| Emergency Medicine Associates, P.a.,p.c. | |
|
24440 Stone Springs Boulevard Dulles VA 20166 | |
| (202) 574-6000 | |
| (202) 373-3739 |
| Full Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 24440 Stone Springs Boulevard, Dulles, Virginia |
| Authorized Official Name and Position | Jennifer Chastain (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 3304934443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Medicine Associates, P.a.,p.c. 20010 Century Blvd Ste 200 Germantown MD 20874-1118 Ph: (240) 686-2320 | Emergency Medicine Associates, P.a.,p.c. 24440 Stone Springs Boulevard Dulles VA 20166 Ph: (202) 574-6000 |
| NPI Number | 1376917070 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 12/17/2024 |
| Medicare PECOS PAC ID | 8022914522 |
|---|---|
| Medicare Enrollment ID | O20031208000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376917070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Virginia) | Primary |
| Provider Name | James W Forest-lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730116583 PECOS PAC ID: 6305759325 Enrollment ID: I20031106000504 |
| Provider Name | David H Cyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598705618 PECOS PAC ID: 2163335845 Enrollment ID: I20031110000069 |
| Provider Name | Vikas Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871521070 PECOS PAC ID: 7113823642 Enrollment ID: I20031208000411 |
| Provider Name | Michael S Fannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487602876 PECOS PAC ID: 9638078355 Enrollment ID: I20031231000757 |
| Provider Name | Judith C Pederson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427032283 PECOS PAC ID: 8729987342 Enrollment ID: I20040102000589 |
| Provider Name | Lawrence W Gernon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225227069 PECOS PAC ID: 6709785967 Enrollment ID: I20040107000244 |
| Provider Name | Gail D Steckler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780659821 PECOS PAC ID: 4587567276 Enrollment ID: I20040129001017 |
| Provider Name | Alexander B Baer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285686287 PECOS PAC ID: 6507769031 Enrollment ID: I20040130000737 |
| Provider Name | Miriam Dalton Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154348787 PECOS PAC ID: 0941100218 Enrollment ID: I20040205001249 |
| Provider Name | Brian C Henry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457388118 PECOS PAC ID: 3678467560 Enrollment ID: I20040211000759 |
| Provider Name | Sakuntla Kondragunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184695843 PECOS PAC ID: 7517851439 Enrollment ID: I20040211000938 |
| Provider Name | Charles W Erdman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740250687 PECOS PAC ID: 6608767835 Enrollment ID: I20040329000362 |
| Provider Name | Patricia F General |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790723906 PECOS PAC ID: 1153316088 Enrollment ID: I20040419001230 |
| Provider Name | David O Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346397304 PECOS PAC ID: 5395733646 Enrollment ID: I20040504001676 |
| Provider Name | Susanne B Mackie-lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073504759 PECOS PAC ID: 2860482551 Enrollment ID: I20040514000644 |
| Provider Name | Niraj Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932145422 PECOS PAC ID: 8628069382 Enrollment ID: I20040520001316 |
| Provider Name | Stephanie B Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639186901 PECOS PAC ID: 1850373911 Enrollment ID: I20040602001315 |
| Provider Name | Kenneth Scott Hickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356343941 PECOS PAC ID: 4385626258 Enrollment ID: I20040603001159 |
| Provider Name | Michael C Ilagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205872033 PECOS PAC ID: 9537141106 Enrollment ID: I20040607000534 |
| Provider Name | Claire Marie Urbina Plautz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740323641 PECOS PAC ID: 7911983226 Enrollment ID: I20040628000549 |
| Provider Name | Karl D Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023045598 PECOS PAC ID: 5698753655 Enrollment ID: I20040708000051 |
| Provider Name | John Carmack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023034972 PECOS PAC ID: 4789663964 Enrollment ID: I20040720000703 |
| Provider Name | John Edward Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497706931 PECOS PAC ID: 6305742503 Enrollment ID: I20040721000637 |
| Provider Name | Joseph L Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070515 PECOS PAC ID: 2163492547 Enrollment ID: I20040731000276 |
| Provider Name | Nsekenene Kolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685301 PECOS PAC ID: 0941277263 Enrollment ID: I20040915000436 |
| Provider Name | Thomas A Bradbury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215966692 PECOS PAC ID: 3476458464 Enrollment ID: I20040915000989 |
| Provider Name | Farida M Izzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578630653 PECOS PAC ID: 6305806787 Enrollment ID: I20041012000500 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508940214 PECOS PAC ID: 5294797122 Enrollment ID: I20041102000720 |
| Provider Name | Julia Borniva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477659688 PECOS PAC ID: 5092774901 Enrollment ID: I20041112000250 |
| Provider Name | Rotimi A Iluyomade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043298615 PECOS PAC ID: 2466433966 Enrollment ID: I20041203000716 |
| Provider Name | April N Obier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063454551 PECOS PAC ID: 4183523293 Enrollment ID: I20041216000126 |
| Provider Name | Andrew Scott Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134199649 PECOS PAC ID: 5597723940 Enrollment ID: I20041230000754 |
| Provider Name | Tuan Q Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194716613 PECOS PAC ID: 8022066059 Enrollment ID: I20050106000620 |
| Provider Name | Mark Militana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104872019 PECOS PAC ID: 8022097575 Enrollment ID: I20050126000024 |
| Provider Name | Michael Barrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437122603 PECOS PAC ID: 5890747372 Enrollment ID: I20050211000837 |
| Provider Name | Daniel R Ricciardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467422329 PECOS PAC ID: 7416901889 Enrollment ID: I20050311000821 |
| Provider Name | Lauren B Cianciaruso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992764401 PECOS PAC ID: 0749233781 Enrollment ID: I20050328000260 |
| Provider Name | Titilayo Olutola Adetu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053479204 PECOS PAC ID: 3375457153 Enrollment ID: I20050406000381 |
| Provider Name | Salman F Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528046026 PECOS PAC ID: 2769420801 Enrollment ID: I20050420000310 |
| Provider Name | Salwa Mohamed Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043267826 PECOS PAC ID: 2860385341 Enrollment ID: I20050503000620 |
| Provider Name | Robert W Ah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114934379 PECOS PAC ID: 2163467457 Enrollment ID: I20050627001336 |
| Provider Name | Matthew P Rhames |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285648147 PECOS PAC ID: 7618960196 Enrollment ID: I20050701000586 |
| Provider Name | Anita M Maybach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225042195 PECOS PAC ID: 2961496443 Enrollment ID: I20050705000264 |
| Provider Name | Emmeth Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467433607 PECOS PAC ID: 6406883586 Enrollment ID: I20050805000573 |
| Provider Name | Hasan M Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225068968 PECOS PAC ID: 4284686510 Enrollment ID: I20050808001246 |
| Provider Name | Saqib M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730101593 PECOS PAC ID: 2466483169 Enrollment ID: I20050823000238 |
| Provider Name | Eniola A Okelana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609856566 PECOS PAC ID: 1153227020 Enrollment ID: I20050830000485 |
| Provider Name | Sandra S Simons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124043518 PECOS PAC ID: 5890724553 Enrollment ID: I20050910000107 |
| Provider Name | Jeffrey David Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376574988 PECOS PAC ID: 4981682267 Enrollment ID: I20051006000799 |
| Provider Name | Hammad Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427044205 PECOS PAC ID: 5496774820 Enrollment ID: I20051115000879 |
| Provider Name | William P Ciesla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265526578 PECOS PAC ID: 3476572439 Enrollment ID: I20051118000283 |
| Provider Name | Dwayne E Stratton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063413466 PECOS PAC ID: 8426079518 Enrollment ID: I20051216000361 |
| Provider Name | Joshua B Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053312710 PECOS PAC ID: 6406877596 Enrollment ID: I20051216000377 |
| Provider Name | Jeffrey A Coles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760430243 PECOS PAC ID: 1951346998 Enrollment ID: I20060106000085 |
| Provider Name | Sami Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416929 PECOS PAC ID: 2567485352 Enrollment ID: I20060106000683 |
| Provider Name | James E Cisek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386661833 PECOS PAC ID: 5193618791 Enrollment ID: I20060111001251 |
| Provider Name | Pamela A Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306988589 PECOS PAC ID: 6608886478 Enrollment ID: I20060425000461 |
| Provider Name | Leslie M Levin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447288873 PECOS PAC ID: 6204830110 Enrollment ID: I20060907000501 |
| Provider Name | Michele A Irons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366402141 PECOS PAC ID: 0345246682 Enrollment ID: I20061010000761 |
| Provider Name | Carl Frank Wentzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700813813 PECOS PAC ID: 1355347543 Enrollment ID: I20061011000375 |
| Provider Name | Steven Ray Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457381071 PECOS PAC ID: 3476559568 Enrollment ID: I20061012000471 |
| Provider Name | Clarke J Morton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497789515 PECOS PAC ID: 0345246443 Enrollment ID: I20061012000605 |
| Provider Name | Kevin Charles Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104894815 PECOS PAC ID: 1658379169 Enrollment ID: I20061116000533 |
| Provider Name | William Robert Stallings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366473860 PECOS PAC ID: 8022017854 Enrollment ID: I20061205000442 |
| Provider Name | Catherine Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629062252 PECOS PAC ID: 7618862772 Enrollment ID: I20061206000066 |
| Provider Name | Curt Heimbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588609465 PECOS PAC ID: 2769483312 Enrollment ID: I20070124000534 |
| Provider Name | William R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497720320 PECOS PAC ID: 6800898677 Enrollment ID: I20070207000262 |
| Provider Name | Humberto F Henriquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417911389 PECOS PAC ID: 6002818655 Enrollment ID: I20070209000503 |
| Provider Name | Pedro Jose Zaiter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215918404 PECOS PAC ID: 8527038744 Enrollment ID: I20070220000857 |
| Provider Name | Alvaro R Zeballos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043318769 PECOS PAC ID: 2163524828 Enrollment ID: I20070227000139 |
| Provider Name | Priesh I Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770524431 PECOS PAC ID: 0345342010 Enrollment ID: I20070227000224 |
| Provider Name | Dina Darwish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487713368 PECOS PAC ID: 4486756970 Enrollment ID: I20070301000620 |
| Provider Name | James Lundy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467451757 PECOS PAC ID: 0446233670 Enrollment ID: I20070320000459 |
| Provider Name | Nandita Kapa-kalahasty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992898050 PECOS PAC ID: 4688778855 Enrollment ID: I20070327000697 |
| Provider Name | Kurt G Rodney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386692929 PECOS PAC ID: 6800799511 Enrollment ID: I20070405000203 |
| Provider Name | Nael Hasan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427008234 PECOS PAC ID: 6204930837 Enrollment ID: I20070409000374 |
| Provider Name | Kenneth B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164521084 PECOS PAC ID: 6305824293 Enrollment ID: I20070411000272 |
| Provider Name | Dahlia L Charles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720170525 PECOS PAC ID: 7416057559 Enrollment ID: I20070703000212 |
| Provider Name | Christopher J Bradshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568499440 PECOS PAC ID: 3678586211 Enrollment ID: I20070709000501 |
| Provider Name | Puneet Chopra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255548988 PECOS PAC ID: 9830299478 Enrollment ID: I20070711000432 |
| Provider Name | Timothy Hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881636702 PECOS PAC ID: 9133123433 Enrollment ID: I20070810000395 |
| Provider Name | Paul A Sutherland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578574505 PECOS PAC ID: 4284606237 Enrollment ID: I20070824000466 |
| Provider Name | Tamara M Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194724476 PECOS PAC ID: 0941298210 Enrollment ID: I20070911000540 |
| Provider Name | Harvey Lloyd Madonick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871530733 PECOS PAC ID: 9335196575 Enrollment ID: I20070911000556 |
| Provider Name | William J Barker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770599847 PECOS PAC ID: 2062405780 Enrollment ID: I20070912000221 |
| Provider Name | Richard J Ferraro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306836044 PECOS PAC ID: 6901841022 Enrollment ID: I20070918000096 |
| Provider Name | Jeremy Chaillet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225232721 PECOS PAC ID: 4385738681 Enrollment ID: I20070918000101 |
| Provider Name | Thomas Charles Guirkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265441166 PECOS PAC ID: 5496750424 Enrollment ID: I20070918000251 |
| Provider Name | Brian L Rubenstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326070293 PECOS PAC ID: 1759475726 Enrollment ID: I20070920000891 |
| Provider Name | Tabathia Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639196231 PECOS PAC ID: 4082708789 Enrollment ID: I20070925000317 |
| Provider Name | Paul A Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750355525 PECOS PAC ID: 0446344162 Enrollment ID: I20070925000645 |
| Provider Name | Edward S Thur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881786416 PECOS PAC ID: 0446345920 Enrollment ID: I20070927001061 |
| Provider Name | Maria Doubrovskaia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760601306 PECOS PAC ID: 9830285592 Enrollment ID: I20071011000412 |
| Provider Name | Dena L Menzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629164645 PECOS PAC ID: 4688761554 Enrollment ID: I20071025000117 |
| Provider Name | Madhuri V Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114119831 PECOS PAC ID: 2264529700 Enrollment ID: I20071031000531 |
| Provider Name | Woo J Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891776647 PECOS PAC ID: 4284721689 Enrollment ID: I20071101000355 |
| Provider Name | Jeffrey D Dickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285845040 PECOS PAC ID: 1557451655 Enrollment ID: I20071212000803 |
| Provider Name | Jesus A Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588616908 PECOS PAC ID: 8224924964 Enrollment ID: I20071213000272 |
| Provider Name | Michael Louis Juliano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790741601 PECOS PAC ID: 1759471683 Enrollment ID: I20071217000078 |
| Provider Name | Alamgir Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184823338 PECOS PAC ID: 6800986365 Enrollment ID: I20071220000327 |
| Provider Name | Perry R Weisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518932268 PECOS PAC ID: 5698703676 Enrollment ID: I20080221000518 |
| Provider Name | Ali Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871772756 PECOS PAC ID: 2769566264 Enrollment ID: I20080222000020 |
| Provider Name | Paul J Tesoriere |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447299862 PECOS PAC ID: 4082798020 Enrollment ID: I20080228000490 |
| Provider Name | Scott W Hines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194799486 PECOS PAC ID: 8628155512 Enrollment ID: I20080402000424 |
| Provider Name | Khalid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558388199 PECOS PAC ID: 5092614107 Enrollment ID: I20080501000516 |
| Provider Name | Enrique H Ramirez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285801837 PECOS PAC ID: 6507937828 Enrollment ID: I20080613000454 |
| Provider Name | M O Maung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295722866 PECOS PAC ID: 3173694379 Enrollment ID: I20080616000529 |
| Provider Name | Adam H Sims |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144280223 PECOS PAC ID: 6901977099 Enrollment ID: I20080617000593 |
| Provider Name | Robert M Marble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841414596 PECOS PAC ID: 4284726597 Enrollment ID: I20080623000545 |
| Provider Name | Clarence George Clarke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356511992 PECOS PAC ID: 1456422104 Enrollment ID: I20080624000299 |
| Provider Name | Josphat S Musapatike |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285621375 PECOS PAC ID: 3476440629 Enrollment ID: I20080710000107 |
| Provider Name | Karla I Lacayo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679730535 PECOS PAC ID: 6800968538 Enrollment ID: I20080711000384 |
| Provider Name | Vishwas Jitendrabahai Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174793335 PECOS PAC ID: 0143392803 Enrollment ID: I20080712000108 |
| Provider Name | Laurie Lavery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275507402 PECOS PAC ID: 2769427251 Enrollment ID: I20080716000706 |
| Provider Name | Douglas Martin Higgs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194861351 PECOS PAC ID: 6608949029 Enrollment ID: I20080718000106 |
| Provider Name | Brian C Hoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619164357 PECOS PAC ID: 4688754823 Enrollment ID: I20080725000352 |
| Provider Name | Daniel Isaac Salomonsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144490624 PECOS PAC ID: 9739252636 Enrollment ID: I20080725000474 |
| Provider Name | Mark A Innis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740450220 PECOS PAC ID: 6800969601 Enrollment ID: I20080725000496 |
| Provider Name | Siddharth Khanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225238611 PECOS PAC ID: 8628144433 Enrollment ID: I20080902000374 |
| Provider Name | Rashid Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720284805 PECOS PAC ID: 9931275518 Enrollment ID: I20080904000757 |
| Provider Name | Brooke B Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346455235 PECOS PAC ID: 8123194313 Enrollment ID: I20080912000241 |
| Provider Name | Michael M Abatzis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346254646 PECOS PAC ID: 2769481449 Enrollment ID: I20080915000535 |
| Provider Name | Angela M Nardella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831350552 PECOS PAC ID: 5991872798 Enrollment ID: I20080919000545 |
| Provider Name | Shawna J Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174594261 PECOS PAC ID: 4183791478 Enrollment ID: I20080929000613 |
| Provider Name | Wendy R Regal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437184579 PECOS PAC ID: 5193730083 Enrollment ID: I20081001000453 |
| Provider Name | Suel P Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396856126 PECOS PAC ID: 2163580671 Enrollment ID: I20081027000609 |
| Provider Name | David Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437138559 PECOS PAC ID: 5597843029 Enrollment ID: I20081028000515 |
