| Fairview Specialty Services | |
|
2450 Riverside Ave Minneapolis MN 55454-1450 | |
| (855) 324-7843 | |
| Not Available |
| Full Name | Fairview Specialty Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Joseph Charles Gaylord (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6126726119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Specialty Services 1700 University Ave W Saint Paul MN 55104-3727 | Fairview Specialty Services 2450 Riverside Ave Minneapolis MN 55454-1450 Ph: (855) 324-7843 |
| NPI Number | 1588543862 |
|---|---|
| Provider Enumeration Date | 08/29/2025 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Medicare PECOS PAC ID | 3072083286 |
|---|---|
| Medicare Enrollment ID | O20260529000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588543862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Melissa Ann Geller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265466809 PECOS PAC ID: 0446154959 Enrollment ID: I20031125000480 |
| Provider Name | Carmelo J Panetta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528094711 PECOS PAC ID: 9032016837 Enrollment ID: I20031218000743 |
| Provider Name | Rebecca R Kragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851344345 PECOS PAC ID: 8123927142 Enrollment ID: I20040108000071 |
| Provider Name | Michael David Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457325904 PECOS PAC ID: 9537066196 Enrollment ID: I20040224000029 |
| Provider Name | Stuart Welsh Adler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366425183 PECOS PAC ID: 5597662163 Enrollment ID: I20040224000270 |
| Provider Name | Sara Beth Koepp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225138837 PECOS PAC ID: 3173413028 Enrollment ID: I20040316001031 |
| Provider Name | Richard S Spong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689651093 PECOS PAC ID: 2769373745 Enrollment ID: I20040320000652 |
| Provider Name | Sarah M Hammes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841248424 PECOS PAC ID: 7517950421 Enrollment ID: I20040406001504 |
| Provider Name | David Krason |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932166675 PECOS PAC ID: 5395739015 Enrollment ID: I20040414000329 |
| Provider Name | Tushar R Vora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437136397 PECOS PAC ID: 8224023270 Enrollment ID: I20040419000609 |
| Provider Name | Michael R Timm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245202399 PECOS PAC ID: 0547257438 Enrollment ID: I20040430000985 |
| Provider Name | Ali Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619913621 PECOS PAC ID: 5294724787 Enrollment ID: I20040510001070 |
| Provider Name | Julie a Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462085 PECOS PAC ID: 7416947288 Enrollment ID: I20040513001277 |
| Provider Name | Sonja S Short |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245288380 PECOS PAC ID: 4587654199 Enrollment ID: I20040515000213 |
| Provider Name | Jason B Kimmel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033176219 PECOS PAC ID: 6709876329 Enrollment ID: I20040515000355 |
| Provider Name | Joel D Wegener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063519437 PECOS PAC ID: 2466436225 Enrollment ID: I20040617001004 |
| Provider Name | Geoffrey J Theobald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780642082 PECOS PAC ID: 0042297806 Enrollment ID: I20040630000771 |
| Provider Name | Kai a Tuominen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730137829 PECOS PAC ID: 7810968047 Enrollment ID: I20040803000203 |
| Provider Name | Laurie D Kaiser Sund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198769 PECOS PAC ID: 5991776684 Enrollment ID: I20040805000111 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275627820 PECOS PAC ID: 6709859515 Enrollment ID: I20040818000931 |
| Provider Name | Michael Shreve |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700887312 PECOS PAC ID: 0446226567 Enrollment ID: I20040909001046 |
| Provider Name | Charles L Truwit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689603276 PECOS PAC ID: 8527962109 Enrollment ID: I20041019000115 |
| Provider Name | Jon C Krook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902841588 PECOS PAC ID: 4981667037 Enrollment ID: I20041109000930 |
| Provider Name | Kent W Svee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164459905 PECOS PAC ID: 9032174842 Enrollment ID: I20041122000263 |
| Provider Name | Edward W Greeno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386670297 PECOS PAC ID: 3577528538 Enrollment ID: I20041201000606 |
| Provider Name | Imran Shafi Syed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487626909 PECOS PAC ID: 3779549845 Enrollment ID: I20041209000783 |
| Provider Name | Rahel G Ghebre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548292352 PECOS PAC ID: 5698732550 Enrollment ID: I20041213000884 |
| Provider Name | Gregory George Schoen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638668 PECOS PAC ID: 6305894387 Enrollment ID: I20050106000291 |
| Provider Name | Lisa M Vollmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324780 PECOS PAC ID: 1951355130 Enrollment ID: I20050310000321 |
| Provider Name | Cheryl D Hallsted |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003890989 PECOS PAC ID: 1658341078 Enrollment ID: I20050321000068 |
| Provider Name | Timothy J Gavin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528004587 PECOS PAC ID: 5092762187 Enrollment ID: I20050331000831 |
| Provider Name | Christopher J Geisler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942202593 PECOS PAC ID: 7618914565 Enrollment ID: I20050412000741 |
| Provider Name | Ruth M Lekander |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386749075 PECOS PAC ID: 6406894393 Enrollment ID: I20050421000148 |
| Provider Name | Sharon M Koep Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184618688 PECOS PAC ID: 3577505346 Enrollment ID: I20050523001092 |
| Provider Name | Angela K Storlie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740211622 PECOS PAC ID: 6406898055 Enrollment ID: I20050524001309 |
| Provider Name | Melissa M Hasler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063481968 PECOS PAC ID: 5092757385 Enrollment ID: I20050526000400 |
| Provider Name | Elizabeth a Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346209780 PECOS PAC ID: 6507808631 Enrollment ID: I20050527000636 |
| Provider Name | William R Omlie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518997782 PECOS PAC ID: 3173518362 Enrollment ID: I20050608000077 |
| Provider Name | Peter J Ganzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275599318 PECOS PAC ID: 6103860333 Enrollment ID: I20050617000455 |
| Provider Name | Vincent a Simone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427053917 PECOS PAC ID: 2365406048 Enrollment ID: I20050623000215 |
| Provider Name | Troy a Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073561619 PECOS PAC ID: 5597678425 Enrollment ID: I20050711000631 |
| Provider Name | Christofer a Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053375121 PECOS PAC ID: 8527094556 Enrollment ID: I20050712000322 |
| Provider Name | James Christopher Shanks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255393906 PECOS PAC ID: 1658308200 Enrollment ID: I20050726000030 |
| Provider Name | Hyun J Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891885307 PECOS PAC ID: 7517996325 Enrollment ID: I20050811000249 |
| Provider Name | Valerie J Jarstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912929357 PECOS PAC ID: 9931139508 Enrollment ID: I20050815000431 |
| Provider Name | Ronald T Sih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053382002 PECOS PAC ID: 2961432968 Enrollment ID: I20050819000027 |
| Provider Name | Elizabeth a Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851346340 PECOS PAC ID: 8224060058 Enrollment ID: I20050901000254 |
| Provider Name | Jeff W Wiemiller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285641373 PECOS PAC ID: 3870527450 Enrollment ID: I20050922000992 |
| Provider Name | Charlene K Ulstad-warkentien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568420701 PECOS PAC ID: 4082648399 Enrollment ID: I20050926000190 |
| Provider Name | Rachel C Ulfers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225126303 PECOS PAC ID: 5193750354 Enrollment ID: I20050927001189 |
| Provider Name | Carly M Kempton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275552879 PECOS PAC ID: 9638194632 Enrollment ID: I20051010000181 |
| Provider Name | William F Schmalstieg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649244658 PECOS PAC ID: 5890711261 Enrollment ID: I20051017000028 |
| Provider Name | Ezgi Tiryaki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215984109 PECOS PAC ID: 4789601550 Enrollment ID: I20051031000970 |
| Provider Name | Kyle L Wahlstrom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528033073 PECOS PAC ID: 2961444344 Enrollment ID: I20051107000641 |
| Provider Name | Lisa K Van Berkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114032729 PECOS PAC ID: 2860416062 Enrollment ID: I20060113000767 |
| Provider Name | Angela P Kramer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255310918 PECOS PAC ID: 1557375417 Enrollment ID: I20060130000882 |
| Provider Name | Murali Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982656039 PECOS PAC ID: 7618981184 Enrollment ID: I20060203000553 |
| Provider Name | Bhavjot Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609850262 PECOS PAC ID: 6709891252 Enrollment ID: I20060220000598 |
| Provider Name | Christine N Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902817877 PECOS PAC ID: 0749295228 Enrollment ID: I20060221000227 |
| Provider Name | Tara D Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952492464 PECOS PAC ID: 9032126412 Enrollment ID: I20060309000240 |
| Provider Name | Mark E Kohlhase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730131228 PECOS PAC ID: 6305853730 Enrollment ID: I20060309000597 |
| Provider Name | Jennifer S Oberstar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073515466 PECOS PAC ID: 2567470990 Enrollment ID: I20060328000016 |
| Provider Name | Bruce C Trautman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285601633 PECOS PAC ID: 6305854563 Enrollment ID: I20060329000538 |
| Provider Name | Heather K Vander Weide |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114938685 PECOS PAC ID: 0840208021 Enrollment ID: I20060329000645 |
| Provider Name | Jodi M Zolik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659488591 PECOS PAC ID: 6800804915 Enrollment ID: I20060331000342 |
