| Fayette Physician Network Inc | |
|
500 W Berkeley St Uniontown PA 15401-5514 | |
| (724) 430-6598 | |
| (724) 430-3932 |
| Full Name | Fayette Physician Network Inc |
|---|---|
| Speciality | Surgery |
| Location | 500 W Berkeley St, Uniontown, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Workman (REV CYCLE MANAGER) |
| Authorized Official Contact | 7244305181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette Physician Network Inc 500 W Berkeley St Uniontown PA 15401-5514 Ph: () - | Fayette Physician Network Inc 500 W Berkeley St Uniontown PA 15401-5514 Ph: (724) 430-6598 |
| NPI Number | 1992107817 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 04/15/2021 |
| Medicare PECOS PAC ID | 3375865819 |
|---|---|
| Medicare Enrollment ID | O20141211000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992107817 | NPI | - | NPPES |
| Provider Name | Ronald J Aiello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922064617 PECOS PAC ID: 3274445648 Enrollment ID: I20031104000259 |
| Provider Name | Betsy A Izes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720054554 PECOS PAC ID: 0648183772 Enrollment ID: I20031106000094 |
| Provider Name | Charles N Barax |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962495374 PECOS PAC ID: 5991609133 Enrollment ID: I20031120000505 |
| Provider Name | Joseph R Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386679827 PECOS PAC ID: 3072417476 Enrollment ID: I20031126000002 |
| Provider Name | Panayotis Alain Efstratiou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083623706 PECOS PAC ID: 6204731771 Enrollment ID: I20031208000021 |
| Provider Name | Amir Siadatan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396704839 PECOS PAC ID: 5799681730 Enrollment ID: I20031210000330 |
| Provider Name | Abdul Waheed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851375042 PECOS PAC ID: 7911808274 Enrollment ID: I20040119000689 |
| Provider Name | Ramprasad Gadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174550461 PECOS PAC ID: 3971405028 Enrollment ID: I20040121000368 |
| Provider Name | Victor G Stiebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20040123001023 |
| Provider Name | Dean Eric Wolz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972567279 PECOS PAC ID: 6608779129 Enrollment ID: I20040130000659 |
| Provider Name | David Michael Campsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467417048 PECOS PAC ID: 7214820406 Enrollment ID: I20040203000310 |
| Provider Name | Andrew C Allison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285619445 PECOS PAC ID: 9133019169 Enrollment ID: I20040316000207 |
| Provider Name | Richard J Pish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124021605 PECOS PAC ID: 6709778327 Enrollment ID: I20040329000259 |
| Provider Name | Mark Casteel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093782674 PECOS PAC ID: 3274525597 Enrollment ID: I20040330000662 |
| Provider Name | Patrick Raymond Burns |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255332417 PECOS PAC ID: 3971595869 Enrollment ID: I20040331001362 |
| Provider Name | Jeffrey R James |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710072608 PECOS PAC ID: 4082607585 Enrollment ID: I20040408000010 |
| Provider Name | Laura L Zwirek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780650978 PECOS PAC ID: 8224022561 Enrollment ID: I20040412000225 |
| Provider Name | Francis L Ergina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740253087 PECOS PAC ID: 9436140886 Enrollment ID: I20040524000433 |
| Provider Name | David A Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144274887 PECOS PAC ID: 2466437447 Enrollment ID: I20040623000475 |
| Provider Name | Christopher Tracy Conti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912070988 PECOS PAC ID: 7719966613 Enrollment ID: I20040715000094 |
| Provider Name | Gregg David Schubach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558369900 PECOS PAC ID: 7416927132 Enrollment ID: I20040729001033 |
| Provider Name | Theresa Marie Fonash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588630677 PECOS PAC ID: 3577534981 Enrollment ID: I20040802000150 |
| Provider Name | Mitchell S Felder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891767042 PECOS PAC ID: 7911978226 Enrollment ID: I20040802000863 |
| Provider Name | Katerina A Zavaras-angelidou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457309064 PECOS PAC ID: 4789655812 Enrollment ID: I20040803000937 |
| Provider Name | Gretchen L Tunstall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073576971 PECOS PAC ID: 2860468808 Enrollment ID: I20040909001176 |
| Provider Name | Frank S Torok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639221823 PECOS PAC ID: 8426026113 Enrollment ID: I20040921000343 |
| Provider Name | Jan E Lach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316933682 PECOS PAC ID: 6002884236 Enrollment ID: I20040924000057 |
| Provider Name | Vanessa Petrus Plisko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164473476 PECOS PAC ID: 0446237291 Enrollment ID: I20040930000481 |
| Provider Name | Kimberly D Matthews Christopher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083615876 PECOS PAC ID: 1658337084 Enrollment ID: I20041207000675 |
| Provider Name | David Hursh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033359096 PECOS PAC ID: 5799736815 Enrollment ID: I20050207000449 |
| Provider Name | Michael Reiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285609339 PECOS PAC ID: 8729026588 Enrollment ID: I20050421000762 |
| Provider Name | Darrell L Donley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669552824 PECOS PAC ID: 5193777597 Enrollment ID: I20050505000250 |
| Provider Name | Keith Alan Niggemyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962592659 PECOS PAC ID: 6406897412 Enrollment ID: I20050519001046 |
| Provider Name | Cheryl Hominsky Cesario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841267283 PECOS PAC ID: 2264473040 Enrollment ID: I20050523000271 |
| Provider Name | Paul Eugene Means |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073514246 PECOS PAC ID: 1759343312 Enrollment ID: I20050524000523 |
| Provider Name | Renee L Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184691172 PECOS PAC ID: 0547202897 Enrollment ID: I20050526000098 |
| Provider Name | David W Lawrence |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699857136 PECOS PAC ID: 1850333857 Enrollment ID: I20050601000151 |
| Provider Name | Brian Kazienko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700852035 PECOS PAC ID: 7719920339 Enrollment ID: I20050606000309 |
| Provider Name | Darin S Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710955679 PECOS PAC ID: 3779526157 Enrollment ID: I20050607000339 |
| Provider Name | Sherif Felix |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699771840 PECOS PAC ID: 3173566403 Enrollment ID: I20050607000797 |
| Provider Name | Milena Janicijevic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487655676 PECOS PAC ID: 4486681590 Enrollment ID: I20050720000708 |
| Provider Name | Donna Teegarden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093716292 PECOS PAC ID: 5092747337 Enrollment ID: I20050907000699 |
| Provider Name | Charles Ujay Gbadouwey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043255177 PECOS PAC ID: 9537150347 Enrollment ID: I20050927000268 |
| Provider Name | Troy A Prather |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467441022 PECOS PAC ID: 7719912294 Enrollment ID: I20051004000322 |
| Provider Name | Paul W Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982622130 PECOS PAC ID: 0840216248 Enrollment ID: I20051014000541 |
| Provider Name | Edward H Estrin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831160142 PECOS PAC ID: 0547258816 Enrollment ID: I20051114000360 |
| Provider Name | James Backstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497721146 PECOS PAC ID: 1951321512 Enrollment ID: I20051129000593 |
| Provider Name | Leslie H Latterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952391070 PECOS PAC ID: 8820011430 Enrollment ID: I20060110000659 |
| Provider Name | Robert E Buckner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588646624 PECOS PAC ID: 8123042157 Enrollment ID: I20060118000085 |
| Provider Name | Anas Wardeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295705598 PECOS PAC ID: 0345219341 Enrollment ID: I20060201000297 |
| Provider Name | Sarah Gail Lumley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407856891 PECOS PAC ID: 4385659523 Enrollment ID: I20060209000405 |
