| Emerson Practice Associates, Inc. | |
|
133 Old Road To Nine Acre Corner Concord MA 01742-4159 | |
| (978) 287-3022 | |
| Not Available |
| Full Name | Emerson Practice Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Old Road To Nine Acre Corner, Concord, Massachusetts |
| Authorized Official Name and Position | Scott T Kosowicz (SR. DIRECTOR FINANCE) |
| Authorized Official Contact | 9782877496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerson Practice Associates, Inc. Po Box 411581 Boston MA 02241-2503 Ph: (978) 287-3000 | Emerson Practice Associates, Inc. 133 Old Road To Nine Acre Corner Concord MA 01742-4159 Ph: (978) 287-3022 |
| NPI Number | 1508020199 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 8123188117 |
|---|---|
| Medicare Enrollment ID | O20081120000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508020199 | NPI | - | NPPES |
| PENDING | Medicaid | MA | |
| M15300 | Other | MA | BCBS MA |
| Provider Name | Douglas James Mathisen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699759019 PECOS PAC ID: 3779497813 Enrollment ID: I20031113000608 |
| Provider Name | Thomas A Gould |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801803648 PECOS PAC ID: 7214834670 Enrollment ID: I20031215000812 |
| Provider Name | Sarah S Hudgens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619993284 PECOS PAC ID: 8224930003 Enrollment ID: I20040122000674 |
| Provider Name | Karen E Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730138447 PECOS PAC ID: 9638064496 Enrollment ID: I20040219000640 |
| Provider Name | David B Lautz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033132303 PECOS PAC ID: 5890682991 Enrollment ID: I20040303000372 |
| Provider Name | Monisha Sarin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609915529 PECOS PAC ID: 1052201555 Enrollment ID: I20040318000380 |
| Provider Name | Michael Lanuti |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992796817 PECOS PAC ID: 5698768810 Enrollment ID: I20040405001098 |
| Provider Name | Issam A Oneyssi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528026622 PECOS PAC ID: 0446244933 Enrollment ID: I20040408000747 |
| Provider Name | Katy-ann Hannigan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558351635 PECOS PAC ID: 5294720264 Enrollment ID: I20040419000725 |
| Provider Name | Andrea R Rizzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558351676 PECOS PAC ID: 2961493770 Enrollment ID: I20040520000940 |
| Provider Name | Judy H Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427008457 PECOS PAC ID: 1759364755 Enrollment ID: I20040610001058 |
| Provider Name | Rosemary E Reiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194776658 PECOS PAC ID: 2466436050 Enrollment ID: I20040614000128 |
| Provider Name | Jenny H Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760457758 PECOS PAC ID: 6204810757 Enrollment ID: I20040614001334 |
| Provider Name | Donna Wren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376533539 PECOS PAC ID: 3779567037 Enrollment ID: I20040615000560 |
| Provider Name | Karen M Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154374890 PECOS PAC ID: 3577547512 Enrollment ID: I20040616000930 |
| Provider Name | Dan Nir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285617910 PECOS PAC ID: 2365427226 Enrollment ID: I20040623001106 |
| Provider Name | Sidhartha Pani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619924370 PECOS PAC ID: 5193702264 Enrollment ID: I20040707000116 |
| Provider Name | Janey Sue Andrews Pratt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699752832 PECOS PAC ID: 5294712220 Enrollment ID: I20040707000554 |
| Provider Name | Alia Goodheart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134234198 PECOS PAC ID: 5395724165 Enrollment ID: I20040715000696 |
| Provider Name | Timothy W Baba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699720094 PECOS PAC ID: 6305826116 Enrollment ID: I20040722000650 |
| Provider Name | Andrea J Fribush |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336107309 PECOS PAC ID: 2961472980 Enrollment ID: I20040728000428 |
| Provider Name | Eric B Hatton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841287281 PECOS PAC ID: 2264405745 Enrollment ID: I20040813000296 |
| Provider Name | Theofanie Mela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366423832 PECOS PAC ID: 4789658055 Enrollment ID: I20040823000859 |
| Provider Name | Betty A Pomerleau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811972821 PECOS PAC ID: 0840266490 Enrollment ID: I20040907000202 |
| Provider Name | Julio C Ayala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104883347 PECOS PAC ID: 4789650185 Enrollment ID: I20040908000108 |
| Provider Name | Jeffrey P Rudnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538198841 PECOS PAC ID: 0143298950 Enrollment ID: I20040920000990 |
| Provider Name | Anas Wardeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295705598 PECOS PAC ID: 0345219341 Enrollment ID: I20040927000996 |
| Provider Name | Mihran A Artinian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366437170 PECOS PAC ID: 0941269815 Enrollment ID: I20041006000904 |
| Provider Name | Debra L Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669449732 PECOS PAC ID: 1052373388 Enrollment ID: I20041029000422 |
| Provider Name | Brian L Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306873716 PECOS PAC ID: 6507828316 Enrollment ID: I20041103000031 |
| Provider Name | Stephen Bertram Schloss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588662407 PECOS PAC ID: 3072576685 Enrollment ID: I20041104001073 |
| Provider Name | Theresa M Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417079922 PECOS PAC ID: 0345204905 Enrollment ID: I20041115000502 |
| Provider Name | David R Handin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710903794 PECOS PAC ID: 4284699133 Enrollment ID: I20041119000977 |
| Provider Name | Samuel T Sockwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336296813 PECOS PAC ID: 7012972128 Enrollment ID: I20041130000653 |
| Provider Name | Kurt A Diebold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114993516 PECOS PAC ID: 7315903929 Enrollment ID: I20041206000704 |
| Provider Name | Charles S Wasserman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659361020 PECOS PAC ID: 7416915467 Enrollment ID: I20041222000499 |
| Provider Name | Eliot M Gelwan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700952702 PECOS PAC ID: 5092767665 Enrollment ID: I20050211000730 |
| Provider Name | Sham Rang Khalsa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699765297 PECOS PAC ID: 2668424987 Enrollment ID: I20050215000796 |
| Provider Name | Joseph C Palomba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063402493 PECOS PAC ID: 1254383573 Enrollment ID: I20050215000829 |
| Provider Name | Sunita Hanjura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891727327 PECOS PAC ID: 5597718361 Enrollment ID: I20050222000519 |
| Provider Name | Khaled Sorour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508823717 PECOS PAC ID: 4284687864 Enrollment ID: I20050223000492 |
| Provider Name | Colleen Feltmate |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1538144308 PECOS PAC ID: 7012962772 Enrollment ID: I20050315000785 |
| Provider Name | Kathryn R Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225097173 PECOS PAC ID: 3274588629 Enrollment ID: I20050317000963 |
