Mclamb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063489748 PECOS PAC ID: 7113900762 Enrollment ID: I20130325000435 |
| Provider Name | Anne D Cherry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649438094 PECOS PAC ID: 6002051828 Enrollment ID: I20130327000638 |
| Provider Name | Rachael Bushman Caiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215277876 PECOS PAC ID: 3274778097 Enrollment ID: I20130327000645 |
| Provider Name | Elizabeth Bell-mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568713279 PECOS PAC ID: 8022253624 Enrollment ID: I20130403000087 |
| Provider Name | Amber D Stohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598001927 PECOS PAC ID: 0345486841 Enrollment ID: I20130428000002 |
| Provider Name | Jason K Bodner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801819040 PECOS PAC ID: 9436188737 Enrollment ID: I20130507000436 |
| Provider Name | Justin W Markey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780989152 PECOS PAC ID: 0547427452 Enrollment ID: I20130516000517 |
| Provider Name | John David Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265752943 PECOS PAC ID: 9830337179 Enrollment ID: I20130529000223 |
| Provider Name | Benjamin a Alman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073732392 PECOS PAC ID: 8729226865 Enrollment ID: I20130530000547 |
| Provider Name | Lisa Hughes Lapeze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972854511 PECOS PAC ID: 4587802657 Enrollment ID: I20130531000092 |
| Provider Name | Karen Wierwille Corvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639102494 PECOS PAC ID: 3577536044 Enrollment ID: I20130607000327 |
| Provider Name | Andrew R Spector |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851556096 PECOS PAC ID: 8224221205 Enrollment ID: I20130612000439 |
| Provider Name | John Anthony Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437106515 PECOS PAC ID: 8325065113 Enrollment ID: I20130612000471 |
| Provider Name | Karl Martin Schweitzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730346446 PECOS PAC ID: 5890934384 Enrollment ID: I20130612000746 |
| Provider Name | Samantha D Schweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063758175 PECOS PAC ID: 5991944399 Enrollment ID: I20130614000607 |
| Provider Name | Matilda W Nicholas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730323338 PECOS PAC ID: 7517106578 Enrollment ID: I20130624000288 |
| Provider Name | Wen-chi Foo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740449552 PECOS PAC ID: 9931348810 Enrollment ID: I20130626000061 |
| Provider Name | Jeff P Vista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750339883 PECOS PAC ID: 3577456011 Enrollment ID: I20130626000328 |
| Provider Name | Carolyn Sears Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467695486 PECOS PAC ID: 9638318538 Enrollment ID: I20130626000347 |
| Provider Name | Craig R Rackley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750548400 PECOS PAC ID: 5092955898 Enrollment ID: I20130627000598 |
| Provider Name | Robert W Harrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457547853 PECOS PAC ID: 3971653270 Enrollment ID: I20130627000844 |
| Provider Name | Brian J Ohlendorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154565521 PECOS PAC ID: 0244470748 Enrollment ID: I20130705000123 |
| Provider Name | Philip a Fong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366657256 PECOS PAC ID: 4486894581 Enrollment ID: I20130715000222 |
| Provider Name | Jessica Radford Phares |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447590534 PECOS PAC ID: 6507006475 Enrollment ID: I20130717000663 |
| Provider Name | Tricia Ann Koch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760829063 PECOS PAC ID: 6608017520 Enrollment ID: I20130718000502 |
| Provider Name | Jessica Reavis Prescott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750532701 PECOS PAC ID: 9133360555 Enrollment ID: I20130729000194 |
| Provider Name | Daniel Lee Gilstrap |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811100373 PECOS PAC ID: 5799926051 Enrollment ID: I20130729000810 |
| Provider Name | Sreeja M Natesan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992934384 PECOS PAC ID: 6406097765 Enrollment ID: I20130729000829 |
| Provider Name | Liza I Genao |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508086182 PECOS PAC ID: 4587723713 Enrollment ID: I20130801000047 |
| Provider Name | India Green Bynum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538503941 PECOS PAC ID: 1153562244 Enrollment ID: I20130801000498 |
| Provider Name | Danielle M Brander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144497553 PECOS PAC ID: 0143461673 Enrollment ID: I20130802000041 |
| Provider Name | Sreekanth Vemulapalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104022987 PECOS PAC ID: 8628149036 Enrollment ID: I20130802000098 |
| Provider Name | Hiba Abouassi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063617470 PECOS PAC ID: 6204975279 Enrollment ID: I20130805000613 |
| Provider Name | Christoph P Hornik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528231974 PECOS PAC ID: 3870735749 Enrollment ID: I20130806000832 |
| Provider Name | Sudarshan Rajagopal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134391253 PECOS PAC ID: 0143461681 Enrollment ID: I20130807000264 |
| Provider Name | Sarah S Lewis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902072093 PECOS PAC ID: 9830330372 Enrollment ID: I20130807000306 |
| Provider Name | Gregory L Stonerock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124467725 PECOS PAC ID: 0941442743 Enrollment ID: I20130807000449 |
| Provider Name | David W Jang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295995355 PECOS PAC ID: 1052569225 Enrollment ID: I20130812000363 |
| Provider Name | Charles D Scales |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497921175 PECOS PAC ID: 3072791672 Enrollment ID: I20130812000551 |
| Provider Name | Oluwatoyosi Onwuemene |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1770759854 PECOS PAC ID: 1951543412 Enrollment ID: I20130813000146 |
| Provider Name | Shannon a Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982938064 PECOS PAC ID: 3678715141 Enrollment ID: I20130813000308 |
| Provider Name | Crystal C Tyson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104002864 PECOS PAC ID: 1850462920 Enrollment ID: I20130820000229 |
| Provider Name | Gina R Vess |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619199700 PECOS PAC ID: 2769625847 Enrollment ID: I20130821001002 |
| Provider Name | Elizabeth N Erickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538485065 PECOS PAC ID: 8527201508 Enrollment ID: I20130821001067 |
| Provider Name | Leda Scearce |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871715920 PECOS PAC ID: 1951544980 Enrollment ID: I20130823000601 |
| Provider Name | Ingrid Katarina Maple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629414727 PECOS PAC ID: 4688817638 Enrollment ID: I20130823000746 |
| Provider Name | Neel Nikul Kapadia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871810358 PECOS PAC ID: 8820239619 Enrollment ID: I20130823000766 |
| Provider Name | Yee L Kwan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952746497 PECOS PAC ID: 1951544923 Enrollment ID: I20130823001001 |
| Provider Name | Michael J Allingham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285878124 PECOS PAC ID: 1658514625 Enrollment ID: I20130823001043 |
| Provider Name | Erica D Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720291370 PECOS PAC ID: 7214170984 Enrollment ID: I20130828000149 |
| Provider Name | David S Vanmater |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437374584 PECOS PAC ID: 2264675909 Enrollment ID: I20130828001014 |
| Provider Name | Kyle W Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710228788 PECOS PAC ID: 1759525991 Enrollment ID: I20130910000336 |
| Provider Name | Sara a Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699118604 PECOS PAC ID: 2860636008 Enrollment ID: I20130910000448 |
| Provider Name | Yauheni Anufryienak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659715597 PECOS PAC ID: 7618111865 Enrollment ID: I20130910000550 |
| Provider Name | Brandon a Howard |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1912101841 PECOS PAC ID: 0244474351 Enrollment ID: I20130911000357 |
| Provider Name | Heather Aubrie Toth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649603606 PECOS PAC ID: 1658515770 Enrollment ID: I20130911000430 |
| Provider Name | Armando Ramirez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184849382 PECOS PAC ID: 9537316575 Enrollment ID: I20130912000492 |
| Provider Name | Scott Lawrence Runyon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831356377 PECOS PAC ID: 9739323767 Enrollment ID: I20130913000094 |
| Provider Name | John T Lemm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487820833 PECOS PAC ID: 9537303565 Enrollment ID: I20130913000118 |
| Provider Name | Daniel Oh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821258765 PECOS PAC ID: 1153565932 Enrollment ID: I20130917000586 |
| Provider Name | Hilary C Bartholomew |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306081997 PECOS PAC ID: 0840434593 Enrollment ID: I20130918000718 |
| Provider Name | Michelle B Pavlis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104144625 PECOS PAC ID: 3375787641 Enrollment ID: I20130926000755 |
| Provider Name | Corey S Bolac |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730322975 PECOS PAC ID: 9234363516 Enrollment ID: I20130930000492 |
| Provider Name | Tara Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962663484 PECOS PAC ID: 8325272453 Enrollment ID: I20131003000508 |
| Provider Name | Lindsey L Brun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417209891 PECOS PAC ID: 5395979454 Enrollment ID: I20131004000186 |
| Provider Name | Alicia Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528280898 PECOS PAC ID: 5395984918 Enrollment ID: I20131011000519 |
| Provider Name | Martha S Aitken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295174498 PECOS PAC ID: 5698909232 Enrollment ID: I20131014001444 |
| Provider Name | Suzanne Dvergsten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629047089 PECOS PAC ID: 0840383246 Enrollment ID: I20131015000559 |
| Provider Name | Marisa C Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720127566 PECOS PAC ID: 4385531144 Enrollment ID: I20131015000660 |
| Provider Name | Lucy M Schenkman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447494760 PECOS PAC ID: 4587898093 Enrollment ID: I20131015002008 |
| Provider Name | Jennifer E Dominguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487803490 PECOS PAC ID: 7517192958 Enrollment ID: I20131021001020 |
| Provider Name | Adam D Devore |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1558560987 PECOS PAC ID: 5698807923 Enrollment ID: I20131021001539 |
| Provider Name | Laura Nastassja Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124455704 PECOS PAC ID: 8527293620 Enrollment ID: I20131025001444 |
| Provider Name | Sarah M Coppolino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174504609 PECOS PAC ID: 9335332931 Enrollment ID: I20131104001047 |
| Provider Name | Annabelle N Chua |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982626370 PECOS PAC ID: 8820018351 Enrollment ID: I20131106001882 |
| Provider Name | Lisa Anne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346675907 PECOS PAC ID: 5294960746 Enrollment ID: I20131108001277 |
| Provider Name | Vanessa T Schroder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396902466 PECOS PAC ID: 7618103102 Enrollment ID: I20131111000338 |
| Provider Name | Roshni I Mapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306907043 PECOS PAC ID: 8628204609 Enrollment ID: I20131121000972 |
| Provider Name | Vivian O Makar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962450478 PECOS PAC ID: 7719113687 Enrollment ID: I20131125000041 |
| Provider Name | Maxine L Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194780346 PECOS PAC ID: 2264446053 Enrollment ID: I20131125000212 |
| Provider Name | Meghann Nadine Toilolo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700223450 PECOS PAC ID: 9436385242 Enrollment ID: I20131127001235 |
| Provider Name | Eva M Mccann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114366101 PECOS PAC ID: 7810123502 Enrollment ID: I20131203000533 |
| Provider Name | Crista Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649610429 PECOS PAC ID: 5597992016 Enrollment ID: I20131209000344 |
| Provider Name | Emily H Sellars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831527696 PECOS PAC ID: 8921235110 Enrollment ID: I20131213001190 |
| Provider Name | Hillary Y Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093951691 PECOS PAC ID: 9830236926 Enrollment ID: I20131213001414 |
| Provider Name | Julie Diana Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770793085 PECOS PAC ID: 5799912929 Enrollment ID: I20131216000472 |
| Provider Name | Kyne M Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962468660 PECOS PAC ID: 7517194434 Enrollment ID: I20131219001944 |
| Provider Name | John W Sleasman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1366453201 PECOS PAC ID: 9436204831 Enrollment ID: I20131220001712 |
| Provider Name | Rebecca B Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164861118 PECOS PAC ID: 1557598273 Enrollment ID: I20131227001880 |
| Provider Name | Joshua a Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245267269 PECOS PAC ID: 1658509138 Enrollment ID: I20140107001166 |
| Provider Name | Richard D Lopez |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215961883 PECOS PAC ID: 4284806498 Enrollment ID: I20140108000118 |
| Provider Name | Jessica E Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194154328 PECOS PAC ID: 5991933194 Enrollment ID: I20140115001370 |
| Provider Name | Aylin Diaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427482066 PECOS PAC ID: 5799914594 Enrollment ID: I20140127000449 |
| Provider Name | Elizabeth W Mosley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710326608 PECOS PAC ID: 9032348586 Enrollment ID: I20140204001167 |
| Provider Name | Nicole R Peralta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457590044 PECOS PAC ID: 4082771357 Enrollment ID: I20140213001552 |
| Provider Name | Karyn Earle Barringer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669721536 PECOS PAC ID: 5496993735 Enrollment ID: I20140221000200 |
| Provider Name | Talal I Mousallem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487812749 PECOS PAC ID: 7517197379 Enrollment ID: I20140224001149 |
| Provider Name | Cynthia L Beam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679759781 PECOS PAC ID: 7214014273 Enrollment ID: I20140227001296 |
| Provider Name | Timothy James Amrhein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295900249 PECOS PAC ID: 7719134915 Enrollment ID: I20140305001013 |
| Provider Name | Meera Gandhi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225463144 PECOS PAC ID: 7618108507 Enrollment ID: I20140317002058 |
| Provider Name | Janel L Solanki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861649022 PECOS PAC ID: 2769559251 Enrollment ID: I20140320002133 |
| Provider Name | Elizabeth M Zechinati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093138802 PECOS PAC ID: 7113158841 Enrollment ID: I20140324000209 |
| Provider Name | Bryan a Carrico |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588095913 PECOS PAC ID: 1153552534 Enrollment ID: I20140327002237 |
| Provider Name | Kimberiey a Milliam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184045072 PECOS PAC ID: 6204067564 Enrollment ID: I20140329000379 |
| Provider Name | Lisa L Peoples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255305413 PECOS PAC ID: 1153553060 Enrollment ID: I20140408001213 |
| Provider Name | Jerod Andrew Schell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346663572 PECOS PAC ID: 5092947879 Enrollment ID: I20140409001240 |
| Provider Name | Jayson Mark Michnowicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811329816 PECOS PAC ID: 7810129491 Enrollment ID: I20140414001018 |
| Provider Name | Brittany Joelle Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831511575 PECOS PAC ID: 4385876788 Enrollment ID: I20140417002040 |
| Provider Name | John E Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447671177 PECOS PAC ID: 7911139274 Enrollment ID: I20140421000785 |
| Provider Name | Michael D Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013295948 PECOS PAC ID: 6406028042 Enrollment ID: I20140429001300 |
| Provider Name | Annemarie Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487741591 PECOS PAC ID: 7416085550 Enrollment ID: I20140505000005 |
| Provider Name | James M Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326006974 PECOS PAC ID: 0042287369 Enrollment ID: I20140505000965 |
| Provider Name | Caitlin J Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573656 PECOS PAC ID: 0749413375 Enrollment ID: I20140505002234 |
| Provider Name | Kimberlyn P Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861589277 PECOS PAC ID: 6901804079 Enrollment ID: I20140507000139 |
| Provider Name | Elaine Ann Schell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275846065 PECOS PAC ID: 4385824903 Enrollment ID: I20140507002270 |
| Provider Name | Krista E Stark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083036487 PECOS PAC ID: 7517180896 Enrollment ID: I20140514002073 |
| Provider Name | Fay J Tripp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437430493 PECOS PAC ID: 5092938464 Enrollment ID: I20140604000070 |
| Provider Name | Lars J Grimm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619110624 PECOS PAC ID: 5496979825 Enrollment ID: I20140605000147 |
| Provider Name | Eun Lee Langman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881821494 PECOS PAC ID: 0244454510 Enrollment ID: I20140609000307 |
| Provider Name | Carrie Lynn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174776157 PECOS PAC ID: 5799909800 Enrollment ID: I20140611001562 |
| Provider Name | Robert J Mentz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669670790 PECOS PAC ID: 8628292166 Enrollment ID: I20140624000803 |
| Provider Name | Steven Taxman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518151349 PECOS PAC ID: 3476777921 Enrollment ID: I20140624001112 |
| Provider Name | Shelley R Mcdonald |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922205517 PECOS PAC ID: 6103918545 Enrollment ID: I20140624001180 |
| Provider Name | Margaret Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457620718 PECOS PAC ID: 1951526425 Enrollment ID: I20140626000693 |
| Provider Name | Nicholas Said |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912169004 PECOS PAC ID: 3072753334 Enrollment ID: I20140626001214 |
| Provider Name | Grace M Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609092154 PECOS PAC ID: 9537212816 Enrollment ID: I20140626001808 |
| Provider Name | Justin a Crocker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447410394 PECOS PAC ID: 9335376102 Enrollment ID: I20140626002395 |
| Provider Name | Lindsay a Rein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457526659 PECOS PAC ID: 7416172853 Enrollment ID: I20140627001055 |
| Provider Name | Andrea G Udani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780828970 PECOS PAC ID: 6709001852 Enrollment ID: I20140702002180 |
| Provider Name | Laura C Page |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669762548 PECOS PAC ID: 4789809831 Enrollment ID: I20140702002250 |
| Provider Name | Karissa Gable |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801028790 PECOS PAC ID: 7517101439 Enrollment ID: I20140707001919 |
| Provider Name | Omobonike O Oloruntoba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548586977 PECOS PAC ID: 4981829975 Enrollment ID: I20140708000344 |
| Provider Name | David Isaias Ortiz Melo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306046776 PECOS PAC ID: 3375693203 Enrollment ID: I20140708000556 |
| Provider Name | Saritha M Vermeer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699907519 PECOS PAC ID: 6204051212 Enrollment ID: I20140708001000 |
| Provider Name | David Andrew D Alessio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871558817 PECOS PAC ID: 5193617140 Enrollment ID: I20140709001892 |
| Provider Name | Ankeet D Udani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689807331 PECOS PAC ID: 0143466953 Enrollment ID: I20140710002284 |
| Provider Name | Joseph G Mammarappallil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659514727 PECOS PAC ID: 2264657980 Enrollment ID: I20140711002041 |
| Provider Name | Jennifer I Morales |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487940300 PECOS PAC ID: 6002031739 Enrollment ID: I20140712000006 |
| Provider Name | Dilraj S Grewal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437460656 PECOS PAC ID: 6709001456 Enrollment ID: I20140714000675 |
| Provider Name | Joann J Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215995899 PECOS PAC ID: 7719872910 Enrollment ID: I20140714001121 |
| Provider Name | Jason Thomas Tischer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588769103 PECOS PAC ID: 0345337440 Enrollment ID: I20140714002343 |
| Provider Name | Keri a Seymour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952565665 PECOS PAC ID: 6305061995 Enrollment ID: I20140716000992 |
| Provider Name | Cara L Gambill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659398014 PECOS PAC ID: 6800882077 Enrollment ID: I20140718001927 |
| Provider Name | Matthew G Rein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134393200 PECOS PAC ID: 4789800152 Enrollment ID: I20140721000333 |
| Provider Name | William S Yancy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598851974 PECOS PAC ID: 1759507023 Enrollment ID: I20140722001636 |
| Provider Name | Krista L Lebron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922429000 PECOS PAC ID: 1951527811 Enrollment ID: I20140729002841 |
| Provider Name | Jessica Tripp Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427485960 PECOS PAC ID: 5597981407 Enrollment ID: I20140730001453 |
| Provider Name | Rachel T Cosolito |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124448758 PECOS PAC ID: 2567688302 Enrollment ID: I20140730002672 |
| Provider Name | Rebecca L Donohoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811287774 PECOS PAC ID: 9830316231 Enrollment ID: I20140807002668 |
| Provider Name | Alexander C Allori |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316948532 PECOS PAC ID: 9133362858 Enrollment ID: I20140812000319 |
| Provider Name | Elizabeth S Umar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134532526 PECOS PAC ID: 3274750468 Enrollment ID: I20140812001579 |
| Provider Name | Sarah Dotters Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770808537 PECOS PAC ID: 6901023126 Enrollment ID: I20140812002588 |
| Provider Name | Pinar Gumus Balikcioglu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619269537 PECOS PAC ID: 7214154343 Enrollment ID: I20140813000390 |
| Provider Name | Samuel J Francis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891086781 PECOS PAC ID: 2466679592 Enrollment ID: I20140813000531 |
| Provider Name | Lu W Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295052348 PECOS PAC ID: 5092932194 Enrollment ID: I20140813002853 |
| Provider Name | Jennifer Elaine Oxley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730501792 PECOS PAC ID: 0648497669 Enrollment ID: I20140814000814 |
| Provider Name | Coral Xantia Giovacchini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598081986 PECOS PAC ID: 6103043930 Enrollment ID: I20140818002763 |
| Provider Name | Benjamin F Redmon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457671711 PECOS PAC ID: 2466679253 Enrollment ID: I20140819002143 |
| Provider Name | Teah M Bayless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346567468 PECOS PAC ID: 2668690173 Enrollment ID: I20140825002801 |
| Provider Name | Yubin Kang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205046927 PECOS PAC ID: 3072647650 Enrollment ID: I20140828000171 |
| Provider Name | Candace Parks Passaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457763245 PECOS PAC ID: 3678791944 Enrollment ID: I20140828000306 |
| Provider Name | Niharika B Mettu |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1447427737 PECOS PAC ID: 2264650399 Enrollment ID: I20140902001132 |
| Provider Name | Justin Keith Bruce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912946245 PECOS PAC ID: 9638153943 Enrollment ID: I20140904002424 |
| Provider Name | Melissa Maria Erickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730356056 PECOS PAC ID: 2466622717 Enrollment ID: I20140910001058 |
| Provider Name | Jessica a K Shields |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427475839 PECOS PAC ID: 9032338637 Enrollment ID: I20140912002053 |
| Provider Name | Elizabeth B Malinzak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194967497 PECOS PAC ID: 6608095187 Enrollment ID: I20140916000105 |
| Provider Name | Kamrouz Ghadimi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346510682 PECOS PAC ID: 5092982579 Enrollment ID: I20140917001304 |
| Provider Name | Joel Stoia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518902824 PECOS PAC ID: 5092708537 Enrollment ID: I20140918000599 |
| Provider Name | Allan Douglas Kirk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306925409 PECOS PAC ID: 2961594247 Enrollment ID: I20140919000889 |
| Provider Name | Dorothy Anna Sipkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225191737 PECOS PAC ID: 5890701627 Enrollment ID: I20140919002242 |
| Provider Name | Marlo Reyleen Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285982124 PECOS PAC ID: 0143449207 Enrollment ID: I20140923000323 |
| Provider Name | Alan D Moses |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417058934 PECOS PAC ID: 1850398009 Enrollment ID: I20140924000522 |
| Provider Name | Richard Joseph Obrien |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346297306 PECOS PAC ID: 5991836579 Enrollment ID: I20140924000721 |
| Provider Name | Jeffrey Ward Cooney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235450396 PECOS PAC ID: 9931328127 Enrollment ID: I20140926000816 |
| Provider Name | Casey Bayliss Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285041053 PECOS PAC ID: 4688894561 Enrollment ID: I20140926000967 |
| Provider Name | Kristin Schroeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376747105 PECOS PAC ID: 1254551153 Enrollment ID: I20140926001719 |
| Provider Name | Jeffrey C Gadsden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376605063 PECOS PAC ID: 4587767579 Enrollment ID: I20141001000668 |
| Provider Name | Neel G Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457671901 PECOS PAC ID: 0143440875 Enrollment ID: I20141001001308 |
| Provider Name | Andrew Francis Leigh Gross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730322843 PECOS PAC ID: 4486895224 Enrollment ID: I20141006000344 |
| Provider Name | Gary Y Liao |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275823569 PECOS PAC ID: 4981824372 Enrollment ID: I20141007001778 |
| Provider Name | Keisha-gaye N O'garo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639378672 PECOS PAC ID: 3870714827 Enrollment ID: I20141016001624 |
| Provider Name | Hakim Azfar Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942412416 PECOS PAC ID: 8325107840 Enrollment ID: I20141017000761 |
| Provider Name | Jon F Faigle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851791107 PECOS PAC ID: 0244451144 Enrollment ID: I20141017001085 |
| Provider Name | Elizabeth M Rooney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942619960 PECOS PAC ID: 3971724808 Enrollment ID: I20141017002325 |
| Provider Name | Ann M Reed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437129491 PECOS PAC ID: 9830143593 Enrollment ID: I20141103002176 |
| Provider Name | Sana Arif |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326201724 PECOS PAC ID: 0941443816 Enrollment ID: I20141105000719 |
| Provider Name | Jeremiah J Olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477969616 PECOS PAC ID: 7618199035 Enrollment ID: I20141119000301 |
| Provider Name | Allison Gilboy Pereklita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225444847 PECOS PAC ID: 8426270786 Enrollment ID: I20141121000444 |
| Provider Name | Afreen I Shariff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699061796 PECOS PAC ID: 8921320953 Enrollment ID: I20141202002479 |
| Provider Name | Wuwei Feng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497836076 PECOS PAC ID: 9739358433 Enrollment ID: I20141203001899 |
| Provider Name | Melody Anita Baldwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043536907 PECOS PAC ID: 6204158942 Enrollment ID: I20141208000623 |
| Provider Name | Yeshu Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235547241 PECOS PAC ID: 4688996341 Enrollment ID: I20141208001438 |
| Provider Name | Kelly J Walewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316087463 PECOS PAC ID: 1052488863 Enrollment ID: I20141210002263 |
| Provider Name | Linda Carime Cendales |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1396937561 PECOS PAC ID: 5092873588 Enrollment ID: I20141212002055 |
| Provider Name | Jereme Lyndon Dame |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831519123 PECOS PAC ID: 2961725171 Enrollment ID: I20141219000500 |
| Provider Name | Jill Trisha Gregory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851706642 PECOS PAC ID: 3274856430 Enrollment ID: I20141220000117 |
| Provider Name | Daniel J Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316267883 PECOS PAC ID: 4183885510 Enrollment ID: I20141230000040 |
| Provider Name | Brandi N Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649685785 PECOS PAC ID: 1355664012 Enrollment ID: I20150105000530 |
| Provider Name | Kristen K Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518382332 PECOS PAC ID: 3476876020 Enrollment ID: I20150106001978 |
| Provider Name | Lindsay Anne Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948489 PECOS PAC ID: 3476877788 Enrollment ID: I20150114002480 |
| Provider Name | Robert L Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780085357 PECOS PAC ID: 1658695911 Enrollment ID: I20150115001997 |
| Provider Name | Kasey a Savage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770903247 PECOS PAC ID: 9032433164 Enrollment ID: I20150121000926 |
| Provider Name | Christine S Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053714006 PECOS PAC ID: 1153645106 Enrollment ID: I20150121001979 |
| Provider Name | Joan Jasien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881865566 PECOS PAC ID: 4688824634 Enrollment ID: I20150127001879 |
| Provider Name | Brittany a Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245469162 PECOS PAC ID: 5294059903 Enrollment ID: I20150128000621 |
| Provider Name | Jessica L Poisson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518128511 PECOS PAC ID: 5294961033 Enrollment ID: I20150129002242 |
| Provider Name | Sara S Mazzarelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497183156 PECOS PAC ID: 9537398946 Enrollment ID: I20150205002628 |
| Provider Name | Audrey Eh Metz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316237118 PECOS PAC ID: 8224353008 Enrollment ID: I20150219001441 |
| Provider Name | Stacey B Tamhankar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356487581 PECOS PAC ID: 6204000268 Enrollment ID: I20150220002041 |
| Provider Name | Kirk Shane Russell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912075631 PECOS PAC ID: 2860583937 Enrollment ID: I20150224001511 |
| Provider Name | Thomas L Novick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518993674 PECOS PAC ID: 1052637428 Enrollment ID: I20150302000832 |
| Provider Name | Benjamin D Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184059214 PECOS PAC ID: 1557598588 Enrollment ID: I20150304000295 |
| Provider Name | Janice B Woodard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063801173 PECOS PAC ID: 2961728290 Enrollment ID: I20150304002031 |
| Provider Name | Thorsten M Seyler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801022520 PECOS PAC ID: 5395061592 Enrollment ID: I20150305002244 |
| Provider Name | Jessica a Zimmerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326437153 PECOS PAC ID: 2860718806 Enrollment ID: I20150310000737 |
| Provider Name | Regenia Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952654311 PECOS PAC ID: 4981920964 Enrollment ID: I20150310002192 |
| Provider Name | Danielle E Range |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962587980 PECOS PAC ID: 4082613880 Enrollment ID: I20150316002034 |
| Provider Name | Ehimemen O Iboaya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083626402 PECOS PAC ID: 7810166105 Enrollment ID: I20150318002000 |
| Provider Name | Kristina M Eilbacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164708558 PECOS PAC ID: 4183948714 Enrollment ID: I20150319000788 |
| Provider Name | Stuart J Knechtle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013971670 PECOS PAC ID: 2668548868 Enrollment ID: I20150324001043 |
| Provider Name | Kendra Joy Modell Parrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629259254 PECOS PAC ID: 8325296080 Enrollment ID: I20150324001775 |
| Provider Name | Tricia E Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093909418 PECOS PAC ID: 3678658887 Enrollment ID: I20150324001786 |
| Provider Name | Julie Elizabeth Rockefeller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184811663 PECOS PAC ID: 4587981774 Enrollment ID: I20150327000783 |
| Provider Name | Jennifer I Sherwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053602805 PECOS PAC ID: 5597082685 Enrollment ID: I20150330001934 |
| Provider Name | Alexandra F Covington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710378039 PECOS PAC ID: 3476871062 Enrollment ID: I20150410000901 |
| Provider Name | Kristen V Dicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235372822 PECOS PAC ID: 7315265584 Enrollment ID: I20150420001100 |
| Provider Name | Mindi Holt Ramsey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962893164 PECOS PAC ID: 4981922192 Enrollment ID: I20150420002192 |
| Provider Name | Shira H Moss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760734669 PECOS PAC ID: 2264684448 Enrollment ID: I20150421002698 |
| Provider Name | Rachel E Aiello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700286010 PECOS PAC ID: 5991023087 Enrollment ID: I20150422000863 |
| Provider Name | Dhanesh Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245294479 PECOS PAC ID: 7214931260 Enrollment ID: I20150427002505 |
| Provider Name | Charlene Lillian James |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386873917 PECOS PAC ID: 9032393913 Enrollment ID: I20150508000487 |
| Provider Name | Marwa a Massry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023408168 PECOS PAC ID: 6709106552 Enrollment ID: I20150519002597 |
| Provider Name | Christopher Eckstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003023201 PECOS PAC ID: 4183818925 Enrollment ID: I20150601001851 |
| Provider Name | Ernestine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588057137 PECOS PAC ID: 0749501864 Enrollment ID: I20150602000186 |
| Provider Name | Laura a Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677931 PECOS PAC ID: 4587985494 Enrollment ID: I20150603003154 |
| Provider Name | Jenna N Brothers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407278146 PECOS PAC ID: 9436470218 Enrollment ID: I20150604002102 |
| Provider Name | Emma C Rossi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1215198080 PECOS PAC ID: 3678744190 Enrollment ID: I20150605001117 |
| Provider Name | Tanaya Patel Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619017811 PECOS PAC ID: 9234036955 Enrollment ID: I20150605002511 |
| Provider Name | Nancy Lee Zucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023192903 PECOS PAC ID: 5890006050 Enrollment ID: I20150616000297 |
| Provider Name | Sarit Vaserman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154725604 PECOS PAC ID: 9234440165 Enrollment ID: I20150618003058 |
| Provider Name | Armando D Bedoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924563 PECOS PAC ID: 6406167246 Enrollment ID: I20150619000545 |
| Provider Name | Laura K Overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366838047 PECOS PAC ID: 1850602319 Enrollment ID: I20150624002284 |
| Provider Name | Philip H Spotts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619932795 PECOS PAC ID: 0648329003 Enrollment ID: I20150630001615 |
| Provider Name | Joshua P Spaete |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730342239 PECOS PAC ID: 1951613140 Enrollment ID: I20150630002621 |
| Provider Name | Amanda Renee Wells Galluppi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306235429 PECOS PAC ID: 1052623204 Enrollment ID: I20150701001185 |
| Provider Name | Shaina Rose Eckhouse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164683025 PECOS PAC ID: 3072734599 Enrollment ID: I20150701001223 |
| Provider Name | Rebecca Lynne Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215330121 PECOS PAC ID: 8527370618 Enrollment ID: I20150701002822 |
| Provider Name | Matthew William Luedke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144541541 PECOS PAC ID: 6507178449 Enrollment ID: I20150706002277 |
| Provider Name | John Roberts |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912149931 PECOS PAC ID: 4587976485 Enrollment ID: I20150707001291 |
| Provider Name | Michael R Pietak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811209406 PECOS PAC ID: 0345552196 Enrollment ID: I20150707003193 |
| Provider Name | Kathryn L Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275960692 PECOS PAC ID: 5890921720 Enrollment ID: I20150709002457 |
| Provider Name | Stacey T Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740677277 PECOS PAC ID: 4385956853 Enrollment ID: I20150713000625 |
| Provider Name | Anne Stephano Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295113579 PECOS PAC ID: 4981917135 Enrollment ID: I20150717000785 |
| Provider Name | Danielle King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184013294 PECOS PAC ID: 6608189428 Enrollment ID: I20150722003919 |
| Provider Name | Sean D Pokorney |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124282413 PECOS PAC ID: 9739492380 Enrollment ID: I20150724012074 |
| Provider Name | Carly Elizabeth Kelley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447494281 PECOS PAC ID: 2961716840 Enrollment ID: I20150805009331 |
| Provider Name | Joanne R Bussey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700845021 PECOS PAC ID: 6002809308 Enrollment ID: I20150810002320 |
| Provider Name | Rebecca Y Klinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063738763 PECOS PAC ID: 7719292358 Enrollment ID: I20150812006474 |
| Provider Name | Tina D Tailor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225352982 PECOS PAC ID: 1850606427 Enrollment ID: I20150812007416 |
| Provider Name | Erin H Weant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740619584 PECOS PAC ID: 5193941565 Enrollment ID: I20150813009781 |
| Provider Name | Michael Salter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841553864 PECOS PAC ID: 5395050629 Enrollment ID: I20150817000909 |
| Provider Name | Kelsey Blaine Rouse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033591995 PECOS PAC ID: 5496060444 Enrollment ID: I20150819008952 |
| Provider Name | Alexandra Megan Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720472400 PECOS PAC ID: 1254646078 Enrollment ID: I20150821014114 |
| Provider Name | Patrick J Codd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770742314 PECOS PAC ID: 8527226307 Enrollment ID: I20150821014163 |
| Provider Name | Brian D Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053507731 PECOS PAC ID: 9931364460 Enrollment ID: I20150824000747 |
| Provider Name | Maryellen S Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609181254 PECOS PAC ID: 5294929964 Enrollment ID: I20150825005437 |
| Provider Name | Elizabeth a Kearney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942436118 PECOS PAC ID: 0042457129 Enrollment ID: I20150827002460 |
| Provider Name | Kimberly Ann Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194106989 PECOS PAC ID: 4880900141 Enrollment ID: I20150901001341 |
| Provider Name | J Todd Purves |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952508947 PECOS PAC ID: 8527135904 Enrollment ID: I20150909002939 |
| Provider Name | David a Leiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558596403 PECOS PAC ID: 6103133046 Enrollment ID: I20150909003349 |
| Provider Name | Joseph a Camarato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306107883 PECOS PAC ID: 7810139896 Enrollment ID: I20150915000220 |
| Provider Name | Arturo Suarez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619106036 PECOS PAC ID: 4385669878 Enrollment ID: I20150916002263 |
| Provider Name | Daniel Douglas Kovacs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649590217 PECOS PAC ID: 5890912802 Enrollment ID: I20150921001444 |
| Provider Name | Rebecca S Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831581610 PECOS PAC ID: 3274840228 Enrollment ID: I20150923002297 |
| Provider Name | Xi Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144515834 PECOS PAC ID: 9638332265 Enrollment ID: I20150924002283 |
| Provider Name | Lindsay Y King |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013054477 PECOS PAC ID: 3971655523 Enrollment ID: I20150924002528 |
| Provider Name | Brian R Kincaid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912223488 PECOS PAC ID: 4183932130 Enrollment ID: I20150924002758 |
| Provider Name | Reid C Chamberlain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053677286 PECOS PAC ID: 0143538066 Enrollment ID: I20150925002416 |
| Provider Name | Jayanth R Doss |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699936302 PECOS PAC ID: 3274701370 Enrollment ID: I20150928002036 |
| Provider Name | Andrea Szematowicz Hartzell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770966764 PECOS PAC ID: 8224346028 Enrollment ID: I20150928002494 |
| Provider Name | Divakar Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225353626 PECOS PAC ID: 1658595988 Enrollment ID: I20150928003003 |
| Provider Name | Cerrone a Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619297579 PECOS PAC ID: 7315255163 Enrollment ID: I20150929001108 |
| Provider Name | Michelle M Schneider |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568762003 PECOS PAC ID: 7517275274 Enrollment ID: I20150929001777 |
| Provider Name | Jennifer Ann Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821397209 PECOS PAC ID: 9032396197 Enrollment ID: I20151002001760 |
| Provider Name | Matthew Ramseur Mcdaniel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043535651 PECOS PAC ID: 3971728031 Enrollment ID: I20151002002469 |
| Provider Name | Richard Andrew Krasuski |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1205921954 PECOS PAC ID: 8628009909 Enrollment ID: I20151006002195 |
| Provider Name | Nicola M Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194815688 PECOS PAC ID: 0840326385 Enrollment ID: I20151006002341 |
| Provider Name | Laura Nasrallah Doss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518193838 PECOS PAC ID: 9032427281 Enrollment ID: I20151007003010 |
| Provider Name | John Patrick Hemming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649412016 PECOS PAC ID: 9931355021 Enrollment ID: I20151012000711 |
| Provider Name | Stephanie Jones Duke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487763017 PECOS PAC ID: 5991758641 Enrollment ID: I20151012001559 |
| Provider Name | Elizabeth L Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487886776 PECOS PAC ID: 0143344325 Enrollment ID: I20151013001461 |
| Provider Name | Yasmin Maisonave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881902856 PECOS PAC ID: 7113236928 Enrollment ID: I20151019000602 |
| Provider Name | Robert K Lewis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164542221 PECOS PAC ID: 3173743887 Enrollment ID: I20151019000667 |
| Provider Name | Bethany E Beasley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679868020 PECOS PAC ID: 3072750637 Enrollment ID: I20151019000877 |
| Provider Name | Erin R Leiman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154584159 PECOS PAC ID: 8820266810 Enrollment ID: I20151019002450 |
| Provider Name | Karen Chachu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871727396 PECOS PAC ID: 6507175247 Enrollment ID: I20151021000689 |
| Provider Name | Harvey G Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154359354 PECOS PAC ID: 4385609841 Enrollment ID: I20151021002619 |
| Provider Name | Cory Vatsaas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538317565 PECOS PAC ID: 8729233093 Enrollment ID: I20151023000246 |
| Provider Name | Hannah E Heet |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720403975 PECOS PAC ID: 7315256757 Enrollment ID: I20151026000733 |
| Provider Name | Brian Keith Hinchman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588710669 PECOS PAC ID: 6103823588 Enrollment ID: I20151028002023 |
| Provider Name | Annunziato Amendola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043202419 PECOS PAC ID: 4880653047 Enrollment ID: I20151028003047 |
| Provider Name | Elizabeth a Nichols |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508158528 PECOS PAC ID: 2668612425 Enrollment ID: I20151029001560 |
| Provider Name | Neil D Ray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932419116 PECOS PAC ID: 6406087642 Enrollment ID: I20151102001053 |
| Provider Name | Yuriy S Bronshteyn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477873842 PECOS PAC ID: 3072789973 Enrollment ID: I20151113000416 |
| Provider Name | Jaclyn M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477920247 PECOS PAC ID: 3870803232 Enrollment ID: I20151116000349 |
| Provider Name | Monica E Lemmon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144463993 PECOS PAC ID: 9739338112 Enrollment ID: I20151116001682 |
| Provider Name | Michael T Stang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285830604 PECOS PAC ID: 7214002872 Enrollment ID: I20151118001687 |
| Provider Name | Lori Durham Stiegemeier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699090159 PECOS PAC ID: 7315247426 Enrollment ID: I20151121000251 |
| Provider Name | Christopher L Holley |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033246764 PECOS PAC ID: 8921107491 Enrollment ID: I20151123000270 |
| Provider Name | Christina Geltz Dowdall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205217478 PECOS PAC ID: 6103126164 Enrollment ID: I20151123001807 |
| Provider Name | Sarah L Curry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548639602 PECOS PAC ID: 1759681745 Enrollment ID: I20151123002959 |
| Provider Name | Catherine F Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790160745 PECOS PAC ID: 8527368448 Enrollment ID: I20151128000012 |
| Provider Name | Marcus Anthony Zurawski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700267101 PECOS PAC ID: 5890095665 Enrollment ID: I20151201000007 |
| Provider Name | Nedra Miller Hood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952783201 PECOS PAC ID: 8426358227 Enrollment ID: I20151201001011 |
| Provider Name | Dennis Ray Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184006470 PECOS PAC ID: 9234439043 Enrollment ID: I20151201001103 |
| Provider Name | Mcallister Windom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003172321 PECOS PAC ID: 8022318831 Enrollment ID: I20151201001192 |
| Provider Name | Todd M Mcveigh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801264049 PECOS PAC ID: 1951601558 Enrollment ID: I20151203003407 |
| Provider Name | Sameer S Kamath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205040813 PECOS PAC ID: 4789754425 Enrollment ID: I20151204000557 |
| Provider Name | Huiwen B Xie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760412662 PECOS PAC ID: 5698756294 Enrollment ID: I20151207002870 |
| Provider Name | William M Bullock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407172455 PECOS PAC ID: 5092016287 Enrollment ID: I20151211001652 |
| Provider Name | Andrew Randall Newsome |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366823726 PECOS PAC ID: 1850692054 Enrollment ID: I20151211002407 |
| Provider Name | Lynnetta M Shoop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255728200 PECOS PAC ID: 8820399033 Enrollment ID: I20151214000038 |
| Provider Name | John J Poggi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083692396 PECOS PAC ID: 2567556871 Enrollment ID: I20151214002714 |
| Provider Name | Tricia Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982072286 PECOS PAC ID: 0749581841 Enrollment ID: I20151215000573 |
| Provider Name | Teresa Marie Clayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972900926 PECOS PAC ID: 6608177688 Enrollment ID: I20151216001290 |
| Provider Name | Sarah H Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124402508 PECOS PAC ID: 8628379369 Enrollment ID: I20151222000917 |
| Provider Name | Lesley Cutler Hodges |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164802849 PECOS PAC ID: 3678874377 Enrollment ID: I20151222002925 |
| Provider Name | Anne Marie Harbour-tonn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588713044 PECOS PAC ID: 8325349921 Enrollment ID: I20151228001214 |
| Provider Name | Kyle Kirkland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770954901 PECOS PAC ID: 6901107481 Enrollment ID: I20151229001946 |
| Provider Name | Krysta M Lindley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598133365 PECOS PAC ID: 8628370061 Enrollment ID: I20151231001384 |
| Provider Name | Elizabeth Innes Deans Thomason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205068723 PECOS PAC ID: 1456599356 Enrollment ID: I20160105001533 |
| Provider Name | Shelly G Kutchma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790054468 PECOS PAC ID: 7315249430 Enrollment ID: I20160106002650 |
| Provider Name | Melissa B List |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164563912 PECOS PAC ID: 9739101064 Enrollment ID: I20160106002889 |
| Provider Name | Ravi K Jasti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144649146 PECOS PAC ID: 3476855412 Enrollment ID: I20160107000734 |
| Provider Name | Scott R Floyd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699746974 PECOS PAC ID: 6608976626 Enrollment ID: I20160107001985 |
| Provider Name | Sarah E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326374208 PECOS PAC ID: 3173748050 Enrollment ID: I20160112001938 |
| Provider Name | Samantha Wennerberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083859482 PECOS PAC ID: 4486960184 Enrollment ID: I20160126001903 |
| Provider Name | Carolina Rosser Dimsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144691726 PECOS PAC ID: 5991008856 Enrollment ID: I20160127000415 |
| Provider Name | Andrew D Mcgraw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033589577 PECOS PAC ID: 0042514721 Enrollment ID: I20160201002920 |
| Provider Name | Jiaoti Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518987965 PECOS PAC ID: 9537263322 Enrollment ID: I20160204000908 |
| Provider Name | Christina Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508140179 PECOS PAC ID: 5698079812 Enrollment ID: I20160209001991 |
| Provider Name | Alicia L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679945687 PECOS PAC ID: 2365746476 Enrollment ID: I20160210002363 |
| Provider Name | Candace Jackson Moody |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619332152 PECOS PAC ID: 1355645219 Enrollment ID: I20160212001802 |
| Provider Name | Roman T Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407101868 PECOS PAC ID: 1355566068 Enrollment ID: I20160219001903 |
| Provider Name | Harleen Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689983512 PECOS PAC ID: 8325363146 Enrollment ID: I20160223001217 |
| Provider Name | Paula Suzanne Kennedy-newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235500893 PECOS PAC ID: 9830494277 Enrollment ID: I20160224000156 |
| Provider Name | Ashley Darroch Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669847489 PECOS PAC ID: 0840595898 Enrollment ID: I20160229002097 |
| Provider Name | Elda Lambert Fisher |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306042122 PECOS PAC ID: 9830494723 Enrollment ID: I20160302000765 |
| Provider Name | Benita Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780056390 PECOS PAC ID: 4880990696 Enrollment ID: I20160303002523 |
| Provider Name | Stacy Cowherd Telloni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922241165 PECOS PAC ID: 4082910831 Enrollment ID: I20160304001175 |
| Provider Name | Stacy Marie Head |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770598203 PECOS PAC ID: 6507162278 Enrollment ID: I20160307000115 |
| Provider Name | Margaret G Leddy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629043724 PECOS PAC ID: 4183639339 Enrollment ID: I20160307001078 |
| Provider Name | Tifi Otto Toilolo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295107126 PECOS PAC ID: 6204132905 Enrollment ID: I20160307001147 |
| Provider Name | Rayleen Cassidy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407276751 PECOS PAC ID: 3274839931 Enrollment ID: I20160308000174 |
| Provider Name | Christopher Brice Boelter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821463167 PECOS PAC ID: 8022314525 Enrollment ID: I20160309001744 |
| Provider Name | James E Knutson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144485707 PECOS PAC ID: 9335381870 Enrollment ID: I20160311002022 |
| Provider Name | Mara Rivera Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902858673 PECOS PAC ID: 3577574854 Enrollment ID: I20160317002233 |
| Provider Name | Cherese S Infinito |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780092601 PECOS PAC ID: 0941507909 Enrollment ID: I20160318001383 |
| Provider Name | Katherine Elizabeth Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871967919 PECOS PAC ID: 5294032108 Enrollment ID: I20160321000817 |
| Provider Name | Ann Renee Collier |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891863411 PECOS PAC ID: 4587766506 Enrollment ID: I20160322000511 |
| Provider Name | Julia Power Constant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609241736 PECOS PAC ID: 3072810753 Enrollment ID: I20160323001495 |