| Provider Name | Cherie J Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346216918 PECOS PAC ID: 2961416409 Enrollment ID: I20060209000437 |
| Provider Name | Jennifer Como |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588630354 PECOS PAC ID: 8123062379 Enrollment ID: I20060407000133 |
| Provider Name | Betty D Bowser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689611717 PECOS PAC ID: 1658326384 Enrollment ID: I20060711000437 |
| Provider Name | Steven Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528067717 PECOS PAC ID: 3375520810 Enrollment ID: I20060727000290 |
| Provider Name | Richard Alan Conn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457370280 PECOS PAC ID: 2860497252 Enrollment ID: I20060918000319 |
| Provider Name | Afaq Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568411015 PECOS PAC ID: 2769488378 Enrollment ID: I20061004000443 |
| Provider Name | Derek Armfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477525863 PECOS PAC ID: 5890792329 Enrollment ID: I20061026000123 |
| Provider Name | Gary W Lewis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871574202 PECOS PAC ID: 5597743484 Enrollment ID: I20061121000672 |
| Provider Name | Melissa A Palko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922189257 PECOS PAC ID: 5890795405 Enrollment ID: I20070105000003 |
| Provider Name | Michael W Bradmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831254184 PECOS PAC ID: 2264433036 Enrollment ID: I20070122000233 |
| Provider Name | David M Murello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336148097 PECOS PAC ID: 0244333953 Enrollment ID: I20070319000404 |
| Provider Name | Nimish Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134184310 PECOS PAC ID: 0345278925 Enrollment ID: I20070618000346 |
| Provider Name | Todd Blodgett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689877730 PECOS PAC ID: 7012008667 Enrollment ID: I20070810000329 |
| Provider Name | Euhan John Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053524991 PECOS PAC ID: 2961594098 Enrollment ID: I20070822000211 |
| Provider Name | Gina L Canada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841414836 PECOS PAC ID: 1355437369 Enrollment ID: I20071022000254 |
| Provider Name | Mary F Phillips |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245207240 PECOS PAC ID: 3971699984 Enrollment ID: I20071022000260 |
| Provider Name | Joseph Yuhas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447227459 PECOS PAC ID: 9234225111 Enrollment ID: I20071024000062 |
| Provider Name | Joseph Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411011 PECOS PAC ID: 5395641401 Enrollment ID: I20080116000497 |
| Provider Name | Gregory T Trecha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396716577 PECOS PAC ID: 0244228666 Enrollment ID: I20080123000140 |
| Provider Name | Dean Watzman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497738967 PECOS PAC ID: 9638119258 Enrollment ID: I20080123000345 |
| Provider Name | Daniel A Church |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013979657 PECOS PAC ID: 1557313954 Enrollment ID: I20080221000087 |
| Provider Name | Tiffany M Pluto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073515441 PECOS PAC ID: 3971688177 Enrollment ID: I20080312000442 |
| Provider Name | Richard J Herzig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922078443 PECOS PAC ID: 6507854882 Enrollment ID: I20080317000195 |
| Provider Name | David W Tesar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205913746 PECOS PAC ID: 9133127566 Enrollment ID: I20080414000229 |
| Provider Name | Dalton Daniel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346227493 PECOS PAC ID: 2466425640 Enrollment ID: I20080428000110 |
| Provider Name | Senator K Hazelwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407028251 PECOS PAC ID: 7416036595 Enrollment ID: I20080430000415 |
| Provider Name | Peter G Gregory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639285521 PECOS PAC ID: 4082717897 Enrollment ID: I20080508000553 |
| Provider Name | Jason J Lamb |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215913538 PECOS PAC ID: 9537258405 Enrollment ID: I20080616000035 |
| Provider Name | Dawn M Vasquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215101548 PECOS PAC ID: 3173695244 Enrollment ID: I20080707000313 |
| Provider Name | Paul J Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487811592 PECOS PAC ID: 2365514452 Enrollment ID: I20080707000508 |
| Provider Name | Albert K Enany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073512489 PECOS PAC ID: 5294797858 Enrollment ID: I20080710000532 |
| Provider Name | Nathan A Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285824623 PECOS PAC ID: 2264504976 Enrollment ID: I20080711000220 |
| Provider Name | George Sokos |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1922277235 PECOS PAC ID: 4183797871 Enrollment ID: I20080714000243 |
| Provider Name | Harjot Dulai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356557763 PECOS PAC ID: 8426121559 Enrollment ID: I20080722000516 |
| Provider Name | Mark Jablonski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942407135 PECOS PAC ID: 4385735828 Enrollment ID: I20080724000038 |
| Provider Name | Angela Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104085166 PECOS PAC ID: 6204900285 Enrollment ID: I20080808000677 |
| Provider Name | Brian J Wieczorek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558339820 PECOS PAC ID: 6709952740 Enrollment ID: I20080827000639 |
| Provider Name | Abdul Abbasi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467408864 PECOS PAC ID: 6901838457 Enrollment ID: I20080910000483 |
| Provider Name | Peter Kochupura |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184813388 PECOS PAC ID: 8325103278 Enrollment ID: I20090210000454 |
| Provider Name | Carl A Recine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013979780 PECOS PAC ID: 1254245723 Enrollment ID: I20090225000026 |
| Provider Name | Terrence Gilbert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396794731 PECOS PAC ID: 9739179649 Enrollment ID: I20090515000390 |
| Provider Name | Melissa L Truxal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518103068 PECOS PAC ID: 8527117753 Enrollment ID: I20090519000344 |
| Provider Name | Joseph Lahoda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083641005 PECOS PAC ID: 6406935931 Enrollment ID: I20090701000268 |
| Provider Name | Thomas R Walther |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982682167 PECOS PAC ID: 8224936612 Enrollment ID: I20090828000020 |
| Provider Name | Brandi B Kalich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689826174 PECOS PAC ID: 8426103615 Enrollment ID: I20090911000681 |
| Provider Name | Nayneshkumar Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154539807 PECOS PAC ID: 6103992763 Enrollment ID: I20091027000253 |
| Provider Name | Elena A Ackah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922289891 PECOS PAC ID: 9739228537 Enrollment ID: I20091208000734 |
| Provider Name | Ian Katz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033128632 PECOS PAC ID: 2769538115 Enrollment ID: I20091230000309 |
| Provider Name | Hasan Askari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700940277 PECOS PAC ID: 4486655602 Enrollment ID: I20100216000904 |
| Provider Name | Evelyn S Delbarre |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861426728 PECOS PAC ID: 8426098716 Enrollment ID: I20100629000285 |
| Provider Name | Leah E Kaider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609194984 PECOS PAC ID: 1557492683 Enrollment ID: I20100706000235 |
| Provider Name | Rohit Agrawal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255380465 PECOS PAC ID: 3173656733 Enrollment ID: I20100803000380 |
| Provider Name | David Sanford Schwartzman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063487932 PECOS PAC ID: 7113050360 Enrollment ID: I20100809000619 |
| Provider Name | Spring Mccann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407002629 PECOS PAC ID: 1355466533 Enrollment ID: I20100910000736 |
| Provider Name | Sandeep Arora |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811123672 PECOS PAC ID: 5597817155 Enrollment ID: I20100916000437 |
| Provider Name | Yiqun Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972529592 PECOS PAC ID: 0547218455 Enrollment ID: I20101004001070 |