| Provider Name | Charles Xavier Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639181746 PECOS PAC ID: 2163426164 Enrollment ID: I20060906000199 |
| Provider Name | Stephanie S Band |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952405003 PECOS PAC ID: 8628073137 Enrollment ID: I20060915000213 |
| Provider Name | Zhiyi Sha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124044334 PECOS PAC ID: 7416940085 Enrollment ID: I20061106000351 |
| Provider Name | Jason Louis Sanchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518048842 PECOS PAC ID: 9234136094 Enrollment ID: I20061109000070 |
| Provider Name | June E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659474880 PECOS PAC ID: 5193723401 Enrollment ID: I20061121000424 |
| Provider Name | Anna Schorer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164449989 PECOS PAC ID: 3779581996 Enrollment ID: I20061127000157 |
| Provider Name | Sarah J Schwarzenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245264795 PECOS PAC ID: 3375542590 Enrollment ID: I20061215000153 |
| Provider Name | Angela J Sirian Pearson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871685909 PECOS PAC ID: 5395745970 Enrollment ID: I20070104000332 |
| Provider Name | Roxanne L Julius |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336268549 PECOS PAC ID: 7618075300 Enrollment ID: I20070604000401 |
| Provider Name | Brett W Teten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629167473 PECOS PAC ID: 5294724175 Enrollment ID: I20070702000124 |
| Provider Name | Kamran M Karimi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215947288 PECOS PAC ID: 8820091481 Enrollment ID: I20070802000235 |
| Provider Name | Sara M Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659494235 PECOS PAC ID: 5890886683 Enrollment ID: I20070808000566 |
| Provider Name | Waseem N Khan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720075500 PECOS PAC ID: 7315031911 Enrollment ID: I20070913000120 |
| Provider Name | Carlye T Tomczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306048574 PECOS PAC ID: 8325132764 Enrollment ID: I20070917000335 |
| Provider Name | Ramachandra P Tummala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124078027 PECOS PAC ID: 2466464714 Enrollment ID: I20070919000265 |
| Provider Name | Robin E Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619050184 PECOS PAC ID: 9830283936 Enrollment ID: I20070920000240 |
| Provider Name | Anthony a Killeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811087323 PECOS PAC ID: 5092801787 Enrollment ID: I20071010000608 |
| Provider Name | Julia Steinberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851310213 PECOS PAC ID: 5799871992 Enrollment ID: I20071019000075 |
| Provider Name | Keith M Skubitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215019203 PECOS PAC ID: 2062501570 Enrollment ID: I20071207000242 |
| Provider Name | Stephen Florante Austria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023297454 PECOS PAC ID: 0143310011 Enrollment ID: I20071214000619 |
| Provider Name | Thomas P Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225253693 PECOS PAC ID: 4082797360 Enrollment ID: I20080208000514 |
| Provider Name | David Walk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679674501 PECOS PAC ID: 5698859882 Enrollment ID: I20080227000097 |
| Provider Name | Shehla a Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639355019 PECOS PAC ID: 1557446960 Enrollment ID: I20080310000503 |
| Provider Name | Daniel J Garry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770810 PECOS PAC ID: 0547347866 Enrollment ID: I20080410000178 |
| Provider Name | Sarah H Tollefson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053509570 PECOS PAC ID: 5597844068 Enrollment ID: I20080508000626 |
| Provider Name | William Walsh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801923966 PECOS PAC ID: 5698867547 Enrollment ID: I20080716000751 |
| Provider Name | Jafar Golzarian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093703944 PECOS PAC ID: 4486727633 Enrollment ID: I20080721000634 |
| Provider Name | Alexander Khoruts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841389780 PECOS PAC ID: 4183798580 Enrollment ID: I20080804000065 |
| Provider Name | Linda R Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841345790 PECOS PAC ID: 3476627555 Enrollment ID: I20080807000362 |
| Provider Name | Sara B Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578755740 PECOS PAC ID: 0042386559 Enrollment ID: I20080908000248 |
| Provider Name | James a Kirkham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316988512 PECOS PAC ID: 5890690531 Enrollment ID: I20081024000236 |
| Provider Name | Elizabeth M Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801074554 PECOS PAC ID: 4688733025 Enrollment ID: I20081030000363 |
| Provider Name | Erin L Sly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740430792 PECOS PAC ID: 5991864662 Enrollment ID: I20081110000681 |
| Provider Name | Lena W Truong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750534582 PECOS PAC ID: 7416017611 Enrollment ID: I20081118000478 |
| Provider Name | Tarek S Hamieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962604892 PECOS PAC ID: 1759480031 Enrollment ID: I20081203000919 |
| Provider Name | Bennett E Goltz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588825145 PECOS PAC ID: 7416018163 Enrollment ID: I20081212000570 |
| Provider Name | Kristen M Kehr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104843879 PECOS PAC ID: 5193818227 Enrollment ID: I20090202000551 |
| Provider Name | Daniel Steinberger |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932340213 PECOS PAC ID: 8628129160 Enrollment ID: I20090624000181 |
| Provider Name | Steven G Thiel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427229541 PECOS PAC ID: 1456411735 Enrollment ID: I20090624000713 |
| Provider Name | Michael R Galle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841478005 PECOS PAC ID: 1456402403 Enrollment ID: I20090702000172 |
| Provider Name | Michael J Klevay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497849012 PECOS PAC ID: 5890896740 Enrollment ID: I20090715000687 |
| Provider Name | Allison L Kramer Guggisberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760670210 PECOS PAC ID: 4486744372 Enrollment ID: I20090728000901 |
| Provider Name | Sue-mi C Tuttle |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447442702 PECOS PAC ID: 9335293638 Enrollment ID: I20090820000892 |
| Provider Name | Laura Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932337953 PECOS PAC ID: 3072669910 Enrollment ID: I20090918000207 |
| Provider Name | Laurie a Judd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376779074 PECOS PAC ID: 7517003809 Enrollment ID: I20090929000508 |
| Provider Name | Justin L Seningen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083878425 PECOS PAC ID: 1052458874 Enrollment ID: I20091028000275 |
| Provider Name | Jessica J Hampton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629208079 PECOS PAC ID: 8426196023 Enrollment ID: I20091118000394 |
| Provider Name | Karin Amanda Vassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699906578 PECOS PAC ID: 3173662715 Enrollment ID: I20091120000277 |
| Provider Name | Michael K Georgieff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992737878 PECOS PAC ID: 4789727637 Enrollment ID: I20100201000670 |
| Provider Name | Janet M Schaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275510067 PECOS PAC ID: 7810809456 Enrollment ID: I20100303000837 |
| Provider Name | Amy J Thorsen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215945944 PECOS PAC ID: 1951368141 Enrollment ID: I20100330000128 |
| Provider Name | Laxmana M Godishala |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1588619324 PECOS PAC ID: 2860529120 Enrollment ID: I20100420000078 |
| Provider Name | Gregory M Vercellotti |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912008921 PECOS PAC ID: 8325950868 Enrollment ID: I20100524000405 |
| Provider Name | Mark J Wanderman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285660837 PECOS PAC ID: 8820127822 Enrollment ID: I20100601000718 |
| Provider Name | Andrew J Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922063981 PECOS PAC ID: 5395875546 Enrollment ID: I20100614000930 |
| Provider Name | Allison L Kohtz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336367408 PECOS PAC ID: 8022140870 Enrollment ID: I20100714001045 |
| Provider Name | Kristi Lee Werdin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528099538 PECOS PAC ID: 4688659634 Enrollment ID: I20100820000639 |
| Provider Name | Susan Elizabeth Kline |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285724708 PECOS PAC ID: 4688708084 Enrollment ID: I20100820000790 |
| Provider Name | Minoo Shams Moorkani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568666923 PECOS PAC ID: 3678697869 Enrollment ID: I20100824001286 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Anah Ekh Sellers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831419761 PECOS PAC ID: 6507980711 Enrollment ID: I20100825000207 |
| Provider Name | Markus Gapany |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912962002 PECOS PAC ID: 9931223104 Enrollment ID: I20100825000933 |
| Provider Name | Tanya S Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720186893 PECOS PAC ID: 6406970565 Enrollment ID: I20100826000932 |
| Provider Name | Ryan M Odonnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336214212 PECOS PAC ID: 5496879058 Enrollment ID: I20100902001098 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Evelyn L Slomka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437388378 PECOS PAC ID: 3577689629 Enrollment ID: I20100925000280 |
| Provider Name | Maja Visekruna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437355278 PECOS PAC ID: 6002009776 Enrollment ID: I20101026001074 |
| Provider Name | Nora K Tholl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639483910 PECOS PAC ID: 8921294844 Enrollment ID: I20101117001637 |
| Provider Name | Joshua J Thom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144453242 PECOS PAC ID: 0547456857 Enrollment ID: I20101129001087 |
| Provider Name | Deana B Gruenhagen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023043320 PECOS PAC ID: 0749285518 Enrollment ID: I20110117000004 |
| Provider Name | Tseganesh H Orcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609184019 PECOS PAC ID: 3779765748 Enrollment ID: I20110311000616 |
| Provider Name | Ann M Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518038959 PECOS PAC ID: 5193909901 Enrollment ID: I20110401000555 |