| Provider Name | Kyong Un Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023225059 PECOS PAC ID: 6002975224 Enrollment ID: I20081103000592 |
| Provider Name | Steven Frelier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003891813 PECOS PAC ID: 6709979503 Enrollment ID: I20081212000173 |
| Provider Name | Fitzgerald Marcelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285818229 PECOS PAC ID: 0244392660 Enrollment ID: I20081218000757 |
| Provider Name | Diane M Semizian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548461957 PECOS PAC ID: 2264596832 Enrollment ID: I20090126000601 |
| Provider Name | Asif Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205908324 PECOS PAC ID: 4688778400 Enrollment ID: I20090312000338 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20090312000505 |
| Provider Name | Charles D Magnant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831190800 PECOS PAC ID: 8921999822 Enrollment ID: I20090312000651 |
| Provider Name | Thomas Luckey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003949330 PECOS PAC ID: 3476610874 Enrollment ID: I20090331000113 |
| Provider Name | Stephen L Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477679496 PECOS PAC ID: 3375690886 Enrollment ID: I20090420000336 |
| Provider Name | Munira M Dabhiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003071994 PECOS PAC ID: 5193889764 Enrollment ID: I20090424000477 |
| Provider Name | Stephen M Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285622522 PECOS PAC ID: 0143284083 Enrollment ID: I20090622000464 |
| Provider Name | Peter J Paganussi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699712778 PECOS PAC ID: 4183775257 Enrollment ID: I20090701000585 |
| Provider Name | Wilford I Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255594719 PECOS PAC ID: 9638237100 Enrollment ID: I20090706000301 |
| Provider Name | Craig I Schranz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225016496 PECOS PAC ID: 5597793745 Enrollment ID: I20090727000025 |
| Provider Name | Carty E Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982880720 PECOS PAC ID: 8921151895 Enrollment ID: I20090727000062 |
| Provider Name | Michael Eugene Stull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366684060 PECOS PAC ID: 2466505227 Enrollment ID: I20090728000180 |
| Provider Name | Laila R Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265591564 PECOS PAC ID: 9931295250 Enrollment ID: I20090730000450 |
| Provider Name | Patrick J Mchugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609859487 PECOS PAC ID: 0840361457 Enrollment ID: I20090731000478 |
| Provider Name | Carlton Stadler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326241878 PECOS PAC ID: 6507919834 Enrollment ID: I20090803000761 |
| Provider Name | Khalilah L Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801931357 PECOS PAC ID: 4587717707 Enrollment ID: I20090805000090 |
| Provider Name | Frank L Nuar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154356350 PECOS PAC ID: 5193879807 Enrollment ID: I20090814000329 |
| Provider Name | Darren S Lisse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235128927 PECOS PAC ID: 0648161562 Enrollment ID: I20090817000361 |
| Provider Name | Fatisha Enahora E Gayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508979097 PECOS PAC ID: 4183698152 Enrollment ID: I20090817000703 |
| Provider Name | Craig A Dates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265521629 PECOS PAC ID: 7719966407 Enrollment ID: I20090910000603 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790825008 PECOS PAC ID: 6103928775 Enrollment ID: I20090924000383 |
| Provider Name | Seon H Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013998822 PECOS PAC ID: 7810033198 Enrollment ID: I20090930000681 |
| Provider Name | Afolabi O.d. Akinpelu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225038649 PECOS PAC ID: 6406809094 Enrollment ID: I20091008000636 |
| Provider Name | Keri Jo A Mchugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952384141 PECOS PAC ID: 0143388108 Enrollment ID: I20091009000195 |
| Provider Name | Vivian A Nzedu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659349975 PECOS PAC ID: 8224010988 Enrollment ID: I20091016000562 |
| Provider Name | Swapna Gaddipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063679546 PECOS PAC ID: 1355496381 Enrollment ID: I20091028000107 |
| Provider Name | Frederick T Warner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164462420 PECOS PAC ID: 1658360771 Enrollment ID: I20091125000564 |
| Provider Name | Kyaw T Zaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467655076 PECOS PAC ID: 0345389680 Enrollment ID: I20091130000530 |
| Provider Name | David A Rylak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952348526 PECOS PAC ID: 6406839463 Enrollment ID: I20091210000222 |
| Provider Name | James O Carleo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356364996 PECOS PAC ID: 2668375049 Enrollment ID: I20100106000168 |
| Provider Name | Michael Stephen Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235210469 PECOS PAC ID: 6103969720 Enrollment ID: I20100204000644 |
| Provider Name | Michael W Semchyshyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760444061 PECOS PAC ID: 0345211801 Enrollment ID: I20100308000761 |
| Provider Name | Yogesh Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245498153 PECOS PAC ID: 8426184359 Enrollment ID: I20100330001347 |
| Provider Name | Robert A Clare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609807809 PECOS PAC ID: 1658274030 Enrollment ID: I20100415000476 |
| Provider Name | Kristina Eloise Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760595052 PECOS PAC ID: 3779588785 Enrollment ID: I20100427000711 |
| Provider Name | Dan M Danila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700096914 PECOS PAC ID: 9335276138 Enrollment ID: I20100428000108 |
| Provider Name | Willoughby S Hundley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457328767 PECOS PAC ID: 6002817012 Enrollment ID: I20100504000537 |
| Provider Name | Goutham R Mandadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528380243 PECOS PAC ID: 9436288214 Enrollment ID: I20100604000131 |
| Provider Name | Maryann M Mclaurin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306899661 PECOS PAC ID: 3375673494 Enrollment ID: I20100615000891 |
| Provider Name | Luis F Eljaiek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417995234 PECOS PAC ID: 7719012384 Enrollment ID: I20100618000027 |
| Provider Name | Elizabeth G Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366564593 PECOS PAC ID: 9335270792 Enrollment ID: I20100629000108 |
| Provider Name | Laura L Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871795898 PECOS PAC ID: 9234260472 Enrollment ID: I20100701000484 |
| Provider Name | Olukayode Oludapo Ojo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588835839 PECOS PAC ID: 0143351262 Enrollment ID: I20100706000176 |
| Provider Name | John Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689869265 PECOS PAC ID: 7911945787 Enrollment ID: I20100712000268 |
| Provider Name | Catherine C Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780665349 PECOS PAC ID: 8224064514 Enrollment ID: I20100720000699 |
| Provider Name | Ilene Garnick Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215965280 PECOS PAC ID: 6709789183 Enrollment ID: I20100723000607 |
| Provider Name | Lubna Rana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023133469 PECOS PAC ID: 2466553789 Enrollment ID: I20100726000747 |
| Provider Name | Jennifer Abele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073502779 PECOS PAC ID: 9739211418 Enrollment ID: I20100726000807 |
| Provider Name | William S Knight |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598969859 PECOS PAC ID: 9537292610 Enrollment ID: I20100727000889 |
| Provider Name | Mark Mandichak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386849644 PECOS PAC ID: 9537292511 Enrollment ID: I20100727000906 |
| Provider Name | Richard Urbina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306057732 PECOS PAC ID: 1759414386 Enrollment ID: I20100803001318 |
| Provider Name | David M Kruse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598756272 PECOS PAC ID: 8820120082 Enrollment ID: I20100806000117 |
| Provider Name | Joseph B Marfori |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356357222 PECOS PAC ID: 5092793240 Enrollment ID: I20100810000982 |
| Provider Name | Alex Zawoloka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750544144 PECOS PAC ID: 0143354159 Enrollment ID: I20100812000765 |
| Provider Name | Kari Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003965021 PECOS PAC ID: 4587637632 Enrollment ID: I20101014000746 |
| Provider Name | Megan K Starling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871798546 PECOS PAC ID: 4183817570 Enrollment ID: I20101018000959 |
| Provider Name | Abdul Qadir Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003885575 PECOS PAC ID: 5597959346 Enrollment ID: I20101105000222 |
| Provider Name | Cameron M Cushing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942298880 PECOS PAC ID: 7618907452 Enrollment ID: I20101111001473 |
| Provider Name | Sima Nourani Zenuz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740362904 PECOS PAC ID: 9638199565 Enrollment ID: I20101124000414 |
| Provider Name | Victoire Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528277324 PECOS PAC ID: 6901093400 Enrollment ID: I20101209000944 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20101214000950 |
| Provider Name | Fariah Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568774347 PECOS PAC ID: 5991993032 Enrollment ID: I20101216000327 |
| Provider Name | Marco A Cordero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902806664 PECOS PAC ID: 9436274693 Enrollment ID: I20101220000715 |
| Provider Name | Prita Bhardwaj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790092922 PECOS PAC ID: 7719175678 Enrollment ID: I20101220001106 |
| Provider Name | Georgina Owusu-asiedu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407051899 PECOS PAC ID: 3779771571 Enrollment ID: I20101221000475 |
| Provider Name | Janice V Zima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871533471 PECOS PAC ID: 8729096383 Enrollment ID: I20110114000619 |
| Provider Name | Christopher L Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700836277 PECOS PAC ID: 5597702381 Enrollment ID: I20110210000838 |
| Provider Name | Rebecca M Kirsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255378089 PECOS PAC ID: 7719911528 Enrollment ID: I20110217000387 |
| Provider Name | Humayun Zeya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205817244 PECOS PAC ID: 7911039862 Enrollment ID: I20110217000812 |
| Provider Name | Kshitij Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407016512 PECOS PAC ID: 6103007364 Enrollment ID: I20110221000786 |
| Provider Name | Joel A Haling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801979711 PECOS PAC ID: 0446148290 Enrollment ID: I20110222000625 |
| Provider Name | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083894604 PECOS PAC ID: 2365574837 Enrollment ID: I20110228000118 |
| Provider Name | Brandt H Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710985981 PECOS PAC ID: 4284536442 Enrollment ID: I20110307000475 |
| Provider Name | Katie Del Pierro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487613410 PECOS PAC ID: 6103833751 Enrollment ID: I20110314000565 |
| Provider Name | Mustafa M Alaska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609086362 PECOS PAC ID: 3072795921 Enrollment ID: I20110314000601 |
| Provider Name | Virginia W Gale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225147895 PECOS PAC ID: 6204019839 Enrollment ID: I20110321000011 |
| Provider Name | Christopher Buell Crowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497775076 PECOS PAC ID: 6204994692 Enrollment ID: I20110426000231 |
| Provider Name | David A Scheraga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417919119 PECOS PAC ID: 8820008873 Enrollment ID: I20110502000002 |
| Provider Name | John J. Salley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427085422 PECOS PAC ID: 8325223381 Enrollment ID: I20110506000508 |
| Provider Name | Eric R Van Buskirk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093963993 PECOS PAC ID: 5193901650 Enrollment ID: I20110517000694 |
| Provider Name | Robert C Cajes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073776027 PECOS PAC ID: 2264619212 Enrollment ID: I20110531000756 |
| Provider Name | Michael Tobeh Kometa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700042231 PECOS PAC ID: 2769669472 Enrollment ID: I20110607000107 |
| Provider Name | John P Sverha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770568180 PECOS PAC ID: 6507998465 Enrollment ID: I20110607000250 |
| Provider Name | Parishram B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992940977 PECOS PAC ID: 6002093671 Enrollment ID: I20110608000000 |
| Provider Name | Krista R Day |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619137304 PECOS PAC ID: 2860670882 Enrollment ID: I20110622000383 |
| Provider Name | Todd Steven Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942469465 PECOS PAC ID: 3577741420 Enrollment ID: I20110624000372 |
| Provider Name | Kelemework K Wodiye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518102433 PECOS PAC ID: 1254515521 Enrollment ID: I20110627000185 |
| Provider Name | Ross S Switkes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952384265 PECOS PAC ID: 7416946827 Enrollment ID: I20110711000133 |
| Provider Name | Mahmud Uzzaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726014 PECOS PAC ID: 3476722737 Enrollment ID: I20110803000553 |
| Provider Name | Punit Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073761565 PECOS PAC ID: 8426228966 Enrollment ID: I20110819000217 |
| Provider Name | Heather M Pettis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689825879 PECOS PAC ID: 4688844012 Enrollment ID: I20110823000369 |
| Provider Name | Beverly J Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104114693 PECOS PAC ID: 6103096482 Enrollment ID: I20110824000006 |
| Provider Name | Mushtaq Anis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417112855 PECOS PAC ID: 3971773029 Enrollment ID: I20110826000470 |
| Provider Name | Vidya Nagamangala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720241128 PECOS PAC ID: 7719157577 Enrollment ID: I20110902000568 |
| Provider Name | Yolanda Angus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437447315 PECOS PAC ID: 2769652411 Enrollment ID: I20110907001123 |
| Provider Name | Sonya C Seccurro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700022415 PECOS PAC ID: 3375677636 Enrollment ID: I20110920000045 |
| Provider Name | Rodney Biglow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790718443 PECOS PAC ID: 9931181823 Enrollment ID: I20110928000894 |
| Provider Name | Dmitri Gagarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114109089 PECOS PAC ID: 6608058672 Enrollment ID: I20111010000393 |
| Provider Name | James M Cogbill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689729311 PECOS PAC ID: 1759305568 Enrollment ID: I20111026000730 |
| Provider Name | Tochukwu N Agbata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588807127 PECOS PAC ID: 5799838868 Enrollment ID: I20120123000018 |
| Provider Name | Patricia L Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578668398 PECOS PAC ID: 9739134966 Enrollment ID: I20120206000029 |
| Provider Name | Ilevba Osarenkhoe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992978910 PECOS PAC ID: 0345315115 Enrollment ID: I20120206000353 |
| Provider Name | Kurwa Nyigu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417925272 PECOS PAC ID: 7416928650 Enrollment ID: I20120225000178 |
| Provider Name | Merissa L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780845362 PECOS PAC ID: 8325207764 Enrollment ID: I20120305000565 |
| Provider Name | Ruth Rosette Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073887717 PECOS PAC ID: 0749442762 Enrollment ID: I20120508000465 |
| Provider Name | Geneva Randolph Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063787422 PECOS PAC ID: 2264695220 Enrollment ID: I20120531000607 |
| Provider Name | Arvind Narasimhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477597797 PECOS PAC ID: 3173594652 Enrollment ID: I20120611000288 |
| Provider Name | Robert D Hardison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669473815 PECOS PAC ID: 3779487087 Enrollment ID: I20120622000649 |
| Provider Name | Zalwonaka L Gainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336322676 PECOS PAC ID: 2163500455 Enrollment ID: I20120625000002 |
| Provider Name | Emerencienne Deungwe-yonga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205093705 PECOS PAC ID: 6507927340 Enrollment ID: I20120706000021 |
| Provider Name | Michael W Singleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265668396 PECOS PAC ID: 3375709256 Enrollment ID: I20120720000281 |
| Provider Name | Mehdi Sattarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639233810 PECOS PAC ID: 1355449380 Enrollment ID: I20120727000740 |
| Provider Name | Bonita Banerjee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780767053 PECOS PAC ID: 8325204746 Enrollment ID: I20120730000146 |
| Provider Name | Leila K Mufdi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285846568 PECOS PAC ID: 8325114085 Enrollment ID: I20120804000142 |
| Provider Name | Iman M Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932406816 PECOS PAC ID: 0143476218 Enrollment ID: I20120804000146 |
| Provider Name | Wendy L Bloom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659561769 PECOS PAC ID: 1355437658 Enrollment ID: I20120809000436 |
| Provider Name | Marie R Knorr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467688598 PECOS PAC ID: 7618123357 Enrollment ID: I20120810000639 |
| Provider Name | Sarah E Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497732549 PECOS PAC ID: 5496758773 Enrollment ID: I20120816000242 |
| Provider Name | Adrian Carlo Dews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003045790 PECOS PAC ID: 6002062452 Enrollment ID: I20120820000005 |
| Provider Name | Ajay K Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992943450 PECOS PAC ID: 9335290717 Enrollment ID: I20120821001149 |
| Provider Name | Latara C Carney Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508125352 PECOS PAC ID: 2365699352 Enrollment ID: I20120827000465 |
| Provider Name | Alvaro A Puig-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003064270 PECOS PAC ID: 2860649878 Enrollment ID: I20120827000673 |
| Provider Name | Padmavathi Murakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285906602 PECOS PAC ID: 1254588809 Enrollment ID: I20120904000491 |
| Provider Name | Maxwell I Ginsburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730324492 PECOS PAC ID: 8426214735 Enrollment ID: I20120906000373 |
| Provider Name | Rebecca P Spofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859858 PECOS PAC ID: 3577710490 Enrollment ID: I20120906000396 |
| Provider Name | Juan Maria Sanfuentes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699932392 PECOS PAC ID: 8820266786 Enrollment ID: I20120914000629 |
| Provider Name | Teresa M Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790910347 PECOS PAC ID: 4385807890 Enrollment ID: I20121002000482 |
| Provider Name | Rene Moncion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609181130 PECOS PAC ID: 7911170899 Enrollment ID: I20121024000798 |
| Provider Name | John Ventura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881665966 PECOS PAC ID: 8729239488 Enrollment ID: I20121107000094 |
| Provider Name | Elaine Y Fan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679896591 PECOS PAC ID: 0749473023 Enrollment ID: I20121218000151 |
