| Erie Family Health Center, Inc | |
|
1701 W Superior St Chicago IL 60622-5646 | |
| (312) 432-7394 | |
| Not Available |
| Full Name | Erie Family Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1701 W Superior St, Chicago, Illinois |
| Authorized Official Name and Position | Lee Francis (PESIDENT AND CEO) |
| Authorized Official Contact | 3124327394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erie Family Health Center, Inc 1701 W Superior St 3rd Floor Chicago IL 60622-5646 Ph: (312) 432-7394 | Erie Family Health Center, Inc 1701 W Superior St Chicago IL 60622-5646 Ph: (312) 432-7394 |
| NPI Number | 1760499545 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 11/02/2020 |
| Medicare PECOS PAC ID | 9537050422 |
|---|---|
| Medicare Enrollment ID | O20040322000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760499545 | NPI | - | NPPES |
| 1616827 | Other | IL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
| 748480 | Other | IL | MEDICARE PART B |
| F100260003 | Other | WI | MEDICARE PART B PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | James H Lawton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124050992 PECOS PAC ID: 9931011533 Enrollment ID: I20031103000322 |
| Provider Name | Andrea M Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831259951 PECOS PAC ID: 9133011182 Enrollment ID: I20040325001431 |
| Provider Name | Jeffrey Lerch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124078795 PECOS PAC ID: 1355334335 Enrollment ID: I20040406000440 |
| Provider Name | Mark T Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811078793 PECOS PAC ID: 7517952161 Enrollment ID: I20040415000014 |
| Provider Name | Fabiola Fernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174597249 PECOS PAC ID: 0941295521 Enrollment ID: I20040415000198 |
| Provider Name | Kenneth L Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972513984 PECOS PAC ID: 7214912542 Enrollment ID: I20040622000056 |
| Provider Name | Madhuri Thota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851425383 PECOS PAC ID: 0648258350 Enrollment ID: I20040709000636 |
| Provider Name | Caroline M Hoke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306948070 PECOS PAC ID: 4183694755 Enrollment ID: I20040729001475 |
| Provider Name | Michael G Feinzimer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457455065 PECOS PAC ID: 2961474069 Enrollment ID: I20040810000280 |
| Provider Name | Cathy J Tschannen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801888078 PECOS PAC ID: 2466440169 Enrollment ID: I20040825000131 |
| Provider Name | Joanne Sarroza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114917697 PECOS PAC ID: 5496716631 Enrollment ID: I20041021000547 |
| Provider Name | Amy L Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962512046 PECOS PAC ID: 9234193970 Enrollment ID: I20041112001010 |
| Provider Name | Mark Allen Drexler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821105057 PECOS PAC ID: 7517913064 Enrollment ID: I20050329000865 |
| Provider Name | Rafael R Dominguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104840073 PECOS PAC ID: 1658315478 Enrollment ID: I20050613001238 |
| Provider Name | Catherine Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013956630 PECOS PAC ID: 4082646732 Enrollment ID: I20050902000297 |
| Provider Name | Mark Paul Macumber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598805830 PECOS PAC ID: 1456257492 Enrollment ID: I20050929000722 |
| Provider Name | Tracy Erin Irwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295786994 PECOS PAC ID: 9739105024 Enrollment ID: I20051017000253 |
| Provider Name | Avery S Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831135102 PECOS PAC ID: 0143233684 Enrollment ID: I20060728000225 |
| Provider Name | Joseph Patrick Gibes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396785432 PECOS PAC ID: 0446263834 Enrollment ID: I20060802000200 |
| Provider Name | David R Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396772992 PECOS PAC ID: 9830192830 Enrollment ID: I20060811000295 |
| Provider Name | Elizabeth M Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063438760 PECOS PAC ID: 7517966567 Enrollment ID: I20061220000434 |
| Provider Name | Lise S Weisberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477577104 PECOS PAC ID: 5294735437 Enrollment ID: I20070111000276 |
| Provider Name | Sherry K Nordstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770530503 PECOS PAC ID: 7113020561 Enrollment ID: I20070306000096 |
| Provider Name | Jeffrey J Fitzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487664769 PECOS PAC ID: 5991800492 Enrollment ID: I20070411000337 |
| Provider Name | Loretta A Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841380193 PECOS PAC ID: 1850490202 Enrollment ID: I20070626000182 |
| Provider Name | Karina Sigulinsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700081858 PECOS PAC ID: 8527168939 Enrollment ID: I20070714000106 |
| Provider Name | Ann M Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063436889 PECOS PAC ID: 3577664598 Enrollment ID: I20070720000503 |
| Provider Name | Julie D Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073535258 PECOS PAC ID: 2567563588 Enrollment ID: I20070720000517 |
| Provider Name | Kai Tao |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861412637 PECOS PAC ID: 1456452473 Enrollment ID: I20070720000530 |
| Provider Name | Janet L Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861416786 PECOS PAC ID: 8729189204 Enrollment ID: I20070727000502 |
| Provider Name | Heidi A Vyhmeister |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821196593 PECOS PAC ID: 6800997388 Enrollment ID: I20070727000511 |
| Provider Name | Linda S Sosman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295841641 PECOS PAC ID: 5890896377 Enrollment ID: I20070727000519 |
| Provider Name | Elizabeth O Mckelvey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245246438 PECOS PAC ID: 4880795368 Enrollment ID: I20070727000526 |
| Provider Name | Deborah G Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881617975 PECOS PAC ID: 0547361057 Enrollment ID: I20070727000800 |
| Provider Name | Leslie Gardner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548352479 PECOS PAC ID: 3870684731 Enrollment ID: I20070807000179 |
| Provider Name | Martha J Glynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922113430 PECOS PAC ID: 5597856450 Enrollment ID: I20070807000192 |
| Provider Name | Sandra G Uribe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952318008 PECOS PAC ID: 1850482514 Enrollment ID: I20070809000401 |
| Provider Name | Deborah L Edberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194758722 PECOS PAC ID: 8527152628 Enrollment ID: I20070920000270 |
| Provider Name | Deborah Sontag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104012855 PECOS PAC ID: 7012007586 Enrollment ID: I20071220000397 |
| Provider Name | Miriam K Whiteley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972625333 PECOS PAC ID: 8224112453 Enrollment ID: I20080227000344 |
| Provider Name | Karen Susan Haverkamp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134223761 PECOS PAC ID: 8325019243 Enrollment ID: I20080502000182 |