| Provider Name | Jenelle P Kelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619272572 PECOS PAC ID: 8820272487 Enrollment ID: I20110406000817 |
| Provider Name | Benjamin D Spilseth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609068717 PECOS PAC ID: 6608053830 Enrollment ID: I20110615000482 |
| Provider Name | Derrick L Green |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184897043 PECOS PAC ID: 3870761703 Enrollment ID: I20110720000737 |
| Provider Name | Nolawit Tesfaye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356517817 PECOS PAC ID: 2567630999 Enrollment ID: I20110729000183 |
| Provider Name | Amy B Karger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629233135 PECOS PAC ID: 9335318757 Enrollment ID: I20110801000683 |
| Provider Name | Bryan J Trottier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659550309 PECOS PAC ID: 1951571082 Enrollment ID: I20110829000642 |
| Provider Name | Andrew W Grande |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629289939 PECOS PAC ID: 1951572304 Enrollment ID: I20110915000677 |
| Provider Name | Deanna Teoh |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659407708 PECOS PAC ID: 7618027970 Enrollment ID: I20110920000844 |
| Provider Name | Franklin Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265540405 PECOS PAC ID: 1951454644 Enrollment ID: I20111011000500 |
| Provider Name | Kimberly C Viskocil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352851 PECOS PAC ID: 8224201744 Enrollment ID: I20111028000303 |
| Provider Name | Forum Kamdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043548548 PECOS PAC ID: 0648443085 Enrollment ID: I20111101000329 |
| Provider Name | Jessica G Wageman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770816225 PECOS PAC ID: 4688712540 Enrollment ID: I20111102000927 |
| Provider Name | Rina V Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861488140 PECOS PAC ID: 2668425570 Enrollment ID: I20111121000658 |
| Provider Name | Thaddeus S Walczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538180864 PECOS PAC ID: 9234304049 Enrollment ID: I20111206000685 |
| Provider Name | Krista M Koch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689956922 PECOS PAC ID: 6406021856 Enrollment ID: I20111213000598 |
| Provider Name | Susan Elise Wheaton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669465720 PECOS PAC ID: 6103092259 Enrollment ID: I20111220000776 |
| Provider Name | Leah R Kann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346519568 PECOS PAC ID: 7810164969 Enrollment ID: I20120113000086 |
| Provider Name | Wajahat Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952574592 PECOS PAC ID: 0840360921 Enrollment ID: I20120307000041 |
| Provider Name | Melissa Ann Saftner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093948374 PECOS PAC ID: 6800941139 Enrollment ID: I20120314000707 |
| Provider Name | Molly E Studer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487941803 PECOS PAC ID: 4082873740 Enrollment ID: I20120315000586 |
| Provider Name | Noah I Goldfarb |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417188939 PECOS PAC ID: 6204097983 Enrollment ID: I20120406000130 |
| Provider Name | Takashi Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323243 PECOS PAC ID: 2466616867 Enrollment ID: I20120615000106 |
| Provider Name | Thomas M Hauth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215165055 PECOS PAC ID: 7517121700 Enrollment ID: I20120620000248 |
| Provider Name | Chad Y Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265723779 PECOS PAC ID: 2062678121 Enrollment ID: I20120718000525 |
| Provider Name | Sami Safadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255664421 PECOS PAC ID: 7315193174 Enrollment ID: I20120809000632 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Sharma Bishnu Kattel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659502896 PECOS PAC ID: 4789831322 Enrollment ID: I20120904000384 |
| Provider Name | Karim Thomas Sadak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881861235 PECOS PAC ID: 7618124165 Enrollment ID: I20120906000076 |
| Provider Name | Bethany J Hanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841555927 PECOS PAC ID: 2860640117 Enrollment ID: I20120912000319 |
| Provider Name | Elizabeth Uchitelle |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720049828 PECOS PAC ID: 3870563240 Enrollment ID: I20121015000462 |
| Provider Name | Megan J Schoeberl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033460191 PECOS PAC ID: 6901056647 Enrollment ID: I20121015000739 |
| Provider Name | Kara Dianne Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841587193 PECOS PAC ID: 5294986535 Enrollment ID: I20121113000643 |
| Provider Name | Molly M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912252933 PECOS PAC ID: 8224289525 Enrollment ID: I20121114000447 |
| Provider Name | Kari M Vergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538418603 PECOS PAC ID: 7012169857 Enrollment ID: I20121130000423 |
| Provider Name | Joseph C Keenan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205061223 PECOS PAC ID: 9234261215 Enrollment ID: I20121130000430 |
| Provider Name | Mohamad Y. Abbas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154404549 PECOS PAC ID: 1951379023 Enrollment ID: I20121212000481 |
| Provider Name | Jinal K Vakil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134472913 PECOS PAC ID: 6709038896 Enrollment ID: I20121219000268 |
| Provider Name | Gail L Turnberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063404655 PECOS PAC ID: 4486807278 Enrollment ID: I20130103000061 |
| Provider Name | Natalie a Gohdes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679811137 PECOS PAC ID: 6103062823 Enrollment ID: I20130424000726 |
| Provider Name | James R Orton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891035739 PECOS PAC ID: 7315184025 Enrollment ID: I20130516000077 |
| Provider Name | Jacqueline R Aufderhar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659615698 PECOS PAC ID: 4587803036 Enrollment ID: I20130613000661 |
| Provider Name | Lisa J Bradt Karrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639260086 PECOS PAC ID: 5799925541 Enrollment ID: I20130628000287 |
| Provider Name | Damon Douglas Shearer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255397196 PECOS PAC ID: 3577729862 Enrollment ID: I20130709000524 |
| Provider Name | Alex Matthew Westenfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255313417 PECOS PAC ID: 4082603220 Enrollment ID: I20130717000427 |
| Provider Name | Tate Alan Gisslen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629269121 PECOS PAC ID: 1254513724 Enrollment ID: I20130717000805 |
| Provider Name | Shashank Vats |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346482544 PECOS PAC ID: 6901047794 Enrollment ID: I20130719000539 |
| Provider Name | Elizabeth Ann Von Der Marwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619210812 PECOS PAC ID: 1759522576 Enrollment ID: I20130720000084 |
| Provider Name | Thenappan Thenappan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1508842048 PECOS PAC ID: 6901832823 Enrollment ID: I20130724000730 |
| Provider Name | Cara Koroscil Gaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053637835 PECOS PAC ID: 1557537990 Enrollment ID: I20130918000353 |
| Provider Name | Kari L Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821430240 PECOS PAC ID: 9436393907 Enrollment ID: I20130924000170 |
| Provider Name | Dipi Sharma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841451135 PECOS PAC ID: 1759525108 Enrollment ID: I20130925000130 |
| Provider Name | Marit E Thorsgard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841436383 PECOS PAC ID: 1658505532 Enrollment ID: I20131008001110 |
| Provider Name | Lisa N Von Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093147142 PECOS PAC ID: 1759516503 Enrollment ID: I20131101000878 |
| Provider Name | Chetan N Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346571320 PECOS PAC ID: 4880870633 Enrollment ID: I20140115001232 |
| Provider Name | Caitlin M Steward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649691692 PECOS PAC ID: 9335378173 Enrollment ID: I20140128000097 |
| Provider Name | Rebecca L Kaehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811256118 PECOS PAC ID: 9133385040 Enrollment ID: I20140522001987 |
| Provider Name | Byron Philip Vaughn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255503223 PECOS PAC ID: 0648494716 Enrollment ID: I20140611000024 |
| Provider Name | Ryan Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820074 PECOS PAC ID: 0446475495 Enrollment ID: I20140707000823 |
| Provider Name | Viola M Tracy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366694655 PECOS PAC ID: 6709024326 Enrollment ID: I20140818001957 |
| Provider Name | Dawn M Violette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356750822 PECOS PAC ID: 2860610870 Enrollment ID: I20140903001882 |
| Provider Name | Janna R Gewirtz O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518306703 PECOS PAC ID: 4385887009 Enrollment ID: I20140916001560 |
| Provider Name | Sarah B Kinsella |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740509371 PECOS PAC ID: 6002035342 Enrollment ID: I20140918000345 |
| Provider Name | Karam Makram Obeid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114138237 PECOS PAC ID: 6608760178 Enrollment ID: I20141007000811 |
| Provider Name | Mahmoud a Khalifa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467517920 PECOS PAC ID: 8628973468 Enrollment ID: I20141008002464 |
| Provider Name | Shannon M Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053727321 PECOS PAC ID: 2062633019 Enrollment ID: I20141016001968 |
| Provider Name | Wolfgang Bernd Gaertner |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083857148 PECOS PAC ID: 7911129804 Enrollment ID: I20141108000168 |
| Provider Name | Seena S George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201221 PECOS PAC ID: 9335462761 Enrollment ID: I20141216001169 |
| Provider Name | Shree Krishna Subedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396999512 PECOS PAC ID: 8921321969 Enrollment ID: I20150109001272 |
| Provider Name | Kimberly Dawn Schuelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119653 PECOS PAC ID: 3476877762 Enrollment ID: I20150114002016 |
| Provider Name | Michael Wangsness |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083928717 PECOS PAC ID: 1153510029 Enrollment ID: I20150320000194 |
| Provider Name | Caroline Barusya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770717639 PECOS PAC ID: 0749464774 Enrollment ID: I20150401001308 |
| Provider Name | Krista Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275928368 PECOS PAC ID: 1759602857 Enrollment ID: I20150601002706 |
