| Franciscan Physician Network | |
|
8111 S Emerson Ave Indianapolis IN 46237-8601 | |
| (317) 528-4800 | |
| (317) 865-1479 |
| Full Name | Franciscan Physician Network |
|---|---|
| Speciality | Family Medicine |
| Location | 8111 S Emerson Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Donna Phalen (DIRECTOR) |
| Authorized Official Contact | 2195544548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Franciscan Physician Network Po Box 781076 Detroit MI 48278-1076 Ph: (317) 528-4800 | Franciscan Physician Network 8111 S Emerson Ave Indianapolis IN 46237-8601 Ph: (317) 528-4800 |
| NPI Number | 1225327984 |
|---|---|
| Provider Enumeration Date | 04/04/2011 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Medicare PECOS PAC ID | 3072790682 |
|---|---|
| Medicare Enrollment ID | O20110608000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225327984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Mark Griffith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477575769 PECOS PAC ID: 9739083197 Enrollment ID: I20031126000333 |
| Provider Name | Theodore T Wagner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831162791 PECOS PAC ID: 5092611632 Enrollment ID: I20031217000099 |
| Provider Name | Keith W March |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285656512 PECOS PAC ID: 5395631857 Enrollment ID: I20040223001207 |
| Provider Name | Corynn E Cannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972515450 PECOS PAC ID: 5597652131 Enrollment ID: I20040301000097 |
| Provider Name | Daniel W Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417961293 PECOS PAC ID: 1355231341 Enrollment ID: I20040315001518 |
| Provider Name | Donald E Mcmahon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679555718 PECOS PAC ID: 2062304918 Enrollment ID: I20040326000266 |
| Provider Name | Charles Loyd Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114927373 PECOS PAC ID: 9638165012 Enrollment ID: I20040421001514 |
| Provider Name | Jagjeevan Gandra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205821014 PECOS PAC ID: 2567450356 Enrollment ID: I20040501000426 |
| Provider Name | Bikash Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093700825 PECOS PAC ID: 0547258246 Enrollment ID: I20040503000716 |
| Provider Name | Scot E Hagadorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134143852 PECOS PAC ID: 1850389016 Enrollment ID: I20040505000842 |
| Provider Name | John P Snook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710962840 PECOS PAC ID: 3072502731 Enrollment ID: I20040507001089 |
| Provider Name | Hesham M Bazaraa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063407872 PECOS PAC ID: 1850372111 Enrollment ID: I20040525000365 |
| Provider Name | Peter J Hillsamer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316026545 PECOS PAC ID: 8224029095 Enrollment ID: I20040607001030 |
| Provider Name | Thomas D Magill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063421188 PECOS PAC ID: 1052395696 Enrollment ID: I20040614000495 |
| Provider Name | Tina L Delph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962576074 PECOS PAC ID: 7719962430 Enrollment ID: I20040618000543 |
| Provider Name | Mahmood G Alnahass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497756720 PECOS PAC ID: 3476538604 Enrollment ID: I20040622001002 |
| Provider Name | Joselito C Navarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457397119 PECOS PAC ID: 4385620095 Enrollment ID: I20040624001304 |
| Provider Name | Renee J Knutson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326017955 PECOS PAC ID: 5395721807 Enrollment ID: I20040625000626 |
| Provider Name | Jolanta a Lopatniuk Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245222090 PECOS PAC ID: 6204812720 Enrollment ID: I20040625000721 |
| Provider Name | Anita F Conte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295706646 PECOS PAC ID: 2961488820 Enrollment ID: I20040629001588 |
| Provider Name | Hilton Hudson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689614828 PECOS PAC ID: 7911984513 Enrollment ID: I20040702000867 |
| Provider Name | Lori E Oxley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033258447 PECOS PAC ID: 0941287361 Enrollment ID: I20040702000963 |
| Provider Name | Paul C Mattox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568562007 PECOS PAC ID: 6608855259 Enrollment ID: I20040716000511 |
| Provider Name | Robert Joseph Schnecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164516431 PECOS PAC ID: 6103805783 Enrollment ID: I20040716000745 |
| Provider Name | Bryan C Mcfarland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861499667 PECOS PAC ID: 1355321050 Enrollment ID: I20040722001291 |
| Provider Name | Louis F Janeira |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1487651329 PECOS PAC ID: 2769394014 Enrollment ID: I20040724000304 |
| Provider Name | Saeed R Shaikh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407828817 PECOS PAC ID: 8527048909 Enrollment ID: I20040726000219 |
| Provider Name | Ruolan L Pi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538152103 PECOS PAC ID: 3870563125 Enrollment ID: I20040726001487 |
| Provider Name | John Pete Katsaropoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063419968 PECOS PAC ID: 8729059803 Enrollment ID: I20040803000589 |
| Provider Name | Ramesh Unni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427039205 PECOS PAC ID: 3274504139 Enrollment ID: I20040804000273 |
| Provider Name | Minesh Bhasker Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841261005 PECOS PAC ID: 0941272496 Enrollment ID: I20040806000395 |
| Provider Name | Douglas a Dreher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285604355 PECOS PAC ID: 3971575309 Enrollment ID: I20040806001068 |
| Provider Name | Carla J Dreher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306816475 PECOS PAC ID: 7315919743 Enrollment ID: I20040806001084 |
| Provider Name | Polly Anne Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356325369 PECOS PAC ID: 2860465028 Enrollment ID: I20040816001131 |
| Provider Name | Kimberly M Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831172949 PECOS PAC ID: 1456324342 Enrollment ID: I20040818000787 |
| Provider Name | Suganthi Vijayaraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770575524 PECOS PAC ID: 0143295139 Enrollment ID: I20040901000994 |
| Provider Name | Douglas W Rookstool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497756563 PECOS PAC ID: 0042286668 Enrollment ID: I20040904000141 |
| Provider Name | Abul W Basher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891784500 PECOS PAC ID: 8729054341 Enrollment ID: I20040906000036 |
| Provider Name | Ma'n Adel Abdullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598766891 PECOS PAC ID: 7315914280 Enrollment ID: I20040911000161 |
| Provider Name | Victoria Ann Othersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629075429 PECOS PAC ID: 7012816309 Enrollment ID: I20040920001081 |
| Provider Name | Salah Elsaharty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982625224 PECOS PAC ID: 3072581800 Enrollment ID: I20040920001132 |
| Provider Name | Rock G Tiffault |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578528436 PECOS PAC ID: 9032187737 Enrollment ID: I20040921000367 |
| Provider Name | Nancy Michele George |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497743272 PECOS PAC ID: 7012985476 Enrollment ID: I20040922001242 |
| Provider Name | Elizabeth R Wittenmyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780765016 PECOS PAC ID: 3173597416 Enrollment ID: I20040925000035 |
| Provider Name | Tanya Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851383814 PECOS PAC ID: 1153381256 Enrollment ID: I20041013000782 |
| Provider Name | Kevin W Newby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699891879 PECOS PAC ID: 2567422207 Enrollment ID: I20041016000041 |
| Provider Name | Patricia L Wisler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649387028 PECOS PAC ID: 9032170766 Enrollment ID: I20041025001194 |
| Provider Name | Meredith W Cousin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952305534 PECOS PAC ID: 7618939919 Enrollment ID: I20041029000189 |
| Provider Name | Imad E Khadra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205855418 PECOS PAC ID: 1951363944 Enrollment ID: I20041102000293 |
| Provider Name | Rita a Mankus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982623120 PECOS PAC ID: 3375505290 Enrollment ID: I20041102000646 |
| Provider Name | Keven W Dodt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538187505 PECOS PAC ID: 9436111390 Enrollment ID: I20041102000911 |
| Provider Name | Kelley M Burton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801819511 PECOS PAC ID: 8729043369 Enrollment ID: I20041123000762 |
| Provider Name | Walter G Harry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700995669 PECOS PAC ID: 0547227670 Enrollment ID: I20041210000167 |
| Provider Name | Robert D Prock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457359309 PECOS PAC ID: 7315904547 Enrollment ID: I20041220000234 |
| Provider Name | Deepak G Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083636930 PECOS PAC ID: 6305894056 Enrollment ID: I20050110000275 |
| Provider Name | Kamaljeet S Girn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396859641 PECOS PAC ID: 2668421710 Enrollment ID: I20050117000128 |
| Provider Name | Lisa M Mctavish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982673687 PECOS PAC ID: 5991754954 Enrollment ID: I20050117000264 |
| Provider Name | Anjanipriya Tallamraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396780748 PECOS PAC ID: 4385694686 Enrollment ID: I20050125000348 |
| Provider Name | Jill M Reisman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881617538 PECOS PAC ID: 2365493863 Enrollment ID: I20050202000171 |
| Provider Name | Yvette Lozano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780780007 PECOS PAC ID: 1557313103 Enrollment ID: I20050211000542 |
| Provider Name | Abdul K Sankari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669494845 PECOS PAC ID: 1153383021 Enrollment ID: I20050219000016 |
| Provider Name | Chandana Vavilala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548230113 PECOS PAC ID: 6406809904 Enrollment ID: I20050224000541 |
| Provider Name | Gerald a Cahill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346357795 PECOS PAC ID: 7911951272 Enrollment ID: I20050309000578 |
| Provider Name | Michael Thomas Slaughter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306815394 PECOS PAC ID: 6800841230 Enrollment ID: I20050317000788 |
| Provider Name | Pamela R Pinchok |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386690675 PECOS PAC ID: 9638125685 Enrollment ID: I20050323000804 |
| Provider Name | Hosn Maatouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497725048 PECOS PAC ID: 8820991193 Enrollment ID: I20050428000576 |
| Provider Name | Stephen Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124050851 PECOS PAC ID: 2567436165 Enrollment ID: I20050502000259 |
| Provider Name | Jorie June Moberley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093717746 PECOS PAC ID: 5698715761 Enrollment ID: I20050509000208 |
| Provider Name | Billie a Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508837782 PECOS PAC ID: 7214978501 Enrollment ID: I20050517000745 |
| Provider Name | Steven M Bunag |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518965961 PECOS PAC ID: 5991790057 Enrollment ID: I20050517000789 |
| Provider Name | Pamela Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437133881 PECOS PAC ID: 6002857166 Enrollment ID: I20050518001105 |
| Provider Name | Gregory a Strock |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669436671 PECOS PAC ID: 1850334467 Enrollment ID: I20050606000190 |
| Provider Name | Stefan D Monev |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437125911 PECOS PAC ID: 2567405962 Enrollment ID: I20050607000466 |
| Provider Name | Gerard M Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689666240 PECOS PAC ID: 7618910878 Enrollment ID: I20050608000538 |
| Provider Name | Shagufta Asifa Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750373189 PECOS PAC ID: 0941243117 Enrollment ID: I20050608000597 |
| Provider Name | Arnold M Kemp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134111552 PECOS PAC ID: 3274576442 Enrollment ID: I20050608000627 |
| Provider Name | William H Giricz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710979760 PECOS PAC ID: 2163465345 Enrollment ID: I20050608000733 |
| Provider Name | Eugene Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972595726 PECOS PAC ID: 2062455173 Enrollment ID: I20050608001008 |
| Provider Name | Jeffrey P Gatz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609868207 PECOS PAC ID: 0840233979 Enrollment ID: I20050608001210 |
| Provider Name | Jason J Gutt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023175478 PECOS PAC ID: 9739123332 Enrollment ID: I20050614001458 |
| Provider Name | Anisha a Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114978798 PECOS PAC ID: 5496799967 Enrollment ID: I20050615000541 |
| Provider Name | Charles Russel Friend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184638868 PECOS PAC ID: 8022053263 Enrollment ID: I20050628000247 |
| Provider Name | Edwin Arellano Udani |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629065867 PECOS PAC ID: 1951346105 Enrollment ID: I20050628000415 |
| Provider Name | Miroslava H Kouzmova-moneva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649246844 PECOS PAC ID: 1456387257 Enrollment ID: I20050713000398 |
| Provider Name | Brenda F Heinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447267182 PECOS PAC ID: 7315974995 Enrollment ID: I20050726000236 |
| Provider Name | Matthew E Meyer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558328831 PECOS PAC ID: 8123056900 Enrollment ID: I20050802000913 |
| Provider Name | Deepak Ariga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700845260 PECOS PAC ID: 2860462017 Enrollment ID: I20050802000965 |
| Provider Name | Ashish Jain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245226331 PECOS PAC ID: 6305876723 Enrollment ID: I20050816000563 |
| Provider Name | Arti Raj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790729812 PECOS PAC ID: 7810927191 Enrollment ID: I20050816000995 |
| Provider Name | Kim B Simic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821116757 PECOS PAC ID: 8426089285 Enrollment ID: I20050822001354 |
| Provider Name | Manesh Parikshak |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356438626 PECOS PAC ID: 7214968148 Enrollment ID: I20050830000688 |
| Provider Name | Megan L Brock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609842657 PECOS PAC ID: 5597798173 Enrollment ID: I20050914000640 |
| Provider Name | David B Lemke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487642179 PECOS PAC ID: 4789617325 Enrollment ID: I20050914001114 |
| Provider Name | Rajarajeswari Majety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487648267 PECOS PAC ID: 6901872977 Enrollment ID: I20050914001280 |
| Provider Name | Trilok P Pathak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578557351 PECOS PAC ID: 0941233498 Enrollment ID: I20050914001309 |
| Provider Name | Shahnour Yaylayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104811009 PECOS PAC ID: 9032143839 Enrollment ID: I20050921000689 |
| Provider Name | Eugene Lyubashevsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952372039 PECOS PAC ID: 7214962026 Enrollment ID: I20050929001268 |
| Provider Name | Nitin Khanna |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679582803 PECOS PAC ID: 4880629245 Enrollment ID: I20051004001056 |
| Provider Name | Paul Y Shin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821011594 PECOS PAC ID: 7416848890 Enrollment ID: I20051013000394 |
| Provider Name | Kristin Lenee Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326117607 PECOS PAC ID: 1951327873 Enrollment ID: I20051020000365 |
| Provider Name | Scott L Sinnott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366401184 PECOS PAC ID: 9234158890 Enrollment ID: I20051114000624 |
| Provider Name | Cheng Du |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245209246 PECOS PAC ID: 2668491168 Enrollment ID: I20051114001121 |
| Provider Name | Mark a Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801867346 PECOS PAC ID: 1254234271 Enrollment ID: I20051115000220 |
| Provider Name | Michael D Barron |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508837014 PECOS PAC ID: 9830092816 Enrollment ID: I20051115000258 |
| Provider Name | David O Kovacich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447221981 PECOS PAC ID: 7416850433 Enrollment ID: I20051115000285 |
| Provider Name | Ony N Achufusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508857269 PECOS PAC ID: 5991767212 Enrollment ID: I20051115000832 |
| Provider Name | Richard Jay Shea |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578534004 PECOS PAC ID: 6002719036 Enrollment ID: I20051115000948 |
| Provider Name | Gina Marie Saylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801860325 PECOS PAC ID: 6901828953 Enrollment ID: I20051219000969 |
| Provider Name | Sudha Y Rani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811916083 PECOS PAC ID: 0446273411 Enrollment ID: I20060105000677 |
| Provider Name | Chris R Koford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568651842 PECOS PAC ID: 6204850845 Enrollment ID: I20060124000091 |
| Provider Name | Michael James Waddell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962420141 PECOS PAC ID: 8022022326 Enrollment ID: I20060125000870 |
| Provider Name | Joseph R Shinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518936079 PECOS PAC ID: 6709890254 Enrollment ID: I20060203000402 |
| Provider Name | Cynthia Lembcke Grundy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508865098 PECOS PAC ID: 8426063884 Enrollment ID: I20060207000648 |
| Provider Name | Susan M Schnerre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417942483 PECOS PAC ID: 9537174875 Enrollment ID: I20060208000360 |
| Provider Name | Craig Stuart Nadelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477596138 PECOS PAC ID: 3375558927 Enrollment ID: I20060217000480 |
| Provider Name | Michael David Bohlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306867783 PECOS PAC ID: 2567426133 Enrollment ID: I20060307000466 |
| Provider Name | Lonna Lynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851390918 PECOS PAC ID: 8426060393 Enrollment ID: I20060613000246 |
| Provider Name | Reena John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124010970 PECOS PAC ID: 5496767790 Enrollment ID: I20060706000035 |
| Provider Name | Vietta Louise Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285686899 PECOS PAC ID: 7911910971 Enrollment ID: I20060718000060 |
| Provider Name | Jason Cole Fleming |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053376640 PECOS PAC ID: 8022021880 Enrollment ID: I20060720000258 |
| Provider Name | Kishan B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265455836 PECOS PAC ID: 2264437961 Enrollment ID: I20061003000153 |
| Provider Name | Alejandro a Vega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316907819 PECOS PAC ID: 7719982339 Enrollment ID: I20061003000326 |
| Provider Name | Timothy M Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508828880 PECOS PAC ID: 9931105343 Enrollment ID: I20061006000586 |
| Provider Name | Asem a Rimawi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629005913 PECOS PAC ID: 0143226191 Enrollment ID: I20061013000420 |
| Provider Name | Mark W Lutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235141748 PECOS PAC ID: 1052310109 Enrollment ID: I20061219000114 |
| Provider Name | Ashwini Arora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417994039 PECOS PAC ID: 9638178668 Enrollment ID: I20061220000226 |
| Provider Name | Aleksandar Talevski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770520033 PECOS PAC ID: 8527067560 Enrollment ID: I20061220000331 |
| Provider Name | Mary Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770590374 PECOS PAC ID: 5294734281 Enrollment ID: I20061221000177 |
| Provider Name | Emily J Gropp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558305375 PECOS PAC ID: 7517967409 Enrollment ID: I20061227000047 |
| Provider Name | Cynthia S Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093756348 PECOS PAC ID: 5193725828 Enrollment ID: I20070103000376 |
| Provider Name | Manish Mannan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265461388 PECOS PAC ID: 0648270926 Enrollment ID: I20070110000582 |
| Provider Name | Kirti Ramnivas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922044965 PECOS PAC ID: 0345241238 Enrollment ID: I20070119000138 |
| Provider Name | Hitendrakumar M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407946486 PECOS PAC ID: 4587766001 Enrollment ID: I20070301000094 |
| Provider Name | Diane Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124112313 PECOS PAC ID: 8527161702 Enrollment ID: I20070308000084 |
| Provider Name | Anil Ranginani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376520999 PECOS PAC ID: 6901842368 Enrollment ID: I20070313000082 |
| Provider Name | Babu Satya K Doddapaneni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861453987 PECOS PAC ID: 6103895347 Enrollment ID: I20070315000325 |
| Provider Name | Annare L Loubser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881771368 PECOS PAC ID: 3274535885 Enrollment ID: I20070319000020 |
| Provider Name | Erika L Rager |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114977196 PECOS PAC ID: 1153424866 Enrollment ID: I20070319000406 |
| Provider Name | Clement Joseph Mcdonald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376604488 PECOS PAC ID: 1153424676 Enrollment ID: I20070321000142 |
| Provider Name | Jennifer Lockliear |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356449664 PECOS PAC ID: 7416050257 Enrollment ID: I20070322000000 |
| Provider Name | Emily a Aleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629162961 PECOS PAC ID: 2860596137 Enrollment ID: I20070326000318 |
| Provider Name | Yukmei Rebecca Lam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861429912 PECOS PAC ID: 8527162791 Enrollment ID: I20070327000672 |
| Provider Name | Timothy E Wiess |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710910815 PECOS PAC ID: 7810091873 Enrollment ID: I20070330000311 |
| Provider Name | Niraj K Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790717510 PECOS PAC ID: 0840394805 Enrollment ID: I20070330000374 |
| Provider Name | Mark a Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265552756 PECOS PAC ID: 3476658311 Enrollment ID: I20070420000372 |
| Provider Name | Frederick L Landman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134217524 PECOS PAC ID: 9032214861 Enrollment ID: I20070423000503 |
| Provider Name | Vidya S Kora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023075777 PECOS PAC ID: 0840103602 Enrollment ID: I20070509000245 |
| Provider Name | Anil M Chawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922066760 PECOS PAC ID: 3779689609 Enrollment ID: I20070509000286 |
| Provider Name | Jorge Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194762054 PECOS PAC ID: 7719084375 Enrollment ID: I20070517000091 |
| Provider Name | Ziad a Jaradat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851472260 PECOS PAC ID: 5193822351 Enrollment ID: I20070523000008 |
| Provider Name | Pradnya S Deshmukh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750400974 PECOS PAC ID: 2062519127 Enrollment ID: I20070524000234 |
| Provider Name | Thottathil Gopan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023148939 PECOS PAC ID: 9830297563 Enrollment ID: I20070604000726 |
| Provider Name | Maryann Therese Fumo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316001480 PECOS PAC ID: 9830297977 Enrollment ID: I20070613000221 |
| Provider Name | Dipen Champaklal Maun |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154547420 PECOS PAC ID: 3577662105 Enrollment ID: I20070622000431 |
| Provider Name | Fidel R Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629085857 PECOS PAC ID: 9436259561 Enrollment ID: I20070703000072 |
| Provider Name | Mark R Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710180518 PECOS PAC ID: 6800988825 Enrollment ID: I20070822001199 |
| Provider Name | Jennifer M Dauterman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750440434 PECOS PAC ID: 4284727645 Enrollment ID: I20070831000010 |
| Provider Name | Brian Paul Dickover |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083699904 PECOS PAC ID: 4587757893 Enrollment ID: I20070831000564 |
| Provider Name | Omiyosoye a Ololade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144235557 PECOS PAC ID: 8527151372 Enrollment ID: I20070910000727 |
| Provider Name | Naseer H Nasser |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063436582 PECOS PAC ID: 7315956562 Enrollment ID: I20070917000260 |
| Provider Name | Stacy K Dawkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588673651 PECOS PAC ID: 2567556921 Enrollment ID: I20070917000560 |
| Provider Name | Gina R Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184718710 PECOS PAC ID: 9234223587 Enrollment ID: I20070918000542 |
| Provider Name | Nirmala Murugavel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558363887 PECOS PAC ID: 4183718091 Enrollment ID: I20070924000248 |
| Provider Name | Samuel a Gbenro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982749008 PECOS PAC ID: 0446345037 Enrollment ID: I20070927000227 |
| Provider Name | Mary Prem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912918301 PECOS PAC ID: 3779678024 Enrollment ID: I20071001000709 |
| Provider Name | Adeola Adelayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996907 PECOS PAC ID: 1557322641 Enrollment ID: I20071002000154 |
| Provider Name | Hamid Reza Safavi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598722878 PECOS PAC ID: 7517052616 Enrollment ID: I20071004000479 |
| Provider Name | Ioannis Xenidis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497822480 PECOS PAC ID: 2264536598 Enrollment ID: I20071012000366 |
| Provider Name | Mary a Wentzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083802987 PECOS PAC ID: 6002903887 Enrollment ID: I20071025000357 |
| Provider Name | Tyler E Emley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407989932 PECOS PAC ID: 3678660289 Enrollment ID: I20071030000035 |
| Provider Name | Christopher Michael Louck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134266190 PECOS PAC ID: 1052408390 Enrollment ID: I20071102000086 |
| Provider Name | Andrew R Barksdale |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538363247 PECOS PAC ID: 2961597885 Enrollment ID: I20071102000217 |
| Provider Name | Mary M Glass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518921741 PECOS PAC ID: 0042308223 Enrollment ID: I20071126000393 |
| Provider Name | Jamie M Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093747123 PECOS PAC ID: 6406945575 Enrollment ID: I20071128000198 |
| Provider Name | Elisa R Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124050810 PECOS PAC ID: 1759470743 Enrollment ID: I20071128000490 |