| Provider Name | Arjun H Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326276619 PECOS PAC ID: 6608028741 Enrollment ID: I20121218000323 |
| Provider Name | Rawiya Elrufay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427182047 PECOS PAC ID: 8123213733 Enrollment ID: I20121227000392 |
| Provider Name | Shabina Afridi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487890497 PECOS PAC ID: 4981735875 Enrollment ID: I20121231000219 |
| Provider Name | Paul K Zelensky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891077210 PECOS PAC ID: 0244405819 Enrollment ID: I20130207000396 |
| Provider Name | Tylan A Muncy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609036649 PECOS PAC ID: 1254585532 Enrollment ID: I20130214000406 |
| Provider Name | Kelly E King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861408932 PECOS PAC ID: 5395724967 Enrollment ID: I20130226000341 |
| Provider Name | Chanda Yaqub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740596469 PECOS PAC ID: 3577759208 Enrollment ID: I20130409000300 |
| Provider Name | Sai Diwakar Kuchibhotla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548570039 PECOS PAC ID: 7911196472 Enrollment ID: I20130424000837 |
| Provider Name | Khizra A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650073 PECOS PAC ID: 4183860877 Enrollment ID: I20130425000315 |
| Provider Name | Imran Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558692707 PECOS PAC ID: 9638365935 Enrollment ID: I20130531000422 |
| Provider Name | James K Palma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700866357 PECOS PAC ID: 8224197009 Enrollment ID: I20130608000146 |
| Provider Name | Hasan Ahmad Chaudhary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205150182 PECOS PAC ID: 0648418830 Enrollment ID: I20130708000799 |
| Provider Name | Jennifer L Kahner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063739472 PECOS PAC ID: 5991945586 Enrollment ID: I20130709000835 |
| Provider Name | Charles R Sheldon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316258932 PECOS PAC ID: 7911147285 Enrollment ID: I20130710000018 |
| Provider Name | Cathy A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881033199 PECOS PAC ID: 3072756493 Enrollment ID: I20130903000627 |
| Provider Name | Emily M Harbin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922324912 PECOS PAC ID: 9931343902 Enrollment ID: I20130912000290 |
| Provider Name | Leigh-anne L Slack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770716938 PECOS PAC ID: 3274777131 Enrollment ID: I20130917000544 |
| Provider Name | Kimberly Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932429099 PECOS PAC ID: 0446407183 Enrollment ID: I20130918000167 |
| Provider Name | Paolo A Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932101342 PECOS PAC ID: 3476796228 Enrollment ID: I20130919000624 |
| Provider Name | Stephanie Renae Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952742918 PECOS PAC ID: 9335383934 Enrollment ID: I20130923000181 |
| Provider Name | Carmen M Gill Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154642460 PECOS PAC ID: 7416191770 Enrollment ID: I20130926000682 |
| Provider Name | John Varghese Kottarathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477735439 PECOS PAC ID: 4082750484 Enrollment ID: I20131004000278 |
| Provider Name | Dora C Rioja-mazza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154575157 PECOS PAC ID: 6800959453 Enrollment ID: I20131011000641 |
| Provider Name | Basil J Vasilopoulos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932152634 PECOS PAC ID: 6305978263 Enrollment ID: I20131011001042 |
| Provider Name | Jared B Goldberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235356254 PECOS PAC ID: 4284709965 Enrollment ID: I20131015002101 |
| Provider Name | David H Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184788044 PECOS PAC ID: 4486705415 Enrollment ID: I20131016000331 |
| Provider Name | Martin H. Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730177999 PECOS PAC ID: 6204722150 Enrollment ID: I20131016001225 |
| Provider Name | Lydia G Haile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932199676 PECOS PAC ID: 5799846812 Enrollment ID: I20131016001230 |
| Provider Name | Srilatha Cherlakola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932242377 PECOS PAC ID: 2264579309 Enrollment ID: I20131016001513 |
| Provider Name | Sajana Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629347166 PECOS PAC ID: 8820253735 Enrollment ID: I20131016001760 |
| Provider Name | Kathleen P Kelly |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851365878 PECOS PAC ID: 2567404114 Enrollment ID: I20131016001769 |
| Provider Name | Joseph A Stiskal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477526226 PECOS PAC ID: 8123183001 Enrollment ID: I20131016001912 |
| Provider Name | John Schnabel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336103027 PECOS PAC ID: 8123034873 Enrollment ID: I20131028000032 |
| Provider Name | Peter F Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407835853 PECOS PAC ID: 5395812853 Enrollment ID: I20131028001516 |
| Provider Name | Jennifer M Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699900928 PECOS PAC ID: 1759547573 Enrollment ID: I20131029000010 |
| Provider Name | Sujatha Ramaseshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720272149 PECOS PAC ID: 1557449725 Enrollment ID: I20131029000026 |
| Provider Name | Laura Kharsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598993552 PECOS PAC ID: 3870729775 Enrollment ID: I20131125000924 |
| Provider Name | Christian Zuver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194843367 PECOS PAC ID: 5890887830 Enrollment ID: I20131226000525 |
| Provider Name | Demetria Y Austin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093700445 PECOS PAC ID: 0749312767 Enrollment ID: I20140111000108 |
| Provider Name | Belay S Birhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881024859 PECOS PAC ID: 8628206877 Enrollment ID: I20140114001409 |
| Provider Name | Erin C Connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346512274 PECOS PAC ID: 2961664321 Enrollment ID: I20140207000977 |
| Provider Name | Dalia Saha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033311204 PECOS PAC ID: 9830344043 Enrollment ID: I20140225001642 |
| Provider Name | Lauren Gregg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316181852 PECOS PAC ID: 3577703248 Enrollment ID: I20140310001007 |
| Provider Name | Saeed M Jadali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245526847 PECOS PAC ID: 2466683487 Enrollment ID: I20140314001401 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20140410000021 |
| Provider Name | Sorin C Laza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124036736 PECOS PAC ID: 0840298113 Enrollment ID: I20140421000075 |
| Provider Name | Sridevi Mannem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066346 PECOS PAC ID: 7517190390 Enrollment ID: I20140501000699 |
| Provider Name | Ravinder Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871721928 PECOS PAC ID: 9931363009 Enrollment ID: I20140708000886 |
| Provider Name | Comfort A Amoh Tonto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861710915 PECOS PAC ID: 6305062829 Enrollment ID: I20140729000072 |
| Provider Name | Adam Wali Hamidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215241377 PECOS PAC ID: 4587836689 Enrollment ID: I20140730000339 |
| Provider Name | Saad Amin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134410020 PECOS PAC ID: 8325264427 Enrollment ID: I20140730000989 |
| Provider Name | Zachary Todd Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215134762 PECOS PAC ID: 4688814445 Enrollment ID: I20140731001461 |
| Provider Name | Jennifer Michelle Wolf Stuth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790915791 PECOS PAC ID: 3870742398 Enrollment ID: I20140812002450 |
| Provider Name | Jahnavi Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649594227 PECOS PAC ID: 7517138167 Enrollment ID: I20140820002249 |
| Provider Name | Joleen N Liburd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134423866 PECOS PAC ID: 8325289903 Enrollment ID: I20140902000203 |
| Provider Name | Sharita N Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598055642 PECOS PAC ID: 4385862440 Enrollment ID: I20140902002013 |
| Provider Name | Kwadwo Ofori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124335872 PECOS PAC ID: 3870711765 Enrollment ID: I20140908000762 |
| Provider Name | Charles I Beaudette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164657953 PECOS PAC ID: 0345405973 Enrollment ID: I20140918002109 |
| Provider Name | Aswani Suthrave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013942341 PECOS PAC ID: 9638176506 Enrollment ID: I20140922002072 |
| Provider Name | Adrian D Parasca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760701478 PECOS PAC ID: 8729231048 Enrollment ID: I20140922002214 |
| Provider Name | Gurkiran K Sardar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053610394 PECOS PAC ID: 1557580206 Enrollment ID: I20140930000416 |
| Provider Name | Mustafa Saidi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760795611 PECOS PAC ID: 9032235379 Enrollment ID: I20141013000122 |
| Provider Name | Constance See-wei Kwan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366734626 PECOS PAC ID: 8022259498 Enrollment ID: I20141015000636 |
| Provider Name | Amanda F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215215009 PECOS PAC ID: 9436370152 Enrollment ID: I20141022001772 |
| Provider Name | Joseph Anthony Destefano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841032 PECOS PAC ID: 4688669526 Enrollment ID: I20141024000467 |
| Provider Name | Bethany Byrd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639465222 PECOS PAC ID: 6103043245 Enrollment ID: I20141028002000 |
| Provider Name | Werksew Tesfaye Turi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821377458 PECOS PAC ID: 4486883717 Enrollment ID: I20141106001733 |
| Provider Name | Omar M Kolonda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548476393 PECOS PAC ID: 1658405964 Enrollment ID: I20141111000715 |
| Provider Name | Katherine Bevan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790954048 PECOS PAC ID: 7719047620 Enrollment ID: I20141121001722 |
| Provider Name | Obiora Jude Ofole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902043490 PECOS PAC ID: 3375716038 Enrollment ID: I20141124002438 |
| Provider Name | Matthew Stephen Berniard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104106236 PECOS PAC ID: 0941522874 Enrollment ID: I20141204000980 |
| Provider Name | Harriet Hodgkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097080 PECOS PAC ID: 1658443288 Enrollment ID: I20141213000250 |
| Provider Name | Nelson Airewele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
| Provider Name | Brent M Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407146657 PECOS PAC ID: 6800036534 Enrollment ID: I20141229000108 |
| Provider Name | Deborah L Boan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649670654 PECOS PAC ID: 1951624832 Enrollment ID: I20141229002115 |
| Provider Name | Marko Toshich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285903609 PECOS PAC ID: 6305169939 Enrollment ID: I20150106001377 |
| Provider Name | Amanda Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936761 PECOS PAC ID: 8123250388 Enrollment ID: I20150109001285 |
| Provider Name | Shoreh S Irani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952525107 PECOS PAC ID: 5597934364 Enrollment ID: I20150114001830 |
| Provider Name | Timothy J Doherty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467613422 PECOS PAC ID: 6002077302 Enrollment ID: I20150122000469 |
| Provider Name | Nafis Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396970414 PECOS PAC ID: 2567600596 Enrollment ID: I20150126000156 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20150127000306 |
| Provider Name | Mia C Watts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508825928 PECOS PAC ID: 0143206797 Enrollment ID: I20150128000528 |
| Provider Name | Yalemwork Yigzaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677394 PECOS PAC ID: 9931423605 Enrollment ID: I20150129000454 |
| Provider Name | Kenneth James Welch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578511044 PECOS PAC ID: 7618031576 Enrollment ID: I20150129001001 |
| Provider Name | Dharmesh Ravjibhai Sanghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780977728 PECOS PAC ID: 0345565628 Enrollment ID: I20150207000457 |
| Provider Name | Jan A Zarefoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497143481 PECOS PAC ID: 1759606478 Enrollment ID: I20150220000984 |
| Provider Name | Dana L Robinson-street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235250218 PECOS PAC ID: 4789833781 Enrollment ID: I20150225001030 |
| Provider Name | Betsy M Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497913651 PECOS PAC ID: 0345396453 Enrollment ID: I20150302001964 |
| Provider Name | Radha M Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326359035 PECOS PAC ID: 4880818293 Enrollment ID: I20150323002152 |
| Provider Name | Margaret-anne M Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609059005 PECOS PAC ID: 2668493867 Enrollment ID: I20150325001420 |
| Provider Name | Yusuf Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073593885 PECOS PAC ID: 6406860295 Enrollment ID: I20150415002350 |
| Provider Name | Amira Khokar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609080761 PECOS PAC ID: 9739235367 Enrollment ID: I20150427002319 |
| Provider Name | Jennifer E Dunlavy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861419871 PECOS PAC ID: 9133296650 Enrollment ID: I20150427002422 |
| Provider Name | Olga P Mischenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780025668 PECOS PAC ID: 4183858160 Enrollment ID: I20150618002647 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20150630001258 |
| Provider Name | Pardeep Khatri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164781936 PECOS PAC ID: 3072827393 Enrollment ID: I20150730013535 |
| Provider Name | Jaime S Argila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790041614 PECOS PAC ID: 1557683190 Enrollment ID: I20150806012571 |
| Provider Name | Gwendolyn Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851681316 PECOS PAC ID: 9830416270 Enrollment ID: I20150810001931 |
| Provider Name | George F Glass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851657225 PECOS PAC ID: 1951526433 Enrollment ID: I20150811005513 |
| Provider Name | Ali Al-saadoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316209067 PECOS PAC ID: 3678714946 Enrollment ID: I20150813012282 |
| Provider Name | Ardalan Enkeshafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003000126 PECOS PAC ID: 7517003643 Enrollment ID: I20150824000105 |
| Provider Name | Megan A Redmond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184914673 PECOS PAC ID: 2466681937 Enrollment ID: I20150828001184 |
| Provider Name | Khoi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578820841 PECOS PAC ID: 4587970744 Enrollment ID: I20150902001664 |
| Provider Name | Leslie Arron Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194082495 PECOS PAC ID: 3577719798 Enrollment ID: I20150909001787 |
| Provider Name | Sarah C Halvorsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700260825 PECOS PAC ID: 4688981830 Enrollment ID: I20150921001113 |
| Provider Name | Thomas E Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780064303 PECOS PAC ID: 2769799899 Enrollment ID: I20150922001080 |
| Provider Name | Alina Marie Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770849622 PECOS PAC ID: 7012224140 Enrollment ID: I20150922001136 |
| Provider Name | Craig M Sharkey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578850889 PECOS PAC ID: 3375768062 Enrollment ID: I20150923003413 |
| Provider Name | Woldecherkos Abebe Shibeshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669639282 PECOS PAC ID: 4183760010 Enrollment ID: I20151001000587 |
| Provider Name | Brendan D Mccay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437412293 PECOS PAC ID: 6204738982 Enrollment ID: I20151001002348 |
| Provider Name | Katherine L Mostrag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336543404 PECOS PAC ID: 2961725726 Enrollment ID: I20151013000677 |
| Provider Name | Sejal Bavishi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629334859 PECOS PAC ID: 3678887296 Enrollment ID: I20151020001110 |
| Provider Name | Stacie L Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053672584 PECOS PAC ID: 7012158470 Enrollment ID: I20151021001453 |
| Provider Name | Jeyandra Selvam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982955142 PECOS PAC ID: 5395054811 Enrollment ID: I20151023002398 |
| Provider Name | Alpa V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265669816 PECOS PAC ID: 3375797285 Enrollment ID: I20151030000398 |
| Provider Name | Emily L Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851655252 PECOS PAC ID: 5698099653 Enrollment ID: I20151102002890 |
| Provider Name | John W Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235484932 PECOS PAC ID: 8820312994 Enrollment ID: I20151105002345 |
| Provider Name | Qian Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598080061 PECOS PAC ID: 5193965465 Enrollment ID: I20151112003101 |
| Provider Name | Zeleke Desse Kassahun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477536811 PECOS PAC ID: 9830189935 Enrollment ID: I20151119001270 |
| Provider Name | William Glenn Masius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063460228 PECOS PAC ID: 2163589870 Enrollment ID: I20151121000233 |
| Provider Name | Andrew J Forgash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174567911 PECOS PAC ID: 1557365947 Enrollment ID: I20151123001481 |
| Provider Name | Christopher T Luttig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346533866 PECOS PAC ID: 4385884147 Enrollment ID: I20151124000360 |
| Provider Name | Arwa A Hussain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831459148 PECOS PAC ID: 3678883329 Enrollment ID: I20151124000578 |
| Provider Name | Meagan Theresa Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265798607 PECOS PAC ID: 2365763430 Enrollment ID: I20151201001755 |
| Provider Name | Stephanie N Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568897726 PECOS PAC ID: 4284861741 Enrollment ID: I20151214000199 |
| Provider Name | Michelle M Brooks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982693222 PECOS PAC ID: 4183758428 Enrollment ID: I20151217001791 |
| Provider Name | Michael David Longo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528053600 PECOS PAC ID: 4789762261 Enrollment ID: I20151223000198 |
| Provider Name | David Kosturakis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952669277 PECOS PAC ID: 5496995953 Enrollment ID: I20160107001441 |
| Provider Name | Byron O Whyte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720255649 PECOS PAC ID: 3577785492 Enrollment ID: I20160107002383 |
| Provider Name | Shubhada Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194072090 PECOS PAC ID: 5496907305 Enrollment ID: I20160112003058 |
| Provider Name | Ardeshir Davoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245470004 PECOS PAC ID: 9638357478 Enrollment ID: I20160112003217 |
| Provider Name | Syed S Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477596104 PECOS PAC ID: 6709819832 Enrollment ID: I20160113001191 |
| Provider Name | Viet H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245406636 PECOS PAC ID: 5496933368 Enrollment ID: I20160113002741 |
| Provider Name | Tarak C Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316176761 PECOS PAC ID: 6305999566 Enrollment ID: I20160113003085 |
| Provider Name | Alix Kathaleen Mcdonald-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659576023 PECOS PAC ID: 4385737832 Enrollment ID: I20160120002416 |