| Provider Name | Marie Hickey Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548529761 PECOS PAC ID: 5193046209 Enrollment ID: I20150601002803 |
| Provider Name | Natalie K Kerns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801289897 PECOS PAC ID: 6305167453 Enrollment ID: I20150602001148 |
| Provider Name | Kady M Webb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174915268 PECOS PAC ID: 7416278353 Enrollment ID: I20150604000721 |
| Provider Name | Rebecca Powell Stepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220993 PECOS PAC ID: 2668783895 Enrollment ID: I20150615001888 |
| Provider Name | Meryl D Stafford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821477233 PECOS PAC ID: 8729399696 Enrollment ID: I20150618001116 |
| Provider Name | Emily K Kratochwill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457744260 PECOS PAC ID: 8325350408 Enrollment ID: I20150701002547 |
| Provider Name | Sean Patrick Boley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659630309 PECOS PAC ID: 7517278104 Enrollment ID: I20150702002404 |
| Provider Name | Mark a Traynham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760793269 PECOS PAC ID: 3476865940 Enrollment ID: I20150713000623 |
| Provider Name | Mitchell a Timmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285806182 PECOS PAC ID: 3173791621 Enrollment ID: I20150716000957 |
| Provider Name | Jimmie Stewart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467414649 PECOS PAC ID: 4981662889 Enrollment ID: I20150729006660 |
| Provider Name | Kyle C Sinclair |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548571318 PECOS PAC ID: 5193954022 Enrollment ID: I20150812008275 |
| Provider Name | Christopher David Streib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231881 PECOS PAC ID: 4587884440 Enrollment ID: I20150813011144 |
| Provider Name | Sarah N Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955884 PECOS PAC ID: 8325353717 Enrollment ID: I20150813011429 |
| Provider Name | Gennadiy V Shevchenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093005498 PECOS PAC ID: 6204142763 Enrollment ID: I20150828000258 |
| Provider Name | Grete E Goetz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972988871 PECOS PAC ID: 9638485030 Enrollment ID: I20150831002285 |
| Provider Name | Niloo S Krueger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376856500 PECOS PAC ID: 5890001952 Enrollment ID: I20150903001792 |
| Provider Name | Elizabeth Anne Gulleen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790046910 PECOS PAC ID: 1951618628 Enrollment ID: I20150911001772 |
| Provider Name | Michelle L Schorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212107 PECOS PAC ID: 6103133871 Enrollment ID: I20150911001887 |
| Provider Name | Jeremy R Van't Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833909 PECOS PAC ID: 0446568448 Enrollment ID: I20150924000839 |
| Provider Name | Sean Tracy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225444938 PECOS PAC ID: 0547485195 Enrollment ID: I20151001001465 |
| Provider Name | Ashley J Thersleff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720456577 PECOS PAC ID: 0648589226 Enrollment ID: I20151021002712 |
| Provider Name | Beth K Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831458793 PECOS PAC ID: 3971813189 Enrollment ID: I20151029002921 |
| Provider Name | David I Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316239361 PECOS PAC ID: 6103136924 Enrollment ID: I20151106002002 |
| Provider Name | Hannah L Williamson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811036320 PECOS PAC ID: 2668773623 Enrollment ID: I20151216000526 |
| Provider Name | Kyle J Oostra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295109502 PECOS PAC ID: 3577865922 Enrollment ID: I20151231001602 |
| Provider Name | Tasha M Kiberenge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669840757 PECOS PAC ID: 3971809732 Enrollment ID: I20160304001302 |
| Provider Name | Renae H Witta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770974578 PECOS PAC ID: 0345547501 Enrollment ID: I20160401002062 |
| Provider Name | Brianne S Tainter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720447535 PECOS PAC ID: 2163729484 Enrollment ID: I20160406001978 |
| Provider Name | Allison E Ackmann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760871453 PECOS PAC ID: 0042518920 Enrollment ID: I20160408000878 |
| Provider Name | Kevin J Gaddis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699031567 PECOS PAC ID: 1951606391 Enrollment ID: I20160520001210 |
| Provider Name | Reza Talaie |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487886271 PECOS PAC ID: 8426353103 Enrollment ID: I20160526001340 |
| Provider Name | Elizabeth P Kratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038299 PECOS PAC ID: 0345530887 Enrollment ID: I20160613000339 |
| Provider Name | Kumba U Kanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194021766 PECOS PAC ID: 4486945169 Enrollment ID: I20160628001210 |
| Provider Name | Nicole C Kalamitsiotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457778623 PECOS PAC ID: 6901039403 Enrollment ID: I20160714000518 |
| Provider Name | Aazim K Omer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134382690 PECOS PAC ID: 3678626025 Enrollment ID: I20160728002386 |
| Provider Name | Sarah C Kiel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457694416 PECOS PAC ID: 8527363365 Enrollment ID: I20160728002625 |
| Provider Name | Alison Galdys |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326272329 PECOS PAC ID: 1456590033 Enrollment ID: I20160801001635 |
| Provider Name | Sergey G Gurevich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578839015 PECOS PAC ID: 6103110911 Enrollment ID: I20160802001453 |
| Provider Name | Stacie Marie Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720304439 PECOS PAC ID: 8820394299 Enrollment ID: I20160816003028 |
| Provider Name | Parisa Salehi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083973630 PECOS PAC ID: 1951606631 Enrollment ID: I20160820000205 |
| Provider Name | Jacob Kohlenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306225990 PECOS PAC ID: 7810208477 Enrollment ID: I20160825000244 |
| Provider Name | Sara E Wildenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437476876 PECOS PAC ID: 8628373552 Enrollment ID: I20160829000743 |
| Provider Name | Jennifer L Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942587233 PECOS PAC ID: 8426343484 Enrollment ID: I20160830001204 |
| Provider Name | Sobia Khaja |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306165972 PECOS PAC ID: 0648419747 Enrollment ID: I20160920000456 |
| Provider Name | Lynnsie M Schramm |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770038598 PECOS PAC ID: 7315235579 Enrollment ID: I20161004002092 |
| Provider Name | Indrani R Saha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649409665 PECOS PAC ID: 0446404107 Enrollment ID: I20161013001488 |
| Provider Name | Stefania R Werner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215301627 PECOS PAC ID: 2365720760 Enrollment ID: I20161104000881 |
| Provider Name | Brittany N Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689937963 PECOS PAC ID: 1759538648 Enrollment ID: I20161117002029 |
| Provider Name | Clarence Shannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851516165 PECOS PAC ID: 6204092208 Enrollment ID: I20170105001533 |
| Provider Name | Cassandra J Varghese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982154001 PECOS PAC ID: 3072896208 Enrollment ID: I20170213001560 |
| Provider Name | Daniel Keys |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710159975 PECOS PAC ID: 2466696919 Enrollment ID: I20170530000632 |
| Provider Name | Nathaniel Thomas Gaeckle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477874865 PECOS PAC ID: 2961689351 Enrollment ID: I20170608001015 |
| Provider Name | Andrew W Shaffer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609039742 PECOS PAC ID: 4486885951 Enrollment ID: I20170612003026 |
| Provider Name | Stephanie E Standal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588007116 PECOS PAC ID: 2769787597 Enrollment ID: I20170613002963 |
| Provider Name | Christopher James Tignanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477780245 PECOS PAC ID: 3072738509 Enrollment ID: I20170628002837 |
| Provider Name | Brenda Aika Shoo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992993455 PECOS PAC ID: 4082930540 Enrollment ID: I20170814001263 |
| Provider Name | Jonathan Snitzer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831456953 PECOS PAC ID: 2961774740 Enrollment ID: I20170815001989 |
| Provider Name | Brittney J Schultz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710305180 PECOS PAC ID: 2062717408 Enrollment ID: I20170816002070 |
| Provider Name | Avraham Sofer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386969152 PECOS PAC ID: 3678714011 Enrollment ID: I20170816002280 |
| Provider Name | Sasha Strul |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023374964 PECOS PAC ID: 0547404584 Enrollment ID: I20170823004347 |
| Provider Name | Sarah M Krueger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598008716 PECOS PAC ID: 4082933189 Enrollment ID: I20170825001687 |
| Provider Name | Matthew Richard Soule |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437393113 PECOS PAC ID: 5395041800 Enrollment ID: I20170830003748 |
| Provider Name | Alessio N/a Giubellino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629410808 PECOS PAC ID: 5890068464 Enrollment ID: I20170901000395 |
| Provider Name | Jennilynn M Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174990089 PECOS PAC ID: 6002180668 Enrollment ID: I20170920001434 |
| Provider Name | David Allen Supik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154767366 PECOS PAC ID: 0345532701 Enrollment ID: I20170929000727 |
| Provider Name | Jennifer R Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043731151 PECOS PAC ID: 3476828872 Enrollment ID: I20171011002375 |
| Provider Name | Nicholas Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609392695 PECOS PAC ID: 7618243460 Enrollment ID: I20171023000252 |
| Provider Name | Goran Klak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154660488 PECOS PAC ID: 7214173533 Enrollment ID: I20171107001467 |
| Provider Name | Amrita Goyal-o'leary |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801273545 PECOS PAC ID: 3173818564 Enrollment ID: I20180111001443 |
| Provider Name | Madeline Welter Kalthoff Burkett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811408750 PECOS PAC ID: 5193084044 Enrollment ID: I20180122002463 |
