| Frederick Health Medical Group | |
|
194 Thomas Johnson Dr Frederick MD 21702-4679 | |
| (240) 215-6310 | |
| Not Available |
| Full Name | Frederick Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 194 Thomas Johnson Dr, Frederick, Maryland |
| Authorized Official Name and Position | Shelby Boggs (AVP, CLINICAL INT. & PAYOR CONTRACT) |
| Authorized Official Contact | 2405663557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Health Medical Group 400 W 7th St Frederick MD 21701-4506 Ph: (240) 566-3337 | Frederick Health Medical Group 194 Thomas Johnson Dr Frederick MD 21702-4679 Ph: (240) 215-6310 |
| NPI Number | 1619258225 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 9931341096 |
|---|---|
| Medicare Enrollment ID | O20130820000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619258225 | NPI | - | NPPES |
| Provider Name | Yvette M Lopez-warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164492419 PECOS PAC ID: 1759273766 Enrollment ID: I20040325001196 |
| Provider Name | Anthony Rowedder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699711671 PECOS PAC ID: 7911999230 Enrollment ID: I20040330000659 |
| Provider Name | Doreen L Paynter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578506747 PECOS PAC ID: 5294719662 Enrollment ID: I20040614001610 |
| Provider Name | Joshua Aaron |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396703351 PECOS PAC ID: 9133024425 Enrollment ID: I20040729000037 |
| Provider Name | Judy T Goffi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518950252 PECOS PAC ID: 7517938343 Enrollment ID: I20040804000826 |
| Provider Name | Mihir Jani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144283359 PECOS PAC ID: 5395718332 Enrollment ID: I20040817001084 |
| Provider Name | Heidi Abdelhady |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437106481 PECOS PAC ID: 9436112695 Enrollment ID: I20041109000159 |
| Provider Name | Rose M Wienhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326047630 PECOS PAC ID: 7810918026 Enrollment ID: I20051215000684 |
| Provider Name | Sarah L Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144213893 PECOS PAC ID: 9638192131 Enrollment ID: I20060111000325 |
| Provider Name | David F Hutcheon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679551865 PECOS PAC ID: 5597789354 Enrollment ID: I20060119000301 |
| Provider Name | Gnanaraj Koilpillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245218064 PECOS PAC ID: 7517926397 Enrollment ID: I20060123000636 |
| Provider Name | Nii L Lamptey Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689659997 PECOS PAC ID: 5193731073 Enrollment ID: I20060301000733 |
| Provider Name | Lisa A Zecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255495305 PECOS PAC ID: 2365545795 Enrollment ID: I20070305000748 |
| Provider Name | Rizwana Afzal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144330101 PECOS PAC ID: 3779540786 Enrollment ID: I20070420000074 |
| Provider Name | Niraj Jani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386673671 PECOS PAC ID: 7618988924 Enrollment ID: I20070829000399 |
| Provider Name | Lev Agarunov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316067929 PECOS PAC ID: 5890881510 Enrollment ID: I20071019000083 |
| Provider Name | Tricia M Pastore Bard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174670053 PECOS PAC ID: 0840378253 Enrollment ID: I20080425000434 |
| Provider Name | Narayan Ganesh Kulkarni |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1639286172 PECOS PAC ID: 6204818677 Enrollment ID: I20080607000091 |
| Provider Name | Ayodeji Oladipo Somefun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831165380 PECOS PAC ID: 8123040854 Enrollment ID: I20080610000600 |
| Provider Name | Mark Goldstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649216342 PECOS PAC ID: 1355354135 Enrollment ID: I20080819000307 |
| Provider Name | Bianca Udugampola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609076108 PECOS PAC ID: 1759474075 Enrollment ID: I20080922000299 |
| Provider Name | Daniel K Daniels |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174631352 PECOS PAC ID: 9032128996 Enrollment ID: I20080930000501 |
| Provider Name | Marsha Naydich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467624916 PECOS PAC ID: 9436218492 Enrollment ID: I20081105000330 |
| Provider Name | Ravi Yalamanchili |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053356378 PECOS PAC ID: 6800964081 Enrollment ID: I20090318000479 |
| Provider Name | Yun W Oh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194898791 PECOS PAC ID: 8820147044 Enrollment ID: I20090519000230 |
