| Mohawk Valley Health System Inc | |
|
111 Hospital Dr Utica NY 13502-2517 | |
| (315) 917-9966 | |
| (315) 234-3998 |
| Full Name | Mohawk Valley Health System Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Hospital Dr, Utica, New York |
| Authorized Official Name and Position | Cody White (AVP REVENUE CYCLE SERVICES) |
| Authorized Official Contact | 3158014429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohawk Valley Health System Inc 2215 Genesee St Utica NY 13501-5930 Ph: (315) 801-4238 | Mohawk Valley Health System Inc 111 Hospital Dr Utica NY 13502-2517 Ph: (315) 917-9966 |
| NPI Number | 1770690737 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 2769380252 |
|---|---|
| Medicare Enrollment ID | O20031222000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770690737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3202003H (New York) | Primary |
| Provider Name | William J Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598785677 PECOS PAC ID: 4587560743 Enrollment ID: I20031209000486 |
| Provider Name | Vigneswaran Kandiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124017249 PECOS PAC ID: 9537065438 Enrollment ID: I20031212000447 |
| Provider Name | Benedetta M Melnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316955214 PECOS PAC ID: 7719888650 Enrollment ID: I20040116000223 |
| Provider Name | Gary Wehner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013968684 PECOS PAC ID: 9739076522 Enrollment ID: I20040304000731 |
| Provider Name | David Allen Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346328911 PECOS PAC ID: 1951290469 Enrollment ID: I20040312000760 |
| Provider Name | Mehmet O Karliyil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821280538 PECOS PAC ID: 7618868175 Enrollment ID: I20040323001425 |
| Provider Name | Ellen Karwacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083604938 PECOS PAC ID: 4284628249 Enrollment ID: I20040413000119 |
| Provider Name | Stephen Hudyncia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508859273 PECOS PAC ID: 9830183854 Enrollment ID: I20040413000588 |
| Provider Name | Jorge L Ferreiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124074950 PECOS PAC ID: 5991790453 Enrollment ID: I20040415000866 |
| Provider Name | James Mariano Cimo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265424626 PECOS PAC ID: 9436142171 Enrollment ID: I20040416000722 |
| Provider Name | Jane Swingle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558312157 PECOS PAC ID: 1658366760 Enrollment ID: I20040419000227 |
| Provider Name | Keith L Harden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871662932 PECOS PAC ID: 3375538382 Enrollment ID: I20040419001051 |
| Provider Name | Linda A O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013003342 PECOS PAC ID: 0042207607 Enrollment ID: I20040427000902 |
| Provider Name | Diane M Scalise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790776268 PECOS PAC ID: 4486641875 Enrollment ID: I20040428000239 |
| Provider Name | Mark E Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710971866 PECOS PAC ID: 8224021902 Enrollment ID: I20040428000963 |
| Provider Name | Lenore L Lampert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982694709 PECOS PAC ID: 8325035405 Enrollment ID: I20040429000898 |
| Provider Name | Tina A Maxian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467457416 PECOS PAC ID: 2769471911 Enrollment ID: I20040511001562 |
| Provider Name | Parvez Asmat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679521777 PECOS PAC ID: 7719978550 Enrollment ID: I20040520001523 |
| Provider Name | John M Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962464818 PECOS PAC ID: 7719978121 Enrollment ID: I20040524000048 |
| Provider Name | John R Restivo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710935713 PECOS PAC ID: 9537140306 Enrollment ID: I20040527000212 |
| Provider Name | Natalya Akhtyrsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669568317 PECOS PAC ID: 9133102551 Enrollment ID: I20040608000864 |
| Provider Name | Melissa I Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235158056 PECOS PAC ID: 2961487863 Enrollment ID: I20040623001371 |
| Provider Name | Todd M Podkowka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174633622 PECOS PAC ID: 4789660739 Enrollment ID: I20040629000736 |
| Provider Name | Suresh Rayancha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447251335 PECOS PAC ID: 3274512256 Enrollment ID: I20040714000858 |
| Provider Name | Michael L Safran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407994916 PECOS PAC ID: 2567441520 Enrollment ID: I20040714001390 |
| Provider Name | David C Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124075577 PECOS PAC ID: 2668451543 Enrollment ID: I20040714001635 |
| Provider Name | Elaine Lombardi Wilk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295817955 PECOS PAC ID: 2769452572 Enrollment ID: I20040729000155 |
| Provider Name | Linda L Schicker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790720845 PECOS PAC ID: 9133191588 Enrollment ID: I20040806001162 |
| Provider Name | Svetlana Baluk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659465102 PECOS PAC ID: 5395717979 Enrollment ID: I20040812001042 |
| Provider Name | Angela Soja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457345670 PECOS PAC ID: 1355316068 Enrollment ID: I20040826001277 |
| Provider Name | Scott S Brehaut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245253541 PECOS PAC ID: 2961478615 Enrollment ID: I20040903000792 |
| Provider Name | Najmus Saqib |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134110281 PECOS PAC ID: 4284600859 Enrollment ID: I20040903001104 |
| Provider Name | Kenneth D Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295783280 PECOS PAC ID: 3072589217 Enrollment ID: I20040908001289 |
| Provider Name | Afsar A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396788824 PECOS PAC ID: 9335108695 Enrollment ID: I20041004000809 |
| Provider Name | Kevin B Mathews |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396735692 PECOS PAC ID: 0840252136 Enrollment ID: I20041029000146 |
| Provider Name | Nalin K Sinha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417958307 PECOS PAC ID: 4385620004 Enrollment ID: I20041111000678 |
| Provider Name | Julie A Perlanski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154311470 PECOS PAC ID: 1355305558 Enrollment ID: I20041117000609 |
| Provider Name | Victoria C Chanliecco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518996776 PECOS PAC ID: 5597733683 Enrollment ID: I20041206000227 |
| Provider Name | Stephen P O'brien |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295843514 PECOS PAC ID: 2466418082 Enrollment ID: I20041206000844 |
| Provider Name | Chanderdeep Singh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447251889 PECOS PAC ID: 6507823192 Enrollment ID: I20041217000360 |
| Provider Name | Lydia Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235243346 PECOS PAC ID: 5991754244 Enrollment ID: I20050113000844 |
| Provider Name | Dominique Delma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700960333 PECOS PAC ID: 5799734265 Enrollment ID: I20050121000753 |
| Provider Name | Mangala Kantilal Patil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174629422 PECOS PAC ID: 3678526456 Enrollment ID: I20050223000767 |
| Provider Name | Sherri L Loucks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598787020 PECOS PAC ID: 4486607959 Enrollment ID: I20050224000262 |
| Provider Name | Joseph A Dutcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366550048 PECOS PAC ID: 5395790737 Enrollment ID: I20050317000933 |
| Provider Name | Richard L O Brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275589442 PECOS PAC ID: 1951358605 Enrollment ID: I20050406000080 |
| Provider Name | Barbara A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629002100 PECOS PAC ID: 6305884149 Enrollment ID: I20050421000626 |
| Provider Name | Adrienne Bonham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700963121 PECOS PAC ID: 7012957459 Enrollment ID: I20050505000359 |
| Provider Name | William Krause |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255426441 PECOS PAC ID: 7214977677 Enrollment ID: I20050505000726 |
| Provider Name | William M Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477646149 PECOS PAC ID: 4688614985 Enrollment ID: I20050505000933 |
| Provider Name | David Christopher Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841380870 PECOS PAC ID: 9931149283 Enrollment ID: I20050506000057 |
| Provider Name | David P Petrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003900440 PECOS PAC ID: 6901852722 Enrollment ID: I20050510000999 |
| Provider Name | Michael Nofri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063400653 PECOS PAC ID: 9931149630 Enrollment ID: I20050511000742 |
| Provider Name | William D Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104924570 PECOS PAC ID: 4183665359 Enrollment ID: I20050518000306 |
| Provider Name | Marshall E Pedersen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295799781 PECOS PAC ID: 4082650510 Enrollment ID: I20050706000378 |
| Provider Name | Suzanne M Mesidor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164416798 PECOS PAC ID: 6507892049 Enrollment ID: I20050725000360 |
| Provider Name | Oleg Dulkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942299292 PECOS PAC ID: 1153359351 Enrollment ID: I20050729000134 |
| Provider Name | Dumisa Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619964376 PECOS PAC ID: 9032147020 Enrollment ID: I20050801000444 |
| Provider Name | Svetlana Bykovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306931993 PECOS PAC ID: 4183656994 Enrollment ID: I20050912000673 |
| Provider Name | Rose S Antilus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982604740 PECOS PAC ID: 0749215408 Enrollment ID: I20050930000476 |
| Provider Name | Brian J Gaffney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154329688 PECOS PAC ID: 6204740475 Enrollment ID: I20051011000476 |
| Provider Name | Tatjana Mondom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851353148 PECOS PAC ID: 2668497389 Enrollment ID: I20051012000338 |
| Provider Name | Christopher C Max |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063592665 PECOS PAC ID: 4385669779 Enrollment ID: I20051018000303 |
| Provider Name | Peter R Dellerba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457431066 PECOS PAC ID: 5799701926 Enrollment ID: I20051018000372 |
| Provider Name | Linda Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538140454 PECOS PAC ID: 0840211199 Enrollment ID: I20051214000375 |
| Provider Name | Robert J Wasiczko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356394191 PECOS PAC ID: 5193748283 Enrollment ID: I20060104000253 |
| Provider Name | Eustace L Lashley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841383700 PECOS PAC ID: 8921021361 Enrollment ID: I20060111000743 |