| Provider Name | Justin Halbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356667984 PECOS PAC ID: 8123347713 Enrollment ID: I20180306002750 |
| Provider Name | Robben Andrew Schat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164765822 PECOS PAC ID: 6103121124 Enrollment ID: I20180606000910 |
| Provider Name | Rahul Kapur |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295931962 PECOS PAC ID: 2668573247 Enrollment ID: I20180620000002 |
| Provider Name | Roy Lee Joe Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407058076 PECOS PAC ID: 5395918072 Enrollment ID: I20180710001872 |
| Provider Name | Christopher Steevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992094064 PECOS PAC ID: 1951607555 Enrollment ID: I20180720001003 |
| Provider Name | Kairav Pramesh Vakil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467600403 PECOS PAC ID: 3678889045 Enrollment ID: I20180802000500 |
| Provider Name | Matthew D Torgeson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497192066 PECOS PAC ID: 4789811662 Enrollment ID: I20180827002200 |
| Provider Name | Taylor Kristine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624479 PECOS PAC ID: 1456603364 Enrollment ID: I20181003003352 |
| Provider Name | Yauhen Alexander Tarbunou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265721757 PECOS PAC ID: 8527310267 Enrollment ID: I20181009000832 |
| Provider Name | Stephanie Lynae Gulbranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043793144 PECOS PAC ID: 2062764608 Enrollment ID: I20181010001405 |
| Provider Name | Steven D Skolasinski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396005864 PECOS PAC ID: 7416252341 Enrollment ID: I20181024002446 |
| Provider Name | Jessica Shaheen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518200914 PECOS PAC ID: 7618272881 Enrollment ID: I20181130001593 |
| Provider Name | Stephanie Alicia Terezakis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053550228 PECOS PAC ID: 5496807364 Enrollment ID: I20181218001662 |
| Provider Name | Joseph Mark Kaisersatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609229749 PECOS PAC ID: 7810282050 Enrollment ID: I20190218000749 |
| Provider Name | Kamil N. Sayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124071865 PECOS PAC ID: 3375577455 Enrollment ID: I20190225001436 |
| Provider Name | Dana M Swanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437623568 PECOS PAC ID: 9931448222 Enrollment ID: I20190304002522 |
| Provider Name | Emily Wahl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942743331 PECOS PAC ID: 0547509408 Enrollment ID: I20190312000402 |
| Provider Name | Mahsa Abassi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952620858 PECOS PAC ID: 8224278742 Enrollment ID: I20190312001713 |
| Provider Name | Joelle Elizabeth Odden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225382377 PECOS PAC ID: 8123271186 Enrollment ID: I20190319000257 |
| Provider Name | Jodi Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942762828 PECOS PAC ID: 1254672348 Enrollment ID: I20190418001902 |
| Provider Name | Scott Robert Gilles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346684750 PECOS PAC ID: 4587968540 Enrollment ID: I20190422000453 |
| Provider Name | Aubrie Christine Cohorst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932668373 PECOS PAC ID: 9335481357 Enrollment ID: I20190423001849 |
| Provider Name | Derek Robert Volkel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487117669 PECOS PAC ID: 8628310075 Enrollment ID: I20190503001925 |
| Provider Name | Don Bambino Geno Tai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952854762 PECOS PAC ID: 6709126683 Enrollment ID: I20190606000237 |
| Provider Name | Ethan Greenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225416944 PECOS PAC ID: 1759667561 Enrollment ID: I20190627000967 |
| Provider Name | Elizabeth Jean Krebsbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194387902 PECOS PAC ID: 5991030843 Enrollment ID: I20190715001344 |
| Provider Name | Raluca Teona Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477997765 PECOS PAC ID: 1052676079 Enrollment ID: I20190731004009 |
| Provider Name | Nolan C Cirillo-penn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093210262 PECOS PAC ID: 4486902541 Enrollment ID: I20190807000047 |
| Provider Name | Amelia Rose Solei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059719 PECOS PAC ID: 9537497169 Enrollment ID: I20190821000991 |
| Provider Name | Susan E Orlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740782549 PECOS PAC ID: 3476804071 Enrollment ID: I20190903000763 |
| Provider Name | Anne Marie Kouri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639460439 PECOS PAC ID: 6709026719 Enrollment ID: I20190905001790 |
| Provider Name | Susanne U Trost |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376622613 PECOS PAC ID: 9537167572 Enrollment ID: I20190917004288 |
| Provider Name | James D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750878948 PECOS PAC ID: 5496005316 Enrollment ID: I20190923001469 |
| Provider Name | Kristin Cora Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053233 PECOS PAC ID: 4183955768 Enrollment ID: I20191011002435 |
| Provider Name | Shahnaz Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790868925 PECOS PAC ID: 2769409903 Enrollment ID: I20191031003179 |
| Provider Name | Tiffany L Hager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295391696 PECOS PAC ID: 6507198009 Enrollment ID: I20191107001498 |
| Provider Name | Kavisha Milesh Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346506961 PECOS PAC ID: 7315177052 Enrollment ID: I20191121000654 |
| Provider Name | Meredith Nicole Stallone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821589680 PECOS PAC ID: 4688923717 Enrollment ID: I20191202000399 |
| Provider Name | Elizabeth Marie Wallis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326681800 PECOS PAC ID: 4587097639 Enrollment ID: I20191204001828 |
| Provider Name | Eva Marie Mcguire Parise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467010124 PECOS PAC ID: 5395178313 Enrollment ID: I20191205001864 |
| Provider Name | Rachel Stenach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649734864 PECOS PAC ID: 0446684989 Enrollment ID: I20191217000175 |
| Provider Name | Rachel N Goldson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295371698 PECOS PAC ID: 4688008121 Enrollment ID: I20191217000324 |
| Provider Name | Kathleen Van Zeeland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326509381 PECOS PAC ID: 2466793609 Enrollment ID: I20191219001317 |
| Provider Name | Blai Vue Vue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437792025 PECOS PAC ID: 5890121362 Enrollment ID: I20200130003022 |
| Provider Name | Matthew Joseph Weiseman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952885931 PECOS PAC ID: 8224382353 Enrollment ID: I20200206000643 |
| Provider Name | Katherine Archbold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093115925 PECOS PAC ID: 9638506918 Enrollment ID: I20200226001357 |
| Provider Name | Rose Ellen Janecke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285147579 PECOS PAC ID: 7911336482 Enrollment ID: I20200403001571 |
| Provider Name | Greta I Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841821436 PECOS PAC ID: 3274963640 Enrollment ID: I20200427000950 |
| Provider Name | Can Ozutemiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396195517 PECOS PAC ID: 3678846037 Enrollment ID: I20200508002157 |
| Provider Name | Carolyn Temanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508246471 PECOS PAC ID: 7012227242 Enrollment ID: I20200528002059 |
| Provider Name | Lucky Vang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053627364 PECOS PAC ID: 7517277205 Enrollment ID: I20200616001862 |
| Provider Name | Mahmood Gharib |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174889729 PECOS PAC ID: 6800022617 Enrollment ID: I20200626000381 |
| Provider Name | Mary Julia Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205273174 PECOS PAC ID: 9931400116 Enrollment ID: I20200629000986 |
| Provider Name | Haley Jean Stebbing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598390072 PECOS PAC ID: 5597189142 Enrollment ID: I20200716000169 |
| Provider Name | Rajat Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346680188 PECOS PAC ID: 3678715026 Enrollment ID: I20200717000486 |
| Provider Name | Stefan Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952500191 PECOS PAC ID: 0345331435 Enrollment ID: I20200717000663 |
| Provider Name | Rajesh Thampy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417281452 PECOS PAC ID: 8628493293 Enrollment ID: I20200730001987 |
| Provider Name | Karl O Koivisto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962931451 PECOS PAC ID: 5496023459 Enrollment ID: I20200806001118 |
| Provider Name | Michael K Wempe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780900647 PECOS PAC ID: 9436454287 Enrollment ID: I20200812003791 |
| Provider Name | Bethany Ann Sabol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346582558 PECOS PAC ID: 7214179555 Enrollment ID: I20200813002365 |
| Provider Name | Daniel E Kendrick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730479882 PECOS PAC ID: 7517212004 Enrollment ID: I20200814000110 |
| Provider Name | Caroline Jasper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184234692 PECOS PAC ID: 5698192599 Enrollment ID: I20200824001567 |
| Provider Name | Brent Edward White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902163892 PECOS PAC ID: 6709019474 Enrollment ID: I20200828001140 |
| Provider Name | Allyson Stevenson-king |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568817146 PECOS PAC ID: 0244573939 Enrollment ID: I20200902000632 |
| Provider Name | Sarah Anne Wernimont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275970402 PECOS PAC ID: 3476797531 Enrollment ID: I20200914001580 |
| Provider Name | Joshua a Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114289873 PECOS PAC ID: 8022373240 Enrollment ID: I20200915000127 |
| Provider Name | Joseph Thomas Knapper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174889661 PECOS PAC ID: 7416262183 Enrollment ID: I20200921000009 |
| Provider Name | Lindsey Sloan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073991840 PECOS PAC ID: 5991083933 Enrollment ID: I20200923000430 |
| Provider Name | Michael William Thorp |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407267248 PECOS PAC ID: 1153674114 Enrollment ID: I20200929003495 |
| Provider Name | Rachel Elizabeth Kraemer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518572254 PECOS PAC ID: 0749600278 Enrollment ID: I20201021002155 |