| Provider Name | Delethia Lemar Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861864324 PECOS PAC ID: 8820395429 Enrollment ID: I20160325000717 |
| Provider Name | Irene Galang Abella |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912371162 PECOS PAC ID: 0143527697 Enrollment ID: I20160328001652 |
| Provider Name | Heather H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497072169 PECOS PAC ID: 8426355934 Enrollment ID: I20160329001496 |
| Provider Name | Erika Gonzalez Curtis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760854129 PECOS PAC ID: 0042518136 Enrollment ID: I20160405001974 |
| Provider Name | Jennifer H Norris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336506575 PECOS PAC ID: 7911205075 Enrollment ID: I20160406001437 |
| Provider Name | Clifford Daub |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033261060 PECOS PAC ID: 1557347820 Enrollment ID: I20160412002028 |
| Provider Name | Rachel Ann Miller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720076250 PECOS PAC ID: 4284761156 Enrollment ID: I20160412002867 |
| Provider Name | Eunjin Lynn Park |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407226749 PECOS PAC ID: 5294033593 Enrollment ID: I20160420001445 |
| Provider Name | Jennifer S Vonderau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720420904 PECOS PAC ID: 4385878313 Enrollment ID: I20160425001837 |
| Provider Name | Colette Swevia Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063796340 PECOS PAC ID: 0941442867 Enrollment ID: I20160426000134 |
| Provider Name | Blair H Busby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124488689 PECOS PAC ID: 9931408853 Enrollment ID: I20160427002162 |
| Provider Name | Jennifer L Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710304886 PECOS PAC ID: 5890910673 Enrollment ID: I20160502002064 |
| Provider Name | Meredith Deal Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346602943 PECOS PAC ID: 0648569525 Enrollment ID: I20160516002241 |
| Provider Name | Arthur Wakefield Baker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730347139 PECOS PAC ID: 6305023896 Enrollment ID: I20160519000087 |
| Provider Name | Caitlyn Mooneyham Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104271030 PECOS PAC ID: 7315236064 Enrollment ID: I20160519000107 |
| Provider Name | Aparna Chandra Swaminathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235496282 PECOS PAC ID: 8729377411 Enrollment ID: I20160519001307 |
| Provider Name | Jaclyn Horne Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477914000 PECOS PAC ID: 6204125925 Enrollment ID: I20160519002104 |
| Provider Name | Gregory E Alexander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376536318 PECOS PAC ID: 9436131992 Enrollment ID: I20160523002687 |
| Provider Name | Matthew Robert Kappus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235365297 PECOS PAC ID: 0648428953 Enrollment ID: I20160525002175 |
| Provider Name | Amit Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730400268 PECOS PAC ID: 1254560782 Enrollment ID: I20160602000020 |
| Provider Name | Jordan Mckenzie-solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003270042 PECOS PAC ID: 4385934082 Enrollment ID: I20160609000014 |
| Provider Name | Alyson Mcghan Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962778118 PECOS PAC ID: 6800186511 Enrollment ID: I20160609000429 |
| Provider Name | Jennifer Rymer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134410566 PECOS PAC ID: 2961792510 Enrollment ID: I20160609001901 |
| Provider Name | Sarah L Tallent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528408929 PECOS PAC ID: 2567752025 Enrollment ID: I20160613000863 |
| Provider Name | James Lance Mcghee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972958734 PECOS PAC ID: 1456642941 Enrollment ID: I20160613002169 |
| Provider Name | Christian Blake Cameron |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245556877 PECOS PAC ID: 8022311166 Enrollment ID: I20160614002272 |
| Provider Name | Sidney M Gospe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790048155 PECOS PAC ID: 3971894106 Enrollment ID: I20160620001195 |
| Provider Name | James Spencer Clayton Ronald |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417262080 PECOS PAC ID: 6305137969 Enrollment ID: I20160629000821 |
| Provider Name | Eileen T Chambers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952437501 PECOS PAC ID: 6103924402 Enrollment ID: I20160706001669 |
| Provider Name | Autumn Kirsten Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073931168 PECOS PAC ID: 2961794235 Enrollment ID: I20160706001899 |
| Provider Name | Erik F Hauck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952505521 PECOS PAC ID: 2163559592 Enrollment ID: I20160707000042 |
| Provider Name | Leah Christine Hawkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548629967 PECOS PAC ID: 6305138439 Enrollment ID: I20160712000104 |
| Provider Name | Margareta Ann Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629424858 PECOS PAC ID: 9436441318 Enrollment ID: I20160713002167 |
| Provider Name | Gregory Daniel Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881984094 PECOS PAC ID: 0244522043 Enrollment ID: I20160715000253 |
| Provider Name | James William Wisler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922242882 PECOS PAC ID: 6800188525 Enrollment ID: I20160715001290 |
| Provider Name | Ian C Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740578483 PECOS PAC ID: 5496058026 Enrollment ID: I20160720001738 |
| Provider Name | Christopher J Vail |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922155852 PECOS PAC ID: 8628293313 Enrollment ID: I20160721001784 |
| Provider Name | Michelle Christine Mcghee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184073918 PECOS PAC ID: 5991098279 Enrollment ID: I20160725000860 |
| Provider Name | Benjamin Scott Oberman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699069807 PECOS PAC ID: 2163715327 Enrollment ID: I20160726000524 |
| Provider Name | Larry Ronald Jackson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023285582 PECOS PAC ID: 9830482991 Enrollment ID: I20160727000246 |
| Provider Name | Sophie K Shaikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598007866 PECOS PAC ID: 0345533121 Enrollment ID: I20160802000242 |
| Provider Name | Nazish K Hashmi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982938288 PECOS PAC ID: 7315231164 Enrollment ID: I20160802002423 |
| Provider Name | Megan Elizabeth Reller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073614897 PECOS PAC ID: 7416923792 Enrollment ID: I20160802002832 |
| Provider Name | Sophie W Galson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649618000 PECOS PAC ID: 7315231008 Enrollment ID: I20160803000718 |
| Provider Name | Darin Lyn Dufault |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972824787 PECOS PAC ID: 2466670245 Enrollment ID: I20160803002676 |
| Provider Name | William Jonathan Dunkman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558595306 PECOS PAC ID: 4183855414 Enrollment ID: I20160808000114 |
| Provider Name | Ammon Milton Fager |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1245557594 PECOS PAC ID: 3779877188 Enrollment ID: I20160808002548 |
| Provider Name | Julian T Hertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891138921 PECOS PAC ID: 9931419686 Enrollment ID: I20160810000216 |
| Provider Name | Zachary F Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407147275 PECOS PAC ID: 0345482949 Enrollment ID: I20160811001671 |
| Provider Name | Lauren N Fay |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225486517 PECOS PAC ID: 4587958533 Enrollment ID: I20160815000338 |
| Provider Name | Nia Schwann Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235276510 PECOS PAC ID: 3678761962 Enrollment ID: I20160815000500 |
| Provider Name | Alan Sotelo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306256599 PECOS PAC ID: 4587880182 Enrollment ID: I20160815000529 |
| Provider Name | Amy Tammenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194196477 PECOS PAC ID: 6406140466 Enrollment ID: I20160815000622 |
| Provider Name | Rebecca Victoria Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023300589 PECOS PAC ID: 3274758743 Enrollment ID: I20160815002503 |
| Provider Name | Siddharth D Sata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366735433 PECOS PAC ID: 4981998853 Enrollment ID: I20160816001388 |
| Provider Name | Majda Hadziahmetovic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972853695 PECOS PAC ID: 1254626187 Enrollment ID: I20160817000743 |
| Provider Name | Stephanie Nicole Brogdon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003278953 PECOS PAC ID: 0143515023 Enrollment ID: I20160817002291 |
| Provider Name | Luke a Kinsinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407172836 PECOS PAC ID: 6709192594 Enrollment ID: I20160818000555 |
| Provider Name | Erica S Peethumnongsin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467712448 PECOS PAC ID: 6103041504 Enrollment ID: I20160819001436 |
| Provider Name | William Andrew Morrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871954115 PECOS PAC ID: 6800181538 Enrollment ID: I20160819001752 |
| Provider Name | Jasmine Marisol Velez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316390578 PECOS PAC ID: 7719272459 Enrollment ID: I20160819002104 |
| Provider Name | Shannon Kathleen Beall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538513122 PECOS PAC ID: 1153616602 Enrollment ID: I20160823000399 |
| Provider Name | Sarah Rock O'rourke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699127662 PECOS PAC ID: 7517252877 Enrollment ID: I20160825000845 |
| Provider Name | Cher Lyons Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346695665 PECOS PAC ID: 3870888175 Enrollment ID: I20160825001902 |
| Provider Name | Lauren Siewny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497198287 PECOS PAC ID: 9830484955 Enrollment ID: I20160829000056 |
| Provider Name | Sundhar Ramalingam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366768632 PECOS PAC ID: 9032405949 Enrollment ID: I20160901000385 |
| Provider Name | Tarannum Jaleel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821354648 PECOS PAC ID: 6204076946 Enrollment ID: I20160901000447 |
| Provider Name | Megan R Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053635516 PECOS PAC ID: 3577792217 Enrollment ID: I20160906001581 |
| Provider Name | Shreyansh Dineshbhai Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164657383 PECOS PAC ID: 1951529916 Enrollment ID: I20160906001991 |
| Provider Name | Avani a Pendse |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801188511 PECOS PAC ID: 3779708300 Enrollment ID: I20160906002016 |
| Provider Name | Lisa Rae Carnago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871943100 PECOS PAC ID: 9537455225 Enrollment ID: I20160906002419 |
| Provider Name | Jill Elizabeth Lorenzi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487005476 PECOS PAC ID: 9931495629 Enrollment ID: I20160906002631 |
| Provider Name | Jill Caroline Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922294651 PECOS PAC ID: 1850443623 Enrollment ID: I20160907000466 |
| Provider Name | Rajesh Viswanathan Swaminathan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386759066 PECOS PAC ID: 6800966763 Enrollment ID: I20160907002083 |
| Provider Name | Lesli Ann Simers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629452990 PECOS PAC ID: 1850687369 Enrollment ID: I20160909001074 |
| Provider Name | Robert Walker Mcgarrah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336300342 PECOS PAC ID: 4981990371 Enrollment ID: I20160912001041 |
| Provider Name | Phillip Bryce Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033379078 PECOS PAC ID: 2062688393 Enrollment ID: I20160913000511 |
| Provider Name | Maria Cristina Segovia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194734947 PECOS PAC ID: 0941206098 Enrollment ID: I20160914001365 |
| Provider Name | Julia Corwin Schechter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881046811 PECOS PAC ID: 3870889900 Enrollment ID: I20160915001317 |
| Provider Name | Michelle J White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598089567 PECOS PAC ID: 4486967551 Enrollment ID: I20160915002492 |
| Provider Name | Alexandra Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417945049 PECOS PAC ID: 7517033269 Enrollment ID: I20160916001121 |
| Provider Name | Kelly S Acharya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639436371 PECOS PAC ID: 3870880933 Enrollment ID: I20160919000245 |
| Provider Name | Raymond J Biersbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083903595 PECOS PAC ID: 8022233022 Enrollment ID: I20160919001206 |
| Provider Name | Karl William Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255329108 PECOS PAC ID: 9436252319 Enrollment ID: I20160920001094 |
| Provider Name | Nada F Kamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467867184 PECOS PAC ID: 6406075142 Enrollment ID: I20160920002469 |
| Provider Name | John Joseph Strouse |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1538161245 PECOS PAC ID: 7719969385 Enrollment ID: I20160922002699 |
| Provider Name | Tam Minh Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306296843 PECOS PAC ID: 4789971409 Enrollment ID: I20160923001346 |
| Provider Name | Robert Henry Johr |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851355184 PECOS PAC ID: 5496885089 Enrollment ID: I20160927001994 |
| Provider Name | Nalatha H Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154703205 PECOS PAC ID: 5193012540 Enrollment ID: I20160928001568 |
| Provider Name | Kelly M Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861842700 PECOS PAC ID: 2264729623 Enrollment ID: I20160928001965 |
| Provider Name | Colleen Marie Naglee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821291832 PECOS PAC ID: 0446416903 Enrollment ID: I20160930001756 |
| Provider Name | Andrew Barbas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013174275 PECOS PAC ID: 4587951728 Enrollment ID: I20161003000693 |
| Provider Name | Whitney Lynanne Meeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023469848 PECOS PAC ID: 8729376918 Enrollment ID: I20161004000049 |
| Provider Name | Chandler a Long |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568666055 PECOS PAC ID: 4385886803 Enrollment ID: I20161004001142 |
| Provider Name | Sharon L Mccartney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003131970 PECOS PAC ID: 0840588927 Enrollment ID: I20161005000211 |
| Provider Name | Abigail S Haberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669826236 PECOS PAC ID: 5890083901 Enrollment ID: I20161005001229 |
| Provider Name | Jeffrey Cheng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265690242 PECOS PAC ID: 2668614314 Enrollment ID: I20161006001352 |
| Provider Name | Laura H Rosenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558529958 PECOS PAC ID: 1557590395 Enrollment ID: I20161006001572 |
| Provider Name | Sara F Grace |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629369350 PECOS PAC ID: 6002123205 Enrollment ID: I20161007001306 |
| Provider Name | Noelle E Younge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205009248 PECOS PAC ID: 8628247566 Enrollment ID: I20161011000036 |
| Provider Name | Harajeshwar S Kohli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689917270 PECOS PAC ID: 4688970197 Enrollment ID: I20161011001540 |
| Provider Name | Padma Gulur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225017627 PECOS PAC ID: 2961414131 Enrollment ID: I20161011002571 |
| Provider Name | Courtney a Waugaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770933418 PECOS PAC ID: 7315235132 Enrollment ID: I20161011002593 |
| Provider Name | Dane Michael Barrett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033436423 PECOS PAC ID: 0042449738 Enrollment ID: I20161013001500 |
| Provider Name | Russel R Kahmke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134445042 PECOS PAC ID: 7810209905 Enrollment ID: I20161017002034 |
| Provider Name | Stephen P Shaheen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437491628 PECOS PAC ID: 8224326608 Enrollment ID: I20161018001956 |
| Provider Name | Neil Robert Ewing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023297546 PECOS PAC ID: 3779661038 Enrollment ID: I20161024000386 |
| Provider Name | Katherine Valencia Caro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326596511 PECOS PAC ID: 7618255753 Enrollment ID: I20161025001835 |
| Provider Name | Lisa M Einhorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134418221 PECOS PAC ID: 9436437589 Enrollment ID: I20161025002223 |
| Provider Name | Kimberly RW Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225245996 PECOS PAC ID: 7719156793 Enrollment ID: I20161026002199 |
| Provider Name | Victoria M Parente |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972860443 PECOS PAC ID: 5193003960 Enrollment ID: I20161028001557 |
| Provider Name | Kyle E Wamelink |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992143846 PECOS PAC ID: 4880972652 Enrollment ID: I20161028001674 |
| Provider Name | James Michael Coll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134585409 PECOS PAC ID: 8426356791 Enrollment ID: I20161101000733 |
| Provider Name | Latoya C Patterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710253349 PECOS PAC ID: 4486932183 Enrollment ID: I20161101000902 |
| Provider Name | Leigh-ann H Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619387784 PECOS PAC ID: 4789962325 Enrollment ID: I20161101002752 |
| Provider Name | Arun Ganesh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932490653 PECOS PAC ID: 6002037959 Enrollment ID: I20161102000729 |
| Provider Name | Jennifer K Plichta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134383292 PECOS PAC ID: 7315254125 Enrollment ID: I20161102001016 |
| Provider Name | Patsy Warren Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801023494 PECOS PAC ID: 6901027978 Enrollment ID: I20161107001825 |
| Provider Name | Alissa N Binford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669928776 PECOS PAC ID: 0446539811 Enrollment ID: I20161108001938 |
| Provider Name | Samantha Dowless Barrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659723195 PECOS PAC ID: 1557640844 Enrollment ID: I20161109000387 |
| Provider Name | Rachel Smith Jeffrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760931430 PECOS PAC ID: 8628357944 Enrollment ID: I20161109001195 |
| Provider Name | Maribeth Terasa Mandall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013348945 PECOS PAC ID: 0244519411 Enrollment ID: I20161110000499 |
| Provider Name | Billy Yu-ang Lan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225233653 PECOS PAC ID: 5799086674 Enrollment ID: I20161115001432 |
| Provider Name | Alexandra Nicole Sterling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164970646 PECOS PAC ID: 9335428291 Enrollment ID: I20161116001975 |
| Provider Name | Ashley a Woodburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215380662 PECOS PAC ID: 5092094854 Enrollment ID: I20161117002691 |
| Provider Name | Justin R Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831114040 PECOS PAC ID: 4284537713 Enrollment ID: I20161118001607 |
| Provider Name | Akiko Chiba |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1861620809 PECOS PAC ID: 1850602400 Enrollment ID: I20161118001684 |
| Provider Name | Jason E Lang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962413492 PECOS PAC ID: 3274535265 Enrollment ID: I20161122000139 |
| Provider Name | Myriam Danielle Riboh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003992884 PECOS PAC ID: 3476555749 Enrollment ID: I20161122001317 |
| Provider Name | Miguel Materin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528292679 PECOS PAC ID: 6709936834 Enrollment ID: I20161128001479 |
| Provider Name | Ann Mccollum Steele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891157194 PECOS PAC ID: 2163701624 Enrollment ID: I20161128001813 |
| Provider Name | Klaus G E Werner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871854141 PECOS PAC ID: 2769648922 Enrollment ID: I20161130001235 |
| Provider Name | Holly Wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598210957 PECOS PAC ID: 1658651039 Enrollment ID: I20161130001239 |
| Provider Name | Serena Yin on Eldridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265980775 PECOS PAC ID: 8426338831 Enrollment ID: I20161130002264 |
| Provider Name | Nathan L Cheung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396125183 PECOS PAC ID: 1658651096 Enrollment ID: I20161201000533 |
| Provider Name | Karen L Sherman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801043930 PECOS PAC ID: 1951681162 Enrollment ID: I20161206000155 |
| Provider Name | Danielle Laughlin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083039507 PECOS PAC ID: 9133425135 Enrollment ID: I20161206001455 |
| Provider Name | Ankit Anil Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871850065 PECOS PAC ID: 1759689029 Enrollment ID: I20161207000292 |
| Provider Name | Ralph Abi Hachem |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285953430 PECOS PAC ID: 5395046684 Enrollment ID: I20161207001158 |
| Provider Name | Nicholas T Befera |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1457504268 PECOS PAC ID: 0244510279 Enrollment ID: I20161209000728 |
| Provider Name | Jessica C Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609118793 PECOS PAC ID: 9436439262 Enrollment ID: I20161213000658 |
| Provider Name | Jennifer B Gilner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912131194 PECOS PAC ID: 3173803889 Enrollment ID: I20161214001269 |
| Provider Name | Alicia Patricia Provenzano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396098661 PECOS PAC ID: 3971883596 Enrollment ID: I20161216000921 |
| Provider Name | Brenna L Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215908637 PECOS PAC ID: 6507877669 Enrollment ID: I20161219000178 |
| Provider Name | Karen Christine Baker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033183314 PECOS PAC ID: 3072783455 Enrollment ID: I20161219001398 |
| Provider Name | Jennifer N Hauck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023307550 PECOS PAC ID: 0941581557 Enrollment ID: I20161219002313 |
| Provider Name | Elizabeth Gilliom Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942759485 PECOS PAC ID: 2365723988 Enrollment ID: I20161219002509 |
| Provider Name | Andres M Pineda Maldonado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588905566 PECOS PAC ID: 6406137884 Enrollment ID: I20161222000970 |
| Provider Name | Sarahn M Wheeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659514487 PECOS PAC ID: 1850672114 Enrollment ID: I20161227002075 |
| Provider Name | Jennifer Pothoven Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487083192 PECOS PAC ID: 5496036733 Enrollment ID: I20161229000453 |
| Provider Name | Kelly Erin Avery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275986911 PECOS PAC ID: 6709167950 Enrollment ID: I20161229001113 |
| Provider Name | Blanca Iris Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245346170 PECOS PAC ID: 3274657705 Enrollment ID: I20170105000194 |
| Provider Name | Laurie Ellen Garrelts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336411248 PECOS PAC ID: 3971728767 Enrollment ID: I20170109001231 |
| Provider Name | Kimberly Jane Struble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639329717 PECOS PAC ID: 4183774904 Enrollment ID: I20170110000446 |
| Provider Name | Emily C Sterrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992939029 PECOS PAC ID: 9133375850 Enrollment ID: I20170110003436 |
| Provider Name | Edward Scott Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841746773 PECOS PAC ID: 9436431749 Enrollment ID: I20170123000470 |
| Provider Name | Charlene Alexis Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316262660 PECOS PAC ID: 1557643699 Enrollment ID: I20170125000088 |
| Provider Name | Neema Kapadia Sharda |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841559374 PECOS PAC ID: 1557582897 Enrollment ID: I20170125001240 |
| Provider Name | Kesi Benjamin Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649628777 PECOS PAC ID: 6608158787 Enrollment ID: I20170125001671 |
| Provider Name | Sarah White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275082703 PECOS PAC ID: 4880976885 Enrollment ID: I20170127000928 |
| Provider Name | Ashley Ann Moskovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871036517 PECOS PAC ID: 0244512127 Enrollment ID: I20170130001672 |
| Provider Name | Patricia Elizabeth Gammon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316020571 PECOS PAC ID: 1850673757 Enrollment ID: I20170130002294 |
| Provider Name | Megan J Huchko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811067655 PECOS PAC ID: 5294837316 Enrollment ID: I20170131000701 |
| Provider Name | Cristine Radojicic |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1245294206 PECOS PAC ID: 9537172721 Enrollment ID: I20170202002560 |
| Provider Name | Carolyn Chyu Tashie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013343490 PECOS PAC ID: 8224311824 Enrollment ID: I20170206001014 |
| Provider Name | Jacob a Klapper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013196989 PECOS PAC ID: 6800973504 Enrollment ID: I20170208001444 |
| Provider Name | Howard Wayne Francis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548208481 PECOS PAC ID: 8325229982 Enrollment ID: I20170220002129 |
| Provider Name | Emily Susan Kuchinos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730621129 PECOS PAC ID: 5294019857 Enrollment ID: I20170227000486 |
| Provider Name | Justin Frye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760931612 PECOS PAC ID: 2062796550 Enrollment ID: I20170301000275 |
| Provider Name | Becky a Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891952990 PECOS PAC ID: 6608044557 Enrollment ID: I20170302002085 |
| Provider Name | Laurin Alexis Cahill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962946392 PECOS PAC ID: 1355625666 Enrollment ID: I20170306002203 |
| Provider Name | Jessica C Arizu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225586902 PECOS PAC ID: 0244514461 Enrollment ID: I20170307000030 |
| Provider Name | Julie Hale Buttler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851345847 PECOS PAC ID: 3870504285 Enrollment ID: I20170308000539 |
| Provider Name | Patricia Lynn Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548260417 PECOS PAC ID: 1658342431 Enrollment ID: I20170315000109 |
| Provider Name | Paul E Wischmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558454900 PECOS PAC ID: 5193850501 Enrollment ID: I20170321000471 |
| Provider Name | Kristale R Privette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942758156 PECOS PAC ID: 3971889981 Enrollment ID: I20170405001865 |
| Provider Name | Jana G Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042580 PECOS PAC ID: 9638455520 Enrollment ID: I20170406002801 |
| Provider Name | Brigid Marrie Scullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794938 PECOS PAC ID: 7012293863 Enrollment ID: I20170411001522 |
| Provider Name | Kevin G Hueman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336110931 PECOS PAC ID: 5698051159 Enrollment ID: I20170418000033 |
| Provider Name | Bradley L Henningsgaard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669877387 PECOS PAC ID: 0446573430 Enrollment ID: I20170502001833 |
| Provider Name | Mariah S Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467904359 PECOS PAC ID: 1759668320 Enrollment ID: I20170509000234 |
| Provider Name | Hector F Martinez-wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013234251 PECOS PAC ID: 3072730811 Enrollment ID: I20170509002445 |
| Provider Name | Stephanie R Chancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124482906 PECOS PAC ID: 0244517738 Enrollment ID: I20170510003000 |
| Provider Name | Haley a Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710247242 PECOS PAC ID: 6204128168 Enrollment ID: I20170517000459 |
| Provider Name | Jessica Lee Focht |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417496407 PECOS PAC ID: 0446527774 Enrollment ID: I20170517000663 |
| Provider Name | Kimberly C Nolte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487755047 PECOS PAC ID: 8820396377 Enrollment ID: I20170517001954 |
| Provider Name | William a Jiranek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184714941 PECOS PAC ID: 8820984719 Enrollment ID: I20170526001812 |
| Provider Name | Ashley L Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396276952 PECOS PAC ID: 3375810039 Enrollment ID: I20170531000001 |
| Provider Name | Amanda Litton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992169130 PECOS PAC ID: 9537436209 Enrollment ID: I20170531000538 |
| Provider Name | Elizabeth S Simaan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669903530 PECOS PAC ID: 5092082792 Enrollment ID: I20170601000185 |
| Provider Name | Kristina M Nazareth-pidgeon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114210366 PECOS PAC ID: 0840416046 Enrollment ID: I20170605001044 |
| Provider Name | Lorie Marie Kabugo-musoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376924605 PECOS PAC ID: 9032403340 Enrollment ID: I20170607002095 |
| Provider Name | Dimitri Putilin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811438179 PECOS PAC ID: 8022386671 Enrollment ID: I20170622001815 |
| Provider Name | Genevieve C Wroblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578017521 PECOS PAC ID: 3375811920 Enrollment ID: I20170622001936 |
| Provider Name | Joy Elliott Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619204245 PECOS PAC ID: 4587932090 Enrollment ID: I20170623001719 |
| Provider Name | Adam R Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710125695 PECOS PAC ID: 9537437090 Enrollment ID: I20170626000814 |
| Provider Name | Sandra B Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245676808 PECOS PAC ID: 8820212558 Enrollment ID: I20170626000865 |
| Provider Name | Mariam Wasim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205125101 PECOS PAC ID: 1658649124 Enrollment ID: I20170626001158 |
| Provider Name | David Andrew Brown |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316188238 PECOS PAC ID: 3971871443 Enrollment ID: I20170626001346 |
| Provider Name | Jessica L Anderson-riddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073768990 PECOS PAC ID: 3870650260 Enrollment ID: I20170626001741 |
| Provider Name | Marina M Bova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253173 PECOS PAC ID: 9335418839 Enrollment ID: I20170626002775 |
| Provider Name | Clayton a Alfonso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790028843 PECOS PAC ID: 0143599357 Enrollment ID: I20170703000529 |
| Provider Name | Pennilee S West |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801024724 PECOS PAC ID: 7113073107 Enrollment ID: I20170705001958 |
| Provider Name | Negmeldeen F Mamoun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942476270 PECOS PAC ID: 8426113200 Enrollment ID: I20170711001299 |
| Provider Name | Marat Fudim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013262419 PECOS PAC ID: 9739458522 Enrollment ID: I20170711001518 |
| Provider Name | Benjamin M Wildman-tobriner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891053864 PECOS PAC ID: 1052680626 Enrollment ID: I20170713001240 |
| Provider Name | Sylvia P Samanez Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669663357 PECOS PAC ID: 9234409863 Enrollment ID: I20170714000723 |
| Provider Name | Betty Zhao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679984835 PECOS PAC ID: 0547560146 Enrollment ID: I20170717000795 |
| Provider Name | Zachary Healy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508090275 PECOS PAC ID: 9638449002 Enrollment ID: I20170718000237 |
| Provider Name | Joshua T Thaden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134419252 PECOS PAC ID: 0042580979 Enrollment ID: I20170725002852 |
| Provider Name | Kaitlyn M Schmutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396296232 PECOS PAC ID: 8921378852 Enrollment ID: I20170725003033 |
| Provider Name | Negin Misaghian-xanthos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154688026 PECOS PAC ID: 4284923293 Enrollment ID: I20170726003592 |
| Provider Name | Jillian Link |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295084358 PECOS PAC ID: 2365712130 Enrollment ID: I20170727000473 |
| Provider Name | Shruti M Raja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548569791 PECOS PAC ID: 9739450313 Enrollment ID: I20170731002402 |
| Provider Name | Danielle A. Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811428261 PECOS PAC ID: 3476824087 Enrollment ID: I20170731003420 |
| Provider Name | Emily S Mccormick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477712339 PECOS PAC ID: 4284905803 Enrollment ID: I20170801000081 |
| Provider Name | Matthew Kirk Langman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932420171 PECOS PAC ID: 6507137668 Enrollment ID: I20170808001220 |
| Provider Name | Erin Kathleen Moran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710271986 PECOS PAC ID: 0547402273 Enrollment ID: I20170808002826 |
| Provider Name | John N Copeland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629362884 PECOS PAC ID: 8426342122 Enrollment ID: I20170809002063 |
| Provider Name | Jason Ryan Tatreau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366702359 PECOS PAC ID: 3577788058 Enrollment ID: I20170809004194 |
| Provider Name | Muhammad Zafar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790018000 PECOS PAC ID: 3274847611 Enrollment ID: I20170810002279 |
| Provider Name | Iris L Vance |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891061131 PECOS PAC ID: 2860763679 Enrollment ID: I20170811001439 |
| Provider Name | Matthew Evan Ehrlich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154687200 PECOS PAC ID: 7719116300 Enrollment ID: I20170811002348 |
| Provider Name | Chelsea Amanda Connor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104187327 PECOS PAC ID: 6709007214 Enrollment ID: I20170814000575 |
| Provider Name | Ana Ep Buck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811130990 PECOS PAC ID: 5991934879 Enrollment ID: I20170815002613 |
| Provider Name | Samrat U Das |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508049388 PECOS PAC ID: 8628150935 Enrollment ID: I20170815003043 |
| Provider Name | Neha J Pagidipati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699933234 PECOS PAC ID: 5698935708 Enrollment ID: I20170816000248 |
| Provider Name | Jacob Paul Feigal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173618 PECOS PAC ID: 2860764503 Enrollment ID: I20170816000287 |
| Provider Name | Michael D Malinzak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841516606 PECOS PAC ID: 1759653280 Enrollment ID: I20170818000260 |
| Provider Name | Kristin Danford Price |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912376039 PECOS PAC ID: 4688956873 Enrollment ID: I20170822001638 |
| Provider Name | Kevin M Gurysh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568880631 PECOS PAC ID: 7517239544 Enrollment ID: I20170824003772 |
| Provider Name | Mark William Chandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407291941 PECOS PAC ID: 7517185713 Enrollment ID: I20170825000422 |
| Provider Name | Stephanie G Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417363581 PECOS PAC ID: 3476875741 Enrollment ID: I20170825001414 |
| Provider Name | Scott M Cowart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326577503 PECOS PAC ID: 1557633476 Enrollment ID: I20170828000002 |
| Provider Name | Jeremy M Force |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275826737 PECOS PAC ID: 9436399763 Enrollment ID: I20170828001074 |
| Provider Name | Mary Theresa Grady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063824092 PECOS PAC ID: 7214209162 Enrollment ID: I20170828001308 |
| Provider Name | Kim G Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831432665 PECOS PAC ID: 4880966753 Enrollment ID: I20170828002640 |
| Provider Name | Michelle C Martwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712887 PECOS PAC ID: 2769759802 Enrollment ID: I20170828003146 |
| Provider Name | Asim a Raja |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699818484 PECOS PAC ID: 8426320318 Enrollment ID: I20170828003157 |
| Provider Name | Michael J Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336340454 PECOS PAC ID: 1153417795 Enrollment ID: I20170829000000 |
| Provider Name | Jocelyn R Wittstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518182138 PECOS PAC ID: 5092901504 Enrollment ID: I20170829002663 |
| Provider Name | John V Duronville |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063779759 PECOS PAC ID: 7618240482 Enrollment ID: I20170830002813 |
| Provider Name | Gail Pacharis Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245284884 PECOS PAC ID: 3678587268 Enrollment ID: I20170831003281 |
| Provider Name | Rohini Reddy Vanga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578798591 PECOS PAC ID: 5890928972 Enrollment ID: I20170905000343 |
| Provider Name | Lisa C Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922338540 PECOS PAC ID: 9638394356 Enrollment ID: I20170905001839 |
| Provider Name | Angela M Tunno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366795197 PECOS PAC ID: 8628341104 Enrollment ID: I20170905001976 |
| Provider Name | Mai K El Mallah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265548499 PECOS PAC ID: 9830119049 Enrollment ID: I20170905002260 |
| Provider Name | Kathleen W Lagesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316496862 PECOS PAC ID: 0648543082 Enrollment ID: I20170906001835 |
| Provider Name | Jordan L Hausladen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518315589 PECOS PAC ID: 6204111867 Enrollment ID: I20170906001992 |
| Provider Name | Darshan Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558681353 PECOS PAC ID: 4587880497 Enrollment ID: I20170906003020 |
| Provider Name | Courtney Eileen Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954297 PECOS PAC ID: 4284919077 Enrollment ID: I20170906003188 |
| Provider Name | Bryan Kozak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063595437 PECOS PAC ID: 2365715745 Enrollment ID: I20170906003449 |
| Provider Name | Jade N Clausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497163539 PECOS PAC ID: 5395966782 Enrollment ID: I20170907000439 |
| Provider Name | Amber J Oberle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558653691 PECOS PAC ID: 6406096577 Enrollment ID: I20170907002058 |
| Provider Name | Rex W.B. Sagalla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174784516 PECOS PAC ID: 7517138407 Enrollment ID: I20170911001175 |
| Provider Name | Christpher Scott Klifto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164713947 PECOS PAC ID: 4587937784 Enrollment ID: I20170911001753 |
| Provider Name | Chakib Ayoub |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013443324 PECOS PAC ID: 9830462837 Enrollment ID: I20170913000413 |
| Provider Name | Georgia M Beasley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861659567 PECOS PAC ID: 5193033744 Enrollment ID: I20170913002128 |
| Provider Name | Michelle H Hartzog |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073034278 PECOS PAC ID: 5799059531 Enrollment ID: I20170918003620 |
| Provider Name | Jennifer E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003343757 PECOS PAC ID: 6901170760 Enrollment ID: I20170919000673 |
| Provider Name | Jordan W Whitson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205121803 PECOS PAC ID: 3577704303 Enrollment ID: I20170920001776 |
| Provider Name | Carrie a Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851501605 PECOS PAC ID: 8325199367 Enrollment ID: I20170920004066 |
| Provider Name | Taewoong Choi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558598680 PECOS PAC ID: 6901022706 Enrollment ID: I20170921003379 |
| Provider Name | John C Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518178318 PECOS PAC ID: 3274790522 Enrollment ID: I20170922001095 |
| Provider Name | Jennifer E Mehdiratta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225391469 PECOS PAC ID: 8426276106 Enrollment ID: I20170922002765 |
| Provider Name | Jonas J Swartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417213786 PECOS PAC ID: 0547404428 Enrollment ID: I20170925000006 |
| Provider Name | Stuart D Russell |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1669407854 PECOS PAC ID: 3870572258 Enrollment ID: I20170928000196 |
| Provider Name | Michelle L Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769389 PECOS PAC ID: 9234404385 Enrollment ID: I20170929001065 |
| Provider Name | Gabriel C Smith |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1740556653 PECOS PAC ID: 2163656919 Enrollment ID: I20170929001150 |
| Provider Name | Michele Lisa Devita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992273 PECOS PAC ID: 1557649290 Enrollment ID: I20171002001593 |
| Provider Name | Alexandra Stefanovic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033310701 PECOS PAC ID: 3476628959 Enrollment ID: I20171002003658 |
| Provider Name | Kevin C Oeffinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928987 PECOS PAC ID: 2062445117 Enrollment ID: I20171003004254 |
| Provider Name | Kai Sun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568758001 PECOS PAC ID: 7517266992 Enrollment ID: I20171003007019 |
| Provider Name | David Ashley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164944377 PECOS PAC ID: 1658646591 Enrollment ID: I20171003007066 |
| Provider Name | Courtney R Goodwin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538303235 PECOS PAC ID: 2769631043 Enrollment ID: I20171003007558 |
| Provider Name | Emily F Carper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194162891 PECOS PAC ID: 6507131372 Enrollment ID: I20171004000842 |
| Provider Name | Tamara Noel Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457534596 PECOS PAC ID: 4880828938 Enrollment ID: I20171005000652 |
| Provider Name | William E Bynum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431810 PECOS PAC ID: 3971803719 Enrollment ID: I20171005002926 |
| Provider Name | Steven H Cook |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194015370 PECOS PAC ID: 3678848256 Enrollment ID: I20171006002938 |
| Provider Name | Matthew D Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548204928 PECOS PAC ID: 7517979099 Enrollment ID: I20171009001506 |
| Provider Name | John Eric Jelovsek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235192170 PECOS PAC ID: 0244235604 Enrollment ID: I20171009001871 |
| Provider Name | Jason W Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922543131 PECOS PAC ID: 6103191614 Enrollment ID: I20171010001760 |
| Provider Name | Cristiana Costa Chase |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295029130 PECOS PAC ID: 1456659143 Enrollment ID: I20171012002094 |
| Provider Name | Miranda K Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316274087 PECOS PAC ID: 8527283241 Enrollment ID: I20171013001057 |
| Provider Name | Mandy a Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692544 PECOS PAC ID: 4587939715 Enrollment ID: I20171013001436 |
| Provider Name | Sujani G Surakanti |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568549137 PECOS PAC ID: 7416996160 Enrollment ID: I20171016000193 |
| Provider Name | Cristen Ann Paige |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548785876 PECOS PAC ID: 4385910512 Enrollment ID: I20171016002532 |
| Provider Name | Tobias L Straube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063832053 PECOS PAC ID: 3375819527 Enrollment ID: I20171017000011 |
| Provider Name | Neel Subramanian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013216241 PECOS PAC ID: 6608091764 Enrollment ID: I20171019002887 |
| Provider Name | Autumn K Konz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831527191 PECOS PAC ID: 8729308861 Enrollment ID: I20171021000100 |
| Provider Name | Muhammad M Abd-el-barr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891922688 PECOS PAC ID: 0749503001 Enrollment ID: I20171023000007 |
| Provider Name | Shannon Hiatt Coward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265858047 PECOS PAC ID: 9133419781 Enrollment ID: I20171024001634 |
| Provider Name | Erin Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588812754 PECOS PAC ID: 7214203678 Enrollment ID: I20171030002871 |
| Provider Name | Allen D Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417307935 PECOS PAC ID: 1951667252 Enrollment ID: I20171101003223 |
| Provider Name | Faith Shelby Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477730620 PECOS PAC ID: 7315183100 Enrollment ID: I20171103000625 |
| Provider Name | Kimberly Michelle Wyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104340157 PECOS PAC ID: 7113283359 Enrollment ID: I20171103002631 |
| Provider Name | Christina a Francis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841715646 PECOS PAC ID: 3971869132 Enrollment ID: I20171106000080 |
| Provider Name | Amanda H Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922374693 PECOS PAC ID: 6305102476 Enrollment ID: I20171106001031 |
| Provider Name | Zak a Loring |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467795609 PECOS PAC ID: 2365708484 Enrollment ID: I20171106002847 |
| Provider Name | Bryan Stonestreet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114155371 PECOS PAC ID: 7618153099 Enrollment ID: I20171107000699 |
| Provider Name | Anna L Landen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699188243 PECOS PAC ID: 4284852716 Enrollment ID: I20171108002726 |
| Provider Name | Margaret M Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362730 PECOS PAC ID: 2961726500 Enrollment ID: I20171108003436 |
| Provider Name | Timothy Owen Stanley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154328672 PECOS PAC ID: 4486827805 Enrollment ID: I20171108003918 |
| Provider Name | David Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346681392 PECOS PAC ID: 1759647571 Enrollment ID: I20171113000062 |
| Provider Name | Srikala Addepalli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457630915 PECOS PAC ID: 1153629407 Enrollment ID: I20171113000369 |
| Provider Name | Kiran Anna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255596268 PECOS PAC ID: 8022273382 Enrollment ID: I20171114001988 |
| Provider Name | Sophia Weinmann |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790050029 PECOS PAC ID: 9032475470 Enrollment ID: I20171117001241 |
| Provider Name | Rohini Kannuswamy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932548963 PECOS PAC ID: 2062779499 Enrollment ID: I20171120002405 |
| Provider Name | Jamie R Privratsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417223249 PECOS PAC ID: 4486911708 Enrollment ID: I20171121003117 |
| Provider Name | Michael L Kent |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407827645 PECOS PAC ID: 3779725890 Enrollment ID: I20171127001757 |
| Provider Name | Anna E Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063935377 PECOS PAC ID: 8820355076 Enrollment ID: I20171127002123 |
| Provider Name | Tyler a Higgs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407397359 PECOS PAC ID: 7719244888 Enrollment ID: I20171127003082 |
| Provider Name | Shannon M Page |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073879680 PECOS PAC ID: 3072808278 Enrollment ID: I20171130003299 |
| Provider Name | Anna Maria Drane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851817209 PECOS PAC ID: 7416214242 Enrollment ID: I20171201001967 |
| Provider Name | John M Carney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659614675 PECOS PAC ID: 9830456664 Enrollment ID: I20171201002132 |
| Provider Name | Ashlee T Riddick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982121299 PECOS PAC ID: 1254698053 Enrollment ID: I20171204001945 |
| Provider Name | Melissa a Raddatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184966988 PECOS PAC ID: 9739313313 Enrollment ID: I20171206000088 |
| Provider Name | John D Berger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417474578 PECOS PAC ID: 4082971619 Enrollment ID: I20171206001663 |
| Provider Name | Joseph William Turek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114193224 PECOS PAC ID: 2365620648 Enrollment ID: I20171207002904 |
| Provider Name | Caitrin Marie Friend |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902323512 PECOS PAC ID: 5890053318 Enrollment ID: I20171211000957 |
| Provider Name | Margaret O Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114219367 PECOS PAC ID: 6002114816 Enrollment ID: I20171213000226 |
| Provider Name | Lindsay G Terrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790079283 PECOS PAC ID: 7618235045 Enrollment ID: I20171213000287 |
| Provider Name | Nitin L Mehdiratta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285999482 PECOS PAC ID: 6204051600 Enrollment ID: I20171213002197 |
| Provider Name | Taylor M Honeycutt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710436159 PECOS PAC ID: 9032477328 Enrollment ID: I20171214000577 |
| Provider Name | Victor Lucas Perez Quinones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790714327 PECOS PAC ID: 1658383856 Enrollment ID: I20171214001848 |
| Provider Name | Stephen John Greene |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1003170861 PECOS PAC ID: 7911265186 Enrollment ID: I20171215001465 |
| Provider Name | Neena Pack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912425521 PECOS PAC ID: 1850659947 Enrollment ID: I20171219001320 |
| Provider Name | Margaret Ellen Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415173 PECOS PAC ID: 5092073106 Enrollment ID: I20171219002235 |
| Provider Name | Valerie B Boyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841328788 PECOS PAC ID: 3577821222 Enrollment ID: I20171229001194 |
| Provider Name | Edgar J.a Penaflor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568972982 PECOS PAC ID: 9830457522 Enrollment ID: I20180102000790 |
| Provider Name | Tiffany L Covas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528487279 PECOS PAC ID: 7618235235 Enrollment ID: I20180102002795 |
| Provider Name | Julie Joo Yeon Kim Chang |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750606653 PECOS PAC ID: 8022377605 Enrollment ID: I20180108001117 |
| Provider Name | Sheeva Marvdashti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053830588 PECOS PAC ID: 3779842109 Enrollment ID: I20180110002914 |
| Provider Name | Melissa a Rafidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365630 PECOS PAC ID: 4880953124 Enrollment ID: I20180112002224 |
| Provider Name | Allyson J Rhinehart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033638317 PECOS PAC ID: 4789943846 Enrollment ID: I20180117002061 |
| Provider Name | Samantha L Schmidtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081501 PECOS PAC ID: 4486913555 Enrollment ID: I20180117002694 |
| Provider Name | Christina M Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770734188 PECOS PAC ID: 4486770393 Enrollment ID: I20180119000034 |
| Provider Name | Suresh K Agarwal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629038906 PECOS PAC ID: 6002710407 Enrollment ID: I20180122002547 |
| Provider Name | Mary Yurashevich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659715019 PECOS PAC ID: 6002103132 Enrollment ID: I20180122003237 |
| Provider Name | Chamia N Maker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885612 PECOS PAC ID: 4082994942 Enrollment ID: I20180123000790 |
| Provider Name | Khoon Ghee Queenie Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720378904 PECOS PAC ID: 5092007369 Enrollment ID: I20180123003469 |
| Provider Name | Isami Sakai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184940918 PECOS PAC ID: 0749580173 Enrollment ID: I20180124002260 |
| Provider Name | Meghan W Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043738800 PECOS PAC ID: 3072872787 Enrollment ID: I20180125000413 |
| Provider Name | Maria Cecilia P Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913685 PECOS PAC ID: 9335408079 Enrollment ID: I20180125001938 |
| Provider Name | Dayana Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801258405 PECOS PAC ID: 6305106014 Enrollment ID: I20180126002555 |
| Provider Name | Khalia Louise Thorpe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689085060 PECOS PAC ID: 7517227234 Enrollment ID: I20180129000042 |
| Provider Name | Jedrek Wosik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972940930 PECOS PAC ID: 6709176670 Enrollment ID: I20180129000130 |
| Provider Name | Cassandra Albertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144472804 PECOS PAC ID: 0244408615 Enrollment ID: I20180130000357 |
| Provider Name | Catherine C Mcknight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093145443 PECOS PAC ID: 4880954213 Enrollment ID: I20180205000772 |
| Provider Name | Amber Lynn Mcvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568810505 PECOS PAC ID: 1658631908 Enrollment ID: I20180205002204 |
| Provider Name | Ashley L Barba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518260900 PECOS PAC ID: 5698990307 Enrollment ID: I20180208002946 |
| Provider Name | Kevin M White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346226941 PECOS PAC ID: 0345348678 Enrollment ID: I20180212001518 |
| Provider Name | Adrienne R Barnosky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215149414 PECOS PAC ID: 2466644414 Enrollment ID: I20180213002017 |
| Provider Name | Holly Marie Van Horn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730477241 PECOS PAC ID: 9335409259 Enrollment ID: I20180213003105 |
| Provider Name | Mohammed O Mohiuddin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063925352 PECOS PAC ID: 0244590131 Enrollment ID: I20180214002775 |
| Provider Name | Kristen Leigh Roman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174942262 PECOS PAC ID: 7911121017 Enrollment ID: I20180219000717 |
| Provider Name | Krista M Roper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619315280 PECOS PAC ID: 9335400050 Enrollment ID: I20180220003253 |
| Provider Name | Brice Painter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255844114 PECOS PAC ID: 4587925201 Enrollment ID: I20180221000123 |
| Provider Name | Serena I Kaylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992180822 PECOS PAC ID: 1759642119 Enrollment ID: I20180227001144 |
| Provider Name | Stafford S Balderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801966635 PECOS PAC ID: 5395006753 Enrollment ID: I20180227001157 |
| Provider Name | Teresa S Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396258703 PECOS PAC ID: 1052672441 Enrollment ID: I20180227002603 |