| Provider Name | Donna M Ruebensam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639362841 PECOS PAC ID: 6800985995 Enrollment ID: I20071203000604 |
| Provider Name | Carey B Ransone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760605364 PECOS PAC ID: 2860582392 Enrollment ID: I20071220000347 |
| Provider Name | Islam a Bolad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780746198 PECOS PAC ID: 1052401437 Enrollment ID: I20071221000438 |
| Provider Name | Brenda Jeanne Danner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659592772 PECOS PAC ID: 9537259841 Enrollment ID: I20071226000074 |
| Provider Name | Jeanne Vrabel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043321755 PECOS PAC ID: 1153401377 Enrollment ID: I20071231000100 |
| Provider Name | James W Ehlich |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225010887 PECOS PAC ID: 8729168844 Enrollment ID: I20080102000314 |
| Provider Name | Lindsay R Johnson Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316099245 PECOS PAC ID: 9638262140 Enrollment ID: I20080201000476 |
| Provider Name | Erika R Cottrell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891986337 PECOS PAC ID: 2769566108 Enrollment ID: I20080225000462 |
| Provider Name | Glenn C Groom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871678144 PECOS PAC ID: 2668471731 Enrollment ID: I20080225000512 |
| Provider Name | William G Espar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952396855 PECOS PAC ID: 2769394071 Enrollment ID: I20080229000338 |
| Provider Name | Nicolette S Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437347358 PECOS PAC ID: 5092890251 Enrollment ID: I20080312000088 |
| Provider Name | Jennifer Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336336155 PECOS PAC ID: 9133204290 Enrollment ID: I20080313000235 |
| Provider Name | Christopher D Cobbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326172826 PECOS PAC ID: 5193800027 Enrollment ID: I20080317000282 |
| Provider Name | Daniel a Gay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417023581 PECOS PAC ID: 2961587845 Enrollment ID: I20080318000049 |
| Provider Name | Rodolfo L San Juan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881895233 PECOS PAC ID: 5698851962 Enrollment ID: I20080326000935 |
| Provider Name | Mohamad S Martini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255370136 PECOS PAC ID: 8325122708 Enrollment ID: I20080410000786 |
| Provider Name | Anthony Bashall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033290440 PECOS PAC ID: 2567549629 Enrollment ID: I20080414000509 |
| Provider Name | Michael Topor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982622239 PECOS PAC ID: 5597842682 Enrollment ID: I20080415000065 |
| Provider Name | Julie a Bower |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285836148 PECOS PAC ID: 8628156254 Enrollment ID: I20080423000422 |
| Provider Name | Cynthia L Butler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386847101 PECOS PAC ID: 6709964232 Enrollment ID: I20080423000438 |
| Provider Name | Mary Ubanwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548282668 PECOS PAC ID: 8628156056 Enrollment ID: I20080424000553 |
| Provider Name | Connie J Kitch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467654301 PECOS PAC ID: 4880772219 Enrollment ID: I20080424000575 |
| Provider Name | Colleen M Watson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881896702 PECOS PAC ID: 1456439801 Enrollment ID: I20080424000725 |
| Provider Name | Dawn a Lorton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538350517 PECOS PAC ID: 2567540966 Enrollment ID: I20080425000369 |
| Provider Name | Keith a Nalley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609913730 PECOS PAC ID: 1153490453 Enrollment ID: I20080513000093 |
| Provider Name | James Lee Gahimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144494592 PECOS PAC ID: 8921177148 Enrollment ID: I20080514000367 |
| Provider Name | Tricia a Mandelbaum |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548462401 PECOS PAC ID: 6901975630 Enrollment ID: I20080520000829 |
| Provider Name | Brian G Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205942075 PECOS PAC ID: 9234200528 Enrollment ID: I20080613000177 |
| Provider Name | George J Saliba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740217686 PECOS PAC ID: 2062473531 Enrollment ID: I20080702000158 |
| Provider Name | Katherine I Boone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215196241 PECOS PAC ID: 3870666423 Enrollment ID: I20080716000012 |
| Provider Name | Therese B Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134190523 PECOS PAC ID: 2163595901 Enrollment ID: I20080726000085 |
| Provider Name | Catherine Thyra Sam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710949839 PECOS PAC ID: 1254307820 Enrollment ID: I20080731000682 |
| Provider Name | Christa N Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881857928 PECOS PAC ID: 2567536071 Enrollment ID: I20080801000023 |
| Provider Name | Larissa Chism-buggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952460933 PECOS PAC ID: 2769579069 Enrollment ID: I20080805000038 |
| Provider Name | Rod E Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508946328 PECOS PAC ID: 2466526553 Enrollment ID: I20080807000475 |
| Provider Name | Julia G Garcia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275709768 PECOS PAC ID: 3375618473 Enrollment ID: I20080826000031 |
| Provider Name | Bradey T Kleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336345214 PECOS PAC ID: 8022184027 Enrollment ID: I20080827000280 |
| Provider Name | Michael J Best |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083621510 PECOS PAC ID: 1052487337 Enrollment ID: I20080910000639 |
| Provider Name | Ghaith M Nahlawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457380800 PECOS PAC ID: 4284638610 Enrollment ID: I20080915000516 |
| Provider Name | Keith W Cushing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043437395 PECOS PAC ID: 8527135516 Enrollment ID: I20080917000025 |
| Provider Name | Melissa Sue Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871795047 PECOS PAC ID: 9830266766 Enrollment ID: I20080918000522 |
| Provider Name | Samir H Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053592501 PECOS PAC ID: 2961589932 Enrollment ID: I20080919000480 |
| Provider Name | James C Pickford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790713733 PECOS PAC ID: 3274600721 Enrollment ID: I20080924000630 |
| Provider Name | Sameer Sharma |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033278056 PECOS PAC ID: 9739197138 Enrollment ID: I20080929000004 |
| Provider Name | Kamlesh Kaul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437143773 PECOS PAC ID: 1254409907 Enrollment ID: I20081007000788 |
| Provider Name | Carolyn M Valois |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558517300 PECOS PAC ID: 9436227964 Enrollment ID: I20081009000771 |
| Provider Name | Krista Michellle Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861697781 PECOS PAC ID: 7810065265 Enrollment ID: I20081013000067 |
| Provider Name | Kelly J Todd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366527152 PECOS PAC ID: 2860550068 Enrollment ID: I20081016000261 |
| Provider Name | Alexander Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316142235 PECOS PAC ID: 3779641873 Enrollment ID: I20081017000632 |
| Provider Name | Anthony a Andres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720237704 PECOS PAC ID: 4385702281 Enrollment ID: I20081022000017 |
| Provider Name | James O Hartson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821006602 PECOS PAC ID: 2567520463 Enrollment ID: I20081022000026 |
| Provider Name | Belarmino T Frogozo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780770255 PECOS PAC ID: 8628136454 Enrollment ID: I20081023000551 |
| Provider Name | Heather Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992979587 PECOS PAC ID: 6709945777 Enrollment ID: I20081105000422 |
| Provider Name | Selena Bartelson-andrews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922072628 PECOS PAC ID: 6608774708 Enrollment ID: I20081107000278 |
| Provider Name | Nicolas M Priscu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578545554 PECOS PAC ID: 7517027089 Enrollment ID: I20081114000076 |
| Provider Name | Meghana Raghavendra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902916109 PECOS PAC ID: 6901803394 Enrollment ID: I20081114000140 |
| Provider Name | Patricia Damron-robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831343870 PECOS PAC ID: 9335209345 Enrollment ID: I20081120000767 |
| Provider Name | Walid Samaan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093719502 PECOS PAC ID: 0345300257 Enrollment ID: I20081122000120 |
| Provider Name | Raza Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619933074 PECOS PAC ID: 5597705459 Enrollment ID: I20081204000013 |
| Provider Name | Michael L Hogan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033134432 PECOS PAC ID: 8921910332 Enrollment ID: I20081210000285 |
| Provider Name | Fardad Massoumi Bavil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013104546 PECOS PAC ID: 3678663515 Enrollment ID: I20090107000384 |
| Provider Name | Hosam Khayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144271206 PECOS PAC ID: 0042285298 Enrollment ID: I20090108000004 |
| Provider Name | Amy K Kotansky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962413682 PECOS PAC ID: 3678636289 Enrollment ID: I20090108000224 |
| Provider Name | Kristin M Gick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912142548 PECOS PAC ID: 9638233521 Enrollment ID: I20090121000258 |
| Provider Name | Monica Joyner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568608321 PECOS PAC ID: 9133285067 Enrollment ID: I20090302000370 |
| Provider Name | Revathy Ameeruddin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588730063 PECOS PAC ID: 4880589043 Enrollment ID: I20090310000322 |
| Provider Name | Michael L Hancock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588745343 PECOS PAC ID: 0648337329 Enrollment ID: I20090324000687 |
| Provider Name | Vanessa a Urban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538236864 PECOS PAC ID: 0648288340 Enrollment ID: I20090327000260 |
| Provider Name | Rebecca K Cutchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790935146 PECOS PAC ID: 3971660374 Enrollment ID: I20090331000057 |
| Provider Name | Yu Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043415706 PECOS PAC ID: 5395846901 Enrollment ID: I20090413000037 |
| Provider Name | Juan Bonilla |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558327015 PECOS PAC ID: 7012947153 Enrollment ID: I20090506000306 |
| Provider Name | Timothy J Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871751461 PECOS PAC ID: 1850441924 Enrollment ID: I20090611000098 |
| Provider Name | Scott a Williams |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508992140 PECOS PAC ID: 3678623790 Enrollment ID: I20090611000472 |
| Provider Name | Daniel M Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730302761 PECOS PAC ID: 0042362634 Enrollment ID: I20090713000191 |
| Provider Name | Ajita Narayan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467663856 PECOS PAC ID: 3173675428 Enrollment ID: I20090716000508 |
| Provider Name | Ben M Tsai |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1457524522 PECOS PAC ID: 6709938061 Enrollment ID: I20090716000628 |
| Provider Name | Sarah B Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225247760 PECOS PAC ID: 5991857989 Enrollment ID: I20090722000684 |
| Provider Name | Mazen Alakhras |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285617803 PECOS PAC ID: 2961394705 Enrollment ID: I20090723000482 |
| Provider Name | Michelle Rana Sluss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982832085 PECOS PAC ID: 3173676624 Enrollment ID: I20090730000193 |
| Provider Name | Shoaib H Rasheed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821082207 PECOS PAC ID: 5991791469 Enrollment ID: I20090730000341 |
| Provider Name | Ovidiu G Cristea |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790942175 PECOS PAC ID: 9537212881 Enrollment ID: I20090804000170 |
| Provider Name | Christopher a Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780843169 PECOS PAC ID: 8628121910 Enrollment ID: I20090804000612 |
| Provider Name | Emily a Damitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366678088 PECOS PAC ID: 4587718341 Enrollment ID: I20090813000699 |
| Provider Name | Sean a Chrystal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598968406 PECOS PAC ID: 8921109679 Enrollment ID: I20090817000596 |
| Provider Name | Sunil S Advani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285756031 PECOS PAC ID: 8820164296 Enrollment ID: I20090824000605 |
| Provider Name | Richard D Shults |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902025109 PECOS PAC ID: 5193870285 Enrollment ID: I20090825000489 |
| Provider Name | Sami Atassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801830534 PECOS PAC ID: 0042276669 Enrollment ID: I20090825000503 |
| Provider Name | David a Deschepper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871532978 PECOS PAC ID: 8729133798 Enrollment ID: I20090827000668 |
| Provider Name | Donald T Brower |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114998655 PECOS PAC ID: 0244385896 Enrollment ID: I20090902000579 |
| Provider Name | Olayemi Champion-odusola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053567040 PECOS PAC ID: 3779638036 Enrollment ID: I20090910000216 |
| Provider Name | Suzanne M Stiller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467423806 PECOS PAC ID: 0941355176 Enrollment ID: I20090911000213 |
| Provider Name | Claudet C Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124012729 PECOS PAC ID: 0345233714 Enrollment ID: I20090915000024 |
| Provider Name | Frederick Diel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982877320 PECOS PAC ID: 8921154089 Enrollment ID: I20090915000727 |
| Provider Name | Olufunke Brimmo-longe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568418176 PECOS PAC ID: 4183686413 Enrollment ID: I20091005000071 |
| Provider Name | Yamuna Kasaraneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528097607 PECOS PAC ID: 3870591795 Enrollment ID: I20091013000478 |
| Provider Name | Neha P Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558512939 PECOS PAC ID: 9739225178 Enrollment ID: I20091015000156 |
| Provider Name | Thomas J Di Filippo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649226002 PECOS PAC ID: 5991842858 Enrollment ID: I20091026000232 |
| Provider Name | Jay S Hwang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386644268 PECOS PAC ID: 5294768628 Enrollment ID: I20091102000517 |
| Provider Name | Vidyadhar R Gandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770580789 PECOS PAC ID: 2961560917 Enrollment ID: I20091104000042 |
| Provider Name | Boris Sagalovsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073510087 PECOS PAC ID: 7315005360 Enrollment ID: I20091104000300 |
| Provider Name | Marcia a Johnson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609851922 PECOS PAC ID: 0244267268 Enrollment ID: I20091112000108 |
| Provider Name | Patrick S Cosgrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906775 PECOS PAC ID: 7315085222 Enrollment ID: I20091113000402 |
| Provider Name | Luis E Manyari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144297243 PECOS PAC ID: 0244378974 Enrollment ID: I20091117000365 |
| Provider Name | Jeffrey W Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336472083 PECOS PAC ID: 5395884217 Enrollment ID: I20091204000535 |
| Provider Name | Judith Marie Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467699041 PECOS PAC ID: 3779622469 Enrollment ID: I20091210000040 |
| Provider Name | Mallikarju N Patta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164499554 PECOS PAC ID: 2365472313 Enrollment ID: I20091210000122 |
| Provider Name | James F Cantorna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225095516 PECOS PAC ID: 3870633506 Enrollment ID: I20091210000534 |
| Provider Name | Matthew Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043292022 PECOS PAC ID: 9537209275 Enrollment ID: I20091210000595 |
| Provider Name | Barnard San Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427269950 PECOS PAC ID: 5991845679 Enrollment ID: I20091211000221 |
| Provider Name | Alison L Laflower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157633 PECOS PAC ID: 2961542360 Enrollment ID: I20091216000081 |
| Provider Name | Brian C Howse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669454260 PECOS PAC ID: 7719037019 Enrollment ID: I20091217000207 |
| Provider Name | Jeffrey M Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740262716 PECOS PAC ID: 3476693763 Enrollment ID: I20091217000257 |
| Provider Name | Eric L Wymer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104808252 PECOS PAC ID: 7810037108 Enrollment ID: I20091217000274 |
| Provider Name | Timothy Nussbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770565145 PECOS PAC ID: 3577603877 Enrollment ID: I20091217000355 |
| Provider Name | Paul Driscoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538141650 PECOS PAC ID: 5193875490 Enrollment ID: I20091217000555 |
| Provider Name | Erhard Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548242522 PECOS PAC ID: 4486794625 Enrollment ID: I20091218000086 |
| Provider Name | Ana a Priscu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255313847 PECOS PAC ID: 7810047917 Enrollment ID: I20091218000099 |
| Provider Name | Kristen I Fralich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821069261 PECOS PAC ID: 1254472947 Enrollment ID: I20091231000459 |
| Provider Name | Holly M Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346275963 PECOS PAC ID: 2062553753 Enrollment ID: I20091231000469 |
| Provider Name | Jennifer M Vivio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447254008 PECOS PAC ID: 2668515396 Enrollment ID: I20100203000719 |
| Provider Name | Barbara G Bielska |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801864251 PECOS PAC ID: 0345383931 Enrollment ID: I20100204000403 |
| Provider Name | David a Glander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669476362 PECOS PAC ID: 5991848442 Enrollment ID: I20100205000036 |
| Provider Name | Patrick E Matoole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588668149 PECOS PAC ID: 0749323293 Enrollment ID: I20100205000108 |
| Provider Name | Francis X Hussey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902809213 PECOS PAC ID: 7810031929 Enrollment ID: I20100212000267 |
| Provider Name | David Eugene Fumo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164463725 PECOS PAC ID: 7618879453 Enrollment ID: I20100219000632 |
| Provider Name | Mark Albert Nelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891737763 PECOS PAC ID: 9537061379 Enrollment ID: I20100219000677 |
| Provider Name | Benjamin J Copeland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114084548 PECOS PAC ID: 9133264518 Enrollment ID: I20100310000321 |
| Provider Name | Kelli Crowley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639139777 PECOS PAC ID: 6406981794 Enrollment ID: I20100311000572 |
| Provider Name | Don Dumont |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417916073 PECOS PAC ID: 7517982648 Enrollment ID: I20100311000721 |
| Provider Name | Denise C Weaver |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093772378 PECOS PAC ID: 1850426198 Enrollment ID: I20100311000999 |
| Provider Name | Anthony N Akosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295791200 PECOS PAC ID: 5294860326 Enrollment ID: I20100315000865 |
| Provider Name | Silvia B Vicente |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225071574 PECOS PAC ID: 1658406012 Enrollment ID: I20100324000392 |
| Provider Name | Lisa C Gold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023015302 PECOS PAC ID: 6002941481 Enrollment ID: I20100324000595 |
| Provider Name | Bryon W Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184615999 PECOS PAC ID: 5991831091 Enrollment ID: I20100329000186 |
| Provider Name | Alberto R Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659376259 PECOS PAC ID: 5496881278 Enrollment ID: I20100331000520 |
| Provider Name | James D Simantirakis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114923927 PECOS PAC ID: 8820124647 Enrollment ID: I20100331000973 |
| Provider Name | Patrice Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245229327 PECOS PAC ID: 3173659885 Enrollment ID: I20100406000535 |
| Provider Name | Eric Y Knoll |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083771331 PECOS PAC ID: 9638206121 Enrollment ID: I20100414000500 |
| Provider Name | Maximillian S Newell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689731937 PECOS PAC ID: 0941244545 Enrollment ID: I20100414000877 |
| Provider Name | David J Fang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174670657 PECOS PAC ID: 9032153630 Enrollment ID: I20100420000094 |
| Provider Name | Jason E Rieser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922001494 PECOS PAC ID: 7012044225 Enrollment ID: I20100420000688 |
| Provider Name | Richard Emery Rejer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578566048 PECOS PAC ID: 9537153788 Enrollment ID: I20100420000776 |
| Provider Name | Mercy Obeime |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801878947 PECOS PAC ID: 5597892372 Enrollment ID: I20100427000765 |
| Provider Name | Mark F Kevin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134161169 PECOS PAC ID: 1951439116 Enrollment ID: I20100507000586 |
| Provider Name | Jason Rosenblum |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487681235 PECOS PAC ID: 4688702798 Enrollment ID: I20100511000839 |
| Provider Name | Aimee E Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639494917 PECOS PAC ID: 4981732096 Enrollment ID: I20100511000927 |
| Provider Name | Christopher a Conn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164440830 PECOS PAC ID: 5294736906 Enrollment ID: I20100519000461 |
| Provider Name | Arthur Stern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356353916 PECOS PAC ID: 0345136370 Enrollment ID: I20100602000557 |
| Provider Name | Amjad Shihadeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336337740 PECOS PAC ID: 6204907819 Enrollment ID: I20100604000234 |
| Provider Name | Richard a Federspiel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649342817 PECOS PAC ID: 4183756513 Enrollment ID: I20100720000596 |
| Provider Name | Gerritt F Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134189533 PECOS PAC ID: 4587797592 Enrollment ID: I20100728000246 |
| Provider Name | Hubert Fornalik |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255549812 PECOS PAC ID: 8224119128 Enrollment ID: I20100730000661 |
| Provider Name | Stephen Rubenstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467424044 PECOS PAC ID: 1658321153 Enrollment ID: I20100804000316 |
| Provider Name | Ryan Daly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598937484 PECOS PAC ID: 2264595784 Enrollment ID: I20100806000425 |
| Provider Name | Sunil Kumar Gollapudi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275530693 PECOS PAC ID: 5799796983 Enrollment ID: I20100809000944 |
| Provider Name | Erin Angela Crill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326218603 PECOS PAC ID: 9931233038 Enrollment ID: I20100811000486 |
| Provider Name | Matthew John Surburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376545756 PECOS PAC ID: 0749314847 Enrollment ID: I20100811000505 |
| Provider Name | Ronald B Melbert |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1679577589 PECOS PAC ID: 2365494507 Enrollment ID: I20100813000267 |
| Provider Name | Fithun Zekarias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881920627 PECOS PAC ID: 8729112024 Enrollment ID: I20100820000970 |
| Provider Name | Muhammad M Kudaimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629011747 PECOS PAC ID: 7416071451 Enrollment ID: I20100827000810 |
| Provider Name | Juliana Elizabeth Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467666933 PECOS PAC ID: 8426172370 Enrollment ID: I20100828000091 |
| Provider Name | Sanjay V Raikar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780990283 PECOS PAC ID: 7810011616 Enrollment ID: I20100831000801 |
| Provider Name | Giovanni Infusino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447416821 PECOS PAC ID: 0143345959 Enrollment ID: I20100916001289 |
| Provider Name | Kelli a Hertz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538199591 PECOS PAC ID: 6002931797 Enrollment ID: I20100917001081 |
| Provider Name | Linda Gatto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497799639 PECOS PAC ID: 2466577069 Enrollment ID: I20100920001082 |
| Provider Name | Chao Gong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073836706 PECOS PAC ID: 4385760529 Enrollment ID: I20100925000036 |
| Provider Name | Sharon L Friedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831133081 PECOS PAC ID: 9830215904 Enrollment ID: I20100927000194 |
| Provider Name | Suzanne M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073824314 PECOS PAC ID: 3274659305 Enrollment ID: I20100927000947 |
| Provider Name | Dianna L Boyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013919695 PECOS PAC ID: 3375669336 Enrollment ID: I20100927001342 |
| Provider Name | Erin K Ramirez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285767319 PECOS PAC ID: 2567588270 Enrollment ID: I20100929001591 |
| Provider Name | Jill N Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568779437 PECOS PAC ID: 7315139185 Enrollment ID: I20101012000683 |
| Provider Name | Barry Andrew Mathison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396816922 PECOS PAC ID: 7214120385 Enrollment ID: I20101021000337 |
| Provider Name | Deidre L Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447569538 PECOS PAC ID: 0042403073 Enrollment ID: I20101021001175 |
| Provider Name | Ratnakar S Rajanahally |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144204769 PECOS PAC ID: 7517978471 Enrollment ID: I20101111000832 |
| Provider Name | Paul E Broderick |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467459958 PECOS PAC ID: 0648275057 Enrollment ID: I20101117000584 |
| Provider Name | Charity L Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306154786 PECOS PAC ID: 7618163544 Enrollment ID: I20101118000157 |
| Provider Name | Virginia Ann Takagi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063673358 PECOS PAC ID: 7810183761 Enrollment ID: I20101118000398 |
| Provider Name | Donald Gordon King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790759546 PECOS PAC ID: 9335333459 Enrollment ID: I20101123001189 |
| Provider Name | Isabelle M Skurka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134230865 PECOS PAC ID: 7517153919 Enrollment ID: I20101124000822 |
| Provider Name | Cindy M De Neira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821296260 PECOS PAC ID: 9739376625 Enrollment ID: I20101203000953 |
| Provider Name | Pamela Linz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114038718 PECOS PAC ID: 5799972907 Enrollment ID: I20101213001186 |
| Provider Name | Jonathan a Mandelbaum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437123437 PECOS PAC ID: 2163616285 Enrollment ID: I20101214001325 |
