| El Rio Community Health Center | |
|
839 W Congress St Tucson AZ 85745-2819 | |
| (520) 670-3909 | |
| (520) 670-3792 |
| Full Name | El Rio Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 839 W Congress St, Tucson, Arizona |
| Authorized Official Name and Position | Nancy Johnson (CEO) |
| Authorized Official Contact | 5203092012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Rio Community Health Center 839 W Congress St Tucson AZ 85745-2819 Ph: (520) 670-3909 | El Rio Community Health Center 839 W Congress St Tucson AZ 85745-2819 Ph: (520) 670-3909 |
| NPI Number | 1487602736 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 6305739244 |
|---|---|
| Medicare Enrollment ID | O20040205000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487602736 | NPI | - | NPPES |
| 947887 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | OTC0006 (Arizona) | Primary |
| Provider Name | Dina M Torres-millikin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457383531 PECOS PAC ID: 9739072836 Enrollment ID: I20040203000930 |
| Provider Name | Colleen K Cagno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245202720 PECOS PAC ID: 1658263017 Enrollment ID: I20040329001287 |
| Provider Name | Harvey J Maksvytis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770550220 PECOS PAC ID: 0547252512 Enrollment ID: I20040331000513 |
| Provider Name | Nicola R Finley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003898180 PECOS PAC ID: 1850388380 Enrollment ID: I20040427001501 |
| Provider Name | Maria G Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679552749 PECOS PAC ID: 4284622077 Enrollment ID: I20040501000429 |
| Provider Name | Ana Maria Teresa Longoria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174636005 PECOS PAC ID: 7315935111 Enrollment ID: I20040503000007 |
| Provider Name | Kim A Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417048356 PECOS PAC ID: 7113915703 Enrollment ID: I20040503001448 |
| Provider Name | George A Truckenmiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821125618 PECOS PAC ID: 6507855962 Enrollment ID: I20040511000002 |
| Provider Name | Pedro Pacheco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538147186 PECOS PAC ID: 8921099177 Enrollment ID: I20040518001310 |
| Provider Name | Michael Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426074 PECOS PAC ID: 3678464187 Enrollment ID: I20040522000346 |
| Provider Name | Gail E Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326132044 PECOS PAC ID: 9032190228 Enrollment ID: I20040525000705 |
| Provider Name | Frances L Wertman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578663126 PECOS PAC ID: 0648253039 Enrollment ID: I20040608000646 |
| Provider Name | Sassan Momtazbakhsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659461358 PECOS PAC ID: 5597756445 Enrollment ID: I20040614000040 |
| Provider Name | Akash S Taggarse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811063555 PECOS PAC ID: 9537055694 Enrollment ID: I20040614000474 |
| Provider Name | Nancy E Brass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417944927 PECOS PAC ID: 9234113085 Enrollment ID: I20040617000949 |
| Provider Name | Jeffrey Thomas Maudlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811930423 PECOS PAC ID: 1052397130 Enrollment ID: I20040629000211 |
| Provider Name | Everett J Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639283070 PECOS PAC ID: 7517938665 Enrollment ID: I20040803001119 |
| Provider Name | Karyn B Kolman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427098516 PECOS PAC ID: 4587636766 Enrollment ID: I20040809000812 |
| Provider Name | Ramin Milani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902884281 PECOS PAC ID: 6709853070 Enrollment ID: I20040915000794 |
| Provider Name | Karyl L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245335413 PECOS PAC ID: 0941261572 Enrollment ID: I20041026000744 |
| Provider Name | Lynn D Deyoung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689648313 PECOS PAC ID: 5698737997 Enrollment ID: I20041029000209 |
| Provider Name | Michelle M Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731327 PECOS PAC ID: 8123083748 Enrollment ID: I20041123000599 |
| Provider Name | Joy R Mockbee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922025816 PECOS PAC ID: 5799724597 Enrollment ID: I20050502000271 |
| Provider Name | Joseph A Alvarado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568456176 PECOS PAC ID: 1153361399 Enrollment ID: I20050506000717 |
| Provider Name | Michael Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033142922 PECOS PAC ID: 0840230934 Enrollment ID: I20050509000335 |
| Provider Name | Dynse G Crunkleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104856939 PECOS PAC ID: 1759321425 Enrollment ID: I20050512000183 |
| Provider Name | Milan Jansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598748428 PECOS PAC ID: 1850333055 Enrollment ID: I20050527000273 |
| Provider Name | Edward J Schwager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730168303 PECOS PAC ID: 8426942327 Enrollment ID: I20050621001282 |
| Provider Name | Maria E Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083693444 PECOS PAC ID: 6901841782 Enrollment ID: I20050622000685 |
| Provider Name | Jane E Lykins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932154556 PECOS PAC ID: 9234174988 Enrollment ID: I20050622001309 |
| Provider Name | Maria E Pina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518934074 PECOS PAC ID: 7618992298 Enrollment ID: I20051012000975 |
| Provider Name | Harry D Schlosser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841292042 PECOS PAC ID: 5496770851 Enrollment ID: I20051014000001 |
| Provider Name | Ziad Hemzawi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548242639 PECOS PAC ID: 0244257418 Enrollment ID: I20051027000138 |
| Provider Name | James F Fiastro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962502153 PECOS PAC ID: 2961429949 Enrollment ID: I20051028000559 |
| Provider Name | Lili Ahleen Jordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235192501 PECOS PAC ID: 4981592342 Enrollment ID: I20060505000819 |
| Provider Name | Cheryl L Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891772083 PECOS PAC ID: 2264442227 Enrollment ID: I20060505000871 |
| Provider Name | Andres Ochoa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578531224 PECOS PAC ID: 5193737088 Enrollment ID: I20060614000060 |
| Provider Name | Deepali Rastogi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396775656 PECOS PAC ID: 0244299766 Enrollment ID: I20060810000559 |
| Provider Name | Carlos R Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134197791 PECOS PAC ID: 0840295093 Enrollment ID: I20060922000211 |
| Provider Name | Mercedes L Martinez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770566614 PECOS PAC ID: 3678577491 Enrollment ID: I20070222000667 |
| Provider Name | Ashlyn Joan Schaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154421287 PECOS PAC ID: 5991800146 Enrollment ID: I20070417000047 |
| Provider Name | Sara W Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376692806 PECOS PAC ID: 6709983604 Enrollment ID: I20070529000207 |
| Provider Name | Rama S Dasari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295795714 PECOS PAC ID: 2668579566 Enrollment ID: I20070529000254 |
| Provider Name | Rodrigo G Villar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891737359 PECOS PAC ID: 4880793132 Enrollment ID: I20070627000232 |
| Provider Name | Melissa M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639124076 PECOS PAC ID: 2769573500 Enrollment ID: I20070808000096 |
| Provider Name | Tracy A Jeck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124236054 PECOS PAC ID: 1153415260 Enrollment ID: I20070920000369 |
| Provider Name | Kathy J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942416920 PECOS PAC ID: 3577658251 Enrollment ID: I20070927000075 |
| Provider Name | Gabrieel M Gaoriye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760673180 PECOS PAC ID: 1850487935 Enrollment ID: I20071020000091 |
| Provider Name | Judy M Hogan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952317844 PECOS PAC ID: 9739261082 Enrollment ID: I20080125000537 |
| Provider Name | Greta L Gill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508920323 PECOS PAC ID: 5294790374 Enrollment ID: I20080226000380 |