| Provider Name | Neil W Yoder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437339652 PECOS PAC ID: 1850458589 Enrollment ID: I20101007000204 |
| Provider Name | Chakra B Gurung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043477128 PECOS PAC ID: 5890989503 Enrollment ID: I20101027000053 |
| Provider Name | Josef J Vanek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679662373 PECOS PAC ID: 7810055605 Enrollment ID: I20101104000103 |
| Provider Name | Brandon M Ball |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396833463 PECOS PAC ID: 4981898723 Enrollment ID: I20101105000060 |
| Provider Name | Sukaina J Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568430031 PECOS PAC ID: 5991714404 Enrollment ID: I20101119000583 |
| Provider Name | Craig M Steiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235153057 PECOS PAC ID: 2567466352 Enrollment ID: I20101202000660 |
| Provider Name | Ari Pressman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447250477 PECOS PAC ID: 6406855568 Enrollment ID: I20101220001095 |
| Provider Name | Sunil S Savarirayan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497711964 PECOS PAC ID: 9739378613 Enrollment ID: I20110107000079 |
| Provider Name | Samir F Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881836476 PECOS PAC ID: 4587844808 Enrollment ID: I20110203000681 |
| Provider Name | Sundeep J Ekbote |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588699698 PECOS PAC ID: 8820004674 Enrollment ID: I20110203000757 |
| Provider Name | Robin L Daller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487954400 PECOS PAC ID: 0648450775 Enrollment ID: I20110208000042 |
| Provider Name | David M Bowden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386662302 PECOS PAC ID: 6002917176 Enrollment ID: I20110209000973 |
| Provider Name | Rachel J Talaman-perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063601763 PECOS PAC ID: 5890970651 Enrollment ID: I20110421000541 |
| Provider Name | Matthew Oliverio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194921007 PECOS PAC ID: 7012195274 Enrollment ID: I20110617000371 |
| Provider Name | Marek A Radomski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154563047 PECOS PAC ID: 3577688654 Enrollment ID: I20110628000115 |
| Provider Name | Girish H Ribadiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396034153 PECOS PAC ID: 5698944965 Enrollment ID: I20110803000634 |
| Provider Name | Babak Movassaghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518177914 PECOS PAC ID: 2365611571 Enrollment ID: I20110804000251 |
| Provider Name | Harshit Seth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124327069 PECOS PAC ID: 5991974933 Enrollment ID: I20110809000710 |
| Provider Name | Yogesh Neupane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972754398 PECOS PAC ID: 3779754023 Enrollment ID: I20110919000539 |
| Provider Name | David Lucas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457498727 PECOS PAC ID: 2567635568 Enrollment ID: I20111108000748 |
| Provider Name | Linda M. Burstynowicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508866658 PECOS PAC ID: 9234304767 Enrollment ID: I20111213000167 |
| Provider Name | Edward B Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477509644 PECOS PAC ID: 4385531060 Enrollment ID: I20120117000471 |
| Provider Name | Vivek Agrawal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528160777 PECOS PAC ID: 5890893374 Enrollment ID: I20120213000302 |
| Provider Name | Jennifer Jocuns Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205958022 PECOS PAC ID: 3476711367 Enrollment ID: I20120223000378 |
| Provider Name | Charles D Klingensmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760768238 PECOS PAC ID: 7214196369 Enrollment ID: I20120308000301 |
| Provider Name | Jennifer Mungari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538212436 PECOS PAC ID: 9830358449 Enrollment ID: I20120316000337 |
| Provider Name | Jennifer Nadine Sallinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992079511 PECOS PAC ID: 0345401543 Enrollment ID: I20120416000499 |
| Provider Name | Jeffrey M Manway |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679701304 PECOS PAC ID: 5890958862 Enrollment ID: I20120601000038 |
| Provider Name | Ayodeji O Nubi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962709865 PECOS PAC ID: 8820254477 Enrollment ID: I20120725000789 |
| Provider Name | Gopi K Vadlamudi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861624652 PECOS PAC ID: 2961659149 Enrollment ID: I20120822000631 |
| Provider Name | Rabelais Tatchum Talom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851520639 PECOS PAC ID: 0749439289 Enrollment ID: I20120927000362 |
| Provider Name | Lou Ann Forish |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275884579 PECOS PAC ID: 3274782693 Enrollment ID: I20120928000522 |
| Provider Name | Mei Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659691350 PECOS PAC ID: 9537353909 Enrollment ID: I20121128000491 |
| Provider Name | Jennifer M Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336493196 PECOS PAC ID: 9638323629 Enrollment ID: I20130128000341 |
| Provider Name | Shehryar Anjum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669673398 PECOS PAC ID: 0143312264 Enrollment ID: I20130312000107 |
| Provider Name | William Chuang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396723193 PECOS PAC ID: 4284538638 Enrollment ID: I20130321000522 |
| Provider Name | Earl F Moss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528235454 PECOS PAC ID: 0345499174 Enrollment ID: I20130322000285 |
| Provider Name | Tamara A Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255368007 PECOS PAC ID: 1557308673 Enrollment ID: I20130328000360 |
| Provider Name | Sara E Emerick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841535010 PECOS PAC ID: 4789820028 Enrollment ID: I20130411000443 |
| Provider Name | Diane T Tran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174784482 PECOS PAC ID: 5092954792 Enrollment ID: I20130610000172 |
| Provider Name | Katarzyna Sims |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881905560 PECOS PAC ID: 0345489670 Enrollment ID: I20130618000615 |
| Provider Name | Danika Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336302207 PECOS PAC ID: 6507005451 Enrollment ID: I20130625000652 |
| Provider Name | Claude We Zeifman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962423004 PECOS PAC ID: 5698738441 Enrollment ID: I20130716000149 |
| Provider Name | Donald C Dworek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760764476 PECOS PAC ID: 3870734684 Enrollment ID: I20130720000043 |
| Provider Name | Bhavna Mohandas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841414000 PECOS PAC ID: 2961680632 Enrollment ID: I20130820000243 |
| Provider Name | Chioma Enyeribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700192275 PECOS PAC ID: 9032398227 Enrollment ID: I20130821000648 |
| Provider Name | Rachel R Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002909 PECOS PAC ID: 5991932022 Enrollment ID: I20131218000367 |
| Provider Name | Nayer B El-ashram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114989746 PECOS PAC ID: 3971587254 Enrollment ID: I20140206001022 |
| Provider Name | Mark R Riser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457309619 PECOS PAC ID: 4789673294 Enrollment ID: I20140501001510 |
| Provider Name | Mark D Mathason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669490561 PECOS PAC ID: 0941208870 Enrollment ID: I20140823000225 |
| Provider Name | Neal R Abarbanell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659367142 PECOS PAC ID: 1658364005 Enrollment ID: I20140904001072 |
| Provider Name | Lyndanne W Blahovec |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821377250 PECOS PAC ID: 8628296621 Enrollment ID: I20140905000112 |
| Provider Name | James Boulden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548524275 PECOS PAC ID: 1850512765 Enrollment ID: I20141017001668 |
| Provider Name | Mukul B Patil |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033345160 PECOS PAC ID: 2163662420 Enrollment ID: I20141021001842 |
| Provider Name | Rafik D Muawwad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184629420 PECOS PAC ID: 4082646518 Enrollment ID: I20141106001810 |
| Provider Name | Staci M Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508207390 PECOS PAC ID: 8022333533 Enrollment ID: I20150204000820 |
| Provider Name | Mitchell F West |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1619374527 PECOS PAC ID: 6103141627 Enrollment ID: I20150204000918 |