| Provider Name | Anuj K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902012008 PECOS PAC ID: 9830267426 Enrollment ID: I20081009000342 |
| Provider Name | Susan K Kurtenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538173240 PECOS PAC ID: 4284794413 Enrollment ID: I20081118000711 |
| Provider Name | Jennifer L Rossato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487814265 PECOS PAC ID: 0941361224 Enrollment ID: I20081204000742 |
| Provider Name | Nandini Datta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033271473 PECOS PAC ID: 1850317447 Enrollment ID: I20090304000527 |
| Provider Name | Paola B Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811908155 PECOS PAC ID: 4183527518 Enrollment ID: I20090325000520 |
| Provider Name | Jennifer M Baxter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922157734 PECOS PAC ID: 7618025453 Enrollment ID: I20090504000619 |
| Provider Name | Peter P Mayock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285735142 PECOS PAC ID: 1456407675 Enrollment ID: I20090914000122 |
| Provider Name | Ramon Barajas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477702611 PECOS PAC ID: 7113073339 Enrollment ID: I20090914000168 |
| Provider Name | Renee S Aronsohn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831356070 PECOS PAC ID: 2466598651 Enrollment ID: I20091001000069 |
| Provider Name | Lisa M Neff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477781920 PECOS PAC ID: 5092851634 Enrollment ID: I20091012000443 |
| Provider Name | Maribe Fe Bangayan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982602629 PECOS PAC ID: 2769519198 Enrollment ID: I20100416000191 |
| Provider Name | Virgil Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881704492 PECOS PAC ID: 3577756097 Enrollment ID: I20101015001269 |
| Provider Name | Patricia R Hannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912917691 PECOS PAC ID: 7719170596 Enrollment ID: I20101025001271 |
| Provider Name | Marcia A Salas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417113986 PECOS PAC ID: 4284829029 Enrollment ID: I20101105001321 |
| Provider Name | Lee Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114959913 PECOS PAC ID: 1355444878 Enrollment ID: I20101203001269 |
| Provider Name | Lisa Masinter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194984575 PECOS PAC ID: 9032306956 Enrollment ID: I20101203001285 |
| Provider Name | Brigid C Andrew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851482673 PECOS PAC ID: 8628258829 Enrollment ID: I20110204000559 |
| Provider Name | Ron J Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053527184 PECOS PAC ID: 3678753712 Enrollment ID: I20110208000128 |
| Provider Name | Janice L Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407977101 PECOS PAC ID: 9436339116 Enrollment ID: I20110214000032 |
| Provider Name | David P Ley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174718936 PECOS PAC ID: 9032399613 Enrollment ID: I20110215000149 |
| Provider Name | Krishnakali Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598876914 PECOS PAC ID: 5496937245 Enrollment ID: I20110315000836 |
| Provider Name | Frank M Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548280787 PECOS PAC ID: 3173706645 Enrollment ID: I20110321000568 |
| Provider Name | Deborah Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053392589 PECOS PAC ID: 2466543038 Enrollment ID: I20110322000397 |
| Provider Name | Natalie L. Raghu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548564065 PECOS PAC ID: 3375728249 Enrollment ID: I20110420000171 |
| Provider Name | Pooja Saigal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790924496 PECOS PAC ID: 6709055155 Enrollment ID: I20110802000077 |
| Provider Name | Adnybel Rosario Ortiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336295195 PECOS PAC ID: 1052580271 Enrollment ID: I20110804000434 |
| Provider Name | Alissa R Carlson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184826471 PECOS PAC ID: 3375712409 Enrollment ID: I20110808000179 |
| Provider Name | Sanja Dragovic |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902062276 PECOS PAC ID: 2860661717 Enrollment ID: I20110809000895 |
| Provider Name | Marina Birman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336123942 PECOS PAC ID: 9335319714 Enrollment ID: I20110822000164 |
| Provider Name | Cecilia Ackmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649284357 PECOS PAC ID: 4082884960 Enrollment ID: I20110901000281 |
| Provider Name | Judith Cothran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942263090 PECOS PAC ID: 8123298734 Enrollment ID: I20110908001904 |
| Provider Name | Jaclyn R Schieber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790985554 PECOS PAC ID: 2567634207 Enrollment ID: I20110930000507 |
| Provider Name | Anna M Kulik-carlos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841453909 PECOS PAC ID: 1254503527 Enrollment ID: I20111010000212 |
| Provider Name | Katherine M Sisco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497969935 PECOS PAC ID: 4688749138 Enrollment ID: I20111026000684 |
| Provider Name | Elizabeth K Hawkes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538160353 PECOS PAC ID: 9436115581 Enrollment ID: I20111104000635 |
| Provider Name | Deborah Elizabeth Midgley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689780769 PECOS PAC ID: 7315114840 Enrollment ID: I20120124000280 |
| Provider Name | Leslie S Rubeck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952688459 PECOS PAC ID: 2860659620 Enrollment ID: I20120206000717 |
| Provider Name | Qingju Zeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508138751 PECOS PAC ID: 4082875513 Enrollment ID: I20120410000731 |
| Provider Name | Ignacio Perez Arizmendi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689982829 PECOS PAC ID: 6204097041 Enrollment ID: I20120423000089 |
| Provider Name | Mara Divis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780824037 PECOS PAC ID: 4688837800 Enrollment ID: I20120524000603 |
| Provider Name | Marisol Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497027262 PECOS PAC ID: 7517121304 Enrollment ID: I20120606000679 |
| Provider Name | Nancy Elizabeth Newbury |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093931149 PECOS PAC ID: 7315102282 Enrollment ID: I20120626000637 |
| Provider Name | Elise B Halajian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669609897 PECOS PAC ID: 6204092869 Enrollment ID: I20120725001017 |
| Provider Name | Lauren Oshman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740403609 PECOS PAC ID: 5395846265 Enrollment ID: I20120804000116 |
| Provider Name | Rebecca L Wenig |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952664534 PECOS PAC ID: 2668628405 Enrollment ID: I20120809000392 |
| Provider Name | Jason Michael Kalk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427331347 PECOS PAC ID: 5597911347 Enrollment ID: I20120809000501 |
| Provider Name | Megan R Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053549733 PECOS PAC ID: 1355597774 Enrollment ID: I20120816000967 |
| Provider Name | Jenny Liem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386895266 PECOS PAC ID: 3577602028 Enrollment ID: I20121128000308 |