| Provider Name | Jeffrey D Wortzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952582876 PECOS PAC ID: 5092893057 Enrollment ID: I20080416000602 |
| Provider Name | Sangita Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730351883 PECOS PAC ID: 9032280813 Enrollment ID: I20080623000203 |
| Provider Name | Barbara Eckstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518169143 PECOS PAC ID: 2567537319 Enrollment ID: I20080813000881 |
| Provider Name | Kelly R Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497958276 PECOS PAC ID: 0244306876 Enrollment ID: I20080905000339 |
| Provider Name | Judith M Butler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114012606 PECOS PAC ID: 7618044496 Enrollment ID: I20080919000310 |
| Provider Name | Ladawn R Burrous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316195340 PECOS PAC ID: 7416024161 Enrollment ID: I20080922000290 |
| Provider Name | Connie S Funk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083835557 PECOS PAC ID: 1658449210 Enrollment ID: I20081009000056 |
| Provider Name | Scott W Vanvalkenburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902886179 PECOS PAC ID: 0547322794 Enrollment ID: I20081223000022 |
| Provider Name | Andrew W Arthur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962484048 PECOS PAC ID: 0547325326 Enrollment ID: I20090210000824 |
| Provider Name | Rebecca Freeman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649252727 PECOS PAC ID: 2163587692 Enrollment ID: I20090218000025 |
| Provider Name | Gerardo Carlos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831170570 PECOS PAC ID: 4789749219 Enrollment ID: I20090218000042 |
| Provider Name | Zeenat J Chowdhury Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053491050 PECOS PAC ID: 8224082433 Enrollment ID: I20090304000573 |
| Provider Name | Daryll Brosanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144258880 PECOS PAC ID: 2466418538 Enrollment ID: I20090305000711 |
| Provider Name | Melissa L Brosanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073541694 PECOS PAC ID: 0840256962 Enrollment ID: I20090313000135 |
| Provider Name | Carolyn V Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194966937 PECOS PAC ID: 9537210893 Enrollment ID: I20090625000572 |
| Provider Name | Kerry E Griffin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063648186 PECOS PAC ID: 2062564024 Enrollment ID: I20090724000141 |
| Provider Name | Tammy Nusbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033311485 PECOS PAC ID: 8921151879 Enrollment ID: I20090724000692 |
| Provider Name | Felipe R Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265690838 PECOS PAC ID: 3870647464 Enrollment ID: I20090817000415 |
| Provider Name | Christopher L Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457552705 PECOS PAC ID: 9032205778 Enrollment ID: I20090828000542 |
| Provider Name | Mark A Schildt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316908239 PECOS PAC ID: 0840346771 Enrollment ID: I20090918000068 |
| Provider Name | Pooneh Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952574303 PECOS PAC ID: 8628143211 Enrollment ID: I20091013000237 |
| Provider Name | John P Seward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710086624 PECOS PAC ID: 9335193549 Enrollment ID: I20100112000849 |
| Provider Name | Sandra J Macon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144550120 PECOS PAC ID: 7517092935 Enrollment ID: I20100323001000 |
| Provider Name | Renee M Hultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063651602 PECOS PAC ID: 3173658564 Enrollment ID: I20100324000756 |
| Provider Name | Teresa G Preciado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174655856 PECOS PAC ID: 8628012481 Enrollment ID: I20100324000788 |
| Provider Name | Rachel A Thrall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659602852 PECOS PAC ID: 9739216383 Enrollment ID: I20100429001166 |
| Provider Name | Stephanie A May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194850560 PECOS PAC ID: 5294818522 Enrollment ID: I20100506000515 |
| Provider Name | Tamsen L Bassford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265404933 PECOS PAC ID: 1759410954 Enrollment ID: I20100526000878 |
| Provider Name | Katherine E Aparicio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619155983 PECOS PAC ID: 5496888117 Enrollment ID: I20100802000846 |
| Provider Name | Susan K Hadley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437148533 PECOS PAC ID: 0840227211 Enrollment ID: I20100810001190 |
| Provider Name | Sadaf A Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720118870 PECOS PAC ID: 8022107473 Enrollment ID: I20100903000459 |
| Provider Name | Adriana S Nicastro Twelker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366758948 PECOS PAC ID: 8224221114 Enrollment ID: I20101023000325 |
| Provider Name | Angela Armenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992018980 PECOS PAC ID: 2365635620 Enrollment ID: I20101027000321 |
| Provider Name | Gregory J Raglow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831168665 PECOS PAC ID: 0941494983 Enrollment ID: I20101103000669 |
| Provider Name | John Reagan D Mendoza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346403680 PECOS PAC ID: 5597959502 Enrollment ID: I20101103001357 |
| Provider Name | Tammy Timmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811174493 PECOS PAC ID: 0143415182 Enrollment ID: I20101116000526 |
| Provider Name | Jed K Sadalla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629008867 PECOS PAC ID: 5294924403 Enrollment ID: I20110104000596 |
| Provider Name | Adrienne Ruth Parry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205838430 PECOS PAC ID: 6800085069 Enrollment ID: I20110115000105 |
| Provider Name | Jonny Sue Perkins-snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588618243 PECOS PAC ID: 4284823683 Enrollment ID: I20110118000312 |
| Provider Name | Gabrielle A Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023096674 PECOS PAC ID: 2668651159 Enrollment ID: I20110131000389 |
| Provider Name | Richard Joseph Feldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417958661 PECOS PAC ID: 6709067101 Enrollment ID: I20110217000679 |
| Provider Name | Annette M Hernandez-pakhurst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477545788 PECOS PAC ID: 0042491441 Enrollment ID: I20110217000706 |
| Provider Name | Steven I Rosenfeld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215915863 PECOS PAC ID: 5294916698 Enrollment ID: I20110217000747 |
| Provider Name | Douglas J Spegman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912979675 PECOS PAC ID: 5890889778 Enrollment ID: I20110217000784 |
| Provider Name | Scott W Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740374487 PECOS PAC ID: 3577744937 Enrollment ID: I20110218000416 |
| Provider Name | Lisa F Soltani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114999877 PECOS PAC ID: 1658409032 Enrollment ID: I20110218000766 |
| Provider Name | Linda Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598859225 PECOS PAC ID: 5991986127 Enrollment ID: I20110222000523 |
| Provider Name | Jeffrey Rein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760460323 PECOS PAC ID: 0941483580 Enrollment ID: I20110321000140 |
| Provider Name | Jose A Rios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124099940 PECOS PAC ID: 2860675394 Enrollment ID: I20110322000143 |
| Provider Name | Alfonso Llano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558368787 PECOS PAC ID: 6608961750 Enrollment ID: I20110720000313 |
| Provider Name | Ruth M Garcia Carrasquillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477701175 PECOS PAC ID: 3173791589 Enrollment ID: I20110728000612 |
| Provider Name | Krista A Sunderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791830 PECOS PAC ID: 8325217284 Enrollment ID: I20110810000091 |
| Provider Name | Robert L Wiruth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194987651 PECOS PAC ID: 7517137581 Enrollment ID: I20110830000522 |
| Provider Name | Sasi K Ghanta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114219789 PECOS PAC ID: 7416128061 Enrollment ID: I20110913000004 |
| Provider Name | Aleksandra Maric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326356098 PECOS PAC ID: 8022280718 Enrollment ID: I20110929000784 |
| Provider Name | Danielle D Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588945661 PECOS PAC ID: 0941472245 Enrollment ID: I20111010000562 |