| Provider Name | Jennifer A Klimek-yingling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902845787 PECOS PAC ID: 4284658774 Enrollment ID: I20060124000255 |
| Provider Name | Steven A Levine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366432064 PECOS PAC ID: 3779598560 Enrollment ID: I20060216000123 |
| Provider Name | Jud M Stern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831217868 PECOS PAC ID: 7719993294 Enrollment ID: I20060222000164 |
| Provider Name | Anthony M Cotronea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821104662 PECOS PAC ID: 0244246361 Enrollment ID: I20060228000126 |
| Provider Name | Nicoletta Tallandini Cotronea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396851119 PECOS PAC ID: 8224044359 Enrollment ID: I20060228000148 |
| Provider Name | Eric B Yoss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679563795 PECOS PAC ID: 0345154522 Enrollment ID: I20060301000488 |
| Provider Name | Komgrit Chukiert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528057502 PECOS PAC ID: 9032125943 Enrollment ID: I20060302000148 |
| Provider Name | Kurt C Foxton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568459865 PECOS PAC ID: 5294631586 Enrollment ID: I20060308000037 |
| Provider Name | Michelle M Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477540771 PECOS PAC ID: 7517974678 Enrollment ID: I20060314000612 |
| Provider Name | Mayer Grosser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962450908 PECOS PAC ID: 6002823705 Enrollment ID: I20060321000129 |
| Provider Name | Nader H Atallah Yunes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821147992 PECOS PAC ID: 4486661428 Enrollment ID: I20060321000500 |
| Provider Name | Frank C Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336298405 PECOS PAC ID: 1759398795 Enrollment ID: I20060321000511 |
| Provider Name | Dennis J Kotlove |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790764249 PECOS PAC ID: 3476563610 Enrollment ID: I20060502000622 |
| Provider Name | Amogechukwu N Okonkwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053378612 PECOS PAC ID: 3971514233 Enrollment ID: I20060526000134 |
| Provider Name | Bala K Ravi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003874405 PECOS PAC ID: 3577575463 Enrollment ID: I20060614000156 |
| Provider Name | Kwaku A Amankwah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982653457 PECOS PAC ID: 7618980814 Enrollment ID: I20060713000098 |
| Provider Name | Marianne L Stalteri |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134151848 PECOS PAC ID: 9830193937 Enrollment ID: I20060901000215 |
| Provider Name | Jodi L Kapes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992721484 PECOS PAC ID: 3870598113 Enrollment ID: I20060920000356 |
| Provider Name | Yahia M Lodi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184684714 PECOS PAC ID: 1557335205 Enrollment ID: I20070111000248 |
| Provider Name | Brian R Kerrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649274275 PECOS PAC ID: 7214938125 Enrollment ID: I20070119000341 |
| Provider Name | Dina Kuliesius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538251145 PECOS PAC ID: 5496857286 Enrollment ID: I20070226000257 |
| Provider Name | Ellen M Biggers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558477596 PECOS PAC ID: 4880796283 Enrollment ID: I20070302000074 |
| Provider Name | Brunette M King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710900642 PECOS PAC ID: 9032011648 Enrollment ID: I20070501000577 |
| Provider Name | Katherine A Favata |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982791901 PECOS PAC ID: 9335246800 Enrollment ID: I20070517000188 |
| Provider Name | Maurizio A Miglietta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710973243 PECOS PAC ID: 3577595487 Enrollment ID: I20070604000613 |
| Provider Name | Laura A Surman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508951179 PECOS PAC ID: 0941309595 Enrollment ID: I20070621000492 |
| Provider Name | Susan M Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346354891 PECOS PAC ID: 2466551056 Enrollment ID: I20070703000480 |
| Provider Name | Rameen Hashemiyoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346361730 PECOS PAC ID: 6002916459 Enrollment ID: I20070713000435 |
| Provider Name | Emmanuel V Bapana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093753923 PECOS PAC ID: 7315920485 Enrollment ID: I20070724000845 |
| Provider Name | Roman Telpner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487728408 PECOS PAC ID: 2466543012 Enrollment ID: I20070810000340 |
| Provider Name | Amita A Butala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720184948 PECOS PAC ID: 1355441403 Enrollment ID: I20070828000925 |
| Provider Name | Ashraf Samir Bakry Aly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952329781 PECOS PAC ID: 2466545991 Enrollment ID: I20070829000603 |
| Provider Name | Shelley C Hong |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578760823 PECOS PAC ID: 3678666039 Enrollment ID: I20070830000833 |
| Provider Name | Fred L Talarico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467569590 PECOS PAC ID: 2466545314 Enrollment ID: I20070907000646 |
| Provider Name | Norma L Cooney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699737429 PECOS PAC ID: 2163460700 Enrollment ID: I20070920000565 |
| Provider Name | Daniel E Berg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578636650 PECOS PAC ID: 1658465489 Enrollment ID: I20070924000483 |
| Provider Name | Alicia M Detraglia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376532499 PECOS PAC ID: 8921195348 Enrollment ID: I20071101000534 |
| Provider Name | Deborah L Clarey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427030980 PECOS PAC ID: 5092802249 Enrollment ID: I20071105000121 |
| Provider Name | Thor T Markwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134212616 PECOS PAC ID: 3375630452 Enrollment ID: I20071106000752 |
| Provider Name | In-hei Hahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962575647 PECOS PAC ID: 1658469424 Enrollment ID: I20071112000384 |
| Provider Name | Marissa A Kalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518168152 PECOS PAC ID: 3779671979 Enrollment ID: I20071126000258 |
| Provider Name | Michael C Diantonio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528118163 PECOS PAC ID: 4284714429 Enrollment ID: I20071231000238 |
| Provider Name | Robert V Madlinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023180544 PECOS PAC ID: 9335229145 Enrollment ID: I20080107000527 |
| Provider Name | Susan M Hamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518965409 PECOS PAC ID: 8820179088 Enrollment ID: I20080115000115 |
| Provider Name | Patricia A Rosati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760585285 PECOS PAC ID: 4880776905 Enrollment ID: I20080129000367 |
| Provider Name | Rachel M Lacelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871772376 PECOS PAC ID: 7416030853 Enrollment ID: I20080208000228 |
| Provider Name | Sushma Kaul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952317091 PECOS PAC ID: 8123101011 Enrollment ID: I20080215000417 |
| Provider Name | Benjamin Ray Christensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801805585 PECOS PAC ID: 9234214701 Enrollment ID: I20080307000230 |
| Provider Name | Narender Sarabu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649269655 PECOS PAC ID: 4284668070 Enrollment ID: I20080319000491 |
| Provider Name | Liliya Protasovitskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902099229 PECOS PAC ID: 7416034780 Enrollment ID: I20080410000589 |
| Provider Name | Bruce R Elwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659360659 PECOS PAC ID: 1951489905 Enrollment ID: I20080416000524 |
| Provider Name | Paul Markessinis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851325385 PECOS PAC ID: 9436243433 Enrollment ID: I20080422000104 |
| Provider Name | Goutham K Malempati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174729891 PECOS PAC ID: 7214015445 Enrollment ID: I20080429000088 |
| Provider Name | Terry L Predmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417128414 PECOS PAC ID: 6406935279 Enrollment ID: I20080505000612 |
| Provider Name | Omar Malick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730373325 PECOS PAC ID: 9234218520 Enrollment ID: I20080512000686 |
| Provider Name | Robert L Singletary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003009630 PECOS PAC ID: 4183796568 Enrollment ID: I20080630000213 |
| Provider Name | Peter O Ojuro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992919559 PECOS PAC ID: 2668545310 Enrollment ID: I20080714000672 |
| Provider Name | Santhi Priya Yalamanchili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326241316 PECOS PAC ID: 3678508892 Enrollment ID: I20080716000095 |
| Provider Name | Rebecca A Falk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841450236 PECOS PAC ID: 4880768290 Enrollment ID: I20080804000185 |
| Provider Name | Lucot Cherenfant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144425505 PECOS PAC ID: 4688748924 Enrollment ID: I20080804000515 |
| Provider Name | Basiouni Basiouni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245499136 PECOS PAC ID: 4587739222 Enrollment ID: I20080815000006 |
| Provider Name | Lisette Alfaro-berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437189727 PECOS PAC ID: 3870523301 Enrollment ID: I20080822000636 |
| Provider Name | Michael A Sassower |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710945159 PECOS PAC ID: 3971553819 Enrollment ID: I20081028000401 |
| Provider Name | Oleg A Shapiro |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679742134 PECOS PAC ID: 8224199930 Enrollment ID: I20081212000189 |
| Provider Name | George J Schilling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982650701 PECOS PAC ID: 0749276061 Enrollment ID: I20081216000689 |
| Provider Name | Shazia A Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518117977 PECOS PAC ID: 5698837110 Enrollment ID: I20081217000554 |
| Provider Name | Robert G Swanson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114969144 PECOS PAC ID: 5799840146 Enrollment ID: I20090218000331 |
| Provider Name | Kevin J Mccaffrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073758637 PECOS PAC ID: 1658428461 Enrollment ID: I20090414000514 |
| Provider Name | Noghama Airhienbuwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235326356 PECOS PAC ID: 0345320420 Enrollment ID: I20090429000006 |
| Provider Name | Lwin Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912119595 PECOS PAC ID: 5496847717 Enrollment ID: I20090505000440 |
| Provider Name | Anna Shapiro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568626125 PECOS PAC ID: 8921159468 Enrollment ID: I20090624000155 |
| Provider Name | Naveen B Seth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851548838 PECOS PAC ID: 6305998063 Enrollment ID: I20090710000434 |