| Provider Name | Esther M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790034387 PECOS PAC ID: 6800048430 Enrollment ID: I20121206000262 |
| Provider Name | Frances Baxley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730389685 PECOS PAC ID: 0941378863 Enrollment ID: I20130131000499 |
| Provider Name | Jennifer I Weiser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508965112 PECOS PAC ID: 7517973209 Enrollment ID: I20130215000235 |
| Provider Name | David Vallejo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699085381 PECOS PAC ID: 2466699541 Enrollment ID: I20130508000640 |
| Provider Name | Jennifer C Colleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376743260 PECOS PAC ID: 8921247149 Enrollment ID: I20130620000029 |
| Provider Name | Craig A Backous |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073713418 PECOS PAC ID: 3375784275 Enrollment ID: I20130718000298 |
| Provider Name | Brigitte C. Pintz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649363607 PECOS PAC ID: 2668613761 Enrollment ID: I20130801000672 |
| Provider Name | Irum Humayun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942465992 PECOS PAC ID: 7618119686 Enrollment ID: I20130805000623 |
| Provider Name | Anne Conquest Soule |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346334869 PECOS PAC ID: 3870768609 Enrollment ID: I20130808000412 |
| Provider Name | Rebekah Osgood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013146596 PECOS PAC ID: 6002050713 Enrollment ID: I20130919000522 |
| Provider Name | Christopher M Boisselle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568780740 PECOS PAC ID: 3971737016 Enrollment ID: I20131004000000 |
| Provider Name | Santina J Wheat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821319799 PECOS PAC ID: 8325272354 Enrollment ID: I20131007001089 |
| Provider Name | Rebecca T Lapat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992023501 PECOS PAC ID: 3870727654 Enrollment ID: I20131010000322 |
| Provider Name | John J Stryker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427281336 PECOS PAC ID: 0648406637 Enrollment ID: I20131121001296 |
| Provider Name | Judith Horwitz Glassenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750691002 PECOS PAC ID: 1951537976 Enrollment ID: I20131122000232 |
| Provider Name | Daisy T Wynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982820643 PECOS PAC ID: 9739226267 Enrollment ID: I20131122000310 |
| Provider Name | Jessica A Murphy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851723647 PECOS PAC ID: 0446481626 Enrollment ID: I20140401002198 |
| Provider Name | Esther Sault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770907230 PECOS PAC ID: 1850522046 Enrollment ID: I20140402000120 |
| Provider Name | Aimee S Crow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235299686 PECOS PAC ID: 3870725765 Enrollment ID: I20140408000589 |
| Provider Name | Christina C Cedeno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215257522 PECOS PAC ID: 1153544614 Enrollment ID: I20140602001361 |
| Provider Name | Anita B Mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992025217 PECOS PAC ID: 3375767353 Enrollment ID: I20140612002006 |
| Provider Name | Tracy L Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477842540 PECOS PAC ID: 1254556442 Enrollment ID: I20140701002278 |
| Provider Name | Weronika A Armstrong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730406869 PECOS PAC ID: 5193942704 Enrollment ID: I20140805001976 |
| Provider Name | Dhanya Limaye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720280019 PECOS PAC ID: 0941346944 Enrollment ID: I20140815001291 |
| Provider Name | Caitlin Ep Lassus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891007696 PECOS PAC ID: 6800015363 Enrollment ID: I20140915001947 |
| Provider Name | Donald B Lassus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124330055 PECOS PAC ID: 7810116308 Enrollment ID: I20140916000361 |
| Provider Name | Erika Maite Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386934008 PECOS PAC ID: 5294954319 Enrollment ID: I20140922001940 |
| Provider Name | Carolyn A Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942605886 PECOS PAC ID: 4789908815 Enrollment ID: I20150121000855 |
| Provider Name | Mandy Lynn Gittler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811929474 PECOS PAC ID: 0143215525 Enrollment ID: I20150121000990 |
| Provider Name | Shannon E Metzger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013113398 PECOS PAC ID: 4284958315 Enrollment ID: I20150121001069 |
| Provider Name | Manuela Zampino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427213800 PECOS PAC ID: 2163746025 Enrollment ID: I20150123001649 |
| Provider Name | Kathryn Michelle Lee Noll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982991774 PECOS PAC ID: 2860717857 Enrollment ID: I20150216000546 |
| Provider Name | Nicole C Godinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184905630 PECOS PAC ID: 2163748880 Enrollment ID: I20150224000275 |
| Provider Name | Miranda A Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437413432 PECOS PAC ID: 3274854260 Enrollment ID: I20150602002475 |
| Provider Name | Tabatha Laquita Downey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912273012 PECOS PAC ID: 9638481518 Enrollment ID: I20150707000770 |
| Provider Name | Jacob Mendel Richey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477892917 PECOS PAC ID: 9537474622 Enrollment ID: I20150819006661 |
| Provider Name | Beth A Dunlap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821319419 PECOS PAC ID: 9335455104 Enrollment ID: I20150825004558 |
| Provider Name | Sarah Lazarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699142711 PECOS PAC ID: 4981911393 Enrollment ID: I20150917001712 |
| Provider Name | Elaine T Aguinaldo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528350865 PECOS PAC ID: 0143537365 Enrollment ID: I20150921000049 |
| Provider Name | Jacki C Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194102053 PECOS PAC ID: 2769790807 Enrollment ID: I20151009000261 |
| Provider Name | Amish H Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215202429 PECOS PAC ID: 1951610054 Enrollment ID: I20151012000522 |
| Provider Name | Jenifer Ann Poell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558694190 PECOS PAC ID: 3971812223 Enrollment ID: I20151027002851 |
| Provider Name | Allison B Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487023461 PECOS PAC ID: 5496065088 Enrollment ID: I20151111001188 |
| Provider Name | Soledad Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194100446 PECOS PAC ID: 3274843701 Enrollment ID: I20151112000662 |
| Provider Name | Nicole Dyme |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508279456 PECOS PAC ID: 4284935750 Enrollment ID: I20151229001583 |
| Provider Name | Patrick Ryan Tham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548699119 PECOS PAC ID: 9335441245 Enrollment ID: I20160111000044 |
| Provider Name | Amalia Pepek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063818813 PECOS PAC ID: 3678877313 Enrollment ID: I20160201001696 |
| Provider Name | Sarah Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255351581 PECOS PAC ID: 9638474067 Enrollment ID: I20160224000274 |