| Provider Name | Bernadette E Quihuis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073757993 PECOS PAC ID: 7618143942 Enrollment ID: I20120106000817 |
| Provider Name | Mark Douglas Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134179211 PECOS PAC ID: 6800782004 Enrollment ID: I20120203000307 |
| Provider Name | Rebecca B Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407901515 PECOS PAC ID: 7618134511 Enrollment ID: I20120203000753 |
| Provider Name | Sonia L Reidy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598924813 PECOS PAC ID: 6406033976 Enrollment ID: I20120502000150 |
| Provider Name | Jay L Schlabach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710053020 PECOS PAC ID: 0941274880 Enrollment ID: I20120723000149 |
| Provider Name | Sandra G Hodges |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053385591 PECOS PAC ID: 1759562895 Enrollment ID: I20120804000133 |
| Provider Name | Jane M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711178 PECOS PAC ID: 9739336967 Enrollment ID: I20120823000345 |
| Provider Name | Linda Marie Gorgos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124138540 PECOS PAC ID: 9133156664 Enrollment ID: I20120920000749 |
| Provider Name | Rachel Lm Camp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568604767 PECOS PAC ID: 1658520838 Enrollment ID: I20121003000350 |
| Provider Name | Shannon L Fennie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932458429 PECOS PAC ID: 9436300530 Enrollment ID: I20121120000332 |
| Provider Name | Jerome F Koleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871763979 PECOS PAC ID: 8527132257 Enrollment ID: I20121205000104 |
| Provider Name | Jenniffer Lynn Funk-weyant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831433135 PECOS PAC ID: 5799938940 Enrollment ID: I20130121000236 |
| Provider Name | Marlene Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629178975 PECOS PAC ID: 3577731512 Enrollment ID: I20130204000381 |
| Provider Name | Veronica L Leano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154550440 PECOS PAC ID: 1456505023 Enrollment ID: I20130206000564 |
| Provider Name | Lisa M Dasilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932479151 PECOS PAC ID: 6800032699 Enrollment ID: I20130424000301 |
| Provider Name | Sarah Ml Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427390251 PECOS PAC ID: 3375780281 Enrollment ID: I20130514000352 |
| Provider Name | Jameela M Ameen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154664068 PECOS PAC ID: 9931347184 Enrollment ID: I20130529000440 |
| Provider Name | Jennifer M Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437492212 PECOS PAC ID: 5799925947 Enrollment ID: I20130711000155 |
| Provider Name | Primarosa A Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659614386 PECOS PAC ID: 2264673946 Enrollment ID: I20130723000070 |
| Provider Name | Patrick J O'connor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679507198 PECOS PAC ID: 0345401956 Enrollment ID: I20130813000222 |
| Provider Name | Nikki L Nakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841398559 PECOS PAC ID: 0749423820 Enrollment ID: I20130821001020 |
| Provider Name | Mariposa D Wolford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477870913 PECOS PAC ID: 9830332436 Enrollment ID: I20130829000694 |
| Provider Name | Michael C Kushner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568782761 PECOS PAC ID: 9638312069 Enrollment ID: I20130903000713 |
| Provider Name | Mridula Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193885 PECOS PAC ID: 5890972640 Enrollment ID: I20130917000392 |
| Provider Name | Monica E Kainz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992084461 PECOS PAC ID: 2567629348 Enrollment ID: I20130925000101 |
| Provider Name | Michelle L Aguilar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093026593 PECOS PAC ID: 3375778392 Enrollment ID: I20131029001729 |
| Provider Name | Ryan C Teeple |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114245693 PECOS PAC ID: 0749415503 Enrollment ID: I20131101000947 |
| Provider Name | Alexandra S Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366874653 PECOS PAC ID: 1951538891 Enrollment ID: I20131220000785 |
| Provider Name | Elizabeth A Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497191761 PECOS PAC ID: 7315178555 Enrollment ID: I20140401000867 |
| Provider Name | Vicki T Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619027919 PECOS PAC ID: 8820221906 Enrollment ID: I20140424001750 |
| Provider Name | Jodi Ellyn Kaszubski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508160003 PECOS PAC ID: 3375725252 Enrollment ID: I20140611000628 |
| Provider Name | Gregory Cardona Hollick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437440690 PECOS PAC ID: 1759506884 Enrollment ID: I20140704000018 |
| Provider Name | Sommer Aldulaimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194013813 PECOS PAC ID: 3577788108 Enrollment ID: I20140715001622 |
| Provider Name | Ravi P Grivois-shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851589527 PECOS PAC ID: 8729112487 Enrollment ID: I20140902001487 |
| Provider Name | Palitha V Kalpage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386931483 PECOS PAC ID: 9133347271 Enrollment ID: I20140902001556 |
| Provider Name | Soliman Yaqub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699063016 PECOS PAC ID: 6507086493 Enrollment ID: I20140926001347 |
| Provider Name | Shawn Siqueiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114069440 PECOS PAC ID: 1759501554 Enrollment ID: I20140930000116 |
| Provider Name | Shelley B Mcgrew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902218258 PECOS PAC ID: 3870713514 Enrollment ID: I20141001001763 |
| Provider Name | Jessica Hensel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417212382 PECOS PAC ID: 1759502651 Enrollment ID: I20141017001285 |
| Provider Name | Elizabeth K Meehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144535519 PECOS PAC ID: 5294976858 Enrollment ID: I20141024000615 |
| Provider Name | Mari A Ricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477500049 PECOS PAC ID: 6608819313 Enrollment ID: I20141024000812 |
| Provider Name | William H Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295094381 PECOS PAC ID: 6507088481 Enrollment ID: I20141107002096 |
| Provider Name | Ileana I Ortiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124316856 PECOS PAC ID: 9335461680 Enrollment ID: I20141124001021 |
| Provider Name | Veronica Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881097467 PECOS PAC ID: 9638492770 Enrollment ID: I20141223000016 |
| Provider Name | Amy Elizabeth Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225430739 PECOS PAC ID: 9234453044 Enrollment ID: I20150128000050 |
| Provider Name | Kelly J Rothermal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033515655 PECOS PAC ID: 8426373945 Enrollment ID: I20150204001121 |
| Provider Name | Diana Jolles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427167600 PECOS PAC ID: 0648223149 Enrollment ID: I20150306000005 |
| Provider Name | Adrianne J Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711695 PECOS PAC ID: 0446577563 Enrollment ID: I20150327002189 |
| Provider Name | Gina Herman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023338555 PECOS PAC ID: 6002135936 Enrollment ID: I20150427002595 |
| Provider Name | Christina Arredondo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629377916 PECOS PAC ID: 2769702422 Enrollment ID: I20150708003300 |
| Provider Name | Sudha Nagalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811126303 PECOS PAC ID: 0244454726 Enrollment ID: I20150714003310 |
| Provider Name | Serah Muigai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457748311 PECOS PAC ID: 6204149305 Enrollment ID: I20150718000009 |
| Provider Name | Aimee Steiniger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285996272 PECOS PAC ID: 4587977384 Enrollment ID: I20150722006562 |
| Provider Name | Inna Lehrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265811921 PECOS PAC ID: 0749594398 Enrollment ID: I20150728003023 |
| Provider Name | Tal Milchan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467842070 PECOS PAC ID: 6103132634 Enrollment ID: I20150828002347 |
| Provider Name | Christine N Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316201049 PECOS PAC ID: 0244549301 Enrollment ID: I20151013000530 |
| Provider Name | Norma Magdaleno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386641124 PECOS PAC ID: 4981913647 Enrollment ID: I20151020000492 |