| Provider Name | Brian J Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881847598 PECOS PAC ID: 1759434475 Enrollment ID: I20090728000783 |
| Provider Name | Jane Samson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083718712 PECOS PAC ID: 1759435878 Enrollment ID: I20090824000510 |
| Provider Name | Thomas J Socash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487630190 PECOS PAC ID: 9931253077 Enrollment ID: I20090824000611 |
| Provider Name | Christina G Aranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699971358 PECOS PAC ID: 9133275464 Enrollment ID: I20090928000706 |
| Provider Name | Virendra P Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003807041 PECOS PAC ID: 1951448521 Enrollment ID: I20091030000295 |
| Provider Name | Tatyana Misyulya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588860209 PECOS PAC ID: 7810034402 Enrollment ID: I20091030000541 |
| Provider Name | John A Lovier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386614436 PECOS PAC ID: 3476652892 Enrollment ID: I20091123000353 |
| Provider Name | Ursula A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992038053 PECOS PAC ID: 0840331757 Enrollment ID: I20100113000782 |
| Provider Name | Ralph P Ferenchak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881826956 PECOS PAC ID: 3274675830 Enrollment ID: I20100120000086 |
| Provider Name | T Eric Schackow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467435115 PECOS PAC ID: 3173522422 Enrollment ID: I20100222000446 |
| Provider Name | Mark E Warfel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639169048 PECOS PAC ID: 7214072388 Enrollment ID: I20100302000133 |
| Provider Name | Shannon Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164653622 PECOS PAC ID: 2466597398 Enrollment ID: I20100303000859 |
| Provider Name | John Sperling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003852328 PECOS PAC ID: 4789748534 Enrollment ID: I20100304000877 |
| Provider Name | Danielle L Swiderski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720313281 PECOS PAC ID: 8022143213 Enrollment ID: I20100312000526 |
| Provider Name | Francis Chabot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912996273 PECOS PAC ID: 0749315935 Enrollment ID: I20100312000537 |
| Provider Name | Julie Betro Shkane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013906569 PECOS PAC ID: 4082749627 Enrollment ID: I20100320000290 |
| Provider Name | Kevin Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114917234 PECOS PAC ID: 7113053935 Enrollment ID: I20100331000947 |
| Provider Name | Seung Shin Hahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043233711 PECOS PAC ID: 4385666874 Enrollment ID: I20100419000752 |
| Provider Name | Francis Constantine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457340432 PECOS PAC ID: 0547397127 Enrollment ID: I20100430000315 |
| Provider Name | Nalini J Namassivaya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003892134 PECOS PAC ID: 0648200725 Enrollment ID: I20100526000332 |
| Provider Name | Tanya D Mays |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285661512 PECOS PAC ID: 0042340812 Enrollment ID: I20100605000107 |
| Provider Name | Tammy J Bowman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154557528 PECOS PAC ID: 1456482140 Enrollment ID: I20100624000142 |
| Provider Name | Andrea Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740486455 PECOS PAC ID: 0244361848 Enrollment ID: I20100625000561 |
| Provider Name | Sara Giorgi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013169101 PECOS PAC ID: 7719019744 Enrollment ID: I20100709000506 |
| Provider Name | Ravi Kumar Reddy Gangireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477562304 PECOS PAC ID: 0547265233 Enrollment ID: I20100719000546 |
| Provider Name | Randolph L. Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770743932 PECOS PAC ID: 2567595390 Enrollment ID: I20100730000740 |
| Provider Name | W. Jeffery Page |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700856812 PECOS PAC ID: 9436149366 Enrollment ID: I20100812000434 |
| Provider Name | Linda M Keever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851540306 PECOS PAC ID: 6800910167 Enrollment ID: I20100824000752 |
| Provider Name | Toby A Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760406730 PECOS PAC ID: 5597767848 Enrollment ID: I20100831000746 |
| Provider Name | Debra A Walz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194045765 PECOS PAC ID: 4688798358 Enrollment ID: I20100901000836 |
| Provider Name | Sunil Motta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639168636 PECOS PAC ID: 2466486246 Enrollment ID: I20100910000538 |
| Provider Name | Prasad V Kambhampati |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508856618 PECOS PAC ID: 0749214534 Enrollment ID: I20100910000812 |
| Provider Name | Anil Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407846959 PECOS PAC ID: 8729012513 Enrollment ID: I20100915000877 |
| Provider Name | Viswanathan Narayanaswamy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508855511 PECOS PAC ID: 4183658966 Enrollment ID: I20100915000990 |
| Provider Name | Qingliang Tony Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699003418 PECOS PAC ID: 8628193190 Enrollment ID: I20100921000878 |
| Provider Name | Sunday Asaju |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013906403 PECOS PAC ID: 3375669864 Enrollment ID: I20100921001271 |
| Provider Name | Paul G Davidson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306926282 PECOS PAC ID: 0042391138 Enrollment ID: I20100928000312 |
| Provider Name | Affaf Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851597470 PECOS PAC ID: 0244422285 Enrollment ID: I20101008000015 |
| Provider Name | Ramesh Cherukuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891784807 PECOS PAC ID: 4284668062 Enrollment ID: I20101008000786 |
| Provider Name | Margaret Albanese |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386674331 PECOS PAC ID: 5698741759 Enrollment ID: I20101028001219 |
| Provider Name | Mario Carrillo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053491936 PECOS PAC ID: 4587745674 Enrollment ID: I20101101000485 |
| Provider Name | Kenneth D Ortega |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083648224 PECOS PAC ID: 7416923578 Enrollment ID: I20101110000281 |
| Provider Name | Cameron S Page |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497067912 PECOS PAC ID: 0840486791 Enrollment ID: I20101118000365 |
| Provider Name | Christopher P Parisi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386682193 PECOS PAC ID: 3577759943 Enrollment ID: I20101124000466 |
| Provider Name | Ambreen Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063564268 PECOS PAC ID: 2163618406 Enrollment ID: I20101129000173 |
| Provider Name | Samir Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417942301 PECOS PAC ID: 9436346632 Enrollment ID: I20101214000996 |
| Provider Name | Anand P Ravi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609072115 PECOS PAC ID: 0143417238 Enrollment ID: I20101215000810 |
| Provider Name | Atul V Butala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619936127 PECOS PAC ID: 0345148425 Enrollment ID: I20110120001238 |
| Provider Name | Tina M Cuda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467773648 PECOS PAC ID: 6002095114 Enrollment ID: I20110121000202 |
| Provider Name | Kristin L. Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134448459 PECOS PAC ID: 4284813346 Enrollment ID: I20110121000845 |
| Provider Name | Hugh C Macisaac |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669470852 PECOS PAC ID: 8224025630 Enrollment ID: I20110131000236 |
| Provider Name | Gerry A Love |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437157625 PECOS PAC ID: 1850388265 Enrollment ID: I20110131000276 |
| Provider Name | Peter S Hotvedt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790783975 PECOS PAC ID: 5496742892 Enrollment ID: I20110131000318 |
| Provider Name | Michael W Kelberman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659379212 PECOS PAC ID: 0143217539 Enrollment ID: I20110131000356 |
| Provider Name | Prabhat K Varma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154329530 PECOS PAC ID: 4688661077 Enrollment ID: I20110131000561 |
| Provider Name | Darius J Marhamati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811995897 PECOS PAC ID: 6800075300 Enrollment ID: I20110131000584 |
| Provider Name | Raphael J Alcuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184616039 PECOS PAC ID: 6608850243 Enrollment ID: I20110204000553 |
| Provider Name | Sudershan Kumar Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942306238 PECOS PAC ID: 0648350934 Enrollment ID: I20110210001065 |
| Provider Name | Francis Adam Seigers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225229727 PECOS PAC ID: 9133309842 Enrollment ID: I20110214000329 |
| Provider Name | Ashok R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588662076 PECOS PAC ID: 6507853991 Enrollment ID: I20110225000005 |
| Provider Name | Kathy Ann Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548250368 PECOS PAC ID: 2769662444 Enrollment ID: I20110225000042 |
| Provider Name | Elizabeth M Cooley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871748020 PECOS PAC ID: 6406038520 Enrollment ID: I20110310000932 |
| Provider Name | Olga Koval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902118979 PECOS PAC ID: 3577745504 Enrollment ID: I20110311000092 |
| Provider Name | Robert Phillip Fleischer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689651507 PECOS PAC ID: 1254514367 Enrollment ID: I20110328000700 |
| Provider Name | Victoria A. Camba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730178955 PECOS PAC ID: 9537158100 Enrollment ID: I20110404000045 |
| Provider Name | Samuel W Westmoreland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194987701 PECOS PAC ID: 7911181664 Enrollment ID: I20110405000621 |
| Provider Name | Phillip J Din |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255549598 PECOS PAC ID: 7618063553 Enrollment ID: I20110406000123 |
| Provider Name | Jonathan D Wigderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073574679 PECOS PAC ID: 4688610215 Enrollment ID: I20110427000736 |
| Provider Name | Devayani Namassivaya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770573081 PECOS PAC ID: 3173709128 Enrollment ID: I20110510000507 |
| Provider Name | Andrew T Pellecchia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528233871 PECOS PAC ID: 8527242163 Enrollment ID: I20110518000477 |
| Provider Name | Michael J Attilio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215913371 PECOS PAC ID: 8022295161 Enrollment ID: I20110527000005 |
| Provider Name | Deepak D Buch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982623146 PECOS PAC ID: 4284607706 Enrollment ID: I20110614000146 |