| Provider Name | Kristin L Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326444365 PECOS PAC ID: 5799000113 Enrollment ID: I20150206000191 |
| Provider Name | Anuradha Satyavolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114171170 PECOS PAC ID: 8729148739 Enrollment ID: I20150206000750 |
| Provider Name | Linda R Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134476625 PECOS PAC ID: 8224353388 Enrollment ID: I20150212000085 |
| Provider Name | Ashley M Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649687781 PECOS PAC ID: 7214252139 Enrollment ID: I20150217000051 |
| Provider Name | Magdy Girgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417268657 PECOS PAC ID: 7214179720 Enrollment ID: I20150313000095 |
| Provider Name | Tiffany S Behringer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538425657 PECOS PAC ID: 6800117581 Enrollment ID: I20150605002295 |
| Provider Name | Sanjay Kumar Paidisetty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619103983 PECOS PAC ID: 1759692247 Enrollment ID: I20150625000096 |
| Provider Name | Daniel L Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184662488 PECOS PAC ID: 6002858966 Enrollment ID: I20150803000084 |
| Provider Name | Jeremy Conklin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700830882 PECOS PAC ID: 7517109614 Enrollment ID: I20150804004023 |
| Provider Name | Samuel S Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20150805008145 |
| Provider Name | Amanda L Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023493947 PECOS PAC ID: 2860706686 Enrollment ID: I20150806010710 |
| Provider Name | Jafri Mohammed Syed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245518125 PECOS PAC ID: 3173839552 Enrollment ID: I20150831001706 |
| Provider Name | Alanna Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831539683 PECOS PAC ID: 5890002737 Enrollment ID: I20150910000052 |
| Provider Name | Andrew M Brown |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629064951 PECOS PAC ID: 7113824582 Enrollment ID: I20150915002209 |
| Provider Name | Kamesh Parashar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861747420 PECOS PAC ID: 8224350301 Enrollment ID: I20151026001276 |
| Provider Name | David A Goldschmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700844255 PECOS PAC ID: 6204892060 Enrollment ID: I20151028000669 |
| Provider Name | Thomas R Murphy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457369712 PECOS PAC ID: 1557352861 Enrollment ID: I20151028000890 |
| Provider Name | Xu Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659631885 PECOS PAC ID: 0244454031 Enrollment ID: I20151118002635 |
| Provider Name | Holly J High |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730118654 PECOS PAC ID: 4688698350 Enrollment ID: I20151203000385 |
| Provider Name | Yugandhar C Kalagara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285039602 PECOS PAC ID: 6608176128 Enrollment ID: I20151204000970 |
| Provider Name | Mouhannad Azzouz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760506018 PECOS PAC ID: 8022022664 Enrollment ID: I20151209001300 |
| Provider Name | Tara D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023492212 PECOS PAC ID: 9335440536 Enrollment ID: I20151211002244 |
| Provider Name | Patrick Bovino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336582121 PECOS PAC ID: 0749586691 Enrollment ID: I20160302002859 |
| Provider Name | Margaret Adeniji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730168600 PECOS PAC ID: 7012995830 Enrollment ID: I20160725002132 |
| Provider Name | Nicholas M Furlani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558789602 PECOS PAC ID: 7315231438 Enrollment ID: I20160811001235 |
| Provider Name | James L Sadler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285899047 PECOS PAC ID: 1456427764 Enrollment ID: I20160823002114 |
| Provider Name | Brijesh D Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760743728 PECOS PAC ID: 4688961600 Enrollment ID: I20160920000104 |
| Provider Name | Reuben Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598104515 PECOS PAC ID: 6901049345 Enrollment ID: I20160922000293 |
| Provider Name | Bethany Husband |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255786257 PECOS PAC ID: 3870880289 Enrollment ID: I20160929000411 |
| Provider Name | Daniela Niec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710177530 PECOS PAC ID: 7012986243 Enrollment ID: I20161007001208 |
| Provider Name | Muhammad Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487748406 PECOS PAC ID: 6709781289 Enrollment ID: I20161021000444 |
| Provider Name | Marco Nagy Kamel Kaldas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962891051 PECOS PAC ID: 7012295793 Enrollment ID: I20161101000117 |
| Provider Name | Jennifer M Rittenhouse Puhak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639458144 PECOS PAC ID: 8921386616 Enrollment ID: I20161101000496 |
| Provider Name | Edward N Slayden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124468384 PECOS PAC ID: 1355620311 Enrollment ID: I20161115000105 |
| Provider Name | Rachael E Puljic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679930622 PECOS PAC ID: 1850699034 Enrollment ID: I20161122000839 |
| Provider Name | Aditya Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780845271 PECOS PAC ID: 2860772357 Enrollment ID: I20161129000180 |
| Provider Name | Ashley A Godisart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528473022 PECOS PAC ID: 4082994264 Enrollment ID: I20161205001190 |
| Provider Name | Diana L Lutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316499114 PECOS PAC ID: 7810277670 Enrollment ID: I20161213001907 |
| Provider Name | Erin M Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164972725 PECOS PAC ID: 9133401821 Enrollment ID: I20170112000976 |
| Provider Name | Amy L Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902211360 PECOS PAC ID: 8022390806 Enrollment ID: I20170201000047 |
| Provider Name | Anthony D Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194130575 PECOS PAC ID: 6002198884 Enrollment ID: I20170201000121 |
| Provider Name | Kristen A Chadha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831504216 PECOS PAC ID: 3274815063 Enrollment ID: I20170201000468 |
| Provider Name | Katie D Mcholme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386050771 PECOS PAC ID: 5294018081 Enrollment ID: I20170201000840 |
| Provider Name | Rabin K Nouranifar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093798431 PECOS PAC ID: 7810967858 Enrollment ID: I20170308000920 |
| Provider Name | Roslin Thongsri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053751321 PECOS PAC ID: 2961797527 Enrollment ID: I20170310001224 |
| Provider Name | Cindy B Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427386788 PECOS PAC ID: 4385838234 Enrollment ID: I20170316000005 |
| Provider Name | Carson B Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093120347 PECOS PAC ID: 2668757931 Enrollment ID: I20170329000442 |
| Provider Name | Siva P Sivakumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992788442 PECOS PAC ID: 2961305511 Enrollment ID: I20170406000578 |
| Provider Name | Ryan T Marino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275948648 PECOS PAC ID: 9739466905 Enrollment ID: I20170426001912 |
| Provider Name | Olivia P Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851834360 PECOS PAC ID: 1951688928 Enrollment ID: I20170428000693 |
| Provider Name | Ross Mccormack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952716326 PECOS PAC ID: 9739466723 Enrollment ID: I20170428001319 |
| Provider Name | Allen D Adams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700862794 PECOS PAC ID: 7517919053 Enrollment ID: I20170502001179 |
| Provider Name | Steven L Silas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154396141 PECOS PAC ID: 5799754586 Enrollment ID: I20170509000141 |
| Provider Name | Jennifer Chaikcic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387964 PECOS PAC ID: 4385921600 Enrollment ID: I20170515001014 |
| Provider Name | Shavitri Mahendiran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326339946 PECOS PAC ID: 5890081186 Enrollment ID: I20170706002901 |
| Provider Name | Jorge Ernesto Perez Torres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497041370 PECOS PAC ID: 3173824760 Enrollment ID: I20170707000046 |
| Provider Name | Lucille M Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386175362 PECOS PAC ID: 1658641907 Enrollment ID: I20170720000078 |