| Provider Name | Karen M Davenport |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285607564 PECOS PAC ID: 6305156357 Enrollment ID: I20151104000775 |
| Provider Name | Sandra L Combs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538593165 PECOS PAC ID: 4981914397 Enrollment ID: I20151113000825 |
| Provider Name | Elizabeth Anne Ribbeck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639203540 PECOS PAC ID: 7810089364 Enrollment ID: I20160105002741 |
| Provider Name | Emily R Siemer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639557127 PECOS PAC ID: 9032411277 Enrollment ID: I20160105003034 |
| Provider Name | Rogelio S Samorano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235266461 PECOS PAC ID: 5294990305 Enrollment ID: I20160127001261 |
| Provider Name | Tamera B Preece |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669853578 PECOS PAC ID: 5991008690 Enrollment ID: I20160128002368 |
| Provider Name | Carla J Transue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174653117 PECOS PAC ID: 7517107832 Enrollment ID: I20160208000384 |
| Provider Name | Lindsay R Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972963510 PECOS PAC ID: 2860790409 Enrollment ID: I20160414000424 |
| Provider Name | Susan R Dolence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689907560 PECOS PAC ID: 2163713132 Enrollment ID: I20160622000870 |
| Provider Name | Jillian J Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215384169 PECOS PAC ID: 5597058248 Enrollment ID: I20160719000642 |
| Provider Name | Timothy Fitzgerald |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811964836 PECOS PAC ID: 9032182076 Enrollment ID: I20160804001945 |
| Provider Name | Jose R Rodarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699031534 PECOS PAC ID: 2860786050 Enrollment ID: I20160810002881 |
| Provider Name | Chantelle Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346686037 PECOS PAC ID: 8628395589 Enrollment ID: I20160928001660 |
| Provider Name | Daphne M Rosales Barragan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952740862 PECOS PAC ID: 3678860939 Enrollment ID: I20160929002465 |
| Provider Name | Lori H Landes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023457702 PECOS PAC ID: 6709173065 Enrollment ID: I20160929002667 |
| Provider Name | Eileen M Devlin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356484166 PECOS PAC ID: 6002103306 Enrollment ID: I20160930001037 |
| Provider Name | Cynthia Carrillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245675537 PECOS PAC ID: 9638466931 Enrollment ID: I20160930001044 |
| Provider Name | Marketa Jansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528514205 PECOS PAC ID: 5799073979 Enrollment ID: I20161004002789 |
| Provider Name | Stephanie L Teubner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043764467 PECOS PAC ID: 0143518787 Enrollment ID: I20161013001418 |
| Provider Name | Carolyn A Quigley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376989038 PECOS PAC ID: 0446548713 Enrollment ID: I20161019002687 |
| Provider Name | Theresa Rose Simard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861756181 PECOS PAC ID: 6305124272 Enrollment ID: I20161027000841 |
| Provider Name | Xuanhuy N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487091161 PECOS PAC ID: 0042513343 Enrollment ID: I20161027001585 |
| Provider Name | Jose R Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952768111 PECOS PAC ID: 7618273202 Enrollment ID: I20161027001709 |
| Provider Name | Jennifer M Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831545961 PECOS PAC ID: 7416235254 Enrollment ID: I20161028000678 |
| Provider Name | Rajiv Modak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124002324 PECOS PAC ID: 5092093740 Enrollment ID: I20161031001817 |
| Provider Name | Alissa A Sadalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710965355 PECOS PAC ID: 5395024707 Enrollment ID: I20161107002594 |
| Provider Name | Tuan M Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518253491 PECOS PAC ID: 2860794765 Enrollment ID: I20161109001990 |
| Provider Name | Eva Lorena Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628456 PECOS PAC ID: 6406135565 Enrollment ID: I20161111001233 |
| Provider Name | Fanny T Nisbet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811971021 PECOS PAC ID: 6800175647 Enrollment ID: I20161117002032 |
| Provider Name | Brittany L Pace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417394594 PECOS PAC ID: 8921388364 Enrollment ID: I20161201000524 |
| Provider Name | Mariah C Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883064 PECOS PAC ID: 3173803152 Enrollment ID: I20161208001646 |
| Provider Name | Peter O'brien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548702707 PECOS PAC ID: 0143500173 Enrollment ID: I20161209000765 |
| Provider Name | Craig M Mcewan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437214939 PECOS PAC ID: 4981639820 Enrollment ID: I20161209000995 |
| Provider Name | Cecilia M Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861486474 PECOS PAC ID: 8224318134 Enrollment ID: I20161212001855 |
| Provider Name | Carmen Panizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255875449 PECOS PAC ID: 2668753674 Enrollment ID: I20170106000465 |
| Provider Name | Gabriel J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255718680 PECOS PAC ID: 7012299621 Enrollment ID: I20170113002555 |
| Provider Name | Holly Bryant |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932646346 PECOS PAC ID: 7517240542 Enrollment ID: I20170216001764 |
| Provider Name | Celia L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083152631 PECOS PAC ID: 5496039356 Enrollment ID: I20170221002838 |
| Provider Name | Ann E Mathias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394185 PECOS PAC ID: 5294775235 Enrollment ID: I20170306000854 |
| Provider Name | Pamela M Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205376860 PECOS PAC ID: 8820374671 Enrollment ID: I20170411001553 |
| Provider Name | Carmen L Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396286589 PECOS PAC ID: 7315223997 Enrollment ID: I20170413002123 |
| Provider Name | Cavetta G Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265979876 PECOS PAC ID: 3971880170 Enrollment ID: I20170425002019 |
| Provider Name | Beth T Tranen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922290188 PECOS PAC ID: 6204736168 Enrollment ID: I20170502001451 |
| Provider Name | Heidi Clouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154861920 PECOS PAC ID: 7618244179 Enrollment ID: I20170605001336 |
| Provider Name | Joshua R Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265844179 PECOS PAC ID: 5092017178 Enrollment ID: I20170619002648 |
| Provider Name | Joy E Baynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447783493 PECOS PAC ID: 9739457565 Enrollment ID: I20170619002687 |
| Provider Name | Taylor S Mccauley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073951844 PECOS PAC ID: 5294003869 Enrollment ID: I20170622002726 |
| Provider Name | Silvia R Navarrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710418025 PECOS PAC ID: 2769752153 Enrollment ID: I20170718000989 |
| Provider Name | Elya M Showalter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184153900 PECOS PAC ID: 3971873175 Enrollment ID: I20170720002423 |
| Provider Name | Vimbai Nyemba |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902151251 PECOS PAC ID: 8527367531 Enrollment ID: I20170724001859 |
| Provider Name | Tiffany D Karsten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881032951 PECOS PAC ID: 7517273865 Enrollment ID: I20170802001333 |
| Provider Name | Margaret S Horton-breshears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740700442 PECOS PAC ID: 0941571335 Enrollment ID: I20170803000763 |
| Provider Name | Amanda Rita Newell Heffernan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154742609 PECOS PAC ID: 9830322254 Enrollment ID: I20170803003842 |
| Provider Name | Johnnie R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255879185 PECOS PAC ID: 9830461441 Enrollment ID: I20170816003771 |
| Provider Name | Jane S Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720509383 PECOS PAC ID: 9931472677 Enrollment ID: I20170831002339 |
| Provider Name | David R Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854543 PECOS PAC ID: 6608149075 Enrollment ID: I20170906002956 |