| Provider Name | Jordan Krentz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063016616 PECOS PAC ID: 0749692671 Enrollment ID: I20201216003039 |
| Provider Name | Samuel Brian Goldfarb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740202027 PECOS PAC ID: 2860541372 Enrollment ID: I20210117000006 |
| Provider Name | Candice Lorena Schultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881725638 PECOS PAC ID: 6507933975 Enrollment ID: I20210126001336 |
| Provider Name | Jessica Joy Stangenes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740247824 PECOS PAC ID: 5698189728 Enrollment ID: I20210201000111 |
| Provider Name | Alex J Krona |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023605458 PECOS PAC ID: 0941615249 Enrollment ID: I20210218002571 |
| Provider Name | Peter Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992723191 PECOS PAC ID: 6507810629 Enrollment ID: I20210301002358 |
| Provider Name | Alexandra Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306447339 PECOS PAC ID: 3375959547 Enrollment ID: I20210312001481 |
| Provider Name | Katie Lynn Adler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639516867 PECOS PAC ID: 4183030273 Enrollment ID: I20210316001340 |
| Provider Name | Caleb P Skipper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356751564 PECOS PAC ID: 5092080119 Enrollment ID: I20210318001400 |
| Provider Name | Siddhartha Sen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538513684 PECOS PAC ID: 0547552374 Enrollment ID: I20210409000451 |
| Provider Name | Megan Marie Haney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336767508 PECOS PAC ID: 0749698736 Enrollment ID: I20210412001307 |
| Provider Name | Jacob Torrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356704365 PECOS PAC ID: 3072859487 Enrollment ID: I20210429002733 |
| Provider Name | Arielle Skalisky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891213419 PECOS PAC ID: 5890194971 Enrollment ID: I20210521000586 |
| Provider Name | Mehmet Levent Guler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255839692 PECOS PAC ID: 2466715222 Enrollment ID: I20210525001634 |
| Provider Name | Edward J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602709 PECOS PAC ID: 4688007289 Enrollment ID: I20210608002720 |
| Provider Name | Lauren Stribling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841645033 PECOS PAC ID: 7517253156 Enrollment ID: I20210706002859 |
| Provider Name | Robert Thomas Galvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598119331 PECOS PAC ID: 0345574687 Enrollment ID: I20210713003968 |
| Provider Name | Thomas Mark Suszynski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013336155 PECOS PAC ID: 9537562855 Enrollment ID: I20210724000054 |
| Provider Name | Neil a Hanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285808014 PECOS PAC ID: 6507059052 Enrollment ID: I20210727001757 |
| Provider Name | Madeline Elizabeth Schutte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245807312 PECOS PAC ID: 3173926169 Enrollment ID: I20210728003108 |
| Provider Name | Megan Kristan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821483967 PECOS PAC ID: 6002148327 Enrollment ID: I20210729001369 |
| Provider Name | Jonathan David Knott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174151211 PECOS PAC ID: 6800210212 Enrollment ID: I20210806002965 |
| Provider Name | Eva Ssentongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790399772 PECOS PAC ID: 4284038118 Enrollment ID: I20210813001763 |
| Provider Name | Emma Grace Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306412424 PECOS PAC ID: 1153725023 Enrollment ID: I20210815000030 |
| Provider Name | Tyler Kemnitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548841513 PECOS PAC ID: 4284039082 Enrollment ID: I20210817001692 |
| Provider Name | Jessica Helena Randa Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275796732 PECOS PAC ID: 6709004708 Enrollment ID: I20210823001077 |
| Provider Name | Karen Lane Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114196672 PECOS PAC ID: 2860570850 Enrollment ID: I20210827001307 |
| Provider Name | Michelle Stoffel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487040127 PECOS PAC ID: 2668740234 Enrollment ID: I20210902001775 |
| Provider Name | Sarah Raeann Kruell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194348177 PECOS PAC ID: 6305243007 Enrollment ID: I20210922003579 |
| Provider Name | Martin Allan Koyle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467546796 PECOS PAC ID: 8325027410 Enrollment ID: I20210930000703 |
| Provider Name | Rachal a Omana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740826007 PECOS PAC ID: 4082012661 Enrollment ID: I20211012002751 |
| Provider Name | Caitlyn Hagstrom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619649936 PECOS PAC ID: 3577951680 Enrollment ID: I20211021003196 |
| Provider Name | Duong Tu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679776272 PECOS PAC ID: 7315267242 Enrollment ID: I20211116001155 |
| Provider Name | Sahar Koubar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477866580 PECOS PAC ID: 7810218179 Enrollment ID: I20211117001247 |
| Provider Name | Kelsey Erin King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922760123 PECOS PAC ID: 2668862004 Enrollment ID: I20211129002375 |
| Provider Name | Rachel Marie Yonkovich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174040133 PECOS PAC ID: 8527458801 Enrollment ID: I20211130001580 |
| Provider Name | Sabine Karam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700183571 PECOS PAC ID: 4082004734 Enrollment ID: I20211213000087 |
| Provider Name | Christine Rae Koch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346811270 PECOS PAC ID: 2466842091 Enrollment ID: I20211214000540 |
| Provider Name | Caitlin Marie Kronenwetter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932655966 PECOS PAC ID: 8123300910 Enrollment ID: I20220104002296 |
| Provider Name | Rebecca Kay Olsson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578134292 PECOS PAC ID: 4587056098 Enrollment ID: I20220113000494 |
| Provider Name | Chase Kerber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285153502 PECOS PAC ID: 9638435332 Enrollment ID: I20220119000758 |
| Provider Name | Kevin Turner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184874125 PECOS PAC ID: 9739327719 Enrollment ID: I20220126002648 |
| Provider Name | Tina N Ozbeki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841687365 PECOS PAC ID: 8820303605 Enrollment ID: I20220127002652 |
| Provider Name | Meera Srikanthan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841637220 PECOS PAC ID: 4385872217 Enrollment ID: I20220131002165 |
| Provider Name | Danielle Marie Orsello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972261972 PECOS PAC ID: 0143613794 Enrollment ID: I20220203001672 |
| Provider Name | Daniel Hugh Oleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851748685 PECOS PAC ID: 1557606837 Enrollment ID: I20220323001716 |
| Provider Name | Shannon M Welter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386873958 PECOS PAC ID: 4880080514 Enrollment ID: I20220406001461 |
| Provider Name | Praveen Hariharan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215458351 PECOS PAC ID: 4486928942 Enrollment ID: I20220419002675 |
| Provider Name | Joella Kate Korpi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301257 PECOS PAC ID: 8325435308 Enrollment ID: I20220421000118 |
| Provider Name | Jessica Namoi Schultz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1124405543 PECOS PAC ID: 2769787696 Enrollment ID: I20220421000728 |
| Provider Name | Meredith Kavalier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720513641 PECOS PAC ID: 8123398971 Enrollment ID: I20220421001108 |
| Provider Name | Grishma Trivedi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548781479 PECOS PAC ID: 6305181231 Enrollment ID: I20220426000961 |
| Provider Name | Tanner Vaughn Kramp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801496047 PECOS PAC ID: 2567859127 Enrollment ID: I20220428001944 |
| Provider Name | Amber Scheierl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720678147 PECOS PAC ID: 1254728868 Enrollment ID: I20220429001372 |
| Provider Name | Michael Patrick Greenwood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023379419 PECOS PAC ID: 8426272261 Enrollment ID: I20220503000424 |
| Provider Name | Jenna Vanbeck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184079535 PECOS PAC ID: 8325339369 Enrollment ID: I20220503000976 |
| Provider Name | Peter Thorne |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346775137 PECOS PAC ID: 3072883768 Enrollment ID: I20220503001007 |
| Provider Name | Venus Vakhshori |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023490380 PECOS PAC ID: 9133408610 Enrollment ID: I20220526000568 |
| Provider Name | Amy Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114304839 PECOS PAC ID: 9032412317 Enrollment ID: I20220607002914 |
| Provider Name | Jenna Ashford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073067161 PECOS PAC ID: 7911385653 Enrollment ID: I20220608000878 |
| Provider Name | Vishnuvardhan Ganesan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952833428 PECOS PAC ID: 3375922891 Enrollment ID: I20220614000173 |
| Provider Name | Tamara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364944 PECOS PAC ID: 6103046891 Enrollment ID: I20220614001076 |
| Provider Name | Kelsey Gagesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548795305 PECOS PAC ID: 4082984257 Enrollment ID: I20220624001683 |
| Provider Name | Ariana Del Korpela |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013655935 PECOS PAC ID: 2062892540 Enrollment ID: I20220629003270 |
| Provider Name | Anna E Grosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366191066 PECOS PAC ID: 0446632004 Enrollment ID: I20220729001813 |
| Provider Name | Jacob David Kastner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124569413 PECOS PAC ID: 9537433214 Enrollment ID: I20220729002340 |
| Provider Name | Paolo Goffredo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881071546 PECOS PAC ID: 4587978085 Enrollment ID: I20220810000196 |
| Provider Name | Jacqueline May-ly Vo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043943814 PECOS PAC ID: 1850774985 Enrollment ID: I20220822003371 |
| Provider Name | Tiffany R Corlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689162281 PECOS PAC ID: 9537413752 Enrollment ID: I20220922000575 |
| Provider Name | Jasvinder Autar Singh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619409240 PECOS PAC ID: 5496159808 Enrollment ID: I20221010001785 |