| Provider Name | Satish K Gedela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629238886 PECOS PAC ID: 8426235615 Enrollment ID: I20110616000237 |
| Provider Name | Rita Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154583227 PECOS PAC ID: 0244418432 Enrollment ID: I20110616000376 |
| Provider Name | Angel L Kerney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346290749 PECOS PAC ID: 6901084631 Enrollment ID: I20110629000318 |
| Provider Name | Rajiv Pant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154591931 PECOS PAC ID: 6608944103 Enrollment ID: I20110721000821 |
| Provider Name | Muzeyyen Ercanli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700173507 PECOS PAC ID: 4789852393 Enrollment ID: I20110727000051 |
| Provider Name | Matthew J Krauthamer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619109121 PECOS PAC ID: 6901937317 Enrollment ID: I20110729000306 |
| Provider Name | Viktor I Petrovets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265745178 PECOS PAC ID: 3971772898 Enrollment ID: I20110811000034 |
| Provider Name | Leo P Sullivan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437140472 PECOS PAC ID: 9133200223 Enrollment ID: I20110815000034 |
| Provider Name | Avinash L Ballie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164722013 PECOS PAC ID: 5193995645 Enrollment ID: I20110819000313 |
| Provider Name | Mark E Nowakowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598891442 PECOS PAC ID: 1658541867 Enrollment ID: I20110825000647 |
| Provider Name | Rebecca R Topham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821383449 PECOS PAC ID: 0648440628 Enrollment ID: I20110830000606 |
| Provider Name | Elizabeth M Checola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326334590 PECOS PAC ID: 2163692732 Enrollment ID: I20110909002593 |
| Provider Name | Matthew Jay Egan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386770261 PECOS PAC ID: 4486826435 Enrollment ID: I20111017000547 |
| Provider Name | Madana Mohana Reddy Vallem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487898995 PECOS PAC ID: 4688847015 Enrollment ID: I20111101000168 |
| Provider Name | Irena Kokot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245490408 PECOS PAC ID: 9032383310 Enrollment ID: I20111123000043 |
| Provider Name | Kenneth K Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881685832 PECOS PAC ID: 2466366638 Enrollment ID: I20111129000607 |
| Provider Name | Jeremy B Lombardoni |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710254255 PECOS PAC ID: 9638345390 Enrollment ID: I20111229000502 |
| Provider Name | Anthony Lawrence |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609960905 PECOS PAC ID: 0547436032 Enrollment ID: I20120105000016 |
| Provider Name | John D Zimmerly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841362316 PECOS PAC ID: 9638236607 Enrollment ID: I20120118000416 |
| Provider Name | Mukesh D Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225193923 PECOS PAC ID: 6204003015 Enrollment ID: I20120119000401 |
| Provider Name | Joanne Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548340102 PECOS PAC ID: 8921265968 Enrollment ID: I20120203000013 |
| Provider Name | Heather M Fabian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831476043 PECOS PAC ID: 3971760711 Enrollment ID: I20120206000430 |
| Provider Name | Amy Lukacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497063978 PECOS PAC ID: 3678730355 Enrollment ID: I20120208000270 |
| Provider Name | Guirlaine Blot-sanon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588818504 PECOS PAC ID: 0446417018 Enrollment ID: I20120209000291 |
| Provider Name | Colleen A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104904192 PECOS PAC ID: 4789845132 Enrollment ID: I20120412000251 |
| Provider Name | Razvan F Buciuc |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205872017 PECOS PAC ID: 5395713127 Enrollment ID: I20120503000506 |
| Provider Name | Kristy Elizabeth Bowen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841433281 PECOS PAC ID: 0648432864 Enrollment ID: I20120507000007 |
| Provider Name | Maxime J Berube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396982591 PECOS PAC ID: 1951563907 Enrollment ID: I20120509000012 |
| Provider Name | Kara L Donato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699051953 PECOS PAC ID: 8628231404 Enrollment ID: I20120514000545 |
| Provider Name | Brian T Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386770527 PECOS PAC ID: 2860660032 Enrollment ID: I20120618000425 |
| Provider Name | Tracey L Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669734919 PECOS PAC ID: 3971759119 Enrollment ID: I20120803000557 |
| Provider Name | Elwaleed Elnour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659569390 PECOS PAC ID: 5294822607 Enrollment ID: I20120813000561 |
| Provider Name | Bradley M Gilbert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871749986 PECOS PAC ID: 6002062643 Enrollment ID: I20120814000156 |
| Provider Name | Kwabena Boakye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073745659 PECOS PAC ID: 3678720596 Enrollment ID: I20120829000218 |
| Provider Name | Vasudeva M Kamath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326063058 PECOS PAC ID: 6406003979 Enrollment ID: I20120906000244 |
| Provider Name | Ankur Chawla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194924647 PECOS PAC ID: 9133377625 Enrollment ID: I20120906000634 |
| Provider Name | Rebecca Reeves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902064793 PECOS PAC ID: 3870742935 Enrollment ID: I20121004000429 |
| Provider Name | Maysae Sancrown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407110919 PECOS PAC ID: 5597915199 Enrollment ID: I20121017000042 |
| Provider Name | Saira S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386893139 PECOS PAC ID: 9830245786 Enrollment ID: I20121108000459 |
| Provider Name | Alyssia Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841549508 PECOS PAC ID: 9436301272 Enrollment ID: I20121130000471 |
| Provider Name | Thet T Mar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043563232 PECOS PAC ID: 6800048471 Enrollment ID: I20121205000149 |
| Provider Name | Annie M Wafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699027995 PECOS PAC ID: 9638321672 Enrollment ID: I20121220000199 |
| Provider Name | Hend Abdelwahab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962631614 PECOS PAC ID: 8527212083 Enrollment ID: I20130208000300 |
| Provider Name | Faisal B Saiful |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205081494 PECOS PAC ID: 2769637305 Enrollment ID: I20130305000048 |
| Provider Name | Tracey Elizabeth Beard Hansel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013183904 PECOS PAC ID: 9335395185 Enrollment ID: I20130311000171 |
| Provider Name | Carolyn Lerum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952580458 PECOS PAC ID: 6507001203 Enrollment ID: I20130401000020 |
| Provider Name | Melissa K Worthington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528305216 PECOS PAC ID: 4981840675 Enrollment ID: I20130425000336 |
| Provider Name | Molly E Schug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023336229 PECOS PAC ID: 8123260353 Enrollment ID: I20130816000665 |
| Provider Name | Zianka H Fallil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376861948 PECOS PAC ID: 7719120195 Enrollment ID: I20130904000556 |
| Provider Name | Jonathan Mirabal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861631939 PECOS PAC ID: 0749332120 Enrollment ID: I20130919000758 |
| Provider Name | Thomas C Mathew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205820321 PECOS PAC ID: 1254236508 Enrollment ID: I20131011001097 |
| Provider Name | Nabin Adhikari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518278423 PECOS PAC ID: 1850525569 Enrollment ID: I20131014000262 |
| Provider Name | Tanya M Marr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508205550 PECOS PAC ID: 9931335353 Enrollment ID: I20131113000920 |
| Provider Name | Janice E Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801139977 PECOS PAC ID: 9931335767 Enrollment ID: I20131126000825 |
| Provider Name | Thomas M Russo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720384332 PECOS PAC ID: 1355578675 Enrollment ID: I20131212000794 |
| Provider Name | Stacey M Jaskolka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922437805 PECOS PAC ID: 1254569890 Enrollment ID: I20140106001017 |
| Provider Name | Cristin A Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447680194 PECOS PAC ID: 2466680616 Enrollment ID: I20140114001719 |
| Provider Name | Patrick D Jean Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548422660 PECOS PAC ID: 6709057557 Enrollment ID: I20140121000604 |
| Provider Name | Noriyuki Y Murakami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306134721 PECOS PAC ID: 3971732801 Enrollment ID: I20140218001590 |
| Provider Name | Kathleen G Pallay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730521964 PECOS PAC ID: 1456581313 Enrollment ID: I20140221000037 |
| Provider Name | Skylar E Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321435 PECOS PAC ID: 4880882927 Enrollment ID: I20140312001261 |
| Provider Name | Lyndsey A Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790910545 PECOS PAC ID: 3173787801 Enrollment ID: I20140321000757 |
| Provider Name | Juleen Qandah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497793889 PECOS PAC ID: 5294738514 Enrollment ID: I20140327002184 |
| Provider Name | John A Pylman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053560805 PECOS PAC ID: 3072744465 Enrollment ID: I20140328000245 |
| Provider Name | Evelyn Mariani |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184881989 PECOS PAC ID: 1456584168 Enrollment ID: I20140505001152 |
| Provider Name | Valerie Yager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558703264 PECOS PAC ID: 1850529728 Enrollment ID: I20140509000047 |
| Provider Name | Aziz Basem Nicholas Qandah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528218773 PECOS PAC ID: 7517098650 Enrollment ID: I20140509000092 |
| Provider Name | John S Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184651770 PECOS PAC ID: 6103049473 Enrollment ID: I20140514001923 |
| Provider Name | David Nicholas Campola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043217730 PECOS PAC ID: 9638116817 Enrollment ID: I20140523000792 |
| Provider Name | Ahmed Mansour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851544142 PECOS PAC ID: 2961626395 Enrollment ID: I20140605000046 |
| Provider Name | Michael H Simons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063830792 PECOS PAC ID: 8224252853 Enrollment ID: I20140620001461 |
| Provider Name | Peggy P Bastien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275809469 PECOS PAC ID: 6608021357 Enrollment ID: I20140707000069 |
| Provider Name | Richard Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932427218 PECOS PAC ID: 4880810282 Enrollment ID: I20140721001387 |