| Provider Name | Jared Berkowitz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588708267 PECOS PAC ID: 5092865030 Enrollment ID: I20090611000739 |
| Provider Name | Randie R Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598756389 PECOS PAC ID: 4587717921 Enrollment ID: I20090731000542 |
| Provider Name | Susan Bahl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861656357 PECOS PAC ID: 8628123627 Enrollment ID: I20090826000870 |
| Provider Name | Amy Jeanne Mcgreevy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093896219 PECOS PAC ID: 0345395349 Enrollment ID: I20090826000884 |
| Provider Name | Deborah Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497983662 PECOS PAC ID: 7113073016 Enrollment ID: I20090917000489 |
| Provider Name | Jose C Acol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801890306 PECOS PAC ID: 4082657176 Enrollment ID: I20091103000067 |
| Provider Name | Terri P Kemmerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013199587 PECOS PAC ID: 2860570405 Enrollment ID: I20091221000237 |
| Provider Name | Shirene Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932383288 PECOS PAC ID: 4385785971 Enrollment ID: I20100105000122 |
| Provider Name | Melissa M Asuncion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396749834 PECOS PAC ID: 4284677386 Enrollment ID: I20100224000587 |
| Provider Name | David M Cromwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063415271 PECOS PAC ID: 2062444300 Enrollment ID: I20100226000787 |
| Provider Name | Linda Muehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326018664 PECOS PAC ID: 0345375275 Enrollment ID: I20100324000705 |
| Provider Name | Michael William Costello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740250125 PECOS PAC ID: 4082740931 Enrollment ID: I20100330000608 |
| Provider Name | Brian Marcial O Connor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174515050 PECOS PAC ID: 2567598204 Enrollment ID: I20100405000010 |
| Provider Name | Kimanh Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902877020 PECOS PAC ID: 5193854768 Enrollment ID: I20100520000689 |
| Provider Name | Kiarash Zarbalian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467587063 PECOS PAC ID: 3375676729 Enrollment ID: I20100805000215 |
| Provider Name | Robert L Kaufmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205817384 PECOS PAC ID: 7214016971 Enrollment ID: I20100809001033 |
| Provider Name | Kathryn B Troupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639170640 PECOS PAC ID: 1355466681 Enrollment ID: I20100910000029 |
| Provider Name | David Kowalk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740258409 PECOS PAC ID: 6608885538 Enrollment ID: I20100928000560 |
| Provider Name | Jennifer Olegario Cancino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780676353 PECOS PAC ID: 1850417767 Enrollment ID: I20100929000123 |
| Provider Name | John L Zapas |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1487613022 PECOS PAC ID: 9335331644 Enrollment ID: I20101005000879 |
| Provider Name | Elhamy Daoud Eskander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528050473 PECOS PAC ID: 8224220892 Enrollment ID: I20101014000659 |
| Provider Name | Gregory Lavanier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194747949 PECOS PAC ID: 1153515515 Enrollment ID: I20101029000255 |
| Provider Name | Jalal A Saied |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477590255 PECOS PAC ID: 3476585209 Enrollment ID: I20101112000122 |
| Provider Name | Michael H Blume |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285602813 PECOS PAC ID: 6406861087 Enrollment ID: I20101207000589 |
| Provider Name | John A Shutta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679578983 PECOS PAC ID: 9234105651 Enrollment ID: I20101209001103 |
| Provider Name | Peter W Kremers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235163254 PECOS PAC ID: 0749478774 Enrollment ID: I20101217000247 |
| Provider Name | Diane Lee Ruckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720028673 PECOS PAC ID: 8224213046 Enrollment ID: I20110421000053 |
| Provider Name | Mouen Khashab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679668909 PECOS PAC ID: 0042314130 Enrollment ID: I20110601000166 |
| Provider Name | Patricia A Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023000973 PECOS PAC ID: 2365629144 Enrollment ID: I20110602000750 |
| Provider Name | Rohan W Moffatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780850917 PECOS PAC ID: 4284804782 Enrollment ID: I20110818000708 |