| Provider Name | Patricia Casey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396173480 PECOS PAC ID: 3274838529 Enrollment ID: I20160224000619 |
| Provider Name | Karen A Decocker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629273834 PECOS PAC ID: 0446345375 Enrollment ID: I20160224002386 |
| Provider Name | Larisa D Jesinskis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609138643 PECOS PAC ID: 2062718661 Enrollment ID: I20160308001703 |
| Provider Name | Tia-monique F Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306207733 PECOS PAC ID: 8123325008 Enrollment ID: I20160321000004 |
| Provider Name | Manal Yasin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811320799 PECOS PAC ID: 7810296738 Enrollment ID: I20160427002248 |
| Provider Name | Jennifer Yehkyung Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366707622 PECOS PAC ID: 6204069834 Enrollment ID: I20160506000445 |
| Provider Name | Hillary S Mowbray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699961466 PECOS PAC ID: 4284775636 Enrollment ID: I20160510000289 |
| Provider Name | Yolanda Hendrix |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952485211 PECOS PAC ID: 1052600186 Enrollment ID: I20160512002452 |
| Provider Name | Lisa K Kearney |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376651232 PECOS PAC ID: 7315236387 Enrollment ID: I20160513001241 |
| Provider Name | Reem Sabbagh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740492784 PECOS PAC ID: 4082903075 Enrollment ID: I20160513001703 |
| Provider Name | Natasha Ann Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972944197 PECOS PAC ID: 7214231174 Enrollment ID: I20160517002074 |
| Provider Name | Tracy A Abraham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023191269 PECOS PAC ID: 0941590434 Enrollment ID: I20160613001698 |
| Provider Name | Jaclyn A Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225476302 PECOS PAC ID: 8729382478 Enrollment ID: I20160726002566 |
| Provider Name | Michelle A Eichinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649536186 PECOS PAC ID: 4880996065 Enrollment ID: I20160726002931 |
| Provider Name | Hyo Youn Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588981138 PECOS PAC ID: 7315230356 Enrollment ID: I20160727003028 |
| Provider Name | Paul Devine Bottone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659719748 PECOS PAC ID: 2062715550 Enrollment ID: I20160808000251 |
| Provider Name | Anila Bindal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467765578 PECOS PAC ID: 6901108588 Enrollment ID: I20160808002844 |
| Provider Name | Molly Kane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528406527 PECOS PAC ID: 4486956372 Enrollment ID: I20160811000176 |
| Provider Name | Sara T Junya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508131756 PECOS PAC ID: 9335446145 Enrollment ID: I20160824002442 |
| Provider Name | Derek P Wolken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295289148 PECOS PAC ID: 5496040826 Enrollment ID: I20160824003069 |
| Provider Name | Nora O Segar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548559750 PECOS PAC ID: 7315161999 Enrollment ID: I20160831000290 |
| Provider Name | Svjetlana Lozo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326277435 PECOS PAC ID: 5597990879 Enrollment ID: I20160831002177 |
| Provider Name | Susana Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871963769 PECOS PAC ID: 5698061448 Enrollment ID: I20160906000556 |
| Provider Name | Emily C White Vangompel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114212917 PECOS PAC ID: 3072732379 Enrollment ID: I20160913001117 |
| Provider Name | Christopher A Benavente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518301399 PECOS PAC ID: 4486940780 Enrollment ID: I20160913002195 |
| Provider Name | Elizabeth Halley Finseth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699060806 PECOS PAC ID: 4880818368 Enrollment ID: I20160916000208 |
| Provider Name | Christine Joy C Junia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649606179 PECOS PAC ID: 3173829538 Enrollment ID: I20161006000481 |
| Provider Name | Sydney K Yau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609009646 PECOS PAC ID: 2769659812 Enrollment ID: I20161205001717 |
| Provider Name | Laura Michelle Douglas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023496767 PECOS PAC ID: 3971893900 Enrollment ID: I20161206001914 |
| Provider Name | Lupita Catrina Gallardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215270111 PECOS PAC ID: 2163732785 Enrollment ID: I20161207001653 |
| Provider Name | Caroline M Wolff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366785107 PECOS PAC ID: 4284915463 Enrollment ID: I20161230000029 |
| Provider Name | Kiersten Alicia Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306240700 PECOS PAC ID: 2668754078 Enrollment ID: I20170119002121 |
| Provider Name | Mary K Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639621071 PECOS PAC ID: 2567746720 Enrollment ID: I20170307001471 |
| Provider Name | Mary Grace Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053729467 PECOS PAC ID: 2961787544 Enrollment ID: I20170322000739 |
| Provider Name | Melissa Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942261516 PECOS PAC ID: 3678878253 Enrollment ID: I20170717002760 |
| Provider Name | Erin Cavanaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588001275 PECOS PAC ID: 6406124981 Enrollment ID: I20170727002348 |
| Provider Name | Sreela S Namboodiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831517754 PECOS PAC ID: 7012290760 Enrollment ID: I20170731003425 |
| Provider Name | Laura E Banks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336566892 PECOS PAC ID: 8224309778 Enrollment ID: I20170802002130 |
| Provider Name | Michelle Lynn Beck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235576158 PECOS PAC ID: 5193015337 Enrollment ID: I20170815000494 |
| Provider Name | Lindsay Travelstead Fazio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306010616 PECOS PAC ID: 1153477864 Enrollment ID: I20170817000760 |
| Provider Name | Silvia Diaz-ponce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003204686 PECOS PAC ID: 9335411354 Enrollment ID: I20170824003199 |
| Provider Name | Carly S Berg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336554658 PECOS PAC ID: 5597038471 Enrollment ID: I20170829003425 |
| Provider Name | Kyle Marc Kovski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881147379 PECOS PAC ID: 8224301817 Enrollment ID: I20170901001395 |
| Provider Name | Puja Sheth Gogawale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093151573 PECOS PAC ID: 5092025072 Enrollment ID: I20170927002069 |
| Provider Name | Cynthia L Stoffel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275058687 PECOS PAC ID: 0042585572 Enrollment ID: I20171009001838 |
| Provider Name | Estrella Sepulveda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225559727 PECOS PAC ID: 5092080457 Enrollment ID: I20171011000751 |
| Provider Name | Dana A Kroop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558541 PECOS PAC ID: 7517284706 Enrollment ID: I20171026003167 |