| Provider Name | Mallory J Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124311360 PECOS PAC ID: 5395989073 Enrollment ID: I20140731001674 |
| Provider Name | Taras M Gulyanich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134357726 PECOS PAC ID: 4880842053 Enrollment ID: I20140731002720 |
| Provider Name | Teresa R Martorella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902184195 PECOS PAC ID: 6800013772 Enrollment ID: I20140818000490 |
| Provider Name | William S Gaetano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447543673 PECOS PAC ID: 9739323940 Enrollment ID: I20140826000983 |
| Provider Name | Anthony J Klimek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720378342 PECOS PAC ID: 2062631245 Enrollment ID: I20140922000286 |
| Provider Name | Amanda Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619384377 PECOS PAC ID: 7012138068 Enrollment ID: I20141016001732 |
| Provider Name | Steven M Sickler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265846299 PECOS PAC ID: 8527289198 Enrollment ID: I20141023001380 |
| Provider Name | Elina Kerzuma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518258235 PECOS PAC ID: 9133341712 Enrollment ID: I20141114001906 |
| Provider Name | Meira Z Yeger Mckeever |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952461550 PECOS PAC ID: 8820310634 Enrollment ID: I20141205001692 |
| Provider Name | Jeana Cacozza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205153301 PECOS PAC ID: 1456674084 Enrollment ID: I20150106001112 |
| Provider Name | Vaishali Rupen Baxi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457672727 PECOS PAC ID: 2466604939 Enrollment ID: I20150122000305 |
| Provider Name | Jaryn T Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639458540 PECOS PAC ID: 2163640756 Enrollment ID: I20150204002502 |
| Provider Name | Jonathan G Eli-phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417196601 PECOS PAC ID: 5799815353 Enrollment ID: I20150304000085 |
| Provider Name | Glen J Cappozzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821493602 PECOS PAC ID: 9335465160 Enrollment ID: I20150313000291 |
| Provider Name | Jennifer D Onofrio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578967071 PECOS PAC ID: 9638496409 Enrollment ID: I20150317000647 |
| Provider Name | Nannette Cowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043303761 PECOS PAC ID: 2264472422 Enrollment ID: I20150320001023 |
| Provider Name | Surinder S Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679869861 PECOS PAC ID: 0547588287 Enrollment ID: I20150409001580 |
| Provider Name | Robin Mcalister Mangione |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255376786 PECOS PAC ID: 9931250677 Enrollment ID: I20150506001361 |
| Provider Name | Varun Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710214259 PECOS PAC ID: 8729246533 Enrollment ID: I20150610000722 |
| Provider Name | Michele Brennan-vuocolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386730877 PECOS PAC ID: 9436144011 Enrollment ID: I20150617000038 |
| Provider Name | Valerie H Lighthall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629382411 PECOS PAC ID: 5799097416 Enrollment ID: I20150708002046 |
| Provider Name | Amanda M Roublick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720370158 PECOS PAC ID: 6204050289 Enrollment ID: I20150803001773 |
| Provider Name | John R Leuenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366736902 PECOS PAC ID: 2860622099 Enrollment ID: I20150807013486 |
| Provider Name | Rashid Girshab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497014674 PECOS PAC ID: 4183867369 Enrollment ID: I20150812009006 |
| Provider Name | Tami L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063893675 PECOS PAC ID: 1951616135 Enrollment ID: I20150817002978 |
| Provider Name | Andrea Finocchiaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568722502 PECOS PAC ID: 1254646300 Enrollment ID: I20150818005430 |
| Provider Name | Ranjit Mandhare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942569082 PECOS PAC ID: 8123261302 Enrollment ID: I20150824001963 |
| Provider Name | Kantha Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043643620 PECOS PAC ID: 5991012627 Enrollment ID: I20150914001345 |
| Provider Name | Rebecca L Lavalley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356600449 PECOS PAC ID: 8224347497 Enrollment ID: I20151029000978 |
| Provider Name | Nolan K Mott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528314259 PECOS PAC ID: 7012224231 Enrollment ID: I20151111001029 |
| Provider Name | Ryan Oconnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083973374 PECOS PAC ID: 7517184393 Enrollment ID: I20151130000048 |
| Provider Name | Laura Borgos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407813249 PECOS PAC ID: 4385549203 Enrollment ID: I20151207002902 |
| Provider Name | Anuj Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194109413 PECOS PAC ID: 4880902279 Enrollment ID: I20151209000026 |
| Provider Name | Karishma S Circelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679833610 PECOS PAC ID: 8527360122 Enrollment ID: I20160113000512 |
| Provider Name | Cynthia M. Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174771208 PECOS PAC ID: 4688977390 Enrollment ID: I20160129000064 |
| Provider Name | Tayo Obatusin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477727592 PECOS PAC ID: 1850445891 Enrollment ID: I20160222001376 |
| Provider Name | Mikram Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245518463 PECOS PAC ID: 3072828391 Enrollment ID: I20160323000334 |
| Provider Name | Michael O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215257100 PECOS PAC ID: 8820387194 Enrollment ID: I20160510002407 |
| Provider Name | Aaron Himchak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548571144 PECOS PAC ID: 7618268491 Enrollment ID: I20160627000375 |
| Provider Name | Kimberly J Backus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578979761 PECOS PAC ID: 2860614294 Enrollment ID: I20160712001854 |
| Provider Name | Katherine Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225492879 PECOS PAC ID: 4082909452 Enrollment ID: I20160824001153 |
| Provider Name | Briana R Metzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184967978 PECOS PAC ID: 8729374418 Enrollment ID: I20160906002370 |
| Provider Name | Shamaelah Javed |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164730206 PECOS PAC ID: 6002102324 Enrollment ID: I20160912002396 |
| Provider Name | Eun Jung Suh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144623513 PECOS PAC ID: 9931495157 Enrollment ID: I20160914000403 |
| Provider Name | Sandy Hun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194178897 PECOS PAC ID: 2365739422 Enrollment ID: I20160919000475 |
| Provider Name | Michael David Mix |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720379233 PECOS PAC ID: 6204123540 Enrollment ID: I20160929002007 |
| Provider Name | Karim Mohammad Rahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902296163 PECOS PAC ID: 5496043259 Enrollment ID: I20161011000654 |
| Provider Name | Leonard M Copertino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356662753 PECOS PAC ID: 9537457247 Enrollment ID: I20161013000075 |
| Provider Name | Raghava Pavoor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255775102 PECOS PAC ID: 7012234420 Enrollment ID: I20161026001515 |
| Provider Name | Linda J Demma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437440997 PECOS PAC ID: 4486932233 Enrollment ID: I20161028001128 |
| Provider Name | George M Youseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851632228 PECOS PAC ID: 4880836550 Enrollment ID: I20161103000092 |
| Provider Name | Ghassan Koussa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730341421 PECOS PAC ID: 0345476396 Enrollment ID: I20161109001333 |
| Provider Name | Jolanta J Libura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205190535 PECOS PAC ID: 3375795255 Enrollment ID: I20161111000994 |
| Provider Name | Patrice Cianfrocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891248803 PECOS PAC ID: 4486933587 Enrollment ID: I20161114000095 |
| Provider Name | Sarah J Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003367038 PECOS PAC ID: 3779862826 Enrollment ID: I20161114002018 |
| Provider Name | Brij M Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376657569 PECOS PAC ID: 6709932551 Enrollment ID: I20161207000306 |
| Provider Name | Susan M Rosato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215341128 PECOS PAC ID: 9335461722 Enrollment ID: I20161219002090 |
| Provider Name | Donish Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194168252 PECOS PAC ID: 4789827965 Enrollment ID: I20161220001532 |
| Provider Name | Qing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295178507 PECOS PAC ID: 0547541807 Enrollment ID: I20161228000093 |
| Provider Name | Hamerton David Jeanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215297882 PECOS PAC ID: 5092096925 Enrollment ID: I20170106001383 |
| Provider Name | Gulvahid Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225287329 PECOS PAC ID: 0244478022 Enrollment ID: I20170124000941 |
| Provider Name | Jordan W Smithers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861938185 PECOS PAC ID: 2668755406 Enrollment ID: I20170201002603 |
| Provider Name | Sunyoung S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003159054 PECOS PAC ID: 0840573325 Enrollment ID: I20170207001868 |
| Provider Name | Sarah E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518342351 PECOS PAC ID: 8527368430 Enrollment ID: I20170215002060 |
| Provider Name | Yoel Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427492073 PECOS PAC ID: 1052555380 Enrollment ID: I20170220000712 |
| Provider Name | Katherine Warden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710349030 PECOS PAC ID: 0547546434 Enrollment ID: I20170406002818 |
| Provider Name | Walid Hanafi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598010530 PECOS PAC ID: 3072899392 Enrollment ID: I20170420001381 |
| Provider Name | Finian C Oparah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558618579 PECOS PAC ID: 6002193521 Enrollment ID: I20170510000130 |
| Provider Name | Tanveer Zamani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710138995 PECOS PAC ID: 2365751252 Enrollment ID: I20170516001270 |
| Provider Name | Catherine Wintle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801981881 PECOS PAC ID: 5991072910 Enrollment ID: I20170523002145 |
| Provider Name | Jill M. Meyers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588815039 PECOS PAC ID: 7012286040 Enrollment ID: I20170707001382 |
| Provider Name | Arianna Giruzzi-lupo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689102113 PECOS PAC ID: 5092084715 Enrollment ID: I20170711002989 |