| Provider Name | Kate M Velazquez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689985004 PECOS PAC ID: 4688862204 Enrollment ID: I20101227000453 |
| Provider Name | Mathew John Libke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629042627 PECOS PAC ID: 3072648898 Enrollment ID: I20101229001016 |
| Provider Name | Kenneth J Ramsey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770568362 PECOS PAC ID: 2264345677 Enrollment ID: I20110107000316 |
| Provider Name | Melissa M Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851548341 PECOS PAC ID: 8527257211 Enrollment ID: I20110111000948 |
| Provider Name | James R Dunlop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154317675 PECOS PAC ID: 4486833142 Enrollment ID: I20110126001140 |
| Provider Name | Nichole M Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033419825 PECOS PAC ID: 3476733288 Enrollment ID: I20110211000212 |
| Provider Name | Jason P Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821304296 PECOS PAC ID: 9638350028 Enrollment ID: I20110217000541 |
| Provider Name | Beth E Yegerlehner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275534356 PECOS PAC ID: 6608818406 Enrollment ID: I20110218000506 |
| Provider Name | Jaroslaw Kuna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285818591 PECOS PAC ID: 2769661941 Enrollment ID: I20110307000599 |
| Provider Name | Earl D Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558368696 PECOS PAC ID: 5799758306 Enrollment ID: I20110309000201 |
| Provider Name | Cristina M Coner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255364915 PECOS PAC ID: 7315129236 Enrollment ID: I20110314000244 |
| Provider Name | Dawn M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427159565 PECOS PAC ID: 5395927172 Enrollment ID: I20110316000004 |
| Provider Name | Julia a Thorington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194032573 PECOS PAC ID: 8628251501 Enrollment ID: I20110330000912 |
| Provider Name | Sarah J Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548575384 PECOS PAC ID: 8921289810 Enrollment ID: I20110401000798 |
| Provider Name | Frederick Lane |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376507103 PECOS PAC ID: 4981742152 Enrollment ID: I20110408000327 |
| Provider Name | Natalie S Opanasets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366615833 PECOS PAC ID: 8426237892 Enrollment ID: I20110415000168 |
| Provider Name | Lisa M Pazdur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144269168 PECOS PAC ID: 9335324078 Enrollment ID: I20110425000253 |
| Provider Name | Veronica T Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790088474 PECOS PAC ID: 1658556725 Enrollment ID: I20110505000219 |
| Provider Name | Kristi Seliger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932498060 PECOS PAC ID: 0446436794 Enrollment ID: I20110520000422 |
| Provider Name | Anna R Modansky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841585254 PECOS PAC ID: 6204014368 Enrollment ID: I20110621000326 |
| Provider Name | Ashish J Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295741213 PECOS PAC ID: 2961596606 Enrollment ID: I20110627000424 |
| Provider Name | Amanda K Wenger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639465917 PECOS PAC ID: 2062690654 Enrollment ID: I20110630000269 |
| Provider Name | Jessica Gillespie |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457573917 PECOS PAC ID: 5092808873 Enrollment ID: I20110708000036 |
| Provider Name | Hisham Allababidi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710913470 PECOS PAC ID: 5597655043 Enrollment ID: I20110715000126 |
| Provider Name | Tobi J Reidy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1831223924 PECOS PAC ID: 0749458370 Enrollment ID: I20110726000155 |
| Provider Name | Anand Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346361904 PECOS PAC ID: 7113116112 Enrollment ID: I20110810000406 |
| Provider Name | Kristina L Scalzitti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417284878 PECOS PAC ID: 9335319110 Enrollment ID: I20110906000194 |
| Provider Name | Nabil Abdo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629226089 PECOS PAC ID: 1759551419 Enrollment ID: I20110907001145 |
| Provider Name | Robert G Crytzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043507650 PECOS PAC ID: 4688845290 Enrollment ID: I20110912000253 |
| Provider Name | Christine M Shock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528238441 PECOS PAC ID: 8820113483 Enrollment ID: I20110915000242 |
| Provider Name | Nikhil G Pandhi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417071374 PECOS PAC ID: 4082751128 Enrollment ID: I20110916000353 |
| Provider Name | Shilpa a Malekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841422979 PECOS PAC ID: 2769653435 Enrollment ID: I20110929000396 |
| Provider Name | Wanda Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194768010 PECOS PAC ID: 6103098504 Enrollment ID: I20111006000722 |
| Provider Name | Jovenel Cherenfant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750595112 PECOS PAC ID: 1658556378 Enrollment ID: I20111020000254 |
| Provider Name | Jacob G Messing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487930954 PECOS PAC ID: 3678747516 Enrollment ID: I20111110000790 |
| Provider Name | Todd P Boyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316224785 PECOS PAC ID: 2365618220 Enrollment ID: I20111228000100 |
| Provider Name | James Tuchek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598721250 PECOS PAC ID: 0143250274 Enrollment ID: I20120112000550 |
| Provider Name | Jayati K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477654481 PECOS PAC ID: 3173649266 Enrollment ID: I20120125000934 |
| Provider Name | Lisa a Whiteside |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376673046 PECOS PAC ID: 9032377635 Enrollment ID: I20120229000338 |
| Provider Name | Sara L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083996763 PECOS PAC ID: 9931368040 Enrollment ID: I20120309000023 |
| Provider Name | Bashar Chihada Alhariri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881804748 PECOS PAC ID: 8325207913 Enrollment ID: I20120319000305 |
| Provider Name | Donna E Ricard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780844191 PECOS PAC ID: 6608036017 Enrollment ID: I20120322000089 |
| Provider Name | Jennifer L Brower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457672339 PECOS PAC ID: 5890958748 Enrollment ID: I20120514000193 |
| Provider Name | Anna Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831460666 PECOS PAC ID: 5294998241 Enrollment ID: I20120531000471 |
| Provider Name | Charles Nwode Onwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831124460 PECOS PAC ID: 2567364466 Enrollment ID: I20120601000004 |
| Provider Name | Gennelle K Lucid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649538166 PECOS PAC ID: 9335303999 Enrollment ID: I20120611000412 |
| Provider Name | Stanley J Ladowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316948342 PECOS PAC ID: 7315101425 Enrollment ID: I20120620000644 |
| Provider Name | Emmanuel Sarpong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801840350 PECOS PAC ID: 4981500048 Enrollment ID: I20120621000131 |
| Provider Name | Jessica S Bronner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750651188 PECOS PAC ID: 0446415921 Enrollment ID: I20120709000058 |
| Provider Name | Eugene Francis Dy Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295061802 PECOS PAC ID: 2961667167 Enrollment ID: I20120712000529 |
| Provider Name | James P Anthony |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639356025 PECOS PAC ID: 1557555869 Enrollment ID: I20120718000912 |
| Provider Name | Sara Lynn Schrader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558337592 PECOS PAC ID: 4587820329 Enrollment ID: I20120724000447 |
| Provider Name | Arshia a Mohiuddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639409352 PECOS PAC ID: 4284890724 Enrollment ID: I20120727000001 |
| Provider Name | Jaclyn G Seremet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083983456 PECOS PAC ID: 8224294699 Enrollment ID: I20120730000645 |
| Provider Name | Amy Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881975407 PECOS PAC ID: 6901062306 Enrollment ID: I20120731000259 |
| Provider Name | James E Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518031475 PECOS PAC ID: 4981880861 Enrollment ID: I20120731000720 |
| Provider Name | Bassel Ericsoussi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700087632 PECOS PAC ID: 0941466239 Enrollment ID: I20120801000431 |
| Provider Name | Erica D Hendress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538428875 PECOS PAC ID: 5890941884 Enrollment ID: I20120807000518 |
| Provider Name | Julie a Mora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487809364 PECOS PAC ID: 5294911921 Enrollment ID: I20120920000607 |
| Provider Name | Dawn M Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992069827 PECOS PAC ID: 4880842483 Enrollment ID: I20120924000019 |
| Provider Name | Eunjin Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902111248 PECOS PAC ID: 1951550219 Enrollment ID: I20121001000320 |
| Provider Name | Mary B Garnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679821060 PECOS PAC ID: 7719136084 Enrollment ID: I20121001000389 |
| Provider Name | Zhijun Guo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467559906 PECOS PAC ID: 6305850371 Enrollment ID: I20121020000037 |
| Provider Name | Jennifa K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114282167 PECOS PAC ID: 7315197720 Enrollment ID: I20121020000050 |
| Provider Name | Padmaja Sanaka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255646055 PECOS PAC ID: 6204007313 Enrollment ID: I20121024000606 |
| Provider Name | Salim S Abou Jaoude |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043280670 PECOS PAC ID: 6204889793 Enrollment ID: I20121026000166 |
| Provider Name | Roman a Puliaev |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578879094 PECOS PAC ID: 5092967844 Enrollment ID: I20121130000573 |
| Provider Name | Alisia Munoz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720241151 PECOS PAC ID: 5092967380 Enrollment ID: I20121213000206 |
| Provider Name | Maneka Kaul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174522148 PECOS PAC ID: 0840362380 Enrollment ID: I20130122000289 |
| Provider Name | Gwen Behm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699929513 PECOS PAC ID: 9638220627 Enrollment ID: I20130128000053 |
| Provider Name | Dennis Edward Rademaker |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1457328411 PECOS PAC ID: 9830221746 Enrollment ID: I20130204000394 |
| Provider Name | Chad Alan Glazer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609915503 PECOS PAC ID: 1759530801 Enrollment ID: I20130206000265 |
| Provider Name | Suk Chul Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508005380 PECOS PAC ID: 2365698826 Enrollment ID: I20130208000422 |
| Provider Name | John C Rau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477873289 PECOS PAC ID: 0345494506 Enrollment ID: I20130218000145 |
| Provider Name | Shazia Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1629001680 PECOS PAC ID: 0345246195 Enrollment ID: I20130223000084 |
| Provider Name | Jean Marie Decavitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982956017 PECOS PAC ID: 0749435709 Enrollment ID: I20130225000380 |
| Provider Name | Jacqueline M Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740527431 PECOS PAC ID: 0749435147 Enrollment ID: I20130311000498 |
| Provider Name | Oluwayomi S Akande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326082199 PECOS PAC ID: 0143226951 Enrollment ID: I20130410000008 |
| Provider Name | Rachael E Callaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053663401 PECOS PAC ID: 6800032640 Enrollment ID: I20130423000202 |
| Provider Name | Megan S Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982969267 PECOS PAC ID: 7113163841 Enrollment ID: I20130424000819 |
| Provider Name | Aisha Aslam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184944886 PECOS PAC ID: 0244411015 Enrollment ID: I20130424001041 |
| Provider Name | Mark a Kalchbrenner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851460315 PECOS PAC ID: 0749241628 Enrollment ID: I20130503000554 |
| Provider Name | Thomas a Losure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912081811 PECOS PAC ID: 9931160819 Enrollment ID: I20130503000563 |
| Provider Name | Rebecca a Payton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184617870 PECOS PAC ID: 7810976438 Enrollment ID: I20130506000304 |
| Provider Name | Heath D Ewing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093753766 PECOS PAC ID: 4789609199 Enrollment ID: I20130517000246 |
| Provider Name | Christopher L Flores Schultz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063649002 PECOS PAC ID: 1153573357 Enrollment ID: I20130524000471 |
| Provider Name | Wendy R Dutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194077644 PECOS PAC ID: 1658519814 Enrollment ID: I20130529000578 |
| Provider Name | Jill I Maddack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634531 PECOS PAC ID: 2769620988 Enrollment ID: I20130530000154 |
| Provider Name | Tamara J Morrison - Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689914269 PECOS PAC ID: 3678712841 Enrollment ID: I20130619000269 |
| Provider Name | Caitlin Anne Mcgrath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255774006 PECOS PAC ID: 7719128669 Enrollment ID: I20130719000041 |
| Provider Name | Shanna Bowman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285683862 PECOS PAC ID: 0345481727 Enrollment ID: I20130726000766 |
| Provider Name | Christopher P Kaup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033430004 PECOS PAC ID: 1658512058 Enrollment ID: I20130727000240 |
| Provider Name | Costantine Albany |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427381607 PECOS PAC ID: 9537305743 Enrollment ID: I20130805000937 |
| Provider Name | Jacob Babu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821236696 PECOS PAC ID: 7113104902 Enrollment ID: I20130807000575 |
| Provider Name | Kristin M Osan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770679052 PECOS PAC ID: 6800894478 Enrollment ID: I20130829000110 |
| Provider Name | Nickolas R Frechette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891010294 PECOS PAC ID: 6103069349 Enrollment ID: I20130906000755 |
| Provider Name | Jaswanth R Guntakandla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902036577 PECOS PAC ID: 1850563693 Enrollment ID: I20130926000873 |
| Provider Name | Matthew J Provenzano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639388911 PECOS PAC ID: 5799919874 Enrollment ID: I20131002000632 |
| Provider Name | Angela Gail Brittsan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306968219 PECOS PAC ID: 9234216060 Enrollment ID: I20131003000263 |
| Provider Name | Tapan Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255579876 PECOS PAC ID: 3577751387 Enrollment ID: I20131015002173 |
| Provider Name | Tara S Wakefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427490762 PECOS PAC ID: 1557595097 Enrollment ID: I20131016000521 |
| Provider Name | Jason C Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359942 PECOS PAC ID: 3274767645 Enrollment ID: I20131018000684 |
| Provider Name | Charles Kiell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861455156 PECOS PAC ID: 3274665617 Enrollment ID: I20131028001932 |
| Provider Name | Nanette Lindesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982041893 PECOS PAC ID: 6709011489 Enrollment ID: I20131105001601 |
| Provider Name | Bassel Artin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124291273 PECOS PAC ID: 3971658956 Enrollment ID: I20131107000774 |
| Provider Name | Melissa Sue Rockhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265867949 PECOS PAC ID: 1759517139 Enrollment ID: I20131112002087 |
| Provider Name | Laura L Feller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972944924 PECOS PAC ID: 7911133970 Enrollment ID: I20131121000354 |
| Provider Name | Samer Kassar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902839525 PECOS PAC ID: 3375547128 Enrollment ID: I20131223000515 |
| Provider Name | Richard Yiyu Zhu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104093202 PECOS PAC ID: 5193890788 Enrollment ID: I20131231001595 |
| Provider Name | Suyin CHI |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346482874 PECOS PAC ID: 5496983082 Enrollment ID: I20140103000976 |
| Provider Name | Kimberland Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871738583 PECOS PAC ID: 6103964630 Enrollment ID: I20140110001163 |
| Provider Name | Kimberly Renee Lichtenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336572742 PECOS PAC ID: 6901034230 Enrollment ID: I20140114000671 |
| Provider Name | Pamela Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235430810 PECOS PAC ID: 4981832003 Enrollment ID: I20140117001737 |
| Provider Name | Sachin a Mehta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053571224 PECOS PAC ID: 8527111533 Enrollment ID: I20140120000253 |
| Provider Name | Casey Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689009441 PECOS PAC ID: 3678701562 Enrollment ID: I20140123000812 |
| Provider Name | Dai Takahashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942256540 PECOS PAC ID: 0840202867 Enrollment ID: I20140123001327 |
| Provider Name | Sameer Zia Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982723227 PECOS PAC ID: 8527128792 Enrollment ID: I20140127000255 |
| Provider Name | Jennifer Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346586112 PECOS PAC ID: 1951530542 Enrollment ID: I20140130001147 |
| Provider Name | Brenda Ansel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720424740 PECOS PAC ID: 9931338159 Enrollment ID: I20140225000962 |
| Provider Name | Amy M Drenth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457780249 PECOS PAC ID: 0446480792 Enrollment ID: I20140305001999 |
| Provider Name | Mary E Mccormack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104939958 PECOS PAC ID: 1456581495 Enrollment ID: I20140313000384 |
| Provider Name | Jeannine M Mcmahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578676326 PECOS PAC ID: 7719988609 Enrollment ID: I20140313000551 |
| Provider Name | Mitchell W Smith |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700101102 PECOS PAC ID: 5890926505 Enrollment ID: I20140321001786 |
| Provider Name | Carie Mondero |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912230186 PECOS PAC ID: 6709017023 Enrollment ID: I20140328001369 |
| Provider Name | Jillian Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073935813 PECOS PAC ID: 5597996827 Enrollment ID: I20140328001761 |
| Provider Name | Chantal L Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508979725 PECOS PAC ID: 4284865494 Enrollment ID: I20140331002059 |
| Provider Name | Joanna E Springman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144646449 PECOS PAC ID: 4981836939 Enrollment ID: I20140407001167 |
| Provider Name | Jody L Kupferberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902037542 PECOS PAC ID: 0547423931 Enrollment ID: I20140429002321 |
| Provider Name | Sravanthi Pajerla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942401104 PECOS PAC ID: 9436342524 Enrollment ID: I20140502001343 |
| Provider Name | Sharon a Nicoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740233683 PECOS PAC ID: 1052544582 Enrollment ID: I20140507000802 |
| Provider Name | Thalia R Pachiyannakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275860314 PECOS PAC ID: 0345473732 Enrollment ID: I20140509001742 |
| Provider Name | Cass R Cortez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528354586 PECOS PAC ID: 4587819727 Enrollment ID: I20140512000567 |
| Provider Name | William C Hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124459060 PECOS PAC ID: 4183847262 Enrollment ID: I20140516001487 |
| Provider Name | Derrick J Plahn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063650836 PECOS PAC ID: 1658541479 Enrollment ID: I20140617000122 |
| Provider Name | Lauren a Hansen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598990996 PECOS PAC ID: 1759506082 Enrollment ID: I20140630001901 |
| Provider Name | Sarah Ann Polacek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336552496 PECOS PAC ID: 6204051287 Enrollment ID: I20140707001931 |
| Provider Name | Kourtney J Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962721845 PECOS PAC ID: 1254579022 Enrollment ID: I20140707002051 |
| Provider Name | Amanda Marie Walter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801187828 PECOS PAC ID: 8628216413 Enrollment ID: I20140718000554 |
| Provider Name | Blake Erdel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649431081 PECOS PAC ID: 7719104298 Enrollment ID: I20140806001421 |
| Provider Name | Amina Clinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811302953 PECOS PAC ID: 1052538543 Enrollment ID: I20140806001912 |
| Provider Name | Sandra M Kurpela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215198569 PECOS PAC ID: 2961629464 Enrollment ID: I20140806002324 |
| Provider Name | Amanda M Houchens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003115650 PECOS PAC ID: 3971736943 Enrollment ID: I20140812001730 |
| Provider Name | Melissa E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265849632 PECOS PAC ID: 0244457166 Enrollment ID: I20140815001578 |
| Provider Name | Phornphat Rasamimari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821075383 PECOS PAC ID: 9436164308 Enrollment ID: I20140819000261 |
| Provider Name | Allison Massey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356756605 PECOS PAC ID: 8325266075 Enrollment ID: I20140821002450 |
| Provider Name | Andrew P Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740508845 PECOS PAC ID: 1254573397 Enrollment ID: I20140905000788 |
| Provider Name | Aaron J Duberstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578731717 PECOS PAC ID: 2264590736 Enrollment ID: I20140908001521 |
| Provider Name | Amanda Nakashian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558783019 PECOS PAC ID: 2567681158 Enrollment ID: I20140912001470 |
| Provider Name | Desiree D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548502495 PECOS PAC ID: 0446479083 Enrollment ID: I20140915001186 |
| Provider Name | Ashley R Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629239314 PECOS PAC ID: 2769601103 Enrollment ID: I20140916002522 |
| Provider Name | Yameen Rashid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174821177 PECOS PAC ID: 5890915888 Enrollment ID: I20140929001898 |
| Provider Name | Aaron G Scholer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861471070 PECOS PAC ID: 2062444227 Enrollment ID: I20141001002218 |
| Provider Name | Michael E Cadena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811961535 PECOS PAC ID: 8729093182 Enrollment ID: I20141022000693 |
| Provider Name | Ryan Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932538683 PECOS PAC ID: 5092936617 Enrollment ID: I20141024000845 |
| Provider Name | Michael Johns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710208178 PECOS PAC ID: 4284855495 Enrollment ID: I20141031000251 |
| Provider Name | Ramesh Adhikari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588001531 PECOS PAC ID: 7113149881 Enrollment ID: I20141113000115 |
| Provider Name | Bethany a Snider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720484819 PECOS PAC ID: 8224250758 Enrollment ID: I20141117000940 |
| Provider Name | Natalie J Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912301938 PECOS PAC ID: 2860614203 Enrollment ID: I20141119001268 |
| Provider Name | Melissa M Bartoszewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699183822 PECOS PAC ID: 6800018144 Enrollment ID: I20141120002288 |
| Provider Name | Deepika Kakkera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508853102 PECOS PAC ID: 7719911098 Enrollment ID: I20141202000984 |
| Provider Name | Muhammad R. Toor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952560831 PECOS PAC ID: 6305168840 Enrollment ID: I20141211001112 |
| Provider Name | Julia E Helm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700280203 PECOS PAC ID: 9638491624 Enrollment ID: I20150121001065 |
| Provider Name | Savitha Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477873578 PECOS PAC ID: 0547584526 Enrollment ID: I20150122000621 |
| Provider Name | Mayumi L Cayde Leslie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457485013 PECOS PAC ID: 0941353635 Enrollment ID: I20150206001169 |
| Provider Name | Sarah Kats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720308992 PECOS PAC ID: 0941525026 Enrollment ID: I20150212000840 |
| Provider Name | Rebecca J Hauck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134527807 PECOS PAC ID: 9234454018 Enrollment ID: I20150219001419 |
| Provider Name | Elizabeth E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336329820 PECOS PAC ID: 3678898327 Enrollment ID: I20150220001826 |
| Provider Name | Teri a Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245638600 PECOS PAC ID: 0840516845 Enrollment ID: I20150311000168 |
| Provider Name | Scott Cavinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558643999 PECOS PAC ID: 4789901455 Enrollment ID: I20150409001811 |
| Provider Name | Pankaj Chhangani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952364838 PECOS PAC ID: 4385665181 Enrollment ID: I20150410001843 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942282215 PECOS PAC ID: 0042282329 Enrollment ID: I20150413002272 |
| Provider Name | Kimberly L Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086759 PECOS PAC ID: 7517285844 Enrollment ID: I20150416000285 |
| Provider Name | Jeremy L Wolf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316230436 PECOS PAC ID: 9638316300 Enrollment ID: I20150423000214 |
| Provider Name | Jennifer I Minter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639565666 PECOS PAC ID: 5698095644 Enrollment ID: I20150514002812 |
| Provider Name | Albert Naveed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578710232 PECOS PAC ID: 7719207679 Enrollment ID: I20150518001824 |
| Provider Name | Jennifer Odor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528453875 PECOS PAC ID: 9830419548 Enrollment ID: I20150520002284 |
| Provider Name | Ibraheem F Yousef |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861756488 PECOS PAC ID: 3173750098 Enrollment ID: I20150521002154 |
| Provider Name | Luke L Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801107982 PECOS PAC ID: 9133440001 Enrollment ID: I20150603002124 |
| Provider Name | Carol Joan Grobner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790753218 PECOS PAC ID: 2365532074 Enrollment ID: I20150605001666 |
| Provider Name | Thomas Mark Zabiega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386755916 PECOS PAC ID: 7719973601 Enrollment ID: I20150616000458 |
| Provider Name | Mark H Sahlol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184930604 PECOS PAC ID: 3274721428 Enrollment ID: I20150616002660 |
| Provider Name | Patricia Heffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902283906 PECOS PAC ID: 0749197465 Enrollment ID: I20150625001110 |
| Provider Name | Kay Kolthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275797847 PECOS PAC ID: 4183936669 Enrollment ID: I20150713001026 |