| Provider Name | Rosemarie T Dolan Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073579389 PECOS PAC ID: 5890769467 Enrollment ID: I20050318000753 |
| Provider Name | Karen M Fanucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679545339 PECOS PAC ID: 0244285534 Enrollment ID: I20050321000125 |
| Provider Name | James A Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427070036 PECOS PAC ID: 2668427824 Enrollment ID: I20050321000686 |
| Provider Name | Michael K Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720074164 PECOS PAC ID: 4082660964 Enrollment ID: I20050323001093 |
| Provider Name | Peter M Barkin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144298621 PECOS PAC ID: 9234185562 Enrollment ID: I20050329001269 |
| Provider Name | Mark A Connaughton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548350481 PECOS PAC ID: 0446226070 Enrollment ID: I20050330000101 |
| Provider Name | Dan S Tilles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912964321 PECOS PAC ID: 3476500976 Enrollment ID: I20050406001078 |
| Provider Name | Adhip Mukerjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376630970 PECOS PAC ID: 8123065448 Enrollment ID: I20050408000393 |
| Provider Name | Sallie P Mady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871544684 PECOS PAC ID: 5193762227 Enrollment ID: I20050411000945 |
| Provider Name | Sheila F Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568569176 PECOS PAC ID: 3577468982 Enrollment ID: I20050414001020 |
| Provider Name | Gail M Lopreste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992787758 PECOS PAC ID: 6406895846 Enrollment ID: I20050426000846 |
| Provider Name | Craig L Best |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801886106 PECOS PAC ID: 6608815600 Enrollment ID: I20050428001041 |
| Provider Name | Thomas A Goodman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194702555 PECOS PAC ID: 2961442496 Enrollment ID: I20050504000719 |
| Provider Name | John A Libertino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043367097 PECOS PAC ID: 4486694718 Enrollment ID: I20050505001139 |
| Provider Name | Leonard Waice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073529319 PECOS PAC ID: 2466494083 Enrollment ID: I20050524001071 |
| Provider Name | Steven A Manalan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538162821 PECOS PAC ID: 3274576095 Enrollment ID: I20050602000950 |
| Provider Name | Amy Louise Prince |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407810526 PECOS PAC ID: 1557304060 Enrollment ID: I20050606001012 |
| Provider Name | Moussa C Mansour |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588649560 PECOS PAC ID: 8527040831 Enrollment ID: I20050622000852 |
| Provider Name | Nancy A Venditti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376596163 PECOS PAC ID: 3072558717 Enrollment ID: I20050623000304 |
| Provider Name | Inger Marie R Pu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306891056 PECOS PAC ID: 7012944697 Enrollment ID: I20050726000262 |
| Provider Name | Benjamin A Tillinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598759961 PECOS PAC ID: 5496784696 Enrollment ID: I20050808001126 |
| Provider Name | Robert C Cantu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316914625 PECOS PAC ID: 4880623628 Enrollment ID: I20050811000520 |
| Provider Name | Richard E Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881748564 PECOS PAC ID: 6103725304 Enrollment ID: I20050822000848 |
| Provider Name | Thomas M Collins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053381285 PECOS PAC ID: 7214968932 Enrollment ID: I20050823000472 |
| Provider Name | Paul Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174660732 PECOS PAC ID: 3678505864 Enrollment ID: I20050908000758 |
| Provider Name | Deborah R. Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659332674 PECOS PAC ID: 2365476074 Enrollment ID: I20050922000303 |
| Provider Name | James L Andreson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407867849 PECOS PAC ID: 1759315336 Enrollment ID: I20050922000939 |
| Provider Name | Paul D Lafontaine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851390165 PECOS PAC ID: 8820013527 Enrollment ID: I20051012000142 |
| Provider Name | Richard P Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053439844 PECOS PAC ID: 2668499500 Enrollment ID: I20051029000136 |
| Provider Name | Robert M Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932238805 PECOS PAC ID: 8426076779 Enrollment ID: I20051105000112 |
| Provider Name | Barry L Levin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497773584 PECOS PAC ID: 0547288524 Enrollment ID: I20051108000792 |
| Provider Name | Ryan A Secan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407865744 PECOS PAC ID: 0446279509 Enrollment ID: I20051117000447 |
| Provider Name | Connie Tsao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073602553 PECOS PAC ID: 1951326529 Enrollment ID: I20051121000295 |
| Provider Name | Alfred W Heinser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871570218 PECOS PAC ID: 0042230625 Enrollment ID: I20051128000620 |
| Provider Name | Noor Eisa Adam Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255398657 PECOS PAC ID: 2062433022 Enrollment ID: I20051219000262 |
| Provider Name | Linda F Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215976741 PECOS PAC ID: 1355364472 Enrollment ID: I20060104000417 |
| Provider Name | Rebecca J Rosenstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386621076 PECOS PAC ID: 0840213906 Enrollment ID: I20060104000749 |
| Provider Name | Diane M Kotsaftis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043269483 PECOS PAC ID: 7214950476 Enrollment ID: I20060113000326 |
| Provider Name | Ahmed K Gayed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184682346 PECOS PAC ID: 7517972722 Enrollment ID: I20060209000162 |
| Provider Name | Jane H Fay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659461598 PECOS PAC ID: 1355358763 Enrollment ID: I20060309000453 |
| Provider Name | Richard Kosses |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134161607 PECOS PAC ID: 4688686033 Enrollment ID: I20060629000130 |
| Provider Name | David Huei-liang Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386673713 PECOS PAC ID: 7416960778 Enrollment ID: I20060803000340 |
| Provider Name | Anitha Krishnasamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851364020 PECOS PAC ID: 0345243663 Enrollment ID: I20060807000032 |
| Provider Name | Shaolay X Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588699516 PECOS PAC ID: 7315940442 Enrollment ID: I20060810000344 |
| Provider Name | Amy E Forrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416424 PECOS PAC ID: 2365446929 Enrollment ID: I20060913000196 |
| Provider Name | Fariba Miryousefi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609808138 PECOS PAC ID: 9638174261 Enrollment ID: I20061003000408 |
| Provider Name | Edward K Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730286055 PECOS PAC ID: 0749286433 Enrollment ID: I20061020000393 |
| Provider Name | Daniel M Chandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760440168 PECOS PAC ID: 2365440047 Enrollment ID: I20061113000079 |
| Provider Name | Brian F Hinnebusch |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1164467247 PECOS PAC ID: 0547265514 Enrollment ID: I20061204000303 |