| Provider Name | Christine Oxley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902219322 PECOS PAC ID: 5092088393 Enrollment ID: I20170908000810 |
| Provider Name | Claudia A Patino Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689086639 PECOS PAC ID: 1557668373 Enrollment ID: I20170920001457 |
| Provider Name | Janay R Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871014241 PECOS PAC ID: 0547535080 Enrollment ID: I20171009002072 |
| Provider Name | George Schatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982091179 PECOS PAC ID: 7719243377 Enrollment ID: I20171114003520 |
| Provider Name | Elsa I Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049316 PECOS PAC ID: 5698031201 Enrollment ID: I20171115001896 |
| Provider Name | Jennifer E Barrabee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154691350 PECOS PAC ID: 5496011009 Enrollment ID: I20171115001964 |
| Provider Name | Denise A Ahearn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194719047 PECOS PAC ID: 5294092086 Enrollment ID: I20171204001268 |
| Provider Name | Katherine E Perona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469776 PECOS PAC ID: 7012275233 Enrollment ID: I20171218000639 |
| Provider Name | Amber N Robinette Ezonnaebi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821400565 PECOS PAC ID: 4486957289 Enrollment ID: I20180103001887 |
| Provider Name | Maryelizabeth Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215440326 PECOS PAC ID: 1153680608 Enrollment ID: I20180109002174 |
| Provider Name | Parvana A Hartenstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699180562 PECOS PAC ID: 3870852288 Enrollment ID: I20180110002296 |
| Provider Name | Ingrid E Patsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184673279 PECOS PAC ID: 6204809882 Enrollment ID: I20180110002363 |
| Provider Name | Evelinda Dominique Gonzales-pryor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265875603 PECOS PAC ID: 1052544327 Enrollment ID: I20180227000109 |
| Provider Name | Jamie R Velo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053829713 PECOS PAC ID: 9032471313 Enrollment ID: I20180326002570 |
| Provider Name | Remington B Stickney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811408875 PECOS PAC ID: 8224392808 Enrollment ID: I20180507002509 |
| Provider Name | Krystal M Nakata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710489885 PECOS PAC ID: 5395009864 Enrollment ID: I20180509000784 |
| Provider Name | Phoebe M Lithgow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255862066 PECOS PAC ID: 6103198940 Enrollment ID: I20180516001328 |
| Provider Name | Jocelyn R Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164919643 PECOS PAC ID: 7719242452 Enrollment ID: I20180529002705 |
| Provider Name | Melissa Jandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164796876 PECOS PAC ID: 7113282856 Enrollment ID: I20180529002787 |
| Provider Name | Janna L Stefanek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962771501 PECOS PAC ID: 1951578509 Enrollment ID: I20180601002133 |
| Provider Name | Ivan A Borbon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487036679 PECOS PAC ID: 7214244664 Enrollment ID: I20180611001690 |
| Provider Name | Nelda F Akinbile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023112745 PECOS PAC ID: 8426086265 Enrollment ID: I20180629000508 |
| Provider Name | Valerie C Foland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982891248 PECOS PAC ID: 6709973043 Enrollment ID: I20180702001631 |
| Provider Name | Monica C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952784605 PECOS PAC ID: 8426360264 Enrollment ID: I20180710003610 |
| Provider Name | Paul L Sacamano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043669427 PECOS PAC ID: 4981983061 Enrollment ID: I20180718004171 |
| Provider Name | Crystalynn T Woodard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861804452 PECOS PAC ID: 6800014663 Enrollment ID: I20180727000770 |
| Provider Name | Nicole Helen Person-rennell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480892 PECOS PAC ID: 7315228871 Enrollment ID: I20180802001857 |
| Provider Name | Imran Y Patel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780066282 PECOS PAC ID: 5597073882 Enrollment ID: I20180803000405 |
| Provider Name | Ashley A Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700807005 PECOS PAC ID: 9931331287 Enrollment ID: I20180912003651 |
| Provider Name | Angela G Puthenveetil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649652280 PECOS PAC ID: 9638482912 Enrollment ID: I20180921002712 |
| Provider Name | Virginia Denise Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194010918 PECOS PAC ID: 4082965488 Enrollment ID: I20180925000843 |
| Provider Name | Nourhan F Mustafa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962813352 PECOS PAC ID: 7012269020 Enrollment ID: I20181002002558 |
| Provider Name | Derek E Eckert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275019937 PECOS PAC ID: 4082968003 Enrollment ID: I20181109002706 |
| Provider Name | Aliza D Kreisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082705 PECOS PAC ID: 1153666581 Enrollment ID: I20181213000258 |
| Provider Name | Emily A Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154768075 PECOS PAC ID: 9436452992 Enrollment ID: I20181213000691 |
| Provider Name | Mary J Hayward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407126592 PECOS PAC ID: 6406192624 Enrollment ID: I20190109001479 |
| Provider Name | Emily T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629466842 PECOS PAC ID: 6608177522 Enrollment ID: I20190122002888 |
| Provider Name | Joel Timothy Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781281 PECOS PAC ID: 8224375423 Enrollment ID: I20190125002159 |
| Provider Name | Lisa A Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164993002 PECOS PAC ID: 5496094997 Enrollment ID: I20190227003140 |
| Provider Name | Michael K Mayette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803300 PECOS PAC ID: 3577803857 Enrollment ID: I20190323000050 |
| Provider Name | Coy J Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861956054 PECOS PAC ID: 5991046294 Enrollment ID: I20190415002982 |
| Provider Name | Jennifer D Garate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598153405 PECOS PAC ID: 0941543151 Enrollment ID: I20190509002183 |
| Provider Name | Stacy M Peercy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356869432 PECOS PAC ID: 0749523975 Enrollment ID: I20190509002758 |
| Provider Name | Betty Jo Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614476 PECOS PAC ID: 4587997606 Enrollment ID: I20190605000284 |
| Provider Name | Chelsey L Earnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942768239 PECOS PAC ID: 3375876840 Enrollment ID: I20190616000006 |
| Provider Name | Gabriela M Ganddini-wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942655162 PECOS PAC ID: 9335430123 Enrollment ID: I20190715000681 |
| Provider Name | Patty Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801244868 PECOS PAC ID: 8729379516 Enrollment ID: I20190722003235 |
| Provider Name | Jared Ryan Lunkenheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922418979 PECOS PAC ID: 4789804329 Enrollment ID: I20190729001303 |
| Provider Name | Angelita Lynnette Poston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063984029 PECOS PAC ID: 8527395888 Enrollment ID: I20190808002205 |
| Provider Name | Diana M Silva Cantillo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003223686 PECOS PAC ID: 2961724174 Enrollment ID: I20190819002853 |
| Provider Name | Eamon Collison Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629036934 PECOS PAC ID: 0749585511 Enrollment ID: I20190822000686 |
| Provider Name | Virag Y Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700834140 PECOS PAC ID: 8123090859 Enrollment ID: I20190826001658 |
| Provider Name | Brianne Motzkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710543988 PECOS PAC ID: 4789913088 Enrollment ID: I20190911003886 |
| Provider Name | Shruti Bala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629464003 PECOS PAC ID: 1355632399 Enrollment ID: I20190916003497 |
| Provider Name | Yadira Mojica-rivera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992358279 PECOS PAC ID: 6608106653 Enrollment ID: I20190918001551 |
| Provider Name | Veronica Fonseca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659735033 PECOS PAC ID: 7214224229 Enrollment ID: I20191007001630 |
| Provider Name | Jose L Rapanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003341306 PECOS PAC ID: 5092046987 Enrollment ID: I20191007003288 |
| Provider Name | Christine M Poncavage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549936 PECOS PAC ID: 0941531545 Enrollment ID: I20191014000262 |
| Provider Name | Cody D Patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801258801 PECOS PAC ID: 4082909692 Enrollment ID: I20191014000349 |
| Provider Name | Shelby G Abramson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598239881 PECOS PAC ID: 5991037905 Enrollment ID: I20191024000627 |
| Provider Name | Kelly L Vollmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639220841 PECOS PAC ID: 0345332128 Enrollment ID: I20191105002368 |
| Provider Name | Kaitlin G Callaghan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194371955 PECOS PAC ID: 5193057420 Enrollment ID: I20191105002966 |
| Provider Name | Daniela A Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347771 PECOS PAC ID: 4880026103 Enrollment ID: I20191107000514 |
| Provider Name | Amber N Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760038855 PECOS PAC ID: 7416389754 Enrollment ID: I20191107001442 |
| Provider Name | Jenny A Ajl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366094609 PECOS PAC ID: 7113359662 Enrollment ID: I20191121000938 |
| Provider Name | Electine Nk Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104481282 PECOS PAC ID: 4587096078 Enrollment ID: I20191121002849 |
| Provider Name | Jessica L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689221509 PECOS PAC ID: 9830521236 Enrollment ID: I20191122000527 |
| Provider Name | Alysson L Striner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154978625 PECOS PAC ID: 4284067695 Enrollment ID: I20191125001953 |
| Provider Name | Mylena Avalos Dominguez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861970337 PECOS PAC ID: 1355695487 Enrollment ID: I20191205001152 |
| Provider Name | Martha P Burkholder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740260173 PECOS PAC ID: 3870744196 Enrollment ID: I20191206001309 |
| Provider Name | Marcela Quintero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952966624 PECOS PAC ID: 1052744877 Enrollment ID: I20191210001195 |
| Provider Name | Luana Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194287391 PECOS PAC ID: 4082048038 Enrollment ID: I20191227000395 |
| Provider Name | Courtney Ann Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679126262 PECOS PAC ID: 5496180846 Enrollment ID: I20200114000760 |
| Provider Name | Michelle A Mistelske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962948968 PECOS PAC ID: 1759716921 Enrollment ID: I20200115003415 |
| Provider Name | Eric J Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679115489 PECOS PAC ID: 3274968466 Enrollment ID: I20200116000652 |
| Provider Name | Amanda Elizabeth Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245798909 PECOS PAC ID: 9032549928 Enrollment ID: I20200416001547 |
| Provider Name | Thomas Z Emel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215264924 PECOS PAC ID: 9830454115 Enrollment ID: I20200506000891 |
| Provider Name | Camille R Derricotte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700015401 PECOS PAC ID: 1850600792 Enrollment ID: I20200526001571 |
| Provider Name | Jamie D Weinand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366972135 PECOS PAC ID: 7113348590 Enrollment ID: I20200611000918 |
| Provider Name | Maryann C Moulinet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265739734 PECOS PAC ID: 6901181080 Enrollment ID: I20200717002259 |
| Provider Name | Michelle Ann O'brien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144601618 PECOS PAC ID: 1759682495 Enrollment ID: I20200806001853 |
| Provider Name | Michael E Lyland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891081675 PECOS PAC ID: 0244450427 Enrollment ID: I20200810001833 |
| Provider Name | Colette M Oesterle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245765031 PECOS PAC ID: 3476818592 Enrollment ID: I20200811004082 |
| Provider Name | Deborah M Frederique |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831742329 PECOS PAC ID: 2860818952 Enrollment ID: I20200818001102 |
| Provider Name | Megan F Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306454426 PECOS PAC ID: 4486070711 Enrollment ID: I20200818001754 |
| Provider Name | Chelsea E Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366970527 PECOS PAC ID: 3274897467 Enrollment ID: I20200903001233 |
| Provider Name | Stephanie Previc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876602 PECOS PAC ID: 8022436245 Enrollment ID: I20200914002847 |
| Provider Name | Esmerelda Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760860183 PECOS PAC ID: 0042638587 Enrollment ID: I20200915001512 |
| Provider Name | Casey S Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508475773 PECOS PAC ID: 2466870902 Enrollment ID: I20200915001657 |
| Provider Name | Stevie Gabaldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890524 PECOS PAC ID: 7517385081 Enrollment ID: I20200915002420 |
| Provider Name | Audrey Lyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821607813 PECOS PAC ID: 3072931534 Enrollment ID: I20200922001996 |
| Provider Name | Hardhipriya Sudarsanam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295801124 PECOS PAC ID: 0042241069 Enrollment ID: I20200923001129 |
| Provider Name | Sarah A Santa Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972120137 PECOS PAC ID: 7911326244 Enrollment ID: I20201006000427 |
| Provider Name | Aaron T Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902148208 PECOS PAC ID: 7113288895 Enrollment ID: I20201014001050 |
| Provider Name | Daniel C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205309580 PECOS PAC ID: 1456680586 Enrollment ID: I20201207001235 |
| Provider Name | Amita L Graham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780026336 PECOS PAC ID: 9234542150 Enrollment ID: I20210113001109 |
| Provider Name | Natalie R Krumdieck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467815100 PECOS PAC ID: 7719272467 Enrollment ID: I20210225002507 |
| Provider Name | Thomas S Bartuska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801972245 PECOS PAC ID: 1052360039 Enrollment ID: I20210317002870 |
| Provider Name | Kristine M Mehrabani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689264772 PECOS PAC ID: 0749697217 Enrollment ID: I20210329002339 |
| Provider Name | Rubendario Valencia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548852007 PECOS PAC ID: 1557778024 Enrollment ID: I20210329002394 |
| Provider Name | Andrew J Terranella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467668145 PECOS PAC ID: 5193812451 Enrollment ID: I20210330001971 |
| Provider Name | Christina T Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306431457 PECOS PAC ID: 9638587173 Enrollment ID: I20210421002235 |
| Provider Name | Cynthia T Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205430337 PECOS PAC ID: 4385053271 Enrollment ID: I20210505001274 |
| Provider Name | Cristy G Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982286688 PECOS PAC ID: 0345640108 Enrollment ID: I20210615003707 |
| Provider Name | Alona S Sukhina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982193900 PECOS PAC ID: 2365844214 Enrollment ID: I20210714002319 |
| Provider Name | Casey M Carney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134654171 PECOS PAC ID: 1850794926 Enrollment ID: I20210727002438 |
| Provider Name | Zuma Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639664519 PECOS PAC ID: 7911257076 Enrollment ID: I20210729001595 |
| Provider Name | Denise M Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548844087 PECOS PAC ID: 4688078298 Enrollment ID: I20210804001593 |
| Provider Name | Lodz Samantha Joseph-lemon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467852913 PECOS PAC ID: 0446510879 Enrollment ID: I20210805001229 |
| Provider Name | Paola Michelle Casillas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178691 PECOS PAC ID: 6608123195 Enrollment ID: I20210816003487 |
| Provider Name | Esther Quintero-marsteller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316442528 PECOS PAC ID: 4082019872 Enrollment ID: I20210817001272 |
| Provider Name | Blake E Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255902813 PECOS PAC ID: 5294131256 Enrollment ID: I20210831002002 |