| Provider Name | Pradeep Gnanapragasam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750677589 PECOS PAC ID: 1153634316 Enrollment ID: I20150716001416 |
| Provider Name | Bo Ra Nam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164778379 PECOS PAC ID: 4981917705 Enrollment ID: I20150722003876 |
| Provider Name | Amanda Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205218914 PECOS PAC ID: 0143534768 Enrollment ID: I20150727002040 |
| Provider Name | Margarita Marlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710246947 PECOS PAC ID: 6305084823 Enrollment ID: I20150727002522 |
| Provider Name | Abhishek Reddy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891091104 PECOS PAC ID: 1355655077 Enrollment ID: I20150807014613 |
| Provider Name | Akilah L Cook |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831350875 PECOS PAC ID: 0941515662 Enrollment ID: I20150810002637 |
| Provider Name | Traci L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144602640 PECOS PAC ID: 3779898861 Enrollment ID: I20150819006543 |
| Provider Name | David A. Stewart |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700042389 PECOS PAC ID: 9638314636 Enrollment ID: I20150820011965 |
| Provider Name | Dana Elsherif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013270024 PECOS PAC ID: 5698081321 Enrollment ID: I20150826001268 |
| Provider Name | Eric Poplin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275503815 PECOS PAC ID: 0244547974 Enrollment ID: I20150914001387 |
| Provider Name | Sharon L Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679796403 PECOS PAC ID: 3274682430 Enrollment ID: I20150915000438 |
| Provider Name | Jamie L Bump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772636 PECOS PAC ID: 5496062655 Enrollment ID: I20150921001630 |
| Provider Name | Wendy Vottero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699141184 PECOS PAC ID: 8820305873 Enrollment ID: I20150923002245 |
| Provider Name | Laura M Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772917 PECOS PAC ID: 9234447038 Enrollment ID: I20150928002464 |
| Provider Name | Biljana Uzelac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164605036 PECOS PAC ID: 5698083442 Enrollment ID: I20150929001102 |
| Provider Name | Megan E Mietelski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184949216 PECOS PAC ID: 4880902493 Enrollment ID: I20151001000985 |
| Provider Name | Abhigyan R Banka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609121847 PECOS PAC ID: 8123255155 Enrollment ID: I20151005001527 |
| Provider Name | Jaime Ranieri |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669677142 PECOS PAC ID: 7315031887 Enrollment ID: I20151008001289 |
| Provider Name | Sarah J Strahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831567825 PECOS PAC ID: 8820307556 Enrollment ID: I20151021000401 |
| Provider Name | Abdulrahman Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285909382 PECOS PAC ID: 7012226491 Enrollment ID: I20151026002258 |
| Provider Name | Tammy M Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699146779 PECOS PAC ID: 4688983992 Enrollment ID: I20151027000861 |
| Provider Name | Jennifer L Mcnair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194197814 PECOS PAC ID: 6709195084 Enrollment ID: I20151028000723 |
| Provider Name | Kevin Hunt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487917514 PECOS PAC ID: 8729225412 Enrollment ID: I20151102000075 |
| Provider Name | Tamara Kermani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174887608 PECOS PAC ID: 8628388808 Enrollment ID: I20151102000194 |
| Provider Name | Gail Norton-hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023221793 PECOS PAC ID: 4789994732 Enrollment ID: I20151104000697 |
| Provider Name | Anne Heinold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205820552 PECOS PAC ID: 6507811007 Enrollment ID: I20151118000342 |
| Provider Name | Amit Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336197573 PECOS PAC ID: 5496778250 Enrollment ID: I20151204000332 |
| Provider Name | Tina Ayeni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306006218 PECOS PAC ID: 5294871604 Enrollment ID: I20151208002053 |
| Provider Name | Rachel Drake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174996391 PECOS PAC ID: 2264736487 Enrollment ID: I20160209002232 |
| Provider Name | Vicky E Sherman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164443594 PECOS PAC ID: 2668368226 Enrollment ID: I20160210001427 |
| Provider Name | Jillian Hanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184027005 PECOS PAC ID: 4587976774 Enrollment ID: I20160211001268 |
| Provider Name | Dornica Makamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649654641 PECOS PAC ID: 2961703327 Enrollment ID: I20160223002016 |
| Provider Name | Benjamin N Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790141273 PECOS PAC ID: 3173828449 Enrollment ID: I20160224001321 |
| Provider Name | Mark W Sterne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730488016 PECOS PAC ID: 5991000291 Enrollment ID: I20160224002281 |
| Provider Name | Katy L Grismore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740646520 PECOS PAC ID: 0446555403 Enrollment ID: I20160229002563 |
| Provider Name | Susan E Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447610993 PECOS PAC ID: 9234435066 Enrollment ID: I20160304000469 |
| Provider Name | Jason Troy Fitzgerald |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851372346 PECOS PAC ID: 7719935634 Enrollment ID: I20160309000618 |
| Provider Name | Carlos Garcia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942216890 PECOS PAC ID: 2163417262 Enrollment ID: I20160311000299 |
| Provider Name | Rebecca E Pullyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124487145 PECOS PAC ID: 0840597092 Enrollment ID: I20160401001459 |
| Provider Name | Lindsay Vanlaere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912365131 PECOS PAC ID: 8729386800 Enrollment ID: I20160406002238 |
| Provider Name | Jeffrey P Wiencek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174508840 PECOS PAC ID: 9830497601 Enrollment ID: I20160411002205 |
| Provider Name | Anthony R Zabel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003253584 PECOS PAC ID: 2668601378 Enrollment ID: I20160505000806 |
| Provider Name | Joseph T Varnau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972916997 PECOS PAC ID: 1557588894 Enrollment ID: I20160510002099 |
| Provider Name | Lisa L Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982836011 PECOS PAC ID: 4486943099 Enrollment ID: I20160523000183 |
| Provider Name | Kristen C Dauss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871886515 PECOS PAC ID: 3577700855 Enrollment ID: I20160609000040 |
| Provider Name | Cecilia M David Capes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194162511 PECOS PAC ID: 0446491724 Enrollment ID: I20160609002035 |
| Provider Name | John Thomas Kihlken |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962799940 PECOS PAC ID: 6901042100 Enrollment ID: I20160613001237 |
| Provider Name | Kathleen a Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043465859 PECOS PAC ID: 9931490307 Enrollment ID: I20160615002622 |
| Provider Name | Karen Kirschner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740555895 PECOS PAC ID: 9830480128 Enrollment ID: I20160616000899 |
| Provider Name | Jonathan Richey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205130606 PECOS PAC ID: 3476844663 Enrollment ID: I20160617001539 |
| Provider Name | Vladimir Selounski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104168558 PECOS PAC ID: 1456651694 Enrollment ID: I20160620000974 |
| Provider Name | Melinda Quarles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619330032 PECOS PAC ID: 3476844465 Enrollment ID: I20160622001410 |
| Provider Name | Connie Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144687013 PECOS PAC ID: 7113218066 Enrollment ID: I20160623000906 |
| Provider Name | Kristopher a Renzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164876447 PECOS PAC ID: 9537451109 Enrollment ID: I20160630001601 |
| Provider Name | Elizabeth Vaught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093175630 PECOS PAC ID: 4082906656 Enrollment ID: I20160630001613 |
| Provider Name | Kariuki P Murage |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891013868 PECOS PAC ID: 2668610700 Enrollment ID: I20160705000351 |
| Provider Name | Richard D Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376988162 PECOS PAC ID: 8426281213 Enrollment ID: I20160713000910 |
| Provider Name | Lori a Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871950964 PECOS PAC ID: 2961795349 Enrollment ID: I20160722000202 |
| Provider Name | Kristin L Burton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932559655 PECOS PAC ID: 9436442795 Enrollment ID: I20160725000211 |
| Provider Name | Beverly Hirtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770932907 PECOS PAC ID: 1658664651 Enrollment ID: I20160728001720 |
| Provider Name | Oscar Dean Norton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285606590 PECOS PAC ID: 5395705297 Enrollment ID: I20160803000412 |
| Provider Name | Christine Sackenheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750738423 PECOS PAC ID: 1850685579 Enrollment ID: I20160803001728 |
| Provider Name | Erin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386001451 PECOS PAC ID: 9739473489 Enrollment ID: I20160803002409 |
| Provider Name | Seema Shankar Kengeri Srikantiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922443274 PECOS PAC ID: 6002058559 Enrollment ID: I20160804000199 |
| Provider Name | Elias Salloum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356698120 PECOS PAC ID: 9032342399 Enrollment ID: I20160804002080 |
| Provider Name | Mallory C Larsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255780656 PECOS PAC ID: 1759675259 Enrollment ID: I20160805001357 |
| Provider Name | Anthony F Fama |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639279854 PECOS PAC ID: 2062419872 Enrollment ID: I20160808001348 |
| Provider Name | Kyle Robert Graper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790123891 PECOS PAC ID: 1456592484 Enrollment ID: I20160810000448 |
| Provider Name | Elizabeth Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457703159 PECOS PAC ID: 1759675077 Enrollment ID: I20160819001638 |
| Provider Name | Elise Laroche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013350198 PECOS PAC ID: 4789903006 Enrollment ID: I20160830000853 |
| Provider Name | Corrina a Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457707614 PECOS PAC ID: 4183910771 Enrollment ID: I20160908000057 |
| Provider Name | Aravind Sekhar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861649097 PECOS PAC ID: 9830409523 Enrollment ID: I20160914001202 |
| Provider Name | Benedicta O Olagbegi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356714943 PECOS PAC ID: 6800183526 Enrollment ID: I20160929000175 |
| Provider Name | Daina Marie Roberson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336313089 PECOS PAC ID: 5597913053 Enrollment ID: I20161011000465 |
| Provider Name | Molly S Dodt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730637992 PECOS PAC ID: 0648558775 Enrollment ID: I20161025001281 |
| Provider Name | Sylvia Tawfik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609326008 PECOS PAC ID: 8022396027 Enrollment ID: I20161026000886 |
| Provider Name | Nazrul Islam Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124345830 PECOS PAC ID: 8628204450 Enrollment ID: I20161115001370 |
| Provider Name | Katherine Springman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992162457 PECOS PAC ID: 1557641941 Enrollment ID: I20161130001637 |
| Provider Name | Tracy L Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477095156 PECOS PAC ID: 6204116601 Enrollment ID: I20161130002046 |
| Provider Name | Rachael Lauren Rodimel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679937510 PECOS PAC ID: 0941581441 Enrollment ID: I20161221000372 |
| Provider Name | Holly Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710439047 PECOS PAC ID: 2062793433 Enrollment ID: I20161222000517 |
| Provider Name | Amanda Auffrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396289757 PECOS PAC ID: 3870875156 Enrollment ID: I20170120002379 |
| Provider Name | David Baldwin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386601508 PECOS PAC ID: 2163485038 Enrollment ID: I20170126002486 |
| Provider Name | Hariclia E Hristea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679771158 PECOS PAC ID: 0749374213 Enrollment ID: I20170208000509 |
| Provider Name | Alexandrea K Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124563614 PECOS PAC ID: 2668755851 Enrollment ID: I20170214001110 |
| Provider Name | Ehab Alshurbaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811339161 PECOS PAC ID: 4082999305 Enrollment ID: I20170328001329 |
| Provider Name | Kelly L Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144761057 PECOS PAC ID: 7810272184 Enrollment ID: I20170329000530 |
| Provider Name | Stacy Barajas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457892937 PECOS PAC ID: 3678859261 Enrollment ID: I20170413002220 |
| Provider Name | Adam N Yamout |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336302819 PECOS PAC ID: 3072768928 Enrollment ID: I20170419000534 |
| Provider Name | Abigail Marie Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508399379 PECOS PAC ID: 1254617483 Enrollment ID: I20170424001321 |
| Provider Name | Jibran Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750797262 PECOS PAC ID: 8527378850 Enrollment ID: I20170509001514 |
| Provider Name | Jerrod E Day |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215306493 PECOS PAC ID: 7911208970 Enrollment ID: I20170509001522 |
| Provider Name | Emily M Zarse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621060 PECOS PAC ID: 5890931737 Enrollment ID: I20170515000306 |
| Provider Name | Nuria Elena Rosa Mercadal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619313327 PECOS PAC ID: 2860634763 Enrollment ID: I20170524001436 |
| Provider Name | Ruchin G Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184914293 PECOS PAC ID: 3779802590 Enrollment ID: I20170524002100 |
| Provider Name | Tonya M Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881128536 PECOS PAC ID: 4587932744 Enrollment ID: I20170613001397 |
| Provider Name | Michelle Masterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871039875 PECOS PAC ID: 6901174556 Enrollment ID: I20170622001990 |
| Provider Name | Andra L Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801337761 PECOS PAC ID: 7618245275 Enrollment ID: I20170622002453 |
| Provider Name | Milli Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477831097 PECOS PAC ID: 3779875372 Enrollment ID: I20170627003086 |
| Provider Name | Mary Claire Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154705002 PECOS PAC ID: 4981993029 Enrollment ID: I20170630002507 |
| Provider Name | Richard E Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952849218 PECOS PAC ID: 1557630498 Enrollment ID: I20170707002330 |
| Provider Name | Sharmilee Thota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003082215 PECOS PAC ID: 5991975641 Enrollment ID: I20170714000622 |
| Provider Name | Chasity Mcgann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720514383 PECOS PAC ID: 5698045185 Enrollment ID: I20170717000436 |
| Provider Name | Jennifer Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043758345 PECOS PAC ID: 2264702547 Enrollment ID: I20170719001416 |
| Provider Name | Megan W Wood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114153681 PECOS PAC ID: 3072731496 Enrollment ID: I20170727001373 |
| Provider Name | Nicole a Mosley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639583404 PECOS PAC ID: 5698089357 Enrollment ID: I20170727002600 |
| Provider Name | Sherry Franscoviak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578863 PECOS PAC ID: 4284905845 Enrollment ID: I20170801001879 |
| Provider Name | George H Bechir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649685306 PECOS PAC ID: 8123399664 Enrollment ID: I20170802001655 |
| Provider Name | Shan Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841618691 PECOS PAC ID: 7315241106 Enrollment ID: I20170814002689 |
| Provider Name | Caitlin E.D. Luebcke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073044954 PECOS PAC ID: 4082986740 Enrollment ID: I20170816001486 |
| Provider Name | Mary Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952580466 PECOS PAC ID: 0446327696 Enrollment ID: I20170818000247 |
| Provider Name | Islam Badawy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922425453 PECOS PAC ID: 7012202260 Enrollment ID: I20170822001137 |
| Provider Name | Irina Alekseevna Puliaeva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619306750 PECOS PAC ID: 4880966100 Enrollment ID: I20170822001974 |
| Provider Name | Anand M Navarasala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336584432 PECOS PAC ID: 8921238106 Enrollment ID: I20170822003791 |
| Provider Name | Swapna a Eisinger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952689085 PECOS PAC ID: 6406070291 Enrollment ID: I20170823002433 |
| Provider Name | Jennifer Lynn Berry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548786635 PECOS PAC ID: 8527331446 Enrollment ID: I20170829000396 |
| Provider Name | Amanda Crosby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255869319 PECOS PAC ID: 3678846490 Enrollment ID: I20170830001165 |
| Provider Name | Catherine M Reese |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750623583 PECOS PAC ID: 7517190564 Enrollment ID: I20170906000734 |
| Provider Name | Kirk Pak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477812956 PECOS PAC ID: 8123242500 Enrollment ID: I20170906001771 |
| Provider Name | Erica Kaufman West |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619075785 PECOS PAC ID: 1951496314 Enrollment ID: I20170908001506 |
| Provider Name | Kaitlin Kendys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689190100 PECOS PAC ID: 5890068811 Enrollment ID: I20170913000960 |
| Provider Name | Andrew M Benton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336553858 PECOS PAC ID: 2860618196 Enrollment ID: I20170918001694 |
| Provider Name | Alicia Holly Ottenweller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164942538 PECOS PAC ID: 2264706522 Enrollment ID: I20170926000062 |
| Provider Name | Autumn Wall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871986661 PECOS PAC ID: 5799059903 Enrollment ID: I20170926002722 |
| Provider Name | Deonn Michelle Chesterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093232654 PECOS PAC ID: 2365717873 Enrollment ID: I20171010001865 |
| Provider Name | Patricia Iryne Hirsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154845758 PECOS PAC ID: 1153696554 Enrollment ID: I20171011002147 |
| Provider Name | Jessica Niliah Anne Ash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912247974 PECOS PAC ID: 2961646112 Enrollment ID: I20171020000797 |
| Provider Name | Sonia Krengel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104352418 PECOS PAC ID: 8527334309 Enrollment ID: I20171023001655 |
| Provider Name | Ginger a Stedwell-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691413 PECOS PAC ID: 6800162223 Enrollment ID: I20171030001114 |
| Provider Name | Nida Shirazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164837985 PECOS PAC ID: 6204102627 Enrollment ID: I20171030001383 |
| Provider Name | Melanie Carol Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063565760 PECOS PAC ID: 3274725346 Enrollment ID: I20171030001431 |
| Provider Name | Vickie Sue Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124546767 PECOS PAC ID: 9739455163 Enrollment ID: I20171030001478 |
| Provider Name | Michelle Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595744 PECOS PAC ID: 8022018522 Enrollment ID: I20171103001139 |
| Provider Name | Kayleigh Alicia Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942710512 PECOS PAC ID: 5496012445 Enrollment ID: I20171129000410 |
| Provider Name | Elizabeth Michels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649618141 PECOS PAC ID: 5496999799 Enrollment ID: I20171130001081 |
| Provider Name | Rita a Halac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184172140 PECOS PAC ID: 0749568756 Enrollment ID: I20171212001830 |
| Provider Name | Kelli a Conlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255846697 PECOS PAC ID: 4688932999 Enrollment ID: I20171214001409 |
| Provider Name | Nadia Sattar Blessing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770094757 PECOS PAC ID: 1355609553 Enrollment ID: I20171215002719 |
| Provider Name | Kuldeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265674162 PECOS PAC ID: 1557684180 Enrollment ID: I20171218000925 |
| Provider Name | Katherine Lynn Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598067746 PECOS PAC ID: 8224398896 Enrollment ID: I20180131001155 |
| Provider Name | Christi Lanoue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447525589 PECOS PAC ID: 9830352053 Enrollment ID: I20180212000993 |
| Provider Name | Elizabeth a Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841679321 PECOS PAC ID: 1951612662 Enrollment ID: I20180212001188 |
| Provider Name | Amanda Nicole Strain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144735119 PECOS PAC ID: 7719247709 Enrollment ID: I20180213001283 |
| Provider Name | Priti Nikte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538321153 PECOS PAC ID: 9537315049 Enrollment ID: I20180221000993 |
| Provider Name | Tahir M Khokher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821052416 PECOS PAC ID: 2860590155 Enrollment ID: I20180221001565 |
| Provider Name | Gregory S Beauregard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982698676 PECOS PAC ID: 9133168248 Enrollment ID: I20180221001605 |
| Provider Name | Matthew J Rachwalski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922349398 PECOS PAC ID: 8224332309 Enrollment ID: I20180321000004 |
| Provider Name | Evan R Wadsworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023518347 PECOS PAC ID: 8527320712 Enrollment ID: I20180328001987 |
| Provider Name | Stephen Paul Parsons |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932146966 PECOS PAC ID: 9537171038 Enrollment ID: I20180329002029 |
| Provider Name | Sarah Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356841910 PECOS PAC ID: 2264795616 Enrollment ID: I20180417001313 |
| Provider Name | Katelyn Rose Kirkwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790293843 PECOS PAC ID: 1456614874 Enrollment ID: I20180418001427 |
| Provider Name | Marie a Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851899140 PECOS PAC ID: 8820351190 Enrollment ID: I20180419000968 |
| Provider Name | Monica Elizabeth Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508369778 PECOS PAC ID: 1951664242 Enrollment ID: I20180419001895 |
| Provider Name | Ayodeji I Ogunleye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629485107 PECOS PAC ID: 0345504767 Enrollment ID: I20180510000470 |
| Provider Name | Robert J March |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891809034 PECOS PAC ID: 7517090921 Enrollment ID: I20180511001108 |
| Provider Name | Nibal Saad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376807453 PECOS PAC ID: 4981983475 Enrollment ID: I20180524002191 |
| Provider Name | Greg a Rowdon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770570616 PECOS PAC ID: 3678838117 Enrollment ID: I20180604000841 |
| Provider Name | Jenna E Walls |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1891189320 PECOS PAC ID: 0941513667 Enrollment ID: I20180607000106 |
| Provider Name | Aubrey Bonhivert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275950719 PECOS PAC ID: 5193095370 Enrollment ID: I20180628000545 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750541892 PECOS PAC ID: 9032365713 Enrollment ID: I20180629000700 |
| Provider Name | Priti Marwaha Nuthakki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093957110 PECOS PAC ID: 0749580991 Enrollment ID: I20180629001086 |
| Provider Name | Lucille Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194122028 PECOS PAC ID: 8820344922 Enrollment ID: I20180703000856 |
| Provider Name | Michael Gabriel Ramos Padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285125765 PECOS PAC ID: 3072869916 Enrollment ID: I20180706000375 |
| Provider Name | Theodore C Seger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598146565 PECOS PAC ID: 6901118611 Enrollment ID: I20180709002462 |
| Provider Name | Mandavi M Kulkarni |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770512659 PECOS PAC ID: 1254237225 Enrollment ID: I20180709002713 |
| Provider Name | Raquel Elisa Redondo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174818454 PECOS PAC ID: 7113213034 Enrollment ID: I20180806003452 |
| Provider Name | Tariq Hameed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487619805 PECOS PAC ID: 0941214746 Enrollment ID: I20180808000907 |
| Provider Name | Jeffrey Silver |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770585978 PECOS PAC ID: 0345326153 Enrollment ID: I20180808002132 |
| Provider Name | Mumtaz Suleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023017431 PECOS PAC ID: 0143320051 Enrollment ID: I20180814003741 |
| Provider Name | Natasha Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356752398 PECOS PAC ID: 8527284769 Enrollment ID: I20180815000117 |
| Provider Name | Samuel S Khairkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932482312 PECOS PAC ID: 0446567333 Enrollment ID: I20180815002503 |
| Provider Name | Amanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972894087 PECOS PAC ID: 7618194200 Enrollment ID: I20180820000026 |
| Provider Name | Brooke Michele Stein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093201048 PECOS PAC ID: 1052660396 Enrollment ID: I20180821000754 |
| Provider Name | Stephen V Headley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679663603 PECOS PAC ID: 7618078643 Enrollment ID: I20180821002439 |
| Provider Name | Sandra M Wischmeyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902179088 PECOS PAC ID: 2860787017 Enrollment ID: I20180821003546 |
| Provider Name | Mezgebe Abegaz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821402769 PECOS PAC ID: 5799088118 Enrollment ID: I20180822002920 |
| Provider Name | Kevin Kevin Burke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477930204 PECOS PAC ID: 7214222488 Enrollment ID: I20180822003644 |
| Provider Name | Ashley Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568961902 PECOS PAC ID: 6507115573 Enrollment ID: I20180824000041 |
| Provider Name | Patrick William Yoder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457831232 PECOS PAC ID: 4486903275 Enrollment ID: I20180828002830 |
| Provider Name | Andrea Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518411073 PECOS PAC ID: 6507116837 Enrollment ID: I20180907001955 |
| Provider Name | Austin R Gray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922586783 PECOS PAC ID: 9830449008 Enrollment ID: I20180910000844 |
| Provider Name | David Deboer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346242559 PECOS PAC ID: 6305893926 Enrollment ID: I20180910002563 |