| Provider Name | Katherine S Buki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407838402 PECOS PAC ID: 0042370819 Enrollment ID: I20111103000030 |
| Provider Name | David Strickland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669578688 PECOS PAC ID: 5092722918 Enrollment ID: I20120418000356 |
| Provider Name | Sherwin Danaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306176706 PECOS PAC ID: 9931362928 Enrollment ID: I20120601000222 |
| Provider Name | Judd M Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790009041 PECOS PAC ID: 8426228230 Enrollment ID: I20120604000306 |
| Provider Name | Elizabeth A. Arnone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316041494 PECOS PAC ID: 2668401530 Enrollment ID: I20130829000717 |
| Provider Name | Jayant Patankar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1497756761 PECOS PAC ID: 4486627171 Enrollment ID: I20140305000588 |
| Provider Name | Kelly L Llewellyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336578947 PECOS PAC ID: 2466682729 Enrollment ID: I20140306000117 |
| Provider Name | Nicole B Mullendore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437409489 PECOS PAC ID: 2668695404 Enrollment ID: I20140522001821 |
| Provider Name | Grace Ramaiah Finny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255586269 PECOS PAC ID: 4789852831 Enrollment ID: I20140620000098 |
| Provider Name | Alex M Wurm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558508887 PECOS PAC ID: 5395899678 Enrollment ID: I20140725000144 |
| Provider Name | Ingrid Halvorson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013336114 PECOS PAC ID: 4385862788 Enrollment ID: I20140827000388 |
| Provider Name | Natasha Fontaine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598938177 PECOS PAC ID: 4789809484 Enrollment ID: I20141015001551 |
| Provider Name | Stephanie M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366645814 PECOS PAC ID: 8325287949 Enrollment ID: I20141125000108 |
| Provider Name | Tisha M Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811399009 PECOS PAC ID: 6709100860 Enrollment ID: I20150120000769 |
| Provider Name | Patrick Mansky |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013931526 PECOS PAC ID: 5193705622 Enrollment ID: I20150320001603 |
| Provider Name | Laura C Wedertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598160608 PECOS PAC ID: 9335467703 Enrollment ID: I20150415000371 |
| Provider Name | Matthew Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366731119 PECOS PAC ID: 3870742836 Enrollment ID: I20150716002214 |
| Provider Name | Sidharthi Trichy Selvaraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861753980 PECOS PAC ID: 5294040234 Enrollment ID: I20150819008643 |
| Provider Name | Marsha Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144454570 PECOS PAC ID: 9335270016 Enrollment ID: I20150909000511 |
| Provider Name | Douglas B Yim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922079979 PECOS PAC ID: 9335249176 Enrollment ID: I20150916000410 |
| Provider Name | Yassin Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386752806 PECOS PAC ID: 0244245595 Enrollment ID: I20151027000221 |
| Provider Name | Allen Missoi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467682229 PECOS PAC ID: 6204051006 Enrollment ID: I20151030000334 |
| Provider Name | Petra J Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518957661 PECOS PAC ID: 6204829161 Enrollment ID: I20151113000400 |
| Provider Name | Vikram S Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114157112 PECOS PAC ID: 2860663853 Enrollment ID: I20151202001891 |
| Provider Name | Maurice A Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740302686 PECOS PAC ID: 9335265628 Enrollment ID: I20160205001444 |
| Provider Name | Martin Sarkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518005636 PECOS PAC ID: 8022266691 Enrollment ID: I20160205002044 |
| Provider Name | Rachael E Patelunas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538536255 PECOS PAC ID: 6305143520 Enrollment ID: I20160401000696 |
| Provider Name | Nilima Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457714693 PECOS PAC ID: 8123327574 Enrollment ID: I20160506000102 |
| Provider Name | Christopher David Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609166552 PECOS PAC ID: 4880993575 Enrollment ID: I20160706001264 |
| Provider Name | Narayan Deshmukh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124093307 PECOS PAC ID: 6204878077 Enrollment ID: I20160727000252 |