| Provider Name | Maxwell T Frank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134185598 PECOS PAC ID: 8325047079 Enrollment ID: I20061207000220 |
| Provider Name | Rebeca M Plank |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598738973 PECOS PAC ID: 9931108438 Enrollment ID: I20061211000447 |
| Provider Name | Jeffrey O Riley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245216894 PECOS PAC ID: 3971505207 Enrollment ID: I20070215000230 |
| Provider Name | Christian T Ruff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760420061 PECOS PAC ID: 8729180880 Enrollment ID: I20070221000296 |
| Provider Name | Diana M Arena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609986074 PECOS PAC ID: 3173628435 Enrollment ID: I20070413000579 |
| Provider Name | Bipinchandra Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083670541 PECOS PAC ID: 9739134875 Enrollment ID: I20070503000446 |
| Provider Name | Kay L Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578606968 PECOS PAC ID: 1557460367 Enrollment ID: I20070620000075 |
| Provider Name | Fares G Mouchantaf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255476198 PECOS PAC ID: 0143320549 Enrollment ID: I20070714000018 |
| Provider Name | Stephan B Danik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588644504 PECOS PAC ID: 0648371708 Enrollment ID: I20070719000767 |
| Provider Name | Andrew T Levinson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467593806 PECOS PAC ID: 0749371821 Enrollment ID: I20070803000024 |
| Provider Name | Connie Yoechi Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770523862 PECOS PAC ID: 8527073501 Enrollment ID: I20070803000090 |
| Provider Name | Louis Liou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346212404 PECOS PAC ID: 5799671467 Enrollment ID: I20070822001210 |
| Provider Name | Persis O Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396742359 PECOS PAC ID: 1850485897 Enrollment ID: I20070920000710 |
| Provider Name | Allan Kuong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790868412 PECOS PAC ID: 1153368733 Enrollment ID: I20071013000092 |
| Provider Name | Eric J Mahoney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568681328 PECOS PAC ID: 6002902400 Enrollment ID: I20071017000181 |
| Provider Name | Lisa Intriere |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245284983 PECOS PAC ID: 5193785319 Enrollment ID: I20071017000641 |
| Provider Name | Raouf Sayegh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568557460 PECOS PAC ID: 3971603424 Enrollment ID: I20071029000271 |
| Provider Name | Allis C Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053400879 PECOS PAC ID: 2860436326 Enrollment ID: I20071106000399 |
| Provider Name | Marvin Ryou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821104787 PECOS PAC ID: 7214025147 Enrollment ID: I20071110000031 |
| Provider Name | Stephanie C Rondeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184813214 PECOS PAC ID: 0446348726 Enrollment ID: I20071120000535 |
| Provider Name | Jessica H Ochs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932391182 PECOS PAC ID: 4284722364 Enrollment ID: I20071127000293 |
| Provider Name | Heidi Doreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053591644 PECOS PAC ID: 7416046750 Enrollment ID: I20071210000174 |
| Provider Name | Jose A Caro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881612307 PECOS PAC ID: 7315028123 Enrollment ID: I20080118000101 |
| Provider Name | Patricia A Mcquilkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124002258 PECOS PAC ID: 6305922998 Enrollment ID: I20080324000339 |
| Provider Name | Ronald C Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215083191 PECOS PAC ID: 6305865189 Enrollment ID: I20080404000138 |
| Provider Name | Cameron D Wright |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477543288 PECOS PAC ID: 4183538226 Enrollment ID: I20080415000685 |
| Provider Name | Meenakshi Vemuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720066343 PECOS PAC ID: 0840378030 Enrollment ID: I20080430000421 |
| Provider Name | Eddy J Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730376898 PECOS PAC ID: 9436238359 Enrollment ID: I20080505000196 |
| Provider Name | Duane R Wesemann |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1407928567 PECOS PAC ID: 0345329751 Enrollment ID: I20080509000092 |
| Provider Name | Nicole Alexandria Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841225745 PECOS PAC ID: 2062416043 Enrollment ID: I20080612000130 |
| Provider Name | Dimitry J Rabkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316984990 PECOS PAC ID: 4486726700 Enrollment ID: I20080702000141 |
| Provider Name | Lillian Rich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003961988 PECOS PAC ID: 5991878738 Enrollment ID: I20080726000073 |
| Provider Name | Corina S Santmire |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508082470 PECOS PAC ID: 1456425925 Enrollment ID: I20080731000443 |
| Provider Name | Janice M Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427238955 PECOS PAC ID: 6507930492 Enrollment ID: I20080812000054 |
| Provider Name | James P Spinelli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306061874 PECOS PAC ID: 8729153952 Enrollment ID: I20080821000524 |
| Provider Name | Gwen Hotaling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518141787 PECOS PAC ID: 5991871220 Enrollment ID: I20080910000097 |
| Provider Name | Chloe A Zera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962572503 PECOS PAC ID: 9133295462 Enrollment ID: I20080910000127 |
| Provider Name | Milena M. Weinstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255489753 PECOS PAC ID: 7810921277 Enrollment ID: I20081008000096 |
| Provider Name | James Charles Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427164961 PECOS PAC ID: 3577631241 Enrollment ID: I20081008000125 |
| Provider Name | Khayam Shaukat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639117120 PECOS PAC ID: 1456246636 Enrollment ID: I20081008000232 |
| Provider Name | Suneel Dhand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255516472 PECOS PAC ID: 2163590878 Enrollment ID: I20081008000466 |
| Provider Name | Michelle J Gochioco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790951663 PECOS PAC ID: 1052479383 Enrollment ID: I20081015000340 |
| Provider Name | Tamer Khafagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932391422 PECOS PAC ID: 3173681723 Enrollment ID: I20081025000126 |
| Provider Name | David J Kahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447440581 PECOS PAC ID: 6204995400 Enrollment ID: I20081103000473 |
| Provider Name | Sreedhar Kurma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912154253 PECOS PAC ID: 1658430558 Enrollment ID: I20081106000807 |
| Provider Name | Catherine M Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528007556 PECOS PAC ID: 5395805378 Enrollment ID: I20081120000423 |
| Provider Name | Peter S Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073669248 PECOS PAC ID: 5890855878 Enrollment ID: I20081120000473 |
| Provider Name | Daniele D Olveczky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124075163 PECOS PAC ID: 7810058104 Enrollment ID: I20081204000788 |
| Provider Name | Mohsin A Syed Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740462621 PECOS PAC ID: 0648331769 Enrollment ID: I20081209000044 |