| Provider Name | Ozair M Ziauddin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518214949 PECOS PAC ID: 9436462710 Enrollment ID: I20180912003122 |
| Provider Name | Lauren Shadiow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477032977 PECOS PAC ID: 3577813435 Enrollment ID: I20180913003173 |
| Provider Name | Anna L Halberstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821576059 PECOS PAC ID: 2961753173 Enrollment ID: I20180927002207 |
| Provider Name | Kumari S. Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447636840 PECOS PAC ID: 8729339726 Enrollment ID: I20181001001062 |
| Provider Name | Katie Nicole Vaughn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497060735 PECOS PAC ID: 2264784172 Enrollment ID: I20181003003388 |
| Provider Name | Shivang Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306157193 PECOS PAC ID: 7113298928 Enrollment ID: I20181004002458 |
| Provider Name | Kathryn Nicole Neisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508347154 PECOS PAC ID: 7517219306 Enrollment ID: I20181005000186 |
| Provider Name | Emily Elizabeth Krodel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760794762 PECOS PAC ID: 5395960934 Enrollment ID: I20181009000387 |
| Provider Name | Kyle N Seudeal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003178898 PECOS PAC ID: 5597995787 Enrollment ID: I20181009000530 |
| Provider Name | Dominik Cornelius Meyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932548500 PECOS PAC ID: 5991004111 Enrollment ID: I20181012001619 |
| Provider Name | Emily Ann Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396132031 PECOS PAC ID: 2466773353 Enrollment ID: I20181017000498 |
| Provider Name | Priyanka Kumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295078418 PECOS PAC ID: 0749582724 Enrollment ID: I20181018000570 |
| Provider Name | Cassandra Leigh Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385123 PECOS PAC ID: 4587917133 Enrollment ID: I20181029000833 |
| Provider Name | Rexanna L Tatlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851877328 PECOS PAC ID: 8022361468 Enrollment ID: I20181031003138 |
| Provider Name | Joseph Schnepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356825822 PECOS PAC ID: 6608129929 Enrollment ID: I20181101003310 |
| Provider Name | Michelle Rene Hawkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568979912 PECOS PAC ID: 5496009540 Enrollment ID: I20181108002119 |
| Provider Name | Megan Elizabeth Rollings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710319009 PECOS PAC ID: 1254685290 Enrollment ID: I20181112000347 |
| Provider Name | Amanda Ritthaler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942789615 PECOS PAC ID: 4284988072 Enrollment ID: I20181114001165 |
| Provider Name | Sarah Jo Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952884991 PECOS PAC ID: 3072867472 Enrollment ID: I20181124000051 |
| Provider Name | Ashley Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417444944 PECOS PAC ID: 4789928995 Enrollment ID: I20181128003439 |
| Provider Name | Michele Dawn Cambridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215406699 PECOS PAC ID: 1759625601 Enrollment ID: I20181203003105 |
| Provider Name | Victoria N Tiemens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816567 PECOS PAC ID: 9133463748 Enrollment ID: I20181210001165 |
| Provider Name | Kelli Brooke Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487123329 PECOS PAC ID: 0648515015 Enrollment ID: I20181213001831 |
| Provider Name | Carly E Day |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1215149810 PECOS PAC ID: 5496879538 Enrollment ID: I20181214002540 |
| Provider Name | Huma Tazeem Mulk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497884027 PECOS PAC ID: 6406031848 Enrollment ID: I20181219000582 |
| Provider Name | Robert P Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376568600 PECOS PAC ID: 5890778971 Enrollment ID: I20181220000036 |
| Provider Name | Jennifer Sue Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851861702 PECOS PAC ID: 5294071528 Enrollment ID: I20190108001829 |
| Provider Name | Kristen Master |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427590819 PECOS PAC ID: 2264778208 Enrollment ID: I20190111000097 |
| Provider Name | Kelszie D Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609346923 PECOS PAC ID: 8628315280 Enrollment ID: I20190122000619 |
| Provider Name | Andrea M Ginter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588135057 PECOS PAC ID: 7214274745 Enrollment ID: I20190122003254 |
| Provider Name | Scott T Fairhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073086252 PECOS PAC ID: 7517204324 Enrollment ID: I20190131001302 |
| Provider Name | David Maldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104299593 PECOS PAC ID: 8123381688 Enrollment ID: I20190301001658 |
| Provider Name | Sharon Henn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700307832 PECOS PAC ID: 4385915529 Enrollment ID: I20190315000087 |
| Provider Name | Areef Salim Kassam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932561917 PECOS PAC ID: 5991088221 Enrollment ID: I20190315000785 |
| Provider Name | Jennifer Virgl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023522125 PECOS PAC ID: 7911268875 Enrollment ID: I20190315001682 |
| Provider Name | Daphne Kyomuhendo Muzoora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467772624 PECOS PAC ID: 2769622554 Enrollment ID: I20190327001871 |
| Provider Name | Kimberly Pearl Hankenhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467926394 PECOS PAC ID: 5395086847 Enrollment ID: I20190410000181 |
| Provider Name | Rajiv Narula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982959979 PECOS PAC ID: 6709147689 Enrollment ID: I20190426001148 |
| Provider Name | Urszula Anna Piergalski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134561947 PECOS PAC ID: 0143562827 Enrollment ID: I20190429002191 |
| Provider Name | Edward Pienkos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356324669 PECOS PAC ID: 4385687060 Enrollment ID: I20190506001264 |
| Provider Name | Jason Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780145904 PECOS PAC ID: 3173865441 Enrollment ID: I20190507001921 |
| Provider Name | Aaren Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366915571 PECOS PAC ID: 2567705403 Enrollment ID: I20190516002909 |
| Provider Name | Shishir Ojha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225223803 PECOS PAC ID: 3779711213 Enrollment ID: I20190521003085 |
| Provider Name | Theresa V Jarvis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063986677 PECOS PAC ID: 1850634411 Enrollment ID: I20190522001701 |
| Provider Name | Douglas H Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376983577 PECOS PAC ID: 9830432384 Enrollment ID: I20190523002574 |
| Provider Name | Danielle Cadle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851651871 PECOS PAC ID: 2567764665 Enrollment ID: I20190524001688 |
| Provider Name | Samreen Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174486 PECOS PAC ID: 7618249350 Enrollment ID: I20190528000184 |
| Provider Name | Muhammad a Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972850170 PECOS PAC ID: 0749591055 Enrollment ID: I20190528000890 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20190529000434 |
| Provider Name | Andrew J Krutul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841387529 PECOS PAC ID: 9032005210 Enrollment ID: I20190605001990 |
| Provider Name | Taimur Khalid Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346637162 PECOS PAC ID: 3678887403 Enrollment ID: I20190617000274 |
| Provider Name | Mariam R Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801113204 PECOS PAC ID: 5294053831 Enrollment ID: I20190617002753 |
| Provider Name | Nichole Elaine Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003372475 PECOS PAC ID: 2466786389 Enrollment ID: I20190627000142 |
| Provider Name | Kenneth MD Polezoes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366891996 PECOS PAC ID: 9335473263 Enrollment ID: I20190627000339 |
| Provider Name | Caitlin M Lawes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659720605 PECOS PAC ID: 8729372271 Enrollment ID: I20190627000458 |
| Provider Name | Corin Jane Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649624529 PECOS PAC ID: 7416248463 Enrollment ID: I20190703000626 |
| Provider Name | John James Karl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487701728 PECOS PAC ID: 3678815925 Enrollment ID: I20190703000819 |
| Provider Name | Narayan Prabhakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275616955 PECOS PAC ID: 8729078779 Enrollment ID: I20190712000259 |
| Provider Name | Mohammad Sami Bakdash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104271790 PECOS PAC ID: 8628361037 Enrollment ID: I20190715000718 |
| Provider Name | Robert L Korsch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982021317 PECOS PAC ID: 3779879374 Enrollment ID: I20190723000165 |
| Provider Name | Amy Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164963005 PECOS PAC ID: 7113204694 Enrollment ID: I20190724000406 |
| Provider Name | Omar Abuzeid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174900120 PECOS PAC ID: 1456687623 Enrollment ID: I20190725001119 |
| Provider Name | Janet Bilder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326451030 PECOS PAC ID: 0941428981 Enrollment ID: I20190726001042 |
| Provider Name | Fernando Miguel De Lemos Figueira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992253298 PECOS PAC ID: 9537495239 Enrollment ID: I20190801000708 |
| Provider Name | Harsha Ranganath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013282243 PECOS PAC ID: 9436391950 Enrollment ID: I20190823000736 |
| Provider Name | Christina M Beers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487210985 PECOS PAC ID: 7214265388 Enrollment ID: I20190827003684 |
| Provider Name | Shenil Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700151057 PECOS PAC ID: 5193045193 Enrollment ID: I20190829000688 |
| Provider Name | Shana K Funk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316120801 PECOS PAC ID: 2769710755 Enrollment ID: I20190829001162 |
| Provider Name | Meredith Marie Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992169700 PECOS PAC ID: 0042501439 Enrollment ID: I20190904000887 |
| Provider Name | Igor Wanko Mboumi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225473929 PECOS PAC ID: 4183858459 Enrollment ID: I20190905000814 |
| Provider Name | Renee Crater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265085369 PECOS PAC ID: 3072842707 Enrollment ID: I20190905002937 |
| Provider Name | Katherine Afton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497303630 PECOS PAC ID: 5092044347 Enrollment ID: I20190911001890 |
| Provider Name | Nisha Kadri Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689092389 PECOS PAC ID: 2163751371 Enrollment ID: I20190913001334 |
| Provider Name | Wajihuddin Syed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417389099 PECOS PAC ID: 0446597066 Enrollment ID: I20190917002211 |
| Provider Name | Olusina V Akande |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285096701 PECOS PAC ID: 0840589123 Enrollment ID: I20190919000523 |
| Provider Name | Bernardo Israel Yahuaca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427498021 PECOS PAC ID: 0941444251 Enrollment ID: I20190923002154 |
| Provider Name | Kristen M Giacomin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952950560 PECOS PAC ID: 7618207903 Enrollment ID: I20190930002658 |
| Provider Name | Patricia Anne Harlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619104478 PECOS PAC ID: 9739410184 Enrollment ID: I20191016000366 |
| Provider Name | James Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760776538 PECOS PAC ID: 0446520290 Enrollment ID: I20191029000514 |
| Provider Name | Kalyan C Gorantla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679832463 PECOS PAC ID: 6305148735 Enrollment ID: I20191108000761 |
| Provider Name | Gregory Charles Specht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942738919 PECOS PAC ID: 7012285117 Enrollment ID: I20191118000197 |
| Provider Name | Demetris Yvette Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770147340 PECOS PAC ID: 3779915368 Enrollment ID: I20191120001667 |
| Provider Name | Lindsay Nicole Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326683210 PECOS PAC ID: 4082047279 Enrollment ID: I20191202000728 |
| Provider Name | Tiffany C Orange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235773110 PECOS PAC ID: 2961835806 Enrollment ID: I20191205003076 |
| Provider Name | Heather J. Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255804522 PECOS PAC ID: 4385078872 Enrollment ID: I20191216001161 |
| Provider Name | Joyce Stamiris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578117719 PECOS PAC ID: 6406280601 Enrollment ID: I20191220002474 |
| Provider Name | Harpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639371529 PECOS PAC ID: 0042382038 Enrollment ID: I20200103001652 |
| Provider Name | Abigail Mae Boersma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912540303 PECOS PAC ID: 5294160883 Enrollment ID: I20200108000884 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20200109000285 |
| Provider Name | Abbi Marie Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700424819 PECOS PAC ID: 2769817097 Enrollment ID: I20200115000894 |
| Provider Name | Riad Al Natour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20200116000265 |
| Provider Name | Courtney Lynn Grounds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184255432 PECOS PAC ID: 9234565342 Enrollment ID: I20200210001481 |
| Provider Name | Sarah Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831738269 PECOS PAC ID: 2062848906 Enrollment ID: I20200212001634 |
| Provider Name | Christina C Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215919295 PECOS PAC ID: 7214364058 Enrollment ID: I20200217004080 |
| Provider Name | Eric Steinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316933054 PECOS PAC ID: 9436145752 Enrollment ID: I20200218002814 |
| Provider Name | Leslie M Antonelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013193457 PECOS PAC ID: 4385071091 Enrollment ID: I20200218002991 |
| Provider Name | Erica R Fledderjohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649252610 PECOS PAC ID: 2163859877 Enrollment ID: I20200218003184 |
| Provider Name | Katherina D Mcintire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750363735 PECOS PAC ID: 1052748555 Enrollment ID: I20200222000014 |
| Provider Name | Andrea Leann Tiffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720546922 PECOS PAC ID: 8628310364 Enrollment ID: I20200224000560 |
| Provider Name | Mary Elise Hodson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073595054 PECOS PAC ID: 7214087386 Enrollment ID: I20200227000890 |
| Provider Name | Naveed Rana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609863380 PECOS PAC ID: 4688636962 Enrollment ID: I20200228002440 |
| Provider Name | Jackie Suzanne Tank |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043854409 PECOS PAC ID: 6901234269 Enrollment ID: I20200319001832 |
| Provider Name | Leanne Nichole Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912542630 PECOS PAC ID: 4981032968 Enrollment ID: I20200325003396 |
| Provider Name | Jelica Maze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811162704 PECOS PAC ID: 8426296435 Enrollment ID: I20200326001193 |
| Provider Name | Catherine Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841649480 PECOS PAC ID: 5799076519 Enrollment ID: I20200329000620 |
| Provider Name | Angela Marie Vittorio-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811521834 PECOS PAC ID: 0244669950 Enrollment ID: I20200401000824 |
| Provider Name | Eileen Stulgis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134141591 PECOS PAC ID: 1850302712 Enrollment ID: I20200402000543 |
| Provider Name | Brooke E Hesson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669006284 PECOS PAC ID: 5597194811 Enrollment ID: I20200407001607 |
| Provider Name | Visalakshi Kunapuli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811100027 PECOS PAC ID: 4486831237 Enrollment ID: I20200407002360 |
| Provider Name | Lisa Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851924435 PECOS PAC ID: 7719317601 Enrollment ID: I20200416001217 |
| Provider Name | Tabatha D Landrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700398666 PECOS PAC ID: 0648600569 Enrollment ID: I20200416003063 |
| Provider Name | Seth H Lichtenstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598761041 PECOS PAC ID: 6507805181 Enrollment ID: I20200417002464 |
| Provider Name | Katheryn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770117673 PECOS PAC ID: 8729418496 Enrollment ID: I20200420003005 |
| Provider Name | Katherine E Herkert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447709100 PECOS PAC ID: 2567892961 Enrollment ID: I20200427002371 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225003593 PECOS PAC ID: 4587661277 Enrollment ID: I20200428002118 |
| Provider Name | Ruheri Perez Tamayo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881655397 PECOS PAC ID: 5092724377 Enrollment ID: I20200430001939 |
| Provider Name | Marla Krukowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174919229 PECOS PAC ID: 3375899784 Enrollment ID: I20200514000351 |
| Provider Name | Chad R Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538472899 PECOS PAC ID: 5395974240 Enrollment ID: I20200526002000 |
| Provider Name | Zohair Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578826939 PECOS PAC ID: 4981918224 Enrollment ID: I20200601000146 |
| Provider Name | Evan Fitz |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205197340 PECOS PAC ID: 9638317555 Enrollment ID: I20200612001660 |
| Provider Name | Brittany Sherron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124481924 PECOS PAC ID: 3870884471 Enrollment ID: I20200616000609 |
| Provider Name | Maya J Dominique |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942658497 PECOS PAC ID: 0446672596 Enrollment ID: I20200619000418 |
| Provider Name | Umair Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134579402 PECOS PAC ID: 8820380918 Enrollment ID: I20200630001172 |
| Provider Name | Samuel Worsham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275912602 PECOS PAC ID: 5597060798 Enrollment ID: I20200630001766 |
| Provider Name | Lindsey Ann Nondorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114455243 PECOS PAC ID: 3678841764 Enrollment ID: I20200630002152 |
| Provider Name | Kevin Mcnulty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134657109 PECOS PAC ID: 5496023582 Enrollment ID: I20200706002522 |
| Provider Name | Jessica Zandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972127264 PECOS PAC ID: 8921421876 Enrollment ID: I20200710000301 |
| Provider Name | Randy C Lehman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912388414 PECOS PAC ID: 4981916830 Enrollment ID: I20200713001106 |
| Provider Name | Rayon Golding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437690575 PECOS PAC ID: 4587934807 Enrollment ID: I20200715003047 |
| Provider Name | Paul Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396139572 PECOS PAC ID: 1254755697 Enrollment ID: I20200720000501 |
| Provider Name | Mohammad Arfeen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932640075 PECOS PAC ID: 3375813686 Enrollment ID: I20200721000737 |
| Provider Name | Betty Ann Demko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538780747 PECOS PAC ID: 2365866142 Enrollment ID: I20200727002411 |
| Provider Name | Ashley Stobaugh Koselke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376071431 PECOS PAC ID: 4688942774 Enrollment ID: I20200728002280 |
| Provider Name | Sarah E Burke |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568849396 PECOS PAC ID: 2466747639 Enrollment ID: I20200729003230 |
| Provider Name | Joseph Richardville |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1861856692 PECOS PAC ID: 9133410525 Enrollment ID: I20200806000143 |
| Provider Name | Jonathan a Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043740418 PECOS PAC ID: 6800165200 Enrollment ID: I20200806002421 |
| Provider Name | Ahmad Kutmah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346772415 PECOS PAC ID: 1951738053 Enrollment ID: I20200812002839 |
| Provider Name | George Lolay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811333941 PECOS PAC ID: 1052626090 Enrollment ID: I20200813000607 |
| Provider Name | Tibbett Jeanne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205483104 PECOS PAC ID: 4587080999 Enrollment ID: I20200817001188 |
| Provider Name | Rebecca Louise Kray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528679891 PECOS PAC ID: 3476979428 Enrollment ID: I20200820002318 |
| Provider Name | Jemina O Osei |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528328523 PECOS PAC ID: 4486990942 Enrollment ID: I20200821001646 |
| Provider Name | Abbi Danae Kroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992314504 PECOS PAC ID: 8426475120 Enrollment ID: I20200826001888 |
| Provider Name | Amir a Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699180950 PECOS PAC ID: 4880811868 Enrollment ID: I20200831002102 |
| Provider Name | Ridaa Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528591526 PECOS PAC ID: 4981021250 Enrollment ID: I20200901001821 |
| Provider Name | Usama Mahameed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477076156 PECOS PAC ID: 1658798806 Enrollment ID: I20200902000959 |
| Provider Name | Lydia R Kruse |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629686985 PECOS PAC ID: 2365860152 Enrollment ID: I20200910001383 |
| Provider Name | Cody Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790334118 PECOS PAC ID: 5698193209 Enrollment ID: I20200915000300 |
| Provider Name | Jennifer Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295355972 PECOS PAC ID: 2466871504 Enrollment ID: I20200923001736 |
| Provider Name | Christina L Cohee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124645536 PECOS PAC ID: 6608295589 Enrollment ID: I20200925001056 |
| Provider Name | Charles Ghee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851659643 PECOS PAC ID: 3870865603 Enrollment ID: I20200930002210 |
| Provider Name | Ravi Pravin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679814958 PECOS PAC ID: 3375823594 Enrollment ID: I20201007002530 |
| Provider Name | Jessica Hope Siegler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578925020 PECOS PAC ID: 4688961519 Enrollment ID: I20201012002282 |
| Provider Name | Robin Eads |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285996330 PECOS PAC ID: 1850557810 Enrollment ID: I20201012002389 |
| Provider Name | Eshwar Nagraj Murthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053848622 PECOS PAC ID: 1658791678 Enrollment ID: I20201013002392 |
| Provider Name | Sueyi Lai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275765174 PECOS PAC ID: 7113230657 Enrollment ID: I20201013003490 |
| Provider Name | Katherine Edney Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174130611 PECOS PAC ID: 0446670319 Enrollment ID: I20201014001378 |
| Provider Name | Adrienne Baksinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033272323 PECOS PAC ID: 5193874949 Enrollment ID: I20201015002739 |
| Provider Name | Jeffrey M Goldberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720045834 PECOS PAC ID: 7113115486 Enrollment ID: I20201020002443 |
| Provider Name | Brooklynn Smock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710594767 PECOS PAC ID: 8729408265 Enrollment ID: I20201021002300 |
| Provider Name | Destiny Marie Harrell-washington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023549326 PECOS PAC ID: 0941579452 Enrollment ID: I20201023002919 |
| Provider Name | Katherine Grace Vachon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669086864 PECOS PAC ID: 8729408067 Enrollment ID: I20201026002040 |
| Provider Name | Michaela Joy Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073125407 PECOS PAC ID: 2860802972 Enrollment ID: I20201030002079 |
| Provider Name | Jean E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790383248 PECOS PAC ID: 0345650222 Enrollment ID: I20201104000838 |
| Provider Name | Rachael Mccall Kunkle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548887623 PECOS PAC ID: 2365852167 Enrollment ID: I20201106000313 |
| Provider Name | Justin Master |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154850196 PECOS PAC ID: 6406124338 Enrollment ID: I20201109002306 |
| Provider Name | Donna Steinway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750889838 PECOS PAC ID: 9739590126 Enrollment ID: I20201116000459 |
| Provider Name | Tedi Vlahu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326335928 PECOS PAC ID: 2769610070 Enrollment ID: I20201117002750 |
| Provider Name | Jason Kiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548466030 PECOS PAC ID: 1850586934 Enrollment ID: I20201118001989 |
| Provider Name | Brittany Nicole Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609247816 PECOS PAC ID: 9436560414 Enrollment ID: I20201123002729 |
| Provider Name | Teresa Sluys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790396265 PECOS PAC ID: 6507277332 Enrollment ID: I20201130000298 |
| Provider Name | Abhay Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093942708 PECOS PAC ID: 9335263565 Enrollment ID: I20201201001157 |
| Provider Name | Angela Strawmyer-grever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730787029 PECOS PAC ID: 3375954969 Enrollment ID: I20201203001680 |
| Provider Name | Alyssa J Shepherd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447853569 PECOS PAC ID: 9436561875 Enrollment ID: I20201209001454 |
| Provider Name | Shalini Ravella |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942444724 PECOS PAC ID: 0446404586 Enrollment ID: I20201211002036 |
| Provider Name | Christine Kucyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063036747 PECOS PAC ID: 7911319892 Enrollment ID: I20201217001584 |
| Provider Name | April Marie Przyborski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093321788 PECOS PAC ID: 9234541079 Enrollment ID: I20201218001543 |
| Provider Name | Christopher L Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962006718 PECOS PAC ID: 8325450968 Enrollment ID: I20201223001930 |
| Provider Name | Megan Leilani Mcclamroch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952952939 PECOS PAC ID: 9133531775 Enrollment ID: I20201223001974 |
| Provider Name | Kelsie Tokarczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861002115 PECOS PAC ID: 2769895275 Enrollment ID: I20201230000754 |
| Provider Name | Meghan Papineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700487584 PECOS PAC ID: 8426461187 Enrollment ID: I20210119002789 |
| Provider Name | James Kiely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205911096 PECOS PAC ID: 6608061783 Enrollment ID: I20210120000910 |
| Provider Name | Lindsay Baughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891302949 PECOS PAC ID: 3072927755 Enrollment ID: I20210121001326 |
| Provider Name | Kyle Kleist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023472321 PECOS PAC ID: 1456646512 Enrollment ID: I20210122002761 |
| Provider Name | Marycharlotte Turner Bales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003370834 PECOS PAC ID: 7416362033 Enrollment ID: I20210212000633 |
| Provider Name | Stephen Christopher Cook |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639175342 PECOS PAC ID: 1658301031 Enrollment ID: I20210212000713 |
| Provider Name | Radhika Chillarige |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942233200 PECOS PAC ID: 3173939071 Enrollment ID: I20210301001010 |
| Provider Name | Whitney Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518576560 PECOS PAC ID: 3678989555 Enrollment ID: I20210302001051 |
| Provider Name | Mackenzie D Lawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568050177 PECOS PAC ID: 8729494505 Enrollment ID: I20210302001645 |
| Provider Name | Kaitlin Eileen Ziedonis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003402363 PECOS PAC ID: 5698181287 Enrollment ID: I20210305000758 |
| Provider Name | Kayla Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811541089 PECOS PAC ID: 7911313036 Enrollment ID: I20210315001624 |
| Provider Name | Tommasina Papa Rugino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629050554 PECOS PAC ID: 5597787010 Enrollment ID: I20210402000228 |
| Provider Name | Brigitta Bittner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588254726 PECOS PAC ID: 1850709700 Enrollment ID: I20210414002228 |
| Provider Name | Amanda Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609453661 PECOS PAC ID: 7416365739 Enrollment ID: I20210426001040 |
| Provider Name | Abdul Aleem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508232711 PECOS PAC ID: 1355750373 Enrollment ID: I20210504001247 |
| Provider Name | Cory Hogue |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720438286 PECOS PAC ID: 6507150786 Enrollment ID: I20210504001589 |
| Provider Name | Manuel D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326639360 PECOS PAC ID: 3870902810 Enrollment ID: I20210504002032 |
| Provider Name | Tina Schuster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396868253 PECOS PAC ID: 6800963927 Enrollment ID: I20210524000523 |
| Provider Name | Ahmed Amro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952716789 PECOS PAC ID: 2062631138 Enrollment ID: I20210527000129 |
| Provider Name | Gina Marie Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275124919 PECOS PAC ID: 1153720727 Enrollment ID: I20210602000757 |
| Provider Name | Julia Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811585359 PECOS PAC ID: 8123428570 Enrollment ID: I20210607002589 |
| Provider Name | Amy Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093322505 PECOS PAC ID: 7214337591 Enrollment ID: I20210608000986 |
| Provider Name | Kendall Seiler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255725925 PECOS PAC ID: 1456751254 Enrollment ID: I20210616001412 |
| Provider Name | Jessica Van Noort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043809429 PECOS PAC ID: 4688074115 Enrollment ID: I20210621001322 |
| Provider Name | Anas Souqiyyeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508286667 PECOS PAC ID: 0345466694 Enrollment ID: I20210712001354 |
| Provider Name | Tyler Jon Beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861983348 PECOS PAC ID: 5496000861 Enrollment ID: I20210712001701 |
| Provider Name | Daniel P Capes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770937369 PECOS PAC ID: 8426348061 Enrollment ID: I20210712002376 |
| Provider Name | Hollyn Mccarty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083146187 PECOS PAC ID: 9436428109 Enrollment ID: I20210712003762 |
| Provider Name | Blake Edward Averill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750819165 PECOS PAC ID: 9032487129 Enrollment ID: I20210720002440 |
| Provider Name | Scott Dolejs |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467890434 PECOS PAC ID: 0244473783 Enrollment ID: I20210723001059 |
| Provider Name | Ashley Nicole O'shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457925471 PECOS PAC ID: 2860896537 Enrollment ID: I20210803003452 |
| Provider Name | Ashley Monk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649685868 PECOS PAC ID: 2567772700 Enrollment ID: I20210803003705 |
| Provider Name | John Monk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932543469 PECOS PAC ID: 4587974712 Enrollment ID: I20210809002221 |
| Provider Name | Karri Dee Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417541756 PECOS PAC ID: 9032513924 Enrollment ID: I20210816000596 |
| Provider Name | Arshad Iftekhar Husain |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396856506 PECOS PAC ID: 5597831974 Enrollment ID: I20210824002108 |
| Provider Name | Jeannie Ur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033616305 PECOS PAC ID: 5890040299 Enrollment ID: I20210824002806 |
| Provider Name | Suzanne Marie Rossiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841869740 PECOS PAC ID: 6406251743 Enrollment ID: I20210824002842 |
| Provider Name | Aditya Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750794087 PECOS PAC ID: 4486999174 Enrollment ID: I20210831002508 |
| Provider Name | Hira Yousaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659876035 PECOS PAC ID: 6204184492 Enrollment ID: I20210901002548 |
| Provider Name | Mohammad Salama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770010233 PECOS PAC ID: 1850726878 Enrollment ID: I20210902000728 |
| Provider Name | Emily Randall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902208358 PECOS PAC ID: 0244451607 Enrollment ID: I20210902001812 |
| Provider Name | Nadine a Seudeal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114412020 PECOS PAC ID: 2062769862 Enrollment ID: I20210908001082 |
| Provider Name | Maryam Nouhi Arbatani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255748182 PECOS PAC ID: 3779851530 Enrollment ID: I20210909000569 |
| Provider Name | Navid Ahsani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124514187 PECOS PAC ID: 3274889811 Enrollment ID: I20210910001364 |
| Provider Name | Jaime Armah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720574403 PECOS PAC ID: 5799033213 Enrollment ID: I20210910002821 |
| Provider Name | Leigh Anne Morenus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538574934 PECOS PAC ID: 7416178124 Enrollment ID: I20210917002186 |
| Provider Name | Jennifer Renee Crayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447822028 PECOS PAC ID: 6204233174 Enrollment ID: I20210920001260 |
| Provider Name | Brian David Radican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861086522 PECOS PAC ID: 8527465178 Enrollment ID: I20210923002146 |
| Provider Name | Satara Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104237379 PECOS PAC ID: 1254602071 Enrollment ID: I20211005001945 |
| Provider Name | Suresh Potluri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871757708 PECOS PAC ID: 0244382034 Enrollment ID: I20211006003313 |
| Provider Name | Morgan Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174290621 PECOS PAC ID: 5395143846 Enrollment ID: I20211013002640 |
| Provider Name | Kelli Lynn Schleder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093486615 PECOS PAC ID: 4486052719 Enrollment ID: I20211018000891 |
| Provider Name | Amy L Hallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871260281 PECOS PAC ID: 1153719810 Enrollment ID: I20211028002843 |
| Provider Name | Rachel Marie Dodson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578230843 PECOS PAC ID: 5092103705 Enrollment ID: I20211029002002 |
| Provider Name | Lauren Michelle Zachary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861168700 PECOS PAC ID: 0749679769 Enrollment ID: I20211112002333 |
| Provider Name | Taylor Michelle Adrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811652431 PECOS PAC ID: 9931599776 Enrollment ID: I20211209001181 |
| Provider Name | Daniel Hekman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104265073 PECOS PAC ID: 6305075367 Enrollment ID: I20211210002135 |
| Provider Name | Lauren Elizabeth Kovacic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912570003 PECOS PAC ID: 9234520727 Enrollment ID: I20211216001324 |
| Provider Name | Tansel Turgut |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104829886 PECOS PAC ID: 2365418829 Enrollment ID: I20211220002550 |
| Provider Name | Sushma Manda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558524603 PECOS PAC ID: 7113051392 Enrollment ID: I20211222000164 |
| Provider Name | Sherry Ann Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497419105 PECOS PAC ID: 0648661660 Enrollment ID: I20211231000007 |
| Provider Name | Michele Christine Kotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180139 PECOS PAC ID: 4183026198 Enrollment ID: I20220105001079 |
| Provider Name | Jainie Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043972326 PECOS PAC ID: 2163813882 Enrollment ID: I20220106001002 |
| Provider Name | Miguel Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083812127 PECOS PAC ID: 8426203290 Enrollment ID: I20220110001194 |
| Provider Name | Kaci Bauske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013684752 PECOS PAC ID: 4789076423 Enrollment ID: I20220110001204 |
| Provider Name | Mario Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972577658 PECOS PAC ID: 2668864273 Enrollment ID: I20220111001992 |
| Provider Name | Kathy Frances Tebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497411797 PECOS PAC ID: 2567854094 Enrollment ID: I20220113001092 |
| Provider Name | April Dawn Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699059238 PECOS PAC ID: 8022446301 Enrollment ID: I20220118000102 |
| Provider Name | Brett R Galley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114131919 PECOS PAC ID: 5698167963 Enrollment ID: I20220118001778 |
| Provider Name | Jesse Lynne Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063172484 PECOS PAC ID: 4880086180 Enrollment ID: I20220119000250 |
| Provider Name | Vijay E Menon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124123633 PECOS PAC ID: 2062804933 Enrollment ID: I20220126003138 |
| Provider Name | Jana Fix |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215229877 PECOS PAC ID: 1658513619 Enrollment ID: I20220127001678 |
| Provider Name | Tawanda Leflore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730841271 PECOS PAC ID: 4486046265 Enrollment ID: I20220128001261 |
| Provider Name | Kristen Nicole Maroney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356006084 PECOS PAC ID: 7719370147 Enrollment ID: I20220208001945 |
| Provider Name | Taha Ben Saad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457465361 PECOS PAC ID: 9537552658 Enrollment ID: I20220211001212 |
| Provider Name | Mackenzie Rush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689326951 PECOS PAC ID: 0749673838 Enrollment ID: I20220214001578 |
| Provider Name | Madalyn Qualizza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962163691 PECOS PAC ID: 7618361288 Enrollment ID: I20220224000412 |
| Provider Name | Erin Lynne Heffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972268357 PECOS PAC ID: 1153715685 Enrollment ID: I20220228001092 |
| Provider Name | Megan Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902565831 PECOS PAC ID: 1557755519 Enrollment ID: I20220308002450 |
| Provider Name | Akinolu Yussuf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649874850 PECOS PAC ID: 8426443169 Enrollment ID: I20220316002698 |
| Provider Name | Worthe S Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548242316 PECOS PAC ID: 2466415021 Enrollment ID: I20220328001879 |
| Provider Name | Megan Gac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992264 PECOS PAC ID: 9335535244 Enrollment ID: I20220401000511 |
| Provider Name | Nabeel S Awan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134876097 PECOS PAC ID: 7416343264 Enrollment ID: I20220405000973 |
| Provider Name | Lawrence Dantae Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104425651 PECOS PAC ID: 8628464161 Enrollment ID: I20220408000867 |
| Provider Name | Brandon Fultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902031131 PECOS PAC ID: 4688060122 Enrollment ID: I20220408001031 |
| Provider Name | Matthew Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104579770 PECOS PAC ID: 8628464179 Enrollment ID: I20220408001306 |
| Provider Name | Kristine a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053988246 PECOS PAC ID: 7517353766 Enrollment ID: I20220415000569 |
| Provider Name | Ameer Alwafai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255644779 PECOS PAC ID: 6901190362 Enrollment ID: I20220415000590 |
| Provider Name | Syed Tariq Khalil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497000517 PECOS PAC ID: 2365684644 Enrollment ID: I20220429001221 |
| Provider Name | Jacob Joseph Almanza |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619646437 PECOS PAC ID: 4385031848 Enrollment ID: I20220502000728 |
| Provider Name | Taylor Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104574037 PECOS PAC ID: 5799172201 Enrollment ID: I20220503000230 |
| Provider Name | Lindsay Renee Harness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982359881 PECOS PAC ID: 4789071192 Enrollment ID: I20220503000707 |
| Provider Name | Dana L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346984499 PECOS PAC ID: 3072990035 Enrollment ID: I20220512000272 |
| Provider Name | Chad Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467477901 PECOS PAC ID: 4183522212 Enrollment ID: I20220518002933 |
| Provider Name | Junaid Hasnain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770044380 PECOS PAC ID: 8820475411 Enrollment ID: I20220520000825 |
| Provider Name | George Feeney Kane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720548266 PECOS PAC ID: 5193050870 Enrollment ID: I20220526000256 |
| Provider Name | Alaa Akhras |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992108005 PECOS PAC ID: 8527486877 Enrollment ID: I20220603001034 |
| Provider Name | Joshua K Kays |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1598100240 PECOS PAC ID: 1052548187 Enrollment ID: I20220607002434 |
| Provider Name | Eric Culp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508061136 PECOS PAC ID: 6406937986 Enrollment ID: I20220607002941 |
| Provider Name | Katherine Szumlanski Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518613793 PECOS PAC ID: 1759769417 Enrollment ID: I20220608001612 |
| Provider Name | Joanna Claussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518617059 PECOS PAC ID: 7012396500 Enrollment ID: I20220613002420 |
| Provider Name | Chau Thi Minh Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508506668 PECOS PAC ID: 5193104685 Enrollment ID: I20220613002506 |
| Provider Name | Adara Simonelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386278430 PECOS PAC ID: 6800215203 Enrollment ID: I20220615002092 |
| Provider Name | Alexandra Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700272655 PECOS PAC ID: 0941549265 Enrollment ID: I20220621000418 |
| Provider Name | Hannah Fischer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073282497 PECOS PAC ID: 1951780063 Enrollment ID: I20220621001201 |
| Provider Name | Randall S. Garing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336878628 PECOS PAC ID: 3779962790 Enrollment ID: I20220622002407 |
| Provider Name | Serguei Kishkurno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104056449 PECOS PAC ID: 6507259694 Enrollment ID: I20220623001388 |
| Provider Name | Nancy Gamarra Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710094685 PECOS PAC ID: 3072504497 Enrollment ID: I20220708001857 |
| Provider Name | Sandy Y Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780799387 PECOS PAC ID: 0941304612 Enrollment ID: I20220714000177 |
| Provider Name | Nicholas Stephen Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386383040 PECOS PAC ID: 7113308784 Enrollment ID: I20220714001213 |
| Provider Name | Erin Pluard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306584511 PECOS PAC ID: 6507247079 Enrollment ID: I20220714001535 |
| Provider Name | Zeenat Shameem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669960589 PECOS PAC ID: 0143577205 Enrollment ID: I20220721002777 |
| Provider Name | Jackie Anne Fletcher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326786559 PECOS PAC ID: 8527449586 Enrollment ID: I20220721002865 |
| Provider Name | Samer Kawak |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174901573 PECOS PAC ID: 3476873605 Enrollment ID: I20220727002150 |
| Provider Name | Leonid Kats |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356804363 PECOS PAC ID: 4284016999 Enrollment ID: I20220727003197 |
| Provider Name | Gabriel Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730686031 PECOS PAC ID: 8729333943 Enrollment ID: I20220801002884 |
| Provider Name | Rinal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639532526 PECOS PAC ID: 1850637711 Enrollment ID: I20220809002299 |
| Provider Name | Brett Milkevitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053768051 PECOS PAC ID: 4789970492 Enrollment ID: I20220809003533 |
| Provider Name | Alicja Milik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538144464 PECOS PAC ID: 5496771693 Enrollment ID: I20220810003416 |
| Provider Name | Usman Ather |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205320397 PECOS PAC ID: 7618369398 Enrollment ID: I20220811002734 |
| Provider Name | Tiffany Amber Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386378230 PECOS PAC ID: 4688057169 Enrollment ID: I20220816002155 |
| Provider Name | Chike Nwokolo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356905186 PECOS PAC ID: 6800125485 Enrollment ID: I20220822002083 |
| Provider Name | Kirsten Zambon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144756453 PECOS PAC ID: 7214311273 Enrollment ID: I20220825001690 |
| Provider Name | Wisam Martini |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558300210 PECOS PAC ID: 0941204077 Enrollment ID: I20220825002481 |
| Provider Name | Kelly Anne Leard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184378275 PECOS PAC ID: 2567846702 Enrollment ID: I20220907001247 |
| Provider Name | Maysan Alshaar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003800954 PECOS PAC ID: 8628452885 Enrollment ID: I20220907002347 |
| Provider Name | Shuai Qin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770946519 PECOS PAC ID: 9830483551 Enrollment ID: I20220909000760 |
| Provider Name | Kapil Thapa Chhetri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770138810 PECOS PAC ID: 4789916560 Enrollment ID: I20220913003021 |
| Provider Name | Skyler Gick |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366948507 PECOS PAC ID: 2466707526 Enrollment ID: I20220913003039 |
| Provider Name | Nitin Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861996415 PECOS PAC ID: 9234486978 Enrollment ID: I20220914000572 |
| Provider Name | Chelsie Lynn Brady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114486966 PECOS PAC ID: 5698000693 Enrollment ID: I20220914001913 |
| Provider Name | Salman B Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295393148 PECOS PAC ID: 7911235767 Enrollment ID: I20220915003337 |
| Provider Name | Siddiq Hasan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679549356 PECOS PAC ID: 8729036850 Enrollment ID: I20220919000262 |
| Provider Name | Wafa Dawahir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447770375 PECOS PAC ID: 3072998665 Enrollment ID: I20220919000588 |
| Provider Name | Corryn Greenwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902923188 PECOS PAC ID: 7416041108 Enrollment ID: I20220920000869 |
| Provider Name | Rebecca Kendrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023699832 PECOS PAC ID: 2365830338 Enrollment ID: I20220920000985 |
| Provider Name | Jaekyung Jacey Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548997612 PECOS PAC ID: 0143605659 Enrollment ID: I20220920002224 |
| Provider Name | Nirmal Nair |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336674399 PECOS PAC ID: 3476891722 Enrollment ID: I20220921002213 |
| Provider Name | Victor Benavides-martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518382613 PECOS PAC ID: 0446565543 Enrollment ID: I20220921002412 |
| Provider Name | Ahmer Festok |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538629514 PECOS PAC ID: 7618219403 Enrollment ID: I20220923000449 |
| Provider Name | Derek Bast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437612272 PECOS PAC ID: 0042544546 Enrollment ID: I20220928002184 |
| Provider Name | Joseph Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326718388 PECOS PAC ID: 1951787811 Enrollment ID: I20220929001172 |
| Provider Name | Meshaal P Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538510474 PECOS PAC ID: 7810289782 Enrollment ID: I20220930001670 |
| Provider Name | Elizabeth Kujala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215578414 PECOS PAC ID: 8527478759 Enrollment ID: I20221003002158 |
| Provider Name | Annie Kathryn Schulz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770221905 PECOS PAC ID: 2769868488 Enrollment ID: I20221004002412 |
| Provider Name | Asad John Torabi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649708835 PECOS PAC ID: 0446529705 Enrollment ID: I20221007000856 |
| Provider Name | Kelly Marie Grott |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1801328695 PECOS PAC ID: 5799053807 Enrollment ID: I20221021001349 |
| Provider Name | John S Underwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508391194 PECOS PAC ID: 6709153315 Enrollment ID: I20221021001475 |
| Provider Name | Jason Douglas Wethington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184392227 PECOS PAC ID: 1850767310 Enrollment ID: I20221025001124 |
| Provider Name | Andrew Sanford Koivuniemi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134500143 PECOS PAC ID: 7911296751 Enrollment ID: I20221026000950 |
| Provider Name | Gregory Robert Buckingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184359713 PECOS PAC ID: 6305213364 Enrollment ID: I20221103001322 |
| Provider Name | Caroline Combs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427765445 PECOS PAC ID: 3375910375 Enrollment ID: I20221103003029 |
| Provider Name | Megan Nichole Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184345431 PECOS PAC ID: 7012384035 Enrollment ID: I20221104000427 |
| Provider Name | Blake Christy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578026084 PECOS PAC ID: 9436483930 Enrollment ID: I20221108002092 |
| Provider Name | Gaurav Thakur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184078248 PECOS PAC ID: 8426328667 Enrollment ID: I20221108002737 |
| Provider Name | Stephanie Rosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649733270 PECOS PAC ID: 5698009199 Enrollment ID: I20221109001544 |
| Provider Name | Sara N Szynal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710613591 PECOS PAC ID: 6204203813 Enrollment ID: I20221110000282 |
| Provider Name | Kathryn Keefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225591050 PECOS PAC ID: 2264766765 Enrollment ID: I20221110000506 |
| Provider Name | Hannah Jean Shideler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497422638 PECOS PAC ID: 5698142214 Enrollment ID: I20221110000534 |
| Provider Name | Dylan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366094849 PECOS PAC ID: 0446580179 Enrollment ID: I20221114000574 |
| Provider Name | Emmanuel O Aina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568026144 PECOS PAC ID: 7012242795 Enrollment ID: I20221115001296 |
| Provider Name | Kylie M Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346808102 PECOS PAC ID: 0143554220 Enrollment ID: I20221116000705 |
| Provider Name | Rudolph Altergott |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417910803 PECOS PAC ID: 5991617276 Enrollment ID: I20221128000387 |
| Provider Name | Brianne Dobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285744623 PECOS PAC ID: 3476559931 Enrollment ID: I20221214002656 |
| Provider Name | Yasser Salem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033226303 PECOS PAC ID: 8224070974 Enrollment ID: I20221215000282 |
| Provider Name | Amy Jo King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114638186 PECOS PAC ID: 4284003013 Enrollment ID: I20221216001504 |
| Provider Name | Joshua Scheidler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851616742 PECOS PAC ID: 0446491674 Enrollment ID: I20221217000126 |
| Provider Name | Aubrey Ramsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841902327 PECOS PAC ID: 1658741285 Enrollment ID: I20221222002768 |
| Provider Name | Emma Lyn Chrisman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255044798 PECOS PAC ID: 8628448883 Enrollment ID: I20230104000486 |
| Provider Name | Nicole Kumke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871720615 PECOS PAC ID: 6608246681 Enrollment ID: I20230109001870 |
| Provider Name | Megan Dore Locks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467947325 PECOS PAC ID: 7810367620 Enrollment ID: I20230111002074 |
| Provider Name | Michael Goldberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598293409 PECOS PAC ID: 0345519500 Enrollment ID: I20230117000716 |
| Provider Name | Emily Rayne Hartnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952015638 PECOS PAC ID: 3375914922 Enrollment ID: I20230119000604 |
| Provider Name | Nina Kodros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326678962 PECOS PAC ID: 7416384623 Enrollment ID: I20230127002499 |
| Provider Name | Abigail Berger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639588023 PECOS PAC ID: 7012134877 Enrollment ID: I20230130001687 |
| Provider Name | Livia Lisboa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164949350 PECOS PAC ID: 1355697384 Enrollment ID: I20230131002187 |
| Provider Name | Keith Ladendorf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619092095 PECOS PAC ID: 5698789402 Enrollment ID: I20230201000395 |
| Provider Name | Zain Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134650534 PECOS PAC ID: 3779905377 Enrollment ID: I20230203000985 |
| Provider Name | Kaitlin Noel Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083324867 PECOS PAC ID: 9537531306 Enrollment ID: I20230206001086 |
| Provider Name | Kelsey Jean Barth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275181299 PECOS PAC ID: 3173946043 Enrollment ID: I20230216000847 |
| Provider Name | Olivia Jayanne Hoffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679289623 PECOS PAC ID: 5799158101 Enrollment ID: I20230306002745 |
| Provider Name | Amanda K Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770875841 PECOS PAC ID: 2365662913 Enrollment ID: I20230309000616 |
| Provider Name | Megan E Hilborn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093225161 PECOS PAC ID: 5799051306 Enrollment ID: I20230313001168 |
| Provider Name | Lisa Rene Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366155186 PECOS PAC ID: 0345614335 Enrollment ID: I20230314001472 |
| Provider Name | Laura Castrejon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396443529 PECOS PAC ID: 7012381692 Enrollment ID: I20230322000641 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20230330001381 |
| Provider Name | Olanrewaju O Agbe-davies |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639431059 PECOS PAC ID: 6204148653 Enrollment ID: I20230403000978 |
| Provider Name | Paige Roselen Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376242594 PECOS PAC ID: 8527433689 Enrollment ID: I20230404001285 |
| Provider Name | Whitney Marie Lahrman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285344630 PECOS PAC ID: 7517332448 Enrollment ID: I20230407000101 |
| Provider Name | Tracy Sue Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770291148 PECOS PAC ID: 3971978628 Enrollment ID: I20230411000763 |
| Provider Name | Lucas Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770278574 PECOS PAC ID: 8123493814 Enrollment ID: I20230411002039 |
| Provider Name | Roland Njei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235582768 PECOS PAC ID: 5991071060 Enrollment ID: I20230412000756 |
| Provider Name | Varoon Rathan Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20230417000514 |
| Provider Name | Emily Switzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023578259 PECOS PAC ID: 1951766781 Enrollment ID: I20230501002921 |
| Provider Name | Erin Montgomery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013591502 PECOS PAC ID: 3476924119 Enrollment ID: I20230509000755 |
| Provider Name | Darian R Yurack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598498941 PECOS PAC ID: 8224495783 Enrollment ID: I20230530000232 |
| Provider Name | Kyler Love |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235868662 PECOS PAC ID: 9032576731 Enrollment ID: I20230612002987 |
| Provider Name | Bilal Gondal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962799098 PECOS PAC ID: 0648402628 Enrollment ID: I20230622002399 |
| Provider Name | Louis W Elkins |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114993060 PECOS PAC ID: 8325097637 Enrollment ID: I20230627001960 |
| Provider Name | Nathan P Okey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962109405 PECOS PAC ID: 3870952120 Enrollment ID: I20230705000126 |
| Provider Name | Peter Luke Bochniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356052617 PECOS PAC ID: 5193184414 Enrollment ID: I20230705002762 |
| Provider Name | Morgan Elizabeth Petersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154007607 PECOS PAC ID: 6406215730 Enrollment ID: I20230705002978 |
| Provider Name | Philip George |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962722140 PECOS PAC ID: 1153670765 Enrollment ID: I20230711004246 |
| Provider Name | Andrew Hills |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134613649 PECOS PAC ID: 1052646973 Enrollment ID: I20230712001663 |
| Provider Name | Adam Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801415005 PECOS PAC ID: 2567884505 Enrollment ID: I20230713001429 |
| Provider Name | Joyce Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942654702 PECOS PAC ID: 3678872041 Enrollment ID: I20230713003964 |
| Provider Name | Nhila Jagadeesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720460355 PECOS PAC ID: 7517271299 Enrollment ID: I20230717001058 |
| Provider Name | Michael Joseph Roesler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203424 PECOS PAC ID: 6103240866 Enrollment ID: I20230717001291 |
| Provider Name | James Charles Houdek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528773256 PECOS PAC ID: 8022478403 Enrollment ID: I20230717002822 |
| Provider Name | Rachel Land |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073141149 PECOS PAC ID: 3678995651 Enrollment ID: I20230717003329 |
| Provider Name | Alex Htun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326546201 PECOS PAC ID: 8527484633 Enrollment ID: I20230718003071 |
| Provider Name | Shane Maung Myint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811602543 PECOS PAC ID: 0244690477 Enrollment ID: I20230719000919 |
| Provider Name | Danielle Lynn Strawn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528553708 PECOS PAC ID: 6709132681 Enrollment ID: I20230719002729 |
| Provider Name | Katherine a Monroe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780376525 PECOS PAC ID: 1456711571 Enrollment ID: I20230720001057 |
| Provider Name | Carlos Omar Acevedo Arus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508313701 PECOS PAC ID: 7810310653 Enrollment ID: I20230720003525 |
| Provider Name | Jamie Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699206045 PECOS PAC ID: 8729357496 Enrollment ID: I20230728002424 |
| Provider Name | Annette Abraham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083195093 PECOS PAC ID: 5991058646 Enrollment ID: I20230731002541 |
| Provider Name | Neal K Ramchandani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366899155 PECOS PAC ID: 3375835572 Enrollment ID: I20230801003435 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538689609 PECOS PAC ID: 1557769064 Enrollment ID: I20230804003378 |
| Provider Name | Marco Khiella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215498118 PECOS PAC ID: 4789915935 Enrollment ID: I20230809002110 |
| Provider Name | Shakumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174151807 PECOS PAC ID: 2567824683 Enrollment ID: I20230821003730 |
| Provider Name | Jordan Maxwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356790851 PECOS PAC ID: 6305134107 Enrollment ID: I20230829001636 |
| Provider Name | Pankil Desai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518311984 PECOS PAC ID: 7517374580 Enrollment ID: I20230829003213 |
| Provider Name | Meera Mohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225726029 PECOS PAC ID: 2365806528 Enrollment ID: I20230907000715 |
| Provider Name | Domanic Wiltermood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992489579 PECOS PAC ID: 2163886334 Enrollment ID: I20230907001309 |
| Provider Name | Courtney Everhart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407473614 PECOS PAC ID: 6406248640 Enrollment ID: I20230907002718 |
| Provider Name | Lauren Drafke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356057145 PECOS PAC ID: 5799149274 Enrollment ID: I20230918000554 |
| Provider Name | Karli Skibinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346922887 PECOS PAC ID: 6103270434 Enrollment ID: I20230920002971 |
| Provider Name | Tressie Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942916671 PECOS PAC ID: 5496109746 Enrollment ID: I20230920003880 |
| Provider Name | Awfa Zain-abdeen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619535945 PECOS PAC ID: 9335474659 Enrollment ID: I20230921003681 |
| Provider Name | Niraj a Arora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225399488 PECOS PAC ID: 9537417373 Enrollment ID: I20230922001025 |
| Provider Name | Lauren Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962101022 PECOS PAC ID: 2163876129 Enrollment ID: I20230925001143 |
| Provider Name | Walter R Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225290497 PECOS PAC ID: 8729221247 Enrollment ID: I20230925001799 |
| Provider Name | Carlie Lynn Elston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366134678 PECOS PAC ID: 7214381250 Enrollment ID: I20230926000903 |
| Provider Name | Da Hee Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902426299 PECOS PAC ID: 2163844226 Enrollment ID: I20230926002280 |
| Provider Name | Kathryn Rae Feldhake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043953177 PECOS PAC ID: 1850745795 Enrollment ID: I20230927000993 |
| Provider Name | Shirley Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013105121 PECOS PAC ID: 1850434853 Enrollment ID: I20230928001993 |
| Provider Name | Nichole Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295429389 PECOS PAC ID: 8921466145 Enrollment ID: I20231002000394 |
| Provider Name | Justin Lockrem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376922450 PECOS PAC ID: 6608172101 Enrollment ID: I20231002001753 |
| Provider Name | Sabrena M Ahmadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013465103 PECOS PAC ID: 9931450244 Enrollment ID: I20231002002058 |
| Provider Name | Mary D Fugett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063445559 PECOS PAC ID: 2961432695 Enrollment ID: I20231002002185 |
| Provider Name | Nikki Frain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962188078 PECOS PAC ID: 0648624049 Enrollment ID: I20231003002035 |
| Provider Name | Shreevidya Menon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427373968 PECOS PAC ID: 8729361654 Enrollment ID: I20231017003611 |
| Provider Name | Brooklyn J Taulman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427833011 PECOS PAC ID: 3375998883 Enrollment ID: I20231018000954 |
| Provider Name | Devin Alberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982293825 PECOS PAC ID: 8729492632 Enrollment ID: I20231018002158 |
| Provider Name | Timothy Upchurch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689628745 PECOS PAC ID: 1153325329 Enrollment ID: I20231018003739 |
| Provider Name | Taylor W Medeiros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457936213 PECOS PAC ID: 8527462993 Enrollment ID: I20231019000262 |
| Provider Name | Ahmed Akhter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194082578 PECOS PAC ID: 2062645971 Enrollment ID: I20231019003103 |
| Provider Name | Georgia Kaye Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811671589 PECOS PAC ID: 6204282676 Enrollment ID: I20231023000870 |
| Provider Name | Eva Bartaula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750995742 PECOS PAC ID: 0042666315 Enrollment ID: I20231023001254 |
| Provider Name | Grigory Roginsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598027104 PECOS PAC ID: 7911200258 Enrollment ID: I20231025000225 |
| Provider Name | Sheryl Christy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518208735 PECOS PAC ID: 6406149319 Enrollment ID: I20231025002715 |
| Provider Name | Prasert Vijitbenjaronk |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124002951 PECOS PAC ID: 5799687786 Enrollment ID: I20231031002643 |
| Provider Name | James F Bartscher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033239041 PECOS PAC ID: 8921296906 Enrollment ID: I20231031002762 |
| Provider Name | Hannah Brianne Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710698600 PECOS PAC ID: 2466808043 Enrollment ID: I20231102002430 |
| Provider Name | Rida Aslam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265964944 PECOS PAC ID: 2769752062 Enrollment ID: I20231107001078 |
| Provider Name | Casey Lauren Mcmahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306540604 PECOS PAC ID: 2769839521 Enrollment ID: I20231115003507 |
| Provider Name | Claudia Louise Jurgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942088166 PECOS PAC ID: 5395192157 Enrollment ID: I20231115003571 |
| Provider Name | Katherine Kenkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407639206 PECOS PAC ID: 7416305198 Enrollment ID: I20231120001592 |
| Provider Name | Alexandra Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225816366 PECOS PAC ID: 9032567508 Enrollment ID: I20231121002835 |
| Provider Name | Mehran Attari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760447148 PECOS PAC ID: 8820061237 Enrollment ID: I20231130000951 |
| Provider Name | Tana Joy Kish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275311607 PECOS PAC ID: 0547619934 Enrollment ID: I20231211001919 |
| Provider Name | Douglas White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912612649 PECOS PAC ID: 4082063409 Enrollment ID: I20231211003380 |
| Provider Name | Alexandra Koontz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114703063 PECOS PAC ID: 7416306717 Enrollment ID: I20231212003028 |
| Provider Name | Bethany Lynn Casson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285273128 PECOS PAC ID: 8123159142 Enrollment ID: I20231219002326 |
| Provider Name | Venkataramanaiah Kamatam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174064414 PECOS PAC ID: 6204286081 Enrollment ID: I20231219003601 |
| Provider Name | Abigail Catellier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184496366 PECOS PAC ID: 0941650675 Enrollment ID: I20231221001133 |
| Provider Name | Benjamin J Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720548621 PECOS PAC ID: 5395157333 Enrollment ID: I20231222000642 |
| Provider Name | Binnan Ong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578806550 PECOS PAC ID: 1052613551 Enrollment ID: I20231222002509 |
| Provider Name | Susan Victoria Alamillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275962227 PECOS PAC ID: 8628428273 Enrollment ID: I20231222002535 |
| Provider Name | Josie Austin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740960178 PECOS PAC ID: 9032569553 Enrollment ID: I20231226001406 |
| Provider Name | Szu-wei Chen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821767955 PECOS PAC ID: 8224488762 Enrollment ID: I20231227000382 |
| Provider Name | Michael Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073732061 PECOS PAC ID: 9739102443 Enrollment ID: I20240103001074 |
| Provider Name | Sarah Neky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518678382 PECOS PAC ID: 3072963065 Enrollment ID: I20240103002956 |
| Provider Name | Ameer Elsalaymeh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316582018 PECOS PAC ID: 9133515646 Enrollment ID: I20240104004587 |
| Provider Name | Ana Stubbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689233835 PECOS PAC ID: 3173955358 Enrollment ID: I20240105001058 |
| Provider Name | Alicia Diane Doolin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245768522 PECOS PAC ID: 3072964873 Enrollment ID: I20240105001699 |
| Provider Name | Kristen Conway Fakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578349965 PECOS PAC ID: 0749631554 Enrollment ID: I20240105001968 |
| Provider Name | Danielle Groce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154987212 PECOS PAC ID: 1254763014 Enrollment ID: I20240105003832 |
| Provider Name | Tasie Guenthner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457125361 PECOS PAC ID: 4880045400 Enrollment ID: I20240109000562 |
| Provider Name | Misty Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649040502 PECOS PAC ID: 4183076888 Enrollment ID: I20240118001477 |
| Provider Name | Selena Joyce Roggeveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134993041 PECOS PAC ID: 1557713260 Enrollment ID: I20240118001788 |
| Provider Name | Waleed Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770653487 PECOS PAC ID: 2860476199 Enrollment ID: I20240119001023 |
| Provider Name | George Manatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407144207 PECOS PAC ID: 3274762919 Enrollment ID: I20240122003846 |
| Provider Name | Xuan-trang Day |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1881603660 PECOS PAC ID: 4082638937 Enrollment ID: I20240130002518 |
| Provider Name | Emily Marie Osowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992586119 PECOS PAC ID: 6305299876 Enrollment ID: I20240131003388 |
| Provider Name | Shil Urvish Punatar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386273035 PECOS PAC ID: 1658795471 Enrollment ID: I20240209000577 |
| Provider Name | Heather S Gengnagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467222331 PECOS PAC ID: 2163865577 Enrollment ID: I20240213000385 |
| Provider Name | Robert M Vazquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326761529 PECOS PAC ID: 3476998725 Enrollment ID: I20240227002094 |
| Provider Name | John Lobo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962512699 PECOS PAC ID: 3274579891 Enrollment ID: I20240308001878 |
| Provider Name | Angela M Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255101333 PECOS PAC ID: 3173969086 Enrollment ID: I20240314001307 |
| Provider Name | Ellyn Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508637489 PECOS PAC ID: 0941648539 Enrollment ID: I20240402001051 |
| Provider Name | Michaela Gabrielle Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407627045 PECOS PAC ID: 4981042280 Enrollment ID: I20240405001107 |
| Provider Name | Brent Jacobus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447757406 PECOS PAC ID: 7315360401 Enrollment ID: I20240419001483 |
| Provider Name | Cassie a Himes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043900129 PECOS PAC ID: 2860832870 Enrollment ID: I20240424002128 |
| Provider Name | Brianne Haupert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053166710 PECOS PAC ID: 6901246420 Enrollment ID: I20240501002690 |
| Provider Name | Patrick E Heckman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205332988 PECOS PAC ID: 9537416706 Enrollment ID: I20240506001657 |
| Provider Name | Therese Eutsler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932583036 PECOS PAC ID: 0345681151 Enrollment ID: I20240510001984 |
| Provider Name | Adam C Hicks |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811428410 PECOS PAC ID: 4183973209 Enrollment ID: I20240511000243 |
| Provider Name | Sandra M Ndiaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215236963 PECOS PAC ID: 7012358732 Enrollment ID: I20240513002663 |
| Provider Name | Calvin Sheng |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932553146 PECOS PAC ID: 9638478514 Enrollment ID: I20240521002604 |
| Provider Name | Patrick Albert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760923957 PECOS PAC ID: 4981979531 Enrollment ID: I20240528000244 |
| Provider Name | Praveen Venigalla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528352598 PECOS PAC ID: 6103125232 Enrollment ID: I20240528001587 |
| Provider Name | Jennifer Mary Milchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558119214 PECOS PAC ID: 9436591039 Enrollment ID: I20240529000468 |
| Provider Name | Yazeid Alshebani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124422936 PECOS PAC ID: 0547558447 Enrollment ID: I20240529003503 |
| Provider Name | Martha Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265217509 PECOS PAC ID: 7416499488 Enrollment ID: I20240605002006 |
| Provider Name | Umair Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831579945 PECOS PAC ID: 7618229477 Enrollment ID: I20240607002557 |
| Provider Name | Jeffrey N Quinn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922455872 PECOS PAC ID: 5799078127 Enrollment ID: I20240610001063 |
| Provider Name | Kathryn Ann Boomershine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710657234 PECOS PAC ID: 5890237309 Enrollment ID: I20240611003273 |
| Provider Name | Javaid Arrine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992742597 PECOS PAC ID: 7416859780 Enrollment ID: I20240617001029 |
| Provider Name | Martin N Okpalike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962697250 PECOS PAC ID: 9830276575 Enrollment ID: I20240617001540 |
| Provider Name | Andrezza Souza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699111989 PECOS PAC ID: 9830467802 Enrollment ID: I20240620000298 |
| Provider Name | Leena Zuhdi Aljobeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144800152 PECOS PAC ID: 5294144838 Enrollment ID: I20240624001254 |
| Provider Name | Patricia Chiamas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568456333 PECOS PAC ID: 5597103770 Enrollment ID: I20240627002274 |
| Provider Name | Cristina Tumacder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629119474 PECOS PAC ID: 6204370836 Enrollment ID: I20240707000010 |
| Provider Name | Okechukwu J Okeke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083918163 PECOS PAC ID: 6800103722 Enrollment ID: I20240708000830 |
| Provider Name | Marion Arthur Fossum |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1356875736 PECOS PAC ID: 0244772507 Enrollment ID: I20240708004123 |
| Provider Name | Alicia S Rothchild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972356640 PECOS PAC ID: 4284179714 Enrollment ID: I20240709003020 |
| Provider Name | Mustafa Khan |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1861489601 PECOS PAC ID: 0345317277 Enrollment ID: I20240709003568 |
| Provider Name | Michele Lynn Andries |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285419416 PECOS PAC ID: 9436694999 Enrollment ID: I20240709004427 |
| Provider Name | Jessica Marie Blandford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326507286 PECOS PAC ID: 0446585178 Enrollment ID: I20240715001569 |
| Provider Name | Zachary Joseph Lundy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285211474 PECOS PAC ID: 2668872185 Enrollment ID: I20240716002170 |
| Provider Name | Emily Kathleen Hamaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780261966 PECOS PAC ID: 0244630820 Enrollment ID: I20240718002985 |
| Provider Name | Jesica Denny |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376295931 PECOS PAC ID: 2567908239 Enrollment ID: I20240718003020 |
| Provider Name | David Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962089995 PECOS PAC ID: 3173924396 Enrollment ID: I20240719000740 |
| Provider Name | Megan Kristen Locke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174101075 PECOS PAC ID: 3678019221 Enrollment ID: I20240719001324 |
| Provider Name | Natalya Mather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790304228 PECOS PAC ID: 9133547805 Enrollment ID: I20240719002954 |
| Provider Name | Tabitha Watts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750469987 PECOS PAC ID: 9436253408 Enrollment ID: I20240719003059 |
| Provider Name | David Villafuerte Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336520576 PECOS PAC ID: 8628377785 Enrollment ID: I20240722002147 |
| Provider Name | Casey Lynne Lesniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689251704 PECOS PAC ID: 2961803481 Enrollment ID: I20240723002399 |
| Provider Name | Kylee Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942706429 PECOS PAC ID: 2668918962 Enrollment ID: I20240723002515 |
| Provider Name | Ann Collier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487898458 PECOS PAC ID: 0042442915 Enrollment ID: I20240723004063 |
| Provider Name | Sana Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629659842 PECOS PAC ID: 7416359807 Enrollment ID: I20240731003994 |
| Provider Name | Sanjiv Modi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396730909 PECOS PAC ID: 3274502570 Enrollment ID: I20240801002419 |
| Provider Name | Tanner J Everhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285216101 PECOS PAC ID: 3173925492 Enrollment ID: I20240801002933 |
| Provider Name | Jesse J Corry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215964499 PECOS PAC ID: 3577568823 Enrollment ID: I20240808000507 |
| Provider Name | Adam Sergiwa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740439496 PECOS PAC ID: 8729525662 Enrollment ID: I20240808003713 |
| Provider Name | Ahmad Alsibai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265741235 PECOS PAC ID: 0446415541 Enrollment ID: I20240812003102 |
| Provider Name | Erika Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376105304 PECOS PAC ID: 3577930924 Enrollment ID: I20240812004127 |
| Provider Name | Serena Maureen Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639919137 PECOS PAC ID: 6305384900 Enrollment ID: I20240814001918 |
| Provider Name | Natasha Noel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740597111 PECOS PAC ID: 4981990496 Enrollment ID: I20240815004193 |
| Provider Name | Thomas Schmittdiel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225667256 PECOS PAC ID: 9234678160 Enrollment ID: I20240823000879 |
| Provider Name | Lauren Crawford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952896789 PECOS PAC ID: 5799038477 Enrollment ID: I20240827003428 |
| Provider Name | Amber Harlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124733852 PECOS PAC ID: 0446790414 Enrollment ID: I20240905003415 |
| Provider Name | Brooke Allison Raley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891524120 PECOS PAC ID: 1355881269 Enrollment ID: I20240906000313 |
| Provider Name | Mira N Slizovsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235195116 PECOS PAC ID: 5597205997 Enrollment ID: I20240912001045 |
| Provider Name | Shelby Schoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598343907 PECOS PAC ID: 8022419555 Enrollment ID: I20240912002406 |
| Provider Name | Jasmine Jacob Vayalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295316578 PECOS PAC ID: 9739598301 Enrollment ID: I20240913002545 |
| Provider Name | Ellen Joy Elzinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013755693 PECOS PAC ID: 4486195500 Enrollment ID: I20240917001481 |
| Provider Name | Latangela Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790162493 PECOS PAC ID: 4587979232 Enrollment ID: I20240920003544 |
| Provider Name | Samantha Jo Feltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629800248 PECOS PAC ID: 9537600226 Enrollment ID: I20240921000079 |
| Provider Name | Nicholas Alexander Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780468546 PECOS PAC ID: 2264973791 Enrollment ID: I20240924001225 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20241001002140 |
| Provider Name | Anand S Veerabahu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346235264 PECOS PAC ID: 8224061528 Enrollment ID: I20241002000953 |
| Provider Name | Ali Daneshmand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619316650 PECOS PAC ID: 9436448289 Enrollment ID: I20241002001464 |
| Provider Name | Oluwafunmilayo Anne Akinmade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801466586 PECOS PAC ID: 3678974326 Enrollment ID: I20241002002861 |
| Provider Name | Manoj Duggal |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447243258 PECOS PAC ID: 0446245500 Enrollment ID: I20241003000613 |
| Provider Name | Alyxandra Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508354440 PECOS PAC ID: 8022412527 Enrollment ID: I20241003000681 |
| Provider Name | Bradley T Peet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346635380 PECOS PAC ID: 4183920499 Enrollment ID: I20241008002292 |
| Provider Name | Shivani Parikshak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194302547 PECOS PAC ID: 3971908880 Enrollment ID: I20241009000664 |
| Provider Name | Mary Ellyn Samels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598583544 PECOS PAC ID: 6709317167 Enrollment ID: I20241009002629 |
| Provider Name | Olusegun Popoola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164900205 PECOS PAC ID: 7214271832 Enrollment ID: I20241009003048 |
| Provider Name | Ahmed Shim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609273085 PECOS PAC ID: 6800155862 Enrollment ID: I20241014002827 |
| Provider Name | Sulaimon a Bakre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891256616 PECOS PAC ID: 6406181502 Enrollment ID: I20241016004116 |
| Provider Name | Wajeeh Bakhsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740675719 PECOS PAC ID: 1052661931 Enrollment ID: I20241021000231 |
| Provider Name | Evelyn Heffner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528605771 PECOS PAC ID: 3577095082 Enrollment ID: I20241022000798 |
| Provider Name | Grace Coble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942033253 PECOS PAC ID: 6901339431 Enrollment ID: I20241023000638 |
| Provider Name | Mariana Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326636689 PECOS PAC ID: 6608280037 Enrollment ID: I20241024001428 |
| Provider Name | Jennifer Lee Fabrowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417781360 PECOS PAC ID: 7214460377 Enrollment ID: I20241028002158 |
| Provider Name | Stephanie Jo Curwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639957954 PECOS PAC ID: 3678006665 Enrollment ID: I20241029003920 |