| Provider Name | Elizabeth Rudisill Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023522281 PECOS PAC ID: 7719248053 Enrollment ID: I20180228001808 |
| Provider Name | Hailey J Kessler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407375348 PECOS PAC ID: 8123389434 Enrollment ID: I20180301001716 |
| Provider Name | Victoria R Wildman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639505100 PECOS PAC ID: 1052536133 Enrollment ID: I20180301001822 |
| Provider Name | Jeana a Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851793939 PECOS PAC ID: 9133345622 Enrollment ID: I20180303000019 |
| Provider Name | Katharine L Jackson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1780840579 PECOS PAC ID: 3375760812 Enrollment ID: I20180305001955 |
| Provider Name | Michelle M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366573743 PECOS PAC ID: 6103140744 Enrollment ID: I20180305002157 |
| Provider Name | Karma a Tockman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528220217 PECOS PAC ID: 0244591329 Enrollment ID: I20180306002667 |
| Provider Name | Erica a Burdo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609389709 PECOS PAC ID: 9638430689 Enrollment ID: I20180307002821 |
| Provider Name | Kellye Christine Carder |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285955682 PECOS PAC ID: 6406970250 Enrollment ID: I20180312001318 |
| Provider Name | John Francis Matuscavage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477091460 PECOS PAC ID: 3173885084 Enrollment ID: I20180312002308 |
| Provider Name | Sara Young |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912314485 PECOS PAC ID: 1658633524 Enrollment ID: I20180313002282 |
| Provider Name | Jadee L Neff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730444118 PECOS PAC ID: 3173775913 Enrollment ID: I20180320001446 |
| Provider Name | Katharine Alexis Donlon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790290674 PECOS PAC ID: 3173885712 Enrollment ID: I20180320002035 |
| Provider Name | Kenai Hattori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366995490 PECOS PAC ID: 5597044412 Enrollment ID: I20180320003032 |
| Provider Name | Catherine M Majestic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861825465 PECOS PAC ID: 0143582619 Enrollment ID: I20180321000368 |
| Provider Name | Lindsay J Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871941955 PECOS PAC ID: 1759643265 Enrollment ID: I20180321002107 |
| Provider Name | Linda Harpole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578077780 PECOS PAC ID: 9931461456 Enrollment ID: I20180321002499 |
| Provider Name | Pamela Singh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720595002 PECOS PAC ID: 7517229867 Enrollment ID: I20180326001273 |
| Provider Name | Stephanie H Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013434257 PECOS PAC ID: 0941562292 Enrollment ID: I20180326001434 |
| Provider Name | Michelle M Pietrocola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588172381 PECOS PAC ID: 0648532879 Enrollment ID: I20180327002646 |
| Provider Name | Nicole Amy Penke |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356530331 PECOS PAC ID: 2860662608 Enrollment ID: I20180402002267 |
| Provider Name | Christina Wyatt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356360390 PECOS PAC ID: 5890685705 Enrollment ID: I20180409000354 |
| Provider Name | Loreta Grecu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831163039 PECOS PAC ID: 8527138155 Enrollment ID: I20180409002493 |
| Provider Name | Mayur Khandu Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386802205 PECOS PAC ID: 1153560743 Enrollment ID: I20180410000228 |
| Provider Name | Rebekah M Doiron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003222399 PECOS PAC ID: 1850511171 Enrollment ID: I20180412002694 |
| Provider Name | Stephanie L Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891085544 PECOS PAC ID: 6709001415 Enrollment ID: I20180416000426 |
| Provider Name | Shih-hsiu J Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689930604 PECOS PAC ID: 7810272630 Enrollment ID: I20180416002243 |
| Provider Name | Vijay Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477750149 PECOS PAC ID: 0749356830 Enrollment ID: I20180419001740 |
| Provider Name | Latorya D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720593908 PECOS PAC ID: 2163785387 Enrollment ID: I20180420000823 |
| Provider Name | Michael Richard Towery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982056248 PECOS PAC ID: 1052674207 Enrollment ID: I20180421000007 |
| Provider Name | Ashley Finch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255839551 PECOS PAC ID: 3274896386 Enrollment ID: I20180423002800 |
| Provider Name | Leslie C De Perczel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851760540 PECOS PAC ID: 0042512048 Enrollment ID: I20180424000913 |
| Provider Name | Nkechi P Ajuonuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407364607 PECOS PAC ID: 3779846852 Enrollment ID: I20180424002994 |
| Provider Name | Kelly Rayburn Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700382835 PECOS PAC ID: 7012271745 Enrollment ID: I20180505000104 |
| Provider Name | Jill Ann Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437655735 PECOS PAC ID: 9638433246 Enrollment ID: I20180508001082 |
| Provider Name | Anna L Major |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790012177 PECOS PAC ID: 5698087211 Enrollment ID: I20180508002501 |
| Provider Name | Krista Lynn Haines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699099218 PECOS PAC ID: 5597981571 Enrollment ID: I20180514001367 |
| Provider Name | Elyn Chance Inman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508372830 PECOS PAC ID: 8729342928 Enrollment ID: I20180515001848 |
| Provider Name | Nina D Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568870277 PECOS PAC ID: 9234350638 Enrollment ID: I20180515002148 |
| Provider Name | Katelyn Marie Hausfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477055218 PECOS PAC ID: 6709140973 Enrollment ID: I20180516001686 |
| Provider Name | Jeffrey R Gingrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518930528 PECOS PAC ID: 3274664297 Enrollment ID: I20180516002090 |
| Provider Name | Kimberly E Gardner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710489026 PECOS PAC ID: 0749545887 Enrollment ID: I20180521001356 |
| Provider Name | Ryan C Bialas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790070324 PECOS PAC ID: 6002031168 Enrollment ID: I20180521001543 |
| Provider Name | Amy E Barto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710934443 PECOS PAC ID: 1355354937 Enrollment ID: I20180521002805 |
| Provider Name | Danielle Lee Koch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114434255 PECOS PAC ID: 1153686175 Enrollment ID: I20180522002770 |
| Provider Name | Justin D Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518249689 PECOS PAC ID: 5799040549 Enrollment ID: I20180525000498 |
| Provider Name | David Wayne Van Wyck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316173503 PECOS PAC ID: 1557626306 Enrollment ID: I20180525000763 |
| Provider Name | Tiffany Dieso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124490008 PECOS PAC ID: 4082979844 Enrollment ID: I20180525000935 |
| Provider Name | Hong Hui Pan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215286489 PECOS PAC ID: 4385896208 Enrollment ID: I20180525001645 |
| Provider Name | Chrystal Ann Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699195537 PECOS PAC ID: 6901029412 Enrollment ID: I20180529002340 |
| Provider Name | Gladwell Wanjiku Gacuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043501307 PECOS PAC ID: 0941452148 Enrollment ID: I20180530001958 |
| Provider Name | Kate Jacobs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528562154 PECOS PAC ID: 9032474754 Enrollment ID: I20180530002702 |
| Provider Name | Ricardo Omar Isaacs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194119776 PECOS PAC ID: 1951605443 Enrollment ID: I20180601001782 |
| Provider Name | Danielle E Sturkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285017863 PECOS PAC ID: 8921318544 Enrollment ID: I20180606002457 |
| Provider Name | Thuy Le |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043262371 PECOS PAC ID: 2365454212 Enrollment ID: I20180609000210 |
| Provider Name | April N Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487156303 PECOS PAC ID: 1052666336 Enrollment ID: I20180611001985 |
| Provider Name | Sara E Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479043 PECOS PAC ID: 7618199407 Enrollment ID: I20180612000416 |
| Provider Name | Brittany a Zwischenberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710205901 PECOS PAC ID: 4284989401 Enrollment ID: I20180612001267 |
| Provider Name | Jason Whitaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578069258 PECOS PAC ID: 7719232958 Enrollment ID: I20180612002226 |
| Provider Name | Puja Gosai Maczis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699263954 PECOS PAC ID: 2466707583 Enrollment ID: I20180613002506 |
| Provider Name | Kevin W Southerland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154564813 PECOS PAC ID: 0547515660 Enrollment ID: I20180613002533 |
| Provider Name | Andrew W Godfrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407109614 PECOS PAC ID: 2961770532 Enrollment ID: I20180614000512 |
| Provider Name | Brett T Phillips |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407013279 PECOS PAC ID: 8022379866 Enrollment ID: I20180614001973 |
| Provider Name | Michelle Sy Go |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245641851 PECOS PAC ID: 3870487903 Enrollment ID: I20180619003248 |
| Provider Name | Suma Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053654699 PECOS PAC ID: 8123373727 Enrollment ID: I20180622001647 |
| Provider Name | Deanna a Griffie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396249256 PECOS PAC ID: 9638424161 Enrollment ID: I20180625000128 |
| Provider Name | Elizabeth a Briere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144415340 PECOS PAC ID: 7719232263 Enrollment ID: I20180625001081 |
| Provider Name | Michael R Canos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114138401 PECOS PAC ID: 3072687268 Enrollment ID: I20180626000167 |
| Provider Name | Meredith a Harkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082026 PECOS PAC ID: 3678829090 Enrollment ID: I20180627001834 |
| Provider Name | Angelika Gabrielski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447591516 PECOS PAC ID: 4880949387 Enrollment ID: I20180627003951 |
| Provider Name | Maggie Lynn Small |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972004927 PECOS PAC ID: 0547516866 Enrollment ID: I20180628002510 |
| Provider Name | Yvonne E Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811331135 PECOS PAC ID: 8527314871 Enrollment ID: I20180629000337 |
| Provider Name | Eugene Friedman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205196920 PECOS PAC ID: 8022364389 Enrollment ID: I20180629000606 |
| Provider Name | Veerajalandhar Allareddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326259433 PECOS PAC ID: 2860664406 Enrollment ID: I20180703000201 |
| Provider Name | Kristen S Camplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700074606 PECOS PAC ID: 5597011502 Enrollment ID: I20180705001784 |
| Provider Name | Samuel J Kuzminski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235366899 PECOS PAC ID: 8527354364 Enrollment ID: I20180709001729 |
| Provider Name | Frances a Reda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898870 PECOS PAC ID: 5092006445 Enrollment ID: I20180710000892 |
| Provider Name | Anastasia M Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740469691 PECOS PAC ID: 5799031258 Enrollment ID: I20180713001014 |
| Provider Name | Lingye Chen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356604128 PECOS PAC ID: 0547517062 Enrollment ID: I20180716000600 |
| Provider Name | Kathleen M Flynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801895149 PECOS PAC ID: 3779539739 Enrollment ID: I20180717001838 |
| Provider Name | Andrew Joseph Eckstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497265029 PECOS PAC ID: 5193072544 Enrollment ID: I20180717002745 |
| Provider Name | Kevin F Mcenaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093716482 PECOS PAC ID: 0749537009 Enrollment ID: I20180718002741 |
| Provider Name | Benjamin R Lloyd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194083527 PECOS PAC ID: 3476800673 Enrollment ID: I20180719000042 |
| Provider Name | Carolee B Rule |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356332910 PECOS PAC ID: 3678820875 Enrollment ID: I20180719000377 |
| Provider Name | Cortney L Mouillesseaux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356532691 PECOS PAC ID: 7416096615 Enrollment ID: I20180720002180 |
| Provider Name | Amanda F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083830137 PECOS PAC ID: 1456608314 Enrollment ID: I20180724000426 |
| Provider Name | Jonathan G Martin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609197425 PECOS PAC ID: 3577857911 Enrollment ID: I20180724000763 |
| Provider Name | Sharmell O Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972563013 PECOS PAC ID: 6709133523 Enrollment ID: I20180724003089 |
| Provider Name | Joanne E Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134189251 PECOS PAC ID: 9133476732 Enrollment ID: I20180726002705 |
| Provider Name | Tanya Glaser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164840211 PECOS PAC ID: 0648528141 Enrollment ID: I20180731001386 |
| Provider Name | Lisette M Ramos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124224274 PECOS PAC ID: 9638220783 Enrollment ID: I20180731001554 |
| Provider Name | Anne Dunbar Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558706770 PECOS PAC ID: 5294038774 Enrollment ID: I20180801003456 |
| Provider Name | Madeleine Rebecca Breen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023504743 PECOS PAC ID: 5193073252 Enrollment ID: I20180806001853 |
| Provider Name | Megan M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932353059 PECOS PAC ID: 6406104520 Enrollment ID: I20180807001215 |
| Provider Name | Kyle Todd Mitchell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659634608 PECOS PAC ID: 8820227333 Enrollment ID: I20180807002878 |
| Provider Name | Larissa Saldana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013178243 PECOS PAC ID: 0749452266 Enrollment ID: I20180808000825 |
| Provider Name | Rebecca B Elowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841556255 PECOS PAC ID: 0941451371 Enrollment ID: I20180808002308 |
| Provider Name | Harpreet K Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104111574 PECOS PAC ID: 8729207618 Enrollment ID: I20180809004869 |
| Provider Name | Neil Naik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699111252 PECOS PAC ID: 0749406551 Enrollment ID: I20180810001554 |
| Provider Name | Danai Udomtecha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164615720 PECOS PAC ID: 4789743295 Enrollment ID: I20180814003073 |
| Provider Name | Jaime Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912255431 PECOS PAC ID: 2062642176 Enrollment ID: I20180815001388 |
| Provider Name | Ashley Gentile Traversa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760987259 PECOS PAC ID: 3476802018 Enrollment ID: I20180815002348 |
| Provider Name | Erica Anne Heniser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104237486 PECOS PAC ID: 0749405389 Enrollment ID: I20180817002306 |
| Provider Name | Adriana Ida Cline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003294059 PECOS PAC ID: 7416268164 Enrollment ID: I20180820001027 |
| Provider Name | Andrea Blaire Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205222080 PECOS PAC ID: 3375857295 Enrollment ID: I20180821002365 |
| Provider Name | Carlee Komoroski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922550755 PECOS PAC ID: 1951650076 Enrollment ID: I20180823001115 |
| Provider Name | Sanjay Venkatesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841686391 PECOS PAC ID: 8628378858 Enrollment ID: I20180824000578 |
| Provider Name | Jennifer Nicole Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295852341 PECOS PAC ID: 4981953973 Enrollment ID: I20180824000895 |
| Provider Name | Kishan S Parikh |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780813782 PECOS PAC ID: 4789835216 Enrollment ID: I20180828000169 |
| Provider Name | Matthew R Pipeling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174677462 PECOS PAC ID: 8426126095 Enrollment ID: I20180829001658 |
| Provider Name | Rebecca G Theophanous |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831584085 PECOS PAC ID: 5991055741 Enrollment ID: I20180829001745 |
| Provider Name | Tyler Steven Pidgeon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265725329 PECOS PAC ID: 7315163193 Enrollment ID: I20180829002857 |
| Provider Name | Austin X Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164869327 PECOS PAC ID: 8224267000 Enrollment ID: I20180831002353 |
| Provider Name | Noreen Bukhari-parlakturk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700229614 PECOS PAC ID: 5698025229 Enrollment ID: I20180831002462 |
| Provider Name | Christopher Michael White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770840043 PECOS PAC ID: 8123378684 Enrollment ID: I20180904000906 |
| Provider Name | Nicholas Devito |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962758060 PECOS PAC ID: 8921358482 Enrollment ID: I20180904000995 |
| Provider Name | Lutsiya K Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912360397 PECOS PAC ID: 2163713595 Enrollment ID: I20180905000141 |
| Provider Name | Clerio Francisco De Azevedo Filho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619467529 PECOS PAC ID: 6204186604 Enrollment ID: I20180905003557 |
| Provider Name | Jason Y Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861759482 PECOS PAC ID: 9638429954 Enrollment ID: I20180907001710 |
| Provider Name | Coleen M Cowperthwait |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649769894 PECOS PAC ID: 5799035960 Enrollment ID: I20180910001040 |
| Provider Name | Michael Marconi Maczis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265936595 PECOS PAC ID: 0840540035 Enrollment ID: I20180910001667 |
| Provider Name | Ananda M Chowdhury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689932030 PECOS PAC ID: 5890096093 Enrollment ID: I20180910002246 |
| Provider Name | Jennifer L Mcnally |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699054718 PECOS PAC ID: 5395964902 Enrollment ID: I20180910002939 |
| Provider Name | Sarah Moustafa Ashraf Moustafa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144633462 PECOS PAC ID: 1456631571 Enrollment ID: I20180910003131 |
| Provider Name | Matthew R Glass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235333899 PECOS PAC ID: 9638224777 Enrollment ID: I20180911002722 |
| Provider Name | Jordan Schaumberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194144063 PECOS PAC ID: 7113277203 Enrollment ID: I20180911003100 |
| Provider Name | Caroline E Sloan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508251844 PECOS PAC ID: 2668722760 Enrollment ID: I20180911003483 |
| Provider Name | Amber Fresco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588077499 PECOS PAC ID: 1355691452 Enrollment ID: I20180911003698 |
| Provider Name | James T Herbert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053653410 PECOS PAC ID: 9436409471 Enrollment ID: I20180912001628 |
| Provider Name | Anne Elizabeth West Honart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053725051 PECOS PAC ID: 3779833744 Enrollment ID: I20180912002710 |
| Provider Name | Carolyn H Glass |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164541264 PECOS PAC ID: 6305196387 Enrollment ID: I20180912003202 |
| Provider Name | Bradley Kevin Farrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205325107 PECOS PAC ID: 7517217466 Enrollment ID: I20180913002929 |
| Provider Name | Brendan J Flanagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184011249 PECOS PAC ID: 3971853854 Enrollment ID: I20180914000423 |
| Provider Name | Harry Paul Erba |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508942566 PECOS PAC ID: 6002951845 Enrollment ID: I20180914002687 |
| Provider Name | Ibukunoluwa C Kalu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245597178 PECOS PAC ID: 2365691441 Enrollment ID: I20180915000017 |
| Provider Name | Kevin E Vorenkamp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053364141 PECOS PAC ID: 6002827466 Enrollment ID: I20180918002527 |
| Provider Name | Kevin Ryan Kalisz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528406543 PECOS PAC ID: 1052682317 Enrollment ID: I20180918003803 |
| Provider Name | Kelly Michelle Bullock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720572225 PECOS PAC ID: 0941551717 Enrollment ID: I20180919000058 |
| Provider Name | Julia a Messina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760702880 PECOS PAC ID: 7517107337 Enrollment ID: I20180920000235 |
| Provider Name | Palen P Mallory |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245596535 PECOS PAC ID: 3274884887 Enrollment ID: I20180920002345 |
| Provider Name | Kelly J Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649764846 PECOS PAC ID: 0941551568 Enrollment ID: I20180920002639 |
| Provider Name | Sneha Mantri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265798631 PECOS PAC ID: 9436388741 Enrollment ID: I20180920003032 |
| Provider Name | Naseem Sara Alavian |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013352087 PECOS PAC ID: 5890066351 Enrollment ID: I20180921001804 |
| Provider Name | Andrew P Landstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952669046 PECOS PAC ID: 6800147380 Enrollment ID: I20180921001994 |
| Provider Name | Kathleen Claus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669819611 PECOS PAC ID: 3072802727 Enrollment ID: I20180921002737 |
| Provider Name | Emily E Swartwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083114201 PECOS PAC ID: 1456602978 Enrollment ID: I20180924000246 |
| Provider Name | Dane R Whicker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508350125 PECOS PAC ID: 1153672670 Enrollment ID: I20180924000400 |
| Provider Name | Stephen J Balevic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154641892 PECOS PAC ID: 0446501894 Enrollment ID: I20180924001784 |
| Provider Name | Alejandro J Landa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841618477 PECOS PAC ID: 6002167467 Enrollment ID: I20180924002259 |
| Provider Name | Katy C Liu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801216221 PECOS PAC ID: 3476804725 Enrollment ID: I20180925003621 |
| Provider Name | Sunny H Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821354812 PECOS PAC ID: 5496006751 Enrollment ID: I20180925003969 |
| Provider Name | Brittany a Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457838880 PECOS PAC ID: 5193076412 Enrollment ID: I20180926002114 |
| Provider Name | Stacey Maskarinec |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639469745 PECOS PAC ID: 9931450186 Enrollment ID: I20180926004094 |
| Provider Name | Neeraj K Surana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053578054 PECOS PAC ID: 0941466205 Enrollment ID: I20181001002475 |
| Provider Name | Rebecca Sadun |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437475100 PECOS PAC ID: 6002168044 Enrollment ID: I20181002003701 |
| Provider Name | Emily Denise Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131702 PECOS PAC ID: 3173875028 Enrollment ID: I20181004001405 |
| Provider Name | Anjni Patel Joiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861758401 PECOS PAC ID: 8820393275 Enrollment ID: I20181007000001 |
| Provider Name | Andrew J Kubinski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902223266 PECOS PAC ID: 8729330576 Enrollment ID: I20181007000032 |
| Provider Name | Sophia S Younts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821583642 PECOS PAC ID: 0042562795 Enrollment ID: I20181009000990 |
| Provider Name | Kristen M Rezak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801086905 PECOS PAC ID: 9830353663 Enrollment ID: I20181009002763 |
| Provider Name | Edgardo J Cintron Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740569839 PECOS PAC ID: 1254683857 Enrollment ID: I20181010000020 |
| Provider Name | David L Leverenz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619311305 PECOS PAC ID: 5395048995 Enrollment ID: I20181011001093 |
| Provider Name | Leonard Talbot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962679787 PECOS PAC ID: 8224296991 Enrollment ID: I20181015001420 |
| Provider Name | Eryn Scott Wells |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750860599 PECOS PAC ID: 6709138076 Enrollment ID: I20181015002685 |
| Provider Name | Eric Allen Johnbull |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063783355 PECOS PAC ID: 9234481524 Enrollment ID: I20181015003302 |
| Provider Name | Anne Lousie Marano |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730507088 PECOS PAC ID: 6305062555 Enrollment ID: I20181016002446 |
| Provider Name | Kenzie Jane Bowen Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518387992 PECOS PAC ID: 9638393507 Enrollment ID: I20181017003429 |
| Provider Name | Varnita Tahiliani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598022733 PECOS PAC ID: 3173876141 Enrollment ID: I20181022003347 |
| Provider Name | Julia D Visgauss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699031401 PECOS PAC ID: 3072866821 Enrollment ID: I20181025000978 |
| Provider Name | Jie Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215257183 PECOS PAC ID: 0749424232 Enrollment ID: I20181029000002 |
| Provider Name | Erika Schwengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780037309 PECOS PAC ID: 5799038360 Enrollment ID: I20181029001481 |
| Provider Name | Lauren E Schilke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528547965 PECOS PAC ID: 6406109032 Enrollment ID: I20181030000691 |
| Provider Name | Pazoo Xiong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164900544 PECOS PAC ID: 0840543369 Enrollment ID: I20181031001677 |
| Provider Name | Lamercie Marie Wynee Saint Hilaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649617549 PECOS PAC ID: 8820387061 Enrollment ID: I20181106002526 |
| Provider Name | Jason M Beneliyahu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477959690 PECOS PAC ID: 7315267879 Enrollment ID: I20181112000032 |
| Provider Name | Casey Fox Morea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184937542 PECOS PAC ID: 5597089920 Enrollment ID: I20181112000055 |
| Provider Name | Rajiv Seth Swamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396923793 PECOS PAC ID: 2769566439 Enrollment ID: I20181113000978 |
| Provider Name | Natasha N Cassara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659857241 PECOS PAC ID: 8820342488 Enrollment ID: I20181116002039 |
| Provider Name | Lisa Ellen Rasbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697559 PECOS PAC ID: 9537164173 Enrollment ID: I20181116002256 |
| Provider Name | Paula Perkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982056339 PECOS PAC ID: 4789971631 Enrollment ID: I20181119001412 |
| Provider Name | Elizabeth Thompson Paul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871070524 PECOS PAC ID: 8527312859 Enrollment ID: I20181126001505 |
| Provider Name | Mitali D Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336627967 PECOS PAC ID: 7214281567 Enrollment ID: I20181126002952 |
| Provider Name | Maggie Yocum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336632207 PECOS PAC ID: 1951655232 Enrollment ID: I20181127000452 |
| Provider Name | Angela L Pollak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861810814 PECOS PAC ID: 2860736162 Enrollment ID: I20181127001830 |
| Provider Name | Kimberly J Holzmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821576539 PECOS PAC ID: 8426392705 Enrollment ID: I20181128001440 |
| Provider Name | Anna Elizabeth Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821573460 PECOS PAC ID: 2466796677 Enrollment ID: I20181128003198 |
| Provider Name | James Hanley Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649213950 PECOS PAC ID: 6709783285 Enrollment ID: I20181128003262 |
| Provider Name | Peter J Allen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1144211905 PECOS PAC ID: 7416980719 Enrollment ID: I20181203000001 |
| Provider Name | Alisa a Wilczynski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124546510 PECOS PAC ID: 9032453014 Enrollment ID: I20181203000007 |
| Provider Name | Kaela Michelle Mukuno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497241491 PECOS PAC ID: 8921342940 Enrollment ID: I20181203001312 |
| Provider Name | Richa Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932381829 PECOS PAC ID: 7719135722 Enrollment ID: I20181203002106 |
| Provider Name | Elizabeth Marriott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407078231 PECOS PAC ID: 5799884136 Enrollment ID: I20181207000843 |
| Provider Name | Cathleen M Bury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497173033 PECOS PAC ID: 3678844313 Enrollment ID: I20181210002290 |
| Provider Name | Michael Lidsky |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1922254259 PECOS PAC ID: 0042554586 Enrollment ID: I20181210002972 |
| Provider Name | Elizabeth J Malcolm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700838877 PECOS PAC ID: 3375559487 Enrollment ID: I20181211001412 |
| Provider Name | Angela Dvorak De Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013427483 PECOS PAC ID: 1052670973 Enrollment ID: I20181211001668 |
| Provider Name | Martha Obeng Kenney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245502988 PECOS PAC ID: 0749430791 Enrollment ID: I20181211002094 |
| Provider Name | Heather Lynn Helton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134413974 PECOS PAC ID: 4587909916 Enrollment ID: I20181213000391 |
| Provider Name | Rebekah F Matta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316476989 PECOS PAC ID: 8325383706 Enrollment ID: I20181213002104 |
| Provider Name | Alissa M. Collins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326314717 PECOS PAC ID: 9537436845 Enrollment ID: I20181219002805 |
| Provider Name | Jennifer a Durling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104303254 PECOS PAC ID: 3577808591 Enrollment ID: I20181219003668 |
| Provider Name | Samantha R Eaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346726874 PECOS PAC ID: 6800131699 Enrollment ID: I20181226000909 |
| Provider Name | Amanda R Harrington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023591989 PECOS PAC ID: 7810232626 Enrollment ID: I20181226001692 |
| Provider Name | Rachelle Ann Catarozzoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891163663 PECOS PAC ID: 3274842265 Enrollment ID: I20181227002099 |
| Provider Name | Giselle Lopez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821415290 PECOS PAC ID: 0840547253 Enrollment ID: I20181231000319 |
| Provider Name | Zachary S Herron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548744808 PECOS PAC ID: 3971848524 Enrollment ID: I20181231000484 |
| Provider Name | Ariel Nicole Hayden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902389265 PECOS PAC ID: 5698010106 Enrollment ID: I20190102001306 |
| Provider Name | Thomas S Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316429798 PECOS PAC ID: 3476898917 Enrollment ID: I20190102002292 |
| Provider Name | Sarah P Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588148761 PECOS PAC ID: 8123364643 Enrollment ID: I20190103003115 |
| Provider Name | Rachel Leigh Randell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376930818 PECOS PAC ID: 9830435270 Enrollment ID: I20190107001637 |
| Provider Name | Xunrong Luo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730245945 PECOS PAC ID: 6002831195 Enrollment ID: I20190108000397 |
| Provider Name | Hayley J Karan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816500 PECOS PAC ID: 3375889678 Enrollment ID: I20190108000750 |
| Provider Name | Hope F Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619167434 PECOS PAC ID: 9436495785 Enrollment ID: I20190108002818 |
| Provider Name | Meghan K Esper |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598251985 PECOS PAC ID: 9133465396 Enrollment ID: I20190108003516 |
| Provider Name | Gary J Faerber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366533804 PECOS PAC ID: 2466591698 Enrollment ID: I20190109003042 |
| Provider Name | Kulima Babu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649752007 PECOS PAC ID: 1850637935 Enrollment ID: I20190110001021 |
| Provider Name | Jennifer Margaret Bissey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609354000 PECOS PAC ID: 1658617741 Enrollment ID: I20190110001124 |
| Provider Name | Vanisha R Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073925525 PECOS PAC ID: 3678875705 Enrollment ID: I20190110001461 |
| Provider Name | Sonia Elizabeth Xavier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043454523 PECOS PAC ID: 5698944940 Enrollment ID: I20190111000712 |
| Provider Name | Valerie Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316425648 PECOS PAC ID: 5597001438 Enrollment ID: I20190114001391 |
| Provider Name | Christopher I Shaffrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235208877 PECOS PAC ID: 7618965062 Enrollment ID: I20190116003105 |
| Provider Name | Derek G Southwell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316236912 PECOS PAC ID: 6103057260 Enrollment ID: I20190117000995 |
| Provider Name | Christoffer Gregory Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538658323 PECOS PAC ID: 3971849514 Enrollment ID: I20190117003983 |
| Provider Name | Debra L Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457577355 PECOS PAC ID: 8921344573 Enrollment ID: I20190118000142 |
| Provider Name | Meryl Severson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427265248 PECOS PAC ID: 9830283977 Enrollment ID: I20190118002472 |
| Provider Name | Brittany a Countryman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184033623 PECOS PAC ID: 9234440116 Enrollment ID: I20190122003441 |
| Provider Name | Janet C Sheaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275009938 PECOS PAC ID: 8820335375 Enrollment ID: I20190123000337 |
| Provider Name | Keisha Lancaster Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245715598 PECOS PAC ID: 2567709934 Enrollment ID: I20190123001291 |
| Provider Name | Camille M Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689149825 PECOS PAC ID: 8628315934 Enrollment ID: I20190124002003 |
| Provider Name | Ruth Galle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689141731 PECOS PAC ID: 2062759236 Enrollment ID: I20190125000736 |
| Provider Name | Taylor T Addis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982179800 PECOS PAC ID: 3678810769 Enrollment ID: I20190128002207 |
| Provider Name | Jennifer Michelle Decoste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518354604 PECOS PAC ID: 7517204381 Enrollment ID: I20190201000525 |
| Provider Name | Vern a Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902051501 PECOS PAC ID: 0547507337 Enrollment ID: I20190201001267 |
| Provider Name | Cassandra G Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780152827 PECOS PAC ID: 0941547681 Enrollment ID: I20190204000667 |
| Provider Name | Jaskiran Kaur Vidwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851547756 PECOS PAC ID: 9739345349 Enrollment ID: I20190204002535 |
| Provider Name | Leslie a Beer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784082 PECOS PAC ID: 1850663956 Enrollment ID: I20190205001228 |
| Provider Name | Tristin R Valdivia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221851 PECOS PAC ID: 8628316387 Enrollment ID: I20190205002981 |
| Provider Name | Angelica Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659840015 PECOS PAC ID: 8729326996 Enrollment ID: I20190213001637 |
| Provider Name | Joshua T Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154804722 PECOS PAC ID: 0648518845 Enrollment ID: I20190213002937 |
| Provider Name | Mariah J Moger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194226514 PECOS PAC ID: 8325386535 Enrollment ID: I20190213003168 |
| Provider Name | Kari a Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134610108 PECOS PAC ID: 5597003715 Enrollment ID: I20190214000245 |
| Provider Name | Laura Barisoni Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063405793 PECOS PAC ID: 8628968831 Enrollment ID: I20190218000141 |
| Provider Name | Khyati H Baxi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710203385 PECOS PAC ID: 3779862313 Enrollment ID: I20190218001150 |
| Provider Name | Elizabeth B Gilbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568704740 PECOS PAC ID: 7719225713 Enrollment ID: I20190218002007 |
| Provider Name | Chrystal D Rowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134631989 PECOS PAC ID: 0143568097 Enrollment ID: I20190219001427 |
| Provider Name | Fatima Z Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053754325 PECOS PAC ID: 6901185867 Enrollment ID: I20190219001753 |
| Provider Name | Detty Thomas Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063927549 PECOS PAC ID: 8921346743 Enrollment ID: I20190220001830 |
| Provider Name | Vincent Gerard Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346329315 PECOS PAC ID: 7012077274 Enrollment ID: I20190220003188 |
| Provider Name | Kathleen Mairin Eklund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801370655 PECOS PAC ID: 0749528511 Enrollment ID: I20190221000410 |
| Provider Name | Alexandre T Rotta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023079316 PECOS PAC ID: 7618951757 Enrollment ID: I20190222002270 |
| Provider Name | John Wesley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265901425 PECOS PAC ID: 5496094278 Enrollment ID: I20190222002364 |
| Provider Name | Alisha Kettner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063713097 PECOS PAC ID: 2466633789 Enrollment ID: I20190225000543 |
| Provider Name | Kiersten a Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346646874 PECOS PAC ID: 4284958794 Enrollment ID: I20190301001772 |
| Provider Name | Naomi N Duke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366539496 PECOS PAC ID: 3577552538 Enrollment ID: I20190305001933 |
| Provider Name | Alison L Wieland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114222940 PECOS PAC ID: 6507033727 Enrollment ID: I20190311002613 |
| Provider Name | Grace Youngok Cho Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609268143 PECOS PAC ID: 1254651052 Enrollment ID: I20190312002551 |
| Provider Name | Christian Hernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881958460 PECOS PAC ID: 6204131733 Enrollment ID: I20190312002639 |
| Provider Name | Deanna Lynne Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773783 PECOS PAC ID: 7517207202 Enrollment ID: I20190315000691 |
| Provider Name | Jatin Roper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124273461 PECOS PAC ID: 3678743515 Enrollment ID: I20190315001409 |
| Provider Name | Elizabeth K Tresohlavy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558847236 PECOS PAC ID: 4789924390 Enrollment ID: I20190319000438 |
| Provider Name | Ellen Catherine Byars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255838561 PECOS PAC ID: 0840530283 Enrollment ID: I20190320003078 |
| Provider Name | Ali Raza Qamar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316248727 PECOS PAC ID: 6800036732 Enrollment ID: I20190320003137 |
| Provider Name | Joy M Chaksupa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144417296 PECOS PAC ID: 5395825970 Enrollment ID: I20190403001937 |
| Provider Name | Jesse Michael Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710128426 PECOS PAC ID: 3274682778 Enrollment ID: I20190403003128 |
| Provider Name | Michelle L Sanfilippo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679628374 PECOS PAC ID: 6305827908 Enrollment ID: I20190408000016 |
| Provider Name | Christine E Zdeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790259984 PECOS PAC ID: 8123369642 Enrollment ID: I20190410002636 |
| Provider Name | Wenjing Huang Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588665863 PECOS PAC ID: 5799676474 Enrollment ID: I20190411001951 |
| Provider Name | Scott Joseph Antonia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669404091 PECOS PAC ID: 9032293105 Enrollment ID: I20190411003089 |
| Provider Name | Okechukwu a Anakwenze |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043418759 PECOS PAC ID: 7012133523 Enrollment ID: I20190417001953 |
| Provider Name | Erin Gillies Bristow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346711009 PECOS PAC ID: 9638410772 Enrollment ID: I20190417003057 |
| Provider Name | Granville Croley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982170445 PECOS PAC ID: 7719228857 Enrollment ID: I20190417003093 |
| Provider Name | Milta O Little |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740409754 PECOS PAC ID: 7214061837 Enrollment ID: I20190418002321 |
| Provider Name | Hadiza Shu'aib Kazaure |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1548526312 PECOS PAC ID: 5294077202 Enrollment ID: I20190423001202 |
| Provider Name | Serena P Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710306204 PECOS PAC ID: 3971823295 Enrollment ID: I20190423002246 |
| Provider Name | Scott Douglas Hemingway |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497227698 PECOS PAC ID: 8022350859 Enrollment ID: I20190427000003 |
| Provider Name | Ashley Kay Lawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639458599 PECOS PAC ID: 5799956587 Enrollment ID: I20190506002720 |
| Provider Name | Angela P Rutherford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821555160 PECOS PAC ID: 6305188673 Enrollment ID: I20190507001662 |
| Provider Name | Swaroop Pawar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073778627 PECOS PAC ID: 0749439495 Enrollment ID: I20190507001992 |
| Provider Name | Melissa a Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346706371 PECOS PAC ID: 7416290069 Enrollment ID: I20190522001190 |
| Provider Name | Melissa Rightor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689703761 PECOS PAC ID: 9537402813 Enrollment ID: I20190530001879 |
| Provider Name | Holly Nichols |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689089013 PECOS PAC ID: 6406075019 Enrollment ID: I20190606000331 |
| Provider Name | Brandon Taylor Ruderman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780047928 PECOS PAC ID: 4486947165 Enrollment ID: I20190617000184 |
| Provider Name | Bryan M Osullivan Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891115820 PECOS PAC ID: 3375841232 Enrollment ID: I20190618002145 |
| Provider Name | Marlena Parson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548682826 PECOS PAC ID: 8224362629 Enrollment ID: I20190618002777 |
| Provider Name | William R Jeck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972984482 PECOS PAC ID: 1951618370 Enrollment ID: I20190620000829 |
| Provider Name | Roy J Colglazier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588077440 PECOS PAC ID: 4789918012 Enrollment ID: I20190620001446 |
| Provider Name | Christopher Robert Stamey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669882098 PECOS PAC ID: 9830491513 Enrollment ID: I20190620002652 |
| Provider Name | Hui M Tseng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922445212 PECOS PAC ID: 8325274186 Enrollment ID: I20190625000721 |
| Provider Name | Christian Bernard Mikesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982039 PECOS PAC ID: 1658605423 Enrollment ID: I20190627002046 |
| Provider Name | Rebecca Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184187387 PECOS PAC ID: 8628304904 Enrollment ID: I20190724001620 |
| Provider Name | Leeana Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902366826 PECOS PAC ID: 8628304714 Enrollment ID: I20190726002242 |
| Provider Name | Chad Michael Gridley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396180717 PECOS PAC ID: 1153558051 Enrollment ID: I20190730004589 |
| Provider Name | Julie a Fried |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841532744 PECOS PAC ID: 6507192242 Enrollment ID: I20190801002621 |
| Provider Name | Mara L Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538179700 PECOS PAC ID: 0345249975 Enrollment ID: I20190801002918 |
| Provider Name | Sweta Sengupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063830578 PECOS PAC ID: 6406182195 Enrollment ID: I20190802000716 |
| Provider Name | Ken He Young |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891756318 PECOS PAC ID: 8224018411 Enrollment ID: I20190802002868 |
| Provider Name | Zachary J Reitman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134547201 PECOS PAC ID: 6800100496 Enrollment ID: I20190805000240 |
| Provider Name | Denise H Tola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053354894 PECOS PAC ID: 8022068410 Enrollment ID: I20190805002200 |
| Provider Name | Bryce Alan Harbertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073956637 PECOS PAC ID: 1658513031 Enrollment ID: I20190806001395 |
| Provider Name | John D Purakal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407275258 PECOS PAC ID: 5496055469 Enrollment ID: I20190808000448 |
| Provider Name | John C Eppensteiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912393638 PECOS PAC ID: 9234466491 Enrollment ID: I20190809002135 |
| Provider Name | Anna Aliza Jaffe Ruderman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013371079 PECOS PAC ID: 2860785458 Enrollment ID: I20190810000063 |
| Provider Name | Bethany H Eaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528520368 PECOS PAC ID: 8729315866 Enrollment ID: I20190812002314 |
| Provider Name | Nicholas a Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619243037 PECOS PAC ID: 4082917794 Enrollment ID: I20190813002422 |
| Provider Name | Mckenzie Lauren Johnston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912396698 PECOS PAC ID: 4486956232 Enrollment ID: I20190813002834 |
| Provider Name | Rachael Leigh Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093230401 PECOS PAC ID: 5991042707 Enrollment ID: I20190819004095 |
| Provider Name | Andrea Sitlinger |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518209865 PECOS PAC ID: 6103154737 Enrollment ID: I20190821000906 |
| Provider Name | Ami Yogesh Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588927826 PECOS PAC ID: 8325276215 Enrollment ID: I20190824000187 |
| Provider Name | Laurice Marie Morton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497217749 PECOS PAC ID: 8628306958 Enrollment ID: I20190826000910 |
| Provider Name | Ellen Michal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366852329 PECOS PAC ID: 4385972520 Enrollment ID: I20190826001840 |
| Provider Name | Nicole L Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801293667 PECOS PAC ID: 3476881657 Enrollment ID: I20190826003417 |
| Provider Name | Scott Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831509389 PECOS PAC ID: 4981983400 Enrollment ID: I20190828001694 |
| Provider Name | Tawana Joy Fletcher-harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780059022 PECOS PAC ID: 0648575076 Enrollment ID: I20190828004209 |
| Provider Name | Kumaraswamy Guttalu Krishnamurthy Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427468784 PECOS PAC ID: 2062736028 Enrollment ID: I20190829000052 |
| Provider Name | Daniel Christopher Parker |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174866198 PECOS PAC ID: 1658681093 Enrollment ID: I20190903001143 |
| Provider Name | Alison a Buchan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881252526 PECOS PAC ID: 7911236641 Enrollment ID: I20190905002763 |
| Provider Name | Stephanie B Khoury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609345263 PECOS PAC ID: 3173852936 Enrollment ID: I20190906003266 |
| Provider Name | Juneve Toche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568840254 PECOS PAC ID: 6709194426 Enrollment ID: I20190909000028 |
| Provider Name | Shelby Addison Neal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679868640 PECOS PAC ID: 7416264304 Enrollment ID: I20190909001228 |
| Provider Name | Jonathan Puthenveetil Mathew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760896484 PECOS PAC ID: 6204057367 Enrollment ID: I20190910000595 |
| Provider Name | Andrew W Mccrary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487920906 PECOS PAC ID: 0143559575 Enrollment ID: I20190911000653 |
| Provider Name | Daniel L Edmonston |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932436938 PECOS PAC ID: 0648509901 Enrollment ID: I20190911002273 |
| Provider Name | Scott Leroy Axtell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568027233 PECOS PAC ID: 5991034258 Enrollment ID: I20190911002408 |
| Provider Name | Pedro E Santiago |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447276779 PECOS PAC ID: 6204165459 Enrollment ID: I20190912002761 |
| Provider Name | Sejal Narendra Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073855318 PECOS PAC ID: 2961731021 Enrollment ID: I20190916000994 |
| Provider Name | Alixandra S Purakal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578902706 PECOS PAC ID: 5092017871 Enrollment ID: I20190916001502 |
| Provider Name | Andrew J Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215279989 PECOS PAC ID: 3375775687 Enrollment ID: I20190916002449 |
| Provider Name | Sharla M Rent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891038048 PECOS PAC ID: 0749582203 Enrollment ID: I20190916003571 |
| Provider Name | Max L Schiff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851679641 PECOS PAC ID: 6002128840 Enrollment ID: I20190916003643 |
| Provider Name | Janet Waimin Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245573120 PECOS PAC ID: 5597010306 Enrollment ID: I20190917000400 |
| Provider Name | Jennifer Marie Bartlett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396305496 PECOS PAC ID: 8325378326 Enrollment ID: I20190917003798 |
| Provider Name | Garth S Herbert |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073583548 PECOS PAC ID: 7214179126 Enrollment ID: I20190918001155 |
| Provider Name | Joseph S Fernandez-moure |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073741484 PECOS PAC ID: 8123274446 Enrollment ID: I20190919001521 |
| Provider Name | Deng B Madut |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679839898 PECOS PAC ID: 5890025613 Enrollment ID: I20190920003027 |
| Provider Name | Jessica L Seidelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699018747 PECOS PAC ID: 5597095349 Enrollment ID: I20190923000638 |
| Provider Name | Adam Brekke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366862666 PECOS PAC ID: 5698077220 Enrollment ID: I20190923001542 |
| Provider Name | Taylor Rose Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275191959 PECOS PAC ID: 9537499199 Enrollment ID: I20190924002403 |
| Provider Name | Bradley J Goldstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053353136 PECOS PAC ID: 7214909282 Enrollment ID: I20190924003906 |
| Provider Name | Lindsey T Hanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871159202 PECOS PAC ID: 4981934577 Enrollment ID: I20190924003928 |
| Provider Name | Kristin Ed Weimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720320815 PECOS PAC ID: 0547590085 Enrollment ID: I20190925002473 |
| Provider Name | Susan GR Mcduff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861810756 PECOS PAC ID: 9234445107 Enrollment ID: I20190925003826 |
| Provider Name | Melissa Anne Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245799733 PECOS PAC ID: 1355671835 Enrollment ID: I20190925003962 |
| Provider Name | Richard C Sabin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023326550 PECOS PAC ID: 5597947135 Enrollment ID: I20190927003097 |
| Provider Name | Anita M Kelsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083617161 PECOS PAC ID: 3971798810 Enrollment ID: I20191001001139 |
| Provider Name | Rushina Cholera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841646486 PECOS PAC ID: 5395038160 Enrollment ID: I20191001001623 |
| Provider Name | Andrew Hanselman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699038208 PECOS PAC ID: 0345542056 Enrollment ID: I20191001001681 |
| Provider Name | Sharon Beckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184028599 PECOS PAC ID: 9830429018 Enrollment ID: I20191001003523 |
| Provider Name | Lloyd Berthold Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730333741 PECOS PAC ID: 6507012341 Enrollment ID: I20191002003774 |
| Provider Name | Justin D Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487034245 PECOS PAC ID: 6608185541 Enrollment ID: I20191003000212 |
| Provider Name | Durga Swetha Borkar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063851160 PECOS PAC ID: 8123242898 Enrollment ID: I20191004003140 |
| Provider Name | Khoi Duc Than |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326269671 PECOS PAC ID: 7810216454 Enrollment ID: I20191007001944 |
| Provider Name | Gillian O Noel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487979845 PECOS PAC ID: 8628389715 Enrollment ID: I20191007002885 |
| Provider Name | Lisa Marie Mcelroy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174766851 PECOS PAC ID: 9931499829 Enrollment ID: I20191008000583 |
| Provider Name | Hadja Thiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114586948 PECOS PAC ID: 7911238845 Enrollment ID: I20191008001570 |
| Provider Name | Archana Khandelwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700236395 PECOS PAC ID: 3971834805 Enrollment ID: I20191008001816 |
| Provider Name | Fuad Y Aleskerov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730565490 PECOS PAC ID: 2668781113 Enrollment ID: I20191008002987 |
| Provider Name | Dorothy Anne Lowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770894735 PECOS PAC ID: 9830420694 Enrollment ID: I20191008003733 |
| Provider Name | Kaveh Ardalan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588942676 PECOS PAC ID: 9335425479 Enrollment ID: I20191009001815 |
| Provider Name | Lauren Deruyter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710546007 PECOS PAC ID: 5799016531 Enrollment ID: I20191009002621 |
| Provider Name | Elena Tenenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770073041 PECOS PAC ID: 8921339680 Enrollment ID: I20191010000449 |
| Provider Name | Sabrina M Shearer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124413497 PECOS PAC ID: 3173833035 Enrollment ID: I20191014001168 |