| Provider Name | Christine E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992958128 PECOS PAC ID: 8729142377 Enrollment ID: I20090127000596 |
| Provider Name | Jacqueline E Brecht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205889102 PECOS PAC ID: 1557346202 Enrollment ID: I20090203000184 |
| Provider Name | Eric A Osborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548445240 PECOS PAC ID: 0749346229 Enrollment ID: I20090309000144 |
| Provider Name | Hope E. Ring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679520829 PECOS PAC ID: 2264580398 Enrollment ID: I20090429000649 |
| Provider Name | Jennifer R Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578600763 PECOS PAC ID: 4082764873 Enrollment ID: I20090617000351 |
| Provider Name | Alexander Panda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750524278 PECOS PAC ID: 4880746171 Enrollment ID: I20090717000121 |
| Provider Name | Tai Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790892834 PECOS PAC ID: 7012060239 Enrollment ID: I20090805000110 |
| Provider Name | Roy Phitayakorn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407060031 PECOS PAC ID: 8224181342 Enrollment ID: I20090806000266 |
| Provider Name | Stephen M Dyda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073681938 PECOS PAC ID: 3577585033 Enrollment ID: I20090814000216 |
| Provider Name | Jason Gee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134184815 PECOS PAC ID: 0042366239 Enrollment ID: I20090912000037 |
| Provider Name | Arthur J Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720109689 PECOS PAC ID: 0749368181 Enrollment ID: I20090923000250 |
| Provider Name | Colm J Mcmahon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437391588 PECOS PAC ID: 5294881702 Enrollment ID: I20090925000113 |
| Provider Name | Barrett T Kitch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114964392 PECOS PAC ID: 7416097035 Enrollment ID: I20091211000651 |
| Provider Name | Hassan Arif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376775130 PECOS PAC ID: 4183765860 Enrollment ID: I20091231000425 |
| Provider Name | Ashok Muniappan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871575159 PECOS PAC ID: 2163563222 Enrollment ID: I20100112000085 |
| Provider Name | Raghavendra Kulkarni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710973987 PECOS PAC ID: 4688614217 Enrollment ID: I20100216000116 |
| Provider Name | Erin C O'hara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942407077 PECOS PAC ID: 2062547136 Enrollment ID: I20100315000263 |
| Provider Name | Agnes Virga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184614414 PECOS PAC ID: 6709912850 Enrollment ID: I20100329000643 |
| Provider Name | Russell S Zide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912012329 PECOS PAC ID: 8325177421 Enrollment ID: I20100528000103 |
| Provider Name | Linda James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861582223 PECOS PAC ID: 6709915572 Enrollment ID: I20100604000012 |
| Provider Name | Serena J Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457340911 PECOS PAC ID: 7416086152 Enrollment ID: I20100702000150 |
| Provider Name | Lauren M Bleich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083882989 PECOS PAC ID: 5890828917 Enrollment ID: I20100727000061 |
| Provider Name | Ya Tze Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245298157 PECOS PAC ID: 5597898676 Enrollment ID: I20100727000820 |
| Provider Name | Vincent Prendergast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881820090 PECOS PAC ID: 7517090319 Enrollment ID: I20100730000391 |
| Provider Name | Emily Kung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841495462 PECOS PAC ID: 7416080973 Enrollment ID: I20100804000420 |
| Provider Name | Jeffrey B Velez |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174765234 PECOS PAC ID: 3779617535 Enrollment ID: I20100816000289 |
| Provider Name | Katarina Illanes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912049677 PECOS PAC ID: 5294869640 Enrollment ID: I20100820000113 |
| Provider Name | Diego Illanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568529121 PECOS PAC ID: 4082748371 Enrollment ID: I20100823000944 |
| Provider Name | Julius Tabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801093356 PECOS PAC ID: 8729104963 Enrollment ID: I20100925000052 |
| Provider Name | Roberto Larios |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679771588 PECOS PAC ID: 0547386427 Enrollment ID: I20100928001523 |
| Provider Name | Robert A Fuller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336314764 PECOS PAC ID: 6709078017 Enrollment ID: I20101005000876 |
| Provider Name | Meenakshi Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497992192 PECOS PAC ID: 3779776885 Enrollment ID: I20101021000766 |
| Provider Name | Atif Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063417145 PECOS PAC ID: 5991832628 Enrollment ID: I20101022000863 |
| Provider Name | Elizabeth Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396783676 PECOS PAC ID: 4587859814 Enrollment ID: I20101112000390 |
| Provider Name | Corinne Sadoski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790875631 PECOS PAC ID: 6901091198 Enrollment ID: I20101113000005 |
| Provider Name | David Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477528677 PECOS PAC ID: 3678461290 Enrollment ID: I20101118000381 |
| Provider Name | Ayesha Khalid |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528285921 PECOS PAC ID: 6507937505 Enrollment ID: I20101207000519 |
| Provider Name | Christopher Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598722969 PECOS PAC ID: 8729277413 Enrollment ID: I20110111000921 |
| Provider Name | Catherine B Boisvert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508915331 PECOS PAC ID: 8921287509 Enrollment ID: I20110128000119 |
| Provider Name | Christine Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841517745 PECOS PAC ID: 1355521410 Enrollment ID: I20110207000198 |
| Provider Name | Neeraj Vasishtha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982689048 PECOS PAC ID: 1850357724 Enrollment ID: I20110511000481 |
| Provider Name | Maria D Arcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912172040 PECOS PAC ID: 5395921076 Enrollment ID: I20110513000215 |
| Provider Name | Jessie C Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235467598 PECOS PAC ID: 3577749936 Enrollment ID: I20110519000260 |
| Provider Name | Colleen T Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073825287 PECOS PAC ID: 0446437933 Enrollment ID: I20110609000655 |
| Provider Name | Sandeep Ghai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720249626 PECOS PAC ID: 5890973168 Enrollment ID: I20110711000435 |
| Provider Name | Alexandra Evindar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881859072 PECOS PAC ID: 0244408623 Enrollment ID: I20110801000039 |
| Provider Name | Anca Goller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083765036 PECOS PAC ID: 5193994515 Enrollment ID: I20110801000635 |
| Provider Name | Anne Lauren Kasperek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619051109 PECOS PAC ID: 5991976078 Enrollment ID: I20110921000467 |
| Provider Name | Caitlin E Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669750378 PECOS PAC ID: 7618140872 Enrollment ID: I20111103000223 |
| Provider Name | Kathryn Pescatello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114675 PECOS PAC ID: 6305013806 Enrollment ID: I20120125000027 |