| Provider Name | Abbas Syed Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801899158 PECOS PAC ID: 0345143483 Enrollment ID: I20170731000561 |
| Provider Name | Tuhina Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760680318 PECOS PAC ID: 3375628712 Enrollment ID: I20170807000977 |
| Provider Name | Alton D Temple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548466840 PECOS PAC ID: 4789729484 Enrollment ID: I20170811002517 |
| Provider Name | David J Patton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548224637 PECOS PAC ID: 9032409321 Enrollment ID: I20170822001265 |
| Provider Name | Abhishek Freyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982968459 PECOS PAC ID: 8022380294 Enrollment ID: I20170823000696 |
| Provider Name | Amar S Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477828523 PECOS PAC ID: 1153623749 Enrollment ID: I20170831002413 |
| Provider Name | Peter Abromaitis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205277449 PECOS PAC ID: 7911134085 Enrollment ID: I20170908001052 |
| Provider Name | Christa M Petko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528499860 PECOS PAC ID: 3476785031 Enrollment ID: I20171129000487 |
| Provider Name | Sohail Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689602930 PECOS PAC ID: 7618980921 Enrollment ID: I20171129002370 |
| Provider Name | Anne Bagley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336221084 PECOS PAC ID: 1355495375 Enrollment ID: I20171204000194 |
| Provider Name | Chukwuma Umunakwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013276815 PECOS PAC ID: 6002120292 Enrollment ID: I20171204000603 |
| Provider Name | Olena M Dutton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104964584 PECOS PAC ID: 4688778061 Enrollment ID: I20171214002309 |
| Provider Name | Sameera Ishtiaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609287606 PECOS PAC ID: 1850659681 Enrollment ID: I20171227001101 |
| Provider Name | Beverly J Ricker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164476180 PECOS PAC ID: 4486608007 Enrollment ID: I20171229002192 |
| Provider Name | Karen D Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083998371 PECOS PAC ID: 4587899570 Enrollment ID: I20180111000406 |
| Provider Name | Tanya M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154847614 PECOS PAC ID: 3375802556 Enrollment ID: I20180116000499 |
| Provider Name | Peter C Mccann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114309952 PECOS PAC ID: 5193084036 Enrollment ID: I20180122001954 |
| Provider Name | Vivek Sharma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740497882 PECOS PAC ID: 8123166873 Enrollment ID: I20180209000944 |
| Provider Name | Hariprasad S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574834 PECOS PAC ID: 7719941491 Enrollment ID: I20180209001497 |
| Provider Name | Nidal Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20180212002028 |
| Provider Name | Monika Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114368974 PECOS PAC ID: 6507153541 Enrollment ID: I20180213003120 |
| Provider Name | Joseph R Giles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477935302 PECOS PAC ID: 7719247543 Enrollment ID: I20180215002292 |
| Provider Name | Keith Willner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386026219 PECOS PAC ID: 0244591816 Enrollment ID: I20180221002536 |
| Provider Name | Vipin D Villgran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013262690 PECOS PAC ID: 9335454891 Enrollment ID: I20180222002510 |
| Provider Name | Dennis Daniels |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265404222 PECOS PAC ID: 5991808628 Enrollment ID: I20180314002439 |
| Provider Name | Mohamed B Hagahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831571082 PECOS PAC ID: 8527320902 Enrollment ID: I20180322002781 |
| Provider Name | Joseph G Mollura |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093024754 PECOS PAC ID: 3072870260 Enrollment ID: I20180327001097 |
| Provider Name | Affan Haleem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235577099 PECOS PAC ID: 1456613777 Enrollment ID: I20180327001684 |
| Provider Name | Stephen Mohney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073995247 PECOS PAC ID: 1658633771 Enrollment ID: I20180329000434 |
| Provider Name | Nilesh K Patil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285827840 PECOS PAC ID: 4082700356 Enrollment ID: I20180411000015 |
| Provider Name | Paul M Gera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154565695 PECOS PAC ID: 8224278775 Enrollment ID: I20180424000920 |
| Provider Name | Gary Richard Marree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952738924 PECOS PAC ID: 6507097268 Enrollment ID: I20180430000440 |
| Provider Name | Andrew Timothy Catherine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467834309 PECOS PAC ID: 6406111392 Enrollment ID: I20180524000130 |
| Provider Name | Ronald Kunst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326026543 PECOS PAC ID: 6608866553 Enrollment ID: I20180606000066 |
| Provider Name | Zorawar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114313715 PECOS PAC ID: 4587971114 Enrollment ID: I20180716001571 |
| Provider Name | Denise L Lasko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851403885 PECOS PAC ID: 0840221818 Enrollment ID: I20180716002651 |
| Provider Name | Michael Desiderio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720388143 PECOS PAC ID: 6204106404 Enrollment ID: I20180719002737 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20180724001069 |
| Provider Name | Ahmad Alkaddour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659660272 PECOS PAC ID: 7315163615 Enrollment ID: I20180803001360 |
| Provider Name | Vency James Laurent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043531452 PECOS PAC ID: 0244455368 Enrollment ID: I20180815000560 |
| Provider Name | Nabeel Sawaged |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366821779 PECOS PAC ID: 9739438821 Enrollment ID: I20180822003709 |
| Provider Name | David Kung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669656922 PECOS PAC ID: 3971656356 Enrollment ID: I20180827002219 |
| Provider Name | Radhika Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366820235 PECOS PAC ID: 3779867544 Enrollment ID: I20180827003656 |
| Provider Name | Lakshmi Talasila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508248725 PECOS PAC ID: 0547564841 Enrollment ID: I20180829000133 |
| Provider Name | Roberto C Valenzuela |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104858521 PECOS PAC ID: 9830084821 Enrollment ID: I20180831000070 |
| Provider Name | Deepika Beereddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730555152 PECOS PAC ID: 0042561912 Enrollment ID: I20180918000044 |
| Provider Name | Divya Motkur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407243256 PECOS PAC ID: 0244581064 Enrollment ID: I20180918002547 |
| Provider Name | Ian Jester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750731147 PECOS PAC ID: 7113278383 Enrollment ID: I20180927000357 |
| Provider Name | Meghana Rajashekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881075307 PECOS PAC ID: 3577866375 Enrollment ID: I20180927000463 |
| Provider Name | Paula A Beasley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417043183 PECOS PAC ID: 3870594161 Enrollment ID: I20180927001125 |
| Provider Name | Matthew F Charek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134572506 PECOS PAC ID: 9133470339 Enrollment ID: I20180927001738 |
| Provider Name | Ryan J Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215322243 PECOS PAC ID: 3577850809 Enrollment ID: I20180928001179 |
| Provider Name | Kelly M Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003393224 PECOS PAC ID: 6406109537 Enrollment ID: I20181019000297 |
| Provider Name | Ahmed Z Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851779326 PECOS PAC ID: 2062765845 Enrollment ID: I20181024001559 |
| Provider Name | Alexander Yun Huh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760832745 PECOS PAC ID: 5193079705 Enrollment ID: I20181119001304 |
| Provider Name | Ryan M Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144670050 PECOS PAC ID: 7719231323 Enrollment ID: I20181119001351 |
| Provider Name | Meghan Christie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477903334 PECOS PAC ID: 8527312149 Enrollment ID: I20181119001434 |
| Provider Name | Rachael C Westover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275983231 PECOS PAC ID: 2668726134 Enrollment ID: I20181120000448 |