| Provider Name | Lindsey B Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225412224 PECOS PAC ID: 0143526111 Enrollment ID: I20160831000357 |
| Provider Name | Christine K Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629271374 PECOS PAC ID: 8820238124 Enrollment ID: I20160902000098 |
| Provider Name | Jacob F Collen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528164704 PECOS PAC ID: 7517192933 Enrollment ID: I20160914002836 |
| Provider Name | Keisha Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821461849 PECOS PAC ID: 9335431865 Enrollment ID: I20161215000174 |
| Provider Name | Jared Joseph Tompkins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891086799 PECOS PAC ID: 4082852900 Enrollment ID: I20170111000116 |
| Provider Name | Emily S Spear |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376987016 PECOS PAC ID: 3779865548 Enrollment ID: I20170131002378 |
| Provider Name | Vincent Difabio |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457406266 PECOS PAC ID: 1456549690 Enrollment ID: I20170213000093 |
| Provider Name | Kristin Anne Conley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023189958 PECOS PAC ID: 6204082829 Enrollment ID: I20170418000186 |
| Provider Name | Morgan D Baker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447507256 PECOS PAC ID: 3779869268 Enrollment ID: I20170418001091 |
| Provider Name | Kristin M Benante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720511983 PECOS PAC ID: 6305113994 Enrollment ID: I20170602000838 |
| Provider Name | Garima Narayen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285053926 PECOS PAC ID: 9830495886 Enrollment ID: I20171017002989 |
| Provider Name | Kristin Kelley-higgins Adelmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477063014 PECOS PAC ID: 4688932452 Enrollment ID: I20171228000149 |
| Provider Name | Jason Matthews |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962844142 PECOS PAC ID: 0749598597 Enrollment ID: I20180124001569 |
| Provider Name | Daniel Delauter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801315288 PECOS PAC ID: 0345509048 Enrollment ID: I20180125000121 |
| Provider Name | Andrew Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649230483 PECOS PAC ID: 2264585751 Enrollment ID: I20180125002472 |
| Provider Name | Naderge P. Pierre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770804619 PECOS PAC ID: 3274893862 Enrollment ID: I20180130000583 |
| Provider Name | Atchutha Geetha Chan Chilakamarri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750508958 PECOS PAC ID: 7719029149 Enrollment ID: I20180215002467 |
| Provider Name | Amber Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336645019 PECOS PAC ID: 7113280322 Enrollment ID: I20180420000566 |
| Provider Name | Andrew Tobon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174503106 PECOS PAC ID: 5991691040 Enrollment ID: I20180604002591 |
| Provider Name | Bipin Rajendran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417215732 PECOS PAC ID: 8820239239 Enrollment ID: I20180618000063 |
| Provider Name | George Coppit |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760581821 PECOS PAC ID: 9234226010 Enrollment ID: I20180627002982 |
| Provider Name | Junyong Jia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972998052 PECOS PAC ID: 6800143009 Enrollment ID: I20180719000205 |
| Provider Name | Michael D. Winton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619314291 PECOS PAC ID: 5698074052 Enrollment ID: I20180821000004 |
| Provider Name | Margaret Perusse Oberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972583581 PECOS PAC ID: 5890970222 Enrollment ID: I20180829003410 |
| Provider Name | Alice Esame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457746406 PECOS PAC ID: 0143502930 Enrollment ID: I20180906002336 |
| Provider Name | Atrish Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386082881 PECOS PAC ID: 0143518167 Enrollment ID: I20180920000280 |
| Provider Name | Francine Hawes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649539636 PECOS PAC ID: 0042561227 Enrollment ID: I20180927000795 |
| Provider Name | Chinedu O Ejike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415637 PECOS PAC ID: 6709025216 Enrollment ID: I20181003001704 |
| Provider Name | Adedapo Ajayi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063775690 PECOS PAC ID: 6002181831 Enrollment ID: I20181016000225 |
| Provider Name | Wayne Anthony Cardoni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578622130 PECOS PAC ID: 2365576816 Enrollment ID: I20181105002620 |