| Provider Name | Jennifer Jean Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922453414 PECOS PAC ID: 0345582219 Enrollment ID: I20210831002979 |
| Provider Name | Sharon L Barefoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679184402 PECOS PAC ID: 6204232184 Enrollment ID: I20210831003357 |
| Provider Name | Catheryn J Salibay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477050425 PECOS PAC ID: 9436555323 Enrollment ID: I20210831003624 |
| Provider Name | Andrew T Petrak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144891037 PECOS PAC ID: 3870999766 Enrollment ID: I20210831003712 |
| Provider Name | Awungcha Sandra Nkemzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033782909 PECOS PAC ID: 8426469578 Enrollment ID: I20210901001251 |
| Provider Name | Tara J Schafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114691078 PECOS PAC ID: 1355747726 Enrollment ID: I20210909003229 |
| Provider Name | Justin M Shear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336815455 PECOS PAC ID: 7214333582 Enrollment ID: I20210913000287 |
| Provider Name | Yulemi Velazco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649761578 PECOS PAC ID: 3678824059 Enrollment ID: I20210915001592 |
| Provider Name | Rachel L Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407427164 PECOS PAC ID: 3274930185 Enrollment ID: I20210920002765 |
| Provider Name | Amy C Butalla-rosene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548856438 PECOS PAC ID: 8325445273 Enrollment ID: I20210921000620 |
| Provider Name | Erika N Jaramillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730755257 PECOS PAC ID: 0547667388 Enrollment ID: I20210922000677 |
| Provider Name | Jay William Croswell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821767880 PECOS PAC ID: 3971991076 Enrollment ID: I20211021002962 |
| Provider Name | Charlotte M Mcintyre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164029385 PECOS PAC ID: 5092103630 Enrollment ID: I20211101000647 |
| Provider Name | Morgan L Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524760 PECOS PAC ID: 2860880416 Enrollment ID: I20211101001237 |
| Provider Name | Mallika Rao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255783726 PECOS PAC ID: 2062800568 Enrollment ID: I20211103000878 |
| Provider Name | Michael R Hubbard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376777268 PECOS PAC ID: 5193972024 Enrollment ID: I20211104001781 |
| Provider Name | Nicole Z Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518346253 PECOS PAC ID: 4183970924 Enrollment ID: I20220106001462 |
| Provider Name | Sean Patrick Mcevoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821651076 PECOS PAC ID: 6507192960 Enrollment ID: I20220106002136 |
| Provider Name | Vanna Joyner Waldron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417461229 PECOS PAC ID: 0446519847 Enrollment ID: I20220112002755 |
| Provider Name | Christine M Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396897724 PECOS PAC ID: 6103218607 Enrollment ID: I20220112002762 |
| Provider Name | Erica Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326632563 PECOS PAC ID: 4789919689 Enrollment ID: I20220321001830 |
| Provider Name | Kristen B Rundell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912930850 PECOS PAC ID: 0446253934 Enrollment ID: I20220406000572 |
| Provider Name | Randall B Claxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568650398 PECOS PAC ID: 0345637948 Enrollment ID: I20220429000914 |
| Provider Name | Sandra M Jacobson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336897263 PECOS PAC ID: 1557749777 Enrollment ID: I20220531002144 |
| Provider Name | Anna Alkozei |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396486023 PECOS PAC ID: 2163800715 Enrollment ID: I20220609002450 |
| Provider Name | Jasmine B Aflatooni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104583038 PECOS PAC ID: 0143609495 Enrollment ID: I20220616002915 |
| Provider Name | Sean Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366000424 PECOS PAC ID: 7214266816 Enrollment ID: I20220621000884 |
| Provider Name | Karissa Wasiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548823602 PECOS PAC ID: 0749515161 Enrollment ID: I20220706001752 |
| Provider Name | Acadia R Pechauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083277941 PECOS PAC ID: 7012242589 Enrollment ID: I20220718000420 |
| Provider Name | Nohemi Maciel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861860330 PECOS PAC ID: 8729462726 Enrollment ID: I20220824003073 |
| Provider Name | Natalie R Nyapete |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538839436 PECOS PAC ID: 0446634240 Enrollment ID: I20220829000214 |
| Provider Name | Melinda Marie Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720688369 PECOS PAC ID: 1052795242 Enrollment ID: I20220907003404 |
| Provider Name | Emma C Tyano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932792611 PECOS PAC ID: 9335558774 Enrollment ID: I20220920003138 |
| Provider Name | Jimmy S Franco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952968505 PECOS PAC ID: 4082099411 Enrollment ID: I20220920003695 |
| Provider Name | Prabhjyot Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427405836 PECOS PAC ID: 2961793807 Enrollment ID: I20220921003471 |
| Provider Name | Kristen Michelle Molander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053755223 PECOS PAC ID: 8527463843 Enrollment ID: I20220928002892 |
| Provider Name | Angelica M Hibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528551074 PECOS PAC ID: 0840666863 Enrollment ID: I20221017001690 |
| Provider Name | Annie Y Peng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073179917 PECOS PAC ID: 5799151684 Enrollment ID: I20221018001402 |
| Provider Name | Kayla Alyzabeth Christiansen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104564764 PECOS PAC ID: 8527434265 Enrollment ID: I20221020000598 |
| Provider Name | Katelyn T Tamaray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457079105 PECOS PAC ID: 1951778935 Enrollment ID: I20221103002159 |
| Provider Name | Samantha K Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285360230 PECOS PAC ID: 8729455712 Enrollment ID: I20221103002467 |
| Provider Name | James H Austin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205398682 PECOS PAC ID: 9133596133 Enrollment ID: I20221103003243 |
| Provider Name | Raelynn D Currence |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720507791 PECOS PAC ID: 6800147117 Enrollment ID: I20221103003344 |
| Provider Name | Morgan J Sterling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730818212 PECOS PAC ID: 7517334543 Enrollment ID: I20221104000637 |
| Provider Name | Jeremey W Gneck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952965212 PECOS PAC ID: 8224363528 Enrollment ID: I20221104000786 |
| Provider Name | Cristie M Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609276377 PECOS PAC ID: 4082091939 Enrollment ID: I20221104000902 |
| Provider Name | Eleni Gorla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043972755 PECOS PAC ID: 7315314358 Enrollment ID: I20221104001101 |
| Provider Name | Sayyar Khakimov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265994545 PECOS PAC ID: 0941677983 Enrollment ID: I20221104001164 |
| Provider Name | Janelle L Beazley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063149631 PECOS PAC ID: 2264809201 Enrollment ID: I20221104001334 |
| Provider Name | Jorge R Barboza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861122384 PECOS PAC ID: 2860869708 Enrollment ID: I20221104001549 |
| Provider Name | Nicole C Sircy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760119580 PECOS PAC ID: 1557738499 Enrollment ID: I20221104001722 |
| Provider Name | David E Dimcheff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093278434 PECOS PAC ID: 2365777356 Enrollment ID: I20221104002177 |
| Provider Name | Breana R Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861127763 PECOS PAC ID: 6002283967 Enrollment ID: I20221104002315 |
| Provider Name | Danielle Cc Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982067385 PECOS PAC ID: 3678865912 Enrollment ID: I20221116000610 |
| Provider Name | Michelle L Baas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164155487 PECOS PAC ID: 8628446044 Enrollment ID: I20221116000914 |
| Provider Name | Crystal K Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124687959 PECOS PAC ID: 8325416779 Enrollment ID: I20221116001850 |
| Provider Name | Jennifer Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841939063 PECOS PAC ID: 8325429491 Enrollment ID: I20221208001169 |
| Provider Name | Swathy Puthalapattu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447443486 PECOS PAC ID: 0648649368 Enrollment ID: I20230307003107 |
| Provider Name | Paul M Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811901390 PECOS PAC ID: 7315048667 Enrollment ID: I20230308003018 |
| Provider Name | Eva Veronika Kiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376105346 PECOS PAC ID: 0446585483 Enrollment ID: I20230309002556 |
| Provider Name | Hayley F Garigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235807983 PECOS PAC ID: 5193199610 Enrollment ID: I20230324001366 |
| Provider Name | Adriann W Begay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801864590 PECOS PAC ID: 3779770367 Enrollment ID: I20230324002567 |
| Provider Name | Antonio D Rosales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508329988 PECOS PAC ID: 8123353976 Enrollment ID: I20230330002869 |
| Provider Name | Julia W Vermeulen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871192443 PECOS PAC ID: 3678986296 Enrollment ID: I20230331001222 |
| Provider Name | Sarah K Bligh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487368684 PECOS PAC ID: 0042685281 Enrollment ID: I20230331001375 |
| Provider Name | Holly C Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205505831 PECOS PAC ID: 1557728904 Enrollment ID: I20230531001240 |
| Provider Name | Lorena G Arvizu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023720950 PECOS PAC ID: 5698132058 Enrollment ID: I20230531001589 |
| Provider Name | Vienna L Aslanian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437743523 PECOS PAC ID: 7214394675 Enrollment ID: I20230531001643 |
| Provider Name | Dana N Russo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477922995 PECOS PAC ID: 9335498781 Enrollment ID: I20230615002285 |
| Provider Name | Alaina N Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386271104 PECOS PAC ID: 4880076827 Enrollment ID: I20230627002115 |
| Provider Name | Max Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528682382 PECOS PAC ID: 1658730023 Enrollment ID: I20230703000562 |
| Provider Name | Joan T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841810603 PECOS PAC ID: 5799107512 Enrollment ID: I20230706001698 |
| Provider Name | Selamawit Kebede Tesema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043876964 PECOS PAC ID: 9830423599 Enrollment ID: I20230712003954 |
| Provider Name | Kalissa M Sprigg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710611587 PECOS PAC ID: 8729464326 Enrollment ID: I20230719004207 |
| Provider Name | Jessica R Filon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659991503 PECOS PAC ID: 3971925850 Enrollment ID: I20230801003101 |
| Provider Name | Ivan Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023673449 PECOS PAC ID: 1355795535 Enrollment ID: I20230921000990 |
| Provider Name | Jennifer Neczypor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366957912 PECOS PAC ID: 6002178886 Enrollment ID: I20230921001352 |
| Provider Name | Amanda J Carstens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356032288 PECOS PAC ID: 9234583295 Enrollment ID: I20230925001234 |
| Provider Name | Jaime Dawn Kasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356953962 PECOS PAC ID: 2062869480 Enrollment ID: I20231107002037 |
| Provider Name | Mary E Fogerty-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518696582 PECOS PAC ID: 5799132155 Enrollment ID: I20231107003551 |
| Provider Name | Ryan P Mette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871279737 PECOS PAC ID: 6406203710 Enrollment ID: I20231108001785 |
| Provider Name | Marie R Andriopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598378994 PECOS PAC ID: 2466809785 Enrollment ID: I20231108002005 |
| Provider Name | Danielle N Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881355576 PECOS PAC ID: 6608224217 Enrollment ID: I20231120003611 |
| Provider Name | Joan A Maceachen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205865334 PECOS PAC ID: 7719891811 Enrollment ID: I20240102003229 |
| Provider Name | Robin L Acereto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609373026 PECOS PAC ID: 3072965805 Enrollment ID: I20240117003781 |
| Provider Name | Katherine E Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902417751 PECOS PAC ID: 5698127439 Enrollment ID: I20240117003887 |
| Provider Name | Annika S Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396485520 PECOS PAC ID: 0042662884 Enrollment ID: I20240117003903 |
| Provider Name | Julie L Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881309896 PECOS PAC ID: 6103278957 Enrollment ID: I20240117004467 |
| Provider Name | Cynthia A Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326525734 PECOS PAC ID: 9739531476 Enrollment ID: I20240118002870 |
| Provider Name | Karla M Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801263017 PECOS PAC ID: 8527410166 Enrollment ID: I20240118002985 |
| Provider Name | Renee L Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659500759 PECOS PAC ID: 4981056520 Enrollment ID: I20240118003005 |
| Provider Name | Kimberly A Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912459793 PECOS PAC ID: 1850743493 Enrollment ID: I20240118003140 |
| Provider Name | Colleen S Steinmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477542827 PECOS PAC ID: 1557713120 Enrollment ID: I20240118003952 |
| Provider Name | Stephanie Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518647999 PECOS PAC ID: 4082066543 Enrollment ID: I20240119002541 |
| Provider Name | Nancy J Plouffe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437616760 PECOS PAC ID: 9032561519 Enrollment ID: I20240119003141 |
| Provider Name | Brian L Savery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104571553 PECOS PAC ID: 2668824152 Enrollment ID: I20240119003666 |
| Provider Name | Lauren A Duffy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912561705 PECOS PAC ID: 3375995889 Enrollment ID: I20240121000000 |
| Provider Name | Jennifer A Fout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578004123 PECOS PAC ID: 8729430236 Enrollment ID: I20240121000004 |
| Provider Name | Melissa Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972533560 PECOS PAC ID: 4789036096 Enrollment ID: I20240122003859 |
| Provider Name | Tamela L Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295350080 PECOS PAC ID: 7618329913 Enrollment ID: I20240123001985 |
| Provider Name | Jade L Avery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295493534 PECOS PAC ID: 8628421351 Enrollment ID: I20240130001932 |
| Provider Name | Diana P Beltran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902536675 PECOS PAC ID: 4789037334 Enrollment ID: I20240130003015 |
| Provider Name | Ophelia L Zamora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598894933 PECOS PAC ID: 9739522087 Enrollment ID: I20240204000119 |
| Provider Name | Christian R Ortiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013598614 PECOS PAC ID: 9830532951 Enrollment ID: I20240206001996 |
| Provider Name | Alanna B Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124206610 PECOS PAC ID: 1951744598 Enrollment ID: I20240209003516 |
| Provider Name | Sheryl Svoboda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457621575 PECOS PAC ID: 3274976642 Enrollment ID: I20240213002690 |
| Provider Name | Nikki Haynesworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750864500 PECOS PAC ID: 0547604910 Enrollment ID: I20240214001545 |
| Provider Name | Adan N Duarte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366052201 PECOS PAC ID: 6507200607 Enrollment ID: I20240216001652 |
| Provider Name | Cynthia V Tamashiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790290310 PECOS PAC ID: 6305280355 Enrollment ID: I20240216003911 |
| Provider Name | Spencer J Menapace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063948396 PECOS PAC ID: 8325382708 Enrollment ID: I20240304001859 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 N Silverbell Rd, Suite 255, Tucson, AZ 85745 Phone: 520-722-3777 Fax: 520-296-6224 | |
Sparcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-548-4847 Fax: 520-300-7156 | |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 Phone: 520-229-2563 Fax: 520-229-2561 |