| Provider Name | Deonza Thymes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336175611 PECOS PAC ID: 1153340039 Enrollment ID: I20160125000000 |
| Provider Name | Suchismita Datta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972862118 PECOS PAC ID: 3274848239 Enrollment ID: I20160126002311 |
| Provider Name | Rizwan A Kundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861757387 PECOS PAC ID: 3274753025 Enrollment ID: I20160127001530 |
| Provider Name | Jason A Massignan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700197548 PECOS PAC ID: 0648404830 Enrollment ID: I20160208001374 |
| Provider Name | Paola M Palomino Guillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962703652 PECOS PAC ID: 6002074614 Enrollment ID: I20160216000411 |
| Provider Name | Sanford Glikin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588617062 PECOS PAC ID: 1951321835 Enrollment ID: I20160223001502 |
| Provider Name | Jeanhyong D Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558628164 PECOS PAC ID: 4183856750 Enrollment ID: I20160323001674 |
| Provider Name | Tina M Latimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831235340 PECOS PAC ID: 6709938582 Enrollment ID: I20160401001673 |
| Provider Name | Jason D Adler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376751115 PECOS PAC ID: 2365574704 Enrollment ID: I20160407002036 |
| Provider Name | Jocelyn Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619176898 PECOS PAC ID: 1850558727 Enrollment ID: I20160413000289 |
| Provider Name | Megan Elizabeth Robins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174980676 PECOS PAC ID: 8527366004 Enrollment ID: I20160418000243 |
| Provider Name | Stanley O Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407117724 PECOS PAC ID: 4385940642 Enrollment ID: I20160419001029 |
| Provider Name | Angela P Fetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093128530 PECOS PAC ID: 7517188113 Enrollment ID: I20160419001548 |
| Provider Name | Elizabeth Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366761892 PECOS PAC ID: 5193950590 Enrollment ID: I20160425000696 |
| Provider Name | Anantha Krishna Mallia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174698344 PECOS PAC ID: 1850461567 Enrollment ID: I20160426000825 |
| Provider Name | Emily A Lozano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053392092 PECOS PAC ID: 3476677212 Enrollment ID: I20160428001064 |
| Provider Name | Alan L Causey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669408902 PECOS PAC ID: 2769426113 Enrollment ID: I20160429001889 |
| Provider Name | Colin B Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189417 PECOS PAC ID: 6608165964 Enrollment ID: I20160510002196 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20160516001507 |
| Provider Name | John A Shaner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659634269 PECOS PAC ID: 1557594298 Enrollment ID: I20160517000258 |
| Provider Name | Patricia Chinyere Onuegbu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174811848 PECOS PAC ID: 8426377789 Enrollment ID: I20160518000237 |
| Provider Name | Guy P Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467405548 PECOS PAC ID: 2567659071 Enrollment ID: I20160518001663 |
| Provider Name | Laura M Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043610355 PECOS PAC ID: 2860799038 Enrollment ID: I20160518002527 |
| Provider Name | Mounika Tummala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437462413 PECOS PAC ID: 3072741636 Enrollment ID: I20160616001027 |
| Provider Name | Gregory A Marinkovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417020264 PECOS PAC ID: 2860782448 Enrollment ID: I20160706001590 |
| Provider Name | Daphne P Morrison Ponce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891094223 PECOS PAC ID: 1759548670 Enrollment ID: I20160718001974 |
| Provider Name | Joseph Kyle Swingle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851730840 PECOS PAC ID: 1658693353 Enrollment ID: I20160721000612 |
| Provider Name | Madhu Borra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780871624 PECOS PAC ID: 0840377982 Enrollment ID: I20160725002287 |
| Provider Name | Sadiya Naseem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508247230 PECOS PAC ID: 4587957287 Enrollment ID: I20160726002867 |
| Provider Name | Hima R Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124388632 PECOS PAC ID: 2860718061 Enrollment ID: I20160805001755 |
| Provider Name | Furhan Rashid Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20160805002349 |
| Provider Name | Ravneet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609160290 PECOS PAC ID: 9537398102 Enrollment ID: I20160809001337 |
| Provider Name | Brittany Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407290919 PECOS PAC ID: 0345542411 Enrollment ID: I20160809001763 |
| Provider Name | Tonya A Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801244165 PECOS PAC ID: 8921392150 Enrollment ID: I20160810001171 |
| Provider Name | Justin M Rizer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689917411 PECOS PAC ID: 8123256070 Enrollment ID: I20160811001948 |
| Provider Name | Russell Jay Goldstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699112219 PECOS PAC ID: 1850684978 Enrollment ID: I20160826000999 |
| Provider Name | Seema M Bhansali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942482633 PECOS PAC ID: 9133272370 Enrollment ID: I20160829000272 |
| Provider Name | N'deevaw Artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194177527 PECOS PAC ID: 1153616982 Enrollment ID: I20160906002456 |
| Provider Name | Neeraja T Murali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659635670 PECOS PAC ID: 7911140892 Enrollment ID: I20160907002663 |
| Provider Name | Andrew Michael Ramsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639514243 PECOS PAC ID: 1759692320 Enrollment ID: I20160912000515 |
| Provider Name | Eric J Ahlers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023452083 PECOS PAC ID: 8628200524 Enrollment ID: I20160912001084 |
| Provider Name | Emily J Ahlers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770927592 PECOS PAC ID: 3072744481 Enrollment ID: I20160912001384 |
| Provider Name | Crystal Mae Michelle Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215386222 PECOS PAC ID: 0143516344 Enrollment ID: I20160915000023 |
| Provider Name | Jafer Abidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356784102 PECOS PAC ID: 3072743400 Enrollment ID: I20160927003041 |
| Provider Name | Jennifer Prince |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811296288 PECOS PAC ID: 9638399314 Enrollment ID: I20160928002639 |
| Provider Name | Uyen V Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124360995 PECOS PAC ID: 4789972530 Enrollment ID: I20161011000188 |
| Provider Name | Joran Sequeira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548503766 PECOS PAC ID: 3072740844 Enrollment ID: I20161018001808 |
| Provider Name | Esteban Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352819 PECOS PAC ID: 7315943131 Enrollment ID: I20161026000690 |
| Provider Name | Vidya R Raju |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225471675 PECOS PAC ID: 3375858269 Enrollment ID: I20161027001632 |
| Provider Name | Floyd D Howell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124253240 PECOS PAC ID: 7315196771 Enrollment ID: I20161103000225 |
| Provider Name | Lindsay Ann Freeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750518726 PECOS PAC ID: 3476791427 Enrollment ID: I20161103000590 |
| Provider Name | Jennifer L Termeer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952535494 PECOS PAC ID: 3971739426 Enrollment ID: I20161118001460 |
| Provider Name | Mir A Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053676858 PECOS PAC ID: 7810123551 Enrollment ID: I20161122002355 |
| Provider Name | David Champ |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013977990 PECOS PAC ID: 9133349541 Enrollment ID: I20161128000954 |
| Provider Name | Theodros H Gebremeskel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215367008 PECOS PAC ID: 6305127440 Enrollment ID: I20170103000763 |
| Provider Name | Ruben A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700281086 PECOS PAC ID: 4385925189 Enrollment ID: I20170111000000 |
| Provider Name | Joel C Locsin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417406562 PECOS PAC ID: 5991086696 Enrollment ID: I20170111000138 |
| Provider Name | Steven Troncone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346536331 PECOS PAC ID: 2466672266 Enrollment ID: I20170112001823 |
| Provider Name | John Verghese Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225394786 PECOS PAC ID: 3577871144 Enrollment ID: I20170124002153 |
| Provider Name | Amardeep Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013917251 PECOS PAC ID: 0749172278 Enrollment ID: I20170127001813 |
| Provider Name | Edwan Tifuh Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508213398 PECOS PAC ID: 6608159363 Enrollment ID: I20170203001785 |
| Provider Name | Melanie M Vedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497206601 PECOS PAC ID: 6002199528 Enrollment ID: I20170208000328 |
| Provider Name | Shari K Griffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215276720 PECOS PAC ID: 3072749670 Enrollment ID: I20170221000891 |
| Provider Name | Mahkameh Farhadi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235404740 PECOS PAC ID: 3173770245 Enrollment ID: I20170322000931 |
| Provider Name | Darlene Frances Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659506954 PECOS PAC ID: 1254616147 Enrollment ID: I20170327001916 |
| Provider Name | Michael W Cieslinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093135196 PECOS PAC ID: 0446549992 Enrollment ID: I20170404000345 |
| Provider Name | Heather A Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194262923 PECOS PAC ID: 6002192739 Enrollment ID: I20170413000318 |
| Provider Name | Dongjin Sung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114231198 PECOS PAC ID: 9032422100 Enrollment ID: I20170502001198 |
| Provider Name | Omid Entezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235361007 PECOS PAC ID: 0446401905 Enrollment ID: I20170502002321 |
| Provider Name | Madhavi Davuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487979530 PECOS PAC ID: 7719174788 Enrollment ID: I20170522001951 |
| Provider Name | Keisha Q James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660655 PECOS PAC ID: 8123395282 Enrollment ID: I20170522002081 |
| Provider Name | Michele L Lattimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568904399 PECOS PAC ID: 6507133592 Enrollment ID: I20170523000778 |
| Provider Name | Sheldon Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679711956 PECOS PAC ID: 7113061243 Enrollment ID: I20170606003032 |
| Provider Name | Karen Woolsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558728055 PECOS PAC ID: 7416254776 Enrollment ID: I20170607002646 |
| Provider Name | Martha Giddings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265975981 PECOS PAC ID: 5092096024 Enrollment ID: I20170609001698 |
| Provider Name | Vincent Nardone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720490683 PECOS PAC ID: 0143449090 Enrollment ID: I20170621003118 |
| Provider Name | Tanya Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669628673 PECOS PAC ID: 1153487533 Enrollment ID: I20170629002812 |
| Provider Name | Andrew Schulden Frei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487065413 PECOS PAC ID: 6103195706 Enrollment ID: I20170712003007 |
| Provider Name | Anthony Coppola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376836205 PECOS PAC ID: 8426279084 Enrollment ID: I20170714002750 |
| Provider Name | Sherron M Benn-thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124065784 PECOS PAC ID: 6204800196 Enrollment ID: I20170724000114 |
| Provider Name | Vincent E Monseau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780683847 PECOS PAC ID: 6002852548 Enrollment ID: I20170726004117 |
| Provider Name | Chang B Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912907593 PECOS PAC ID: 5294796827 Enrollment ID: I20170801000761 |
| Provider Name | Bradley K Moyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740201490 PECOS PAC ID: 7618974106 Enrollment ID: I20170810002151 |
| Provider Name | Shannon L Emerick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760800684 PECOS PAC ID: 5193096253 Enrollment ID: I20170815002571 |
| Provider Name | Ted Fan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225471998 PECOS PAC ID: 8022388586 Enrollment ID: I20170816001847 |
| Provider Name | Kimberly Dong-lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164840583 PECOS PAC ID: 7810267747 Enrollment ID: I20170818001820 |
| Provider Name | Varun K Golla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578856910 PECOS PAC ID: 9032331186 Enrollment ID: I20170821000982 |
| Provider Name | Breanne M Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962820910 PECOS PAC ID: 5092017384 Enrollment ID: I20170821001189 |
| Provider Name | Dawit G Mekonnen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518065374 PECOS PAC ID: 6507833704 Enrollment ID: I20170822002421 |
| Provider Name | Anne Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740412972 PECOS PAC ID: 6709011034 Enrollment ID: I20170823001962 |
| Provider Name | Saeed Tarokh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912992967 PECOS PAC ID: 4082630090 Enrollment ID: I20170829001013 |
| Provider Name | Mary J Begole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457799918 PECOS PAC ID: 1456588870 Enrollment ID: I20170901001980 |
| Provider Name | Bryant P Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861811796 PECOS PAC ID: 8820394521 Enrollment ID: I20170906002211 |
| Provider Name | Trisha D Anest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962791103 PECOS PAC ID: 5698924702 Enrollment ID: I20170913001461 |
| Provider Name | Dennis R Kane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851456891 PECOS PAC ID: 4183753775 Enrollment ID: I20170914001452 |
| Provider Name | Justin A Walters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124264205 PECOS PAC ID: 6406029545 Enrollment ID: I20170920002513 |
| Provider Name | Adam P Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114293107 PECOS PAC ID: 5496068769 Enrollment ID: I20170920003018 |
| Provider Name | Kylie Conroy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841604626 PECOS PAC ID: 3870867914 Enrollment ID: I20170927004650 |
| Provider Name | Henry Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720304603 PECOS PAC ID: 1850531518 Enrollment ID: I20171002002266 |
| Provider Name | Mojgan Ghazirad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962669176 PECOS PAC ID: 0648413534 Enrollment ID: I20171002003058 |
| Provider Name | Nathaniel A Arnatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902327802 PECOS PAC ID: 1850666702 Enrollment ID: I20171003007525 |
| Provider Name | Ruthann E Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538698527 PECOS PAC ID: 4082988076 Enrollment ID: I20171004001894 |
| Provider Name | Rebecca J Fay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568628121 PECOS PAC ID: 4284890112 Enrollment ID: I20171004003009 |
| Provider Name | Aaron C Rudd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346650991 PECOS PAC ID: 4789959537 Enrollment ID: I20171004003695 |
| Provider Name | Mohannad Jabbari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295140051 PECOS PAC ID: 7315165164 Enrollment ID: I20171005000579 |
| Provider Name | Kelvin Adjei Twum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992143788 PECOS PAC ID: 9931402971 Enrollment ID: I20171009000489 |
| Provider Name | Cheryl Ann Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912178591 PECOS PAC ID: 1557411261 Enrollment ID: I20171013001749 |
| Provider Name | Kathryn Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053834960 PECOS PAC ID: 3971879099 Enrollment ID: I20171017003477 |
| Provider Name | Joanne E Broomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295265007 PECOS PAC ID: 4183990997 Enrollment ID: I20171024000008 |
| Provider Name | Gina L Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497277396 PECOS PAC ID: 3870869688 Enrollment ID: I20171024000203 |
| Provider Name | Bertha Elvira Sanchez Valdivieso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356571236 PECOS PAC ID: 0042462947 Enrollment ID: I20171024003696 |
| Provider Name | Ahmed A Kardar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568879476 PECOS PAC ID: 9931475217 Enrollment ID: I20171101001850 |
| Provider Name | Ryan Kent Mcbeth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376832709 PECOS PAC ID: 3072743277 Enrollment ID: I20171101002587 |
| Provider Name | Pamela Royall Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518483023 PECOS PAC ID: 8820354822 Enrollment ID: I20171107003531 |
| Provider Name | Michael Y Ghim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083649289 PECOS PAC ID: 1951320159 Enrollment ID: I20171128002937 |
| Provider Name | Tinbit S Abebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993762 PECOS PAC ID: 5092071639 Enrollment ID: I20171204000442 |
| Provider Name | Chanel A Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316173081 PECOS PAC ID: 7214183813 Enrollment ID: I20171204001837 |
| Provider Name | Tanja Zlatkovic Zanin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205128840 PECOS PAC ID: 9234450719 Enrollment ID: I20171206003536 |
| Provider Name | Michael J Fleming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962842880 PECOS PAC ID: 6002047974 Enrollment ID: I20171211000601 |
| Provider Name | Freud M Milice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447660410 PECOS PAC ID: 5799043048 Enrollment ID: I20171214002816 |
| Provider Name | Antonio Chantill Capps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548559693 PECOS PAC ID: 8022258821 Enrollment ID: I20171218001009 |
| Provider Name | Rebecca L Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023344876 PECOS PAC ID: 2062661804 Enrollment ID: I20171221000606 |
| Provider Name | Nidal Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20171228002724 |
| Provider Name | Mazin F Haddadin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346285459 PECOS PAC ID: 6608838768 Enrollment ID: I20180103001930 |
| Provider Name | Talisha Devon Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972012565 PECOS PAC ID: 3173882602 Enrollment ID: I20180109000925 |
| Provider Name | Brian G Klokeid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609818111 PECOS PAC ID: 9537184601 Enrollment ID: I20180123001485 |
| Provider Name | Rachel B Frisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770001075 PECOS PAC ID: 0345500716 Enrollment ID: I20180202000439 |
| Provider Name | James A Sirleaf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609895366 PECOS PAC ID: 1759289416 Enrollment ID: I20180202001922 |
| Provider Name | Akua Essiam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275821803 PECOS PAC ID: 0749407344 Enrollment ID: I20180203000078 |
| Provider Name | Andrea Munro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710248463 PECOS PAC ID: 2062720089 Enrollment ID: I20180207000786 |
| Provider Name | Michael E Rowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619081205 PECOS PAC ID: 8729084462 Enrollment ID: I20180209001453 |
| Provider Name | Anand S Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700204310 PECOS PAC ID: 2365748597 Enrollment ID: I20180213002204 |
| Provider Name | Jennifer Mary Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881004869 PECOS PAC ID: 2961776844 Enrollment ID: I20180302001001 |
| Provider Name | Michael K Kerr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669460515 PECOS PAC ID: 5890769848 Enrollment ID: I20180308002488 |
| Provider Name | Brian Dye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417344458 PECOS PAC ID: 4880900596 Enrollment ID: I20180320002994 |