| Provider Name | Christopher M Kirby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619608767 PECOS PAC ID: 4880060821 Enrollment ID: I20221017002464 |
| Provider Name | Rachel Pamela Fox Jacobsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386119451 PECOS PAC ID: 0042686081 Enrollment ID: I20221017002539 |
| Provider Name | Anthony Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942923347 PECOS PAC ID: 8921474818 Enrollment ID: I20221018001121 |
| Provider Name | Diana Oramas Mogrovejo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982080982 PECOS PAC ID: 0941510945 Enrollment ID: I20221027000793 |
| Provider Name | Kailey a Geib |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023739141 PECOS PAC ID: 1456728591 Enrollment ID: I20221103000119 |
| Provider Name | Kelsey Marie Kuhlman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003532995 PECOS PAC ID: 0446627475 Enrollment ID: I20221104000935 |
| Provider Name | Julia Elise Sobaszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262725 PECOS PAC ID: 8123496544 Enrollment ID: I20221116001101 |
| Provider Name | Megan Elizabeth Stuart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205550498 PECOS PAC ID: 1355719410 Enrollment ID: I20221121001369 |
| Provider Name | Juan Carlos Samayoa Escobar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629411970 PECOS PAC ID: 8123319860 Enrollment ID: I20221123001024 |
| Provider Name | Laura Mary Tess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154039865 PECOS PAC ID: 1850760042 Enrollment ID: I20221209002296 |
| Provider Name | Anders Wallock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982294542 PECOS PAC ID: 2062881113 Enrollment ID: I20221212001416 |
| Provider Name | Caitlin Rose Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780392019 PECOS PAC ID: 1052781572 Enrollment ID: I20221228000393 |
| Provider Name | Jessica Marie Gartner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245816693 PECOS PAC ID: 1456722610 Enrollment ID: I20230125003417 |
| Provider Name | Kathryn Rose Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477128528 PECOS PAC ID: 4880065853 Enrollment ID: I20230131000167 |
| Provider Name | Olivia Jacobs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184349508 PECOS PAC ID: 2961876859 Enrollment ID: I20230315002637 |
| Provider Name | Yasemin Koksel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922659028 PECOS PAC ID: 4880925304 Enrollment ID: I20230331001529 |
| Provider Name | Mary Patricia Mccarthy Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093400715 PECOS PAC ID: 7416312194 Enrollment ID: I20230502002653 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Aayush Gabrani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881126399 PECOS PAC ID: 9436514916 Enrollment ID: I20230505002029 |
| Provider Name | Jennifer Ashley Knight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023514148 PECOS PAC ID: 5991054199 Enrollment ID: I20230519002525 |
| Provider Name | Hannah Scheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699489997 PECOS PAC ID: 0749646545 Enrollment ID: I20230522001158 |
| Provider Name | Emily Anne Hause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811429871 PECOS PAC ID: 9739412149 Enrollment ID: I20230524000695 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124540604 PECOS PAC ID: 3072979657 Enrollment ID: I20230524002289 |
| Provider Name | Punita Grover |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184001729 PECOS PAC ID: 3971809666 Enrollment ID: I20230530003034 |
| Provider Name | Ruchi Jalota Sahota |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891291795 PECOS PAC ID: 8022355452 Enrollment ID: I20230619001657 |
| Provider Name | Christopher Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962864538 PECOS PAC ID: 1355614322 Enrollment ID: I20230626002505 |
| Provider Name | Megan Rose Somers Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043919269 PECOS PAC ID: 9638537335 Enrollment ID: I20230627002580 |
| Provider Name | Lauren Schwinghammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801529391 PECOS PAC ID: 9234597972 Enrollment ID: I20230628000569 |
| Provider Name | Austin Jace Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891315982 PECOS PAC ID: 6204247141 Enrollment ID: I20230628001122 |
| Provider Name | Amanda Marie Kleppe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336678689 PECOS PAC ID: 7416226477 Enrollment ID: I20230713002262 |
| Provider Name | Mengxuan Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316472137 PECOS PAC ID: 6103162938 Enrollment ID: I20230725001265 |
| Provider Name | Carter Philip Kasianov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396422622 PECOS PAC ID: 4183085061 Enrollment ID: I20230726000697 |
| Provider Name | Christopher James Kedzie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699396176 PECOS PAC ID: 0244691830 Enrollment ID: I20230728002747 |
| Provider Name | Anne Kathryn Wieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932887742 PECOS PAC ID: 8729449806 Enrollment ID: I20230806000036 |
| Provider Name | Rashedat B Oshodi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104448638 PECOS PAC ID: 6204298532 Enrollment ID: I20230817002119 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255730180 PECOS PAC ID: 9739484890 Enrollment ID: I20230906000687 |
| Provider Name | Andrew J Sheehan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326500117 PECOS PAC ID: 2860720471 Enrollment ID: I20230920003034 |
| Provider Name | Tessa Maria Fontana Watt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144633488 PECOS PAC ID: 6305151929 Enrollment ID: I20230921000948 |
| Provider Name | June Sigman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003877192 PECOS PAC ID: 3870676216 Enrollment ID: I20230926001266 |
| Provider Name | Madison Kalenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396522512 PECOS PAC ID: 1850745753 Enrollment ID: I20230926003730 |
| Provider Name | Katherine Ann Schulzetenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891428405 PECOS PAC ID: 7517312994 Enrollment ID: I20231005001506 |
| Provider Name | Titi Taiwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033851209 PECOS PAC ID: 1153776877 Enrollment ID: I20231016000744 |
| Provider Name | Neal Rajan Godse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326579350 PECOS PAC ID: 5991073363 Enrollment ID: I20231023001322 |
| Provider Name | Kirsi Elizabeth Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285406371 PECOS PAC ID: 8921456054 Enrollment ID: I20231129002327 |
| Provider Name | Julie Anne Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437913688 PECOS PAC ID: 8921443193 Enrollment ID: I20240227003246 |
| Provider Name | Alexa Rachel Weingarden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205367794 PECOS PAC ID: 1254799398 Enrollment ID: I20240410001316 |
| Provider Name | Salvador Gonzalez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699348110 PECOS PAC ID: 1355746082 Enrollment ID: I20240424000326 |
| Provider Name | Leisa Katherine Krull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023881935 PECOS PAC ID: 0941640502 Enrollment ID: I20240430000618 |
| Provider Name | Alexis Josephine Swenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568028777 PECOS PAC ID: 9638509714 Enrollment ID: I20240508003833 |
| Provider Name | Josephine Marie Thurmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501343 PECOS PAC ID: 8022485820 Enrollment ID: I20240605000433 |
| Provider Name | Kyle Robert Geurink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649702465 PECOS PAC ID: 7517409915 Enrollment ID: I20240612002492 |
| Provider Name | Alexandra Schefter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972037430 PECOS PAC ID: 3375815996 Enrollment ID: I20240614003950 |
| Provider Name | Sabina Shrestha Dangol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043070683 PECOS PAC ID: 6709320070 Enrollment ID: I20240627001026 |
| Provider Name | Karina Joanne Jirik |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952141772 PECOS PAC ID: 0345784211 Enrollment ID: I20240702003097 |
| Provider Name | Meera Sindu Sury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669009809 PECOS PAC ID: 6204371081 Enrollment ID: I20240717000265 |
| Provider Name | Angela Veesenmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558528612 PECOS PAC ID: 2860540408 Enrollment ID: I20240729000085 |
| Provider Name | Aarti Kamat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629598115 PECOS PAC ID: 6507136652 Enrollment ID: I20240731000594 |
| Provider Name | Preethy Pankaj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184062200 PECOS PAC ID: 3375778293 Enrollment ID: I20240815001184 |
| Provider Name | Faysal S Haroun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598078990 PECOS PAC ID: 1759650179 Enrollment ID: I20240815004099 |
| Provider Name | Brandon Douglas Tomlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992230767 PECOS PAC ID: 7416227343 Enrollment ID: I20240819000963 |
| Provider Name | Toni Van House |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851167860 PECOS PAC ID: 1557809621 Enrollment ID: I20240820003690 |
| Provider Name | Kathryn E Kimrey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750761151 PECOS PAC ID: 9133426323 Enrollment ID: I20240822001453 |
| Provider Name | Chantel Noel Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104068469 PECOS PAC ID: 1456890110 Enrollment ID: I20240826002237 |
| Provider Name | Lisa Lynn Koch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841699477 PECOS PAC ID: 5193264414 Enrollment ID: I20240829003194 |
| Provider Name | Matthew Welsch Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518495241 PECOS PAC ID: 7618246307 Enrollment ID: I20240830003645 |
| Provider Name | Ashley Layne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104501105 PECOS PAC ID: 8022558766 Enrollment ID: I20240910000395 |
| Provider Name | Cody Tidwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033672837 PECOS PAC ID: 6204163876 Enrollment ID: I20240912003658 |
| Provider Name | Lauren O'laughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851120554 PECOS PAC ID: 9436690773 Enrollment ID: I20240926000967 |
| Provider Name | Molly Sales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326709916 PECOS PAC ID: 7719357227 Enrollment ID: I20241001002783 |
| Provider Name | Daniel Oress |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558019141 PECOS PAC ID: 5597142828 Enrollment ID: I20241003001749 |
| Provider Name | Stephen Arthur Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487900197 PECOS PAC ID: 2466679089 Enrollment ID: I20241008003942 |