| Provider Name | Kamilah C Banks-word |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720405129 PECOS PAC ID: 3274837075 Enrollment ID: I20171128003638 |
| Provider Name | Margaret Ladner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871028746 PECOS PAC ID: 9133486848 Enrollment ID: I20171206000334 |
| Provider Name | Sarah Bier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962920884 PECOS PAC ID: 8123386646 Enrollment ID: I20171211001373 |
| Provider Name | Annabelle Lee Dookie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700126885 PECOS PAC ID: 8729201850 Enrollment ID: I20180105001231 |
| Provider Name | Shelly Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912325796 PECOS PAC ID: 4385949841 Enrollment ID: I20180207001040 |
| Provider Name | Nanette Kotz-joob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159982 PECOS PAC ID: 1052672300 Enrollment ID: I20180228002461 |
| Provider Name | Alexandra Benz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245532480 PECOS PAC ID: 6204198492 Enrollment ID: I20180328001816 |
| Provider Name | Tatum M Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790295871 PECOS PAC ID: 3072876762 Enrollment ID: I20180411000235 |
| Provider Name | Maritza Solis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972967727 PECOS PAC ID: 8022371715 Enrollment ID: I20180411000378 |
| Provider Name | Mohamad Ata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457698169 PECOS PAC ID: 0143583484 Enrollment ID: I20180418002634 |
| Provider Name | David Alexander Kretch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386026474 PECOS PAC ID: 7113217787 Enrollment ID: I20180425001078 |
| Provider Name | Iman Mahdi Alsaden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770998841 PECOS PAC ID: 7618270109 Enrollment ID: I20180531001439 |
| Provider Name | Anna B Shannahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558750026 PECOS PAC ID: 5092019083 Enrollment ID: I20180612002974 |
| Provider Name | Catherine S Dezynski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932409489 PECOS PAC ID: 6709001936 Enrollment ID: I20180709001517 |
| Provider Name | Shirley Cueva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366860215 PECOS PAC ID: 5496065674 Enrollment ID: I20180726000560 |
| Provider Name | Vanessa Rivas Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790238921 PECOS PAC ID: 3577835958 Enrollment ID: I20180726002247 |
| Provider Name | Anna Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245619667 PECOS PAC ID: 7719235639 Enrollment ID: I20180808002104 |
| Provider Name | Nicole Markovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275939951 PECOS PAC ID: 3072862788 Enrollment ID: I20180814000658 |
| Provider Name | Joseph A Spagnola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649760083 PECOS PAC ID: 9436408150 Enrollment ID: I20180814001031 |
| Provider Name | Rachel J Ramaswamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376961110 PECOS PAC ID: 5193027688 Enrollment ID: I20180821000100 |
| Provider Name | Stephanie O Fabiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861828295 PECOS PAC ID: 8729337928 Enrollment ID: I20180821004040 |
| Provider Name | Elaine Coldren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407245939 PECOS PAC ID: 5092064907 Enrollment ID: I20180824002209 |
| Provider Name | Jacqueline S Ma |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013422260 PECOS PAC ID: 9537419981 Enrollment ID: I20180905001346 |
| Provider Name | Mara Motley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184064917 PECOS PAC ID: 6709185507 Enrollment ID: I20181029000422 |
| Provider Name | Meghan E Vertovec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003264961 PECOS PAC ID: 5193005205 Enrollment ID: I20181102000271 |
| Provider Name | Sarah A Lambeth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083027619 PECOS PAC ID: 0648596189 Enrollment ID: I20181105003348 |
| Provider Name | Raina V Voss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578829644 PECOS PAC ID: 0749593291 Enrollment ID: I20181109002322 |
| Provider Name | Dhuha Maki Raab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588057988 PECOS PAC ID: 4880948827 Enrollment ID: I20181112000405 |
| Provider Name | Arielle Tzipora Hirschfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063808954 PECOS PAC ID: 6002116332 Enrollment ID: I20181114000633 |
| Provider Name | Sarah Kathryn Quirk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457757247 PECOS PAC ID: 2466796263 Enrollment ID: I20181205002029 |
| Provider Name | Bruni Hirsch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245719327 PECOS PAC ID: 7012251663 Enrollment ID: I20181207001666 |
| Provider Name | Sara E Tranchina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659371276 PECOS PAC ID: 7012965866 Enrollment ID: I20181210000204 |
| Provider Name | David Carbajal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215331103 PECOS PAC ID: 8820333693 Enrollment ID: I20181224000370 |
| Provider Name | Ali Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710202999 PECOS PAC ID: 7810137718 Enrollment ID: I20181231000284 |
| Provider Name | Nevert Badreldin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396011763 PECOS PAC ID: 8224337795 Enrollment ID: I20190102001658 |
| Provider Name | Ami D Pandya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871942748 PECOS PAC ID: 0840570305 Enrollment ID: I20190131001063 |
| Provider Name | Daniel R Mendoza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558479782 PECOS PAC ID: 7214274935 Enrollment ID: I20190202000080 |
| Provider Name | Natalia Binkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851784425 PECOS PAC ID: 5698014488 Enrollment ID: I20190221001673 |
| Provider Name | Nancy Quezada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649752023 PECOS PAC ID: 3779822242 Enrollment ID: I20190227001673 |
| Provider Name | Rebecca A Calendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891260667 PECOS PAC ID: 0648519579 Enrollment ID: I20190311002022 |
| Provider Name | Miriam Teresa Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730645912 PECOS PAC ID: 4284975178 Enrollment ID: I20190402001620 |
| Provider Name | Muhammad Deen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841649845 PECOS PAC ID: 5890089346 Enrollment ID: I20190423000599 |
| Provider Name | Cara M Strom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649546052 PECOS PAC ID: 9436491941 Enrollment ID: I20190503000093 |
| Provider Name | Brittany R. Hay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265782122 PECOS PAC ID: 1658613021 Enrollment ID: I20190506000122 |
| Provider Name | Michelle Ann Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861871550 PECOS PAC ID: 2466756010 Enrollment ID: I20190801001210 |
| Provider Name | Adam C Delconte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942662291 PECOS PAC ID: 3971801689 Enrollment ID: I20190826002501 |
| Provider Name | Syed Mustafa Alavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366837023 PECOS PAC ID: 5193032217 Enrollment ID: I20191122001855 |
| Provider Name | Amanda C Rivas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902227721 PECOS PAC ID: 7315370079 Enrollment ID: I20191211000006 |