| Provider Name | Vinh-truyen Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679693105 PECOS PAC ID: 3870689490 Enrollment ID: I20181211001925 |
| Provider Name | Alia Abida Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699165944 PECOS PAC ID: 1658640180 Enrollment ID: I20181219000462 |
| Provider Name | Arjamon Deb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659722551 PECOS PAC ID: 9537404074 Enrollment ID: I20190102002414 |
| Provider Name | Andrew Forest Micciche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679926059 PECOS PAC ID: 2567707011 Enrollment ID: I20190102002753 |
| Provider Name | Daniel S Kowalsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346690450 PECOS PAC ID: 5294070744 Enrollment ID: I20190102002779 |
| Provider Name | Melody Ko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801134309 PECOS PAC ID: 4183998826 Enrollment ID: I20190322002150 |
| Provider Name | Michael Silverberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417086729 PECOS PAC ID: 3971751926 Enrollment ID: I20190326002147 |
| Provider Name | James Edward Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810309 PECOS PAC ID: 0648559070 Enrollment ID: I20190411000166 |
| Provider Name | Mary Beth Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982055646 PECOS PAC ID: 0547556490 Enrollment ID: I20190628001717 |
| Provider Name | Christopher Paul Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073838017 PECOS PAC ID: 6608029905 Enrollment ID: I20190820001039 |
| Provider Name | Marco Caccamo |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1164696530 PECOS PAC ID: 3173701372 Enrollment ID: I20190826000079 |
| Provider Name | Johat Aponte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033504030 PECOS PAC ID: 6406103233 Enrollment ID: I20190827000600 |
| Provider Name | Henry C Quevedo Diaz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679708374 PECOS PAC ID: 8325337686 Enrollment ID: I20190930000068 |
| Provider Name | Patrick Russell Burnside |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992880884 PECOS PAC ID: 0446343339 Enrollment ID: I20191030000740 |
| Provider Name | Melvin M Melathe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356720239 PECOS PAC ID: 5092088625 Enrollment ID: I20191118002299 |
| Provider Name | Shane Dragan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982024048 PECOS PAC ID: 8628370293 Enrollment ID: I20191121002207 |
| Provider Name | Thomas Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407028707 PECOS PAC ID: 0648469676 Enrollment ID: I20200121000691 |
| Provider Name | Moriah Mowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891340527 PECOS PAC ID: 3173959822 Enrollment ID: I20200129000581 |
| Provider Name | Andrea R Karpency |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114568854 PECOS PAC ID: 7911333265 Enrollment ID: I20200204001948 |
| Provider Name | Lakshmikumar Pillai |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316045966 PECOS PAC ID: 5092747550 Enrollment ID: I20200206000031 |
| Provider Name | Suresh Tammineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790981868 PECOS PAC ID: 0648462580 Enrollment ID: I20200218001004 |
| Provider Name | Sean J Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558783282 PECOS PAC ID: 3375774664 Enrollment ID: I20200420000718 |
| Provider Name | Glen Awen Pu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720069834 PECOS PAC ID: 8820992316 Enrollment ID: I20200428000446 |
| Provider Name | Valerie Gironda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073834123 PECOS PAC ID: 7517183122 Enrollment ID: I20200501000812 |
| Provider Name | Melissa S Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851926224 PECOS PAC ID: 4880025360 Enrollment ID: I20200518001158 |
| Provider Name | Yaw Fordjour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710411798 PECOS PAC ID: 1153691928 Enrollment ID: I20200611001711 |
| Provider Name | Bijal Patel Neal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801013420 PECOS PAC ID: 3072522101 Enrollment ID: I20200713002309 |
| Provider Name | Michelle Angeline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194266502 PECOS PAC ID: 7719256742 Enrollment ID: I20200721003857 |
| Provider Name | Abbas Omais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699748046 PECOS PAC ID: 9133213226 Enrollment ID: I20200722003200 |
| Provider Name | Scott Meester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932630654 PECOS PAC ID: 8426327214 Enrollment ID: I20200731000031 |
| Provider Name | Abhinav Kumar Nadipalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841711397 PECOS PAC ID: 5698190676 Enrollment ID: I20200807001773 |
| Provider Name | Palam Annamalai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972529584 PECOS PAC ID: 5698776144 Enrollment ID: I20200826001754 |
| Provider Name | Joseph Hansroth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841731114 PECOS PAC ID: 6901141266 Enrollment ID: I20200908001447 |
| Provider Name | Brandon Daniel Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003347576 PECOS PAC ID: 1557630134 Enrollment ID: I20200914001605 |
| Provider Name | Sharmeen Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053832378 PECOS PAC ID: 0345669214 Enrollment ID: I20200925000519 |
| Provider Name | Erfanul Saker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316479041 PECOS PAC ID: 7618215609 Enrollment ID: I20200928002211 |
| Provider Name | Bryan D Raybuck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205833258 PECOS PAC ID: 5395640601 Enrollment ID: I20201005000032 |
| Provider Name | Kristin Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104367507 PECOS PAC ID: 7911277512 Enrollment ID: I20201007001085 |
| Provider Name | Debra L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912520800 PECOS PAC ID: 6709206782 Enrollment ID: I20201013000806 |
| Provider Name | Lisa Denardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669816674 PECOS PAC ID: 8820382245 Enrollment ID: I20201016001323 |
| Provider Name | Mariam Shakeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467966341 PECOS PAC ID: 0941611289 Enrollment ID: I20201118000399 |
| Provider Name | Anthony Roda-renzelli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992803506 PECOS PAC ID: 3678605839 Enrollment ID: I20210120002932 |
| Provider Name | David Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396304275 PECOS PAC ID: 8527397033 Enrollment ID: I20210127003256 |
| Provider Name | Bradley Edward Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518335058 PECOS PAC ID: 5294140018 Enrollment ID: I20210209000083 |
| Provider Name | Kelsey Bauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831518794 PECOS PAC ID: 9436488590 Enrollment ID: I20210419000001 |
| Provider Name | Louis J Bivona |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942694914 PECOS PAC ID: 1355640392 Enrollment ID: I20210520000182 |
| Provider Name | Manga Prashanti Atluri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932275609 PECOS PAC ID: 3577564509 Enrollment ID: I20210525000168 |
| Provider Name | Lindsey Meyers Enger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194247973 PECOS PAC ID: 0143591719 Enrollment ID: I20210621000887 |
| Provider Name | Sabah Meher Sarwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609366772 PECOS PAC ID: 2567715691 Enrollment ID: I20210629001230 |
| Provider Name | Breanna Nolan Sheppard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538651526 PECOS PAC ID: 5193069052 Enrollment ID: I20210706002195 |
| Provider Name | Vikrant Jagadeesan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750794145 PECOS PAC ID: 0840416632 Enrollment ID: I20210713003995 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20210729000246 |
| Provider Name | Brian Keith Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518408756 PECOS PAC ID: 4486058955 Enrollment ID: I20210805000221 |
| Provider Name | Dominic Joseph Cottrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558340174 PECOS PAC ID: 1254325525 Enrollment ID: I20210818000085 |
| Provider Name | Christopher Bianco |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285877688 PECOS PAC ID: 4183877814 Enrollment ID: I20210826001135 |
| Provider Name | Andrew Wroblewski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316333800 PECOS PAC ID: 0244539823 Enrollment ID: I20210830001165 |
| Provider Name | Marquis Demniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144749 PECOS PAC ID: 8820378839 Enrollment ID: I20210907000052 |
| Provider Name | Tyler Jeffrey Delaney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306373998 PECOS PAC ID: 5991073785 Enrollment ID: I20210907000214 |
| Provider Name | Janet Chan Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851898662 PECOS PAC ID: 0143626374 Enrollment ID: I20210913003217 |
| Provider Name | Toni Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639847874 PECOS PAC ID: 5597163618 Enrollment ID: I20211004003043 |
| Provider Name | Ramesh Daggubati |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083600522 PECOS PAC ID: 1759300759 Enrollment ID: I20211005001280 |
| Provider Name | Brett Tomlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083032940 PECOS PAC ID: 5092096016 Enrollment ID: I20211007000045 |
| Provider Name | Mohammad Akram Kawsara |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154636405 PECOS PAC ID: 8820240617 Enrollment ID: I20211013001391 |
| Provider Name | Elizabeth Mazezka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861997033 PECOS PAC ID: 6709134240 Enrollment ID: I20211014000208 |
| Provider Name | Autumn Rae Mrosko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245871888 PECOS PAC ID: 2668860149 Enrollment ID: I20211103000207 |
| Provider Name | Nathaniel Mohney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972949865 PECOS PAC ID: 5597068668 Enrollment ID: I20211110000089 |
| Provider Name | Matthew Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457550691 PECOS PAC ID: 5092953562 Enrollment ID: I20211110000323 |
| Provider Name | Todd Nicholas Tom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154327559 PECOS PAC ID: 8820005333 Enrollment ID: I20211201000225 |
| Provider Name | Danh Pham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619312378 PECOS PAC ID: 2264734854 Enrollment ID: I20211229000436 |
| Provider Name | Sashi K Inkollu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235368606 PECOS PAC ID: 8628207123 Enrollment ID: I20220110001842 |
| Provider Name | Marilyn Kline |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629027586 PECOS PAC ID: 8325050933 Enrollment ID: I20220111002929 |
| Provider Name | Tanmay Lal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255380093 PECOS PAC ID: 4486646536 Enrollment ID: I20220215000001 |
| Provider Name | Julie Furajter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104587096 PECOS PAC ID: 9335533660 Enrollment ID: I20220302000109 |
| Provider Name | Alexandra Kae Lawler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861051112 PECOS PAC ID: 6204163991 Enrollment ID: I20220303000041 |
| Provider Name | David Dalsimer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477530848 PECOS PAC ID: 6709780851 Enrollment ID: I20220329001929 |
| Provider Name | Kevin Train |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265813018 PECOS PAC ID: 2961807227 Enrollment ID: I20220330001274 |
| Provider Name | Alok Bhatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821470279 PECOS PAC ID: 4183924517 Enrollment ID: I20220413000159 |
| Provider Name | Vincent M Centore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891316063 PECOS PAC ID: 3375966096 Enrollment ID: I20220521000296 |
| Provider Name | Uyi-oghosa Idemudia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629065131 PECOS PAC ID: 3173555885 Enrollment ID: I20220526002814 |
| Provider Name | Trishala Menon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952953366 PECOS PAC ID: 3678951431 Enrollment ID: I20220607001349 |
| Provider Name | Andrew Licata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053843813 PECOS PAC ID: 9537548854 Enrollment ID: I20220616001879 |
| Provider Name | Daniel John Mcclelland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275074502 PECOS PAC ID: 5799056149 Enrollment ID: I20220706000343 |
| Provider Name | Nicholas A Naro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740679604 PECOS PAC ID: 6305131434 Enrollment ID: I20220711001492 |
| Provider Name | Ayla Khawer Zubair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528419017 PECOS PAC ID: 0648514620 Enrollment ID: I20220713003306 |
| Provider Name | Sarah Raafat Rafla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316503931 PECOS PAC ID: 8729312327 Enrollment ID: I20220730000453 |
| Provider Name | Audra Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376031708 PECOS PAC ID: 5294084224 Enrollment ID: I20220801000377 |
| Provider Name | Ramazan Kamil Peker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649913625 PECOS PAC ID: 0749662922 Enrollment ID: I20220811001136 |
| Provider Name | Katherine V Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942654561 PECOS PAC ID: 3375831696 Enrollment ID: I20220825001257 |
| Provider Name | Brittney Marie Stimac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558894352 PECOS PAC ID: 5698043032 Enrollment ID: I20220922001741 |
| Provider Name | Anna Maria Suray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407819360 PECOS PAC ID: 6800984568 Enrollment ID: I20221026001159 |
| Provider Name | Aimee Seningen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144424961 PECOS PAC ID: 0244328904 Enrollment ID: I20221101000545 |
| Provider Name | Gene Wook Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134651706 PECOS PAC ID: 5799152856 Enrollment ID: I20221102000015 |
| Provider Name | Sonali Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225148505 PECOS PAC ID: 6507233111 Enrollment ID: I20221116002701 |
| Provider Name | Ruby Havistin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477999159 PECOS PAC ID: 0446556898 Enrollment ID: I20230404000281 |
| Provider Name | Ariana Marie Barkley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124654017 PECOS PAC ID: 4082071527 Enrollment ID: I20230527000249 |
| Provider Name | Julia Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467077040 PECOS PAC ID: 9537588538 Enrollment ID: I20230606000353 |
| Provider Name | Syed Azharuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225489727 PECOS PAC ID: 6709137029 Enrollment ID: I20230612001622 |
| Provider Name | Joseph Desilets |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528453545 PECOS PAC ID: 9032412713 Enrollment ID: I20230614003589 |
| Provider Name | Analissa Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053003061 PECOS PAC ID: 3476913351 Enrollment ID: I20230725000046 |
| Provider Name | James Thomas Webber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467459479 PECOS PAC ID: 0840257572 Enrollment ID: I20230804003526 |
| Provider Name | Janet Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245861442 PECOS PAC ID: 1052505120 Enrollment ID: I20230807003913 |
| Provider Name | Brent Digiorgio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861951857 PECOS PAC ID: 5496117152 Enrollment ID: I20230811000839 |
| Provider Name | Saad Mohammad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053807933 PECOS PAC ID: 8325397367 Enrollment ID: I20230815002536 |
| Provider Name | Felistia Nicole Crowder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033745047 PECOS PAC ID: 4183086523 Enrollment ID: I20230816002220 |
| Provider Name | Jon Hammarstedt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427552355 PECOS PAC ID: 8729326400 Enrollment ID: I20230914004202 |
| Provider Name | Ziad Dimachkie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578976338 PECOS PAC ID: 3375834328 Enrollment ID: I20230915003589 |
| Provider Name | Christine Marini Flinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477012383 PECOS PAC ID: 4385098623 Enrollment ID: I20230920003461 |
| Provider Name | Joseph Del Zotto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447887963 PECOS PAC ID: 0648694661 Enrollment ID: I20231018001147 |
| Provider Name | Tuncay Taskesen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245619741 PECOS PAC ID: 5890042352 Enrollment ID: I20231024001380 |
| Provider Name | Jessica Patterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497214746 PECOS PAC ID: 8820457716 Enrollment ID: I20231103001822 |
| Provider Name | Emily Anne Piwowar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811670425 PECOS PAC ID: 5193172666 Enrollment ID: I20231106003332 |
| Provider Name | Joshua Blitstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639533698 PECOS PAC ID: 6002101573 Enrollment ID: I20231117002133 |
| Provider Name | Rebecca David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184316820 PECOS PAC ID: 1557719663 Enrollment ID: I20231130001342 |