| Provider Name | Pallavi Reddy |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164798724 PECOS PAC ID: 1557592649 Enrollment ID: I20181112000157 |
| Provider Name | Lauren Kathleen Trego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467813691 PECOS PAC ID: 0244539757 Enrollment ID: I20181121000940 |
| Provider Name | Kayur R Bhavsar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588062251 PECOS PAC ID: 8426361148 Enrollment ID: I20181129000096 |
| Provider Name | Katherine Wyatt Fields |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114305224 PECOS PAC ID: 2961748462 Enrollment ID: I20190103002045 |
| Provider Name | Heather Boyd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548538838 PECOS PAC ID: 6204172505 Enrollment ID: I20190108001059 |
| Provider Name | Jennifer C Plumadore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093285926 PECOS PAC ID: 6305186248 Enrollment ID: I20190313000022 |
| Provider Name | Lemuel Carlo Lucas De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619446622 PECOS PAC ID: 1052652732 Enrollment ID: I20190405001286 |
| Provider Name | Jodi Lynn Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891264065 PECOS PAC ID: 5890028179 Enrollment ID: I20190603000099 |
| Provider Name | Veronica D Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699049460 PECOS PAC ID: 2062671274 Enrollment ID: I20190603002929 |
| Provider Name | Melanie Ondrejko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992265656 PECOS PAC ID: 3375877111 Enrollment ID: I20190627001252 |
| Provider Name | Gennaro J Marenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447729058 PECOS PAC ID: 6800134651 Enrollment ID: I20190703002508 |
| Provider Name | Nyasha H Mufuka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649625138 PECOS PAC ID: 5294070306 Enrollment ID: I20190911000710 |
| Provider Name | Natalia S Kubicki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578829636 PECOS PAC ID: 2668771890 Enrollment ID: I20190926002014 |
| Provider Name | Natalia Marina |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891134466 PECOS PAC ID: 8224321971 Enrollment ID: I20191003000154 |
| Provider Name | Khine Sann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376958744 PECOS PAC ID: 9032541032 Enrollment ID: I20191113001132 |
| Provider Name | Stacy Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194371344 PECOS PAC ID: 3274965165 Enrollment ID: I20191114001493 |
| Provider Name | Constance M Derosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508428103 PECOS PAC ID: 0042644460 Enrollment ID: I20191218000619 |
| Provider Name | Heather Ashley Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891330908 PECOS PAC ID: 8729413364 Enrollment ID: I20200108002983 |
| Provider Name | Kristen A Leizear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912544883 PECOS PAC ID: 6507292828 Enrollment ID: I20200206000389 |
| Provider Name | Sean Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245879980 PECOS PAC ID: 5890123731 Enrollment ID: I20200309000039 |
| Provider Name | Rachel Rogalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578945580 PECOS PAC ID: 2769799253 Enrollment ID: I20200319000090 |
| Provider Name | Blessing Nwaneri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184272403 PECOS PAC ID: 4981033974 Enrollment ID: I20200326000022 |
| Provider Name | Heather Chalfin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750652152 PECOS PAC ID: 9638319064 Enrollment ID: I20200604000843 |
| Provider Name | B Adam Shanes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679551816 PECOS PAC ID: 1153355391 Enrollment ID: I20200701003564 |
| Provider Name | Pratik Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871977793 PECOS PAC ID: 3971858572 Enrollment ID: I20200729003732 |
| Provider Name | Amanda Christine Yinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598197204 PECOS PAC ID: 4789004227 Enrollment ID: I20201021002545 |
| Provider Name | Sarah Queena D. Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184235681 PECOS PAC ID: 6608287636 Enrollment ID: I20201124001294 |
| Provider Name | Mustafa Azimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568064046 PECOS PAC ID: 0244642270 Enrollment ID: I20201216002410 |
| Provider Name | Megan Ryan Riffle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356957534 PECOS PAC ID: 8022420876 Enrollment ID: I20201221000558 |
| Provider Name | Carolyn Marie West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972040244 PECOS PAC ID: 9032518436 Enrollment ID: I20210603002926 |