| Provider Name | Sausheen Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952544587 PECOS PAC ID: 7416195706 Enrollment ID: I20180323000261 |
| Provider Name | Pejman Farhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992933345 PECOS PAC ID: 1557519410 Enrollment ID: I20180329000037 |
| Provider Name | Daniel R Micheller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831537182 PECOS PAC ID: 9931402898 Enrollment ID: I20180330000490 |
| Provider Name | Victoria A Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982063426 PECOS PAC ID: 3779871454 Enrollment ID: I20180402000980 |
| Provider Name | Ahmed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639560162 PECOS PAC ID: 1456667088 Enrollment ID: I20180410000841 |
| Provider Name | Brett S Ambroson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952715500 PECOS PAC ID: 3779846498 Enrollment ID: I20180411001285 |
| Provider Name | Ghassan Ilaiwy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588059752 PECOS PAC ID: 6103180203 Enrollment ID: I20180425001780 |
| Provider Name | Orion J Colfer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972611937 PECOS PAC ID: 3577539998 Enrollment ID: I20180426001278 |
| Provider Name | Jennifer Latasha Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447765573 PECOS PAC ID: 6800150004 Enrollment ID: I20180515001687 |
| Provider Name | Luis E Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740249853 PECOS PAC ID: 7214927631 Enrollment ID: I20180530001970 |
| Provider Name | Justin W Ryel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518278332 PECOS PAC ID: 8325281033 Enrollment ID: I20180601001648 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528306586 PECOS PAC ID: 9436469657 Enrollment ID: I20180625001303 |
| Provider Name | Patrick Joseph Bourke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598177818 PECOS PAC ID: 4587880521 Enrollment ID: I20180712002300 |
| Provider Name | Oumoul Khairi Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619358942 PECOS PAC ID: 2466744180 Enrollment ID: I20180730002312 |
| Provider Name | Kristi Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841647120 PECOS PAC ID: 7416249990 Enrollment ID: I20180806001437 |
| Provider Name | Matthew C Bombard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841617446 PECOS PAC ID: 1557581204 Enrollment ID: I20180808002433 |
| Provider Name | Brooke Harris Lindborg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447646211 PECOS PAC ID: 9830499953 Enrollment ID: I20180809000101 |
| Provider Name | Sara Faiq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518451558 PECOS PAC ID: 7113274697 Enrollment ID: I20180809004858 |
| Provider Name | Bethany S Lacheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336638345 PECOS PAC ID: 7618226317 Enrollment ID: I20180814000169 |
| Provider Name | Vanessa A Banks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982016663 PECOS PAC ID: 6800014119 Enrollment ID: I20180814002787 |
| Provider Name | Benjamin Edward Liss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669819272 PECOS PAC ID: 4486947595 Enrollment ID: I20180814003080 |
| Provider Name | Nahom A Tegegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205222601 PECOS PAC ID: 5193014140 Enrollment ID: I20180815000750 |
| Provider Name | Leah Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952898157 PECOS PAC ID: 6002165651 Enrollment ID: I20180815002925 |
| Provider Name | Judah Hwang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902287568 PECOS PAC ID: 4385990688 Enrollment ID: I20180821000309 |
| Provider Name | Arica Gogol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548756505 PECOS PAC ID: 3274883053 Enrollment ID: I20180829003166 |
| Provider Name | Katharine S Catlett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568856565 PECOS PAC ID: 0244541878 Enrollment ID: I20180917001615 |
| Provider Name | Laura C Patitucci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427460153 PECOS PAC ID: 7416216049 Enrollment ID: I20180918001559 |
| Provider Name | Brandon B Nunnally |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235512708 PECOS PAC ID: 5092070755 Enrollment ID: I20180920001807 |
| Provider Name | Rachael S Slivka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245472265 PECOS PAC ID: 5698931616 Enrollment ID: I20180920002744 |
| Provider Name | My Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659798122 PECOS PAC ID: 3173822582 Enrollment ID: I20181002001256 |
| Provider Name | Alexander M Eisen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366490682 PECOS PAC ID: 6204186133 Enrollment ID: I20181002002018 |
| Provider Name | Richard B Menaik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801153317 PECOS PAC ID: 3678857117 Enrollment ID: I20181002002800 |
| Provider Name | Matthew Hays Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497142426 PECOS PAC ID: 5991026809 Enrollment ID: I20181017003300 |
| Provider Name | Karen L Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063993228 PECOS PAC ID: 0840543120 Enrollment ID: I20181102002254 |
| Provider Name | Kristen N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295213049 PECOS PAC ID: 9537411343 Enrollment ID: I20181113001555 |
| Provider Name | Fozia Abdulwahabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386763373 PECOS PAC ID: 2668572728 Enrollment ID: I20181114001429 |
| Provider Name | Abigail Amuquandoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669951869 PECOS PAC ID: 6800140153 Enrollment ID: I20181126003273 |
| Provider Name | Osman J Qaiyum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851774327 PECOS PAC ID: 1456657154 Enrollment ID: I20181203000146 |
| Provider Name | Kesha L Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972538213 PECOS PAC ID: 6305849837 Enrollment ID: I20181203002386 |
| Provider Name | Arin Piramzadian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568780591 PECOS PAC ID: 0840431995 Enrollment ID: I20181210002435 |
| Provider Name | James Michael Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669948386 PECOS PAC ID: 8527303783 Enrollment ID: I20181218000028 |
| Provider Name | Seyed Ali Shams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407941891 PECOS PAC ID: 4688621568 Enrollment ID: I20190102000999 |
| Provider Name | Larissa Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225506397 PECOS PAC ID: 9133466592 Enrollment ID: I20190123004265 |
| Provider Name | Sarah P Cliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225521529 PECOS PAC ID: 6800133034 Enrollment ID: I20190128000025 |
| Provider Name | Benson Garrick Messer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871752055 PECOS PAC ID: 9234313222 Enrollment ID: I20190130002096 |
| Provider Name | Sean R Mlodzinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013362219 PECOS PAC ID: 4587958053 Enrollment ID: I20190201001462 |
| Provider Name | Amanda N Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215480595 PECOS PAC ID: 8921385675 Enrollment ID: I20190205000839 |
| Provider Name | Jane Elizabeth Curry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558418046 PECOS PAC ID: 8729303441 Enrollment ID: I20190210000017 |
| Provider Name | Umair Sharih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952567547 PECOS PAC ID: 0749526549 Enrollment ID: I20190213001097 |
| Provider Name | Elizabeth Lawwill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366897803 PECOS PAC ID: 7113217167 Enrollment ID: I20190213001760 |
| Provider Name | Atousa Mahmoudzadeh Tabrizian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221449 PECOS PAC ID: 2860689197 Enrollment ID: I20190213002437 |
| Provider Name | Lauren R Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477908309 PECOS PAC ID: 8022302355 Enrollment ID: I20190218002960 |
| Provider Name | David A Michaels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982638342 PECOS PAC ID: 4688779283 Enrollment ID: I20190219000926 |
| Provider Name | Natasha Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962898700 PECOS PAC ID: 7113227174 Enrollment ID: I20190221000259 |
| Provider Name | Joshua Tobin Sigler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629444153 PECOS PAC ID: 2264782762 Enrollment ID: I20190304001446 |
| Provider Name | Emily M Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902293723 PECOS PAC ID: 4880995232 Enrollment ID: I20190305001186 |
| Provider Name | Casey Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900260 PECOS PAC ID: 9931449832 Enrollment ID: I20190312002375 |
| Provider Name | Muhammad Bhaty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548643687 PECOS PAC ID: 4385951821 Enrollment ID: I20190313003177 |
| Provider Name | Esther H Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043783715 PECOS PAC ID: 8224377791 Enrollment ID: I20190319000620 |
| Provider Name | Jaimin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261932 PECOS PAC ID: 5193027712 Enrollment ID: I20190328000020 |
| Provider Name | Joseph L Mazzei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497100705 PECOS PAC ID: 3779877790 Enrollment ID: I20190416003286 |
| Provider Name | Audwin Joseph Garcia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356550891 PECOS PAC ID: 0345314738 Enrollment ID: I20190417002619 |
| Provider Name | William E Bylund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407162019 PECOS PAC ID: 9032357918 Enrollment ID: I20190425000456 |
| Provider Name | Kareem Hinedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245276633 PECOS PAC ID: 8527015544 Enrollment ID: I20190430002505 |
| Provider Name | Joseph Palumbo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043478878 PECOS PAC ID: 3870630106 Enrollment ID: I20190506000296 |
| Provider Name | Fatima Z Aziz-ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041649 PECOS PAC ID: 3870488992 Enrollment ID: I20190514000063 |
| Provider Name | Stephen Ferraresi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131843 PECOS PAC ID: 5193031813 Enrollment ID: I20190515001200 |
| Provider Name | Alysha Nicole Bugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619435534 PECOS PAC ID: 4284977174 Enrollment ID: I20190516000711 |
| Provider Name | Amy Robins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225079015 PECOS PAC ID: 8820036569 Enrollment ID: I20190516000956 |
| Provider Name | Linz Audain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699700211 PECOS PAC ID: 0840196184 Enrollment ID: I20190523002090 |
| Provider Name | Mark S Boutros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700992674 PECOS PAC ID: 6800080334 Enrollment ID: I20190523002521 |
| Provider Name | Katherine Douglass Byrd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063703411 PECOS PAC ID: 8729393020 Enrollment ID: I20190530001122 |
| Provider Name | Carshawa L Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326522798 PECOS PAC ID: 7214273747 Enrollment ID: I20190603000167 |
| Provider Name | Joshua Jonathan Kuhn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851527386 PECOS PAC ID: 0547562183 Enrollment ID: I20190610001248 |
| Provider Name | Ashif K Jethava |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669632782 PECOS PAC ID: 5193908879 Enrollment ID: I20190610002729 |
| Provider Name | Chisola Njapau Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269775 PECOS PAC ID: 2860751310 Enrollment ID: I20190612000006 |
| Provider Name | Pwint P Hein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457717076 PECOS PAC ID: 0941505887 Enrollment ID: I20190612003226 |
| Provider Name | Tasha Ruth Gaige |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407296676 PECOS PAC ID: 9436391679 Enrollment ID: I20190617002176 |
| Provider Name | Gregory W. Cope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497731699 PECOS PAC ID: 1254301427 Enrollment ID: I20190617002392 |
| Provider Name | Douglas Holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144337049 PECOS PAC ID: 4183782949 Enrollment ID: I20190619003189 |
| Provider Name | Celia M Aguilar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508885211 PECOS PAC ID: 4183658099 Enrollment ID: I20190619003387 |
| Provider Name | Bruce Alfred St Amour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821030040 PECOS PAC ID: 7810936804 Enrollment ID: I20190626001340 |
| Provider Name | Nathan R Ardanowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730542978 PECOS PAC ID: 2567798770 Enrollment ID: I20190725002660 |
| Provider Name | Amer Aldamouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083060404 PECOS PAC ID: 9739415076 Enrollment ID: I20190726001978 |
| Provider Name | Aliki Kosteli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790139327 PECOS PAC ID: 7214263391 Enrollment ID: I20190726002017 |
| Provider Name | Michael Sabatino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851560460 PECOS PAC ID: 9133297807 Enrollment ID: I20190729003210 |
| Provider Name | Jean-baptiste Robert Maitre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821451303 PECOS PAC ID: 5698001949 Enrollment ID: I20190730000799 |
| Provider Name | Jean Suh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932448081 PECOS PAC ID: 4486918828 Enrollment ID: I20190730000886 |
| Provider Name | Shawn Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962880047 PECOS PAC ID: 1759679202 Enrollment ID: I20190731003279 |
| Provider Name | Amir Modarres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013371285 PECOS PAC ID: 0244523066 Enrollment ID: I20190805000942 |
| Provider Name | Adam R Keefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508229964 PECOS PAC ID: 0244528131 Enrollment ID: I20190805001134 |
| Provider Name | Son-lam Xuan Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184019283 PECOS PAC ID: 6305172842 Enrollment ID: I20190805002468 |
| Provider Name | Kiley Quintana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730541491 PECOS PAC ID: 8527351659 Enrollment ID: I20190806003792 |
| Provider Name | Sean C. Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770933665 PECOS PAC ID: 3779870092 Enrollment ID: I20190807003057 |
| Provider Name | Devon Maurice Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518321421 PECOS PAC ID: 1355678749 Enrollment ID: I20190807003355 |
| Provider Name | Rachel E Noto Gregorio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013573591 PECOS PAC ID: 9436486826 Enrollment ID: I20190807003380 |
| Provider Name | Yong Suh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043553035 PECOS PAC ID: 0042396897 Enrollment ID: I20190809002507 |
| Provider Name | Douglas Bernstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265699011 PECOS PAC ID: 3274774427 Enrollment ID: I20190819000251 |
| Provider Name | Musaab Esmael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902251648 PECOS PAC ID: 8628305703 Enrollment ID: I20190820002804 |
| Provider Name | Sarah C Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639524960 PECOS PAC ID: 5092009688 Enrollment ID: I20190826002644 |
| Provider Name | Timothy A Layng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952755035 PECOS PAC ID: 1557654373 Enrollment ID: I20190905000020 |
| Provider Name | William Gartlan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679987929 PECOS PAC ID: 3173812286 Enrollment ID: I20190909001085 |
| Provider Name | Daniel Berhanu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942643929 PECOS PAC ID: 1254645807 Enrollment ID: I20190910001444 |
| Provider Name | Barbara Mato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447802640 PECOS PAC ID: 6406185776 Enrollment ID: I20190911002999 |
| Provider Name | Maria Sember |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508258922 PECOS PAC ID: 3173815156 Enrollment ID: I20190916001548 |
| Provider Name | Hussein Zughaib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902291297 PECOS PAC ID: 2769780675 Enrollment ID: I20190917001857 |
| Provider Name | Natalie Wood Zemore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104280619 PECOS PAC ID: 2466782297 Enrollment ID: I20190922000006 |
| Provider Name | Virginia Osorio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396107645 PECOS PAC ID: 8628320470 Enrollment ID: I20190925001259 |
| Provider Name | Gregory S Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457344137 PECOS PAC ID: 9739137464 Enrollment ID: I20191001000475 |
| Provider Name | Matthew Ognibene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326498585 PECOS PAC ID: 7012247232 Enrollment ID: I20191001000960 |
| Provider Name | Lauren Irene White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465941 PECOS PAC ID: 9032469184 Enrollment ID: I20191008002278 |
| Provider Name | Sharon S Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134777964 PECOS PAC ID: 5597095430 Enrollment ID: I20191009000112 |
| Provider Name | Michael Lucrezio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023382207 PECOS PAC ID: 5193957116 Enrollment ID: I20191118002737 |
| Provider Name | Steadman A Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306858139 PECOS PAC ID: 8426960576 Enrollment ID: I20191120000909 |
| Provider Name | Lucienne Yemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194299479 PECOS PAC ID: 2567894884 Enrollment ID: I20191120002317 |
| Provider Name | Kyle B Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184011413 PECOS PAC ID: 5597070235 Enrollment ID: I20191120002981 |
| Provider Name | Ji Na Giusto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578912523 PECOS PAC ID: 8820320229 Enrollment ID: I20191206000821 |
| Provider Name | Kimberly Kay Buff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063950723 PECOS PAC ID: 6406132521 Enrollment ID: I20191206000955 |
| Provider Name | Jorge Jose Morales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144607789 PECOS PAC ID: 4981982337 Enrollment ID: I20191211001414 |
| Provider Name | Kevin Paul Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639609720 PECOS PAC ID: 6406113430 Enrollment ID: I20191216000318 |
| Provider Name | Joseph Michael Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013302900 PECOS PAC ID: 5395012702 Enrollment ID: I20191217002602 |
| Provider Name | Peter Nock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578561361 PECOS PAC ID: 5991706392 Enrollment ID: I20191228000026 |
| Provider Name | Phanindar Sadhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255754719 PECOS PAC ID: 9234405663 Enrollment ID: I20200113002561 |
| Provider Name | Hashim Stanazai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619358264 PECOS PAC ID: 5698035251 Enrollment ID: I20200215000037 |
| Provider Name | Gabriel Jed David |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659662542 PECOS PAC ID: 3173757952 Enrollment ID: I20200217004769 |
| Provider Name | Nizam Din |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861659625 PECOS PAC ID: 4587721352 Enrollment ID: I20200221002212 |
| Provider Name | Patrice Cianfrocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891248803 PECOS PAC ID: 4486933587 Enrollment ID: I20200323002809 |
| Provider Name | Eskinder Nesrane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528415775 PECOS PAC ID: 6709219173 Enrollment ID: I20200402001063 |
| Provider Name | Lauren Jeske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346874997 PECOS PAC ID: 5092144568 Enrollment ID: I20200403001660 |
| Provider Name | Sagar Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770999468 PECOS PAC ID: 1456570233 Enrollment ID: I20200408000557 |
| Provider Name | Terrence M Mulligan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548203920 PECOS PAC ID: 5597723627 Enrollment ID: I20200408001877 |
| Provider Name | Jennifer L Haynie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194013615 PECOS PAC ID: 4486875630 Enrollment ID: I20200408003741 |
| Provider Name | Ellie Lee Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073584009 PECOS PAC ID: 1456581297 Enrollment ID: I20200415000834 |
| Provider Name | Sarah Arshad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255744157 PECOS PAC ID: 2062788581 Enrollment ID: I20200506002080 |
| Provider Name | Kelly Marie Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124652136 PECOS PAC ID: 8921439472 Enrollment ID: I20200515002367 |
| Provider Name | Heng Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629431937 PECOS PAC ID: 9638449374 Enrollment ID: I20200520000196 |
| Provider Name | Jon Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275061764 PECOS PAC ID: 3577831395 Enrollment ID: I20200526000255 |
| Provider Name | Matthew R Baltz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144751215 PECOS PAC ID: 6608144456 Enrollment ID: I20200528002629 |
| Provider Name | Robert G Solberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073976486 PECOS PAC ID: 2264726900 Enrollment ID: I20200529001774 |
| Provider Name | Claire M Venditti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689038564 PECOS PAC ID: 3375838717 Enrollment ID: I20200529002389 |
| Provider Name | Hima J Khamar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679924773 PECOS PAC ID: 9032530068 Enrollment ID: I20200601002721 |
| Provider Name | Dale K Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336798057 PECOS PAC ID: 4284055914 Enrollment ID: I20200604000392 |
| Provider Name | Pierson Anders Ebrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205247079 PECOS PAC ID: 3375881709 Enrollment ID: I20200611001553 |
| Provider Name | Dwayne Morris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467983254 PECOS PAC ID: 2769804962 Enrollment ID: I20200616003424 |
| Provider Name | Krista Kohler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801328141 PECOS PAC ID: 0345513610 Enrollment ID: I20200617001129 |
| Provider Name | Robert Dumas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740639848 PECOS PAC ID: 5890030647 Enrollment ID: I20200708001487 |
| Provider Name | Richard Slama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699191635 PECOS PAC ID: 9638416456 Enrollment ID: I20200709001031 |
| Provider Name | Anjali Bhateja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285924126 PECOS PAC ID: 8426345901 Enrollment ID: I20200710001694 |
| Provider Name | Paul M Trinquero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124417944 PECOS PAC ID: 3577868413 Enrollment ID: I20200713001903 |
| Provider Name | Ryan Tomberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336534676 PECOS PAC ID: 5991005936 Enrollment ID: I20200714003121 |
| Provider Name | Grant F Chernoby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114307063 PECOS PAC ID: 7719299551 Enrollment ID: I20200715001610 |
| Provider Name | Aman Q Aminzay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508022716 PECOS PAC ID: 1658425756 Enrollment ID: I20200731001843 |
| Provider Name | Angela Degraaf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205363660 PECOS PAC ID: 7416225800 Enrollment ID: I20200803000226 |
| Provider Name | Alexander Tiesi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225569908 PECOS PAC ID: 2769806777 Enrollment ID: I20200803001384 |
| Provider Name | Grace D Yoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851944169 PECOS PAC ID: 8022440544 Enrollment ID: I20200804002568 |
| Provider Name | Bryan Scott Feldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043578131 PECOS PAC ID: 2668787680 Enrollment ID: I20200805003455 |
| Provider Name | Somera Javaid Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932595360 PECOS PAC ID: 9931458890 Enrollment ID: I20200808000036 |
| Provider Name | Ryan Law Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417208091 PECOS PAC ID: 1052564523 Enrollment ID: I20200810003619 |
| Provider Name | Oluwabunmi Oba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598314049 PECOS PAC ID: 3476885633 Enrollment ID: I20200812000017 |
| Provider Name | Jennifer A Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396231569 PECOS PAC ID: 6103242847 Enrollment ID: I20200812002449 |
| Provider Name | Jennilyn P Tannesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598274615 PECOS PAC ID: 6406113588 Enrollment ID: I20200814002449 |
| Provider Name | Sherry A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041259 PECOS PAC ID: 7113296120 Enrollment ID: I20200814002774 |
| Provider Name | Rabiah Naseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194080903 PECOS PAC ID: 8022242361 Enrollment ID: I20200816000051 |
| Provider Name | Arnaud Kaze Djou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306373808 PECOS PAC ID: 8123444536 Enrollment ID: I20200817001171 |
| Provider Name | Brent A Dibble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841677150 PECOS PAC ID: 5799028965 Enrollment ID: I20200817003600 |
| Provider Name | Maria D Van Winkle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568880748 PECOS PAC ID: 3971875733 Enrollment ID: I20200817003848 |
| Provider Name | Swati Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497027064 PECOS PAC ID: 5294991139 Enrollment ID: I20200824003615 |
| Provider Name | Phillip Edward Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801327812 PECOS PAC ID: 1951728740 Enrollment ID: I20200825001404 |
| Provider Name | Jennifer Ann Beatty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588043905 PECOS PAC ID: 6608184544 Enrollment ID: I20200825002684 |
| Provider Name | Nawaraj Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851828875 PECOS PAC ID: 4688911647 Enrollment ID: I20200827000902 |
| Provider Name | Jamie Lynn Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174159644 PECOS PAC ID: 3274950704 Enrollment ID: I20200831000084 |
| Provider Name | Julia Miao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033643580 PECOS PAC ID: 0446525554 Enrollment ID: I20200903000024 |
| Provider Name | Lyndsey Atherton Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740806629 PECOS PAC ID: 5496173486 Enrollment ID: I20200908001191 |
| Provider Name | Dana Alsaadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316470198 PECOS PAC ID: 4688005424 Enrollment ID: I20200914000291 |
| Provider Name | Peter Y Shi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569904 PECOS PAC ID: 6901178946 Enrollment ID: I20200915001221 |
| Provider Name | Andrew Ahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154785574 PECOS PAC ID: 2264860709 Enrollment ID: I20200916000848 |
| Provider Name | Patricia Van Leer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801033204 PECOS PAC ID: 0345428694 Enrollment ID: I20200918000701 |
| Provider Name | Aparna Chowdhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679695456 PECOS PAC ID: 4981743481 Enrollment ID: I20200918001760 |
| Provider Name | Maryum Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487055794 PECOS PAC ID: 3274808241 Enrollment ID: I20200924002304 |
| Provider Name | Karandeep Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609300664 PECOS PAC ID: 2163840596 Enrollment ID: I20201005000120 |
| Provider Name | Tooba Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649665027 PECOS PAC ID: 1052621893 Enrollment ID: I20201006000334 |
| Provider Name | James B Seipp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20201008000601 |
| Provider Name | Tamara Tatunchak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073993127 PECOS PAC ID: 2860786175 Enrollment ID: I20201008002602 |
| Provider Name | Samantha M Iannuzzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396276986 PECOS PAC ID: 6204106487 Enrollment ID: I20201009001244 |
| Provider Name | Tarun K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205363769 PECOS PAC ID: 0648690644 Enrollment ID: I20201013001543 |
| Provider Name | Shaili Parajuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760760854 PECOS PAC ID: 1850511932 Enrollment ID: I20201013001751 |
| Provider Name | Hanan Sultan Seid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447772744 PECOS PAC ID: 7719259118 Enrollment ID: I20201014003384 |
| Provider Name | Thomas M England |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710392485 PECOS PAC ID: 7416218516 Enrollment ID: I20201016002502 |
| Provider Name | Ogechi C Anyaoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205254422 PECOS PAC ID: 5193157824 Enrollment ID: I20201019000584 |
| Provider Name | Megan Betts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465644 PECOS PAC ID: 4789920398 Enrollment ID: I20201022002758 |
| Provider Name | Ahmed I Al Hazmi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225482607 PECOS PAC ID: 4486948874 Enrollment ID: I20201027003045 |
| Provider Name | Anila Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619264959 PECOS PAC ID: 2860613973 Enrollment ID: I20201028000674 |
| Provider Name | Alexandra Leigh Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578161709 PECOS PAC ID: 4688086069 Enrollment ID: I20201208002089 |
| Provider Name | Chad S Forrester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033719471 PECOS PAC ID: 8325450455 Enrollment ID: I20201215001299 |
| Provider Name | Habib H Karkavandian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003869504 PECOS PAC ID: 7618929324 Enrollment ID: I20201215003157 |
| Provider Name | Sheryl Sharrell Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649894080 PECOS PAC ID: 0648682500 Enrollment ID: I20201217000607 |
| Provider Name | Dustin M Crovo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730707589 PECOS PAC ID: 3476970807 Enrollment ID: I20201222000667 |
| Provider Name | Keith Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467012120 PECOS PAC ID: 4385058379 Enrollment ID: I20210203000887 |
| Provider Name | Arlyn Pericano Salabao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013493766 PECOS PAC ID: 7315352184 Enrollment ID: I20210209002392 |
| Provider Name | Kurtis Moodie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346413424 PECOS PAC ID: 1254461908 Enrollment ID: I20210211001057 |
| Provider Name | Fatima Amir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326556150 PECOS PAC ID: 1557605185 Enrollment ID: I20210216000539 |
| Provider Name | Katherine Christine Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427648773 PECOS PAC ID: 4789099631 Enrollment ID: I20210226001642 |
| Provider Name | Ahmadur R Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760866735 PECOS PAC ID: 4486942430 Enrollment ID: I20210316000507 |
| Provider Name | Haydar Al Dabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720471824 PECOS PAC ID: 4183907553 Enrollment ID: I20210330001924 |
| Provider Name | Yousef Almuzaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376030254 PECOS PAC ID: 5991036444 Enrollment ID: I20210504001995 |
| Provider Name | Syed Haris Ahmed Pir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891159869 PECOS PAC ID: 2567707680 Enrollment ID: I20210505001015 |
| Provider Name | John Schmeitzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891287058 PECOS PAC ID: 9537568563 Enrollment ID: I20210525001653 |
| Provider Name | Kimberly Chernoby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821527581 PECOS PAC ID: 7719257047 Enrollment ID: I20210525002052 |
| Provider Name | Kawthar Yusuf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881190270 PECOS PAC ID: 0244639490 Enrollment ID: I20210526000547 |
| Provider Name | Ari Nutovits |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720585094 PECOS PAC ID: 5496154585 Enrollment ID: I20210526003146 |
| Provider Name | Ghady Rahhal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366962425 PECOS PAC ID: 0446675979 Enrollment ID: I20210527001125 |
| Provider Name | Nancy Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710349113 PECOS PAC ID: 5092052555 Enrollment ID: I20210601002265 |
| Provider Name | Peter Bolaji |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952891723 PECOS PAC ID: 7315294832 Enrollment ID: I20210604000136 |
| Provider Name | Meghan Christie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477903334 PECOS PAC ID: 8527312149 Enrollment ID: I20210604002878 |
| Provider Name | Hannah Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558868075 PECOS PAC ID: 2264788470 Enrollment ID: I20210608000036 |
| Provider Name | Dylan J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043749047 PECOS PAC ID: 9234539784 Enrollment ID: I20210621002118 |
| Provider Name | David Saenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568824712 PECOS PAC ID: 8729371067 Enrollment ID: I20210622001302 |
| Provider Name | Hayes Yuen Lao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427549476 PECOS PAC ID: 3072863711 Enrollment ID: I20210630003956 |
| Provider Name | Rudo Gwanzura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316154685 PECOS PAC ID: 7911043476 Enrollment ID: I20210701000713 |
| Provider Name | Ming Han Cha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255827614 PECOS PAC ID: 9638420250 Enrollment ID: I20210701002843 |
| Provider Name | Johnathan Kinzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063909059 PECOS PAC ID: 4284984675 Enrollment ID: I20210702000501 |
| Provider Name | Will Remington Goodrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063953909 PECOS PAC ID: 5294083499 Enrollment ID: I20210707003785 |
| Provider Name | Adam Parker Hemminger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679064406 PECOS PAC ID: 7214285709 Enrollment ID: I20210708001088 |
| Provider Name | David Vennard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659869170 PECOS PAC ID: 9234486069 Enrollment ID: I20210715002910 |
| Provider Name | Brian Christopher Ahearn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386140879 PECOS PAC ID: 9739581463 Enrollment ID: I20210716001745 |
| Provider Name | Andrew Keishi Sammond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801393038 PECOS PAC ID: 9234476722 Enrollment ID: I20210719000401 |
| Provider Name | William Bost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770088304 PECOS PAC ID: 8729342019 Enrollment ID: I20210719003203 |
| Provider Name | Christina A Zauner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972965754 PECOS PAC ID: 0648548412 Enrollment ID: I20210720001887 |
| Provider Name | Zachary Coburn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730683012 PECOS PAC ID: 8123366101 Enrollment ID: I20210727003934 |
| Provider Name | Vishal Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750886834 PECOS PAC ID: 4284987314 Enrollment ID: I20210802000424 |
| Provider Name | Kelsy Ellen Greenwald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578093720 PECOS PAC ID: 0840564811 Enrollment ID: I20210802003027 |
| Provider Name | Kenneth Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891094181 PECOS PAC ID: 3678730447 Enrollment ID: I20210803000718 |
| Provider Name | Amy Padgett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740718899 PECOS PAC ID: 7517238850 Enrollment ID: I20210804001286 |
| Provider Name | Angela Ugorets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457830408 PECOS PAC ID: 2668876491 Enrollment ID: I20210804001460 |
| Provider Name | Moses Kwasi Lopez-twumasi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992201891 PECOS PAC ID: 9931457744 Enrollment ID: I20210804003760 |
| Provider Name | Derek Allen Thackston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588153670 PECOS PAC ID: 4486900917 Enrollment ID: I20210809001741 |
| Provider Name | Nebiyu Shukur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912430547 PECOS PAC ID: 3779987862 Enrollment ID: I20210811003449 |
| Provider Name | Haresh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881140119 PECOS PAC ID: 1557648490 Enrollment ID: I20210816002763 |
| Provider Name | Pratima Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013370048 PECOS PAC ID: 4486985041 Enrollment ID: I20210831000568 |
| Provider Name | Akinbola Adewole Ajayi-obe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265850549 PECOS PAC ID: 2466711791 Enrollment ID: I20210902000649 |
| Provider Name | Christian Eduardo Esquivel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275839482 PECOS PAC ID: 0143626986 Enrollment ID: I20210902002008 |
| Provider Name | William Tavares Parente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083053987 PECOS PAC ID: 2769786318 Enrollment ID: I20210910001949 |
| Provider Name | Lily Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538650833 PECOS PAC ID: 4981952694 Enrollment ID: I20210917002916 |
| Provider Name | Elizabeth Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245904838 PECOS PAC ID: 3971900838 Enrollment ID: I20210921000999 |
| Provider Name | Yom Alemante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639665672 PECOS PAC ID: 8628315561 Enrollment ID: I20210930002362 |
| Provider Name | Zaid A Hammoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780047233 PECOS PAC ID: 9830436211 Enrollment ID: I20211013002299 |
| Provider Name | Tuananh T Vu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679515548 PECOS PAC ID: 3476647074 Enrollment ID: I20211014002812 |
| Provider Name | Sophia Loveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447925466 PECOS PAC ID: 1153729488 Enrollment ID: I20211018000724 |
| Provider Name | Sanaa Uddin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952821605 PECOS PAC ID: 4082985932 Enrollment ID: I20211029001077 |
| Provider Name | Rebecca Thiongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942873146 PECOS PAC ID: 5395133821 Enrollment ID: I20211102001740 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659891109 PECOS PAC ID: 3476824160 Enrollment ID: I20211124001756 |
| Provider Name | Marquail Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659943843 PECOS PAC ID: 3375933773 Enrollment ID: I20211129000724 |
| Provider Name | Tanya Lyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164193702 PECOS PAC ID: 3577953843 Enrollment ID: I20211130001378 |
| Provider Name | Blaine Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982160891 PECOS PAC ID: 2668705781 Enrollment ID: I20211201001601 |
| Provider Name | Jerreka Monay Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104415827 PECOS PAC ID: 6204226426 Enrollment ID: I20211202001251 |
| Provider Name | Jacqueline Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114583630 PECOS PAC ID: 0244621340 Enrollment ID: I20211228002009 |
| Provider Name | Olufemi Awosika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790083384 PECOS PAC ID: 0143406850 Enrollment ID: I20220106002611 |
| Provider Name | Glory Okugo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699193771 PECOS PAC ID: 2769606847 Enrollment ID: I20220112002767 |
| Provider Name | Navid Behrooz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871889311 PECOS PAC ID: 8527332279 Enrollment ID: I20220113000505 |
| Provider Name | Hannah E Provins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780261222 PECOS PAC ID: 0446642482 Enrollment ID: I20220124002867 |
| Provider Name | Stephen Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477167179 PECOS PAC ID: 1658789672 Enrollment ID: I20220131002256 |
| Provider Name | Kelly Elizabeth Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417609694 PECOS PAC ID: 9537552286 Enrollment ID: I20220202001007 |
| Provider Name | Daniel Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649776634 PECOS PAC ID: 0840539573 Enrollment ID: I20220216000206 |
| Provider Name | Guillana Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497270110 PECOS PAC ID: 4486910197 Enrollment ID: I20220314000235 |
| Provider Name | Jennifer Diane Karabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518097 PECOS PAC ID: 0244625762 Enrollment ID: I20220321001057 |
| Provider Name | Leah Damiani Strain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841621869 PECOS PAC ID: 7618288523 Enrollment ID: I20220322002419 |
| Provider Name | Saima Cheema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487918363 PECOS PAC ID: 7517105604 Enrollment ID: I20220329000988 |
| Provider Name | Gina Siddiqui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497100291 PECOS PAC ID: 8729366463 Enrollment ID: I20220331001539 |
| Provider Name | Ashley Ryles Nicholson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558688861 PECOS PAC ID: 9537473913 Enrollment ID: I20220405000032 |
| Provider Name | Imtiaz Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407319288 PECOS PAC ID: 4587991047 Enrollment ID: I20220411002083 |
| Provider Name | Kristin Cox Fiala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285995050 PECOS PAC ID: 0749676187 Enrollment ID: I20220412002658 |
| Provider Name | Kreshmeh Khosrowani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114459906 PECOS PAC ID: 0840562328 Enrollment ID: I20220511001838 |
| Provider Name | Charles E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871995803 PECOS PAC ID: 7810219268 Enrollment ID: I20220518000260 |
| Provider Name | Mary Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770590374 PECOS PAC ID: 5294734281 Enrollment ID: I20220524000205 |
| Provider Name | Gaurav Sahay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538480041 PECOS PAC ID: 6002102613 Enrollment ID: I20220525001934 |
| Provider Name | Martha Wendemineh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265075428 PECOS PAC ID: 7214314707 Enrollment ID: I20220602002072 |
| Provider Name | Tasneem Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699235267 PECOS PAC ID: 4981082450 Enrollment ID: I20220613001266 |
| Provider Name | Franck Tameze-rivas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811550148 PECOS PAC ID: 0840525200 Enrollment ID: I20220625000568 |
| Provider Name | Ali M.r Aldabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568843324 PECOS PAC ID: 2163752239 Enrollment ID: I20220628002206 |
| Provider Name | Benjamin Quigley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093370751 PECOS PAC ID: 2365778412 Enrollment ID: I20220712001397 |
| Provider Name | Omid Manoochehri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609373638 PECOS PAC ID: 8729323209 Enrollment ID: I20220714001400 |
| Provider Name | Anahita Rahimi-saber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700373263 PECOS PAC ID: 3870974512 Enrollment ID: I20220714001956 |
| Provider Name | Abdullah Faiq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376003491 PECOS PAC ID: 5294115929 Enrollment ID: I20220715000043 |
| Provider Name | Hannah Sungeun Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922661347 PECOS PAC ID: 8628458353 Enrollment ID: I20220715001346 |
| Provider Name | Brenton Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427619600 PECOS PAC ID: 2567843287 Enrollment ID: I20220718003349 |
| Provider Name | Rebecca Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831752021 PECOS PAC ID: 0547596934 Enrollment ID: I20220719001778 |
| Provider Name | Robert Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376003616 PECOS PAC ID: 5890022354 Enrollment ID: I20220719003440 |
| Provider Name | Luke Redden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184282154 PECOS PAC ID: 0749516003 Enrollment ID: I20220720000068 |
| Provider Name | Rawan Shahin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841852803 PECOS PAC ID: 7911334107 Enrollment ID: I20220720000322 |
| Provider Name | Jeffrey Michael Strojny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629633656 PECOS PAC ID: 0446583058 Enrollment ID: I20220720003568 |
| Provider Name | William Burke Best |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215462338 PECOS PAC ID: 5991186991 Enrollment ID: I20220722000536 |
| Provider Name | Tanvi Shirke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043871858 PECOS PAC ID: 9739515024 Enrollment ID: I20220725000888 |
| Provider Name | Jonathan Bornstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811551088 PECOS PAC ID: 4284967688 Enrollment ID: I20220726001233 |
| Provider Name | Jennifer Ahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891257770 PECOS PAC ID: 7416290259 Enrollment ID: I20220728000772 |
| Provider Name | Khozhiakbar Isakov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417417197 PECOS PAC ID: 3375870256 Enrollment ID: I20220728001084 |
| Provider Name | Marian Sackey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316441629 PECOS PAC ID: 9234486457 Enrollment ID: I20220802001628 |
| Provider Name | Betsy Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255625836 PECOS PAC ID: 9133446255 Enrollment ID: I20220802003094 |
| Provider Name | Ouwen Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093378952 PECOS PAC ID: 2264767318 Enrollment ID: I20220803001026 |
| Provider Name | James Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972167492 PECOS PAC ID: 6204164148 Enrollment ID: I20220809000645 |
| Provider Name | David Harris Schaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982192456 PECOS PAC ID: 0648529198 Enrollment ID: I20220809003659 |
| Provider Name | David L Mendel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467017103 PECOS PAC ID: 4183959380 Enrollment ID: I20220809003834 |
| Provider Name | Aman Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801208269 PECOS PAC ID: 5890074199 Enrollment ID: I20220812001909 |
| Provider Name | Levi Kitchen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235339383 PECOS PAC ID: 0143467233 Enrollment ID: I20220813000434 |
| Provider Name | Huyen-trang Thai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720549371 PECOS PAC ID: 4789067448 Enrollment ID: I20220815000289 |
| Provider Name | Uzair Ahmed Janjua |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972160547 PECOS PAC ID: 8628303450 Enrollment ID: I20220815002239 |
| Provider Name | Nicholas Dreyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649767534 PECOS PAC ID: 8224418975 Enrollment ID: I20220816000651 |
| Provider Name | Christopher Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790273365 PECOS PAC ID: 5597029017 Enrollment ID: I20220816002515 |
| Provider Name | Deepak K Sachdeva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487615811 PECOS PAC ID: 0446243059 Enrollment ID: I20220817001405 |
| Provider Name | Nicholet Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629636782 PECOS PAC ID: 0446585699 Enrollment ID: I20220818000894 |
| Provider Name | Rebecca Mary Dudley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043702368 PECOS PAC ID: 4688929813 Enrollment ID: I20220819000049 |
| Provider Name | Joshua Napone Sixon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003378514 PECOS PAC ID: 4789911413 Enrollment ID: I20220819000996 |
| Provider Name | Shannon Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932303922 PECOS PAC ID: 1456643626 Enrollment ID: I20220822001554 |
| Provider Name | Jason Y Teng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396240370 PECOS PAC ID: 6204217581 Enrollment ID: I20220823000457 |
| Provider Name | Meredith Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174186787 PECOS PAC ID: 5799016952 Enrollment ID: I20220824000797 |
| Provider Name | Eric Sulava |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003276247 PECOS PAC ID: 0345533246 Enrollment ID: I20220825001345 |
| Provider Name | Michael R Azir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538724208 PECOS PAC ID: 5597147892 Enrollment ID: I20220829000124 |
| Provider Name | Ebaad Malick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255892196 PECOS PAC ID: 0547594970 Enrollment ID: I20220830000287 |
| Provider Name | Anmoldeep Singh Ghuman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871054304 PECOS PAC ID: 6305176934 Enrollment ID: I20220912001376 |
| Provider Name | Frederick Peter Romano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912907775 PECOS PAC ID: 7810884301 Enrollment ID: I20220916000163 |
| Provider Name | Angela O Aboutalib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215248984 PECOS PAC ID: 6406082858 Enrollment ID: I20220919001020 |
| Provider Name | Eden Tesfaye Wudneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851822902 PECOS PAC ID: 1557772449 Enrollment ID: I20220920000089 |
| Provider Name | Sam Lewis Frenkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154783371 PECOS PAC ID: 2769717081 Enrollment ID: I20220923002682 |
| Provider Name | Tanisha L Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477019453 PECOS PAC ID: 2961812813 Enrollment ID: I20220928003136 |
| Provider Name | Christina Beattie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710417159 PECOS PAC ID: 8628348620 Enrollment ID: I20220930002215 |
| Provider Name | Yonatan Ghiwot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982164141 PECOS PAC ID: 7113251117 Enrollment ID: I20220930002572 |
| Provider Name | Corbin Lyn Vickery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851040562 PECOS PAC ID: 9931585759 Enrollment ID: I20221003000962 |
| Provider Name | Paul Bruce Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831138452 PECOS PAC ID: 0042406803 Enrollment ID: I20221004000330 |
| Provider Name | Jason Blasenak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598785834 PECOS PAC ID: 4082666177 Enrollment ID: I20221004001508 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20221004001962 |
| Provider Name | Lauren Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265152730 PECOS PAC ID: 6608251236 Enrollment ID: I20221005000308 |
| Provider Name | Minu Ittoop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982016085 PECOS PAC ID: 6103041991 Enrollment ID: I20221005003043 |
| Provider Name | Noma Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801007224 PECOS PAC ID: 1557421708 Enrollment ID: I20221005003362 |
| Provider Name | Quoc-thieu Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568844017 PECOS PAC ID: 6204148935 Enrollment ID: I20221007000672 |
| Provider Name | V Joseph Ballarini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174729446 PECOS PAC ID: 9830263730 Enrollment ID: I20221017001699 |
| Provider Name | Nervana Talaat Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659682110 PECOS PAC ID: 8224257258 Enrollment ID: I20221022000069 |
| Provider Name | Saba Afraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972900355 PECOS PAC ID: 2668764325 Enrollment ID: I20221024000388 |
| Provider Name | Matthew Hodapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942629878 PECOS PAC ID: 0941502553 Enrollment ID: I20221024000877 |
| Provider Name | Omar Naji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20221025001431 |
| Provider Name | Sinziana Mahalean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366839045 PECOS PAC ID: 6901190073 Enrollment ID: I20221025001985 |
| Provider Name | Katera Helen Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528712510 PECOS PAC ID: 1759757081 Enrollment ID: I20221029000178 |
| Provider Name | Pramod Kumar Ponna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659807774 PECOS PAC ID: 3971875139 Enrollment ID: I20221101001753 |
| Provider Name | Richard Fikes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20221101002992 |
| Provider Name | John Bishop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447747878 PECOS PAC ID: 6608113014 Enrollment ID: I20221103000454 |
| Provider Name | Jane Abernathie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972228377 PECOS PAC ID: 2860869815 Enrollment ID: I20221103000708 |
| Provider Name | Kendrick Law |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851754451 PECOS PAC ID: 6709176860 Enrollment ID: I20221103002449 |
| Provider Name | Jamie Lynne Zandman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013641802 PECOS PAC ID: 7517334527 Enrollment ID: I20221104000191 |
| Provider Name | Shweta Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225481153 PECOS PAC ID: 6901189752 Enrollment ID: I20221104000826 |
| Provider Name | Harjas Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750888434 PECOS PAC ID: 3274880141 Enrollment ID: I20221108000965 |
| Provider Name | Amanda Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033496286 PECOS PAC ID: 1254556392 Enrollment ID: I20221114002675 |
| Provider Name | Kelly Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417675091 PECOS PAC ID: 1850769266 Enrollment ID: I20221116000727 |
| Provider Name | April Kopanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942927991 PECOS PAC ID: 3375911159 Enrollment ID: I20221129001620 |
| Provider Name | Travis Kling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811458581 PECOS PAC ID: 3577932938 Enrollment ID: I20221207002566 |
| Provider Name | Kyle Hollmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285195966 PECOS PAC ID: 7214336049 Enrollment ID: I20221208000061 |
| Provider Name | Ryan Corbett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871054072 PECOS PAC ID: 4082083381 Enrollment ID: I20221208001175 |
| Provider Name | Stereen Zebari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526407 PECOS PAC ID: 0840521027 Enrollment ID: I20221213001090 |
| Provider Name | Lauren Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396419719 PECOS PAC ID: 2769873611 Enrollment ID: I20221214002144 |
| Provider Name | Caitlin Delaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922397702 PECOS PAC ID: 3173773827 Enrollment ID: I20221227001982 |
| Provider Name | An L Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629454699 PECOS PAC ID: 1153671987 Enrollment ID: I20221229000543 |
| Provider Name | Suzanne Garber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104110428 PECOS PAC ID: 2668697483 Enrollment ID: I20221229001176 |
| Provider Name | Alexander P. Keller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700845195 PECOS PAC ID: 6507094992 Enrollment ID: I20221230000973 |
| Provider Name | Megan Beth Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528566098 PECOS PAC ID: 3870824428 Enrollment ID: I20230103001143 |
| Provider Name | Tiffany Clemmey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528658697 PECOS PAC ID: 2769899509 Enrollment ID: I20230103002017 |
| Provider Name | Robert Keilig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205399458 PECOS PAC ID: 6507193943 Enrollment ID: I20230104002695 |
| Provider Name | Shannon Lyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558824482 PECOS PAC ID: 6709128689 Enrollment ID: I20230105002136 |
| Provider Name | Dong Won Choe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033452735 PECOS PAC ID: 5193013290 Enrollment ID: I20230106002251 |
| Provider Name | Kristin Wedd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558761999 PECOS PAC ID: 4981826153 Enrollment ID: I20230117000065 |
| Provider Name | Emily Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013655992 PECOS PAC ID: 9133590383 Enrollment ID: I20230125003093 |
| Provider Name | Manjot K Jassal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487016424 PECOS PAC ID: 0446558928 Enrollment ID: I20230130001694 |
| Provider Name | Naser A Abdelhadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326530999 PECOS PAC ID: 5991051443 Enrollment ID: I20230210000810 |
| Provider Name | Jeanie Landes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891140430 PECOS PAC ID: 7719230952 Enrollment ID: I20230217001766 |
| Provider Name | Jay Jahanmir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407837347 PECOS PAC ID: 2163417619 Enrollment ID: I20230308001641 |
| Provider Name | Kathleen Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225635808 PECOS PAC ID: 2961816384 Enrollment ID: I20230313001118 |
| Provider Name | Shanta Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063897304 PECOS PAC ID: 8628327129 Enrollment ID: I20230323001440 |
| Provider Name | Lauren Beth Kalodner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427551472 PECOS PAC ID: 7719352442 Enrollment ID: I20230412000965 |
| Provider Name | Banchirga E Woldesadik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861960254 PECOS PAC ID: 2264773084 Enrollment ID: I20230412002093 |
| Provider Name | Angelo Manuele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164959656 PECOS PAC ID: 3870856099 Enrollment ID: I20230412003305 |
| Provider Name | Jessica Rodriguez Gillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275829475 PECOS PAC ID: 6305125584 Enrollment ID: I20230413000865 |
| Provider Name | Rachel Reubens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482613 PECOS PAC ID: 6204248883 Enrollment ID: I20230417000369 |
| Provider Name | Kelly Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511654 PECOS PAC ID: 4183903271 Enrollment ID: I20230424001228 |
| Provider Name | Ramtin Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225244221 PECOS PAC ID: 8325193527 Enrollment ID: I20230427001171 |
| Provider Name | Rebecca Talley-mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063135895 PECOS PAC ID: 0244695880 Enrollment ID: I20230503002025 |
| Provider Name | Akachi C Azubuike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467867762 PECOS PAC ID: 0941511471 Enrollment ID: I20230509001056 |
| Provider Name | Mehmet Talha Kutlu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497208573 PECOS PAC ID: 8820386899 Enrollment ID: I20230512000421 |
| Provider Name | Valerie Denise Upshaw Rowlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922663715 PECOS PAC ID: 4880050889 Enrollment ID: I20230517002384 |
| Provider Name | Shraddha Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871107284 PECOS PAC ID: 1658737580 Enrollment ID: I20230519001087 |
| Provider Name | Richard Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639139413 PECOS PAC ID: 9032193065 Enrollment ID: I20230524000518 |
| Provider Name | Benedict C Del Buono |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114542578 PECOS PAC ID: 9234555079 Enrollment ID: I20230525001245 |
| Provider Name | Ashik Kumar Bajracharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003416967 PECOS PAC ID: 5799142212 Enrollment ID: I20230526001967 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215551908 PECOS PAC ID: 6901227313 Enrollment ID: I20230619001394 |
| Provider Name | Casey Shea Mcgillicuddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841819836 PECOS PAC ID: 9537599337 Enrollment ID: I20230622002175 |
| Provider Name | Andrea Sarchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386024628 PECOS PAC ID: 1254640436 Enrollment ID: I20230623001422 |
| Provider Name | Ana Romero-vazquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710464185 PECOS PAC ID: 2466879085 Enrollment ID: I20230626001718 |
| Provider Name | Eden Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477969269 PECOS PAC ID: 6709140338 Enrollment ID: I20230626002182 |
| Provider Name | Joseph Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770146631 PECOS PAC ID: 2466819339 Enrollment ID: I20230627002408 |
| Provider Name | Rebecca Laquey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306474804 PECOS PAC ID: 9638537475 Enrollment ID: I20230703001449 |
| Provider Name | Stephen Walter Kohut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932336831 PECOS PAC ID: 4486819083 Enrollment ID: I20230711002565 |
| Provider Name | Heather Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568873560 PECOS PAC ID: 0941426100 Enrollment ID: I20230711004663 |
| Provider Name | Bernard Simelton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669632287 PECOS PAC ID: 7012180359 Enrollment ID: I20230712004600 |
| Provider Name | Melissa Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811558034 PECOS PAC ID: 7214310127 Enrollment ID: I20230713002326 |
| Provider Name | Soberjot Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932698842 PECOS PAC ID: 6901154327 Enrollment ID: I20230717000079 |
| Provider Name | Patrick Charles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295138782 PECOS PAC ID: 1557633880 Enrollment ID: I20230717002801 |