| Provider Name | Torrey Dennis Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093587818 PECOS PAC ID: 6901255165 Enrollment ID: I20231213001188 |
| Provider Name | Muchi Ditah Chobufo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053810135 PECOS PAC ID: 6608120480 Enrollment ID: I20231222001533 |
| Provider Name | Julio Rodriguez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588157473 PECOS PAC ID: 3577979731 Enrollment ID: I20231229002136 |
| Provider Name | Jason Moreland |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962612408 PECOS PAC ID: 6608908934 Enrollment ID: I20240119000506 |
| Provider Name | Amy Louise Defazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578347613 PECOS PAC ID: 3678925096 Enrollment ID: I20240122000404 |
| Provider Name | Joshua Wiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619553757 PECOS PAC ID: 1759734338 Enrollment ID: I20240131000119 |
| Provider Name | Muhammad Waqar Elahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134606676 PECOS PAC ID: 2264780006 Enrollment ID: I20240402000895 |
| Provider Name | Haris Asif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861016354 PECOS PAC ID: 6608238332 Enrollment ID: I20240405002761 |
| Provider Name | Malcolm Doyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679566053 PECOS PAC ID: 7810012283 Enrollment ID: I20240410000051 |
| Provider Name | Nicholas Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639609829 PECOS PAC ID: 8022387752 Enrollment ID: I20240411003647 |
| Provider Name | James Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20240426002525 |
| Provider Name | Michael Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20240428000090 |
| Provider Name | Sameh Sakla |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518250307 PECOS PAC ID: 5294080230 Enrollment ID: I20240501001507 |
| Provider Name | Mac Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619407913 PECOS PAC ID: 7214201870 Enrollment ID: I20240510001010 |
| Provider Name | Duke R Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578579728 PECOS PAC ID: 3870591100 Enrollment ID: I20240510002003 |
| Provider Name | Zenas Igbinoba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053816868 PECOS PAC ID: 8224366885 Enrollment ID: I20240513003660 |
| Provider Name | Victor Mandanas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356413785 PECOS PAC ID: 8628077948 Enrollment ID: I20240520001196 |
| Provider Name | Heather Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972189959 PECOS PAC ID: 8022450279 Enrollment ID: I20240520003796 |
| Provider Name | Timothy Hellewell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922030733 PECOS PAC ID: 7113930306 Enrollment ID: I20240523003787 |
| Provider Name | Andrew Kaiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588070197 PECOS PAC ID: 4880995893 Enrollment ID: I20240524001352 |
| Provider Name | Atul Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487861720 PECOS PAC ID: 8628255361 Enrollment ID: I20240604002929 |
| Provider Name | Bruce Urban |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376578369 PECOS PAC ID: 0840256624 Enrollment ID: I20240605000006 |
| Provider Name | Joseph Minardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007739 PECOS PAC ID: 3971529140 Enrollment ID: I20240606003150 |
| Provider Name | Robert Port |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932208568 PECOS PAC ID: 0345135091 Enrollment ID: I20240618000699 |
| Provider Name | Eric Bradley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417458373 PECOS PAC ID: 1658608690 Enrollment ID: I20240624000716 |
| Provider Name | Hassan Semaan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209420 PECOS PAC ID: 9830081744 Enrollment ID: I20240705000460 |
| Provider Name | Mary Shell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114501566 PECOS PAC ID: 4789086034 Enrollment ID: I20240708002774 |
| Provider Name | Samian Sulaiman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972851335 PECOS PAC ID: 8921223157 Enrollment ID: I20240708004227 |
| Provider Name | Sejal Neel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396323275 PECOS PAC ID: 3173069044 Enrollment ID: I20240726003739 |
| Provider Name | Todd Duggan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457380149 PECOS PAC ID: 1759485733 Enrollment ID: I20240729001398 |
| Provider Name | Waseem Muhammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568047538 PECOS PAC ID: 3870030687 Enrollment ID: I20240802000414 |
| Provider Name | Matthew Cunningham-hill |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275997348 PECOS PAC ID: 8123311743 Enrollment ID: I20240829002535 |
| Provider Name | Jason Kinney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114458932 PECOS PAC ID: 4981975356 Enrollment ID: I20240904000172 |
| Provider Name | Zachery Greathouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033797675 PECOS PAC ID: 2668912452 Enrollment ID: I20240906004143 |
| Provider Name | Jesus Lemus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700070299 PECOS PAC ID: 0648301408 Enrollment ID: I20240913000126 |
| Provider Name | Joelle Potts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891225611 PECOS PAC ID: 1052684305 Enrollment ID: I20240917004979 |
| Provider Name | Waqas Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851911432 PECOS PAC ID: 2062832827 Enrollment ID: I20241001003085 |
| Provider Name | Islam Younes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003468877 PECOS PAC ID: 7911373725 Enrollment ID: I20241002001302 |
| Provider Name | Achint Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154785111 PECOS PAC ID: 1456643519 Enrollment ID: I20241007000284 |
| Provider Name | Vikash Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861045981 PECOS PAC ID: 8123498268 Enrollment ID: I20241007001269 |
| Provider Name | Srikanth Yandrapalli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790186252 PECOS PAC ID: 8426432303 Enrollment ID: I20241008000560 |
| Provider Name | Tahreem Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447819198 PECOS PAC ID: 3779918354 Enrollment ID: I20241010000283 |
| Provider Name | Tiffany Blosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528451275 PECOS PAC ID: 7416274451 Enrollment ID: I20241010000374 |
| Provider Name | Deo Mulindwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881092385 PECOS PAC ID: 3476869587 Enrollment ID: I20241016001906 |
| Provider Name | Marcelino Mederos Liriano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205585171 PECOS PAC ID: 1355873159 Enrollment ID: I20241017003848 |
| Provider Name | Yusuf Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609004233 PECOS PAC ID: 7416137419 Enrollment ID: I20241105001982 |
| Provider Name | Nicholas Overton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831725803 PECOS PAC ID: 9830557446 Enrollment ID: I20241105002266 |
| Provider Name | Danielle Decicco |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467115006 PECOS PAC ID: 6305370560 Enrollment ID: I20241111001146 |
| Provider Name | Adekunle Kiladejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467748335 PECOS PAC ID: 1951522275 Enrollment ID: I20250228000730 |
| Provider Name | Mark Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992025084 PECOS PAC ID: 5294038477 Enrollment ID: I20250306002890 |
| Provider Name | Mark Polak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265512255 PECOS PAC ID: 7214902444 Enrollment ID: I20250310000910 |
Fayette Physician Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Mary Higginson Ln, Suite 1, Uniontown, PA 15401 Phone: 724-430-5940 Fax: 724-430-3879 | |
Flores Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Morgantown St, Uniontown, PA 15401 Phone: 724-439-4800 | |
Cornerstone Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 N Beeson Ave, Uniontown, PA 15401 Phone: 724-439-1628 Fax: 724-439-0171 | |
Centerville Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 86 Mcclellandtown Rd, Uniontown, PA 15401 Phone: 724-430-7990 Fax: 724-430-7993 | |
Uniontown Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Berkeley St, Uniontown, PA 15401 Phone: 724-430-5108 Fax: 724-430-3382 | |
Southwestern Gastrointestinal Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Spring Creek Lane, Uniontown, PA 15401 Phone: 724-437-7677 Fax: 724-437-3215 | |
Uniontown Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Berkeley St, Uniontown, PA 15401 Phone: 724-430-5531 Fax: 724-430-3350 |