| Provider Name | Mandeep Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811153489 PECOS PAC ID: 3870660368 Enrollment ID: I20120220000635 |
| Provider Name | Kathryn J Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932385978 PECOS PAC ID: 1456512086 Enrollment ID: I20120409000271 |
| Provider Name | Courtney A Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770854523 PECOS PAC ID: 1254592454 Enrollment ID: I20120416000500 |
| Provider Name | Kevin T Nuttall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619103496 PECOS PAC ID: 8022274851 Enrollment ID: I20120724000342 |
| Provider Name | Melissa Piech |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326240730 PECOS PAC ID: 1355597584 Enrollment ID: I20120803000412 |
| Provider Name | Paul M Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770711160 PECOS PAC ID: 5799933941 Enrollment ID: I20120913000549 |
| Provider Name | Paul P Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780849984 PECOS PAC ID: 8527234285 Enrollment ID: I20121024000421 |
| Provider Name | Diana Suris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972731537 PECOS PAC ID: 1759532799 Enrollment ID: I20121121000345 |
| Provider Name | Aylin Akay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942347752 PECOS PAC ID: 1951425495 Enrollment ID: I20130102000400 |
| Provider Name | Jessin Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457603052 PECOS PAC ID: 4688828890 Enrollment ID: I20130215000239 |
| Provider Name | Alexandra A Mendonca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669751780 PECOS PAC ID: 8123273216 Enrollment ID: I20130220000475 |
| Provider Name | Jessica L Aidlen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528115656 PECOS PAC ID: 5193879823 Enrollment ID: I20130320000297 |
| Provider Name | Michael A Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689985772 PECOS PAC ID: 3476793183 Enrollment ID: I20130701000120 |
| Provider Name | David A Lyczkowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942437496 PECOS PAC ID: 1951554120 Enrollment ID: I20130719000661 |
| Provider Name | Rita Olans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063540326 PECOS PAC ID: 1951542505 Enrollment ID: I20130725000035 |
| Provider Name | Donny L.f. Chang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114188265 PECOS PAC ID: 2264673607 Enrollment ID: I20130726000267 |
| Provider Name | Liyan Zhuang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578728200 PECOS PAC ID: 7214171313 Enrollment ID: I20130913000196 |
| Provider Name | Allison N Darvish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588952451 PECOS PAC ID: 2466686761 Enrollment ID: I20130927000346 |
| Provider Name | Katelynn F Cataldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962836155 PECOS PAC ID: 3678709391 Enrollment ID: I20131202000182 |
| Provider Name | Julie Ann Piotrowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275668352 PECOS PAC ID: 2062648793 Enrollment ID: I20131202000412 |
| Provider Name | Ann K Welsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215258587 PECOS PAC ID: 0345409348 Enrollment ID: I20131205000141 |
| Provider Name | Majid H Dudha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932430592 PECOS PAC ID: 3072774033 Enrollment ID: I20131205001676 |
| Provider Name | Svetlana Sarah Kachan-liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609192749 PECOS PAC ID: 2466603949 Enrollment ID: I20140129000377 |
| Provider Name | Megan I Loring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205144755 PECOS PAC ID: 3678702842 Enrollment ID: I20140211000056 |
| Provider Name | Shih Ho Lue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073823761 PECOS PAC ID: 5991935199 Enrollment ID: I20140310001339 |
| Provider Name | Rupenkumar Amin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568625820 PECOS PAC ID: 7810058237 Enrollment ID: I20140401000837 |
| Provider Name | Shiva Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437226651 PECOS PAC ID: 5799854527 Enrollment ID: I20140401002075 |
| Provider Name | Shannon L Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467701888 PECOS PAC ID: 7113142605 Enrollment ID: I20140625000399 |
| Provider Name | Beverly M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255585485 PECOS PAC ID: 0345302410 Enrollment ID: I20140625001881 |
| Provider Name | Julian Lel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750680427 PECOS PAC ID: 0244462893 Enrollment ID: I20140630001178 |
| Provider Name | Paul J Krezanoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649591884 PECOS PAC ID: 6507024213 Enrollment ID: I20140703000310 |
| Provider Name | Laura M. Doyon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235363342 PECOS PAC ID: 2567687379 Enrollment ID: I20140711001429 |
| Provider Name | Muhammad Janisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972883197 PECOS PAC ID: 6103041827 Enrollment ID: I20140711002313 |
| Provider Name | Ellen M Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396178695 PECOS PAC ID: 6709001472 Enrollment ID: I20140714001610 |
| Provider Name | Benjamin R Levin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356631436 PECOS PAC ID: 8729206404 Enrollment ID: I20140821000324 |
| Provider Name | Mccall Barrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528473659 PECOS PAC ID: 6901026160 Enrollment ID: I20141010000396 |
| Provider Name | Artsiom V Tsyrkunou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376773234 PECOS PAC ID: 1658593793 Enrollment ID: I20141105001636 |
| Provider Name | Gail Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891047585 PECOS PAC ID: 5597939090 Enrollment ID: I20141111000133 |
| Provider Name | Deanna L Corey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437460680 PECOS PAC ID: 7416189766 Enrollment ID: I20141211000613 |
| Provider Name | Monica D Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134475502 PECOS PAC ID: 9436308475 Enrollment ID: I20141222000890 |
| Provider Name | Rebecca L Peak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376771055 PECOS PAC ID: 3678897154 Enrollment ID: I20150112001576 |
| Provider Name | Laura Nejame |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912398488 PECOS PAC ID: 0446578553 Enrollment ID: I20150421000245 |
| Provider Name | Crystal L Fontas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356732515 PECOS PAC ID: 2860713898 Enrollment ID: I20150603000430 |
| Provider Name | Kara T Kuchachik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356750467 PECOS PAC ID: 1850612805 Enrollment ID: I20150603001151 |
| Provider Name | Kassandra L Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669612883 PECOS PAC ID: 2365753571 Enrollment ID: I20150615001395 |
| Provider Name | Jennifer Nayor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790912731 PECOS PAC ID: 0840438263 Enrollment ID: I20150617002720 |
| Provider Name | Sarah R Easter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134418064 PECOS PAC ID: 8921266727 Enrollment ID: I20150624002011 |
| Provider Name | Katherine E Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326210634 PECOS PAC ID: 6800108432 Enrollment ID: I20150709002397 |
| Provider Name | Stephanie A Guseh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831498104 PECOS PAC ID: 0840457271 Enrollment ID: I20150806011449 |