| Provider Name | Patricia Luevano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389540 PECOS PAC ID: 2860825528 Enrollment ID: I20191211000025 |
| Provider Name | Lilah Handler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457847170 PECOS PAC ID: 8729411400 Enrollment ID: I20191211000800 |
| Provider Name | Rebecca R Hendricks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750775227 PECOS PAC ID: 3375847171 Enrollment ID: I20191230001959 |
| Provider Name | Olubusayo Aifesehi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750552931 PECOS PAC ID: 7214098912 Enrollment ID: I20200109002094 |
| Provider Name | Milap Bhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831553635 PECOS PAC ID: 9032546924 Enrollment ID: I20200306000188 |
| Provider Name | Arlene M. Bury Fiol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407255102 PECOS PAC ID: 8325384530 Enrollment ID: I20200306002098 |
| Provider Name | Aaron Allen Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073993861 PECOS PAC ID: 7810288248 Enrollment ID: I20200324000145 |
| Provider Name | Mai Lynn Grajewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336477645 PECOS PAC ID: 7012346125 Enrollment ID: I20200410000101 |
| Provider Name | Andrew P Ewbank |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073904256 PECOS PAC ID: 4385958180 Enrollment ID: I20200410000993 |
| Provider Name | Erin Craft-otterbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457903593 PECOS PAC ID: 6901236520 Enrollment ID: I20200423000385 |
| Provider Name | Meredith Leigh Berlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548800105 PECOS PAC ID: 8123449832 Enrollment ID: I20200605000028 |
| Provider Name | Joanna Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255785903 PECOS PAC ID: 5799051637 Enrollment ID: I20200902001578 |
| Provider Name | Priya Veda Nagarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518311919 PECOS PAC ID: 6507149366 Enrollment ID: I20200916001810 |
| Provider Name | Pooja Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063941995 PECOS PAC ID: 0345519146 Enrollment ID: I20201105000904 |
| Provider Name | Micaela Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538554043 PECOS PAC ID: 1951634344 Enrollment ID: I20201110000365 |
| Provider Name | Wesley Gibbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255862157 PECOS PAC ID: 9335485242 Enrollment ID: I20201113001847 |
| Provider Name | Nicole Betenia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316309511 PECOS PAC ID: 4587952361 Enrollment ID: I20201125001059 |
| Provider Name | Maria Laura Pappa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700407293 PECOS PAC ID: 2365853892 Enrollment ID: I20201204000517 |
| Provider Name | Maria Dominique Pirotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164051595 PECOS PAC ID: 6002225489 Enrollment ID: I20210514002378 |
| Provider Name | Margaret Thompson Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710377510 PECOS PAC ID: 9931491909 Enrollment ID: I20210518000032 |
| Provider Name | Nicole J Vargas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619551405 PECOS PAC ID: 6608275375 Enrollment ID: I20210528002113 |
| Provider Name | Michelle Byrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215469069 PECOS PAC ID: 8527304369 Enrollment ID: I20210607002130 |
| Provider Name | Kiyomi N Kimble |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851872741 PECOS PAC ID: 6901206903 Enrollment ID: I20210614000723 |
| Provider Name | Olivia Nicole Corrado |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699173856 PECOS PAC ID: 0446569883 Enrollment ID: I20210628002153 |
| Provider Name | Jessica Tapia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063005825 PECOS PAC ID: 4284036690 Enrollment ID: I20210707003910 |
| Provider Name | Nicole Quien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275996118 PECOS PAC ID: 7719269364 Enrollment ID: I20210708003098 |
| Provider Name | Amanda Porter Dauten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699154120 PECOS PAC ID: 2264748458 Enrollment ID: I20210709001534 |
| Provider Name | Whitney Ellen Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962810002 PECOS PAC ID: 6608199740 Enrollment ID: I20210714002270 |
| Provider Name | Amy Addante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356755722 PECOS PAC ID: 8729205349 Enrollment ID: I20210716002154 |
| Provider Name | Deborah L Frogameni |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629007976 PECOS PAC ID: 9931482106 Enrollment ID: I20210719003469 |
| Provider Name | Grecia Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518449792 PECOS PAC ID: 5597168369 Enrollment ID: I20210730002491 |
| Provider Name | Jihan Doss |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962958330 PECOS PAC ID: 0244519783 Enrollment ID: I20210804004226 |
| Provider Name | Megan Whitley Hatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649701954 PECOS PAC ID: 5799055661 Enrollment ID: I20210806002478 |
| Provider Name | Nhat Linh Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659803997 PECOS PAC ID: 4688078967 Enrollment ID: I20210809002482 |
| Provider Name | Gena Grospe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952837148 PECOS PAC ID: 6305115155 Enrollment ID: I20210819003522 |
| Provider Name | Jack York |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033645023 PECOS PAC ID: 7719258953 Enrollment ID: I20210826000626 |
| Provider Name | Sirisha Yellayi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473519 PECOS PAC ID: 3375894462 Enrollment ID: I20210915001139 |
| Provider Name | Ashley Cara Levitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053955310 PECOS PAC ID: 1951708809 Enrollment ID: I20210921000661 |
| Provider Name | Ana L Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255836136 PECOS PAC ID: 8628316346 Enrollment ID: I20210924002995 |
| Provider Name | Nilusha Jayasinghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245806470 PECOS PAC ID: 8022416338 Enrollment ID: I20211018000027 |
| Provider Name | Jessica Ann Korpics |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275026353 PECOS PAC ID: 5799173712 Enrollment ID: I20211025002280 |
| Provider Name | Rebecca A Uttermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386185957 PECOS PAC ID: 6800140229 Enrollment ID: I20211102001571 |
| Provider Name | Angela Lauren Leffelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538695671 PECOS PAC ID: 4183993819 Enrollment ID: I20211116002796 |
| Provider Name | Kimario Orlandovelt Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932709946 PECOS PAC ID: 7810388451 Enrollment ID: I20211215002107 |
| Provider Name | Jamie Hock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790303824 PECOS PAC ID: 8921499575 Enrollment ID: I20211215002498 |
| Provider Name | Ewa A Bednarczyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750968376 PECOS PAC ID: 8123419538 Enrollment ID: I20211220000564 |
| Provider Name | Lynne Clapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093123234 PECOS PAC ID: 5193944197 Enrollment ID: I20211221001650 |
| Provider Name | Brenda Fowler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760927800 PECOS PAC ID: 0143611442 Enrollment ID: I20211221001723 |