| Provider Name | Nicole Marie Wetzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053993956 PECOS PAC ID: 7719389501 Enrollment ID: I20210716000052 |
| Provider Name | Shyam Sundar Jayaraman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083027122 PECOS PAC ID: 3072803972 Enrollment ID: I20210721000065 |
| Provider Name | Saro Sarkisian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164735387 PECOS PAC ID: 8820232549 Enrollment ID: I20210728000335 |
| Provider Name | Rachel Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336645712 PECOS PAC ID: 0941558928 Enrollment ID: I20210804002789 |
| Provider Name | Natalie Lowrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710576640 PECOS PAC ID: 5496159998 Enrollment ID: I20210805001575 |
| Provider Name | Taylor Dodd Guyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134638687 PECOS PAC ID: 7012274814 Enrollment ID: I20210812000495 |
| Provider Name | Kristen Ashley Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144994401 PECOS PAC ID: 1052716321 Enrollment ID: I20210825000489 |
| Provider Name | Daryl Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417452095 PECOS PAC ID: 8123375201 Enrollment ID: I20210920001790 |
| Provider Name | Florence Othieno |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538541206 PECOS PAC ID: 4082913223 Enrollment ID: I20210921002538 |
| Provider Name | Dongyan Liu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912391913 PECOS PAC ID: 7517286313 Enrollment ID: I20210922000512 |
| Provider Name | Vernissia Tam |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1528344116 PECOS PAC ID: 6608274634 Enrollment ID: I20211006000725 |
| Provider Name | Therlinsie Fleurizard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407241664 PECOS PAC ID: 6709175938 Enrollment ID: I20211214001905 |
| Provider Name | Jeanette Owusu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467866913 PECOS PAC ID: 0749532349 Enrollment ID: I20211216000078 |
| Provider Name | Jessica Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225516461 PECOS PAC ID: 6406191139 Enrollment ID: I20220106000018 |
| Provider Name | Elizabeth Catherine Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811419013 PECOS PAC ID: 1355601394 Enrollment ID: I20220131000436 |
| Provider Name | Donna-sue Lammie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912533142 PECOS PAC ID: 8426489881 Enrollment ID: I20220207000320 |
| Provider Name | Elizabeth Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457690364 PECOS PAC ID: 9032355102 Enrollment ID: I20220217001991 |
| Provider Name | Jennifer Slowik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952710287 PECOS PAC ID: 8729381231 Enrollment ID: I20220218000050 |
| Provider Name | Deasia Dominique Jacob |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619339728 PECOS PAC ID: 9931491941 Enrollment ID: I20220425000073 |
| Provider Name | Riad Almudallal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245220763 PECOS PAC ID: 7517862170 Enrollment ID: I20220502000494 |
| Provider Name | Fiona Dias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326684051 PECOS PAC ID: 5395123749 Enrollment ID: I20220526000492 |
| Provider Name | Caitlyn Ray Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891431516 PECOS PAC ID: 9830577402 Enrollment ID: I20220610000031 |
| Provider Name | Jennifer Nimarko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477108041 PECOS PAC ID: 0345678488 Enrollment ID: I20220625000068 |
| Provider Name | Shalin Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215293915 PECOS PAC ID: 5890045207 Enrollment ID: I20220714004218 |
| Provider Name | Victor Peng |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1508357021 PECOS PAC ID: 2860875267 Enrollment ID: I20220817003641 |
| Provider Name | Chioma Unegbu-ogbonna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649834003 PECOS PAC ID: 9335522663 Enrollment ID: I20220818001153 |
| Provider Name | Amber Charoen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508217944 PECOS PAC ID: 6709127665 Enrollment ID: I20220823001822 |
| Provider Name | Regine Josie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033850995 PECOS PAC ID: 4587049606 Enrollment ID: I20220909002421 |
| Provider Name | Maria Fernanda Blasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316681695 PECOS PAC ID: 3779969985 Enrollment ID: I20220926001327 |
| Provider Name | Holly Rataiczak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205275971 PECOS PAC ID: 2365674983 Enrollment ID: I20221007001182 |