| Provider Name | Hailey Nicole Wasti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477256816 PECOS PAC ID: 2668904673 Enrollment ID: I20241016000079 |
| Provider Name | Jacob Kolosky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639859275 PECOS PAC ID: 3971955428 Enrollment ID: I20241023000322 |
| Provider Name | Alexandra Leslie Gebhardt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518655521 PECOS PAC ID: 9931632346 Enrollment ID: I20241023004468 |
| Provider Name | Lindsey Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760892780 PECOS PAC ID: 0042744989 Enrollment ID: I20241114001296 |
| Provider Name | Kiley Lavanger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104641091 PECOS PAC ID: 3779018668 Enrollment ID: I20241202002472 |
| Provider Name | Elizabeth Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447814132 PECOS PAC ID: 6507199445 Enrollment ID: I20241203003472 |
| Provider Name | Jessica Leigh Greig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982391850 PECOS PAC ID: 0244766939 Enrollment ID: I20241204003297 |
| Provider Name | Madeleine Ann Stenzel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538754197 PECOS PAC ID: 5092183434 Enrollment ID: I20241210002728 |
| Provider Name | Jennifer W Haglund |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053622704 PECOS PAC ID: 5698048221 Enrollment ID: I20241219002358 |
| Provider Name | Molly M Sepiol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225767957 PECOS PAC ID: 5799168233 Enrollment ID: I20250206001462 |
| Provider Name | Cory Wentland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861217119 PECOS PAC ID: 8123558426 Enrollment ID: I20250214002132 |
| Provider Name | Amanda Rae Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528736873 PECOS PAC ID: 9032630660 Enrollment ID: I20250311002919 |
| Provider Name | Farid Khasiyev |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619505591 PECOS PAC ID: 4587081799 Enrollment ID: I20250320003244 |
| Provider Name | James R Varholdt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942062021 PECOS PAC ID: 8022530732 Enrollment ID: I20250321001813 |
| Provider Name | Christopher Knoedler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881057883 PECOS PAC ID: 2961812037 Enrollment ID: I20250401001131 |
| Provider Name | Samuel Lewis Sutton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528688918 PECOS PAC ID: 2668882648 Enrollment ID: I20250410002108 |
| Provider Name | Tabitha Marie Tate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538621982 PECOS PAC ID: 9739564857 Enrollment ID: I20250416002849 |
| Provider Name | Mollie Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770186678 PECOS PAC ID: 3476943721 Enrollment ID: I20250422000374 |
| Provider Name | Hyun Jun Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477130771 PECOS PAC ID: 1759783525 Enrollment ID: I20250424000682 |
| Provider Name | Carla M Miguel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356979769 PECOS PAC ID: 9931627809 Enrollment ID: I20250514002349 |
| Provider Name | Nikitha Vobugari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003475195 PECOS PAC ID: 7618339763 Enrollment ID: I20250519000443 |
| Provider Name | Kylie Marie Witte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740073709 PECOS PAC ID: 8224547690 Enrollment ID: I20250605001828 |
| Provider Name | Mohineesh Kumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871942854 PECOS PAC ID: 9830480052 Enrollment ID: I20250623000408 |
| Provider Name | Jing Lilith Light Han |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497289672 PECOS PAC ID: 9032480181 Enrollment ID: I20250623000968 |
| Provider Name | Mallery Olsen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649664871 PECOS PAC ID: 4688984420 Enrollment ID: I20250626004262 |
| Provider Name | Navid Salahi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730708918 PECOS PAC ID: 9133632565 Enrollment ID: I20250630002263 |
| Provider Name | Benjamin Jacob Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174419782 PECOS PAC ID: 3072026418 Enrollment ID: I20250630002640 |
| Provider Name | Kelsey Volkmann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225702160 PECOS PAC ID: 5799189650 Enrollment ID: I20250702002276 |
| Provider Name | Chantel Elyse Sina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033002415 PECOS PAC ID: 7315451036 Enrollment ID: I20250707001111 |
| Provider Name | Kimberly Dawn Slawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710376587 PECOS PAC ID: 0749552313 Enrollment ID: I20250707001562 |
| Provider Name | Eleanor Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174410344 PECOS PAC ID: 6709390305 Enrollment ID: I20250707003351 |
| Provider Name | Lisa Marie Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821331307 PECOS PAC ID: 5395982417 Enrollment ID: I20250708000322 |
| Provider Name | Olivia Korngable |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497643357 PECOS PAC ID: 9234643891 Enrollment ID: I20250708000593 |
| Provider Name | Jessica Rachel Stauffer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578252680 PECOS PAC ID: 2668820432 Enrollment ID: I20250708002401 |
| Provider Name | Adinan a Kanda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063901445 PECOS PAC ID: 0749530400 Enrollment ID: I20250718002289 |
| Provider Name | Thomas Edward Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215557202 PECOS PAC ID: 5496160202 Enrollment ID: I20250725002573 |
| Provider Name | Jessica Lynn Schweigert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720617327 PECOS PAC ID: 2466876768 Enrollment ID: I20250728002268 |
| Provider Name | Chajli Chen Thao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396530119 PECOS PAC ID: 9234646837 Enrollment ID: I20250729001686 |
| Provider Name | Grace Tobin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821556978 PECOS PAC ID: 2264830850 Enrollment ID: I20250729002131 |
| Provider Name | Courtney a Kerestes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528447273 PECOS PAC ID: 1850608381 Enrollment ID: I20250806003437 |
| Provider Name | Elizabeth Latham Greenhoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336032887 PECOS PAC ID: 7315445061 Enrollment ID: I20250812001256 |
| Provider Name | William Scott Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033483474 PECOS PAC ID: 6800057647 Enrollment ID: I20250813001464 |
| Provider Name | Maria G Josephson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750264248 PECOS PAC ID: 0941708499 Enrollment ID: I20250813001537 |
| Provider Name | Kati Riley Waalk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083599112 PECOS PAC ID: 9234639246 Enrollment ID: I20250825000873 |
| Provider Name | Madelyn Jo Goblirsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699650093 PECOS PAC ID: 6901306737 Enrollment ID: I20250825003968 |
| Provider Name | Annie Jean Monica Baierl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821728825 PECOS PAC ID: 9032610027 Enrollment ID: I20250830000225 |
| Provider Name | Kaitlin Marie Weisshappel |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1720615834 PECOS PAC ID: 5294236006 Enrollment ID: I20250902002238 |
| Provider Name | Kristen Kraimer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417415910 PECOS PAC ID: 8820331119 Enrollment ID: I20250905003304 |
| Provider Name | Melody Grace Ko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801134309 PECOS PAC ID: 4183998826 Enrollment ID: I20250917001086 |
| Provider Name | Divya Shenoy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962999524 PECOS PAC ID: 2365793874 Enrollment ID: I20250922002980 |
| Provider Name | Kaylee Ruth Vanderbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548146517 PECOS PAC ID: 1658876206 Enrollment ID: I20250924003673 |
| Provider Name | Sarah Watt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821524760 PECOS PAC ID: 0042716474 Enrollment ID: I20251003000783 |
| Provider Name | Emily Stempien |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083399265 PECOS PAC ID: 3577918424 Enrollment ID: I20251027002192 |
| Provider Name | Rahel Ketema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194273961 PECOS PAC ID: 5698055002 Enrollment ID: I20251211000556 |
| Provider Name | Ulas Yalim Uncu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508614587 PECOS PAC ID: 5193211647 Enrollment ID: I20260105001608 |
| Provider Name | Erin Mackenzie Klukas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821671447 PECOS PAC ID: 1557737269 Enrollment ID: I20260107002420 |
| Provider Name | Katelyn Marie Trexel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053270157 PECOS PAC ID: 1355820515 Enrollment ID: I20260209000354 |
| Provider Name | Samuel Riley Gowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437014362 PECOS PAC ID: 8426533779 Enrollment ID: I20260403001491 |
| Provider Name | Erin Vierling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467278101 PECOS PAC ID: 7618443722 Enrollment ID: I20260416001789 |
| Provider Name | Kari Elaine Hawkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629918271 PECOS PAC ID: 6800363730 Enrollment ID: I20260428001627 |
| Provider Name | Emily Shalit |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912840133 PECOS PAC ID: 7719455179 Enrollment ID: I20260505001902 |
| Provider Name | Ana Bolena Macias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982556189 PECOS PAC ID: 5395214936 Enrollment ID: I20260513002189 |
| Provider Name | Julian James Klokner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538006002 PECOS PAC ID: 0446729669 Enrollment ID: I20260518001922 |
| Provider Name | Kaela Elizabeth Bader |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487593570 PECOS PAC ID: 1355810284 Enrollment ID: I20260520000645 |
| Provider Name | Unknown Amisha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316563638 PECOS PAC ID: 0840618187 Enrollment ID: I20260609003757 |
| Provider Name | Hallie Lobejko |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235067968 PECOS PAC ID: 4486126687 Enrollment ID: I20260618002897 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 |
Healthpartners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 |
Boynton Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-677-3211 |
Corban Health Care, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 |
Zaya Healthcare PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Seond Ave Suite 200 1631, Minneapolis, MN 55401 Phone: 612-300-2221 |
M Health Fairview Masonic Institute for the Developing Brain Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 |