| Provider Name | Lauren Knazze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275037400 PECOS PAC ID: 4880939354 Enrollment ID: I20211221002457 |
| Provider Name | Lucy Marie Amaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760008502 PECOS PAC ID: 9335532506 Enrollment ID: I20220210002105 |
| Provider Name | Peter Matthew Lozano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518330885 PECOS PAC ID: 3476946690 Enrollment ID: I20220211001089 |
| Provider Name | Lindsey Rhoden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972950921 PECOS PAC ID: 9931492436 Enrollment ID: I20220211002192 |
| Provider Name | Samantha Hunter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356798276 PECOS PAC ID: 6507131067 Enrollment ID: I20220214000705 |
| Provider Name | Yaretzi Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518417740 PECOS PAC ID: 3577957281 Enrollment ID: I20220223000674 |
| Provider Name | Rebecca Agnes Commito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811421878 PECOS PAC ID: 3072880806 Enrollment ID: I20220223002414 |
| Provider Name | Nicole Camardo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972177582 PECOS PAC ID: 6507250669 Enrollment ID: I20220307001214 |
| Provider Name | Evelyn Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710552781 PECOS PAC ID: 1557756509 Enrollment ID: I20220310000258 |
| Provider Name | Robin A Daversa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811655327 PECOS PAC ID: 2163817008 Enrollment ID: I20220311001487 |
| Provider Name | Melanie Nicole Yochim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841721404 PECOS PAC ID: 7517352610 Enrollment ID: I20220325001854 |
| Provider Name | Christina Bosak |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780857441 PECOS PAC ID: 4587954136 Enrollment ID: I20220401001177 |
| Provider Name | Yesenia Ceja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194303347 PECOS PAC ID: 3173919008 Enrollment ID: I20220401001341 |
| Provider Name | Claudia S Marinescu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073906814 PECOS PAC ID: 3678893963 Enrollment ID: I20220404001627 |
| Provider Name | Armita Azar Hezarkhani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285230425 PECOS PAC ID: 6901292556 Enrollment ID: I20220406002832 |
| Provider Name | Laura Nozicka |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255956660 PECOS PAC ID: 5799171294 Enrollment ID: I20220411000720 |
| Provider Name | Ana K Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093331837 PECOS PAC ID: 3173919503 Enrollment ID: I20220411002012 |
| Provider Name | Jasmin Roeser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558904185 PECOS PAC ID: 4284020629 Enrollment ID: I20220411002378 |
| Provider Name | Joan Savage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699206565 PECOS PAC ID: 9436420361 Enrollment ID: I20220412000789 |
| Provider Name | Crystal B Kellner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831320654 PECOS PAC ID: 0840500153 Enrollment ID: I20220512000896 |
| Provider Name | Maria Isabel Almanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326796319 PECOS PAC ID: 9931586476 Enrollment ID: I20220523000427 |
| Provider Name | Anne Peiffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013411206 PECOS PAC ID: 9335496165 Enrollment ID: I20220524001132 |
| Provider Name | Lyjia Strachan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174717359 PECOS PAC ID: 2668669961 Enrollment ID: I20220526001769 |
| Provider Name | Stephanie Mora Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104494665 PECOS PAC ID: 2062890353 Enrollment ID: I20220526002567 |
| Provider Name | Rita D Philip |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245410984 PECOS PAC ID: 9436448354 Enrollment ID: I20220607003363 |
| Provider Name | Tiphany D Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881049666 PECOS PAC ID: 9133413214 Enrollment ID: I20220611000186 |
| Provider Name | Miriam Dickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669881470 PECOS PAC ID: 8820342785 Enrollment ID: I20220618000313 |
| Provider Name | Momina F Rahman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376024026 PECOS PAC ID: 6002295151 Enrollment ID: I20220620001392 |
| Provider Name | Jennifer Kaye Olivia Hoffmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669868790 PECOS PAC ID: 5193106433 Enrollment ID: I20220719000959 |
| Provider Name | Jessica Alferez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083364707 PECOS PAC ID: 1355723040 Enrollment ID: I20220727002288 |
| Provider Name | Sarah Catherine Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700536885 PECOS PAC ID: 0345624375 Enrollment ID: I20220825000624 |
| Provider Name | Jordan Katz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972023000 PECOS PAC ID: 3577987692 Enrollment ID: I20220825003790 |
| Provider Name | Maryan Saman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851024384 PECOS PAC ID: 5294119814 Enrollment ID: I20220831002285 |
| Provider Name | Laura Hadad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649831405 PECOS PAC ID: 0749515864 Enrollment ID: I20220901001889 |
| Provider Name | Yasir Al-obaidi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689102865 PECOS PAC ID: 5395018469 Enrollment ID: I20220901003157 |
| Provider Name | Edgar Woznica |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205221314 PECOS PAC ID: 1951622679 Enrollment ID: I20220901003507 |
| Provider Name | Kathleen Kozeniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467651570 PECOS PAC ID: 5496139834 Enrollment ID: I20220901003612 |
| Provider Name | Kierra Stuvland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376904458 PECOS PAC ID: 9032593355 Enrollment ID: I20220904000065 |
| Provider Name | Shireen Sarah Samson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538651666 PECOS PAC ID: 9335496207 Enrollment ID: I20220906002525 |
| Provider Name | Bailey Hanselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083357537 PECOS PAC ID: 2668857368 Enrollment ID: I20220916000087 |
| Provider Name | Carla Mayela Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043779960 PECOS PAC ID: 0547594475 Enrollment ID: I20220919000303 |
| Provider Name | Thanh Vinh Luu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396276382 PECOS PAC ID: 3779969878 Enrollment ID: I20220927001986 |
| Provider Name | Kawana Fantasia Tharps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154949857 PECOS PAC ID: 2466828371 Enrollment ID: I20221018002193 |
| Provider Name | Anisha Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773870 PECOS PAC ID: 8123494861 Enrollment ID: I20221020000771 |
| Provider Name | Carolyn Payne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508247602 PECOS PAC ID: 8123350832 Enrollment ID: I20221020002252 |
| Provider Name | Christina Noel Du Breuil Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851851463 PECOS PAC ID: 1557695335 Enrollment ID: I20221026002589 |
| Provider Name | Lucia Natali Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639638612 PECOS PAC ID: 4183958960 Enrollment ID: I20221031000681 |
| Provider Name | Casey Renee Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760112684 PECOS PAC ID: 4789052234 Enrollment ID: I20221115001598 |