| Provider Name | Adeel Saqib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891354163 PECOS PAC ID: 7618208984 Enrollment ID: I20230717003387 |
| Provider Name | Mona Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902429624 PECOS PAC ID: 3678997277 Enrollment ID: I20230721002443 |
| Provider Name | Russell Dowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730703604 PECOS PAC ID: 6608292461 Enrollment ID: I20230727001673 |
| Provider Name | Elizabeth Huycke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477113033 PECOS PAC ID: 3375878580 Enrollment ID: I20230731003886 |
| Provider Name | Jatinder Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649664228 PECOS PAC ID: 8527321496 Enrollment ID: I20230802003357 |
| Provider Name | Mark Winston Hargrove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427686872 PECOS PAC ID: 9133580194 Enrollment ID: I20230807003158 |
| Provider Name | Shawn Christopher Radford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790995934 PECOS PAC ID: 3779634878 Enrollment ID: I20230807003179 |
| Provider Name | Miriam Orinda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326676743 PECOS PAC ID: 1557723129 Enrollment ID: I20230814002169 |
| Provider Name | Beverly Nyokabi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043832413 PECOS PAC ID: 7214390335 Enrollment ID: I20230822004181 |
| Provider Name | Keneth Kwame Sarpong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114554235 PECOS PAC ID: 9032599600 Enrollment ID: I20230824001230 |
| Provider Name | Megan Hoffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619462108 PECOS PAC ID: 2062764863 Enrollment ID: I20230829001691 |
| Provider Name | Marika M Kachman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508486622 PECOS PAC ID: 9830512979 Enrollment ID: I20230902000003 |
| Provider Name | Travis Gray Fermil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700582848 PECOS PAC ID: 0143684340 Enrollment ID: I20230906002674 |
| Provider Name | Travis M Skipina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043779150 PECOS PAC ID: 2062745383 Enrollment ID: I20230919000280 |
| Provider Name | Andres R Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619465242 PECOS PAC ID: 7517311285 Enrollment ID: I20230928002821 |
| Provider Name | Scott G Schmalzried |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174151476 PECOS PAC ID: 7012376775 Enrollment ID: I20231002003700 |
| Provider Name | Michael David Larochelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740228253 PECOS PAC ID: 6901988096 Enrollment ID: I20231004000921 |
| Provider Name | Samuel R Pankey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992325948 PECOS PAC ID: 5890117592 Enrollment ID: I20231011002429 |
| Provider Name | Joshua Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134737265 PECOS PAC ID: 7315392958 Enrollment ID: I20231017001556 |
| Provider Name | Vanessa E Duran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659640977 PECOS PAC ID: 8820307499 Enrollment ID: I20231024000623 |
| Provider Name | Osama G Mitri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174532071 PECOS PAC ID: 1153227475 Enrollment ID: I20231103002992 |
| Provider Name | Kristen Mcconnell Gogoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203317 PECOS PAC ID: 6103249073 Enrollment ID: I20231110002825 |
| Provider Name | Terrell D Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902433089 PECOS PAC ID: 6002232113 Enrollment ID: I20231113001189 |
| Provider Name | Ananya Daggubati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003201401 PECOS PAC ID: 3274843842 Enrollment ID: I20231114002797 |
| Provider Name | Allison M Walton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255742920 PECOS PAC ID: 8224332119 Enrollment ID: I20231115000472 |
| Provider Name | Ashley Keene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316518889 PECOS PAC ID: 2769874122 Enrollment ID: I20231218004310 |
| Provider Name | Carolyne Gichinga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447547062 PECOS PAC ID: 7315256583 Enrollment ID: I20231229000592 |
| Provider Name | Ahmad Nader Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952805004 PECOS PAC ID: 7517214794 Enrollment ID: I20240105004090 |
| Provider Name | Christopher Gentle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740316835 PECOS PAC ID: 5890872428 Enrollment ID: I20240110002246 |
| Provider Name | Shraddhadevi Makadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902339682 PECOS PAC ID: 5092135111 Enrollment ID: I20240111002854 |
| Provider Name | Josette J Zeilah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841589793 PECOS PAC ID: 3870718802 Enrollment ID: I20240118000151 |
| Provider Name | Kimberly Cocozello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750457511 PECOS PAC ID: 9234173881 Enrollment ID: I20240118001641 |
| Provider Name | Smitha Bhikkaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346291051 PECOS PAC ID: 1951314715 Enrollment ID: I20240118003753 |
| Provider Name | Maryam Audu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205396843 PECOS PAC ID: 1254667538 Enrollment ID: I20240119000055 |
| Provider Name | Adam Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407485147 PECOS PAC ID: 4183047145 Enrollment ID: I20240119000681 |
| Provider Name | Christopher Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295232684 PECOS PAC ID: 9931594934 Enrollment ID: I20240119003468 |
| Provider Name | Jaeon Kwak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639708696 PECOS PAC ID: 9830559624 Enrollment ID: I20240123003085 |
| Provider Name | Michael Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982157830 PECOS PAC ID: 9032404751 Enrollment ID: I20240123003163 |
| Provider Name | David Woodkotch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023308178 PECOS PAC ID: 2062729221 Enrollment ID: I20240129000586 |
| Provider Name | Donald Engle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962942813 PECOS PAC ID: 0941643795 Enrollment ID: I20240208001382 |
| Provider Name | Frank Oben Nguembou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881275378 PECOS PAC ID: 2365844123 Enrollment ID: I20240208003452 |
| Provider Name | Stefanie K Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659637072 PECOS PAC ID: 2567757388 Enrollment ID: I20240216003015 |
| Provider Name | Amy Noelle Wible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487176814 PECOS PAC ID: 0143584094 Enrollment ID: I20240216003689 |
| Provider Name | David Ashwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841604071 PECOS PAC ID: 3173847407 Enrollment ID: I20240220000731 |
| Provider Name | Adnan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558865097 PECOS PAC ID: 8628324852 Enrollment ID: I20240226000726 |
| Provider Name | Chukwuemeka Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389196 PECOS PAC ID: 1557698826 Enrollment ID: I20240226003412 |
| Provider Name | Babak Missaghi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235575127 PECOS PAC ID: 0941502421 Enrollment ID: I20240227004254 |
| Provider Name | Rachel De Andrade Pereira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477086619 PECOS PAC ID: 0446654974 Enrollment ID: I20240228004878 |
| Provider Name | Anna Beth Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356978092 PECOS PAC ID: 1355786013 Enrollment ID: I20240304002994 |
| Provider Name | James Clement |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588089106 PECOS PAC ID: 6103135694 Enrollment ID: I20240309000753 |
| Provider Name | Ting Ho Cheng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396373494 PECOS PAC ID: 0840636098 Enrollment ID: I20240310000104 |
| Provider Name | Ryan Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760453898 PECOS PAC ID: 3678722063 Enrollment ID: I20240319001665 |
| Provider Name | Kavitha Bagadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871782961 PECOS PAC ID: 8921295981 Enrollment ID: I20240321001135 |
| Provider Name | Casey French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932660669 PECOS PAC ID: 0446615330 Enrollment ID: I20240329000189 |
| Provider Name | Amanda Mathews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760064992 PECOS PAC ID: 5193179216 Enrollment ID: I20240403004217 |
| Provider Name | Samuel Asfaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295742757 PECOS PAC ID: 4385621994 Enrollment ID: I20240415002727 |
| Provider Name | Danielle Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104452937 PECOS PAC ID: 5193164713 Enrollment ID: I20240416001752 |
| Provider Name | Anand Adhikari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831764133 PECOS PAC ID: 2961808019 Enrollment ID: I20240418004111 |
| Provider Name | Nkiru Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881213312 PECOS PAC ID: 8820411440 Enrollment ID: I20240430002172 |
| Provider Name | Mary C Saleeby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508227836 PECOS PAC ID: 5597024240 Enrollment ID: I20240509003125 |
| Provider Name | Alexis Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548724529 PECOS PAC ID: 3072954577 Enrollment ID: I20240515002345 |
| Provider Name | Salvatore Bernardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770550147 PECOS PAC ID: 5294836094 Enrollment ID: I20240520000179 |
| Provider Name | Chisom Nwoye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841780806 PECOS PAC ID: 3375899826 Enrollment ID: I20240529002767 |
| Provider Name | John Benfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326677816 PECOS PAC ID: 1850714700 Enrollment ID: I20240701000420 |
| Provider Name | Diana C Morales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437732450 PECOS PAC ID: 2668876459 Enrollment ID: I20240715002078 |
| Provider Name | Robert Montazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184692238 PECOS PAC ID: 6800985276 Enrollment ID: I20240723001425 |
| Provider Name | Parthvi Dani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768524 PECOS PAC ID: 8820534951 Enrollment ID: I20240724003485 |
| Provider Name | Andreia R Pop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174544787 PECOS PAC ID: 7214934611 Enrollment ID: I20240724004546 |
| Provider Name | Anupam Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902484611 PECOS PAC ID: 2264979871 Enrollment ID: I20240731004188 |
| Provider Name | Zachary Deuell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598348385 PECOS PAC ID: 2769886324 Enrollment ID: I20240805003151 |
| Provider Name | Imikomobong Ibia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285122762 PECOS PAC ID: 9133478670 Enrollment ID: I20240806003390 |
| Provider Name | Clarence Kong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548846140 PECOS PAC ID: 4880131929 Enrollment ID: I20240806004414 |
| Provider Name | Kevin V Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356929095 PECOS PAC ID: 4082018635 Enrollment ID: I20240813001519 |
| Provider Name | Kishan Faldu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861078289 PECOS PAC ID: 2365841137 Enrollment ID: I20240814002120 |
| Provider Name | Clyde D Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457892267 PECOS PAC ID: 1951849934 Enrollment ID: I20240821003780 |
| Provider Name | Chloe Chabanon-hicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407433097 PECOS PAC ID: 2365899820 Enrollment ID: I20240821004199 |
| Provider Name | Brent Jacob Lavey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700405941 PECOS PAC ID: 2668802596 Enrollment ID: I20240826002870 |
| Provider Name | Maahum Qureshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790350809 PECOS PAC ID: 3779984661 Enrollment ID: I20240827002396 |
| Provider Name | Michaela Banks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598392979 PECOS PAC ID: 0345664611 Enrollment ID: I20240827003405 |
| Provider Name | Nikea Amoy Frith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346879749 PECOS PAC ID: 0941749451 Enrollment ID: I20240828003581 |
| Provider Name | Asna Shahab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568033504 PECOS PAC ID: 9032512173 Enrollment ID: I20240829001964 |
| Provider Name | Rohan Lal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457935140 PECOS PAC ID: 7012319189 Enrollment ID: I20240904000333 |
| Provider Name | Alexander Navone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114412251 PECOS PAC ID: 7315374378 Enrollment ID: I20240904001519 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20240906000070 |
| Provider Name | Yuliia Varava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376218115 PECOS PAC ID: 1355881863 Enrollment ID: I20240911002481 |
| Provider Name | Ann Vachaparambil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154815819 PECOS PAC ID: 7012305899 Enrollment ID: I20240917000418 |
| Provider Name | Jerry Zachariah Oommen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215503735 PECOS PAC ID: 3577963982 Enrollment ID: I20240917004615 |
| Provider Name | Naveen Reddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851719306 PECOS PAC ID: 4587888367 Enrollment ID: I20240918001559 |
| Provider Name | Neha D Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902474208 PECOS PAC ID: 2264825710 Enrollment ID: I20240919000077 |
| Provider Name | Casey Adam Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568998607 PECOS PAC ID: 6608136361 Enrollment ID: I20240923002209 |
| Provider Name | John Philip Wisener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275111957 PECOS PAC ID: 0547661696 Enrollment ID: I20240930003211 |
| Provider Name | Tasneem Rashid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588247522 PECOS PAC ID: 6709317837 Enrollment ID: I20241001000956 |
| Provider Name | Brian R Samuels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215434170 PECOS PAC ID: 9830505643 Enrollment ID: I20241007003106 |
| Provider Name | Tanvi Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083924724 PECOS PAC ID: 4789833724 Enrollment ID: I20241010001217 |
| Provider Name | Sadia Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508444985 PECOS PAC ID: 8921530668 Enrollment ID: I20241018001444 |
| Provider Name | Ufei Kometa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912764739 PECOS PAC ID: 5294267852 Enrollment ID: I20241021002246 |
| Provider Name | Sarah N Lazur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295362713 PECOS PAC ID: 9436574183 Enrollment ID: I20241021004495 |
| Provider Name | Amin F Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467984336 PECOS PAC ID: 6507284007 Enrollment ID: I20241022005130 |
| Provider Name | Omar Nasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710504535 PECOS PAC ID: 6709319262 Enrollment ID: I20241023001888 |
| Provider Name | Maria Hanafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068466 PECOS PAC ID: 8022415074 Enrollment ID: I20241024001187 |
| Provider Name | Rhyan R Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083242606 PECOS PAC ID: 3274072186 Enrollment ID: I20241111003918 |
| Provider Name | Mobolaji Fowose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194353847 PECOS PAC ID: 4587196340 Enrollment ID: I20241112000092 |
| Provider Name | Kathy H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588654685 PECOS PAC ID: 6406754829 Enrollment ID: I20241115001597 |
| Provider Name | Nastasya Mae Jabaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043773237 PECOS PAC ID: 1355684127 Enrollment ID: I20241122001397 |
| Provider Name | Jack El Sawda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942756705 PECOS PAC ID: 9436488533 Enrollment ID: I20241205004304 |
| Provider Name | William T Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225521214 PECOS PAC ID: 8729334842 Enrollment ID: I20241219000055 |
| Provider Name | Ian F Eisenhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538694146 PECOS PAC ID: 3476081100 Enrollment ID: I20250109000594 |
| Provider Name | Nicholas M Abbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639525678 PECOS PAC ID: 1355638560 Enrollment ID: I20250123000423 |
| Provider Name | Ryan Mark Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366272437 PECOS PAC ID: 6608304654 Enrollment ID: I20250131000981 |
| Provider Name | Myoung Kwak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891350013 PECOS PAC ID: 3173850732 Enrollment ID: I20250211003684 |
| Provider Name | Meredith A Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639549066 PECOS PAC ID: 4981904513 Enrollment ID: I20250213002934 |
| Provider Name | Rupa Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118819 PECOS PAC ID: 3779564927 Enrollment ID: I20250219001800 |
| Provider Name | Purushotham Gorrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124044771 PECOS PAC ID: 0547267981 Enrollment ID: I20250306002425 |
| Provider Name | Franklin Obi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306427620 PECOS PAC ID: 6608279385 Enrollment ID: I20250319003929 |
| Provider Name | Adekunle Oshunkoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205140282 PECOS PAC ID: 5193966133 Enrollment ID: I20250407002974 |
| Provider Name | Muhannad Samaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477725109 PECOS PAC ID: 8325110885 Enrollment ID: I20250408003774 |
| Provider Name | Rakesh N Makadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013201458 PECOS PAC ID: 7113149071 Enrollment ID: I20250409003923 |
| Provider Name | Scott A Lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720534647 PECOS PAC ID: 3274812268 Enrollment ID: I20250410003032 |
| Provider Name | Kelsey Lynne Debrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144091117 PECOS PAC ID: 8921522970 Enrollment ID: I20250410003467 |
| Provider Name | Jennifer Ebbertt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104410273 PECOS PAC ID: 5890190482 Enrollment ID: I20250414002192 |
| Provider Name | Muhammad Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699146928 PECOS PAC ID: 6406125541 Enrollment ID: I20250417002740 |
| Provider Name | Dean Cataldo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902471428 PECOS PAC ID: 6800298175 Enrollment ID: I20250418000857 |
| Provider Name | Nagamallika Jasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477735348 PECOS PAC ID: 2466631288 Enrollment ID: I20250421000298 |
| Provider Name | Kanza Azhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366024309 PECOS PAC ID: 0749670586 Enrollment ID: I20250424000408 |
| Provider Name | Reem Al Shabeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902476138 PECOS PAC ID: 9537605332 Enrollment ID: I20250424001893 |
| Provider Name | Dustin R Huerta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518339902 PECOS PAC ID: 7618279001 Enrollment ID: I20250513000222 |
| Provider Name | Umar Waheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760687008 PECOS PAC ID: 2062504327 Enrollment ID: I20250520000976 |
| Provider Name | Harshit Dua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871945485 PECOS PAC ID: 0547553414 Enrollment ID: I20250604000613 |
| Provider Name | Gabriela Calderon Barahona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306583166 PECOS PAC ID: 1557742269 Enrollment ID: I20250605001606 |
Loudoun Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24430 Stone Springs Blvd., Suite 100, Dulles, VA 20166 Phone: 703-844-8380 Fax: 703-263-8393 | |
Northstar Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24430 Stone Springs Blvd Unit 250, Dulles, VA 20166 Phone: 703-723-9100 | |
Loudoun Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24430 Stone Springs Blvd Suite 100, Dulles, VA 20166 Phone: 703-404-5900 Fax: 703-421-1099 | |
Us Embassy Kathmandu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6190 Kathmandu Pl, Dulles, VA 20189 Phone: 303-653-2358 | |
Loudoun Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24430 Stone Springs Blvd, Suite 250, Dulles, VA 20166 Phone: 703-858-3220 Fax: 703-858-3221 | |
Loudoun Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166 Phone: 703-737-6012 |