| Provider Name | Eman M Shaban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922396969 PECOS PAC ID: 6406085166 Enrollment ID: I20150813009814 |
| Provider Name | Megan M Church |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124380563 PECOS PAC ID: 4587818604 Enrollment ID: I20150826002346 |
| Provider Name | Rebecca M Ackroyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891059655 PECOS PAC ID: 2668788712 Enrollment ID: I20150903001549 |
| Provider Name | Kei Yamada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487895959 PECOS PAC ID: 5092986497 Enrollment ID: I20150909001327 |
| Provider Name | Elizaveta Ragulin Coyne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932369741 PECOS PAC ID: 8426365297 Enrollment ID: I20150911001327 |
| Provider Name | Kyle P Lavery |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053624148 PECOS PAC ID: 4385951631 Enrollment ID: I20150918000334 |
| Provider Name | Ezra R Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982923595 PECOS PAC ID: 2961719083 Enrollment ID: I20150922000529 |
| Provider Name | Jonathan B Greene |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770742587 PECOS PAC ID: 7416135330 Enrollment ID: I20150923001410 |
| Provider Name | Caroline R Jouhourian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538470372 PECOS PAC ID: 8123336088 Enrollment ID: I20150928000384 |
| Provider Name | Christian F. Ghattas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447537865 PECOS PAC ID: 0244548618 Enrollment ID: I20151005001376 |
| Provider Name | Jennifer Russo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699032128 PECOS PAC ID: 0244462364 Enrollment ID: I20151109002134 |
| Provider Name | Arjun Majithia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285922054 PECOS PAC ID: 8325340961 Enrollment ID: I20160113001960 |
| Provider Name | Gerardo P Carino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205814357 PECOS PAC ID: 3971533563 Enrollment ID: I20160205001045 |
| Provider Name | Emily J D'amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881007177 PECOS PAC ID: 6608170675 Enrollment ID: I20160211001793 |
| Provider Name | Benista Owusu Amo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710249834 PECOS PAC ID: 4789989815 Enrollment ID: I20160226000924 |
| Provider Name | Kenya Hanspard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932170305 PECOS PAC ID: 9739072984 Enrollment ID: I20160318000840 |
| Provider Name | Kelli Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184008278 PECOS PAC ID: 6800193723 Enrollment ID: I20160321001260 |
| Provider Name | James A Jenkins Ii |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235577313 PECOS PAC ID: 9830312909 Enrollment ID: I20160523001938 |
| Provider Name | Maria Isabel Cordova - Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710295423 PECOS PAC ID: 3173740313 Enrollment ID: I20160729000594 |
| Provider Name | Anya Turetsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497040315 PECOS PAC ID: 9537391669 Enrollment ID: I20160809001290 |
| Provider Name | Elizabeth Gudmand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265857882 PECOS PAC ID: 4880989573 Enrollment ID: I20160819000439 |
| Provider Name | Anush Sa Sahakian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972942928 PECOS PAC ID: 7810284791 Enrollment ID: I20160920002036 |
| Provider Name | Chander K Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326377573 PECOS PAC ID: 1658513247 Enrollment ID: I20160928001608 |
| Provider Name | Suzanne Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548618465 PECOS PAC ID: 1557658754 Enrollment ID: I20160930001403 |
| Provider Name | Felix R Szabo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669714051 PECOS PAC ID: 7012209612 Enrollment ID: I20161010001544 |
| Provider Name | Courtney L Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174932099 PECOS PAC ID: 8527280148 Enrollment ID: I20161109002729 |
| Provider Name | Qiang Zeng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134495286 PECOS PAC ID: 4082927660 Enrollment ID: I20161129000369 |
| Provider Name | Celeste Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821437393 PECOS PAC ID: 8820387111 Enrollment ID: I20161209001321 |
| Provider Name | Kristen Mcloughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225488521 PECOS PAC ID: 6800176645 Enrollment ID: I20161213001069 |
| Provider Name | James J Daly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821364159 PECOS PAC ID: 8224340971 Enrollment ID: I20161221000386 |
| Provider Name | Elizabeth G Reese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184063711 PECOS PAC ID: 8820373798 Enrollment ID: I20170316001948 |
| Provider Name | Linda Kintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750547469 PECOS PAC ID: 8426118308 Enrollment ID: I20170406000086 |
| Provider Name | Lauren Ferrara |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710273487 PECOS PAC ID: 6608153176 Enrollment ID: I20170510002046 |
| Provider Name | Neal F Mcgrath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184780561 PECOS PAC ID: 9032496542 Enrollment ID: I20170511000787 |
| Provider Name | Kathryn O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215474077 PECOS PAC ID: 5193002509 Enrollment ID: I20170511001339 |
| Provider Name | Christopher Millhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952715203 PECOS PAC ID: 3476842063 Enrollment ID: I20170515001849 |
| Provider Name | Jonathan Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205123080 PECOS PAC ID: 3375810963 Enrollment ID: I20170602000936 |
| Provider Name | Stephanie Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689113888 PECOS PAC ID: 2163799628 Enrollment ID: I20170605001369 |
| Provider Name | Rachel W Winter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730492216 PECOS PAC ID: 7911129895 Enrollment ID: I20170615000967 |
| Provider Name | Michael Piccioli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205240330 PECOS PAC ID: 1850519638 Enrollment ID: I20170616001453 |
| Provider Name | Seppo Rinne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619151503 PECOS PAC ID: 5092908244 Enrollment ID: I20170619000033 |
| Provider Name | Manijeh Berenji |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1033315114 PECOS PAC ID: 0446542633 Enrollment ID: I20170620001235 |
| Provider Name | Aurora Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538609938 PECOS PAC ID: 5799053419 Enrollment ID: I20170621000213 |
| Provider Name | Michael W Winter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003172180 PECOS PAC ID: 8729375381 Enrollment ID: I20170714002243 |
| Provider Name | Nisse V Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982967105 PECOS PAC ID: 8325337272 Enrollment ID: I20170724002860 |
| Provider Name | Harold August Fogel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528334828 PECOS PAC ID: 1254631260 Enrollment ID: I20170724003946 |
| Provider Name | Suzana Brozovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225216989 PECOS PAC ID: 5395870612 Enrollment ID: I20170725001568 |
| Provider Name | Matthew R Rebesco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962822528 PECOS PAC ID: 0446476477 Enrollment ID: I20170727001296 |
| Provider Name | Christopher George Stallwood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427357656 PECOS PAC ID: 6709018781 Enrollment ID: I20170828000805 |
| Provider Name | John Mark Gurbarin Gubatan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215340674 PECOS PAC ID: 1658689617 Enrollment ID: I20170829003546 |
| Provider Name | Megan E Aurora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982990388 PECOS PAC ID: 0941507610 Enrollment ID: I20170830001434 |
| Provider Name | Vanessa Leigh D'orio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962927947 PECOS PAC ID: 1153695747 Enrollment ID: I20170920002626 |
| Provider Name | Liesbeth Tryzelaar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316106297 PECOS PAC ID: 9537398250 Enrollment ID: I20171006000949 |
| Provider Name | Patrick Z Desgranges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922205491 PECOS PAC ID: 3870617673 Enrollment ID: I20171009000630 |
| Provider Name | Carolyn Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013454826 PECOS PAC ID: 5890060115 Enrollment ID: I20171011003605 |
| Provider Name | Alexandra Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285983759 PECOS PAC ID: 9436425535 Enrollment ID: I20171017002539 |
| Provider Name | Stephanie F Stratigos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417243049 PECOS PAC ID: 8628377074 Enrollment ID: I20171019001195 |
| Provider Name | Mahdi Razafsha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912293689 PECOS PAC ID: 9234372566 Enrollment ID: I20171121003044 |
| Provider Name | Ravi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912211459 PECOS PAC ID: 3375771512 Enrollment ID: I20171201001420 |
| Provider Name | Hugh G Auchincloss |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003076522 PECOS PAC ID: 1456589324 Enrollment ID: I20171205000919 |
| Provider Name | Sangita Shrestha Chitrakar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255701447 PECOS PAC ID: 0941507412 Enrollment ID: I20171221000431 |
| Provider Name | Shaina K Vaczy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138354 PECOS PAC ID: 6901168814 Enrollment ID: I20180312002293 |
| Provider Name | Antoine E Soueid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336397991 PECOS PAC ID: 1658571443 Enrollment ID: I20180314001934 |
| Provider Name | Mony D Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164928701 PECOS PAC ID: 2567725609 Enrollment ID: I20180424001233 |
| Provider Name | Ashley Pickering Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700394590 PECOS PAC ID: 7416211248 Enrollment ID: I20180503000279 |
| Provider Name | Lily R Devaraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295153021 PECOS PAC ID: 8022363787 Enrollment ID: I20180620002393 |
| Provider Name | Stephan Goupil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659767986 PECOS PAC ID: 2961710215 Enrollment ID: I20180711003476 |
| Provider Name | Rishi Dave |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053759266 PECOS PAC ID: 4082961388 Enrollment ID: I20180718000646 |
| Provider Name | Mary Jeannette Hopkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396060133 PECOS PAC ID: 2466686548 Enrollment ID: I20180719000713 |
| Provider Name | John Gerald Dowd |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1164498648 PECOS PAC ID: 4688642135 Enrollment ID: I20180719001952 |
| Provider Name | Adrienne Danielle Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144649104 PECOS PAC ID: 0840595534 Enrollment ID: I20180725000060 |
| Provider Name | Christopher Alan Hostage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386082121 PECOS PAC ID: 3072863836 Enrollment ID: I20180829002345 |
| Provider Name | Claire Emily Reynolds Carrazco |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1952711830 PECOS PAC ID: 5092065037 Enrollment ID: I20180912001563 |
| Provider Name | Sarah Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548748189 PECOS PAC ID: 8224389812 Enrollment ID: I20180920001682 |
| Provider Name | Lorely Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083127658 PECOS PAC ID: 9638422231 Enrollment ID: I20181029002790 |
| Provider Name | Hanna Taan Succar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928731 PECOS PAC ID: 6507110103 Enrollment ID: I20181119000589 |
| Provider Name | Joseph Urman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396126231 PECOS PAC ID: 6800149162 Enrollment ID: I20181120000203 |
| Provider Name | Michelle Dalencour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073873006 PECOS PAC ID: 4789818287 Enrollment ID: I20181214000361 |
| Provider Name | Rabiah Rafique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396009775 PECOS PAC ID: 6103136221 Enrollment ID: I20190123002361 |
| Provider Name | Jed K. Weinstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649465253 PECOS PAC ID: 9931334919 Enrollment ID: I20190201001794 |
| Provider Name | Kate R Steinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528488459 PECOS PAC ID: 9638393143 Enrollment ID: I20190212000366 |
| Provider Name | Meredith Palusci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154725927 PECOS PAC ID: 0648593079 Enrollment ID: I20190305002096 |
| Provider Name | Sravanthi Changala Madala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134564859 PECOS PAC ID: 3678893120 Enrollment ID: I20190401001790 |
| Provider Name | Emily S Reiff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972860211 PECOS PAC ID: 1557515491 Enrollment ID: I20190523000897 |
| Provider Name | Adam S Walpert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720492689 PECOS PAC ID: 8921371501 Enrollment ID: I20190530002802 |
| Provider Name | Kristen Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700147667 PECOS PAC ID: 1153633888 Enrollment ID: I20190611001724 |
| Provider Name | Emeric Bojarski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669715090 PECOS PAC ID: 0547549172 Enrollment ID: I20190613001034 |
| Provider Name | Xun Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942650569 PECOS PAC ID: 3173810629 Enrollment ID: I20190702001645 |
| Provider Name | Scott M Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952797425 PECOS PAC ID: 7416265715 Enrollment ID: I20190806000552 |
| Provider Name | Victor Wei |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508428145 PECOS PAC ID: 4284961517 Enrollment ID: I20190809000899 |
| Provider Name | Nishanat A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992167126 PECOS PAC ID: 8123319035 Enrollment ID: I20190815003312 |
| Provider Name | Daniel G Tobert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790123875 PECOS PAC ID: 5890923866 Enrollment ID: I20190905000905 |
| Provider Name | Peter Y Zhao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427390756 PECOS PAC ID: 0840580122 Enrollment ID: I20190911000145 |
| Provider Name | Alexander Hallac |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386039998 PECOS PAC ID: 9830490010 Enrollment ID: I20191003003577 |
| Provider Name | Alicia M Habeshian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235789207 PECOS PAC ID: 6507298163 Enrollment ID: I20191120000617 |
| Provider Name | Shuang Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326433863 PECOS PAC ID: 0547510612 Enrollment ID: I20200107000191 |
| Provider Name | Tanya R Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601762 PECOS PAC ID: 9436584836 Enrollment ID: I20200113001601 |
| Provider Name | Plamyenne Penka Djamchebi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497259261 PECOS PAC ID: 6608202460 Enrollment ID: I20200214001497 |