| Provider Name | Jessica Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548989866 PECOS PAC ID: 7911373246 Enrollment ID: I20221012000031 |
| Provider Name | Sevak Keshishyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841586013 PECOS PAC ID: 4587910930 Enrollment ID: I20221019002855 |
| Provider Name | Jodi Andrea Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114131414 PECOS PAC ID: 3375910813 Enrollment ID: I20221114000015 |
| Provider Name | Joseph Ruhala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922415421 PECOS PAC ID: 6507084456 Enrollment ID: I20221114000063 |
| Provider Name | Amber Burkey-samdin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588381750 PECOS PAC ID: 7810367596 Enrollment ID: I20221222000589 |
| Provider Name | Megan Sim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518631183 PECOS PAC ID: 7719375492 Enrollment ID: I20230103000946 |
| Provider Name | Sepharot E Jones Andoh-okyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053036103 PECOS PAC ID: 7113397308 Enrollment ID: I20230104001895 |
| Provider Name | Sira Diakite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154921716 PECOS PAC ID: 0840603833 Enrollment ID: I20230105000835 |
| Provider Name | Ashley Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972213841 PECOS PAC ID: 4385016237 Enrollment ID: I20230202001930 |
| Provider Name | David Maish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215998968 PECOS PAC ID: 0143209395 Enrollment ID: I20230206001526 |
| Provider Name | Kelleen Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922705938 PECOS PAC ID: 7911371562 Enrollment ID: I20230321002935 |
| Provider Name | Melissa Lynn Schirle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912604893 PECOS PAC ID: 7719352921 Enrollment ID: I20230330003067 |
| Provider Name | Mary Mcdonald |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1356447692 PECOS PAC ID: 2961474135 Enrollment ID: I20230501001127 |
| Provider Name | Kellen Mulhern |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043668437 PECOS PAC ID: 1052601689 Enrollment ID: I20230701000112 |
| Provider Name | Jessica Janisheski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093408817 PECOS PAC ID: 2961861232 Enrollment ID: I20230705000876 |
| Provider Name | Bryson Nicholson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356661839 PECOS PAC ID: 7315250362 Enrollment ID: I20230705001690 |
| Provider Name | Jennifer Cavanagh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033213376 PECOS PAC ID: 3577665645 Enrollment ID: I20230711000067 |
| Provider Name | Ogechukwu Chika-nwosuh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801327515 PECOS PAC ID: 3274993191 Enrollment ID: I20230724001586 |
| Provider Name | Sanmeet Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295198166 PECOS PAC ID: 8022305879 Enrollment ID: I20230724003200 |
| Provider Name | Abby Np Belay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164103701 PECOS PAC ID: 6800258575 Enrollment ID: I20230811001055 |
| Provider Name | Syed Kashif Mahmood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831544022 PECOS PAC ID: 4880989649 Enrollment ID: I20230816003890 |
| Provider Name | Jonelle George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700226693 PECOS PAC ID: 4486984465 Enrollment ID: I20230822000972 |
| Provider Name | Lawrence Enweze |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184079345 PECOS PAC ID: 5294125464 Enrollment ID: I20230927000735 |
| Provider Name | Samuel Stoyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588906994 PECOS PAC ID: 9436451010 Enrollment ID: I20231003000783 |
| Provider Name | Marcia Wolfinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225570658 PECOS PAC ID: 2466537840 Enrollment ID: I20231220000134 |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Lourdes Brigida Hunter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Thomas Johnson Dr, Suite 104, Frederick, MD 21702 Phone: 301-360-0776 Fax: 301-631-8443 | |
Sivimed Internal Medicine Associates Nd Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 141 Thomas Johnson Dr Ste 100, Frederick, MD 21702 Phone: 301-228-9123 Fax: 855-760-5009 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Mason-dixon Mobile Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 723 N Market St, Frederick, MD 21701 Phone: 240-397-6723 Fax: 833-992-0865 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 | |
Serenity Medical & Wellness Center Of Frederick Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Toll House Ave, Suite F1, Frederick, MD 21701 Phone: 240-561-5163 |