| Provider Name | Kyle Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205519857 PECOS PAC ID: 4981068244 Enrollment ID: I20241104002363 |
| Provider Name | Bao Tram Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922416080 PECOS PAC ID: 0143579664 Enrollment ID: I20241112001877 |
| Provider Name | Jeinette Javier San Juan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326665043 PECOS PAC ID: 0446785125 Enrollment ID: I20241119002656 |
| Provider Name | Alyssa Marogil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649003138 PECOS PAC ID: 1951836329 Enrollment ID: I20241121002584 |
| Provider Name | Carlyn Stone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679315642 PECOS PAC ID: 5597290544 Enrollment ID: I20241127001725 |
| Provider Name | Donna Ellen Newsome |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225132277 PECOS PAC ID: 9234233529 Enrollment ID: I20241127003912 |
| Provider Name | Aaron Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558758128 PECOS PAC ID: 6608170741 Enrollment ID: I20241129000056 |
| Provider Name | Ramya Vadlamudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710249727 PECOS PAC ID: 1254640931 Enrollment ID: I20241203002126 |
| Provider Name | Kimberly Keon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134865322 PECOS PAC ID: 0840726584 Enrollment ID: I20241205000673 |
| Provider Name | Jennifer Widell Vetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871750570 PECOS PAC ID: 3173059359 Enrollment ID: I20241211002237 |
| Provider Name | Angela Boose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194329458 PECOS PAC ID: 9931635836 Enrollment ID: I20241214000194 |
| Provider Name | Sarah Lorraine Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033994249 PECOS PAC ID: 9739615634 Enrollment ID: I20241214000303 |
| Provider Name | Caitlyn Berchem Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598587347 PECOS PAC ID: 8426584343 Enrollment ID: I20241216000343 |
| Provider Name | Kimberly Marie Schmierer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760109615 PECOS PAC ID: 5991231862 Enrollment ID: I20241216002631 |
| Provider Name | Matthew Robinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912989369 PECOS PAC ID: 1153233523 Enrollment ID: I20241223002540 |
| Provider Name | Joseph S. Gawlak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457928970 PECOS PAC ID: 6709250657 Enrollment ID: I20241224000074 |
| Provider Name | Lindsay Amanda Kline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588404974 PECOS PAC ID: 7719414176 Enrollment ID: I20241224000160 |
| Provider Name | Ali a Ashai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578098513 PECOS PAC ID: 7618335498 Enrollment ID: I20241226000397 |
| Provider Name | Daisy Heath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225852759 PECOS PAC ID: 4082141379 Enrollment ID: I20241227001367 |
| Provider Name | Doan Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942444617 PECOS PAC ID: 4183871585 Enrollment ID: I20241227002456 |
| Provider Name | Jesus Moises Munoz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659136752 PECOS PAC ID: 4688101900 Enrollment ID: I20241227002535 |
| Provider Name | Laura Dubois |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407366230 PECOS PAC ID: 8224398029 Enrollment ID: I20241227002776 |
| Provider Name | Sharath Vipparthy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588005078 PECOS PAC ID: 2466758693 Enrollment ID: I20250129000229 |
| Provider Name | Shephali Katira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679567416 PECOS PAC ID: 9133142987 Enrollment ID: I20250207001508 |
| Provider Name | Patricia S Scheetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275663700 PECOS PAC ID: 8123558905 Enrollment ID: I20250208000166 |
| Provider Name | Constanze Rayhrer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730286402 PECOS PAC ID: 5294627337 Enrollment ID: I20250213002015 |
| Provider Name | Cashawn Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669291761 PECOS PAC ID: 4486174026 Enrollment ID: I20250226000341 |
| Provider Name | Lynn J Vattathara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720668957 PECOS PAC ID: 3375063811 Enrollment ID: I20250227000128 |
| Provider Name | Larisa Syrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639364037 PECOS PAC ID: 4082863022 Enrollment ID: I20250307001729 |
| Provider Name | Jennifer Weil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750198578 PECOS PAC ID: 3971024431 Enrollment ID: I20250313000296 |
| Provider Name | Zachary Ryan Medo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023838455 PECOS PAC ID: 4981126117 Enrollment ID: I20250318000895 |
| Provider Name | Leslie Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881419844 PECOS PAC ID: 0042563397 Enrollment ID: I20250318003241 |
| Provider Name | Saira Bano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366503021 PECOS PAC ID: 1052417748 Enrollment ID: I20250319001164 |
| Provider Name | Richard Blake Mohar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265245732 PECOS PAC ID: 1759803752 Enrollment ID: I20250319002770 |
| Provider Name | Kimberly Bousema |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629819826 PECOS PAC ID: 5193247112 Enrollment ID: I20250319003494 |
| Provider Name | Paige Gubbe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528870359 PECOS PAC ID: 3072035005 Enrollment ID: I20250319003651 |
| Provider Name | Amy Lynn Marciniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598526543 PECOS PAC ID: 7517480684 Enrollment ID: I20250328003024 |
| Provider Name | Haitham Alabsi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538587803 PECOS PAC ID: 7416279690 Enrollment ID: I20250408003680 |
| Provider Name | Purshotham Ginne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255584397 PECOS PAC ID: 2860662335 Enrollment ID: I20250410001435 |
| Provider Name | Ashley Bell-huseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194520247 PECOS PAC ID: 6608390604 Enrollment ID: I20250411001540 |
| Provider Name | Mariela Carolina Santos Carballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558162941 PECOS PAC ID: 0749705325 Enrollment ID: I20250416000871 |
| Provider Name | Jacqueline Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891501367 PECOS PAC ID: 8426573080 Enrollment ID: I20250416003025 |
| Provider Name | Rajat Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356541320 PECOS PAC ID: 8921276429 Enrollment ID: I20250424002467 |
| Provider Name | Simona Nedelcu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437689833 PECOS PAC ID: 3072886720 Enrollment ID: I20250501002897 |
| Provider Name | Pranusha Pinna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861983660 PECOS PAC ID: 6406105154 Enrollment ID: I20250503000165 |
| Provider Name | Adam Duhl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073715108 PECOS PAC ID: 2365540812 Enrollment ID: I20250509000376 |
| Provider Name | Alexa Jordan Lindquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477357622 PECOS PAC ID: 1456878693 Enrollment ID: I20250509003114 |
| Provider Name | Ahrarul Haque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881008647 PECOS PAC ID: 9032415047 Enrollment ID: I20250524000080 |
| Provider Name | Amanda Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861278111 PECOS PAC ID: 6204288004 Enrollment ID: I20250609001064 |
| Provider Name | Patricia Debosz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588478713 PECOS PAC ID: 1153831797 Enrollment ID: I20250611003259 |
| Provider Name | Rachel Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720552912 PECOS PAC ID: 5991216079 Enrollment ID: I20250616002551 |
| Provider Name | Danielle Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720888746 PECOS PAC ID: 4486165198 Enrollment ID: I20250618002052 |
| Provider Name | Mary Maish |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750316774 PECOS PAC ID: 0547226789 Enrollment ID: I20250620000091 |
| Provider Name | Cheryl Lynn Smitherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003614538 PECOS PAC ID: 6406368307 Enrollment ID: I20250625003179 |
| Provider Name | David Pyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194034918 PECOS PAC ID: 7214154400 Enrollment ID: I20250628000277 |
| Provider Name | Alexandra Marie Livingston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285263855 PECOS PAC ID: 1254844640 Enrollment ID: I20250630001307 |
| Provider Name | Allison Diane Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841099389 PECOS PAC ID: 8820501174 Enrollment ID: I20250630003097 |
| Provider Name | Adelina Priscu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194353474 PECOS PAC ID: 0244653368 Enrollment ID: I20250701003172 |
| Provider Name | Ajitha Antony |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700895273 PECOS PAC ID: 9133579220 Enrollment ID: I20250701003212 |
| Provider Name | Kristen Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780918540 PECOS PAC ID: 3173837184 Enrollment ID: I20250702000788 |
| Provider Name | Christopher D Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427519537 PECOS PAC ID: 6305359274 Enrollment ID: I20250702003543 |
| Provider Name | Evren Burakgazi Dalkilic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164440483 PECOS PAC ID: 9830112259 Enrollment ID: I20250703000376 |
| Provider Name | William Bae |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538699079 PECOS PAC ID: 7012319668 Enrollment ID: I20250703000907 |
| Provider Name | Joshua Horton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992153076 PECOS PAC ID: 0446534218 Enrollment ID: I20250707000211 |
| Provider Name | Brianna Stewart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538818323 PECOS PAC ID: 8224542964 Enrollment ID: I20250707001584 |
| Provider Name | Erin Kay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588314660 PECOS PAC ID: 5799165312 Enrollment ID: I20250708003949 |
| Provider Name | Lucas Riley Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740939438 PECOS PAC ID: 3173905585 Enrollment ID: I20250712000131 |
| Provider Name | Latifa Barti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457083545 PECOS PAC ID: 2860907508 Enrollment ID: I20250712000206 |
| Provider Name | Matthew Lash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023402054 PECOS PAC ID: 8325461338 Enrollment ID: I20250714003385 |
| Provider Name | John Mccleerey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972641652 PECOS PAC ID: 1658458419 Enrollment ID: I20250715000349 |
| Provider Name | Marc Arnkoff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144200270 PECOS PAC ID: 3072687581 Enrollment ID: I20250715004126 |
| Provider Name | Ryan Sisson-smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548847015 PECOS PAC ID: 9638575681 Enrollment ID: I20250721001554 |
| Provider Name | Jeremy Johns |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326598897 PECOS PAC ID: 4688004047 Enrollment ID: I20250722001307 |
| Provider Name | Emily Ann Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144827650 PECOS PAC ID: 7416463633 Enrollment ID: I20250723001962 |
| Provider Name | Michael David Ingram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861999401 PECOS PAC ID: 6901151489 Enrollment ID: I20250723002678 |
| Provider Name | Jin Young Hwang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699354357 PECOS PAC ID: 4981006731 Enrollment ID: I20250724000353 |
| Provider Name | James Michael Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861138331 PECOS PAC ID: 8325421852 Enrollment ID: I20250724001680 |
| Provider Name | Ailia Ali |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851888317 PECOS PAC ID: 2264761287 Enrollment ID: I20250725000480 |
| Provider Name | Melissa Ann Gouger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134013006 PECOS PAC ID: 6305353038 Enrollment ID: I20250728003782 |
| Provider Name | Govind Jha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043872120 PECOS PAC ID: 0749510758 Enrollment ID: I20250729003214 |
| Provider Name | Kevin Bree |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659735462 PECOS PAC ID: 6103119680 Enrollment ID: I20250729003584 |
| Provider Name | Kenn Vattathara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114500592 PECOS PAC ID: 5496262859 Enrollment ID: I20250730000486 |
| Provider Name | Jill Henderzahs-mason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467412809 PECOS PAC ID: 2365448230 Enrollment ID: I20250730003483 |
| Provider Name | Mahrosh Ahmed |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235861626 PECOS PAC ID: 5294115259 Enrollment ID: I20250731004370 |
| Provider Name | Nicole Elizabeth Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487547873 PECOS PAC ID: 0446768386 Enrollment ID: I20250802000082 |
| Provider Name | Halle Freeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255224655 PECOS PAC ID: 2961910815 Enrollment ID: I20250802000150 |
| Provider Name | Teresa Haley-bond Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417742107 PECOS PAC ID: 7315455268 Enrollment ID: I20250802000188 |
| Provider Name | Katherine Joyce Stalbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750025714 PECOS PAC ID: 5294114237 Enrollment ID: I20250805000096 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740868439 PECOS PAC ID: 2466853437 Enrollment ID: I20250806000338 |
| Provider Name | Ashraf Hasan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033220678 PECOS PAC ID: 5496650806 Enrollment ID: I20250808003831 |
| Provider Name | Jordan Rene' Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326934258 PECOS PAC ID: 6709385339 Enrollment ID: I20250819004526 |
| Provider Name | Emily Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790678266 PECOS PAC ID: 6103325733 Enrollment ID: I20250819004801 |
| Provider Name | Nidhi Mishra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962663674 PECOS PAC ID: 4688805401 Enrollment ID: I20250820000886 |
| Provider Name | Madeline Grace Clements |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619760782 PECOS PAC ID: 9830698331 Enrollment ID: I20250820001043 |
| Provider Name | Mohammad Wadud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831622141 PECOS PAC ID: 6800168964 Enrollment ID: I20250820003192 |
| Provider Name | Kanan Hudhud |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528069226 PECOS PAC ID: 3678465135 Enrollment ID: I20250821000939 |
| Provider Name | Maham Alamgir |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689353179 PECOS PAC ID: 6901256262 Enrollment ID: I20250828004009 |
| Provider Name | Zachary Burger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003609439 PECOS PAC ID: 9335640200 Enrollment ID: I20250902000753 |
| Provider Name | Jahan Ali Khajeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013648666 PECOS PAC ID: 4587167093 Enrollment ID: I20250911001570 |
| Provider Name | Marrium Siddiqui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407484330 PECOS PAC ID: 1456775972 Enrollment ID: I20250911003126 |
| Provider Name | Kami Koors |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932090396 PECOS PAC ID: 6406359488 Enrollment ID: I20250915001338 |
| Provider Name | Erin Nicole Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679465942 PECOS PAC ID: 4486158656 Enrollment ID: I20250919001579 |
| Provider Name | Jack Mumaugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891587820 PECOS PAC ID: 6709381197 Enrollment ID: I20250925004370 |
| Provider Name | Jorawar Brar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659938587 PECOS PAC ID: 8426386335 Enrollment ID: I20250926001998 |
| Provider Name | Roger Cournoyer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538664701 PECOS PAC ID: 5294066619 Enrollment ID: I20250929000861 |
| Provider Name | Zion Mitchell Goldman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164116604 PECOS PAC ID: 2769988641 Enrollment ID: I20250930002551 |
| Provider Name | Eva Welch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780070193 PECOS PAC ID: 8325344336 Enrollment ID: I20251006000242 |
| Provider Name | Carlyn Newell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649998139 PECOS PAC ID: 4587034095 Enrollment ID: I20251011000231 |
| Provider Name | Michael Moran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912957473 PECOS PAC ID: 0547275133 Enrollment ID: I20251015001026 |
| Provider Name | George Fotopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245021708 PECOS PAC ID: 4486150448 Enrollment ID: I20251015002290 |
| Provider Name | Madelyn Trapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780399618 PECOS PAC ID: 1759878192 Enrollment ID: I20251017001629 |
| Provider Name | Kolawole I Adediran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578981239 PECOS PAC ID: 2567760499 Enrollment ID: I20251017002383 |
| Provider Name | Jaspal Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689560922 PECOS PAC ID: 5395232763 Enrollment ID: I20251017003027 |
| Provider Name | Reece Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528622123 PECOS PAC ID: 0749712461 Enrollment ID: I20251021002595 |
| Provider Name | Aisha Hines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740500859 PECOS PAC ID: 3375849755 Enrollment ID: I20251021003286 |
| Provider Name | Vinod Sehgal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780047696 PECOS PAC ID: 7416288717 Enrollment ID: I20251021003674 |
| Provider Name | Adam Lipsitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447601869 PECOS PAC ID: 5092095067 Enrollment ID: I20251021003751 |
| Provider Name | Chloe Ruth Dehmlow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023824430 PECOS PAC ID: 0648768200 Enrollment ID: I20251024001033 |
| Provider Name | Sudhi Kurup |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609035617 PECOS PAC ID: 5395960975 Enrollment ID: I20251025000256 |
| Provider Name | Kwandaa Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700817251 PECOS PAC ID: 3971506478 Enrollment ID: I20251028003198 |
| Provider Name | Joel E Higgins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336189414 PECOS PAC ID: 0244335008 Enrollment ID: I20251029001427 |
| Provider Name | Grace Vicars |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003707514 PECOS PAC ID: 3678063146 Enrollment ID: I20251104003676 |
| Provider Name | Jillian Marie Stafford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427932672 PECOS PAC ID: 1658861059 Enrollment ID: I20251105000220 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20251106001593 |
| Provider Name | Katherine Kane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952840266 PECOS PAC ID: 2163887159 Enrollment ID: I20251107001465 |
| Provider Name | Brian Dale Dabbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477428753 PECOS PAC ID: 7618467630 Enrollment ID: I20251107002361 |
| Provider Name | Margaret Elizabeth Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194618785 PECOS PAC ID: 1052801933 Enrollment ID: I20251107004256 |
| Provider Name | Mohammed Al-yafi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639510753 PECOS PAC ID: 2668782905 Enrollment ID: I20251108000102 |
| Provider Name | Anna Ostrovsky Shachaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861363517 PECOS PAC ID: 5395236889 Enrollment ID: I20251112003081 |
| Provider Name | Mathew Lee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891688701 PECOS PAC ID: 9830681584 Enrollment ID: I20251120003340 |
| Provider Name | Matthew Casey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083582142 PECOS PAC ID: 5294227880 Enrollment ID: I20251121000571 |
| Provider Name | Taliat a Fawole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255795886 PECOS PAC ID: 2961740063 Enrollment ID: I20251126003183 |
| Provider Name | Rebecca Rizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891675740 PECOS PAC ID: 8729571617 Enrollment ID: I20251129000305 |
| Provider Name | Jessica Ann Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689333221 PECOS PAC ID: 6406349521 Enrollment ID: I20251205002499 |
| Provider Name | Ariel Houim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942706452 PECOS PAC ID: 0941546584 Enrollment ID: I20251208003589 |
| Provider Name | Mohannad Rajjoub |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255659587 PECOS PAC ID: 3577757954 Enrollment ID: I20251210000535 |
| Provider Name | Abigail Gabriela Gemeinhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285519090 PECOS PAC ID: 0749775831 Enrollment ID: I20251216003042 |
| Provider Name | Kristin Reeve |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841618766 PECOS PAC ID: 0648497560 Enrollment ID: I20251222000385 |
| Provider Name | Jacqueline Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356617021 PECOS PAC ID: 4880817394 Enrollment ID: I20251223000567 |
| Provider Name | Kendra Bickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114807146 PECOS PAC ID: 6901391341 Enrollment ID: I20251223000988 |
| Provider Name | Gaurav Kapoor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245225192 PECOS PAC ID: 6800869322 Enrollment ID: I20260102002415 |
| Provider Name | Claire Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922834183 PECOS PAC ID: 0941796320 Enrollment ID: I20260106001902 |
| Provider Name | Kristen Diane Louck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366302085 PECOS PAC ID: 0143706341 Enrollment ID: I20260107003481 |
| Provider Name | Kathleen Naylor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982139085 PECOS PAC ID: 2466859863 Enrollment ID: I20260109001555 |
| Provider Name | Victoria Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871197988 PECOS PAC ID: 6406268390 Enrollment ID: I20260113000788 |
| Provider Name | Umar Rasool Bhatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558802751 PECOS PAC ID: 3577897529 Enrollment ID: I20260127001790 |
| Provider Name | Scott Tlanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20260129003369 |
| Provider Name | Emily Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598633166 PECOS PAC ID: 3072091172 Enrollment ID: I20260130000577 |
| Provider Name | Ahmad Chaudhry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144304635 PECOS PAC ID: 0547386849 Enrollment ID: I20260130003267 |
| Provider Name | Tarah Adele Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073483467 PECOS PAC ID: 0042798894 Enrollment ID: I20260202003135 |
| Provider Name | Jennifer Hislop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144670928 PECOS PAC ID: 0244518314 Enrollment ID: I20260207000413 |
| Provider Name | Susan Murrey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902908056 PECOS PAC ID: 1456533108 Enrollment ID: I20260211002734 |
| Provider Name | Ariel Gerrard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215754072 PECOS PAC ID: 9032698741 Enrollment ID: I20260211003794 |
| Provider Name | Ewelina Maria Staszel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336019702 PECOS PAC ID: 2365922952 Enrollment ID: I20260213000554 |
| Provider Name | Megan Jane Zaknoun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366305922 PECOS PAC ID: 9335629948 Enrollment ID: I20260213000892 |
| Provider Name | Meghan Drozdzewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649918335 PECOS PAC ID: 2365922820 Enrollment ID: I20260214000352 |
| Provider Name | Ken Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275131427 PECOS PAC ID: 2769962679 Enrollment ID: I20260218001773 |
| Provider Name | Thandar Aung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740539212 PECOS PAC ID: 0749535581 Enrollment ID: I20260219001100 |
| Provider Name | Sochima Ochije |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609305655 PECOS PAC ID: 5991131534 Enrollment ID: I20260219001912 |
| Provider Name | Neelima Thakur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336331727 PECOS PAC ID: 9638344815 Enrollment ID: I20260220000648 |
| Provider Name | Elizabeth Ann Gomez-manns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124988712 PECOS PAC ID: 2961983663 Enrollment ID: I20260220001586 |
| Provider Name | Kimberly Olmos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265381701 PECOS PAC ID: 7517448624 Enrollment ID: I20260226002592 |
| Provider Name | Rachel Leanne Thompson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801759469 PECOS PAC ID: 5991286932 Enrollment ID: I20260226003611 |
| Provider Name | Jessica Lynn Polley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891651915 PECOS PAC ID: 3779066865 Enrollment ID: I20260317002356 |
| Provider Name | Olger Nano |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235587312 PECOS PAC ID: 9436488954 Enrollment ID: I20260319003206 |
| Provider Name | Madison Taylor Zuchristian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932068350 PECOS PAC ID: 8224512983 Enrollment ID: I20260319003820 |
| Provider Name | Kyle Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760801880 PECOS PAC ID: 0244579258 Enrollment ID: I20260324002047 |
| Provider Name | Hawke Yoon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790707149 PECOS PAC ID: 4587660824 Enrollment ID: I20260328000160 |
| Provider Name | Sean Wilkes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285166819 PECOS PAC ID: 0345622460 Enrollment ID: I20260330002372 |
| Provider Name | Emma Downs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467308395 PECOS PAC ID: 2163997412 Enrollment ID: I20260406000612 |
| Provider Name | Anne Groves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699948786 PECOS PAC ID: 8921222043 Enrollment ID: I20260409002221 |
| Provider Name | Paschal Emelue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508420316 PECOS PAC ID: 2264881820 Enrollment ID: I20260414002446 |
| Provider Name | Abhimanyu Beri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336339381 PECOS PAC ID: 3476727348 Enrollment ID: I20260417001842 |
| Provider Name | Hasan Qutob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285793521 PECOS PAC ID: 7012917487 Enrollment ID: I20260421000471 |
| Provider Name | Patricia Alexandra Abrudan Karacson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144895269 PECOS PAC ID: 6709352206 Enrollment ID: I20260421002173 |
| Provider Name | Tara Marie Schlegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508724873 PECOS PAC ID: 1355818584 Enrollment ID: I20260424003111 |
| Provider Name | Jani Wilkerson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720306970 PECOS PAC ID: 9335429836 Enrollment ID: I20260427001898 |
| Provider Name | Emily Patterson-ballinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346193117 PECOS PAC ID: 4486121126 Enrollment ID: I20260430000206 |
| Provider Name | Mohammed Hameeduddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396721940 PECOS PAC ID: 3678525706 Enrollment ID: I20260501001680 |
| Provider Name | Kenten Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20260508003550 |
| Provider Name | Fernando Santiago |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861435026 PECOS PAC ID: 5698748044 Enrollment ID: I20260529001447 |
| Provider Name | U. Nalla B Durai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912082033 PECOS PAC ID: 9335610294 Enrollment ID: I20260602002578 |
Moazzam Habib MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 |
Evernorth Care Providers - Delaware PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 |