| Provider Name | Hilary Joan Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871148387 PECOS PAC ID: 0648501270 Enrollment ID: I20191014001809 |
| Provider Name | Sarah N. Zaheer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407177892 PECOS PAC ID: 7214171123 Enrollment ID: I20191014003112 |
| Provider Name | Julio Fernando Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104289107 PECOS PAC ID: 7012248578 Enrollment ID: I20191014003276 |
| Provider Name | Natisha Mandadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235514936 PECOS PAC ID: 7113223520 Enrollment ID: I20191016001284 |
| Provider Name | Aubree Lee Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962865576 PECOS PAC ID: 0648562546 Enrollment ID: I20191017000357 |
| Provider Name | Reeti Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992140867 PECOS PAC ID: 8123329570 Enrollment ID: I20191022000307 |
| Provider Name | Sona Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336326131 PECOS PAC ID: 5193892198 Enrollment ID: I20191022002220 |
| Provider Name | Tiffany Y Mcewen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275099186 PECOS PAC ID: 5496087397 Enrollment ID: I20191025001817 |
| Provider Name | Sarah P Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588670 PECOS PAC ID: 6709118623 Enrollment ID: I20191025002612 |
| Provider Name | Akshay Pendyal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427374339 PECOS PAC ID: 2163657297 Enrollment ID: I20191028001846 |
| Provider Name | Thomas M Blakemore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265901268 PECOS PAC ID: 4486986262 Enrollment ID: I20191028002750 |
| Provider Name | Monique C Agustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053971226 PECOS PAC ID: 3779815436 Enrollment ID: I20191029003364 |
| Provider Name | Margarethe E Goetz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891910352 PECOS PAC ID: 4183783087 Enrollment ID: I20191102000211 |
| Provider Name | Jeanna Dianne Blitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518076603 PECOS PAC ID: 4082619408 Enrollment ID: I20191102000344 |
| Provider Name | Meredith Anne Niess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770808644 PECOS PAC ID: 7012150790 Enrollment ID: I20191104000378 |
| Provider Name | Si Sandy an |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609295591 PECOS PAC ID: 4981907516 Enrollment ID: I20191105002698 |
| Provider Name | John S Guthrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457906877 PECOS PAC ID: 5193157493 Enrollment ID: I20191106003423 |
| Provider Name | Tammara L Watts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417079369 PECOS PAC ID: 2466504030 Enrollment ID: I20191106003504 |
| Provider Name | Lauren Allen Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386102218 PECOS PAC ID: 5496187767 Enrollment ID: I20191107002646 |
| Provider Name | Nishant Prashant Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457601106 PECOS PAC ID: 1850510504 Enrollment ID: I20191108000311 |
| Provider Name | Joshua James Siglin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275768731 PECOS PAC ID: 5496978652 Enrollment ID: I20191111002707 |
| Provider Name | Vijay K Ramaiah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982920377 PECOS PAC ID: 6608046024 Enrollment ID: I20191119000712 |
| Provider Name | Amanda Lee Pratt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326486150 PECOS PAC ID: 8820213770 Enrollment ID: I20191119000903 |
| Provider Name | Sarada Eleswarpu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104205350 PECOS PAC ID: 6002119641 Enrollment ID: I20191119002105 |
| Provider Name | Deborah R Kaye |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225353295 PECOS PAC ID: 3173772191 Enrollment ID: I20191120001196 |
| Provider Name | Jerome Jeffrey Federspiel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033503131 PECOS PAC ID: 4789995234 Enrollment ID: I20191120002157 |
| Provider Name | Yun-hua Chiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053868356 PECOS PAC ID: 6002198918 Enrollment ID: I20191121001509 |
| Provider Name | Carrie Anne Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174918791 PECOS PAC ID: 4385076736 Enrollment ID: I20191122002479 |
| Provider Name | Trevor D Burt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417190455 PECOS PAC ID: 7315093473 Enrollment ID: I20191127001847 |
| Provider Name | Meredith Whitacre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598057317 PECOS PAC ID: 1850517004 Enrollment ID: I20191202002832 |
| Provider Name | Anthony S Ceraulo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437539764 PECOS PAC ID: 1850600776 Enrollment ID: I20191203000730 |
| Provider Name | Jennifer I Johntony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982939088 PECOS PAC ID: 9335469923 Enrollment ID: I20191203002569 |
| Provider Name | Mustafa Khasraw |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235361353 PECOS PAC ID: 9931532900 Enrollment ID: I20191204003239 |
| Provider Name | Nicole Lindsay Ashley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528526118 PECOS PAC ID: 5294168217 Enrollment ID: I20191205001910 |
| Provider Name | Ann Lin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841848934 PECOS PAC ID: 1153754981 Enrollment ID: I20191209000637 |
| Provider Name | Allison Delucca |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639569874 PECOS PAC ID: 6103123385 Enrollment ID: I20191211002652 |
| Provider Name | Ioana Antonescu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952768343 PECOS PAC ID: 4688925076 Enrollment ID: I20191211002922 |
| Provider Name | Melissa a Barbor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477589042 PECOS PAC ID: 8527031319 Enrollment ID: I20191213000004 |
| Provider Name | Grace Amy Revenaugh Dreyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427607811 PECOS PAC ID: 5496188955 Enrollment ID: I20191213002240 |
| Provider Name | Ashley a Mcgee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043868565 PECOS PAC ID: 4183057656 Enrollment ID: I20191214000522 |
| Provider Name | Guiyun Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952412421 PECOS PAC ID: 3971538539 Enrollment ID: I20191216003058 |
| Provider Name | Chanjuan Shi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356493944 PECOS PAC ID: 8325180698 Enrollment ID: I20191217000056 |
| Provider Name | Jordan Painter Barham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487204293 PECOS PAC ID: 0244664787 Enrollment ID: I20191217000248 |
| Provider Name | Stephanie Elizabeth Cooper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649546847 PECOS PAC ID: 2466771555 Enrollment ID: I20191217000422 |
| Provider Name | Lidya Admassu Melesse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558820126 PECOS PAC ID: 9335573732 Enrollment ID: I20191217003047 |
| Provider Name | Stephen Wolf Ramos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881236289 PECOS PAC ID: 4688008048 Enrollment ID: I20191218002121 |
| Provider Name | Claire Victoria Ramos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922657683 PECOS PAC ID: 7214361682 Enrollment ID: I20191218002563 |
| Provider Name | Alexandria Nicole Wagstaff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710549076 PECOS PAC ID: 5698109742 Enrollment ID: I20191223001495 |
| Provider Name | Daniel K Ettlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134770480 PECOS PAC ID: 7214361385 Enrollment ID: I20191223002376 |
| Provider Name | Rachel Marie Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336797943 PECOS PAC ID: 1052745189 Enrollment ID: I20191226001518 |
| Provider Name | Audrey Elizabeth Walstrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013443076 PECOS PAC ID: 9032473020 Enrollment ID: I20191230000505 |
| Provider Name | Michael S Steinberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902801566 PECOS PAC ID: 7517927791 Enrollment ID: I20191230000707 |
| Provider Name | Maryam Khayami Goca |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114318409 PECOS PAC ID: 1052638533 Enrollment ID: I20200107002435 |
| Provider Name | Gema Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285158576 PECOS PAC ID: 4789944034 Enrollment ID: I20200108001617 |
| Provider Name | Margaret Howard |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417275090 PECOS PAC ID: 1254630700 Enrollment ID: I20200115002379 |
| Provider Name | Rebecca J Varley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154540375 PECOS PAC ID: 4284069253 Enrollment ID: I20200121002560 |
| Provider Name | Rachel Jordan Betts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235780487 PECOS PAC ID: 7517392335 Enrollment ID: I20200123002560 |
| Provider Name | Ann V Augustine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750556452 PECOS PAC ID: 5092869842 Enrollment ID: I20200125000292 |
| Provider Name | Marie-louise Meng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699094599 PECOS PAC ID: 7214228998 Enrollment ID: I20200203000721 |
| Provider Name | Joey Savanah Stevens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205305463 PECOS PAC ID: 4284060567 Enrollment ID: I20200204002997 |
| Provider Name | Jayne Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861037319 PECOS PAC ID: 8820424161 Enrollment ID: I20200205002644 |
| Provider Name | Dana R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891346987 PECOS PAC ID: 1052747292 Enrollment ID: I20200205003009 |
| Provider Name | Brian Chei-fai Lau |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154610327 PECOS PAC ID: 2264725423 Enrollment ID: I20200212000434 |
| Provider Name | Trinitia Y Cannon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376763276 PECOS PAC ID: 6305979865 Enrollment ID: I20200212002055 |
| Provider Name | David Durant Dinsmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427697622 PECOS PAC ID: 6204262108 Enrollment ID: I20200213001321 |
| Provider Name | Heather P Scimeca |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568462869 PECOS PAC ID: 0345218574 Enrollment ID: I20200218002509 |
| Provider Name | Sarah D Schafran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881242675 PECOS PAC ID: 5799112439 Enrollment ID: I20200219001249 |
| Provider Name | Gregory E Sawin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699844225 PECOS PAC ID: 5193753051 Enrollment ID: I20200219002336 |
| Provider Name | Aaron Kyle Cecil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982082079 PECOS PAC ID: 3072820638 Enrollment ID: I20200221000364 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200221002630 |
| Provider Name | Jennifer L Cohen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1295115111 PECOS PAC ID: 0749617082 Enrollment ID: I20200225003031 |
| Provider Name | Heather Lynne Wolek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174072391 PECOS PAC ID: 0446539563 Enrollment ID: I20200303002687 |
| Provider Name | Michelle Lacayo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912542911 PECOS PAC ID: 5991132870 Enrollment ID: I20200305002960 |
| Provider Name | Kelsey a Frey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891334041 PECOS PAC ID: 5991133654 Enrollment ID: I20200312001354 |
| Provider Name | Hannah J Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558907238 PECOS PAC ID: 0244668754 Enrollment ID: I20200317000434 |
| Provider Name | Opeyemi a Olabisi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104052612 PECOS PAC ID: 9931361631 Enrollment ID: I20200317002250 |
| Provider Name | Thomas Dreyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487202784 PECOS PAC ID: 8921436148 Enrollment ID: I20200320001988 |
| Provider Name | Erika Cummings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083197651 PECOS PAC ID: 4789012998 Enrollment ID: I20200323001987 |
| Provider Name | Jillian Lee Wilford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699063750 PECOS PAC ID: 6901128917 Enrollment ID: I20200325000582 |
| Provider Name | Diandra N Ayala-peacock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558682336 PECOS PAC ID: 6608189261 Enrollment ID: I20200327000402 |
| Provider Name | Alex Cravanas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326337460 PECOS PAC ID: 9638482482 Enrollment ID: I20200330001542 |
| Provider Name | Krystal Lynn Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265966592 PECOS PAC ID: 7416386271 Enrollment ID: I20200331001509 |
| Provider Name | Kathryn Elizabeth Leet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821638024 PECOS PAC ID: 3274962709 Enrollment ID: I20200406000494 |
| Provider Name | Ursula Tomika White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912224726 PECOS PAC ID: 5395174759 Enrollment ID: I20200406002182 |
| Provider Name | Adam Michael Normile |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124506134 PECOS PAC ID: 5799035358 Enrollment ID: I20200407002522 |
| Provider Name | Marilise Anne Berniger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225124142 PECOS PAC ID: 1850455742 Enrollment ID: I20200413002510 |
| Provider Name | Christopher Conrad Gianvecchio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801804844 PECOS PAC ID: 2264344779 Enrollment ID: I20200413003606 |
| Provider Name | Edwin P Alyea |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215974993 PECOS PAC ID: 8628016466 Enrollment ID: I20200416003055 |
| Provider Name | Ganga S. Moorthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952755779 PECOS PAC ID: 2961795554 Enrollment ID: I20200417001166 |
| Provider Name | Anna Rapoport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255978334 PECOS PAC ID: 2466882238 Enrollment ID: I20200417002478 |
| Provider Name | Susmitha Joshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932683091 PECOS PAC ID: 4688004492 Enrollment ID: I20200420000290 |
| Provider Name | Christina V Killette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063056877 PECOS PAC ID: 1052741519 Enrollment ID: I20200423002383 |
| Provider Name | Ashley Elizabeth Hawks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285265488 PECOS PAC ID: 8325478555 Enrollment ID: I20200430001227 |
| Provider Name | Tracy Leah Novack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295712990 PECOS PAC ID: 4385687359 Enrollment ID: I20200430001929 |
| Provider Name | Renee L Buchser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053975284 PECOS PAC ID: 1557792553 Enrollment ID: I20200506003226 |
| Provider Name | Coral Elyse Stevens Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982247292 PECOS PAC ID: 1153752191 Enrollment ID: I20200507002140 |
| Provider Name | David Michael Schlientz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124406004 PECOS PAC ID: 0042521692 Enrollment ID: I20200511003295 |
| Provider Name | Xiaoyan Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073909255 PECOS PAC ID: 7810216959 Enrollment ID: I20200514001632 |
| Provider Name | Carin a Caves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023119534 PECOS PAC ID: 6406287895 Enrollment ID: I20200519003049 |
| Provider Name | Sara B Weems |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710524830 PECOS PAC ID: 0345661492 Enrollment ID: I20200528002148 |
| Provider Name | Benjamin Scott Dunne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831455310 PECOS PAC ID: 2860764305 Enrollment ID: I20200603002569 |
| Provider Name | Jinyu Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548689771 PECOS PAC ID: 2668695594 Enrollment ID: I20200608000849 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235774118 PECOS PAC ID: 8325469794 Enrollment ID: I20200611000302 |
| Provider Name | Sheila S Sherzoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518499490 PECOS PAC ID: 9830511211 Enrollment ID: I20200613000149 |
| Provider Name | Amber Hicks-thibodeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063869469 PECOS PAC ID: 1951691575 Enrollment ID: I20200615002723 |
| Provider Name | Allison a Lindgren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649829896 PECOS PAC ID: 3577985845 Enrollment ID: I20200616001189 |
| Provider Name | Oleg Alekseev |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922457464 PECOS PAC ID: 6901174622 Enrollment ID: I20200617000010 |
| Provider Name | Ankeet Mukesh Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154779304 PECOS PAC ID: 7214222371 Enrollment ID: I20200617002244 |
| Provider Name | Laura Horowitz Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326416066 PECOS PAC ID: 4981970670 Enrollment ID: I20200618000001 |
| Provider Name | Roberta Capp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548451669 PECOS PAC ID: 2264601939 Enrollment ID: I20200618002369 |
| Provider Name | Natalia Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023436177 PECOS PAC ID: 8628490760 Enrollment ID: I20200618003173 |
| Provider Name | Nicole L Helmke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790170256 PECOS PAC ID: 4789006735 Enrollment ID: I20200619000583 |
| Provider Name | Sky Lahav-vitenzon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245755313 PECOS PAC ID: 2062788987 Enrollment ID: I20200622001975 |
| Provider Name | Karan Ravindra Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245534528 PECOS PAC ID: 6406168830 Enrollment ID: I20200622002172 |
| Provider Name | Emily Christine Thatcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205301637 PECOS PAC ID: 0446584114 Enrollment ID: I20200623000660 |
| Provider Name | Emily Sara Herfel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063873669 PECOS PAC ID: 2961778972 Enrollment ID: I20200623001069 |
| Provider Name | Clayton Ellis Wisely |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669834875 PECOS PAC ID: 7012204605 Enrollment ID: I20200624002620 |
| Provider Name | Georgia Darby Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730726498 PECOS PAC ID: 4385066190 Enrollment ID: I20200624002756 |
| Provider Name | Colm B Kelleher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235524927 PECOS PAC ID: 1052611084 Enrollment ID: I20200626001560 |
| Provider Name | Meghan Thompson Twisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275154999 PECOS PAC ID: 5698197176 Enrollment ID: I20200630001112 |
| Provider Name | Erin Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477191500 PECOS PAC ID: 4385072735 Enrollment ID: I20200630002889 |
| Provider Name | Luiz Maracaja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083993224 PECOS PAC ID: 6800014036 Enrollment ID: I20200630003670 |
| Provider Name | Alix H Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184246449 PECOS PAC ID: 2264855360 Enrollment ID: I20200708001644 |
| Provider Name | Kyle Gates Hiestand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013270511 PECOS PAC ID: 1052562527 Enrollment ID: I20200710001538 |
| Provider Name | Vishal a Mandge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427251826 PECOS PAC ID: 6800912163 Enrollment ID: I20200710001646 |
| Provider Name | Michael Yarrington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013334952 PECOS PAC ID: 5496053720 Enrollment ID: I20200717002516 |
| Provider Name | Jordan L Mayberry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275928848 PECOS PAC ID: 4789008962 Enrollment ID: I20200721002335 |
| Provider Name | Cherylee WJ Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023170271 PECOS PAC ID: 3971532375 Enrollment ID: I20200722000159 |
| Provider Name | Alex Michaels |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942644240 PECOS PAC ID: 5597994301 Enrollment ID: I20200723001308 |
| Provider Name | Tommy Guanying Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508215195 PECOS PAC ID: 9032497193 Enrollment ID: I20200723001978 |
| Provider Name | Yvonne C Jimenez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043840234 PECOS PAC ID: 4082038096 Enrollment ID: I20200723002139 |
| Provider Name | Patrick Edward Georgoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376804443 PECOS PAC ID: 4183930688 Enrollment ID: I20200723002902 |
| Provider Name | Hillary Blair Liken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821525122 PECOS PAC ID: 2961772595 Enrollment ID: I20200724001760 |
| Provider Name | Pooja Pankaj Parmar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346886769 PECOS PAC ID: 5395169023 Enrollment ID: I20200728001004 |
| Provider Name | Benjamin J Lane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457981847 PECOS PAC ID: 4688098320 Enrollment ID: I20200728001268 |
| Provider Name | Alison Shew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689028250 PECOS PAC ID: 5193019511 Enrollment ID: I20200729003976 |
| Provider Name | Chelse Ann Stokhuyzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275053738 PECOS PAC ID: 1456626373 Enrollment ID: I20200729004097 |
| Provider Name | April Louise Fields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194926733 PECOS PAC ID: 4981028206 Enrollment ID: I20200730003152 |
| Provider Name | Danielle Lameirinhas Vieira Maracaja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447661335 PECOS PAC ID: 0345665535 Enrollment ID: I20200805001233 |
| Provider Name | Philip Chapman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437175429 PECOS PAC ID: 3577553361 Enrollment ID: I20200806000399 |
| Provider Name | Anastasia-stefania Alexopoulos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134560543 PECOS PAC ID: 2062715915 Enrollment ID: I20200807001594 |
| Provider Name | Samia Aleem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043623713 PECOS PAC ID: 1254756240 Enrollment ID: I20200807002091 |
| Provider Name | Geoffrey Alexander Reid Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093337081 PECOS PAC ID: 6406271303 Enrollment ID: I20200810002192 |
| Provider Name | Matthew Kyle Labriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841653425 PECOS PAC ID: 2365735727 Enrollment ID: I20200810003385 |
| Provider Name | Natasha Kenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013530013 PECOS PAC ID: 8325464134 Enrollment ID: I20200811002329 |
| Provider Name | Philip Chu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235543356 PECOS PAC ID: 4486872348 Enrollment ID: I20200813000114 |
| Provider Name | Michael Dorry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487073755 PECOS PAC ID: 6800212457 Enrollment ID: I20200813002368 |
| Provider Name | Candy a Richardson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528431939 PECOS PAC ID: 1456777895 Enrollment ID: I20200817002468 |
| Provider Name | Ayesha N. Nicole Lovick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669886511 PECOS PAC ID: 6507084803 Enrollment ID: I20200818001652 |
| Provider Name | Peter Kang Yi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023224938 PECOS PAC ID: 4082787304 Enrollment ID: I20200818002132 |
| Provider Name | Neelima Navuluri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881012789 PECOS PAC ID: 5294151437 Enrollment ID: I20200818002634 |
| Provider Name | Megan O'brien Jamison |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417390873 PECOS PAC ID: 6800154097 Enrollment ID: I20200819000762 |
| Provider Name | Eileen M Minges |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275970600 PECOS PAC ID: 5092011197 Enrollment ID: I20200820000744 |
| Provider Name | Richalle Victoria Smith Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427402080 PECOS PAC ID: 1951673284 Enrollment ID: I20200820001167 |
| Provider Name | Janny Mabel Sweetow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013368604 PECOS PAC ID: 6901178516 Enrollment ID: I20200820003438 |
| Provider Name | Brian C Mac Grory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073875951 PECOS PAC ID: 4183935745 Enrollment ID: I20200824000607 |
| Provider Name | Sherri Lyn Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518991181 PECOS PAC ID: 1658798327 Enrollment ID: I20200826000894 |
| Provider Name | Isaac David Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154778769 PECOS PAC ID: 1456647148 Enrollment ID: I20200831001969 |
| Provider Name | Brian Timothy Antono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669834206 PECOS PAC ID: 8527352517 Enrollment ID: I20200901001904 |
| Provider Name | Christopher James Hoimes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780634188 PECOS PAC ID: 8426080458 Enrollment ID: I20200901003346 |
| Provider Name | Andrew M Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992167902 PECOS PAC ID: 9638466642 Enrollment ID: I20200902002782 |
| Provider Name | Hannah Carey Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821609330 PECOS PAC ID: 7416374533 Enrollment ID: I20200903000148 |
| Provider Name | Sarah Jo Stephens |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548656036 PECOS PAC ID: 6204253354 Enrollment ID: I20200903001048 |
| Provider Name | Katherine Lee Conrad |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780204123 PECOS PAC ID: 9537586599 Enrollment ID: I20200905000031 |
| Provider Name | Emmalie Elizabeth Stay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407233471 PECOS PAC ID: 4587977954 Enrollment ID: I20200909000585 |
| Provider Name | Rachel Ann O'brian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780004812 PECOS PAC ID: 6002241684 Enrollment ID: I20200914002681 |
| Provider Name | Jacqueline Heather Morris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790028827 PECOS PAC ID: 4082832415 Enrollment ID: I20200915003271 |
| Provider Name | Brian James Andonian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467872929 PECOS PAC ID: 9537587852 Enrollment ID: I20200917001413 |
| Provider Name | Elizabeth E Devore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699244525 PECOS PAC ID: 1456779719 Enrollment ID: I20200917003135 |
| Provider Name | Vijay Gulabray Paryani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063856284 PECOS PAC ID: 9739494618 Enrollment ID: I20200917003138 |
| Provider Name | Chantal Jasmine Gil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487903167 PECOS PAC ID: 2961820188 Enrollment ID: I20200918002240 |
| Provider Name | Kenneth Wade Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679005003 PECOS PAC ID: 2961771316 Enrollment ID: I20200922000520 |
| Provider Name | Lindsey R Bewley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730447111 PECOS PAC ID: 5597059170 Enrollment ID: I20200923002080 |
| Provider Name | Lauren Mozingo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093101446 PECOS PAC ID: 9234432527 Enrollment ID: I20200924000279 |
| Provider Name | Andrea Diaz Stransky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760893143 PECOS PAC ID: 9133401763 Enrollment ID: I20200924003011 |
| Provider Name | Heather W Waldrop |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275876393 PECOS PAC ID: 0749501039 Enrollment ID: I20200925001750 |
| Provider Name | John Lynch Lyles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497174627 PECOS PAC ID: 2668891565 Enrollment ID: I20200925002017 |
| Provider Name | Christine Elissa Eyler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770859829 PECOS PAC ID: 9739496381 Enrollment ID: I20201005001511 |
| Provider Name | Nicole Andrea Sagalla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154641769 PECOS PAC ID: 2365676772 Enrollment ID: I20201005002828 |
| Provider Name | Jeslyn M Kleinschmit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972999704 PECOS PAC ID: 0042521635 Enrollment ID: I20201006000496 |
| Provider Name | Yoon Hie Kim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962857011 PECOS PAC ID: 2860783453 Enrollment ID: I20201006000648 |
| Provider Name | Sweta Mahesh Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275809451 PECOS PAC ID: 1951610930 Enrollment ID: I20201006000732 |
| Provider Name | Beth Huizenga Shaz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710924824 PECOS PAC ID: 1052315207 Enrollment ID: I20201006001911 |
| Provider Name | Michael Owens Boyd |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548615412 PECOS PAC ID: 2365733482 Enrollment ID: I20201006002607 |
| Provider Name | Kristin Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417592189 PECOS PAC ID: 2668891862 Enrollment ID: I20201007000494 |
| Provider Name | Clifford L Crutcher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437491305 PECOS PAC ID: 7618267782 Enrollment ID: I20201013000093 |
| Provider Name | Maureen Elizabeth Metz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790065142 PECOS PAC ID: 0749405959 Enrollment ID: I20201014000607 |
| Provider Name | Jordan Michael Komisarow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619210770 PECOS PAC ID: 4486074390 Enrollment ID: I20201014003517 |
| Provider Name | Tracy Elizabeth Workman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114485539 PECOS PAC ID: 5395165062 Enrollment ID: I20201019001585 |
| Provider Name | Keri Konstant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306466859 PECOS PAC ID: 1850711532 Enrollment ID: I20201019002033 |
| Provider Name | Anna L Daniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629535331 PECOS PAC ID: 6204256860 Enrollment ID: I20201020002341 |
| Provider Name | Melissa Bauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922128222 PECOS PAC ID: 6002932845 Enrollment ID: I20201020003786 |
| Provider Name | Samantha L Ligouri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568070787 PECOS PAC ID: 0446670061 Enrollment ID: I20201021001341 |
| Provider Name | Sundar Krishnan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578757167 PECOS PAC ID: 0749330132 Enrollment ID: I20201022001828 |
| Provider Name | Abel Helebo Gimisso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700318714 PECOS PAC ID: 2961727623 Enrollment ID: I20201022004051 |
| Provider Name | Isabel Cecilia Astolfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316558299 PECOS PAC ID: 9830519107 Enrollment ID: I20201027000296 |
| Provider Name | Rebekah Marie Hardin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811510704 PECOS PAC ID: 1355751660 Enrollment ID: I20201027002380 |
| Provider Name | Katherine Ann Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760800015 PECOS PAC ID: 8820392582 Enrollment ID: I20201027003549 |
| Provider Name | Neeta Sethi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114362746 PECOS PAC ID: 5799195046 Enrollment ID: I20201028000753 |
| Provider Name | Amanda Michele Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215381645 PECOS PAC ID: 5597175703 Enrollment ID: I20201029000533 |
| Provider Name | Sheylan Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528487022 PECOS PAC ID: 2163649229 Enrollment ID: I20201030000921 |
| Provider Name | Zachary Ginsberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992024004 PECOS PAC ID: 0840517868 Enrollment ID: I20201102001911 |
| Provider Name | Sahar Ghassemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962692202 PECOS PAC ID: 9537255187 Enrollment ID: I20201105000423 |
| Provider Name | Prachi T Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851703888 PECOS PAC ID: 5698185403 Enrollment ID: I20201106000492 |
| Provider Name | Dorlan J Kimbrough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568661684 PECOS PAC ID: 2961651773 Enrollment ID: I20201106000808 |
| Provider Name | John Raymond Ramos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184074452 PECOS PAC ID: 3375836547 Enrollment ID: I20201109001357 |
| Provider Name | Sarah Petty Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033716634 PECOS PAC ID: 0244640951 Enrollment ID: I20201109002594 |
| Provider Name | Karen Sorio Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063691657 PECOS PAC ID: 4284044850 Enrollment ID: I20201110002622 |
| Provider Name | Stephanie Christine Macpherson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043638273 PECOS PAC ID: 8527478056 Enrollment ID: I20201111002221 |
| Provider Name | Ruth Jenny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447710496 PECOS PAC ID: 5991115453 Enrollment ID: I20201112000419 |
| Provider Name | Christopher James Rogge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548872633 PECOS PAC ID: 2365852704 Enrollment ID: I20201113000821 |
| Provider Name | Rachael Anna Mintz-cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245658582 PECOS PAC ID: 6406183276 Enrollment ID: I20201113001182 |
| Provider Name | Michael Joseph Devinney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922495183 PECOS PAC ID: 9931519329 Enrollment ID: I20201116000038 |
| Provider Name | Rebecca Dempre Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023632742 PECOS PAC ID: 0547671950 Enrollment ID: I20201116000965 |
| Provider Name | Katelyn Ann Morrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871050419 PECOS PAC ID: 0244641603 Enrollment ID: I20201117000268 |
| Provider Name | Michael William Causey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518425867 PECOS PAC ID: 5092126466 Enrollment ID: I20201117000590 |
| Provider Name | William E Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770042376 PECOS PAC ID: 5698186971 Enrollment ID: I20201117001224 |
| Provider Name | Kasey Gragg Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316551898 PECOS PAC ID: 2668883869 Enrollment ID: I20201119000589 |
| Provider Name | Kasey Elizabeth Mclaughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083227896 PECOS PAC ID: 4587075544 Enrollment ID: I20201123001900 |
| Provider Name | David Joseph Shaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568447977 PECOS PAC ID: 2860484300 Enrollment ID: I20201202001237 |
| Provider Name | Maria Narisa Tucker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043824907 PECOS PAC ID: 6800207499 Enrollment ID: I20201203001753 |
| Provider Name | Mithunan Maheswaranathan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255744876 PECOS PAC ID: 6709104862 Enrollment ID: I20201203001984 |
| Provider Name | Hanna M Redd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831651611 PECOS PAC ID: 0941612410 Enrollment ID: I20201208001107 |
| Provider Name | Megan Hildebran Childs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538629829 PECOS PAC ID: 5395157705 Enrollment ID: I20201209000286 |
| Provider Name | Hannah Chicowlas Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522424 PECOS PAC ID: 9133531411 Enrollment ID: I20201210000315 |
| Provider Name | Deborah Anne Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861014524 PECOS PAC ID: 4385056431 Enrollment ID: I20201214001366 |
| Provider Name | Diane Karen Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205454139 PECOS PAC ID: 0941612071 Enrollment ID: I20201215001416 |
| Provider Name | Goni Katz Greenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568971810 PECOS PAC ID: 8628339272 Enrollment ID: I20201216001708 |
| Provider Name | Dorothy Alice Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326531393 PECOS PAC ID: 1355691239 Enrollment ID: I20201216002111 |
| Provider Name | Hayley Smith Marcoplos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437766029 PECOS PAC ID: 3476965401 Enrollment ID: I20201216002594 |
| Provider Name | Whitney Rains Taheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245830215 PECOS PAC ID: 5890107742 Enrollment ID: I20201217000284 |
| Provider Name | Kaitlyn Elizabeth Stefanick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174147102 PECOS PAC ID: 2466864350 Enrollment ID: I20201217002143 |
| Provider Name | Sarah E Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003253543 PECOS PAC ID: 2860618329 Enrollment ID: I20201218000020 |
| Provider Name | Julie C Ives |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114536513 PECOS PAC ID: 9234541087 Enrollment ID: I20201218002099 |
| Provider Name | Lauren Elizabeth Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508480823 PECOS PAC ID: 2860804549 Enrollment ID: I20201222002144 |
| Provider Name | Jonathan Pierce Huggins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750709234 PECOS PAC ID: 7214261247 Enrollment ID: I20201229002496 |
| Provider Name | Katherine Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124640537 PECOS PAC ID: 1951714476 Enrollment ID: I20201230001133 |
| Provider Name | Yusuf Miraloglu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497375315 PECOS PAC ID: 7517370984 Enrollment ID: I20201231000803 |
| Provider Name | Kelli Rikimi Tseng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831711530 PECOS PAC ID: 2062825375 Enrollment ID: I20210106000241 |
| Provider Name | Clarissa Nicole Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639777212 PECOS PAC ID: 0042623019 Enrollment ID: I20210112001740 |
| Provider Name | Trevor Scott Packer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093310799 PECOS PAC ID: 1254744238 Enrollment ID: I20210112002241 |
| Provider Name | Kristen Colarell Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245829456 PECOS PAC ID: 8426461237 Enrollment ID: I20210114002239 |
| Provider Name | Anna Michelle Mackie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215542378 PECOS PAC ID: 5698188316 Enrollment ID: I20210119001024 |
| Provider Name | William Thomas Clarke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477996650 PECOS PAC ID: 3779847272 Enrollment ID: I20210120002152 |
| Provider Name | Brittney Nicole Bohren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629674866 PECOS PAC ID: 1951715622 Enrollment ID: I20210121000983 |
| Provider Name | Ariane L Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932706140 PECOS PAC ID: 0749694347 Enrollment ID: I20210121002846 |
| Provider Name | Fawaz Abdulaziz M Alenezi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487268512 PECOS PAC ID: 0840604450 Enrollment ID: I20210122000016 |
| Provider Name | Cain Edward Dimon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437196839 PECOS PAC ID: 8921074089 Enrollment ID: I20210202000616 |
| Provider Name | Brittany Napier Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528592045 PECOS PAC ID: 7618381633 Enrollment ID: I20210202001284 |
| Provider Name | Samantha Claire Stringfellow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023613478 PECOS PAC ID: 5193139905 Enrollment ID: I20210205000813 |
| Provider Name | Rachel Ondek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003299637 PECOS PAC ID: 5395058598 Enrollment ID: I20210211000241 |
| Provider Name | Shannon Marie Vannasane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801403795 PECOS PAC ID: 7113332313 Enrollment ID: I20210222001430 |
| Provider Name | Dennis Ignatius Narcisse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881126613 PECOS PAC ID: 0244646917 Enrollment ID: I20210303002008 |
| Provider Name | Matthew Jacob Boyer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043586142 PECOS PAC ID: 7719259696 Enrollment ID: I20210305000660 |
| Provider Name | Lisa a Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093320525 PECOS PAC ID: 3072929611 Enrollment ID: I20210308000461 |
| Provider Name | Briana Lynn Marvich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801434139 PECOS PAC ID: 4981010907 Enrollment ID: I20210316002818 |
| Provider Name | Anne Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508020280 PECOS PAC ID: 9436396637 Enrollment ID: I20210317001354 |
| Provider Name | Suephy Chen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922113141 PECOS PAC ID: 6800972225 Enrollment ID: I20210318000413 |
| Provider Name | Michelle Van Huynh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982226288 PECOS PAC ID: 1658788617 Enrollment ID: I20210318002756 |
| Provider Name | Troy Daniel Piorkowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497342976 PECOS PAC ID: 8729495544 Enrollment ID: I20210323002084 |
| Provider Name | Linaleea Cunanan Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669087243 PECOS PAC ID: 7911314778 Enrollment ID: I20210324001115 |
| Provider Name | Crystal Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750971628 PECOS PAC ID: 4587071204 Enrollment ID: I20210325000540 |
| Provider Name | Madhu Chaudhry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447201678 PECOS PAC ID: 5890836803 Enrollment ID: I20210330001899 |
| Provider Name | Cherith Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049316 PECOS PAC ID: 5092122457 Enrollment ID: I20210331001059 |
| Provider Name | Samuel Travis Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831789544 PECOS PAC ID: 3971910217 Enrollment ID: I20210401001881 |
| Provider Name | Taryn E Scibienski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669827382 PECOS PAC ID: 7517375322 Enrollment ID: I20210415002474 |
| Provider Name | Ryan R Plesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447867700 PECOS PAC ID: 2769890433 Enrollment ID: I20210419000204 |
| Provider Name | Lindsey Mckissick White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669908281 PECOS PAC ID: 4183997505 Enrollment ID: I20210419002203 |
| Provider Name | Alissa Rochelle Cafro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558946384 PECOS PAC ID: 7719395060 Enrollment ID: I20210426002301 |
| Provider Name | Paige Givner Giguere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740873207 PECOS PAC ID: 6406264605 Enrollment ID: I20210427001929 |
| Provider Name | Autumn Hughes Kesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851985915 PECOS PAC ID: 0446669659 Enrollment ID: I20210429000128 |
| Provider Name | Manuela Carugati |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760841712 PECOS PAC ID: 0749699718 Enrollment ID: I20210503002256 |
| Provider Name | Hanna Marie Buckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740885961 PECOS PAC ID: 7810306818 Enrollment ID: I20210504000350 |
| Provider Name | Catherine Swandby Shuford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952908196 PECOS PAC ID: 5698184638 Enrollment ID: I20210504002043 |
| Provider Name | Bhumi Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700470242 PECOS PAC ID: 6305255340 Enrollment ID: I20210504002118 |
| Provider Name | Laura Caroline Plesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154916930 PECOS PAC ID: 5597174326 Enrollment ID: I20210507001581 |
| Provider Name | Lauren Michelle Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023610904 PECOS PAC ID: 1153720446 Enrollment ID: I20210518001657 |
| Provider Name | Mansi D Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427349554 PECOS PAC ID: 0042506073 Enrollment ID: I20210521000913 |
| Provider Name | Glenda Lynn Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740870187 PECOS PAC ID: 7517366503 Enrollment ID: I20210525000023 |
| Provider Name | John Edward Mcmanigle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518320720 PECOS PAC ID: 3173816774 Enrollment ID: I20210528001241 |
| Provider Name | Leah Ray Strickland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902253289 PECOS PAC ID: 3072912591 Enrollment ID: I20210602002782 |
| Provider Name | Cassandra Kay Kisby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184064040 PECOS PAC ID: 6406098565 Enrollment ID: I20210603000297 |
| Provider Name | Eric Donald Carlsen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144708017 PECOS PAC ID: 6204235765 Enrollment ID: I20210603000934 |
| Provider Name | Brendan Christopher Cline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871971960 PECOS PAC ID: 5799096459 Enrollment ID: I20210603001345 |
| Provider Name | Wei Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013395193 PECOS PAC ID: 7911201496 Enrollment ID: I20210603002315 |
| Provider Name | Wesley Daniel Mallinger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225411556 PECOS PAC ID: 0840507026 Enrollment ID: I20210603002881 |
| Provider Name | Hiba Batool Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750813549 PECOS PAC ID: 0446659833 Enrollment ID: I20210607000205 |
| Provider Name | Cameron Locklear |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891109872 PECOS PAC ID: 9335412618 Enrollment ID: I20210614000328 |
| Provider Name | Emily Elizabeth Greenwald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003158288 PECOS PAC ID: 9335433796 Enrollment ID: I20210615000456 |
| Provider Name | John August Hoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336645589 PECOS PAC ID: 5991105884 Enrollment ID: I20210615001046 |
| Provider Name | Sarah Patricia Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841652054 PECOS PAC ID: 3779983689 Enrollment ID: I20210615001564 |
| Provider Name | Melissa a Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902408412 PECOS PAC ID: 8426458282 Enrollment ID: I20210615003744 |
| Provider Name | Lakasha Godwin White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871839324 PECOS PAC ID: 7618191305 Enrollment ID: I20210616000653 |
| Provider Name | Kourtney Henderson Houser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700148053 PECOS PAC ID: 0547409286 Enrollment ID: I20210617003249 |
| Provider Name | Anna Elisabeth Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265966790 PECOS PAC ID: 7214337864 Enrollment ID: I20210618000319 |
| Provider Name | Katherine O'brien Cashen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255538088 PECOS PAC ID: 9537393152 Enrollment ID: I20210621000556 |
| Provider Name | Kirti Magudia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992124226 PECOS PAC ID: 9234448325 Enrollment ID: I20210621001869 |
| Provider Name | Ashley Taylor Lengel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659968584 PECOS PAC ID: 4284034737 Enrollment ID: I20210621001960 |
| Provider Name | Travis S. Henry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922024983 PECOS PAC ID: 7810026861 Enrollment ID: I20210621002962 |
| Provider Name | Alyssa Soskis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205274859 PECOS PAC ID: 4688801939 Enrollment ID: I20210628000421 |
| Provider Name | Caitlin Jernigan Rodgers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134796238 PECOS PAC ID: 4486055308 Enrollment ID: I20210630000631 |
| Provider Name | Rachel Elizabeth Factor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831301241 PECOS PAC ID: 5799852018 Enrollment ID: I20210630001559 |
| Provider Name | Andrew Kipling Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518454073 PECOS PAC ID: 2264781756 Enrollment ID: I20210706003037 |
| Provider Name | Amanda Joe Eltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154915510 PECOS PAC ID: 6204238579 Enrollment ID: I20210708002390 |
| Provider Name | Trey Carlton Mullikin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598110298 PECOS PAC ID: 3476848862 Enrollment ID: I20210709001000 |
| Provider Name | Raman Nohria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184005100 PECOS PAC ID: 2567775414 Enrollment ID: I20210713001603 |
| Provider Name | Zachary James Pettigrew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851889349 PECOS PAC ID: 7517212343 Enrollment ID: I20210713002806 |
| Provider Name | Corina Adela Busuioc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316029606 PECOS PAC ID: 6406881770 Enrollment ID: I20210714001689 |
| Provider Name | Catherine Anne Cheely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669057865 PECOS PAC ID: 5991108698 Enrollment ID: I20210719001739 |
| Provider Name | Nikki-taylor Dow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134788409 PECOS PAC ID: 0749683100 Enrollment ID: I20210722000787 |
| Provider Name | Wissam Najib Mansour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437569852 PECOS PAC ID: 5193069003 Enrollment ID: I20210722003147 |
| Provider Name | Rachelle Giovanna Mccauley Thomasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326630377 PECOS PAC ID: 8022411339 Enrollment ID: I20210723002814 |
| Provider Name | Jonathan Adam Greenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659804060 PECOS PAC ID: 7810390044 Enrollment ID: I20210727000396 |
| Provider Name | Christopher Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871551960 PECOS PAC ID: 4688689086 Enrollment ID: I20210727000489 |
| Provider Name | Wen Shuai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710371786 PECOS PAC ID: 6800299959 Enrollment ID: I20210727001321 |
| Provider Name | Daniel Philip Nussbaum |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942590047 PECOS PAC ID: 8426451592 Enrollment ID: I20210727002252 |
| Provider Name | Tara Nikonow Morgan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457779100 PECOS PAC ID: 2365866936 Enrollment ID: I20210727002721 |
| Provider Name | Jessica Poe Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275148025 PECOS PAC ID: 7315340338 Enrollment ID: I20210728000421 |
| Provider Name | Kendrick V Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184120941 PECOS PAC ID: 3274936117 Enrollment ID: I20210729001125 |
| Provider Name | Sara Nicole Janos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730533316 PECOS PAC ID: 5395039945 Enrollment ID: I20210729003013 |
| Provider Name | Joseph Yi-qiao Cao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144601352 PECOS PAC ID: 9234551284 Enrollment ID: I20210729003599 |
| Provider Name | Sathyan Gurumurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679890529 PECOS PAC ID: 8224279179 Enrollment ID: I20210730000013 |
| Provider Name | Ana Letecia Calvio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710566013 PECOS PAC ID: 1254734064 Enrollment ID: I20210730000169 |
| Provider Name | Charity Ibilola Oyedeji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902149149 PECOS PAC ID: 5890080402 Enrollment ID: I20210802002581 |
| Provider Name | Sarah Katherine Blanchard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487073268 PECOS PAC ID: 6901200609 Enrollment ID: I20210803000724 |
| Provider Name | Jennifer Marie Enderline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356813653 PECOS PAC ID: 5698009660 Enrollment ID: I20210804003846 |
| Provider Name | Tarig Sharif Muzamil Ali-dinar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790987477 PECOS PAC ID: 1658407861 Enrollment ID: I20210806000214 |
| Provider Name | Erin Rachael Hanlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881032027 PECOS PAC ID: 9638500572 Enrollment ID: I20210806001449 |
| Provider Name | Sean Patrick Ryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235524968 PECOS PAC ID: 6406278183 Enrollment ID: I20210809003102 |
| Provider Name | William Moorhead Defoor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346817111 PECOS PAC ID: 2567866692 Enrollment ID: I20210811001203 |
| Provider Name | Matthew Robert Sinclair |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528486198 PECOS PAC ID: 1153695192 Enrollment ID: I20210811003765 |
| Provider Name | Celeste Cantwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043899123 PECOS PAC ID: 3577967504 Enrollment ID: I20210812001232 |
| Provider Name | Malcolm Debaun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134509003 PECOS PAC ID: 6305277088 Enrollment ID: I20210812001685 |
| Provider Name | Akash Nitin Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588198477 PECOS PAC ID: 4981974433 Enrollment ID: I20210813000328 |
| Provider Name | Kathryn Pax Lattimore Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215315569 PECOS PAC ID: 9133430721 Enrollment ID: I20210813000594 |
| Provider Name | Jay Paul Willhite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275945297 PECOS PAC ID: 2567764053 Enrollment ID: I20210813001233 |
| Provider Name | Nita Valikodath |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972036069 PECOS PAC ID: 3173892882 Enrollment ID: I20210813002238 |
| Provider Name | Shelby Lynn Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013397405 PECOS PAC ID: 7810297926 Enrollment ID: I20210813002461 |
| Provider Name | John Larkin Musgrove |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215355524 PECOS PAC ID: 7214332147 Enrollment ID: I20210816002844 |
| Provider Name | Julie Marie Steinbrink |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437595386 PECOS PAC ID: 3173823952 Enrollment ID: I20210817002776 |
| Provider Name | Carrie Marie Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013996727 PECOS PAC ID: 0345291092 Enrollment ID: I20210817003454 |
| Provider Name | Nancy Yimei Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780116350 PECOS PAC ID: 4789089541 Enrollment ID: I20210818000214 |
| Provider Name | Nitya Kalyani Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669836094 PECOS PAC ID: 5395140081 Enrollment ID: I20210818002041 |
| Provider Name | Kisha Altovese Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730798612 PECOS PAC ID: 1254736952 Enrollment ID: I20210818002256 |
| Provider Name | Gabriel Rene Scott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013445410 PECOS PAC ID: 9335544089 Enrollment ID: I20210819000052 |
| Provider Name | Francois Soto Palou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598162182 PECOS PAC ID: 9638574205 Enrollment ID: I20210819001168 |
| Provider Name | Mary Katherine Kowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710477757 PECOS PAC ID: 5597006726 Enrollment ID: I20210819001877 |
| Provider Name | Melissa Mercedes Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841600616 PECOS PAC ID: 3577989839 Enrollment ID: I20210820000390 |
| Provider Name | Michael Quist |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154858959 PECOS PAC ID: 2062817521 Enrollment ID: I20210820001633 |
| Provider Name | Omar S Alibrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053324913 PECOS PAC ID: 5193820561 Enrollment ID: I20210826000576 |
| Provider Name | Kendall Elizabeth Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710373683 PECOS PAC ID: 3577968759 Enrollment ID: I20210826000743 |
| Provider Name | Malcolm Symes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477040277 PECOS PAC ID: 5496150609 Enrollment ID: I20210826001970 |
| Provider Name | Sendhilnathan Ramalingam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164818126 PECOS PAC ID: 2961807037 Enrollment ID: I20210827001262 |
| Provider Name | Geoffroy Courcelle Sisk |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508008657 PECOS PAC ID: 4183862931 Enrollment ID: I20210831000137 |
| Provider Name | Maggie Lee Dinome |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477589851 PECOS PAC ID: 4880664119 Enrollment ID: I20210831002903 |
| Provider Name | Rex Monroe Mccallum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326122219 PECOS PAC ID: 5991986598 Enrollment ID: I20210901004004 |
| Provider Name | Shital H Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386031177 PECOS PAC ID: 3476959255 Enrollment ID: I20210901004203 |
| Provider Name | Noam Eliashiv Bartuv |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245824812 PECOS PAC ID: 7113323924 Enrollment ID: I20210902000784 |
| Provider Name | Robert Hayes Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134742117 PECOS PAC ID: 6002212727 Enrollment ID: I20210903002546 |
| Provider Name | Leah Esther Waldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629464458 PECOS PAC ID: 5294071627 Enrollment ID: I20210907001251 |
| Provider Name | Shatha Wajih Yousef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902099658 PECOS PAC ID: 9931358454 Enrollment ID: I20210908000103 |
| Provider Name | Tristen Taeho Chun |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780944777 PECOS PAC ID: 7113147935 Enrollment ID: I20210908002076 |
| Provider Name | Hannah E Woriax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245650159 PECOS PAC ID: 1951521780 Enrollment ID: I20210908002134 |
| Provider Name | Marjorie S Soltis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396109427 PECOS PAC ID: 6901199504 Enrollment ID: I20210908002164 |
| Provider Name | Larissa Lester Truschel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699161786 PECOS PAC ID: 0446675888 Enrollment ID: I20210909000181 |
| Provider Name | Cina Sasannejad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316331622 PECOS PAC ID: 2668774761 Enrollment ID: I20210909000724 |
| Provider Name | Jill Melissa Hagey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457883324 PECOS PAC ID: 8325457120 Enrollment ID: I20210909002953 |
| Provider Name | Jeremy Lynn Grove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790452241 PECOS PAC ID: 9234535550 Enrollment ID: I20210910001623 |
| Provider Name | Nathan Troy Tagg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477541480 PECOS PAC ID: 4486745411 Enrollment ID: I20210913002100 |
| Provider Name | Mary Mcgowan Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043607542 PECOS PAC ID: 8426454620 Enrollment ID: I20210914002244 |
| Provider Name | Gedion Titus Kipkoech Ngeno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477992857 PECOS PAC ID: 5496151557 Enrollment ID: I20210915001121 |
| Provider Name | Christopher Lloyd Mosher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669884318 PECOS PAC ID: 3476778655 Enrollment ID: I20210916001195 |
| Provider Name | Andrew Hong Yan Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215390984 PECOS PAC ID: 7113219072 Enrollment ID: I20210917002805 |
| Provider Name | Alexander Joseph Snyder |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942732391 PECOS PAC ID: 7113296880 Enrollment ID: I20210920001716 |
| Provider Name | Freylen Erna Lustria Nonato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457907115 PECOS PAC ID: 7012248552 Enrollment ID: I20210920002189 |
| Provider Name | Justin Dean Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174901185 PECOS PAC ID: 3678864048 Enrollment ID: I20210922001765 |
| Provider Name | Christopher John Shoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053739946 PECOS PAC ID: 4486872587 Enrollment ID: I20210923002082 |
| Provider Name | Amy Kay Moon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609372481 PECOS PAC ID: 6406253095 Enrollment ID: I20210924000149 |
| Provider Name | Deborah Ann Torrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020297 PECOS PAC ID: 9830596394 Enrollment ID: I20210926000007 |
| Provider Name | Samuel Virgil Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366930943 PECOS PAC ID: 3072910397 Enrollment ID: I20210928003727 |
| Provider Name | Eric Redmon Powers |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740786045 PECOS PAC ID: 4486051687 Enrollment ID: I20210929003584 |
| Provider Name | Jeffrey Brian Russ |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821450602 PECOS PAC ID: 9638439920 Enrollment ID: I20210930003196 |
| Provider Name | Amber Michelle Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922495811 PECOS PAC ID: 9739587916 Enrollment ID: I20211004000955 |
| Provider Name | Lorrie Versola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720657976 PECOS PAC ID: 4587062641 Enrollment ID: I20211005000938 |
| Provider Name | Morgan Emily Cox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972129484 PECOS PAC ID: 2062810963 Enrollment ID: I20211007000332 |
| Provider Name | Matthew James Doell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710578711 PECOS PAC ID: 8224436126 Enrollment ID: I20211007000397 |
| Provider Name | Julie Beth Penzner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144487398 PECOS PAC ID: 1658423207 Enrollment ID: I20211007002606 |
| Provider Name | Amol Ashwin Sura |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760839948 PECOS PAC ID: 6800212598 Enrollment ID: I20211008001602 |
| Provider Name | Meghan Burns Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184182057 PECOS PAC ID: 4284032962 Enrollment ID: I20211011001292 |
| Provider Name | Louis Robert Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376625145 PECOS PAC ID: 5294133989 Enrollment ID: I20211011001803 |
| Provider Name | Florence Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184159006 PECOS PAC ID: 8729358098 Enrollment ID: I20211012000102 |
| Provider Name | Omar Hassan Al-qudsi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134546443 PECOS PAC ID: 7214238872 Enrollment ID: I20211012000671 |
| Provider Name | Loran Michelle Macgregor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497186217 PECOS PAC ID: 7517198815 Enrollment ID: I20211014002149 |
| Provider Name | Paul Jeffrey Stechschulte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457747057 PECOS PAC ID: 9436468956 Enrollment ID: I20211015002210 |
| Provider Name | Kimberly Patrice Hreha |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497426407 PECOS PAC ID: 9436557741 Enrollment ID: I20211015002720 |
| Provider Name | Brian David Sindelar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205196953 PECOS PAC ID: 2062648637 Enrollment ID: I20211018002334 |
| Provider Name | Kerry Elizabeth Mulcahy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790453868 PECOS PAC ID: 7315335650 Enrollment ID: I20211019002753 |
| Provider Name | Astrid Marie Rose Botty Van Den Bruele |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033539754 PECOS PAC ID: 3678871423 Enrollment ID: I20211020000468 |
| Provider Name | Amanda Annette Dorsey Kimberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891159216 PECOS PAC ID: 5496143695 Enrollment ID: I20211020001917 |
| Provider Name | Beverly Redsar Lampila |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225373269 PECOS PAC ID: 9537399290 Enrollment ID: I20211020002075 |
| Provider Name | Jonathan Reed Komisar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043673577 PECOS PAC ID: 3870886260 Enrollment ID: I20211021000512 |
| Provider Name | Megan Kathleen Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023688116 PECOS PAC ID: 2264820182 Enrollment ID: I20211026003383 |
| Provider Name | Katharine Rose Colton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982099651 PECOS PAC ID: 3678879574 Enrollment ID: I20211027002203 |
| Provider Name | Bryant Matthew Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366937526 PECOS PAC ID: 3274883012 Enrollment ID: I20211102000077 |
| Provider Name | Lauren Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386262640 PECOS PAC ID: 1557759073 Enrollment ID: I20211102001292 |
| Provider Name | Hazem M Ahmed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528276557 PECOS PAC ID: 0941194567 Enrollment ID: I20211103001565 |
| Provider Name | Sarah Caril |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700991775 PECOS PAC ID: 9931144748 Enrollment ID: I20211103002610 |
| Provider Name | Andrew M Schwartz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114380524 PECOS PAC ID: 8022301670 Enrollment ID: I20211104001681 |
| Provider Name | Anthony Catanzano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740677640 PECOS PAC ID: 4789001165 Enrollment ID: I20211105000484 |
| Provider Name | Hannah Akbarzadeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407427156 PECOS PAC ID: 4981093283 Enrollment ID: I20211108000642 |
| Provider Name | Matthew Scott Klepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982373312 PECOS PAC ID: 7911396221 Enrollment ID: I20211108000898 |
| Provider Name | William Walker Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427563980 PECOS PAC ID: 9032478359 Enrollment ID: I20211108001823 |
| Provider Name | Anne Colleen Schmelzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376110262 PECOS PAC ID: 0244629319 Enrollment ID: I20211110002272 |
| Provider Name | Jodi Antonelli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023283017 PECOS PAC ID: 3678729118 Enrollment ID: I20211112000744 |
| Provider Name | Katherine Elizabeth Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366112583 PECOS PAC ID: 4082003801 Enrollment ID: I20211117002199 |
| Provider Name | Nicole Gyasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396239455 PECOS PAC ID: 9830448588 Enrollment ID: I20211117002829 |
| Provider Name | Katie Bright Colosimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720754849 PECOS PAC ID: 9133518814 Enrollment ID: I20211118001219 |
| Provider Name | Kelsey Lynn Gilchrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821669565 PECOS PAC ID: 8325437973 Enrollment ID: I20211119001501 |
| Provider Name | Jacob Kent Barney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568810190 PECOS PAC ID: 5597046912 Enrollment ID: I20211123001574 |
| Provider Name | Shweta Punj |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427365501 PECOS PAC ID: 4587889175 Enrollment ID: I20211124000051 |
| Provider Name | Shilpi Agrawala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871025981 PECOS PAC ID: 5092117382 Enrollment ID: I20211202001775 |
| Provider Name | Erin Renee Figgins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851068365 PECOS PAC ID: 7214327311 Enrollment ID: I20211203001690 |
| Provider Name | Jamie Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265041602 PECOS PAC ID: 8426448481 Enrollment ID: I20211206001674 |
| Provider Name | Sara Ann Sewelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497417745 PECOS PAC ID: 2769611714 Enrollment ID: I20211207000649 |
| Provider Name | Sophia Tran Hoai Huong Tieu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386317808 PECOS PAC ID: 4587054432 Enrollment ID: I20211208000747 |
| Provider Name | Sandy El Bitar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1487060232 PECOS PAC ID: 0143447722 Enrollment ID: I20211209002005 |
| Provider Name | Cecilia Rice Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497134464 PECOS PAC ID: 8921319112 Enrollment ID: I20211209002693 |
| Provider Name | Karen Amanda Scherr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174020101 PECOS PAC ID: 5597168971 Enrollment ID: I20211210001691 |
| Provider Name | Allison Walker Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770151219 PECOS PAC ID: 3870983570 Enrollment ID: I20211213001934 |
| Provider Name | Thomas James Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629533872 PECOS PAC ID: 2769722123 Enrollment ID: I20211214000381 |
| Provider Name | Katelyn Suzanne Linker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831851005 PECOS PAC ID: 7911397575 Enrollment ID: I20211214001808 |
| Provider Name | Melia Johnson Kalsbeek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386210482 PECOS PAC ID: 1254721814 Enrollment ID: I20211214001954 |
| Provider Name | Rebecca Emily Ryder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225619307 PECOS PAC ID: 2466843032 Enrollment ID: I20211216000376 |
| Provider Name | Emily Keefer Vernola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427668847 PECOS PAC ID: 5991107237 Enrollment ID: I20211216002955 |
| Provider Name | Khyan Chrionya Mashay Waddell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407453319 PECOS PAC ID: 2769873025 Enrollment ID: I20211221000008 |
| Provider Name | Daniel Ryan Anderson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710340955 PECOS PAC ID: 5698069458 Enrollment ID: I20211222001318 |
| Provider Name | Mary Catherine Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760983126 PECOS PAC ID: 3375807910 Enrollment ID: I20211222001620 |
| Provider Name | Justin Thomas Low |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457770380 PECOS PAC ID: 7416250980 Enrollment ID: I20211229000047 |
| Provider Name | Amber Hope Eberhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598421869 PECOS PAC ID: 9931590973 Enrollment ID: I20211229001496 |
| Provider Name | Carleen Grady Mckenna |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861068389 PECOS PAC ID: 4284025172 Enrollment ID: I20220104001286 |
| Provider Name | Garrison Hunter Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306283122 PECOS PAC ID: 1951535624 Enrollment ID: I20220104001309 |
| Provider Name | Katherine E Marting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720657323 PECOS PAC ID: 9931590759 Enrollment ID: I20220104003055 |
| Provider Name | Henry Lazaro Delgado Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649840315 PECOS PAC ID: 2062803893 Enrollment ID: I20220105000227 |
| Provider Name | Michal Krzysztof Szelwach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649938390 PECOS PAC ID: 8527450261 Enrollment ID: I20220110001116 |
| Provider Name | Monica Chen Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740850841 PECOS PAC ID: 4981096476 Enrollment ID: I20220112002424 |
| Provider Name | Schyler Nicole House |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568919199 PECOS PAC ID: 4082981378 Enrollment ID: I20220113002054 |
| Provider Name | Erin Brooke Gettler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346669777 PECOS PAC ID: 2567764632 Enrollment ID: I20220113002188 |
| Provider Name | An-kwok Ian Wong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144615238 PECOS PAC ID: 1456743913 Enrollment ID: I20220113002601 |
| Provider Name | Jessica S. Kamzik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407520174 PECOS PAC ID: 1759773054 Enrollment ID: I20220119000027 |
| Provider Name | Allison Kate Bassil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548931074 PECOS PAC ID: 4789076027 Enrollment ID: I20220119001877 |
| Provider Name | Erika Leigh Jacumin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548443518 PECOS PAC ID: 3173603933 Enrollment ID: I20220124001796 |
| Provider Name | Dallas Deneen Belford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770258345 PECOS PAC ID: 4486046448 Enrollment ID: I20220125000592 |
| Provider Name | Allison Rebekah Blaylock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972129559 PECOS PAC ID: 4688066517 Enrollment ID: I20220126001258 |
| Provider Name | Emad Hasan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891744389 PECOS PAC ID: 0648270751 Enrollment ID: I20220127002209 |
| Provider Name | Emily Joubert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396023990 PECOS PAC ID: 8325431133 Enrollment ID: I20220131000522 |
| Provider Name | Leah Christine Acker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184156887 PECOS PAC ID: 8123411949 Enrollment ID: I20220131001040 |
| Provider Name | Kay Aralyn Kuang Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154959419 PECOS PAC ID: 9133536287 Enrollment ID: I20220131001360 |
| Provider Name | Maria Irene Font Mera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346906286 PECOS PAC ID: 8426441288 Enrollment ID: I20220131002533 |
| Provider Name | Tyson Lucian Sydney Pankey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194396804 PECOS PAC ID: 7618360348 Enrollment ID: I20220202000139 |
| Provider Name | Kathryn Lowe Sagester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760149421 PECOS PAC ID: 1254724842 Enrollment ID: I20220202002733 |
| Provider Name | Leslie Fulton Nakhle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952972283 PECOS PAC ID: 2961895552 Enrollment ID: I20220202002811 |
| Provider Name | Amy Leigh Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386620318 PECOS PAC ID: 6709830540 Enrollment ID: I20220208000056 |
| Provider Name | Amy Rebecca Lakin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699239947 PECOS PAC ID: 2264825652 Enrollment ID: I20220208000097 |
| Provider Name | Yasmin Anjanette Mathlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385784 PECOS PAC ID: 5698016707 Enrollment ID: I20220210000019 |
| Provider Name | Kimberly Sharay Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932798667 PECOS PAC ID: 3971996109 Enrollment ID: I20220210000231 |
| Provider Name | Lisa Jennings Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447836010 PECOS PAC ID: 6305239534 Enrollment ID: I20220210000356 |
| Provider Name | Kristi Lyn Kehoe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477911295 PECOS PAC ID: 6305141284 Enrollment ID: I20220210000949 |
| Provider Name | Alexis Nicole French |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831711423 PECOS PAC ID: 8527451715 Enrollment ID: I20220211000096 |
| Provider Name | Shelby Joy Moored |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689346025 PECOS PAC ID: 6305239443 Enrollment ID: I20220212000120 |
| Provider Name | Liya Bitsuan Lakew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417610379 PECOS PAC ID: 6608269683 Enrollment ID: I20220216000463 |
| Provider Name | Steven Jeffrey Eliades |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245405174 PECOS PAC ID: 7416106976 Enrollment ID: I20220216001848 |
| Provider Name | Patrick Ryan Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548922503 PECOS PAC ID: 5395138200 Enrollment ID: I20220216002027 |
| Provider Name | Emma Lea Zabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891452868 PECOS PAC ID: 3678966504 Enrollment ID: I20220216002914 |
| Provider Name | Carmen Mercedes Ledesma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851799225 PECOS PAC ID: 7416258595 Enrollment ID: I20220217000169 |
| Provider Name | Isha Dharmendra Amin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639839749 PECOS PAC ID: 6002209954 Enrollment ID: I20220217000567 |
| Provider Name | Amy Elizabeth Heltemes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541350 PECOS PAC ID: 2961798418 Enrollment ID: I20220218000271 |
| Provider Name | Sergio Pina Oviedo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578880142 PECOS PAC ID: 5294012605 Enrollment ID: I20220218001070 |
| Provider Name | Gianna Marie Rocchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255082426 PECOS PAC ID: 3577957331 Enrollment ID: I20220222001209 |
| Provider Name | Virginia Anne Goracke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639541071 PECOS PAC ID: 9234426297 Enrollment ID: I20220228000740 |
| Provider Name | Katherine a Gallagher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487322384 PECOS PAC ID: 2860886256 Enrollment ID: I20220301001352 |
| Provider Name | Ashley Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679196869 PECOS PAC ID: 9638563901 Enrollment ID: I20220302001813 |
| Provider Name | Timothy Scott George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750051074 PECOS PAC ID: 7719371020 Enrollment ID: I20220303000263 |
| Provider Name | Lindsay Mizok Bostian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922623750 PECOS PAC ID: 3971997099 Enrollment ID: I20220304002032 |
| Provider Name | Erin Brett Denio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023562956 PECOS PAC ID: 1759775844 Enrollment ID: I20220307002069 |
| Provider Name | Amber Renae Graeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477129815 PECOS PAC ID: 9436544467 Enrollment ID: I20220309002722 |
| Provider Name | Tara Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174006035 PECOS PAC ID: 7618216656 Enrollment ID: I20220312000123 |
| Provider Name | Brianna Nicole Pockette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881349215 PECOS PAC ID: 2860887643 Enrollment ID: I20220314000739 |
| Provider Name | Nina Zahra Silva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730572603 PECOS PAC ID: 3779894563 Enrollment ID: I20220317002288 |
| Provider Name | Nicola Elisabeth Hughes Hallett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861901738 PECOS PAC ID: 3375804826 Enrollment ID: I20220322002080 |
| Provider Name | Mychal Kelly Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720743354 PECOS PAC ID: 7113312406 Enrollment ID: I20220323002730 |
| Provider Name | Karra Anne Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598177446 PECOS PAC ID: 7618196551 Enrollment ID: I20220329002046 |
| Provider Name | Kathleen Ann Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841952025 PECOS PAC ID: 3173919198 Enrollment ID: I20220331000100 |
| Provider Name | Amanda Kimberly Stauder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144709460 PECOS PAC ID: 8123414158 Enrollment ID: I20220331000261 |
| Provider Name | Judith Joy-simone Saintange |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427400084 PECOS PAC ID: 9436444221 Enrollment ID: I20220401002369 |
| Provider Name | Natalie Claire Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962076802 PECOS PAC ID: 5193111979 Enrollment ID: I20220404000953 |
| Provider Name | Tywana Myava Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285108209 PECOS PAC ID: 7618363284 Enrollment ID: I20220407000595 |
| Provider Name | Leigh Ann Spivey-rita |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629671839 PECOS PAC ID: 1355737883 Enrollment ID: I20220408000352 |
| Provider Name | Kimberly a Thames |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184395444 PECOS PAC ID: 3678969094 Enrollment ID: I20220411001791 |
| Provider Name | Cassady Tetsworth Turregano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003315383 PECOS PAC ID: 2860754322 Enrollment ID: I20220411002320 |
| Provider Name | Shaniquewa Downes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154992816 PECOS PAC ID: 3971999269 Enrollment ID: I20220414000280 |
| Provider Name | Ramiro Sergio Maldonado |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215228036 PECOS PAC ID: 3173872454 Enrollment ID: I20220414001881 |
| Provider Name | Summer Langston Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285190157 PECOS PAC ID: 8729320643 Enrollment ID: I20220420000386 |
| Provider Name | Jonathan Dickens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578769022 PECOS PAC ID: 8820270788 Enrollment ID: I20220421000225 |
| Provider Name | Nicolena Collette Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932783966 PECOS PAC ID: 2163819129 Enrollment ID: I20220422000304 |
| Provider Name | Rachel Dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457004624 PECOS PAC ID: 3971990862 Enrollment ID: I20220422002141 |
| Provider Name | Sarah Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639839202 PECOS PAC ID: 9133516990 Enrollment ID: I20220425002470 |
| Provider Name | Hannah King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548837925 PECOS PAC ID: 6204223852 Enrollment ID: I20220428001876 |
| Provider Name | Ryan Meteer Antiel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679836803 PECOS PAC ID: 7719123710 Enrollment ID: I20220504002455 |
| Provider Name | Miriam Treggiari |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689899668 PECOS PAC ID: 1153447388 Enrollment ID: I20220511001122 |
| Provider Name | Jeffrey David Kozlowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598740631 PECOS PAC ID: 2567561988 Enrollment ID: I20220512001362 |
| Provider Name | Derek Le Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588197560 PECOS PAC ID: 8426305418 Enrollment ID: I20220516001558 |
| Provider Name | Nina Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750054060 PECOS PAC ID: 8729465471 Enrollment ID: I20220518000956 |
| Provider Name | Amanda Nicole Strott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750879292 PECOS PAC ID: 0446637078 Enrollment ID: I20220519001207 |
| Provider Name | Rebecca Wadlinger |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124304282 PECOS PAC ID: 3779850482 Enrollment ID: I20220520001335 |
| Provider Name | Nathan Andrew Hirshman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114489127 PECOS PAC ID: 3476930082 Enrollment ID: I20220520001783 |
| Provider Name | Danielle Elizabeth Kruse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548701741 PECOS PAC ID: 4587935515 Enrollment ID: I20220524002404 |
| Provider Name | Vivian Marie Minkemeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508391210 PECOS PAC ID: 3577835784 Enrollment ID: I20220526002747 |
| Provider Name | Kara Brightman Johnson Wegermann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447678966 PECOS PAC ID: 5395123541 Enrollment ID: I20220601000331 |
| Provider Name | Margaret Hannah Swerlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750036273 PECOS PAC ID: 2062890122 Enrollment ID: I20220601001029 |
| Provider Name | Meghana Konanur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851780589 PECOS PAC ID: 5799076881 Enrollment ID: I20220601001566 |
| Provider Name | Robin Abraham Zachariah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992125025 PECOS PAC ID: 4688948649 Enrollment ID: I20220603001013 |
| Provider Name | Fengming Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407210388 PECOS PAC ID: 0042592081 Enrollment ID: I20220606001550 |
| Provider Name | Robert Joseph Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790172443 PECOS PAC ID: 7214258128 Enrollment ID: I20220608000896 |
| Provider Name | Joseph Liberal Giramata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831666197 PECOS PAC ID: 5890033864 Enrollment ID: I20220608002169 |
| Provider Name | Deaundre Alfonzo Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215427018 PECOS PAC ID: 5991060220 Enrollment ID: I20220609000290 |
| Provider Name | Michael Robert Harowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225561640 PECOS PAC ID: 0244588580 Enrollment ID: I20220609002940 |
| Provider Name | Andrew Charles Bowman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699279133 PECOS PAC ID: 3072845320 Enrollment ID: I20220613001875 |
| Provider Name | Warren Hammert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710940788 PECOS PAC ID: 5193739076 Enrollment ID: I20220613003152 |
| Provider Name | Qiaohui Wei White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649910126 PECOS PAC ID: 0749669224 Enrollment ID: I20220614002859 |
| Provider Name | Abhinav Golla |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649762501 PECOS PAC ID: 3678909728 Enrollment ID: I20220616001528 |
| Provider Name | Arpita Suketu Maniar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790433084 PECOS PAC ID: 1153700356 Enrollment ID: I20220617001973 |
| Provider Name | Eliot Robert Dow |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740711647 PECOS PAC ID: 0941635973 Enrollment ID: I20220621001172 |
| Provider Name | Alicia Breann Whiteis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821651548 PECOS PAC ID: 7416281324 Enrollment ID: I20220621003250 |
| Provider Name | Santosh Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831571686 PECOS PAC ID: 0941533368 Enrollment ID: I20220627002025 |
| Provider Name | Linsey Mae Gremillion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568927978 PECOS PAC ID: 4486996386 Enrollment ID: I20220628001218 |
| Provider Name | Brandy Patterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962693002 PECOS PAC ID: 2860582657 Enrollment ID: I20220628001749 |
| Provider Name | Felicia Lucy, Lorena Dickerson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417127549 PECOS PAC ID: 2860872397 Enrollment ID: I20220630001231 |
| Provider Name | Yasmeen Mondane Murray-hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629652342 PECOS PAC ID: 8224418769 Enrollment ID: I20220630001266 |
| Provider Name | Adam Joseph Hobbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467025494 PECOS PAC ID: 8426438979 Enrollment ID: I20220630001955 |
| Provider Name | Ryan Matthew Orgel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013336015 PECOS PAC ID: 8224393566 Enrollment ID: I20220701000845 |
| Provider Name | Charles Mcgonegle Burns |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811315336 PECOS PAC ID: 9638435928 Enrollment ID: I20220706001118 |
| Provider Name | Anica Peros Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679216519 PECOS PAC ID: 9931589090 Enrollment ID: I20220707000105 |
| Provider Name | Aaron Vose |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851703086 PECOS PAC ID: 5294952248 Enrollment ID: I20220707000352 |
| Provider Name | Amanda Marie Steiner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972251239 PECOS PAC ID: 7618357799 Enrollment ID: I20220707000518 |
| Provider Name | Michelle Elizabeth Perkons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821595372 PECOS PAC ID: 6800151564 Enrollment ID: I20220708000960 |
| Provider Name | Mackenzie Elizabeth Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033792577 PECOS PAC ID: 1153710231 Enrollment ID: I20220711003680 |
| Provider Name | Russell-john Krom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124550074 PECOS PAC ID: 4688054380 Enrollment ID: I20220711003681 |
| Provider Name | Olga Theresa Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386673267 PECOS PAC ID: 1456355676 Enrollment ID: I20220712000327 |
| Provider Name | Hailey Lynn Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073286613 PECOS PAC ID: 6901287622 Enrollment ID: I20220713000178 |
| Provider Name | Talisha Dalini Ramchal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063875748 PECOS PAC ID: 3173816857 Enrollment ID: I20220713004194 |
| Provider Name | Miguel Yaport |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285052241 PECOS PAC ID: 3971801960 Enrollment ID: I20220714000412 |
| Provider Name | Kaitlin Taylor Paich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467103747 PECOS PAC ID: 9830570340 Enrollment ID: I20220714003053 |
| Provider Name | Susan Jin Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679144091 PECOS PAC ID: 9234510744 Enrollment ID: I20220714003362 |
| Provider Name | Adam Reidenbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134137052 PECOS PAC ID: 4385661693 Enrollment ID: I20220715000073 |
| Provider Name | Katherine Alexandria Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740642883 PECOS PAC ID: 2163766288 Enrollment ID: I20220720001730 |
| Provider Name | Sanghee Hong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679991756 PECOS PAC ID: 9032486717 Enrollment ID: I20220720003103 |
| Provider Name | Shannon Moffitt Bomstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881323764 PECOS PAC ID: 0547641581 Enrollment ID: I20220721001947 |
| Provider Name | Dail Ann Ciani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700219292 PECOS PAC ID: 4486886058 Enrollment ID: I20220721002682 |
| Provider Name | Stephanie Iwalani Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114361110 PECOS PAC ID: 2365724713 Enrollment ID: I20220722000530 |
| Provider Name | Daliya Dzhaber |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528685328 PECOS PAC ID: 4284034836 Enrollment ID: I20220722001972 |
| Provider Name | Elizabeth Reiser Kerr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760941876 PECOS PAC ID: 5496097701 Enrollment ID: I20220725002194 |
| Provider Name | Erin Victoria Shea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851753560 PECOS PAC ID: 6406237221 Enrollment ID: I20220725002446 |
| Provider Name | Christopher Francis Dibble |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518348655 PECOS PAC ID: 3779897681 Enrollment ID: I20220726000231 |
| Provider Name | Andrew Benjamin Cutler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982099743 PECOS PAC ID: 1052792819 Enrollment ID: I20220726000433 |
| Provider Name | James Franklin Wharam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280288 PECOS PAC ID: 9234162975 Enrollment ID: I20220727002969 |
| Provider Name | Amber Michelle Mcginnis Whitmill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790244705 PECOS PAC ID: 4587998513 Enrollment ID: I20220802000458 |
| Provider Name | Evan Darcy Cozzens Calabrese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043671977 PECOS PAC ID: 9133501463 Enrollment ID: I20220803002917 |
| Provider Name | Bo Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093211666 PECOS PAC ID: 0749528305 Enrollment ID: I20220803003595 |
| Provider Name | Vrinda P Jindal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043868060 PECOS PAC ID: 7517391758 Enrollment ID: I20220804000157 |
| Provider Name | Courtney Hodge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730756289 PECOS PAC ID: 7315329513 Enrollment ID: I20220804002129 |
| Provider Name | Jordan Robert Foreman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982137584 PECOS PAC ID: 4981975620 Enrollment ID: I20220808001335 |
| Provider Name | Cara Neufeld Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699268524 PECOS PAC ID: 6305198292 Enrollment ID: I20220811003528 |
| Provider Name | Laura Anne Bacigalupi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811644040 PECOS PAC ID: 0345623088 Enrollment ID: I20220813000314 |
| Provider Name | Abigail Irene Tepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407511934 PECOS PAC ID: 1254714819 Enrollment ID: I20220815000220 |
| Provider Name | Courtney Caroline Schlachter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457086464 PECOS PAC ID: 3779966320 Enrollment ID: I20220816000395 |
| Provider Name | Rebecca Weber Knackstedt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1679967715 PECOS PAC ID: 9335545912 Enrollment ID: I20220816001275 |
| Provider Name | Eric Formeister |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760877542 PECOS PAC ID: 7517380678 Enrollment ID: I20220817003028 |
| Provider Name | Argenis Eduardo Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962164327 PECOS PAC ID: 1153704564 Enrollment ID: I20220818000278 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164876611 PECOS PAC ID: 5193017721 Enrollment ID: I20220818000757 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144682386 PECOS PAC ID: 2365733771 Enrollment ID: I20220819002902 |
| Provider Name | Taylor Noel Mcmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750908778 PECOS PAC ID: 7214310325 Enrollment ID: I20220822002306 |
| Provider Name | Victor Mauricio Pereira |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336879642 PECOS PAC ID: 3375926496 Enrollment ID: I20220822002961 |
| Provider Name | Kelby Lomax Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881323384 PECOS PAC ID: 4284017344 Enrollment ID: I20220823000729 |
| Provider Name | Elizabeth Ann Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558724815 PECOS PAC ID: 5991098568 Enrollment ID: I20220824002366 |
| Provider Name | Anoop Premswaroop Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255567756 PECOS PAC ID: 1759549942 Enrollment ID: I20220825000826 |
| Provider Name | Eliana Brailovsky Saltzman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407389646 PECOS PAC ID: 8224412200 Enrollment ID: I20220825002571 |
| Provider Name | Andrea Rosalia Burgess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962148569 PECOS PAC ID: 8729462676 Enrollment ID: I20220826001839 |
| Provider Name | Nathaniel Joseph Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174029797 PECOS PAC ID: 9335523117 Enrollment ID: I20220827000261 |
| Provider Name | Ryan Everett Fecteau |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215469333 PECOS PAC ID: 6709260516 Enrollment ID: I20220829000693 |
| Provider Name | Zachary J Carter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275067407 PECOS PAC ID: 0547663643 Enrollment ID: I20220829000804 |
| Provider Name | Jeylan Suzan Close |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457701955 PECOS PAC ID: 7012209125 Enrollment ID: I20220829000883 |
| Provider Name | Alice Bryn Salter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972865509 PECOS PAC ID: 1658593876 Enrollment ID: I20220829002315 |
| Provider Name | Young Mee Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346660206 PECOS PAC ID: 5395010441 Enrollment ID: I20220830000156 |
| Provider Name | Ceshae Cemonique Alexia Harding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063973147 PECOS PAC ID: 5395129092 Enrollment ID: I20220830000857 |
| Provider Name | Nandini Swati Abburi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730618349 PECOS PAC ID: 0345511416 Enrollment ID: I20220830003605 |
| Provider Name | Pablo Carlos Plasencia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346702453 PECOS PAC ID: 6800270455 Enrollment ID: I20220830003975 |
| Provider Name | Mallory Christine Tassone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255088241 PECOS PAC ID: 1557745106 Enrollment ID: I20220830004326 |
| Provider Name | Lindsey Victoria Weidmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669908661 PECOS PAC ID: 8426328204 Enrollment ID: I20220831000873 |
| Provider Name | Alexandra Nicole Borden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780127993 PECOS PAC ID: 3274917737 Enrollment ID: I20220831003909 |
| Provider Name | Gabryel Lorena Garcia-sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811550510 PECOS PAC ID: 8325422751 Enrollment ID: I20220901003017 |
| Provider Name | Felicia Marie Woodall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255088126 PECOS PAC ID: 0648651604 Enrollment ID: I20220902000924 |
| Provider Name | Alexandra Christine Antos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508596479 PECOS PAC ID: 9234513623 Enrollment ID: I20220902002012 |
| Provider Name | Madison Ivey Dunning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689340994 PECOS PAC ID: 6103200324 Enrollment ID: I20220907000818 |
| Provider Name | Divya Natesan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861924433 PECOS PAC ID: 2062896152 Enrollment ID: I20220909000198 |
| Provider Name | Nicole Clark Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164161519 PECOS PAC ID: 9234514340 Enrollment ID: I20220909001644 |
| Provider Name | Sydney Momo Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801293550 PECOS PAC ID: 2163740440 Enrollment ID: I20220912000129 |
| Provider Name | Jessica Renee Albanese |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366973927 PECOS PAC ID: 5991077539 Enrollment ID: I20220912000526 |
| Provider Name | Mohit Bansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679920094 PECOS PAC ID: 2264727411 Enrollment ID: I20220913001954 |
| Provider Name | Kyle Jacob Vance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841867025 PECOS PAC ID: 2163807009 Enrollment ID: I20220914000449 |
| Provider Name | Sophia Angelina Stenstedt Dunworth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720510068 PECOS PAC ID: 0042611683 Enrollment ID: I20220914000787 |
| Provider Name | Michelle Diane Kelsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235519596 PECOS PAC ID: 6103133988 Enrollment ID: I20220914003349 |
| Provider Name | Mollie E Kotzen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053809350 PECOS PAC ID: 0042695728 Enrollment ID: I20220915003520 |
| Provider Name | Christopher Victor Barron-graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013636463 PECOS PAC ID: 1658756374 Enrollment ID: I20220916001003 |
| Provider Name | Virginia Watkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679066187 PECOS PAC ID: 1254716897 Enrollment ID: I20220916002254 |
| Provider Name | Rachel Elizabeth Simpson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992185532 PECOS PAC ID: 2264743418 Enrollment ID: I20220916002766 |
| Provider Name | Sarah Mabrey Heston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982024220 PECOS PAC ID: 6901181049 Enrollment ID: I20220916002884 |
| Provider Name | Anika Michelle Lucas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073909339 PECOS PAC ID: 3173830809 Enrollment ID: I20220917000193 |
| Provider Name | Christian Alexander Pean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528416773 PECOS PAC ID: 9234527128 Enrollment ID: I20220919003064 |
| Provider Name | Senthil Selvaraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417395823 PECOS PAC ID: 4789811365 Enrollment ID: I20220920000061 |
| Provider Name | Julia Michelle Deruyter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700494838 PECOS PAC ID: 3870978331 Enrollment ID: I20220920000311 |
| Provider Name | Jacob A. Greenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801973888 PECOS PAC ID: 9830222017 Enrollment ID: I20220920002772 |
| Provider Name | Grace Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750841672 PECOS PAC ID: 9739416470 Enrollment ID: I20220921001198 |
| Provider Name | Amal Hamdan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174015929 PECOS PAC ID: 3173870227 Enrollment ID: I20220922003867 |
| Provider Name | Samantha Ashley Polly |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336676618 PECOS PAC ID: 1355744640 Enrollment ID: I20220923000994 |
| Provider Name | Rani Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208467 PECOS PAC ID: 9032404264 Enrollment ID: I20220926003566 |
| Provider Name | Abbigail K. Woll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366934366 PECOS PAC ID: 6709139447 Enrollment ID: I20220927000858 |
| Provider Name | Robert Anthony Medairos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639601644 PECOS PAC ID: 3678801107 Enrollment ID: I20220927000971 |
| Provider Name | David Jeffrey Faro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467957753 PECOS PAC ID: 9032460241 Enrollment ID: I20220927003822 |
| Provider Name | Colby Rip Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396477840 PECOS PAC ID: 9032595194 Enrollment ID: I20220928000259 |
| Provider Name | Rebecca Suzanne Frazier |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457799595 PECOS PAC ID: 3476860123 Enrollment ID: I20220929003058 |
| Provider Name | Madeleine Rose Heldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649669342 PECOS PAC ID: 3577855139 Enrollment ID: I20220930000385 |
| Provider Name | Matthew Moody Mccartt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063851038 PECOS PAC ID: 5092957266 Enrollment ID: I20220930002233 |
| Provider Name | Shawn William Adams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265827471 PECOS PAC ID: 7416263751 Enrollment ID: I20221003003230 |
| Provider Name | Jay Soong-jin Lee |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225474588 PECOS PAC ID: 5799091765 Enrollment ID: I20221004001401 |
| Provider Name | Pamela Catalina Vasquez Buitron |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881046514 PECOS PAC ID: 5890171599 Enrollment ID: I20221004001692 |
| Provider Name | Breanna Marie Beltz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952950347 PECOS PAC ID: 2163855479 Enrollment ID: I20221005003235 |
| Provider Name | Ravi Anand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619325503 PECOS PAC ID: 8123306149 Enrollment ID: I20221006001803 |
| Provider Name | Nicole Gong Jawitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205299971 PECOS PAC ID: 9133411929 Enrollment ID: I20221007001529 |
| Provider Name | Colleen Michelle Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821317959 PECOS PAC ID: 4587898044 Enrollment ID: I20221009000019 |
| Provider Name | Joel Rivera Concepcion |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659758654 PECOS PAC ID: 0244633907 Enrollment ID: I20221010000476 |
| Provider Name | Deepa Upadhyaya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891906012 PECOS PAC ID: 3072639335 Enrollment ID: I20221010000613 |
| Provider Name | Kathryn Strople Ericson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174255095 PECOS PAC ID: 1557747896 Enrollment ID: I20221010002741 |
| Provider Name | Shivon Latice Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922755875 PECOS PAC ID: 5890161145 Enrollment ID: I20221012001207 |
| Provider Name | Mara Alexandra Serbanescu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417334509 PECOS PAC ID: 0648528588 Enrollment ID: I20221012003942 |
| Provider Name | Lindsay Walker Bradshaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871190397 PECOS PAC ID: 6608242813 Enrollment ID: I20221012004130 |
| Provider Name | Bious Wingate Williamson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871127449 PECOS PAC ID: 7618343732 Enrollment ID: I20221014001048 |
| Provider Name | Kathryn Elizabeth Hutchins O'donnell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134653421 PECOS PAC ID: 4183090145 Enrollment ID: I20221015000105 |
| Provider Name | Gnanaraj Joseph |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700847738 PECOS PAC ID: 1254391774 Enrollment ID: I20221017001436 |
| Provider Name | Luting Sun Eckensweiler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114418050 PECOS PAC ID: 0446651517 Enrollment ID: I20221018002056 |
| Provider Name | Tanya Jean Munger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154576221 PECOS PAC ID: 3971753328 Enrollment ID: I20221018002423 |
| Provider Name | Nicholas Scarcella |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043744659 PECOS PAC ID: 1759659352 Enrollment ID: I20221019001661 |
| Provider Name | Girish Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316124415 PECOS PAC ID: 6002009099 Enrollment ID: I20221019001830 |
| Provider Name | Neill Li |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194106716 PECOS PAC ID: 8224469218 Enrollment ID: I20221019002111 |
| Provider Name | Ashley Nicole Dischinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831544469 PECOS PAC ID: 4284924366 Enrollment ID: I20221019003336 |
| Provider Name | Regan Christine Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619604576 PECOS PAC ID: 6305212085 Enrollment ID: I20221020002266 |
| Provider Name | Stephanie Lynn Nicholls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518695840 PECOS PAC ID: 7113393828 Enrollment ID: I20221021000191 |
| Provider Name | Megan Wegman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073247466 PECOS PAC ID: 9133595796 Enrollment ID: I20221022000134 |
| Provider Name | Steven Michael Russo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851754576 PECOS PAC ID: 8729386040 Enrollment ID: I20221024000603 |
| Provider Name | Brett Rocos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972226322 PECOS PAC ID: 8527434034 Enrollment ID: I20221024001956 |
| Provider Name | Ashit Patel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093987828 PECOS PAC ID: 9335310697 Enrollment ID: I20221026001051 |
| Provider Name | Arjun Sadagopan Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023513769 PECOS PAC ID: 5496004442 Enrollment ID: I20221026001375 |
| Provider Name | Austin Lewis Cole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629649397 PECOS PAC ID: 8729455027 Enrollment ID: I20221028002054 |
| Provider Name | Danielle Sunae Chun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932598885 PECOS PAC ID: 8628375060 Enrollment ID: I20221031000529 |
| Provider Name | Ryan Spencer Threadgill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053852400 PECOS PAC ID: 2466725346 Enrollment ID: I20221031001501 |
| Provider Name | Danielle Renee Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003158312 PECOS PAC ID: 1355718552 Enrollment ID: I20221101000558 |
| Provider Name | Poorva Jayant Apte |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104354356 PECOS PAC ID: 5395010698 Enrollment ID: I20221101001605 |
| Provider Name | Brandon Menachem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841654621 PECOS PAC ID: 6305136946 Enrollment ID: I20221102000153 |
| Provider Name | Aline Lima Van Belois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619602810 PECOS PAC ID: 0446627574 Enrollment ID: I20221102003250 |
| Provider Name | Kelsey Margaret Getzloff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689207284 PECOS PAC ID: 7214304294 Enrollment ID: I20221103002199 |
| Provider Name | Brendan Mills Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336883164 PECOS PAC ID: 4385011311 Enrollment ID: I20221104000821 |
| Provider Name | Young Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477996007 PECOS PAC ID: 7719120260 Enrollment ID: I20221108001182 |
| Provider Name | Annmarie Louise Kieber-emmons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316205768 PECOS PAC ID: 9537301643 Enrollment ID: I20221109000466 |
| Provider Name | Mark Lachiewicz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740508423 PECOS PAC ID: 4981822046 Enrollment ID: I20221109003167 |
| Provider Name | Gina Maire Iannuzzelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104571652 PECOS PAC ID: 3072980697 Enrollment ID: I20221110000474 |
| Provider Name | Alexander Steven Barsam |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578914974 PECOS PAC ID: 7719262252 Enrollment ID: I20221110001384 |
| Provider Name | Shelby Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811636657 PECOS PAC ID: 6002283678 Enrollment ID: I20221110002652 |
| Provider Name | Olivia Wulf Detweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063151371 PECOS PAC ID: 5294102737 Enrollment ID: I20221113000038 |
| Provider Name | Michael Frederick Fadell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740489350 PECOS PAC ID: 7113019605 Enrollment ID: I20221114001910 |
| Provider Name | Neila Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912086901 PECOS PAC ID: 5092945410 Enrollment ID: I20221114002095 |
| Provider Name | Melodi Javid Whitley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447782263 PECOS PAC ID: 9436557048 Enrollment ID: I20221114002288 |
| Provider Name | Ann Victoria Wheelan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912347444 PECOS PAC ID: 4183092513 Enrollment ID: I20221116001289 |
| Provider Name | Abby Caitlin Niedermann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326610395 PECOS PAC ID: 7315315603 Enrollment ID: I20221117000646 |
| Provider Name | Catherine Alexis Sims |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669906210 PECOS PAC ID: 7416228879 Enrollment ID: I20221117001727 |
| Provider Name | Jason Lucious Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568881647 PECOS PAC ID: 5890117113 Enrollment ID: I20221121000374 |
| Provider Name | Ilan Steven Schwartz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760199475 PECOS PAC ID: 3173991312 Enrollment ID: I20221121000520 |
| Provider Name | Ilana Renee Brodzki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164192563 PECOS PAC ID: 2264800325 Enrollment ID: I20221121001370 |
| Provider Name | Rachel D Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447792890 PECOS PAC ID: 6507234663 Enrollment ID: I20221121001523 |
| Provider Name | Rachel Frances Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265003305 PECOS PAC ID: 4789052853 Enrollment ID: I20221121001801 |
| Provider Name | Shalanda Celeste Vann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275253726 PECOS PAC ID: 8527436625 Enrollment ID: I20221121003219 |
| Provider Name | Lynette Maria Spencer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295442374 PECOS PAC ID: 9436527538 Enrollment ID: I20221121003234 |
| Provider Name | Elizabeth Ann Gesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952048027 PECOS PAC ID: 6608244710 Enrollment ID: I20221122000288 |
| Provider Name | Erin Elizabeth Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225532930 PECOS PAC ID: 9638579741 Enrollment ID: I20221123000327 |
| Provider Name | Karen Sporl Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216961 PECOS PAC ID: 3971897406 Enrollment ID: I20221128000631 |
| Provider Name | Rama Devi Boppana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033869631 PECOS PAC ID: 4284002171 Enrollment ID: I20221128000899 |
| Provider Name | Grace Peace Niyonkuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023746484 PECOS PAC ID: 8527436336 Enrollment ID: I20221129002671 |
| Provider Name | Jyotsna Mullur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1861842023 PECOS PAC ID: 5597154153 Enrollment ID: I20221201003390 |
| Provider Name | Jacqueline Marie Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154649721 PECOS PAC ID: 7113167297 Enrollment ID: I20221205000615 |
| Provider Name | Joseph Harold Mcclellan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780070219 PECOS PAC ID: 1658689625 Enrollment ID: I20221205001575 |
| Provider Name | Leah F Bettner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386176998 PECOS PAC ID: 8325310295 Enrollment ID: I20221206000058 |
| Provider Name | Lily Tang Brandstetter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144953647 PECOS PAC ID: 1153790522 Enrollment ID: I20221206002432 |
| Provider Name | Patrick Chung Kay Tam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710641337 PECOS PAC ID: 7618361759 Enrollment ID: I20221207000764 |
| Provider Name | Jeffrey Edward Keenan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396035168 PECOS PAC ID: 1557786464 Enrollment ID: I20221208000445 |
| Provider Name | Rachel Christine Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035824 PECOS PAC ID: 0941679237 Enrollment ID: I20221208000958 |
| Provider Name | Megan Elizabeth Mcguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548851900 PECOS PAC ID: 1052780368 Enrollment ID: I20221208001720 |
| Provider Name | Amber Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359309 PECOS PAC ID: 4284003500 Enrollment ID: I20221208001945 |
| Provider Name | Brittany Ashlee Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538626742 PECOS PAC ID: 5799154993 Enrollment ID: I20221209002700 |
| Provider Name | Jessica Angela Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154043586 PECOS PAC ID: 0244609279 Enrollment ID: I20221213002029 |
| Provider Name | Robert Joseph Optican |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639272164 PECOS PAC ID: 7517905532 Enrollment ID: I20221213003399 |
| Provider Name | Virginia Stanley Parker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568859395 PECOS PAC ID: 0648649616 Enrollment ID: I20221214000182 |
| Provider Name | Paul Matthew Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518689694 PECOS PAC ID: 9133598147 Enrollment ID: I20221214002108 |
| Provider Name | Alyssa Michelle Houck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922575034 PECOS PAC ID: 3870911936 Enrollment ID: I20221214002918 |
| Provider Name | Jeremy Romek Glissen Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134577406 PECOS PAC ID: 3072808245 Enrollment ID: I20221219000651 |
| Provider Name | Catherine Lynch Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972220713 PECOS PAC ID: 8729457486 Enrollment ID: I20221220001062 |
| Provider Name | Jessica Marie Robertson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1548558562 PECOS PAC ID: 1658741343 Enrollment ID: I20221220002858 |
| Provider Name | Matthew Palmer Rubach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073768164 PECOS PAC ID: 7012387749 Enrollment ID: I20221221001373 |
| Provider Name | Raven Sharie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386352698 PECOS PAC ID: 1759751423 Enrollment ID: I20221222000080 |
| Provider Name | Emma Jean Par |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735062 PECOS PAC ID: 3870721863 Enrollment ID: I20221222000297 |
| Provider Name | Calton Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164818720 PECOS PAC ID: 7113397712 Enrollment ID: I20221222001732 |
| Provider Name | Dawn Marie Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891817185 PECOS PAC ID: 9133375355 Enrollment ID: I20221227002525 |
| Provider Name | Elizabeth Joy Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265889224 PECOS PAC ID: 0547553778 Enrollment ID: I20221229001553 |
| Provider Name | Paige Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922721844 PECOS PAC ID: 5294105615 Enrollment ID: I20221229002150 |
| Provider Name | Alexandra Rudolph Kaatz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346810587 PECOS PAC ID: 3577933910 Enrollment ID: I20221230000262 |
| Provider Name | Hannah Aldridge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437621679 PECOS PAC ID: 1355711797 Enrollment ID: I20221230000491 |
| Provider Name | Stephanie Diana Clune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063121960 PECOS PAC ID: 3779953047 Enrollment ID: I20221230002205 |
| Provider Name | Jessica Eulene Paschal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649907288 PECOS PAC ID: 4284004565 Enrollment ID: I20221230002509 |
| Provider Name | Aman Opneja |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629419494 PECOS PAC ID: 1759518327 Enrollment ID: I20230103000141 |
| Provider Name | Kaitlyn Wittwer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215551601 PECOS PAC ID: 0648673053 Enrollment ID: I20230103000969 |
| Provider Name | Stephanie Harriet Hargrove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821661216 PECOS PAC ID: 2567832736 Enrollment ID: I20230104000861 |
| Provider Name | Lauren Marie Dilullo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063026003 PECOS PAC ID: 8820400468 Enrollment ID: I20230104001687 |
| Provider Name | Jonathan Eric Posner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841478732 PECOS PAC ID: 4587034616 Enrollment ID: I20230105001164 |
| Provider Name | Cassandra Lynn Clay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487379038 PECOS PAC ID: 7719357839 Enrollment ID: I20230106001804 |
| Provider Name | Paul Norman Cassis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992191795 PECOS PAC ID: 2163724725 Enrollment ID: I20230109002202 |
| Provider Name | Anna Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457319493 PECOS PAC ID: 4183652977 Enrollment ID: I20230110002884 |
| Provider Name | Rosemary Catherine Zelenyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396492385 PECOS PAC ID: 4082084967 Enrollment ID: I20230111000365 |
| Provider Name | Amreen Dinani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386808525 PECOS PAC ID: 9133355902 Enrollment ID: I20230111001558 |
| Provider Name | Sargam Kapoor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467893255 PECOS PAC ID: 7719213362 Enrollment ID: I20230119002173 |
| Provider Name | Krista Lynn Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487371514 PECOS PAC ID: 9234500620 Enrollment ID: I20230123001235 |
| Provider Name | Kevin F Purcell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124556881 PECOS PAC ID: 4486928512 Enrollment ID: I20230123002960 |
| Provider Name | Brooke Star Colombero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740990050 PECOS PAC ID: 0042681389 Enrollment ID: I20230124000835 |
| Provider Name | Timothy Scott Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740742725 PECOS PAC ID: 5193196434 Enrollment ID: I20230124001003 |
| Provider Name | Marika Coffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912481730 PECOS PAC ID: 0648641944 Enrollment ID: I20230125000083 |
| Provider Name | Adam Paul Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396005955 PECOS PAC ID: 8224260740 Enrollment ID: I20230126001215 |
| Provider Name | Cassandra Marie Spalding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548985732 PECOS PAC ID: 3375914443 Enrollment ID: I20230127001681 |
| Provider Name | Marie Angelina Futrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467178004 PECOS PAC ID: 4880065978 Enrollment ID: I20230127002850 |
| Provider Name | Bridget Reid Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912615360 PECOS PAC ID: 2365813326 Enrollment ID: I20230130002331 |
| Provider Name | Brianna Palmerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801569421 PECOS PAC ID: 8628467651 Enrollment ID: I20230130002583 |
| Provider Name | Kris Michael Mahadeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922324672 PECOS PAC ID: 8123299047 Enrollment ID: I20230131000446 |
| Provider Name | Todd William Frieze |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710935838 PECOS PAC ID: 8426066390 Enrollment ID: I20230201000764 |
| Provider Name | Luis Felipe Carrillo Polanco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952741621 PECOS PAC ID: 8628324431 Enrollment ID: I20230203000320 |
| Provider Name | Kendra Paige Hogan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912624248 PECOS PAC ID: 9032581731 Enrollment ID: I20230206002718 |
| Provider Name | Priyanka Prakash Sista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427412576 PECOS PAC ID: 9234411455 Enrollment ID: I20230207003667 |
| Provider Name | Jamie Marie Riedell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083065940 PECOS PAC ID: 6103298781 Enrollment ID: I20230208000205 |
| Provider Name | Susan Louise Murray |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356947824 PECOS PAC ID: 5294107702 Enrollment ID: I20230209002457 |
| Provider Name | Thomas Ryan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356425235 PECOS PAC ID: 6103806740 Enrollment ID: I20230209002650 |
| Provider Name | Marcela Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346967734 PECOS PAC ID: 9032581335 Enrollment ID: I20230215000761 |
| Provider Name | Jean Elie Tabbal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205584588 PECOS PAC ID: 6800268129 Enrollment ID: I20230215002014 |
| Provider Name | Amanda Leigh Ridenhour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558540518 PECOS PAC ID: 7618930512 Enrollment ID: I20230216000838 |
| Provider Name | Kathryn Lott Hardesty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336880004 PECOS PAC ID: 2062881295 Enrollment ID: I20230216001756 |
| Provider Name | Stacey Kathryn Prudich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831806017 PECOS PAC ID: 1850763970 Enrollment ID: I20230217001012 |
| Provider Name | Cesar De Cesar Netto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326494642 PECOS PAC ID: 2466747373 Enrollment ID: I20230221000847 |
| Provider Name | Sean P Mcgowan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487194114 PECOS PAC ID: 2163793878 Enrollment ID: I20230221002992 |
| Provider Name | Jennifer Michelle Crimmins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578910006 PECOS PAC ID: 5092006098 Enrollment ID: I20230222000171 |
| Provider Name | Mary Claire Ellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982268231 PECOS PAC ID: 8527431543 Enrollment ID: I20230222001207 |
| Provider Name | Alessandra Inez Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396402715 PECOS PAC ID: 2860865714 Enrollment ID: I20230224000368 |
| Provider Name | Vinaya Rao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851341986 PECOS PAC ID: 2062401920 Enrollment ID: I20230224000966 |
| Provider Name | Daniel Albert Sherwood |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043646847 PECOS PAC ID: 9436551603 Enrollment ID: I20230226000008 |
| Provider Name | Sarah Frush Cotter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770978371 PECOS PAC ID: 7012243629 Enrollment ID: I20230226000027 |
| Provider Name | Tarshona Bernice Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396108908 PECOS PAC ID: 0042683799 Enrollment ID: I20230301000142 |
| Provider Name | Julia Ann Duffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225703630 PECOS PAC ID: 6305219858 Enrollment ID: I20230302002179 |
| Provider Name | Kerry Elizabeth Drury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164815734 PECOS PAC ID: 5092188516 Enrollment ID: I20230303001909 |
| Provider Name | Rebecca Anne Swanburg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962907097 PECOS PAC ID: 2961875364 Enrollment ID: I20230306002350 |
| Provider Name | Ayanna Michelle Baptiste |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1689924763 PECOS PAC ID: 1850541079 Enrollment ID: I20230308002064 |
| Provider Name | Margaret Embury Witek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659859031 PECOS PAC ID: 3476807793 Enrollment ID: I20230309002318 |
| Provider Name | Marie Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730887746 PECOS PAC ID: 3375917446 Enrollment ID: I20230314000474 |
| Provider Name | Kasey Lynn Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568135697 PECOS PAC ID: 4880068964 Enrollment ID: I20230314000756 |
| Provider Name | Haylie Ray Mcclung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093344186 PECOS PAC ID: 5799159877 Enrollment ID: I20230314000764 |
| Provider Name | Ashley Zheng Nuxoll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922745066 PECOS PAC ID: 4486030301 Enrollment ID: I20230322000791 |
| Provider Name | Kimberly Marie Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881145852 PECOS PAC ID: 5092093591 Enrollment ID: I20230404000455 |
| Provider Name | Yaw Boachie Adjei |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770797938 PECOS PAC ID: 0244486108 Enrollment ID: I20230406001401 |
| Provider Name | Jessica Danielle Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740854082 PECOS PAC ID: 3476928110 Enrollment ID: I20230411000477 |
| Provider Name | Carissa Lynn Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518508910 PECOS PAC ID: 5890127922 Enrollment ID: I20230411000918 |
| Provider Name | Jennifer L Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033778360 PECOS PAC ID: 1254735475 Enrollment ID: I20230417003004 |
| Provider Name | Alicia Evette Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245967728 PECOS PAC ID: 1153796487 Enrollment ID: I20230418002518 |
| Provider Name | Joshua Mark Pawela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366153975 PECOS PAC ID: 2860867108 Enrollment ID: I20230419000115 |
| Provider Name | Alison Olivia Jacobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942909569 PECOS PAC ID: 5597130831 Enrollment ID: I20230419000125 |
| Provider Name | Michael Todd Meske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730582214 PECOS PAC ID: 2163887498 Enrollment ID: I20230420001357 |
| Provider Name | Stashawna Glenita Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659081933 PECOS PAC ID: 1254796535 Enrollment ID: I20230421000249 |
| Provider Name | Johana Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043578438 PECOS PAC ID: 5294991584 Enrollment ID: I20230421001082 |
| Provider Name | Mei Chu Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417680042 PECOS PAC ID: 3072978162 Enrollment ID: I20230425000175 |
| Provider Name | Catherine Marie Lewter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619618790 PECOS PAC ID: 1658736780 Enrollment ID: I20230425001741 |
| Provider Name | Kristen Nicole Fulcher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083374078 PECOS PAC ID: 7517322456 Enrollment ID: I20230428001884 |
| Provider Name | Marcia Liliana Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003859943 PECOS PAC ID: 9133176027 Enrollment ID: I20230501002239 |
| Provider Name | Aisha Ayana Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871123273 PECOS PAC ID: 8527423136 Enrollment ID: I20230504001418 |
| Provider Name | Ranju Jha Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306559117 PECOS PAC ID: 2062877517 Enrollment ID: I20230505000566 |
| Provider Name | Shahla Bari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487063525 PECOS PAC ID: 3870898836 Enrollment ID: I20230509000119 |
| Provider Name | Jennifer Oliver Hinderer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871766543 PECOS PAC ID: 2466531439 Enrollment ID: I20230523000449 |
| Provider Name | Chelsea Jean Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811696750 PECOS PAC ID: 6002272523 Enrollment ID: I20230525000386 |
| Provider Name | Cameron Bradley Strong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710474390 PECOS PAC ID: 4587021977 Enrollment ID: I20230530002168 |
| Provider Name | Anthony Rivera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487860524 PECOS PAC ID: 2961598420 Enrollment ID: I20230531003008 |
| Provider Name | Aishwarya Kamakshi Rajagopalan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689179897 PECOS PAC ID: 3072914894 Enrollment ID: I20230601000119 |
| Provider Name | Dmitriy M Niyazov |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1699950899 PECOS PAC ID: 0749363448 Enrollment ID: I20230601000918 |
| Provider Name | Jessica Houk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679005441 PECOS PAC ID: 8921377615 Enrollment ID: I20230605000360 |
| Provider Name | Anil Nagavalli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659863918 PECOS PAC ID: 5991162141 Enrollment ID: I20230605000996 |
| Provider Name | Daniela Kroshinsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346372331 PECOS PAC ID: 9032202429 Enrollment ID: I20230605003037 |
| Provider Name | Elizabeth Marie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053913376 PECOS PAC ID: 9931566817 Enrollment ID: I20230608000427 |
| Provider Name | Amit Goldberg |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265401343 PECOS PAC ID: 3971539297 Enrollment ID: I20230609000013 |
| Provider Name | William F Malcolm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093854911 PECOS PAC ID: 8426415134 Enrollment ID: I20230611000024 |
| Provider Name | Cassandra Elena Gonzalez-hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720734106 PECOS PAC ID: 3870951411 Enrollment ID: I20230614001768 |
| Provider Name | Virginia Labelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518020387 PECOS PAC ID: 7315305653 Enrollment ID: I20230620001004 |
| Provider Name | David Tanaka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457414237 PECOS PAC ID: 1254799414 Enrollment ID: I20230620002091 |
| Provider Name | Grace Alexandra Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063111789 PECOS PAC ID: 3971961053 Enrollment ID: I20230621003706 |
| Provider Name | David Yutaka Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821350836 PECOS PAC ID: 1951658038 Enrollment ID: I20230622001209 |
| Provider Name | Lauren a Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811050693 PECOS PAC ID: 7113385238 Enrollment ID: I20230622001348 |
| Provider Name | Yui-lin Tang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801959689 PECOS PAC ID: 7810355948 Enrollment ID: I20230622001979 |
| Provider Name | Jonathan Robert Manning Kaplan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467751685 PECOS PAC ID: 8022322379 Enrollment ID: I20230627001228 |
| Provider Name | Elizabeth Kimley Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558063065 PECOS PAC ID: 7416316724 Enrollment ID: I20230705002459 |
| Provider Name | Alexandra Lyndon Bey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134651961 PECOS PAC ID: 0042679367 Enrollment ID: I20230705002620 |
| Provider Name | Sabrina Sisto Alessi Cesar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467957233 PECOS PAC ID: 7214263870 Enrollment ID: I20230706000148 |
| Provider Name | Irma Husain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144676347 PECOS PAC ID: 1254790470 Enrollment ID: I20230706003148 |
| Provider Name | Nicole Marie Kneisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619505336 PECOS PAC ID: 3173982980 Enrollment ID: I20230711001590 |
| Provider Name | Miriam Cordeiro Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427409903 PECOS PAC ID: 6103152483 Enrollment ID: I20230711001940 |
| Provider Name | Christopher Todd Michaelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982326195 PECOS PAC ID: 8921468711 Enrollment ID: I20230712000373 |
| Provider Name | Shawn Jay Sethi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417487067 PECOS PAC ID: 4981003589 Enrollment ID: I20230712002914 |
| Provider Name | Chenyu Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093177545 PECOS PAC ID: 1557668670 Enrollment ID: I20230713000934 |
| Provider Name | Karim Abdalla Reda Fetouh Hebishi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144707902 PECOS PAC ID: 4981956802 Enrollment ID: I20230713000938 |
| Provider Name | Stephanie Luy Lim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548721582 PECOS PAC ID: 9638539364 Enrollment ID: I20230713001064 |
| Provider Name | Michael Haley Cutrone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972035780 PECOS PAC ID: 6608236351 Enrollment ID: I20230713001976 |
| Provider Name | Christopher James Nash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578956157 PECOS PAC ID: 1456625425 Enrollment ID: I20230713002849 |
| Provider Name | Alissa Renee Carver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437350147 PECOS PAC ID: 0941476071 Enrollment ID: I20230713004050 |
| Provider Name | Jeffrey Todd Bunning |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568501575 PECOS PAC ID: 1456482025 Enrollment ID: I20230713004148 |
| Provider Name | Jessica Christine Wanthal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174175491 PECOS PAC ID: 0345623286 Enrollment ID: I20230713004226 |
| Provider Name | Cara Hoke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134659246 PECOS PAC ID: 7719250372 Enrollment ID: I20230714001764 |
| Provider Name | Jonathan Mark Morena |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245734474 PECOS PAC ID: 9335490192 Enrollment ID: I20230717000519 |
| Provider Name | Alyssa Rose Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770272205 PECOS PAC ID: 2365802808 Enrollment ID: I20230717000908 |
| Provider Name | Ella Perry Jordan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760125462 PECOS PAC ID: 7618337080 Enrollment ID: I20230717002290 |
| Provider Name | Daniel Kelly Benjamin Jr. |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780747550 PECOS PAC ID: 2466812698 Enrollment ID: I20230719001116 |
| Provider Name | Nicole Marie Pristera |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033572664 PECOS PAC ID: 1052605896 Enrollment ID: I20230721000651 |
| Provider Name | Alexa Natalie Bramall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588041149 PECOS PAC ID: 4688034648 Enrollment ID: I20230721002678 |
| Provider Name | Laura Alder |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932633617 PECOS PAC ID: 5294004834 Enrollment ID: I20230724000120 |
| Provider Name | Ekaterina Lundberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497409304 PECOS PAC ID: 5294111209 Enrollment ID: I20230724001365 |
| Provider Name | Christopher David Murawski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467942607 PECOS PAC ID: 9638425689 Enrollment ID: I20230724001523 |
| Provider Name | Aditee Pradhan Narayan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356477525 PECOS PAC ID: 6507226453 Enrollment ID: I20230724003134 |
| Provider Name | Douglas M Overbey |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396008983 PECOS PAC ID: 8921329889 Enrollment ID: I20230725001094 |
| Provider Name | Brian Bishop Hughley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528202041 PECOS PAC ID: 9638306582 Enrollment ID: I20230725002868 |
| Provider Name | Garrett Reinhard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417683186 PECOS PAC ID: 2668833435 Enrollment ID: I20230727000694 |
| Provider Name | Candace Wynona Orlova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457027930 PECOS PAC ID: 2062805310 Enrollment ID: I20230727000736 |
| Provider Name | Victoria Ann Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043707813 PECOS PAC ID: 7810320207 Enrollment ID: I20230731000387 |
| Provider Name | Myosha Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467076299 PECOS PAC ID: 1355702812 Enrollment ID: I20230731002275 |
| Provider Name | Summer Elizabeth Garey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710630629 PECOS PAC ID: 1658748280 Enrollment ID: I20230801000072 |
| Provider Name | Deepika Prasad Kulkarni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821521956 PECOS PAC ID: 6800257270 Enrollment ID: I20230801003492 |
| Provider Name | Jennifer Romagnoli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861127292 PECOS PAC ID: 3072974468 Enrollment ID: I20230801004497 |
| Provider Name | Megan Rivera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558999342 PECOS PAC ID: 3375963531 Enrollment ID: I20230803000253 |
| Provider Name | Jessie Ping Gu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386177756 PECOS PAC ID: 4880055102 Enrollment ID: I20230803000726 |
| Provider Name | Elias Hubbard Pratt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174977714 PECOS PAC ID: 2264725662 Enrollment ID: I20230803002053 |
| Provider Name | Tucker Coston |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295268803 PECOS PAC ID: 9436421799 Enrollment ID: I20230804001559 |
| Provider Name | Andrew Nicholas Tuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386208577 PECOS PAC ID: 5890156947 Enrollment ID: I20230804002614 |
| Provider Name | Eziafa Izuka Oduah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760898589 PECOS PAC ID: 5496973976 Enrollment ID: I20230804003106 |
| Provider Name | Rachel Ann Brader |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891221339 PECOS PAC ID: 5799055323 Enrollment ID: I20230807003956 |
| Provider Name | Alexander Robert Thomas Graham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245750561 PECOS PAC ID: 6204192495 Enrollment ID: I20230808000261 |
| Provider Name | Amanda James Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437833670 PECOS PAC ID: 0042672057 Enrollment ID: I20230808002038 |
| Provider Name | Nima Moghaddam |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1760120356 PECOS PAC ID: 5698141885 Enrollment ID: I20230809000950 |
| Provider Name | Daniel Anthony Palasz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700349966 PECOS PAC ID: 3870828676 Enrollment ID: I20230810001861 |
| Provider Name | Zachary Wegermann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295153435 PECOS PAC ID: 5294197992 Enrollment ID: I20230811002295 |
| Provider Name | Molly Jean Hillenbrand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346772175 PECOS PAC ID: 9335419670 Enrollment ID: I20230814001865 |
| Provider Name | Joshua Paull Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912439746 PECOS PAC ID: 7618339201 Enrollment ID: I20230814003228 |
| Provider Name | Sabina Custovic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649706367 PECOS PAC ID: 4880087824 Enrollment ID: I20230815001327 |
| Provider Name | Ashley Wietsma Johnston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548656226 PECOS PAC ID: 8921409780 Enrollment ID: I20230815002117 |
| Provider Name | Stephanie Michelle Garbarino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104289289 PECOS PAC ID: 6002100831 Enrollment ID: I20230815003908 |
| Provider Name | Allyssa Marie Treadwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003505348 PECOS PAC ID: 5890157234 Enrollment ID: I20230816002303 |
| Provider Name | Joseph Allen Zakhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407233901 PECOS PAC ID: 3173834207 Enrollment ID: I20230816002970 |
| Provider Name | Angelique Eleni Boutzoukas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669903829 PECOS PAC ID: 9931470234 Enrollment ID: I20230816003715 |
| Provider Name | Avital Lily Okrent Smolar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508507674 PECOS PAC ID: 5294109641 Enrollment ID: I20230816003937 |
| Provider Name | Ulysses Najin Toche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649712381 PECOS PAC ID: 7810247376 Enrollment ID: I20230817000111 |
| Provider Name | Jennifer Lynn Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679257786 PECOS PAC ID: 1052773371 Enrollment ID: I20230817001616 |
| Provider Name | Shruti Hemant Agashe |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1306376405 PECOS PAC ID: 4284033614 Enrollment ID: I20230817002489 |
| Provider Name | Heather N Greenspan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346561990 PECOS PAC ID: 1355622937 Enrollment ID: I20230817002909 |
| Provider Name | Sarah Kerr Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467817817 PECOS PAC ID: 1456659788 Enrollment ID: I20230817003177 |
| Provider Name | Stephen Cannada Harward |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841653417 PECOS PAC ID: 2365735255 Enrollment ID: I20230818000212 |
| Provider Name | Hannah Dzimitrowicz Mcmanus |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821451485 PECOS PAC ID: 9830481738 Enrollment ID: I20230818001325 |
| Provider Name | Jeffrey Shevach |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225579667 PECOS PAC ID: 0244574986 Enrollment ID: I20230818002418 |
| Provider Name | Connor Anders Moseley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598226458 PECOS PAC ID: 3678935731 Enrollment ID: I20230822000915 |
| Provider Name | Ninad Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386031441 PECOS PAC ID: 9830401421 Enrollment ID: I20230822003428 |
| Provider Name | Eric Michael Mastria |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972034510 PECOS PAC ID: 8022471143 Enrollment ID: I20230822004228 |
| Provider Name | Elizabeth Lyn Mccain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164050589 PECOS PAC ID: 8426411497 Enrollment ID: I20230824001770 |
| Provider Name | Anna Catherine Maraia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558900878 PECOS PAC ID: 9739515867 Enrollment ID: I20230824002311 |
| Provider Name | James Forrest Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295401545 PECOS PAC ID: 0143683961 Enrollment ID: I20230828001338 |
| Provider Name | Tess Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407521636 PECOS PAC ID: 6204224116 Enrollment ID: I20230829000980 |
| Provider Name | Jashalynn Chanelle German |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417480526 PECOS PAC ID: 2860778271 Enrollment ID: I20230829001572 |
| Provider Name | Sonya Mansukhlal Kothadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790214047 PECOS PAC ID: 1456772755 Enrollment ID: I20230830001178 |
| Provider Name | Christopher William Prater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457681306 PECOS PAC ID: 2365681764 Enrollment ID: I20230830004434 |
| Provider Name | Christine Elizabeth Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174209126 PECOS PAC ID: 3072976547 Enrollment ID: I20230831000001 |
| Provider Name | Savannah Maria Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437858347 PECOS PAC ID: 4880057371 Enrollment ID: I20230831000996 |
| Provider Name | Chelsea Xian Zhu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962963181 PECOS PAC ID: 7517291313 Enrollment ID: I20230831001638 |
| Provider Name | Natalie Kay Katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871956896 PECOS PAC ID: 8527351717 Enrollment ID: I20230901001160 |
| Provider Name | Jennifer Margaret Dunnick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972920999 PECOS PAC ID: 2466762588 Enrollment ID: I20230901003152 |
| Provider Name | Brandon Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962909366 PECOS PAC ID: 8729337993 Enrollment ID: I20230906003198 |
| Provider Name | Kelly Andrejko Rang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740785914 PECOS PAC ID: 1355705591 Enrollment ID: I20230906004399 |
| Provider Name | Crosby Mitchell Culp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073019857 PECOS PAC ID: 5890159032 Enrollment ID: I20230906004454 |
| Provider Name | Gayle Marie Vranic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255476974 PECOS PAC ID: 9931352028 Enrollment ID: I20230907000849 |
| Provider Name | Adjoa Boateng Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275912321 PECOS PAC ID: 8729391529 Enrollment ID: I20230907001830 |
| Provider Name | Hope Alexandra Hendricks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902339328 PECOS PAC ID: 2264896349 Enrollment ID: I20230907001844 |
| Provider Name | Ann Cameron Barr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801357983 PECOS PAC ID: 7113381229 Enrollment ID: I20230907003407 |
| Provider Name | Laura Katherine Lowrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770917247 PECOS PAC ID: 9830465491 Enrollment ID: I20230908000975 |
| Provider Name | Emma Margaret Fixsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710541651 PECOS PAC ID: 9739543604 Enrollment ID: I20230911002619 |
| Provider Name | Simone Alyssa Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891143582 PECOS PAC ID: 1658662051 Enrollment ID: I20230912004100 |
| Provider Name | Collin Elizabeth Burks |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578051751 PECOS PAC ID: 3274888219 Enrollment ID: I20230913003624 |
| Provider Name | April Halley Wall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467833731 PECOS PAC ID: 8022362516 Enrollment ID: I20230914002257 |
| Provider Name | Anthony Emyll Melendez Torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730641846 PECOS PAC ID: 7315289428 Enrollment ID: I20230915001305 |
| Provider Name | Matthew Joseph Boss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588168538 PECOS PAC ID: 5193077964 Enrollment ID: I20230915002692 |
| Provider Name | Desiree Ann Coutinho |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811351877 PECOS PAC ID: 3678821600 Enrollment ID: I20230915002909 |
| Provider Name | Sarah Amy Westergaard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932632247 PECOS PAC ID: 9739451816 Enrollment ID: I20230918000803 |
| Provider Name | Natalie June Fulton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376238956 PECOS PAC ID: 2264896612 Enrollment ID: I20230918004207 |
| Provider Name | Osinakachukwu Chinazaekpere Mbata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376003566 PECOS PAC ID: 7214260736 Enrollment ID: I20230919000807 |
| Provider Name | Rabia Ahmad Ghazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083058622 PECOS PAC ID: 9638570294 Enrollment ID: I20230920001610 |
| Provider Name | Ray Ho Luu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033868484 PECOS PAC ID: 4789038050 Enrollment ID: I20230921000276 |
| Provider Name | Zachary Yates Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154991560 PECOS PAC ID: 4981058120 Enrollment ID: I20230921003834 |
| Provider Name | Michelle Meriweather Ponder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114423704 PECOS PAC ID: 1153666243 Enrollment ID: I20230922002182 |
| Provider Name | Kayleigh Elizabeth Rathbun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619661725 PECOS PAC ID: 9032563135 Enrollment ID: I20230922002692 |
| Provider Name | Natalia Maria Diaz-rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790042570 PECOS PAC ID: 7214187673 Enrollment ID: I20230923000787 |
| Provider Name | Vidhya Karivedu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114369212 PECOS PAC ID: 2860786753 Enrollment ID: I20230925000147 |
| Provider Name | Amy Patricia Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952085060 PECOS PAC ID: 5496109548 Enrollment ID: I20230925000359 |
| Provider Name | Sarah Ruth Johnson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1013412477 PECOS PAC ID: 6901152925 Enrollment ID: I20230925000378 |
| Provider Name | Sarah Nystrom |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629412747 PECOS PAC ID: 1355638735 Enrollment ID: I20230926002836 |
| Provider Name | Alexa Kaitlin Henriques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770255119 PECOS PAC ID: 3072967991 Enrollment ID: I20230927000478 |
| Provider Name | Kunal Jatin Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447698642 PECOS PAC ID: 7618199506 Enrollment ID: I20230927001010 |
| Provider Name | Sathish Mohan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447679782 PECOS PAC ID: 1254557168 Enrollment ID: I20230928001191 |
| Provider Name | Susanna Shan Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740674183 PECOS PAC ID: 2264818251 Enrollment ID: I20230928001915 |
| Provider Name | Tong Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912385303 PECOS PAC ID: 4587979703 Enrollment ID: I20230928003647 |
| Provider Name | Aferdita Spahillari |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1891010187 PECOS PAC ID: 8729373998 Enrollment ID: I20230929002324 |
| Provider Name | Lindsay Atherton Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861781460 PECOS PAC ID: 2264760446 Enrollment ID: I20231001000024 |
| Provider Name | Laurie Anne Graves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801273990 PECOS PAC ID: 6204143241 Enrollment ID: I20231002000018 |
| Provider Name | Annika Sinha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124589148 PECOS PAC ID: 4385987601 Enrollment ID: I20231002001294 |
| Provider Name | Mazen Zein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164884615 PECOS PAC ID: 6406140201 Enrollment ID: I20231002003768 |
| Provider Name | Erin Rebecca Cohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841976875 PECOS PAC ID: 0143675587 Enrollment ID: I20231005000076 |
| Provider Name | Emily Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164926895 PECOS PAC ID: 3870844244 Enrollment ID: I20231009000399 |
| Provider Name | Vanessa Ann Sillaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962180091 PECOS PAC ID: 3577918770 Enrollment ID: I20231009000404 |
| Provider Name | Karenia Landa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447645213 PECOS PAC ID: 6204281421 Enrollment ID: I20231009000890 |
| Provider Name | Melissa Mundy Allen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578909396 PECOS PAC ID: 5698914364 Enrollment ID: I20231009002774 |
| Provider Name | Narat Srivali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679867873 PECOS PAC ID: 9335366079 Enrollment ID: I20231009003062 |
| Provider Name | Samantha Diane Slowinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568104107 PECOS PAC ID: 8729460860 Enrollment ID: I20231010000047 |
| Provider Name | Rebecca Lee Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053720490 PECOS PAC ID: 8527280759 Enrollment ID: I20231011000189 |
| Provider Name | Allison Neal Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801230578 PECOS PAC ID: 0749419547 Enrollment ID: I20231011001166 |
| Provider Name | Tashelle Teia Peigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417640244 PECOS PAC ID: 3274988134 Enrollment ID: I20231012000873 |
| Provider Name | Bruno Pedro Chumpitazi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710009287 PECOS PAC ID: 7416049275 Enrollment ID: I20231017003693 |
| Provider Name | Emily J White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568711166 PECOS PAC ID: 3274785993 Enrollment ID: I20231017003916 |
| Provider Name | Nichole Christine Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881356509 PECOS PAC ID: 1759772817 Enrollment ID: I20231018002021 |
| Provider Name | Birgit Frauscher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942980404 PECOS PAC ID: 1557716024 Enrollment ID: I20231018003489 |
| Provider Name | Jenna Nicole Mcneill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609280734 PECOS PAC ID: 9133347669 Enrollment ID: I20231018003497 |
| Provider Name | Yesenia Noyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871269605 PECOS PAC ID: 3173920865 Enrollment ID: I20231019000081 |
| Provider Name | Lauren B Turker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205179611 PECOS PAC ID: 8224300520 Enrollment ID: I20231019000116 |
| Provider Name | Alesandra Giamario Seal Pavlik |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720769581 PECOS PAC ID: 5799131223 Enrollment ID: I20231019002310 |
| Provider Name | Amelia Prieur Tankersley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023680675 PECOS PAC ID: 2769838200 Enrollment ID: I20231019002467 |
| Provider Name | Anne Thomas Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326730854 PECOS PAC ID: 4183070626 Enrollment ID: I20231019002627 |
| Provider Name | Anabel Leigh Bouton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447820493 PECOS PAC ID: 7719376706 Enrollment ID: I20231023003545 |
| Provider Name | Beth Marie D'amico |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184868465 PECOS PAC ID: 0143646612 Enrollment ID: I20231024001600 |
| Provider Name | Erica Coppola |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811305220 PECOS PAC ID: 6901113042 Enrollment ID: I20231024004258 |
| Provider Name | Meredith Hoover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205493129 PECOS PAC ID: 5294167169 Enrollment ID: I20231025000150 |
| Provider Name | Emily a Commesso |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366975807 PECOS PAC ID: 9537549274 Enrollment ID: I20231025000328 |
| Provider Name | David Michael Stepien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194103598 PECOS PAC ID: 1951616184 Enrollment ID: I20231025001187 |
| Provider Name | Kristen Batich Vaios |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053843441 PECOS PAC ID: 2668828765 Enrollment ID: I20231025003771 |
| Provider Name | Huihua Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336646256 PECOS PAC ID: 5496002362 Enrollment ID: I20231026004400 |
| Provider Name | Zachary Aberman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679005391 PECOS PAC ID: 1850635046 Enrollment ID: I20231027002395 |
| Provider Name | Shashank Shekhar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356781629 PECOS PAC ID: 9032434873 Enrollment ID: I20231030000279 |
| Provider Name | Robert Leonard Mazgaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528478823 PECOS PAC ID: 6204129646 Enrollment ID: I20231031003989 |
| Provider Name | Shayna Rachel Wrublik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245734458 PECOS PAC ID: 1355689456 Enrollment ID: I20231101003043 |
| Provider Name | Andrea Gabrielle Paladines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669252789 PECOS PAC ID: 2860848496 Enrollment ID: I20231102000416 |
| Provider Name | Olivia Christiana Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497444236 PECOS PAC ID: 6901253590 Enrollment ID: I20231102003653 |
| Provider Name | Sarah Ashley Villarroel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336205558 PECOS PAC ID: 3779930300 Enrollment ID: I20231103001370 |
| Provider Name | Hai Viet-nguyen Salfity |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164710174 PECOS PAC ID: 4284871427 Enrollment ID: I20231103001474 |
| Provider Name | Jessie Anacelia Ehrisman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063131910 PECOS PAC ID: 6103273610 Enrollment ID: I20231106000619 |
| Provider Name | Mary Katherine Anastasio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609337765 PECOS PAC ID: 4789031097 Enrollment ID: I20231108001726 |
| Provider Name | Madison Lee Shoaf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679927610 PECOS PAC ID: 3971987850 Enrollment ID: I20231110001155 |
| Provider Name | Kevin George Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346781523 PECOS PAC ID: 4688021769 Enrollment ID: I20231110001899 |
| Provider Name | Jean Jingpeng He |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134617012 PECOS PAC ID: 9335491737 Enrollment ID: I20231110002423 |
| Provider Name | Lauren Tam Covert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043674146 PECOS PAC ID: 9931556040 Enrollment ID: I20231111000133 |
| Provider Name | Romel Orlando Ramirez Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083394118 PECOS PAC ID: 1456708387 Enrollment ID: I20231114001360 |
| Provider Name | Sandra Jones Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518743244 PECOS PAC ID: 2668829466 Enrollment ID: I20231116001462 |
| Provider Name | Michael Bryan Rothberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700232477 PECOS PAC ID: 9133412455 Enrollment ID: I20231116001672 |
| Provider Name | Nickolas Kotos Garson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144781071 PECOS PAC ID: 3577890565 Enrollment ID: I20231117002627 |
| Provider Name | Kaitlin Colleen Bevers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437578473 PECOS PAC ID: 7911220736 Enrollment ID: I20231121001985 |
| Provider Name | Lena Vaynberg Eder |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568968451 PECOS PAC ID: 8729436191 Enrollment ID: I20231122002659 |
| Provider Name | Furkan Muhammet Yilmaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225408859 PECOS PAC ID: 0648609669 Enrollment ID: I20231127002636 |
| Provider Name | Mital Kamlesh Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285167981 PECOS PAC ID: 1658729967 Enrollment ID: I20231128000604 |
| Provider Name | Rebecca Joan Shepard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174301329 PECOS PAC ID: 9638527773 Enrollment ID: I20231129002484 |
| Provider Name | Eric Michael Corella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407582968 PECOS PAC ID: 6800265422 Enrollment ID: I20231130000374 |
| Provider Name | Madelyn Margaret Chapline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639803661 PECOS PAC ID: 2062880206 Enrollment ID: I20231201000190 |
| Provider Name | William Dillon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588089361 PECOS PAC ID: 2668820572 Enrollment ID: I20231201002143 |
| Provider Name | Tara Streich-tilles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619396579 PECOS PAC ID: 9537585625 Enrollment ID: I20231202000434 |
| Provider Name | Joseph Brian Clark |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1043330558 PECOS PAC ID: 2668573056 Enrollment ID: I20231204000179 |
| Provider Name | Abigail Lynn Bernard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497218788 PECOS PAC ID: 5496088221 Enrollment ID: I20231204002033 |
| Provider Name | Rachel Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952756561 PECOS PAC ID: 5294029260 Enrollment ID: I20231204002182 |
| Provider Name | Jaunice Cottone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285993097 PECOS PAC ID: 1153578745 Enrollment ID: I20231208001048 |
| Provider Name | Michelle Lane Ore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396416483 PECOS PAC ID: 7618343005 Enrollment ID: I20231208001177 |
| Provider Name | Alexis Rosa Chandik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922705417 PECOS PAC ID: 4587013032 Enrollment ID: I20231211000370 |
| Provider Name | Nkiru Cynthia Osude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992237390 PECOS PAC ID: 9739445255 Enrollment ID: I20231211001995 |
| Provider Name | Ruth Johanna Lotz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376791202 PECOS PAC ID: 6608225677 Enrollment ID: I20231215002310 |
| Provider Name | Heather Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093022048 PECOS PAC ID: 8123216579 Enrollment ID: I20231218000446 |
| Provider Name | Joy Adirimchukwu Nwodo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669254686 PECOS PAC ID: 5092165993 Enrollment ID: I20231218004406 |
| Provider Name | Darcy Laine Malican |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770279713 PECOS PAC ID: 8022468479 Enrollment ID: I20231227001179 |
| Provider Name | Shauna Mackenzie Rickerts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134873961 PECOS PAC ID: 1951751320 Enrollment ID: I20231227001913 |
| Provider Name | Amy Lilian Behman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043992076 PECOS PAC ID: 0244680643 Enrollment ID: I20231227003063 |
| Provider Name | Briana Nicole Brownlow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275300667 PECOS PAC ID: 5799135950 Enrollment ID: I20231229002018 |
| Provider Name | Wally Figaro-dishmey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790566446 PECOS PAC ID: 5698126647 Enrollment ID: I20240104000685 |
| Provider Name | Kendra Pineyro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073207494 PECOS PAC ID: 7214388768 Enrollment ID: I20240109001832 |
| Provider Name | Sevil Mariya Elmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467239541 PECOS PAC ID: 0941651368 Enrollment ID: I20240110003474 |
| Provider Name | Sara Alice Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992237531 PECOS PAC ID: 9638409923 Enrollment ID: I20240112002578 |
| Provider Name | Juliette Logan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679007231 PECOS PAC ID: 5799108742 Enrollment ID: I20240117000697 |
| Provider Name | Shayna Melody Cheek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962272955 PECOS PAC ID: 5193177962 Enrollment ID: I20240117001908 |
| Provider Name | Juliette Helene Rousseau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316644727 PECOS PAC ID: 1254783723 Enrollment ID: I20240119002971 |
| Provider Name | Charlotte S Wilkes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487899373 PECOS PAC ID: 4385792753 Enrollment ID: I20240122001493 |
| Provider Name | Katherine Dayton Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649840216 PECOS PAC ID: 9931551330 Enrollment ID: I20240122003146 |
| Provider Name | Andrew David Jimenez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609569888 PECOS PAC ID: 9537511753 Enrollment ID: I20240123003077 |
| Provider Name | Christopher Dermarkarian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093246076 PECOS PAC ID: 2961771696 Enrollment ID: I20240124001009 |
| Provider Name | Anna Kristina Strasma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396274619 PECOS PAC ID: 8224481320 Enrollment ID: I20240125000052 |
| Provider Name | Jenna Kenney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265044200 PECOS PAC ID: 1557771565 Enrollment ID: I20240126000504 |
| Provider Name | Jeanae Elyse Dedio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558144865 PECOS PAC ID: 6800249228 Enrollment ID: I20240201000353 |
| Provider Name | Ashley Jordan Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477236073 PECOS PAC ID: 9335592641 Enrollment ID: I20240201003824 |
| Provider Name | Martus Zheng Quan GN |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114419231 PECOS PAC ID: 1951656990 Enrollment ID: I20240202002167 |
| Provider Name | Diana Alison Barden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093286767 PECOS PAC ID: 8628318409 Enrollment ID: I20240205003288 |
| Provider Name | Kristen Nicole Winsor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588228274 PECOS PAC ID: 7416280599 Enrollment ID: I20240205003363 |
| Provider Name | Kwai Tei Candy Chan Poon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962934091 PECOS PAC ID: 7618310715 Enrollment ID: I20240206001332 |
| Provider Name | Nour Akil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992146955 PECOS PAC ID: 5890067508 Enrollment ID: I20240207000968 |
| Provider Name | David Carlos Becerra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639564644 PECOS PAC ID: 1658664008 Enrollment ID: I20240207003818 |
| Provider Name | Taylor Blanche Drolshagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275226078 PECOS PAC ID: 5698118511 Enrollment ID: I20240208000001 |
| Provider Name | Daniel Bowman Loriaux |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932638962 PECOS PAC ID: 0446520993 Enrollment ID: I20240208000011 |
| Provider Name | Katherine Piilani Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932971389 PECOS PAC ID: 0840633673 Enrollment ID: I20240208003686 |
| Provider Name | Amber Thompson Regalado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891392718 PECOS PAC ID: 7911307541 Enrollment ID: I20240213002129 |
| Provider Name | Kevin Matthew Gentile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275309288 PECOS PAC ID: 7416391826 Enrollment ID: I20240213004362 |
| Provider Name | Leigh Mary Skehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578048666 PECOS PAC ID: 3476892084 Enrollment ID: I20240214000012 |
| Provider Name | Amelia Rose Ballesteros-edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205560208 PECOS PAC ID: 1557705613 Enrollment ID: I20240216000188 |
| Provider Name | Reinaldo Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083140321 PECOS PAC ID: 5698108777 Enrollment ID: I20240220001585 |
| Provider Name | Lisa Kotyra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689770901 PECOS PAC ID: 9234160219 Enrollment ID: I20240221000053 |
| Provider Name | Mariam Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467089219 PECOS PAC ID: 2365866456 Enrollment ID: I20240226000067 |
| Provider Name | Meaghan Elizabeth Paluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922875038 PECOS PAC ID: 9436594819 Enrollment ID: I20240226000102 |
| Provider Name | Kathryn Marie Oconnor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215161070 PECOS PAC ID: 6002033297 Enrollment ID: I20240227000044 |
| Provider Name | Sara Khov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821866609 PECOS PAC ID: 6305281692 Enrollment ID: I20240227000094 |
| Provider Name | Katie Marie Travers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336923879 PECOS PAC ID: 7810332020 Enrollment ID: I20240227004699 |
| Provider Name | Sofia Teresa Zavala Monzon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952831703 PECOS PAC ID: 0749559037 Enrollment ID: I20240228001085 |
| Provider Name | Yvonna Yvonne Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679354823 PECOS PAC ID: 8325483266 Enrollment ID: I20240229004202 |
| Provider Name | Sarah Miranda Miner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710663935 PECOS PAC ID: 3375988157 Enrollment ID: I20240303000055 |
| Provider Name | Cristina Salmon Echanique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499161 PECOS PAC ID: 8729315528 Enrollment ID: I20240305000428 |
| Provider Name | Hunter Kelsey Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043896079 PECOS PAC ID: 9931544566 Enrollment ID: I20240305001827 |
| Provider Name | Carol Alejandra Parrales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073020145 PECOS PAC ID: 3971933391 Enrollment ID: I20240307001027 |
| Provider Name | Joann Lauren Nocito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346028461 PECOS PAC ID: 0143666487 Enrollment ID: I20240308003713 |
| Provider Name | Daniel Levy Bercowski |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609882802 PECOS PAC ID: 8426494691 Enrollment ID: I20240311000496 |
| Provider Name | Kassiane Saieed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487439162 PECOS PAC ID: 9032555099 Enrollment ID: I20240312004201 |
| Provider Name | Eunice Pong Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710755673 PECOS PAC ID: 9537506126 Enrollment ID: I20240319000299 |
| Provider Name | Morgan Elizabeth Barnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699472100 PECOS PAC ID: 8527405125 Enrollment ID: I20240319000661 |
| Provider Name | Mary Lauren Cheek Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003296054 PECOS PAC ID: 3476990862 Enrollment ID: I20240320003961 |
| Provider Name | Maureane Richardson Hoffman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013007061 PECOS PAC ID: 5193162444 Enrollment ID: I20240321002636 |
| Provider Name | Renee Nicole Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710699764 PECOS PAC ID: 6800233990 Enrollment ID: I20240325003592 |
| Provider Name | Brian Joseph Mendelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033420211 PECOS PAC ID: 2264756022 Enrollment ID: I20240403002988 |
| Provider Name | Brendetta Scarlett Huffman-rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023873056 PECOS PAC ID: 0446698815 Enrollment ID: I20240403004381 |
| Provider Name | Keeley Kathryn Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376301580 PECOS PAC ID: 8921446204 Enrollment ID: I20240405000116 |
| Provider Name | Jeffrey Leon Arnold |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255611661 PECOS PAC ID: 0244524916 Enrollment ID: I20240406000272 |
| Provider Name | Carrie Endara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508638552 PECOS PAC ID: 3678911765 Enrollment ID: I20240409002508 |
| Provider Name | Diana Metry Kozman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023548211 PECOS PAC ID: 9032455324 Enrollment ID: I20240409003766 |
| Provider Name | Khaled Mansour |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427281641 PECOS PAC ID: 7214226505 Enrollment ID: I20240409004963 |
| Provider Name | Kathleen Frances Feheley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891553376 PECOS PAC ID: 3476992264 Enrollment ID: I20240412001353 |
| Provider Name | Alicia D Jowers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851807259 PECOS PAC ID: 2961765169 Enrollment ID: I20240417000160 |
| Provider Name | Kayo Nakama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417640632 PECOS PAC ID: 6800235318 Enrollment ID: I20240417001110 |
| Provider Name | Lindsay Burke Naughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477798973 PECOS PAC ID: 7618119157 Enrollment ID: I20240418004082 |
| Provider Name | Emma Furman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346937430 PECOS PAC ID: 2264871375 Enrollment ID: I20240422001197 |
| Provider Name | Sydney Elizabeth Ness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467145276 PECOS PAC ID: 0143669275 Enrollment ID: I20240422002138 |
| Provider Name | Ozanan Ricardo De Oliveira Meireles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972787091 PECOS PAC ID: 6507911005 Enrollment ID: I20240423000463 |
| Provider Name | Briana Nicole Burrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710666813 PECOS PAC ID: 2668812660 Enrollment ID: I20240424001732 |
| Provider Name | Candace Elvina Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346004769 PECOS PAC ID: 7911347927 Enrollment ID: I20240424001838 |
| Provider Name | Laura Horan Caparosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326722760 PECOS PAC ID: 7214377027 Enrollment ID: I20240426002149 |
| Provider Name | Sarah Nicole Bernstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316567894 PECOS PAC ID: 5294175964 Enrollment ID: I20240429000657 |
| Provider Name | Stephanie Greene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790762441 PECOS PAC ID: 0345212833 Enrollment ID: I20240429003594 |
| Provider Name | Jiuk James Jung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285274498 PECOS PAC ID: 8325457856 Enrollment ID: I20240501004233 |
| Provider Name | Karen Judelka Fernando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487241808 PECOS PAC ID: 2769895770 Enrollment ID: I20240502003271 |
| Provider Name | Charity Landrum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528536133 PECOS PAC ID: 6608200886 Enrollment ID: I20240502003700 |
| Provider Name | Karina Estefany Bermudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659004570 PECOS PAC ID: 9335589589 Enrollment ID: I20240503003608 |
| Provider Name | Hannah Lee Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073285193 PECOS PAC ID: 2668838186 Enrollment ID: I20240504000224 |
| Provider Name | Lauren Kendall Tribou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063275683 PECOS PAC ID: 1850732991 Enrollment ID: I20240507003505 |
| Provider Name | Audrey Rose Verde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518311844 PECOS PAC ID: 2466742861 Enrollment ID: I20240507004526 |
| Provider Name | Andre Nazar Braima |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376140855 PECOS PAC ID: 9739576109 Enrollment ID: I20240508000288 |
| Provider Name | Caralyn Rebekah Hudson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295500510 PECOS PAC ID: 7416398334 Enrollment ID: I20240509002264 |
| Provider Name | Marybeth Anderson Nedrud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841788155 PECOS PAC ID: 6406108455 Enrollment ID: I20240510000607 |
| Provider Name | Chase Pruitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497492615 PECOS PAC ID: 1254713357 Enrollment ID: I20240513002927 |
| Provider Name | Alexandra Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184491425 PECOS PAC ID: 6002257250 Enrollment ID: I20240518000218 |
| Provider Name | Aaron Jordan Marks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952863680 PECOS PAC ID: 6901133735 Enrollment ID: I20240520001848 |
| Provider Name | Igor Passioura |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043771991 PECOS PAC ID: 1658713896 Enrollment ID: I20240520003363 |
| Provider Name | Joseph Charles Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326508037 PECOS PAC ID: 7416282108 Enrollment ID: I20240522002485 |
| Provider Name | Randall Zachary Olmsted |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013470368 PECOS PAC ID: 6800238841 Enrollment ID: I20240522003522 |
| Provider Name | Gina Lauren Sotolongo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750843355 PECOS PAC ID: 3476995432 Enrollment ID: I20240523000005 |
| Provider Name | Jordan Verlare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881154185 PECOS PAC ID: 3577985415 Enrollment ID: I20240523000044 |
| Provider Name | Terry Margaret Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720094907 PECOS PAC ID: 3476558107 Enrollment ID: I20240523000868 |
| Provider Name | Jamie L Ullmark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366534463 PECOS PAC ID: 3678548864 Enrollment ID: I20240531001918 |
| Provider Name | Elena M Fenu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932603206 PECOS PAC ID: 0244595650 Enrollment ID: I20240603002138 |
| Provider Name | Antwon Tramaine Chavis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932442217 PECOS PAC ID: 5193951697 Enrollment ID: I20240604001930 |
| Provider Name | Rasha Raslan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184111452 PECOS PAC ID: 8729334263 Enrollment ID: I20240614002174 |
| Provider Name | Dylan Thomas Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295296358 PECOS PAC ID: 8426591603 Enrollment ID: I20240617000084 |
| Provider Name | Peter Gust Passias |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003070327 PECOS PAC ID: 9931384633 Enrollment ID: I20240619001764 |
| Provider Name | Calli Gabrielle Hamrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538927611 PECOS PAC ID: 2264975143 Enrollment ID: I20240620000295 |
| Provider Name | Tanya Lynelle Bellavia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265468060 PECOS PAC ID: 3274524483 Enrollment ID: I20240620001644 |
| Provider Name | Eric Phillip Deloso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154959914 PECOS PAC ID: 5799227906 Enrollment ID: I20240625002122 |
| Provider Name | Matthew Scott Mccravy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659726370 PECOS PAC ID: 4486944311 Enrollment ID: I20240625002331 |
| Provider Name | Ryan Morris Gessouroun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891285045 PECOS PAC ID: 6507300043 Enrollment ID: I20240626000764 |
| Provider Name | Megan Lillian Gilman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003256785 PECOS PAC ID: 1557655016 Enrollment ID: I20240626003447 |
| Provider Name | Kathleen Elizabeth Parnell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366283178 PECOS PAC ID: 5991249286 Enrollment ID: I20240627001718 |
| Provider Name | Joshua Edward Pugliese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881461382 PECOS PAC ID: 3476097387 Enrollment ID: I20240702004679 |
| Provider Name | David Young Suh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750901732 PECOS PAC ID: 5698106011 Enrollment ID: I20240703002718 |
| Provider Name | Elise Karlan Timtim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225657257 PECOS PAC ID: 8921423120 Enrollment ID: I20240705001753 |
| Provider Name | Brandon Scott Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881018695 PECOS PAC ID: 5698061406 Enrollment ID: I20240705002306 |
| Provider Name | Brian Andre Dahlben |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407350788 PECOS PAC ID: 3476898396 Enrollment ID: I20240710000046 |
| Provider Name | Jacqueline Boykin Henson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588184725 PECOS PAC ID: 4385917582 Enrollment ID: I20240710000621 |
| Provider Name | Ryan Patrick Nolan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295354579 PECOS PAC ID: 3476098898 Enrollment ID: I20240710001973 |
| Provider Name | Kristen Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225260003 PECOS PAC ID: 7214151588 Enrollment ID: I20240710002113 |
| Provider Name | Dillon Craig Cockrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952890899 PECOS PAC ID: 4789939596 Enrollment ID: I20240710002664 |
| Provider Name | Christopher Mchugh Ramsay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750919270 PECOS PAC ID: 4789129735 Enrollment ID: I20240715000268 |
| Provider Name | Nkechi Nicole Nwabueze |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780204735 PECOS PAC ID: 0547705568 Enrollment ID: I20240715002966 |
| Provider Name | Yuxi Zheng |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801424148 PECOS PAC ID: 9537604467 Enrollment ID: I20240715003508 |
| Provider Name | William Willie Su |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114487873 PECOS PAC ID: 7810432648 Enrollment ID: I20240716003205 |
| Provider Name | Mai E Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073075412 PECOS PAC ID: 4688006901 Enrollment ID: I20240716004889 |
| Provider Name | Kristen Adams Logan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497383822 PECOS PAC ID: 2466998075 Enrollment ID: I20240718004895 |
| Provider Name | Alex Joseph Solomon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114458338 PECOS PAC ID: 7618244138 Enrollment ID: I20240723001855 |
| Provider Name | Ryan Daniel Slauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295297117 PECOS PAC ID: 7214473552 Enrollment ID: I20240723004119 |
| Provider Name | Eugene Vaios |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245799386 PECOS PAC ID: 6406180132 Enrollment ID: I20240724000124 |
| Provider Name | Jason Snider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679036917 PECOS PAC ID: 9234675356 Enrollment ID: I20240725001828 |
| Provider Name | Jeffrey Chad Gahan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679713960 PECOS PAC ID: 3476719766 Enrollment ID: I20240726000368 |
| Provider Name | Ambber Marie Harms |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710593561 PECOS PAC ID: 8921428798 Enrollment ID: I20240729003839 |
| Provider Name | Emily Lauren Trambert Kylstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588246144 PECOS PAC ID: 7618378720 Enrollment ID: I20240730000036 |
| Provider Name | Kelci Popovnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023853371 PECOS PAC ID: 7315484128 Enrollment ID: I20240730000122 |
| Provider Name | Komal Shahzad Safdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659909786 PECOS PAC ID: 8123565934 Enrollment ID: I20240730000173 |
| Provider Name | Andrew Michael Peseski |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1376073478 PECOS PAC ID: 5092084350 Enrollment ID: I20240730001786 |
| Provider Name | Anna Jo Ellen Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154061067 PECOS PAC ID: 5698143675 Enrollment ID: I20240730002814 |
| Provider Name | Nicole Marie Massey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588049639 PECOS PAC ID: 6406166941 Enrollment ID: I20240730004016 |
| Provider Name | Mark William Towers Maddox |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255744124 PECOS PAC ID: 7012213325 Enrollment ID: I20240731003430 |
| Provider Name | Carmem Maria Sales Bonfim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912753468 PECOS PAC ID: 2860939394 Enrollment ID: I20240801003867 |
| Provider Name | Venkatkrish Kasetty |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205465952 PECOS PAC ID: 8628493582 Enrollment ID: I20240801004537 |
| Provider Name | Seyma Selen Sevinc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801423777 PECOS PAC ID: 1456898824 Enrollment ID: I20240802000986 |
| Provider Name | Mitchell Clayton Veverka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679034631 PECOS PAC ID: 0547707887 Enrollment ID: I20240804000080 |
| Provider Name | Leena Shahla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235489774 PECOS PAC ID: 5597073817 Enrollment ID: I20240806001962 |
| Provider Name | Anil Krishna Vasireddi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184153231 PECOS PAC ID: 4082984851 Enrollment ID: I20240806002510 |
| Provider Name | Basma Abdalla Mohamed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902037385 PECOS PAC ID: 3577791581 Enrollment ID: I20240807001849 |
| Provider Name | Brittany Paige Depriest |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558723544 PECOS PAC ID: 2264763267 Enrollment ID: I20240807002153 |
| Provider Name | Whitney O'neill Lane |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811383870 PECOS PAC ID: 1456898360 Enrollment ID: I20240808002419 |
| Provider Name | Carmen Lynda Tsiopanas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598278798 PECOS PAC ID: 4385994888 Enrollment ID: I20240809000075 |
| Provider Name | Katherine Wang Sun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811457104 PECOS PAC ID: 3173061959 Enrollment ID: I20240812001021 |
| Provider Name | Kimberly Laurette Romoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306688809 PECOS PAC ID: 1153869912 Enrollment ID: I20240812004068 |
| Provider Name | Alexander Terry Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093211013 PECOS PAC ID: 9638617491 Enrollment ID: I20240813000038 |
| Provider Name | Nicholas Fredric Parrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013304963 PECOS PAC ID: 0345539185 Enrollment ID: I20240816000622 |
| Provider Name | Lauren Nicole Deaver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427546274 PECOS PAC ID: 1153672332 Enrollment ID: I20240816002887 |
| Provider Name | Cameron James Oswalt |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093211815 PECOS PAC ID: 5092253252 Enrollment ID: I20240819003267 |
| Provider Name | Samantha Danielle Minc |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508048372 PECOS PAC ID: 8628208337 Enrollment ID: I20240820001328 |
| Provider Name | Olumide Ayodele Danisa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467413450 PECOS PAC ID: 0648183871 Enrollment ID: I20240820003025 |
| Provider Name | David Huie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760915003 PECOS PAC ID: 4284172370 Enrollment ID: I20240820004656 |
| Provider Name | Lauren Alexandria Coaxum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083242598 PECOS PAC ID: 3274071238 Enrollment ID: I20240821003128 |
| Provider Name | Carla Dyann Tayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083297022 PECOS PAC ID: 9830598788 Enrollment ID: I20240821004023 |
| Provider Name | Beth Nicole Ida Floyd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457556078 PECOS PAC ID: 5092945980 Enrollment ID: I20240822000054 |
| Provider Name | Benjamin Yates Andrew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528529658 PECOS PAC ID: 8123567161 Enrollment ID: I20240822001288 |
| Provider Name | Patricia Angellice Martinez Quinones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013322130 PECOS PAC ID: 9830545375 Enrollment ID: I20240823000627 |
| Provider Name | Bryan David Badal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710483342 PECOS PAC ID: 8022369032 Enrollment ID: I20240826003901 |
| Provider Name | Megan Elizabeth Corrothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427807262 PECOS PAC ID: 1153860713 Enrollment ID: I20240827001985 |
| Provider Name | Amy Qi Lu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548720923 PECOS PAC ID: 0648507608 Enrollment ID: I20240828002031 |
| Provider Name | Kathryn Hornaday Blew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083110415 PECOS PAC ID: 8224577747 Enrollment ID: I20240828003986 |
| Provider Name | Danielle Linda Mebuge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265938096 PECOS PAC ID: 6901345354 Enrollment ID: I20240829000072 |
| Provider Name | Arun Ajmera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336645431 PECOS PAC ID: 9234475906 Enrollment ID: I20240829001410 |
| Provider Name | Bryan Hong-jer Chow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356846653 PECOS PAC ID: 3173062437 Enrollment ID: I20240829004672 |
| Provider Name | Andrew Nagy Atia |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417489972 PECOS PAC ID: 0143681700 Enrollment ID: I20240830000883 |
| Provider Name | Sandra Diane Kikano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639603889 PECOS PAC ID: 0941570808 Enrollment ID: I20240830001087 |
| Provider Name | Lauren Nicole Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588404990 PECOS PAC ID: 2860931979 Enrollment ID: I20240903001601 |
| Provider Name | Jie Sun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982318432 PECOS PAC ID: 7810342979 Enrollment ID: I20240903002480 |
| Provider Name | Kara Lee Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528696770 PECOS PAC ID: 7012457021 Enrollment ID: I20240905000730 |
| Provider Name | Rachel Anne Despenza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548889074 PECOS PAC ID: 4688099468 Enrollment ID: I20240905002402 |
| Provider Name | Diana Luisa Sojda Fedurek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487411559 PECOS PAC ID: 4587104401 Enrollment ID: I20240906000496 |
| Provider Name | Tricia Ann Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154167450 PECOS PAC ID: 4082154752 Enrollment ID: I20240909002220 |
| Provider Name | Elizabeth Jaclyn Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255794939 PECOS PAC ID: 2860784782 Enrollment ID: I20240909002357 |
| Provider Name | Joshua Benjamin Parsons |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922504935 PECOS PAC ID: 5092255778 Enrollment ID: I20240909002570 |
| Provider Name | Sandra Allyson Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326877903 PECOS PAC ID: 7618417221 Enrollment ID: I20240910003550 |
| Provider Name | Stuart Rutledge German |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821061359 PECOS PAC ID: 6901072123 Enrollment ID: I20240911000951 |
| Provider Name | Timothy Samuel Hopper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679034821 PECOS PAC ID: 3173063682 Enrollment ID: I20240911002484 |
| Provider Name | Gregory O'connor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164982872 PECOS PAC ID: 6103151352 Enrollment ID: I20240912001174 |
| Provider Name | Jennifer Tucker Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508558149 PECOS PAC ID: 8729528930 Enrollment ID: I20240913001319 |
| Provider Name | Jared Douglas Hooley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144683996 PECOS PAC ID: 8022383330 Enrollment ID: I20240916000316 |
| Provider Name | Pooja Karukonda |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245793512 PECOS PAC ID: 7113251133 Enrollment ID: I20240916003579 |
| Provider Name | Rodrigo Daniel Munoz Dayaa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366062184 PECOS PAC ID: 8426489675 Enrollment ID: I20240917000718 |
| Provider Name | Amanda Wood Hayes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083103717 PECOS PAC ID: 8426303157 Enrollment ID: I20240917003962 |
| Provider Name | Jonathan Morrissey Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245089440 PECOS PAC ID: 7113468166 Enrollment ID: I20240918002380 |
| Provider Name | Philip Michael Carmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699353680 PECOS PAC ID: 0648672824 Enrollment ID: I20240918004422 |
| Provider Name | Zachary Edward Sitton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528645249 PECOS PAC ID: 2961801345 Enrollment ID: I20240919001164 |
| Provider Name | Douglas George Orndorff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043424732 PECOS PAC ID: 9436229358 Enrollment ID: I20240919001222 |
| Provider Name | Gabriel Torrealba Acosta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124523964 PECOS PAC ID: 6002295839 Enrollment ID: I20240919001327 |
| Provider Name | Samantha Leder Bick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235961772 PECOS PAC ID: 5597206326 Enrollment ID: I20240920000768 |
| Provider Name | Reza Nabavizadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982134391 PECOS PAC ID: 7315328002 Enrollment ID: I20240920001323 |
| Provider Name | Benjamin Carrion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649823782 PECOS PAC ID: 3274864764 Enrollment ID: I20240923001525 |
| Provider Name | Willard Nathan Applefeld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992190045 PECOS PAC ID: 6103147756 Enrollment ID: I20240923002901 |
| Provider Name | Angela Elizabeth Prieto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154845279 PECOS PAC ID: 9931441177 Enrollment ID: I20240924001521 |
| Provider Name | Ahmad Mourad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063918068 PECOS PAC ID: 5496296824 Enrollment ID: I20240925001251 |
| Provider Name | Sloane Alana Mebane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164050696 PECOS PAC ID: 8628519071 Enrollment ID: I20240925001932 |
| Provider Name | Alexis Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447883418 PECOS PAC ID: 0244655462 Enrollment ID: I20240925002748 |
| Provider Name | Julie Anne Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427897768 PECOS PAC ID: 3971044280 Enrollment ID: I20240926000001 |
| Provider Name | Anne Salvatrice Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902650955 PECOS PAC ID: 9638600851 Enrollment ID: I20240930000399 |
| Provider Name | Jacqueline Celeste Hodges |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154826717 PECOS PAC ID: 5799033692 Enrollment ID: I20240930001447 |
| Provider Name | Anna Elizabeth Ruse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821796251 PECOS PAC ID: 5294266318 Enrollment ID: I20241001000405 |
| Provider Name | Sarah Cebron Snow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093179889 PECOS PAC ID: 8325390909 Enrollment ID: I20241001003008 |
| Provider Name | Elizabeth Ann Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881446797 PECOS PAC ID: 2264963206 Enrollment ID: I20241002000810 |
| Provider Name | Julianna George Marwell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1508128075 PECOS PAC ID: 3577881564 Enrollment ID: I20241003000468 |
| Provider Name | Russell Thompson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053872770 PECOS PAC ID: 0840525689 Enrollment ID: I20241003000710 |
| Provider Name | Kristen Lea Whitlock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20241003001601 |
| Provider Name | Emile Irene Gleeson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083233480 PECOS PAC ID: 6002347853 Enrollment ID: I20241003001705 |
| Provider Name | Jeffrey Zhan Shen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265995245 PECOS PAC ID: 9436492170 Enrollment ID: I20241004000955 |
| Provider Name | Michael Richard Greenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174011340 PECOS PAC ID: 6305191115 Enrollment ID: I20241008000811 |
| Provider Name | Hannah Camille Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851055370 PECOS PAC ID: 6608307129 Enrollment ID: I20241008000867 |
| Provider Name | Rebecca Sue Himmelwright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689161739 PECOS PAC ID: 9638600109 Enrollment ID: I20241008002939 |
| Provider Name | Lillian Boettcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003443276 PECOS PAC ID: 9537564729 Enrollment ID: I20241008004391 |
| Provider Name | Stephanie Crowder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225540297 PECOS PAC ID: 3274896873 Enrollment ID: I20241008004417 |
| Provider Name | Robert Earl Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215203781 PECOS PAC ID: 3779874060 Enrollment ID: I20241009000373 |
| Provider Name | Sara Caitlin Gwynne Feldman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881155927 PECOS PAC ID: 3375074784 Enrollment ID: I20241009000583 |
| Provider Name | Kate Elizabeth Norwalk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679313696 PECOS PAC ID: 9335671734 Enrollment ID: I20241009004636 |
| Provider Name | Michael Adam Moverman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306339676 PECOS PAC ID: 8820344609 Enrollment ID: I20241010002674 |
| Provider Name | Jeryl Chavez Lockley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376383539 PECOS PAC ID: 8123550456 Enrollment ID: I20241011001354 |
| Provider Name | Matthew Gibson Marvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659995579 PECOS PAC ID: 2961875513 Enrollment ID: I20241011001521 |
| Provider Name | Rohit Vikram Tejwani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538693155 PECOS PAC ID: 6608237961 Enrollment ID: I20241011002683 |
| Provider Name | Jordan Mckenzie Burnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548003320 PECOS PAC ID: 7012449291 Enrollment ID: I20241011004096 |
| Provider Name | Debbie Blitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013644962 PECOS PAC ID: 7911383781 Enrollment ID: I20241014001621 |
| Provider Name | Allyson a Haymes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295724474 PECOS PAC ID: 0446235477 Enrollment ID: I20241014003001 |
| Provider Name | Alexandra Bocharnikov Loriaux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801424296 PECOS PAC ID: 5496287518 Enrollment ID: I20241015000474 |
| Provider Name | Tulsi Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033571807 PECOS PAC ID: 9436444999 Enrollment ID: I20241015000477 |
| Provider Name | Gregory Aaron Metzger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073045704 PECOS PAC ID: 0244501310 Enrollment ID: I20241017000007 |
| Provider Name | Jennifer Jane Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396586582 PECOS PAC ID: 7618409459 Enrollment ID: I20241017001167 |
| Provider Name | Kaitlin Marie Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394918 PECOS PAC ID: 7113459934 Enrollment ID: I20241018000092 |
| Provider Name | Sophia Jeannette Gauthier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538622816 PECOS PAC ID: 4789116443 Enrollment ID: I20241018002190 |
| Provider Name | Breanna Ann Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023847191 PECOS PAC ID: 5496287054 Enrollment ID: I20241021002183 |
| Provider Name | Rodnell Stephen Gonzales Batac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316771207 PECOS PAC ID: 4880126382 Enrollment ID: I20241021004539 |
| Provider Name | Adriana M Ferreira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487147799 PECOS PAC ID: 1557619525 Enrollment ID: I20241022001498 |
| Provider Name | Katherine Fitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942829221 PECOS PAC ID: 4284057431 Enrollment ID: I20241022003192 |
| Provider Name | Madeline Burke Heintschel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457117871 PECOS PAC ID: 5698208114 Enrollment ID: I20241023000427 |
| Provider Name | Amanda Vilate Jenson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073909388 PECOS PAC ID: 9234662701 Enrollment ID: I20241023002004 |
| Provider Name | Sara Isabel Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992212898 PECOS PAC ID: 3678006954 Enrollment ID: I20241024002800 |
| Provider Name | Shrija Acharya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013597715 PECOS PAC ID: 5092248260 Enrollment ID: I20241025002201 |
| Provider Name | Modou Lamin Jawo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326889734 PECOS PAC ID: 0941733117 Enrollment ID: I20241025002426 |
| Provider Name | Micah Karl Schub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821585027 PECOS PAC ID: 3476086661 Enrollment ID: I20241025003130 |
| Provider Name | Katherine Nicole Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275085854 PECOS PAC ID: 0941580252 Enrollment ID: I20241028000396 |
| Provider Name | Ashton Dawn Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982434676 PECOS PAC ID: 6709319817 Enrollment ID: I20241029000479 |
| Provider Name | Sarah Anne Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396572376 PECOS PAC ID: 2860925823 Enrollment ID: I20241029002815 |
| Provider Name | Alexis Grace Ciccone |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336842061 PECOS PAC ID: 2365892148 Enrollment ID: I20241029004605 |
| Provider Name | Elizabeth Ann Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245520006 PECOS PAC ID: 4880975838 Enrollment ID: I20241030000378 |
| Provider Name | Brian Fredericks Gilmore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295153500 PECOS PAC ID: 6507232717 Enrollment ID: I20241030000567 |
| Provider Name | Elizabeth Pennington Howell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184253833 PECOS PAC ID: 2961935788 Enrollment ID: I20241031001071 |
| Provider Name | John Nemer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811557606 PECOS PAC ID: 3577096338 Enrollment ID: I20241031002546 |
| Provider Name | Chandler Mccain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326638222 PECOS PAC ID: 5092248856 Enrollment ID: I20241031002715 |
| Provider Name | Robert Theodore Tisherman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417477423 PECOS PAC ID: 0446529036 Enrollment ID: I20241104002246 |
| Provider Name | Elias Gregory Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235984600 PECOS PAC ID: 3173057742 Enrollment ID: I20241106000483 |
| Provider Name | Demetra Schermerhorn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386104602 PECOS PAC ID: 6507193364 Enrollment ID: I20241106000868 |
| Provider Name | Kelsey Denise Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316774284 PECOS PAC ID: 7810421203 Enrollment ID: I20241107001544 |
| Provider Name | Alberto Juan Monreal |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1447747084 PECOS PAC ID: 2466889415 Enrollment ID: I20241107003637 |
| Provider Name | Alexa Marie Franco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841788924 PECOS PAC ID: 4981942380 Enrollment ID: I20241107003785 |
| Provider Name | Yang Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205281508 PECOS PAC ID: 4082942628 Enrollment ID: I20241108000638 |
| Provider Name | Vishal Piyush Ruparelia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386241727 PECOS PAC ID: 2264811199 Enrollment ID: I20241111000733 |
| Provider Name | Parastou Fatemi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366806002 PECOS PAC ID: 5496102642 Enrollment ID: I20241111001459 |
| Provider Name | Malvika Sharma |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1649765470 PECOS PAC ID: 3971840174 Enrollment ID: I20241111001877 |
| Provider Name | Rebecca Lynn Lucieer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699468553 PECOS PAC ID: 5698209732 Enrollment ID: I20241112000859 |
| Provider Name | Natalie Zhen Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154810380 PECOS PAC ID: 5496157869 Enrollment ID: I20241112001177 |
| Provider Name | Kelly Lynn Cornelison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043817620 PECOS PAC ID: 0345631586 Enrollment ID: I20241112001924 |
| Provider Name | Paul Dennis Nagy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922142470 PECOS PAC ID: 7214461250 Enrollment ID: I20241113001117 |
| Provider Name | Ashleen Rani Dhanota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528892338 PECOS PAC ID: 8729512702 Enrollment ID: I20241113002819 |
| Provider Name | Lauren Dana Pioppo Phelan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043747470 PECOS PAC ID: 0143643346 Enrollment ID: I20241113003612 |
| Provider Name | Alexi Contaxis Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376371815 PECOS PAC ID: 6709310725 Enrollment ID: I20241113004485 |
| Provider Name | Jared Rex Robbins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124291562 PECOS PAC ID: 1658515184 Enrollment ID: I20241115002488 |
| Provider Name | Christopher David Dye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316727118 PECOS PAC ID: 2769916428 Enrollment ID: I20241118001275 |
| Provider Name | Karen Patricia Flores Rosario |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457892721 PECOS PAC ID: 2163956822 Enrollment ID: I20241118001473 |
| Provider Name | Misty Khandjian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457065252 PECOS PAC ID: 4082070362 Enrollment ID: I20241119001689 |
| Provider Name | Eric Evan-browning Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558724641 PECOS PAC ID: 1052605839 Enrollment ID: I20241119004260 |
| Provider Name | Carmen Everhart Raborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992533772 PECOS PAC ID: 2264967793 Enrollment ID: I20241121000478 |
| Provider Name | Laura Elizabeth Bach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023403623 PECOS PAC ID: 0941505481 Enrollment ID: I20241121000524 |
| Provider Name | Haleigh Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649809096 PECOS PAC ID: 4486075314 Enrollment ID: I20241121002960 |
| Provider Name | Brooke Ivie Asemota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558867721 PECOS PAC ID: 0749536225 Enrollment ID: I20241122001149 |
| Provider Name | Carmen Hobgood Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871332221 PECOS PAC ID: 3870028111 Enrollment ID: I20241125000464 |
| Provider Name | Victoria Burton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669963278 PECOS PAC ID: 5294080008 Enrollment ID: I20241125001127 |
| Provider Name | Krishna Chaitanya Alluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588002893 PECOS PAC ID: 5799076006 Enrollment ID: I20241125001555 |
| Provider Name | Abirami Natarajan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912357252 PECOS PAC ID: 1052733367 Enrollment ID: I20241125002381 |
| Provider Name | Nikki Oneill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609367226 PECOS PAC ID: 0840547998 Enrollment ID: I20241126003202 |
| Provider Name | Lindsey Nichole Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528799541 PECOS PAC ID: 0244614733 Enrollment ID: I20241126003994 |
| Provider Name | Daniel Michael Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669400990 PECOS PAC ID: 0446388193 Enrollment ID: I20241127001986 |
| Provider Name | Eszter Fuzy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497589386 PECOS PAC ID: 1153856026 Enrollment ID: I20241202001883 |
| Provider Name | Ann Elizabeth Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790240406 PECOS PAC ID: 3476088220 Enrollment ID: I20241203001559 |
| Provider Name | Madison Kathryn Erickson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033941414 PECOS PAC ID: 6406381284 Enrollment ID: I20241203002607 |
| Provider Name | Violeta Saenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932641230 PECOS PAC ID: 1759658073 Enrollment ID: I20241203002913 |
| Provider Name | Katherine Elizabeth Robinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376913970 PECOS PAC ID: 1153857990 Enrollment ID: I20241204001024 |
| Provider Name | Tracey Duncan Hight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275387060 PECOS PAC ID: 3274069950 Enrollment ID: I20241204003142 |
| Provider Name | Juhi Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447644430 PECOS PAC ID: 8820497803 Enrollment ID: I20241205003468 |
| Provider Name | Christina Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757348 PECOS PAC ID: 8224353594 Enrollment ID: I20241206001928 |
| Provider Name | Robert Ryan Meyerhoff |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568925360 PECOS PAC ID: 4385170893 Enrollment ID: I20241206003266 |
| Provider Name | Kellie Anne Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104663947 PECOS PAC ID: 9335675784 Enrollment ID: I20241209001211 |
| Provider Name | Paige Theuer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982299871 PECOS PAC ID: 4385010040 Enrollment ID: I20241210002731 |
| Provider Name | Joi Camille Spaulding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386272458 PECOS PAC ID: 1052762382 Enrollment ID: I20241210002938 |
| Provider Name | Pinya Joy Kambhiranond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922827476 PECOS PAC ID: 0749716041 Enrollment ID: I20241210003452 |
| Provider Name | Yannek Isaac Leiderman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164586616 PECOS PAC ID: 2567539984 Enrollment ID: I20241211000414 |
| Provider Name | Lisa Kristen Honeycutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821288234 PECOS PAC ID: 5496037400 Enrollment ID: I20241212002330 |
| Provider Name | Gayle Lauren Shears |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093140550 PECOS PAC ID: 1557597390 Enrollment ID: I20241213003141 |
| Provider Name | Ashley Nicole Vecchiola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023782166 PECOS PAC ID: 6406210962 Enrollment ID: I20241217000007 |
| Provider Name | Monisha Anupam Motiwala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851795678 PECOS PAC ID: 5193252054 Enrollment ID: I20241217002756 |
| Provider Name | Julia Louise Forstner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992534929 PECOS PAC ID: 3779010509 Enrollment ID: I20241218001686 |
| Provider Name | Hana Madeleine Poser |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710367370 PECOS PAC ID: 9638469885 Enrollment ID: I20241218002157 |
| Provider Name | Lindsay Goff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538772058 PECOS PAC ID: 7618395807 Enrollment ID: I20241218004344 |
| Provider Name | Carlos Javier Blanco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568625200 PECOS PAC ID: 2668661182 Enrollment ID: I20241219002824 |
| Provider Name | Damla Celen Gonullu-rotman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457858953 PECOS PAC ID: 8921344656 Enrollment ID: I20241223000711 |
| Provider Name | Cheng Tan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962179960 PECOS PAC ID: 4880121151 Enrollment ID: I20241227000483 |
| Provider Name | Matthew Thomas Ramsey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1730538588 PECOS PAC ID: 8123314879 Enrollment ID: I20250102000327 |
| Provider Name | Nicholas Patrick Hallam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780416917 PECOS PAC ID: 2264960251 Enrollment ID: I20250103000843 |
| Provider Name | Wen-hsuan Wendy Lin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558897876 PECOS PAC ID: 1153790928 Enrollment ID: I20250107003753 |
| Provider Name | Christopher Domush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215985932 PECOS PAC ID: 4183602121 Enrollment ID: I20250109000322 |
| Provider Name | Arianna George |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730918863 PECOS PAC ID: 3971031550 Enrollment ID: I20250109003147 |
| Provider Name | Emily Caroline Toth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285301028 PECOS PAC ID: 8426586843 Enrollment ID: I20250114000555 |
| Provider Name | Neelambika Sharanabasappa Revadigar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487903019 PECOS PAC ID: 1254629207 Enrollment ID: I20250117000344 |
| Provider Name | Diana Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932926979 PECOS PAC ID: 0143759274 Enrollment ID: I20250117003011 |
| Provider Name | Amanda Blaine Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548020274 PECOS PAC ID: 7012446297 Enrollment ID: I20250203001427 |
| Provider Name | Megan Ashley Barclay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457813263 PECOS PAC ID: 1355746520 Enrollment ID: I20250204000004 |
| Provider Name | Leslie Juliana Higuita Montoya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992361786 PECOS PAC ID: 5597295725 Enrollment ID: I20250204000459 |
| Provider Name | Andrew Sheldon Phelps |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184443012 PECOS PAC ID: 0648700708 Enrollment ID: I20250205002078 |
| Provider Name | Martha Elizabeth Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689218620 PECOS PAC ID: 0648609131 Enrollment ID: I20250206001616 |
| Provider Name | Brook Lyn Singer-megna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225870850 PECOS PAC ID: 5092245977 Enrollment ID: I20250206002835 |
| Provider Name | Lucy Qiaochu Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730569682 PECOS PAC ID: 7719353622 Enrollment ID: I20250207001673 |
| Provider Name | Lashawnda Hope Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407677420 PECOS PAC ID: 2567992365 Enrollment ID: I20250210000455 |
| Provider Name | Nishitha Gadireddy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194566257 PECOS PAC ID: 5597295154 Enrollment ID: I20250212000042 |
| Provider Name | Brian Mwangi Mugo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316475197 PECOS PAC ID: 4183995988 Enrollment ID: I20250212002815 |
| Provider Name | Ryan Matthew Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073331708 PECOS PAC ID: 8224568779 Enrollment ID: I20250212003534 |
| Provider Name | Katelin Alanna Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689400038 PECOS PAC ID: 9032639307 Enrollment ID: I20250218001388 |
| Provider Name | Abhay Kaushik Komandur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407671548 PECOS PAC ID: 0840710117 Enrollment ID: I20250218001438 |
| Provider Name | Stephen Xavier Skapek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952304529 PECOS PAC ID: 3577645241 Enrollment ID: I20250220000369 |
| Provider Name | Can Kocasarac |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558990846 PECOS PAC ID: 8224448238 Enrollment ID: I20250220001856 |
| Provider Name | Caitlynn Lowery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942044623 PECOS PAC ID: 6507386505 Enrollment ID: I20250220002865 |
| Provider Name | Ermal Aliu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497152904 PECOS PAC ID: 9830422484 Enrollment ID: I20250220003936 |
| Provider Name | Sean Powers Fricke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053088914 PECOS PAC ID: 9436679305 Enrollment ID: I20250221001786 |
| Provider Name | Jason Maxwell Bohrer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164202529 PECOS PAC ID: 2961922497 Enrollment ID: I20250226003995 |
| Provider Name | Alexandra Emily D'elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194540641 PECOS PAC ID: 3476073966 Enrollment ID: I20250227001963 |
| Provider Name | Cameron Tyler Nicholson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720589815 PECOS PAC ID: 2567711856 Enrollment ID: I20250227002903 |
| Provider Name | Silai Mirzoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356874655 PECOS PAC ID: 4385901792 Enrollment ID: I20250306002428 |
| Provider Name | Kelsey Cetrone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306476171 PECOS PAC ID: 2466872007 Enrollment ID: I20250306003105 |
| Provider Name | Elis Feyzieva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992531644 PECOS PAC ID: 2062933831 Enrollment ID: I20250310001310 |
| Provider Name | Elizabeth Wanja Mathenge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720511629 PECOS PAC ID: 1052689593 Enrollment ID: I20250311003028 |
| Provider Name | Soo Jung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104640820 PECOS PAC ID: 3476074931 Enrollment ID: I20250313000123 |
| Provider Name | Benjamin Peter Catanese |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609337690 PECOS PAC ID: 4183002090 Enrollment ID: I20250313000578 |
| Provider Name | Benjamin Dean Holmes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184604969 PECOS PAC ID: 3274548557 Enrollment ID: I20250313004098 |
| Provider Name | Geoffrey Franklin Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275065823 PECOS PAC ID: 8921373713 Enrollment ID: I20250314001224 |
| Provider Name | Kennedy Cowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083431241 PECOS PAC ID: 9931621398 Enrollment ID: I20250314003219 |
| Provider Name | Elsa Isabel Althof |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962100396 PECOS PAC ID: 0345762654 Enrollment ID: I20250317001153 |
| Provider Name | Kristin Lee De Havilland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669280269 PECOS PAC ID: 5193247856 Enrollment ID: I20250321002990 |
| Provider Name | Hiroshi Date |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043032642 PECOS PAC ID: 9537682034 Enrollment ID: I20250325003097 |
| Provider Name | Shelby Janae Roithmayr |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922150176 PECOS PAC ID: 0446389720 Enrollment ID: I20250325003949 |
| Provider Name | Laura Jayne Barth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316474786 PECOS PAC ID: 1951824408 Enrollment ID: I20250326000530 |
| Provider Name | Kayleigh Marie Cavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811712151 PECOS PAC ID: 8628591054 Enrollment ID: I20250326003255 |
| Provider Name | Peng Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750153045 PECOS PAC ID: 1759804909 Enrollment ID: I20250327003396 |
| Provider Name | Justin Michael Goehl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467796375 PECOS PAC ID: 5890949119 Enrollment ID: I20250331000437 |
| Provider Name | Maia Shinobu Robison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205029519 PECOS PAC ID: 6709113400 Enrollment ID: I20250402003607 |
| Provider Name | Carlos Nicolas Prieto Granada |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083857791 PECOS PAC ID: 4789962663 Enrollment ID: I20250403002162 |
| Provider Name | Yuri Bernard Pride |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972760841 PECOS PAC ID: 6800054115 Enrollment ID: I20250403002575 |
| Provider Name | Marissa Novack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235525650 PECOS PAC ID: 1254733694 Enrollment ID: I20250404003309 |
| Provider Name | Malana Elise Manquen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497576714 PECOS PAC ID: 2769906247 Enrollment ID: I20250407000111 |
| Provider Name | Alexandra Balaban |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205332830 PECOS PAC ID: 8921441064 Enrollment ID: I20250411001354 |
| Provider Name | Rebecca P Bystrom |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396277117 PECOS PAC ID: 8628341336 Enrollment ID: I20250415003897 |
| Provider Name | Renita Miriam Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053121426 PECOS PAC ID: 2961927603 Enrollment ID: I20250416000105 |
| Provider Name | Joviane Louis Marcelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700583192 PECOS PAC ID: 0042735672 Enrollment ID: I20250416001955 |
| Provider Name | Kathryn Lilja Barnes Behrhorst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689392532 PECOS PAC ID: 0446775928 Enrollment ID: I20250416003683 |
| Provider Name | Qing Hao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023301264 PECOS PAC ID: 5294021051 Enrollment ID: I20250417000430 |
| Provider Name | Sana Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811128812 PECOS PAC ID: 0749560795 Enrollment ID: I20250417002926 |
| Provider Name | Reena Kunvarji Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720723109 PECOS PAC ID: 2264803725 Enrollment ID: I20250418000002 |
| Provider Name | Sarah Patricia Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558177360 PECOS PAC ID: 7416472493 Enrollment ID: I20250422003740 |
| Provider Name | Mason Mcclelland Minor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588485395 PECOS PAC ID: 0648795625 Enrollment ID: I20250423000114 |
| Provider Name | Alyssa Breanna Mcculley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235943200 PECOS PAC ID: 4981120540 Enrollment ID: I20250427000031 |
| Provider Name | Robert Givens Kellogg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972737476 PECOS PAC ID: 0840511887 Enrollment ID: I20250428003626 |
| Provider Name | Katherine Lynn Bullock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043095581 PECOS PAC ID: 3375990872 Enrollment ID: I20250429002359 |
| Provider Name | Emily Tate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255188686 PECOS PAC ID: 4789100082 Enrollment ID: I20250430000011 |
| Provider Name | Katherine Alison Dixon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811726300 PECOS PAC ID: 9133645443 Enrollment ID: I20250430000236 |
| Provider Name | Denice Nicole Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952118820 PECOS PAC ID: 3072039270 Enrollment ID: I20250430003297 |
| Provider Name | Nicholas Iarrobino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740809466 PECOS PAC ID: 3173945953 Enrollment ID: I20250506001278 |
| Provider Name | Mackenzie Ann Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851104210 PECOS PAC ID: 6507383270 Enrollment ID: I20250506002338 |
| Provider Name | Paige Emily Harlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437793585 PECOS PAC ID: 0941637987 Enrollment ID: I20250512002548 |
| Provider Name | Stephanie a P Schuette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942986591 PECOS PAC ID: 6103344288 Enrollment ID: I20250513003357 |
| Provider Name | Joshua Michael Boulter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245855667 PECOS PAC ID: 3476975533 Enrollment ID: I20250514001183 |
| Provider Name | Edwin Wilbur Woodhouse |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538725858 PECOS PAC ID: 5092191643 Enrollment ID: I20250514002372 |
| Provider Name | Jennifer Leigh Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588291215 PECOS PAC ID: 4385066414 Enrollment ID: I20250516002617 |
| Provider Name | Todd Michael Mazur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811060213 PECOS PAC ID: 2567601172 Enrollment ID: I20250519002453 |
| Provider Name | Adyazbeth Berenice Barrientos Solis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831907864 PECOS PAC ID: 9436677853 Enrollment ID: I20250519002549 |
| Provider Name | Yike Jiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609335868 PECOS PAC ID: 7012396716 Enrollment ID: I20250520003936 |
| Provider Name | Charlotte Marie Adams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447007083 PECOS PAC ID: 5496273674 Enrollment ID: I20250521000181 |
| Provider Name | Chelsea Rebecca Perfect |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1275094377 PECOS PAC ID: 6305364589 Enrollment ID: I20250521000184 |
| Provider Name | Aruna Prita Phekoo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376005074 PECOS PAC ID: 8224362678 Enrollment ID: I20250527001060 |
| Provider Name | Bryan Farnsworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437771490 PECOS PAC ID: 9537584875 Enrollment ID: I20250527002004 |
| Provider Name | Andrew Marsh Vekstein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558894493 PECOS PAC ID: 4385163807 Enrollment ID: I20250528000838 |
| Provider Name | Kristie L. Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497277958 PECOS PAC ID: 9234552290 Enrollment ID: I20250528002105 |
| Provider Name | Connor Lewis Pratson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255969887 PECOS PAC ID: 0143749432 Enrollment ID: I20250529002702 |
| Provider Name | Christina Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174333488 PECOS PAC ID: 7618486895 Enrollment ID: I20250530000502 |
| Provider Name | Paul Patrick Koffer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821433053 PECOS PAC ID: 7618266818 Enrollment ID: I20250530002770 |
| Provider Name | Mohammed Khalil Al Tarhuni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225650401 PECOS PAC ID: 9335563949 Enrollment ID: I20250530002915 |
| Provider Name | Morgan Zhao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235765116 PECOS PAC ID: 2860901816 Enrollment ID: I20250602002905 |
| Provider Name | Rose Jacqueline Mcnulty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063041432 PECOS PAC ID: 0749605699 Enrollment ID: I20250602003634 |
| Provider Name | Catherine Elizabeth Burger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467779017 PECOS PAC ID: 3476706557 Enrollment ID: I20250603000020 |
| Provider Name | Bangchen Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114555778 PECOS PAC ID: 1254874258 Enrollment ID: I20250603000379 |
| Provider Name | Susan Rachel Hupp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639330640 PECOS PAC ID: 3577733161 Enrollment ID: I20250603001709 |
| Provider Name | Michael Tcheupdjian Forrester |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013238252 PECOS PAC ID: 7214250414 Enrollment ID: I20250604000028 |
| Provider Name | Meera Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851553168 PECOS PAC ID: 3274809850 Enrollment ID: I20250606000736 |
| Provider Name | Corrie Randolph Camalier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801600077 PECOS PAC ID: 4587174842 Enrollment ID: I20250606001491 |
| Provider Name | Joseph Scott Goodwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477174746 PECOS PAC ID: 0840692240 Enrollment ID: I20250611000269 |
| Provider Name | Tracy Renee Geoffrion |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1760748107 PECOS PAC ID: 0840531885 Enrollment ID: I20250611000555 |
| Provider Name | Ji Yeon Jemma Kang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760703144 PECOS PAC ID: 2163732421 Enrollment ID: I20250611001855 |
| Provider Name | Jessica Rubino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689200560 PECOS PAC ID: 5890198899 Enrollment ID: I20250612000143 |
| Provider Name | Derek Scott Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730640954 PECOS PAC ID: 5294063657 Enrollment ID: I20250616001730 |
| Provider Name | Nils Kristian Wendel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538745427 PECOS PAC ID: 0042668923 Enrollment ID: I20250617000994 |
| Provider Name | Min Ji Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902603491 PECOS PAC ID: 3870004435 Enrollment ID: I20250619001710 |
| Provider Name | Makenzie Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174184535 PECOS PAC ID: 1850621053 Enrollment ID: I20250620000136 |
| Provider Name | Madeline Michelle Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538966379 PECOS PAC ID: 6800308404 Enrollment ID: I20250620000233 |
| Provider Name | Daniel Jacob Golden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639707490 PECOS PAC ID: 2264944537 Enrollment ID: I20250623002598 |
| Provider Name | Sachiko Marie Oshima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568040384 PECOS PAC ID: 2264833631 Enrollment ID: I20250624000342 |
| Provider Name | Hutton Clark Chapman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417445891 PECOS PAC ID: 1052676319 Enrollment ID: I20250624003463 |
| Provider Name | Katherine Anne Koller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255122040 PECOS PAC ID: 5496267247 Enrollment ID: I20250626000408 |
| Provider Name | Lara Carine Wadi |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1972064046 PECOS PAC ID: 1759894405 Enrollment ID: I20250627000119 |
| Provider Name | Amr Hassan Wardeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225667579 PECOS PAC ID: 7416460993 Enrollment ID: I20250627002900 |
| Provider Name | Ashley Lynne Waplinger Besch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609404268 PECOS PAC ID: 4183046956 Enrollment ID: I20250627003690 |
| Provider Name | Mary Margaret Woodruff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003435066 PECOS PAC ID: 8224541768 Enrollment ID: I20250628000137 |
| Provider Name | Liangbo Shen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487230587 PECOS PAC ID: 7315337383 Enrollment ID: I20250630000370 |
| Provider Name | Aakash Kishor Babaria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427686203 PECOS PAC ID: 5193238111 Enrollment ID: I20250702000256 |
| Provider Name | John Daniel Bireley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891324331 PECOS PAC ID: 0749601946 Enrollment ID: I20250703000080 |
| Provider Name | Jessica Ann Regan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316479298 PECOS PAC ID: 4385021419 Enrollment ID: I20250703001222 |
| Provider Name | Madeline Ann Grobe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912782327 PECOS PAC ID: 6608380407 Enrollment ID: I20250703002623 |
| Provider Name | Benjamin Irving Meyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346762481 PECOS PAC ID: 0446764252 Enrollment ID: I20250703002984 |
| Provider Name | Merry Wenlan Ma |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548885023 PECOS PAC ID: 1456776087 Enrollment ID: I20250707000540 |
| Provider Name | Zachary Jacob Dezeeuw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750959391 PECOS PAC ID: 6800300484 Enrollment ID: I20250707002683 |
| Provider Name | Angela Shan Li |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558940437 PECOS PAC ID: 6002217445 Enrollment ID: I20250707003634 |
| Provider Name | Melanie Nicole Cabezas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801459219 PECOS PAC ID: 5092229633 Enrollment ID: I20250708000233 |
| Provider Name | Bryan Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518587799 PECOS PAC ID: 0244633469 Enrollment ID: I20250709001751 |
| Provider Name | Kelly R Donovan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326626961 PECOS PAC ID: 7911302278 Enrollment ID: I20250710000736 |
| Provider Name | Jacqueline Marie Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134927759 PECOS PAC ID: 2466967914 Enrollment ID: I20250714002715 |
| Provider Name | Natalie Christine Lecrone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477180289 PECOS PAC ID: 0547683104 Enrollment ID: I20250716002206 |
| Provider Name | Ashley Alberta Ooms |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972171320 PECOS PAC ID: 8628470556 Enrollment ID: I20250716002237 |
| Provider Name | Deanna Miano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508440231 PECOS PAC ID: 0749689404 Enrollment ID: I20250716004444 |
| Provider Name | Cason Benton Robbins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689250060 PECOS PAC ID: 9830590751 Enrollment ID: I20250717000492 |
| Provider Name | Michael Joseph Fliotsos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205343159 PECOS PAC ID: 4587064233 Enrollment ID: I20250717000620 |
| Provider Name | Benjamin Gold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356070460 PECOS PAC ID: 0244672210 Enrollment ID: I20250718000009 |
| Provider Name | Brendan Waldoch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518594696 PECOS PAC ID: 0547687949 Enrollment ID: I20250718000853 |
| Provider Name | Wendy Jean Stevison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902918188 PECOS PAC ID: 9234387515 Enrollment ID: I20250718001640 |
| Provider Name | Salman Syed Ikramuddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699330464 PECOS PAC ID: 6608382494 Enrollment ID: I20250718002716 |
| Provider Name | Kimberly Eve Garfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972301844 PECOS PAC ID: 9739695487 Enrollment ID: I20250721002148 |
| Provider Name | Brian Prescott Triana |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922664143 PECOS PAC ID: 2163938796 Enrollment ID: I20250721004234 |
| Provider Name | Sheena Wee Song |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629607825 PECOS PAC ID: 6901343730 Enrollment ID: I20250722000599 |
| Provider Name | Elizabeth Gammon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851910814 PECOS PAC ID: 1355766254 Enrollment ID: I20250724002481 |
| Provider Name | Hayley K Rogers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982167987 PECOS PAC ID: 6507373321 Enrollment ID: I20250728001380 |
| Provider Name | Zachary Noah Weitzner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992201867 PECOS PAC ID: 8921431958 Enrollment ID: I20250728002284 |
| Provider Name | Kevin Schmidt Tanager |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962850222 PECOS PAC ID: 5799077301 Enrollment ID: I20250729002836 |
| Provider Name | Marleah Evette Rivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508066903 PECOS PAC ID: 6800986316 Enrollment ID: I20250730000366 |
| Provider Name | Kelly Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639224025 PECOS PAC ID: 6901313162 Enrollment ID: I20250730004416 |
| Provider Name | Hongyun June Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003094103 PECOS PAC ID: 7214095215 Enrollment ID: I20250801001038 |
| Provider Name | John Benjamin Kellogg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386272763 PECOS PAC ID: 1052829900 Enrollment ID: I20250802000145 |
| Provider Name | Mohima Sanyal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750919262 PECOS PAC ID: 3476955048 Enrollment ID: I20250804002274 |
| Provider Name | Gregory Lee Sahlem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710208970 PECOS PAC ID: 6305065020 Enrollment ID: I20250804004015 |
| Provider Name | Macgregor Nathan Hall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962035741 PECOS PAC ID: 0547667073 Enrollment ID: I20250805000125 |
| Provider Name | Kristen Ann Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134584568 PECOS PAC ID: 8022365626 Enrollment ID: I20250805001579 |
| Provider Name | Esther Yu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750644662 PECOS PAC ID: 2769771864 Enrollment ID: I20250805004097 |
| Provider Name | Aaron Robert Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861011033 PECOS PAC ID: 7113348244 Enrollment ID: I20250806003235 |
| Provider Name | Randol Jamel R Kennedy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528580511 PECOS PAC ID: 8820411622 Enrollment ID: I20250806003496 |
| Provider Name | Chaz Austin Clusky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063153492 PECOS PAC ID: 5890162960 Enrollment ID: I20250807000304 |
| Provider Name | Justin Manuel Refugia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962038950 PECOS PAC ID: 0446680920 Enrollment ID: I20250808000226 |
| Provider Name | Emily Rae Colgate |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164010641 PECOS PAC ID: 1850759044 Enrollment ID: I20250812000452 |
| Provider Name | Alice Yelan Luo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588191654 PECOS PAC ID: 5991172447 Enrollment ID: I20250814000141 |
| Provider Name | Lauren Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952035826 PECOS PAC ID: 8123496247 Enrollment ID: I20250814000862 |
| Provider Name | Ryan Kendall Thorpe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811488489 PECOS PAC ID: 1052667920 Enrollment ID: I20250814000958 |
| Provider Name | Seth Leonard Teplitsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861029266 PECOS PAC ID: 8426454141 Enrollment ID: I20250814004648 |
| Provider Name | Christopher Robert Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538522750 PECOS PAC ID: 9133412588 Enrollment ID: I20250815002418 |
| Provider Name | Amy Louise Mickelsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548897341 PECOS PAC ID: 0042719072 Enrollment ID: I20250818001400 |
| Provider Name | Jeffrey Ryan Sims |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871173096 PECOS PAC ID: 5193224129 Enrollment ID: I20250818001522 |
| Provider Name | Matthew Raymond Debiec |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851527766 PECOS PAC ID: 1456591106 Enrollment ID: I20250818001686 |
| Provider Name | Erica Imogene Hodgman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477842086 PECOS PAC ID: 8022436443 Enrollment ID: I20250818003048 |
| Provider Name | Collin Mathew Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134680010 PECOS PAC ID: 1759780042 Enrollment ID: I20250818003419 |
| Provider Name | Mariem Sawan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821442344 PECOS PAC ID: 9234424508 Enrollment ID: I20250818004659 |
| Provider Name | Royal Denise Thompson-kronz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174516736 PECOS PAC ID: 6002870490 Enrollment ID: I20250819000441 |
| Provider Name | Havalah Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598556441 PECOS PAC ID: 3870092646 Enrollment ID: I20250819000675 |
| Provider Name | Nikhila Salil Khandwala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952967523 PECOS PAC ID: 2961805239 Enrollment ID: I20250819001782 |
| Provider Name | Evelyn Jill Coley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255735510 PECOS PAC ID: 5496062150 Enrollment ID: I20250819005093 |
| Provider Name | Lewis Erik Philip Sulman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922261171 PECOS PAC ID: 1254499528 Enrollment ID: I20250820001236 |
| Provider Name | Neha Verma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598321820 PECOS PAC ID: 6406278597 Enrollment ID: I20250820001306 |
| Provider Name | Kranthikiran Earasi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487150496 PECOS PAC ID: 3678821816 Enrollment ID: I20250820002226 |
| Provider Name | Jack Steven Keeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942941216 PECOS PAC ID: 3476933623 Enrollment ID: I20250821001253 |
| Provider Name | Kayla Corine Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225856537 PECOS PAC ID: 5890295182 Enrollment ID: I20250821002763 |
| Provider Name | Marianna Ariel Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336898626 PECOS PAC ID: 7214378553 Enrollment ID: I20250821003745 |
| Provider Name | Juliana Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477353308 PECOS PAC ID: 5991205221 Enrollment ID: I20250821003896 |
| Provider Name | Asif Alam Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508440223 PECOS PAC ID: 3072915594 Enrollment ID: I20250822002653 |
| Provider Name | Kiera Lynn Jonson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467160952 PECOS PAC ID: 7113427246 Enrollment ID: I20250823000416 |
| Provider Name | Stephen Richard Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174106967 PECOS PAC ID: 1557765013 Enrollment ID: I20250825000515 |
| Provider Name | Stephanie Linet Reyes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649858481 PECOS PAC ID: 5496156101 Enrollment ID: I20250825001165 |
| Provider Name | Rachel Visconti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861057796 PECOS PAC ID: 5193125607 Enrollment ID: I20250825003191 |
| Provider Name | Reagan Atkins Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528731759 PECOS PAC ID: 0143609974 Enrollment ID: I20250826000386 |
| Provider Name | Jonathan Reynaldo Valsechi-diaz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376123901 PECOS PAC ID: 1355841156 Enrollment ID: I20250826001406 |
| Provider Name | Elisabeth De Neuf Conradt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225252984 PECOS PAC ID: 2163922782 Enrollment ID: I20250826004540 |
| Provider Name | Isaac Eugene Nivar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003436353 PECOS PAC ID: 7214306281 Enrollment ID: I20250827002533 |
| Provider Name | Jordan Allison Broadway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174151575 PECOS PAC ID: 6709387202 Enrollment ID: I20250827002976 |
| Provider Name | Nicole Rose Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124839337 PECOS PAC ID: 8527569904 Enrollment ID: I20250828000211 |
| Provider Name | Esen Karamursel Akpek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851356943 PECOS PAC ID: 4880721406 Enrollment ID: I20250828000529 |
| Provider Name | Jason Chen Fan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932669793 PECOS PAC ID: 5193056455 Enrollment ID: I20250828000598 |
| Provider Name | Amy Lynnae Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578759700 PECOS PAC ID: 5597266791 Enrollment ID: I20250828005573 |
| Provider Name | James Martin Harris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134712862 PECOS PAC ID: 5890195382 Enrollment ID: I20250829000085 |
| Provider Name | Talita D'aguiar Rosa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508327826 PECOS PAC ID: 4284058926 Enrollment ID: I20250829000276 |
| Provider Name | Vincent T Stephen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518461318 PECOS PAC ID: 7315448495 Enrollment ID: I20250829002214 |
| Provider Name | Harini Hopwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871087262 PECOS PAC ID: 1951654391 Enrollment ID: I20250829004781 |
| Provider Name | Samuel Rey Friedlander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346803806 PECOS PAC ID: 3577898717 Enrollment ID: I20250830000794 |
| Provider Name | Michael Taylor Trumbo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063048080 PECOS PAC ID: 7012419732 Enrollment ID: I20250903002579 |
| Provider Name | Brian Obinna Wogu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891361465 PECOS PAC ID: 6406256049 Enrollment ID: I20250904000194 |
| Provider Name | Denise Elizondo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851031801 PECOS PAC ID: 1557730454 Enrollment ID: I20250904000273 |
| Provider Name | Alan Verl Godfrey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740806389 PECOS PAC ID: 3577986249 Enrollment ID: I20250904000472 |
| Provider Name | Kyra Leigh Mccarty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144783812 PECOS PAC ID: 0244565711 Enrollment ID: I20250904001332 |
| Provider Name | Adrienne Marie Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285349761 PECOS PAC ID: 1850893371 Enrollment ID: I20250904003436 |
| Provider Name | Virginia-anne Knight Feeley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508754490 PECOS PAC ID: 5991207201 Enrollment ID: I20250905003490 |
| Provider Name | Nina Maria Angeles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518607894 PECOS PAC ID: 2769862267 Enrollment ID: I20250905004403 |
| Provider Name | Joshua David Pruett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750120168 PECOS PAC ID: 9335641554 Enrollment ID: I20250907000181 |
| Provider Name | Clinton Tyler Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912712928 PECOS PAC ID: 2264934488 Enrollment ID: I20250908000212 |
| Provider Name | Akrithi Udupa Garren |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407219884 PECOS PAC ID: 0446640262 Enrollment ID: I20250908001424 |
| Provider Name | Stephanie Marie Tillit |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740867209 PECOS PAC ID: 6204234230 Enrollment ID: I20250908003388 |
| Provider Name | Megan Kathleen Cannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619863115 PECOS PAC ID: 1355843301 Enrollment ID: I20250908003410 |
| Provider Name | Sianna Congdon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881486728 PECOS PAC ID: 3678075652 Enrollment ID: I20250908004121 |
| Provider Name | Mary Kathryn Elledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447955232 PECOS PAC ID: 9133621006 Enrollment ID: I20250909000967 |
| Provider Name | Jennifer Ann Grady |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760682769 PECOS PAC ID: 4183812605 Enrollment ID: I20250909002399 |
| Provider Name | Gabriella Michelle Norton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588546212 PECOS PAC ID: 3375046121 Enrollment ID: I20250909004548 |
| Provider Name | Lior Abramson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467072272 PECOS PAC ID: 0042632697 Enrollment ID: I20250910000570 |
| Provider Name | Tam Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417535592 PECOS PAC ID: 7416359864 Enrollment ID: I20250910002672 |
| Provider Name | Jesus Santiago Vidaurri-martinez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932096633 PECOS PAC ID: 7911400478 Enrollment ID: I20250911000572 |
| Provider Name | William Barritt Gilbert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508485384 PECOS PAC ID: 3870096381 Enrollment ID: I20250911001808 |
| Provider Name | Peter Joseph Mitri |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295617819 PECOS PAC ID: 2668975194 Enrollment ID: I20250911002306 |
| Provider Name | Dana Lynn Byman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093287682 PECOS PAC ID: 2365832268 Enrollment ID: I20250913000391 |
| Provider Name | Dwyer Patrick Roche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235889312 PECOS PAC ID: 5890214100 Enrollment ID: I20250914000143 |
| Provider Name | Liesl Marie Patetta |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376177923 PECOS PAC ID: 7113328071 Enrollment ID: I20250916004490 |
| Provider Name | Mary Susan Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629966536 PECOS PAC ID: 0244734994 Enrollment ID: I20250917000739 |
| Provider Name | Natalie Aniyah Lefkowitz-daza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225922826 PECOS PAC ID: 9537663281 Enrollment ID: I20250917000863 |
| Provider Name | Sydney Rae Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902699135 PECOS PAC ID: 1052815719 Enrollment ID: I20250917000967 |
| Provider Name | Valerie Sagaoinit De Mateo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730992348 PECOS PAC ID: 3476057076 Enrollment ID: I20250917002039 |
| Provider Name | Mary Sims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790217099 PECOS PAC ID: 8123387701 Enrollment ID: I20250917004796 |
| Provider Name | Jennifer N Dziwis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831652908 PECOS PAC ID: 3779963269 Enrollment ID: I20250918001060 |
| Provider Name | Maria Fernanda Ortiz Kaemena |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053874214 PECOS PAC ID: 0042546210 Enrollment ID: I20250918004165 |
| Provider Name | Ashley Nicole Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841082641 PECOS PAC ID: 7214431584 Enrollment ID: I20250918004190 |
| Provider Name | Alejandro De La Torre Garcia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861132870 PECOS PAC ID: 9436527009 Enrollment ID: I20250919000061 |
| Provider Name | Hossein Hasanpour |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952197469 PECOS PAC ID: 4688178833 Enrollment ID: I20250919001250 |
| Provider Name | Akash Kishore Gupta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437512027 PECOS PAC ID: 8022309186 Enrollment ID: I20250924000183 |
| Provider Name | Amanda Jane Stasio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457145989 PECOS PAC ID: 5991200602 Enrollment ID: I20250924002237 |
| Provider Name | Niki Tyler Winters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679151971 PECOS PAC ID: 5890199111 Enrollment ID: I20250925002189 |
| Provider Name | Kelsey Marie Colletti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447082474 PECOS PAC ID: 9133624646 Enrollment ID: I20250925002292 |
| Provider Name | Marija Sullivan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740725605 PECOS PAC ID: 2062840085 Enrollment ID: I20250925003017 |
| Provider Name | Caitlyn Jean Venable Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740015171 PECOS PAC ID: 4284139536 Enrollment ID: I20250926000688 |
| Provider Name | Joseph Junyong Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285295196 PECOS PAC ID: 6800123506 Enrollment ID: I20250926003606 |
| Provider Name | Maran Yelitza Hernandez Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861971822 PECOS PAC ID: 6103207667 Enrollment ID: I20250927000680 |
| Provider Name | Cierra Sooin Hong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881213262 PECOS PAC ID: 1355847237 Enrollment ID: I20250930002455 |
| Provider Name | Alexander Arthur Dew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093131062 PECOS PAC ID: 9830310747 Enrollment ID: I20250930003811 |
| Provider Name | Laura Egan Danvers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790673341 PECOS PAC ID: 6305342163 Enrollment ID: I20251001000336 |
| Provider Name | Kayla Marie White |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770167413 PECOS PAC ID: 3476059239 Enrollment ID: I20251001000398 |
| Provider Name | Athidi Guthikonda Earasi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962908970 PECOS PAC ID: 2365790060 Enrollment ID: I20251001001517 |
| Provider Name | Jay Micael Levin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659832624 PECOS PAC ID: 7719424522 Enrollment ID: I20251001003853 |
| Provider Name | Michael John Patetta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992333470 PECOS PAC ID: 1850710476 Enrollment ID: I20251002000442 |
| Provider Name | Joseph Xavier Robin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518586973 PECOS PAC ID: 8426554080 Enrollment ID: I20251002000458 |
| Provider Name | Mumtaz Ashraf Munshi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750961124 PECOS PAC ID: 1456751262 Enrollment ID: I20251002004345 |
| Provider Name | Madeline Mae Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851145114 PECOS PAC ID: 4789180258 Enrollment ID: I20251002004629 |
| Provider Name | George Albert Cortina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518595925 PECOS PAC ID: 2961908454 Enrollment ID: I20251002005059 |
| Provider Name | Nioly Wilkinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295488724 PECOS PAC ID: 0648666958 Enrollment ID: I20251002005093 |
| Provider Name | Babak Raissi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841280369 PECOS PAC ID: 8325017007 Enrollment ID: I20251003000017 |
| Provider Name | Bradley Seth Kushner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003336934 PECOS PAC ID: 0941572705 Enrollment ID: I20251003000302 |
| Provider Name | Athavi Jeevananthan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215490768 PECOS PAC ID: 8224363668 Enrollment ID: I20251003000361 |
| Provider Name | Kathryn Serbin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548722572 PECOS PAC ID: 1850762196 Enrollment ID: I20251005000174 |
| Provider Name | Leslie Rose Blackshear |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427572551 PECOS PAC ID: 8921423013 Enrollment ID: I20251006000488 |
| Provider Name | Keith William Van Dusen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316574791 PECOS PAC ID: 5799229894 Enrollment ID: I20251007002874 |
| Provider Name | Sarah Elizabeth Fagan-kellogg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467192013 PECOS PAC ID: 7315328267 Enrollment ID: I20251008000162 |
| Provider Name | John Tyler Simpson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992200869 PECOS PAC ID: 7911439104 Enrollment ID: I20251008000644 |
| Provider Name | Morgan Denise Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558984617 PECOS PAC ID: 6709325822 Enrollment ID: I20251008002669 |
| Provider Name | Graham Wesley Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699425819 PECOS PAC ID: 2163879396 Enrollment ID: I20251008003210 |
| Provider Name | Danielle Victoria Mamola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508755992 PECOS PAC ID: 4385141944 Enrollment ID: I20251009000272 |
| Provider Name | Hannah Theresa Schwennesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649859174 PECOS PAC ID: 0446652069 Enrollment ID: I20251009000394 |
| Provider Name | Emily Zoe Barney Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033747548 PECOS PAC ID: 2769989359 Enrollment ID: I20251009000941 |
| Provider Name | Elizabeth Hope Weissler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003348970 PECOS PAC ID: 7315212123 Enrollment ID: I20251010001334 |
| Provider Name | John Jeffrey Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841828936 PECOS PAC ID: 7113424433 Enrollment ID: I20251010002389 |
| Provider Name | Madhu Gary Subramanian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851680466 PECOS PAC ID: 1052649282 Enrollment ID: I20251010003724 |
| Provider Name | Janier Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255220653 PECOS PAC ID: 5496252777 Enrollment ID: I20251010003786 |
| Provider Name | Sonali Jagdish Bracken |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013449818 PECOS PAC ID: 6305333600 Enrollment ID: I20251011000599 |
| Provider Name | Ann Shum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023662640 PECOS PAC ID: 0446683825 Enrollment ID: I20251013000597 |
| Provider Name | Madison Colleen Swaney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720653751 PECOS PAC ID: 1951704949 Enrollment ID: I20251013002931 |
| Provider Name | Derek George Armstrong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265991368 PECOS PAC ID: 4284121203 Enrollment ID: I20251014002513 |
| Provider Name | Naomi Aleina Doman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972492932 PECOS PAC ID: 8628565678 Enrollment ID: I20251014003118 |
| Provider Name | Tendai Kwaramba |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235699190 PECOS PAC ID: 3577944065 Enrollment ID: I20251015001195 |
| Provider Name | Haleigh Nicole Mcbride |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770223984 PECOS PAC ID: 6800274689 Enrollment ID: I20251016000308 |
| Provider Name | Madeline Elizabeth Sutter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659112670 PECOS PAC ID: 3779070487 Enrollment ID: I20251016000487 |
| Provider Name | Benjamin Joseph Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881123370 PECOS PAC ID: 8628348489 Enrollment ID: I20251016002548 |
| Provider Name | Emily Crowder Sanders |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306334990 PECOS PAC ID: 6103181599 Enrollment ID: I20251017001284 |
| Provider Name | Sara Shirai Petersen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003482860 PECOS PAC ID: 0345737797 Enrollment ID: I20251017002174 |
| Provider Name | Arsala Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447871439 PECOS PAC ID: 8325536782 Enrollment ID: I20251019000221 |
| Provider Name | Maryam Zeinomar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821676933 PECOS PAC ID: 3577947860 Enrollment ID: I20251020001164 |
| Provider Name | Rachel Brickman Atkinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760913149 PECOS PAC ID: 0648719542 Enrollment ID: I20251021001910 |
| Provider Name | Surya Ravi Patel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023696077 PECOS PAC ID: 8729486543 Enrollment ID: I20251022001198 |
| Provider Name | Vanessa Morgan Pinto Johnson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326047549 PECOS PAC ID: 0143423731 Enrollment ID: I20251023000487 |
| Provider Name | Joseph Buckley Lerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538691167 PECOS PAC ID: 0941798755 Enrollment ID: I20251023001549 |
| Provider Name | Kathryn Sarfert Cain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104492701 PECOS PAC ID: 4385175488 Enrollment ID: I20251023002720 |
| Provider Name | Jedidiah Aaron Mahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154061216 PECOS PAC ID: 6608250782 Enrollment ID: I20251023002992 |
| Provider Name | Andrew Steffensen Romaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144960170 PECOS PAC ID: 2860872280 Enrollment ID: I20251023003995 |
| Provider Name | Mindee Zilic |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720597438 PECOS PAC ID: 6507132941 Enrollment ID: I20251023004106 |
| Provider Name | Stephen Charles Davies |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972131597 PECOS PAC ID: 7113415738 Enrollment ID: I20251024000245 |
| Provider Name | Jordan Dale Infield |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548898927 PECOS PAC ID: 0547759037 Enrollment ID: I20251025000516 |
| Provider Name | Sarah Ann Piracci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639064504 PECOS PAC ID: 6709375967 Enrollment ID: I20251028003184 |
| Provider Name | Kaitlynn Lee Krupinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790577625 PECOS PAC ID: 8224527460 Enrollment ID: I20251029000644 |
| Provider Name | Daniel Marion King |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316168685 PECOS PAC ID: 7012406093 Enrollment ID: I20251029004626 |
| Provider Name | Rachel Joy Churchill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962389973 PECOS PAC ID: 4183113160 Enrollment ID: I20251029004744 |
| Provider Name | Georgia Oakley Vaughn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760370910 PECOS PAC ID: 6709375579 Enrollment ID: I20251030005249 |
| Provider Name | Christine Ebest Holmes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083885172 PECOS PAC ID: 0648345553 Enrollment ID: I20251101000280 |
| Provider Name | Tyler Bradley-hewitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730575465 PECOS PAC ID: 2961992524 Enrollment ID: I20251103003882 |
| Provider Name | Britton Blaine Donato |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1164926903 PECOS PAC ID: 7719235464 Enrollment ID: I20251105000633 |
| Provider Name | Larissa Rose Brady |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053149542 PECOS PAC ID: 4981194396 Enrollment ID: I20251105000746 |
| Provider Name | Conor Neumann O'neill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407347024 PECOS PAC ID: 8426305509 Enrollment ID: I20251105001056 |
| Provider Name | Merritt Elise Ware |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063831402 PECOS PAC ID: 0143710574 Enrollment ID: I20251105001624 |
| Provider Name | Amit Munshi Sharma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639461288 PECOS PAC ID: 7517251408 Enrollment ID: I20251105001792 |
| Provider Name | Anna Kate Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194535104 PECOS PAC ID: 3971093311 Enrollment ID: I20251105001952 |
| Provider Name | Christina Utz Czerniak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679220040 PECOS PAC ID: 0749677839 Enrollment ID: I20251106001979 |
| Provider Name | Jiaxing Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346000106 PECOS PAC ID: 0244720316 Enrollment ID: I20251106003848 |
| Provider Name | Christopher Charles Woody |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669000873 PECOS PAC ID: 7911337522 Enrollment ID: I20251106004235 |
| Provider Name | Amy Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033606967 PECOS PAC ID: 5294126900 Enrollment ID: I20251106004840 |
| Provider Name | Aaida Tahera Samad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689178014 PECOS PAC ID: 0840780896 Enrollment ID: I20251107000535 |
| Provider Name | Caoilin Marie Hoctor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144733668 PECOS PAC ID: 5294096152 Enrollment ID: I20251107001776 |
| Provider Name | Alexandra Angeleena Belcastro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598261661 PECOS PAC ID: 1153811070 Enrollment ID: I20251107002718 |
| Provider Name | Tiffany Wei Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417585720 PECOS PAC ID: 8426548363 Enrollment ID: I20251107003384 |
| Provider Name | Tiarrah Drucinda Salvi-jackson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659909133 PECOS PAC ID: 5991295867 Enrollment ID: I20251107003939 |
| Provider Name | Diana Nicole Cheney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407745912 PECOS PAC ID: 9234629148 Enrollment ID: I20251107004607 |
| Provider Name | Fahmin Basher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891299731 PECOS PAC ID: 4284039645 Enrollment ID: I20251108000143 |
| Provider Name | Hitoshi Gene Koshiya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275096851 PECOS PAC ID: 1557695756 Enrollment ID: I20251108000345 |
| Provider Name | Abigail Catherine Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013705151 PECOS PAC ID: 8820588692 Enrollment ID: I20251110001190 |
| Provider Name | Hanna Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801778964 PECOS PAC ID: 7113417908 Enrollment ID: I20251110001792 |
| Provider Name | Lauren Victoria Huckaby |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1609294495 PECOS PAC ID: 6305337981 Enrollment ID: I20251111003155 |
| Provider Name | Heather Lynn Burris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932991999 PECOS PAC ID: 1456842970 Enrollment ID: I20251112003693 |
| Provider Name | Iris Fraude Mcmillan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922837988 PECOS PAC ID: 0941791404 Enrollment ID: I20251113000280 |
| Provider Name | Jason Willard Balls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710264528 PECOS PAC ID: 7719144153 Enrollment ID: I20251113001374 |
| Provider Name | Stewart Dalton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457848467 PECOS PAC ID: 8325579824 Enrollment ID: I20251113002915 |
| Provider Name | Samantha Jo Calderon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760223366 PECOS PAC ID: 0547751778 Enrollment ID: I20251117000980 |
| Provider Name | Timothy Patrick Dougherty |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205498102 PECOS PAC ID: 7416285721 Enrollment ID: I20251118004584 |
| Provider Name | Jessica Leighanne Parris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386533685 PECOS PAC ID: 6608367479 Enrollment ID: I20251119002574 |
| Provider Name | Disha Dalela |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063973956 PECOS PAC ID: 9133455439 Enrollment ID: I20251119003057 |
| Provider Name | Dana Most |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467081158 PECOS PAC ID: 6901323872 Enrollment ID: I20251125000671 |
| Provider Name | Al Pick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801691191 PECOS PAC ID: 6709378961 Enrollment ID: I20251125001093 |
| Provider Name | Gregory Davis Bebb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295623817 PECOS PAC ID: 7810489887 Enrollment ID: I20251126001158 |
| Provider Name | Ben-patrick Gorion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700518115 PECOS PAC ID: 9436539160 Enrollment ID: I20251126001429 |
| Provider Name | Megan Elizabeth Kennelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992265532 PECOS PAC ID: 8921336322 Enrollment ID: I20251126002857 |
| Provider Name | Yen-chung Jonathan Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952987927 PECOS PAC ID: 5890104954 Enrollment ID: I20251201000678 |
| Provider Name | Dayana Michell Hernandez Calderon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235718339 PECOS PAC ID: 3971906207 Enrollment ID: I20251203002844 |
| Provider Name | Daniel James Ozinga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831432913 PECOS PAC ID: 2466746599 Enrollment ID: I20251203003110 |
| Provider Name | Kenneth Scott Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437269594 PECOS PAC ID: 0547753949 Enrollment ID: I20251204000092 |
| Provider Name | Simone Venning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912883547 PECOS PAC ID: 9335632660 Enrollment ID: I20251204001141 |
| Provider Name | Jessica Nicole Hopper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790674323 PECOS PAC ID: 4385138379 Enrollment ID: I20251208002349 |
| Provider Name | Amrita Kahlon Salunke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285998708 PECOS PAC ID: 3173857984 Enrollment ID: I20251209000353 |
| Provider Name | Christa Nichole Flowers-rouse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679453823 PECOS PAC ID: 9032603386 Enrollment ID: I20251213000234 |
| Provider Name | Matthew George Case |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1598187528 PECOS PAC ID: 3971866369 Enrollment ID: I20251214000034 |
| Provider Name | Kelly Ruth Hussey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104161488 PECOS PAC ID: 7315199635 Enrollment ID: I20251215000662 |
| Provider Name | Ajay Akash Madhavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285029330 PECOS PAC ID: 1052604402 Enrollment ID: I20251215003019 |
| Provider Name | Faiez Kalim Saiyed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023645892 PECOS PAC ID: 9133532633 Enrollment ID: I20251216003118 |
| Provider Name | Andrea Lynne Gaspard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784468 PECOS PAC ID: 8426336017 Enrollment ID: I20251216003725 |
| Provider Name | Emily Cameron Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770470338 PECOS PAC ID: 3375038342 Enrollment ID: I20251218000072 |
| Provider Name | Klie Luise Hoffa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619504966 PECOS PAC ID: 9638664436 Enrollment ID: I20251218004419 |
| Provider Name | Marine Therese Herman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346137585 PECOS PAC ID: 9830684513 Enrollment ID: I20251219001552 |
| Provider Name | John Gamil Behman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427642602 PECOS PAC ID: 8022477629 Enrollment ID: I20251220000448 |
| Provider Name | Carlos X Rabascall Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336590447 PECOS PAC ID: 0446543805 Enrollment ID: I20251220000565 |
| Provider Name | Sabrina Joan Layne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114487683 PECOS PAC ID: 9335520857 Enrollment ID: I20251221000139 |
| Provider Name | Jiawen Huo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649019209 PECOS PAC ID: 2961915426 Enrollment ID: I20251222002661 |
| Provider Name | Junaid Arshad Qureshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407738347 PECOS PAC ID: 5799271839 Enrollment ID: I20251229001557 |
| Provider Name | Matthew Chadwick Hacker Rohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417538091 PECOS PAC ID: 1153839543 Enrollment ID: I20251230001776 |
| Provider Name | Rebeccah Elaine Berke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104790104 PECOS PAC ID: 5294221198 Enrollment ID: I20251230002933 |
| Provider Name | Christopher Wycliffe Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316505696 PECOS PAC ID: 3577059161 Enrollment ID: I20260102003572 |
| Provider Name | Ashley Garland Wallace Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952938318 PECOS PAC ID: 6507215928 Enrollment ID: I20260104000074 |
| Provider Name | Kinsey Morgan Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871309294 PECOS PAC ID: 9830685163 Enrollment ID: I20260106003598 |
| Provider Name | Nicole Alacia Heidt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346772704 PECOS PAC ID: 0648543363 Enrollment ID: I20260114001142 |
| Provider Name | George Lionel Spanos |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437520012 PECOS PAC ID: 2860978277 Enrollment ID: I20260115000416 |
| Provider Name | Samantha Paige Southard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255202750 PECOS PAC ID: 9032696141 Enrollment ID: I20260120003539 |
| Provider Name | Sydnei Lashon Fleming |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659135267 PECOS PAC ID: 5991282956 Enrollment ID: I20260121001674 |
| Provider Name | Jared Alexander Blau |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437504271 PECOS PAC ID: 2860786639 Enrollment ID: I20260122002634 |
| Provider Name | Amber Dawn Haymore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427593995 PECOS PAC ID: 0941587992 Enrollment ID: I20260123000394 |
| Provider Name | Guangbin Xia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105364 PECOS PAC ID: 3870786247 Enrollment ID: I20260123003370 |
| Provider Name | Katelyn Renee Kopacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144068677 PECOS PAC ID: 3173064870 Enrollment ID: I20260124000049 |
| Provider Name | Evelina Manvelyan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366946295 PECOS PAC ID: 1759750516 Enrollment ID: I20260125000061 |
| Provider Name | Matthew August Ferraro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447139704 PECOS PAC ID: 8022596584 Enrollment ID: I20260128000068 |
| Provider Name | David Ross Gagnier |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124993167 PECOS PAC ID: 6305324880 Enrollment ID: I20260128000626 |
| Provider Name | Paola Nicole Milagros Caldas Font |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306479761 PECOS PAC ID: 8325526619 Enrollment ID: I20260128003633 |
| Provider Name | Parisa Shamsesfandabadi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407315351 PECOS PAC ID: 7315425329 Enrollment ID: I20260131000345 |
| Provider Name | Namita Sharma |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346574308 PECOS PAC ID: 9032404736 Enrollment ID: I20260131000769 |
| Provider Name | Reilly Susan Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467298281 PECOS PAC ID: 4789117904 Enrollment ID: I20260202002136 |
| Provider Name | Gentzon Hall |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417124694 PECOS PAC ID: 9133607971 Enrollment ID: I20260202002823 |
| Provider Name | Yeh-eun Kaitlyn Cho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760354955 PECOS PAC ID: 5597243196 Enrollment ID: I20260203003236 |
| Provider Name | Juliana Volpini Castanheiro De C Costa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932081742 PECOS PAC ID: 2062990682 Enrollment ID: I20260203003880 |
| Provider Name | Zoe Elise Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104790278 PECOS PAC ID: 9638658222 Enrollment ID: I20260204002188 |
| Provider Name | Laura Mitchell Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134095979 PECOS PAC ID: 8729567375 Enrollment ID: I20260204002936 |
| Provider Name | Gabriela De Hoyos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902795669 PECOS PAC ID: 1759860125 Enrollment ID: I20260205002958 |
| Provider Name | Joanna Marie Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437031978 PECOS PAC ID: 0244719664 Enrollment ID: I20260206000044 |
| Provider Name | Kathleen Dolores Rickert-madden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023308921 PECOS PAC ID: 3274828850 Enrollment ID: I20260206002327 |
| Provider Name | Miranda Renee Gainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942710009 PECOS PAC ID: 8527547850 Enrollment ID: I20260207000024 |
| Provider Name | Lindsey Mikel Kinch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295627255 PECOS PAC ID: 5698254837 Enrollment ID: I20260209002284 |
| Provider Name | Mary Christina Hurlburt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588543599 PECOS PAC ID: 5092294132 Enrollment ID: I20260209002712 |
| Provider Name | Leah Elizabeth Hatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356218069 PECOS PAC ID: 6901385954 Enrollment ID: I20260210000777 |
| Provider Name | Alicia Divya Ozhakanat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588532782 PECOS PAC ID: 9739668716 Enrollment ID: I20260210001566 |
| Provider Name | Jennifer Mei Lyu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568335982 PECOS PAC ID: 4486133295 Enrollment ID: I20260211001014 |
| Provider Name | Jane Merk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356625669 PECOS PAC ID: 9436376704 Enrollment ID: I20260212001320 |
| Provider Name | Madison Hailey Fariello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740035088 PECOS PAC ID: 6406387695 Enrollment ID: I20260212003926 |
| Provider Name | Cathy Phan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902777394 PECOS PAC ID: 6709366297 Enrollment ID: I20260213003344 |
| Provider Name | Shannon Kristi Lyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558824482 PECOS PAC ID: 6709128689 Enrollment ID: I20260213004179 |
| Provider Name | Stephanie Ann Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255209318 PECOS PAC ID: 7810477353 Enrollment ID: I20260214000024 |
| Provider Name | Emily Anne Baudler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093682262 PECOS PAC ID: 4183104649 Enrollment ID: I20260214000353 |
| Provider Name | Eryka Jayne Molino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730051970 PECOS PAC ID: 0547740813 Enrollment ID: I20260216002783 |
| Provider Name | Kirtana Reddy Palreddy-robertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396459756 PECOS PAC ID: 4587144530 Enrollment ID: I20260218000396 |
| Provider Name | Rebecca Olivia Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720950348 PECOS PAC ID: 2668952599 Enrollment ID: I20260218002285 |
| Provider Name | Breanna Rose Vonachen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215524533 PECOS PAC ID: 1951716562 Enrollment ID: I20260218003250 |
| Provider Name | Diane Reidy-lagunes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598958597 PECOS PAC ID: 7719960400 Enrollment ID: I20260219000013 |
| Provider Name | Claren Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588449029 PECOS PAC ID: 6103260419 Enrollment ID: I20260219001212 |
| Provider Name | Reeda Gul Shakir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972245504 PECOS PAC ID: 9133508062 Enrollment ID: I20260219002426 |
| Provider Name | Jenna Marie Meyerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659252021 PECOS PAC ID: 4880175694 Enrollment ID: I20260219003258 |
| Provider Name | Ryan Jeffery Downey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093502023 PECOS PAC ID: 1355822115 Enrollment ID: I20260220000435 |
| Provider Name | Ella Maurine Lundquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467077826 PECOS PAC ID: 4284050600 Enrollment ID: I20260220000553 |
| Provider Name | Jordan Elizabeth Scearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558106237 PECOS PAC ID: 6507347176 Enrollment ID: I20260221000345 |
| Provider Name | Aastha Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700698859 PECOS PAC ID: 0345721767 Enrollment ID: I20260224003530 |
| Provider Name | Judith Noemy Rosales Valdes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093694010 PECOS PAC ID: 5890276133 Enrollment ID: I20260224004249 |
| Provider Name | Mikah Sheridan Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558531335 PECOS PAC ID: 4587790076 Enrollment ID: I20260225000845 |
| Provider Name | Kimberley Anne Tatum-moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285467613 PECOS PAC ID: 4385179845 Enrollment ID: I20260225001588 |
| Provider Name | Kimberly Nicole Romo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538904628 PECOS PAC ID: 8224519376 Enrollment ID: I20260226000713 |
| Provider Name | Sofia Antonia Angulo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265275937 PECOS PAC ID: 0840771754 Enrollment ID: I20260227001472 |
| Provider Name | Joana Hermina Vanboven |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104642420 PECOS PAC ID: 3274014139 Enrollment ID: I20260227003008 |
| Provider Name | Marcus Mcfarland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376404947 PECOS PAC ID: 7315429248 Enrollment ID: I20260302000074 |
| Provider Name | Kara Olivia Mckay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225835614 PECOS PAC ID: 3274015037 Enrollment ID: I20260303000653 |
| Provider Name | Victoria Christian Oney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811866510 PECOS PAC ID: 0840772976 Enrollment ID: I20260306001488 |
| Provider Name | Abigale Lynn O'connor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073405718 PECOS PAC ID: 4082122874 Enrollment ID: I20260312000237 |
| Provider Name | Abigail Madison Lau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366228512 PECOS PAC ID: 9739532276 Enrollment ID: I20260312003189 |
| Provider Name | Laura Ann Groner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104376532 PECOS PAC ID: 0749763175 Enrollment ID: I20260313000111 |
| Provider Name | Kelly Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023722014 PECOS PAC ID: 9537642939 Enrollment ID: I20260313002096 |
| Provider Name | Lori Rose Klees |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114057221 PECOS PAC ID: 2567945876 Enrollment ID: I20260316000511 |
| Provider Name | Melisa Rebecca Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770477663 PECOS PAC ID: 8224537824 Enrollment ID: I20260316002298 |
| Provider Name | Alyssa Morton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700748258 PECOS PAC ID: 7315421427 Enrollment ID: I20260317003145 |
| Provider Name | Mckenna Lynn Mesclier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538047287 PECOS PAC ID: 4284118837 Enrollment ID: I20260320002667 |
| Provider Name | Blake Andrew Caraballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407733660 PECOS PAC ID: 1052895398 Enrollment ID: I20260324003744 |
| Provider Name | Nicholas Donald Klemen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730474412 PECOS PAC ID: 0941580377 Enrollment ID: I20260325004032 |
| Provider Name | Haley Carmichael Neef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851594543 PECOS PAC ID: 9638313083 Enrollment ID: I20260331002758 |
| Provider Name | Ellie Christine Yakubu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073482212 PECOS PAC ID: 4183109416 Enrollment ID: I20260403000868 |
| Provider Name | Jodie Nicole Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821780503 PECOS PAC ID: 5395210397 Enrollment ID: I20260407003090 |
| Provider Name | Maria Angelina Frische |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417760810 PECOS PAC ID: 5496269557 Enrollment ID: I20260408004244 |
| Provider Name | Emily Anne Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437008323 PECOS PAC ID: 5991270720 Enrollment ID: I20260409002263 |
| Provider Name | Agnieszka Chrzanowska Poss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023512118 PECOS PAC ID: 5496220196 Enrollment ID: I20260410000218 |
| Provider Name | Emily Devereux Niehaus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235692351 PECOS PAC ID: 6507284098 Enrollment ID: I20260413002252 |
| Provider Name | Molly Claire Sindelar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023794765 PECOS PAC ID: 3375063399 Enrollment ID: I20260413002355 |
| Provider Name | Madison Nicole Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174474761 PECOS PAC ID: 1254807530 Enrollment ID: I20260415000106 |
| Provider Name | Kaitlyn Louise Gwozdecki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538948104 PECOS PAC ID: 8527401629 Enrollment ID: I20260420002969 |
| Provider Name | Rianne Louise Mersch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700749454 PECOS PAC ID: 2860969243 Enrollment ID: I20260422002810 |
| Provider Name | Scott Mason Rhodes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063766426 PECOS PAC ID: 5597232819 Enrollment ID: I20260424000235 |
| Provider Name | Karen Taylor Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194605303 PECOS PAC ID: 5597232421 Enrollment ID: I20260428001802 |
| Provider Name | James Brian Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861225898 PECOS PAC ID: 4183191901 Enrollment ID: I20260429001341 |
| Provider Name | Alondra Susana Arredondo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366226862 PECOS PAC ID: 7214404003 Enrollment ID: I20260429002830 |
| Provider Name | Jackson Noel Corbett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386321552 PECOS PAC ID: 1456828169 Enrollment ID: I20260429003548 |
| Provider Name | Jaspreet Singh Batra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134382237 PECOS PAC ID: 8729335757 Enrollment ID: I20260430001086 |
| Provider Name | Lori Blanton Armstrong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811955255 PECOS PAC ID: 5496785560 Enrollment ID: I20260430001300 |
| Provider Name | Rachael Olivia Puszczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710644158 PECOS PAC ID: 0345717948 Enrollment ID: I20260430002071 |
| Provider Name | Timothy C Hou |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750365524 PECOS PAC ID: 8022903459 Enrollment ID: I20260430003782 |
| Provider Name | Ashley Stoessel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063374510 PECOS PAC ID: 4082182563 Enrollment ID: I20260501003657 |
| Provider Name | Ryan Mann |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407394687 PECOS PAC ID: 3375955255 Enrollment ID: I20260506000219 |
| Provider Name | Jeffery Scott Johns |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376577635 PECOS PAC ID: 7517967631 Enrollment ID: I20260512001518 |
| Provider Name | Caitlyn Dest Mckinstry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225909245 PECOS PAC ID: 3173092541 Enrollment ID: I20260514002534 |
| Provider Name | Jesse Young Zhao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558943191 PECOS PAC ID: 6002216603 Enrollment ID: I20260515002065 |
| Provider Name | Megha E Garg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871695049 PECOS PAC ID: 9234213075 Enrollment ID: I20260519002340 |
| Provider Name | Sophie Marie Eriksen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811786304 PECOS PAC ID: 4587133400 Enrollment ID: I20260520000426 |
| Provider Name | Ruth Christina Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558232371 PECOS PAC ID: 7012486905 Enrollment ID: I20260520002623 |
| Provider Name | Stacy Ann Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679187603 PECOS PAC ID: 7012337835 Enrollment ID: I20260520003138 |
| Provider Name | Jose Carlos Ramos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477181469 PECOS PAC ID: 2163941196 Enrollment ID: I20260521000116 |
| Provider Name | Joshua Craig Pomranke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629965033 PECOS PAC ID: 3971073511 Enrollment ID: I20260526000884 |
| Provider Name | Taylor Marie Ahearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255178240 PECOS PAC ID: 4486185931 Enrollment ID: I20260526002286 |
| Provider Name | Caitlyn Cain Bennett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003775073 PECOS PAC ID: 9335619824 Enrollment ID: I20260526002508 |
| Provider Name | Sandeep Kumar Puri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215324116 PECOS PAC ID: 0941591010 Enrollment ID: I20260528001346 |
| Provider Name | Erin Elizabeth Schiemann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578360582 PECOS PAC ID: 2668942814 Enrollment ID: I20260528002874 |
| Provider Name | Chase Patrick Keirn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902328909 PECOS PAC ID: 9335411230 Enrollment ID: I20260529002911 |
| Provider Name | Kaylee Nicole Apel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124991831 PECOS PAC ID: 2466923362 Enrollment ID: I20260602000762 |
| Provider Name | Michael Francis Alter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548985831 PECOS PAC ID: 8426498353 Enrollment ID: I20260602003703 |
| Provider Name | Olivia Bergesen Leed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538813688 PECOS PAC ID: 2567830854 Enrollment ID: I20260603000235 |
| Provider Name | Nadeem Kandalaft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891283081 PECOS PAC ID: 7214282938 Enrollment ID: I20260605001665 |
| Provider Name | Scott Adam Manski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518320399 PECOS PAC ID: 0042505075 Enrollment ID: I20260605002213 |
| Provider Name | Mark Ronald Traill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972555308 PECOS PAC ID: 2961465273 Enrollment ID: I20260610002817 |
| Provider Name | Christine Helen Dumond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932875028 PECOS PAC ID: 9133519481 Enrollment ID: I20260611000684 |
| Provider Name | Amber Renee Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770433351 PECOS PAC ID: 0345712238 Enrollment ID: I20260611001438 |
| Provider Name | Zachary Tracy Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851087498 PECOS PAC ID: 3476099839 Enrollment ID: I20260611003520 |
| Provider Name | Bradley Scott Marino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457373284 PECOS PAC ID: 7315038254 Enrollment ID: I20260612000220 |
| Provider Name | Alexandra Elizabeth Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477405991 PECOS PAC ID: 6800368622 Enrollment ID: I20260612001278 |
| Provider Name | Mamadi Papus Keita |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1740727940 PECOS PAC ID: 0446522874 Enrollment ID: I20260616001430 |
| Provider Name | Jordan-lee Napolitano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093678310 PECOS PAC ID: 3476026469 Enrollment ID: I20260622002175 |
| Provider Name | Julia Anne Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275497570 PECOS PAC ID: 8527531136 Enrollment ID: I20260625001370 |
| Provider Name | Johnny Steven Su |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558949768 PECOS PAC ID: 7618440074 Enrollment ID: I20260626000881 |
Durham Recovery Response Center Primary Care Clinic Medicare: Not Enrolled in Medicare 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 |
Physicians Eldercare PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55 Ste 105, Durham, NC 27713 Phone: 337-991-9276 Fax: 337-943-0846 |
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 |