| Provider Name | Shilpa A Kadam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205052792 PECOS PAC ID: 1850521600 Enrollment ID: I20170718000770 |
| Provider Name | Omar Tanweer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013235183 PECOS PAC ID: 5395015713 Enrollment ID: I20170718002202 |
| Provider Name | Bikash Regmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457881542 PECOS PAC ID: 9133499312 Enrollment ID: I20170720001707 |
| Provider Name | Noreen Baynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467833517 PECOS PAC ID: 9234438177 Enrollment ID: I20170726000511 |
| Provider Name | Vishal Vakani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306257613 PECOS PAC ID: 9335364587 Enrollment ID: I20170727000125 |
| Provider Name | Alsia Marie Kabari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578902060 PECOS PAC ID: 3678844685 Enrollment ID: I20170810000050 |
| Provider Name | Joseph H Hedrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740293885 PECOS PAC ID: 9133429285 Enrollment ID: I20170817000525 |
| Provider Name | Tuyen Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710416748 PECOS PAC ID: 2264704543 Enrollment ID: I20170822000265 |
| Provider Name | Joseph M Jacob |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235440090 PECOS PAC ID: 3678713377 Enrollment ID: I20170906003407 |
| Provider Name | Moshe Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538239744 PECOS PAC ID: 3072610021 Enrollment ID: I20170921000017 |
| Provider Name | Michael Parslow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437569746 PECOS PAC ID: 6305061193 Enrollment ID: I20171002000453 |
| Provider Name | Elaine Mau |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770925877 PECOS PAC ID: 8921226358 Enrollment ID: I20171006001952 |
| Provider Name | Hanzel A Friday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215329990 PECOS PAC ID: 9830465970 Enrollment ID: I20171018000332 |
| Provider Name | Shawn Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639490899 PECOS PAC ID: 5991071920 Enrollment ID: I20171019000630 |
| Provider Name | Christina Celina Fearon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346759081 PECOS PAC ID: 0446516314 Enrollment ID: I20171108003272 |
| Provider Name | Roseanne Theresa Brindisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245560358 PECOS PAC ID: 2668738170 Enrollment ID: I20171115002564 |
| Provider Name | Gaurang P Mavani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306862909 PECOS PAC ID: 6901820554 Enrollment ID: I20171128002220 |
| Provider Name | Mary-jane Elizabeth Borst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033628433 PECOS PAC ID: 4183982531 Enrollment ID: I20171213001493 |
| Provider Name | Ruben Pinkhasov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154631760 PECOS PAC ID: 3971863622 Enrollment ID: I20180129001555 |
| Provider Name | Andrea A Zumpano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700392164 PECOS PAC ID: 9133480593 Enrollment ID: I20180227001029 |
| Provider Name | Lloyd A Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114320942 PECOS PAC ID: 2668747502 Enrollment ID: I20180321002199 |
| Provider Name | Jessica A Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174030001 PECOS PAC ID: 6709148729 Enrollment ID: I20180402001431 |
| Provider Name | Linet O Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255595153 PECOS PAC ID: 7719120054 Enrollment ID: I20180420000984 |
| Provider Name | John F Morrison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447489620 PECOS PAC ID: 5496973679 Enrollment ID: I20180423002701 |
| Provider Name | Eileen C Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598019820 PECOS PAC ID: 8921244047 Enrollment ID: I20180514000605 |
| Provider Name | Keith Garcia Desousa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013140136 PECOS PAC ID: 6709165814 Enrollment ID: I20180522002051 |
| Provider Name | Alison H Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700170974 PECOS PAC ID: 4183979818 Enrollment ID: I20180620001300 |
| Provider Name | Michael Dumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285945964 PECOS PAC ID: 4385768118 Enrollment ID: I20180628000917 |
| Provider Name | Moses A Aderanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932457371 PECOS PAC ID: 1850606203 Enrollment ID: I20180629001433 |
| Provider Name | Heidi Cannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598258121 PECOS PAC ID: 5395091185 Enrollment ID: I20180710000561 |
| Provider Name | Roza Karabanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457842502 PECOS PAC ID: 8426305863 Enrollment ID: I20180717002464 |
| Provider Name | John Peter O'laughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356761894 PECOS PAC ID: 4183971435 Enrollment ID: I20180718002424 |
| Provider Name | Kristy K Russ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962921809 PECOS PAC ID: 3476800228 Enrollment ID: I20180725000036 |
| Provider Name | Gina Marie Educate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285129841 PECOS PAC ID: 7719234483 Enrollment ID: I20180726001189 |
| Provider Name | Nay Linn Aung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972911352 PECOS PAC ID: 6507083409 Enrollment ID: I20180730001737 |
| Provider Name | Claude Murat Pluviose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255671202 PECOS PAC ID: 1951609387 Enrollment ID: I20180731002956 |
| Provider Name | Claudia Nicole Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326534777 PECOS PAC ID: 9739437724 Enrollment ID: I20180808000587 |
| Provider Name | Janki Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790196046 PECOS PAC ID: 3779708961 Enrollment ID: I20180809000241 |
| Provider Name | Maria Carmen Antigua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912983123 PECOS PAC ID: 9133397987 Enrollment ID: I20180810001180 |
| Provider Name | Nicole R Schreck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770078495 PECOS PAC ID: 5294084794 Enrollment ID: I20180816001063 |
| Provider Name | Aundre Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265918734 PECOS PAC ID: 4284984063 Enrollment ID: I20180829003128 |
| Provider Name | Karna Sura |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093152159 PECOS PAC ID: 3173754579 Enrollment ID: I20180830000338 |
| Provider Name | Thomas E Gwilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528433158 PECOS PAC ID: 3870843089 Enrollment ID: I20180910002486 |
| Provider Name | Steven Egert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578945127 PECOS PAC ID: 5193075067 Enrollment ID: I20180914000227 |
| Provider Name | Jonathan R Mizgala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968434 PECOS PAC ID: 9739459587 Enrollment ID: I20180919001139 |
| Provider Name | Chaille Mintah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265828255 PECOS PAC ID: 3678824042 Enrollment ID: I20180924003185 |
| Provider Name | Sumeet Multani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053690164 PECOS PAC ID: 7416267794 Enrollment ID: I20180928001400 |
| Provider Name | Isidro Borboa-orduno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275913592 PECOS PAC ID: 9234481219 Enrollment ID: I20181003001471 |
| Provider Name | Matthew Blando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467848424 PECOS PAC ID: 8527310333 Enrollment ID: I20181005001211 |
| Provider Name | Daniel Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104311844 PECOS PAC ID: 2163774704 Enrollment ID: I20181010001375 |
| Provider Name | Nirav Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922495696 PECOS PAC ID: 6901158153 Enrollment ID: I20181016002969 |
| Provider Name | Colin M Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790105641 PECOS PAC ID: 7618220674 Enrollment ID: I20181022003006 |
| Provider Name | Melissa Ann Peruzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285119917 PECOS PAC ID: 1052664794 Enrollment ID: I20181027000014 |
| Provider Name | Kayode Odutayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790118875 PECOS PAC ID: 2567756992 Enrollment ID: I20181114000931 |
| Provider Name | Onama Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275027534 PECOS PAC ID: 7214281732 Enrollment ID: I20181119001967 |
| Provider Name | Lori A Fiorentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982180519 PECOS PAC ID: 0042451163 Enrollment ID: I20181120000955 |
| Provider Name | Nishant Ranawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366658627 PECOS PAC ID: 9739350059 Enrollment ID: I20181221002106 |
| Provider Name | Giora Katz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144338336 PECOS PAC ID: 6608906680 Enrollment ID: I20181224000382 |
| Provider Name | Camille Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912342825 PECOS PAC ID: 6709122278 Enrollment ID: I20190104001777 |
| Provider Name | Quentin Wandyke Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124257886 PECOS PAC ID: 7618129115 Enrollment ID: I20190108003383 |
| Provider Name | Theresa Hagans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063996890 PECOS PAC ID: 9133465065 Enrollment ID: I20190114000978 |
| Provider Name | Jacqueline Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588608996 PECOS PAC ID: 1355387960 Enrollment ID: I20190115002576 |
| Provider Name | Michael Piazza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083180400 PECOS PAC ID: 0941546717 Enrollment ID: I20190115003431 |
| Provider Name | Eric W Porritt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386874436 PECOS PAC ID: 5991929465 Enrollment ID: I20190122000502 |
| Provider Name | Justin Seth Holtzman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669769501 PECOS PAC ID: 2062643596 Enrollment ID: I20190202000035 |
| Provider Name | Ransford Commey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326329905 PECOS PAC ID: 5799057113 Enrollment ID: I20190208002292 |
| Provider Name | Nidal El Rimawi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104804525 PECOS PAC ID: 2668411166 Enrollment ID: I20190219000610 |
| Provider Name | Greg S Keller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639284813 PECOS PAC ID: 8820063225 Enrollment ID: I20190305002314 |
| Provider Name | Adnan Huric |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235611096 PECOS PAC ID: 0446599369 Enrollment ID: I20190311001703 |
| Provider Name | Irfan Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891138756 PECOS PAC ID: 1153551213 Enrollment ID: I20190401001163 |
| Provider Name | Christopher W Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942362660 PECOS PAC ID: 4688764368 Enrollment ID: I20190422001793 |
| Provider Name | Charles M Freeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043284821 PECOS PAC ID: 1850296245 Enrollment ID: I20190502001081 |
| Provider Name | Kelly Rose Birchenough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710278957 PECOS PAC ID: 3173836061 Enrollment ID: I20190621000883 |
| Provider Name | Irshad A Merkand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194950733 PECOS PAC ID: 8527320233 Enrollment ID: I20190725003530 |
| Provider Name | Taylor Alexandra Unser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215599832 PECOS PAC ID: 5991032518 Enrollment ID: I20190806000112 |
| Provider Name | Jeannette Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710307418 PECOS PAC ID: 0042547192 Enrollment ID: I20190812003002 |
| Provider Name | Ahmed Ebeid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851353502 PECOS PAC ID: 2567433311 Enrollment ID: I20190815000443 |
| Provider Name | Rafael D Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750730016 PECOS PAC ID: 0244568038 Enrollment ID: I20190816002444 |
| Provider Name | Brittany Simone |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295146777 PECOS PAC ID: 9436468865 Enrollment ID: I20190821002490 |
| Provider Name | Stephanie Rice |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346668225 PECOS PAC ID: 8426357682 Enrollment ID: I20190821003200 |
| Provider Name | Cassandra Pronti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336791896 PECOS PAC ID: 8123357662 Enrollment ID: I20190910000600 |
| Provider Name | Lara B Belfiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942854401 PECOS PAC ID: 8820327984 Enrollment ID: I20190916000767 |
| Provider Name | Kathryn Hollie Boss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619537602 PECOS PAC ID: 0840529939 Enrollment ID: I20190916001999 |
| Provider Name | Allysa Prashad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699139576 PECOS PAC ID: 7416242714 Enrollment ID: I20190925000873 |
| Provider Name | Shannon L Tilbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760035042 PECOS PAC ID: 1355671579 Enrollment ID: I20191001000815 |
| Provider Name | Gabrielle B Nellenback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497309132 PECOS PAC ID: 3173854288 Enrollment ID: I20191003001855 |
| Provider Name | Grecia Sofia Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891030417 PECOS PAC ID: 7618112285 Enrollment ID: I20191008000923 |
| Provider Name | Fahreta Odobasic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770141822 PECOS PAC ID: 5395076061 Enrollment ID: I20191010000938 |
| Provider Name | Eric Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669725073 PECOS PAC ID: 8628309325 Enrollment ID: I20191010002080 |
| Provider Name | Ronica M Bennett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528611076 PECOS PAC ID: 1850622366 Enrollment ID: I20191015002090 |
| Provider Name | Claudine Sapini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205326188 PECOS PAC ID: 6901137231 Enrollment ID: I20191017000190 |
| Provider Name | Amanda L Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982266763 PECOS PAC ID: 7517298862 Enrollment ID: I20191017001079 |
| Provider Name | Samantha Prendergast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124689963 PECOS PAC ID: 0840522793 Enrollment ID: I20191028000660 |
| Provider Name | Sophie Alesna-sabang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790149714 PECOS PAC ID: 9234424557 Enrollment ID: I20191029000422 |
| Provider Name | Natalie A Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113189 PECOS PAC ID: 4587996285 Enrollment ID: I20191030000953 |
| Provider Name | Heraa Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649634502 PECOS PAC ID: 9133414436 Enrollment ID: I20191113002771 |
| Provider Name | Jared Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124516661 PECOS PAC ID: 5597017343 Enrollment ID: I20191121002918 |
| Provider Name | Kaitlin M Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952864969 PECOS PAC ID: 4183957590 Enrollment ID: I20191203002815 |
| Provider Name | Hanan Goldberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659917243 PECOS PAC ID: 2860826252 Enrollment ID: I20191217002679 |
| Provider Name | Javeria Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154770402 PECOS PAC ID: 3779917851 Enrollment ID: I20191224000394 |
| Provider Name | Michael Morgan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619228699 PECOS PAC ID: 1759717317 Enrollment ID: I20200130002262 |
| Provider Name | Damali Adu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356640890 PECOS PAC ID: 8123363728 Enrollment ID: I20200204001135 |
| Provider Name | Arpit Chhabra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396006599 PECOS PAC ID: 2668770843 Enrollment ID: I20200211000414 |
| Provider Name | Yagnasri Eagala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801250774 PECOS PAC ID: 9436444759 Enrollment ID: I20200227001841 |
| Provider Name | Stacy M Salanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477191708 PECOS PAC ID: 1951739739 Enrollment ID: I20200309001893 |
| Provider Name | Danielle Cappozzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104456250 PECOS PAC ID: 3173951910 Enrollment ID: I20200310001594 |
| Provider Name | Kimberly Claire Debuono |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417583337 PECOS PAC ID: 8123457215 Enrollment ID: I20200413001170 |
| Provider Name | Aymen H Rashid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508276031 PECOS PAC ID: 6608113212 Enrollment ID: I20200508002312 |
| Provider Name | David M O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598056509 PECOS PAC ID: 0042564304 Enrollment ID: I20200729003788 |
| Provider Name | Robert Joseph Scardina |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881675692 PECOS PAC ID: 9931173051 Enrollment ID: I20200902002941 |
| Provider Name | Vikas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073870945 PECOS PAC ID: 4880012020 Enrollment ID: I20200921000298 |
| Provider Name | Matthew A Denson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932596145 PECOS PAC ID: 0648699652 Enrollment ID: I20200924001266 |
| Provider Name | Kathryn M Fitzgerald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215324017 PECOS PAC ID: 0840610739 Enrollment ID: I20201014002825 |
| Provider Name | Kristan A Grande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952928715 PECOS PAC ID: 0648690214 Enrollment ID: I20201020002417 |
| Provider Name | Kevin Tse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083154546 PECOS PAC ID: 5597175711 Enrollment ID: I20201029000965 |
| Provider Name | Hoang-nhu Thi Hua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265972723 PECOS PAC ID: 9436569555 Enrollment ID: I20201031000022 |
| Provider Name | Rebecca Bourgeois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407269400 PECOS PAC ID: 9931510039 Enrollment ID: I20201120001662 |
| Provider Name | Dominique Noel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437674777 PECOS PAC ID: 0345589016 Enrollment ID: I20201204002546 |
| Provider Name | Jonathon Gruneich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700993607 PECOS PAC ID: 6507876174 Enrollment ID: I20201209002042 |
| Provider Name | Nita W Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568447837 PECOS PAC ID: 5698969905 Enrollment ID: I20210122002773 |
| Provider Name | Desiree Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285124453 PECOS PAC ID: 8527474436 Enrollment ID: I20210301001375 |
| Provider Name | Rhiannon Samantha Hickox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881132835 PECOS PAC ID: 0042626285 Enrollment ID: I20210312000442 |
| Provider Name | Caitlin Donaghy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346827979 PECOS PAC ID: 1355750225 Enrollment ID: I20210505000521 |
| Provider Name | Mark C Bristol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316380629 PECOS PAC ID: 2163711235 Enrollment ID: I20210525000055 |
| Provider Name | Nils-tomas Mcbride |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477992378 PECOS PAC ID: 3971801259 Enrollment ID: I20210604000802 |
| Provider Name | Elizabeth Mary Shenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265954259 PECOS PAC ID: 6800296880 Enrollment ID: I20210614000123 |
| Provider Name | Samantha L Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659945434 PECOS PAC ID: 5193126381 Enrollment ID: I20210624003809 |
| Provider Name | Hsin Kwong Li |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679927453 PECOS PAC ID: 0749526689 Enrollment ID: I20210722001304 |
| Provider Name | Danielle Marie Thesier |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679917751 PECOS PAC ID: 0042560658 Enrollment ID: I20210726000149 |
| Provider Name | Katlyn Jordan Seho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932874849 PECOS PAC ID: 5890192439 Enrollment ID: I20210923001756 |
| Provider Name | Stephanie L Moshinskie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518530492 PECOS PAC ID: 4284031402 Enrollment ID: I20210930000228 |
| Provider Name | Seetharam Bhat Kulthe Ramesh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013490309 PECOS PAC ID: 5395133458 Enrollment ID: I20211022002048 |
| Provider Name | Wesley Blake Vanderlan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609097898 PECOS PAC ID: 2365479250 Enrollment ID: I20211028000202 |
| Provider Name | Michael Tsadyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194212902 PECOS PAC ID: 6709274277 Enrollment ID: I20211103000018 |
| Provider Name | Zed Seedat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023513264 PECOS PAC ID: 2466787338 Enrollment ID: I20211110000082 |
| Provider Name | Robert A Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558032474 PECOS PAC ID: 7315336195 Enrollment ID: I20211117000405 |
| Provider Name | Victorija L. Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932162450 PECOS PAC ID: 3274515622 Enrollment ID: I20211130001290 |
| Provider Name | Nandita Rao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831586916 PECOS PAC ID: 5799102976 Enrollment ID: I20211202002543 |
| Provider Name | Corey Adam Scofield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114685468 PECOS PAC ID: 5496146995 Enrollment ID: I20211216001928 |
| Provider Name | Charles Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760677827 PECOS PAC ID: 8628159563 Enrollment ID: I20211229000391 |
| Provider Name | Brittany Marie Scholefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609541424 PECOS PAC ID: 7911398979 Enrollment ID: I20211229001976 |
| Provider Name | Renee Christina Scaramuzzino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346812401 PECOS PAC ID: 8729479555 Enrollment ID: I20220105000120 |
| Provider Name | Ashley Marie Priore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740958917 PECOS PAC ID: 7618360405 Enrollment ID: I20220128002091 |
| Provider Name | Vadim Zhushma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336785948 PECOS PAC ID: 4486047222 Enrollment ID: I20220131001549 |
| Provider Name | Nachelle Aurelien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104356633 PECOS PAC ID: 2365715380 Enrollment ID: I20220204000861 |
| Provider Name | Kayla Panko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407518657 PECOS PAC ID: 7618360017 Enrollment ID: I20220208000545 |
| Provider Name | Jessica Renee Yearby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932875283 PECOS PAC ID: 1658765524 Enrollment ID: I20220219000050 |
| Provider Name | Jill Francis Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285389742 PECOS PAC ID: 1951795277 Enrollment ID: I20220303000385 |
| Provider Name | Danah Kathryn Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366115669 PECOS PAC ID: 5092100909 Enrollment ID: I20220311000076 |
| Provider Name | Svetlana Petrovets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619405321 PECOS PAC ID: 7719257336 Enrollment ID: I20220317000736 |
| Provider Name | Sara Elizabeth Bourgeois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306599139 PECOS PAC ID: 0840685244 Enrollment ID: I20220322001800 |
| Provider Name | Ye Wint Kyaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538659602 PECOS PAC ID: 3274928478 Enrollment ID: I20220325001740 |
| Provider Name | Melissa Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992934 PECOS PAC ID: 4183019201 Enrollment ID: I20220328000218 |
| Provider Name | Andrew Wafik Mekaiel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689163511 PECOS PAC ID: 5395080634 Enrollment ID: I20220409000083 |
| Provider Name | Alexei V Bogolyubov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245339001 PECOS PAC ID: 5193722767 Enrollment ID: I20220413002321 |
| Provider Name | Alyce Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245739143 PECOS PAC ID: 4284995242 Enrollment ID: I20220421002737 |
| Provider Name | Carlos L Moreno |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962468561 PECOS PAC ID: 9739153248 Enrollment ID: I20220424000006 |
| Provider Name | Saif M Aslam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396277554 PECOS PAC ID: 8628315983 Enrollment ID: I20220503001822 |
| Provider Name | Frangel Arias Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053808873 PECOS PAC ID: 9537546304 Enrollment ID: I20220517000646 |
| Provider Name | Garrett E Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487181905 PECOS PAC ID: 7113263922 Enrollment ID: I20220629002331 |
| Provider Name | Sanela Sehovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891456463 PECOS PAC ID: 5991185217 Enrollment ID: I20220705001679 |
| Provider Name | Siarhei Mikhailouski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275105819 PECOS PAC ID: 3870973043 Enrollment ID: I20220706000404 |
| Provider Name | Belmin Heco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568195758 PECOS PAC ID: 9133500358 Enrollment ID: I20220720000291 |
| Provider Name | Rajvee Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863519 PECOS PAC ID: 6103209697 Enrollment ID: I20220816002310 |
| Provider Name | Jullien Mowatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295474070 PECOS PAC ID: 4486038502 Enrollment ID: I20220908001392 |
| Provider Name | Shannon Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427784487 PECOS PAC ID: 7315322864 Enrollment ID: I20220919003407 |
| Provider Name | Nora Anne Hadlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346989811 PECOS PAC ID: 1759767700 Enrollment ID: I20220929000372 |
| Provider Name | Phyu Phyu Win |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801535695 PECOS PAC ID: 2668858267 Enrollment ID: I20221005002354 |
| Provider Name | Ibrahim Shawki Elkilany |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043872252 PECOS PAC ID: 9032541628 Enrollment ID: I20221006001807 |
| Provider Name | Karissa Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295473544 PECOS PAC ID: 9436535010 Enrollment ID: I20221012001613 |
| Provider Name | Rebecca Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275262073 PECOS PAC ID: 2466828140 Enrollment ID: I20221020002363 |
| Provider Name | Mario Wassel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922561273 PECOS PAC ID: 0941676332 Enrollment ID: I20221027000281 |
| Provider Name | Brian L Zylinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497242895 PECOS PAC ID: 7214304492 Enrollment ID: I20221031002911 |
| Provider Name | Susan Renee Garwood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053381921 PECOS PAC ID: 0840399309 Enrollment ID: I20221102002386 |
| Provider Name | Hoda Rahmani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063975332 PECOS PAC ID: 1951778802 Enrollment ID: I20221104002057 |
| Provider Name | Manoraj Ratnaraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003379363 PECOS PAC ID: 9234506841 Enrollment ID: I20221110000173 |
| Provider Name | Suna Soguktas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992365670 PECOS PAC ID: 9234506874 Enrollment ID: I20221110001386 |
| Provider Name | Trisha Vanslyke-pasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578201919 PECOS PAC ID: 9638546716 Enrollment ID: I20221122001715 |
| Provider Name | Deepak Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619430972 PECOS PAC ID: 9335518125 Enrollment ID: I20221219000772 |
| Provider Name | Ruvem Alex Karpovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780302489 PECOS PAC ID: 6305216011 Enrollment ID: I20221221000761 |
| Provider Name | Justine Morgan-colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104355478 PECOS PAC ID: 8426428988 Enrollment ID: I20221228001808 |
| Provider Name | Cailee Guider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720795842 PECOS PAC ID: 0547631830 Enrollment ID: I20230124003216 |
| Provider Name | Johna Lynn Cusworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639807050 PECOS PAC ID: 8628449956 Enrollment ID: I20230125001682 |
| Provider Name | Fadi Zakko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306102462 PECOS PAC ID: 9638487978 Enrollment ID: I20230203000694 |
| Provider Name | Mark Martens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447221510 PECOS PAC ID: 2769383942 Enrollment ID: I20230316001809 |
| Provider Name | Purushottam Lal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053867648 PECOS PAC ID: 5991179574 Enrollment ID: I20230322000821 |
| Provider Name | Toks Macarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164608964 PECOS PAC ID: 2264509041 Enrollment ID: I20230519000574 |
| Provider Name | Ann Terese Hogan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417659319 PECOS PAC ID: 4688032188 Enrollment ID: I20230615000319 |
| Provider Name | Manicia Shundreal Liddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568963866 PECOS PAC ID: 3779829908 Enrollment ID: I20230725003848 |
| Provider Name | James Ross Gilfert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114582798 PECOS PAC ID: 6800257213 Enrollment ID: I20230802000604 |
| Provider Name | Samantha Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700565322 PECOS PAC ID: 5395106413 Enrollment ID: I20230804001332 |
| Provider Name | Pete Htwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356962500 PECOS PAC ID: 8921469057 Enrollment ID: I20230804001809 |
| Provider Name | Cherine Awad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013527753 PECOS PAC ID: 1658733233 Enrollment ID: I20230814002541 |
| Provider Name | Janet Harriet Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578281192 PECOS PAC ID: 7416319058 Enrollment ID: I20230815001264 |
| Provider Name | Alexis Charbonneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922791425 PECOS PAC ID: 7416310560 Enrollment ID: I20230823001051 |
| Provider Name | Phyu Thwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043831936 PECOS PAC ID: 5193188068 Enrollment ID: I20230824002570 |
| Provider Name | Muhammad Jehanzeb Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255960498 PECOS PAC ID: 2466815311 Enrollment ID: I20230825001296 |
| Provider Name | Daniela Belous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851080535 PECOS PAC ID: 0345604567 Enrollment ID: I20230906003501 |
| Provider Name | Victor Macias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386265288 PECOS PAC ID: 6608230784 Enrollment ID: I20230907001967 |
| Provider Name | Amar Luzic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235525866 PECOS PAC ID: 7719223494 Enrollment ID: I20230908001780 |
| Provider Name | Julianna Kirylka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851085823 PECOS PAC ID: 0143684001 Enrollment ID: I20230911001971 |
| Provider Name | Rafael Da Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750900254 PECOS PAC ID: 7315310786 Enrollment ID: I20230920003113 |
| Provider Name | Jonathan Stahl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235511015 PECOS PAC ID: 3375936057 Enrollment ID: I20230927002102 |
| Provider Name | Mary Bapana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174144299 PECOS PAC ID: 8426402959 Enrollment ID: I20231002002138 |
| Provider Name | Lauren Zaniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891572913 PECOS PAC ID: 7517314198 Enrollment ID: I20231103003348 |
| Provider Name | Shelby Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386349405 PECOS PAC ID: 9739537564 Enrollment ID: I20231204003147 |
| Provider Name | David A Milbourne Jr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992157044 PECOS PAC ID: 0143501346 Enrollment ID: I20231205003619 |
| Provider Name | Ossama Khazaal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295117604 PECOS PAC ID: 3577912138 Enrollment ID: I20231208000964 |
| Provider Name | Tracy Lynn Zarate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417413741 PECOS PAC ID: 0941650816 Enrollment ID: I20231219002689 |
| Provider Name | Cynthia D Schumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750713657 PECOS PAC ID: 4284868894 Enrollment ID: I20231221000556 |
| Provider Name | Nicole Lorenz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073719639 PECOS PAC ID: 8426205006 Enrollment ID: I20240201001104 |
| Provider Name | Qudsia Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245553098 PECOS PAC ID: 6507006517 Enrollment ID: I20240226000930 |
A Louis Shaheen Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Eagle Street, Utica, NY 13501 Phone: 315-735-4447 Fax: 315-735-4071 | |
Toby Taylor, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2412 Genesee St, Utica, NY 13502 Phone: 315-735-4246 Fax: 315-735-4247 | |
Upstate Family Health Center Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9470 Fax: 315-624-9480 | |
William A Graber Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Business Park Dr Ste 150, Utica, NY 13502 Phone: 315-235-2540 Fax: 315-235-2171 | |
Douglas Ahn, M.d., P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Business Park Dr, Suite 1, Utica, NY 13502 Phone: 315-738-7883 Fax: 315-738-0347 | |
Mosaic Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Parkside Ct Bldg 1, Utica, NY 13501 Phone: 585-325-2280 | |
Kelberman Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2608 Genesee St, Utica, NY 13502 Phone: 315-797-6241 Fax: 315-749-7054 |