| Provider Name | Natalie J Parker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376096768 PECOS PAC ID: 6406143767 Enrollment ID: I20221215000765 |
| Provider Name | Dana Al-khaled |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760912455 PECOS PAC ID: 4284987595 Enrollment ID: I20221216001532 |
| Provider Name | Natalie Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922615137 PECOS PAC ID: 1850791211 Enrollment ID: I20221223000841 |
| Provider Name | Shawnalee Rochelle Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619581303 PECOS PAC ID: 6901279892 Enrollment ID: I20230223000838 |
| Provider Name | Andrea Danielle Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750624714 PECOS PAC ID: 2365714482 Enrollment ID: I20230310000275 |
| Provider Name | Tanoja Rathi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619382579 PECOS PAC ID: 2668763459 Enrollment ID: I20230310001829 |
| Provider Name | Mariana Espinal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306373071 PECOS PAC ID: 8729357181 Enrollment ID: I20230424000596 |
| Provider Name | Carly Janell Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790351674 PECOS PAC ID: 6305201898 Enrollment ID: I20230505002258 |
| Provider Name | Jocelyn D Gorokhovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437439973 PECOS PAC ID: 4183081219 Enrollment ID: I20230606001311 |
| Provider Name | Manuel Felipe Fernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588228423 PECOS PAC ID: 3678996717 Enrollment ID: I20230607001330 |
| Provider Name | Carlos Echevarria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215520044 PECOS PAC ID: 8022424175 Enrollment ID: I20230626001737 |
| Provider Name | Sonia Cruz Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902135775 PECOS PAC ID: 7214396282 Enrollment ID: I20230708000534 |
| Provider Name | Tana Chongsuwat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184070963 PECOS PAC ID: 4385871987 Enrollment ID: I20230824002754 |
| Provider Name | Andrew Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396361135 PECOS PAC ID: 8022431469 Enrollment ID: I20230908003311 |
| Provider Name | Jill Cousino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154587277 PECOS PAC ID: 1456520394 Enrollment ID: I20230915000697 |
| Provider Name | Brittany Tadesse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407315583 PECOS PAC ID: 5597090332 Enrollment ID: I20230915000826 |
| Provider Name | Nancy Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851956353 PECOS PAC ID: 0648624627 Enrollment ID: I20230925001957 |
| Provider Name | Meredith Baumgartner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407417264 PECOS PAC ID: 0244565661 Enrollment ID: I20231006000615 |
| Provider Name | Amanda L Buck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104481332 PECOS PAC ID: 8123356987 Enrollment ID: I20231018000226 |
| Provider Name | Olivia Dumont |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760162531 PECOS PAC ID: 8426404914 Enrollment ID: I20231019000361 |
| Provider Name | Brooke Odelia Dayries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659063121 PECOS PAC ID: 1951757483 Enrollment ID: I20231019002383 |
| Provider Name | Nicole Kyoko Runkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043834252 PECOS PAC ID: 1355797820 Enrollment ID: I20231020000344 |
| Provider Name | Jean Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912699224 PECOS PAC ID: 3779939178 Enrollment ID: I20231020001732 |
| Provider Name | Anna Noel Hankins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245890946 PECOS PAC ID: 2264888627 Enrollment ID: I20231023000550 |
| Provider Name | Samantha Jerusal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013610971 PECOS PAC ID: 3274989553 Enrollment ID: I20231023001485 |
| Provider Name | Devin Clare Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407511793 PECOS PAC ID: 9436505716 Enrollment ID: I20231023001561 |
| Provider Name | Juliel Ocampo Ravago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073247458 PECOS PAC ID: 0042666380 Enrollment ID: I20231024000292 |
| Provider Name | Johnny Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396476230 PECOS PAC ID: 2264888502 Enrollment ID: I20231024000587 |
| Provider Name | Alexandra D Cooke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437710571 PECOS PAC ID: 9436484508 Enrollment ID: I20231024002462 |
| Provider Name | Elora Elora Apantaku |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780066159 PECOS PAC ID: 8628367760 Enrollment ID: I20231031002302 |
| Provider Name | Mora A Ghobrial |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992266886 PECOS PAC ID: 7113256264 Enrollment ID: I20231127001361 |
| Provider Name | Mirna Asham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871086876 PECOS PAC ID: 6901154558 Enrollment ID: I20231128003300 |
| Provider Name | Faiz Jiwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649709148 PECOS PAC ID: 6103232327 Enrollment ID: I20231207000493 |
| Provider Name | Natalie Jinete |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043680465 PECOS PAC ID: 5294185898 Enrollment ID: I20240109001924 |
| Provider Name | Vanessa Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710628227 PECOS PAC ID: 3072962067 Enrollment ID: I20240109001990 |
| Provider Name | Domini Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659609121 PECOS PAC ID: 0244619971 Enrollment ID: I20240109002355 |
| Provider Name | Anna Lyman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790290385 PECOS PAC ID: 4981055472 Enrollment ID: I20240109003230 |
| Provider Name | Irmarie Rios |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033664776 PECOS PAC ID: 3375992308 Enrollment ID: I20240109003399 |
| Provider Name | Alejandro Solano Hermida |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336521772 PECOS PAC ID: 2668822487 Enrollment ID: I20240109003667 |
| Provider Name | Yasmin Zaragoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881008985 PECOS PAC ID: 7810348323 Enrollment ID: I20240109004072 |
| Provider Name | Chevonne Latrice Toney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023398146 PECOS PAC ID: 6103277538 Enrollment ID: I20240110000288 |
| Provider Name | Christopher Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831803444 PECOS PAC ID: 3476905548 Enrollment ID: I20240115001221 |
| Provider Name | Amelia Mackarey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083235584 PECOS PAC ID: 6608298302 Enrollment ID: I20240115001485 |
| Provider Name | Paige Ganske |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588007330 PECOS PAC ID: 0345505855 Enrollment ID: I20240116001449 |
| Provider Name | Wendy Gutierrez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992412977 PECOS PAC ID: 2860841954 Enrollment ID: I20240207001488 |
| Provider Name | Jose Miguel Viruet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578816294 PECOS PAC ID: 6901249473 Enrollment ID: I20240212003311 |
| Provider Name | Almudena Paula Ruiz Roman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932365004 PECOS PAC ID: 6002259470 Enrollment ID: I20240213002668 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |