| Ech Physician's Group | |
|
75 Park Street Elizabethtown NY 12932 | |
| (518) 873-9000 | |
| (518) 873-3097 |
| Full Name | Ech Physician's Group |
|---|---|
| Speciality | General Practice |
| Location | 75 Park Street, Elizabethtown, New York |
| Authorized Official Name and Position | Scott Comeau (VICE PRESIDENT/CFO) |
| Authorized Official Contact | 8023884752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ech Physician's Group Po Box 277 Elizabethtown NY 12932-0277 Ph: (518) 873-9000 | Ech Physician's Group 75 Park Street Elizabethtown NY 12932 Ph: (518) 873-9000 |
| NPI Number | 1053656744 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 3577554138 |
|---|---|
| Medicare Enrollment ID | O20040521000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053656744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 1552701C (New York) | Primary |
| Provider Name | Sabieli Kabeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063505592 PECOS PAC ID: 7618876392 Enrollment ID: I20031231000548 |
| Provider Name | David M Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396711966 PECOS PAC ID: 8921996661 Enrollment ID: I20040305000351 |
| Provider Name | Christopher a Wolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922014562 PECOS PAC ID: 6103813993 Enrollment ID: I20040426000868 |
| Provider Name | Myrna a Sanchez-latreille |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134107600 PECOS PAC ID: 1850295841 Enrollment ID: I20040511001651 |
| Provider Name | Matthew J Hinge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871678706 PECOS PAC ID: 7416948088 Enrollment ID: I20040521000593 |
| Provider Name | Tracie Di Marco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558354274 PECOS PAC ID: 9830170141 Enrollment ID: I20040525000065 |
| Provider Name | Eugene Byrne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912905068 PECOS PAC ID: 2062482045 Enrollment ID: I20040728000071 |
| Provider Name | Jorge M Antonetti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366470692 PECOS PAC ID: 3072587385 Enrollment ID: I20040823001160 |
| Provider Name | Nancy a Caffrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962551150 PECOS PAC ID: 9032000914 Enrollment ID: I20041004000084 |
| Provider Name | Carlos E Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154332062 PECOS PAC ID: 5890739734 Enrollment ID: I20050613000532 |
| Provider Name | Leonardo Dishman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528176682 PECOS PAC ID: 3072557701 Enrollment ID: I20050614000844 |
| Provider Name | Jose D Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437214061 PECOS PAC ID: 9032141239 Enrollment ID: I20050908000836 |
| Provider Name | Friederike K Keating |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457351835 PECOS PAC ID: 9537197223 Enrollment ID: I20051205000125 |
| Provider Name | James Kenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134186703 PECOS PAC ID: 2567476948 Enrollment ID: I20060208000741 |
| Provider Name | Wolodymyr I Bula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497712541 PECOS PAC ID: 8921012303 Enrollment ID: I20060208000766 |
| Provider Name | David B Markowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245281740 PECOS PAC ID: 6002824588 Enrollment ID: I20060328000050 |
| Provider Name | David J Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285737429 PECOS PAC ID: 7810947637 Enrollment ID: I20060419000270 |
| Provider Name | Jessica B Crane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538107388 PECOS PAC ID: 0446262901 Enrollment ID: I20060627000071 |
| Provider Name | Rob L Demuro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801893318 PECOS PAC ID: 3577568724 Enrollment ID: I20060922000205 |
| Provider Name | William E Hopkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770685638 PECOS PAC ID: 3779591169 Enrollment ID: I20070424000503 |
| Provider Name | Joanne L Astill Vaccaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184737389 PECOS PAC ID: 9032201249 Enrollment ID: I20070817000267 |
| Provider Name | Peter C Vanburen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104912310 PECOS PAC ID: 8820054612 Enrollment ID: I20071103000011 |
| Provider Name | Eric B Gorman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659563906 PECOS PAC ID: 7214025295 Enrollment ID: I20071109000175 |
| Provider Name | James W L'episcopo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346331402 PECOS PAC ID: 8325118540 Enrollment ID: I20080530000486 |
| Provider Name | Todd Jay Whitman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073585055 PECOS PAC ID: 0749217313 Enrollment ID: I20080618000394 |
| Provider Name | Seema a Lodha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497945596 PECOS PAC ID: 4789760976 Enrollment ID: I20081028000340 |
| Provider Name | Roger G Ishac |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902981871 PECOS PAC ID: 6709886799 Enrollment ID: I20081203000033 |
| Provider Name | Harry a Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972597516 PECOS PAC ID: 2264415249 Enrollment ID: I20081209000467 |
| Provider Name | Kenneth J Corse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962433441 PECOS PAC ID: 1456327659 Enrollment ID: I20090401000002 |
| Provider Name | Pasqualino Caputo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811952583 PECOS PAC ID: 9931092434 Enrollment ID: I20090414000231 |
| Provider Name | Melynne Y Mcarthur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730163619 PECOS PAC ID: 2668511080 Enrollment ID: I20091124000644 |
| Provider Name | Stuart M Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619927407 PECOS PAC ID: 8325935653 Enrollment ID: I20100728000974 |
| Provider Name | Paul William Downton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891731618 PECOS PAC ID: 2466419734 Enrollment ID: I20100908000935 |
| Provider Name | Deborah L Funk Valois |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265424394 PECOS PAC ID: 8729270665 Enrollment ID: I20101011000026 |
| Provider Name | Katherine Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689834442 PECOS PAC ID: 5991997553 Enrollment ID: I20101014000595 |
| Provider Name | Paul G El Azoury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225219884 PECOS PAC ID: 2163615626 Enrollment ID: I20101018000576 |
| Provider Name | William a Pace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588729966 PECOS PAC ID: 1951447911 Enrollment ID: I20101221000306 |
| Provider Name | Michael J Celotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982788824 PECOS PAC ID: 7517146939 Enrollment ID: I20110131000880 |
| Provider Name | Eugene F Cassone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902874902 PECOS PAC ID: 5991708208 Enrollment ID: I20110221000311 |
| Provider Name | Roslyn R Romanowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275527004 PECOS PAC ID: 3971785767 Enrollment ID: I20110316000074 |
| Provider Name | Albert M Imobersteg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518161496 PECOS PAC ID: 1759477144 Enrollment ID: I20110405000268 |
| Provider Name | Robert D Pitts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063592210 PECOS PAC ID: 0042228009 Enrollment ID: I20120203000353 |
| Provider Name | Julio a Lemos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689736720 PECOS PAC ID: 1254525835 Enrollment ID: I20120308000281 |
| Provider Name | Marzouq a Qubti |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255429189 PECOS PAC ID: 0749371664 Enrollment ID: I20120712000071 |
| Provider Name | Christopher M Brennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982749644 PECOS PAC ID: 5799963674 Enrollment ID: I20121002000437 |
| Provider Name | Steven J Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083861934 PECOS PAC ID: 2860555141 Enrollment ID: I20121005000473 |
| Provider Name | Mary K Halloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396989059 PECOS PAC ID: 8921259557 Enrollment ID: I20121108000109 |
| Provider Name | Todd W Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306138797 PECOS PAC ID: 6709021215 Enrollment ID: I20130403000242 |
| Provider Name | Julie A. Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508949009 PECOS PAC ID: 8527200872 Enrollment ID: I20130815000560 |
| Provider Name | Mary a Buehler-brandt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316090657 PECOS PAC ID: 5092949347 Enrollment ID: I20130930000164 |
| Provider Name | Carly J Sleeper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659635944 PECOS PAC ID: 8921235227 Enrollment ID: I20131212000015 |
| Provider Name | Kevin T Carey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386602639 PECOS PAC ID: 9537176292 Enrollment ID: I20140730001381 |
| Provider Name | Kristin L Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447539507 PECOS PAC ID: 4789802299 Enrollment ID: I20140826000147 |
| Provider Name | Arlene S Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871813600 PECOS PAC ID: 6800014101 Enrollment ID: I20140828001257 |
| Provider Name | Dragos Banu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558659367 PECOS PAC ID: 6709004682 Enrollment ID: I20140908000667 |
| Provider Name | Russell Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124260138 PECOS PAC ID: 4082680400 Enrollment ID: I20150828001895 |
| Provider Name | Hanna B Slim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417130410 PECOS PAC ID: 0749332229 Enrollment ID: I20150914001040 |
| Provider Name | Lindsey B Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023377843 PECOS PAC ID: 6901115278 Enrollment ID: I20151028000306 |
| Provider Name | Lynne E Macco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467484543 PECOS PAC ID: 5496739997 Enrollment ID: I20160223000613 |
| Provider Name | Steven E Deso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194033464 PECOS PAC ID: 0042502544 Enrollment ID: I20160701000294 |
| Provider Name | Tiffany Bombard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417290610 PECOS PAC ID: 6800188566 Enrollment ID: I20160718000385 |
| Provider Name | Lindsay Reardon Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891053146 PECOS PAC ID: 5890016315 Enrollment ID: I20160728000935 |
| Provider Name | Laura a Mulvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538502901 PECOS PAC ID: 6800181504 Enrollment ID: I20160819000731 |
| Provider Name | Andrew Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083058531 PECOS PAC ID: 5698060168 Enrollment ID: I20160823001041 |
| Provider Name | Julie T Vieth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203559 PECOS PAC ID: 6204091465 Enrollment ID: I20160831001339 |
| Provider Name | Anel Alexis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720475924 PECOS PAC ID: 3678869328 Enrollment ID: I20160907001522 |
| Provider Name | Jeremy J Loving |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346505732 PECOS PAC ID: 0244482313 Enrollment ID: I20161208002227 |
| Provider Name | Janet R Reid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346204609 PECOS PAC ID: 5597659185 Enrollment ID: I20170421001813 |
| Provider Name | Grant Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881139863 PECOS PAC ID: 4486930641 Enrollment ID: I20170425000045 |
| Provider Name | Jean M Dejace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609165018 PECOS PAC ID: 3971729971 Enrollment ID: I20170823001861 |
| Provider Name | Richard B Bounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396834669 PECOS PAC ID: 5597764589 Enrollment ID: I20170920000405 |
| Provider Name | Rachael a Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482027 PECOS PAC ID: 8820363880 Enrollment ID: I20171002002877 |
| Provider Name | Jose M Acostamadiedo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013910256 PECOS PAC ID: 5890719371 Enrollment ID: I20171121000654 |
| Provider Name | Matthew D Farnsworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053863100 PECOS PAC ID: 8729362207 Enrollment ID: I20171227000841 |
| Provider Name | Cody E Whitney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275047466 PECOS PAC ID: 2163780974 Enrollment ID: I20171228001573 |
| Provider Name | Vlada a Alexeeva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952617995 PECOS PAC ID: 5092945105 Enrollment ID: I20180115000174 |
| Provider Name | Laurent Gilloteaux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265925630 PECOS PAC ID: 9830440759 Enrollment ID: I20180914002395 |
| Provider Name | Loren M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068371 PECOS PAC ID: 1658615281 Enrollment ID: I20181207001169 |
| Provider Name | Audrey H Crocker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922581966 PECOS PAC ID: 2365786951 Enrollment ID: I20181210000451 |
| Provider Name | Nicolas M Karam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760527113 PECOS PAC ID: 4789784992 Enrollment ID: I20190523000604 |
| Provider Name | Vincent Persaud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861757064 PECOS PAC ID: 6800129123 Enrollment ID: I20190531000431 |
| Provider Name | Douglas Christopher George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639598659 PECOS PAC ID: 7618196338 Enrollment ID: I20190802001611 |
| Provider Name | Jordan R Ship |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861470247 PECOS PAC ID: 0143386862 Enrollment ID: I20190806004115 |
| Provider Name | Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669032470 PECOS PAC ID: 5496083545 Enrollment ID: I20190827003152 |
| Provider Name | Nicholas J Montello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184285751 PECOS PAC ID: 0941632020 Enrollment ID: I20191111001703 |
| Provider Name | Anna L Benvenuto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215102744 PECOS PAC ID: 2163670167 Enrollment ID: I20200417000574 |
| Provider Name | Mark C Bisanzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740249226 PECOS PAC ID: 8729082334 Enrollment ID: I20200527002281 |
| Provider Name | Sergio Apuzzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992261887 PECOS PAC ID: 4486981958 Enrollment ID: I20200803000929 |
| Provider Name | Ashley Weisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801158324 PECOS PAC ID: 0042464570 Enrollment ID: I20200807001137 |
| Provider Name | Gavin L Noble |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750335014 PECOS PAC ID: 6002861804 Enrollment ID: I20200824000234 |
| Provider Name | Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356871909 PECOS PAC ID: 1850660747 Enrollment ID: I20200827003230 |
| Provider Name | Amr Essa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174057699 PECOS PAC ID: 3678805512 Enrollment ID: I20200902001688 |
| Provider Name | Elizabeth R Izzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821613910 PECOS PAC ID: 3971921313 Enrollment ID: I20200916001517 |
| Provider Name | David D Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700204922 PECOS PAC ID: 5991006751 Enrollment ID: I20201201000106 |
| Provider Name | Gary Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598898157 PECOS PAC ID: 4880790096 Enrollment ID: I20210106000209 |
| Provider Name | Molly C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962704726 PECOS PAC ID: 4587846399 Enrollment ID: I20210413001041 |
| Provider Name | Christopher Hauglid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437656360 PECOS PAC ID: 2466799028 Enrollment ID: I20210526000726 |
| Provider Name | Salam Hawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851886451 PECOS PAC ID: 4486057981 Enrollment ID: I20210721002384 |
| Provider Name | Nathalie Abisror |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336634922 PECOS PAC ID: 5294138715 Enrollment ID: I20210721002926 |
| Provider Name | Kyle Barbour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346730736 PECOS PAC ID: 3678826591 Enrollment ID: I20210910001646 |
| Provider Name | Joseph M Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649664913 PECOS PAC ID: 6002144482 Enrollment ID: I20210922000967 |
| Provider Name | Kayla Marie Napper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972174381 PECOS PAC ID: 0244638047 Enrollment ID: I20211008001106 |
| Provider Name | Samuel Flerlage Paskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912439399 PECOS PAC ID: 4082033840 Enrollment ID: I20211012000218 |
| Provider Name | Lucy Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033478565 PECOS PAC ID: 7911208038 Enrollment ID: I20211014002538 |
| Provider Name | James E East |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952763575 PECOS PAC ID: 2961797543 Enrollment ID: I20211117001052 |
| Provider Name | Neil a Krulewitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083148837 PECOS PAC ID: 0042564882 Enrollment ID: I20211122002591 |
| Provider Name | Christopher Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528089166 PECOS PAC ID: 2961419122 Enrollment ID: I20220106000496 |
| Provider Name | Joshua Marlow |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346602257 PECOS PAC ID: 1759612914 Enrollment ID: I20220301000161 |
| Provider Name | Geoffrey Michael Scriver |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245452192 PECOS PAC ID: 9638325699 Enrollment ID: I20220504000271 |
| Provider Name | Il Jun Chon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538173869 PECOS PAC ID: 0547299091 Enrollment ID: I20220518002401 |
| Provider Name | Moataz Behairy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1801215868 PECOS PAC ID: 3375888142 Enrollment ID: I20220531002525 |
| Provider Name | William E Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407828296 PECOS PAC ID: 6103999362 Enrollment ID: I20220614000169 |
| Provider Name | Noah Willows |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336609122 PECOS PAC ID: 6800129941 Enrollment ID: I20220803000843 |
| Provider Name | Natalie M Elder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427552058 PECOS PAC ID: 3274889514 Enrollment ID: I20220817001876 |
| Provider Name | Vanessa Fiorini Furtado |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043672140 PECOS PAC ID: 7214229350 Enrollment ID: I20220831003147 |
| Provider Name | John Haines |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669793121 PECOS PAC ID: 4082987896 Enrollment ID: I20220923001118 |
| Provider Name | Riana North |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528264868 PECOS PAC ID: 9931371994 Enrollment ID: I20221028000992 |
| Provider Name | Marc a Cassone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881057149 PECOS PAC ID: 0244526770 Enrollment ID: I20221209002675 |
| Provider Name | Robert D Inglis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316444326 PECOS PAC ID: 4486058971 Enrollment ID: I20221221000479 |
| Provider Name | Kirana Lynn Lavallie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467185694 PECOS PAC ID: 6406228832 Enrollment ID: I20230214000575 |
| Provider Name | Leila Amini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831552413 PECOS PAC ID: 9739467762 Enrollment ID: I20230214001177 |
| Provider Name | Ryan Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649699125 PECOS PAC ID: 3678876323 Enrollment ID: I20230220002082 |
| Provider Name | Ginger L Gillette-kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497803175 PECOS PAC ID: 1456455567 Enrollment ID: I20230303002118 |
| Provider Name | Terrence O'connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063851673 PECOS PAC ID: 1557630613 Enrollment ID: I20230405001884 |
| Provider Name | Laura V Forman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285847467 PECOS PAC ID: 9931263258 Enrollment ID: I20230428000323 |
| Provider Name | Nektarios Konstantinopoulos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528696853 PECOS PAC ID: 7012338452 Enrollment ID: I20230607002039 |
| Provider Name | Peter Hyson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275038770 PECOS PAC ID: 7719233824 Enrollment ID: I20230619001763 |
| Provider Name | Gabrielle a Jacquet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821265174 PECOS PAC ID: 0840343380 Enrollment ID: I20230627002596 |
| Provider Name | Gabriel Crevier-sorbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154946978 PECOS PAC ID: 2264892017 Enrollment ID: I20230712002666 |
| Provider Name | Maria C Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508493164 PECOS PAC ID: 3971926460 Enrollment ID: I20230713002274 |
| Provider Name | Marvin K Malek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417978149 PECOS PAC ID: 5092607903 Enrollment ID: I20230717003363 |
| Provider Name | Wendell a Bliss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356848857 PECOS PAC ID: 4688095920 Enrollment ID: I20230821002059 |
| Provider Name | Sameer Sethi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427602218 PECOS PAC ID: 0446683510 Enrollment ID: I20230825000550 |
| Provider Name | Adam S Bloom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922348655 PECOS PAC ID: 6103197454 Enrollment ID: I20230906003097 |
| Provider Name | Madison L Daly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972063493 PECOS PAC ID: 7315270790 Enrollment ID: I20230914002261 |
| Provider Name | Sean Bullis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508229493 PECOS PAC ID: 8123313863 Enrollment ID: I20230922002106 |
| Provider Name | Joshua Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760167712 PECOS PAC ID: 8123473469 Enrollment ID: I20231006000934 |
| Provider Name | Katherine Patrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144781972 PECOS PAC ID: 3274867056 Enrollment ID: I20231020001950 |
| Provider Name | James D Whitledge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366934432 PECOS PAC ID: 0345659066 Enrollment ID: I20231127003101 |
| Provider Name | Michael P Bazylewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760707236 PECOS PAC ID: 5395065924 Enrollment ID: I20231204001299 |
| Provider Name | Christopher Kanner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689085748 PECOS PAC ID: 3375844525 Enrollment ID: I20231206002596 |
| Provider Name | Jon Michael Sheeser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255350609 PECOS PAC ID: 7911951983 Enrollment ID: I20231213001599 |
| Provider Name | Janine Barreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134748379 PECOS PAC ID: 5799141107 Enrollment ID: I20240105000104 |
| Provider Name | Robert D'agostino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336160159 PECOS PAC ID: 4385652130 Enrollment ID: I20240108003668 |
| Provider Name | Katherine J Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205960812 PECOS PAC ID: 3173647716 Enrollment ID: I20240301003372 |
| Provider Name | Laurel B Plante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942398755 PECOS PAC ID: 8729085816 Enrollment ID: I20240307000091 |
| Provider Name | Timothy Higgins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174558175 PECOS PAC ID: 5092754499 Enrollment ID: I20240319000342 |
| Provider Name | Adam Ulano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275762551 PECOS PAC ID: 8325263544 Enrollment ID: I20240319000414 |
| Provider Name | Benjamin Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770725467 PECOS PAC ID: 2365663911 Enrollment ID: I20240402002587 |
| Provider Name | Saeedeh Mirbagheri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376938837 PECOS PAC ID: 7618215161 Enrollment ID: I20240405002413 |
| Provider Name | Benjamin Sawatzky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235549247 PECOS PAC ID: 0345559357 Enrollment ID: I20240411002143 |
| Provider Name | Janusz Kikut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053338889 PECOS PAC ID: 1658318712 Enrollment ID: I20240411002302 |
| Provider Name | Cynthia M Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851653513 PECOS PAC ID: 4284976705 Enrollment ID: I20240412003241 |
| Provider Name | Carl Cobb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083650733 PECOS PAC ID: 0840280236 Enrollment ID: I20240416000131 |
| Provider Name | Anjuli R Bagley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538422084 PECOS PAC ID: 3173824927 Enrollment ID: I20240416003044 |
| Provider Name | Dmitriy G Akselrod |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629241336 PECOS PAC ID: 4385805696 Enrollment ID: I20240417002388 |
| Provider Name | Jessie C Morgan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740755370 PECOS PAC ID: 4789024266 Enrollment ID: I20240501001155 |
| Provider Name | Nicholas G Alsofrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235699828 PECOS PAC ID: 8628301264 Enrollment ID: I20240501002789 |
| Provider Name | Charles Pappas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932286523 PECOS PAC ID: 8729002514 Enrollment ID: I20240508000196 |
| Provider Name | Andrea Hildebrand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366469181 PECOS PAC ID: 4486755287 Enrollment ID: I20240514002198 |
| Provider Name | Norman Sturtevant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164449963 PECOS PAC ID: 6204840697 Enrollment ID: I20240515004170 |
| Provider Name | Pedro Staziaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912358318 PECOS PAC ID: 3577836410 Enrollment ID: I20240517002118 |
| Provider Name | Karina Perusse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699784702 PECOS PAC ID: 9335147800 Enrollment ID: I20240618002528 |
| Provider Name | Kristen K Destigter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265459044 PECOS PAC ID: 2961456124 Enrollment ID: I20240626000499 |
| Provider Name | Emily Poloji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922491349 PECOS PAC ID: 8729351564 Enrollment ID: I20240917002937 |
| Provider Name | Sabawoon Mirwais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528687951 PECOS PAC ID: 9739620360 Enrollment ID: I20240923001344 |
| Provider Name | Nichole Michaeli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386136851 PECOS PAC ID: 1153676846 Enrollment ID: I20241002003828 |
| Provider Name | Elya Vasiliou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619243110 PECOS PAC ID: 8921378688 Enrollment ID: I20241009000540 |
| Provider Name | Ryan Walsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083887137 PECOS PAC ID: 8921256520 Enrollment ID: I20241017002254 |
| Provider Name | Ellen Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992993794 PECOS PAC ID: 7113172685 Enrollment ID: I20241022000222 |
| Provider Name | Lindsay S Daniels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811458599 PECOS PAC ID: 5092196287 Enrollment ID: I20241022003867 |
| Provider Name | Tyler Wark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871085134 PECOS PAC ID: 3173927183 Enrollment ID: I20241120000734 |
| Provider Name | Ashley Mccormick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487231031 PECOS PAC ID: 5496158644 Enrollment ID: I20241209002951 |
| Provider Name | Kathryn C Collier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548847155 PECOS PAC ID: 1355745175 Enrollment ID: I20241210003169 |
| Provider Name | Wesley L Goodman-o'leary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740862499 PECOS PAC ID: 2769918614 Enrollment ID: I20241216001445 |
| Provider Name | Mabel O Bongmba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205021532 PECOS PAC ID: 2062566995 Enrollment ID: I20241227000566 |
| Provider Name | Robert Percarpio |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356579171 PECOS PAC ID: 5991948382 Enrollment ID: I20241231002519 |
| Provider Name | Kramer Wahlberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982067880 PECOS PAC ID: 6800120155 Enrollment ID: I20250219002034 |
| Provider Name | Sarah Harm |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710280730 PECOS PAC ID: 2567604259 Enrollment ID: I20250325003040 |
| Provider Name | Benjamin Bamford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154411882 PECOS PAC ID: 9638156946 Enrollment ID: I20250410000199 |
| Provider Name | Kevin Deboer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649272402 PECOS PAC ID: 4082602636 Enrollment ID: I20250519003233 |
| Provider Name | Leila Khorashadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871781716 PECOS PAC ID: 2466505102 Enrollment ID: I20250610000515 |
| Provider Name | Amelia Rae Winter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356090575 PECOS PAC ID: 4688051022 Enrollment ID: I20250617002224 |
| Provider Name | Jeffrey Seth Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497776033 PECOS PAC ID: 7911915145 Enrollment ID: I20250618000720 |
| Provider Name | Brendan Campbell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962039693 PECOS PAC ID: 7315368339 Enrollment ID: I20250618003867 |
| Provider Name | Joseph Pekala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366468951 PECOS PAC ID: 3274579073 Enrollment ID: I20250702001050 |
| Provider Name | Ryan Joseph Fiter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508327487 PECOS PAC ID: 7214268556 Enrollment ID: I20250711000795 |
| Provider Name | Beth Zigmund |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427258615 PECOS PAC ID: 7911078134 Enrollment ID: I20250711003109 |
| Provider Name | Aleksandr Drozdov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770069445 PECOS PAC ID: 5597270249 Enrollment ID: I20250714003203 |
| Provider Name | Steven Bair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144970047 PECOS PAC ID: 6305226028 Enrollment ID: I20250806000226 |
| Provider Name | John Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063420891 PECOS PAC ID: 9436051687 Enrollment ID: I20250814001098 |
| Provider Name | Lydia Vorsteveld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528661675 PECOS PAC ID: 2264846021 Enrollment ID: I20250818003736 |
| Provider Name | Alexander Blair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568112753 PECOS PAC ID: 9537547112 Enrollment ID: I20250822003468 |
| Provider Name | Hannah Perry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922360510 PECOS PAC ID: 1355691700 Enrollment ID: I20250828000125 |
| Provider Name | Rajiv Vyas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093206070 PECOS PAC ID: 0749781979 Enrollment ID: I20250829000545 |
| Provider Name | Connor Joseph Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649006974 PECOS PAC ID: 4587165634 Enrollment ID: I20250829001484 |
| Provider Name | Jeffrey Savarino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770160822 PECOS PAC ID: 6507275237 Enrollment ID: I20250904000919 |
| Provider Name | Alexander W Marchese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972063477 PECOS PAC ID: 1951635333 Enrollment ID: I20250905002823 |
| Provider Name | Jeffrey Klotz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073258398 PECOS PAC ID: 3870095805 Enrollment ID: I20250908002772 |
| Provider Name | Andrew Ridinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952962409 PECOS PAC ID: 7416370937 Enrollment ID: I20250910000758 |
| Provider Name | Katherine Dolbec |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376862508 PECOS PAC ID: 0143474825 Enrollment ID: I20250919001257 |
| Provider Name | Christine Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073831392 PECOS PAC ID: 6608012323 Enrollment ID: I20250922002048 |
| Provider Name | Stephen Teach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578641452 PECOS PAC ID: 9436202645 Enrollment ID: I20251029004446 |
| Provider Name | Marios Prikis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700949765 PECOS PAC ID: 4587972211 Enrollment ID: I20251103000063 |
| Provider Name | Nathan Franssen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629455076 PECOS PAC ID: 0941604532 Enrollment ID: I20251119001092 |
| Provider Name | Dagmar Hoegemann Savellano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871698019 PECOS PAC ID: 4880731702 Enrollment ID: I20251205001464 |
| Provider Name | Sarah Schlein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497070833 PECOS PAC ID: 2567604267 Enrollment ID: I20251211003226 |
| Provider Name | Denise M Mclaughlin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629746391 PECOS PAC ID: 1557856002 Enrollment ID: I20251222001875 |
| Provider Name | Ryan Paterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245407592 PECOS PAC ID: 4587796461 Enrollment ID: I20260114003364 |
| Provider Name | Karine Sahakyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689088627 PECOS PAC ID: 1951737766 Enrollment ID: I20260204000931 |
| Provider Name | Alan Massouh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568922151 PECOS PAC ID: 9830517317 Enrollment ID: I20260211001939 |
| Provider Name | Tyson Mckechnie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518464106 PECOS PAC ID: 3577810050 Enrollment ID: I20260212002168 |
| Provider Name | Christian Pulcini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881012052 PECOS PAC ID: 8224392113 Enrollment ID: I20260224000567 |
| Provider Name | Emily Rose Straley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801546791 PECOS PAC ID: 4385007731 Enrollment ID: I20260305003868 |
| Provider Name | Joshua Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689068173 PECOS PAC ID: 8022322619 Enrollment ID: I20260313002700 |
| Provider Name | Mark Plante |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164447520 PECOS PAC ID: 0446331755 Enrollment ID: I20260318001930 |
| Provider Name | Sarah Guth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336438712 PECOS PAC ID: 1557589496 Enrollment ID: I20260319000042 |
| Provider Name | David Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174663066 PECOS PAC ID: 8729052329 Enrollment ID: I20260326000043 |
| Provider Name | Emily Zolten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285822627 PECOS PAC ID: 0244597573 Enrollment ID: I20260406001302 |
| Provider Name | Emily Zolten |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285822627 PECOS PAC ID: 0244597573 Enrollment ID: I20260406001385 |
| Provider Name | Caitlin Elizabeth Craft-hacherl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982353116 PECOS PAC ID: 8527536887 Enrollment ID: I20260505002681 |
| Provider Name | Benny Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285096222 PECOS PAC ID: 0446545917 Enrollment ID: I20260528001221 |
| Provider Name | Alyssa Dicosmo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679198493 PECOS PAC ID: 1153747357 Enrollment ID: I20260601002815 |
| Provider Name | Joshua Kallen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316247828 PECOS PAC ID: 6002078151 Enrollment ID: I20260604000545 |
| Provider Name | Allyson Younken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508569153 PECOS PAC ID: 8628549193 Enrollment ID: I20260605001706 |
| Provider Name | Andrew Irvine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013586700 PECOS PAC ID: 1052835816 Enrollment ID: I20260609004336 |
Dawson & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8222 River St, Elizabethtown, NY 12932 Phone: 518-593-9446 |
Charles E Moisan Jr MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Park St, Elizabethtown, NY 12932 Phone: 518-873-6340 |