| Provider Name | Titilayo Omolara Ilori |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104090877 PECOS PAC ID: 9436315652 Enrollment ID: I20200330001582 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740712496 PECOS PAC ID: 5193098168 Enrollment ID: I20200522002338 |
| Provider Name | Cassandre Voltaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922539360 PECOS PAC ID: 3476803560 Enrollment ID: I20200806001511 |
| Provider Name | Michael L Desimone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609219369 PECOS PAC ID: 0547579575 Enrollment ID: I20200810002160 |
| Provider Name | Meredith L Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669917696 PECOS PAC ID: 4587082201 Enrollment ID: I20200914000198 |
| Provider Name | Joanna Ng-glazier |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689994758 PECOS PAC ID: 9234360538 Enrollment ID: I20200915003236 |
| Provider Name | Lauren Elizabeth Kearney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508398744 PECOS PAC ID: 5193098283 Enrollment ID: I20201026002446 |
| Provider Name | Beatrice Glen Domenichella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952919623 PECOS PAC ID: 5395156871 Enrollment ID: I20201205000128 |
| Provider Name | Elizabeth R Graef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598171878 PECOS PAC ID: 1658782131 Enrollment ID: I20201205000186 |
| Provider Name | Scott C Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841604642 PECOS PAC ID: 0446519573 Enrollment ID: I20210211000290 |
| Provider Name | Laura Godin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851905186 PECOS PAC ID: 6901211564 Enrollment ID: I20210213000044 |
| Provider Name | Kaleigh Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851900831 PECOS PAC ID: 4082021704 Enrollment ID: I20210325000753 |
| Provider Name | Sonal M Khatri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154841229 PECOS PAC ID: 2860758125 Enrollment ID: I20210426002399 |
| Provider Name | Eric Roll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568824134 PECOS PAC ID: 1759676877 Enrollment ID: I20210608002530 |
| Provider Name | Naomi Kimball Errath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024693 PECOS PAC ID: 6901206762 Enrollment ID: I20210615003643 |
| Provider Name | Christopher R Schlieve |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730520362 PECOS PAC ID: 3779724273 Enrollment ID: I20210721000091 |
| Provider Name | Mark J Waksmonski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417576554 PECOS PAC ID: 9638572969 Enrollment ID: I20210726000233 |
| Provider Name | Muhammad Tariq Shakoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952656498 PECOS PAC ID: 7113153099 Enrollment ID: I20210811003806 |
| Provider Name | Alexandra Baker Columbus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790128635 PECOS PAC ID: 7113323015 Enrollment ID: I20210901000337 |
| Provider Name | Ting Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730594243 PECOS PAC ID: 1850606195 Enrollment ID: I20210910002279 |
| Provider Name | Aderonke Bamgbose Pederson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396139655 PECOS PAC ID: 2567745318 Enrollment ID: I20210930002257 |
| Provider Name | Caitlin Julia Guiney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285259184 PECOS PAC ID: 4082012273 Enrollment ID: I20211001000264 |
| Provider Name | Jordan Blake Siu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548624935 PECOS PAC ID: 3678820693 Enrollment ID: I20211018001692 |
| Provider Name | Terrie H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407109267 PECOS PAC ID: 7113170986 Enrollment ID: I20220915002709 |
| Provider Name | Courtney Diprisco Splaine-cotton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831650886 PECOS PAC ID: 6002144474 Enrollment ID: I20221229000337 |
| Provider Name | Ismael Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750873816 PECOS PAC ID: 7416204524 Enrollment ID: I20230119003225 |
| Provider Name | Kirsten Piotrowski Sobkowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891431771 PECOS PAC ID: 7315327335 Enrollment ID: I20230125000663 |
| Provider Name | Shamlan Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487077194 PECOS PAC ID: 8325260185 Enrollment ID: I20230202000353 |
| Provider Name | Jeffrey Corbett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669964201 PECOS PAC ID: 0446503726 Enrollment ID: I20230206000184 |
| Provider Name | Rand Nashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215399829 PECOS PAC ID: 3173818754 Enrollment ID: I20230214002010 |
| Provider Name | Brandon Pang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790279040 PECOS PAC ID: 1052667052 Enrollment ID: I20230303000412 |
| Provider Name | Jeffrey Brian Hainsworth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013295716 PECOS PAC ID: 1254796352 Enrollment ID: I20230425000602 |
| Provider Name | Shavon Bettencourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710682422 PECOS PAC ID: 4880051036 Enrollment ID: I20230605000722 |
| Provider Name | Lisa Curtain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245795491 PECOS PAC ID: 5597006080 Enrollment ID: I20230619000652 |
| Provider Name | Nathan Elie Frenk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932582178 PECOS PAC ID: 4082929492 Enrollment ID: I20230915003056 |
| Provider Name | Zemin Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861029985 PECOS PAC ID: 4880058254 Enrollment ID: I20230919000958 |
| Provider Name | Bilal Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649730763 PECOS PAC ID: 0345650883 Enrollment ID: I20231002003553 |
| Provider Name | Tanya Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427582741 PECOS PAC ID: 5698189330 Enrollment ID: I20231117002636 |
| Provider Name | Phoebe Theresa Peal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649904376 PECOS PAC ID: 1456709476 Enrollment ID: I20231130002313 |
| Provider Name | Jay B Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720115165 PECOS PAC ID: 6507020716 Enrollment ID: I20231214001195 |
| Provider Name | Daniel Bruce Kramer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336502293 PECOS PAC ID: 3870876782 Enrollment ID: I20240207000768 |
| Provider Name | Mayank Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235558594 PECOS PAC ID: 7315205770 Enrollment ID: I20240311001018 |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Baker Ave Ste 300, Concord, MA 01742 Phone: 773-292-4800 Fax: 312-564-4059 | |
Options In Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1536 Main St Apt B, Concord, MA 01742 Phone: 978-505-3698 | |
Beth Israel Lahey Health Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 Phone: 978-369-5575 | |
Mass General Brigham Community Physicians Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 Beharrell St, Concord, MA 01742 Phone: 781-259-9292 Fax: 781-259-0747 | |
Concord Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2284 Main St, Concord, MA 01742 Phone: 978-369-5575 Fax: 978-371-9189 | |
Concord Primary Care,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Old Road To 9 Acre Cor, Suite 810 Jcb, Concord, MA 01742 Phone: 978-318-0007 Fax: 978-318-0056 | |
Integrity Medical Post Acute Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Baker Ave Ste 300, Concord, MA 01742 Phone: 248-303-0257 Fax: 800-316-4501 |